ICD-10-CM/PCS MS-DRGv33 Definitions Manual

MDC 6 Diseases & Disorders of the Digestive System

Stomach, Esophageal and Duodenal Procedures

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Stomach, Esophageal and Duodenal Procedures
MCC	CC	DRG
Yes		326
No	Yes	327
No	No	328


DRG 326	STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC
DRG 327	STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC
DRG 328	STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC

OPERATING ROOM PROCEDURES

008Q0ZZ	Division of Vagus Nerve, Open Approach
008Q3ZZ	Division of Vagus Nerve, Percutaneous Approach
008Q4ZZ	Division of Vagus Nerve, Percutaneous Endoscopic Approach
02BP3ZZ	Excision of Pulmonary Trunk, Percutaneous Approach
02BQ3ZZ	Excision of Right Pulmonary Artery, Percutaneous Approach
02BR3ZZ	Excision of Left Pulmonary Artery, Percutaneous Approach
02BS3ZZ	Excision of Right Pulmonary Vein, Percutaneous Approach
02BT3ZZ	Excision of Left Pulmonary Vein, Percutaneous Approach
02BV3ZZ	Excision of Superior Vena Cava, Percutaneous Approach
02BW3ZZ	Excision of Thoracic Aorta, Percutaneous Approach
03B03ZZ	Excision of Right Internal Mammary Artery, Percutaneous Approach
03B13ZZ	Excision of Left Internal Mammary Artery, Percutaneous Approach
03B23ZZ	Excision of Innominate Artery, Percutaneous Approach
03B33ZZ	Excision of Right Subclavian Artery, Percutaneous Approach
03B43ZZ	Excision of Left Subclavian Artery, Percutaneous Approach
03L20CZ	Occlusion of Innominate Artery with Extraluminal Device, Open Approach
03L20DZ	Occlusion of Innominate Artery with Intraluminal Device, Open Approach
03L20ZZ	Occlusion of Innominate Artery, Open Approach
03L23CZ	Occlusion of Innominate Artery with Extraluminal Device, Percutaneous Approach
03L23DZ	Occlusion of Innominate Artery with Intraluminal Device, Percutaneous Approach
03L23ZZ	Occlusion of Innominate Artery, Percutaneous Approach
03L24CZ	Occlusion of Innominate Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03L24DZ	Occlusion of Innominate Artery with Intraluminal Device, Percutaneous Endoscopic Approach
03L24ZZ	Occlusion of Innominate Artery, Percutaneous Endoscopic Approach
03L30CZ	Occlusion of Right Subclavian Artery with Extraluminal Device, Open Approach
03L30DZ	Occlusion of Right Subclavian Artery with Intraluminal Device, Open Approach
03L30ZZ	Occlusion of Right Subclavian Artery, Open Approach
03L33CZ	Occlusion of Right Subclavian Artery with Extraluminal Device, Percutaneous Approach
03L33DZ	Occlusion of Right Subclavian Artery with Intraluminal Device, Percutaneous Approach
03L33ZZ	Occlusion of Right Subclavian Artery, Percutaneous Approach
03L34CZ	Occlusion of Right Subclavian Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03L34DZ	Occlusion of Right Subclavian Artery with Intraluminal Device, Percutaneous Endoscopic Approach
03L34ZZ	Occlusion of Right Subclavian Artery, Percutaneous Endoscopic Approach
03L40CZ	Occlusion of Left Subclavian Artery with Extraluminal Device, Open Approach
03L40DZ	Occlusion of Left Subclavian Artery with Intraluminal Device, Open Approach
03L40ZZ	Occlusion of Left Subclavian Artery, Open Approach
03L43CZ	Occlusion of Left Subclavian Artery with Extraluminal Device, Percutaneous Approach
03L43DZ	Occlusion of Left Subclavian Artery with Intraluminal Device, Percutaneous Approach
03L43ZZ	Occlusion of Left Subclavian Artery, Percutaneous Approach
03L44CZ	Occlusion of Left Subclavian Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03L44DZ	Occlusion of Left Subclavian Artery with Intraluminal Device, Percutaneous Endoscopic Approach
03L44ZZ	Occlusion of Left Subclavian Artery, Percutaneous Endoscopic Approach
05L30CZ	Occlusion of Right Innominate Vein with Extraluminal Device, Open Approach
05L30DZ	Occlusion of Right Innominate Vein with Intraluminal Device, Open Approach
05L30ZZ	Occlusion of Right Innominate Vein, Open Approach
05L33CZ	Occlusion of Right Innominate Vein with Extraluminal Device, Percutaneous Approach
05L33DZ	Occlusion of Right Innominate Vein with Intraluminal Device, Percutaneous Approach
