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Your Map of the ICD-9 to ICD-10 PCS Conversion
Disclaimer 3
Endoscopy 4
Interventional Cardiology 20
Neuromodulation 34
Peripheral Interventions 35
Rhythm Management and Electrophysiology 61
Urology 71
Women’s Health 74
2
Table of Contents
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 crosswalk is not a comprehensive list of all relevant ICD-10 PCS codes, rather it is a one-way mapping (ICD-9 CM > ICD-10 PCS) based on the most frequent and most relevant ICD-9 codes used in relation to Boston Scientific devices. Please refer to your coding guidelines for the most appropriate codes to reflect the services performed.
3
Disclaimers
See page 3 for important information about the uses and limitations of this document. CORP-224204-AA SEP2014
Endoscopy
ICD‐9 CMCode ICD‐9 CM Description ICD‐10 PCS
Code ICD‐10 PCS Description
51.10Endoscopic retrograde cholangio- pancreatography (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
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
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
CORP-224204-AA SEP2014See page 3 for important information about the uses and limitations of this document. 4
Endoscopy
CORP-224204-AA SEP2014See page 3 for important information about the uses and limitations of this document. 5
ICD‐9 CMCode ICD‐9 CM Description ICD‐10 PCS
Code ICD‐10 PCS Description
51.14Other closed (endoscopic) biopsy of biliary duct or sphincter of Oddi
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
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
0F993ZZ Drainage of Common Bile Duct, Percutaneous Approach
0F994ZZ Drainage of Common Bile Duct, Percutaneous Endoscopic Approach
0F997ZZ Drainage of Common Bile Duct, Via Natural or Artificial Opening
0F998ZZ Drainage of Common Bile Duct, Via Natural or Artificial Opening Endoscopic
0FC53ZZ Extirpation of Matter from Right Hepatic Duct, Percutaneous Approach
0FC57ZZ Extirpation of Matter from Right Hepatic Duct, Via Natural or Artificial Opening
0FC63ZZ Extirpation of Matter from Left Hepatic Duct, Percutaneous Approach
0FC67ZZ Extirpation of Matter from Left Hepatic Duct, Via Natural or Artificial Opening
0FC83ZZ Extirpation of Matter from Cystic Duct, Percutaneous Approach
0FC87ZZ Extirpation of Matter from Cystic Duct, Via Natural or Artificial Opening
0FL53CZ Occlusion of Right Hepatic Duct with Extraluminal Device, Percutaneous Approach
0FL53DZ Occlusion of Right Hepatic Duct with Intraluminal Device, Percutaneous Approach
0FL53ZZ Occlusion of Right Hepatic Duct, Percutaneous Approach
0FL54CZ Occlusion of Right Hepatic Duct with Extraluminal Device, Percutaneous Endoscopic Approach
0FL54DZ Occlusion of Right Hepatic Duct with Intraluminal Device, Percutaneous Endoscopic Approach
0FL54ZZ Occlusion of Right Hepatic Duct, Percutaneous Endoscopic Approach
0FL57DZ Occlusion of Right Hepatic Duct with Intraluminal Device, Via Natural or Artificial Opening
0FL57ZZ Occlusion of Right Hepatic Duct, Via Natural or Artificial Opening
0FL58DZ Occlusion of Right Hepatic Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
0FL58ZZ Occlusion of Right Hepatic Duct, Via Natural or Artificial Opening Endoscopic
51.98Other percutaneous procedures on biliary tract
0FL63CZ Occlusion of Left Hepatic Duct with Extraluminal Device, Percutaneous Approach
0FL63DZ Occlusion of Left Hepatic Duct with Intraluminal Device, Percutaneous Approach
0FL63ZZ Occlusion of Left Hepatic Duct, Percutaneous Approach
0FL64CZ Occlusion of Left Hepatic Duct with Extraluminal Device, Percutaneous Endoscopic Approach
Endoscopy
CORP-224204-AA SEP2014See page 3 for important information about the uses and limitations of this document. 6
ICD‐9 CMCode ICD‐9 CM Description ICD‐10 PCS
Code ICD‐10 PCS Description
0FL64DZ Occlusion of Left Hepatic Duct with Intraluminal Device, Percutaneous Endoscopic Approach
0FL64ZZ Occlusion of Left Hepatic Duct, Percutaneous Endoscopic Approach
0FL67DZ Occlusion of Left Hepatic Duct with Intraluminal Device, Via Natural or Artificial Opening
0FL67ZZ Occlusion of Left Hepatic Duct, Via Natural or Artificial Opening
0FL68DZ Occlusion of Left Hepatic Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
0FL68ZZ Occlusion of Left Hepatic Duct, Via Natural or Artificial Opening Endoscopic
0FL83CZ Occlusion of Cystic Duct with Extraluminal Device, Percutaneous Approach
0FL83DZ Occlusion of Cystic Duct with Intraluminal Device, Percutaneous Approach
0FL83ZZ Occlusion of Cystic Duct, Percutaneous Approach
0FL84CZ Occlusion of Cystic Duct with Extraluminal Device, Percutaneous Endoscopic Approach
0FL84DZ Occlusion of Cystic Duct with Intraluminal Device, Percutaneous Endoscopic Approach
0FL84ZZ Occlusion of Cystic Duct, Percutaneous Endoscopic Approach
0FL87DZ Occlusion of Cystic Duct with Intraluminal Device, Via Natural or Artificial Opening
0FL87ZZ Occlusion of Cystic Duct, Via Natural or Artificial Opening
0FL88DZ Occlusion of Cystic Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
0FL88ZZ Occlusion of Cystic Duct, Via Natural or Artificial Opening Endoscopic
0FL93CZ Occlusion of Common Bile Duct with Extraluminal Device, Percutaneous Approach
0FL93DZ Occlusion of Common Bile Duct with Intraluminal Device, Percutaneous Approach
0FL93ZZ Occlusion of Common Bile Duct, Percutaneous Approach
0FL94CZ Occlusion of Common Bile Duct with Extraluminal Device, Percutaneous Endoscopic Approach
0FL94DZ Occlusion of Common Bile Duct with Intraluminal Device, Percutaneous Endoscopic Approach
0FL94ZZ Occlusion of Common Bile Duct, Percutaneous Endoscopic Approach
0FL97DZ Occlusion of Common Bile Duct with Intraluminal Device, Via Natural or Artificial Opening
0FL97ZZ Occlusion of Common Bile Duct, Via Natural or Artificial Opening
0FL98DZ Occlusion of Common Bile Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
0FL98ZZ Occlusion of Common Bile Duct, Via Natural or Artificial Opening Endoscopic
0FM44ZZ Reattachment of Gallbladder, Percutaneous Endoscopic Approach
0FM54ZZ Reattachment of Right Hepatic Duct, Percutaneous Endoscopic Approach
0FM64ZZ Reattachment of Left Hepatic Duct, Percutaneous Endoscopic Approach
51.98Other percutaneous procedures on biliary tract
0FM84ZZ Reattachment of Cystic Duct, Percutaneous Endoscopic Approach
0FM94ZZ Reattachment of Common Bile Duct, Percutaneous Endoscopic Approach
0FV53CZ Restriction of Right Hepatic Duct with Extraluminal Device, Percutaneous Approach
0FV53DZ Restriction of Right Hepatic Duct with Intraluminal Device, Percutaneous Approach
0FV53ZZ Restriction of Right Hepatic Duct, Percutaneous Approach
0FV54CZ Restriction of Right Hepatic Duct with Extraluminal Device, Percutaneous Endoscopic Approach
0FV54DZ Restriction of Right Hepatic Duct with Intraluminal Device, Percutaneous Endoscopic Approach
0FV54ZZ Restriction of Right Hepatic Duct, Percutaneous Endoscopic Approach
0FV57DZ Restriction of Right Hepatic Duct with Intraluminal Device, Via Natural or Artificial Opening
Endoscopy
CORP-224204-AA SEP2014See page 3 for important information about the uses and limitations of this document. 7
ICD‐9 CMCode ICD‐9 CM Description ICD‐10 PCS
Code ICD‐10 PCS Description
0FV57ZZ Restriction of Right Hepatic Duct, Via Natural or Artificial Opening
0FV58DZRestriction of Right Hepatic Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
0FV58ZZ Restriction of Right Hepatic Duct, Via Natural or Artificial Opening Endoscopic
0FV63CZ Restriction of Left Hepatic Duct with Extraluminal Device, Percutaneous Approach
0FV63DZ Restriction of Left Hepatic Duct with Intraluminal Device, Percutaneous Approach
0FV63ZZ Restriction of Left Hepatic Duct, Percutaneous Approach
0FV64CZ Restriction of Left Hepatic Duct with Extraluminal Device, Percutaneous Endoscopic Approach
0FV64DZ Restriction of Left Hepatic Duct with Intraluminal Device, Percutaneous Endoscopic Approach
