ICD-10-CM/PCS MS-DRG v42.1 Definitions Manual
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ICD-10-CM/PCS MS-DRG v42.1 Definitions Manual |
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| MDC 24 Multiple Significant Trauma |
| Other O.R. Procedures for Multiple Significant Trauma |
| Page 9 of 54 |
OPERATING ROOM PROCEDURES (continued)
0016070 00RF47Z 00XL0ZH 01R54JZ 021V4JU 02VX3DZ 037P36Z 03LF4DZ 03U947Z 047634Z 04H44DZ 04Q23ZZ 04UE37Z 05HC3DZ 05SM0ZZ 06L84ZZ 06UV07Z 08BQXZX 08U10KZ 09TL8ZZ 0BUT0KZ 0CWY01Z 0D1B07Q 0DNA0ZZ 0DUQXJZ 0F9000Z 0FU507Z 0HNJXZZ 0JB60ZZ 0K8J3ZZ 0KRD4JZ 0LC70ZZ 0M5T3ZZ 0MT84ZZ 0NTF0ZZ 0PCF4ZZ 0PPH04Z 0PSF44Z 0Q5N4ZZ 0QHR35Z 0QS344Z 0R5H3ZZ 0RGA4KJ 0RNG0ZZ 0RU94JZ 0SBH4ZZ 0SJ64ZZ 0SW344Z 0THC7LZ 0U7G4DZ 0VNJ3ZZ 0W393ZZ 0X3J4ZZ 0Y6V0Z1
| 03U947Z | Supplement Right Ulnar Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UA07Z | Supplement Left Ulnar Artery with Autologous Tissue Substitute, Open Approach |
| 03UA37Z | Supplement Left Ulnar Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UA47Z | Supplement Left Ulnar Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UB07Z | Supplement Right Radial Artery with Autologous Tissue Substitute, Open Approach |
| 03UB37Z | Supplement Right Radial Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UB47Z | Supplement Right Radial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UC07Z | Supplement Left Radial Artery with Autologous Tissue Substitute, Open Approach |
| 03UC37Z | Supplement Left Radial Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UC47Z | Supplement Left Radial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UD07Z | Supplement Right Hand Artery with Autologous Tissue Substitute, Open Approach |
| 03UD37Z | Supplement Right Hand Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UD47Z | Supplement Right Hand Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UF07Z | Supplement Left Hand Artery with Autologous Tissue Substitute, Open Approach |
| 03UF37Z | Supplement Left Hand Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UF47Z | Supplement Left Hand Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UG07Z | Supplement Intracranial Artery with Autologous Tissue Substitute, Open Approach |
| 03UG37Z | Supplement Intracranial Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UG47Z | Supplement Intracranial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UH07Z | Supplement Right Common Carotid Artery with Autologous Tissue Substitute, Open Approach |
| 03UH37Z | Supplement Right Common Carotid Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UH47Z | Supplement Right Common Carotid Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UJ07Z | Supplement Left Common Carotid Artery with Autologous Tissue Substitute, Open Approach |
| 03UJ37Z | Supplement Left Common Carotid Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UJ47Z | Supplement Left Common Carotid Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UK07Z | Supplement Right Internal Carotid Artery with Autologous Tissue Substitute, Open Approach |
| 03UK37Z | Supplement Right Internal Carotid Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UK47Z | Supplement Right Internal Carotid Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UL07Z | Supplement Left Internal Carotid Artery with Autologous Tissue Substitute, Open Approach |
| 03UL37Z | Supplement Left Internal Carotid Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UL47Z | Supplement Left Internal Carotid Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UM07Z | Supplement Right External Carotid Artery with Autologous Tissue Substitute, Open Approach |
| 03UM37Z | Supplement Right External Carotid Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UM47Z | Supplement Right External Carotid Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UN07Z | Supplement Left External Carotid Artery with Autologous Tissue Substitute, Open Approach |
| 03UN37Z | Supplement Left External Carotid Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UN47Z | Supplement Left External Carotid Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UP07Z | Supplement Right Vertebral Artery with Autologous Tissue Substitute, Open Approach |
| 03UP37Z | Supplement Right Vertebral Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UP47Z | Supplement Right Vertebral Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UQ07Z | Supplement Left Vertebral Artery with Autologous Tissue Substitute, Open Approach |
| 03UQ37Z | Supplement Left Vertebral Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UQ47Z | Supplement Left Vertebral Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UR07Z | Supplement Face Artery with Autologous Tissue Substitute, Open Approach |
