ICD-10-CM/PCS MS-DRG v42.0 Definitions Manual
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ICD-10-CM/PCS MS-DRG v42.0 Definitions Manual |
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| MDC 05 Diseases and Disorders of the Circulatory System |
| Other Vascular Procedures |
| Page 16 of 24 |
OPERATING ROOM PROCEDURES (continued)
00HE0MZ 02VS0CZ 03160AB 03740DZ 037J04Z 039R4ZX 03LA4ZZ 03RN47Z 03UV4JZ 041M4KS 04740EZ 047F0ZZ 047S3EZ 04CK4ZZ 04Q03ZZ 04UF3JZ 051M4KY 059G4ZX 05LF0CZ 05SY3ZZ 061H07Y 06H43DZ 06UN07Z 0GWS32Z
| 04UF3JZ | Supplement Left Internal Iliac Artery with Synthetic Substitute, Percutaneous Approach |
| 04UF3KZ | Supplement Left Internal Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Approach |
| 04UF47Z | Supplement Left Internal Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UF4JZ | Supplement Left Internal Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UF4KZ | Supplement Left Internal Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UH07Z | Supplement Right External Iliac Artery with Autologous Tissue Substitute, Open Approach |
| 04UH0JZ | Supplement Right External Iliac Artery with Synthetic Substitute, Open Approach |
| 04UH0KZ | Supplement Right External Iliac Artery with Nonautologous Tissue Substitute, Open Approach |
| 04UH37Z | Supplement Right External Iliac Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UH3JZ | Supplement Right External Iliac Artery with Synthetic Substitute, Percutaneous Approach |
| 04UH3KZ | Supplement Right External Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Approach |
| 04UH47Z | Supplement Right External Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UH4JZ | Supplement Right External Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UH4KZ | Supplement Right External Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UJ07Z | Supplement Left External Iliac Artery with Autologous Tissue Substitute, Open Approach |
| 04UJ0JZ | Supplement Left External Iliac Artery with Synthetic Substitute, Open Approach |
| 04UJ0KZ | Supplement Left External Iliac Artery with Nonautologous Tissue Substitute, Open Approach |
| 04UJ37Z | Supplement Left External Iliac Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UJ3JZ | Supplement Left External Iliac Artery with Synthetic Substitute, Percutaneous Approach |
| 04UJ3KZ | Supplement Left External Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Approach |
| 04UJ47Z | Supplement Left External Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UJ4JZ | Supplement Left External Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UJ4KZ | Supplement Left External Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UK07Z | Supplement Right Femoral Artery with Autologous Tissue Substitute, Open Approach |
| 04UK0JZ | Supplement Right Femoral Artery with Synthetic Substitute, Open Approach |
| 04UK0KZ | Supplement Right Femoral Artery with Nonautologous Tissue Substitute, Open Approach |
| 04UK37Z | Supplement Right Femoral Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UK3JZ | Supplement Right Femoral Artery with Synthetic Substitute, Percutaneous Approach |
| 04UK3KZ | Supplement Right Femoral Artery with Nonautologous Tissue Substitute, Percutaneous Approach |
| 04UK47Z | Supplement Right Femoral Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UK4JZ | Supplement Right Femoral Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UK4KZ | Supplement Right Femoral Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UL07Z | Supplement Left Femoral Artery with Autologous Tissue Substitute, Open Approach |
| 04UL0JZ | Supplement Left Femoral Artery with Synthetic Substitute, Open Approach |
| 04UL0KZ | Supplement Left Femoral Artery with Nonautologous Tissue Substitute, Open Approach |
| 04UL37Z | Supplement Left Femoral Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UL3JZ | Supplement Left Femoral Artery with Synthetic Substitute, Percutaneous Approach |
| 04UL3KZ | Supplement Left Femoral Artery with Nonautologous Tissue Substitute, Percutaneous Approach |
| 04UL47Z | Supplement Left Femoral Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UL4JZ | Supplement Left Femoral Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UL4KZ | Supplement Left Femoral Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UM07Z | Supplement Right Popliteal Artery with Autologous Tissue Substitute, Open Approach |
| 04UM0JZ | Supplement Right Popliteal Artery with Synthetic Substitute, Open Approach |
