table of contents - static.aapc.com and hemic systems 072-07y ... abdominal aortic plexus ... see...

12018 ICD-10-PCS

Table of Contents

Preface ............................................................................... 2

Changes for 2018 .............................................................. 3

List of Features .................................................................. 4

Official Conventions and Additional Conventions Specific to this ICD-10-PCS Book ..................................... 5

ICD-10-PCS Official Guidelines for Coding and Reporting ...................................................................... 7

Anatomical Illustrations ................................................. 15

Approach Table ............................................................... 43

ICD-10-PCS Index ............................................................ 45

ICD-10-PCS Tables......................................................... 159

Medical and Surgical 001-0YW ................................. 159Central Nervous System and Cranial Nerves 001-00X ......................................................................... 159

Peripheral Nervous System 012-01X ................................. 171

Heart and Great Vessels 021-02Y ........................................ 181

Upper Arteries 031-03W ....................................................... 197

Lower Arteries 041-04W ........................................................ 213

Upper Veins 051-05W ............................................................. 229

Lower Veins 061-06W ............................................................. 241

Lymphatic and Hemic Systems 072-07Y ......................... 253

Eye 080-08X ............................................................................... 265

Ear, Nose, Sinus 090-09W ...................................................... 279

Respiratory System 0B1-0BY ................................................ 295

Mouth and Throat 0C0-0CX ................................................. 309

Gastrointestinal System 0D1-0DY ....................................... 321

Hepatobiliary System and Pancreas 0F1-0FY ................ 341

Endocrine System 0G2-0GW................................................. 351

Skin and Breast 0H0-0HX ...................................................... 359

Subcutaneous Tissue and Fascia 0J0-0JX ........................ 373

Muscles 0K2-0KX ...................................................................... 391

Tendons 0L2-0LX ..................................................................... 403

Bursae and Ligaments 0M2-0MX ........................................ 415

Head and Facial Bones 0N2-0NW ...................................... 431

Upper Bones 0P2-0PW ........................................................... 443

Lower Bones 0Q2-0QW .......................................................... 457

Upper Joints 0R2-0RW ........................................................... 469

Lower Joints 0S2-0SW ............................................................ 485

Urinary System 0T1-0TY ........................................................ 501

Female Reproductive System 0U1-0UY ........................... 513

Male Reproductive System 0V1-0VW ............................... 529

Anatomical Regions, General 0W0-0WY .......................... 543

Anatomical Regions, Upper Extremities 0X0-0XY ....... 555

Anatomical Regions, Lower Extremities 0Y0-0YW ...... 563

Obstetrics 102-10Y ................................................... 571

Placement-Anatomical Regions 2W0-2W6 .............. 577

Placement-Anatomical Orifices 2Y0-2Y5 ................ 585

Administration 302-3E1 ............................................ 587

Measurement and Monitoring 4A0-4B0 ................. 603

Extracorporeal or Systemic Assistance and Performance 5A0-5A2 .............................................. 609

Extracorporeal or Systemic Therapies 6A0-6AB ..... 611

Osteopathic 7W0 ...................................................... 615

Other Procedures 8C0-8E0 ....................................... 617

Chiropractic 9WB ...................................................... 621

Imaging B00-BY4 ...................................................... 623

Nuclear Medicine C01-CW7 ..................................... 665

Radiation Therapy D00-DWY .................................... 677

Physical Rehabilitation and Diagnostic Audiology F00-F15 ................................................... 695

Mental Health GZ1-GZJ ............................................ 713

Substance Abuse Treatment HZ2-HZ9 .................... 717

New Technology X2A-XY0 ......................................... 721Cardiovascular System X2A-X2R ........................................ 721

Skin, Subcutaneous Tissue, Fascia, and Breast XHR ..... 723

Muscles, Tendons, Bursae, and Ligaments XK0 .............. 725

Bones XNS ................................................................................... 727

Joints XR2-XRG .......................................................................... 729

Anatomical Regions XW0 ...................................................... 733

Extracorporeal XY0 .................................................................. 735

Appendix A: Root Operations Definitions .................. 737

Appendix B: Body Part Key .......................................... 743

Appendix C: Device Key ............................................... 763

Appendix D: Device Aggregation Table ...................... 771

Appendix E: Character Meaning .................................. 775

Appendix F: Substance Key ......................................... 845

Appendix G: Combination Clusters ............................. 847

Appendix H: Non-OR Not Affecting MS-DRG Assignment ................................................................... 861

03_2018_ICD-10-PCS_FM.indd 1 7/24/17 1:53 PM

2 2018 ICD-10-PCS

PrefaceThank you for your purchase! We are pleased to offer you the 2018 ICD-10-PCS Complete Code Set.

This manual goes beyond the basics to help you code accurately and efficiently. In addition to including the official Alphabetic Index, Tables, and ICD-10-PCS Official Guidelines, we’ve crafted a select set of bonus features based on requests from coders in the field as well as the recommendations of our core group of veteran coding educators.

Our goal was to apply our unique approach to focusing on the practical application of the codes to this procedure coding manual.

A few of the other features you’ll benefit from page after page include the following:

• Full illustrations of body systems at the front of the book so you don’t have to search the manual for these large color images of body systems

• An Approach Table at the front of the book listing each approach, its definition, and examples

• Medicare Code Edits, including gender edits and edits for limited coverage, noncovered procedures, HAC-associated procedures, combination clusters, and non-OR procedures affecting MS-DRG assignment

• Intuitive color-coded symbols and alerts identify critical coding and reimbursement issues quickly

See the complete List of Features to learn about everything this manual has to offer.

Rely on Our Combination of Official Sources and ExperienceThis manual includes the official ICD-10-PCS 2018 Alphabetic Index and Tables. We’ve also included the 2018 ICD-10-PCS Official Guidelines.

Additionally, our dedicated team drew on their years of experience using coding manuals to develop this manual’s user friendly symbols, color coding, and tabs, all designed to help you find the information you need quickly.

Let Us Know What You ThinkOur goal for this manual is to support those involved in the business side of healthcare, helping them to do their jobs and do them well. We’d appreciate your feedback, including your suggestions for what you’d like to see in an ICD-10-PCS resource, so we can be sure our manuals serve your needs. Thank you.

03_2018_ICD-10-PCS_FM.indd 2 7/24/17 1:53 PM

152018 ICD-10-PCS

An

Atom

icA

l illustr

Ation

s

Anatomical IllustrationsCirculatory System — Arteries and Veins

Circulatory System — Artery and Vein Anatomy

05_2018_ICD-10-PCS_Anatomical Illustrations.indd 15 7/24/17 1:54 PM

42 2018 ICD-10-PCS

Anatomical illustrationsA

nAt

om

icA

l il

lust

rAt

ion

s

Urinary System — Kidney Anatomy

05_2018_ICD-10-PCS_Anatomical Illustrations.indd 42 7/24/17 1:55 PM

3f® (Aortic) Bioprosthesis valve - A

lteration

45ICD-10-PCS 2018

ICD-10-PCS In

Dex

ICD-10-PCS Index3

3f® (Aortic) Bioprosthesis valveuse Zooplastic Tissue in Heart and Great

Vessels

AAbdominal aortic plexus

use Abdominal Sympathetic NerveAbdominal esophagus

use Esophagus, LowerAbdominohysterectomy

see Resection, Uterus 0UT9see Resection, Cervix 0UTC

Abdominoplastysee Alteration, Abdominal Wall 0W0Fsee Repair, Abdominal Wall 0WQFsee Supplement, Abdominal Wall 0WUF