0FV64ZZ Restriction of Left Hepatic Duct, Percutaneous Endoscopic Approach
0FV67DZ Restriction of Left Hepatic Duct with Intraluminal Device, Via Natural or Artificial Opening
0FV67ZZ Restriction of Left Hepatic Duct, Via Natural or Artificial Opening
0FV68DZ Restriction of Left Hepatic Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
0FV68ZZ Restriction of Left Hepatic Duct, Via Natural or Artificial Opening Endoscopic
0FV83CZ Restriction of Cystic Duct with Extraluminal Device, Percutaneous Approach
0FV83DZ Restriction of Cystic Duct with Intraluminal Device, Percutaneous Approach
0FV83ZZ Restriction of Cystic Duct, Percutaneous Approach
0FV84CZ Restriction of Cystic Duct with Extraluminal Device, Percutaneous Endoscopic Approach
0FV84DZ Restriction of Cystic Duct with Intraluminal Device, Percutaneous Endoscopic Approach
0FV84ZZ Restriction of Cystic Duct, Percutaneous Endoscopic Approach
0FV87DZ Restriction of Cystic Duct with Intraluminal Device, Via Natural or Artificial Opening
0FV87ZZ Restriction of Cystic Duct, Via Natural or Artificial Opening
0FV88DZ Restriction of Cystic Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
0FV88ZZ Restriction of Cystic Duct, Via Natural or Artificial Opening Endoscopic
51.98Other percutaneous procedures on biliary tract
0FV93CZ Restriction of Common Bile Duct with Extraluminal Device, Percutaneous Approach
0FV93DZ Restriction of Common Bile Duct with Intraluminal Device, Percutaneous Approach
0FV93ZZ Restriction of Common Bile Duct, Percutaneous Approach
0FV94CZ Restriction of Common Bile Duct with Extraluminal Device, Percutaneous Endoscopic Approach
0FV94DZ Restriction of Common Bile Duct with Intraluminal Device, Percutaneous Endoscopic Approach
0FV94ZZ Restriction of Common Bile Duct, Percutaneous Endoscopic Approach
0FV97DZ Restriction of Common Bile Duct with Intraluminal Device, Via Natural or Artificial Opening
0FV97ZZ Restriction of Common Bile Duct, Via Natural or Artificial Opening
0FV98DZRestriction of Common Bile Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
0FV98ZZ Restriction of Common Bile Duct, Via Natural or Artificial Opening Endoscopic
3E1J38XIrrigation of Biliary and Pancreatic Tract using Irrigating Substance, Percutaneous Approach, Diagnostic
3E1J38Z Irrigation of Biliary and Pancreatic Tract using Irrigating Substance, Percutaneous Approach
3E1R38X Irrigation of Spinal Canal using Irrigating Substance, Percutaneous Approach, Diagnostic
3E1R38Z Irrigation of Spinal Canal using Irrigating Substance, Percutaneous Approach
3E1S38X Irrigation of Epidural Space using Irrigating Substance, Percutaneous Approach, Diagnostic
3E1S38Z Irrigation of Epidural Space using Irrigating Substance, Percutaneous Approach
Endoscopy
CORP-224204-AA SEP2014See page 3 for important information about the uses and limitations of this document. 8
ICD‐9 CMCode ICD‐9 CM 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
0B558ZZ Destruction of Right Middle 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
Endoscopy
CORP-224204-AA SEP2014See page 3 for important information about the uses and limitations of this document. 9
ICD‐9 CMCode ICD‐9 CM 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
Endoscopy
CORP-224204-AA SEP2014See page 3 for important information about the uses and limitations of this document. 10
ICD‐9 CMCode ICD‐9 CM Description ICD‐10 PCS
Code ICD‐10 PCS Description
33.24Closed [endoscopic] biopsy of bronchus
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
0B9C8ZX Drainage of Right Upper Lung Lobe, Via Natural or Artificial Opening Endoscopic, Diagnostic
0B9D8ZX Drainage of Right Middle Lung Lobe, Via Natural or Artificial Opening Endoscopic, Diagnostic
0B9F8ZX Drainage of Right Lower Lung Lobe, Via Natural or Artificial Opening Endoscopic, Diagnostic
0B9G8ZX Drainage of Left Upper Lung Lobe, Via Natural or Artificial Opening Endoscopic, Diagnostic
0B9H8ZX Drainage of Lung Lingula, Via Natural or Artificial Opening Endoscopic, Diagnostic
Endoscopy
CORP-224204-AA SEP2014See page 3 for important information about the uses and limitations of this document. 11
ICD‐9 CMCode ICD‐9 CM Description ICD‐10 PCS
Code ICD‐10 PCS Description
33.27Closed endoscopic biopsy of lung
0B9J8ZX Drainage of Left Lower Lung Lobe, Via Natural or Artificial Opening Endoscopic, Diagnostic
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
0BBC7ZX Excision of Right Upper Lung Lobe, Via Natural or Artificial Opening, Diagnostic
0BBC8ZX Excision of Right Upper Lung Lobe, Via Natural or Artificial Opening Endoscopic, Diagnostic
0BBD7ZX Excision of Right Middle Lung Lobe, Via Natural or Artificial Opening, Diagnostic
0BBD8ZX Excision of Right Middle Lung Lobe, Via Natural or Artificial Opening Endoscopic, Diagnostic
0BBF7ZX Excision of Right Lower Lung Lobe, Via Natural or Artificial Opening, Diagnostic
0BBF8ZX Excision of Right Lower Lung Lobe, Via Natural or Artificial Opening Endoscopic, Diagnostic
0BBG7ZX Excision of Left Upper Lung Lobe, Via Natural or Artificial Opening, Diagnostic
0BBG8ZX Excision of Left Upper Lung Lobe, Via Natural or Artificial Opening Endoscopic, Diagnostic
0BBH7ZX Excision of Lung Lingula, Via Natural or Artificial Opening, Diagnostic
0BBH8ZX Excision of Lung Lingula, Via Natural or Artificial Opening Endoscopic, Diagnostic
0BBJ7ZX Excision of Left Lower Lung Lobe, Via Natural or Artificial Opening, Diagnostic
0BBJ8ZX Excision of Left Lower Lung Lobe, 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
Endoscopy
CORP-224204-AA SEP2014See page 3 for important information about the uses and limitations of this document. 12
ICD‐9 CMCode ICD‐9 CM Description ICD‐10 PCS
Code ICD‐10 PCS Description
31.99 Other operations on trach
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
0BL10CZ Occlusion of Trachea with Extraluminal Device, Open Approach
0BL10DZ Occlusion of Trachea with Intraluminal Device, Open Approach
0BL10ZZ Occlusion of Trachea, Open Approach
0BL13CZ Occlusion of Trachea with Extraluminal Device, Percutaneous Approach
0BL13DZ Occlusion of Trachea with Intraluminal Device, Percutaneous Approach
0BL13ZZ Occlusion of Trachea, Percutaneous Approach
0BL14CZ Occlusion of Trachea with Extraluminal Device, Percutaneous Endoscopic Approach
0BL14DZ Occlusion of Trachea with Intraluminal Device, Percutaneous Endoscopic Approach
0BL14ZZ Occlusion of Trachea, Percutaneous Endoscopic Approach
0BL17DZ Occlusion of Trachea with Intraluminal Device, Via Natural or Artificial Opening
0BL17ZZ Occlusion of Trachea, Via Natural or Artificial Opening
0BL18DZ Occlusion of Trachea with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
0BL18ZZ Occlusion of Trachea, Via Natural or Artificial Opening Endoscopic
0BL20CZ Occlusion of Carina with Extraluminal Device, Open Approach
0BL20DZ Occlusion of Carina with Intraluminal Device, Open Approach
0BL20ZZ Occlusion of Carina, Open Approach
0BL23CZ Occlusion of Carina with Extraluminal Device, Percutaneous Approach
0BL23DZ Occlusion of Carina with Intraluminal Device, Percutaneous Approach
0BL23ZZ Occlusion of Carina, Percutaneous Approach
0BL24CZ Occlusion of Carina with Extraluminal Device, Percutaneous Endoscopic Approach
0BL24DZ Occlusion of Carina with Intraluminal Device, Percutaneous Endoscopic Approach
0BL24ZZ Occlusion of Carina, Percutaneous Endoscopic Approach
0BL27DZ Occlusion of Carina with Intraluminal Device, Via Natural or Artificial Opening
0BL27ZZ Occlusion of Carina, Via Natural or Artificial Opening
0BL28DZ Occlusion of Carina with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
0BL28ZZ Occlusion of Carina, Via Natural or Artificial Opening Endoscopic
Endoscopy
CORP-224204-AA SEP2014See page 3 for important information about the uses and limitations of this document. 13
ICD‐9 CMCode ICD‐9 CM Description ICD‐10 PCS
