ICD-10-PCS · ICD-10-PCS Tables that have changed this year are shown in table format in the following pages. Each table shown in the addenda replaces the table from the previous

2020 ICD-10-PCS CODE AND TABLE UPDATES

Cross reference notations compiled by TruCode and are for informational purposes only. Source: https://www.cms.gov/medicare/coding/icd10/index.html

While every effort has been made to ensure complete and accurate information, it’s possible that inaccuracies may exist.

PCS detailed changes report FY 2020

Contents

Table 001

1. Body Part Character 6 – Cerebral Ventricle

a. New Qualifier Character

i. A -Subgaleal Space

Table 021

1. Body Part Character

a. W- Thoracic Aorta, Descending

b. X – Thoracic Aorta, Ascending/Arch

i. New Qualifier Character

1. A – Innominate Artery

Table 02H

1. New Body Part Characters

a. 0-Coronary Artery – One Artery

b. 1-Coronary Artery – Two Arteries

c. 2-Coronary Artery – Three Arteries

d. 3-Coronary Artery – Four or More Arteries

Table 02U


a. 0-Coronary Artery – One Artery

b. 1-Coronary Artery – Two Arteries

c. 2-Coronary Artery – Three Arteries

d. 3-Coronary Artery – Four or More Arteries

Table 031


a. 2- Innominate Artery

b. 3 and 4 - Subclavian Artery -Right and Left

c. 5 and 6 - Axillary Artery – Right and Left

d. 7 and 8- Brachial Artery -Right and Left


1. W- Lower Extremity vein


a. 9 -Ulnar Artery Right

b. B- Radial Artery Right

c. A- Ulnar Artery Left

d. C- Radial Artery Left

i. New Approach Character

1. 3- Percutaneous

Table 037


a. 0 and 1-Internal Mammary – Right and Left

b. 2 – Innominate Artery

c. 3 and 4 – Subclavian Artery – Right and Left

d. 5 and 6 – Axillary Artery – Right and Left

e. 7 and 8 – Brachial Artery – Right and Left

f. 9 and A – Ulnar Artery – Right and Left

g. B and C – Radial Artery – Right and Left

h. D and F – Hand Artery – Right and Left

i. G – Intracranial Artery

j. H and J – Common Carotid Artery – Right and Left

k. K and L – Internal Carotid Artery – Right and Left

l. M and N – External Carotid Artery – Right and Left

m. P and Q – Vertebral Artery – Right and Left

n. R – Face Artery

o. S and T – Temporal Artery – Right and Left

p. U and V – Thyroid Artery – Right and Left

q. Y – Upper Artery

i. Remove Qualifier Character

1. 6- Bifurcation

Table 03C


a. 0 and 1 – Internal Mammary Artery – Right and Left

b. 2 – Innominate Artery

c. 3 and 4 – Subclavian Artery – Right and Left

d. 5 and 6 – Axillary Artery – Right and Left

e. 7 and 8 – Brachial Artery – Right and Left

f. 9 and A – Ulnar Artery – Right and Left

g. B and C – Radial Artery – Right and Left

h. D and F – Hand Artery – Right and Left

i. G – Intracranial Artery

j. H and J – Common Carotid Artery – Right and Left

k. K and L – Internal Carotid Artery – Right and Left

l. M and N – External Carotid Artery – Right and Left

m. P and Q – Vertebral Artery – Right and Left

n. R – Face Artery

o. S and T – Temporal Artery – Right and Left

p. U and V – Thyroid Artery – Right and Left

q. Y – Upper Artery


1. 6- Bifurcation

Table 03V


a. G – Intracranial Artery

b. H and J – Common Carotid Artery – Right and Left

c. K and L – Internal Carotid Artery – Right and Left

d. M and N – External Carotid Artery – Right and Left

e. P and Q -Vertebral Artery – Right and Left

i. New Device Character

1. H- Intraluminal Device, Flow Diverter

Table 047


a. 0 – Abdominal Artery

b. 1 – Celiac Artery

c. 2- Gastric Artery

d. 3 – Hepatic Artery

e. 4 – Splenic Artery

f. 5 – Superior Mesenteric Artery

g. 6, 7 and 8 – Colic Artery – Right, Left and Middle

h. 9 and A – Renal Artery - Right and Left

i. B – Interior Mesenteric Artery

j. C and D – Common Iliac Artery – Right and Left

k. E and F – Internal Iliac Artery – Right and Left

l. H and J – External Iliac Artery – Right and Left

m. K and L – Femoral Artery – Right and Left

n. M and N – Popliteal Artery – Right and Left

o. P and Q – Anterior Tibial Artery – Right and Left

p. R and S – Posterior Tibial Artery – Right and Left

q. T and U – Peroneal Artery – Right and Left

r. V and W – Foot Artery – Right and Left

s. Y – Lower Artery


1. 6- Bifurcation

Table 04C


a. 0 – Abdominal Artery

b. 1 – Celiac Artery

c. 2- Gastric Artery

d. 3 – Hepatic Artery

e. 4 – Splenic Artery

f. 5 – Superior Mesenteric Artery

g. 6, 7 and 8 – Colic Artery – Right, Left and Middle

h. 9 and A – Renal Artery - Right and Left

i. B – Interior Mesenteric Artery

j. C and D – Common Iliac Artery – Right and Left

k. E and F – Internal Iliac Artery – Right and Left

l. H and J – External Iliac Artery – Right and Left

m. K and L – Femoral Artery – Right and Left

n. M and N – Popliteal Artery – Right and Left

o. P and Q – Anterior Tibial Artery – Right and Left

p. R and S – Posterior Tibial Artery – Right and Left

q. T and U – Peroneal Artery – Right and Left

r. V and W – Foot Artery – Right and Left

s. Y – Lower Artery


1. 6- Bifurcation

Table 04V


a. 0- Abdominal Aorta


1. 6- Bifurcation

Table 06L


a. 2- Gastric Vein

i. Add Approach Character

1. 7- Via Natural or Artificial Opening

2. 8- Via Natural or Artificial Opening Endoscopic

b. 3 – Esophageal Vein

i. Moved to new line in table 06L

Table 09U

1. Add Body Part Character

a. B- Mastoid Sinus, Right

b. C- Mastoid Sinus, Left

c. L – Nasal Turbinate

d. P- Accessory Sinus

e. Q and R - Maxillary Sinus – Right and Left

f. S and T - Frontal Sinus – Right and Left

g. U and V Ethmoid Sinus – Right and Left

h. W and X Sphenoid Sinus – Right and Left

Table 0D1


a. 8- Small Intestine

b. E- Large Intestine

2. Add Qualifier Character

c. 8- Small Intestine

d. E- Large Intestine

Table 0DX


a. E – Large Intestine

i. Add Qualifier Character

1. 7 – Vagina

2. E – Large Intestine

e. Moved to new line in table 0DX

Table 0H0


a. T, U and V – Breast -Right, Left and Bilateral

i. Remove Approach Character

1. X- External

Table 0H5




1. X- External


a. W and X – Nipple – Right and Left

i. Moved to a new line on table OHD

Table 0H9


a. T, U, and V -Breast – Right, Left and Bilateral


1. X- External

b. W and X – Nipple – Right and Left

i. Moved to a new line in table 0H9

Table 0HB


a. T, U, and V -Breast – Right, Left and Bilateral

b. Y – Supernumerary Breast


1. X- External

c. W and X – Nipple – Right and Left

i. Move to a new line in table 0HB

Table 0HC


a. T, U, V – Breast – Right, Left and Bilateral


1. X- External


i. Move to a new line in table 0HC

Table OHD


a. T- Breast, Right

b. U- Breast, Left

c. V- Breast, Bilateral

d. Y- Supernumerary Breast

2. Add Approach Character

a. 0- Open

Table 0HH


a. T and U and V – Breast – Right, Left and Bilateral


1. X-External

b. V – Breast Bilateral

i. Moved to a new line in table 0HH


Table 0HJ


a. T and U – Breast – Right and Left


1. X-External

Table 0HN


a. T, U and V – Breast – Right, Left and Bilateral


1. X-External


i. Move to a new line in table 0HN

Table 0HP


a. T and U – Breast – Right and Left


1. X-External

Table 0HQ


a. T, U and V – Breast – Right, Left and Bilateral

b. Y – Supernumerary Breast


1. X-External


i. Moved to a new line on table 0HQ

Table 0HR


a. 0 – Skin Scalp

b. 1 – Skin Face

c. 2 and 3 – Skin Ear – Right and Left

d. 4 – Skin Neck

e. 5 – Skin Chest

f. 6 -Skin Back

g. 7 – Skin Abdomen

h. 8 – Skin Buttock

i. 9 – Skin Perineum

j. A- Skin Inguinal

k. B and C – Skin Right Upper Arm – Right and Left

l. D and E – Skin Right Lower Arm – Right and Left

m. F and G – Skin Hand – Right and Left