Abductor hallucis muscleuse Foot Muscle, Rightuse Foot Muscle, Left

AbioCor® Total Replacement Heartuse Synthetic Substitute

Ablationsee Destruction

AbortionProducts of Conception 10A0Abortifacient 10A07ZXLaminaria 10A07ZWVacuum 10A07Z6

Abrasionsee Extraction

Absolute Pro® Vascular (OTW) Self-expanding Stent System

use Intraluminal DeviceAccessory cephalic vein

use Cephalic Vein, Rightuse Cephalic Vein, Left

Accessory obturator nerveuse Lumbar Plexus

Accessory phrenic nerveuse Phrenic Nerve

Accessory spleenuse Spleen

Acculink™ (Rx) Carotid Stent Systemuse Intraluminal Device

Acellular Hydrated Dermisuse Nonautologous Tissue Substitute

Acetabular cupuse Liner in Lower Joints

Acetabulectomysee Excision, Lower Bones 0QBsee Resection, Lower Bones 0QT

Acetabulofemoral jointuse Hip Joint, Rightuse Hip Joint, Left

Acetabuloplastysee Repair, Lower Bones 0QQsee Replacement, Lower Bones 0QRsee Supplement, Lower Bones 0QU

Achilles tendonuse Lower Leg Tendon, Rightuse Lower Leg Tendon, Left

Achillorrhaphysee Repair, Tendons 0LQ

Achillotenotomy, achillotomysee Division, Tendons 0L8see Drainage, Tendons 0L9

Acromioclavicular ligamentuse Shoulder Bursa and Ligament, Rightuse Shoulder Bursa and Ligament, Left

Acromion (process)use Scapula, Rightuse Scapula, Left

Acromionectomysee Excision, Upper Joints 0RBsee Resection, Upper Joints 0RT

Acromioplastysee Repair, Upper Joints 0RQsee Replacement, Upper Joints 0RRsee Supplement, Upper Joints 0RU

Activa PC® neurostimulatoruse Stimulator Generator, Multiple Array

in 0JHActiva RC® neurostimulator

use Stimulator Generator, Multiple Array Rechargeable in 0JH

Activa SC® neurostimulatoruse Stimulator Generator, Single Array in 0JH

Activities of Daily Living Assessment F02Activities of Daily Living Treatment F08ACUITY™ Steerable Lead

use Cardiac Lead, Pacemaker in 02Huse Cardiac Lead, Defibrillator in 02H

AcupunctureBreast

Anesthesia 8E0H300No Qualifier 8E0H30Z

Integumentary SystemAnesthesia 8E0H300No Qualifier 8E0H30Z

Adductor brevis muscleuse Upper Leg Muscle, Rightuse Upper Leg Muscle, Left

Adductor hallucis muscleuse Foot Muscle, Rightuse Foot Muscle, Left

Adductor longus muscleuse Upper Leg Muscle, Rightuse Upper Leg Muscle, Left

Adductor magnus muscleuse Upper Leg Muscle, Rightuse Upper Leg Muscle, Left

Adenohypophysisuse Pituitary Gland

Adenoidectomysee Excision, Adenoids 0CBQsee Resection, Adenoids 0CTQ

Adenoidotomysee Drainage, Adenoids 0C9Q

Adhesiolysissee Release

AdministrationBlood products see TransfusionOther substance see Introduction of

substance in or onAdrenalectomy

see Excision, Endocrine System 0GBsee Resection, Endocrine System 0GT

Adrenalorrhaphysee Repair, Endocrine System 0GQ

Adrenalotomysee Drainage, Endocrine System 0G9

Advancementsee Repositionsee Transfer

Advisa (MRI)™use Pacemaker, Dual Chamber in 0JH

AFx® endovascular AAA Systemuse Intraluminal Device

AIGISRx Antibacterial envelopeuse Anti-Infective Envelope

Alar ligament of axisuse Head and Neck Bursa and Ligament

Alfieri Stitch Valvuloplastysee Restriction, Valve, Mitral 02VG

Alimentationsee Introduction of substance in or on

AlterationAbdominal Wall 0W0FAnkle Region

Left 0Y0LRight 0Y0K

ArmLower

Left 0X0FRight 0X0D

UpperLeft 0X09Right 0X08

AxillaLeft 0X05Right 0X04

BackLower 0W0LUpper 0W0K

BreastBilateral 0H0VLeft 0H0URight 0H0T

ButtockLeft 0Y01Right 0Y00

Chest Wall 0W08Ear

Bilateral 0902Left 0901Right 0900

Elbow RegionLeft 0X0CRight 0X0B

ExtremityLower

Left 0Y0BRight 0Y09

UpperLeft 0X07Right 0X06

EyelidLower

Left 080RRight 080Q

UpperLeft 080PRight 080N

Face 0W02Head 0W00Jaw

Lower 0W05Upper 0W04

Knee RegionLeft 0Y0GRight 0Y0F

LegLower

Left 0Y0JRight 0Y0H

UpperLeft 0Y0DRight 0Y0C

LipLower 0C01XUpper 0C00X

Nasal Mucosa and Soft Tissue 090KNeck 0W06Perineum

Female 0W0NMale 0W0M

07_2018_ICD-10-PCS_Index.indd 45 7/24/17 1:56 PM

Alteration - Aortoplasty

Alt

erat

ion

- Aor

topl

asty

46 2018 ICD-10-PCS

ICD-10-PCS Index

ICD

-10-

PCS

InD

ex

Shoulder RegionLeft 0X03Right 0X02

Subcutaneous Tissue and FasciaAbdomen 0J08Back 0J07Buttock 0J09Chest 0J06Face 0J01Lower Arm

Left 0J0HRight 0J0G

Lower LegLeft 0J0PRight 0J0N

NeckLeft 0J05Right 0J04

Upper ArmLeft 0J0FRight 0J0D

Upper LegLeft 0J0MRight 0J0L

Wrist RegionLeft 0X0HRight 0X0G

Alveolar process of mandibleuse Mandible, Rightuse Mandible, Left

Alveolar process of maxillause Maxilla

Alveolectomysee Excision, Head and Facial Bones 0NBsee Resection, Head and Facial Bones 0NT

Alveoloplastysee Repair, Head and Facial Bones 0NQsee Replacement, Head and Facial

Bones 0NRsee Supplement, Head and Facial

Bones 0NUAlveolotomy

see Division, Head and Facial Bones 0N8see Drainage, Head and Facial Bones 0N9

Ambulatory cardiac monitoring 4A12X45Amniocentesis

see Drainage, Products of Conception 1090Amnioinfusion

see Introduction of substance in or on, Products of Conception 3E0E

Amnioscopy 10J08ZZAmniotomy

see Drainage, Products of Conception 1090AMPLATZeR® Muscular VSD Occluder

use Synthetic SubstituteAmputation

see DetachmentAMS 800® Urinary Control System

use Artificial Sphincter in Urinary SystemAnal orifice

use AnusAnalog radiography

see Plain RadiographyAnalog radiology

see Plain RadiographyAnastomosis

see BypassAnatomical snuffbox

use Lower Arm and Wrist Muscle, Rightuse Lower Arm and Wrist Muscle, Left

Andexanet Alfa, Factor xa Inhibitor Reversal Agent XW0

AneuRx® AAA Advantage®use Intraluminal Device

Angiectomysee Excision, Heart and Great Vessels 02B

see Excision, Upper Arteries 03Bsee Excision, Lower Arteries 04Bsee Excision, Upper Veins 05Bsee Excision, Lower Veins 06B