Code ICD‐10 PCS Description
0BQ10ZZ Repair Trachea, Open Approach
0BQ13ZZ Repair Trachea, Percutaneous Approach
0BQ14ZZ Repair Trachea, Percutaneous Endoscopic Approach
0BQ17ZZ Repair Trachea, Via Natural or Artificial Opening
0BQ18ZZ Repair Trachea, 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
0BC27ZZ Extirpation of Matter from Carina, Via Natural or Artificial Opening
0BC28ZZ Extirpation of Matter from Carina, 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
0BC47ZZ Extirpation of Matter from Right Upper Lobe Bronchus, Via Natural or Artificial Opening
0BC48ZZ Extirpation of Matter from Right Upper Lobe Bronchus, Via Natural or Artificial Opening Endoscopic
0BC57ZZ Extirpation of Matter from Right Middle Lobe Bronchus, Via Natural or Artificial Opening
0BC58ZZ Extirpation of Matter from Right Middle Lobe Bronchus, Via Natural or Artificial Opening Endoscopic
0BC67ZZ Extirpation of Matter from Right Lower Lobe Bronchus, Via Natural or Artificial Opening
0BC68ZZ Extirpation of Matter from Right Lower Lobe 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
0BC87ZZ Extirpation of Matter from Left Upper Lobe Bronchus, Via Natural or Artificial Opening
0BC88ZZ Extirpation of Matter from Left Upper Lobe Bronchus, Via Natural or Artificial Opening Endoscopic
0BC97ZZ Extirpation of Matter from Lingula Bronchus, Via Natural or Artificial Opening
0BC98ZZ Extirpation of Matter from Lingula Bronchus, Via Natural or Artificial Opening Endoscopic
0BCB7ZZ Extirpation of Matter from Left Lower Lobe Bronchus, Via Natural or Artificial Opening
0BCB8ZZ Extirpation of Matter from Left Lower Lobe Bronchus, Via Natural or Artificial Opening Endoscopic
Endoscopy
CORP-224204-AA SEP2014See page 3 for important information about the uses and limitations of this document. 14
ICD‐9 CMCode ICD‐9 CM Description ICD‐10 PCS
Code ICD‐10 PCS Description
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
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
0D7C8DZ Dilation of Ileocecal Valve with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
0D7E8DZ Dilation of Large Intestine with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
0D7F8DZ Dilation of Right Large Intestine with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
0D7G8DZ Dilation of Left Large Intestine with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
0D7H8DZ Dilation of Cecum with Intraluminal Device, 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
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
Endoscopy
CORP-224204-AA SEP2014See page 3 for important information about the uses and limitations of this document. 15
ICD‐9 CMCode ICD‐9 CM Description ICD‐10 PCS
Code ICD‐10 PCS Description
51.87Endoscopic insertion of stent (tube) into bile duct
0F754DZ Dilation of Right Hepatic Duct with Intraluminal Device, Percutaneous Endoscopic Approach
0F758DZ Dilation of Right Hepatic Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
0F764DZ Dilation of Left Hepatic Duct with Intraluminal Device, Percutaneous Endoscopic Approach
0F768DZ Dilation of Left Hepatic Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
0F784DZ Dilation of Cystic Duct with Intraluminal Device, Percutaneous Endoscopic Approach
0F788DZ Dilation of Cystic Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
0F794DZ Dilation of Common Bile Duct with Intraluminal Device, Percutaneous Endoscopic Approach
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
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
0F993ZZ Drainage of Common Bile Duct, Percutaneous Approach
0F994ZZ Drainage of Common Bile Duct, Percutaneous Endoscopic Approach
0F997ZZ Drainage of Common Bile Duct, Via Natural or Artificial Opening
0F998ZZ Drainage of Common Bile Duct, Via Natural or Artificial Opening Endoscopic
0FC53ZZ Extirpation of Matter from Right Hepatic Duct, Percutaneous Approach
0FC57ZZ Extirpation of Matter from Right Hepatic Duct, Via Natural or Artificial Opening
0FC63ZZ Extirpation of Matter from Left Hepatic Duct, Percutaneous Approach
0FC67ZZ Extirpation of Matter from Left Hepatic Duct, Via Natural or Artificial Opening
0FC83ZZ Extirpation of Matter from Cystic Duct, Percutaneous Approach
0FC87ZZ Extirpation of Matter from Cystic Duct, Via Natural or Artificial Opening
Endoscopy
CORP-224204-AA SEP2014See page 3 for important information about the uses and limitations of this document. 16
ICD‐9 CMCode ICD‐9 CM Description ICD‐10 PCS
Code ICD‐10 PCS Description
51.98Other percutaneous procedures on biliary tract
0FL53CZ Occlusion of Right Hepatic Duct with Extraluminal Device, Percutaneous Approach
0FL53DZ Occlusion of Right Hepatic Duct with Intraluminal Device, Percutaneous Approach
0FL53ZZ Occlusion of Right Hepatic Duct, Percutaneous Approach
0FL54CZ Occlusion of Right Hepatic Duct with Extraluminal Device, Percutaneous Endoscopic Approach
0FL54DZ Occlusion of Right Hepatic Duct with Intraluminal Device, Percutaneous Endoscopic Approach
0FL54ZZ Occlusion of Right Hepatic Duct, Percutaneous Endoscopic Approach
0FL57DZ Occlusion of Right Hepatic Duct with Intraluminal Device, Via Natural or Artificial Opening
0FL57ZZ Occlusion of Right Hepatic Duct, Via Natural or Artificial Opening
0FL58DZ Occlusion of Right Hepatic Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
0FL58ZZ Occlusion of Right Hepatic Duct, Via Natural or Artificial Opening Endoscopic
0FL63CZ Occlusion of Left Hepatic Duct with Extraluminal Device, Percutaneous Approach
0FL63DZ Occlusion of Left Hepatic Duct with Intraluminal Device, Percutaneous Approach
0FL63ZZ Occlusion of Left Hepatic Duct, Percutaneous Approach
0FL64CZ Occlusion of Left Hepatic Duct with Extraluminal Device, Percutaneous Endoscopic Approach
0FL64DZ Occlusion of Left Hepatic Duct with Intraluminal Device, Percutaneous Endoscopic Approach
0FL64ZZ Occlusion of Left Hepatic Duct, Percutaneous Endoscopic Approach
0FL67DZ Occlusion of Left Hepatic Duct with Intraluminal Device, Via Natural or Artificial Opening
0FL67ZZ Occlusion of Left Hepatic Duct, Via Natural or Artificial Opening
0FL68DZ Occlusion of Left Hepatic Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
0FL68ZZ Occlusion of Left Hepatic Duct, Via Natural or Artificial Opening Endoscopic
0FL83CZ Occlusion of Cystic Duct with Extraluminal Device, Percutaneous Approach
0FL83DZ Occlusion of Cystic Duct with Intraluminal Device, Percutaneous Approach
0FL83ZZ Occlusion of Cystic Duct, Percutaneous Approach
0FL84CZ Occlusion of Cystic Duct with Extraluminal Device, Percutaneous Endoscopic Approach
0FL84DZ Occlusion of Cystic Duct with Intraluminal Device, Percutaneous Endoscopic Approach
0FL84ZZ Occlusion of Cystic Duct, Percutaneous Endoscopic Approach
0FL87DZ Occlusion of Cystic Duct with Intraluminal Device, Via Natural or Artificial Opening
0FL87ZZ Occlusion of Cystic Duct, Via Natural or Artificial Opening
0FL88DZ Occlusion of Cystic Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
0FL88ZZ Occlusion of Cystic Duct, Via Natural or Artificial Opening Endoscopic
0FL93CZ Occlusion of Common Bile Duct with Extraluminal Device, Percutaneous Approach
0FL93DZ Occlusion of Common Bile Duct with Intraluminal Device, Percutaneous Approach
0FL93ZZ Occlusion of Common Bile Duct, Percutaneous Approach
0FL94CZ Occlusion of Common Bile Duct with Extraluminal Device, Percutaneous Endoscopic Approach
0FL94DZ Occlusion of Common Bile Duct with Intraluminal Device, Percutaneous Endoscopic Approach
0FL94ZZ Occlusion of Common Bile Duct, Percutaneous Endoscopic Approach
0FL97DZ Occlusion of Common Bile Duct with Intraluminal Device, Via Natural or Artificial Opening
0FL97ZZ Occlusion of Common Bile Duct, Via Natural or Artificial Opening
Endoscopy
CORP-224204-AA SEP2014See page 3 for important information about the uses and limitations of this document. 17
ICD‐9 CMCode ICD‐9 CM Description ICD‐10 PCS
