your map of the icd-9 to icd-10 pcs conversion …...relationships between the codes in the icd-9-cm...

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Your Map of the ICD-9 to ICD-10 PCS Conversion

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Page 1: Your Map of the ICD-9 to ICD-10 PCS Conversion …...relationships between the codes in the ICD-9-CM procedure classification and the ICD-10 Procedure Code System (ICD-10-PCS). Although

Your Map of the ICD-9 to ICD-10 PCS Conversion

Page 2: Your Map of the ICD-9 to ICD-10 PCS Conversion …...relationships between the codes in the ICD-9-CM procedure classification and the ICD-10 Procedure Code System (ICD-10-PCS). Although

Disclaimer 3

Endoscopy 4

Interventional Cardiology 11

Neuromodulation 14

Peripheral Interventions 15

Rhythm Management and Electrophysiology 55

Urology 62

Pelvic Health 65

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Table of Contents

Page 3: Your Map of the ICD-9 to ICD-10 PCS Conversion …...relationships between the codes in the ICD-9-CM procedure classification and the ICD-10 Procedure Code System (ICD-10-PCS). Although

Health economic and reimbursement information provided by Boston Scientific Corporation is gathered from third‐party sources and is subject to change without notice as a result of complex and frequently changing laws, regulations, rules and policies. This information is presented for illustrative purposes only and does not constitute reimbursement or legal advice. Boston Scientific encourages providers to submit accurate and appropriate claims for services. It is always the provider’s responsibility to determine medical necessity, the proper site for delivery of any services and to submit appropriate codes, charges, and modifiers for services that are rendered. Boston Scientific recommends that you consult with your payers, reimbursement specialists and/or legal counsel regarding coding, coverage and reimbursement matters. Boston Scientific does not promote the use of its products outside their FDA‐approved label. CPT copyright 2013 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. Applicable FARS/DFARS Restrictions Apply to Government Use. Fee schedules, relative value units, conversion factors, and/or related components are not assigned by the AMA, are not part of CPT®, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

Advantage, Advantage Fit, Capio, Capio SLIM, Lynx, Obtryx, Obtryx II, Polyform, Solyx, Uphold and Xenform are registered trademarks of Boston Scientific Corporation or its affiliates. All other trademarks are property of their respective owners.

Accordingly for medical devices: CAUTION: Federal Law (USA) restricts these devices to sale by or on the order of a physician.

Accordingly for mesh for stress urinary incontinence: CAUTION: Federal Law (USA) restricts this device to sale by or on the order of a physician trained in use of mesh for the repair of stress urinary incontinence.

Accordingly for mesh for transvaginal repair of pelvic organ prolapse: CAUTION: Federal Law (USA) restricts this device to sale by or on the order of a physician trained in use of surgical mesh for transvaginal repair of pelvic organ prolapse.

Repliform Tissue Regeneration Matrix complies with U.S. Regulations in 21 CFR part 1270 and 1271 Human Tissue Intended for Transplantation.

Coaptite is manufactured by Merz Aesthetics, Inc. and distributed by Boston Scientific.

Caution: Federal Law (USA) restricts the Coaptite Implant device to sale by or on the order of a physician trained in diagnostic and therapeutic cystoscopy. Please refer to package insert provided with the product for complete Indications for Use, Contraindications, Warnings, Precautions, Adverse Events and Instructions prior to using this product.

This document is not a reflection of the Center for Medicare and Medicaid Services (CMS) official General Equivalence Mapping (GEM) for ICD-9-CM procedure classification to ICD-10-PCS. There is not a simple “crosswalk from I-9- to PCS” in the GEM files. The GEM file is an official CMS reference mapping that attempts to include all valid relationships between the codes in the ICD-9-CM procedure classification and the ICD-10 Procedure Code System (ICD-10-PCS). Although helpful for review, the GEM translation should not replace coding from the official medical record and assigning the appropriate ICD-10 code based on the individual case record. The translations provided in this document were derived from coding directly using ICD-10-PCS coding resources making use of the increased specificity in PCS. Therefore, the translations provided are not an exact match to the CMS GEM files and are not based on any official CMS resource. The most accurate coding for ICD-10-PCS should be based on access to the individual medical record to see the specific nature of the procedure and assign the correct PCS code(s) to the record.

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Disclaimers

See page 3 for important information about the uses and limitations of this document. CORP-224204-AB SEPT2015

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Endoscopy

ICD‐9Code ICD‐9 Description ICD‐10 PCS

Code ICD‐10 PCS Description

51.10Endoscopic retrograde cholangiopancreatography [ERCP]

BF110ZZ Fluoroscopy of Biliary and Pancreatic Ducts using High Osmolar Contrast

BF111ZZ Fluoroscopy of Biliary and Pancreatic Ducts using Low Osmolar Contrast

BF11YZZ Fluoroscopy of Biliary and Pancreatic Ducts using Other Contrast

0FJB8ZZ Inspection of Hepatobiliary Duct, Via Natural or Artificial Opening Endoscopic

0FJD8ZZ Inspection of Pancreatic Duct, Via Natural or Artificial Opening Endoscopic

51.11Endoscopic retrograde cholangiography (ERC)

BF100ZZ Fluoroscopy of Bile Ducts using High Osmolar Contrast

BF101ZZ Fluoroscopy of Bile Ducts using Low Osmolar Contrast

BF10YZZ Fluoroscopy of Bile Ducts using Other Contrast

BF000ZZ Plain Radiography of Bile Ducts using High Osmolar Contrast

BF001ZZ Plain Radiography of Bile Ducts using Low Osmolar Contrast

BF00YZZ Plain Radiography of Bile Ducts using Other Contrast

51.14Other closed (endoscopic) biopsy of biliary duct or sphincter of Oddi

0F954ZX Drainage of Right Hepatic Duct, Percutaneous Endoscopic Approach, Diagnostic

0F957ZX Drainage of Right Hepatic Duct, Via Natural or Artificial Opening, Diagnostic

0F958ZX Drainage of Right Hepatic Duct, Via Natural or Artificial Opening Endoscopic, Diagnostic

0F964ZX Drainage of Left Hepatic Duct, Percutaneous Endoscopic Approach, Diagnostic

0F967ZX Drainage of Left Hepatic Duct, Via Natural or Artificial Opening, Diagnostic

0F968ZX Drainage of Left Hepatic Duct, Via Natural or Artificial Opening Endoscopic, Diagnostic

0F984ZX Drainage of Cystic Duct, Percutaneous Endoscopic Approach, Diagnostic

0F987ZX Drainage of Cystic Duct, Via Natural or Artificial Opening, Diagnostic

0F988ZX Drainage of Cystic Duct, Via Natural or Artificial Opening Endoscopic, Diagnostic

0F994ZX Drainage of Common Bile Duct, Percutaneous Endoscopic Approach, Diagnostic

0F997ZX Drainage of Common Bile Duct, Via Natural or Artificial Opening, Diagnostic

0F998ZX Drainage of Common Bile Duct, Via Natural or Artificial Opening Endoscopic, Diagnostic

0F9C4ZX Drainage of Ampulla of Vater, Percutaneous Endoscopic Approach, Diagnostic

0F9C7ZX Drainage of Ampulla of Vater, Via Natural or Artificial Opening, Diagnostic

0F9C8ZX Drainage of Ampulla of Vater, Via Natural or Artificial Opening Endoscopic, Diagnostic

0FB44ZX Excision of Gallbladder, Percutaneous Endoscopic Approach, Diagnostic

0FB54ZX Excision of Right Hepatic Duct, Percutaneous Endoscopic Approach, Diagnostic

0FB57ZX Excision of Right Hepatic Duct, Via Natural or Artificial Opening, Diagnostic

0FB58ZX Excision of Right Hepatic Duct, Via Natural or Artificial Opening Endoscopic, Diagnostic

0FB64ZX Excision of Left Hepatic Duct, Percutaneous Endoscopic Approach, Diagnostic

0FB67ZX Excision of Left Hepatic Duct, Via Natural or Artificial Opening, Diagnostic

0FB68ZX Excision of Left Hepatic Duct, Via Natural or Artificial Opening Endoscopic, Diagnostic

0FB84ZX Excision of Cystic Duct, Percutaneous Endoscopic Approach, Diagnostic

0FB87ZX Excision of Cystic Duct, Via Natural or Artificial Opening, Diagnostic

0FB88ZX Excision of Cystic Duct, Via Natural or Artificial Opening Endoscopic, Diagnostic

0FB94ZX Excision of Common Bile Duct, Percutaneous Endoscopic Approach, Diagnostic

0FB97ZX Excision of Common Bile Duct, Via Natural or Artificial Opening, Diagnostic

0FB98ZX Excision of Common Bile Duct, Via Natural or Artificial Opening Endoscopic, Diagnostic

0FBC4ZX Excision of Ampulla of Vater, Percutaneous Endoscopic Approach, Diagnostic

0FBC7ZX Excision of Ampulla of Vater, Via Natural or Artificial Opening, Diagnostic

0FBC8ZX Excision of Ampulla of Vater, Via Natural or Artificial Opening Endoscopic, Diagnostic

CORP-224204-AB SEPT2015See page 3 for important information about the uses and limitations of this document. 4

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ICD‐9Code ICD‐9 Description ICD‐10 PCS

Code ICD‐10 PCS Description

51.98Other percutaneous procedures on biliary tract

0F753DZ Dilation of Right Hepatic Duct with Intraluminal Device, Percutaneous Approach

0F753ZZ Dilation of Right Hepatic Duct, Percutaneous Approach

0F763DZ Dilation of Left Hepatic Duct with Intraluminal Device, Percutaneous Approach

0F763ZZ Dilation of Left Hepatic Duct, Percutaneous Approach

0F783DZ Dilation of Cystic Duct with Intraluminal Device, Percutaneous Approach

0F783ZZ Dilation of Cystic Duct, Percutaneous Approach

0F793DZ Dilation of Common Bile Duct with Intraluminal Device, Percutaneous Approach

0F793ZZ Dilation of Common Bile Duct, Percutaneous Approach

0F754ZZ Dilation of Right Hepatic Duct, Percutaneous Endoscopic Approach

0F764ZZ Dilation of Left Hepatic Duct, Percutaneous Endoscopic Approach

0F784ZZ Dilation of Cystic Duct, Percutaneous Endoscopic Approach

0F794ZZ Dilation of Common Bile Duct, Percutaneous Endoscopic Approach

0FJB3ZZ Inspection of Hepatobiliary Duct, Percutaneous Approach

0FJB4ZZ Inspection of Hepatobiliary Duct, Percutaneous Endoscopic Approach

0F993ZZ Drainage of Common Bile Duct, Percutaneous Approach

0F994ZZ Drainage of Common Bile Duct, Percutaneous Endoscopic Approach

0FC53ZZ Extirpation of Matter from Right Hepatic Duct, Percutaneous Approach

0FC54ZZ Extirpation of Matter from Right Hepatic Duct, Percutaneous Endoscopic Approach

0FC63ZZ Extirpation of Matter from Left Hepatic Duct, Percutaneous Approach

0FC64ZZ Extirpation of Matter from Left Hepatic Duct, Percutaneous Endoscopic Approach

0FC83ZZ Extirpation of Matter from Cystic Duct, Percutaneous Approach

0FC84ZZ Extirpation of Matter from Cystic Duct, Percutaneous Endoscopic Approach

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ICD‐9Code ICD‐9 Description ICD‐10 PCS

Code ICD‐10 PCS Description

32.27Bronchoscopic bronchial thermoplasty, ablation of airway smooth muscle

0B538ZZ Destruction of Right Main Bronchus, Via Natural or Artificial Opening Endoscopic

0B548ZZ Destruction of Right Upper Lobe Bronchus, Via Natural or Artificial Opening Endoscopic

0B568ZZ Destruction of Right Lower Lobe Bronchus, Via Natural or Artificial Opening Endoscopic

0B578ZZ Destruction of Left Main Bronchus, Via Natural or Artificial Opening Endoscopic

0B588ZZ Destruction of Left Upper Lobe Bronchus, Via Natural or Artificial Opening Endoscopic

0B598ZZ Destruction of Lingula Bronchus, Via Natural or Artificial Opening Endoscopic

0B5B8ZZ Destruction of Left Lower Lobe Bronchus, Via Natural or Artificial Opening Endoscopic

32.01Endoscopic excision or destruction of lesion or tissue of bronchus

0B534ZZ Destruction of Right Main Bronchus, Percutaneous Endoscopic Approach

0B538ZZ Destruction of Right Main Bronchus, Via Natural or Artificial Opening Endoscopic

0B544ZZ Destruction of Right Upper Lobe Bronchus, Percutaneous Endoscopic Approach

0B548ZZ Destruction of Right Upper Lobe Bronchus, Via Natural or Artificial Opening Endoscopic

0B554ZZ Destruction of Right Middle Lobe Bronchus, Percutaneous Endoscopic Approach

0B558ZZ Destruction of Right Middle Lobe Bronchus, Via Natural or Artificial Opening Endoscopic

0B564ZZ Destruction of Right Lower Lobe Bronchus, Percutaneous Endoscopic Approach

0B568ZZ Destruction of Right Lower Lobe Bronchus, Via Natural or Artificial Opening Endoscopic

0B574ZZ Destruction of Left Main Bronchus, Percutaneous Endoscopic Approach

0B578ZZ Destruction of Left Main Bronchus, Via Natural or Artificial Opening Endoscopic

0B584ZZ Destruction of Left Upper Lobe Bronchus, Percutaneous Endoscopic Approach

0B588ZZ Destruction of Left Upper Lobe Bronchus, Via Natural or Artificial Opening Endoscopic

0B594ZZ Destruction of Lingula Bronchus, Percutaneous Endoscopic Approach

0B598ZZ Destruction of Lingula Bronchus, Via Natural or Artificial Opening Endoscopic

0B5B4ZZ Destruction of Left Lower Lobe Bronchus, Percutaneous Endoscopic Approach

0B5B8ZZ Destruction of Left Lower Lobe Bronchus, Via Natural or Artificial Opening Endoscopic

0BB34ZZ Excision of Right Main Bronchus, Percutaneous Endoscopic Approach

0BB38ZZ Excision of Right Main Bronchus, Via Natural or Artificial Opening Endoscopic

0BB44ZZ Excision of Right Upper Lobe Bronchus, Percutaneous Endoscopic Approach

0BB48ZZ Excision of Right Upper Lobe Bronchus, Via Natural or Artificial Opening Endoscopic

0BB54ZZ Excision of Right Middle Lobe Bronchus, Percutaneous Endoscopic Approach

0BB58ZZ Excision of Right Middle Lobe Bronchus, Via Natural or Artificial Opening Endoscopic

0BB64ZZ Excision of Right Lower Lobe Bronchus, Percutaneous Endoscopic Approach

0BB68ZZ Excision of Right Lower Lobe Bronchus, Via Natural or Artificial Opening Endoscopic

0BB74ZZ Excision of Left Main Bronchus, Percutaneous Endoscopic Approach

0BB78ZZ Excision of Left Main Bronchus, Via Natural or Artificial Opening Endoscopic

0BB84ZZ Excision of Left Upper Lobe Bronchus, Percutaneous Endoscopic Approach

0BB88ZZ Excision of Left Upper Lobe Bronchus, Via Natural or Artificial Opening Endoscopic

0BB94ZZ Excision of Lingula Bronchus, Percutaneous Endoscopic Approach

0BB98ZZ Excision of Lingula Bronchus, Via Natural or Artificial Opening Endoscopic

0BBB4ZZ Excision of Left Lower Lobe Bronchus, Percutaneous Endoscopic Approach

0BBB8ZZ Excision of Left Lower Lobe Bronchus, Via Natural or Artificial Opening Endoscopic

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ICD‐9Code ICD‐9 Description ICD‐10 PCS

Code ICD‐10 PCS Description

33.23 Other bronchoscopy

0BJ08ZZ Inspection of Tracheobronchial Tree, Via Natural or Artificial Opening Endoscopic

0BJK8ZZ Inspection of Right Lung, Via Natural or Artificial Opening Endoscopic

0BJL8ZZ Inspection of Left Lung, Via Natural or Artificial Opening Endoscopic

33.24Closed [endoscopic] biopsy of bronchus

0B933ZX Drainage of Right Main Bronchus, Percutaneous Approach, Diagnostic

0B934ZX Drainage of Right Main Bronchus, Percutaneous Endoscopic Approach, Diagnostic

0B937ZX Drainage of Right Main Bronchus, Via Natural or Artificial Opening, Diagnostic

0B938ZX Drainage of Right Main Bronchus, Via Natural or Artificial Opening Endoscopic, Diagnostic

0B943ZX Drainage of Right Upper Lobe Bronchus, Percutaneous Approach, Diagnostic

0B944ZX Drainage of Right Upper Lobe Bronchus, Percutaneous Endoscopic Approach, Diagnostic

0B947ZX Drainage of Right Upper Lobe Bronchus, Via Natural or Artificial Opening, Diagnostic

0B948ZX Drainage of Right Upper Lobe Bronchus, Via Natural or Artificial Opening Endoscopic, Diagnostic

0B953ZX Drainage of Right Middle Lobe Bronchus, Percutaneous Approach, Diagnostic

0B954ZX Drainage of Right Middle Lobe Bronchus, Percutaneous Endoscopic Approach, Diagnostic

0B957ZX Drainage of Right Middle Lobe Bronchus, Via Natural or Artificial Opening, Diagnostic

0B958ZX Drainage of Right Middle Lobe Bronchus, Via Natural or Artificial Opening Endoscopic, Diagnostic

0B963ZX Drainage of Right Lower Lobe Bronchus, Percutaneous Approach, Diagnostic

0B964ZX Drainage of Right Lower Lobe Bronchus, Percutaneous Endoscopic Approach, Diagnostic

0B967ZX Drainage of Right Lower Lobe Bronchus, Via Natural or Artificial Opening, Diagnostic

0B968ZX Drainage of Right Lower Lobe Bronchus, Via Natural or Artificial Opening Endoscopic, Diagnostic

0B973ZX Drainage of Left Main Bronchus, Percutaneous Approach, Diagnostic

0B974ZX Drainage of Left Main Bronchus, Percutaneous Endoscopic Approach, Diagnostic

0B977ZX Drainage of Left Main Bronchus, Via Natural or Artificial Opening, Diagnostic

0B978ZX Drainage of Left Main Bronchus, Via Natural or Artificial Opening Endoscopic, Diagnostic

0B983ZX Drainage of Left Upper Lobe Bronchus, Percutaneous Approach, Diagnostic

0B984ZX Drainage of Left Upper Lobe Bronchus, Percutaneous Endoscopic Approach, Diagnostic

0B987ZX Drainage of Left Upper Lobe Bronchus, Via Natural or Artificial Opening, Diagnostic

0B988ZX Drainage of Left Upper Lobe Bronchus, Via Natural or Artificial Opening Endoscopic, Diagnostic

0B993ZX Drainage of Lingula Bronchus, Percutaneous Approach, Diagnostic

0B994ZX Drainage of Lingula Bronchus, Percutaneous Endoscopic Approach, Diagnostic

0B997ZX Drainage of Lingula Bronchus, Via Natural or Artificial Opening, Diagnostic

0B998ZX Drainage of Lingula Bronchus, Via Natural or Artificial Opening Endoscopic, Diagnostic

0B9B3ZX Drainage of Left Lower Lobe Bronchus, Percutaneous Approach, Diagnostic

0B9B4ZX Drainage of Left Lower Lobe Bronchus, Percutaneous Endoscopic Approach, Diagnostic

0B9B7ZX Drainage of Left Lower Lobe Bronchus, Via Natural or Artificial Opening, Diagnostic

0B9B8ZX Drainage of Left Lower Lobe Bronchus, Via Natural or Artificial Opening Endoscopic, Diagnostic

0BB33ZX Excision of Right Main Bronchus, Percutaneous Approach, Diagnostic

0BB34ZX Excision of Right Main Bronchus, Percutaneous Endoscopic Approach, Diagnostic

0BB37ZX Excision of Right Main Bronchus, Via Natural or Artificial Opening, Diagnostic

0BB38ZX Excision of Right Main Bronchus, Via Natural or Artificial Opening Endoscopic, Diagnostic

0BB43ZX Excision of Right Upper Lobe Bronchus, Percutaneous Approach, Diagnostic

0BB44ZX Excision of Right Upper Lobe Bronchus, Percutaneous Endoscopic Approach, Diagnostic

0BB47ZX Excision of Right Upper Lobe Bronchus, Via Natural or Artificial Opening, Diagnostic

0BB48ZX Excision of Right Upper Lobe Bronchus, Via Natural or Artificial Opening Endoscopic, Diagnostic

0BB53ZX Excision of Right Middle Lobe Bronchus, Percutaneous Approach, Diagnostic

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ICD‐9Code ICD‐9 Description ICD‐10 PCS

Code ICD‐10 PCS Description

33.24Closed [endoscopic] biopsy of bronchus (Continued)

0BB54ZX Excision of Right Middle Lobe Bronchus, Percutaneous Endoscopic Approach, Diagnostic

0BB57ZX Excision of Right Middle Lobe Bronchus, Via Natural or Artificial Opening, Diagnostic

0BB58ZX Excision of Right Middle Lobe Bronchus, Via Natural or Artificial Opening Endoscopic, Diagnostic

0BB63ZX Excision of Right Lower Lobe Bronchus, Percutaneous Approach, Diagnostic

0BB64ZX Excision of Right Lower Lobe Bronchus, Percutaneous Endoscopic Approach, Diagnostic

0BB67ZX Excision of Right Lower Lobe Bronchus, Via Natural or Artificial Opening, Diagnostic

0BB68ZX Excision of Right Lower Lobe Bronchus, Via Natural or Artificial Opening Endoscopic, Diagnostic

0BB73ZX Excision of Left Main Bronchus, Percutaneous Approach, Diagnostic

0BB74ZX Excision of Left Main Bronchus, Percutaneous Endoscopic Approach, Diagnostic

0BB77ZX Excision of Left Main Bronchus, Via Natural or Artificial Opening, Diagnostic

0BB78ZX Excision of Left Main Bronchus, Via Natural or Artificial Opening Endoscopic, Diagnostic

0BB83ZX Excision of Left Upper Lobe Bronchus, Percutaneous Approach, Diagnostic

0BB84ZX Excision of Left Upper Lobe Bronchus, Percutaneous Endoscopic Approach, Diagnostic

0BB87ZX Excision of Left Upper Lobe Bronchus, Via Natural or Artificial Opening, Diagnostic

0BB88ZX Excision of Left Upper Lobe Bronchus, Via Natural or Artificial Opening Endoscopic, Diagnostic

0BB93ZX Excision of Lingula Bronchus, Percutaneous Approach, Diagnostic

0BB94ZX Excision of Lingula Bronchus, Percutaneous Endoscopic Approach, Diagnostic

0BB97ZX Excision of Lingula Bronchus, Via Natural or Artificial Opening, Diagnostic

0BB98ZX Excision of Lingula Bronchus, Via Natural or Artificial Opening Endoscopic, Diagnostic

0BBB3ZX Excision of Left Lower Lobe Bronchus, Percutaneous Approach, Diagnostic

0BBB4ZX Excision of Left Lower Lobe Bronchus, Percutaneous Endoscopic Approach, Diagnostic

0BBB7ZX Excision of Left Lower Lobe Bronchus, Via Natural or Artificial Opening, Diagnostic

0BBB8ZX Excision of Left Lower Lobe Bronchus, Via Natural or Artificial Opening Endoscopic, Diagnostic

33.27Closed endoscopic biopsy of lung

0B9K8ZX Drainage of Right Lung, Via Natural or Artificial Opening Endoscopic, Diagnostic

0B9L8ZX Drainage of Left Lung, Via Natural or Artificial Opening Endoscopic, Diagnostic

0B9M8ZX Drainage of Bilateral Lungs, Via Natural or Artificial Opening Endoscopic, Diagnostic

0BBK7ZX Excision of Right Lung, Via Natural or Artificial Opening, Diagnostic

0BBK8ZX Excision of Right Lung, Via Natural or Artificial Opening Endoscopic, Diagnostic

0BBL7ZX Excision of Left Lung, Via Natural or Artificial Opening, Diagnostic

0BBL8ZX Excision of Left Lung, Via Natural or Artificial Opening Endoscopic, Diagnostic

0BBM4ZX Excision of Bilateral Lungs, Percutaneous Endoscopic Approach, Diagnostic

0BBM7ZX Excision of Bilateral Lungs, Via Natural or Artificial Opening, Diagnostic

0BBM8ZX Excision of Bilateral Lungs, Via Natural or Artificial Opening Endoscopic, Diagnostic

31.93Replacement of laryngeal or tracheal stent

0C7S0DZ Dilation of Larynx with Intraluminal Device, Open Approach

0C7S3DZ Dilation of Larynx with Intraluminal Device, Percutaneous Approach

0C7S4DZ Dilation of Larynx with Intraluminal Device, Percutaneous Endoscopic Approach

0C7S7DZ Dilation of Larynx with Intraluminal Device, Via Natural or Artificial Opening

0C7S8DZ Dilation of Larynx with Intraluminal Device, Via Natural or Artificial Opening Endoscopic

0CPS0DZ Removal of Intraluminal Device from Larynx, Open Approach

0CPS3DZ Removal of Intraluminal Device from Larynx, Percutaneous Approach

0CPS7DZ Removal of Intraluminal Device from Larynx, Via Natural or Artificial Opening

0CPS8DZ Removal of Intraluminal Device from Larynx, Via Natural or Artificial Opening Endoscopic

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ICD‐9Code ICD‐9 Description ICD‐10 PCS

Code ICD‐10 PCS Description

31.99 Other operations on trachea

0B710DZ Dilation of Trachea with Intraluminal Device, Open Approach

0B710ZZ Dilation of Trachea, Open Approach

0B713DZ Dilation of Trachea with Intraluminal Device, Percutaneous Approach

0B713ZZ Dilation of Trachea, Percutaneous Approach

0B714DZ Dilation of Trachea with Intraluminal Device, Percutaneous Endoscopic Approach

0B714ZZ Dilation of Trachea, Percutaneous Endoscopic Approach

0B717DZ Dilation of Trachea with Intraluminal Device, Via Natural or Artificial Opening

0B717ZZ Dilation of Trachea, Via Natural or Artificial Opening

0B718DZ Dilation of Trachea with Intraluminal Device, Via Natural or Artificial Opening Endoscopic

0B718ZZ Dilation of Trachea, Via Natural or Artificial Opening Endoscopic

0B720DZ Dilation of Carina with Intraluminal Device, Open Approach

0B720ZZ Dilation of Carina, Open Approach

0B723DZ Dilation of Carina with Intraluminal Device, Percutaneous Approach

0B723ZZ Dilation of Carina, Percutaneous Approach

0B724DZ Dilation of Carina with Intraluminal Device, Percutaneous Endoscopic Approach

0B724ZZ Dilation of Carina, Percutaneous Endoscopic Approach

0B727DZ Dilation of Carina with Intraluminal Device, Via Natural or Artificial Opening

0B727ZZ Dilation of Carina, Via Natural or Artificial Opening

0B728DZ Dilation of Carina with Intraluminal Device, Via Natural or Artificial Opening Endoscopic

0B728ZZ Dilation of Carina, Via Natural or Artificial Opening Endoscopic

98.15Removal of intraluminal foreign body from trachea and bronchus without incision

0BC17ZZ Extirpation of Matter from Trachea, Via Natural or Artificial Opening

0BC18ZZ Extirpation of Matter from Trachea, Via Natural or Artificial Opening Endoscopic

0BC37ZZ Extirpation of Matter from Right Main Bronchus, Via Natural or Artificial Opening

0BC38ZZ Extirpation of Matter from Right Main Bronchus, Via Natural or Artificial Opening Endoscopic

0BC77ZZ Extirpation of Matter from Left Main Bronchus, Via Natural or Artificial Opening

0BC78ZZ Extirpation of Matter from Left Main Bronchus, Via Natural or Artificial Opening Endoscopic

42.81Insertion of permanent tube into esophagus

0DH50DZ Insertion of Intraluminal Device into Esophagus, Open Approach

0DH50UZ Insertion of Feeding Device into Esophagus, Open Approach

0DH53DZ Insertion of Intraluminal Device into Esophagus, Percutaneous Approach

0DH53UZ Insertion of Feeding Device into Esophagus, Percutaneous Approach

0DH54DZ Insertion of Intraluminal Device into Esophagus, Percutaneous Endoscopic Approach

0DH54UZ Insertion of Feeding Device into Esophagus, Percutaneous Endoscopic Approach

0DH57DZ Insertion of Intraluminal Device into Esophagus, Via Natural or Artificial Opening

0DH57UZ Insertion of Feeding Device into Esophagus, Via Natural or Artificial Opening

0DH58DZ Insertion of Intraluminal Device into Esophagus, Via Natural or Artificial Opening Endoscopic

0DH58UZ Insertion of Feeding Device into Esophagus, Via Natural or Artificial Opening Endoscopic

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ICD‐9Code ICD‐9 Description ICD‐10 PCS

Code ICD‐10 PCS Description

46.86Endoscopic insertion of colonic stent(s)

0D788DZ Dilation of Small Intestine with Intraluminal Device, Via Natural or Artificial Opening Endoscopic

0D798DZ Dilation of Duodenum with Intraluminal Device, Via Natural or Artificial Opening Endoscopic