n. H and J – Skin Upper Leg – Right and Left

o. K and L – Skin Lower Leg – Right and Left

p. M and N – Skin Foot – Right and Left

i. Add Qualifier Character

1. 2-Cell Suspension Technique

ii. Moved to a new line in table 0HR


a. T, U, V – Right, Left and Bilateral Breast


1. X-External

Table 0HU




1. X-External


i. Move to a new line in table 0HU

Table 0HW


a. T and U– Breast – Right and Left


1. X-External

Table 0JH


a. 6- Subcutaneous Tissue and Fascia, Chest

i. Add Device Character

1. F – Subcutaneous Defibrillator Lead

b. 8 – Subcutaneous Tissue and Fascia, Abdomen

i. Moved to a new line in table 0JH

Table 0JP


a. T – Subcutaneous Tissue and Fascia Trunk



Table 0JW


a. T – Subcutaneous Tissue and Fascia Trunk



Table 0PH


a. F and G – Humeral Shaft – Right and Left


1. 7 – Internal Fixation Device Intramedullary Limb Lengthening

b. C and D – Humeral Head – Right and Left

c. H and J – Radius – Right and Left

d. K and L – Ulna – Right and Left

i. Moved to a new line in table 0PH

Table 0QH


a. 8 and 9 – Femoral Shaft – Right and Left

b. G and H – Tibia – Right and Left


1. Internal Fixation Device Intramedullary Limb Lengthening

c. 6 and 7 – Upper Femur – Right and Left

d. B and C – Lower Femur – Right and Left

e. J and K – Fibula – Right and Left

i. Moved to a new line in table 0QH

Table 0WC

1. New Body Part Character

a. 4 and 5 – Jaw – Upper and Lower

Table 302


a. 3 – Peripheral Vein

b. 4 – Central Vein

i. New Substance Character

1. U – Stem Cells, T-Cell Depleted Hematopoietic

2. Remove Body Part Character

a. 5 – Peripheral Artery

b. 6 – Central Artery

Table 3E0


a. M – Peritoneal Cavity


1. Y – Hyperthermic

ii. Moved to a new line in table 3E0

b. L – Pleural Cavity

i. Moved to a new line in table 3E0

Table 3E1


a. U – Joints

i. New Approach Character

1. 4 – Percutaneous endoscopic

Table 4A1


a. 6 – Lymphatic

i. New Qualifier Value

1. H – Indocyanine Green Dye


Table 5A1


a. 5 – Circulatory

i. New Duration Character

1. A- Intraoperative

Table 8E0


a. 9 -Head and Neck Region

i. New Method Character

1. E – Fluorescence Guided Procedure

ii. New Qualifier Character

1. M – Aminolevulinic Acid

iii. Moved to a new line in table 8E0

b. W – Trunk Region




c. X – Upper Extremity

d. Y- Lower Extremity



Table D01


a. 0 – Brain

b. 1 – Brain Stem

c. 6 – Spinal Cord

d. 7- Peripheral Nerve


1. 1 – Unidirectional Source

ii. Moved to new lines in table D01

Table D71


a. 0 – Bone Marrow

b. 1 – Thymus

c. 3 – Lymphatics Neck

d. 4 – Lymphatics Axillary

e. 5 – Lymphatics Thorax

f. 6 -Lymphatics Abdomen

g. 7 – Lymphatics Pelvis

h. 8 – Lymphatics Inguinal




Table D81


a. 0 – Eye




Table D91


a. 0 – Ear

b. 1 – Nose

c. 3 – Hypopharynx

d. 4 – Mouth

e. 5 – Tongue

f. 6 – Salivary Glands

g. 7 – Sinuses

h. 8 – Hard Palate

i. 9 – Soft Palate

j. B – Larynx

k. D – Nasopharynx

l. F – Oropharynx



ii. New lines in table D91

Table DB1


a. 0 -Trachea

b. 1 – Bronchus

c. 2 – Lung

d. 5 – Pleura

e. 6 – Mediastinum

f. 7 – Chest Wall

g. 8 – Diaphragm



ii. Moved to new line in table DB1

Table DD1


a. 0 – Esophagus

b. 1 – Stomach

c. 2 – Duodenum

d. 3 – Jejunum

e. 4 – Ileum

f. 5 – Colon

g. 7 – Rectum



ii. Moved to new line in table DD1

Table DF1


a. 0 – Liver

b. 1 – Gallbladder

c. 2 – Bile Ducts

d. 3 – Pancreas



ii. Moved to new line in table DF1

Table DG1


a. 0 – Pituitary Gland

b. 1 – Pineal Body

c. 2 – Adrenal Glands

d. 4 – Parathyroid Glands

e. 5 – Thyroid



ii. Moved to new line in table DG1

Table DM1


a. 0 and 1 – Breast – Right and Left



ii. Moved to new line in table DM1

Table DT1


a. 0 – Kidney

b. 1 – Ureter

c. 2 – Bladder

d. 3 – Urethra


1. 1 -Unidirectional Source

ii. Moved to new line in table DT1

Table DU1


a. 0 – Ovary

b. 1 – Cervix

c. 2 – Uterus


1. 1- Unidirectional Source

ii. Moved to new line in table DU1

Table DV1


a. 0 – Prostate

b. 1 – Testis



ii. Moved to new line in table DV1

Table DW1


a. 0 – Cranial Cavity

b. K – Upper Back

c. L – Lower Back

d. P – Gastrointestinal Tract

e. Q – Respiratory Tract

f. R – Genitourinary Tract

g. X- Upper Extremity

h. Y – Lower Extremity


1. Unidirectional Source

2. Body Part Characters

a. 1 – Head and Neck

b. 2 – Chest

c. 3 – Abdomen

d. 6 – Pelvic Region



ii. Moved to new line in table DW1

Table X27

1. New Table

a. Body Part Character

i. H and J– Femoral Artery – Right and Left

ii. K and L – Popliteal Artery Proximal – Right and Left

iii. M and N –Popliteal Artery Distal – Right and Left

iv. P and Q – Anterior Tibial Artery -Right and Left

v. R and S – Anterior Tibial Artery – Right and Left

vi. T and U – Peroneal Artery – Right and Left

b. Approach Character

i. 3 – Percutaneous

c. Device Character

i. 8, 9, B and C – Intraluminal Device, Sustained Release Drug- Eluting – 1, 2,

3 and 4 or More

d. Qualifier Character

i. 5 – New Technology

Table X2A


a. 6 – Aortic Arch

Table XT2

1. New Table


i. 5 – Kidney


i. X- External

c. Technology Character

i. E – Fluorescent Pyrazine


i. New Technology Group 5

Table XW0


a. 1 – Subcutaneous Tissue


1. W – Caplacizumab




i. Revise Substance Description

1. 7 – Coagulation Factor Xa, Inactivated





1. K – Fosfomycin Anti-Infective

2. N – Meropenem-vaborbactam Anti-Infective

3. Q – Tagraxofusp- erzs Antineoplastic

4. S – Lobenguane I-131 Antineoplastic

5. U- Imipenem-cilastatin-relebactam Anti-Infective

6. W – Caplacizumab


a. D- Mouth and Pharynx


1. J – Apalutamide Antineoplastic

2. L - Erdafitnib Antineoplastic

3. R – Venetoclax Antineoplastic

4. T – Ruxolitnib

5. V – Gilteritinib Antineoplastic

Table XXE

1. New Table


i. 5 – Circulatory


i. X- External

c. Technology Character

i. M – Infection, Whole Blood Nucleic Acid -Base Microbial Detection


i. 5 – New Technology

ICD-10 Procedure Coding System(ICD-10-PCS)

2020 Tables Addenda

ICD-10-PCS Tables that have changed this year are shown in table format in the following pages. Each table shown in the addenda replaces the table from the previous year.

001

Section 0 Medical and SurgicalNo change Body System 0 Central Nervous System and Cranial Nerves

Operation 1 Bypass: Altering the route of passage of the contents of a tubular body partHeading Body Part Approach Device QualifierFY2020 6 Cerebral Ventricle 0 Open

3 Percutaneous4 PercutaneousEndoscopic

7 Autologous TissueSubstituteJ Synthetic SubstituteK Nonautologous TissueSubstitute

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

No change 6 Cerebral Ventricle 0 Open3 Percutaneous4 PercutaneousEndoscopic

Z No Device B Cerebral Cisterns

No change U Spinal Canal 0 Open3 Percutaneous4 PercutaneousEndoscopic


2 Atrium4 Pleural Cavity6 Peritoneal Cavity7 Urinary Tract9 Fallopian Tube

HighlightNew qualifier character

Highlight

021

Section 0 Medical and SurgicalNo change Body System 2 Heart and Great Vessels

Operation 1 Bypass: Altering the route of passage of the contents of a tubular body partHeading Body Part Approach Device QualifierNo change 0 Coronary Artery, One

Artery1 Coronary Artery, TwoArteries2 Coronary Artery, ThreeArteries3 Coronary Artery, Four orMore Arteries

0 Open 8 Zooplastic Tissue9 Autologous Venous TissueA Autologous Arterial TissueJ Synthetic SubstituteK Nonautologous TissueSubstitute

3 Coronary Artery8 Internal Mammary, Right9 Internal Mammary, LeftC Thoracic ArteryF Abdominal ArteryW Aorta

No change 0 Coronary Artery, OneArtery1 Coronary Artery, TwoArteries2 Coronary Artery, ThreeArteries3 Coronary Artery, Four orMore Arteries