| 03UR37Z | Supplement Face Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UR47Z | Supplement Face Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03US07Z | Supplement Right Temporal Artery with Autologous Tissue Substitute, Open Approach |
| 03US37Z | Supplement Right Temporal Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03US47Z | Supplement Right Temporal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UT07Z | Supplement Left Temporal Artery with Autologous Tissue Substitute, Open Approach |
| 03UT37Z | Supplement Left Temporal Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UT47Z | Supplement Left Temporal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UU07Z | Supplement Right Thyroid Artery with Autologous Tissue Substitute, Open Approach |
| 03UU37Z | Supplement Right Thyroid Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UU47Z | Supplement Right Thyroid Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UV07Z | Supplement Left Thyroid Artery with Autologous Tissue Substitute, Open Approach |
| 03UV37Z | Supplement Left Thyroid Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UV47Z | Supplement Left Thyroid Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UY07Z | Supplement Upper Artery with Autologous Tissue Substitute, Open Approach |
| 03UY37Z | Supplement Upper Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UY47Z | Supplement Upper Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03V00DZ | Restriction of Right Internal Mammary Artery with Intraluminal Device, Open Approach |
| 03V03DZ | Restriction of Right Internal Mammary Artery with Intraluminal Device, Percutaneous Approach |
| 03V04DZ | Restriction of Right Internal Mammary Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03V10DZ | Restriction of Left Internal Mammary Artery with Intraluminal Device, Open Approach |
| 03V13DZ | Restriction of Left Internal Mammary Artery with Intraluminal Device, Percutaneous Approach |
| 03V14DZ | Restriction of Left Internal Mammary Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03V20DZ | Restriction of Innominate Artery with Intraluminal Device, Open Approach |
| 03V23DZ | Restriction of Innominate Artery with Intraluminal Device, Percutaneous Approach |
| 03V24DZ | Restriction of Innominate Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03V30DZ | Restriction of Right Subclavian Artery with Intraluminal Device, Open Approach |
| 03V33DZ | Restriction of Right Subclavian Artery with Intraluminal Device, Percutaneous Approach |
| 03V34DZ | Restriction of Right Subclavian Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03V40DZ | Restriction of Left Subclavian Artery with Intraluminal Device, Open Approach |
| 03V43DZ | Restriction of Left Subclavian Artery with Intraluminal Device, Percutaneous Approach |
| 03V44DZ | Restriction of Left Subclavian Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03V50DZ | Restriction of Right Axillary Artery with Intraluminal Device, Open Approach |
| 03V53DZ | Restriction of Right Axillary Artery with Intraluminal Device, Percutaneous Approach |
| 03V54DZ | Restriction of Right Axillary Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03V60DZ | Restriction of Left Axillary Artery with Intraluminal Device, Open Approach |
| 03V63DZ | Restriction of Left Axillary Artery with Intraluminal Device, Percutaneous Approach |
| 03V64DZ | Restriction of Left Axillary Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03V70DZ | Restriction of Right Brachial Artery with Intraluminal Device, Open Approach |
| 03V73DZ | Restriction of Right Brachial Artery with Intraluminal Device, Percutaneous Approach |
| 03V74DZ | Restriction of Right Brachial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03V80DZ | Restriction of Left Brachial Artery with Intraluminal Device, Open Approach |
| 03V83DZ | Restriction of Left Brachial Artery with Intraluminal Device, Percutaneous Approach |
| 03V84DZ | Restriction of Left Brachial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03V90DZ | Restriction of Right Ulnar Artery with Intraluminal Device, Open Approach |
| 03V93DZ | Restriction of Right Ulnar Artery with Intraluminal Device, Percutaneous Approach |
| 03V94DZ | Restriction of Right Ulnar Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VA0DZ | Restriction of Left Ulnar Artery with Intraluminal Device, Open Approach |
| 03VA3DZ | Restriction of Left Ulnar Artery with Intraluminal Device, Percutaneous Approach |
| 03VA4DZ | Restriction of Left Ulnar Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VB0DZ | Restriction of Right Radial Artery with Intraluminal Device, Open Approach |
