ICD-10-CM/PCS MS-DRG v43.0 Definitions Manual
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DRAFT
ICD-10-CM/PCS MS-DRG v43.0 Definitions Manual |
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| MDC 21 Injuries, Poisonings and Toxic Effects of Drugs |
| Other O.R. Procedures for Injuries |
| Page 30 of 75 |
OPERATING ROOM PROCEDURES (continued)
0016070 00D04ZZ 00RH47Z 00XK0ZS 01N33ZZ 021Q4KB 02R60JZ 03150ZV 037L4GZ 03L53CZ 03RA4JZ 03VG0HZ 041D0JK 047B37Z 04HS4DZ 04QQ3ZZ 04UK3JZ 055P3ZZ 05LG3DZ 05U437Z 06HB3DZ 06S44ZZ 07144Z3 07LL3DZ 07VD0ZZ 08NV0ZZ 08VY0CZ 0BBM3ZZ 0BUT0JZ 0CT3XZZ 0D188ZM 0D1H8JN 0D9M7ZZ 0DN33ZZ 0DT28ZZ 0DV34CZ 0DX80ZC 0FH232Z 0FU70JZ 0HHW81Z 0JQN0ZZ 0K893ZZ 0KPX30Z 0KU607Z 0L9M00Z 0LR40KZ 0LWX47Z 0MCQ4ZZ 0NB14ZZ 0NS33ZZ 0PC33ZZ 0PP44JZ 0PRL3JZ 0Q5J0ZZ 0QH946Z 0QPC45Z 0QRP3KZ 0QUD4JZ 0RG60A0 0RPE0KZ 0RUM4JZ 0SBJ3ZZ 0SGN0KZ 0SPH3KZ 0SSK05Z 0SWN43Z 0TBC3ZZ 0TRD77Z 0UN58ZZ 0VQK4ZZ 0W3C0ZZ 0WQ04ZZ 0X630ZZ 0Y0B0JZ 0YMW0ZZ
| 0CT3XZZ | Resection of Soft Palate, External Approach |
| 0CTR0ZZ | Resection of Epiglottis, Open Approach |
| 0CTR4ZZ | Resection of Epiglottis, Percutaneous Endoscopic Approach |
| 0CTR7ZZ | Resection of Epiglottis, Via Natural or Artificial Opening |
| 0CTR8ZZ | Resection of Epiglottis, Via Natural or Artificial Opening Endoscopic |
| 0CTT0ZZ | Resection of Right Vocal Cord, Open Approach |
| 0CTT4ZZ | Resection of Right Vocal Cord, Percutaneous Endoscopic Approach |
| 0CTT7ZZ | Resection of Right Vocal Cord, Via Natural or Artificial Opening |
| 0CTT8ZZ | Resection of Right Vocal Cord, Via Natural or Artificial Opening Endoscopic |
| 0CTV0ZZ | Resection of Left Vocal Cord, Open Approach |
| 0CTV4ZZ | Resection of Left Vocal Cord, Percutaneous Endoscopic Approach |
| 0CTV7ZZ | Resection of Left Vocal Cord, Via Natural or Artificial Opening |
| 0CTV8ZZ | Resection of Left Vocal Cord, Via Natural or Artificial Opening Endoscopic |
| 0CU007Z | Supplement Upper Lip with Autologous Tissue Substitute, Open Approach |
| 0CU00JZ | Supplement Upper Lip with Synthetic Substitute, Open Approach |
| 0CU00KZ | Supplement Upper Lip with Nonautologous Tissue Substitute, Open Approach |
| 0CU037Z | Supplement Upper Lip with Autologous Tissue Substitute, Percutaneous Approach |
| 0CU03JZ | Supplement Upper Lip with Synthetic Substitute, Percutaneous Approach |
| 0CU03KZ | Supplement Upper Lip with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0CU0X7Z | Supplement Upper Lip with Autologous Tissue Substitute, External Approach |
| 0CU0XJZ | Supplement Upper Lip with Synthetic Substitute, External Approach |
| 0CU0XKZ | Supplement Upper Lip with Nonautologous Tissue Substitute, External Approach |
| 0CU107Z | Supplement Lower Lip with Autologous Tissue Substitute, Open Approach |
| 0CU10JZ | Supplement Lower Lip with Synthetic Substitute, Open Approach |
| 0CU10KZ | Supplement Lower Lip with Nonautologous Tissue Substitute, Open Approach |
| 0CU137Z | Supplement Lower Lip with Autologous Tissue Substitute, Percutaneous Approach |
| 0CU13JZ | Supplement Lower Lip with Synthetic Substitute, Percutaneous Approach |
| 0CU13KZ | Supplement Lower Lip with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0CU1X7Z | Supplement Lower Lip with Autologous Tissue Substitute, External Approach |
| 0CU1XJZ | Supplement Lower Lip with Synthetic Substitute, External Approach |
| 0CU1XKZ | Supplement Lower Lip with Nonautologous Tissue Substitute, External Approach |
| 0CU407Z | Supplement Buccal Mucosa with Autologous Tissue Substitute, Open Approach |
| 0CU40JZ | Supplement Buccal Mucosa with Synthetic Substitute, Open Approach |
| 0CU40KZ | Supplement Buccal Mucosa with Nonautologous Tissue Substitute, Open Approach |
| 0CU437Z | Supplement Buccal Mucosa with Autologous Tissue Substitute, Percutaneous Approach |