0 Open Z No Device 3 Coronary Artery8 Internal Mammary, Right9 Internal Mammary, LeftC Thoracic ArteryF Abdominal Artery


3 Percutaneous 4 Intraluminal Device, Drug-elutingD Intraluminal Device

4 Coronary Vein


4 PercutaneousEndoscopic

4 Intraluminal Device, Drug-elutingD Intraluminal Device

4 Coronary Vein



8 Zooplastic Tissue9 Autologous Venous TissueA Autologous Arterial TissueJ Synthetic SubstituteK Nonautologous TissueSubstitute

3 Coronary Artery8 Internal Mammary, Right9 Internal Mammary, LeftC Thoracic ArteryF Abdominal ArteryW Aorta



Z No Device 3 Coronary Artery8 Internal Mammary, Right9 Internal Mammary, LeftC Thoracic ArteryF Abdominal Artery

No change 6 Atrium, Right 0 Open4 PercutaneousEndoscopic


P Pulmonary TrunkQ Pulmonary Artery, RightR Pulmonary Artery, Left

No change 6 Atrium, Right 0 Open4 PercutaneousEndoscopic

Z No Device 7 Atrium, LeftP Pulmonary TrunkQ Pulmonary Artery, RightR Pulmonary Artery, Left

No change 6 Atrium, Right 3 Percutaneous Z No Device 7 Atrium, LeftNo change 7 Atrium, Left

V Superior Vena Cava0 Open4 PercutaneousEndoscopic

8 Zooplastic Tissue9 Autologous Venous TissueA Autologous Arterial TissueJ Synthetic SubstituteK Nonautologous TissueSubstituteZ No Device

P Pulmonary TrunkQ Pulmonary Artery, RightR Pulmonary Artery, LeftS Pulmonary Vein, RightT Pulmonary Vein, LeftU Pulmonary Vein,Confluence

No change K Ventricle, RightL Ventricle, Left

0 Open4 PercutaneousEndoscopic


P Pulmonary TrunkQ Pulmonary Artery, RightR Pulmonary Artery, Left

No change K Ventricle, RightL Ventricle, Left


Z No Device 5 Coronary Circulation8 Internal Mammary, Right9 Internal Mammary, LeftC Thoracic ArteryF Abdominal ArteryP Pulmonary TrunkQ Pulmonary Artery, RightR Pulmonary Artery, LeftW Aorta

No change P Pulmonary TrunkQ Pulmonary Artery, RightR Pulmonary Artery, Left



A Innominate ArteryB SubclavianD Carotid

FY2020 W Thoracic Aorta,Descending

0 Open 8 Zooplastic Tissue9 Autologous Venous TissueA Autologous Arterial TissueJ Synthetic SubstituteK Nonautologous TissueSubstitute

A Innominate ArteryB SubclavianD CarotidF Abdominal ArteryG Axillary ArteryH Brachial ArteryP Pulmonary TrunkQ Pulmonary Artery, RightR Pulmonary Artery, LeftV Lower Extremity Artery


0 Open Z No Device A Innominate ArteryB SubclavianD CarotidP Pulmonary TrunkQ Pulmonary Artery, RightR Pulmonary Artery, Left




A Innominate ArteryB SubclavianD CarotidP Pulmonary TrunkQ Pulmonary Artery, RightR Pulmonary Artery, Left

FY2020 X Thoracic Aorta,Ascending/Arch



A Innominate ArteryB SubclavianD CarotidP Pulmonary TrunkQ Pulmonary Artery, RightR Pulmonary Artery, Left



Highlight


Highlight

Highlight


02H


Operation H Insertion: Putting in a nonbiological appliance that monitors, assists, performs, orprevents a physiological function but does not physically take the place of a body part

Heading Body Part Approach Device QualifierFY2020 0 Coronary Artery, One

Artery1 Coronary Artery, TwoArteries2 Coronary Artery, ThreeArteries3 Coronary Artery, Four orMore Arteries

0 Open3 Percutaneous4 PercutaneousEndoscopic

D Intraluminal DeviceY Other Device

Z No Qualifier

No change 4 Coronary Vein6 Atrium, Right7 Atrium, LeftK Ventricle, RightL Ventricle, Left


0 Monitoring Device,Pressure Sensor2 Monitoring Device3 Infusion DeviceD Intraluminal DeviceJ Cardiac Lead, PacemakerK Cardiac Lead, DefibrillatorM Cardiac LeadN Intracardiac PacemakerY Other Device

Z No Qualifier

No change A Heart 0 Open3 Percutaneous4 PercutaneousEndoscopic

Q Implantable Heart AssistSystemY Other Device

Z No Qualifier

No change A Heart 0 Open3 Percutaneous4 PercutaneousEndoscopic

R Short-term External HeartAssist System

J IntraoperativeS BiventricularZ No Qualifier

No change N Pericardium 0 Open3 Percutaneous4 PercutaneousEndoscopic

0 Monitoring Device,Pressure Sensor2 Monitoring DeviceJ Cardiac Lead, PacemakerK Cardiac Lead, DefibrillatorM Cardiac LeadY Other Device

Z No Qualifier

No change P Pulmonary TrunkQ Pulmonary Artery, RightR Pulmonary Artery, LeftS Pulmonary Vein, RightT Pulmonary Vein, LeftV Superior Vena CavaW Thoracic Aorta,Descending


0 Monitoring Device,Pressure Sensor2 Monitoring Device3 Infusion DeviceD Intraluminal DeviceY Other Device

Z No Qualifier

No change X Thoracic Aorta,Ascending/Arch


0 Monitoring Device,Pressure Sensor2 Monitoring Device3 Infusion DeviceD Intraluminal Device

Z No Qualifier

HighlightNew body part character

02U


Operation U Supplement: Putting in or on biological or synthetic material that physically reinforcesand/or augments the function of a portion of a body part

Heading Body Part Approach Device QualifierFY2020 0 Coronary Artery, One

Artery1 Coronary Artery, TwoArteries2 Coronary Artery, ThreeArteries3 Coronary Artery, Four orMore Arteries5 Atrial Septum6 Atrium, Right7 Atrium, Left9 Chordae TendineaeA HeartD Papillary MuscleH Pulmonary ValveK Ventricle, RightL Ventricle, LeftM Ventricular SeptumN PericardiumP Pulmonary TrunkQ Pulmonary Artery, RightR Pulmonary Artery, LeftS Pulmonary Vein, RightT Pulmonary Vein, LeftV Superior Vena CavaW Thoracic Aorta,DescendingX Thoracic Aorta,Ascending/Arch


7 Autologous TissueSubstitute8 Zooplastic TissueJ Synthetic SubstituteK Nonautologous TissueSubstitute

Z No Qualifier

No change F Aortic Valve 0 Open3 Percutaneous4 PercutaneousEndoscopic


J Truncal ValveZ No Qualifier

No change G Mitral Valve 0 Open3 Percutaneous4 PercutaneousEndoscopic


E Atrioventricular Valve, LeftZ No Qualifier

No change J Tricuspid Valve 0 Open3 Percutaneous4 PercutaneousEndoscopic


G Atrioventricular Valve,RightZ No Qualifier


031

Section 0 Medical and SurgicalNo change Body System 3 Upper Arteries

Operation 1 Bypass: Altering the route of passage of the contents of a tubular body partHeading Body Part Approach Device QualifierFY2020 2 Innominate Artery 0 Open 9 Autologous Venous Tissue

A Autologous Arterial TissueJ Synthetic SubstituteK Nonautologous TissueSubstituteZ No Device

0 Upper Arm Artery, Right1 Upper Arm Artery, Left2 Upper Arm Artery, Bilateral3 Lower Arm Artery, Right4 Lower Arm Artery, Left5 Lower Arm Artery, Bilateral6 Upper Leg Artery, Right7 Upper Leg Artery, Left8 Upper Leg Artery, Bilateral9 Lower Leg Artery, RightB Lower Leg Artery, LeftC Lower Leg Artery, BilateralD Upper Arm VeinF Lower Arm VeinJ Extracranial Artery, RightK Extracranial Artery, LeftW Lower Extremity Vein

FY2020 3 Subclavian Artery, Right4 Subclavian Artery, Left

0 Open 9 Autologous Venous TissueA Autologous Arterial TissueJ Synthetic SubstituteK Nonautologous TissueSubstituteZ No Device

0 Upper Arm Artery, Right1 Upper Arm Artery, Left2 Upper Arm Artery, Bilateral3 Lower Arm Artery, Right4 Lower Arm Artery, Left5 Lower Arm Artery, Bilateral6 Upper Leg Artery, Right7 Upper Leg Artery, Left8 Upper Leg Artery, Bilateral9 Lower Leg Artery, RightB Lower Leg Artery, LeftC Lower Leg Artery, BilateralD Upper Arm VeinF Lower Arm VeinJ Extracranial Artery, RightK Extracranial Artery, LeftM Pulmonary Artery, RightN Pulmonary Artery, LeftW Lower Extremity Vein

FY2020 5 Axillary Artery, Right6 Axillary Artery, Left


0 Upper Arm Artery, Right1 Upper Arm Artery, Left2 Upper Arm Artery, Bilateral3 Lower Arm Artery, Right4 Lower Arm Artery, Left5 Lower Arm Artery, Bilateral6 Upper Leg Artery, Right7 Upper Leg Artery, Left8 Upper Leg Artery, Bilateral9 Lower Leg Artery, RightB Lower Leg Artery, LeftC Lower Leg Artery, BilateralD Upper Arm VeinF Lower Arm VeinJ Extracranial Artery, RightK Extracranial Artery, LeftT Abdominal ArteryV Superior Vena CavaW Lower Extremity Vein