| 03VB3DZ | Restriction of Right Radial Artery with Intraluminal Device, Percutaneous Approach |
| 03VB4DZ | Restriction of Right Radial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VC0DZ | Restriction of Left Radial Artery with Intraluminal Device, Open Approach |
| 03VC3DZ | Restriction of Left Radial Artery with Intraluminal Device, Percutaneous Approach |
| 03VC4DZ | Restriction of Left Radial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VD0DZ | Restriction of Right Hand Artery with Intraluminal Device, Open Approach |
| 03VD3DZ | Restriction of Right Hand Artery with Intraluminal Device, Percutaneous Approach |
| 03VD4DZ | Restriction of Right Hand Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VF0DZ | Restriction of Left Hand Artery with Intraluminal Device, Open Approach |
| 03VF3DZ | Restriction of Left Hand Artery with Intraluminal Device, Percutaneous Approach |
| 03VF4DZ | Restriction of Left Hand Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VG0BZ | Restriction of Intracranial Artery with Bioactive Intraluminal Device, Open Approach |
| 03VG0DZ | Restriction of Intracranial Artery with Intraluminal Device, Open Approach |
| 03VG0HZ | Restriction of Intracranial Artery with Intraluminal Device, Flow Diverter, Open Approach |
| 03VG3BZ | Restriction of Intracranial Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03VG3DZ | Restriction of Intracranial Artery with Intraluminal Device, Percutaneous Approach |
| 03VG3HZ | Restriction of Intracranial Artery with Intraluminal Device, Flow Diverter, Percutaneous Approach |
| 03VG4BZ | Restriction of Intracranial Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VG4DZ | Restriction of Intracranial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VG4HZ | Restriction of Intracranial Artery with Intraluminal Device, Flow Diverter, Percutaneous Endoscopic Approach |
| 03VH0BZ | Restriction of Right Common Carotid Artery with Bioactive Intraluminal Device, Open Approach |
| 03VH0DZ | Restriction of Right Common Carotid Artery with Intraluminal Device, Open Approach |
| 03VH0HZ | Restriction of Right Common Carotid Artery with Intraluminal Device, Flow Diverter, Open Approach |
| 03VH3BZ | Restriction of Right Common Carotid Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03VH3DZ | Restriction of Right Common Carotid Artery with Intraluminal Device, Percutaneous Approach |
| 03VH3HZ | Restriction of Right Common Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Approach |
| 03VH4BZ | Restriction of Right Common Carotid Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VH4DZ | Restriction of Right Common Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VH4HZ | Restriction of Right Common Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Endoscopic Approach |
| 03VJ0BZ | Restriction of Left Common Carotid Artery with Bioactive Intraluminal Device, Open Approach |
| 03VJ0DZ | Restriction of Left Common Carotid Artery with Intraluminal Device, Open Approach |
| 03VJ0HZ | Restriction of Left Common Carotid Artery with Intraluminal Device, Flow Diverter, Open Approach |
| 03VJ3BZ | Restriction of Left Common Carotid Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03VJ3DZ | Restriction of Left Common Carotid Artery with Intraluminal Device, Percutaneous Approach |
| 03VJ3HZ | Restriction of Left Common Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Approach |
| 03VJ4BZ | Restriction of Left Common Carotid Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VJ4DZ | Restriction of Left Common Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VJ4HZ | Restriction of Left Common Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Endoscopic Approach |
| 03VK0BZ | Restriction of Right Internal Carotid Artery with Bioactive Intraluminal Device, Open Approach |
| 03VK0DZ | Restriction of Right Internal Carotid Artery with Intraluminal Device, Open Approach |
| 03VK0HZ | Restriction of Right Internal Carotid Artery with Intraluminal Device, Flow Diverter, Open Approach |
| 03VK3BZ | Restriction of Right Internal Carotid Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03VK3DZ | Restriction of Right Internal Carotid Artery with Intraluminal Device, Percutaneous Approach |
| 03VK3HZ | Restriction of Right Internal Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Approach |
| 03VK4BZ | Restriction of Right Internal Carotid Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VK4DZ | Restriction of Right Internal Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VK4HZ | Restriction of Right Internal Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Endoscopic Approach |
| 03VL0BZ | Restriction of Left Internal Carotid Artery with Bioactive Intraluminal Device, Open Approach |