Code ICD‐10 PCS Description
51.98Other percutaneous procedures on biliary tract
0FL98DZ Occlusion of Common Bile Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
0FL98ZZ Occlusion of Common Bile Duct, Via Natural or Artificial Opening Endoscopic
0FM44ZZ Reattachment of Gallbladder, Percutaneous Endoscopic Approach
0FM54ZZ Reattachment of Right Hepatic Duct, Percutaneous Endoscopic Approach
0FM64ZZ Reattachment of Left Hepatic Duct, Percutaneous Endoscopic Approach
0FM84ZZ Reattachment of Cystic Duct, Percutaneous Endoscopic Approach
0FM94ZZ Reattachment of Common Bile Duct, Percutaneous Endoscopic Approach
0FV53CZ Restriction of Right Hepatic Duct with Extraluminal Device, Percutaneous Approach
0FV53DZ Restriction of Right Hepatic Duct with Intraluminal Device, Percutaneous Approach
0FV53ZZ Restriction of Right Hepatic Duct, Percutaneous Approach
0FV54CZ Restriction of Right Hepatic Duct with Extraluminal Device, Percutaneous Endoscopic Approach
0FV54DZ Restriction of Right Hepatic Duct with Intraluminal Device, Percutaneous Endoscopic Approach
0FV54ZZ Restriction of Right Hepatic Duct, Percutaneous Endoscopic Approach
0FV57DZ Restriction of Right Hepatic Duct with Intraluminal Device, Via Natural or Artificial Opening
0FV57ZZ Restriction of Right Hepatic Duct, Via Natural or Artificial Opening
0FV58DZRestriction of Right Hepatic Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
0FV58ZZ Restriction of Right Hepatic Duct, Via Natural or Artificial Opening Endoscopic
0FV63CZ Restriction of Left Hepatic Duct with Extraluminal Device, Percutaneous Approach
0FV63DZ Restriction of Left Hepatic Duct with Intraluminal Device, Percutaneous Approach
0FV63ZZ Restriction of Left Hepatic Duct, Percutaneous Approach
0FV64CZ Restriction of Left Hepatic Duct with Extraluminal Device, Percutaneous Endoscopic Approach
0FV64DZ Restriction of Left Hepatic Duct with Intraluminal Device, Percutaneous Endoscopic Approach
0FV64ZZ Restriction of Left Hepatic Duct, Percutaneous Endoscopic Approach
0FV67DZ Restriction of Left Hepatic Duct with Intraluminal Device, Via Natural or Artificial Opening
0FV67ZZ Restriction of Left Hepatic Duct, Via Natural or Artificial Opening
0FV68DZ Restriction of Left Hepatic Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
0FV68ZZ Restriction of Left Hepatic Duct, Via Natural or Artificial Opening Endoscopic
0FV83CZ Restriction of Cystic Duct with Extraluminal Device, Percutaneous Approach
0FV83DZ Restriction of Cystic Duct with Intraluminal Device, Percutaneous Approach
0FV83ZZ Restriction of Cystic Duct, Percutaneous Approach
0FV84CZ Restriction of Cystic Duct with Extraluminal Device, Percutaneous Endoscopic Approach
0FV84DZ Restriction of Cystic Duct with Intraluminal Device, Percutaneous Endoscopic Approach
0FV84ZZ Restriction of Cystic Duct, Percutaneous Endoscopic Approach
0FV87DZ Restriction of Cystic Duct with Intraluminal Device, Via Natural or Artificial Opening
0FV87ZZ Restriction of Cystic Duct, Via Natural or Artificial Opening
0FV88DZ Restriction of Cystic Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
0FV88ZZ Restriction of Cystic Duct, Via Natural or Artificial Opening Endoscopic
Endoscopy
CORP-224204-AA SEP2014See page 3 for important information about the uses and limitations of this document. 18
ICD‐9 CMCode ICD‐9 CM Description ICD‐10 PCS
Code ICD‐10 PCS Description
51.98Other percutaneous procedures on biliary tract
0FV93CZ Restriction of Common Bile Duct with Extraluminal Device, Percutaneous Approach
0FV93DZ Restriction of Common Bile Duct with Intraluminal Device, Percutaneous Approach
0FV93ZZ Restriction of Common Bile Duct, Percutaneous Approach
0FV94CZ Restriction of Common Bile Duct with Extraluminal Device, Percutaneous Endoscopic Approach
0FV94DZ Restriction of Common Bile Duct with Intraluminal Device, Percutaneous Endoscopic Approach
0FV94ZZ Restriction of Common Bile Duct, Percutaneous Endoscopic Approach
0FV97DZ Restriction of Common Bile Duct with Intraluminal Device, Via Natural or Artificial Opening
0FV97ZZ Restriction of Common Bile Duct, Via Natural or Artificial Opening
0FV98DZRestriction of Common Bile Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
0FV98ZZ Restriction of Common Bile Duct, Via Natural or Artificial Opening Endoscopic
3E1J38XIrrigation of Biliary and Pancreatic Tract using Irrigating Substance, Percutaneous Approach, Diagnostic
3E1J38Z Irrigation of Biliary and Pancreatic Tract using Irrigating Substance, Percutaneous Approach
3E1R38X Irrigation of Spinal Canal using Irrigating Substance, Percutaneous Approach, Diagnostic
3E1R38Z Irrigation of Spinal Canal using Irrigating Substance, Percutaneous Approach
3E1S38X Irrigation of Epidural Space using Irrigating Substance, Percutaneous Approach, Diagnostic
3E1S38Z Irrigation of Epidural Space using Irrigating Substance, Percutaneous Approach
97.05Replacement of stent (tube) in biliary or pancreatic duct
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
97.05Replacement of stent (tube) in biliary or pancreatic duct
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
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
Endoscopy
ICD‐9 CMCode ICD‐9 CM Description ICD‐10 PCS
Code ICD‐10 PCS Description
51.10Endoscopic retrograde cholangio-pancreatography (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
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
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
51.14Other closed (endoscopic) biopsy of biliary duct or sphincter of Oddi
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-AA SEP2014See page 3 for important information about the uses and limitations of this document. 19
Interventional Cardiology
ICD‐9 CMCode
ICD‐9 CM Description
ICD‐10 PCSCode ICD‐10 PCS Description
37.21Right heart cardiac catheterization
4A0 Measurement / Physiological Systems
4A020N6 Measurement of Cardiac Sampling and Pressure, Right Heart, Open Approach
4A023N6 Measurement of Cardiac Sampling and Pressure, Right Heart, Percutaneous Approach
37.22Left heart cardiac catheterization
4A0 Measurement / Physiological Systems
4A020N7 Measurement of Cardiac Sampling and Pressure, Left Heart, Open Approach
4A023N7 Measurement of Cardiac Sampling and Pressure, Left Heart, Percutaneous Approach
37.23
Combined right and left heart cardiac catheterization
4A0 Measurement / Physiological Systems
4A020N8 Measurement of Cardiac Sampling and Pressure, Bilateral, Open Approach
4A023N8 Measurement of Cardiac Sampling and Pressure, Bilateral, Percutaneous Approach
00.40Procedure on single vessel
027 Dilation / Heart and Great Vessels
0270 Dilation / Coronary Artery, One Site
0270046 Dilation of Coronary Artery, One Site, Bifurcation, with Drug-eluting Intraluminal Device, Open Approach
027004Z Dilation of Coronary Artery, One Site with Drug-eluting Intraluminal Device, Open Approach
02700D6 Dilation of Coronary Artery, One Site, Bifurcation, with Intraluminal Device, Open Approach
02700DZ Dilation of Coronary Artery, One Site with Intraluminal Device, Open Approach
02700T6 Dilation of Coronary Artery, One Site, Bifurcation, with Radioactive Intraluminal Device, Open Approach
02700TZ Dilation of Coronary Artery, One Site with Radioactive Intraluminal Device, Open Approach
02700Z6 Dilation of Coronary Artery, One Site, Bifurcation, Open Approach
02700ZZ Dilation of Coronary Artery, One Site, Open Approach
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
02703D6 Dilation of Coronary Artery, One Site, Bifurcation, with Intraluminal Device, Percutaneous Approach
02703DZ Dilation of Coronary Artery, One Site with Intraluminal Device, Percutaneous Approach
02703T6 Dilation of Coronary Artery, One Site, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Approach
02703TZ Dilation of Coronary Artery, One Site with Radioactive Intraluminal Device, Percutaneous Approach