FY2020 7 Brachial Artery, Right 0 Open 9 Autologous Venous TissueA Autologous Arterial TissueJ Synthetic SubstituteK Nonautologous TissueSubstituteZ No Device

0 Upper Arm Artery, Right3 Lower Arm Artery, RightD Upper Arm VeinF Lower Arm VeinV Superior Vena CavaW Lower Extremity Vein

FY2020 8 Brachial Artery, Left 0 Open 9 Autologous Venous TissueA Autologous Arterial TissueJ Synthetic SubstituteK Nonautologous TissueSubstituteZ No Device

1 Upper Arm Artery, Left4 Lower Arm Artery, LeftD Upper Arm VeinF Lower Arm VeinV Superior Vena CavaW Lower Extremity Vein

No change 9 Ulnar Artery, RightB Radial Artery, Right


3 Lower Arm Artery, RightF Lower Arm Vein

FY2020 9 Ulnar Artery, RightB Radial Artery, Right

3 Percutaneous Z No Device F Lower Arm Vein

No change A Ulnar Artery, LeftC Radial Artery, Left


4 Lower Arm Artery, LeftF Lower Arm Vein

FY2020 A Ulnar Artery, LeftC Radial Artery, Left

3 Percutaneous Z No Device F Lower Arm Vein

No change G Intracranial ArteryS Temporal Artery, RightT Temporal Artery, Left


G Intracranial Artery

No change H Common Carotid Artery,RightJ Common Carotid Artery,Left


G Intracranial ArteryJ Extracranial Artery, RightK Extracranial Artery, LeftY Upper Artery

No change K Internal Carotid Artery,RightL Internal Carotid Artery,LeftM External Carotid Artery,RightN External Carotid Artery,Left


J Extracranial Artery, RightK Extracranial Artery, Left



HighlightNew approach character

HighlightNew approach character

037


Operation 7 Dilation: Expanding an orifice or the lumen of a tubular body partHeading Body Part Approach Device QualifierFY2020 0 Internal Mammary Artery,

Right1 Internal Mammary Artery,Left2 Innominate Artery3 Subclavian Artery, Right4 Subclavian Artery, Left5 Axillary Artery, Right6 Axillary Artery, Left7 Brachial Artery, Right8 Brachial Artery, Left9 Ulnar Artery, RightA Ulnar Artery, LeftB Radial Artery, RightC Radial Artery, Left


4 Intraluminal Device, Drug-eluting5 Intraluminal Device, Drug-eluting, Two6 Intraluminal Device, Drug-eluting, Three7 Intraluminal Device, Drug-eluting, Four or MoreE Intraluminal Device, TwoF Intraluminal Device, ThreeG Intraluminal Device, Fouror More

Z No Qualifier

FY2020 0 Internal Mammary Artery,Right1 Internal Mammary Artery,Left2 Innominate Artery3 Subclavian Artery, Right4 Subclavian Artery, Left5 Axillary Artery, Right6 Axillary Artery, Left7 Brachial Artery, Right8 Brachial Artery, Left9 Ulnar Artery, RightA Ulnar Artery, LeftB Radial Artery, RightC Radial Artery, Left


D Intraluminal DeviceZ No Device

1 Drug-Coated BalloonZ No Qualifier

FY2020 D Hand Artery, RightF Hand Artery, LeftG Intracranial ArteryH Common Carotid Artery,RightJ Common Carotid Artery,LeftK Internal Carotid Artery,RightL Internal Carotid Artery,LeftM External Carotid Artery,RightN External Carotid Artery,LeftP Vertebral Artery, RightQ Vertebral Artery, LeftR Face ArteryS Temporal Artery, RightT Temporal Artery, LeftU Thyroid Artery, RightV Thyroid Artery, LeftY Upper Artery


4 Intraluminal Device, Drug-eluting5 Intraluminal Device, Drug-eluting, Two6 Intraluminal Device, Drug-eluting, Three7 Intraluminal Device, Drug-eluting, Four or MoreD Intraluminal DeviceE Intraluminal Device, TwoF Intraluminal Device, ThreeG Intraluminal Device, Fouror MoreZ No Device

Z No Qualifier

HighlightQualifier (bifurcation) removed



03C


Operation C Extirpation: Taking or cutting out solid matter from a body partHeading Body Part Approach Device QualifierFY2020 0 Internal Mammary Artery,

Right1 Internal Mammary Artery,Left2 Innominate Artery3 Subclavian Artery, Right4 Subclavian Artery, Left5 Axillary Artery, Right6 Axillary Artery, Left7 Brachial Artery, Right8 Brachial Artery, Left9 Ulnar Artery, RightA Ulnar Artery, LeftB Radial Artery, RightC Radial Artery, LeftD Hand Artery, RightF Hand Artery, LeftR Face ArteryS Temporal Artery, RightT Temporal Artery, LeftU Thyroid Artery, RightV Thyroid Artery, LeftY Upper Artery


Z No Device Z No Qualifier

FY2020 G Intracranial ArteryH Common Carotid Artery,RightJ Common Carotid Artery,LeftK Internal Carotid Artery,RightL Internal Carotid Artery,LeftM External Carotid Artery,RightN External Carotid Artery,LeftP Vertebral Artery, RightQ Vertebral Artery, Left




3 Percutaneous Z No Device 7 Stent RetrieverZ No Qualifier




03V


Operation V Restriction: Partially closing an orifice or the lumen of a tubular body partHeading Body Part Approach Device QualifierNo change 0 Internal Mammary Artery,

Right1 Internal Mammary Artery,Left2 Innominate Artery3 Subclavian Artery, Right4 Subclavian Artery, Left5 Axillary Artery, Right6 Axillary Artery, Left7 Brachial Artery, Right8 Brachial Artery, Left9 Ulnar Artery, RightA Ulnar Artery, LeftB Radial Artery, RightC Radial Artery, LeftD Hand Artery, RightF Hand Artery, LeftR Face ArteryS Temporal Artery, RightT Temporal Artery, LeftU Thyroid Artery, RightV Thyroid Artery, LeftY Upper Artery


C Extraluminal DeviceD Intraluminal DeviceZ No Device

Z No Qualifier



B Intraluminal Device,BioactiveC Extraluminal DeviceD Intraluminal DeviceH Intraluminal Device, FlowDiverterZ No Device

Z No Qualifier

HighlightNew device character

047

Section 0 Medical and SurgicalNo change Body System 4 Lower Arteries

Operation 7 Dilation: Expanding an orifice or the lumen of a tubular body partHeading Body Part Approach Device QualifierFY2020 0 Abdominal Aorta

1 Celiac Artery2 Gastric Artery3 Hepatic Artery4 Splenic Artery5 Superior Mesenteric Artery6 Colic Artery, Right7 Colic Artery, Left8 Colic Artery, Middle9 Renal Artery, RightA Renal Artery, LeftB Inferior Mesenteric ArteryC Common Iliac Artery,RightD Common Iliac Artery, LeftE Internal Iliac Artery, RightF Internal Iliac Artery, LeftH External Iliac Artery, RightJ External Iliac Artery, LeftK Femoral Artery, RightL Femoral Artery, LeftM Popliteal Artery, RightN Popliteal Artery, LeftP Anterior Tibial Artery,RightQ Anterior Tibial Artery, LeftR Posterior Tibial Artery,RightS Posterior Tibial Artery, LeftT Peroneal Artery, RightU Peroneal Artery, LeftV Foot Artery, RightW Foot Artery, LeftY Lower Artery


4 Intraluminal Device, Drug-elutingD Intraluminal DeviceZ No Device

1 Drug-Coated BalloonZ No Qualifier

HighlightRemove (bifurcation) qualifier

FY2020 0 Abdominal Aorta1 Celiac Artery2 Gastric Artery3 Hepatic Artery4 Splenic Artery5 Superior Mesenteric Artery6 Colic Artery, Right7 Colic Artery, Left8 Colic Artery, Middle9 Renal Artery, RightA Renal Artery, LeftB Inferior Mesenteric ArteryC Common Iliac Artery,RightD Common Iliac Artery, LeftE Internal Iliac Artery, RightF Internal Iliac Artery, LeftH External Iliac Artery, RightJ External Iliac Artery, LeftK Femoral Artery, RightL Femoral Artery, LeftM Popliteal Artery, RightN Popliteal Artery, LeftP Anterior Tibial Artery,RightQ Anterior Tibial Artery, LeftR Posterior Tibial Artery,RightS Posterior Tibial Artery, LeftT Peroneal Artery, RightU Peroneal Artery, LeftV Foot Artery, RightW Foot Artery, LeftY Lower Artery


5 Intraluminal Device, Drug-eluting, Two6 Intraluminal Device, Drug-eluting, Three7 Intraluminal Device, Drug-eluting, Four or MoreE Intraluminal Device, TwoF Intraluminal Device, ThreeG Intraluminal Device, Fouror More

Z No Qualifier


04C


Operation C Extirpation: Taking or cutting out solid matter from a body partHeading Body Part Approach Device QualifierFY2020 0 Abdominal Aorta