| 04UM0KZ | Supplement Right Popliteal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04UM37Z | Supplement Right Popliteal Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UM3JZ | Supplement Right Popliteal Artery with Synthetic Substitute, Percutaneous Approach |
| 04UM3KZ | Supplement Right Popliteal Artery with Nonautologous Tissue Substitute, Percutaneous Approach |
| 04UM47Z | Supplement Right Popliteal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UM4JZ | Supplement Right Popliteal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UM4KZ | Supplement Right Popliteal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UN07Z | Supplement Left Popliteal Artery with Autologous Tissue Substitute, Open Approach |
| 04UN0JZ | Supplement Left Popliteal Artery with Synthetic Substitute, Open Approach |
| 04UN0KZ | Supplement Left Popliteal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04UN37Z | Supplement Left Popliteal Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UN3JZ | Supplement Left Popliteal Artery with Synthetic Substitute, Percutaneous Approach |
| 04UN3KZ | Supplement Left Popliteal Artery with Nonautologous Tissue Substitute, Percutaneous Approach |
| 04UN47Z | Supplement Left Popliteal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UN4JZ | Supplement Left Popliteal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UN4KZ | Supplement Left Popliteal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UP07Z | Supplement Right Anterior Tibial Artery with Autologous Tissue Substitute, Open Approach |
| 04UP0JZ | Supplement Right Anterior Tibial Artery with Synthetic Substitute, Open Approach |
| 04UP0KZ | Supplement Right Anterior Tibial Artery with Nonautologous Tissue Substitute, Open Approach |
| 04UP37Z | Supplement Right Anterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UP3JZ | Supplement Right Anterior Tibial Artery with Synthetic Substitute, Percutaneous Approach |
| 04UP3KZ | Supplement Right Anterior Tibial Artery with Nonautologous Tissue Substitute, Percutaneous Approach |
| 04UP47Z | Supplement Right Anterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UP4JZ | Supplement Right Anterior Tibial Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UP4KZ | Supplement Right Anterior Tibial Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UQ07Z | Supplement Left Anterior Tibial Artery with Autologous Tissue Substitute, Open Approach |
| 04UQ0JZ | Supplement Left Anterior Tibial Artery with Synthetic Substitute, Open Approach |
| 04UQ0KZ | Supplement Left Anterior Tibial Artery with Nonautologous Tissue Substitute, Open Approach |
| 04UQ37Z | Supplement Left Anterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UQ3JZ | Supplement Left Anterior Tibial Artery with Synthetic Substitute, Percutaneous Approach |
| 04UQ3KZ | Supplement Left Anterior Tibial Artery with Nonautologous Tissue Substitute, Percutaneous Approach |
| 04UQ47Z | Supplement Left Anterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UQ4JZ | Supplement Left Anterior Tibial Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UQ4KZ | Supplement Left Anterior Tibial Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UR07Z | Supplement Right Posterior Tibial Artery with Autologous Tissue Substitute, Open Approach |
| 04UR0JZ | Supplement Right Posterior Tibial Artery with Synthetic Substitute, Open Approach |
| 04UR0KZ | Supplement Right Posterior Tibial Artery with Nonautologous Tissue Substitute, Open Approach |
| 04UR37Z | Supplement Right Posterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UR3JZ | Supplement Right Posterior Tibial Artery with Synthetic Substitute, Percutaneous Approach |
| 04UR3KZ | Supplement Right Posterior Tibial Artery with Nonautologous Tissue Substitute, Percutaneous Approach |
| 04UR47Z | Supplement Right Posterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UR4JZ | Supplement Right Posterior Tibial Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UR4KZ | Supplement Right Posterior Tibial Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04US07Z | Supplement Left Posterior Tibial Artery with Autologous Tissue Substitute, Open Approach |
| 04US0JZ | Supplement Left Posterior Tibial Artery with Synthetic Substitute, Open Approach |
| 04US0KZ | Supplement Left Posterior Tibial Artery with Nonautologous Tissue Substitute, Open Approach |
| 04US37Z | Supplement Left Posterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04US3JZ | Supplement Left Posterior Tibial Artery with Synthetic Substitute, Percutaneous Approach |
| 04US3KZ | Supplement Left Posterior Tibial Artery with Nonautologous Tissue Substitute, Percutaneous Approach |