0D7A8DZ Dilation of Jejunum with Intraluminal Device, Via Natural or Artificial Opening Endoscopic

0D7B8DZ Dilation of Ileum with Intraluminal Device, Via Natural or Artificial Opening Endoscopic

0D7E8DZ Dilation of Large Intestine with Intraluminal Device, Via Natural or Artificial Opening Endoscopic

0DH88DZ Insertion of Intraluminal Device into Small Intestine, Via Natural or Artificial Opening Endoscopic

0DH98DZ Insertion of Intraluminal Device into Duodenum, Via Natural or Artificial Opening Endoscopic

0DHA8DZ Insertion of Intraluminal Device into Jejunum, Via Natural or Artificial Opening Endoscopic

0DHB8DZ Insertion of Intraluminal Device into Ileum, Via Natural or Artificial Opening Endoscopic

0DHE8DZ Insertion of Intraluminal Device into Large Intestine, Via Natural or Artificial Opening Endoscopic

0DHP8DZ Insertion of Intraluminal Device into Rectum, Via Natural or Artificial Opening Endoscopic

0D7K8DZ Dilation of Ascending Colon with Intraluminal Device, Via Natural or Artificial Opening Endoscopic

0D7L8DZ Dilation of Transverse Colon with Intraluminal Device, Via Natural or Artificial Opening Endoscopic

0D7M8DZ Dilation of Descending Colon with Intraluminal Device, Via Natural or Artificial Opening Endoscopic

0D7N8DZ Dilation of Sigmoid Colon with Intraluminal Device, Via Natural or Artificial Opening Endoscopic

51.87Endoscopic insertion of stent (tube) into bile duct

0F758DZ Dilation of Right Hepatic Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic

0F768DZ Dilation of Left Hepatic Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic

0F788DZ Dilation of Cystic Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic

0F798DZ Dilation of Common Bile Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic

0FHB4DZ Insertion of Intraluminal Device into Hepatobiliary Duct, Percutaneous Endoscopic Approach

0FHB8DZ Insertion of Intraluminal Device into Hepatobiliary Duct, Via Natural or Artificial Opening Endoscopic

97.05Replacement of stent (tube) in biliary or pancreatic duct

0F757DZ Dilation of Right Hepatic Duct with Intraluminal Device, Via Natural or Artificial Opening

0F758DZ Dilation of Right Hepatic Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic

0F767DZ Dilation of Left Hepatic Duct with Intraluminal Device, Via Natural or Artificial Opening

0F768DZ Dilation of Left Hepatic Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic

0F787DZ Dilation of Cystic Duct with Intraluminal Device, Via Natural or Artificial Opening

0F788DZ Dilation of Cystic Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic

0F797DZ Dilation of Common Bile Duct with Intraluminal Device, Via Natural or Artificial Opening

0F798DZ Dilation of Common Bile Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic

0F7D7DZ Dilation of Pancreatic Duct with Intraluminal Device, Via Natural or Artificial Opening

0F7D8DZ Dilation of Pancreatic Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic

0FHB7DZ Insertion of Intraluminal Device into Hepatobiliary Duct, Via Natural or Artificial Opening

0FHB8DZ Insertion of Intraluminal Device into Hepatobiliary Duct, Via Natural or Artificial Opening Endoscopic

0FPB7DZ Removal of Intraluminal Device from Hepatobiliary Duct, Via Natural or Artificial Opening

0FPB8DZ Removal of Intraluminal Device from Hepatobiliary Duct, Via Natural or Artificial Opening Endoscopic

0FPBXDZ Removal of Intraluminal Device from Hepatobiliary Duct, External Approach

0FPD7DZ Removal of Intraluminal Device from Pancreatic Duct, Via Natural or Artificial Opening

0FPD8DZ Removal of Intraluminal Device from Pancreatic Duct, Via Natural or Artificial Opening Endoscopic

0FPDXDZ Removal of Intraluminal Device from Pancreatic Duct, External Approach

52.99 Other pancreatic proceduresOF9G4ZZ Drainage of Pancreas, Percutaneous Endoscopic Approach

OF9G40Z Drainage of Pancreas with Drainage Device, Percutaneous Endoscopic Approach

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Interventional Cardiology

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

37.21Right heart cardiac catheterization

4A023N6 Measurement of Cardiac Sampling and Pressure, Right Heart, Percutaneous Approach

37.22Left heart cardiac catheterization

4A023N7 Measurement of Cardiac Sampling and Pressure, Left Heart, Percutaneous Approach

37.23

Combined right and left heart cardiac catheterization

4A023N8 Measurement of Cardiac Sampling and Pressure, Bilateral, Percutaneous Approach

17.55Transluminal coronary atherectomy

02C03ZZ Extirpation of Matter from Coronary Artery, One Site, Percutaneous Approach

02C13ZZ Extirpation of Matter from Coronary Artery, Two Sites, Percutaneous Approach

02C23ZZ Extirpation of Matter from Coronary Artery, Three Sites, Percutaneous Approach

02C33ZZ Extirpation of Matter from Coronary Artery, Four or More Sites, Percutaneous Approach

36.06

Insertion of non-drug-eluting coronary artery stent(s)

02703DZ Dilation of Coronary Artery, One Site with Intraluminal Device, Percutaneous Approach

02703D6 Dilation of Coronary Artery, One Site, Bifurcation, with Intraluminal Device, Percutaneous Approach

02713D6 Dilation of Coronary Artery, Two Sites, Bifurcation, with Intraluminal Device, Percutaneous Approach

02713DZ Dilation of Coronary Artery, Two Sites with Intraluminal Device, Percutaneous Approach

02723D6 Dilation of Coronary Artery, Three Sites, Bifurcation, with Intraluminal Device, Percutaneous Approach

02723DZ Dilation of Coronary Artery, Three Sites with Intraluminal Device, Percutaneous Approach

02733D6 Dilation of Coronary Artery, Four or More Sites, Bifurcation, with Intraluminal Device, Percutaneous Approach

02733DZ Dilation of Coronary Artery, Four or More Sites with Intraluminal Device, Percutaneous Approach

027034Z Dilation of Coronary Artery, One Site with Drug-eluting Intraluminal Device, Percutaneous Approach

36.07Insertion of drug-eluting coronary artery stent(s)

0270346 Dilation of Coronary Artery, One Site, Bifurcation, with Drug-eluting Intraluminal Device, Percutaneous Approach

027034Z Dilation of Coronary Artery, One Site with Drug-eluting Intraluminal Device, Percutaneous Approach

0271346 Dilation of Coronary Artery, Two Sites, Bifurcation, with Drug-eluting Intraluminal Device, Percutaneous Approach

027134Z Dilation of Coronary Artery, Two Sites with Drug-eluting Intraluminal Device, Percutaneous Approach

0272346Dilation of Coronary Artery, Three Sites, Bifurcation, with Drug-eluting Intraluminal Device, Percutaneous Approach

027234Z Dilation of Coronary Artery, Three Sites with Drug-eluting Intraluminal Device, Percutaneous Approach

0273346Dilation of Coronary Artery, Four or More Sites, Bifurcation, with Drug-eluting Intraluminal Device, Percutaneous Approach

027334Z Dilation of Coronary Artery, Four or More Sites with Drug-eluting Intraluminal Device, Percutaneous Approach

35.05Endovascular replacement of aortic valve

02RF37Z Replacement of Aortic Valve with Autologous Tissue Substitute, Percutaneous Approach

02RF38Z Replacement of Aortic Valve with Zooplastic Tissue, Percutaneous Approach

02RF3JZ Replacement of Aortic Valve with Synthetic Substitute, Percutaneous Approach

02RF3KZ Replacement of Aortic Valve with Nonautologous Tissue Substitute, Percutaneous Approach

35.06Transapical replacement of aortic valve

02RF37H Replacement of Aortic Valve with Autologous Tissue Substitute, Transapical, Percutaneous Approach

02RF38H Replacement of Aortic Valve with Zooplastic Tissue, Transapical, Percutaneous Approach

02RF3JH Replacement of Aortic Valve with Synthetic Substitute, Transapical, Percutaneous Approach

02RF3KH Replacement of Aortic Valve with Nonautologous Tissue Substitute, Transapical, Percutaneous Approach

35.07Endovascular replacement of pulmonary valve

02RH37Z Replacement of Pulmonary Valve with Autologous Tissue Substitute, Percutaneous Approach

02RH38Z Replacement of Pulmonary Valve with Zooplastic Tissue, Percutaneous Approach

02RH3JZ Replacement of Pulmonary Valve with Synthetic Substitute, Percutaneous Approach

02RH3KZ Replacement of Pulmonary Valve with Nonautologous Tissue Substitute, Percutaneous Approach

35.08Transapical replacement of pulmonary valve

02RH37H Replacement of Pulmonary Valve with Autologous Tissue Substitute, Transapical, Percutaneous Approach

02RH38H Replacement of Pulmonary Valve with Zooplastic Tissue, Transapical, Percutaneous Approach

02RH3JH Replacement of Pulmonary Valve with Synthetic Substitute, Transapical, Percutaneous Approach

02RH3KH Replacement of Pulmonary Valve with Nonautologous Tissue Substitute, Transapical, Percutaneous Approach

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Interventional Cardiology

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

35.96Percutaneous balloon valvuloplasty

027F3ZZ Dilation of Aortic Valve, Percutaneous Approach

027F4ZZ Dilation of Aortic Valve, Percutaneous Endoscopic Approach

027G3ZZ Dilation of Mitral Valve, Percutaneous Approach

027G4ZZ Dilation of Mitral Valve, Percutaneous Endoscopic Approach

027H3ZZ Dilation of Pulmonary Valve, Percutaneous Approach

027H4ZZ Dilation of Pulmonary Valve, Percutaneous Endoscopic Approach

027J3ZZ Dilation of Tricuspid Valve, Percutaneous Approach

027J4ZZ Dilation of Tricuspid Valve, Percutaneous Endoscopic Approach

35.97

Percutaneous mitral valve repair with implant

02UG3JZ Supplement Mitral Valve with Synthetic Substitute, Percutaneous Approach

00.59

Intravascular pressure measurement of coronary arteries

4A033BC Measurement of Arterial Pressure, Coronary, Percutaneous Approach

00.66

Percutaneous transluminal coronary angioplasty [PTCA]

02703ZZ Dilation of Coronary Artery, One Site, Percutaneous Approach

02704ZZ Dilation of Coronary Artery, One Site, Percutaneous Endoscopic Approach

02713ZZ Dilation of Coronary Artery, Two Sites, Percutaneous Approach

02714ZZ Dilation of Coronary Artery, Two Sites, Percutaneous Endoscopic Approach

02723ZZ Dilation of Coronary Artery, Three Sites, Percutaneous Approach

02724ZZ Dilation of Coronary Artery, Three Sites, Percutaneous Endoscopic Approach

02733ZZ Dilation of Coronary Artery, Four or More Sites, Percutaneous Approach

02734ZZ Dilation of Coronary Artery, Four or More Sites, Percutaneous Endoscopic Approach

02703Z6 Dilation of Coronary Artery, One Site, Bifurcation, Percutaneous Approach

02713Z6 Dilation of Coronary Artery, Two Sites, Bifurcation, Percutaneous Approach

02723Z6 Dilation of Coronary Artery, Three Sites, Bifurcation, Percutaneous Approach

02733Z6 Dilation of Coronary Artery, Four or More Sites, Bifurcation, Percutaneous Approach

39.61

Extracorporeal circulation auxiliary to open heart surgery

5A1221Z Performance of Cardiac Output, Continuous

00.24Intravascular imaging of coronary vessels

B240ZZ3 Ultrasonography of Single Coronary Artery, Intravascular

B241ZZ3 Ultrasonography of Multiple Coronary Arteries, Intravascular

B244ZZ3 Ultrasonography of Right Heart, Intravascular

B245ZZ3 Ultrasonography of Left Heart, Intravascular

B246ZZ3 Ultrasonography of Right and Left Heart, Intravascular

B24DZZ3 Ultrasonography of Pediatric Heart, Intravascular

B244ZZ3 Ultrasonography of Right Heart, Intravascular

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Interventional Cardiology

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

88.50Angio, not otherwise specified

B2000ZZ Plain Radiography of Single Coronary Artery using High Osmolar Contrast

B2001ZZ Plain Radiography of Single Coronary Artery using Low Osmolar Contrast

B200YZZ Plain Radiography of Single Coronary Artery using Other Contrast

B2010ZZ Plain Radiography of Multiple Coronary Arteries using High Osmolar Contrast

B2011ZZ Plain Radiography of Multiple Coronary Arteries using Low Osmolar Contrast

B201YZZ Plain Radiography of Multiple Coronary Arteries using Other Contrast

B2020ZZ Plain Radiography of Single Coronary Artery Bypass Graft using High Osmolar Contrast

B2021ZZ Plain Radiography of Single Coronary Artery Bypass Graft using Low Osmolar Contrast

B202YZZ Plain Radiography of Single Coronary Artery Bypass Graft using Other Contrast

B2030ZZ Plain Radiography of Multiple Coronary Artery Bypass Grafts using High Osmolar Contrast

B2031ZZ Plain Radiography of Multiple Coronary Artery Bypass Grafts using Low Osmolar Contrast

B203YZZ Plain Radiography of Multiple Coronary Artery Bypass Grafts using Other Contrast

B2070ZZ Plain Radiography of Right Internal Mammary Bypass Graft using High Osmolar Contrast

B2071ZZ Plain Radiography of Right Internal Mammary Bypass Graft using Low Osmolar Contrast

B207YZZ Plain Radiography of Right Internal Mammary Bypass Graft using Other Contrast

B2080ZZ Plain Radiography of Left Internal Mammary Bypass Graft using High Osmolar Contrast

B2081ZZ Plain Radiography of Left Internal Mammary Bypass Graft using Low Osmolar Contrast

B208YZZ Plain Radiography of Left Internal Mammary Bypass Graft using Other Contrast

B20F0ZZ Plain Radiography of Other Bypass Graft using High Osmolar Contrast

B20F1ZZ Plain Radiography of Other Bypass Graft using Low Osmolar Contrast

B20FYZZ Plain Radiography of Other Bypass Graft using Other Contrast

B2100ZZ Fluoroscopy of Single Coronary Artery using High Osmolar Contrast

B2101ZZ Fluoroscopy of Single Coronary Artery using Low Osmolar Contrast

B210YZZ Fluoroscopy of Single Coronary Artery using Other Contrast

B2110ZZ Fluoroscopy of Multiple Coronary Arteries using High Osmolar Contrast

B2111ZZ Fluoroscopy of Multiple Coronary Arteries using Low Osmolar Contrast

B211YZZ Fluoroscopy of Multiple Coronary Arteries using Other Contrast

B2120ZZ Fluoroscopy of Single Coronary Artery Bypass Graft using High Osmolar Contrast

B2121ZZ Fluoroscopy of Single Coronary Artery Bypass Graft using Low Osmolar Contrast

B212YZZ Fluoroscopy of Single Coronary Artery Bypass Graft using Other Contrast

B2130ZZ Fluoroscopy of Multiple Coronary Artery Bypass Grafts using High Osmolar Contrast

B2131ZZ Fluoroscopy of Multiple Coronary Artery Bypass Grafts using Low Osmolar Contrast

B213YZZ Fluoroscopy of Multiple Coronary Artery Bypass Grafts using Other Contrast

B2170ZZ Fluoroscopy of Right Internal Mammary Bypass Graft using High Osmolar Contrast

B2171ZZ Fluoroscopy of Right Internal Mammary Bypass Graft using Low Osmolar Contrast

B217YZZ Fluoroscopy of Right Internal Mammary Bypass Graft using Other Contrast

B2180ZZ Fluoroscopy of Left Internal Mammary Bypass Graft using High Osmolar Contrast

B2181ZZ Fluoroscopy of Left Internal Mammary Bypass Graft using Low Osmolar Contrast

B218YZZ Fluoroscopy of Left Internal Mammary Bypass Graft using Other Contrast

B21F0ZZ Fluoroscopy of Other Bypass Graft using High Osmolar Contrast

B21F1ZZ Fluoroscopy of Other Bypass Graft using Low Osmolar Contrast

B21FYZZ Fluoroscopy of Other Bypass Graft using Other Contrast

88.53Angio of left heart structures

B2050ZZ Plain Radiography of Left Heart using High Osmolar Contrast

B2051ZZ Plain Radiography of Left Heart using Low Osmolar Contrast

B205YZZ Plain Radiography of Left Heart using Other Contrast

B2150ZZ Fluoroscopy of Left Heart using High Osmolar Contrast

B2151ZZ Fluoroscopy of Left Heart using Low Osmolar Contrast

B215YZZ Fluoroscopy of Left Heart using Other Contrast

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Neuromodulation

CORP-224204-AB SEPT2015See page 3 for important information about the uses and limitations of this document. 14

ICD‐9Code ICD‐9 Description ICD‐10 PCS

Code ICD‐10 PCS Description

03.93Implantation or Replacement of Spinal Neurostimulator Lead(s)

Insertion/Spinal Canal

00HU0MZ Insertion of Neurostimulator Lead into Spinal Canal, Open Approach

00HU3MZInsertion of Neurostimulator Lead into Spinal Canal, Percutaneous Approach

00HU4MZInsertion of Neurostimulator Lead into Spinal Canal, Percutaneous Endoscopic Approach

86.98Insertion or Replacement of Multiple Array (two or more) Rechargeable Neurostimulator Pulse Generator

Insertion/Subcutaneous Tissue and Fascia, Back

0JH70EZInsertion of Multiple Array Rechargeable Stimulator Generator into Back Subcutaneous Tissue and Fascia, Open Approach

0JH73EZInsertion of Multiple Array Rechargeable Stimulator Generator into Back Subcutaneous Tissue and Fascia, Percutaneous Approach

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Peripheral Interventions

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

39.79

Other endovascular procedures on other vessels

02LS3DZ Occlusion of Right Pulmonary Vein with Intraluminal Device, Percutaneous Approach

02LS3ZZ Occlusion of Right Pulmonary Vein, Percutaneous Approach

02LT3DZ Occlusion of Left Pulmonary Vein with Intraluminal Device, Percutaneous Approach

02LT3ZZ Occlusion of Left Pulmonary Vein, Percutaneous Approach

02VP3DZ Restriction of Pulmonary Trunk with Intraluminal Device, Percutaneous Approach

02VP3ZZ Restriction of Pulmonary Trunk, Percutaneous Approach

02VQ3DZ Restriction of Right Pulmonary Artery with Intraluminal Device, Percutaneous Approach

02VQ3ZZ Restriction of Right Pulmonary Artery, Percutaneous Approach

02VR3DT Restriction of Ductus Arteriosus with Intraluminal Device, Percutaneous Approach

02VR3DZ Restriction of Left Pulmonary Artery with Intraluminal Device, Percutaneous Approach

02VR3ZT Restriction of Ductus Arteriosus, Percutaneous Approach

02VR3ZZ Restriction of Left Pulmonary Artery, Percutaneous Approach

02VS3DZ Restriction of Right Pulmonary Vein with Intraluminal Device, Percutaneous Approach

02VS3ZZ Restriction of Right Pulmonary Vein, Percutaneous Approach

02VT3DZ Restriction of Left Pulmonary Vein with Intraluminal Device, Percutaneous Approach

02VT3ZZ Restriction of Left Pulmonary Vein, Percutaneous Approach

02VW3DZ Restriction of Thoracic Aorta with Intraluminal Device, Percutaneous Approach

02VW3ZZ Restriction of Thoracic Aorta, Percutaneous Approach

03L03ZZ Occlusion of Right Internal Mammary Artery, Percutaneous Approach

03L13ZZ Occlusion of Left Internal Mammary Artery, Percutaneous Approach

03L23ZZ Occlusion of Innominate Artery, Percutaneous Approach

03L33ZZ Occlusion of Right Subclavian Artery, Percutaneous Approach

03L43ZZ Occlusion of Left Subclavian Artery, Percutaneous Approach

03L50DZ Occlusion of Right Axillary Artery with Intraluminal Device, Open Approach

03L53DZ Occlusion of Right Axillary Artery with Intraluminal Device, Percutaneous Approach

03L53ZZ Occlusion of Right Axillary Artery, Percutaneous Approach

03L54DZ Occlusion of Right Axillary Artery with Intraluminal Device, Percutaneous Endoscopic Approach

03L60DZ Occlusion of Left Axillary Artery with Intraluminal Device, Open Approach

03L63DZ Occlusion of Left Axillary Artery with Intraluminal Device, Percutaneous Approach

03L63ZZ Occlusion of Left Axillary Artery, Percutaneous Approach

03L64DZ Occlusion of Left Axillary Artery with Intraluminal Device, Percutaneous Endoscopic Approach

03L70DZ Occlusion of Right Brachial Artery with Intraluminal Device, Open Approach

03L73DZ Occlusion of Right Brachial Artery with Intraluminal Device, Percutaneous Approach

03L73ZZ Occlusion of Right Brachial Artery, Percutaneous Approach

03L74DZ Occlusion of Right Brachial Artery with Intraluminal Device, Percutaneous Endoscopic Approach

03L80DZ Occlusion of Left Brachial Artery with Intraluminal Device, Open Approach

03L83DZ Occlusion of Left Brachial Artery with Intraluminal Device, Percutaneous Approach

03L83ZZ Occlusion of Left Brachial Artery, Percutaneous Approach

03L84DZ Occlusion of Left Brachial Artery with Intraluminal Device, Percutaneous Endoscopic Approach

03L90DZ Occlusion of Right Ulnar Artery with Intraluminal Device, Open Approach

03L93DZ Occlusion of Right Ulnar Artery with Intraluminal Device, Percutaneous Approach

03L93ZZ Occlusion of Right Ulnar Artery, Percutaneous Approach

03L94DZ Occlusion of Right Ulnar Artery with Intraluminal Device, Percutaneous Endoscopic Approach

03LA0DZ Occlusion of Left Ulnar Artery with Intraluminal Device, Open Approach

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Peripheral Interventions

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

39.79

Other endovascular procedures on other vessels

03LA3DZ Occlusion of Left Ulnar Artery with Intraluminal Device, Percutaneous Approach

03LA3ZZ Occlusion of Left Ulnar Artery, Percutaneous Approach

03LA4DZ Occlusion of Left Ulnar Artery with Intraluminal Device, Percutaneous Endoscopic Approach

03LB0DZ Occlusion of Right Radial Artery with Intraluminal Device, Open Approach

03LB3DZ Occlusion of Right Radial Artery with Intraluminal Device, Percutaneous Approach

03LB3ZZ Occlusion of Right Radial Artery, Percutaneous Approach

03LB4DZ Occlusion of Right Radial Artery with Intraluminal Device, Percutaneous Endoscopic Approach

03LC0DZ Occlusion of Left Radial Artery with Intraluminal Device, Open Approach

03LC3DZ Occlusion of Left Radial Artery with Intraluminal Device, Percutaneous Approach

03LC3ZZ Occlusion of Left Radial Artery, Percutaneous Approach

03LC4DZ Occlusion of Left Radial Artery with Intraluminal Device, Percutaneous Endoscopic Approach

03LD0DZ Occlusion of Right Hand Artery with Intraluminal Device, Open Approach

03LD3DZ Occlusion of Right Hand Artery with Intraluminal Device, Percutaneous Approach

03LD3ZZ Occlusion of Right Hand Artery, Percutaneous Approach

03LD4DZ Occlusion of Right Hand Artery with Intraluminal Device, Percutaneous Endoscopic Approach

03LF0DZ Occlusion of Left Hand Artery with Intraluminal Device, Open Approach

03LF3DZ Occlusion of Left Hand Artery with Intraluminal Device, Percutaneous Approach

03LF3ZZ Occlusion of Left Hand Artery, Percutaneous Approach

03LF4DZ Occlusion of Left Hand Artery with Intraluminal Device, Percutaneous Endoscopic Approach

03LG3ZZ Occlusion of Intracranial Artery, Percutaneous Approach

03LH3ZZ Occlusion of Right Common Carotid Artery, Percutaneous Approach

03LJ3ZZ Occlusion of Left Common Carotid Artery, Percutaneous Approach

03LK3ZZ Occlusion of Right Internal Carotid Artery, Percutaneous Approach

03LL3ZZ Occlusion of Left Internal Carotid Artery, Percutaneous Approach

03LM3ZZ Occlusion of Right External Carotid Artery, Percutaneous Approach

03LN3ZZ Occlusion of Left External Carotid Artery, Percutaneous Approach

03LP3ZZ Occlusion of Right Vertebral Artery, Percutaneous Approach

03LQ3ZZ Occlusion of Left Vertebral Artery, Percutaneous Approach

03LR3ZZ Occlusion of Face Artery, Percutaneous Approach

03LS3ZZ Occlusion of Right Temporal Artery, Percutaneous Approach

03LT3ZZ Occlusion of Left Temporal Artery, Percutaneous Approach

03LU3ZZ Occlusion of Right Thyroid Artery, Percutaneous Approach

03LV3ZZ Occlusion of Left Thyroid Artery, Percutaneous Approach

03LY0DZ Occlusion of Upper Artery with Intraluminal Device, Open Approach

03LY3DZ Occlusion of Upper Artery with Intraluminal Device, Percutaneous Approach

03LY3ZZ Occlusion of Upper Artery, Percutaneous Approach

03LY4DZ Occlusion of Upper Artery with Intraluminal Device, 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

03V03ZZ Restriction of Right Internal Mammary Artery, 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

03V13ZZ Restriction of Left Internal Mammary Artery, Percutaneous Approach

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Peripheral Interventions

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

39.79

Other endovascular procedures on other vessels

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

03V23ZZ Restriction of Innominate Artery, 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

03V33ZZ Restriction of Right Subclavian Artery, 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

03V43ZZ Restriction of Left Subclavian Artery, 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

03V53ZZ Restriction of Right Axillary Artery, 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

03V63ZZ Restriction of Left Axillary Artery, 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

03V73ZZ Restriction of Right Brachial Artery, 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

03V83ZZ Restriction of Left Brachial Artery, 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

03V93ZZ Restriction of Right Ulnar Artery, 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

03VA3ZZ Restriction of Left Ulnar Artery, 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

03VB3ZZ Restriction of Right Radial Artery, 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

03VC3ZZ Restriction of Left Radial Artery, Percutaneous Approach

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Peripheral Interventions

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

39.79

Other endovascular procedures on other vessels

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

03VD3ZZ Restriction of Right Hand Artery, 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

03VF3ZZ Restriction of Left Hand Artery, Percutaneous Approach

03VF4DZ Restriction of Left Hand Artery with Intraluminal Device, Percutaneous Endoscopic Approach

03VG3ZZ Restriction of Intracranial Artery, Percutaneous Approach

03VH3ZZ Restriction of Right Common Carotid Artery, Percutaneous Approach

03VJ3ZZ Restriction of Left Common Carotid Artery, Percutaneous Approach

03VK3ZZ Restriction of Right Internal Carotid Artery, Percutaneous Approach

03VL3ZZ Restriction of Left Internal Carotid Artery, Percutaneous Approach

03VM3ZZ Restriction of Right External Carotid Artery, Percutaneous Approach

03VN3ZZ Restriction of Left External Carotid Artery, Percutaneous Approach

03VP3ZZ Restriction of Right Vertebral Artery, Percutaneous Approach

03VQ3ZZ Restriction of Left Vertebral Artery, Percutaneous Approach

03VR3ZZ Restriction of Face Artery, Percutaneous Approach

03VS3ZZ Restriction of Right Temporal Artery, Percutaneous Approach

03VT3ZZ Restriction of Left Temporal Artery, Percutaneous Approach

03VU3ZZ Restriction of Right Thyroid Artery, Percutaneous Approach

03VV3ZZ Restriction of Left Thyroid Artery, Percutaneous Approach

03VY0DZ Restriction of Upper Artery with Intraluminal Device, Open Approach

03VY3DZ Restriction of Upper Artery with Intraluminal Device, Percutaneous Approach

03VY3ZZ Restriction of Upper Artery, Percutaneous Approach

03VY4DZ Restriction of Upper Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04L03ZZ Occlusion of Abdominal Aorta, Percutaneous Approach

04L13ZZ Occlusion of Celiac Artery, Percutaneous Approach

04L23ZZ Occlusion of Gastric Artery, Percutaneous Approach

04L33ZZ Occlusion of Hepatic Artery, Percutaneous Approach

04L43ZZ Occlusion of Splenic Artery, Percutaneous Approach

04L53ZZ Occlusion of Superior Mesenteric Artery, Percutaneous Approach

04L63ZZ Occlusion of Right Colic Artery, Percutaneous Approach

04L73ZZ Occlusion of Left Colic Artery, Percutaneous Approach

04L83ZZ Occlusion of Middle Colic Artery, Percutaneous Approach

04L93ZZ Occlusion of Right Renal Artery, Percutaneous Approach

04LA3ZZ Occlusion of Left Renal Artery, Percutaneous Approach

04LB3ZZ Occlusion of Inferior Mesenteric Artery, Percutaneous Approach

04LC0DZ Occlusion of Right Common Iliac Artery with Intraluminal Device, Open Approach

04LC3DZ Occlusion of Right Common Iliac Artery with Intraluminal Device, Percutaneous Approach

04LC3ZZ Occlusion of Right Common Iliac Artery, Percutaneous Approach

04LC4DZ Occlusion of Right Common Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04LD0DZ Occlusion of Left Common Iliac Artery with Intraluminal Device, Open Approach