05L33ZZ	Occlusion of Right Innominate Vein, Percutaneous Approach
05L34CZ	Occlusion of Right Innominate Vein with Extraluminal Device, Percutaneous Endoscopic Approach
05L34DZ	Occlusion of Right Innominate Vein with Intraluminal Device, Percutaneous Endoscopic Approach
05L34ZZ	Occlusion of Right Innominate Vein, Percutaneous Endoscopic Approach
05L40CZ	Occlusion of Left Innominate Vein with Extraluminal Device, Open Approach
05L40DZ	Occlusion of Left Innominate Vein with Intraluminal Device, Open Approach
05L40ZZ	Occlusion of Left Innominate Vein, Open Approach
05L43CZ	Occlusion of Left Innominate Vein with Extraluminal Device, Percutaneous Approach
05L43DZ	Occlusion of Left Innominate Vein with Intraluminal Device, Percutaneous Approach
05L43ZZ	Occlusion of Left Innominate Vein, Percutaneous Approach
05L44CZ	Occlusion of Left Innominate Vein with Extraluminal Device, Percutaneous Endoscopic Approach
05L44DZ	Occlusion of Left Innominate Vein with Intraluminal Device, Percutaneous Endoscopic Approach
05L44ZZ	Occlusion of Left Innominate Vein, Percutaneous Endoscopic Approach
05L50CZ	Occlusion of Right Subclavian Vein with Extraluminal Device, Open Approach
05L50DZ	Occlusion of Right Subclavian Vein with Intraluminal Device, Open Approach
05L50ZZ	Occlusion of Right Subclavian Vein, Open Approach
05L53CZ	Occlusion of Right Subclavian Vein with Extraluminal Device, Percutaneous Approach
05L53DZ	Occlusion of Right Subclavian Vein with Intraluminal Device, Percutaneous Approach
05L53ZZ	Occlusion of Right Subclavian Vein, Percutaneous Approach
05L54CZ	Occlusion of Right Subclavian Vein with Extraluminal Device, Percutaneous Endoscopic Approach
05L54DZ	Occlusion of Right Subclavian Vein with Intraluminal Device, Percutaneous Endoscopic Approach
05L54ZZ	Occlusion of Right Subclavian Vein, Percutaneous Endoscopic Approach
05L60CZ	Occlusion of Left Subclavian Vein with Extraluminal Device, Open Approach
05L60DZ	Occlusion of Left Subclavian Vein with Intraluminal Device, Open Approach
05L60ZZ	Occlusion of Left Subclavian Vein, Open Approach
05L63CZ	Occlusion of Left Subclavian Vein with Extraluminal Device, Percutaneous Approach
05L63DZ	Occlusion of Left Subclavian Vein with Intraluminal Device, Percutaneous Approach
05L63ZZ	Occlusion of Left Subclavian Vein, Percutaneous Approach
05L64CZ	Occlusion of Left Subclavian Vein with Extraluminal Device, Percutaneous Endoscopic Approach
05L64DZ	Occlusion of Left Subclavian Vein with Intraluminal Device, Percutaneous Endoscopic Approach
05L64ZZ	Occlusion of Left Subclavian Vein, Percutaneous Endoscopic Approach
06100J5	Bypass Inferior Vena Cava to Superior Mesenteric Vein with Synthetic Substitute, Open Approach
06100J6	Bypass Inferior Vena Cava to Inferior Mesenteric Vein with Synthetic Substitute, Open Approach
06100JY	Bypass Inferior Vena Cava to Lower Vein with Synthetic Substitute, Open Approach
06100Z5	Bypass Inferior Vena Cava to Superior Mesenteric Vein, Open Approach
06100Z6	Bypass Inferior Vena Cava to Inferior Mesenteric Vein, Open Approach
06100ZY	Bypass Inferior Vena Cava to Lower Vein, Open Approach
06104J5	Bypass Inferior Vena Cava to Superior Mesenteric Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
06104J6	Bypass Inferior Vena Cava to Inferior Mesenteric Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
06104JY	Bypass Inferior Vena Cava to Lower Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
06104Z5	Bypass Inferior Vena Cava to Superior Mesenteric Vein, Percutaneous Endoscopic Approach
06104Z6	Bypass Inferior Vena Cava to Inferior Mesenteric Vein, Percutaneous Endoscopic Approach
06104ZY	Bypass Inferior Vena Cava to Lower Vein, Percutaneous Endoscopic Approach
06110J9	Bypass Splenic Vein to Right Renal Vein with Synthetic Substitute, Open Approach
06110JB	Bypass Splenic Vein to Left Renal Vein with Synthetic Substitute, Open Approach
06110JY	Bypass Splenic Vein to Lower Vein with Synthetic Substitute, Open Approach
06110Z9	Bypass Splenic Vein to Right Renal Vein, Open Approach
06110ZB	Bypass Splenic Vein to Left Renal Vein, Open Approach