| 04US47Z | Supplement Left Posterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04US4JZ | Supplement Left Posterior Tibial Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04US4KZ | Supplement Left Posterior Tibial Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UT07Z | Supplement Right Peroneal Artery with Autologous Tissue Substitute, Open Approach |
| 04UT0JZ | Supplement Right Peroneal Artery with Synthetic Substitute, Open Approach |
| 04UT0KZ | Supplement Right Peroneal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04UT37Z | Supplement Right Peroneal Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UT3JZ | Supplement Right Peroneal Artery with Synthetic Substitute, Percutaneous Approach |
| 04UT3KZ | Supplement Right Peroneal Artery with Nonautologous Tissue Substitute, Percutaneous Approach |
| 04UT47Z | Supplement Right Peroneal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UT4JZ | Supplement Right Peroneal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UT4KZ | Supplement Right Peroneal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UU07Z | Supplement Left Peroneal Artery with Autologous Tissue Substitute, Open Approach |
| 04UU0JZ | Supplement Left Peroneal Artery with Synthetic Substitute, Open Approach |
| 04UU0KZ | Supplement Left Peroneal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04UU37Z | Supplement Left Peroneal Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UU3JZ | Supplement Left Peroneal Artery with Synthetic Substitute, Percutaneous Approach |
| 04UU3KZ | Supplement Left Peroneal Artery with Nonautologous Tissue Substitute, Percutaneous Approach |
| 04UU47Z | Supplement Left Peroneal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UU4JZ | Supplement Left Peroneal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UU4KZ | Supplement Left Peroneal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UV07Z | Supplement Right Foot Artery with Autologous Tissue Substitute, Open Approach |
| 04UV0JZ | Supplement Right Foot Artery with Synthetic Substitute, Open Approach |
| 04UV0KZ | Supplement Right Foot Artery with Nonautologous Tissue Substitute, Open Approach |
| 04UV37Z | Supplement Right Foot Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UV3JZ | Supplement Right Foot Artery with Synthetic Substitute, Percutaneous Approach |
| 04UV3KZ | Supplement Right Foot Artery with Nonautologous Tissue Substitute, Percutaneous Approach |
| 04UV47Z | Supplement Right Foot Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UV4JZ | Supplement Right Foot Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UV4KZ | Supplement Right Foot Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UW07Z | Supplement Left Foot Artery with Autologous Tissue Substitute, Open Approach |
| 04UW0JZ | Supplement Left Foot Artery with Synthetic Substitute, Open Approach |
| 04UW0KZ | Supplement Left Foot Artery with Nonautologous Tissue Substitute, Open Approach |
| 04UW37Z | Supplement Left Foot Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UW3JZ | Supplement Left Foot Artery with Synthetic Substitute, Percutaneous Approach |
| 04UW3KZ | Supplement Left Foot Artery with Nonautologous Tissue Substitute, Percutaneous Approach |
| 04UW47Z | Supplement Left Foot Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UW4JZ | Supplement Left Foot Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UW4KZ | Supplement Left Foot Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UY07Z | Supplement Lower Artery with Autologous Tissue Substitute, Open Approach |
| 04UY0JZ | Supplement Lower Artery with Synthetic Substitute, Open Approach |
| 04UY0KZ | Supplement Lower Artery with Nonautologous Tissue Substitute, Open Approach |
| 04UY37Z | Supplement Lower Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UY3JZ | Supplement Lower Artery with Synthetic Substitute, Percutaneous Approach |
| 04UY3KZ | Supplement Lower Artery with Nonautologous Tissue Substitute, Percutaneous Approach |
| 04UY47Z | Supplement Lower Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UY4JZ | Supplement Lower Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UY4KZ | Supplement Lower Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04V00CZ | Restriction of Abdominal Aorta with Extraluminal Device, Open Approach |
| 04V00DJ | Restriction of Abdominal Aorta with Intraluminal Device, Temporary, Open Approach |
| 04V03CZ | Restriction of Abdominal Aorta with Extraluminal Device, Percutaneous Approach |
| 04V03DJ | Restriction of Abdominal Aorta with Intraluminal Device, Temporary, Percutaneous Approach |
| 04V04CZ | Restriction of Abdominal Aorta with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04V04DJ | Restriction of Abdominal Aorta with Intraluminal Device, Temporary, Percutaneous Endoscopic Approach |