02703Z6 Dilation of Coronary Artery, One Site, Bifurcation, Percutaneous Approach
02703ZZ Dilation of Coronary Artery, One Site, Percutaneous Approach
0270446Dilation of Coronary Artery, One Site, Bifurcation, with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
027044Z Dilation of Coronary Artery, One Site with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
02704D6 Dilation of Coronary Artery, One Site, Bifurcation, with Intraluminal Device, Percutaneous Endoscopic Approach
02704DZ Dilation of Coronary Artery, One Site with Intraluminal Device, Percutaneous Endoscopic Approach
02704T6Dilation of Coronary Artery, One Site, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Endoscopic Approach
02704TZ Dilation of Coronary Artery, One Site with Radioactive Intraluminal Device, Percutaneous Endoscopic Approach
02704Z6 Dilation of Coronary Artery, One Site, Bifurcation, Percutaneous Endoscopic Approach
02704ZZ Dilation of Coronary Artery, One Site, Percutaneous Endoscopic Approach
02C Extirpation / Heart and Great Vessels
02C0 Extirpation / Coronary Artery, One Site
02C03ZZ Extirpation of Matter from Coronary Artery, One Site, Percutaneous Approach
00.41Procedure on two vessels
027 Dilation / Heart and Great Vessels
0271 Dilation / Coronary Artery, Two Sites
0271046 Dilation of Coronary Artery, Two Sites, Bifurcation, with Drug-eluting Intraluminal Device, Open Approach
027104Z Dilation of Coronary Artery, Two Sites with Drug-eluting Intraluminal Device, Open Approach
02710D6 Dilation of Coronary Artery, Two Sites, Bifurcation, with Intraluminal Device, Open Approach
02710DZ Dilation of Coronary Artery, Two Sites with Intraluminal Device, Open Approach
02710T6 Dilation of Coronary Artery, Two Sites, Bifurcation, with Radioactive Intraluminal Device, Open Approach
CORP-224204-AA SEP2014See page 3 for important information about the uses and limitations of this document. 20
Interventional Cardiology
ICD‐9 CMCode
ICD‐9 CM Description
ICD‐10 PCSCode ICD‐10 PCS Description
00.41Procedure on two vessels
02710TZ Dilation of Coronary Artery, Two Sites with Radioactive Intraluminal Device, Open Approach
02710Z6 Dilation of Coronary Artery, Two Sites, Bifurcation, Open Approach
02710ZZ Dilation of Coronary Artery, Two Sites, Open 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
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
02713T6 Dilation of Coronary Artery, Two Sites, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Approach
02713TZ Dilation of Coronary Artery, Two Sites with Radioactive Intraluminal Device, Percutaneous Approach
02713Z6 Dilation of Coronary Artery, Two Sites, Bifurcation, Percutaneous Approach
02713ZZ Dilation of Coronary Artery, Two Sites, Percutaneous Approach
0271446Dilation of Coronary Artery, Two Sites, Bifurcation, with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
027144Z Dilation of Coronary Artery, Two Sites with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
02714D6 Dilation of Coronary Artery, Two Sites, Bifurcation, with Intraluminal Device, Percutaneous Endoscopic Approach
02714DZ Dilation of Coronary Artery, Two Sites with Intraluminal Device, Percutaneous Endoscopic Approach
02714T6Dilation of Coronary Artery, Two Sites, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Endoscopic Approach
02714TZ Dilation of Coronary Artery, Two Sites with Radioactive Intraluminal Device, Percutaneous Endoscopic Approach
02714Z6 Dilation of Coronary Artery, Two Sites, Bifurcation, Percutaneous Endoscopic Approach
02714ZZ Dilation of Coronary Artery, Two Sites, Percutaneous Endoscopic Approach
02C Extirpation / Heart and Great Vessels
02C13ZZ Extirpation of Matter from Coronary Artery, Two Sites, Percutaneous Approach
00.42Procedure on three vessels
027 Dilation / Heart and Great Vessels
0272 Dilation / Coronary Artery, Three Sites
0272046 Dilation of Coronary Artery, Three Sites, Bifurcation, with Drug-eluting Intraluminal Device, Open Approach
027204Z Dilation of Coronary Artery, Three Sites with Drug-eluting Intraluminal Device, Open Approach
02720D6 Dilation of Coronary Artery, Three Sites, Bifurcation, with Intraluminal Device, Open Approach
02720DZ Dilation of Coronary Artery, Three Sites with Intraluminal Device, Open Approach
02720T6 Dilation of Coronary Artery, Three Sites, Bifurcation, with Radioactive Intraluminal Device, Open Approach
02720TZ Dilation of Coronary Artery, Three Sites with Radioactive Intraluminal Device, Open Approach
02720Z6 Dilation of Coronary Artery, Three Sites, Bifurcation, Open Approach
02720ZZ Dilation of Coronary Artery, Three Sites, Open 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
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
02723T6Dilation of Coronary Artery, Three Sites, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Approach
02723TZ Dilation of Coronary Artery, Three Sites with Radioactive Intraluminal Device, Percutaneous Approach
02723Z6 Dilation of Coronary Artery, Three Sites, Bifurcation, Percutaneous Approach
02723ZZ Dilation of Coronary Artery, Three Sites, Percutaneous Approach
0272446Dilation of Coronary Artery, Three Sites, Bifurcation, with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
027244ZDilation of Coronary Artery, Three Sites with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
02724D6Dilation of Coronary Artery, Three Sites, Bifurcation, with Intraluminal Device, Percutaneous Endoscopic Approach
02724DZ Dilation of Coronary Artery, Three Sites with Intraluminal Device, Percutaneous Endoscopic Approach
CORP-224204-AA SEP2014See page 3 for important information about the uses and limitations of this document. 21
Interventional Cardiology
ICD‐9 CMCode
ICD‐9 CM Description
ICD‐10 PCSCode ICD‐10 PCS Description
00.42Procedure on three vessels
02724T6Dilation of Coronary Artery, Three Sites, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Endoscopic Approach
02724TZ Dilation of Coronary Artery, Three Sites with Radioactive Intraluminal Device, Percutaneous Endoscopic Approach
02724Z6 Dilation of Coronary Artery, Three Sites, Bifurcation, Percutaneous Endoscopic Approach
02724ZZ Dilation of Coronary Artery, Three Sites, Percutaneous Endoscopic Approach
02C Extirpation / Heart and Great Vessels
02C23ZZ Extirpation of Matter from Coronary Artery, Three Sites, Percutaneous Approach
00.43Procedure on four or more vessels
027 Dilation / Heart and Great Vessels
0273 Dilation / Coronary Artery, Four or More Sites
0273046 Dilation of Coronary Artery, Four or More Sites, Bifurcation, with Drug-eluting Intraluminal Device, Open Approach
027304Z Dilation of Coronary Artery, Four or More Sites with Drug-eluting Intraluminal Device, Open Approach
02730D6 Dilation of Coronary Artery, Four or More Sites, Bifurcation, with Intraluminal Device, Open Approach
02730DZ Dilation of Coronary Artery, Four or More Sites with Intraluminal Device, Open Approach
02730T6 Dilation of Coronary Artery, Four or More Sites, Bifurcation, with Radioactive Intraluminal Device, Open Approach
02730TZ Dilation of Coronary Artery, Four or More Sites with Radioactive Intraluminal Device, Open Approach
02730Z6 Dilation of Coronary Artery, Four or More Sites, Bifurcation, Open Approach
02730ZZ Dilation of Coronary Artery, Four or More Sites, Open 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
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
02733T6Dilation of Coronary Artery, Four or More Sites, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Approach
02733TZ Dilation of Coronary Artery, Four or More Sites with Radioactive Intraluminal Device, Percutaneous Approach
02733Z6 Dilation of Coronary Artery, Four or More Sites, Bifurcation, Percutaneous Approach
02733ZZ Dilation of Coronary Artery, Four or More Sites, Percutaneous Approach