| 0CU43JZ | Supplement Buccal Mucosa with Synthetic Substitute, Percutaneous Approach |
| 0CU43KZ | Supplement Buccal Mucosa with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0CU4X7Z | Supplement Buccal Mucosa with Autologous Tissue Substitute, External Approach |
| 0CU4XJZ | Supplement Buccal Mucosa with Synthetic Substitute, External Approach |
| 0CU4XKZ | Supplement Buccal Mucosa with Nonautologous Tissue Substitute, External Approach |
| 0CU507Z | Supplement Upper Gingiva with Autologous Tissue Substitute, Open Approach |
| 0CU50JZ | Supplement Upper Gingiva with Synthetic Substitute, Open Approach |
| 0CU50KZ | Supplement Upper Gingiva with Nonautologous Tissue Substitute, Open Approach |
| 0CU537Z | Supplement Upper Gingiva with Autologous Tissue Substitute, Percutaneous Approach |
| 0CU53JZ | Supplement Upper Gingiva with Synthetic Substitute, Percutaneous Approach |
| 0CU53KZ | Supplement Upper Gingiva with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0CU5X7Z | Supplement Upper Gingiva with Autologous Tissue Substitute, External Approach |
| 0CU5XJZ | Supplement Upper Gingiva with Synthetic Substitute, External Approach |
| 0CU5XKZ | Supplement Upper Gingiva with Nonautologous Tissue Substitute, External Approach |
| 0CU607Z | Supplement Lower Gingiva with Autologous Tissue Substitute, Open Approach |
| 0CU60JZ | Supplement Lower Gingiva with Synthetic Substitute, Open Approach |
| 0CU60KZ | Supplement Lower Gingiva with Nonautologous Tissue Substitute, Open Approach |
| 0CU637Z | Supplement Lower Gingiva with Autologous Tissue Substitute, Percutaneous Approach |
| 0CU63JZ | Supplement Lower Gingiva with Synthetic Substitute, Percutaneous Approach |
| 0CU63KZ | Supplement Lower Gingiva with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0CU6X7Z | Supplement Lower Gingiva with Autologous Tissue Substitute, External Approach |
| 0CU6XJZ | Supplement Lower Gingiva with Synthetic Substitute, External Approach |
| 0CU6XKZ | Supplement Lower Gingiva with Nonautologous Tissue Substitute, External Approach |
| 0CU707Z | Supplement Tongue with Autologous Tissue Substitute, Open Approach |
| 0CU70JZ | Supplement Tongue with Synthetic Substitute, Open Approach |
| 0CU70KZ | Supplement Tongue with Nonautologous Tissue Substitute, Open Approach |
| 0CU737Z | Supplement Tongue with Autologous Tissue Substitute, Percutaneous Approach |
| 0CU73JZ | Supplement Tongue with Synthetic Substitute, Percutaneous Approach |
| 0CU73KZ | Supplement Tongue with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0CU7X7Z | Supplement Tongue with Autologous Tissue Substitute, External Approach |
| 0CU7XJZ | Supplement Tongue with Synthetic Substitute, External Approach |
| 0CU7XKZ | Supplement Tongue with Nonautologous Tissue Substitute, External Approach |
| 0CUM07Z | Supplement Pharynx with Autologous Tissue Substitute, Open Approach |
| 0CUM0JZ | Supplement Pharynx with Synthetic Substitute, Open Approach |
| 0CUM0KZ | Supplement Pharynx with Nonautologous Tissue Substitute, Open Approach |
| 0CUM77Z | Supplement Pharynx with Autologous Tissue Substitute, Via Natural or Artificial Opening |
| 0CUM7JZ | Supplement Pharynx with Synthetic Substitute, Via Natural or Artificial Opening |
| 0CUM7KZ | Supplement Pharynx with Nonautologous Tissue Substitute, Via Natural or Artificial Opening |
| 0CUM87Z | Supplement Pharynx with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0CUM8JZ | Supplement Pharynx with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0CUM8KZ | Supplement Pharynx with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0CUR07Z | Supplement Epiglottis with Autologous Tissue Substitute, Open Approach |