AngiocardiographyCombined right and left heart see

Fluoroscopy, Heart, Right and Left B216Left Heart see Fluoroscopy, Heart, Left B215Right Heart see Fluoroscopy, Heart,

Right B214SPY system intravascular fluorescence see

Monitoring, Physiological Systems 4A1Angiography

see Plain Radiography, Heart B20see Fluoroscopy, Heart B21

Angioplastysee Dilation, Heart and Great Vessels 027see Repair, Heart and Great Vessels 02Qsee Replacement, Heart and Great

Vessels 02Rsee Supplement, Heart and Great

Vessels 02Usee Dilation, Upper Arteries 037see Repair, Upper Arteries 03Qsee Replacement, Upper Arteries 03Rsee Supplement, Upper Arteries 03Usee Dilation, Lower Arteries 047see Repair, Lower Arteries 04Qsee Replacement, Lower Arteries 04Rsee Supplement, Lower Arteries 04U

Angiorrhaphysee Repair, Heart and Great Vessels 02Qsee Repair, Upper Arteries 03Qsee Repair, Lower Arteries 04Q

Angioscopy 02JY4ZZ 03JY4ZZ 04JY4ZZ

Angiotripsysee Occlusion, Upper Arteries 03Lsee Occlusion, Lower Arteries 04L

Angular arteryuse Face Artery

Angular veinuse Face Vein, Rightuse Face Vein, Left

Annular ligamentuse Elbow Bursa and Ligament, Rightuse Elbow Bursa and Ligament, Left

Annuloplastysee Repair, Heart and Great Vessels 02Qsee Supplement, Heart and Great

Vessels 02UAnnuloplasty ring

use Synthetic SubstituteAnoplasty

see Repair, Anus 0DQQsee Supplement, Anus 0DUQ

Anorectal junctionuse Rectum

Anoscopy 0DJD8ZZAnsa cervicalis

use Cervical PlexusAntabuse therapy HZ93ZZZAntebrachial fascia

use Subcutaneous Tissue and Fascia, Right Lower Arm

use Subcutaneous Tissue and Fascia, Left Lower Arm

Anterior (pectoral) lymph nodeuse Lymphatic, Right Axillaryuse Lymphatic, Left Axillary

Anterior cerebral arteryuse Intracranial Artery

Anterior cerebral veinuse Intracranial Vein

Anterior choroidal arteryuse Intracranial Artery

Anterior circumflex humeral arteryuse Axillary Artery, Rightuse Axillary Artery, Left

Anterior communicating arteryuse Intracranial Artery

Anterior cruciate ligament (ACL)use Knee Bursa and Ligament, Rightuse Knee Bursa and Ligament, Left

Anterior crural nerveuse Femoral Nerve

Anterior facial veinuse Face Vein, Rightuse Face Vein, Left

Anterior intercostal arteryuse Internal Mammary Artery, Rightuse Internal Mammary Artery, Left

Anterior interosseous nerveuse Median Nerve

Anterior lateral malleolar arteryuse Anterior Tibial Artery, Rightuse Anterior Tibial Artery, Left

Anterior lingual glanduse Minor Salivary Gland

Anterior medial malleolar arteryuse Anterior Tibial Artery, Rightuse Anterior Tibial Artery, Left

Anterior spinal arteryuse Vertebral Artery, Rightuse Vertebral Artery, Left

Anterior tibial recurrent arteryuse Anterior Tibial Artery, Rightuse Anterior Tibial Artery, Left

Anterior ulnar recurrent arteryuse Ulnar Artery, Rightuse Ulnar Artery, Left

Anterior vagal trunkuse Vagus Nerve

Anterior vertebral muscleuse Neck Muscle, Rightuse Neck Muscle, Left

Antigen-free air conditioningsee Atmospheric Control, Physiological

Systems 6A0Antihelix

use External Ear, Rightuse External Ear, Leftuse External Ear, Bilateral

Antimicrobial envelopeuse Anti-Infective Envelope

Antitragususe External Ear, Rightuse External Ear, Leftuse External Ear, Bilateral

Antrostomysee Drainage, Ear, Nose, Sinus 099

Antrotomysee Drainage, Ear, Nose, Sinus 099

Antrum of Highmoreuse Maxillary Sinus, Rightuse Maxillary Sinus, Left

Aortic annulususe Aortic Valve

Aortic archuse Thoracic Aorta, Ascending/Arch

Aortic intercostal arteryuse Upper Artery

Aortographysee Plain Radiography, Upper Arteries B30see Fluoroscopy, Upper Arteries B31see Plain Radiography, Lower Arteries B40see Fluoroscopy, Lower Arteries B41

Aortoplastysee Repair, Aorta, Thoracic,

Descending 02QW

Alteration — continued Angiectomy — continued

07_2018_ICD-10-PCS_Index.indd 46 7/24/17 1:56 PM

1592018 ICD-10-PCS

001-002Cen

tra

l nerv

ou

s system a

nd

Cra

nia

l nerv

es 001-00X Limited Coverage Noncovered HAC-associated Procedure Combination Cluster - See Appendix G for code lists

Non-OR-Affecting MS-DRG Assignment New/Revised Text in orange Male Female

iCd-10-PCs tables

medical and surgical 001-0yW

Central nervous system and Cranial nerves 001-00X0 medical and surgical0 Central nervous system and Cranial nerves1 Bypass: Altering the route of passage of the contents of a tubular body part

Body Part approach device QualifierCharacter 4 Character 5 Character 6 Character 7

6 Cerebral Ventricle 0 Open3 Percutaneous4 Percutaneous Endoscopic

7 Autologous Tissue SubstituteJ Synthetic SubstituteK Nonautologous Tissue

Substitute

0 Nasopharynx1 Mastoid Sinus2 Atrium3 Blood Vessel4 Pleural Cavity5 Intestine6 Peritoneal Cavity7 Urinary Tract8 Bone MarrowB Cerebral Cisterns


Z No Device B Cerebral Cisterns

u Spinal Canal 0 Open3 Percutaneous


Substitute

4 Pleural Cavity6 Peritoneal Cavity7 Urinary Tract9 Fallopian Tube

0 medical and surgical0 Central nervous system and Cranial nerves2 Change: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without cutting or

puncturing the skin or a mucous membrane


0 Brain e Cranial Nerve u Spinal Canal

X External 0 Drainage Devicey Other Device

Z No Qualifier

08_2018_ICD-10-PCSTables_001-09W.indd 159 7/24/17 2:03 PM

160 2018 ICD-10-PCS

005-00800

5-00

8Ce

ntr

al

ner

vo

us

syst

em a

nd

Cr

an

ial

ner

ves

001

-00X

Central nervous system and Cranial nerves 001-00X

Limited Coverage Noncovered HAC-associated Procedure Combination Cluster - See Appendix G for code lists


0 medical and surgical0 Central nervous system and Cranial nerves5 destruction: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent


0 Brain 1 Cerebral Meninges 2 Dura Mater 6 Cerebral Ventricle 7 Cerebral Hemisphere 8 Basal Ganglia 9 Thalamus a Hypothalamus B Pons C Cerebellum d Medulla Oblongata F Olfactory Nerve G Optic Nerve H Oculomotor Nerve J Trochlear Nerve K Trigeminal Nerve l Abducens Nerve m Facial Nerve n Acoustic Nerve P Glossopharyngeal Nerve Q Vagus Nerve r Accessory Nerve s Hypoglossal Nerve t Spinal Meninges W Cervical Spinal Cord X Thoracic Spinal Cord y Lumbar Spinal Cord