| 04V10CZ | Restriction of Celiac Artery with Extraluminal Device, Open Approach |
| 04V13CZ | Restriction of Celiac Artery with Extraluminal Device, Percutaneous Approach |
| 04V14CZ | Restriction of Celiac Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04V20CZ | Restriction of Gastric Artery with Extraluminal Device, Open Approach |
| 04V23CZ | Restriction of Gastric Artery with Extraluminal Device, Percutaneous Approach |
| 04V24CZ | Restriction of Gastric Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04V30CZ | Restriction of Hepatic Artery with Extraluminal Device, Open Approach |
| 04V33CZ | Restriction of Hepatic Artery with Extraluminal Device, Percutaneous Approach |
| 04V34CZ | Restriction of Hepatic Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04V40CZ | Restriction of Splenic Artery with Extraluminal Device, Open Approach |
| 04V43CZ | Restriction of Splenic Artery with Extraluminal Device, Percutaneous Approach |
| 04V44CZ | Restriction of Splenic Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04V50CZ | Restriction of Superior Mesenteric Artery with Extraluminal Device, Open Approach |
| 04V53CZ | Restriction of Superior Mesenteric Artery with Extraluminal Device, Percutaneous Approach |
| 04V54CZ | Restriction of Superior Mesenteric Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04V60CZ | Restriction of Right Colic Artery with Extraluminal Device, Open Approach |
| 04V63CZ | Restriction of Right Colic Artery with Extraluminal Device, Percutaneous Approach |
| 04V64CZ | Restriction of Right Colic Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04V70CZ | Restriction of Left Colic Artery with Extraluminal Device, Open Approach |
| 04V73CZ | Restriction of Left Colic Artery with Extraluminal Device, Percutaneous Approach |
| 04V74CZ | Restriction of Left Colic Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04V80CZ | Restriction of Middle Colic Artery with Extraluminal Device, Open Approach |
| 04V83CZ | Restriction of Middle Colic Artery with Extraluminal Device, Percutaneous Approach |
| 04V84CZ | Restriction of Middle Colic Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04V90CZ | Restriction of Right Renal Artery with Extraluminal Device, Open Approach |
| 04V93CZ | Restriction of Right Renal Artery with Extraluminal Device, Percutaneous Approach |
| 04V94CZ | Restriction of Right Renal Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04VA0CZ | Restriction of Left Renal Artery with Extraluminal Device, Open Approach |
| 04VA3CZ | Restriction of Left Renal Artery with Extraluminal Device, Percutaneous Approach |
| 04VA4CZ | Restriction of Left Renal Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04VB0CZ | Restriction of Inferior Mesenteric Artery with Extraluminal Device, Open Approach |
| 04VB3CZ | Restriction of Inferior Mesenteric Artery with Extraluminal Device, Percutaneous Approach |
| 04VB4CZ | Restriction of Inferior Mesenteric Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04VC0CZ | Restriction of Right Common Iliac Artery with Extraluminal Device, Open Approach |
| 04VC3CZ | Restriction of Right Common Iliac Artery with Extraluminal Device, Percutaneous Approach |
| 04VC4CZ | Restriction of Right Common Iliac Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04VD0CZ | Restriction of Left Common Iliac Artery with Extraluminal Device, Open Approach |
| 04VD3CZ | Restriction of Left Common Iliac Artery with Extraluminal Device, Percutaneous Approach |
| 04VD4CZ | Restriction of Left Common Iliac Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04VE0CZ | Restriction of Right Internal Iliac Artery with Extraluminal Device, Open Approach |
| 04VE3CZ | Restriction of Right Internal Iliac Artery with Extraluminal Device, Percutaneous Approach |
| 04VE4CZ | Restriction of Right Internal Iliac Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04VF0CZ | Restriction of Left Internal Iliac Artery with Extraluminal Device, Open Approach |
| 04VF3CZ | Restriction of Left Internal Iliac Artery with Extraluminal Device, Percutaneous Approach |
| 04VF4CZ | Restriction of Left Internal Iliac Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04VH0CZ | Restriction of Right External Iliac Artery with Extraluminal Device, Open Approach |
| 04VH3CZ | Restriction of Right External Iliac Artery with Extraluminal Device, Percutaneous Approach |
| 04VH4CZ | Restriction of Right External Iliac Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04VJ0CZ | Restriction of Left External Iliac Artery with Extraluminal Device, Open Approach |