06110ZY	Bypass Splenic Vein to Lower Vein, Open Approach
06114J9	Bypass Splenic Vein to Right Renal Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
06114JB	Bypass Splenic Vein to Left Renal Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
06114JY	Bypass Splenic Vein to Lower Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
06114Z9	Bypass Splenic Vein to Right Renal Vein, Percutaneous Endoscopic Approach
06114ZB	Bypass Splenic Vein to Left Renal Vein, Percutaneous Endoscopic Approach
06114ZY	Bypass Splenic Vein to Lower Vein, Percutaneous Endoscopic Approach
06180J9	Bypass Portal Vein to Right Renal Vein with Synthetic Substitute, Open Approach
06180JB	Bypass Portal Vein to Left Renal Vein with Synthetic Substitute, Open Approach
06180JY	Bypass Portal Vein to Lower Vein with Synthetic Substitute, Open Approach
06180Z9	Bypass Portal Vein to Right Renal Vein, Open Approach
06180ZB	Bypass Portal Vein to Left Renal Vein, Open Approach
06180ZY	Bypass Portal Vein to Lower Vein, Open Approach
06184J9	Bypass Portal Vein to Right Renal Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
06184JB	Bypass Portal Vein to Left Renal Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
06184JY	Bypass Portal Vein to Lower Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
06184Z9	Bypass Portal Vein to Right Renal Vein, Percutaneous Endoscopic Approach
06184ZB	Bypass Portal Vein to Left Renal Vein, Percutaneous Endoscopic Approach
06184ZY	Bypass Portal Vein to Lower Vein, Percutaneous Endoscopic Approach
06L20ZZ	Occlusion of Gastric Vein, Open Approach
06L23ZZ	Occlusion of Gastric Vein, Percutaneous Approach
06L24ZZ	Occlusion of Gastric Vein, Percutaneous Endoscopic Approach
06L30ZZ	Occlusion of Esophageal Vein, Open Approach
06L33ZZ	Occlusion of Esophageal Vein, Percutaneous Approach
06L34ZZ	Occlusion of Esophageal Vein, Percutaneous Endoscopic Approach
095N0ZZ	Destruction of Nasopharynx, Open Approach
095N3ZZ	Destruction of Nasopharynx, Percutaneous Approach
095N4ZZ	Destruction of Nasopharynx, Percutaneous Endoscopic Approach
095N7ZZ	Destruction of Nasopharynx, Via Natural or Artificial Opening
095N8ZZ	Destruction of Nasopharynx, Via Natural or Artificial Opening Endoscopic
09BN0ZZ	Excision of Nasopharynx, Open Approach
09BN3ZZ	Excision of Nasopharynx, Percutaneous Approach
09BN4ZZ	Excision of Nasopharynx, Percutaneous Endoscopic Approach
09BN7ZZ	Excision of Nasopharynx, Via Natural or Artificial Opening
09BN8ZZ	Excision of Nasopharynx, Via Natural or Artificial Opening Endoscopic
09TN0ZZ	Resection of Nasopharynx, Open Approach
09TN4ZZ	Resection of Nasopharynx, Percutaneous Endoscopic Approach
09TN7ZZ	Resection of Nasopharynx, Via Natural or Artificial Opening
09TN8ZZ	Resection of Nasopharynx, Via Natural or Artificial Opening Endoscopic
0BQR0ZZ	Repair Right Diaphragm, Open Approach
0BQR3ZZ	Repair Right Diaphragm, Percutaneous Approach
0BQR4ZZ	Repair Right Diaphragm, Percutaneous Endoscopic Approach
0BQS0ZZ	Repair Left Diaphragm, Open Approach
0BQS3ZZ	Repair Left Diaphragm, Percutaneous Approach
0BQS4ZZ	Repair Left Diaphragm, Percutaneous Endoscopic Approach
0BUR07Z	Supplement Right Diaphragm with Autologous Tissue Substitute, Open Approach
0BUR0JZ	Supplement Right Diaphragm with Synthetic Substitute, Open Approach
0BUR0KZ	Supplement Right Diaphragm with Nonautologous Tissue Substitute, Open Approach
0BUR47Z	Supplement Right Diaphragm with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0BUR4JZ	Supplement Right Diaphragm with Synthetic Substitute, Percutaneous Endoscopic Approach
0BUR4KZ	Supplement Right Diaphragm with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0BUS07Z	Supplement Left Diaphragm with Autologous Tissue Substitute, Open Approach
0BUS0JZ	Supplement Left Diaphragm with Synthetic Substitute, Open Approach
0BUS0KZ	Supplement Left Diaphragm with Nonautologous Tissue Substitute, Open Approach
0BUS47Z	Supplement Left Diaphragm with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0BUS4JZ	Supplement Left Diaphragm with Synthetic Substitute, Percutaneous Endoscopic Approach