| 0CUR0JZ | Supplement Epiglottis with Synthetic Substitute, Open Approach |
| 0CUR0KZ | Supplement Epiglottis with Nonautologous Tissue Substitute, Open Approach |
| 0CUR77Z | Supplement Epiglottis with Autologous Tissue Substitute, Via Natural or Artificial Opening |
| 0CUR7JZ | Supplement Epiglottis with Synthetic Substitute, Via Natural or Artificial Opening |
| 0CUR7KZ | Supplement Epiglottis with Nonautologous Tissue Substitute, Via Natural or Artificial Opening |
| 0CUR87Z | Supplement Epiglottis with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0CUR8JZ | Supplement Epiglottis with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0CUR8KZ | Supplement Epiglottis with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0CUS07Z | Supplement Larynx with Autologous Tissue Substitute, Open Approach |
| 0CUS0JZ | Supplement Larynx with Synthetic Substitute, Open Approach |
| 0CUS0KZ | Supplement Larynx with Nonautologous Tissue Substitute, Open Approach |
| 0CUS77Z | Supplement Larynx with Autologous Tissue Substitute, Via Natural or Artificial Opening |
| 0CUS7JZ | Supplement Larynx with Synthetic Substitute, Via Natural or Artificial Opening |
| 0CUS7KZ | Supplement Larynx with Nonautologous Tissue Substitute, Via Natural or Artificial Opening |
| 0CUS87Z | Supplement Larynx with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0CUS8JZ | Supplement Larynx with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0CUS8KZ | Supplement Larynx with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0CUT07Z | Supplement Right Vocal Cord with Autologous Tissue Substitute, Open Approach |
| 0CUT0JZ | Supplement Right Vocal Cord with Synthetic Substitute, Open Approach |
| 0CUT0KZ | Supplement Right Vocal Cord with Nonautologous Tissue Substitute, Open Approach |
| 0CUT77Z | Supplement Right Vocal Cord with Autologous Tissue Substitute, Via Natural or Artificial Opening |
| 0CUT7JZ | Supplement Right Vocal Cord with Synthetic Substitute, Via Natural or Artificial Opening |
| 0CUT7KZ | Supplement Right Vocal Cord with Nonautologous Tissue Substitute, Via Natural or Artificial Opening |
| 0CUT87Z | Supplement Right Vocal Cord with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0CUT8JZ | Supplement Right Vocal Cord with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0CUT8KZ | Supplement Right Vocal Cord with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0CUV07Z | Supplement Left Vocal Cord with Autologous Tissue Substitute, Open Approach |
| 0CUV0JZ | Supplement Left Vocal Cord with Synthetic Substitute, Open Approach |
| 0CUV0KZ | Supplement Left Vocal Cord with Nonautologous Tissue Substitute, Open Approach |
| 0CUV77Z | Supplement Left Vocal Cord with Autologous Tissue Substitute, Via Natural or Artificial Opening |
| 0CUV7JZ | Supplement Left Vocal Cord with Synthetic Substitute, Via Natural or Artificial Opening |
| 0CUV7KZ | Supplement Left Vocal Cord with Nonautologous Tissue Substitute, Via Natural or Artificial Opening |
| 0CUV87Z | Supplement Left Vocal Cord with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0CUV8JZ | Supplement Left Vocal Cord with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0CUV8KZ | Supplement Left Vocal Cord with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0CVB7DZ | Restriction of Right Parotid Duct with Intraluminal Device, Via Natural or Artificial Opening |
| 0CVB7ZZ | Restriction of Right Parotid Duct, Via Natural or Artificial Opening |
| 0CVB8DZ | Restriction of Right Parotid Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic |
| 0CVB8ZZ | Restriction of Right Parotid Duct, Via Natural or Artificial Opening Endoscopic |
| 0CVC7DZ | Restriction of Left Parotid Duct with Intraluminal Device, Via Natural or Artificial Opening |