1 Celiac Artery2 Gastric Artery3 Hepatic Artery4 Splenic Artery5 Superior Mesenteric Artery6 Colic Artery, Right7 Colic Artery, Left8 Colic Artery, Middle9 Renal Artery, RightA Renal Artery, LeftB Inferior Mesenteric ArteryC Common Iliac Artery,RightD Common Iliac Artery, LeftE Internal Iliac Artery, RightF Internal Iliac Artery, LeftH External Iliac Artery, RightJ External Iliac Artery, LeftK Femoral Artery, RightL Femoral Artery, LeftM Popliteal Artery, RightN Popliteal Artery, LeftP Anterior Tibial Artery,RightQ Anterior Tibial Artery, LeftR Posterior Tibial Artery,RightS Posterior Tibial Artery, LeftT Peroneal Artery, RightU Peroneal Artery, LeftV Foot Artery, RightW Foot Artery, LeftY Lower Artery




04V


Operation V Restriction: Partially closing an orifice or the lumen of a tubular body partHeading Body Part Approach Device QualifierFY2020 0 Abdominal Aorta 0 Open


C Extraluminal DeviceE Intraluminal Device,Branched or Fenestrated,One or Two ArteriesF Intraluminal Device,Branched or Fenestrated,Three or More ArteriesZ No Device

Z No Qualifier

FY2020 0 Abdominal Aorta 0 Open3 Percutaneous4 PercutaneousEndoscopic

D Intraluminal Device J TemporaryZ No Qualifier

No change 1 Celiac Artery2 Gastric Artery3 Hepatic Artery4 Splenic Artery5 Superior Mesenteric Artery6 Colic Artery, Right7 Colic Artery, Left8 Colic Artery, Middle9 Renal Artery, RightA Renal Artery, LeftB Inferior Mesenteric ArteryE Internal Iliac Artery, RightF Internal Iliac Artery, LeftH External Iliac Artery, RightJ External Iliac Artery, LeftK Femoral Artery, RightL Femoral Artery, LeftM Popliteal Artery, RightN Popliteal Artery, LeftP Anterior Tibial Artery,RightQ Anterior Tibial Artery, LeftR Posterior Tibial Artery,RightS Posterior Tibial Artery, LeftT Peroneal Artery, RightU Peroneal Artery, LeftV Foot Artery, RightW Foot Artery, LeftY Lower Artery



Z No Qualifier

No change C Common Iliac Artery,RightD Common Iliac Artery, Left


C Extraluminal DeviceD Intraluminal DeviceE Intraluminal Device,Branched or Fenestrated,One or Two ArteriesZ No Device

Z No Qualifier



06L

Section 0 Medical and SurgicalNo change Body System 6 Lower Veins

Operation L Occlusion: Completely closing an orifice or the lumen of a tubular body partHeading Body Part Approach Device QualifierFY2020 0 Inferior Vena Cava

1 Splenic Vein4 Hepatic Vein5 Superior Mesenteric Vein6 Inferior Mesenteric Vein7 Colic Vein8 Portal Vein9 Renal Vein, RightB Renal Vein, LeftC Common Iliac Vein, RightD Common Iliac Vein, LeftF External Iliac Vein, RightG External Iliac Vein, LeftH Hypogastric Vein, RightJ Hypogastric Vein, LeftM Femoral Vein, RightN Femoral Vein, LeftP Saphenous Vein, RightQ Saphenous Vein, LeftT Foot Vein, RightV Foot Vein, Left



Z No Qualifier

FY2020 2 Gastric Vein3 Esophageal Vein

0 Open3 Percutaneous4 PercutaneousEndoscopic7 Via Natural orArtificial Opening8 Via Natural orArtificial OpeningEndoscopic


Z No Qualifier

No change Y Lower Vein 0 Open3 Percutaneous4 PercutaneousEndoscopic


C Hemorrhoidal PlexusZ No Qualifier

HighlightMoved to new line on the table

HighlightNew approach characters

09U

Section 0 Medical and SurgicalNo change Body System 9 Ear, Nose, Sinus


Heading Body Part Approach Device QualifierNo change 0 External Ear, Right

1 External Ear, Left2 External Ear, Bilateral

0 OpenX External


Z No Qualifier

No change 5 Middle Ear, Right6 Middle Ear, Left9 Auditory Ossicle, RightA Auditory Ossicle, LeftD Inner Ear, RightE Inner Ear, Left

0 Open8 Via Natural orArtificial OpeningEndoscopic


Z No Qualifier

No change 7 Tympanic Membrane,Right8 Tympanic Membrane, LeftN Nasopharynx

0 Open7 Via Natural orArtificial Opening8 Via Natural orArtificial OpeningEndoscopic


Z No Qualifier

FY2020 B Mastoid Sinus, RightC Mastoid Sinus, LeftL Nasal TurbinateP Accessory SinusQ Maxillary Sinus, RightR Maxillary Sinus, LeftS Frontal Sinus, RightT Frontal Sinus, LeftU Ethmoid Sinus, RightV Ethmoid Sinus, LeftW Sphenoid Sinus, RightX Sphenoid Sinus, Left

0 Open3 Percutaneous4 PercutaneousEndoscopic7 Via Natural orArtificial Opening8 Via Natural orArtificial OpeningEndoscopic


Z No Qualifier

No change K Nasal Mucosa and SoftTissue

0 Open8 Via Natural orArtificial OpeningEndoscopicX External


Z No Qualifier

No change M Nasal Septum 0 Open3 Percutaneous4 PercutaneousEndoscopic8 Via Natural orArtificial OpeningEndoscopic


Z No Qualifier

HighlightNew body part characters

0D1

Section 0 Medical and SurgicalNo change Body System D Gastrointestinal System

Operation 1 Bypass: Altering the route of passage of the contents of a tubular body partHeading Body Part Approach Device QualifierNo change 1 Esophagus, Upper

2 Esophagus, Middle3 Esophagus, Lower5 Esophagus

0 Open4 PercutaneousEndoscopic8 Via Natural orArtificial OpeningEndoscopic

7 Autologous TissueSubstituteJ Synthetic SubstituteK Nonautologous TissueSubstituteZ No Device

4 Cutaneous6 Stomach9 DuodenumA JejunumB Ileum

No change 1 Esophagus, Upper2 Esophagus, Middle3 Esophagus, Lower5 Esophagus

3 Percutaneous J Synthetic Substitute 4 Cutaneous

No change 6 Stomach9 Duodenum

0 Open4 PercutaneousEndoscopic8 Via Natural orArtificial OpeningEndoscopic


4 Cutaneous9 DuodenumA JejunumB IleumL Transverse Colon

No change 6 Stomach9 Duodenum

3 Percutaneous J Synthetic Substitute 4 Cutaneous

FY2020 8 Small Intestine 0 Open4 PercutaneousEndoscopic8 Via Natural orArtificial OpeningEndoscopic


4 Cutaneous8 Small IntestineH CecumK Ascending ColonL Transverse ColonM Descending ColonN Sigmoid ColonP RectumQ Anus

No change A Jejunum 0 Open4 PercutaneousEndoscopic8 Via Natural orArtificial OpeningEndoscopic


4 CutaneousA JejunumB IleumH CecumK Ascending ColonL Transverse ColonM Descending ColonN Sigmoid ColonP RectumQ Anus

No change A Jejunum 3 Percutaneous J Synthetic Substitute 4 CutaneousNo change B Ileum 0 Open

4 PercutaneousEndoscopic8 Via Natural orArtificial OpeningEndoscopic


4 CutaneousB IleumH CecumK Ascending ColonL Transverse ColonM Descending ColonN Sigmoid ColonP RectumQ Anus

No change B Ileum 3 Percutaneous J Synthetic Substitute 4 CutaneousFY2020 E Large Intestine 0 Open



4 CutaneousE Large IntestineP Rectum





No change H Cecum 0 Open4 PercutaneousEndoscopic8 Via Natural orArtificial OpeningEndoscopic


4 CutaneousH CecumK Ascending ColonL Transverse ColonM Descending ColonN Sigmoid ColonP Rectum

No change H Cecum 3 Percutaneous J Synthetic Substitute 4 CutaneousNo change K Ascending Colon 0 Open



4 CutaneousK Ascending ColonL Transverse ColonM Descending ColonN Sigmoid ColonP Rectum

No change K Ascending Colon 3 Percutaneous J Synthetic Substitute 4 CutaneousNo change L Transverse Colon 0 Open



4 CutaneousL Transverse ColonM Descending ColonN Sigmoid ColonP Rectum

No change L Transverse Colon 3 Percutaneous J Synthetic Substitute 4 CutaneousNo change M Descending Colon 0 Open



4 CutaneousM Descending ColonN Sigmoid ColonP Rectum

No change M Descending Colon 3 Percutaneous J Synthetic Substitute 4 CutaneousNo change N Sigmoid Colon 0 Open



4 CutaneousN Sigmoid ColonP Rectum

No change N Sigmoid Colon 3 Percutaneous J Synthetic Substitute 4 Cutaneous

0DX

Section 0 Medical and SurgicalNo change Body System D Gastrointestinal System

Operation X Transfer: Moving, without taking out, all or a portion of a body part to another locationto take over the function of all or a portion of a body part