0BUS4KZ	Supplement Left Diaphragm with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0C5M0ZZ	Destruction of Pharynx, Open Approach
0C5M3ZZ	Destruction of Pharynx, Percutaneous Approach
0C5M4ZZ	Destruction of Pharynx, Percutaneous Endoscopic Approach
0C5M7ZZ	Destruction of Pharynx, Via Natural or Artificial Opening
0C5M8ZZ	Destruction of Pharynx, Via Natural or Artificial Opening Endoscopic
0CBM0ZZ	Excision of Pharynx, Open Approach
0CBM3ZZ	Excision of Pharynx, Percutaneous Approach
0CBM4ZZ	Excision of Pharynx, Percutaneous Endoscopic Approach
0CBM7ZZ	Excision of Pharynx, Via Natural or Artificial Opening
0CBM8ZZ	Excision of Pharynx, Via Natural or Artificial Opening Endoscopic
0CTM0ZZ	Resection of Pharynx, Open Approach
0CTM4ZZ	Resection of Pharynx, Percutaneous Endoscopic Approach
0CTM7ZZ	Resection of Pharynx, Via Natural or Artificial Opening
0CTM8ZZ	Resection of Pharynx, Via Natural or Artificial Opening Endoscopic
0D11074	Bypass Upper Esophagus to Cutaneous with Autologous Tissue Substitute, Open Approach
0D11076	Bypass Upper Esophagus to Stomach with Autologous Tissue Substitute, Open Approach
0D11079	Bypass Upper Esophagus to Duodenum with Autologous Tissue Substitute, Open Approach
0D1107A	Bypass Upper Esophagus to Jejunum with Autologous Tissue Substitute, Open Approach
0D1107B	Bypass Upper Esophagus to Ileum with Autologous Tissue Substitute, Open Approach
0D110J4	Bypass Upper Esophagus to Cutaneous with Synthetic Substitute, Open Approach
0D110J6	Bypass Upper Esophagus to Stomach with Synthetic Substitute, Open Approach
0D110J9	Bypass Upper Esophagus to Duodenum with Synthetic Substitute, Open Approach
0D110JA	Bypass Upper Esophagus to Jejunum with Synthetic Substitute, Open Approach
0D110JB	Bypass Upper Esophagus to Ileum with Synthetic Substitute, Open Approach
0D110K4	Bypass Upper Esophagus to Cutaneous with Nonautologous Tissue Substitute, Open Approach
0D110K6	Bypass Upper Esophagus to Stomach with Nonautologous Tissue Substitute, Open Approach
0D110K9	Bypass Upper Esophagus to Duodenum with Nonautologous Tissue Substitute, Open Approach
0D110KA	Bypass Upper Esophagus to Jejunum with Nonautologous Tissue Substitute, Open Approach
0D110KB	Bypass Upper Esophagus to Ileum with Nonautologous Tissue Substitute, Open Approach
0D110Z4	Bypass Upper Esophagus to Cutaneous, Open Approach
0D110Z6	Bypass Upper Esophagus to Stomach, Open Approach
0D110Z9	Bypass Upper Esophagus to Duodenum, Open Approach
0D110ZA	Bypass Upper Esophagus to Jejunum, Open Approach
0D110ZB	Bypass Upper Esophagus to Ileum, Open Approach
0D113J4	Bypass Upper Esophagus to Cutaneous with Synthetic Substitute, Percutaneous Approach
0D11474	Bypass Upper Esophagus to Cutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D11476	Bypass Upper Esophagus to Stomach with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D11479	Bypass Upper Esophagus to Duodenum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D1147A	Bypass Upper Esophagus to Jejunum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D1147B	Bypass Upper Esophagus to Ileum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D114J4	Bypass Upper Esophagus to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach
0D114J6	Bypass Upper Esophagus to Stomach with Synthetic Substitute, Percutaneous Endoscopic Approach
0D114J9	Bypass Upper Esophagus to Duodenum with Synthetic Substitute, Percutaneous Endoscopic Approach
0D114JA	Bypass Upper Esophagus to Jejunum with Synthetic Substitute, Percutaneous Endoscopic Approach
0D114JB	Bypass Upper Esophagus to Ileum with Synthetic Substitute, Percutaneous Endoscopic Approach
0D114K4	Bypass Upper Esophagus to Cutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D114K6	Bypass Upper Esophagus to Stomach with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D114K9	Bypass Upper Esophagus to Duodenum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D114KA	Bypass Upper Esophagus to Jejunum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D114KB	Bypass Upper Esophagus to Ileum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D114Z4	Bypass Upper Esophagus to Cutaneous, Percutaneous Endoscopic Approach