| 0CVC7ZZ | Restriction of Left Parotid Duct, Via Natural or Artificial Opening |
| 0CVC8DZ | Restriction of Left Parotid Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic |
| 0CVC8ZZ | Restriction of Left Parotid Duct, Via Natural or Artificial Opening Endoscopic |
| 0CWY00Z | Revision of Drainage Device in Mouth and Throat, Open Approach |
| 0CWY01Z | Revision of Radioactive Element in Mouth and Throat, Open Approach |
| 0CWY0DZ | Revision of Intraluminal Device in Mouth and Throat, Open Approach |
| 0CWY0JZ | Revision of Synthetic Substitute in Mouth and Throat, Open Approach |
| 0CWY0KZ | Revision of Nonautologous Tissue Substitute in Mouth and Throat, Open Approach |
| 0CWY0YZ | Revision of Other Device in Mouth and Throat, Open Approach |
| 0CWY30Z | Revision of Drainage Device in Mouth and Throat, Percutaneous Approach |
| 0CWY31Z | Revision of Radioactive Element in Mouth and Throat, Percutaneous Approach |
| 0CWY37Z | Revision of Autologous Tissue Substitute in Mouth and Throat, Percutaneous Approach |
| 0CWY3DZ | Revision of Intraluminal Device in Mouth and Throat, Percutaneous Approach |
| 0CWY3JZ | Revision of Synthetic Substitute in Mouth and Throat, Percutaneous Approach |
| 0CWY3KZ | Revision of Nonautologous Tissue Substitute in Mouth and Throat, Percutaneous Approach |
| 0CWY70Z | Revision of Drainage Device in Mouth and Throat, Via Natural or Artificial Opening |
| 0CWY71Z | Revision of Radioactive Element in Mouth and Throat, Via Natural or Artificial Opening |
| 0CWY77Z | Revision of Autologous Tissue Substitute in Mouth and Throat, Via Natural or Artificial Opening |
| 0CWY7DZ | Revision of Intraluminal Device in Mouth and Throat, Via Natural or Artificial Opening |
| 0CWY7JZ | Revision of Synthetic Substitute in Mouth and Throat, Via Natural or Artificial Opening |
| 0CWY7KZ | Revision of Nonautologous Tissue Substitute in Mouth and Throat, Via Natural or Artificial Opening |
| 0CWY80Z | Revision of Drainage Device in Mouth and Throat, Via Natural or Artificial Opening Endoscopic |
| 0CWY81Z | Revision of Radioactive Element in Mouth and Throat, Via Natural or Artificial Opening Endoscopic |
| 0CWY87Z | Revision of Autologous Tissue Substitute in Mouth and Throat, Via Natural or Artificial Opening Endoscopic |
| 0CWY8DZ | Revision of Intraluminal Device in Mouth and Throat, Via Natural or Artificial Opening Endoscopic |
| 0CWY8JZ | Revision of Synthetic Substitute in Mouth and Throat, Via Natural or Artificial Opening Endoscopic |
| 0CWY8KZ | Revision of Nonautologous Tissue Substitute in Mouth and Throat, Via Natural or Artificial Opening Endoscopic |
| 0CX00ZZ | Transfer Upper Lip, Open Approach |
| 0CX0XZZ | Transfer Upper Lip, External Approach |
| 0CX10ZZ | Transfer Lower Lip, Open Approach |
| 0CX1XZZ | Transfer Lower Lip, External Approach |
| 0CX30ZZ | Transfer Soft Palate, Open Approach |
| 0CX3XZZ | Transfer Soft Palate, External Approach |
| 0CX40ZZ | Transfer Buccal Mucosa, Open Approach |
| 0CX4XZZ | Transfer Buccal Mucosa, External Approach |
| 0CX50ZZ | Transfer Upper Gingiva, Open Approach |
| 0CX5XZZ | Transfer Upper Gingiva, External Approach |
| 0CX60ZZ | Transfer Lower Gingiva, Open Approach |
| 0CX6XZZ | Transfer Lower Gingiva, External Approach |
| 0CX70ZZ | Transfer Tongue, Open Approach |
| 0CX7XZZ | Transfer Tongue, External Approach |
| 0CYS0Z0 | Transplantation of Larynx, Allogeneic, Open Approach |
| 0CYS0Z1 | Transplantation of Larynx, Syngeneic, Open Approach |
| 0D11074 | Bypass Upper Esophagus to Cutaneous with Autologous Tissue Substitute, Open Approach |
| 0D11076 | Bypass Upper Esophagus to Stomach 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 |
| 0D110K4 | Bypass Upper Esophagus to Cutaneous with Nonautologous Tissue Substitute, Open Approach |