| 03VL0DZ | Restriction of Left Internal Carotid Artery with Intraluminal Device, Open Approach |
| 03VL0HZ | Restriction of Left Internal Carotid Artery with Intraluminal Device, Flow Diverter, Open Approach |
| 03VL3BZ | Restriction of Left Internal Carotid Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03VL3DZ | Restriction of Left Internal Carotid Artery with Intraluminal Device, Percutaneous Approach |
| 03VL3HZ | Restriction of Left Internal Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Approach |
| 03VL4BZ | Restriction of Left Internal Carotid Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VL4DZ | Restriction of Left Internal Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VL4HZ | Restriction of Left Internal Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Endoscopic Approach |
| 03VM0BZ | Restriction of Right External Carotid Artery with Bioactive Intraluminal Device, Open Approach |
| 03VM0DZ | Restriction of Right External Carotid Artery with Intraluminal Device, Open Approach |
| 03VM0HZ | Restriction of Right External Carotid Artery with Intraluminal Device, Flow Diverter, Open Approach |
| 03VM3BZ | Restriction of Right External Carotid Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03VM3DZ | Restriction of Right External Carotid Artery with Intraluminal Device, Percutaneous Approach |
| 03VM3HZ | Restriction of Right External Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Approach |
| 03VM4BZ | Restriction of Right External Carotid Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VM4DZ | Restriction of Right External Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VM4HZ | Restriction of Right External Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Endoscopic Approach |
| 03VN0BZ | Restriction of Left External Carotid Artery with Bioactive Intraluminal Device, Open Approach |
| 03VN0DZ | Restriction of Left External Carotid Artery with Intraluminal Device, Open Approach |
| 03VN0HZ | Restriction of Left External Carotid Artery with Intraluminal Device, Flow Diverter, Open Approach |
| 03VN3BZ | Restriction of Left External Carotid Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03VN3DZ | Restriction of Left External Carotid Artery with Intraluminal Device, Percutaneous Approach |
| 03VN3HZ | Restriction of Left External Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Approach |
| 03VN4BZ | Restriction of Left External Carotid Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VN4DZ | Restriction of Left External Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VN4HZ | Restriction of Left External Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Endoscopic Approach |
| 03VP0BZ | Restriction of Right Vertebral Artery with Bioactive Intraluminal Device, Open Approach |
| 03VP0DZ | Restriction of Right Vertebral Artery with Intraluminal Device, Open Approach |
| 03VP0HZ | Restriction of Right Vertebral Artery with Intraluminal Device, Flow Diverter, Open Approach |
| 03VP3BZ | Restriction of Right Vertebral Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03VP3DZ | Restriction of Right Vertebral Artery with Intraluminal Device, Percutaneous Approach |
| 03VP3HZ | Restriction of Right Vertebral Artery with Intraluminal Device, Flow Diverter, Percutaneous Approach |
| 03VP4BZ | Restriction of Right Vertebral Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VP4DZ | Restriction of Right Vertebral Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VP4HZ | Restriction of Right Vertebral Artery with Intraluminal Device, Flow Diverter, Percutaneous Endoscopic Approach |
| 03VQ0BZ | Restriction of Left Vertebral Artery with Bioactive Intraluminal Device, Open Approach |
| 03VQ0DZ | Restriction of Left Vertebral Artery with Intraluminal Device, Open Approach |
| 03VQ0HZ | Restriction of Left Vertebral Artery with Intraluminal Device, Flow Diverter, Open Approach |
| 03VQ3BZ | Restriction of Left Vertebral Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03VQ3DZ | Restriction of Left Vertebral Artery with Intraluminal Device, Percutaneous Approach |
| 03VQ3HZ | Restriction of Left Vertebral Artery with Intraluminal Device, Flow Diverter, Percutaneous Approach |
| 03VQ4BZ | Restriction of Left Vertebral Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VQ4DZ | Restriction of Left Vertebral Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VQ4HZ | Restriction of Left Vertebral Artery with Intraluminal Device, Flow Diverter, Percutaneous Endoscopic Approach |
| 03VR0DZ | Restriction of Face Artery with Intraluminal Device, Open Approach |
| 03VR3DZ | Restriction of Face Artery with Intraluminal Device, Percutaneous Approach |
| 03VR4DZ | Restriction of Face Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VS0DZ | Restriction of Right Temporal Artery with Intraluminal Device, Open Approach |