0D114Z6	Bypass Upper Esophagus to Stomach, Percutaneous Endoscopic Approach
0D114Z9	Bypass Upper Esophagus to Duodenum, Percutaneous Endoscopic Approach
0D114ZA	Bypass Upper Esophagus to Jejunum, Percutaneous Endoscopic Approach
0D114ZB	Bypass Upper Esophagus to Ileum, Percutaneous Endoscopic Approach
0D11874	Bypass Upper Esophagus to Cutaneous with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D11876	Bypass Upper Esophagus to Stomach with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D11879	Bypass Upper Esophagus to Duodenum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D1187A	Bypass Upper Esophagus to Jejunum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D1187B	Bypass Upper Esophagus to Ileum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D118J4	Bypass Upper Esophagus to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D118J6	Bypass Upper Esophagus to Stomach with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D118J9	Bypass Upper Esophagus to Duodenum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D118JA	Bypass Upper Esophagus to Jejunum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D118JB	Bypass Upper Esophagus to Ileum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D118K4	Bypass Upper Esophagus to Cutaneous with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D118K6	Bypass Upper Esophagus to Stomach with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D118K9	Bypass Upper Esophagus to Duodenum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D118KA	Bypass Upper Esophagus to Jejunum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D118KB	Bypass Upper Esophagus to Ileum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D118Z4	Bypass Upper Esophagus to Cutaneous, Via Natural or Artificial Opening Endoscopic
0D118Z6	Bypass Upper Esophagus to Stomach, Via Natural or Artificial Opening Endoscopic
0D118Z9	Bypass Upper Esophagus to Duodenum, Via Natural or Artificial Opening Endoscopic
0D118ZA	Bypass Upper Esophagus to Jejunum, Via Natural or Artificial Opening Endoscopic
0D118ZB	Bypass Upper Esophagus to Ileum, Via Natural or Artificial Opening Endoscopic
0D12074	Bypass Middle Esophagus to Cutaneous with Autologous Tissue Substitute, Open Approach
0D12076	Bypass Middle Esophagus to Stomach with Autologous Tissue Substitute, Open Approach
0D12079	Bypass Middle Esophagus to Duodenum with Autologous Tissue Substitute, Open Approach
0D1207A	Bypass Middle Esophagus to Jejunum with Autologous Tissue Substitute, Open Approach
0D1207B	Bypass Middle Esophagus to Ileum with Autologous Tissue Substitute, Open Approach
0D120J4	Bypass Middle Esophagus to Cutaneous with Synthetic Substitute, Open Approach
0D120J6	Bypass Middle Esophagus to Stomach with Synthetic Substitute, Open Approach
0D120J9	Bypass Middle Esophagus to Duodenum with Synthetic Substitute, Open Approach
0D120JA	Bypass Middle Esophagus to Jejunum with Synthetic Substitute, Open Approach
0D120JB	Bypass Middle Esophagus to Ileum with Synthetic Substitute, Open Approach
0D120K4	Bypass Middle Esophagus to Cutaneous with Nonautologous Tissue Substitute, Open Approach
0D120K6	Bypass Middle Esophagus to Stomach with Nonautologous Tissue Substitute, Open Approach
0D120K9	Bypass Middle Esophagus to Duodenum with Nonautologous Tissue Substitute, Open Approach
0D120KA	Bypass Middle Esophagus to Jejunum with Nonautologous Tissue Substitute, Open Approach
0D120KB	Bypass Middle Esophagus to Ileum with Nonautologous Tissue Substitute, Open Approach
0D120Z4	Bypass Middle Esophagus to Cutaneous, Open Approach
0D120Z6	Bypass Middle Esophagus to Stomach, Open Approach
0D120Z9	Bypass Middle Esophagus to Duodenum, Open Approach
0D120ZA	Bypass Middle Esophagus to Jejunum, Open Approach
0D120ZB	Bypass Middle Esophagus to Ileum, Open Approach
0D123J4	Bypass Middle Esophagus to Cutaneous with Synthetic Substitute, Percutaneous Approach