0273446Dilation of Coronary Artery, Four or More Sites, Bifurcation, with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
027344ZDilation of Coronary Artery, Four or More Sites with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
02734D6Dilation of Coronary Artery, Four or More Sites, Bifurcation, with Intraluminal Device, Percutaneous Endoscopic Approach
02734DZ Dilation of Coronary Artery, Four or More Sites with Intraluminal Device, Percutaneous Endoscopic Approach
02734T6Dilation of Coronary Artery, Four or More Sites, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Endoscopic Approach
02734TZDilation of Coronary Artery, Four or More Sites with Radioactive Intraluminal Device, Percutaneous Endoscopic Approach
02734Z6 Dilation of Coronary Artery, Four or More Sites, Bifurcation, Percutaneous Endoscopic Approach
02734ZZ Dilation of Coronary Artery, Four or More Sites, Percutaneous Endoscopic Approach
02C Extirpation / Heart and Great Vessels
02C33ZZ Extirpation of Matter from Coronary Artery, Four or More Sites, Percutaneous Approach
00.44Procedure on vessel bifurcation
027 Dilation / Heart and Great Vessels
0270 Dilation / Coronary Artery, One Site
0270046 Dilation of Coronary Artery, One Site, Bifurcation, with Drug-eluting Intraluminal Device, Open Approach
02700D6 Dilation of Coronary Artery, One Site, Bifurcation, with Intraluminal Device, Open Approach
02700T6 Dilation of Coronary Artery, One Site, Bifurcation, with Radioactive Intraluminal Device, Open Approach
02700Z6 Dilation of Coronary Artery, One Site, Bifurcation, Open Approach
0270346 Dilation of Coronary Artery, One Site, Bifurcation, with Drug-eluting Intraluminal Device, Percutaneous Approach
02703D6 Dilation of Coronary Artery, One Site, Bifurcation, with Intraluminal Device, Percutaneous Approach
02703T6 Dilation of Coronary Artery, One Site, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Approach
02703Z6 Dilation of Coronary Artery, One Site, Bifurcation, Percutaneous Approach
CORP-224204-AA SEP2014See page 3 for important information about the uses and limitations of this document. 22
Interventional Cardiology
ICD‐9 CMCode
ICD‐9 CM Description
ICD‐10 PCSCode ICD‐10 PCS Description
00.44Procedure on vessel bifurcation
0270446 Dilation of Coronary Artery, One Site, Bifurcation, with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
02704D6 Dilation of Coronary Artery, One Site, Bifurcation, with Intraluminal Device, Percutaneous Endoscopic Approach
02704T6 Dilation of Coronary Artery, One Site, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Endoscopic Approach
02704Z6 Dilation of Coronary Artery, One Site, Bifurcation, Percutaneous Endoscopic Approach
0271 Dilation / Coronary Artery, Two Sites
0271046 Dilation of Coronary Artery, Two Sites, Bifurcation, with Drug-eluting Intraluminal Device, Open Approach
02710D6 Dilation of Coronary Artery, Two Sites, Bifurcation, with Intraluminal Device, Open Approach
02710T6 Dilation of Coronary Artery, Two Sites, Bifurcation, with Radioactive Intraluminal Device, Open Approach
02710Z6 Dilation of Coronary Artery, Two Sites, Bifurcation, Open Approach
0271346 Dilation of Coronary Artery, Two Sites, Bifurcation, with Drug-eluting Intraluminal Device, Percutaneous Approach
02713D6 Dilation of Coronary Artery, Two Sites, Bifurcation, with Intraluminal Device, Percutaneous Approach
02713T6 Dilation of Coronary Artery, Two Sites, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Approach
02713Z6 Dilation of Coronary Artery, Two Sites, Bifurcation, Percutaneous Approach
0271446 Dilation of Coronary Artery, Two Sites, Bifurcation, with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
02714D6 Dilation of Coronary Artery, Two Sites, Bifurcation, with Intraluminal Device, Percutaneous Endoscopic Approach
02714T6 Dilation of Coronary Artery, Two Sites, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Endoscopic Approach
02714Z6 Dilation of Coronary Artery, Two Sites, Bifurcation, Percutaneous Endoscopic Approach
0272 Dilation / Coronary Artery, Three Sites
0272046 Dilation of Coronary Artery, Three Sites, Bifurcation, with Drug-eluting Intraluminal Device, Open Approach
02720D6 Dilation of Coronary Artery, Three Sites, Bifurcation, with Intraluminal Device, Open Approach
02720T6 Dilation of Coronary Artery, Three Sites, Bifurcation, with Radioactive Intraluminal Device, Open Approach
02720Z6 Dilation of Coronary Artery, Three Sites, Bifurcation, Open Approach
0272346 Dilation of Coronary Artery, Three Sites, Bifurcation, with Drug-eluting Intraluminal Device, Percutaneous Approach
02723D6 Dilation of Coronary Artery, Three Sites, Bifurcation, with Intraluminal Device, Percutaneous Approach
02723T6 Dilation of Coronary Artery, Three Sites, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Approach
02723Z6 Dilation of Coronary Artery, Three Sites, Bifurcation, Percutaneous Approach
0272446 Dilation of Coronary Artery, Three Sites, Bifurcation, with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
02724D6 Dilation of Coronary Artery, Three Sites, Bifurcation, with Intraluminal Device, Percutaneous Endoscopic Approach
02724T6 Dilation of Coronary Artery, Three Sites, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Endoscopic Approach
02724Z6 Dilation of Coronary Artery, Three Sites, Bifurcation, Percutaneous Endoscopic Approach
0273 Dilation / Coronary Artery, Four or More Sites
0273046 Dilation of Coronary Artery, Four or More Sites, Bifurcation, with Drug-eluting Intraluminal Device, Open Approach
02730D6 Dilation of Coronary Artery, Four or More Sites, Bifurcation, with Intraluminal Device, Open Approach
02730T6 Dilation of Coronary Artery, Four or More Sites, Bifurcation, with Radioactive Intraluminal Device, Open Approach
02730Z6 Dilation of Coronary Artery, Four or More Sites, Bifurcation, Open Approach
0273346 Dilation of Coronary Artery, Four or More Sites, Bifurcation, with Drug-eluting Intraluminal Device, Percutaneous Approach
02733D6 Dilation of Coronary Artery, Four or More Sites, Bifurcation, with Intraluminal Device, Percutaneous Approach
02733T6 Dilation of Coronary Artery, Four or More Sites, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Approach
02733Z6 Dilation of Coronary Artery, Four or More Sites, Bifurcation, Percutaneous Approach
0273446 Dilation of Coronary Artery, Four or More Sites, Bifurcation, with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
02734D6 Dilation of Coronary Artery, Four or More Sites, Bifurcation, with Intraluminal Device, Percutaneous Endoscopic Approach
02734T6 Dilation of Coronary Artery, Four or More Sites, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Endoscopic Approach
02734Z6 Dilation of Coronary Artery, Four or More Sites, Bifurcation, Percutaneous Endoscopic Approach
CORP-224204-AA SEP2014See page 3 for important information about the uses and limitations of this document. 23
Interventional Cardiology
ICD‐9 CMCode
ICD‐9 CM Description
ICD‐10 PCSCode ICD‐10 PCS Description
00.45Insertion of one vascular stent
027 Dilation / Heart and Great Vessels
0270 Dilation / Coronary Artery, One Site
0270046 Dilation of Coronary Artery, One Site, Bifurcation, with Drug-eluting Intraluminal Device, Open Approach
027004Z Dilation of Coronary Artery, One Site with Drug-eluting Intraluminal Device, Open Approach
02700D6 Dilation of Coronary Artery, One Site, Bifurcation, with Intraluminal Device, Open Approach
02700DZ Dilation of Coronary Artery, One Site with Intraluminal Device, Open Approach
02700T6 Dilation of Coronary Artery, One Site, Bifurcation, with Radioactive Intraluminal Device, Open Approach
02700TZ Dilation of Coronary Artery, One Site with Radioactive Intraluminal Device, Open Approach
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
02703D6 Dilation of Coronary Artery, One Site, Bifurcation, with Intraluminal Device, Percutaneous Approach