| 03VS3DZ | Restriction of Right Temporal Artery with Intraluminal Device, Percutaneous Approach |
| 03VS4DZ | Restriction of Right Temporal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VT0DZ | Restriction of Left Temporal Artery with Intraluminal Device, Open Approach |
| 03VT3DZ | Restriction of Left Temporal Artery with Intraluminal Device, Percutaneous Approach |
| 03VT4DZ | Restriction of Left Temporal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VU0DZ | Restriction of Right Thyroid Artery with Intraluminal Device, Open Approach |
| 03VU3DZ | Restriction of Right Thyroid Artery with Intraluminal Device, Percutaneous Approach |
| 03VU4DZ | Restriction of Right Thyroid Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VV0DZ | Restriction of Left Thyroid Artery with Intraluminal Device, Open Approach |
| 03VV3DZ | Restriction of Left Thyroid Artery with Intraluminal Device, Percutaneous Approach |
| 03VV4DZ | Restriction of Left Thyroid Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VY0DZ | Restriction of Upper Artery with Intraluminal Device, Open Approach |
| 03VY3DZ | Restriction of Upper Artery with Intraluminal Device, Percutaneous Approach |
| 03VY4DZ | Restriction of Upper Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 0410093 | Bypass Abdominal Aorta to Right Renal Artery with Autologous Venous Tissue, Open Approach |
| 0410094 | Bypass Abdominal Aorta to Left Renal Artery with Autologous Venous Tissue, Open Approach |
| 0410095 | Bypass Abdominal Aorta to Bilateral Renal Artery with Autologous Venous Tissue, Open Approach |
| 04100A3 | Bypass Abdominal Aorta to Right Renal Artery with Autologous Arterial Tissue, Open Approach |
| 04100A4 | Bypass Abdominal Aorta to Left Renal Artery with Autologous Arterial Tissue, Open Approach |
| 04100A5 | Bypass Abdominal Aorta to Bilateral Renal Artery with Autologous Arterial Tissue, Open Approach |
| 04100J3 | Bypass Abdominal Aorta to Right Renal Artery with Synthetic Substitute, Open Approach |
| 04100J4 | Bypass Abdominal Aorta to Left Renal Artery with Synthetic Substitute, Open Approach |
| 04100J5 | Bypass Abdominal Aorta to Bilateral Renal Artery with Synthetic Substitute, Open Approach |
| 04100K3 | Bypass Abdominal Aorta to Right Renal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04100K4 | Bypass Abdominal Aorta to Left Renal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04100K5 | Bypass Abdominal Aorta to Bilateral Renal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04100Z3 | Bypass Abdominal Aorta to Right Renal Artery, Open Approach |
| 04100Z4 | Bypass Abdominal Aorta to Left Renal Artery, Open Approach |
| 04100Z5 | Bypass Abdominal Aorta to Bilateral Renal Artery, Open Approach |
| 0410493 | Bypass Abdominal Aorta to Right Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 0410494 | Bypass Abdominal Aorta to Left Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 0410495 | Bypass Abdominal Aorta to Bilateral Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 04104A3 | Bypass Abdominal Aorta to Right Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04104A4 | Bypass Abdominal Aorta to Left Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04104A5 | Bypass Abdominal Aorta to Bilateral Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04104J3 | Bypass Abdominal Aorta to Right Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04104J4 | Bypass Abdominal Aorta to Left Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04104J5 | Bypass Abdominal Aorta to Bilateral Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04104K3 | Bypass Abdominal Aorta to Right Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04104K4 | Bypass Abdominal Aorta to Left Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04104K5 | Bypass Abdominal Aorta to Bilateral Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04104Z3 | Bypass Abdominal Aorta to Right Renal Artery, Percutaneous Endoscopic Approach |
| 04104Z4 | Bypass Abdominal Aorta to Left Renal Artery, Percutaneous Endoscopic Approach |
| 04104Z5 | Bypass Abdominal Aorta to Bilateral Renal Artery, Percutaneous Endoscopic Approach |
| 0413093 | Bypass Hepatic Artery to Right Renal Artery with Autologous Venous Tissue, Open Approach |
| 0413094 | Bypass Hepatic Artery to Left Renal Artery with Autologous Venous Tissue, Open Approach |
| 0413095 | Bypass Hepatic Artery to Bilateral Renal Artery with Autologous Venous Tissue, Open Approach |
| 041309R | Bypass Hepatic Artery to Lower Artery with Autologous Venous Tissue, Open Approach |
| 04130A3 | Bypass Hepatic Artery to Right Renal Artery with Autologous Arterial Tissue, Open Approach |