0 Open3 Percutaneous4 Percutaneous Endoscopic

Z No Device Z No Qualifier

0 medical and surgical0 Central nervous system and Cranial nerves7 Change: Expanding an orifice or the lumen of a tubular body part




0 medical and surgical0 Central nervous system and Cranial nerves8 division: Cutting into a body part, without draining fluids and/or gases from the body part, in order to separate or transect a body part


0 Brain 7 Cerebral Hemisphere 8 Basal Ganglia F Olfactory Nerve G Optic Nerve H Oculomotor Nerve J Trochlear Nerve K Trigeminal Nerve l Abducens Nerve m Facial Nerve n Acoustic Nerve P Glossopharyngeal Nerve Q Vagus Nerve r Accessory Nerve s Hypoglossal Nerve W Cervical Spinal Cord X Thoracic Spinal Cord y Lumbar Spinal Cord

0 Open3 Percutaneous4 Percutaneous Endoscopic



279

090-092ea

r, no

se, sinu

s 090-09W Limited Coverage Noncovered HAC-associated Procedure Combination Cluster - See Appendix G for code lists


2018 ICD-10-PCS

ear, nose, sinus 090-09W 0 medical and surgical9 ear, nose, sinus0 alteration: Modifying the anatomic structure of a body part without affecting the function of the body part


0 External Ear, Right 1 External Ear, Left 2 External Ear, Bilateral K Nasal Mucosa and Soft Tissue

0 Open3 Percutaneous4 Percutaneous EndoscopicX External


SubstituteZ No Device

Z No Qualifier

0 medical and surgical9 ear, nose, sinus1 Bypass: Altering the route of passage of the contents of a tubular body part


d Inner Ear, Right e Inner Ear, Left

0 Open 7 Autologous Tissue SubstituteJ Synthetic SubstituteK Nonautologous Tissue


0 Endolymphatic

0 medical and surgical9 ear, nose, sinus2 Change: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without cutting or



H Ear, Right J Ear, Left K Nasal Mucosa and Soft Tissue y Sinus


Z No Qualifier


280

095-09709

5-09

7ea

r, n

ose

, sin

us

090-

09W

ear, nose, sinus 090-09W



2018 ICD-10-PCS

0 medical and surgical9 ear, nose, sinus5 destruction: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent


0 External Ear, Right 1 External Ear, Left

0 Open3 Percutaneous4 Percutaneous EndoscopicX External


3 External Auditory Canal, Right 4 External Auditory Canal, Left

0 Open3 Percutaneous4 Percutaneous Endoscopic7 Via Natural or Artificial Opening8 Via Natural or Artificial Opening

EndoscopicX External


5 Middle Ear, Right 6 Middle Ear, Left 9 Auditory Ossicle, Right a Auditory Ossicle, Left d Inner Ear, Right e Inner Ear, Left

0 Open8 Via Natural or Artificial Opening

Endoscopic


7 Tympanic Membrane, Right 8 Tympanic Membrane, Left F Eustachian Tube, Right G Eustachian Tube, Left l Nasal Turbinate n Nasopharynx

0 Open3 Percutaneous4 Percutaneous Endoscopic7 Via Natural or Artificial Opening8 Via Natural or Artificial Opening

Endoscopic


B Mastoid Sinus, Right C Mastoid Sinus, Left m Nasal Septum P Accessory Sinus Q Maxillary Sinus, Right r Maxillary Sinus, Left s Frontal Sinus, Right t Frontal Sinus, Left u Ethmoid Sinus, Right v Ethmoid Sinus, Left W Sphenoid Sinus, Right X Sphenoid Sinus, Left

0 Open3 Percutaneous4 Percutaneous Endoscopic8 Via Natural or Artificial Opening

Endoscopic


K Nasal Mucosa and Soft Tissue 0 Open3 Percutaneous4 Percutaneous Endoscopic8 Via Natural or Artificial Opening

EndoscopicX External


0 medical and surgical9 ear, nose, sinus7 dilation: Expanding an orifice or the lumen of a tubular body part


F Eustachian Tube, Right G Eustachian Tube, Left

0 Open7 Via Natural or Artificial Opening8 Via Natural or Artificial Opening

Endoscopic

d Intraluminal DeviceZ No Device

Z No Qualifier

F Eustachian Tube, Right G Eustachian Tube, Left

3 Percutaneous4 Percutaneous Endoscopic



321

Ga

stRoiN

testiNa

L system 0D

1-0Dy Limited Coverage Noncovered HAC-associated Procedure Combination Cluster - See Appendix G for code lists


2018 ICD-10-PCS

Gastrointestinal system 0D1-0Dy0 medical and surgicalD Gastrointestinal system1 Bypass: Altering the route of passage of the contents of a tubular body part

Body part approach Device QualifierCharacter 4 Character 5 Character 6 Character 7

1 Esophagus, Upper 2 Esophagus, Middle 3 Esophagus, Lower 5 Esophagus

0 Open4 Percutaneous Endoscopic8 Via Natural or Artificial Opening

Endoscopic



4 Cutaneous6 Stomach9 Duodenuma JejunumB Ileum

1 Esophagus, Upper 2 Esophagus, Middle 3 Esophagus, Lower 5 Esophagus

3 Percutaneous J Synthetic Substitute 4 Cutaneous

6 Stomach 9 Duodenum

0 Open4 Percutaneous Endoscopic8 Via Natural or Artificial Opening

Endoscopic



4 Cutaneous9 Duodenuma JejunumB IleumL Transverse Colon

6 Stomach 9 Duodenum

3 Percutaneous J Synthetic Substitute 4 Cutaneous

a Jejunum 0 Open4 Percutaneous Endoscopic8 Via Natural or Artificial Opening

Endoscopic



4 Cutaneousa JejunumB IleumH CecumK Ascending ColonL Transverse Colonm Descending ColonN Sigmoid Colonp RectumQ Anus

a Jejunum 3 Percutaneous J Synthetic Substitute 4 Cutaneous

B Ileum 0 Open4 Percutaneous Endoscopic8 Via Natural or Artificial Opening

Endoscopic



4 CutaneousB IleumH CecumK Ascending ColonL Transverse Colonm Descending ColonN Sigmoid Colonp RectumQ Anus

B Ileum 3 Percutaneous J Synthetic Substitute 4 Cutaneous

H Cecum 0 Open4 Percutaneous Endoscopic8 Via Natural or Artificial Opening

Endoscopic



4 CutaneousH CecumK Ascending ColonL Transverse Colonm Descending ColonN Sigmoid Colonp Rectum

H Cecum 3 Percutaneous J Synthetic Substitute 4 Cutaneous

K Ascending Colon 0 Open4 Percutaneous Endoscopic8 Via Natural or Artificial Opening

Endoscopic



4 CutaneousK Ascending ColonL Transverse Colonm Descending ColonN Sigmoid Colonp Rectum

K Ascending Colon 3 Percutaneous J Synthetic Substitute 4 Cutaneous

0D1 continued on next page

0D1

09_2018_ICD-10-PCSTables_0B1-0LX.indd 321 7/24/17 2:03 PM

322

0D1-0D20D

1-0D

2G

ast

RoiN

test

iNa

L sy

stem

0D

1-0D

yGastrointestinal system 0D1-0Dy



2018 ICD-10-PCS


L Transverse Colon 0 Open4 Percutaneous Endoscopic8 Via Natural or Artificial Opening