| 0D110K6 | Bypass Upper Esophagus to Stomach with Nonautologous Tissue Substitute, Open Approach |
| 0D110Z4 | Bypass Upper Esophagus to Cutaneous, Open Approach |
| 0D110Z6 | Bypass Upper Esophagus to Stomach, 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 |
| 0D114J4 | Bypass Upper Esophagus to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D114J6 | Bypass Upper Esophagus to Stomach 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 |
| 0D114Z4 | Bypass Upper Esophagus to Cutaneous, Percutaneous Endoscopic Approach |
| 0D114Z6 | Bypass Upper Esophagus to Stomach, 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 |
| 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 |
| 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 |
| 0D118Z4 | Bypass Upper Esophagus to Cutaneous, Via Natural or Artificial Opening Endoscopic |
| 0D118Z6 | Bypass Upper Esophagus to Stomach, 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 |
| 0D120J4 | Bypass Middle Esophagus to Cutaneous with Synthetic Substitute, Open Approach |
| 0D120J6 | Bypass Middle Esophagus to Stomach 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 |
| 0D120Z4 | Bypass Middle Esophagus to Cutaneous, Open Approach |
| 0D120Z6 | Bypass Middle Esophagus to Stomach, 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 |
| 0D124J4 | Bypass Middle Esophagus to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D124J6 | Bypass Middle Esophagus to Stomach 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 |
| 0D124Z4 | Bypass Middle Esophagus to Cutaneous, Percutaneous Endoscopic Approach |
| 0D124Z6 | Bypass Middle Esophagus to Stomach, 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 |
| 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 |
| 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 |
| 0D128Z4 | Bypass Middle Esophagus to Cutaneous, Via Natural or Artificial Opening Endoscopic |
| 0D128Z6 | Bypass Middle Esophagus to Stomach, 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 |
| 0D130J4 | Bypass Lower Esophagus to Cutaneous with Synthetic Substitute, Open Approach |
| 0D130J6 | Bypass Lower Esophagus to Stomach 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 |
| 0D130Z4 | Bypass Lower Esophagus to Cutaneous, Open Approach |
| 0D130Z6 | Bypass Lower Esophagus to Stomach, 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 |
| 0D134J4 | Bypass Lower Esophagus to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D134J6 | Bypass Lower Esophagus to Stomach 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 |
| 0D134Z4 | Bypass Lower Esophagus to Cutaneous, Percutaneous Endoscopic Approach |
| 0D134Z6 | Bypass Lower Esophagus to Stomach, 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 |
| 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 |
| 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 |
| 0D138Z4 | Bypass Lower Esophagus to Cutaneous, Via Natural or Artificial Opening Endoscopic |
| 0D138Z6 | Bypass Lower Esophagus to Stomach, 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 |
| 0D154ZB | Bypass Esophagus to Ileum, Percutaneous Endoscopic Approach |
| 0D15874 | Bypass Esophagus to Cutaneous with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D15876 | Bypass Esophagus to Stomach with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D15879 | Bypass Esophagus to Duodenum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1587A | Bypass Esophagus to Jejunum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1587B | Bypass Esophagus to Ileum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D158J4 | Bypass Esophagus to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D158J6 | Bypass Esophagus to Stomach with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D158J9 | Bypass Esophagus to Duodenum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D158JA | Bypass Esophagus to Jejunum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D158JB | Bypass Esophagus to Ileum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D158K4 | Bypass Esophagus to Cutaneous with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D158K6 | Bypass Esophagus to Stomach with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D158K9 | Bypass Esophagus to Duodenum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D158KA | Bypass Esophagus to Jejunum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D158KB | Bypass Esophagus to Ileum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D158Z4 | Bypass Esophagus to Cutaneous, Via Natural or Artificial Opening Endoscopic |
| 0D158Z6 | Bypass Esophagus to Stomach, Via Natural or Artificial Opening Endoscopic |
| 0D158Z9 | Bypass Esophagus to Duodenum, Via Natural or Artificial Opening Endoscopic |
| 0D158ZA | Bypass Esophagus to Jejunum, Via Natural or Artificial Opening Endoscopic |
| 0D158ZB | Bypass Esophagus to Ileum, Via Natural or Artificial Opening Endoscopic |
| 0D18074 | Bypass Small Intestine to Cutaneous with Autologous Tissue Substitute, Open Approach |
| 0D18078 | Bypass Small Intestine to Small Intestine with Autologous Tissue Substitute, Open Approach |
| 0D1807H | Bypass Small Intestine to Cecum with Autologous Tissue Substitute, Open Approach |
| 0D1807K | Bypass Small Intestine to Ascending Colon with Autologous Tissue Substitute, Open Approach |
| 0D1807L | Bypass Small Intestine to Transverse Colon with Autologous Tissue Substitute, Open Approach |
| 0D1807M | Bypass Small Intestine to Descending Colon with Autologous Tissue Substitute, Open Approach |
| 0D1807N | Bypass Small Intestine to Sigmoid Colon with Autologous Tissue Substitute, Open Approach |
| 0D1807P | Bypass Small Intestine to Rectum with Autologous Tissue Substitute, Open Approach |
| 0D1807Q | Bypass Small Intestine to Anus with Autologous Tissue Substitute, Open Approach |
| 0D180J4 | Bypass Small Intestine to Cutaneous with Synthetic Substitute, Open Approach |
| 0D180J8 | Bypass Small Intestine to Small Intestine with Synthetic Substitute, Open Approach |
| 0D180JH | Bypass Small Intestine to Cecum with Synthetic Substitute, Open Approach |
| 0D180JK | Bypass Small Intestine to Ascending Colon with Synthetic Substitute, Open Approach |
| 0D180JL | Bypass Small Intestine to Transverse Colon with Synthetic Substitute, Open Approach |
| 0D180JM | Bypass Small Intestine to Descending Colon with Synthetic Substitute, Open Approach |
| 0D180JN | Bypass Small Intestine to Sigmoid Colon with Synthetic Substitute, Open Approach |
| 0D180JP | Bypass Small Intestine to Rectum with Synthetic Substitute, Open Approach |
| 0D180JQ | Bypass Small Intestine to Anus with Synthetic Substitute, Open Approach |
| 0D180K4 | Bypass Small Intestine to Cutaneous with Nonautologous Tissue Substitute, Open Approach |
| 0D180K8 | Bypass Small Intestine to Small Intestine with Nonautologous Tissue Substitute, Open Approach |
| 0D180KH | Bypass Small Intestine to Cecum with Nonautologous Tissue Substitute, Open Approach |
| 0D180KK | Bypass Small Intestine to Ascending Colon with Nonautologous Tissue Substitute, Open Approach |
| 0D180KL | Bypass Small Intestine to Transverse Colon with Nonautologous Tissue Substitute, Open Approach |
| 0D180KM | Bypass Small Intestine to Descending Colon with Nonautologous Tissue Substitute, Open Approach |
| 0D180KN | Bypass Small Intestine to Sigmoid Colon with Nonautologous Tissue Substitute, Open Approach |
| 0D180KP | Bypass Small Intestine to Rectum with Nonautologous Tissue Substitute, Open Approach |