| 04VJ3CZ | Restriction of Left External Iliac Artery with Extraluminal Device, Percutaneous Approach |
| 04VJ4CZ | Restriction of Left External Iliac Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04VK0CZ | Restriction of Right Femoral Artery with Extraluminal Device, Open Approach |
| 04VK3CZ | Restriction of Right Femoral Artery with Extraluminal Device, Percutaneous Approach |
| 04VK4CZ | Restriction of Right Femoral Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04VL0CZ | Restriction of Left Femoral Artery with Extraluminal Device, Open Approach |
| 04VL3CZ | Restriction of Left Femoral Artery with Extraluminal Device, Percutaneous Approach |
| 04VL4CZ | Restriction of Left Femoral Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04VM0CZ | Restriction of Right Popliteal Artery with Extraluminal Device, Open Approach |
| 04VM3CZ | Restriction of Right Popliteal Artery with Extraluminal Device, Percutaneous Approach |
| 04VM4CZ | Restriction of Right Popliteal Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04VN0CZ | Restriction of Left Popliteal Artery with Extraluminal Device, Open Approach |
| 04VN3CZ | Restriction of Left Popliteal Artery with Extraluminal Device, Percutaneous Approach |
| 04VN4CZ | Restriction of Left Popliteal Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04VP0CZ | Restriction of Right Anterior Tibial Artery with Extraluminal Device, Open Approach |
| 04VP3CZ | Restriction of Right Anterior Tibial Artery with Extraluminal Device, Percutaneous Approach |
| 04VP4CZ | Restriction of Right Anterior Tibial Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04VQ0CZ | Restriction of Left Anterior Tibial Artery with Extraluminal Device, Open Approach |
| 04VQ3CZ | Restriction of Left Anterior Tibial Artery with Extraluminal Device, Percutaneous Approach |
| 04VQ4CZ | Restriction of Left Anterior Tibial Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04VR0CZ | Restriction of Right Posterior Tibial Artery with Extraluminal Device, Open Approach |
| 04VR3CZ | Restriction of Right Posterior Tibial Artery with Extraluminal Device, Percutaneous Approach |
| 04VR4CZ | Restriction of Right Posterior Tibial Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04VS0CZ | Restriction of Left Posterior Tibial Artery with Extraluminal Device, Open Approach |
| 04VS3CZ | Restriction of Left Posterior Tibial Artery with Extraluminal Device, Percutaneous Approach |
| 04VS4CZ | Restriction of Left Posterior Tibial Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04VT0CZ | Restriction of Right Peroneal Artery with Extraluminal Device, Open Approach |
| 04VT3CZ | Restriction of Right Peroneal Artery with Extraluminal Device, Percutaneous Approach |
| 04VT4CZ | Restriction of Right Peroneal Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04VU0CZ | Restriction of Left Peroneal Artery with Extraluminal Device, Open Approach |
| 04VU3CZ | Restriction of Left Peroneal Artery with Extraluminal Device, Percutaneous Approach |
| 04VU4CZ | Restriction of Left Peroneal Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04VV0CZ | Restriction of Right Foot Artery with Extraluminal Device, Open Approach |
| 04VV3CZ | Restriction of Right Foot Artery with Extraluminal Device, Percutaneous Approach |
| 04VV4CZ | Restriction of Right Foot Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04VW0CZ | Restriction of Left Foot Artery with Extraluminal Device, Open Approach |
| 04VW3CZ | Restriction of Left Foot Artery with Extraluminal Device, Percutaneous Approach |
| 04VW4CZ | Restriction of Left Foot Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04VY0CZ | Restriction of Lower Artery with Extraluminal Device, Open Approach |
| 04VY3CZ | Restriction of Lower Artery with Extraluminal Device, Percutaneous Approach |
| 04VY4CZ | Restriction of Lower Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04WY00Z | Revision of Drainage Device in Lower Artery, Open Approach |
| 04WY02Z | Revision of Monitoring Device in Lower Artery, Open Approach |
| 04WY03Z | Revision of Infusion Device in Lower Artery, Open Approach |
| 04WY07Z | Revision of Autologous Tissue Substitute in Lower Artery, Open Approach |
| 04WY0CZ | Revision of Extraluminal Device in Lower Artery, Open Approach |
| 04WY0DZ | Revision of Intraluminal Device in Lower Artery, Open Approach |
| 04WY0JZ | Revision of Synthetic Substitute in Lower Artery, Open Approach |
| 04WY0KZ | Revision of Nonautologous Tissue Substitute in Lower Artery, Open Approach |
| 04WY0YZ | Revision of Other Device in Lower Artery, Open Approach |