Heading Body Part Approach Device QualifierFY2020 6 Stomach

8 Small Intestine0 Open4 PercutaneousEndoscopic

Z No Device 5 Esophagus

FY2020 E Large Intestine 0 Open4 PercutaneousEndoscopic

Z No Device 5 Esophagus7 Vagina

HighlightMoved to a new line

HighlightAdd qualifier character

0H0

Section 0 Medical and SurgicalNo change Body System H Skin and Breast

Operation 0 Alteration: Modifying the anatomic structure of a body part without affecting thefunction of the body part

Heading Body Part Approach Device QualifierFY2020 T Breast, Right

U Breast, LeftV Breast, Bilateral

0 Open3 Percutaneous


Z No Qualifier

HighlightRemove approach character (External)

0H5


Operation 5 Destruction: Physical eradication of all or a portion of a body part by the direct use ofenergy, force, or a destructive agent

Heading Body Part Approach Device QualifierNo change 0 Skin, Scalp

1 Skin, Face2 Skin, Right Ear3 Skin, Left Ear4 Skin, Neck5 Skin, Chest6 Skin, Back7 Skin, Abdomen8 Skin, Buttock9 Skin, PerineumA Skin, InguinalB Skin, Right Upper ArmC Skin, Left Upper ArmD Skin, Right Lower ArmE Skin, Left Lower ArmF Skin, Right HandG Skin, Left HandH Skin, Right Upper LegJ Skin, Left Upper LegK Skin, Right Lower LegL Skin, Left Lower LegM Skin, Right FootN Skin, Left Foot

X External Z No Device D MultipleZ No Qualifier

No change Q Finger NailR Toe Nail

X External Z No Device Z No Qualifier

FY2020 T Breast, RightU Breast, LeftV Breast, Bilateral

0 Open3 Percutaneous7 Via Natural orArtificial Opening8 Via Natural orArtificial OpeningEndoscopic


FY2020 W Nipple, RightX Nipple, Left

0 Open3 Percutaneous7 Via Natural orArtificial Opening8 Via Natural orArtificial OpeningEndoscopicX External


HighlightRemove approach character (external)


0H9


Operation 9 Drainage: Taking or letting out fluids and/or gases from a body partHeading Body Part Approach Device QualifierNo change 0 Skin, Scalp

1 Skin, Face2 Skin, Right Ear3 Skin, Left Ear4 Skin, Neck5 Skin, Chest6 Skin, Back7 Skin, Abdomen8 Skin, Buttock9 Skin, PerineumA Skin, InguinalB Skin, Right Upper ArmC Skin, Left Upper ArmD Skin, Right Lower ArmE Skin, Left Lower ArmF Skin, Right HandG Skin, Left HandH Skin, Right Upper LegJ Skin, Left Upper LegK Skin, Right Lower LegL Skin, Left Lower LegM Skin, Right FootN Skin, Left FootQ Finger NailR Toe Nail

X External 0 Drainage Device Z No Qualifier

No change 0 Skin, Scalp1 Skin, Face2 Skin, Right Ear3 Skin, Left Ear4 Skin, Neck5 Skin, Chest6 Skin, Back7 Skin, Abdomen8 Skin, Buttock9 Skin, PerineumA Skin, InguinalB Skin, Right Upper ArmC Skin, Left Upper ArmD Skin, Right Lower ArmE Skin, Left Lower ArmF Skin, Right HandG Skin, Left HandH Skin, Right Upper LegJ Skin, Left Upper LegK Skin, Right Lower LegL Skin, Left Lower LegM Skin, Right FootN Skin, Left FootQ Finger NailR Toe Nail

X External Z No Device X DiagnosticZ No Qualifier



0 Drainage Device Z No Qualifier




Z No Device X DiagnosticZ No Qualifier



0 Drainage Device Z No Qualifier







0HB


Operation B Excision: Cutting out or off, without replacement, a portion of a body partHeading Body Part Approach Device QualifierNo change 0 Skin, Scalp


X External Z No Device X DiagnosticZ No Qualifier

FY2020 T Breast, RightU Breast, LeftV Breast, BilateralY Supernumerary Breast







HighlightMove to a new line

0HC


Operation C Extirpation: Taking or cutting out solid matter from a body partHeading Body Part Approach Device QualifierNo change 0 Skin, Scalp











0HD


Operation D Extraction: Pulling or stripping out or off all or a portion of a body part by the use offorce


1 Skin, Face2 Skin, Right Ear3 Skin, Left Ear4 Skin, Neck5 Skin, Chest6 Skin, Back7 Skin, Abdomen8 Skin, Buttock9 Skin, PerineumA Skin, InguinalB Skin, Right Upper ArmC Skin, Left Upper ArmD Skin, Right Lower ArmE Skin, Left Lower ArmF Skin, Right HandG Skin, Left HandH Skin, Right Upper LegJ Skin, Left Upper LegK Skin, Right Lower LegL Skin, Left Lower LegM Skin, Right FootN Skin, Left FootQ Finger NailR Toe NailS Hair



0 Open Z No Device Z No Qualifier

HighlightAdd new body part characters

HighlightAdd new approach character

0HH



Heading Body Part Approach Device QualifierNo change P Skin X External Y Other Device Z No QualifierNo change T Breast, Right

U Breast, Left0 Open3 Percutaneous7 Via Natural orArtificial Opening8 Via Natural orArtificial OpeningEndoscopic

1 Radioactive ElementN Tissue ExpanderY Other Device

Z No Qualifier

FY2020 V Breast, Bilateral 0 Open3 Percutaneous7 Via Natural orArtificial Opening8 Via Natural orArtificial OpeningEndoscopic

1 Radioactive ElementN Tissue Expander

Z No Qualifier



1 Radioactive ElementN Tissue Expander

Z No Qualifier


X External 1 Radioactive Element Z No Qualifier





0HJ


Operation J Inspection: Visually and/or manually exploring a body partHeading Body Part Approach Device QualifierNo change P Skin

Q Finger NailR Toe Nail


FY2020 T Breast, RightU Breast, Left




0HN


Operation N Release: Freeing a body part from an abnormal physical constraint by cutting or bythe use of force












0HP


Operation P Removal: Taking out or off a device from a body partHeading Body Part Approach Device QualifierNo change P Skin X External 0 Drainage Device

7 Autologous TissueSubstituteJ Synthetic SubstituteK Nonautologous TissueSubstituteY Other Device

Z No Qualifier


X External 0 Drainage Device7 Autologous TissueSubstituteJ Synthetic SubstituteK Nonautologous TissueSubstitute

Z No Qualifier

No change S Hair X External 7 Autologous TissueSubstituteJ Synthetic SubstituteK Nonautologous TissueSubstitute

Z No Qualifier

No change T Breast, RightU Breast, Left


0 Drainage Device1 Radioactive Element7 Autologous TissueSubstituteJ Synthetic SubstituteK Nonautologous TissueSubstituteN Tissue ExpanderY Other Device

Z No Qualifier


0HQ


Operation Q Repair: Restoring, to the extent possible, a body part to its normal anatomic structureand function












0HR


Operation R Replacement: Putting in or on biological or synthetic material that physically takes theplace and/or function of all or a portion of a body part

Heading Body Part Approach Device QualifierFY2020 0 Skin, Scalp

1 Skin, Face2 Skin, Right Ear3 Skin, Left Ear4 Skin, Neck5 Skin, Chest6 Skin, Back7 Skin, Abdomen8 Skin, Buttock9 Skin, PerineumA Skin, InguinalB Skin, Right Upper ArmC Skin, Left Upper ArmD Skin, Right Lower ArmE Skin, Left Lower ArmF Skin, Right HandG Skin, Left HandH Skin, Right Upper LegJ Skin, Left Upper LegK Skin, Right Lower LegL Skin, Left Lower LegM Skin, Right FootN Skin, Left Foot

X External 7 Autologous TissueSubstitute

2 Cell SuspensionTechnique3 Full Thickness4 Partial Thickness

No change 0 Skin, Scalp1 Skin, Face2 Skin, Right Ear3 Skin, Left Ear4 Skin, Neck5 Skin, Chest6 Skin, Back7 Skin, Abdomen8 Skin, Buttock9 Skin, PerineumA Skin, InguinalB Skin, Right Upper ArmC Skin, Left Upper ArmD Skin, Right Lower ArmE Skin, Left Lower ArmF Skin, Right HandG Skin, Left HandH Skin, Right Upper LegJ Skin, Left Upper LegK Skin, Right Lower LegL Skin, Left Lower LegM Skin, Right FootN Skin, Left Foot

X External J Synthetic Substitute 3 Full Thickness4 Partial ThicknessZ No Qualifier

HighlightAdd new qualifier character

FY2020 0 Skin, Scalp1 Skin, Face2 Skin, Right Ear3 Skin, Left Ear4 Skin, Neck5 Skin, Chest6 Skin, Back7 Skin, Abdomen8 Skin, Buttock9 Skin, PerineumA Skin, InguinalB Skin, Right Upper ArmC Skin, Left Upper ArmD Skin, Right Lower ArmE Skin, Left Lower ArmF Skin, Right HandG Skin, Left HandH Skin, Right Upper LegJ Skin, Left Upper LegK Skin, Right Lower LegL Skin, Left Lower LegM Skin, Right FootN Skin, Left Foot

X External K Nonautologous TissueSubstitute

3 Full Thickness4 Partial Thickness

No change Q Finger NailR Toe NailS Hair

X External 7 Autologous TissueSubstituteJ Synthetic SubstituteK Nonautologous TissueSubstitute