00.46Insertion of two vascular stents
02703DZ Dilation of Coronary Artery, One Site with Intraluminal Device, Percutaneous Approach
02703T6 Dilation of Coronary Artery, One Site, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Approach
02703TZ Dilation of Coronary Artery, One Site with Radioactive Intraluminal Device, Percutaneous Approach
0270446Dilation of Coronary Artery, One Site, Bifurcation, with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
027044Z Dilation of Coronary Artery, One Site with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
02704D6 Dilation of Coronary Artery, One Site, Bifurcation, with Intraluminal Device, Percutaneous Endoscopic Approach
02704DZ Dilation of Coronary Artery, One Site with Intraluminal Device, Percutaneous Endoscopic Approach
02704T6Dilation of Coronary Artery, One Site, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Endoscopic Approach
02704TZ Dilation of Coronary Artery, One Site with Radioactive Intraluminal Device, Percutaneous Endoscopic Approach
027 Dilation / Heart and Great Vessels
0271 Dilation / Coronary Artery, Two Sites
0271046 Dilation of Coronary Artery, Two Sites, Bifurcation, with Drug-eluting Intraluminal Device, Open Approach
027104Z Dilation of Coronary Artery, Two Sites with Drug-eluting Intraluminal Device, Open Approach
02710D6 Dilation of Coronary Artery, Two Sites, Bifurcation, with Intraluminal Device, Open Approach
02710DZ Dilation of Coronary Artery, Two Sites with Intraluminal Device, Open Approach
02710T6 Dilation of Coronary Artery, Two Sites, Bifurcation, with Radioactive Intraluminal Device, Open Approach
02710TZ Dilation of Coronary Artery, Two Sites with Radioactive Intraluminal Device, Open 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
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
02713T6 Dilation of Coronary Artery, Two Sites, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Approach
02713TZ Dilation of Coronary Artery, Two Sites with Radioactive Intraluminal Device, Percutaneous Approach
0271446Dilation of Coronary Artery, Two Sites, Bifurcation, with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
027144Z Dilation of Coronary Artery, Two Sites with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
02714D6 Dilation of Coronary Artery, Two Sites, Bifurcation, with Intraluminal Device, Percutaneous Endoscopic Approach
02714DZ Dilation of Coronary Artery, Two Sites with Intraluminal Device, Percutaneous Endoscopic Approach
02714T6Dilation of Coronary Artery, Two Sites, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Endoscopic Approach
02714TZ Dilation of Coronary Artery, Two Sites with Radioactive Intraluminal Device, Percutaneous Endoscopic Approach
CORP-224204-AA SEP2014See page 3 for important information about the uses and limitations of this document. 24
Interventional Cardiology
ICD‐9 CMCode
ICD‐9 CM Description
ICD‐10 PCSCode ICD‐10 PCS Description
00.47Insertion of three vascular stents
027 Dilation / Heart and Great Vessels
0272 Dilation / Coronary Artery, Three Sites
0272046 Dilation of Coronary Artery, Three Sites, Bifurcation, with Drug-eluting Intraluminal Device, Open Approach
027204Z Dilation of Coronary Artery, Three Sites with Drug-eluting Intraluminal Device, Open Approach
02720D6 Dilation of Coronary Artery, Three Sites, Bifurcation, with Intraluminal Device, Open Approach
02720DZ Dilation of Coronary Artery, Three Sites with Intraluminal Device, Open Approach
02720T6 Dilation of Coronary Artery, Three Sites, Bifurcation, with Radioactive Intraluminal Device, Open Approach
02720TZ Dilation of Coronary Artery, Three Sites with Radioactive Intraluminal Device, Open 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
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
02723T6Dilation of Coronary Artery, Three Sites, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Approach
02723TZ Dilation of Coronary Artery, Three Sites with Radioactive Intraluminal Device, Percutaneous Approach
0272446Dilation of Coronary Artery, Three Sites, Bifurcation, with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
027244ZDilation of Coronary Artery, Three Sites with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
02724D6Dilation of Coronary Artery, Three Sites, Bifurcation, with Intraluminal Device, Percutaneous Endoscopic Approach
02724DZ Dilation of Coronary Artery, Three Sites with Intraluminal Device, Percutaneous Endoscopic Approach
02724T6Dilation of Coronary Artery, Three Sites, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Endoscopic Approach
02724TZDilation of Coronary Artery, Three Sites with Radioactive Intraluminal Device, Percutaneous Endoscopic Approach
00.48Insertion of four or more vascular stents
027 Dilation / Heart and Great Vessels
0273 Dilation / Coronary Artery, Four or More Sites
0273046 Dilation of Coronary Artery, Four or More Sites, Bifurcation, with Drug-eluting Intraluminal Device, Open Approach
027304Z Dilation of Coronary Artery, Four or More Sites with Drug-eluting Intraluminal Device, Open Approach
02730D6 Dilation of Coronary Artery, Four or More Sites, Bifurcation, with Intraluminal Device, Open Approach
02730DZ Dilation of Coronary Artery, Four or More Sites with Intraluminal Device, Open Approach
02730T6 Dilation of Coronary Artery, Four or More Sites, Bifurcation, with Radioactive Intraluminal Device, Open Approach
02730TZ Dilation of Coronary Artery, Four or More Sites with Radioactive Intraluminal Device, Open 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
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
02733T6Dilation of Coronary Artery, Four or More Sites, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Approach
02733TZ Dilation of Coronary Artery, Four or More Sites with Radioactive Intraluminal Device, Percutaneous Approach
0273446Dilation of Coronary Artery, Four or More Sites, Bifurcation, with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
027344ZDilation of Coronary Artery, Four or More Sites with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
02734D6Dilation of Coronary Artery, Four or More Sites, Bifurcation, with Intraluminal Device, Percutaneous Endoscopic Approach
02734DZ Dilation of Coronary Artery, Four or More Sites with Intraluminal Device, Percutaneous Endoscopic Approach
02734T6Dilation of Coronary Artery, Four or More Sites, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Endoscopic Approach
02734TZDilation of Coronary Artery, Four or More Sites with Radioactive Intraluminal Device, Percutaneous Endoscopic Approach
CORP-224204-AA SEP2014See page 3 for important information about the uses and limitations of this document. 25
Interventional Cardiology
ICD‐9 CMCode
ICD‐9 CM Description
ICD‐10 PCSCode ICD‐10 PCS Description
17.55Transluminal coronary atherectomy
02C Extirpation / Heart and Great Vessels
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)
027 Dilation / Heart and Great Vessels
0270 Dilation / Coronary Artery, One Site
02700D6 Dilation of Coronary Artery, One Site, Bifurcation, with Intraluminal Device, Open Approach
02700DZ Dilation of Coronary Artery, One Site with Intraluminal Device, Open Approach
02700T6 Dilation of Coronary Artery, One Site, Bifurcation, with Radioactive Intraluminal Device, Open Approach
02700TZ Dilation of Coronary Artery, One Site with Radioactive Intraluminal Device, Open Approach
02703D6 Dilation of Coronary Artery, One Site, Bifurcation, with Intraluminal Device, Percutaneous Approach
02703DZ Dilation of Coronary Artery, One Site with Intraluminal Device, Percutaneous Approach
02703T6 Dilation of Coronary Artery, One Site, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Approach
02703TZ Dilation of Coronary Artery, One Site with Radioactive Intraluminal Device, Percutaneous Approach