0D12474	Bypass Middle Esophagus to Cutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D12476	Bypass Middle Esophagus to Stomach with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D12479	Bypass Middle Esophagus to Duodenum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D1247A	Bypass Middle Esophagus to Jejunum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D1247B	Bypass Middle Esophagus to Ileum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D124J4	Bypass Middle Esophagus to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach
0D124J6	Bypass Middle Esophagus to Stomach with Synthetic Substitute, Percutaneous Endoscopic Approach
0D124J9	Bypass Middle Esophagus to Duodenum with Synthetic Substitute, Percutaneous Endoscopic Approach
0D124JA	Bypass Middle Esophagus to Jejunum with Synthetic Substitute, Percutaneous Endoscopic Approach
0D124JB	Bypass Middle Esophagus to Ileum with Synthetic Substitute, Percutaneous Endoscopic Approach
0D124K4	Bypass Middle Esophagus to Cutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D124K6	Bypass Middle Esophagus to Stomach with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D124K9	Bypass Middle Esophagus to Duodenum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D124KA	Bypass Middle Esophagus to Jejunum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D124KB	Bypass Middle Esophagus to Ileum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D124Z4	Bypass Middle Esophagus to Cutaneous, Percutaneous Endoscopic Approach
0D124Z6	Bypass Middle Esophagus to Stomach, Percutaneous Endoscopic Approach
0D124Z9	Bypass Middle Esophagus to Duodenum, Percutaneous Endoscopic Approach
0D124ZA	Bypass Middle Esophagus to Jejunum, Percutaneous Endoscopic Approach
0D124ZB	Bypass Middle Esophagus to Ileum, Percutaneous Endoscopic Approach
0D12874	Bypass Middle Esophagus to Cutaneous with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D12876	Bypass Middle Esophagus to Stomach with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D12879	Bypass Middle Esophagus to Duodenum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D1287A	Bypass Middle Esophagus to Jejunum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D1287B	Bypass Middle Esophagus to Ileum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D128J4	Bypass Middle Esophagus to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D128J6	Bypass Middle Esophagus to Stomach with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D128J9	Bypass Middle Esophagus to Duodenum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D128JA	Bypass Middle Esophagus to Jejunum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D128JB	Bypass Middle Esophagus to Ileum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D128K4	Bypass Middle Esophagus to Cutaneous with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D128K6	Bypass Middle Esophagus to Stomach with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D128K9	Bypass Middle Esophagus to Duodenum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D128KA	Bypass Middle Esophagus to Jejunum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D128KB	Bypass Middle Esophagus to Ileum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D128Z4	Bypass Middle Esophagus to Cutaneous, Via Natural or Artificial Opening Endoscopic
0D128Z6	Bypass Middle Esophagus to Stomach, Via Natural or Artificial Opening Endoscopic
0D128Z9	Bypass Middle Esophagus to Duodenum, Via Natural or Artificial Opening Endoscopic
0D128ZA	Bypass Middle Esophagus to Jejunum, Via Natural or Artificial Opening Endoscopic
0D128ZB	Bypass Middle Esophagus to Ileum, Via Natural or Artificial Opening Endoscopic
0D13074	Bypass Lower Esophagus to Cutaneous with Autologous Tissue Substitute, Open Approach
0D13076	Bypass Lower Esophagus to Stomach with Autologous Tissue Substitute, Open Approach
0D13079	Bypass Lower Esophagus to Duodenum with Autologous Tissue Substitute, Open Approach
0D1307A	Bypass Lower Esophagus to Jejunum with Autologous Tissue Substitute, Open Approach
0D1307B	Bypass Lower Esophagus to Ileum with Autologous Tissue Substitute, Open Approach