Endoscopic



4 CutaneousL Transverse Colonm Descending ColonN Sigmoid Colonp Rectum

L Transverse Colon 3 Percutaneous J Synthetic Substitute 4 Cutaneous

m Descending Colon 0 Open4 Percutaneous Endoscopic8 Via Natural or Artificial Opening

Endoscopic



4 Cutaneousm Descending ColonN Sigmoid Colonp Rectum

m Descending Colon 3 Percutaneous J Synthetic Substitute 4 Cutaneous

N Sigmoid Colon 0 Open4 Percutaneous Endoscopic8 Via Natural or Artificial Opening

Endoscopic



4 CutaneousN Sigmoid Colonp Rectum

N Sigmoid Colon 3 Percutaneous J Synthetic Substitute 4 Cutaneous

0D16079 0D1607A 0D1607B 0D1607L 0D160J9 0D160JA 0D160JB 0D160JL 0D160K9 0D160KA 0D160KB 0D160KL 0D160Z9 0D160ZA 0D160ZB 0D160ZL 0D16479 0D1647A 0D1647B 0D1647L 0D164J9 0D164JA 0D164JB 0D164JL 0D164K9 0D164KA 0D164KB 0D164KL 0D164Z9 0D164ZA 0D164ZB 0D164ZL 0D16879 0D1687A 0D1687B 0D1687L 0D168J9 0D168JA 0D168JB 0D168JL 0D168K9 0D168KA 0D168KB 0D168KL 0D168Z9 0D168ZA 0D168ZB 0D168ZL

Surgical site infection following bariatric surgery procedures and principal diagnoses E66.01 and secondary diagnoses K68.11, K95.01, K95.81, T81.4XXA.

0 medical and surgicalD Gastrointestinal system2 Change: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without cutting or



0 Upper Intestinal Tract D Lower Intestinal Tract

X External 0 Drainage DeviceU Feeding Devicey Other Device

Z No Qualifier

U Omentum V Mesentery W Peritoneum


Z No Qualifier

0 medical and surgicalD Gastrointestinal system1 Bypass: Altering the route of passage of the contents of a tubular body part

0D1 continued from previous page

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Appendix A: Root operations definitions

0 - Medical and surgical

Value Root operation definition/explanation

0 Alteration definition: Modifying the anatomic structure of a body part without affecting the function of the body partexplanation: Principal purpose is to improve appearanceincludes/examples: Face lift, breast augmentation

1 Bypass definition: Altering the route of passage of the contents of a tubular body partexplanation: Rerouting contents of a body part to a downstream area of the normal route, to a similar route and body part, or to an abnormal route and dissimilar body part. Includes one or more anastomoses, with or without the use of a deviceincludes/examples: Coronary artery bypass, colostomy formation

2 Change definition: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without cutting or puncturing the skin or a mucous membraneexplanation: All CHANGE procedures are coded using the approach EXTERNALincludes/examples: Urinary catheter change, gastrostomy tube change

3 Control definition: Stopping, or attempting to stop, postprocedural or other acute bleedingexplanation: The site of the bleeding is coded as an anatomical region and not to a specific body partincludes/examples: Control of post-prostatectomy hemorrhage, control of intracranial subdural hemorrhage, control of bleeding duodenal ulcer, control of retroperitoneal hemorrhage

4 Creation definition: Putting in or on biological or synthetic material to form a new body part that to the extent possible replicates the anatomic structure or function of an absent body partexplanation: Used for gender reassignment surgery and corrective procedures in individuals with congenital anomaliesincludes/examples: Creation of vagina in a male, creation of right and left atrioventricular valve from common atrioventricular valve

5 Destruction definition: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agentexplanation: None of the body part is physically taken outincludes/examples: Fulguration of rectal polyp, cautery of skin lesion

6 Detachment definition: Cutting off all or a portion of the upper or lower extremitiesexplanation: The body part value is the site of the detachment, with a qualifier if applicable to further specify the level where the extremity was detachedincludes/examples: Below knee amputation, disarticulation of shoulder

7 Dilation definition: Expanding an orifice or the lumen of a tubular body partexplanation: The orifice can be a natural orifice or an artificially created orifice. Accomplished by stretching a tubular body part using intraluminal pressure or by cutting part of the orifice or wall of the tubular body partincludes/examples: Percutaneous transluminal angioplasty, internal urethrotomy

8 Division definition: Cutting into a body part, without draining fluids and/or gases from the body part, in order to separate or transect a body partexplanation: All or a portion of the body part is separated into two or more portionsincludes/examples: Spinal cordotomy, osteotomy

9 Drainage definition: Taking or letting out fluids and/or gases from a body partexplanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsiesincludes/examples: Thoracentesis, incision and drainage

B Excision definition: Cutting out or off, without replacement, a portion of a body partexplanation: The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsiesincludes/examples: Partial nephrectomy, liver biopsy

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device Term iCd-10-pCS value

3f® (Aortic) Bioprosthesis valveZooplastic Tissue in Heart and Great Vessels

AbioCor® Total Replacement Heart Synthetic Substitute

Absolute Pro® Vascular (OTW) Self-Expanding Stent System

Intraluminal Device

Acculink™ (RX) Carotid Stent System Intraluminal Device

Acellular Hydrated Dermis Nonautologous Tissue Substitute

Acetabular cup Liner in Lower Joints

Activa PC® neurostimulatorStimulator Generator, Multiple Array for Insertion in Subcutaneous Tissue and Fascia

Activa RC® neurostimulatorStimulator Generator, Multiple Array Rechargeable for Insertion in Subcutaneous Tissue and Fascia

Activa SC® neurostimulatorStimulator Generator, Single Array for Insertion in Subcutaneous Tissue and Fascia

ACUITY™ Steerable Lead

Cardiac Lead, Pacemaker for Insertion in Heart and Great Vessels

Cardiac Lead, Defibrillator for Insertion in Heart and Great Vessels

Advisa MRI™Pacemaker, Dual Chamber for Insertion in Subcutaneous Tissue and Fascia

AFX® Endovascular AAA System Intraluminal Device

AMPLATZER® Muscular VSD Occluder

Synthetic Substitute

AMS 800® Urinary Control SystemArtificial Sphincter in Urinary System

AneuRx® AAA Advantage® Intraluminal Device

Annuloplasty ring Synthetic Substitute

Artificial anal sphincter (AAS)Artificial Sphincter in Gastrointestinal System

Artificial bowel sphincter (neosphincter)

Artificial Sphincter in Gastrointestinal System

Artificial urinary sphincter (AUS)Artificial Sphincter in Urinary System

Ascenda® Intrathecal Catheter Infusion Device

Assurant (Cobalt)® stent Intraluminal Device

AtriClip® LAA Exclusion System Extraluminal Device

Attain Ability® lead



Attain StarFix® (OTW) lead



device Term iCd-10-pCS valueAutograft Autologous Tissue Substitute

Autologous artery graft

Autologous Arterial Tissue in Heart and Great Vessels

Autologous Arterial Tissue in Upper Arteries

Autologous Arterial Tissue in Lower Arteries

Autologous Arterial Tissue in Upper Veins

Autologous Arterial Tissue in Lower Veins

Autologous vein graft

Autologous Venous Tissue in Heart and Great Vessels

Autologous Venous Tissue in Upper Arteries

Autologous Venous Tissue in Lower Arteries

Autologous Venous Tissue in Upper Veins

Autologous Venous Tissue in Lower Veins

Axial Lumbar Interbody Fusion System

Interbody Fusion Device in Lower Joints

AxiaLIF® SystemInterbody Fusion Device in Lower Joints

BAK/C® Interbody Cervical FusionSystem

Interbody Fusion Device in Upper Joints

Bard® Composix® (E/X)(LP) mesh Synthetic Substitute

Bard® Composix® Kugel® patch Synthetic Substitute

Bard® Dulex™ mesh Synthetic Substitute

Bard® Ventralex™ hernia patch Synthetic Substitute

Baroreflex Activation Therapy®(BAT®)