| 04WY37Z | Revision of Autologous Tissue Substitute in Lower Artery, Percutaneous Approach |
| 04WY3CZ | Revision of Extraluminal Device in Lower Artery, Percutaneous Approach |
| 04WY3DZ | Revision of Intraluminal Device in Lower Artery, Percutaneous Approach |
| 04WY3JZ | Revision of Synthetic Substitute in Lower Artery, Percutaneous Approach |
| 04WY3KZ | Revision of Nonautologous Tissue Substitute in Lower Artery, Percutaneous Approach |
| 04WY40Z | Revision of Drainage Device in Lower Artery, Percutaneous Endoscopic Approach |
| 04WY42Z | Revision of Monitoring Device in Lower Artery, Percutaneous Endoscopic Approach |
| 04WY43Z | Revision of Infusion Device in Lower Artery, Percutaneous Endoscopic Approach |
| 04WY47Z | Revision of Autologous Tissue Substitute in Lower Artery, Percutaneous Endoscopic Approach |
| 04WY4CZ | Revision of Extraluminal Device in Lower Artery, Percutaneous Endoscopic Approach |
| 04WY4DZ | Revision of Intraluminal Device in Lower Artery, Percutaneous Endoscopic Approach |
| 04WY4JZ | Revision of Synthetic Substitute in Lower Artery, Percutaneous Endoscopic Approach |
| 04WY4KZ | Revision of Nonautologous Tissue Substitute in Lower Artery, Percutaneous Endoscopic Approach |
| 051707Y | Bypass Right Axillary Vein to Upper Vein with Autologous Tissue Substitute, Open Approach |
| 051709Y | Bypass Right Axillary Vein to Upper Vein with Autologous Venous Tissue, Open Approach |
| 05170AY | Bypass Right Axillary Vein to Upper Vein with Autologous Arterial Tissue, Open Approach |
| 05170JY | Bypass Right Axillary Vein to Upper Vein with Synthetic Substitute, Open Approach |
| 05170KY | Bypass Right Axillary Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach |
| 05170ZY | Bypass Right Axillary Vein to Upper Vein, Open Approach |
| 051747Y | Bypass Right Axillary Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 051749Y | Bypass Right Axillary Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 05174AY | Bypass Right Axillary Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 05174JY | Bypass Right Axillary Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 05174KY | Bypass Right Axillary Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 05174ZY | Bypass Right Axillary Vein to Upper Vein, Percutaneous Endoscopic Approach |
| 051807Y | Bypass Left Axillary Vein to Upper Vein with Autologous Tissue Substitute, Open Approach |
| 051809Y | Bypass Left Axillary Vein to Upper Vein with Autologous Venous Tissue, Open Approach |
| 05180AY | Bypass Left Axillary Vein to Upper Vein with Autologous Arterial Tissue, Open Approach |
| 05180JY | Bypass Left Axillary Vein to Upper Vein with Synthetic Substitute, Open Approach |
| 05180KY | Bypass Left Axillary Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach |
| 05180ZY | Bypass Left Axillary Vein to Upper Vein, Open Approach |
| 051847Y | Bypass Left Axillary Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 051849Y | Bypass Left Axillary Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 05184AY | Bypass Left Axillary Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 05184JY | Bypass Left Axillary Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 05184KY | Bypass Left Axillary Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 05184ZY | Bypass Left Axillary Vein to Upper Vein, Percutaneous Endoscopic Approach |
| 051907Y | Bypass Right Brachial Vein to Upper Vein with Autologous Tissue Substitute, Open Approach |
| 051909Y | Bypass Right Brachial Vein to Upper Vein with Autologous Venous Tissue, Open Approach |
| 05190AY | Bypass Right Brachial Vein to Upper Vein with Autologous Arterial Tissue, Open Approach |
| 05190JY | Bypass Right Brachial Vein to Upper Vein with Synthetic Substitute, Open Approach |
| 05190KY | Bypass Right Brachial Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach |
| 05190ZY | Bypass Right Brachial Vein to Upper Vein, Open Approach |
| 051947Y | Bypass Right Brachial Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 051949Y | Bypass Right Brachial Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 05194AY | Bypass Right Brachial Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 05194JY | Bypass Right Brachial Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 05194KY | Bypass Right Brachial Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 05194ZY | Bypass Right Brachial Vein to Upper Vein, Percutaneous Endoscopic Approach |
| 051A07Y | Bypass Left Brachial Vein to Upper Vein with Autologous Tissue Substitute, Open Approach |
| 051A09Y | Bypass Left Brachial Vein to Upper Vein with Autologous Venous Tissue, Open Approach |