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Peripheral Interventions

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

39.79

Other endovascular procedures on other vessels

04LD3DZ Occlusion of Left Common Iliac Artery with Intraluminal Device, Percutaneous Approach

04LD3ZZ Occlusion of Left Common Iliac Artery, Percutaneous Approach

04LD4DZ Occlusion of Left Common Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04LE0DZ Occlusion of Right Internal Iliac Artery with Intraluminal Device, Open Approach

04LE3DZ Occlusion of Right Internal Iliac Artery with Intraluminal Device, Percutaneous Approach

04LE3ZZ Occlusion of Right Internal Iliac Artery, Percutaneous Approach

04LE4DZ Occlusion of Right Internal Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04LF0DZ Occlusion of Left Internal Iliac Artery with Intraluminal Device, Open Approach

04LF3DZ Occlusion of Left Internal Iliac Artery with Intraluminal Device, Percutaneous Approach

04LF3ZZ Occlusion of Left Internal Iliac Artery, Percutaneous Approach

04LF4DZ Occlusion of Left Internal Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04LH0DZ Occlusion of Right External Iliac Artery with Intraluminal Device, Open Approach

04LH3DZ Occlusion of Right External Iliac Artery with Intraluminal Device, Percutaneous Approach

04LH3ZZ Occlusion of Right External Iliac Artery, Percutaneous Approach

04LH4DZ Occlusion of Right External Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04LJ0DZ Occlusion of Left External Iliac Artery with Intraluminal Device, Open Approach

04LJ3DZ Occlusion of Left External Iliac Artery with Intraluminal Device, Percutaneous Approach

04LJ3ZZ Occlusion of Left External Iliac Artery, Percutaneous Approach

04LJ4DZ Occlusion of Left External Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04LK0DZ Occlusion of Right Femoral Artery with Intraluminal Device, Open Approach

04LK3DZ Occlusion of Right Femoral Artery with Intraluminal Device, Percutaneous Approach

04LK3ZZ Occlusion of Right Femoral Artery, Percutaneous Approach

04LK4DZ Occlusion of Right Femoral Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04LL0DZ Occlusion of Left Femoral Artery with Intraluminal Device, Open Approach

04LL3DZ Occlusion of Left Femoral Artery with Intraluminal Device, Percutaneous Approach

04LL3ZZ Occlusion of Left Femoral Artery, Percutaneous Approach

04LL4DZ Occlusion of Left Femoral Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04LM0DZ Occlusion of Right Popliteal Artery with Intraluminal Device, Open Approach

04LM3DZ Occlusion of Right Popliteal Artery with Intraluminal Device, Percutaneous Approach

04LM3ZZ Occlusion of Right Popliteal Artery, Percutaneous Approach

04LM4DZ Occlusion of Right Popliteal Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04LN0DZ Occlusion of Left Popliteal Artery with Intraluminal Device, Open Approach

04LN3DZ Occlusion of Left Popliteal Artery with Intraluminal Device, Percutaneous Approach

04LN3ZZ Occlusion of Left Popliteal Artery, Percutaneous Approach

04LN4DZ Occlusion of Left Popliteal Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04LP0DZ Occlusion of Right Anterior Tibial Artery with Intraluminal Device, Open Approach

04LP3DZ Occlusion of Right Anterior Tibial Artery with Intraluminal Device, Percutaneous Approach

04LP3ZZ Occlusion of Right Anterior Tibial Artery, Percutaneous Approach

04LP4DZ Occlusion of Right Anterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04LQ0DZ Occlusion of Left Anterior Tibial Artery with Intraluminal Device, Open Approach

04LQ3DZ Occlusion of Left Anterior Tibial Artery with Intraluminal Device, Percutaneous Approach

04LQ3ZZ Occlusion of Left Anterior Tibial Artery, Percutaneous Approach

04LQ4DZ Occlusion of Left Anterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04LR0DZ Occlusion of Right Posterior Tibial Artery with Intraluminal Device, Open Approach

CORP-224204-AB SEPT2015See page 3 for important information about the uses and limitations of this document. 19

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Peripheral Interventions

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

39.79

Other endovascular procedures on other vessels

04LR3DZ Occlusion of Right Posterior Tibial Artery with Intraluminal Device, Percutaneous Approach

04LR3ZZ Occlusion of Right Posterior Tibial Artery, Percutaneous Approach

04LR4DZ Occlusion of Right Posterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04LS0DZ Occlusion of Left Posterior Tibial Artery with Intraluminal Device, Open Approach

04LS3DZ Occlusion of Left Posterior Tibial Artery with Intraluminal Device, Percutaneous Approach

04LS3ZZ Occlusion of Left Posterior Tibial Artery, Percutaneous Approach

04LS4DZ Occlusion of Left Posterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04LT0DZ Occlusion of Right Peroneal Artery with Intraluminal Device, Open Approach

04LT3DZ Occlusion of Right Peroneal Artery with Intraluminal Device, Percutaneous Approach

04LT3ZZ Occlusion of Right Peroneal Artery, Percutaneous Approach

04LT4DZ Occlusion of Right Peroneal Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04LU0DZ Occlusion of Left Peroneal Artery with Intraluminal Device, Open Approach

04LU3DZ Occlusion of Left Peroneal Artery with Intraluminal Device, Percutaneous Approach

04LU3ZZ Occlusion of Left Peroneal Artery, Percutaneous Approach

04LU4DZ Occlusion of Left Peroneal Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04LV0DZ Occlusion of Right Foot Artery with Intraluminal Device, Open Approach

04LV3DZ Occlusion of Right Foot Artery with Intraluminal Device, Percutaneous Approach

04LV3ZZ Occlusion of Right Foot Artery, Percutaneous Approach

04LV4DZ Occlusion of Right Foot Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04LW0DZ Occlusion of Left Foot Artery with Intraluminal Device, Open Approach

04LW3DZ Occlusion of Left Foot Artery with Intraluminal Device, Percutaneous Approach

04LW3ZZ Occlusion of Left Foot Artery, Percutaneous Approach

04LW4DZ Occlusion of Left Foot Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04LY0DZ Occlusion of Lower Artery with Intraluminal Device, Open Approach

04LY3DZ Occlusion of Lower Artery with Intraluminal Device, Percutaneous Approach

04LY3ZZ Occlusion of Lower Artery, Percutaneous Approach

04LY4DZ Occlusion of Lower Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04V03ZZ Restriction of Abdominal Aorta, Percutaneous Approach

04V10DZ Restriction of Celiac Artery with Intraluminal Device, Open Approach

04V13DZ Restriction of Celiac Artery with Intraluminal Device, Percutaneous Approach

04V13ZZ Restriction of Celiac Artery, Percutaneous Approach

04V14DZ Restriction of Celiac Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04V20DZ Restriction of Gastric Artery with Intraluminal Device, Open Approach

04V23DZ Restriction of Gastric Artery with Intraluminal Device, Percutaneous Approach

04V23ZZ Restriction of Gastric Artery, Percutaneous Approach

04V24DZ Restriction of Gastric Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04V30DZ Restriction of Hepatic Artery with Intraluminal Device, Open Approach

04V33DZ Restriction of Hepatic Artery with Intraluminal Device, Percutaneous Approach

04V33ZZ Restriction of Hepatic Artery, Percutaneous Approach

04V34DZ Restriction of Hepatic Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04V40DZ Restriction of Splenic Artery with Intraluminal Device, Open Approach

04V43DZ Restriction of Splenic Artery with Intraluminal Device, Percutaneous Approach

04V43ZZ Restriction of Splenic Artery, Percutaneous Approach

04V44DZ Restriction of Splenic Artery with Intraluminal Device, Percutaneous Endoscopic Approach

CORP-224204-AB SEPT2015See page 3 for important information about the uses and limitations of this document. 20

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Peripheral Interventions

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

39.79

Other endovascular procedures on other vessels

04V50DZ Restriction of Superior Mesenteric Artery with Intraluminal Device, Open Approach

04V53DZ Restriction of Superior Mesenteric Artery with Intraluminal Device, Percutaneous Approach

04V53ZZ Restriction of Superior Mesenteric Artery, Percutaneous Approach

04V54DZ Restriction of Superior Mesenteric Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04V60DZ Restriction of Right Colic Artery with Intraluminal Device, Open Approach

04V63DZ Restriction of Right Colic Artery with Intraluminal Device, Percutaneous Approach

04V63ZZ Restriction of Right Colic Artery, Percutaneous Approach

04V64DZ Restriction of Right Colic Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04V70DZ Restriction of Left Colic Artery with Intraluminal Device, Open Approach

04V73DZ Restriction of Left Colic Artery with Intraluminal Device, Percutaneous Approach

04V73ZZ Restriction of Left Colic Artery, Percutaneous Approach

04V74DZ Restriction of Left Colic Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04V80DZ Restriction of Middle Colic Artery with Intraluminal Device, Open Approach

04V83DZ Restriction of Middle Colic Artery with Intraluminal Device, Percutaneous Approach

04V83ZZ Restriction of Middle Colic Artery, Percutaneous Approach

04V84DZ Restriction of Middle Colic Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04V90DZ Restriction of Right Renal Artery with Intraluminal Device, Open Approach

04V93DZ Restriction of Right Renal Artery with Intraluminal Device, Percutaneous Approach

04V93ZZ Restriction of Right Renal Artery, Percutaneous Approach

04V94DZ Restriction of Right Renal Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04VA0DZ Restriction of Left Renal Artery with Intraluminal Device, Open Approach

04VA3DZ Restriction of Left Renal Artery with Intraluminal Device, Percutaneous Approach

04VA3ZZ Restriction of Left Renal Artery, Percutaneous Approach

04VA4DZ Restriction of Left Renal Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04VB0DZ Restriction of Inferior Mesenteric Artery with Intraluminal Device, Open Approach

04VB3DZ Restriction of Inferior Mesenteric Artery with Intraluminal Device, Percutaneous Approach

04VB3ZZ Restriction of Inferior Mesenteric Artery, Percutaneous Approach

04VB4DZ Restriction of Inferior Mesenteric Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04VC0DZ Restriction of Right Common Iliac Artery with Intraluminal Device, Open Approach

04VC3DZ Restriction of Right Common Iliac Artery with Intraluminal Device, Percutaneous Approach

04VC3ZZ Restriction of Right Common Iliac Artery, Percutaneous Approach

04VC4DZ Restriction of Right Common Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04VD0DZ Restriction of Left Common Iliac Artery with Intraluminal Device, Open Approach

04VD3DZ Restriction of Left Common Iliac Artery with Intraluminal Device, Percutaneous Approach

04VD3ZZ Restriction of Left Common Iliac Artery, Percutaneous Approach

04VD4DZ Restriction of Left Common Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04VE0DZ Restriction of Right Internal Iliac Artery with Intraluminal Device, Open Approach

04VE3DZ Restriction of Right Internal Iliac Artery with Intraluminal Device, Percutaneous Approach

04VE3ZZ Restriction of Right Internal Iliac Artery, Percutaneous Approach

04VE4DZ Restriction of Right Internal Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04VF0DZ Restriction of Left Internal Iliac Artery with Intraluminal Device, Open Approach

04VF3DZ Restriction of Left Internal Iliac Artery with Intraluminal Device, Percutaneous Approach

04VF3ZZ Restriction of Left Internal Iliac Artery, Percutaneous Approach

04VF4DZ Restriction of Left Internal Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach

CORP-224204-AB SEPT2015See page 3 for important information about the uses and limitations of this document. 21

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Peripheral Interventions

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

39.79

Other endovascular procedures on other vessels

04VH0DZ Restriction of Right External Iliac Artery with Intraluminal Device, Open Approach

04VH3DZ Restriction of Right External Iliac Artery with Intraluminal Device, Percutaneous Approach

04VH3ZZ Restriction of Right External Iliac Artery, Percutaneous Approach

04VH4DZ Restriction of Right External Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04VJ0DZ Restriction of Left External Iliac Artery with Intraluminal Device, Open Approach

04VJ3DZ Restriction of Left External Iliac Artery with Intraluminal Device, Percutaneous Approach

04VJ3ZZ Restriction of Left External Iliac Artery, Percutaneous Approach

04VJ4DZ Restriction of Left External Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04VK0DZ Restriction of Right Femoral Artery with Intraluminal Device, Open Approach

04VK3DZ Restriction of Right Femoral Artery with Intraluminal Device, Percutaneous Approach

04VK3ZZ Restriction of Right Femoral Artery, Percutaneous Approach

04VK4DZ Restriction of Right Femoral Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04VL0DZ Restriction of Left Femoral Artery with Intraluminal Device, Open Approach

04VL3DZ Restriction of Left Femoral Artery with Intraluminal Device, Percutaneous Approach

04VL3ZZ Restriction of Left Femoral Artery, Percutaneous Approach

04VL4DZ Restriction of Left Femoral Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04VM0DZ Restriction of Right Popliteal Artery with Intraluminal Device, Open Approach

04VM3DZ Restriction of Right Popliteal Artery with Intraluminal Device, Percutaneous Approach

04VM3ZZ Restriction of Right Popliteal Artery, Percutaneous Approach

04VM4DZ Restriction of Right Popliteal Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04VN0DZ Restriction of Left Popliteal Artery with Intraluminal Device, Open Approach

04VN3DZ Restriction of Left Popliteal Artery with Intraluminal Device, Percutaneous Approach

04VN3ZZ Restriction of Left Popliteal Artery, Percutaneous Approach

04VN4DZ Restriction of Left Popliteal Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04VP0DZ Restriction of Right Anterior Tibial Artery with Intraluminal Device, Open Approach

04VP3DZ Restriction of Right Anterior Tibial Artery with Intraluminal Device, Percutaneous Approach

04VP3ZZ Restriction of Right Anterior Tibial Artery, Percutaneous Approach

04VP4DZ Restriction of Right Anterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04VQ0DZ Restriction of Left Anterior Tibial Artery with Intraluminal Device, Open Approach

04VQ3DZ Restriction of Left Anterior Tibial Artery with Intraluminal Device, Percutaneous Approach

04VQ3ZZ Restriction of Left Anterior Tibial Artery, Percutaneous Approach

04VQ4DZ Restriction of Left Anterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04VR0DZ Restriction of Right Posterior Tibial Artery with Intraluminal Device, Open Approach

04VR3DZ Restriction of Right Posterior Tibial Artery with Intraluminal Device, Percutaneous Approach

04VR3ZZ Restriction of Right Posterior Tibial Artery, Percutaneous Approach

04VR4DZ Restriction of Right Posterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04VS0DZ Restriction of Left Posterior Tibial Artery with Intraluminal Device, Open Approach

04VS3DZ Restriction of Left Posterior Tibial Artery with Intraluminal Device, Percutaneous Approach

04VS3ZZ Restriction of Left Posterior Tibial Artery, Percutaneous Approach

04VS4DZ Restriction of Left Posterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04VT0DZ Restriction of Right Peroneal Artery with Intraluminal Device, Open Approach

04VT3DZ Restriction of Right Peroneal Artery with Intraluminal Device, Percutaneous Approach

04VT3ZZ Restriction of Right Peroneal Artery, Percutaneous Approach

04VT4DZ Restriction of Right Peroneal Artery with Intraluminal Device, Percutaneous Endoscopic Approach

CORP-224204-AB SEPT2015See page 3 for important information about the uses and limitations of this document. 22

Page 23: Your Map of the ICD-9 to ICD-10 PCS Conversion …...relationships between the codes in the ICD-9-CM procedure classification and the ICD-10 Procedure Code System (ICD-10-PCS). Although

Peripheral Interventions

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

39.79

Other endovascular procedures on other vessels

04VU0DZ Restriction of Left Peroneal Artery with Intraluminal Device, Open Approach

04VU3DZ Restriction of Left Peroneal Artery with Intraluminal Device, Percutaneous Approach

04VU3ZZ Restriction of Left Peroneal Artery, Percutaneous Approach

04VU4DZ Restriction of Left Peroneal Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04VV0DZ Restriction of Right Foot Artery with Intraluminal Device, Open Approach

04VV3DZ Restriction of Right Foot Artery with Intraluminal Device, Percutaneous Approach

04VV3ZZ Restriction of Right Foot Artery, Percutaneous Approach

04VV4DZ Restriction of Right Foot Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04VW0DZ Restriction of Left Foot Artery with Intraluminal Device, Open Approach

04VW3DZ Restriction of Left Foot Artery with Intraluminal Device, Percutaneous Approach

04VW3ZZ Restriction of Left Foot Artery, Percutaneous Approach

04VW4DZ Restriction of Left Foot Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04VY0DZ Restriction of Lower Artery with Intraluminal Device, Open Approach

04VY3DZ Restriction of Lower Artery with Intraluminal Device, Percutaneous Approach

04VY3ZZ Restriction of Lower Artery, Percutaneous Approach

04VY4DZ Restriction of Lower Artery with Intraluminal Device, Percutaneous Endoscopic Approach

05L03ZZ Occlusion of Azygos Vein, Percutaneous Approach

05L13ZZ Occlusion of Hemiazygos Vein, Percutaneous Approach

05L33ZZ Occlusion of Right Innominate Vein, Percutaneous Approach

05L43ZZ Occlusion of Left Innominate Vein, Percutaneous Approach

05L53ZZ Occlusion of Right Subclavian Vein, Percutaneous Approach

05L63ZZ Occlusion of Left Subclavian Vein, Percutaneous Approach

05L70DZ Occlusion of Right Axillary Vein with Intraluminal Device, Open Approach

05L73DZ Occlusion of Right Axillary Vein with Intraluminal Device, Percutaneous Approach

05L73ZZ Occlusion of Right Axillary Vein, Percutaneous Approach

05L74DZ Occlusion of Right Axillary Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05L80DZ Occlusion of Left Axillary Vein with Intraluminal Device, Open Approach

05L83DZ Occlusion of Left Axillary Vein with Intraluminal Device, Percutaneous Approach

05L83ZZ Occlusion of Left Axillary Vein, Percutaneous Approach

05L84DZ Occlusion of Left Axillary Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05L90DZ Occlusion of Right Brachial Vein with Intraluminal Device, Open Approach

05L93DZ Occlusion of Right Brachial Vein with Intraluminal Device, Percutaneous Approach

05L93ZZ Occlusion of Right Brachial Vein, Percutaneous Approach

05L94DZ Occlusion of Right Brachial Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05LA0DZ Occlusion of Left Brachial Vein with Intraluminal Device, Open Approach

05LA3DZ Occlusion of Left Brachial Vein with Intraluminal Device, Percutaneous Approach

05LA3ZZ Occlusion of Left Brachial Vein, Percutaneous Approach

05LA4DZ Occlusion of Left Brachial Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05LB0DZ Occlusion of Right Basilic Vein with Intraluminal Device, Open Approach

05LB3DZ Occlusion of Right Basilic Vein with Intraluminal Device, Percutaneous Approach

05LB3ZZ Occlusion of Right Basilic Vein, Percutaneous Approach

05LB4DZ Occlusion of Right Basilic Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05LC0DZ Occlusion of Left Basilic Vein with Intraluminal Device, Open Approach

05LC3DZ Occlusion of Left Basilic Vein with Intraluminal Device, Percutaneous Approach

CORP-224204-AB SEPT2015See page 3 for important information about the uses and limitations of this document. 23

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Peripheral Interventions

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

39.79

Other endovascular procedures on other vessels

05LC3ZZ Occlusion of Left Basilic Vein, Percutaneous Approach

05LC4DZ Occlusion of Left Basilic Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05LD0DZ Occlusion of Right Cephalic Vein with Intraluminal Device, Open Approach

05LD3DZ Occlusion of Right Cephalic Vein with Intraluminal Device, Percutaneous Approach

05LD3ZZ Occlusion of Right Cephalic Vein, Percutaneous Approach

05LD4DZ Occlusion of Right Cephalic Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05LF0DZ Occlusion of Left Cephalic Vein with Intraluminal Device, Open Approach

05LF3DZ Occlusion of Left Cephalic Vein with Intraluminal Device, Percutaneous Approach

05LF3ZZ Occlusion of Left Cephalic Vein, Percutaneous Approach

05LF4DZ Occlusion of Left Cephalic Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05LG0DZ Occlusion of Right Hand Vein with Intraluminal Device, Open Approach

05LG3DZ Occlusion of Right Hand Vein with Intraluminal Device, Percutaneous Approach

05LG3ZZ Occlusion of Right Hand Vein, Percutaneous Approach

05LG4DZ Occlusion of Right Hand Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05LH0DZ Occlusion of Left Hand Vein with Intraluminal Device, Open Approach

05LH3DZ Occlusion of Left Hand Vein with Intraluminal Device, Percutaneous Approach

05LH3ZZ Occlusion of Left Hand Vein, Percutaneous Approach

05LH4DZ Occlusion of Left Hand Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05LL3ZZ Occlusion of Intracranial Vein, Percutaneous Approach

05LM3ZZ Occlusion of Right Internal Jugular Vein, Percutaneous Approach

05LN3ZZ Occlusion of Left Internal Jugular Vein, Percutaneous Approach

05LP3ZZ Occlusion of Right External Jugular Vein, Percutaneous Approach

05LQ3ZZ Occlusion of Left External Jugular Vein, Percutaneous Approach

05LR3ZZ Occlusion of Right Vertebral Vein, Percutaneous Approach

05LS3ZZ Occlusion of Left Vertebral Vein, Percutaneous Approach

05LT3ZZ Occlusion of Right Face Vein, Percutaneous Approach

05LV3ZZ Occlusion of Left Face Vein, Percutaneous Approach

05LY0DZ Occlusion of Upper Vein with Intraluminal Device, Open Approach

05LY3ZZ Occlusion of Upper Vein, Percutaneous Approach

05V00DZ Restriction of Azygos Vein with Intraluminal Device, Open Approach

05V03DZ Restriction of Azygos Vein with Intraluminal Device, Percutaneous Approach

05V03ZZ Restriction of Azygos Vein, Percutaneous Approach

05V04DZ Restriction of Azygos Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05V10DZ Restriction of Hemiazygos Vein with Intraluminal Device, Open Approach

05V13DZ Restriction of Hemiazygos Vein with Intraluminal Device, Percutaneous Approach

05V13ZZ Restriction of Hemiazygos Vein, Percutaneous Approach

05V14DZ Restriction of Hemiazygos Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05V30DZ Restriction of Right Innominate Vein with Intraluminal Device, Open Approach

05V33DZ Restriction of Right Innominate Vein with Intraluminal Device, Percutaneous Approach

05V33ZZ Restriction of Right Innominate Vein, Percutaneous Approach

05V34DZ Restriction of Right Innominate Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05V40DZ Restriction of Left Innominate Vein with Intraluminal Device, Open Approach

05V43DZ Restriction of Left Innominate Vein with Intraluminal Device, Percutaneous Approach

05V43ZZ Restriction of Left Innominate Vein, Percutaneous Approach

CORP-224204-AB SEPT2015See page 3 for important information about the uses and limitations of this document. 24

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Peripheral Interventions

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

39.79

Other endovascular procedures on other vessels

05V44DZ Restriction of Left Innominate Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05V50DZ Restriction of Right Subclavian Vein with Intraluminal Device, Open Approach

05V53DZ Restriction of Right Subclavian Vein with Intraluminal Device, Percutaneous Approach

05V53ZZ Restriction of Right Subclavian Vein, Percutaneous Approach

05V54DZ Restriction of Right Subclavian Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05V60DZ Restriction of Left Subclavian Vein with Intraluminal Device, Open Approach

05V63DZ Restriction of Left Subclavian Vein with Intraluminal Device, Percutaneous Approach

05V63ZZ Restriction of Left Subclavian Vein, Percutaneous Approach

05V64DZ Restriction of Left Subclavian Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05V70DZ Restriction of Right Axillary Vein with Intraluminal Device, Open Approach

05V73DZ Restriction of Right Axillary Vein with Intraluminal Device, Percutaneous Approach

05V73ZZ Restriction of Right Axillary Vein, Percutaneous Approach

05V74DZ Restriction of Right Axillary Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05V80DZ Restriction of Left Axillary Vein with Intraluminal Device, Open Approach

05V83DZ Restriction of Left Axillary Vein with Intraluminal Device, Percutaneous Approach

05V83ZZ Restriction of Left Axillary Vein, Percutaneous Approach

05V84DZ Restriction of Left Axillary Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05V90DZ Restriction of Right Brachial Vein with Intraluminal Device, Open Approach

05V93DZ Restriction of Right Brachial Vein with Intraluminal Device, Percutaneous Approach

05V93ZZ Restriction of Right Brachial Vein, Percutaneous Approach

05V94DZ Restriction of Right Brachial Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05VA0DZ Restriction of Left Brachial Vein with Intraluminal Device, Open Approach

05VA3DZ Restriction of Left Brachial Vein with Intraluminal Device, Percutaneous Approach

05VA3ZZ Restriction of Left Brachial Vein, Percutaneous Approach

05VA4DZ Restriction of Left Brachial Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05VB0DZ Restriction of Right Basilic Vein with Intraluminal Device, Open Approach

05VB3DZ Restriction of Right Basilic Vein with Intraluminal Device, Percutaneous Approach

05VB3ZZ Restriction of Right Basilic Vein, Percutaneous Approach

05VB4DZ Restriction of Right Basilic Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05VC0DZ Restriction of Left Basilic Vein with Intraluminal Device, Open Approach

05VC3DZ Restriction of Left Basilic Vein with Intraluminal Device, Percutaneous Approach

05VC3ZZ Restriction of Left Basilic Vein, Percutaneous Approach

05VC4DZ Restriction of Left Basilic Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05VD0DZ Restriction of Right Cephalic Vein with Intraluminal Device, Open Approach

05VD3DZ Restriction of Right Cephalic Vein with Intraluminal Device, Percutaneous Approach

05VD3ZZ Restriction of Right Cephalic Vein, Percutaneous Approach

05VD4DZ Restriction of Right Cephalic Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05VF0DZ Restriction of Left Cephalic Vein with Intraluminal Device, Open Approach

05VF3DZ Restriction of Left Cephalic Vein with Intraluminal Device, Percutaneous Approach

05VF3ZZ Restriction of Left Cephalic Vein, Percutaneous Approach

05VF4DZ Restriction of Left Cephalic Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05VG0DZ Restriction of Right Hand Vein with Intraluminal Device, Open Approach

05VG3DZ Restriction of Right Hand Vein with Intraluminal Device, Percutaneous Approach

05VG3ZZ Restriction of Right Hand Vein, Percutaneous Approach

CORP-224204-AB SEPT2015See page 3 for important information about the uses and limitations of this document. 25

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Peripheral Interventions

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

39.79

Other endovascular procedures on other vessels

05VG4DZ Restriction of Right Hand Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05VH0DZ Restriction of Left Hand Vein with Intraluminal Device, Open Approach

05VH3DZ Restriction of Left Hand Vein with Intraluminal Device, Percutaneous Approach

05VH3ZZ Restriction of Left Hand Vein, Percutaneous Approach

05VH4DZ Restriction of Left Hand Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05VL0DZ Restriction of Intracranial Vein with Intraluminal Device, Open Approach

05VL3DZ Restriction of Intracranial Vein with Intraluminal Device, Percutaneous Approach

05VL3ZZ Restriction of Intracranial Vein, Percutaneous Approach

05VL4DZ Restriction of Intracranial Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05VM0DZ Restriction of Right Internal Jugular Vein with Intraluminal Device, Open Approach

05VM3DZ Restriction of Right Internal Jugular Vein with Intraluminal Device, Percutaneous Approach

05VM3ZZ Restriction of Right Internal Jugular Vein, Percutaneous Approach

05VM4DZ Restriction of Right Internal Jugular Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05VN0DZ Restriction of Left Internal Jugular Vein with Intraluminal Device, Open Approach

05VN3DZ Restriction of Left Internal Jugular Vein with Intraluminal Device, Percutaneous Approach

05VN3ZZ Restriction of Left Internal Jugular Vein, Percutaneous Approach

05VN4DZ Restriction of Left Internal Jugular Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05VP0DZ Restriction of Right External Jugular Vein with Intraluminal Device, Open Approach

05VP3DZ Restriction of Right External Jugular Vein with Intraluminal Device, Percutaneous Approach

05VP3ZZ Restriction of Right External Jugular Vein, Percutaneous Approach

05VP4DZ Restriction of Right External Jugular Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05VQ0DZ Restriction of Left External Jugular Vein with Intraluminal Device, Open Approach

05VQ3DZ Restriction of Left External Jugular Vein with Intraluminal Device, Percutaneous Approach

05VQ3ZZ Restriction of Left External Jugular Vein, Percutaneous Approach

05VQ4DZ Restriction of Left External Jugular Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05VR0DZ Restriction of Right Vertebral Vein with Intraluminal Device, Open Approach

05VR3DZ Restriction of Right Vertebral Vein with Intraluminal Device, Percutaneous Approach

05VR3ZZ Restriction of Right Vertebral Vein, Percutaneous Approach

05VR4DZ Restriction of Right Vertebral Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05VS0DZ Restriction of Left Vertebral Vein with Intraluminal Device, Open Approach

05VS3DZ Restriction of Left Vertebral Vein with Intraluminal Device, Percutaneous Approach

05VS3ZZ Restriction of Left Vertebral Vein, Percutaneous Approach

05VS4DZ Restriction of Left Vertebral Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05VT0DZ Restriction of Right Face Vein with Intraluminal Device, Open Approach

05VT3DZ Restriction of Right Face Vein with Intraluminal Device, Percutaneous Approach