| 04130A4 | Bypass Hepatic Artery to Left Renal Artery with Autologous Arterial Tissue, Open Approach |
| 04130A5 | Bypass Hepatic Artery to Bilateral Renal Artery with Autologous Arterial Tissue, Open Approach |
| 04130AR | Bypass Hepatic Artery to Lower Artery with Autologous Arterial Tissue, Open Approach |
| 04130J3 | Bypass Hepatic Artery to Right Renal Artery with Synthetic Substitute, Open Approach |
| 04130J4 | Bypass Hepatic Artery to Left Renal Artery with Synthetic Substitute, Open Approach |
| 04130J5 | Bypass Hepatic Artery to Bilateral Renal Artery with Synthetic Substitute, Open Approach |
| 04130JR | Bypass Hepatic Artery to Lower Artery with Synthetic Substitute, Open Approach |
| 04130K3 | Bypass Hepatic Artery to Right Renal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04130K4 | Bypass Hepatic Artery to Left Renal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04130K5 | Bypass Hepatic Artery to Bilateral Renal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04130KR | Bypass Hepatic Artery to Lower Artery with Nonautologous Tissue Substitute, Open Approach |
| 04130Z3 | Bypass Hepatic Artery to Right Renal Artery, Open Approach |
| 04130Z4 | Bypass Hepatic Artery to Left Renal Artery, Open Approach |
| 04130Z5 | Bypass Hepatic Artery to Bilateral Renal Artery, Open Approach |
| 04130ZR | Bypass Hepatic Artery to Lower Artery, Open Approach |
| 0413493 | Bypass Hepatic Artery to Right Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 0413494 | Bypass Hepatic Artery to Left Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 0413495 | Bypass Hepatic Artery to Bilateral Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 041349R | Bypass Hepatic Artery to Lower Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 04134A3 | Bypass Hepatic Artery to Right Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04134A4 | Bypass Hepatic Artery to Left Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04134A5 | Bypass Hepatic Artery to Bilateral Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04134AR | Bypass Hepatic Artery to Lower Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04134J3 | Bypass Hepatic Artery to Right Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04134J4 | Bypass Hepatic Artery to Left Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04134J5 | Bypass Hepatic Artery to Bilateral Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04134JR | Bypass Hepatic Artery to Lower Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04134K3 | Bypass Hepatic Artery to Right Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04134K4 | Bypass Hepatic Artery to Left Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04134K5 | Bypass Hepatic Artery to Bilateral Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04134KR | Bypass Hepatic Artery to Lower Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04134Z3 | Bypass Hepatic Artery to Right Renal Artery, Percutaneous Endoscopic Approach |
| 04134Z4 | Bypass Hepatic Artery to Left Renal Artery, Percutaneous Endoscopic Approach |
| 04134Z5 | Bypass Hepatic Artery to Bilateral Renal Artery, Percutaneous Endoscopic Approach |
| 04134ZR | Bypass Hepatic Artery to Lower Artery, Percutaneous Endoscopic Approach |
| 041409R | Bypass Splenic Artery to Lower Artery with Autologous Venous Tissue, Open Approach |
| 04140AR | Bypass Splenic Artery to Lower Artery with Autologous Arterial Tissue, Open Approach |
| 04140JR | Bypass Splenic Artery to Lower Artery with Synthetic Substitute, Open Approach |
| 04140KR | Bypass Splenic Artery to Lower Artery with Nonautologous Tissue Substitute, Open Approach |
| 04140ZR | Bypass Splenic Artery to Lower Artery, Open Approach |
| 041449R | Bypass Splenic Artery to Lower Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 04144AR | Bypass Splenic Artery to Lower Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04144JR | Bypass Splenic Artery to Lower Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04144KR | Bypass Splenic Artery to Lower Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04144ZR | Bypass Splenic Artery to Lower Artery, Percutaneous Endoscopic Approach |
| 04500ZZ | Destruction of Abdominal Aorta, Open Approach |
| 04503ZZ | Destruction of Abdominal Aorta, Percutaneous Approach |
| 04504ZZ | Destruction of Abdominal Aorta, Percutaneous Endoscopic Approach |
| 045K0ZZ | Destruction of Right Femoral Artery, Open Approach |
| 045K3ZZ | Destruction of Right Femoral Artery, Percutaneous Approach |
| 045K4ZZ | Destruction of Right Femoral Artery, Percutaneous Endoscopic Approach |
| 045L0ZZ | Destruction of Left Femoral Artery, Open Approach |
| 045L3ZZ | Destruction of Left Femoral Artery, Percutaneous Approach |