Stimulator Lead in Upper Arteries

Stimulator Generator in Subcutaneous Tissue and Fascia

Berlin Heart® Ventricular Assist Device

Implantable Heart Assist System in Heart and Great Vessels

Bioactive embolization coil(s)Intraluminal Device, Bioactive in Upper Arteries

Biventricular external heart assist system

Short-term External Heart Assist System in Heart and Great Vessels

Blood glucose monitoring system Monitoring Device

Bone anchored hearing device

Hearing Device, Bone Conduction for Insertion in Ear, Nose, Sinus

Hearing Device in Head and Facial Bones

Bone bank bone graft Nonautologous Tissue Substitute

Bone screw(interlocking)(lag)(pedicle)(recessed)

Internal Fixation Device in Head and Facial Bones

Internal Fixation Device in Upper Bones

Internal Fixation Device in Lower Bones

Appendix C: device Key

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0: Medical and Surgical0: Central Nervous System and Cranial Nerves

Operation-Character 3 Body part-Character 4 Approach-Character 5 device-Character 6 Qualifier-Character 7

1 Bypass 0 Brain 0 Open 0 Drainage Device 0 Nasopharynx

2 Change 1 Cerebral Meninges 3 Percutaneous 2 Monitoring Device 1 Mastoid Sinus

5 Destruction 2 Dura Mater 4 Percutaneous Endoscopic 3 Infusion Device 2 Atrium

7 Dilation 3 Epidural Space, Intracranial x External7 Autologous Tissue

Substitute3 Blood Vessel

8 Division 4 Subdural Space, Intracranial J Synthetic Substitute 4 Pleural Cavity

9 Drainage5 Subarachnoid Space,

Intracranial

K Nonautologous Tissue Substitute

5 Intestine

B Excision 6 Cerebral Ventricle M Neurostimulator Lead 6 Peritoneal Cavity

C Extirpation 7 Cerebral Hemisphere Y Other Device 7 Urinary Tract

d Extraction 8 Basal Ganglia Z No Device 8 Bone Marrow

F Fragmentation 9 Thalamus 9 Fallopian Tube

h Insertion A Hypothalamus B Cerebral Cisterns

J Inspection B Pons F Olfactory Nerve

K Map C Cerebellum g Optic Nerve

n Release d Medulla Oblongata h Oculomotor Nerve

p Removal e Cranial Nerve J Trochlear Nerve

Q Repair F Olfactory Nerve K Trigeminal Nerve

r Replacement g Optic Nerve L Abducens Nerve

S Reposition h Oculomotor Nerve M Facial Nerve

t Resection J Trochlear Nerve n Acoustic Nerve

U Supplement K Trigeminal Nerve p Glossopharyngeal Nerve

W Revision L Abducens Nerve Q Vagus Nerve

x Transfer M Facial Nerve r Accessory Nerve

n Acoustic Nerve S Hypoglossal Nerve

p Glossopharyngeal Nerve x Diagnostic

Q Vagus Nerve Z No Qualifier

r Accessory Nerve

S Hypoglossal Nerve

t Spinal Meninges

U Spinal Canal

V Spinal Cord

W Cervical Spinal Cord

x Thoracic Spinal Cord

Y Lumbar Spinal Cord

Appendix e: Character Meaning

17_2018_ICD-10-PCS_Appendix_E_Character Meaning.indd 775 7/24/17 2:09 PM

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Appendix F: Substance Key

Substance term icd-10-pcS ValueAIGISRx

® Antibacterial Envelope Antimicrobial Envelope Anti-Infective Envelope

Axicabtagene Ciloeucel Engineered Autologous Chimeric Antigen Receptor T-cell

Immunotherapy

Bone Morphogenetic Protein 2 (BMP 2) Recombinant Bone Morphogenetic Protein

CBMA (Concentrated Bone Marrow Aspirate) Concentrated Bone Marrow Aspirate

Clolar®

Clofarabine

Defitelio®

Defibrotide Sodium Anticoagulant

DuraGraft® Endothelial Damage Inhibitor Endothelial Damage Inhibitor

Factor Xa Inhibitor Reversal Agent, Andexanet Alfa Andexanet Alfa, Factor Xa Inhibitor Reversal Agent

Kcentra®

4-Factor Prothrombin Complex Concentrate

Nesiritide®

Human B-type Natriuretic Peptide

rhBMP-2 Recombinant Bone Morphogenetic Protein

Seprafilm®

Adhesion Barrier

STELARA®

Other New Technology Therapeutic Substance

Tissue Plasminogen Activator (tPA)(r- tPA) Other Thrombolytic

Ustekinumab Other New Technology Therapeutic Substance

Vistogard®

Uridine Triacetate

Voraxaze®

Glucarpidase

VYXEOS™ Cytarabine and Daunorubicin Liposome Antineoplastic

ZINPLAVA™ Bezlotoxumab Monoclonal Antibody

Zyvox®

Oxazolidinones

18_2018_ICD-10-PCS_Appendix_F_Substance Key.indd 845 7/24/17 2:09 PM

8472018 ICD-10-PCS

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Due to the nature of a specific procedure, the first code in the cluster needs to be reported with one or more of the additional codes listed for all codes to be considered valid. The example below is for insertion of a cardiac defibrillator lead into the right ventricle (highlighted code). The additional procedure describes the exact location of where the lead is inserted, which is required for correct reporting:

02HK0KZand 0JH609Z

You would need to review the first procedure in the combination/cluster to determine whether you need to report the additional code.

The CMS site also provides additional information on combinations/clusters.