05VT3ZZ Restriction of Right Face Vein, Percutaneous Approach

05VT4DZ Restriction of Right Face Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05VV0DZ Restriction of Left Face Vein with Intraluminal Device, Open Approach

05VV3DZ Restriction of Left Face Vein with Intraluminal Device, Percutaneous Approach

05VV3ZZ Restriction of Left Face Vein, Percutaneous Approach

05VV4DZ Restriction of Left Face Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05VY3DZ Restriction of Upper Vein with Intraluminal Device, Percutaneous Approach

05VY3ZZ Restriction of Upper Vein, Percutaneous Approach

06L13ZZ Occlusion of Splenic Vein, Percutaneous Approach

CORP-224204-AB SEPT2015See page 3 for important information about the uses and limitations of this document. 26

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Peripheral Interventions

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

39.79

Other endovascular procedures on other vessels

06L23ZZ Occlusion of Gastric Vein, Percutaneous Approach

06L33ZZ Occlusion of Esophageal Vein, Percutaneous Approach

06L43ZZ Occlusion of Hepatic Vein, Percutaneous Approach

06L53ZZ Occlusion of Superior Mesenteric Vein, Percutaneous Approach

06L63ZZ Occlusion of Inferior Mesenteric Vein, Percutaneous Approach

06L73ZZ Occlusion of Colic Vein, Percutaneous Approach

06L83ZZ Occlusion of Portal Vein, Percutaneous Approach

06L93ZZ Occlusion of Right Renal Vein, Percutaneous Approach

06LB3ZZ Occlusion of Left Renal Vein, Percutaneous Approach

06LC0DZ Occlusion of Right Common Iliac Vein with Intraluminal Device, Open Approach

06LC3DZ Occlusion of Right Common Iliac Vein with Intraluminal Device, Percutaneous Approach

06LC3ZZ Occlusion of Right Common Iliac Vein, Percutaneous Approach

06LC4DZ Occlusion of Right Common Iliac Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06LD0DZ Occlusion of Left Common Iliac Vein with Intraluminal Device, Open Approach

06LD3DZ Occlusion of Left Common Iliac Vein with Intraluminal Device, Percutaneous Approach

06LD3ZZ Occlusion of Left Common Iliac Vein, Percutaneous Approach

06LD4DZ Occlusion of Left Common Iliac Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06LF0DZ Occlusion of Right External Iliac Vein with Intraluminal Device, Open Approach

06LF3DZ Occlusion of Right External Iliac Vein with Intraluminal Device, Percutaneous Approach

06LF3ZZ Occlusion of Right External Iliac Vein, Percutaneous Approach

06LF4DZ Occlusion of Right External Iliac Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06LG0DZ Occlusion of Left External Iliac Vein with Intraluminal Device, Open Approach

06LG3DZ Occlusion of Left External Iliac Vein with Intraluminal Device, Percutaneous Approach

06LG3ZZ Occlusion of Left External Iliac Vein, Percutaneous Approach

06LG4DZ Occlusion of Left External Iliac Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06LH3ZZ Occlusion of Right Hypogastric Vein, Percutaneous Approach

06LJ3ZZ Occlusion of Left Hypogastric Vein, Percutaneous Approach

06LM0DZ Occlusion of Right Femoral Vein with Intraluminal Device, Open Approach

06LM3DZ Occlusion of Right Femoral Vein with Intraluminal Device, Percutaneous Approach

06LM3ZZ Occlusion of Right Femoral Vein, Percutaneous Approach

06LM4DZ Occlusion of Right Femoral Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06LN0DZ Occlusion of Left Femoral Vein with Intraluminal Device, Open Approach

06LN3DZ Occlusion of Left Femoral Vein with Intraluminal Device, Percutaneous Approach

06LN3ZZ Occlusion of Left Femoral Vein, Percutaneous Approach

06LN4DZ Occlusion of Left Femoral Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06LP0DZ Occlusion of Right Greater Saphenous Vein with Intraluminal Device, Open Approach

06LP3DZ Occlusion of Right Greater Saphenous Vein with Intraluminal Device, Percutaneous Approach

06LP3ZZ Occlusion of Right Greater Saphenous Vein, Percutaneous Approach

06LP4DZ Occlusion of Right Greater Saphenous Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06LQ0DZ Occlusion of Left Greater Saphenous Vein with Intraluminal Device, Open Approach

06LQ3DZ Occlusion of Left Greater Saphenous Vein with Intraluminal Device, Percutaneous Approach

06LQ3ZZ Occlusion of Left Greater Saphenous Vein, Percutaneous Approach

06LQ4DZ Occlusion of Left Greater Saphenous Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06LR0DZ Occlusion of Right Lesser Saphenous Vein with Intraluminal Device, Open Approach

CORP-224204-AB SEPT2015See page 3 for important information about the uses and limitations of this document. 27

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Peripheral Interventions

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

39.79

Other endovascular procedures on other vessels

06LR3DZ Occlusion of Right Lesser Saphenous Vein with Intraluminal Device, Percutaneous Approach

06LR3ZZ Occlusion of Right Lesser Saphenous Vein, Percutaneous Approach

06LR4DZ Occlusion of Right Lesser Saphenous Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06LS0DZ Occlusion of Left Lesser Saphenous Vein with Intraluminal Device, Open Approach

06LS3DZ Occlusion of Left Lesser Saphenous Vein with Intraluminal Device, Percutaneous Approach

06LS3ZZ Occlusion of Left Lesser Saphenous Vein, Percutaneous Approach

06LS4DZ Occlusion of Left Lesser Saphenous Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06LT0DZ Occlusion of Right Foot Vein with Intraluminal Device, Open Approach

06LT3DZ Occlusion of Right Foot Vein with Intraluminal Device, Percutaneous Approach

06LT3ZZ Occlusion of Right Foot Vein, Percutaneous Approach

06LT4DZ Occlusion of Right Foot Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06LV0DZ Occlusion of Left Foot Vein with Intraluminal Device, Open Approach

06LV3DZ Occlusion of Left Foot Vein with Intraluminal Device, Percutaneous Approach

06LV3ZZ Occlusion of Left Foot Vein, Percutaneous Approach

06LV4DZ Occlusion of Left Foot Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06LY0DZ Occlusion of Lower Vein with Intraluminal Device, Open Approach

06LY3DZ Occlusion of Lower Vein with Intraluminal Device, Percutaneous Approach

06LY3ZZ Occlusion of Lower Vein, Percutaneous Approach

06LY4DZ Occlusion of Lower Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06V10DZ Restriction of Splenic Vein with Intraluminal Device, Open Approach

06V13DZ Restriction of Splenic Vein with Intraluminal Device, Percutaneous Approach

06V13ZZ Restriction of Splenic Vein, Percutaneous Approach

06V14DZ Restriction of Splenic Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06V20DZ Restriction of Gastric Vein with Intraluminal Device, Open Approach

06V23DZ Restriction of Gastric Vein with Intraluminal Device, Percutaneous Approach

06V23ZZ Restriction of Gastric Vein, Percutaneous Approach

06V24DZ Restriction of Gastric Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06V30DZ Restriction of Esophageal Vein with Intraluminal Device, Open Approach

06V33DZ Restriction of Esophageal Vein with Intraluminal Device, Percutaneous Approach

06V33ZZ Restriction of Esophageal Vein, Percutaneous Approach

06V34DZ Restriction of Esophageal Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06V40DZ Restriction of Hepatic Vein with Intraluminal Device, Open Approach

06V43DZ Restriction of Hepatic Vein with Intraluminal Device, Percutaneous Approach

06V43ZZ Restriction of Hepatic Vein, Percutaneous Approach

06V44DZ Restriction of Hepatic Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06V50DZ Restriction of Superior Mesenteric Vein with Intraluminal Device, Open Approach

06V53DZ Restriction of Superior Mesenteric Vein with Intraluminal Device, Percutaneous Approach

06V53ZZ Restriction of Superior Mesenteric Vein, Percutaneous Approach

06V54DZ Restriction of Superior Mesenteric Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06V60DZ Restriction of Inferior Mesenteric Vein with Intraluminal Device, Open Approach

06V63DZ Restriction of Inferior Mesenteric Vein with Intraluminal Device, Percutaneous Approach

06V63ZZ Restriction of Inferior Mesenteric Vein, Percutaneous Approach

06V64DZ Restriction of Inferior Mesenteric Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06V70DZ Restriction of Colic Vein with Intraluminal Device, Open Approach

CORP-224204-AB SEPT2015See page 3 for important information about the uses and limitations of this document. 28

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Peripheral Interventions

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

39.79

Other endovascular procedures on other vessels

06V73DZ Restriction of Colic Vein with Intraluminal Device, Percutaneous Approach

06V73ZZ Restriction of Colic Vein, Percutaneous Approach

06V74DZ Restriction of Colic Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06V80DZ Restriction of Portal Vein with Intraluminal Device, Open Approach

06V83DZ Restriction of Portal Vein with Intraluminal Device, Percutaneous Approach

06V83ZZ Restriction of Portal Vein, Percutaneous Approach

06V84DZ Restriction of Portal Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06V90DZ Restriction of Right Renal Vein with Intraluminal Device, Open Approach

06V93DZ Restriction of Right Renal Vein with Intraluminal Device, Percutaneous Approach

06V93ZZ Restriction of Right Renal Vein, Percutaneous Approach

06V94DZ Restriction of Right Renal Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06VB0DZ Restriction of Left Renal Vein with Intraluminal Device, Open Approach

06VB3DZ Restriction of Left Renal Vein with Intraluminal Device, Percutaneous Approach

06VB3ZZ Restriction of Left Renal Vein, Percutaneous Approach

06VB4DZ Restriction of Left Renal Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06VC0DZ Restriction of Right Common Iliac Vein with Intraluminal Device, Open Approach

06VC3DZ Restriction of Right Common Iliac Vein with Intraluminal Device, Percutaneous Approach

06VC3ZZ Restriction of Right Common Iliac Vein, Percutaneous Approach

06VC4DZ Restriction of Right Common Iliac Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06VD0DZ Restriction of Left Common Iliac Vein with Intraluminal Device, Open Approach

06VD3DZ Restriction of Left Common Iliac Vein with Intraluminal Device, Percutaneous Approach

06VD3ZZ Restriction of Left Common Iliac Vein, Percutaneous Approach

06VD4DZ Restriction of Left Common Iliac Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06VF0DZ Restriction of Right External Iliac Vein with Intraluminal Device, Open Approach

06VF3DZ Restriction of Right External Iliac Vein with Intraluminal Device, Percutaneous Approach

06VF3ZZ Restriction of Right External Iliac Vein, Percutaneous Approach

06VF4DZ Restriction of Right External Iliac Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06VG0DZ Restriction of Left External Iliac Vein with Intraluminal Device, Open Approach

06VG3DZ Restriction of Left External Iliac Vein with Intraluminal Device, Percutaneous Approach

06VG3ZZ Restriction of Left External Iliac Vein, Percutaneous Approach

06VG4DZ Restriction of Left External Iliac Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06VH0DZ Restriction of Right Hypogastric Vein with Intraluminal Device, Open Approach

06VH3DZ Restriction of Right Hypogastric Vein with Intraluminal Device, Percutaneous Approach

06VH3ZZ Restriction of Right Hypogastric Vein, Percutaneous Approach

06VH4DZ Restriction of Right Hypogastric Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06VJ0DZ Restriction of Left Hypogastric Vein with Intraluminal Device, Open Approach

06VJ3DZ Restriction of Left Hypogastric Vein with Intraluminal Device, Percutaneous Approach

06VJ3ZZ Restriction of Left Hypogastric Vein, Percutaneous Approach

06VJ4DZ Restriction of Left Hypogastric Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06VM0DZ Restriction of Right Femoral Vein with Intraluminal Device, Open Approach

06VM3DZ Restriction of Right Femoral Vein with Intraluminal Device, Percutaneous Approach

06VM3ZZ Restriction of Right Femoral Vein, Percutaneous Approach

06VM4DZ Restriction of Right Femoral Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06VN0DZ Restriction of Left Femoral Vein with Intraluminal Device, Open Approach

CORP-224204-AB SEPT2015See page 3 for important information about the uses and limitations of this document. 29

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Peripheral Interventions

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

39.79

Other endovascular procedures on other vessels

06VN3DZ Restriction of Left Femoral Vein with Intraluminal Device, Percutaneous Approach

06VN3ZZ Restriction of Left Femoral Vein, Percutaneous Approach

06VN4DZ Restriction of Left Femoral Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06VP0DZ Restriction of Right Greater Saphenous Vein with Intraluminal Device, Open Approach

06VP3DZ Restriction of Right Greater Saphenous Vein with Intraluminal Device, Percutaneous Approach

06VP3ZZ Restriction of Right Greater Saphenous Vein, Percutaneous Approach

06VP4DZ Restriction of Right Greater Saphenous Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06VQ0DZ Restriction of Left Greater Saphenous Vein with Intraluminal Device, Open Approach

06VQ3DZ Restriction of Left Greater Saphenous Vein with Intraluminal Device, Percutaneous Approach

06VQ3ZZ Restriction of Left Greater Saphenous Vein, Percutaneous Approach

06VQ4DZ Restriction of Left Greater Saphenous Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06VR0DZ Restriction of Right Lesser Saphenous Vein with Intraluminal Device, Open Approach

06VR3DZ Restriction of Right Lesser Saphenous Vein with Intraluminal Device, Percutaneous Approach

06VR3ZZ Restriction of Right Lesser Saphenous Vein, Percutaneous Approach

06VR4DZ Restriction of Right Lesser Saphenous Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06VS0DZ Restriction of Left Lesser Saphenous Vein with Intraluminal Device, Open Approach

06VS3DZ Restriction of Left Lesser Saphenous Vein with Intraluminal Device, Percutaneous Approach

06VS3ZZ Restriction of Left Lesser Saphenous Vein, Percutaneous Approach

06VS4DZ Restriction of Left Lesser Saphenous Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06VT0DZ Restriction of Right Foot Vein with Intraluminal Device, Open Approach

06VT3DZ Restriction of Right Foot Vein with Intraluminal Device, Percutaneous Approach

06VT3ZZ Restriction of Right Foot Vein, Percutaneous Approach

06VT4DZ Restriction of Right Foot Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06VV0DZ Restriction of Left Foot Vein with Intraluminal Device, Open Approach

06VV3DZ Restriction of Left Foot Vein with Intraluminal Device, Percutaneous Approach

06VV3ZZ Restriction of Left Foot Vein, Percutaneous Approach

06VV4DZ Restriction of Left Foot Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06VY3DZ Restriction of Lower Vein with Intraluminal Device, Percutaneous Approach

06VY3ZZ Restriction of Lower Vein, Percutaneous Approach

02CP3ZZ Extirpation of Matter from Pulmonary Trunk, Percutaneous Approach

02CQ3ZZ Extirpation of Matter from Right Pulmonary Artery, Percutaneous Approach

02CR3ZZ Extirpation of Matter from Left Pulmonary Artery, Percutaneous Approach

02CS3ZZ Extirpation of Matter from Right Pulmonary Vein, Percutaneous Approach

02CT3ZZ Extirpation of Matter from Left Pulmonary Vein, Percutaneous Approach

02CV3ZZ Extirpation of Matter from Superior Vena Cava, Percutaneous Approach

02CW3ZZ Extirpation of Matter from Thoracic Aorta, Percutaneous Approach

03C03ZZ Extirpation of Matter from Right Internal Mammary Artery, Percutaneous Approach

03C13ZZ Extirpation of Matter from Left Internal Mammary Artery, Percutaneous Approach

03C23ZZ Extirpation of Matter from Innominate Artery, Percutaneous Approach

03C33ZZ Extirpation of Matter from Right Subclavian Artery, Percutaneous Approach

03C43ZZ Extirpation of Matter from Left Subclavian Artery, Percutaneous Approach

03C53ZZ Extirpation of Matter from Right Axillary Artery, Percutaneous Approach

03C63ZZ Extirpation of Matter from Left Axillary Artery, Percutaneous Approach

03C73ZZ Extirpation of Matter from Right Brachial Artery, Percutaneous Approach

CORP-224204-AB SEPT2015See page 3 for important information about the uses and limitations of this document. 30

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Peripheral Interventions

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

39.79

Other endovascular procedures on other vessels

03C83ZZ Extirpation of Matter from Left Brachial Artery, Percutaneous Approach

03C93ZZ Extirpation of Matter from Right Ulnar Artery, Percutaneous Approach

03CA3ZZ Extirpation of Matter from Left Ulnar Artery, Percutaneous Approach

03CB3ZZ Extirpation of Matter from Right Radial Artery, Percutaneous Approach

03CC3ZZ Extirpation of Matter from Left Radial Artery, Percutaneous Approach

03CD3ZZ Extirpation of Matter from Right Hand Artery, Percutaneous Approach

03CF3ZZ Extirpation of Matter from Left Hand Artery, Percutaneous Approach

03CY3ZZ Extirpation of Matter from Upper Artery, Percutaneous Approach

04C03ZZ Extirpation of Matter from Abdominal Aorta, Percutaneous Approach

04C13ZZ Extirpation of Matter from Celiac Artery, Percutaneous Approach

04C23ZZ Extirpation of Matter from Gastric Artery, Percutaneous Approach

04C33ZZ Extirpation of Matter from Hepatic Artery, Percutaneous Approach

04C43ZZ Extirpation of Matter from Splenic Artery, Percutaneous Approach

04C53ZZ Extirpation of Matter from Superior Mesenteric Artery, Percutaneous Approach

04C63ZZ Extirpation of Matter from Right Colic Artery, Percutaneous Approach

04C73ZZ Extirpation of Matter from Left Colic Artery, Percutaneous Approach

04C83ZZ Extirpation of Matter from Middle Colic Artery, Percutaneous Approach

04C93ZZ Extirpation of Matter from Right Renal Artery, Percutaneous Approach

04CA3ZZ Extirpation of Matter from Left Renal Artery, Percutaneous Approach

04CB3ZZ Extirpation of Matter from Inferior Mesenteric Artery, Percutaneous Approach

04CC3ZZ Extirpation of Matter from Right Common Iliac Artery, Percutaneous Approach

04CD3ZZ Extirpation of Matter from Left Common Iliac Artery, Percutaneous Approach

04CE3ZZ Extirpation of Matter from Right Internal Iliac Artery, Percutaneous Approach

04CF3ZZ Extirpation of Matter from Left Internal Iliac Artery, Percutaneous Approach

04CH3ZZ Extirpation of Matter from Right External Iliac Artery, Percutaneous Approach

04CJ3ZZ Extirpation of Matter from Left External Iliac Artery, Percutaneous Approach

04CK3ZZ Extirpation of Matter from Right Femoral Artery, Percutaneous Approach

04CL3ZZ Extirpation of Matter from Left Femoral Artery, Percutaneous Approach

04CM3ZZ Extirpation of Matter from Right Popliteal Artery, Percutaneous Approach

04CN3ZZ Extirpation of Matter from Left Popliteal Artery, Percutaneous Approach

04CP3ZZ Extirpation of Matter from Right Anterior Tibial Artery, Percutaneous Approach

04CQ3ZZ Extirpation of Matter from Left Anterior Tibial Artery, Percutaneous Approach

04CR3ZZ Extirpation of Matter from Right Posterior Tibial Artery, Percutaneous Approach

04CS3ZZ Extirpation of Matter from Left Posterior Tibial Artery, Percutaneous Approach

04CT3ZZ Extirpation of Matter from Right Peroneal Artery, Percutaneous Approach

04CU3ZZ Extirpation of Matter from Left Peroneal Artery, Percutaneous Approach

04CV3ZZ Extirpation of Matter from Right Foot Artery, Percutaneous Approach

04CW3ZZ Extirpation of Matter from Left Foot Artery, Percutaneous Approach

04CY3ZZ Extirpation of Matter from Lower Artery, Percutaneous Approach

05C03ZZ Extirpation of Matter from Azygos Vein, Percutaneous Approach

05C13ZZ Extirpation of Matter from Hemiazygos Vein, Percutaneous Approach

05C33ZZ Extirpation of Matter from Right Innominate Vein, Percutaneous Approach

05C43ZZ Extirpation of Matter from Left Innominate Vein, Percutaneous Approach

05C53ZZ Extirpation of Matter from Right Subclavian Vein, Percutaneous Approach

CORP-224204-AB SEPT2015See page 3 for important information about the uses and limitations of this document. 31

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Peripheral Interventions

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

39.79

Other endovascular procedures on other vessels

05C63ZZ Extirpation of Matter from Left Subclavian Vein, Percutaneous Approach

05C73ZZ Extirpation of Matter from Right Axillary Vein, Percutaneous Approach

05C83ZZ Extirpation of Matter from Left Axillary Vein, Percutaneous Approach

05C93ZZ Extirpation of Matter from Right Brachial Vein, Percutaneous Approach

05CA3ZZ Extirpation of Matter from Left Brachial Vein, Percutaneous Approach

05CB3ZZ Extirpation of Matter from Right Basilic Vein, Percutaneous Approach

05CC3ZZ Extirpation of Matter from Left Basilic Vein, Percutaneous Approach

05CD3ZZ Extirpation of Matter from Right Cephalic Vein, Percutaneous Approach

05CF3ZZ Extirpation of Matter from Left Cephalic Vein, Percutaneous Approach

05CG3ZZ Extirpation of Matter from Right Hand Vein, Percutaneous Approach

05CH3ZZ Extirpation of Matter from Left Hand Vein, Percutaneous Approach

05CL3ZZ Extirpation of Matter from Intracranial Vein, Percutaneous Approach

05CM3ZZ Extirpation of Matter from Right Internal Jugular Vein, Percutaneous Approach

05CN3ZZ Extirpation of Matter from Left Internal Jugular Vein, Percutaneous Approach

05CP3ZZ Extirpation of Matter from Right External Jugular Vein, Percutaneous Approach

05CQ3ZZ Extirpation of Matter from Left External Jugular Vein, Percutaneous Approach

05CR3ZZ Extirpation of Matter from Right Vertebral Vein, Percutaneous Approach

05CS3ZZ Extirpation of Matter from Left Vertebral Vein, Percutaneous Approach

05CT3ZZ Extirpation of Matter from Right Face Vein, Percutaneous Approach

05CV3ZZ Extirpation of Matter from Left Face Vein, Percutaneous Approach

05CY3ZZ Extirpation of Matter from Upper Vein, Percutaneous Approach

06C03ZZ Extirpation of Matter from Inferior Vena Cava, Percutaneous Approach

06C13ZZ Extirpation of Matter from Splenic Vein, Percutaneous Approach

06C23ZZ Extirpation of Matter from Gastric Vein, Percutaneous Approach

06C33ZZ Extirpation of Matter from Esophageal Vein, Percutaneous Approach

06C43ZZ Extirpation of Matter from Hepatic Vein, Percutaneous Approach

06C53ZZ Extirpation of Matter from Superior Mesenteric Vein, Percutaneous Approach

06C63ZZ Extirpation of Matter from Inferior Mesenteric Vein, Percutaneous Approach

06C73ZZ Extirpation of Matter from Colic Vein, Percutaneous Approach

06C83ZZ Extirpation of Matter from Portal Vein, Percutaneous Approach

06C93ZZ Extirpation of Matter from Right Renal Vein, Percutaneous Approach

06CB3ZZ Extirpation of Matter from Left Renal Vein, Percutaneous Approach

06CC3ZZ Extirpation of Matter from Right Common Iliac Vein, Percutaneous Approach

06CD3ZZ Extirpation of Matter from Left Common Iliac Vein, Percutaneous Approach

06CF3ZZ Extirpation of Matter from Right External Iliac Vein, Percutaneous Approach

06CG3ZZ Extirpation of Matter from Left External Iliac Vein, Percutaneous Approach

06CH3ZZ Extirpation of Matter from Right Hypogastric Vein, Percutaneous Approach

06CJ3ZZ Extirpation of Matter from Left Hypogastric Vein, Percutaneous Approach

06CM3ZZ Extirpation of Matter from Right Femoral Vein, Percutaneous Approach

06CN3ZZ Extirpation of Matter from Left Femoral Vein, Percutaneous Approach

06CP3ZZ Extirpation of Matter from Right Greater Saphenous Vein, Percutaneous Approach

06CQ3ZZ Extirpation of Matter from Left Greater Saphenous Vein, Percutaneous Approach

06CR3ZZ Extirpation of Matter from Right Lesser Saphenous Vein, Percutaneous Approach

06CS3ZZ Extirpation of Matter from Left Lesser Saphenous Vein, Percutaneous Approach

06CT3ZZ Extirpation of Matter from Right Foot Vein, Percutaneous Approach

06CV3ZZ Extirpation of Matter from Left Foot Vein, Percutaneous Approach

06CY3ZZ Extirpation of Matter from Lower Vein, Percutaneous Approach

CORP-224204-AB SEPT2015See page 3 for important information about the uses and limitations of this document. 32

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Peripheral Interventions

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

39.50

Angioplasty of other

non-coronary vessel(s)

027P3ZZ Dilation of Pulmonary Trunk, Percutaneous Approach

027Q3ZZ Dilation of Right Pulmonary Artery, Percutaneous Approach

027R3ZZ Dilation of Left Pulmonary Artery, Percutaneous Approach

027S3ZZ Dilation of Right Pulmonary Vein, Percutaneous Approach

027T3ZZ Dilation of Left Pulmonary Vein, Percutaneous Approach

027V3ZZ Dilation of Superior Vena Cava, Percutaneous Approach

027W3ZZ Dilation of Thoracic Aorta, Percutaneous Approach

03703ZZ Dilation of Right Internal Mammary Artery, Percutaneous Approach

03713ZZ Dilation of Left Internal Mammary Artery, Percutaneous Approach

03723ZZ Dilation of Innominate Artery, Percutaneous Approach

03733ZZ Dilation of Right Subclavian Artery, Percutaneous Approach

03743ZZ Dilation of Left Subclavian Artery, Percutaneous Approach

03753ZZ Dilation of Right Axillary Artery, Percutaneous Approach

03763ZZ Dilation of Left Axillary Artery, Percutaneous Approach

03773ZZ Dilation of Right Brachial Artery, Percutaneous Approach

03783ZZ Dilation of Left Brachial Artery, Percutaneous Approach

03793ZZ Dilation of Right Ulnar Artery, Percutaneous Approach

037A3ZZ Dilation of Left Ulnar Artery, Percutaneous Approach

037B3ZZ Dilation of Right Radial Artery, Percutaneous Approach

037C3ZZ Dilation of Left Radial Artery, Percutaneous Approach

037D3ZZ Dilation of Right Hand Artery, Percutaneous Approach

037F3ZZ Dilation of Left Hand Artery, Percutaneous Approach

037Y3ZZ Dilation of Upper Artery, Percutaneous Approach

04703ZZ Dilation of Abdominal Aorta, Percutaneous Approach

04713ZZ Dilation of Celiac Artery, Percutaneous Approach

04723ZZ Dilation of Gastric Artery, Percutaneous Approach

04733ZZ Dilation of Hepatic Artery, Percutaneous Approach

04743ZZ Dilation of Splenic Artery, Percutaneous Approach

04753ZZ Dilation of Superior Mesenteric Artery, Percutaneous Approach

04763ZZ Dilation of Right Colic Artery, Percutaneous Approach

04773ZZ Dilation of Left Colic Artery, Percutaneous Approach

04783ZZ Dilation of Middle Colic Artery, Percutaneous Approach

04793ZZ Dilation of Right Renal Artery, Percutaneous Approach

047A3ZZ Dilation of Left Renal Artery, Percutaneous Approach

047B3ZZ Dilation of Inferior Mesenteric Artery, Percutaneous Approach

047C3ZZ Dilation of Right Common Iliac Artery, Percutaneous Approach

047D3ZZ Dilation of Left Common Iliac Artery, Percutaneous Approach

047E3ZZ Dilation of Right Internal Iliac Artery, Percutaneous Approach

047F3ZZ Dilation of Left Internal Iliac Artery, Percutaneous Approach

047H3ZZ Dilation of Right External Iliac Artery, Percutaneous Approach

047J3ZZ Dilation of Left External Iliac Artery, Percutaneous Approach

047K3ZZ Dilation of Right Femoral Artery, Percutaneous Approach

047L3ZZ Dilation of Left Femoral Artery, Percutaneous Approach

047M3ZZ Dilation of Right Popliteal Artery, Percutaneous Approach

047N3ZZ Dilation of Left Popliteal Artery, Percutaneous Approach

047P3ZZ Dilation of Right Anterior Tibial Artery, Percutaneous Approach

047Q3ZZ Dilation of Left Anterior Tibial Artery, Percutaneous Approach

CORP-224204-AB SEPT2015See page 3 for important information about the uses and limitations of this document. 33

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Peripheral Interventions

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

39.50

Angioplasty of other

non-coronary vessel(s)

047R3ZZ Dilation of Right Posterior Tibial Artery, Percutaneous Approach

047R3ZZ Dilation of Right Posterior Tibial Artery, Percutaneous Approach

047S3DZ Dilation of Left Posterior Tibial Artery with Intraluminal Device, Percutaneous Approach