| 045L4ZZ | Destruction of Left Femoral Artery, Percutaneous Endoscopic Approach |
| 045M0ZZ | Destruction of Right Popliteal Artery, Open Approach |
| 045M3ZZ | Destruction of Right Popliteal Artery, Percutaneous Approach |
| 045M4ZZ | Destruction of Right Popliteal Artery, Percutaneous Endoscopic Approach |
| 045N0ZZ | Destruction of Left Popliteal Artery, Open Approach |
| 045N3ZZ | Destruction of Left Popliteal Artery, Percutaneous Approach |
| 045N4ZZ | Destruction of Left Popliteal Artery, Percutaneous Endoscopic Approach |
| 045P0ZZ | Destruction of Right Anterior Tibial Artery, Open Approach |
| 045P3ZZ | Destruction of Right Anterior Tibial Artery, Percutaneous Approach |
| 045P4ZZ | Destruction of Right Anterior Tibial Artery, Percutaneous Endoscopic Approach |
| 045Q0ZZ | Destruction of Left Anterior Tibial Artery, Open Approach |
| 045Q3ZZ | Destruction of Left Anterior Tibial Artery, Percutaneous Approach |
| 045Q4ZZ | Destruction of Left Anterior Tibial Artery, Percutaneous Endoscopic Approach |
| 045R0ZZ | Destruction of Right Posterior Tibial Artery, Open Approach |
| 045R3ZZ | Destruction of Right Posterior Tibial Artery, Percutaneous Approach |
| 045R4ZZ | Destruction of Right Posterior Tibial Artery, Percutaneous Endoscopic Approach |
| 045S0ZZ | Destruction of Left Posterior Tibial Artery, Open Approach |
| 045S3ZZ | Destruction of Left Posterior Tibial Artery, Percutaneous Approach |
| 045S4ZZ | Destruction of Left Posterior Tibial Artery, Percutaneous Endoscopic Approach |
| 045T0ZZ | Destruction of Right Peroneal Artery, Open Approach |
| 045T3ZZ | Destruction of Right Peroneal Artery, Percutaneous Approach |
| 045T4ZZ | Destruction of Right Peroneal Artery, Percutaneous Endoscopic Approach |
| 045U0ZZ | Destruction of Left Peroneal Artery, Open Approach |
| 045U3ZZ | Destruction of Left Peroneal Artery, Percutaneous Approach |
| 045U4ZZ | Destruction of Left Peroneal Artery, Percutaneous Endoscopic Approach |
| 045V0ZZ | Destruction of Right Foot Artery, Open Approach |
| 045V3ZZ | Destruction of Right Foot Artery, Percutaneous Approach |
| 045V4ZZ | Destruction of Right Foot Artery, Percutaneous Endoscopic Approach |
| 045W0ZZ | Destruction of Left Foot Artery, Open Approach |
| 045W3ZZ | Destruction of Left Foot Artery, Percutaneous Approach |
| 045W4ZZ | Destruction of Left Foot Artery, Percutaneous Endoscopic Approach |
| 045Y0ZZ | Destruction of Lower Artery, Open Approach |
| 045Y3ZZ | Destruction of Lower Artery, Percutaneous Approach |
| 045Y4ZZ | Destruction of Lower Artery, Percutaneous Endoscopic Approach |
| 0470341 | Dilation of Abdominal Aorta with Drug-eluting Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 047034Z | Dilation of Abdominal Aorta with Drug-eluting Intraluminal Device, Percutaneous Approach |
| 047035Z | Dilation of Abdominal Aorta with Two Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 047036Z | Dilation of Abdominal Aorta with Three Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 047037Z | Dilation of Abdominal Aorta with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 04703D1 | Dilation of Abdominal Aorta with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 04703DZ | Dilation of Abdominal Aorta with Intraluminal Device, Percutaneous Approach |
| 04703EZ | Dilation of Abdominal Aorta with Two Intraluminal Devices, Percutaneous Approach |
| 04703FZ | Dilation of Abdominal Aorta with Three Intraluminal Devices, Percutaneous Approach |
| 04703GZ | Dilation of Abdominal Aorta with Four or More Intraluminal Devices, Percutaneous Approach |
| 04703Z1 | Dilation of Abdominal Aorta using Drug-Coated Balloon, Percutaneous Approach |
| 04703ZZ | Dilation of Abdominal Aorta, Percutaneous Approach |
| 0471341 | Dilation of Celiac Artery with Drug-eluting Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 047134Z | Dilation of Celiac Artery with Drug-eluting Intraluminal Device, Percutaneous Approach |
| 047135Z | Dilation of Celiac Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 047136Z | Dilation of Celiac Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 047137Z | Dilation of Celiac Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 04713D1 | Dilation of Celiac Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 04713DZ | Dilation of Celiac Artery with Intraluminal Device, Percutaneous Approach |
| 04713EZ | Dilation of Celiac Artery with Two Intraluminal Devices, Percutaneous Approach |
| 04713FZ | Dilation of Celiac Artery with Three Intraluminal Devices, Percutaneous Approach |
| 04713GZ | Dilation of Celiac Artery with Four or More Intraluminal Devices, Percutaneous Approach |
| 04713Z1 | Dilation of Celiac Artery using Drug-Coated Balloon, Percutaneous Approach |