| 0D180KQ | Bypass Small Intestine to Anus with Nonautologous Tissue Substitute, Open Approach |
| 0D180Z4 | Bypass Small Intestine to Cutaneous, Open Approach |
| 0D180Z8 | Bypass Small Intestine to Small Intestine, Open Approach |
| 0D180ZH | Bypass Small Intestine to Cecum, Open Approach |
| 0D180ZK | Bypass Small Intestine to Ascending Colon, Open Approach |
| 0D180ZL | Bypass Small Intestine to Transverse Colon, Open Approach |
| 0D180ZM | Bypass Small Intestine to Descending Colon, Open Approach |
| 0D180ZN | Bypass Small Intestine to Sigmoid Colon, Open Approach |
| 0D180ZP | Bypass Small Intestine to Rectum, Open Approach |
| 0D180ZQ | Bypass Small Intestine to Anus, Open Approach |
| 0D18474 | Bypass Small Intestine to Cutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D18478 | Bypass Small Intestine to Small Intestine with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1847H | Bypass Small Intestine to Cecum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1847K | Bypass Small Intestine to Ascending Colon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1847L | Bypass Small Intestine to Transverse Colon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1847M | Bypass Small Intestine to Descending Colon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1847N | Bypass Small Intestine to Sigmoid Colon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1847P | Bypass Small Intestine to Rectum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1847Q | Bypass Small Intestine to Anus with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D184J4 | Bypass Small Intestine to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D184J8 | Bypass Small Intestine to Small Intestine with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D184JH | Bypass Small Intestine to Cecum with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D184JK | Bypass Small Intestine to Ascending Colon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D184JL | Bypass Small Intestine to Transverse Colon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D184JM | Bypass Small Intestine to Descending Colon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D184JN | Bypass Small Intestine to Sigmoid Colon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D184JP | Bypass Small Intestine to Rectum with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D184JQ | Bypass Small Intestine to Anus with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D184K4 | Bypass Small Intestine to Cutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D184K8 | Bypass Small Intestine to Small Intestine with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D184KH | Bypass Small Intestine to Cecum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D184KK | Bypass Small Intestine to Ascending Colon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D184KL | Bypass Small Intestine to Transverse Colon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D184KM | Bypass Small Intestine to Descending Colon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D184KN | Bypass Small Intestine to Sigmoid Colon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D184KP | Bypass Small Intestine to Rectum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D184KQ | Bypass Small Intestine to Anus with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D184Z4 | Bypass Small Intestine to Cutaneous, Percutaneous Endoscopic Approach |
| 0D184Z8 | Bypass Small Intestine to Small Intestine, Percutaneous Endoscopic Approach |
| 0D184ZH | Bypass Small Intestine to Cecum, Percutaneous Endoscopic Approach |
| 0D184ZK | Bypass Small Intestine to Ascending Colon, Percutaneous Endoscopic Approach |