047T3ZZ Dilation of Right Peroneal Artery, Percutaneous Approach

047U3ZZ Dilation of Left Peroneal Artery, Percutaneous Approach

047V3ZZ Dilation of Right Foot Artery, Percutaneous Approach

047W3ZZ Dilation of Left Foot Artery, Percutaneous Approach

047Y3ZZ Dilation of Lower Artery, Percutaneous Approach

05703ZZ Dilation of Azygos Vein, Percutaneous Approach

05713ZZ Dilation of Hemiazygos Vein, Percutaneous Approach

05733ZZ Dilation of Right Innominate Vein, Percutaneous Approach

05743ZZ Dilation of Left Innominate Vein, Percutaneous Approach

05753ZZ Dilation of Right Subclavian Vein, Percutaneous Approach

05763ZZ Dilation of Left Subclavian Vein, Percutaneous Approach

05773ZZ Dilation of Right Axillary Vein, Percutaneous Approach

05783ZZ Dilation of Left Axillary Vein, Percutaneous Approach

05793ZZ Dilation of Right Brachial Vein, Percutaneous Approach

057A3ZZ Dilation of Left Brachial Vein, Percutaneous Approach

057B3ZZ Dilation of Right Basilic Vein, Percutaneous Approach

057C3ZZ Dilation of Left Basilic Vein, Percutaneous Approach

057D3ZZ Dilation of Right Cephalic Vein, Percutaneous Approach

057F3ZZ Dilation of Left Cephalic Vein, Percutaneous Approach

057G3ZZ Dilation of Right Hand Vein, Percutaneous Approach

057H3ZZ Dilation of Left Hand Vein, Percutaneous Approach

057L3ZZ Dilation of Intracranial Vein, Percutaneous Approach

057M3ZZ Dilation of Right Internal Jugular Vein, Percutaneous Approach

057N3ZZ Dilation of Left Internal Jugular Vein, Percutaneous Approach

057P3ZZ Dilation of Right External Jugular Vein, Percutaneous Approach

057Q3ZZ Dilation of Left External Jugular Vein, Percutaneous Approach

057R3ZZ Dilation of Right Vertebral Vein, Percutaneous Approach

057S3ZZ Dilation of Left Vertebral Vein, Percutaneous Approach

057T3ZZ Dilation of Right Face Vein, Percutaneous Approach

057V3ZZ Dilation of Left Face Vein, Percutaneous Approach

057Y3ZZ Dilation of Upper Vein, Percutaneous Approach

06703ZZ Dilation of Inferior Vena Cava, Percutaneous Approach

06713ZZ Dilation of Splenic Vein, Percutaneous Approach

06723ZZ Dilation of Gastric Vein, Percutaneous Approach

06733ZZ Dilation of Esophageal Vein, Percutaneous Approach

06743ZZ Dilation of Hepatic Vein, Percutaneous Approach

06753ZZ Dilation of Superior Mesenteric Vein, Percutaneous Approach

06763ZZ Dilation of Inferior Mesenteric Vein, Percutaneous Approach

06773ZZ Dilation of Colic Vein, Percutaneous Approach

06783ZZ Dilation of Portal Vein, Percutaneous Approach

06793ZZ Dilation of Right Renal Vein, Percutaneous Approach

067B3ZZ Dilation of Left Renal Vein, Percutaneous Approach

067C3ZZ Dilation of Right Common Iliac Vein, Percutaneous Approach

067D3ZZ Dilation of Left Common Iliac Vein, Percutaneous Approach

CORP-224204-AB SEPT2015See page 3 for important information about the uses and limitations of this document. 34

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Peripheral Interventions

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

39.50

Angioplasty of other

non-coronary vessel(s)

067F3ZZ Dilation of Right External Iliac Vein, Percutaneous Approach

067G3ZZ Dilation of Left External Iliac Vein, Percutaneous Approach

067H3ZZ Dilation of Right Hypogastric Vein, Percutaneous Approach

067J3ZZ Dilation of Left Hypogastric Vein, Percutaneous Approach

067M3ZZ Dilation of Right Femoral Vein, Percutaneous Approach

067N3ZZ Dilation of Left Femoral Vein, Percutaneous Approach

067P3ZZ Dilation of Right Greater Saphenous Vein, Percutaneous Approach

067Q3ZZ Dilation of Left Greater Saphenous Vein, Percutaneous Approach

067R3ZZ Dilation of Right Lesser Saphenous Vein, Percutaneous Approach

067S3ZZ Dilation of Left Lesser Saphenous Vein, Percutaneous Approach

067T3ZZ Dilation of Right Foot Vein, Percutaneous Approach

067V3ZZ Dilation of Left Foot Vein, Percutaneous Approach

067Y3ZZ Dilation of Lower Vein, Percutaneous Approach

CORP-224204-AB SEPT2015See page 3 for important information about the uses and limitations of this document. 35

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Peripheral Interventions

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

39.90

Insertion of non-drug-eluting peripheral (non-coronary) vessel

stent(s)

027P3DZ Dilation of Pulmonary Trunk with Intraluminal Device, Percutaneous Approach

027Q3DZ Dilation of Right Pulmonary Artery with Intraluminal Device, Percutaneous Approach

027R3DZ Dilation of Left Pulmonary Artery with Intraluminal Device, Percutaneous Approach

027S3DZ Dilation of Right Pulmonary Vein with Intraluminal Device, Percutaneous Approach

027T3DZ Dilation of Left Pulmonary Vein with Intraluminal Device, Percutaneous Approach

027V3DZ Dilation of Superior Vena Cava with Intraluminal Device, Percutaneous Approach

027W3DZ Dilation of Thoracic Aorta with Intraluminal Device, Percutaneous Approach

03703DZ Dilation of Right Internal Mammary Artery with Intraluminal Device, Percutaneous Approach

03713DZ Dilation of Left Internal Mammary Artery with Intraluminal Device, Percutaneous Approach

03723DZ Dilation of Innominate Artery with Intraluminal Device, Percutaneous Approach

03733DZ Dilation of Right Subclavian Artery with Intraluminal Device, Percutaneous Approach

03743DZ Dilation of Left Subclavian Artery with Intraluminal Device, Percutaneous Approach

03753DZ Dilation of Right Axillary Artery with Intraluminal Device, Percutaneous Approach

03763DZ Dilation of Left Axillary Artery with Intraluminal Device, Percutaneous Approach

03773DZ Dilation of Right Brachial Artery with Intraluminal Device, Percutaneous Approach

03783DZ Dilation of Left Brachial Artery with Intraluminal Device, Percutaneous Approach

03793DZ Dilation of Right Ulnar Artery with Intraluminal Device, Percutaneous Approach

037A3DZ Dilation of Left Ulnar Artery with Intraluminal Device, Percutaneous Approach

037B3DZ Dilation of Right Radial Artery with Intraluminal Device, Percutaneous Approach

037C3DZ Dilation of Left Radial Artery with Intraluminal Device, Percutaneous Approach

037D3DZ Dilation of Right Hand Artery with Intraluminal Device, Percutaneous Approach

037F3DZ Dilation of Left Hand Artery with Intraluminal Device, Percutaneous Approach

037Y3DZ Dilation of Upper Artery with Intraluminal Device, Percutaneous Approach

04703DZ Dilation of Abdominal Aorta with Intraluminal Device, Percutaneous Approach

04713DZ Dilation of Celiac Artery with Intraluminal Device, Percutaneous Approach

04723DZ Dilation of Gastric Artery with Intraluminal Device, Percutaneous Approach

04733DZ Dilation of Hepatic Artery with Intraluminal Device, Percutaneous Approach

04743DZ Dilation of Splenic Artery with Intraluminal Device, Percutaneous Approach

04753DZ Dilation of Superior Mesenteric Artery with Intraluminal Device, Percutaneous Approach

04763DZ Dilation of Right Colic Artery with Intraluminal Device, Percutaneous Approach

04773DZ Dilation of Left Colic Artery with Intraluminal Device, Percutaneous Approach

04783DZ Dilation of Middle Colic Artery with Intraluminal Device, Percutaneous Approach

04793DZ Dilation of Right Renal Artery with Intraluminal Device, Percutaneous Approach

047A3DZ Dilation of Left Renal Artery with Intraluminal Device, Percutaneous Approach

047B3DZ Dilation of Inferior Mesenteric Artery with Intraluminal Device, Percutaneous Approach

047C3DZ Dilation of Right Common Iliac Artery with Intraluminal Device, Percutaneous Approach

047D3DZ Dilation of Left Common Iliac Artery with Intraluminal Device, Percutaneous Approach

047E3DZ Dilation of Right Internal Iliac Artery with Intraluminal Device, Percutaneous Approach

047F3DZ Dilation of Left Internal Iliac Artery with Intraluminal Device, Percutaneous Approach

047H3DZ Dilation of Right External Iliac Artery with Intraluminal Device, Percutaneous Approach

047J3DZ Dilation of Left External Iliac Artery with Intraluminal Device, Percutaneous Approach

047K3DZ Dilation of Right Femoral Artery with Intraluminal Device, Percutaneous Approach

047L3DZ Dilation of Left Femoral Artery with Intraluminal Device, Percutaneous Approach

047M3DZ Dilation of Right Popliteal Artery with Intraluminal Device, Percutaneous Approach

047N3DZ Dilation of Left Popliteal Artery with Intraluminal Device, Percutaneous Approach

047P3DZ Dilation of Right Anterior Tibial Artery with Intraluminal Device, Percutaneous Approach

047Q3DZ Dilation of Left Anterior Tibial Artery with Intraluminal Device, Percutaneous Approach

CORP-224204-AB SEPT2015See page 3 for important information about the uses and limitations of this document. 36

Page 37: Your Map of the ICD-9 to ICD-10 PCS Conversion …...relationships between the codes in the ICD-9-CM procedure classification and the ICD-10 Procedure Code System (ICD-10-PCS). Although

Peripheral Interventions

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

39.90

Insertion of non-drug-eluting peripheral (non-coronary) vessel

stent(s)

047R3DZ Dilation of Right Posterior Tibial Artery with Intraluminal Device, Percutaneous Approach

047S3DZ Dilation of Left Posterior Tibial Artery with Intraluminal Device, Percutaneous Approach

047T3DZ Dilation of Right Peroneal Artery with Intraluminal Device, Percutaneous Approach

047U3DZ Dilation of Left Peroneal Artery with Intraluminal Device, Percutaneous Approach

047V3DZ Dilation of Right Foot Artery with Intraluminal Device, Percutaneous Approach

047W3DZ Dilation of Left Foot Artery with Intraluminal Device, Percutaneous Approach

047Y3DZ Dilation of Lower Artery with Intraluminal Device, Percutaneous Approach

05703DZ Dilation of Azygos Vein with Intraluminal Device, Percutaneous Approach

05713DZ Dilation of Hemiazygos Vein with Intraluminal Device, Percutaneous Approach

05733DZ Dilation of Right Innominate Vein with Intraluminal Device, Percutaneous Approach

05743DZ Dilation of Left Innominate Vein with Intraluminal Device, Percutaneous Approach

05753DZ Dilation of Right Subclavian Vein with Intraluminal Device, Percutaneous Approach

05763DZ Dilation of Left Subclavian Vein with Intraluminal Device, Percutaneous Approach

05773DZ Dilation of Right Axillary Vein with Intraluminal Device, Percutaneous Approach

05783DZ Dilation of Left Axillary Vein with Intraluminal Device, Percutaneous Approach

05793DZ Dilation of Right Brachial Vein with Intraluminal Device, Percutaneous Approach

057A3DZ Dilation of Left Brachial Vein with Intraluminal Device, Percutaneous Approach

057B3DZ Dilation of Right Basilic Vein with Intraluminal Device, Percutaneous Approach

057C3DZ Dilation of Left Basilic Vein with Intraluminal Device, Percutaneous Approach

057D3DZ Dilation of Right Cephalic Vein with Intraluminal Device, Percutaneous Approach

057F3DZ Dilation of Left Cephalic Vein with Intraluminal Device, Percutaneous Approach

057G3DZ Dilation of Right Hand Vein with Intraluminal Device, Percutaneous Approach

057H3DZ Dilation of Left Hand Vein with Intraluminal Device, Percutaneous Approach

057Y4DZ Dilation of Upper Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06703DZ Dilation of Inferior Vena Cava with Intraluminal Device, Percutaneous Approach

06713DZ Dilation of Splenic Vein with Intraluminal Device, Percutaneous Approach

06723DZ Dilation of Gastric Vein with Intraluminal Device, Percutaneous Approach

06733DZ Dilation of Esophageal Vein with Intraluminal Device, Percutaneous Approach

06743DZ Dilation of Hepatic Vein with Intraluminal Device, Percutaneous Approach

06753DZ Dilation of Superior Mesenteric Vein with Intraluminal Device, Percutaneous Approach

06763DZ Dilation of Inferior Mesenteric Vein with Intraluminal Device, Percutaneous Approach

06773DZ Dilation of Colic Vein with Intraluminal Device, Percutaneous Approach

06783DZ Dilation of Portal Vein with Intraluminal Device, Percutaneous Approach

06793DZ Dilation of Right Renal Vein with Intraluminal Device, Percutaneous Approach

067B3DZ Dilation of Left Renal Vein with Intraluminal Device, Percutaneous Approach

067C3DZ Dilation of Right Common Iliac Vein with Intraluminal Device, Percutaneous Approach

067D3DZ Dilation of Left Common Iliac Vein with Intraluminal Device, Percutaneous Approach

067F3DZ Dilation of Right External Iliac Vein with Intraluminal Device, Percutaneous Approach

067G3DZ Dilation of Left External Iliac Vein with Intraluminal Device, Percutaneous Approach

067H3DZ Dilation of Right Hypogastric Vein with Intraluminal Device, Percutaneous Approach

067J3DZ Dilation of Left Hypogastric Vein with Intraluminal Device, Percutaneous Approach

067M3DZ Dilation of Right Femoral Vein with Intraluminal Device, Percutaneous Approach

067N3DZ Dilation of Left Femoral Vein with Intraluminal Device, Percutaneous Approach

067P3DZ Dilation of Right Greater Saphenous Vein with Intraluminal Device, Percutaneous Approach

067Q3DZ Dilation of Left Greater Saphenous Vein with Intraluminal Device, Percutaneous Approach

067R3DZ Dilation of Right Lesser Saphenous Vein with Intraluminal Device, Percutaneous Approach

067S3DZ Dilation of Left Lesser Saphenous Vein with Intraluminal Device, Percutaneous Approach

CORP-224204-AB SEPT2015See page 3 for important information about the uses and limitations of this document. 37

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Peripheral Interventions

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

39.90

Insertion of non-drug-eluting peripheral (non-coronary) vessel

stent(s)

067T3DZ Dilation of Right Foot Vein with Intraluminal Device, Percutaneous Approach

067V3DZ Dilation of Left Foot Vein with Intraluminal Device, Percutaneous Approach

067Y3DZ Dilation of Lower Vein with Intraluminal Device, Percutaneous Approach

CORP-224204-AB SEPT2015See page 3 for important information about the uses and limitations of this document. 38

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Peripheral Interventions

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

39.79

Other endovascular procedures on other vessels

02LS3DZ Occlusion of Right Pulmonary Vein with Intraluminal Device, Percutaneous Approach

02LS3ZZ Occlusion of Right Pulmonary Vein, Percutaneous Approach

02LT3DZ Occlusion of Left Pulmonary Vein with Intraluminal Device, Percutaneous Approach

02LT3ZZ Occlusion of Left Pulmonary Vein, Percutaneous Approach

02VP3DZ Restriction of Pulmonary Trunk with Intraluminal Device, Percutaneous Approach

02VP3ZZ Restriction of Pulmonary Trunk, Percutaneous Approach

02VQ3DZ Restriction of Right Pulmonary Artery with Intraluminal Device, Percutaneous Approach

02VQ3ZZ Restriction of Right Pulmonary Artery, Percutaneous Approach

02VR3DT Restriction of Ductus Arteriosus with Intraluminal Device, Percutaneous Approach

02VR3DZ Restriction of Left Pulmonary Artery with Intraluminal Device, Percutaneous Approach

02VR3ZT Restriction of Ductus Arteriosus, Percutaneous Approach

02VR3ZZ Restriction of Left Pulmonary Artery, Percutaneous Approach

02VS3DZ Restriction of Right Pulmonary Vein with Intraluminal Device, Percutaneous Approach

02VS3ZZ Restriction of Right Pulmonary Vein, Percutaneous Approach

02VT3DZ Restriction of Left Pulmonary Vein with Intraluminal Device, Percutaneous Approach

02VT3ZZ Restriction of Left Pulmonary Vein, Percutaneous Approach

02VW3DZ Restriction of Thoracic Aorta with Intraluminal Device, Percutaneous Approach

02VW3ZZ Restriction of Thoracic Aorta, Percutaneous Approach

03L03ZZ Occlusion of Right Internal Mammary Artery, Percutaneous Approach

03L13ZZ Occlusion of Left Internal Mammary Artery, Percutaneous Approach

03L23ZZ Occlusion of Innominate Artery, Percutaneous Approach

03L33ZZ Occlusion of Right Subclavian Artery, Percutaneous Approach

03L43ZZ Occlusion of Left Subclavian Artery, Percutaneous Approach

03L50DZ Occlusion of Right Axillary Artery with Intraluminal Device, Open Approach

03L53DZ Occlusion of Right Axillary Artery with Intraluminal Device, Percutaneous Approach

03L53ZZ Occlusion of Right Axillary Artery, Percutaneous Approach

03L54DZ Occlusion of Right Axillary Artery with Intraluminal Device, Percutaneous Endoscopic Approach

03L60DZ Occlusion of Left Axillary Artery with Intraluminal Device, Open Approach

03L63DZ Occlusion of Left Axillary Artery with Intraluminal Device, Percutaneous Approach

03L63ZZ Occlusion of Left Axillary Artery, Percutaneous Approach

03L64DZ Occlusion of Left Axillary Artery with Intraluminal Device, Percutaneous Endoscopic Approach

03L70DZ Occlusion of Right Brachial Artery with Intraluminal Device, Open Approach

03L73DZ Occlusion of Right Brachial Artery with Intraluminal Device, Percutaneous Approach

03L73ZZ Occlusion of Right Brachial Artery, Percutaneous Approach

03L74DZ Occlusion of Right Brachial Artery with Intraluminal Device, Percutaneous Endoscopic Approach

03L80DZ Occlusion of Left Brachial Artery with Intraluminal Device, Open Approach

03L83DZ Occlusion of Left Brachial Artery with Intraluminal Device, Percutaneous Approach

03L83ZZ Occlusion of Left Brachial Artery, Percutaneous Approach

03L84DZ Occlusion of Left Brachial Artery with Intraluminal Device, Percutaneous Endoscopic Approach

03L90DZ Occlusion of Right Ulnar Artery with Intraluminal Device, Open Approach

03L93DZ Occlusion of Right Ulnar Artery with Intraluminal Device, Percutaneous Approach

03L93ZZ Occlusion of Right Ulnar Artery, Percutaneous Approach

03L94DZ Occlusion of Right Ulnar Artery with Intraluminal Device, Percutaneous Endoscopic Approach

03LA0DZ Occlusion of Left Ulnar Artery with Intraluminal Device, Open Approach

03LA3DZ Occlusion of Left Ulnar Artery with Intraluminal Device, Percutaneous Approach

03LA3ZZ Occlusion of Left Ulnar Artery, Percutaneous Approach

03LA4DZ Occlusion of Left Ulnar Artery with Intraluminal Device, Percutaneous Endoscopic Approach

CORP-224204-AB SEPT2015See page 3 for important information about the uses and limitations of this document. 39

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Peripheral Interventions

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

39.79

Other endovascular procedures on other vessels

03LB0DZ Occlusion of Right Radial Artery with Intraluminal Device, Open Approach

03LB3DZ Occlusion of Right Radial Artery with Intraluminal Device, Percutaneous Approach

03LB3ZZ Occlusion of Right Radial Artery, Percutaneous Approach

03LB4DZ Occlusion of Right Radial Artery with Intraluminal Device, Percutaneous Endoscopic Approach

03LC0DZ Occlusion of Left Radial Artery with Intraluminal Device, Open Approach

03LC3DZ Occlusion of Left Radial Artery with Intraluminal Device, Percutaneous Approach

03LC3ZZ Occlusion of Left Radial Artery, Percutaneous Approach

03LC4DZ Occlusion of Left Radial Artery with Intraluminal Device, Percutaneous Endoscopic Approach

03LD0DZ Occlusion of Right Hand Artery with Intraluminal Device, Open Approach

03LD3DZ Occlusion of Right Hand Artery with Intraluminal Device, Percutaneous Approach

03LD3ZZ Occlusion of Right Hand Artery, Percutaneous Approach

03LD4DZ Occlusion of Right Hand Artery with Intraluminal Device, Percutaneous Endoscopic Approach

03LF0DZ Occlusion of Left Hand Artery with Intraluminal Device, Open Approach

03LF3DZ Occlusion of Left Hand Artery with Intraluminal Device, Percutaneous Approach

03LF3ZZ Occlusion of Left Hand Artery, Percutaneous Approach

03LF4DZ Occlusion of Left Hand Artery with Intraluminal Device, Percutaneous Endoscopic Approach

03LG3ZZ Occlusion of Intracranial Artery, Percutaneous Approach

03LH3ZZ Occlusion of Right Common Carotid Artery, Percutaneous Approach

03LJ3ZZ Occlusion of Left Common Carotid Artery, Percutaneous Approach

03LK3ZZ Occlusion of Right Internal Carotid Artery, Percutaneous Approach

03LL3ZZ Occlusion of Left Internal Carotid Artery, Percutaneous Approach

03LM3ZZ Occlusion of Right External Carotid Artery, Percutaneous Approach

03LN3ZZ Occlusion of Left External Carotid Artery, Percutaneous Approach

03LP3ZZ Occlusion of Right Vertebral Artery, Percutaneous Approach

03LQ3ZZ Occlusion of Left Vertebral Artery, Percutaneous Approach

03LR3ZZ Occlusion of Face Artery, Percutaneous Approach

03LS3ZZ Occlusion of Right Temporal Artery, Percutaneous Approach

03LT3ZZ Occlusion of Left Temporal Artery, Percutaneous Approach

03LU3ZZ Occlusion of Right Thyroid Artery, Percutaneous Approach

03LV3ZZ Occlusion of Left Thyroid Artery, Percutaneous Approach

03LY0DZ Occlusion of Upper Artery with Intraluminal Device, Open Approach

03LY3DZ Occlusion of Upper Artery with Intraluminal Device, Percutaneous Approach

03LY3ZZ Occlusion of Upper Artery, Percutaneous Approach

03LY4DZ Occlusion of Upper Artery with Intraluminal Device, 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

03V03ZZ Restriction of Right Internal Mammary Artery, 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

03V13ZZ Restriction of Left Internal Mammary Artery, 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

03V23ZZ Restriction of Innominate Artery, Percutaneous Approach

03V24DZ Restriction of Innominate Artery with Intraluminal Device, Percutaneous Endoscopic Approach

03V30DZ Restriction of Right Subclavian Artery with Intraluminal Device, Open Approach

CORP-224204-AB SEPT2015See page 3 for important information about the uses and limitations of this document. 40

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Peripheral Interventions

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

39.79

Other endovascular procedures on other vessels

03V33DZ Restriction of Right Subclavian Artery with Intraluminal Device, Percutaneous Approach

03V33ZZ Restriction of Right Subclavian Artery, 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

03V43ZZ Restriction of Left Subclavian Artery, 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

03V53ZZ Restriction of Right Axillary Artery, 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

03V63ZZ Restriction of Left Axillary Artery, 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

03V73ZZ Restriction of Right Brachial Artery, 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

03V83ZZ Restriction of Left Brachial Artery, 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

03V93ZZ Restriction of Right Ulnar Artery, 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

03VA3ZZ Restriction of Left Ulnar Artery, 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

03VB3ZZ Restriction of Right Radial Artery, 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

03VC3ZZ Restriction of Left Radial Artery, 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

03VD3ZZ Restriction of Right Hand Artery, 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

03VF3ZZ Restriction of Left Hand Artery, Percutaneous Approach

03VF4DZ Restriction of Left Hand Artery with Intraluminal Device, Percutaneous Endoscopic Approach

CORP-224204-AB SEPT2015See page 3 for important information about the uses and limitations of this document. 41

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Peripheral Interventions

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

39.79

Other endovascular procedures on other vessels

03VG3ZZ Restriction of Intracranial Artery, Percutaneous Approach

03VH3ZZ Restriction of Right Common Carotid Artery, Percutaneous Approach

03VJ3ZZ Restriction of Left Common Carotid Artery, Percutaneous Approach

03VK3ZZ Restriction of Right Internal Carotid Artery, Percutaneous Approach

03VL3ZZ Restriction of Left Internal Carotid Artery, Percutaneous Approach

03VM3ZZ Restriction of Right External Carotid Artery, Percutaneous Approach

03VN3ZZ Restriction of Left External Carotid Artery, Percutaneous Approach

03VP3ZZ Restriction of Right Vertebral Artery, Percutaneous Approach

03VQ3ZZ Restriction of Left Vertebral Artery, Percutaneous Approach

03VR3ZZ Restriction of Face Artery, Percutaneous Approach

03VS3ZZ Restriction of Right Temporal Artery, Percutaneous Approach

03VT3ZZ Restriction of Left Temporal Artery, Percutaneous Approach

03VU3ZZ Restriction of Right Thyroid Artery, Percutaneous Approach

03VV3ZZ Restriction of Left Thyroid Artery, Percutaneous Approach

03VY0DZ Restriction of Upper Artery with Intraluminal Device, Open Approach

03VY3DZ Restriction of Upper Artery with Intraluminal Device, Percutaneous Approach

03VY3ZZ Restriction of Upper Artery, Percutaneous Approach

03VY4DZ Restriction of Upper Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04L03ZZ Occlusion of Abdominal Aorta, Percutaneous Approach

04L13ZZ Occlusion of Celiac Artery, Percutaneous Approach

04L23ZZ Occlusion of Gastric Artery, Percutaneous Approach

04L33ZZ Occlusion of Hepatic Artery, Percutaneous Approach

04L43ZZ Occlusion of Splenic Artery, Percutaneous Approach

04L53ZZ Occlusion of Superior Mesenteric Artery, Percutaneous Approach

04L63ZZ Occlusion of Right Colic Artery, Percutaneous Approach

04L73ZZ Occlusion of Left Colic Artery, Percutaneous Approach

04L83ZZ Occlusion of Middle Colic Artery, Percutaneous Approach

04L93ZZ Occlusion of Right Renal Artery, Percutaneous Approach

04LA3ZZ Occlusion of Left Renal Artery, Percutaneous Approach

04LB3ZZ Occlusion of Inferior Mesenteric Artery, Percutaneous Approach

04LC0DZ Occlusion of Right Common Iliac Artery with Intraluminal Device, Open Approach

04LC3DZ Occlusion of Right Common Iliac Artery with Intraluminal Device, Percutaneous Approach

04LC3ZZ Occlusion of Right Common Iliac Artery, Percutaneous Approach

04LC4DZ Occlusion of Right Common Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04LD0DZ Occlusion of Left Common Iliac Artery with Intraluminal Device, Open Approach

04LD3DZ Occlusion of Left Common Iliac Artery with Intraluminal Device, Percutaneous Approach

04LD3ZZ Occlusion of Left Common Iliac Artery, Percutaneous Approach

04LD4DZ Occlusion of Left Common Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04LE0DZ Occlusion of Right Internal Iliac Artery with Intraluminal Device, Open Approach

04LE3DZ Occlusion of Right Internal Iliac Artery with Intraluminal Device, Percutaneous Approach

04LE3ZZ Occlusion of Right Internal Iliac Artery, Percutaneous Approach

04LE4DZ Occlusion of Right Internal Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04LF0DZ Occlusion of Left Internal Iliac Artery with Intraluminal Device, Open Approach

04LF3DZ Occlusion of Left Internal Iliac Artery with Intraluminal Device, Percutaneous Approach

04LF3ZZ Occlusion of Left Internal Iliac Artery, Percutaneous Approach

04LF4DZ Occlusion of Left Internal Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04LH0DZ Occlusion of Right External Iliac Artery with Intraluminal Device, Open Approach

CORP-224204-AB SEPT2015See page 3 for important information about the uses and limitations of this document. 42

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Peripheral Interventions

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

39.79

Other endovascular procedures on other vessels

04LH3DZ Occlusion of Right External Iliac Artery with Intraluminal Device, Percutaneous Approach

04LH3ZZ Occlusion of Right External Iliac Artery, Percutaneous Approach

04LH4DZ Occlusion of Right External Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04LJ0DZ Occlusion of Left External Iliac Artery with Intraluminal Device, Open Approach

04LJ3DZ Occlusion of Left External Iliac Artery with Intraluminal Device, Percutaneous Approach

04LJ3ZZ Occlusion of Left External Iliac Artery, Percutaneous Approach

04LJ4DZ Occlusion of Left External Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04LK0DZ Occlusion of Right Femoral Artery with Intraluminal Device, Open Approach

04LK3DZ Occlusion of Right Femoral Artery with Intraluminal Device, Percutaneous Approach

04LK3ZZ Occlusion of Right Femoral Artery, Percutaneous Approach

04LK4DZ Occlusion of Right Femoral Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04LL0DZ Occlusion of Left Femoral Artery with Intraluminal Device, Open Approach

04LL3DZ Occlusion of Left Femoral Artery with Intraluminal Device, Percutaneous Approach

04LL3ZZ Occlusion of Left Femoral Artery, Percutaneous Approach

04LL4DZ Occlusion of Left Femoral Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04LM0DZ Occlusion of Right Popliteal Artery with Intraluminal Device, Open Approach