| 051A0AY | Bypass Left Brachial Vein to Upper Vein with Autologous Arterial Tissue, Open Approach |
| 051A0JY | Bypass Left Brachial Vein to Upper Vein with Synthetic Substitute, Open Approach |
| 051A0KY | Bypass Left Brachial Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach |
| 051A0ZY | Bypass Left Brachial Vein to Upper Vein, Open Approach |
| 051A47Y | Bypass Left Brachial Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 051A49Y | Bypass Left Brachial Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 051A4AY | Bypass Left Brachial Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 051A4JY | Bypass Left Brachial Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 051A4KY | Bypass Left Brachial Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 051A4ZY | Bypass Left Brachial Vein to Upper Vein, Percutaneous Endoscopic Approach |
| 051B07Y | Bypass Right Basilic Vein to Upper Vein with Autologous Tissue Substitute, Open Approach |
| 051B09Y | Bypass Right Basilic Vein to Upper Vein with Autologous Venous Tissue, Open Approach |
| 051B0AY | Bypass Right Basilic Vein to Upper Vein with Autologous Arterial Tissue, Open Approach |
| 051B0JY | Bypass Right Basilic Vein to Upper Vein with Synthetic Substitute, Open Approach |
| 051B0KY | Bypass Right Basilic Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach |
| 051B0ZY | Bypass Right Basilic Vein to Upper Vein, Open Approach |
| 051B47Y | Bypass Right Basilic Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 051B49Y | Bypass Right Basilic Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 051B4AY | Bypass Right Basilic Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 051B4JY | Bypass Right Basilic Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 051B4KY | Bypass Right Basilic Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 051B4ZY | Bypass Right Basilic Vein to Upper Vein, Percutaneous Endoscopic Approach |
| 051C07Y | Bypass Left Basilic Vein to Upper Vein with Autologous Tissue Substitute, Open Approach |
| 051C09Y | Bypass Left Basilic Vein to Upper Vein with Autologous Venous Tissue, Open Approach |
| 051C0AY | Bypass Left Basilic Vein to Upper Vein with Autologous Arterial Tissue, Open Approach |
| 051C0JY | Bypass Left Basilic Vein to Upper Vein with Synthetic Substitute, Open Approach |
| 051C0KY | Bypass Left Basilic Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach |
| 051C0ZY | Bypass Left Basilic Vein to Upper Vein, Open Approach |
| 051C47Y | Bypass Left Basilic Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 051C49Y | Bypass Left Basilic Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 051C4AY | Bypass Left Basilic Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 051C4JY | Bypass Left Basilic Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 051C4KY | Bypass Left Basilic Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 051C4ZY | Bypass Left Basilic Vein to Upper Vein, Percutaneous Endoscopic Approach |
| 051D07Y | Bypass Right Cephalic Vein to Upper Vein with Autologous Tissue Substitute, Open Approach |
| 051D09Y | Bypass Right Cephalic Vein to Upper Vein with Autologous Venous Tissue, Open Approach |
| 051D0AY | Bypass Right Cephalic Vein to Upper Vein with Autologous Arterial Tissue, Open Approach |
| 051D0JY | Bypass Right Cephalic Vein to Upper Vein with Synthetic Substitute, Open Approach |
| 051D0KY | Bypass Right Cephalic Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach |
| 051D0ZY | Bypass Right Cephalic Vein to Upper Vein, Open Approach |
| 051D47Y | Bypass Right Cephalic Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 051D49Y | Bypass Right Cephalic Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 051D4AY | Bypass Right Cephalic Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 051D4JY | Bypass Right Cephalic Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 051D4KY | Bypass Right Cephalic Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 051D4ZY | Bypass Right Cephalic Vein to Upper Vein, Percutaneous Endoscopic Approach |
| 051F07Y | Bypass Left Cephalic Vein to Upper Vein with Autologous Tissue Substitute, Open Approach |
| 051F09Y | Bypass Left Cephalic Vein to Upper Vein with Autologous Venous Tissue, Open Approach |
| 051F0AY | Bypass Left Cephalic Vein to Upper Vein with Autologous Arterial Tissue, Open Approach |
| 051F0JY | Bypass Left Cephalic Vein to Upper Vein with Synthetic Substitute, Open Approach |
| 051F0KY | Bypass Left Cephalic Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach |
| 051F0ZY | Bypass Left Cephalic Vein to Upper Vein, Open Approach |