0D130J4	Bypass Lower Esophagus to Cutaneous with Synthetic Substitute, Open Approach
0D130J6	Bypass Lower Esophagus to Stomach with Synthetic Substitute, Open Approach
0D130J9	Bypass Lower Esophagus to Duodenum with Synthetic Substitute, Open Approach
0D130JA	Bypass Lower Esophagus to Jejunum with Synthetic Substitute, Open Approach
0D130JB	Bypass Lower Esophagus to Ileum with Synthetic Substitute, Open Approach
0D130K4	Bypass Lower Esophagus to Cutaneous with Nonautologous Tissue Substitute, Open Approach
0D130K6	Bypass Lower Esophagus to Stomach with Nonautologous Tissue Substitute, Open Approach
0D130K9	Bypass Lower Esophagus to Duodenum with Nonautologous Tissue Substitute, Open Approach
0D130KA	Bypass Lower Esophagus to Jejunum with Nonautologous Tissue Substitute, Open Approach
0D130KB	Bypass Lower Esophagus to Ileum with Nonautologous Tissue Substitute, Open Approach
0D130Z4	Bypass Lower Esophagus to Cutaneous, Open Approach
0D130Z6	Bypass Lower Esophagus to Stomach, Open Approach
0D130Z9	Bypass Lower Esophagus to Duodenum, Open Approach
0D130ZA	Bypass Lower Esophagus to Jejunum, Open Approach
0D130ZB	Bypass Lower Esophagus to Ileum, Open Approach
0D133J4	Bypass Lower Esophagus to Cutaneous with Synthetic Substitute, Percutaneous Approach
0D13474	Bypass Lower Esophagus to Cutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D13476	Bypass Lower Esophagus to Stomach with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D13479	Bypass Lower Esophagus to Duodenum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D1347A	Bypass Lower Esophagus to Jejunum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D1347B	Bypass Lower Esophagus to Ileum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D134J4	Bypass Lower Esophagus to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach
0D134J6	Bypass Lower Esophagus to Stomach with Synthetic Substitute, Percutaneous Endoscopic Approach
0D134J9	Bypass Lower Esophagus to Duodenum with Synthetic Substitute, Percutaneous Endoscopic Approach
0D134JA	Bypass Lower Esophagus to Jejunum with Synthetic Substitute, Percutaneous Endoscopic Approach
0D134JB	Bypass Lower Esophagus to Ileum with Synthetic Substitute, Percutaneous Endoscopic Approach
0D134K4	Bypass Lower Esophagus to Cutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D134K6	Bypass Lower Esophagus to Stomach with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D134K9	Bypass Lower Esophagus to Duodenum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D134KA	Bypass Lower Esophagus to Jejunum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D134KB	Bypass Lower Esophagus to Ileum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D134Z4	Bypass Lower Esophagus to Cutaneous, Percutaneous Endoscopic Approach
0D134Z6	Bypass Lower Esophagus to Stomach, Percutaneous Endoscopic Approach
0D134Z9	Bypass Lower Esophagus to Duodenum, Percutaneous Endoscopic Approach
0D134ZA	Bypass Lower Esophagus to Jejunum, Percutaneous Endoscopic Approach
0D134ZB	Bypass Lower Esophagus to Ileum, Percutaneous Endoscopic Approach
0D13874	Bypass Lower Esophagus to Cutaneous with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D13876	Bypass Lower Esophagus to Stomach with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D13879	Bypass Lower Esophagus to Duodenum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D1387A	Bypass Lower Esophagus to Jejunum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D1387B	Bypass Lower Esophagus to Ileum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D138J4	Bypass Lower Esophagus to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D138J6	Bypass Lower Esophagus to Stomach with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D138J9	Bypass Lower Esophagus to Duodenum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D138JA	Bypass Lower Esophagus to Jejunum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D138JB	Bypass Lower Esophagus to Ileum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D138K4	Bypass Lower Esophagus to Cutaneous with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D138K6	Bypass Lower Esophagus to Stomach with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D138K9	Bypass Lower Esophagus to Duodenum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D138KA	Bypass Lower Esophagus to Jejunum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D138KB	Bypass Lower Esophagus to Ileum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D138Z4	Bypass Lower Esophagus to Cutaneous, Via Natural or Artificial Opening Endoscopic