| 0D184ZL | Bypass Small Intestine to Transverse Colon, Percutaneous Endoscopic Approach |
| 0D184ZM | Bypass Small Intestine to Descending Colon, Percutaneous Endoscopic Approach |
| 0D184ZN | Bypass Small Intestine to Sigmoid Colon, Percutaneous Endoscopic Approach |
| 0D184ZP | Bypass Small Intestine to Rectum, Percutaneous Endoscopic Approach |
| 0D184ZQ | Bypass Small Intestine to Anus, Percutaneous Endoscopic Approach |
| 0D18874 | Bypass Small Intestine to Cutaneous with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D18878 | Bypass Small Intestine to Small Intestine with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1887H | Bypass Small Intestine to Cecum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1887K | Bypass Small Intestine to Ascending Colon with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1887L | Bypass Small Intestine to Transverse Colon with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1887M | Bypass Small Intestine to Descending Colon with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1887N | Bypass Small Intestine to Sigmoid Colon with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1887P | Bypass Small Intestine to Rectum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1887Q | Bypass Small Intestine to Anus with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D188J4 | Bypass Small Intestine to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D188J8 | Bypass Small Intestine to Small Intestine with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D188JH | Bypass Small Intestine to Cecum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D188JK | Bypass Small Intestine to Ascending Colon with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D188JL | Bypass Small Intestine to Transverse Colon with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D188JM | Bypass Small Intestine to Descending Colon with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D188JN | Bypass Small Intestine to Sigmoid Colon with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D188JP | Bypass Small Intestine to Rectum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D188JQ | Bypass Small Intestine to Anus with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D188K4 | Bypass Small Intestine to Cutaneous with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D188K8 | Bypass Small Intestine to Small Intestine with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D188KH | Bypass Small Intestine to Cecum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D188KK | Bypass Small Intestine to Ascending Colon with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D188KL | Bypass Small Intestine to Transverse Colon with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D188KM | Bypass Small Intestine to Descending Colon with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D188KN | Bypass Small Intestine to Sigmoid Colon with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D188KP | Bypass Small Intestine to Rectum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D188KQ | Bypass Small Intestine to Anus with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D188Z4 | Bypass Small Intestine to Cutaneous, Via Natural or Artificial Opening Endoscopic |
| 0D188Z8 | Bypass Small Intestine to Small Intestine, Via Natural or Artificial Opening Endoscopic |
| 0D188ZH | Bypass Small Intestine to Cecum, Via Natural or Artificial Opening Endoscopic |
| 0D188ZK | Bypass Small Intestine to Ascending Colon, Via Natural or Artificial Opening Endoscopic |
| 0D188ZL | Bypass Small Intestine to Transverse Colon, Via Natural or Artificial Opening Endoscopic |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 12 Mar 2025 12:04:04 CMS, code-revision=373, description-revision=1431 |