Appendix G: Combination Clusters

02H60KZand 0JH608Z

02H60KZand 0JH638Z

02H60KZand 0JH808Z

02H60KZand 0JH838Z

02H63KZand 0JH608Z

02H63KZand 0JH638Z

02H63KZand 0JH808Z

02H63KZand 0JH838Z

02H64KZand 0JH608Z

02H64KZand 0JH638Z

02H64KZand 0JH808Z

02H64KZand 0JH838Z

02H70KZand 0JH608Z

02H70KZand 0JH638Z

02H70KZand 0JH808Z

02H70KZand 0JH838Z

02H73KZand 0JH608Z

02H73KZand 0JH638Z

02H73KZand 0JH808Z

02H73KZand 0JH838Z

02H74KZand 0JH608Z

02H74KZand 0JH638Z

02H74KZand 0JH808Z

02H74KZand 0JH838Z

02HA0RSand 02PA0RZ

02HA0RSand 02PA3RZ

02HA0RSand 02PA4RZ

02HA0RZand 02PA0RZ

02HA0RZand 02PA3RZ

02HA0RZand 02PA4RZ

02HA3RSand 02PA0RZ

02HA3RSand 02PA3RZ

02HA3RSand 02PA4RZ

02HA4RSand 02PA0RZ

02HA4RSand 02PA3RZ

02HA4RSand 02PA4RZ

02HA4RZand 02PA0RZ

02HA4RZand 02PA3RZ

02HA4RZand 02PA4RZ

02HK0KZand 0JH608Z

02HK0KZand 0JH609Z

02HK0KZand 0JH638Z

02HK0KZand 0JH639Z

02HK0KZand 0JH808Z

02HK0KZand 0JH809Z

02HK0KZand 0JH838Z

02HK0KZand 0JH839Z

02HK3KZand 0JH608Z

02HK3KZand 0JH609Z

02HK3KZand 0JH638Z

02HK3KZand 0JH639Z

02HK3KZand 0JH808Z

02HK3KZand 0JH809Z

02HK3KZand 0JH838Z

02HK3KZand 0JH839Z

02HK4KZand 0JH608Z

02HK4KZand 0JH609Z

02HK4KZand 0JH638Z

02HK4KZand 0JH639Z

02HK4KZand 0JH808Z

02HK4KZand 0JH809Z

02HK4KZand 0JH838Z

02HK4KZand 0JH839Z

02HL0KZand 0JH608Z

02HL0KZand 0JH609Z

02HL0KZand 0JH638Z

02HL0KZand 0JH639Z

02HL0KZand 0JH808Z

02HL0KZand 0JH809Z

02HL0KZand 0JH838Z

02HL0KZand 0JH839Z

02HL0MZand 0JH60AZ

02HL0MZand 0JH63AZ

02HL0MZand 0JH80AZ

02HL0MZand 0JH83AZ

02HL3KZand 0JH608Z

02HL3KZand 0JH609Z

02HL3KZand 0JH638Z

02HL3KZand 0JH639Z

02HL3KZand 0JH808Z

02HL3KZand 0JH809Z

02HL3KZand 0JH838Z

02HL3KZand 0JH839Z

02HL3MZand 0JH60AZ

02HL3MZand 0JH63AZ

02HL3MZand 0JH80AZ

02HL3MZand 0JH83AZ

02HL4KZand 0JH608Z

02HL4KZand 0JH609Z

02HL4KZand 0JH638Z

02HL4KZand 0JH639Z

02HL4KZand 0JH808Z

02HL4KZand 0JH809Z

02HL4KZand 0JH838Z

02HL4KZand 0JH839Z

02HL4MZand 0JH60AZ

02HL4MZand 0JH63AZ

02HL4MZand 0JH80AZ

02HL4MZand 0JH83AZ

02RK0JZand 02RL0JZ

02WA0QZand 02PA0RZ

02WA0QZand 02PA3RZ

02WA0QZand 02PA4RZ

02WA0RZand 02PA0RZ

02WA0RZand 02PA3RZ

02WA0RZand 02PA4RZ

02WA3QZand 02PA0RZ

02WA3QZand 02PA3RZ

02WA3QZand 02PA4RZ

02WA3RZand 02PA0RZ

02WA3RZand 02PA3RZ

02WA3RZand 02PA4RZ

02WA4QZand 02PA0RZ

02WA4QZand 02PA3RZ

02WA4QZand 02PA4RZ

02WA4RZand 02PA0RZ

02WA4RZand 02PA3RZ

02WA4RZand 02PA4RZ

07BH0ZZand 0UTM0ZZ

19_2018_ICD-10-PCS_Appendix_G_Combination Clusters.indd 847 7/24/17 2:09 PM

8612018 ICD-10-PCS

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ASSig

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00160ZB-00n

B0ZZ

Appendix H: non-oR not Affecting MS-dRg Assignment00160ZB00163ZB001647000164710016472001647300164740016475001647600164770016478001647B00164J000164J100164J200164J300164J400164J500164J600164J700164J800164JB00164K000164K100164K200164K300164K400164K500164K600164K700164K800164KB00164ZB0020X0Z0020XYZ002EX0Z002EXYZ002UX0Z002UXYZ00523ZZ00524ZZ00560ZZ00563ZZ00564ZZ00570ZZ00573ZZ00574ZZ00580ZZ00583ZZ00584ZZ00590ZZ00593ZZ00594ZZ005A0ZZ005A3ZZ005A4ZZ005B0ZZ005B3ZZ005B4ZZ005C0ZZ005C3ZZ005C4ZZ005D0ZZ

005D3ZZ005D4ZZ005F0ZZ005F3ZZ005F4ZZ005G0ZZ005G3ZZ005G4ZZ005H0ZZ005H3ZZ005H4ZZ005J0ZZ005J3ZZ005J4ZZ005K0ZZ005K3ZZ005K4ZZ005L0ZZ005L3ZZ005L4ZZ005M0ZZ005M3ZZ005M4ZZ005N0ZZ005N3ZZ005N4ZZ005P0ZZ005P3ZZ005P4ZZ005Q0ZZ005Q3ZZ005Q4ZZ005R0ZZ005R3ZZ005R4ZZ005S0ZZ005S3ZZ005S4ZZ005T0ZZ005T3ZZ005T4ZZ005W0ZZ005W3ZZ005W4ZZ005X0ZZ005X3ZZ005X4ZZ005Y0ZZ005Y3ZZ005Y4ZZ00760ZZ00763ZZ00764ZZ00800ZZ00803ZZ00804ZZ00870ZZ00873ZZ00874ZZ00880ZZ00883ZZ00884ZZ008F0ZZ

008F3ZZ008F4ZZ008G0ZZ008G3ZZ008G4ZZ008H0ZZ008H3ZZ008H4ZZ008J0ZZ008J3ZZ008J4ZZ008K0ZZ008K3ZZ008K4ZZ008L0ZZ008L3ZZ008L4ZZ008M0ZZ008M3ZZ008M4ZZ008N0ZZ008N3ZZ008N4ZZ008P0ZZ008P3ZZ008P4ZZ008Q0ZZ008Q3ZZ008Q4ZZ008R0ZZ008R3ZZ008R4ZZ008S0ZZ008S3ZZ008S4ZZ008W0ZZ008W3ZZ008W4ZZ008X0ZZ008X3ZZ008X4ZZ008Y0ZZ008Y3ZZ008Y4ZZ009000Z00900ZX00900ZZ009030Z00903ZX00903ZZ009040Z00904ZX00904ZZ009100Z00910ZX00910ZZ009130Z00913ZX00913ZZ009140Z00914ZX00914ZZ009200Z

00920ZX00920ZZ009230Z00923ZX00923ZZ009240Z00924ZX00924ZZ009300Z00930ZX00930ZZ009330Z00933ZX00933ZZ009340Z00934ZX00934ZZ009400Z00940ZX00940ZZ009430Z00943ZX00943ZZ009440Z00944ZX00944ZZ009500Z00950ZX00950ZZ009530Z00953ZX00953ZZ009540Z00954ZX00954ZZ009600Z00960ZX00960ZZ009630Z00963ZX00963ZZ009640Z00964ZX00964ZZ009700Z00970ZX00970ZZ009730Z00973ZX00973ZZ009740Z00974ZX00974ZZ009800Z00980ZX00980ZZ009830Z00983ZX00983ZZ009840Z00984ZX00984ZZ009900Z

00990ZX00990ZZ009930Z00993ZX00993ZZ009940Z00994ZX00994ZZ009A00Z009A0ZX009A0ZZ009A30Z009A3ZX009A3ZZ009A40Z009A4ZX009A4ZZ009B00Z009B0ZX009B0ZZ009B30Z009B3ZX009B3ZZ009B40Z009B4ZX009B4ZZ009C00Z009C0ZX009C0ZZ009C30Z009C3ZX009C3ZZ009C40Z009C4ZX009C4ZZ009D00Z009D0ZX009D0ZZ009D30Z009D3ZX009D3ZZ009D40Z009D4ZX009D4ZZ009F00Z009F0ZX009F0ZZ009F30Z009F3ZX009F3ZZ009F40Z009F4ZX009F4ZZ009G00Z009G0ZX009G0ZZ009G30Z009G3ZX009G3ZZ009G40Z009G4ZX009G4ZZ009H00Z