04LM3DZ Occlusion of Right Popliteal Artery with Intraluminal Device, Percutaneous Approach

04LM3ZZ Occlusion of Right Popliteal Artery, Percutaneous Approach

04LM4DZ Occlusion of Right Popliteal Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04LN0DZ Occlusion of Left Popliteal Artery with Intraluminal Device, Open Approach

04LN3DZ Occlusion of Left Popliteal Artery with Intraluminal Device, Percutaneous Approach

04LN3ZZ Occlusion of Left Popliteal Artery, Percutaneous Approach

04LN4DZ Occlusion of Left Popliteal Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04LP0DZ Occlusion of Right Anterior Tibial Artery with Intraluminal Device, Open Approach

04LP3DZ Occlusion of Right Anterior Tibial Artery with Intraluminal Device, Percutaneous Approach

04LP3ZZ Occlusion of Right Anterior Tibial Artery, Percutaneous Approach

04LP4DZ Occlusion of Right Anterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04LQ0DZ Occlusion of Left Anterior Tibial Artery with Intraluminal Device, Open Approach

04LQ3DZ Occlusion of Left Anterior Tibial Artery with Intraluminal Device, Percutaneous Approach

04LQ3ZZ Occlusion of Left Anterior Tibial Artery, Percutaneous Approach

04LQ4DZ Occlusion of Left Anterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04LR0DZ Occlusion of Right Posterior Tibial Artery with Intraluminal Device, Open Approach

04LR3DZ Occlusion of Right Posterior Tibial Artery with Intraluminal Device, Percutaneous Approach

04LR3ZZ Occlusion of Right Posterior Tibial Artery, Percutaneous Approach

04LR4DZ Occlusion of Right Posterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04LS0DZ Occlusion of Left Posterior Tibial Artery with Intraluminal Device, Open Approach

04LS3DZ Occlusion of Left Posterior Tibial Artery with Intraluminal Device, Percutaneous Approach

04LS3ZZ Occlusion of Left Posterior Tibial Artery, Percutaneous Approach

04LS4DZ Occlusion of Left Posterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04LT0DZ Occlusion of Right Peroneal Artery with Intraluminal Device, Open Approach

04LT3DZ Occlusion of Right Peroneal Artery with Intraluminal Device, Percutaneous Approach

04LT3ZZ Occlusion of Right Peroneal Artery, Percutaneous Approach

04LT4DZ Occlusion of Right Peroneal Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04LU0DZ Occlusion of Left Peroneal Artery with Intraluminal Device, Open Approach

04LU3DZ Occlusion of Left Peroneal Artery with Intraluminal Device, Percutaneous Approach

04LU3ZZ Occlusion of Left Peroneal Artery, Percutaneous Approach

04LU4DZ Occlusion of Left Peroneal Artery with Intraluminal Device, Percutaneous Endoscopic Approach

CORP-224204-AB SEPT2015See page 3 for important information about the uses and limitations of this document. 43

Page 44: Your Map of the ICD-9 to ICD-10 PCS Conversion …...relationships between the codes in the ICD-9-CM procedure classification and the ICD-10 Procedure Code System (ICD-10-PCS). Although

Peripheral Interventions

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

39.79

Other endovascular procedures on other vessels

04LV0DZ Occlusion of Right Foot Artery with Intraluminal Device, Open Approach

04LV3DZ Occlusion of Right Foot Artery with Intraluminal Device, Percutaneous Approach

04LV3ZZ Occlusion of Right Foot Artery, Percutaneous Approach

04LV4DZ Occlusion of Right Foot Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04LW0DZ Occlusion of Left Foot Artery with Intraluminal Device, Open Approach

04LW3DZ Occlusion of Left Foot Artery with Intraluminal Device, Percutaneous Approach

04LW3ZZ Occlusion of Left Foot Artery, Percutaneous Approach

04LW4DZ Occlusion of Left Foot Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04LY0DZ Occlusion of Lower Artery with Intraluminal Device, Open Approach

04LY3DZ Occlusion of Lower Artery with Intraluminal Device, Percutaneous Approach

04LY3ZZ Occlusion of Lower Artery, Percutaneous Approach

04LY4DZ Occlusion of Lower Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04V03ZZ Restriction of Abdominal Aorta, Percutaneous Approach

04V10DZ Restriction of Celiac Artery with Intraluminal Device, Open Approach

04V13DZ Restriction of Celiac Artery with Intraluminal Device, Percutaneous Approach

04V13ZZ Restriction of Celiac Artery, Percutaneous Approach

04V14DZ Restriction of Celiac Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04V20DZ Restriction of Gastric Artery with Intraluminal Device, Open Approach

04V23DZ Restriction of Gastric Artery with Intraluminal Device, Percutaneous Approach

04V23ZZ Restriction of Gastric Artery, Percutaneous Approach

04V24DZ Restriction of Gastric Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04V30DZ Restriction of Hepatic Artery with Intraluminal Device, Open Approach

04V33DZ Restriction of Hepatic Artery with Intraluminal Device, Percutaneous Approach

04V33ZZ Restriction of Hepatic Artery, Percutaneous Approach

04V34DZ Restriction of Hepatic Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04V40DZ Restriction of Splenic Artery with Intraluminal Device, Open Approach

04V43DZ Restriction of Splenic Artery with Intraluminal Device, Percutaneous Approach

04V43ZZ Restriction of Splenic Artery, Percutaneous Approach

04V44DZ Restriction of Splenic Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04V50DZ Restriction of Superior Mesenteric Artery with Intraluminal Device, Open Approach

04V53DZ Restriction of Superior Mesenteric Artery with Intraluminal Device, Percutaneous Approach

04V53ZZ Restriction of Superior Mesenteric Artery, Percutaneous Approach

04V54DZ Restriction of Superior Mesenteric Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04V60DZ Restriction of Right Colic Artery with Intraluminal Device, Open Approach

04V63DZ Restriction of Right Colic Artery with Intraluminal Device, Percutaneous Approach

04V63ZZ Restriction of Right Colic Artery, Percutaneous Approach

04V64DZ Restriction of Right Colic Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04V70DZ Restriction of Left Colic Artery with Intraluminal Device, Open Approach

04V73DZ Restriction of Left Colic Artery with Intraluminal Device, Percutaneous Approach

04V73ZZ Restriction of Left Colic Artery, Percutaneous Approach

04V74DZ Restriction of Left Colic Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04V80DZ Restriction of Middle Colic Artery with Intraluminal Device, Open Approach

04V83DZ Restriction of Middle Colic Artery with Intraluminal Device, Percutaneous Approach

04V83ZZ Restriction of Middle Colic Artery, Percutaneous Approach

04V84DZ Restriction of Middle Colic Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04V90DZ Restriction of Right Renal Artery with Intraluminal Device, Open Approach

04V93DZ Restriction of Right Renal Artery with Intraluminal Device, Percutaneous Approach

CORP-224204-AB SEPT2015See page 3 for important information about the uses and limitations of this document. 44

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Peripheral Interventions

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

39.79

Other endovascular procedures on other vessels

04V93ZZ Restriction of Right Renal Artery, Percutaneous Approach

04V94DZ Restriction of Right Renal Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04VA0DZ Restriction of Left Renal Artery with Intraluminal Device, Open Approach

04VA3DZ Restriction of Left Renal Artery with Intraluminal Device, Percutaneous Approach

04VA3ZZ Restriction of Left Renal Artery, Percutaneous Approach

04VA4DZ Restriction of Left Renal Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04VB0DZ Restriction of Inferior Mesenteric Artery with Intraluminal Device, Open Approach

04VB3DZ Restriction of Inferior Mesenteric Artery with Intraluminal Device, Percutaneous Approach

04VB3ZZ Restriction of Inferior Mesenteric Artery, Percutaneous Approach

04VB4DZ Restriction of Inferior Mesenteric Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04VC0DZ Restriction of Right Common Iliac Artery with Intraluminal Device, Open Approach

04VC3DZ Restriction of Right Common Iliac Artery with Intraluminal Device, Percutaneous Approach

04VC3ZZ Restriction of Right Common Iliac Artery, Percutaneous Approach

04VC4DZ Restriction of Right Common Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04VD0DZ Restriction of Left Common Iliac Artery with Intraluminal Device, Open Approach

04VD3DZ Restriction of Left Common Iliac Artery with Intraluminal Device, Percutaneous Approach

04VD3ZZ Restriction of Left Common Iliac Artery, Percutaneous Approach

04VD4DZ Restriction of Left Common Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04VE0DZ Restriction of Right Internal Iliac Artery with Intraluminal Device, Open Approach

04VE3DZ Restriction of Right Internal Iliac Artery with Intraluminal Device, Percutaneous Approach

04VE3ZZ Restriction of Right Internal Iliac Artery, Percutaneous Approach

04VE4DZ Restriction of Right Internal Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04VF0DZ Restriction of Left Internal Iliac Artery with Intraluminal Device, Open Approach

04VF3DZ Restriction of Left Internal Iliac Artery with Intraluminal Device, Percutaneous Approach

04VF3ZZ Restriction of Left Internal Iliac Artery, Percutaneous Approach

04VF4DZ Restriction of Left Internal Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04VH0DZ Restriction of Right External Iliac Artery with Intraluminal Device, Open Approach

04VH3DZ Restriction of Right External Iliac Artery with Intraluminal Device, Percutaneous Approach

04VH3ZZ Restriction of Right External Iliac Artery, Percutaneous Approach

04VH4DZ Restriction of Right External Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04VJ0DZ Restriction of Left External Iliac Artery with Intraluminal Device, Open Approach

04VJ3DZ Restriction of Left External Iliac Artery with Intraluminal Device, Percutaneous Approach

04VJ3ZZ Restriction of Left External Iliac Artery, Percutaneous Approach

04VJ4DZ Restriction of Left External Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04VK0DZ Restriction of Right Femoral Artery with Intraluminal Device, Open Approach

04VK3DZ Restriction of Right Femoral Artery with Intraluminal Device, Percutaneous Approach

04VK3ZZ Restriction of Right Femoral Artery, Percutaneous Approach

04VK4DZ Restriction of Right Femoral Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04VL0DZ Restriction of Left Femoral Artery with Intraluminal Device, Open Approach

04VL3DZ Restriction of Left Femoral Artery with Intraluminal Device, Percutaneous Approach

04VL3ZZ Restriction of Left Femoral Artery, Percutaneous Approach

04VL4DZ Restriction of Left Femoral Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04VM0DZ Restriction of Right Popliteal Artery with Intraluminal Device, Open Approach

04VM3DZ Restriction of Right Popliteal Artery with Intraluminal Device, Percutaneous Approach

04VM3ZZ Restriction of Right Popliteal Artery, Percutaneous Approach

04VM4DZ Restriction of Right Popliteal Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04VN0DZ Restriction of Left Popliteal Artery with Intraluminal Device, Open Approach

CORP-224204-AB SEPT2015See page 3 for important information about the uses and limitations of this document. 45

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Peripheral Interventions

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

39.79

Other endovascular procedures on other vessels

04VN3DZ Restriction of Left Popliteal Artery with Intraluminal Device, Percutaneous Approach

04VN3ZZ Restriction of Left Popliteal Artery, Percutaneous Approach

04VN4DZ Restriction of Left Popliteal Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04VP0DZ Restriction of Right Anterior Tibial Artery with Intraluminal Device, Open Approach

04VP3DZ Restriction of Right Anterior Tibial Artery with Intraluminal Device, Percutaneous Approach

04VP3ZZ Restriction of Right Anterior Tibial Artery, Percutaneous Approach

04VP4DZ Restriction of Right Anterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04VQ0DZ Restriction of Left Anterior Tibial Artery with Intraluminal Device, Open Approach

04VQ3DZ Restriction of Left Anterior Tibial Artery with Intraluminal Device, Percutaneous Approach

04VQ3ZZ Restriction of Left Anterior Tibial Artery, Percutaneous Approach

04VQ4DZ Restriction of Left Anterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04VR0DZ Restriction of Right Posterior Tibial Artery with Intraluminal Device, Open Approach

04VR3DZ Restriction of Right Posterior Tibial Artery with Intraluminal Device, Percutaneous Approach

04VR3ZZ Restriction of Right Posterior Tibial Artery, Percutaneous Approach

04VR4DZ Restriction of Right Posterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04VS0DZ Restriction of Left Posterior Tibial Artery with Intraluminal Device, Open Approach

04VS3DZ Restriction of Left Posterior Tibial Artery with Intraluminal Device, Percutaneous Approach

04VS3ZZ Restriction of Left Posterior Tibial Artery, Percutaneous Approach

04VS4DZ Restriction of Left Posterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04VT0DZ Restriction of Right Peroneal Artery with Intraluminal Device, Open Approach

04VT3DZ Restriction of Right Peroneal Artery with Intraluminal Device, Percutaneous Approach

04VT3ZZ Restriction of Right Peroneal Artery, Percutaneous Approach

04VT4DZ Restriction of Right Peroneal Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04VU0DZ Restriction of Left Peroneal Artery with Intraluminal Device, Open Approach

04VU3DZ Restriction of Left Peroneal Artery with Intraluminal Device, Percutaneous Approach

04VU3ZZ Restriction of Left Peroneal Artery, Percutaneous Approach

04VU4DZ Restriction of Left Peroneal Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04VV0DZ Restriction of Right Foot Artery with Intraluminal Device, Open Approach

04VV3DZ Restriction of Right Foot Artery with Intraluminal Device, Percutaneous Approach

04VV3ZZ Restriction of Right Foot Artery, Percutaneous Approach

04VV4DZ Restriction of Right Foot Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04VW0DZ Restriction of Left Foot Artery with Intraluminal Device, Open Approach

04VW3DZ Restriction of Left Foot Artery with Intraluminal Device, Percutaneous Approach

04VW3ZZ Restriction of Left Foot Artery, Percutaneous Approach

04VW4DZ Restriction of Left Foot Artery with Intraluminal Device, Percutaneous Endoscopic Approach

04VY0DZ Restriction of Lower Artery with Intraluminal Device, Open Approach

04VY3DZ Restriction of Lower Artery with Intraluminal Device, Percutaneous Approach

04VY3ZZ Restriction of Lower Artery, Percutaneous Approach

04VY4DZ Restriction of Lower Artery with Intraluminal Device, Percutaneous Endoscopic Approach

05L03ZZ Occlusion of Azygos Vein, Percutaneous Approach

05L13ZZ Occlusion of Hemiazygos Vein, Percutaneous Approach

05L33ZZ Occlusion of Right Innominate Vein, Percutaneous Approach

05L43ZZ Occlusion of Left Innominate Vein, Percutaneous Approach

05L53ZZ Occlusion of Right Subclavian Vein, Percutaneous Approach

05L63ZZ Occlusion of Left Subclavian Vein, Percutaneous Approach

05L70DZ Occlusion of Right Axillary Vein with Intraluminal Device, Open Approach

05L73DZ Occlusion of Right Axillary Vein with Intraluminal Device, Percutaneous Approach

CORP-224204-AB SEPT2015See page 3 for important information about the uses and limitations of this document. 46

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Peripheral Interventions

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

39.79

Other endovascular procedures on other vessels

05L73ZZ Occlusion of Right Axillary Vein, Percutaneous Approach

05L74DZ Occlusion of Right Axillary Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05L80DZ Occlusion of Left Axillary Vein with Intraluminal Device, Open Approach

05L83DZ Occlusion of Left Axillary Vein with Intraluminal Device, Percutaneous Approach

05L83ZZ Occlusion of Left Axillary Vein, Percutaneous Approach

05L84DZ Occlusion of Left Axillary Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05L90DZ Occlusion of Right Brachial Vein with Intraluminal Device, Open Approach

05L93DZ Occlusion of Right Brachial Vein with Intraluminal Device, Percutaneous Approach

05L93ZZ Occlusion of Right Brachial Vein, Percutaneous Approach

05L94DZ Occlusion of Right Brachial Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05LA0DZ Occlusion of Left Brachial Vein with Intraluminal Device, Open Approach

05LA3DZ Occlusion of Left Brachial Vein with Intraluminal Device, Percutaneous Approach

05LA3ZZ Occlusion of Left Brachial Vein, Percutaneous Approach

05LA4DZ Occlusion of Left Brachial Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05LB0DZ Occlusion of Right Basilic Vein with Intraluminal Device, Open Approach

05LB3DZ Occlusion of Right Basilic Vein with Intraluminal Device, Percutaneous Approach

05LB3ZZ Occlusion of Right Basilic Vein, Percutaneous Approach

05LB4DZ Occlusion of Right Basilic Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05LC0DZ Occlusion of Left Basilic Vein with Intraluminal Device, Open Approach

05LC3DZ Occlusion of Left Basilic Vein with Intraluminal Device, Percutaneous Approach

05LC3ZZ Occlusion of Left Basilic Vein, Percutaneous Approach

05LC4DZ Occlusion of Left Basilic Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05LD0DZ Occlusion of Right Cephalic Vein with Intraluminal Device, Open Approach

05LD3DZ Occlusion of Right Cephalic Vein with Intraluminal Device, Percutaneous Approach

05LD3ZZ Occlusion of Right Cephalic Vein, Percutaneous Approach

05LD4DZ Occlusion of Right Cephalic Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05LF0DZ Occlusion of Left Cephalic Vein with Intraluminal Device, Open Approach

05LF3DZ Occlusion of Left Cephalic Vein with Intraluminal Device, Percutaneous Approach

05LF3ZZ Occlusion of Left Cephalic Vein, Percutaneous Approach

05LF4DZ Occlusion of Left Cephalic Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05LG0DZ Occlusion of Right Hand Vein with Intraluminal Device, Open Approach

05LG3DZ Occlusion of Right Hand Vein with Intraluminal Device, Percutaneous Approach

05LG3ZZ Occlusion of Right Hand Vein, Percutaneous Approach

05LG4DZ Occlusion of Right Hand Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05LH0DZ Occlusion of Left Hand Vein with Intraluminal Device, Open Approach

05LH3DZ Occlusion of Left Hand Vein with Intraluminal Device, Percutaneous Approach

05LH3ZZ Occlusion of Left Hand Vein, Percutaneous Approach

05LH4DZ Occlusion of Left Hand Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05LL3ZZ Occlusion of Intracranial Vein, Percutaneous Approach

05LM3ZZ Occlusion of Right Internal Jugular Vein, Percutaneous Approach

05LN3ZZ Occlusion of Left Internal Jugular Vein, Percutaneous Approach

05LP3ZZ Occlusion of Right External Jugular Vein, Percutaneous Approach

05LQ3ZZ Occlusion of Left External Jugular Vein, Percutaneous Approach

05LR3ZZ Occlusion of Right Vertebral Vein, Percutaneous Approach

05LS3ZZ Occlusion of Left Vertebral Vein, Percutaneous Approach

05LT3ZZ Occlusion of Right Face Vein, Percutaneous Approach

05LV3ZZ Occlusion of Left Face Vein, Percutaneous Approach

CORP-224204-AB SEPT2015See page 3 for important information about the uses and limitations of this document. 47

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Peripheral Interventions

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

39.79

Other endovascular procedures on other vessels

05LY0DZ Occlusion of Upper Vein with Intraluminal Device, Open Approach

05LY3ZZ Occlusion of Upper Vein, Percutaneous Approach

05V00DZ Restriction of Azygos Vein with Intraluminal Device, Open Approach

05V03DZ Restriction of Azygos Vein with Intraluminal Device, Percutaneous Approach

05V03ZZ Restriction of Azygos Vein, Percutaneous Approach

05V04DZ Restriction of Azygos Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05V10DZ Restriction of Hemiazygos Vein with Intraluminal Device, Open Approach

05V13DZ Restriction of Hemiazygos Vein with Intraluminal Device, Percutaneous Approach

05V13ZZ Restriction of Hemiazygos Vein, Percutaneous Approach

05V14DZ Restriction of Hemiazygos Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05V30DZ Restriction of Right Innominate Vein with Intraluminal Device, Open Approach

05V33DZ Restriction of Right Innominate Vein with Intraluminal Device, Percutaneous Approach

05V33ZZ Restriction of Right Innominate Vein, Percutaneous Approach

05V34DZ Restriction of Right Innominate Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05V40DZ Restriction of Left Innominate Vein with Intraluminal Device, Open Approach

05V43DZ Restriction of Left Innominate Vein with Intraluminal Device, Percutaneous Approach

05V43ZZ Restriction of Left Innominate Vein, Percutaneous Approach

05V44DZ Restriction of Left Innominate Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05V50DZ Restriction of Right Subclavian Vein with Intraluminal Device, Open Approach

05V53DZ Restriction of Right Subclavian Vein with Intraluminal Device, Percutaneous Approach

05V53ZZ Restriction of Right Subclavian Vein, Percutaneous Approach

05V54DZ Restriction of Right Subclavian Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05V60DZ Restriction of Left Subclavian Vein with Intraluminal Device, Open Approach

05V63DZ Restriction of Left Subclavian Vein with Intraluminal Device, Percutaneous Approach

05V63ZZ Restriction of Left Subclavian Vein, Percutaneous Approach

05V64DZ Restriction of Left Subclavian Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05V70DZ Restriction of Right Axillary Vein with Intraluminal Device, Open Approach

05V73DZ Restriction of Right Axillary Vein with Intraluminal Device, Percutaneous Approach

05V73ZZ Restriction of Right Axillary Vein, Percutaneous Approach

05V74DZ Restriction of Right Axillary Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05V80DZ Restriction of Left Axillary Vein with Intraluminal Device, Open Approach

05V83DZ Restriction of Left Axillary Vein with Intraluminal Device, Percutaneous Approach

05V83ZZ Restriction of Left Axillary Vein, Percutaneous Approach

05V84DZ Restriction of Left Axillary Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05V90DZ Restriction of Right Brachial Vein with Intraluminal Device, Open Approach

05V93DZ Restriction of Right Brachial Vein with Intraluminal Device, Percutaneous Approach

05V93ZZ Restriction of Right Brachial Vein, Percutaneous Approach

05V94DZ Restriction of Right Brachial Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05VA0DZ Restriction of Left Brachial Vein with Intraluminal Device, Open Approach

05VA3DZ Restriction of Left Brachial Vein with Intraluminal Device, Percutaneous Approach

05VA3ZZ Restriction of Left Brachial Vein, Percutaneous Approach

05VA4DZ Restriction of Left Brachial Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05VB0DZ Restriction of Right Basilic Vein with Intraluminal Device, Open Approach

05VB3DZ Restriction of Right Basilic Vein with Intraluminal Device, Percutaneous Approach

05VB3ZZ Restriction of Right Basilic Vein, Percutaneous Approach

05VB4DZ Restriction of Right Basilic Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05VC0DZ Restriction of Left Basilic Vein with Intraluminal Device, Open Approach

CORP-224204-AB SEPT2015See page 3 for important information about the uses and limitations of this document. 48

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Peripheral Interventions

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

39.79

Other endovascular procedures on other vessels

05VC3DZ Restriction of Left Basilic Vein with Intraluminal Device, Percutaneous Approach

05VC3ZZ Restriction of Left Basilic Vein, Percutaneous Approach

05VC4DZ Restriction of Left Basilic Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05VD0DZ Restriction of Right Cephalic Vein with Intraluminal Device, Open Approach

05VD3DZ Restriction of Right Cephalic Vein with Intraluminal Device, Percutaneous Approach

05VD3ZZ Restriction of Right Cephalic Vein, Percutaneous Approach

05VD4DZ Restriction of Right Cephalic Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05VF0DZ Restriction of Left Cephalic Vein with Intraluminal Device, Open Approach

05VF3DZ Restriction of Left Cephalic Vein with Intraluminal Device, Percutaneous Approach

05VF3ZZ Restriction of Left Cephalic Vein, Percutaneous Approach

05VF4DZ Restriction of Left Cephalic Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05VG0DZ Restriction of Right Hand Vein with Intraluminal Device, Open Approach

05VG3DZ Restriction of Right Hand Vein with Intraluminal Device, Percutaneous Approach

05VG3ZZ Restriction of Right Hand Vein, Percutaneous Approach

05VG4DZ Restriction of Right Hand Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05VH0DZ Restriction of Left Hand Vein with Intraluminal Device, Open Approach

05VH3DZ Restriction of Left Hand Vein with Intraluminal Device, Percutaneous Approach

05VH3ZZ Restriction of Left Hand Vein, Percutaneous Approach

05VH4DZ Restriction of Left Hand Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05VL0DZ Restriction of Intracranial Vein with Intraluminal Device, Open Approach

05VL3DZ Restriction of Intracranial Vein with Intraluminal Device, Percutaneous Approach

05VL3ZZ Restriction of Intracranial Vein, Percutaneous Approach

05VL4DZ Restriction of Intracranial Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05VM0DZ Restriction of Right Internal Jugular Vein with Intraluminal Device, Open Approach

05VM3DZ Restriction of Right Internal Jugular Vein with Intraluminal Device, Percutaneous Approach

05VM3ZZ Restriction of Right Internal Jugular Vein, Percutaneous Approach

05VM4DZ Restriction of Right Internal Jugular Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05VN0DZ Restriction of Left Internal Jugular Vein with Intraluminal Device, Open Approach

05VN3DZ Restriction of Left Internal Jugular Vein with Intraluminal Device, Percutaneous Approach

05VN3ZZ Restriction of Left Internal Jugular Vein, Percutaneous Approach

05VN4DZ Restriction of Left Internal Jugular Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05VP0DZ Restriction of Right External Jugular Vein with Intraluminal Device, Open Approach

05VP3DZ Restriction of Right External Jugular Vein with Intraluminal Device, Percutaneous Approach

05VP3ZZ Restriction of Right External Jugular Vein, Percutaneous Approach

05VP4DZ Restriction of Right External Jugular Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05VQ0DZ Restriction of Left External Jugular Vein with Intraluminal Device, Open Approach

05VQ3DZ Restriction of Left External Jugular Vein with Intraluminal Device, Percutaneous Approach

05VQ3ZZ Restriction of Left External Jugular Vein, Percutaneous Approach

05VQ4DZ Restriction of Left External Jugular Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05VR0DZ Restriction of Right Vertebral Vein with Intraluminal Device, Open Approach

05VR3DZ Restriction of Right Vertebral Vein with Intraluminal Device, Percutaneous Approach

05VR3ZZ Restriction of Right Vertebral Vein, Percutaneous Approach

05VR4DZ Restriction of Right Vertebral Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05VS0DZ Restriction of Left Vertebral Vein with Intraluminal Device, Open Approach

05VS3DZ Restriction of Left Vertebral Vein with Intraluminal Device, Percutaneous Approach

05VS3ZZ Restriction of Left Vertebral Vein, Percutaneous Approach

05VS4DZ Restriction of Left Vertebral Vein with Intraluminal Device, Percutaneous Endoscopic Approach

CORP-224204-AB SEPT2015See page 3 for important information about the uses and limitations of this document. 49

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Peripheral Interventions

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

39.79

Other endovascular procedures on other vessels

05VT0DZ Restriction of Right Face Vein with Intraluminal Device, Open Approach

05VT3DZ Restriction of Right Face Vein with Intraluminal Device, Percutaneous Approach

05VT3ZZ Restriction of Right Face Vein, Percutaneous Approach

05VT4DZ Restriction of Right Face Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05VV0DZ Restriction of Left Face Vein with Intraluminal Device, Open Approach

05VV3DZ Restriction of Left Face Vein with Intraluminal Device, Percutaneous Approach

05VV3ZZ Restriction of Left Face Vein, Percutaneous Approach

05VV4DZ Restriction of Left Face Vein with Intraluminal Device, Percutaneous Endoscopic Approach

05VY3DZ Restriction of Upper Vein with Intraluminal Device, Percutaneous Approach

05VY3ZZ Restriction of Upper Vein, Percutaneous Approach

06L13ZZ Occlusion of Splenic Vein, Percutaneous Approach

06L23ZZ Occlusion of Gastric Vein, Percutaneous Approach

06L33ZZ Occlusion of Esophageal Vein, Percutaneous Approach

06L43ZZ Occlusion of Hepatic Vein, Percutaneous Approach

06L53ZZ Occlusion of Superior Mesenteric Vein, Percutaneous Approach

06L63ZZ Occlusion of Inferior Mesenteric Vein, Percutaneous Approach

06L73ZZ Occlusion of Colic Vein, Percutaneous Approach

06L83ZZ Occlusion of Portal Vein, Percutaneous Approach

06L93ZZ Occlusion of Right Renal Vein, Percutaneous Approach

06LB3ZZ Occlusion of Left Renal Vein, Percutaneous Approach

06LC0DZ Occlusion of Right Common Iliac Vein with Intraluminal Device, Open Approach

06LC3DZ Occlusion of Right Common Iliac Vein with Intraluminal Device, Percutaneous Approach

06LC3ZZ Occlusion of Right Common Iliac Vein, Percutaneous Approach

06LC4DZ Occlusion of Right Common Iliac Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06LD0DZ Occlusion of Left Common Iliac Vein with Intraluminal Device, Open Approach

06LD3DZ Occlusion of Left Common Iliac Vein with Intraluminal Device, Percutaneous Approach

06LD3ZZ Occlusion of Left Common Iliac Vein, Percutaneous Approach

06LD4DZ Occlusion of Left Common Iliac Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06LF0DZ Occlusion of Right External Iliac Vein with Intraluminal Device, Open Approach

06LF3DZ Occlusion of Right External Iliac Vein with Intraluminal Device, Percutaneous Approach