Z No Qualifier

No change T Breast, RightU Breast, LeftV Breast, Bilateral

0 Open 7 Autologous TissueSubstitute

5 Latissimus DorsiMyocutaneous Flap6 Transverse RectusAbdominis MyocutaneousFlap7 Deep Inferior EpigastricArtery Perforator Flap8 Superficial InferiorEpigastric Artery Flap9 Gluteal Artery PerforatorFlapZ No Qualifier

No change T Breast, RightU Breast, LeftV Breast, Bilateral

0 Open J Synthetic SubstituteK Nonautologous TissueSubstitute

Z No Qualifier


3 Percutaneous 7 Autologous TissueSubstituteJ Synthetic SubstituteK Nonautologous TissueSubstitute

Z No Qualifier

No change W Nipple, RightX Nipple, Left

0 Open3 PercutaneousX External


Z No Qualifier

HighlightRemove approach value (external)


0HU



Heading Body Part Approach Device QualifierFY2020 T Breast, Right

U Breast, LeftV Breast, Bilateral



Z No Qualifier




Z No Qualifier


HighlightMove to a new line in table 0HU

0HW


Operation W Revision: Correcting, to the extent possible, a portion of a malfunctioning device orthe position of a displaced device

Heading Body Part Approach Device QualifierNo change P Skin X External 0 Drainage Device

7 Autologous TissueSubstituteJ Synthetic SubstituteK Nonautologous TissueSubstituteY Other Device

Z No Qualifier


X External 0 Drainage Device7 Autologous TissueSubstituteJ Synthetic SubstituteK Nonautologous TissueSubstitute

Z No Qualifier

No change S Hair X External 7 Autologous TissueSubstituteJ Synthetic SubstituteK Nonautologous TissueSubstitute

Z No Qualifier

No change T Breast, RightU Breast, Left


0 Drainage Device7 Autologous TissueSubstituteJ Synthetic SubstituteK Nonautologous TissueSubstituteN Tissue ExpanderY Other Device

Z No Qualifier


0JH

Section 0 Medical and SurgicalNo change Body System J Subcutaneous Tissue and Fascia


Heading Body Part Approach Device QualifierNo change 0 Subcutaneous Tissue and

Fascia, Scalp1 Subcutaneous Tissue andFascia, Face4 Subcutaneous Tissue andFascia, Right Neck5 Subcutaneous Tissue andFascia, Left Neck9 Subcutaneous Tissue andFascia, ButtockB Subcutaneous Tissue andFascia, PerineumC Subcutaneous Tissue andFascia, Pelvic RegionJ Subcutaneous Tissue andFascia, Right HandK Subcutaneous Tissue andFascia, Left HandQ Subcutaneous Tissue andFascia, Right FootR Subcutaneous Tissue andFascia, Left Foot


N Tissue Expander Z No Qualifier

FY2020 6 Subcutaneous Tissue andFascia, Chest


0 Monitoring Device,Hemodynamic2 Monitoring Device4 Pacemaker, SingleChamber5 Pacemaker, SingleChamber Rate Responsive6 Pacemaker, DualChamber7 Cardiac ResynchronizationPacemaker Pulse Generator8 Defibrillator Generator9 Cardiac ResynchronizationDefibrillator Pulse GeneratorA Contractility ModulationDeviceB Stimulator Generator,Single ArrayC Stimulator Generator,Single Array RechargeableD Stimulator Generator,Multiple ArrayE Stimulator Generator,Multiple Array RechargeableF Subcutaneous DefibrillatorLeadH Contraceptive DeviceM Stimulator GeneratorN Tissue ExpanderP Cardiac Rhythm RelatedDeviceV Infusion Device, PumpW Vascular Access Device,Totally ImplantableX Vascular Access Device,Tunneled

Z No Qualifier


No change 7 Subcutaneous Tissue andFascia, Back


B Stimulator Generator,Single ArrayC Stimulator Generator,Single Array RechargeableD Stimulator Generator,Multiple ArrayE Stimulator Generator,Multiple Array RechargeableM Stimulator GeneratorN Tissue ExpanderV Infusion Device, Pump

Z No Qualifier

FY2020 8 Subcutaneous Tissue andFascia, Abdomen


0 Monitoring Device,Hemodynamic2 Monitoring Device4 Pacemaker, SingleChamber5 Pacemaker, SingleChamber Rate Responsive6 Pacemaker, DualChamber7 Cardiac ResynchronizationPacemaker Pulse Generator8 Defibrillator Generator9 Cardiac ResynchronizationDefibrillator Pulse GeneratorA Contractility ModulationDeviceB Stimulator Generator,Single ArrayC Stimulator Generator,Single Array RechargeableD Stimulator Generator,Multiple ArrayE Stimulator Generator,Multiple Array RechargeableH Contraceptive DeviceM Stimulator GeneratorN Tissue ExpanderP Cardiac Rhythm RelatedDeviceV Infusion Device, PumpW Vascular Access Device,Totally ImplantableX Vascular Access Device,Tunneled

Z No Qualifier

No change D Subcutaneous Tissue andFascia, Right Upper ArmF Subcutaneous Tissue andFascia, Left Upper ArmG Subcutaneous Tissue andFascia, Right Lower ArmH Subcutaneous Tissue andFascia, Left Lower ArmL Subcutaneous Tissue andFascia, Right Upper LegM Subcutaneous Tissue andFascia, Left Upper LegN Subcutaneous Tissue andFascia, Right Lower LegP Subcutaneous Tissue andFascia, Left Lower Leg


H Contraceptive DeviceN Tissue ExpanderV Infusion Device, PumpW Vascular Access Device,Totally ImplantableX Vascular Access Device,Tunneled

Z No Qualifier

No change S Subcutaneous Tissue andFascia, Head and NeckV Subcutaneous Tissue andFascia, Upper ExtremityW Subcutaneous Tissue andFascia, Lower Extremity


1 Radioactive Element3 Infusion DeviceY Other Device

Z No Qualifier


No change T Subcutaneous Tissue andFascia, Trunk


1 Radioactive Element3 Infusion DeviceV Infusion Device, PumpY Other Device

Z No Qualifier

0JP


Operation P Removal: Taking out or off a device from a body partHeading Body Part Approach Device QualifierNo change S Subcutaneous Tissue and

Fascia, Head and Neck0 Open3 Percutaneous

0 Drainage Device1 Radioactive Element3 Infusion Device7 Autologous TissueSubstituteJ Synthetic SubstituteK Nonautologous TissueSubstituteN Tissue ExpanderY Other Device

Z No Qualifier

No change S Subcutaneous Tissue andFascia, Head and Neck

X External 0 Drainage Device1 Radioactive Element3 Infusion Device

Z No Qualifier

FY2020 T Subcutaneous Tissue andFascia, Trunk


0 Drainage Device1 Radioactive Element2 Monitoring Device3 Infusion Device7 Autologous TissueSubstituteF Subcutaneous DefibrillatorLeadH Contraceptive DeviceJ Synthetic SubstituteK Nonautologous TissueSubstituteM Stimulator GeneratorN Tissue ExpanderP Cardiac Rhythm RelatedDeviceV Infusion Device, PumpW Vascular Access Device,Totally ImplantableX Vascular Access Device,TunneledY Other Device

Z No Qualifier

No change T Subcutaneous Tissue andFascia, Trunk

X External 0 Drainage Device1 Radioactive Element2 Monitoring Device3 Infusion DeviceH Contraceptive DeviceV Infusion Device, PumpX Vascular Access Device,Tunneled

Z No Qualifier


No change V Subcutaneous Tissue andFascia, Upper ExtremityW Subcutaneous Tissue andFascia, Lower Extremity


0 Drainage Device1 Radioactive Element3 Infusion Device7 Autologous TissueSubstituteH Contraceptive DeviceJ Synthetic SubstituteK Nonautologous TissueSubstituteN Tissue ExpanderV Infusion Device, PumpW Vascular Access Device,Totally ImplantableX Vascular Access Device,TunneledY Other Device

Z No Qualifier


X External 0 Drainage Device1 Radioactive Element3 Infusion DeviceH Contraceptive DeviceV Infusion Device, PumpX Vascular Access Device,Tunneled

Z No Qualifier

0JW


Operation W Revision: Correcting, to the extent possible, a portion of a malfunctioning device orthe position of a displaced device

Heading Body Part Approach Device QualifierNo change S Subcutaneous Tissue and

Fascia, Head and Neck0 Open3 Percutaneous

0 Drainage Device3 Infusion Device7 Autologous TissueSubstituteJ Synthetic SubstituteK Nonautologous TissueSubstituteN Tissue ExpanderY Other Device

Z No Qualifier

No change S Subcutaneous Tissue andFascia, Head and Neck

X External 0 Drainage Device3 Infusion Device7 Autologous TissueSubstituteJ Synthetic SubstituteK Nonautologous TissueSubstituteN Tissue Expander

Z No Qualifier



0 Drainage Device2 Monitoring Device3 Infusion Device7 Autologous TissueSubstituteF Subcutaneous DefibrillatorLeadH Contraceptive DeviceJ Synthetic SubstituteK Nonautologous TissueSubstituteM Stimulator GeneratorN Tissue ExpanderP Cardiac Rhythm RelatedDeviceV Infusion Device, PumpW Vascular Access Device,Totally ImplantableX Vascular Access Device,TunneledY Other Device