009H0ZX009H0ZZ009H30Z009H3ZX009H3ZZ009H40Z009H4ZX009H4ZZ009J00Z009J0ZX009J0ZZ009J30Z009J3ZX009J3ZZ009J40Z009J4ZX009J4ZZ009K00Z009K0ZX009K0ZZ009K30Z009K3ZX009K3ZZ009K40Z009K4ZX009K4ZZ009L00Z009L0ZX009L0ZZ009L30Z009L3ZX009L3ZZ009L40Z009L4ZX009L4ZZ009M3ZX009M4ZX009N3ZX009N4ZX009P3ZX009P4ZX009Q3ZX009Q4ZX009R3ZX009R4ZX009S3ZX009S4ZX009U30Z009U3ZX009U3ZZ009U40Z009U4ZX009U4ZZ00B03ZX00B04ZX00B13ZX00B14ZX00B23ZX00B24ZX00B63ZX00B64ZX00B73ZX00B74ZX

00B83ZX00B84ZX00B93ZX00B94ZX00BA3ZX00BA4ZX00BA4ZZ00BB0ZX00BB0ZZ00BB3ZX00BB3ZZ00BB4ZX00BB4ZZ00BC0ZX00BC0ZZ00BC3ZX00BC3ZZ00BC4ZX00BC4ZZ00BD0ZX00BD0ZZ00BD3ZX00BD3ZZ00BD4ZX00BD4ZZ00BF0ZX00BF0ZZ00BF3ZX00BF3ZZ00BF4ZX00BF4ZZ00BG0ZX00BG0ZZ00BG3ZX00BG3ZZ00BG4ZX00BG4ZZ00BH0ZX00BH0ZZ00BH3ZX00BH3ZZ00BH4ZX00BH4ZZ00BJ0ZX00BJ0ZZ00BJ3ZX00BJ3ZZ00BJ4ZX00BJ4ZZ00BK0ZX00BK0ZZ00BK3ZX00BK3ZZ00BK4ZX00BK4ZZ00BL0ZX00BL0ZZ00BL3ZX00BL3ZZ00BL4ZX00BL4ZZ00BM0ZX00BM0ZZ

00BM3ZX00BM3ZZ00BM4ZX00BM4ZZ00BN0ZX00BN0ZZ00BN3ZX00BN3ZZ00BN4ZX00BN4ZZ00BP0ZX00BP0ZZ00BP3ZX00BP3ZZ00BP4ZX00BP4ZZ00BQ0ZX00BQ0ZZ00BQ3ZX00BQ3ZZ00BQ4ZX00BQ4ZZ00BR0ZX00BR0ZZ00BR3ZX00BR3ZZ00BR4ZX00BR4ZZ00BS0ZX00BS0ZZ00BS3ZX00BS3ZZ00BS4ZX00BS4ZZ00BT0ZX00BT0ZZ00BT3ZX00BT3ZZ00BT4ZX00BT4ZZ00BW0ZX00BW0ZZ00BW3ZX00BW3ZZ00BW4ZX00BW4ZZ00BX0ZX00BX0ZZ00BX3ZX00BX3ZZ00BX4ZX00BX4ZZ00BY0ZX00BY0ZZ00BY3ZX00BY3ZZ00BY4ZX00BY4ZZ00C00ZZ00C03ZZ00C04ZZ00C10ZZ00C13ZZ

00C14ZZ00C20ZZ00C23ZZ00C24ZZ00C30ZZ00C33ZZ00C34ZZ00C40ZZ00C43ZZ00C44ZZ00C50ZZ00C53ZZ00C54ZZ00C60ZZ00C63ZZ00C64ZZ00C70ZZ00C73ZZ00C74ZZ00C80ZZ00C83ZZ00C84ZZ00C90ZZ00C93ZZ00C94ZZ00CA0ZZ00CA3ZZ00CA4ZZ00CB0ZZ00CB3ZZ00CB4ZZ00CC0ZZ00CC3ZZ00CC4ZZ00CD0ZZ00CD3ZZ00CD4ZZ00CF0ZZ00CF3ZZ00CF4ZZ00CG0ZZ00CG3ZZ00CG4ZZ00CH0ZZ00CH3ZZ00CH4ZZ00CJ0ZZ00CJ3ZZ00CJ4ZZ00CK0ZZ00CK3ZZ00CK4ZZ00CL0ZZ00CL3ZZ00CL4ZZ00CM0ZZ00CM3ZZ00CM4ZZ00CN0ZZ00CN3ZZ00CN4ZZ00CP0ZZ00CP3ZZ

00CP4ZZ00CQ0ZZ00CQ3ZZ00CQ4ZZ00CR0ZZ00CR3ZZ00CR4ZZ00CS0ZZ00CS3ZZ00CS4ZZ00CT0ZZ00CT3ZZ00CT4ZZ00CU0ZZ00CU3ZZ00CU4ZZ00CW0ZZ00CW3ZZ00CW4ZZ00CX0ZZ00CX3ZZ00CX4ZZ00CY0ZZ00CY3ZZ00CY4ZZ00D10ZZ00D13ZZ00D14ZZ00D20ZZ00D23ZZ00D24ZZ00DF0ZZ00DF3ZZ00DF4ZZ00DG0ZZ00DG3ZZ00DG4ZZ00DH0ZZ00DH3ZZ00DH4ZZ00DJ0ZZ00DJ3ZZ00DJ4ZZ00DK0ZZ00DK3ZZ00DK4ZZ00DL0ZZ00DL3ZZ00DL4ZZ00DM0ZZ00DM3ZZ00DM4ZZ00DN0ZZ00DN3ZZ00DN4ZZ00DP0ZZ00DP3ZZ00DP4ZZ00DQ0ZZ00DQ3ZZ00DQ4ZZ00DR0ZZ00DR3ZZ

00DR4ZZ00DS0ZZ00DS3ZZ00DS4ZZ00DT0ZZ00DT3ZZ00DT4ZZ00F30ZZ00F33ZZ00F34ZZ00F3XZZ00F40ZZ00F43ZZ00F44ZZ00F4XZZ00F50ZZ00F5XZZ00F6XZZ00H004Z00H00YZ00H03YZ00H04YZ00H60YZ00H63YZ00H64YZ00HE0YZ00HE3YZ00HE4YZ00HU03Z00HU0YZ00HU33Z00HU3YZ00HU43Z00HU4YZ00HV03Z00HV0YZ00HV33Z00HV3YZ00HV43Z00HV4YZ00JE3ZZ00N10ZZ00N13ZZ00N14ZZ00N20ZZ00N23ZZ00N24ZZ00N60ZZ00N63ZZ00N64ZZ00N70ZZ00N73ZZ00N74ZZ00N80ZZ00N83ZZ00N84ZZ00N90ZZ00N93ZZ00N94ZZ00NA0ZZ00NA3ZZ00NA4ZZ00NB0ZZ

20_2018_ICD-10-PCS_Appendix_H_Non-OR-Not Affecting MS-DRG Assignment.indd 861 7/24/17 2:10 PM

table of contents - static.aapc.com and hemic systems 072-07y ... abdominal aortic plexus ... see...

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