06LF3ZZ Occlusion of Right External Iliac Vein, Percutaneous Approach

06LF4DZ Occlusion of Right External Iliac Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06LG0DZ Occlusion of Left External Iliac Vein with Intraluminal Device, Open Approach

06LG3DZ Occlusion of Left External Iliac Vein with Intraluminal Device, Percutaneous Approach

06LG3ZZ Occlusion of Left External Iliac Vein, Percutaneous Approach

06LG4DZ Occlusion of Left External Iliac Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06LH3ZZ Occlusion of Right Hypogastric Vein, Percutaneous Approach

06LJ3ZZ Occlusion of Left Hypogastric Vein, Percutaneous Approach

06LM0DZ Occlusion of Right Femoral Vein with Intraluminal Device, Open Approach

06LM3DZ Occlusion of Right Femoral Vein with Intraluminal Device, Percutaneous Approach

06LM3ZZ Occlusion of Right Femoral Vein, Percutaneous Approach

06LM4DZ Occlusion of Right Femoral Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06LN0DZ Occlusion of Left Femoral Vein with Intraluminal Device, Open Approach

06LN3DZ Occlusion of Left Femoral Vein with Intraluminal Device, Percutaneous Approach

06LN3ZZ Occlusion of Left Femoral Vein, Percutaneous Approach

06LN4DZ Occlusion of Left Femoral Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06LP0DZ Occlusion of Right Greater Saphenous Vein with Intraluminal Device, Open Approach

CORP-224204-AB SEPT2015See page 3 for important information about the uses and limitations of this document. 50

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Peripheral Interventions

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

39.79

Other endovascular procedures on other vessels

06LP3DZ Occlusion of Right Greater Saphenous Vein with Intraluminal Device, Percutaneous Approach

06LP3ZZ Occlusion of Right Greater Saphenous Vein, Percutaneous Approach

06LP4DZ Occlusion of Right Greater Saphenous Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06LQ0DZ Occlusion of Left Greater Saphenous Vein with Intraluminal Device, Open Approach

06LQ3DZ Occlusion of Left Greater Saphenous Vein with Intraluminal Device, Percutaneous Approach

06LQ3ZZ Occlusion of Left Greater Saphenous Vein, Percutaneous Approach

06LQ4DZ Occlusion of Left Greater Saphenous Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06LR0DZ Occlusion of Right Lesser Saphenous Vein with Intraluminal Device, Open Approach

06LR3DZ Occlusion of Right Lesser Saphenous Vein with Intraluminal Device, Percutaneous Approach

06LR3ZZ Occlusion of Right Lesser Saphenous Vein, Percutaneous Approach

06LR4DZ Occlusion of Right Lesser Saphenous Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06LS0DZ Occlusion of Left Lesser Saphenous Vein with Intraluminal Device, Open Approach

06LS3DZ Occlusion of Left Lesser Saphenous Vein with Intraluminal Device, Percutaneous Approach

06LS3ZZ Occlusion of Left Lesser Saphenous Vein, Percutaneous Approach

06LS4DZ Occlusion of Left Lesser Saphenous Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06LT0DZ Occlusion of Right Foot Vein with Intraluminal Device, Open Approach

06LT3DZ Occlusion of Right Foot Vein with Intraluminal Device, Percutaneous Approach

06LT3ZZ Occlusion of Right Foot Vein, Percutaneous Approach

06LT4DZ Occlusion of Right Foot Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06LV0DZ Occlusion of Left Foot Vein with Intraluminal Device, Open Approach

06LV3DZ Occlusion of Left Foot Vein with Intraluminal Device, Percutaneous Approach

06LV3ZZ Occlusion of Left Foot Vein, Percutaneous Approach

06LV4DZ Occlusion of Left Foot Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06LY0DZ Occlusion of Lower Vein with Intraluminal Device, Open Approach

06LY3DZ Occlusion of Lower Vein with Intraluminal Device, Percutaneous Approach

06LY3ZZ Occlusion of Lower Vein, Percutaneous Approach

06LY4DZ Occlusion of Lower Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06V10DZ Restriction of Splenic Vein with Intraluminal Device, Open Approach

06V13DZ Restriction of Splenic Vein with Intraluminal Device, Percutaneous Approach

06V13ZZ Restriction of Splenic Vein, Percutaneous Approach

06V14DZ Restriction of Splenic Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06V20DZ Restriction of Gastric Vein with Intraluminal Device, Open Approach

06V23DZ Restriction of Gastric Vein with Intraluminal Device, Percutaneous Approach

06V23ZZ Restriction of Gastric Vein, Percutaneous Approach

06V24DZ Restriction of Gastric Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06V30DZ Restriction of Esophageal Vein with Intraluminal Device, Open Approach

06V33DZ Restriction of Esophageal Vein with Intraluminal Device, Percutaneous Approach

06V33ZZ Restriction of Esophageal Vein, Percutaneous Approach

06V34DZ Restriction of Esophageal Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06V40DZ Restriction of Hepatic Vein with Intraluminal Device, Open Approach

06V43DZ Restriction of Hepatic Vein with Intraluminal Device, Percutaneous Approach

06V43ZZ Restriction of Hepatic Vein, Percutaneous Approach

06V44DZ Restriction of Hepatic Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06V50DZ Restriction of Superior Mesenteric Vein with Intraluminal Device, Open Approach

06V53DZ Restriction of Superior Mesenteric Vein with Intraluminal Device, Percutaneous Approach

06V53ZZ Restriction of Superior Mesenteric Vein, Percutaneous Approach

06V54DZ Restriction of Superior Mesenteric Vein with Intraluminal Device, Percutaneous Endoscopic Approach

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Peripheral Interventions

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

39.79

Other endovascular procedures on other vessels

06V60DZ Restriction of Inferior Mesenteric Vein with Intraluminal Device, Open Approach

06V63DZ Restriction of Inferior Mesenteric Vein with Intraluminal Device, Percutaneous Approach

06V63ZZ Restriction of Inferior Mesenteric Vein, Percutaneous Approach

06V64DZ Restriction of Inferior Mesenteric Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06V70DZ Restriction of Colic Vein with Intraluminal Device, Open Approach

06V73DZ Restriction of Colic Vein with Intraluminal Device, Percutaneous Approach

06V73ZZ Restriction of Colic Vein, Percutaneous Approach

06V74DZ Restriction of Colic Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06V80DZ Restriction of Portal Vein with Intraluminal Device, Open Approach

06V83DZ Restriction of Portal Vein with Intraluminal Device, Percutaneous Approach

06V83ZZ Restriction of Portal Vein, Percutaneous Approach

06V84DZ Restriction of Portal Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06V90DZ Restriction of Right Renal Vein with Intraluminal Device, Open Approach

06V93DZ Restriction of Right Renal Vein with Intraluminal Device, Percutaneous Approach

06V93ZZ Restriction of Right Renal Vein, Percutaneous Approach

06V94DZ Restriction of Right Renal Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06VB0DZ Restriction of Left Renal Vein with Intraluminal Device, Open Approach

06VB3DZ Restriction of Left Renal Vein with Intraluminal Device, Percutaneous Approach

06VB3ZZ Restriction of Left Renal Vein, Percutaneous Approach

06VB4DZ Restriction of Left Renal Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06VC0DZ Restriction of Right Common Iliac Vein with Intraluminal Device, Open Approach

06VC3DZ Restriction of Right Common Iliac Vein with Intraluminal Device, Percutaneous Approach

06VC3ZZ Restriction of Right Common Iliac Vein, Percutaneous Approach

06VC4DZ Restriction of Right Common Iliac Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06VD0DZ Restriction of Left Common Iliac Vein with Intraluminal Device, Open Approach

06VD3DZ Restriction of Left Common Iliac Vein with Intraluminal Device, Percutaneous Approach

06VD3ZZ Restriction of Left Common Iliac Vein, Percutaneous Approach

06VD4DZ Restriction of Left Common Iliac Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06VF0DZ Restriction of Right External Iliac Vein with Intraluminal Device, Open Approach

06VF3DZ Restriction of Right External Iliac Vein with Intraluminal Device, Percutaneous Approach

06VF3ZZ Restriction of Right External Iliac Vein, Percutaneous Approach

06VF4DZ Restriction of Right External Iliac Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06VG0DZ Restriction of Left External Iliac Vein with Intraluminal Device, Open Approach

06VG3DZ Restriction of Left External Iliac Vein with Intraluminal Device, Percutaneous Approach

06VG3ZZ Restriction of Left External Iliac Vein, Percutaneous Approach

06VG4DZ Restriction of Left External Iliac Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06VH0DZ Restriction of Right Hypogastric Vein with Intraluminal Device, Open Approach

06VH3DZ Restriction of Right Hypogastric Vein with Intraluminal Device, Percutaneous Approach

06VH3ZZ Restriction of Right Hypogastric Vein, Percutaneous Approach

06VH4DZ Restriction of Right Hypogastric Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06VJ0DZ Restriction of Left Hypogastric Vein with Intraluminal Device, Open Approach

06VJ3DZ Restriction of Left Hypogastric Vein with Intraluminal Device, Percutaneous Approach

06VJ3ZZ Restriction of Left Hypogastric Vein, Percutaneous Approach

06VJ4DZ Restriction of Left Hypogastric Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06VM0DZ Restriction of Right Femoral Vein with Intraluminal Device, Open Approach

06VM3DZ Restriction of Right Femoral Vein with Intraluminal Device, Percutaneous Approach

06VM3ZZ Restriction of Right Femoral Vein, Percutaneous Approach

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Peripheral Interventions

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

39.79

Other endovascular procedures on other vessels

06VM4DZ Restriction of Right Femoral Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06VN0DZ Restriction of Left Femoral Vein with Intraluminal Device, Open Approach

06VN3DZ Restriction of Left Femoral Vein with Intraluminal Device, Percutaneous Approach

06VN3ZZ Restriction of Left Femoral Vein, Percutaneous Approach

06VN4DZ Restriction of Left Femoral Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06VP0DZ Restriction of Right Greater Saphenous Vein with Intraluminal Device, Open Approach

06VP3DZ Restriction of Right Greater Saphenous Vein with Intraluminal Device, Percutaneous Approach

06VP3ZZ Restriction of Right Greater Saphenous Vein, Percutaneous Approach

06VP4DZ Restriction of Right Greater Saphenous Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06VQ0DZ Restriction of Left Greater Saphenous Vein with Intraluminal Device, Open Approach

06VQ3DZ Restriction of Left Greater Saphenous Vein with Intraluminal Device, Percutaneous Approach

06VQ3ZZ Restriction of Left Greater Saphenous Vein, Percutaneous Approach

06VQ4DZ Restriction of Left Greater Saphenous Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06VR0DZ Restriction of Right Lesser Saphenous Vein with Intraluminal Device, Open Approach

06VR3DZ Restriction of Right Lesser Saphenous Vein with Intraluminal Device, Percutaneous Approach

06VR3ZZ Restriction of Right Lesser Saphenous Vein, Percutaneous Approach

06VR4DZ Restriction of Right Lesser Saphenous Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06VS0DZ Restriction of Left Lesser Saphenous Vein with Intraluminal Device, Open Approach

06VS3DZ Restriction of Left Lesser Saphenous Vein with Intraluminal Device, Percutaneous Approach

06VS3ZZ Restriction of Left Lesser Saphenous Vein, Percutaneous Approach

06VS4DZ Restriction of Left Lesser Saphenous Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06VT0DZ Restriction of Right Foot Vein with Intraluminal Device, Open Approach

06VT3DZ Restriction of Right Foot Vein with Intraluminal Device, Percutaneous Approach

06VT3ZZ Restriction of Right Foot Vein, Percutaneous Approach

06VT4DZ Restriction of Right Foot Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06VV0DZ Restriction of Left Foot Vein with Intraluminal Device, Open Approach

06VV3DZ Restriction of Left Foot Vein with Intraluminal Device, Percutaneous Approach

06VV3ZZ Restriction of Left Foot Vein, Percutaneous Approach

06VV4DZ Restriction of Left Foot Vein with Intraluminal Device, Percutaneous Endoscopic Approach

06VY3DZ Restriction of Lower Vein with Intraluminal Device, Percutaneous Approach

06VY3ZZ Restriction of Lower Vein, Percutaneous Approach

02CP3ZZ Extirpation of Matter from Pulmonary Trunk, Percutaneous Approach

02CQ3ZZ Extirpation of Matter from Right Pulmonary Artery, Percutaneous Approach

02CR3ZZ Extirpation of Matter from Left Pulmonary Artery, Percutaneous Approach

02CS3ZZ Extirpation of Matter from Right Pulmonary Vein, Percutaneous Approach

02CT3ZZ Extirpation of Matter from Left Pulmonary Vein, Percutaneous Approach

02CV3ZZ Extirpation of Matter from Superior Vena Cava, Percutaneous Approach

02CW3ZZ Extirpation of Matter from Thoracic Aorta, Percutaneous Approach

03C03ZZ Extirpation of Matter from Right Internal Mammary Artery, Percutaneous Approach

03C13ZZ Extirpation of Matter from Left Internal Mammary Artery, Percutaneous Approach

03C23ZZ Extirpation of Matter from Innominate Artery, Percutaneous Approach

03C33ZZ Extirpation of Matter from Right Subclavian Artery, Percutaneous Approach

03C43ZZ Extirpation of Matter from Left Subclavian Artery, Percutaneous Approach

03C53ZZ Extirpation of Matter from Right Axillary Artery, Percutaneous Approach

03C63ZZ Extirpation of Matter from Left Axillary Artery, Percutaneous Approach

03C73ZZ Extirpation of Matter from Right Brachial Artery, Percutaneous Approach

03C83ZZ Extirpation of Matter from Left Brachial Artery, Percutaneous Approach

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Peripheral Interventions

ICD‐9Code

ICD‐9 Description

ICD‐10 PCSCode ICD‐10 PCS Description

39.79

Other endovascular procedures on other vessels

03C93ZZ Extirpation of Matter from Right Ulnar Artery, Percutaneous Approach

03CA3ZZ Extirpation of Matter from Left Ulnar Artery, Percutaneous Approach

03CB3ZZ Extirpation of Matter from Right Radial Artery, Percutaneous Approach

03CC3ZZ Extirpation of Matter from Left Radial Artery, Percutaneous Approach

03CD3ZZ Extirpation of Matter from Right Hand Artery, Percutaneous Approach

03CF3ZZ Extirpation of Matter from Left Hand Artery, Percutaneous Approach

03CY3ZZ Extirpation of Matter from Upper Artery, Percutaneous Approach

04C03ZZ Extirpation of Matter from Abdominal Aorta, Percutaneous Approach

04C13ZZ Extirpation of Matter from Celiac Artery, Percutaneous Approach

04C23ZZ Extirpation of Matter from Gastric Artery, Percutaneous Approach

04C33ZZ Extirpation of Matter from Hepatic Artery, Percutaneous Approach

04C43ZZ Extirpation of Matter from Splenic Artery, Percutaneous Approach

04C53ZZ Extirpation of Matter from Superior Mesenteric Artery, Percutaneous Approach

04C63ZZ Extirpation of Matter from Right Colic Artery, Percutaneous Approach

04C73ZZ Extirpation of Matter from Left Colic Artery, Percutaneous Approach

04C83ZZ Extirpation of Matter from Middle Colic Artery, Percutaneous Approach

04C93ZZ Extirpation of Matter from Right Renal Artery, Percutaneous Approach

04CA3ZZ Extirpation of Matter from Left Renal Artery, Percutaneous Approach

04CB3ZZ Extirpation of Matter from Inferior Mesenteric Artery, Percutaneous Approach

04CC3ZZ Extirpation of Matter from Right Common Iliac Artery, Percutaneous Approach

04CD3ZZ Extirpation of Matter from Left Common Iliac Artery, Percutaneous Approach

04CE3ZZ Extirpation of Matter from Right Internal Iliac Artery, Percutaneous Approach

04CF3ZZ Extirpation of Matter from Left Internal Iliac Artery, Percutaneous Approach

04CH3ZZ Extirpation of Matter from Right External Iliac Artery, Percutaneous Approach

04CJ3ZZ Extirpation of Matter from Left External Iliac Artery, Percutaneous Approach

04CK3ZZ Extirpation of Matter from Right Femoral Artery, Percutaneous Approach

04CL3ZZ Extirpation of Matter from Left Femoral Artery, Percutaneous Approach

04CM3ZZ Extirpation of Matter from Right Popliteal Artery, Percutaneous Approach

04CN3ZZ Extirpation of Matter from Left Popliteal Artery, Percutaneous Approach

04CP3ZZ Extirpation of Matter from Right Anterior Tibial Artery, Percutaneous Approach

04CQ3ZZ Extirpation of Matter from Left Anterior Tibial Artery, Percutaneous Approach

04CR3ZZ Extirpation of Matter from Right Posterior Tibial Artery, Percutaneous Approach

04CS3ZZ Extirpation of Matter from Left Posterior Tibial Artery, Percutaneous Approach

04CT3ZZ Extirpation of Matter from Right Peroneal Artery, Percutaneous Approach

04CU3ZZ Extirpation of Matter from Left Peroneal Artery, Percutaneous Approach

04CV3ZZ Extirpation of Matter from Right Foot Artery, Percutaneous Approach

04CW3ZZ Extirpation of Matter from Left Foot Artery, Percutaneous Approach

04CY3ZZ Extirpation of Matter from Lower Artery, Percutaneous Approach

05C03ZZ Extirpation of Matter from Azygos Vein, Percutaneous Approach

05C13ZZ Extirpation of Matter from Hemiazygos Vein, Percutaneous Approach

05C33ZZ Extirpation of Matter from Right Innominate Vein, Percutaneous Approach

05C43ZZ Extirpation of Matter from Left Innominate Vein, Percutaneous Approach

05C53ZZ Extirpation of Matter from Right Subclavian Vein, Percutaneous Approach

05C63ZZ Extirpation of Matter from Left Subclavian Vein, Percutaneous Approach

05C73ZZ Extirpation of Matter from Right Axillary Vein, Percutaneous Approach

05C83ZZ Extirpation of Matter from Left Axillary Vein, Percutaneous Approach

05C93ZZ Extirpation of Matter from Right Brachial Vein, Percutaneous Approach

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Rhythm Management and Electrophysiology

ICD‐9Code ICD‐9 Description ICD‐10 PCS

Code ICD‐10 PCS Description

00.50

Implantation of cardiac resynchronization pacemaker without mention of defibrillation, total system [CRT-P]

0JH607ZInsertion of Cardiac Resynchronization Pacemaker Pulse Generator into Chest Subcutaneous Tissue and Fascia, Open Approach

0JH637ZInsertion of Cardiac Resynchronization Pacemaker Pulse Generator into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach

0JH807ZInsertion of Cardiac Resynchronization Pacemaker Pulse Generator into Abdomen Subcutaneous Tissue and Fascia, Open Approach

0JH837ZInsertion of Cardiac Resynchronization Pacemaker Pulse Generator into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach

02HK3JZ Insertion of Pacemaker Lead into Right Ventricle, Percutaneous Approach

02HK4JZ Insertion of Pacemaker Lead into Right Ventricle, Percutaneous Endoscopic Approach

02HL3JZ Insertion of Pacemaker Lead into Left Ventricle, Percutaneous Approach

02HL4JZ Insertion of Pacemaker Lead into Left Ventricle, Percutaneous Endoscopic Approach

02H43JZ Insertion of Pacemaker Lead into Coronary Vein, Percutaneous Approach

02H44JZ Insertion of Pacemaker Lead into Coronary Vein, Percutaneous Endoscopic Approach

02H63JZ Insertion of Pacemaker Lead into Right Atrium, Percutaneous Approach

02H64JZ Insertion of Pacemaker Lead into Right Atrium, Percutaneous Endoscopic Approach

00.51

Implantation of cardiac resynchronization defibrillator, total system [CRT-D]

0JH609ZInsertion of Cardiac Resynchronization Defibrillator Pulse Generator into Chest Subcutaneous Tissue and Fascia, Open Approach

0JH639ZInsertion of Cardiac Resynchronization Defibrillator Pulse Generator into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach

0JH809ZInsertion of Cardiac Resynchronization Defibrillator Pulse Generator into Abdomen Subcutaneous Tissue and Fascia, Open Approach

0JH839ZInsertion of Cardiac Resynchronization Defibrillator Pulse Generator into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach

02HK3KZ Insertion of Defibrillator Lead into Right Ventricle, Percutaneous Approach

02HK4KZ Insertion of Defibrillator Lead into Right Ventricle, Percutaneous Endoscopic Approach

02HL3KZ Insertion of Defibrillator Lead into Left Ventricle, Percutaneous Approach

02HL4KZ Insertion of Defibrillator Lead into Left Ventricle, Percutaneous Endoscopic Approach

00.52

Implantation or replacement of transvenous lead [electrode] into left ventricular coronary venous system

02H43JZ Insertion of Pacemaker Lead into Coronary Vein, Percutaneous Approach

02PA4MZ Removal of Cardiac Lead from Heart, Percutaneous Endoscopic Approach

02PA0MZ Removal of Cardiac Lead from Heart, Open Approach

02PA3MZ Removal of Cardiac Lead from Heart, Percutaneous Approach

0.53

Implantation or replacement of cardiac resynchronization pacemaker pulse generator only [CRT-P]

0JH607ZInsertion of Cardiac Resynchronization Pacemaker Pulse Generator into Chest Subcutaneous Tissue and Fascia, Open Approach

0JH637ZInsertion of Cardiac Resynchronization Pacemaker Pulse Generator into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach

0JPT0PZRemoval of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Open Approach

0JPT3PZRemoval of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Percutaneous Approach

0JH807ZInsertion of Cardiac Resynchronization Pacemaker Pulse Generator into Abdomen Subcutaneous Tissue and Fascia, Open Approach

0JH837ZInsertion of Cardiac Resynchronization Pacemaker Pulse Generator into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach

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Rhythm Management and Electrophysiology

ICD‐9Code ICD‐9 Description ICD‐10 PCS

Code ICD‐10 PCS Description

00.54

Implantation or replacement of cardiac resynchronization defibrillator pulse generator device only [CRT-D]

0JH609ZInsertion of Cardiac Resynchronization Defibrillator Pulse Generator into Chest Subcutaneous Tissue and Fascia, Open Approach

0JH639ZInsertion of Cardiac Resynchronization Defibrillator Pulse Generator into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach

0JPT0PZRemoval of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Open Approach

0JPT3PZRemoval of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Percutaneous Approach

0JH809ZInsertion of Cardiac Resynchronization Defibrillator Pulse Generator into Abdomen Subcutaneous Tissue and Fascia, Open Approach

0JH839ZInsertion of Cardiac Resynchronization Defibrillator Pulse Generator into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach

37.20Noninvasive programmed electrical stimulation [NIPS]

4A02X4Z Measurement of Cardiac Electrical Activity, External Approach

4A02XFZ Measurement of Cardiac Rhythm, External Approach

37.26

Catheter based invasive electrophysiologic testing Electrophysiologic studies [EPS]

02K80ZZ Map Conduction Mechanism, Open Approach

02K83ZZ Map Conduction Mechanism, Percutaneous Approach

02K84ZZ Map Conduction Mechanism, Percutaneous Endoscopic Approach

37.27 Cardiac mapping

02K80ZZ Map Conduction Mechanism, Open Approach

02K83ZZ Map Conduction Mechanism, Percutaneous Approach

02K84ZZ Map Conduction Mechansim, Percustaneous Endoscopic Approach

37.28Intracardiacechocardiography [ICE]

B244YZZ Ultrasonography of Right Heart using Other Contrast

B244ZZZ Ultrasonography of Right Heart

B245YZZ Ultrasonography of Left Heart using Other Contrast

B245ZZZ Ultrasonography of Left Heart

B246YZZ Ultrasonography of Right and Left Heart using Other Contrast

B246ZZZ Ultrasonography of Right and Left Heart

B24DYZZ Ultrasonography of Pediatric Heart using Other Contrast

B24DZZZ Ultrasonography of Pediatric Heart

37.29Other diagnosticprocedures on heart andpericardium

4A023FZ Measurement of Cardiac Rhythm, Percutaneous Approach

37.34 Excision or destruction of other lesion or tissue of heart, endovascular approach

02563ZZ Destruction of Right Atrium, Percutaneous Approach

02573ZZ Destruction of Left Atrium, Percutaneous Approach

025K3ZZ Destruction of Right Ventricle, Percutaneous Approach

025L3ZZ Destruction of Left Ventricle, Percutaneous Approach

02B63ZZ Excision of Right Atrium, Percutaneous Approach

02B73ZZ Excision of Left Atrium, Percutaneous Approach

02BK3ZZ Excision of Right Ventricle, Percutaneous Approach

02BL3ZZ Excision of Left Ventricle, Percutaneous Approach

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Rhythm Management and Electrophysiology

ICD‐9Code ICD‐9 Description ICD‐10 PCS

Code ICD‐10 PCS Description

37.70 Initial insertion of lead [electrode], not otherwise specified

02H44JZ Insertion of Pacemaker Lead into Coronary Vein, Percutaneous Endoscopic Approach

02H44MZ Insertion of Cardiac Lead into Coronary Vein, Percutaneous Endoscopic Approach

02H43JZ Insertion of Pacemaker Lead into Coronary Vein, Percutaneous Approach

02H43MZ Insertion of Cardiac Lead into Coronary Vein, Percutaneous Approach

02H63JZ Insertion of Pacemaker Lead into Right Atrium, Percutaneous Approach

02H63MZ Insertion of Cardiac Lead into Right Atrium, Percutaneous Approach

02H64JZ Insertion of Pacemaker Lead into Right Atrium, Percutaneous Endoscopic Approach

02H64MZ Insertion of Cardiac Lead into Right Atrium, Percutaneous Endoscopic Approach

02H73JZ Insertion of Pacemaker Lead into Left Atrium, Percutaneous Approach

02H73MZ Insertion of Cardiac Lead into Left Atrium, Percutaneous Approach

02H74JZ Insertion of Pacemaker Lead into Left Atrium, Percutaneous Endoscopic Approach

02H74MZ Insertion of Cardiac Lead into Left Atrium, Percutaneous Endoscopic Approach

02HK3JZ Insertion of Pacemaker Lead into Right Ventricle, Percutaneous Approach

02HK3MZ Insertion of Cardiac Lead into Right Ventricle, Percutaneous Approach

02HK4JZ Insertion of Pacemaker Lead into Right Ventricle, Percutaneous Endoscopic Approach

02HK4MZ Insertion of Cardiac Lead into Right Ventricle, Percutaneous Endoscopic Approach

02HL3JZ Insertion of Pacemaker Lead into Left Ventricle, Percutaneous Approach

02HL3MZ Insertion of Cardiac Lead into Left Ventricle, Percutaneous Approach

02HL4JZ Insertion of Pacemaker Lead into Left Ventricle, Percutaneous Endoscopic Approach

37.71Initial insertion of transvenous lead [electrode] into ventricle

02HK3JZ Insertion of Pacemaker Lead into Right Ventricle, Percutaneous Approach

02HL3JZ Insertion of Pacemaker Lead into Left Ventricle, Percutaneous Approach

02HK4JZ Insertion of Pacemaker Lead into Right Ventricle, Percutaneous Endoscopic Approach

02HL4JZ Insertion of Pacemaker Lead into Left Ventricle, Percutaneous Endoscopic Approach

37.72

Initial insertion of transvenous leads [electrodes] into atrium and ventricle

02H64JZ Insertion of Pacemaker Lead into Right Atrium, Percutaneous Endoscopic Approach

02H74JZ Insertion of Pacemaker Lead into Left Atrium, Percutaneous Endoscopic Approach

02HK4JZ Insertion of Pacemaker Lead into Right Ventricle, Percutaneous Endoscopic Approach

02HL4JZ Insertion of Pacemaker Lead into Left Ventricle, Percutaneous Endoscopic Approach

37.73Initial insertion of transvenous lead [electrode] into atrium

02H64JZ Insertion of Pacemaker Lead into Right Atrium, Percutaneous Endoscopic Approach

02H74JZ Insertion of Pacemaker Lead into Left Atrium, Percutaneous Endoscopic Approach

37.74Insertion or replacement of epicardial lead [electrode] into epicardium

02HN0JZ Insertion of Pacemaker Lead into Pericardium, Open Approach

02HN0MZ Insertion of Cardiac Lead into Pericardium, Open Approach

02HN3JZ Insertion of Pacemaker Lead into Pericardium, Percutaneous Approach

02HN3MZ Insertion of Cardiac Lead into Pericardium, Percutaneous Approach

02HN4JZ Insertion of Pacemaker Lead into Pericardium, Percutaneous Endoscopic Approach

02HN4MZ Insertion of Cardiac Lead into Pericardium, Percutaneous Endoscopic Approach

02PA0MZ Removal of Cardiac Lead from Heart, Open Approach

02PA3MZ Removal of Cardiac Lead from Heart, Percutaneous Approach

02PA4MZ Removal of Cardiac Lead from Heart, Percutaneous Endoscopic Approach

02HN0KZ Insertion of Defibrillator Lead into Pericardium, Open Approach

02HN3KZ Insertion of Defibrillator Lead into Pericardium, Percutaneous Approach

02HN4KZ Insertion of Defibrillator Lead into Pericardium, Percutaneous Endoscopic Approach

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Rhythm Management and Electrophysiology