Z No Qualifier


X External 0 Drainage Device2 Monitoring Device3 Infusion Device7 Autologous TissueSubstituteF Subcutaneous DefibrillatorLeadH Contraceptive DeviceJ Synthetic SubstituteK Nonautologous TissueSubstituteM Stimulator GeneratorN Tissue ExpanderP Cardiac Rhythm RelatedDeviceV Infusion Device, PumpW Vascular Access Device,Totally ImplantableX Vascular Access Device,Tunneled

Z No Qualifier





0 Drainage Device3 Infusion Device7 Autologous TissueSubstituteH Contraceptive DeviceJ Synthetic SubstituteK Nonautologous TissueSubstituteN Tissue ExpanderV Infusion Device, PumpW Vascular Access Device,Totally ImplantableX Vascular Access Device,TunneledY Other Device

Z No Qualifier


X External 0 Drainage Device3 Infusion Device7 Autologous TissueSubstituteH Contraceptive DeviceJ Synthetic SubstituteK Nonautologous TissueSubstituteN Tissue ExpanderV Infusion Device, PumpW Vascular Access Device,Totally ImplantableX Vascular Access Device,Tunneled

Z No Qualifier

0PH

Section 0 Medical and SurgicalNo change Body System P Upper Bones


Heading Body Part Approach Device QualifierNo change 0 Sternum 0 Open


0 Internal Fixation Device,Rigid Plate4 Internal Fixation Device

Z No Qualifier

No change 1 Ribs, 1 to 22 Ribs, 3 or More3 Cervical Vertebra4 Thoracic Vertebra5 Scapula, Right6 Scapula, Left7 Glenoid Cavity, Right8 Glenoid Cavity, Left9 Clavicle, RightB Clavicle, Left


4 Internal Fixation Device Z No Qualifier

FY2020 C Humeral Head, RightD Humeral Head, LeftH Radius, RightJ Radius, LeftK Ulna, RightL Ulna, Left


4 Internal Fixation Device5 External Fixation Device6 Internal Fixation Device,Intramedullary8 External Fixation Device,Limb LengtheningB External Fixation Device,MonoplanarC External Fixation Device,RingD External Fixation Device,Hybrid

Z No Qualifier

FY2020 F Humeral Shaft, RightG Humeral Shaft, Left


4 Internal Fixation Device5 External Fixation Device6 Internal Fixation Device,Intramedullary7 Internal Fixation Device,Intramedullary LimbLengthening8 External Fixation Device,Limb LengtheningB External Fixation Device,MonoplanarC External Fixation Device,RingD External Fixation Device,Hybrid

Z No Qualifier

No change M Carpal, RightN Carpal, LeftP Metacarpal, RightQ Metacarpal, LeftR Thumb Phalanx, RightS Thumb Phalanx, LeftT Finger Phalanx, RightV Finger Phalanx, Left


4 Internal Fixation Device5 External Fixation Device

Z No Qualifier

No change Y Upper Bone 0 Open3 Percutaneous4 PercutaneousEndoscopic

M Bone Growth Stimulator Z No Qualifier



0QH

Section 0 Medical and SurgicalNo change Body System Q Lower Bones


Heading Body Part Approach Device QualifierNo change 0 Lumbar Vertebra

1 Sacrum2 Pelvic Bone, Right3 Pelvic Bone, Left4 Acetabulum, Right5 Acetabulum, LeftD Patella, RightF Patella, LeftL Tarsal, RightM Tarsal, LeftN Metatarsal, RightP Metatarsal, LeftQ Toe Phalanx, RightR Toe Phalanx, LeftS Coccyx


4 Internal Fixation Device5 External Fixation Device

Z No Qualifier

FY2020 6 Upper Femur, Right7 Upper Femur, LeftB Lower Femur, RightC Lower Femur, LeftJ Fibula, RightK Fibula, Left


4 Internal Fixation Device5 External Fixation Device6 Internal Fixation Device,Intramedullary8 External Fixation Device,Limb LengtheningB External Fixation Device,MonoplanarC External Fixation Device,RingD External Fixation Device,Hybrid

Z No Qualifier

FY2020 8 Femoral Shaft, Right9 Femoral Shaft, LeftG Tibia, RightH Tibia, Left


4 Internal Fixation Device5 External Fixation Device6 Internal Fixation Device,Intramedullary7 Internal Fixation Device,Intramedullary LimbLengthening8 External Fixation Device,Limb LengtheningB External Fixation Device,MonoplanarC External Fixation Device,RingD External Fixation Device,Hybrid

Z No Qualifier

No change Y Lower Bone 0 Open3 Percutaneous4 PercutaneousEndoscopic

M Bone Growth Stimulator Z No Qualifier



0WC

Section 0 Medical and SurgicalNo change Body System W Anatomical Regions, General

Operation C Extirpation: Taking or cutting out solid matter from a body partHeading Body Part Approach Device QualifierNo change 1 Cranial Cavity

3 Oral Cavity and Throat9 Pleural Cavity, RightB Pleural Cavity, LeftC MediastinumD Pericardial CavityG Peritoneal CavityH RetroperitoneumJ Pelvic Cavity

0 Open3 Percutaneous4 PercutaneousEndoscopicX External


FY2020 4 Upper Jaw5 Lower Jaw



No change P Gastrointestinal TractQ Respiratory TractR Genitourinary Tract

0 Open3 Percutaneous4 PercutaneousEndoscopic7 Via Natural orArtificial Opening8 Via Natural orArtificial OpeningEndoscopicX External



302

Section 3 AdministrationNo change Body System 0 Circulatory

Operation 2 Transfusion: Putting in blood or blood productsHeading Body System / Region Approach Substance QualifierNo change 3 Peripheral Vein

4 Central Vein0 Open3 Percutaneous

A Stem Cells, Embryonic Z No Qualifier

No change 3 Peripheral Vein4 Central Vein


G Bone MarrowX Stem Cells, Cord BloodY Stem Cells, Hematopoietic

0 Autologous2 Allogeneic, Related3 Allogeneic, Unrelated4 Allogeneic, Unspecified

No change 3 Peripheral Vein4 Central Vein


H Whole BloodJ Serum AlbuminK Frozen PlasmaL Fresh PlasmaM Plasma CryoprecipitateN Red Blood CellsP Frozen Red CellsQ White CellsR PlateletsS GlobulinT FibrinogenV Antihemophilic FactorsW Factor IX

0 Autologous1 Nonautologous

FY2020 3 Peripheral Vein4 Central Vein


U Stem Cells, T-cellDepleted Hematopoietic

2 Allogeneic, Related3 Allogeneic, Unrelated4 Allogeneic, Unspecified

No change 7 Products of Conception,Circulatory

3 Percutaneous7 Via Natural orArtificial Opening

H Whole BloodJ Serum AlbuminK Frozen PlasmaL Fresh PlasmaM Plasma CryoprecipitateN Red Blood CellsP Frozen Red CellsQ White CellsR PlateletsS GlobulinT FibrinogenV Antihemophilic FactorsW Factor IX

1 Nonautologous

No change 8 Vein 0 Open3 Percutaneous

B 4-Factor ProthrombinComplex Concentrate

1 Nonautologous

HighlightNew substance character

HighlightRemove body part character (peripheral and central artery)

3E0

Section 3 AdministrationNo change Body System E Physiological Systems and Anatomical Regions

Operation 0 Introduction: Putting in or on a therapeutic, diagnostic, nutritional, physiological, orprophylactic substance except blood or blood products

Heading Body System / Region Approach Substance QualifierNo change 0 Skin and Mucous

MembranesX External 0 Antineoplastic 5 Other Antineoplastic

M Monoclonal AntibodyNo change 0 Skin and Mucous

MembranesX External 2 Anti-infective 8 Oxazolidinones

9 Other Anti-infectiveNo change 0 Skin and Mucous

MembranesX External 3 Anti-inflammatory

4 Serum, Toxoid andVaccineB Anesthetic AgentK Other DiagnosticSubstanceM PigmentN Analgesics, Hypnotics,SedativesT Destructive Agent

Z No Qualifier

No change 0 Skin and MucousMembranes

X External G Other TherapeuticSubstance

C Other Substance

No change 1 Subcutaneous Tissue 0 Open 2 Anti-infective A Anti-Infective EnvelopeNo change 1 Subcutaneous Tissue 3 Percutaneous 0 Antineoplastic 5 Other Antineoplastic

M Monoclonal AntibodyNo change 1 Subcutaneous Tissue 3 Percutaneous 2 Anti-infective 8 Oxazolidinones

9 Other Anti-infectiveA Anti-Infective Envelope

No change 1 Subcutaneous Tissue 3 Percutaneous 3 Anti-inflammatory6 Nutritional Substance7 Electrolytic and WaterBalance SubstanceB Anesthetic AgentH Radioactive SubstanceK Other DiagnosticSubstanceN Analgesics, Hypnotics,SedativesT Destructive Agent

Z No Qualifier

No change 1 Subcutaneous Tissue 3 Percutaneous 4 Serum,

Documents

ICD-10-PCS · ICD-10-PCS Tables that have changed this year are shown in table format in the following pages. Each table shown in the addenda replaces the table from the previous