| 04713ZZ | Dilation of Celiac Artery, Percutaneous Approach |
| 0472341 | Dilation of Gastric Artery with Drug-eluting Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 047234Z | Dilation of Gastric Artery with Drug-eluting Intraluminal Device, Percutaneous Approach |
| 047235Z | Dilation of Gastric Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 047236Z | Dilation of Gastric Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 047237Z | Dilation of Gastric Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 04723D1 | Dilation of Gastric Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 04723DZ | Dilation of Gastric Artery with Intraluminal Device, Percutaneous Approach |
| 04723EZ | Dilation of Gastric Artery with Two Intraluminal Devices, Percutaneous Approach |
| 04723FZ | Dilation of Gastric Artery with Three Intraluminal Devices, Percutaneous Approach |
| 04723GZ | Dilation of Gastric Artery with Four or More Intraluminal Devices, Percutaneous Approach |
| 04723Z1 | Dilation of Gastric Artery using Drug-Coated Balloon, Percutaneous Approach |
| 04723ZZ | Dilation of Gastric Artery, Percutaneous Approach |
| 0473341 | Dilation of Hepatic Artery with Drug-eluting Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 047334Z | Dilation of Hepatic Artery with Drug-eluting Intraluminal Device, Percutaneous Approach |
| 047335Z | Dilation of Hepatic Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 047336Z | Dilation of Hepatic Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 047337Z | Dilation of Hepatic Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 04733D1 | Dilation of Hepatic Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 04733DZ | Dilation of Hepatic Artery with Intraluminal Device, Percutaneous Approach |
| 04733EZ | Dilation of Hepatic Artery with Two Intraluminal Devices, Percutaneous Approach |
| 04733FZ | Dilation of Hepatic Artery with Three Intraluminal Devices, Percutaneous Approach |
| 04733GZ | Dilation of Hepatic Artery with Four or More Intraluminal Devices, Percutaneous Approach |
| 04733Z1 | Dilation of Hepatic Artery using Drug-Coated Balloon, Percutaneous Approach |
| 04733ZZ | Dilation of Hepatic Artery, Percutaneous Approach |
| 0474341 | Dilation of Splenic Artery with Drug-eluting Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 047434Z | Dilation of Splenic Artery with Drug-eluting Intraluminal Device, Percutaneous Approach |
| 047435Z | Dilation of Splenic Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 047436Z | Dilation of Splenic Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 047437Z | Dilation of Splenic Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 04743D1 | Dilation of Splenic Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 04743DZ | Dilation of Splenic Artery with Intraluminal Device, Percutaneous Approach |
| 04743EZ | Dilation of Splenic Artery with Two Intraluminal Devices, Percutaneous Approach |
| 04743FZ | Dilation of Splenic Artery with Three Intraluminal Devices, Percutaneous Approach |
| 04743GZ | Dilation of Splenic Artery with Four or More Intraluminal Devices, Percutaneous Approach |
| 04743Z1 | Dilation of Splenic Artery using Drug-Coated Balloon, Percutaneous Approach |
| 04743ZZ | Dilation of Splenic Artery, Percutaneous Approach |
| 0475341 | Dilation of Superior Mesenteric Artery with Drug-eluting Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 047534Z | Dilation of Superior Mesenteric Artery with Drug-eluting Intraluminal Device, Percutaneous Approach |
| 047535Z | Dilation of Superior Mesenteric Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 047536Z | Dilation of Superior Mesenteric Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 047537Z | Dilation of Superior Mesenteric Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 04753D1 | Dilation of Superior Mesenteric Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 04753DZ | Dilation of Superior Mesenteric Artery with Intraluminal Device, Percutaneous Approach |
| 04753EZ | Dilation of Superior Mesenteric Artery with Two Intraluminal Devices, Percutaneous Approach |
| 04753FZ | Dilation of Superior Mesenteric Artery with Three Intraluminal Devices, Percutaneous Approach |
| 04753GZ | Dilation of Superior Mesenteric Artery with Four or More Intraluminal Devices, Percutaneous Approach |
| 04753Z1 | Dilation of Superior Mesenteric Artery using Drug-Coated Balloon, Percutaneous Approach |
| 04753ZZ | Dilation of Superior Mesenteric Artery, Percutaneous Approach |
| 0476341 | Dilation of Right Colic Artery with Drug-eluting Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 22 Jan 2025 17:07:44 CMS, code-revision=368, description-revision=1425 |