ICD‐9Code ICD‐9 Description ICD‐10 PCS

Code ICD‐10 PCS Description

37.75 Revision of lead [electrode]

02WA0MZ Revision of Cardiac Lead in Heart, Open Approach

02WA3MZ Revision of Cardiac Lead in Heart, Percutaneous Approach

02WA4MZ Revision of Cardiac Lead in Heart, Percutaneous Endoscopic Approach

0JWT0PZRevision of Cardiac Rhythm Related Device in Trunk Subcutaneous Tissue and Fascia, Open Approach

37.76 Replacement of transvenous atrial and/or ventricular lead(s) [electrode]

02H63JZ Insertion of Pacemaker Lead into Right Atrium, Percutaneous Approach

02H64JZ Insertion of Pacemaker Lead into Right Atrium, Percutaneous Endoscopic Approach

02H73JZ Insertion of Pacemaker Lead into Left Atrium, Percutaneous Approach

02H74JZ Insertion of Pacemaker Lead into Left Atrium, Percutaneous Endoscopic Approach

02HK3JZ Insertion of Pacemaker Lead into Right Ventricle, Percutaneous Approach

02HK4JZ Insertion of Pacemaker Lead into Right Ventricle, Percutaneous Endoscopic Approach

02HL3JZ Insertion of Pacemaker Lead into Left Ventricle, Percutaneous Approach

02HL4JZ Insertion of Pacemaker Lead into Left Ventricle, Percutaneous Endoscopic Approach

37.77 Removal of lead(s) [electrode] without replacement

02PA0MZ Removal of Cardiac Lead from Heart, Open Approach

02PA3MZ Removal of Cardiac Lead from Heart, Percutaneous Approach

02PA4MZ Removal of Cardiac Lead from Heart, Percutaneous Endoscopic Approach

02PAXMZ Removal of Cardiac Lead from Heart, External Approach

37.78Revision or relocation of cardiac device pocket

5A1213Z Performance of Cardiac Pacing, Intermittent

5A1223Z Performance of Cardiac Pacing, Continuous

37.79 Revision or relocation of cardiac device pocket

0JWT0PZRevision of Cardiac Rhythm Related Device in Trunk Subcutaneous Tissue and Fascia, Open Approach

0JPTOPZRemoval of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Open Approach

OJPT3PZRemoval of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Percutaneous Approach

02WA3MZ Revision of Cardiac Lead in Heart, Percutaneous Approach

02WA4MZ Revision of Cardiac Lead in Heart, Percutaneous Endoscopic Approach

02WA0MZ Revision of Cardiac Lead in Heart, Open Approach

0JH632Z Insertion of Monitoring Device into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach

0JH602Z Insertion of Monitoring Device into Chest Subcutaneous Tissue and Fascia, Open Approach

0JH832ZInsertion of Monitoring Device into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach

0JH802Z Insertion of Monitoring Device into Abdomen Subcutaneous Tissue and Fascia, Open Approach

37.80

Insertion of permanent pacemaker, initial or replacement, type of device not specified

0JH60PZInsertion of Cardiac Rhythm Related Device into Chest Subcutaneous Tissue and Fascia, Open Approach

0JH63PZInsertion of Cardiac Rhythm Related Device into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach

0JH80PZInsertion of Cardiac Rhythm Related Device into Abdomen Subcutaneous Tissue and Fascia, Open Approach

0JH83PZInsertion of Cardiac Rhythm Related Device into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach

0JPT0PZRemoval of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Open Approach

0JPT3PZRemoval of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Percutaneous Approach

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ICD‐9Code ICD‐9 Description ICD‐10 PCS

Code ICD‐10 PCS Description

37.81 Initial insertion of single-Chamber device; not specified as rate responsive

0JH604Z Insertion of Pacemaker, Single Chamber into Chest Subcutaneous Tissue and Fascia, Open Approach

0JH634ZInsertion of Pacemaker, Single Chamber into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach

0JH804ZInsertion of Pacemaker, Single Chamber into Abdomen Subcutaneous Tissue and Fascia, Open Approach

0JH834ZInsertion of Pacemaker, Single Chamber into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach

37.82Initial insertion of single-Chamber device, rate responsive

0JH605ZInsertion of Pacemaker, Single Chamber Rate Responsive into Chest Subcutaneous Tissue and Fascia, Open Approach

0JH635ZInsertion of Pacemaker, Single Chamber Rate Responsive into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach

0JH805ZInsertion of Pacemaker, Single Chamber Rate Responsive into Abdomen Subcutaneous Tissue and Fascia, Open Approach

0JH835ZInsertion of Pacemaker, Single Chamber Rate Responsive into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach

37.83Initial insertion of dual-Chamber device

0JH606Z Insertion of Pacemaker, Dual Chamber into Chest Subcutaneous Tissue and Fascia, Open Approach

0JH636ZInsertion of Pacemaker, Dual Chamber into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach

0JH806ZInsertion of Pacemaker, Dual Chamber into Abdomen Subcutaneous Tissue and Fascia, Open Approach

0JH836ZInsertion of Pacemaker, Dual Chamber into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach

37.85

Replacement of any type pacemaker device with single-chamber device, not specified as rate responsive

0JH604Z Insertion of Pacemaker, Single Chamber into Chest Subcutaneous Tissue and Fascia, Open Approach

0JH634ZInsertion of Pacemaker, Single Chamber into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach

0JH804ZInsertion of Pacemaker, Single Chamber into Abdomen Subcutaneous Tissue and Fascia, Open Approach

0JH834ZInsertion of Pacemaker, Single Chamber into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach

0JPT0PZRemoval of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Open Approach

0JPT3PZRemoval of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Percutaneous Approach

37.86

Replacement of any type of pacemaker device with single-Chamber device rate responsive

0JH605ZInsertion of Pacemaker, Single Chamber Rate Responsive into Chest Subcutaneous Tissue and Fascia, Open Approach

0JH635ZInsertion of Pacemaker, Single Chamber Rate Responsive into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach

0JH805ZInsertion of Pacemaker, Single Chamber Rate Responsive into Abdomen Subcutaneous Tissue and Fascia, Open Approach

0JH835ZInsertion of Pacemaker, Single Chamber Rate Responsive into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach

0JPT0PZRemoval of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Open Approach

0JPT3PZRemoval of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Percutaneous Approach

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ICD‐9Code ICD‐9 Description ICD‐10 PCS

Code ICD‐10 PCS Description

37.87Replacement of any type pacemaker device with dual-Chamber device

0JH606Z Insertion of Pacemaker, Dual Chamber into Chest Subcutaneous Tissue and Fascia, Open Approach

0JH636ZInsertion of Pacemaker, Dual Chamber into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach

0JH806ZInsertion of Pacemaker, Dual Chamber into Abdomen Subcutaneous Tissue and Fascia, Open Approach

0JH836ZInsertion of Pacemaker, Dual Chamber into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach

0JPT0PZRemoval of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Open Approach

0JPT3PZRemoval of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Percutaneous Approach

37.89Revision or removal of pacemaker device

0JPT0PZRemoval of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Open Approach

0JPT3PZRemoval of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Percutaneous Approach

0JWT0PZ Revision of Cardiac Rhythm Related Device in Trunk Subcutaneous Tissue and Fascia, Open Approach

0JWT3PZRevision of Cardiac Rhythm Related Device in Trunk Subcutaneous Tissue and Fascia, Percutaneous Approach

37.90Insertion of left atrial appendage device

02L73DK Occlusion of Left Atrial Appendage with Intraluminal Device, Percutaneous Approach

37.94

Implantation or replacement of automatic cardioverter/defibrillator, total system [AICD]

02H63KZ Insertion of Defibrillator Lead into Right Atrium, Percutaneous Approach

02H64KZ Insertion of Defibrillator Lead into Right Atrium, Percutaneous Endoscopic Approach

02H73KZ Insertion of Defibrillator Lead into Left Atrium, Percutaneous Approach

02H74KZ Insertion of Defibrillator Lead into Left Atrium, Percutaneous Endoscopic Approach

02HK3KZ Insertion of Defibrillator Lead into Right Ventricle, Percutaneous Approach

02HK4KZ Insertion of Defibrillator Lead into Right Ventricle, Percutaneous Endoscopic Approach

02HL3KZ Insertion of Defibrillator Lead into Left Ventricle, Percutaneous Approach

02HL4KZ Insertion of Defibrillator Lead into Left Ventricle, Percutaneous Endoscopic Approach

02PA0MZ Removal of Cardiac Lead from Heart, Open Approach

02PA3MZ Removal of Cardiac Lead from Heart, Percutaneous Approach

02PA4MZ Removal of Cardiac Lead from Heart, Percutaneous Endoscopic Approach

0JH608Z Insertion of Defibrillator Generator into Chest Subcutaneous Tissue and Fascia, Open Approach

0JH638ZInsertion of Defibrillator Generator into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach

0JH808Z Insertion of Defibrillator Generator into Abdomen Subcutaneous Tissue and Fascia, Open Approach

0JH838ZInsertion of Defibrillator Generator into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach

0JPT0PZRemoval of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Open Approach

0JPT3PZRemoval of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Percutaneous Approach

0JH60PZInsertion of Cardiac Rhythm Related Device into Chest Subcutaneous Tissue and Fascia, Open Approach

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Rhythm Management and Electrophysiology

ICD‐9Code ICD‐9 Description ICD‐10 PCS

Code ICD‐10 PCS Description

37.95 Implantation of automatic cardioverter/defibrillator lead(s) only

02H63KZ Insertion of Defibrillator Lead into Right Atrium, Percutaneous Approach

02H73KZ Insertion of Defibrillator Lead into Left Atrium, Percutaneous Approach

02HK3KZ Insertion of Defibrillator Lead into Right Ventricle, Percutaneous Approach

02HL3KZ Insertion of Defibrillator Lead into Left Ventricle, Percutaneous Approach

0JH60PZInsertion of Cardiac Rhythm Related Device into Chest Subcutaneous Tissue and Fascia, Open Approach

37.96 Implantation of automatic cardioverter/defibrillator pulse generator only

0JH608Z Insertion of Defibrillator Generator into Chest Subcutaneous Tissue and Fascia, Open Approach

0JH638ZInsertion of Defibrillator Generator into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach

0JH808Z Insertion of Defibrillator Generator into Abdomen Subcutaneous Tissue and Fascia, Open Approach

0JH838ZInsertion of Defibrillator Generator into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach

37.97Replacement of automatic cardioverter/defibrillator lead(s) only

02H63KZ Insertion of Defibrillator Lead into Right Atrium, Percutaneous Approach

02H64KZ Insertion of Defibrillator Lead into Right Atrium, Percutaneous Endoscopic Approach

02H73KZ Insertion of Defibrillator Lead into Left Atrium, Percutaneous Approach

02H74KZ Insertion of Defibrillator Lead into Left Atrium, Percutaneous Endoscopic Approach

02HK3KZ Insertion of Defibrillator Lead into Right Ventricle, Percutaneous Approach

02HK4KZ Insertion of Defibrillator Lead into Right Ventricle, Percutaneous Endoscopic Approach

02HL3KZ Insertion of Defibrillator Lead into Left Ventricle, Percutaneous Approach

02HL4KZ Insertion of Defibrillator Lead into Left Ventricle, Percutaneous Endoscopic Approach

02PA0MZ Removal of Cardiac Lead from Heart, Open Approach

02PA3MZ Removal of Cardiac Lead from Heart, Percutaneous Approach

02PA4MZ Removal of Cardiac Lead from Heart, Percutaneous Endoscopic Approach

0JH60PZInsertion of Cardiac Rhythm Related Device into Chest Subcutaneous Tissue and Fascia, Open Approach

0JPTOPZRemoval of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Open Approach

37.98 Replacement of automatic cardioverter/defibrillator pulse generator only

0JH608Z Insertion of Defibrillator Generator into Chest Subcutaneous Tissue and Fascia, Open Approach

0JH638ZInsertion of Defibrillator Generator into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach

0JH808Z Insertion of Defibrillator Generator into Abdomen Subcutaneous Tissue and Fascia, Open Approach

0JH838ZInsertion of Defibrillator Generator into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach

0JPT0PZRemoval of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Open Approach

0JPT3PZRemoval of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Percutaneous Approach

0JH608Z Insertion of Defibrillator Generator into Chest Subcutaneous Tissue and Fascia, Open Approach

89.45Artificial pacemaker rate check

4B02XSZ Measurement of Cardiac Pacemaker, External Approach

89.46Artificial pacemaker artifact wave form check

4B02XSZ Measurement of Cardiac Pacemaker, External Approach

89.47Artificial pacemaker electrode impedance check

4B02XSZ Measurement of Cardiac Pacemaker, External Approach

89.48Artificial pacemaker voltage or amperage threshold check

4B02XSZ Measurement of Cardiac Pacemaker, External Approach

89.49Automatic implantable cardioverter/defibrillator (AICD) check

4B02XTZ Measurement of Cardiac Defibrillator, External Approach

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ICD‐9Code ICD‐9 Description ICD‐10 PCS

Code ICD‐10 PCS Description

40.3 Regional lymph node excision

07B30ZZ Excision of Right Upper Extremity Lymphatic, Open Approach

07B34ZZExcision of Right Upper Extremity Lymphatic, Percutaneous Endoscopic Approach

07BC3ZZ Excision of Pelvis Lymphatic, Percutaneous Approach

07BC0ZZ Excision of Pelvis Lymphatic, Open Approach

07BC4ZZ Excision of Pelvis Lymphatic, Percutaneous Endoscopic Approach

07BG4ZZExcision of Left Lower Extremity Lymphatic, Percutaneous Endoscopic Approach

07BG0ZZ Excision of Left Lower Extremity Lymphatic, Open Approach

07BF0ZZ Excision of Right Lower Extremity Lymphatic, Open Approach

07BF4ZZExcision of Right Lower Extremity Lymphatic, Percutaneous Endoscopic Approach

07BD4ZZ Excision of Aortic Lymphatic, Percutaneous Endoscopic Approach

07BD0ZZ Excision of Aortic Lymphatic, Open Approach

07BD3ZZ Excision of Aortic Lymphatic, Percutaneous Approach

07B00ZZ Excision of Head Lymphatic, Open Approach

07B04ZZ Excision of Head Lymphatic, Percutaneous Endoscopic Approach

07B40ZZ Excision of Left Upper Extremity Lymphatic, Open Approach

07B44ZZExcision of Left Upper Extremity Lymphatic, Percutaneous Endoscopic Approach

07B70ZZ Excision of Thorax Lymphatic, Open Approach

07B74ZZ Excision of Thorax Lymphatic, Percutaneous Endoscopic Approach

07BB4ZZ Excision of Mesenteric Lymphatic, Percutaneous Endoscpic Approach

07BB0ZZ Excision of Mesenteric Lymphatic, Open Approach

40.53 Radical excision of iliac lymph nodes

07BC0ZZ Excision of Pelvis Lymphatic, Open Approach

07TC4ZZ Resection of Pelvis Lymphatic, Percutaneous Endoscopic Approach

07TC0ZZ Resection of Pelvis Lymphatic, Open Approach

40.59 Radical excision of other lymph nodes

07B80ZZ Excision of Right Internal Mammary Lymphatic, Open Approach

07B90ZZ Excision of Left Internal Mammary Lymphatic, Open Approach

07T90ZZ Resection of Left Internal Mammary Lymphatic, Open Approach

07T94ZZResection of Left Internal Mammary Lymphatic, Percutaneous Endoscopic Approach

07T80ZZ Resection of Right Internal Mammary Lymphatic, Open Approach

07T84ZZResection of Right Internal Mammary Lymphatic, Percutaneous Endoscopic Approach

55.03 Percutaneous nephrostomy without fragmentation

0T9030Z Drainage of Right Kidney with Drainage Device, Perc Approach

0T9040Z Drainage of Right Kidney with Drain Dev, Perc Endo Approach

0T9130Z Drainage of Left Kidney with Drainage Device, Perc Approach

0T9140Z Drainage of Left Kidney with Drain Dev, Perc Endo Approach

0TC03ZZ Extirpation of Matter from Right Kidney, Perc Approach

0TC04ZZ Extirpation of Matter from Right Kidney, Perc Endo Approach

0TC13ZZ Extirpation of Matter from Left Kidney, Perc Approach

0TC14ZZ Extirpation of Matter from Left Kidney, Perc Endo Approach

OTC43ZZ Extirpation of Matter from Left Kidney Pelvis, Percutaneous Approach

OTC44ZZExtirpation of Matter from Left Kidney Pelvis, Percutaneous Endoscopic Approach

55.04 Percutaneous nephrostomy with fragmentation

0TF33ZZ Fragmentation in Right Kidney Pelvis, Percutaneous Approach

0TF43ZZ Fragmentation in Left Kidney Pelvis, Percutaneous Approach

0TF44ZZ Fragmentation in Left Kidney Pelvis, Perc Endo Approach

OTF34ZZ Fragmentation in Right Kidney Pelvis, Percutaneous Endoscopic Approach

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ICD‐9Code ICD‐9 Description ICD‐10 PCS

Code ICD‐10 PCS Description

56.0Transurethral removal of obstruction from ureter and renal pelvis

0TC37ZZ Extirpation of Matter from Right Kidney Pelvis, Via Opening

0TC38ZZ Extirpation of Matter from Right Kidney Pelvis, Endo

0TC47ZZ Extirpation of Matter from Left Kidney Pelvis, Via Opening

0TC48ZZ Extirpation of Matter from Left Kidney Pelvis, Endo

0TC67ZZ Extirpation of Matter from Right Ureter, Via Opening

0TC68ZZ Extirpation of Matter from Right Ureter, Endo

0TC77ZZ Extirpation of Matter from Left Ureter, Via Opening

0TC78ZZ Extirpation of Matter from Left Ureter, Endo

57.0 Transuretheral clearance of bladder

0T9B7ZZ Drainage of Bladder, Via Natural or Artificial Opening

0T9B8ZZ Drainage of Bladder, Endo

0TCB7ZZ Extirpation of Matter from Bladder, Via Opening

0TCB8ZZ Extirpation of Matter from Bladder, Endo

59.95 Utrasonic Fragmentation of Urinary Stones

0TF30ZZ Fragmentation in Right Kidney Pelvis, Open Approach

0TF37ZZ Fragmentation in Right Kidney Pelvis, Via Opening

0TF38ZZ Fragmentation in Right Kidney Pelvis, Endo

0TF40ZZ Fragmentation in Left Kidney Pelvis, Open Approach

0TF47ZZ Fragmentation in Left Kidney Pelvis, Via Opening

0TF48ZZ Fragmentation in Left Kidney Pelvis, Endo

0TF60ZZ Fragmentation in Left Kidney Pelvis, Endo

0TF63ZZ Fragmentation in Right Ureter, Percutaneous Approach

0TF64ZZ Fragmentation in Right Ureter, Percutaneous Endoscopic Approach

0TF67ZZ Fragmentation in Right Ureter, Via Natural or Artificial Opening

0TF68ZZ Fragmentation in Right Ureter, Via Natural or Artificial Opening Endoscopic

0TF70ZZ Fragmentation in Right Ureter, Perc Endo Approach

0TF73ZZ Fragmentation in Left Ureter, Percutaneous Approach

0TF74ZZ Fragmentation in Left Ureter, Perc Endo Approach

0TF77ZZ Fragmentation in Left Ureter, Via Opening

0TF78ZZ Fragmentation in Left Ureter, Endo

0TFB0ZZ Fragmentation in Bladder, Open Approach

0TFB3ZZ Fragmentation in Bladder, Percutaneous Approach

0TFB4ZZ Fragmentation in Bladder, Percutaneous Endoscopic Approach

0TFB7ZZ Fragmentation in Bladder, Via Natural or Artificial Opening

0TFB8ZZ Fragmentation in Bladder, Endo

0TFC0ZZ Fragmentation in Bladder Neck, Open Approach

0TFC3ZZ Fragmentation in Bladder Neck, Percutaneous Approach

0TFC4ZZ Fragmentation in Bladder Neck, Perc Endo Approach

0TFC7ZZ Fragmentation in Bladder Neck, Via Opening

0TFC8ZZ Fragmentation in Bladder Neck, Endo

0TFD0ZZ Fragmentation in Urethra, Open Approach

0TFD3ZZ Fragmentation in Urethra, Percutaneous Approach

0TFD4ZZ Fragmentation in Urethra, Percutaneous Endoscopic Approach

0TFD7ZZ Fragmentation in Urethra, Via Natural or Artificial Opening

0TFD8ZZ Fragmentation in Urethra, Endo

0WFR0ZZ Fragmentation in Genitourinary Tract, Open Approach

0WFR3ZZ Fragmentation in Genitourinary Tract, Percutaneous Approach

0WFR4ZZ Fragmentation in Genitourinary Tract, Perc Endo Approach

0WFR7ZZ Fragmentation in Genitourinary Tract, Via Opening

0WFR8ZZFragmentation in Genitourinary Tract, Via Natural or Artificial Opening Endoscopic

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ICD‐9Code ICD‐9 Description ICD‐10 PCS

Code ICD‐10 PCS Description

60.21 Transurethral guided laser induced prostatectomy

0V508ZZ Destruction of Prostate, Via Natural or Artificial Opening Endoscopic

0V507ZZ Destruction of Prostate, Via Natural or Artificial Opening

0VT07ZZ Resection of Prostate, Via Natural or Artificial Opening

0VT08ZZ Resection of Prostate, Via Natural or Artificial Opening Endoscopic

0VB07ZZ Excision of Prostate, Via Natural or Artificial Opening

0VB08ZZ Excision of Prostate, Via Natural or Artificial Opening Endoscopic

60.29 Other transurethral prostatectomy

0VB07ZZ Excision of Prostate, Via Natural or Artificial Opening

0VB08ZZ Excision of Prostate, Endo

0VT07ZZ Resection of Prostate, Via Natural or Artificial Opening

0VT08ZZ Resection of Prostate, Endo

60.30 Suprapubic prostatectomy; transvesical prostatectomy 0VT00ZZ Resection of Prostate, Open Approach

60.4 Retropubic prostatecotmy 0VT00ZZ Resection of Prostate, Open Approach

60.5 Radical postatectomy

0VT00ZZ Resection of Prostate, Open Approach

0VT04ZZ Resection of Prostate, Percutaneous Endoscopic Approach

0VT07ZZ Resection of Prostate, Via Natural or Artificial Opening

0VT08ZZ Resection of Prostate, Endo

0VT30ZZ Resection of Bilateral Seminal Vesicles, Open Approach

0VT34ZZ Resection of Bilateral Seminal Vesicles, Perc Endo Approach

60.93 Repair of prostate

0VQ00ZZ Repair Prostate, Open Approach

0VQ03ZZ Repair Prostate, Percutaneous Approach

0VQ04ZZ Repair Prostate, Percutaneous Endoscopic Approach

0VQ07ZZ Repair Prostate, Via Natural or Artificial Opening

0VQ08ZZ Repair Prostate, Endo

0VN07ZZ Release Prosate, Via Natural or Artificial Opening

0VN08ZZ Release Prostate, Via Natural or Artificial Opening Endoscopic

0VN03ZZ Release Prostate, Percutaneous Approach

0VN00ZZ Release Prostate, Open Approach

0VN04ZZ Release Prostate, Percutaneous Endoscopic Approach

98.51 Extracorporeal shockwave lithotripsy (ESWL) of the kidney, ureter and/or bladder

0TF3XZZ Fragmentation in Right Kidney Pelvis, External Approach

0TF4XZZ Fragmentation in Left Kidney Pelvis, External Approach

0TF6XZZ Fragmentation in Right Ureter, External Approach

0TF7XZZ Fragmentation in Left Ureter, External Approach

0TFBXZZ Fragmentation in Bladder, External Approach

0TFCXZZ Fragmentation in Bladder Neck, External Approach

0WFRXZZ Fragmentation in Genitourinary Tract, External Approach

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ICD‐9Code ICD‐9 Description ICD‐10 PCS

Code ICD‐10 PCS Description

59.4 Suprapubic sling operation0TSC0ZZ Reposition Bladder Neck, Open Approach

0TSC4ZZ Reposition Bladder Neck, Percutaneous Endoscopic Approach

59.71 Levator muscle operation for urethrovesical suspension

0TUC07Z Supplement Bladder Neck with Autol Sub, Open Approach

0TUC0KZ Supplement Bladder Neck with Autol Sub, Open Approach

0TUC47Z Supplement Bladder Neck with Autol Sub, Perc Endo Approach

0TUC4KZ Supplement Bladder Neck with Nonaut Sub, Perc Endo Approach

0TUC77Z Supplement Bladder Neck with Autol Sub, Via Opening

0TUC7KZ Supplement Bladder Neck with Nonaut Sub, Via Opening

0TUC87Z Supplement Bladder Neck with Autol Sub, Endo

0TUC8KZ Supplement Bladder Neck with Nonaut Sub, Endo

59.79 Other repairs of stress incontinence

0TQD0ZZ Repair Urethra, Open Approach

0TQD3ZZ Repair Urethra, Percutaneous Approach

0TQD4ZZ Repair Urethra, Percutaneous Endoscopic Approach

0TQD7ZZ Repair Urethra, Via Natural or Artificial Opening

0TQD8ZZ Repair Urethra, Via Natural or Artificial Opening Endoscopic

0TQDXZZ Repair Urethra, External Approach

0TUC0JZ Supplement Bladder Neck with Synth Sub, Via Opening

0TUC4JZ Supplement Bladder Neck with Synth Sub, Perc Endo Approach

0TUC7JZ Supplement Bladder Neck with Synth Sub, Via Opening

0TUC8JZ Supplement Bladder Neck with Synthetic Substitute, Endo

59.79 Other repairs of stress incontinence

0TQD0ZZ Repair Urethra, Open Approach

0TQD3ZZ Repair Urethra, Percutaneous Approach

0TQD4ZZ Repair Urethra, Percutaneous Endoscopic Approach

0TQD7ZZ Repair Urethra, Via Natural or Artificial Opening

0TQD8ZZ Repair Urethra, Via Natural or Artificial Opening Endoscopic

0TQDXZZ Repair Urethra, External Approach

0TUC0JZ Supplement Bladder Neck with Synth Sub, Via Opening

0TUC4JZ Supplement Bladder Neck with Synth Sub, Perc Endo Approach

0TUC7JZ Supplement Bladder Neck with Synth Sub, Via Opening

0TUC8JZ Supplement Bladder Neck with Synthetic Substitute, Endo

70.51 Repair of cystocele 0JQC3ZZ Repair Pelvic Subcu/Fascia, Perc Approach

0JQC0ZZ Repair Pelvic Region Subcutaneous Tissue and Fascia, Open Approach

70.54Repair of cystocele with graft or prosthesis (anterior colporrhaphy)

0JUC0KZ Supplement Pelvic Subcu/Fascia w Nonaut Sub, Open

0JUC0JZSupplement of Pelvic Region Subcutaneous Tissue and Fascia with Synthetic Substitute, Open Approach

0JUC3JZSupplement of Pelvic Region Subcutaneous Tissue and Fascia with Synthetic Substitute, Percutaneous Approach

0JUC3KZSupplement of Pelvic Region Subcutaneous Tissue and Fascia with Nonautologous Tissue Substitute, Percutaneous Approach

70.77 Vaginal suspension and fixation

0USG0ZZ Reposition Vagina, Open Approach

0USG4ZZ Reposition Vagina, Percutaneous Endoscopic Approach

0USGXZZ Reposition Vagina, External Approach

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Pelvic Health

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ICD‐9Code ICD‐9 Description ICD‐10 PCS

Code ICD‐10 PCS Description

70.78 Vaginal suspension and fixation with graft or prosthesis

0UUG07Z Supplement Vagina with Autol Sub, Open Approach

0UUG0JZ Supplement Vagina with Synthetic Substitute, Open Approach

0UUG0KZ Supplement Vagina with Nonaut Sub, Open Approach

0UUG47Z Supplement Vagina with Autol Sub, Perc Endo Approach

0UUG4JZ Supplement Vagina with Synth Sub, Perc Endo Approach

0UUG4KZ Supplement Vagina with Nonaut Sub, Perc Endo Approach

0UUG77Z Supplement Vagina with Autol Sub, Via Opening

0UUG7JZ Supplement Vagina with Synthetic Substitute, Via Opening

0UUG7KZ Supplement Vagina with Nonaut Sub, Via Opening

0UUG87Z Supplement Vagina with Autologous Tissue Substitute, Endo

0UUG8JZ Supplement Vagina with Synthetic Substitute, Endo

0UUG8KZSupplement Vagina with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic

70.95 Insertion of synthetic graft or prosthesis

0UUG0JZ Supplement Vagina with Synthetic Substitute, Open Approach

0UUG7JZ Supplement Vagina with Synthetic Substitute, Via Opening

0UUG8JZ Supplement Vagina with Synthetic Substitute, Endo

0UUG4JZ Supplement Vagina with Synth Sub, Perc Endo Approach

0UUGXJZ Supplement Vagina with Synthetic Subsitute, External Approach

0UUF0JZ Supplement Cul-de-sac with Synthetic Subsitute, Open Approach

0UUF4JZSupplement Cul-de-sac with Synthetic Subsitute, Percutaneous Endoscopic Approach

0UUF8JZSupplement Cul-de-sac with Synthetic Subsitute, Via Natural or Artificial Opening Endoscopic

0UUF7JZSupplement Cul-de-sac with Synthetic Subsitute, Via Natural or Artificial Opening