| 051F47Y | Bypass Left Cephalic Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 051F49Y | Bypass Left Cephalic Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 051F4AY | Bypass Left Cephalic Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 051F4JY | Bypass Left Cephalic Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 051F4KY | Bypass Left Cephalic Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 051F4ZY | Bypass Left Cephalic Vein to Upper Vein, Percutaneous Endoscopic Approach |
| 051G07Y | Bypass Right Hand Vein to Upper Vein with Autologous Tissue Substitute, Open Approach |
| 051G09Y | Bypass Right Hand Vein to Upper Vein with Autologous Venous Tissue, Open Approach |
| 051G0AY | Bypass Right Hand Vein to Upper Vein with Autologous Arterial Tissue, Open Approach |
| 051G0JY | Bypass Right Hand Vein to Upper Vein with Synthetic Substitute, Open Approach |
| 051G0KY | Bypass Right Hand Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach |
| 051G0ZY | Bypass Right Hand Vein to Upper Vein, Open Approach |
| 051G47Y | Bypass Right Hand Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 051G49Y | Bypass Right Hand Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 051G4AY | Bypass Right Hand Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 051G4JY | Bypass Right Hand Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 051G4KY | Bypass Right Hand Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 051G4ZY | Bypass Right Hand Vein to Upper Vein, Percutaneous Endoscopic Approach |
| 051H07Y | Bypass Left Hand Vein to Upper Vein with Autologous Tissue Substitute, Open Approach |
| 051H09Y | Bypass Left Hand Vein to Upper Vein with Autologous Venous Tissue, Open Approach |
| 051H0AY | Bypass Left Hand Vein to Upper Vein with Autologous Arterial Tissue, Open Approach |
| 051H0JY | Bypass Left Hand Vein to Upper Vein with Synthetic Substitute, Open Approach |
| 051H0KY | Bypass Left Hand Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach |
| 051H0ZY | Bypass Left Hand Vein to Upper Vein, Open Approach |
| 051H47Y | Bypass Left Hand Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 051H49Y | Bypass Left Hand Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 051H4AY | Bypass Left Hand Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 051H4JY | Bypass Left Hand Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 051H4KY | Bypass Left Hand Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 051H4ZY | Bypass Left Hand Vein to Upper Vein, Percutaneous Endoscopic Approach |
| 051L07Y | Bypass Intracranial Vein to Upper Vein with Autologous Tissue Substitute, Open Approach |
| 051L09Y | Bypass Intracranial Vein to Upper Vein with Autologous Venous Tissue, Open Approach |
| 051L0AY | Bypass Intracranial Vein to Upper Vein with Autologous Arterial Tissue, Open Approach |
| 051L0JY | Bypass Intracranial Vein to Upper Vein with Synthetic Substitute, Open Approach |
| 051L0KY | Bypass Intracranial Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach |
| 051L0ZY | Bypass Intracranial Vein to Upper Vein, Open Approach |
| 051L47Y | Bypass Intracranial Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 051L49Y | Bypass Intracranial Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 051L4AY | Bypass Intracranial Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 051L4JY | Bypass Intracranial Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 051L4KY | Bypass Intracranial Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 051L4ZY | Bypass Intracranial Vein to Upper Vein, Percutaneous Endoscopic Approach |
| 051M07Y | Bypass Right Internal Jugular Vein to Upper Vein with Autologous Tissue Substitute, Open Approach |
| 051M09Y | Bypass Right Internal Jugular Vein to Upper Vein with Autologous Venous Tissue, Open Approach |
| 051M0AY | Bypass Right Internal Jugular Vein to Upper Vein with Autologous Arterial Tissue, Open Approach |
| 051M0JY | Bypass Right Internal Jugular Vein to Upper Vein with Synthetic Substitute, Open Approach |
| 051M0KY | Bypass Right Internal Jugular Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach |
| 051M0ZY | Bypass Right Internal Jugular Vein to Upper Vein, Open Approach |
| 051M47Y | Bypass Right Internal Jugular Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 051M49Y | Bypass Right Internal Jugular Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 051M4AY | Bypass Right Internal Jugular Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 051M4JY | Bypass Right Internal Jugular Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 06 Sep 2024 16:41:54 CMS, code-revision=366, description-revision=1405 |