0D138Z6	Bypass Lower Esophagus to Stomach, Via Natural or Artificial Opening Endoscopic
0D138Z9	Bypass Lower Esophagus to Duodenum, Via Natural or Artificial Opening Endoscopic
0D138ZA	Bypass Lower Esophagus to Jejunum, Via Natural or Artificial Opening Endoscopic
0D138ZB	Bypass Lower Esophagus to Ileum, Via Natural or Artificial Opening Endoscopic
0D15074	Bypass Esophagus to Cutaneous with Autologous Tissue Substitute, Open Approach
0D15076	Bypass Esophagus to Stomach with Autologous Tissue Substitute, Open Approach
0D15079	Bypass Esophagus to Duodenum with Autologous Tissue Substitute, Open Approach
0D1507A	Bypass Esophagus to Jejunum with Autologous Tissue Substitute, Open Approach
0D1507B	Bypass Esophagus to Ileum with Autologous Tissue Substitute, Open Approach
0D150J4	Bypass Esophagus to Cutaneous with Synthetic Substitute, Open Approach
0D150J6	Bypass Esophagus to Stomach with Synthetic Substitute, Open Approach
0D150J9	Bypass Esophagus to Duodenum with Synthetic Substitute, Open Approach
0D150JA	Bypass Esophagus to Jejunum with Synthetic Substitute, Open Approach
0D150JB	Bypass Esophagus to Ileum with Synthetic Substitute, Open Approach
0D150K4	Bypass Esophagus to Cutaneous with Nonautologous Tissue Substitute, Open Approach
0D150K6	Bypass Esophagus to Stomach with Nonautologous Tissue Substitute, Open Approach
0D150K9	Bypass Esophagus to Duodenum with Nonautologous Tissue Substitute, Open Approach
0D150KA	Bypass Esophagus to Jejunum with Nonautologous Tissue Substitute, Open Approach
0D150KB	Bypass Esophagus to Ileum with Nonautologous Tissue Substitute, Open Approach
0D150Z4	Bypass Esophagus to Cutaneous, Open Approach
0D150Z6	Bypass Esophagus to Stomach, Open Approach
0D150Z9	Bypass Esophagus to Duodenum, Open Approach
0D150ZA	Bypass Esophagus to Jejunum, Open Approach
0D150ZB	Bypass Esophagus to Ileum, Open Approach
0D153J4	Bypass Esophagus to Cutaneous with Synthetic Substitute, Percutaneous Approach
0D15474	Bypass Esophagus to Cutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D15476	Bypass Esophagus to Stomach with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D15479	Bypass Esophagus to Duodenum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D1547A	Bypass Esophagus to Jejunum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D1547B	Bypass Esophagus to Ileum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D154J4	Bypass Esophagus to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach
0D154J6	Bypass Esophagus to Stomach with Synthetic Substitute, Percutaneous Endoscopic Approach
0D154J9	Bypass Esophagus to Duodenum with Synthetic Substitute, Percutaneous Endoscopic Approach
0D154JA	Bypass Esophagus to Jejunum with Synthetic Substitute, Percutaneous Endoscopic Approach
0D154JB	Bypass Esophagus to Ileum with Synthetic Substitute, Percutaneous Endoscopic Approach
0D154K4	Bypass Esophagus to Cutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D154K6	Bypass Esophagus to Stomach with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D154K9	Bypass Esophagus to Duodenum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D154KA	Bypass Esophagus to Jejunum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D154KB	Bypass Esophagus to Ileum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D154Z4	Bypass Esophagus to Cutaneous, Percutaneous Endoscopic Approach
0D154Z6	Bypass Esophagus to Stomach, Percutaneous Endoscopic Approach
0D154Z9	Bypass Esophagus to Duodenum, Percutaneous Endoscopic Approach
0D154ZA	Bypass Esophagus to Jejunum, Percutaneous Endoscopic Approach

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