02704D6 Dilation of Coronary Artery, One Site, Bifurcation, with Intraluminal Device, Percutaneous Endoscopic Approach
02704DZ Dilation of Coronary Artery, One Site with Intraluminal Device, Percutaneous Endoscopic Approach
02704T6Dilation of Coronary Artery, One Site, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Endoscopic Approach
02704TZ Dilation of Coronary Artery, One Site with Radioactive Intraluminal Device, Percutaneous Endoscopic Approach
0271 Dilation / Coronary Artery, Two Sites
02710D6 Dilation of Coronary Artery, Two Sites, Bifurcation, with Intraluminal Device, Open Approach
02710DZ Dilation of Coronary Artery, Two Sites with Intraluminal Device, Open Approach
02710T6 Dilation of Coronary Artery, Two Sites, Bifurcation, with Radioactive Intraluminal Device, Open Approach
02710TZ Dilation of Coronary Artery, Two Sites with Radioactive Intraluminal Device, Open 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
02713T6 Dilation of Coronary Artery, Two Sites, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Approach
02713TZ Dilation of Coronary Artery, Two Sites with Radioactive Intraluminal Device, Percutaneous Approach
02714D6 Dilation of Coronary Artery, Two Sites, Bifurcation, with Intraluminal Device, Percutaneous Endoscopic Approach
02714DZ Dilation of Coronary Artery, Two Sites with Intraluminal Device, Percutaneous Endoscopic Approach
02714T6Dilation of Coronary Artery, Two Sites, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Endoscopic Approach
02714TZ Dilation of Coronary Artery, Two Sites with Radioactive Intraluminal Device, Percutaneous Endoscopic Approach
0272 Dilation / Coronary Artery, Three Sites
02720D6 Dilation of Coronary Artery, Three Sites, Bifurcation, with Intraluminal Device, Open Approach
02720DZ Dilation of Coronary Artery, Three Sites with Intraluminal Device, Open Approach
02720T6 Dilation of Coronary Artery, Three Sites, Bifurcation, with Radioactive Intraluminal Device, Open Approach
02720TZ Dilation of Coronary Artery, Three Sites with Radioactive Intraluminal Device, Open 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
02723T6Dilation of Coronary Artery, Three Sites, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Approach
02723TZ Dilation of Coronary Artery, Three Sites with Radioactive Intraluminal Device, Percutaneous Approach
02724D6Dilation of Coronary Artery, Three Sites, Bifurcation, with Intraluminal Device, Percutaneous Endoscopic Approach
CORP-224204-AA SEP2014See page 3 for important information about the uses and limitations of this document. 26
Interventional Cardiology
ICD‐9 CMCode
ICD‐9 CM Description
ICD‐10 PCSCode ICD‐10 PCS Description
36.06
Insertion of non-drug-eluting coronary artery stent(s)
02724DZ Dilation of Coronary Artery, Three Sites with Intraluminal Device, Percutaneous Endoscopic Approach
02724T6Dilation of Coronary Artery, Three Sites, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Endoscopic Approach
02724TZDilation of Coronary Artery, Three Sites with Radioactive Intraluminal Device, Percutaneous Endoscopic Approach
0273 Dilation / Coronary Artery, Four or More Sites
02730D6 Dilation of Coronary Artery, Four or More Sites, Bifurcation, with Intraluminal Device, Open Approach
02730DZ Dilation of Coronary Artery, Four or More Sites with Intraluminal Device, Open Approach
02730T6 Dilation of Coronary Artery, Four or More Sites, Bifurcation, with Radioactive Intraluminal Device, Open Approach
02730TZ Dilation of Coronary Artery, Four or More Sites with Radioactive Intraluminal Device, Open 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
02733T6Dilation of Coronary Artery, Four or More Sites, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Approach
02733TZ Dilation of Coronary Artery, Four or More Sites with Radioactive Intraluminal Device, Percutaneous Approach
02734D6Dilation of Coronary Artery, Four or More Sites, Bifurcation, with Intraluminal Device, Percutaneous Endoscopic Approach
02734DZ Dilation of Coronary Artery, Four or More Sites with Intraluminal Device, Percutaneous Endoscopic Approach
02734T6Dilation of Coronary Artery, Four or More Sites, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Endoscopic Approach
02734TZDilation of Coronary Artery, Four or More Sites with Radioactive Intraluminal Device, Percutaneous Endoscopic Approach
36.07Insertion of drug-eluting coronary artery stent(s)
027 Dilation / Heart and Great Vessels
0270 Dilation / Coronary Artery, One Site
0270046 Dilation of Coronary Artery, One Site, Bifurcation, with Drug-eluting Intraluminal Device, Open Approach
027004Z Dilation of Coronary Artery, One Site with Drug-eluting Intraluminal Device, Open Approach
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
0270446Dilation of Coronary Artery, One Site, Bifurcation, with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
027044Z Dilation of Coronary Artery, One Site with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
0271 Dilation / Coronary Artery, Two Sites
0271046 Dilation of Coronary Artery, Two Sites, Bifurcation, with Drug-eluting Intraluminal Device, Open Approach
027104Z Dilation of Coronary Artery, Two Sites with Drug-eluting Intraluminal Device, Open 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
0271446Dilation of Coronary Artery, Two Sites, Bifurcation, with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
027144Z Dilation of Coronary Artery, Two Sites with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
0272 Dilation / Coronary Artery, Three Sites
0272046 Dilation of Coronary Artery, Three Sites, Bifurcation, with Drug-eluting Intraluminal Device, Open Approach
027204Z Dilation of Coronary Artery, Three Sites with Drug-eluting Intraluminal Device, Open 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
0272446Dilation of Coronary Artery, Three Sites, Bifurcation, with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
027244ZDilation of Coronary Artery, Three Sites with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
CORP-224204-AA SEP2014See page 3 for important information about the uses and limitations of this document. 27
Interventional Cardiology
ICD‐9 CMCode
ICD‐9 CM Description
ICD‐10 PCSCode ICD‐10 PCS Description
36.07Insertion of drug-eluting coronary artery stent(s)
0273 Dilation / Coronary Artery, Four or More Sites
0273046 Dilation of Coronary Artery, Four or More Sites, Bifurcation, with Drug-eluting Intraluminal Device, Open Approach
027304Z Dilation of Coronary Artery, Four or More Sites with Drug-eluting Intraluminal Device, Open 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
0273446Dilation of Coronary Artery, Four or More Sites, Bifurcation, with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
027344ZDilation of Coronary Artery, Four or More Sites with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
35.05Endovascular replacement of aortic valve
02R Replacement / Heart and Great Vessels
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
02R Replacement / Heart and Great Vessels
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
02R Replacement / Heart and Great Vessels
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
02R Replacement / Heart and Great Vessels
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
35.09
Endovascular replacement of unspecified heart valve
02R Replacement / Heart and Great Vessels
02RF Replacement / 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
02RG Replacement / Mitral Valve
02RG37H Replacement of Mitral Valve with Autologous Tissue Substitute, Transapical, Percutaneous Approach
02RG37Z Replacement of Mitral Valve with Autologous Tissue Substitute, Percutaneous Approach
02RG38H Replacement of Mitral Valve with Zooplastic Tissue, Transapical, Percutaneous Approach
02RG38Z Replacement of Mitral Valve with Zooplastic Tissue, Percutaneous Approach
02RG3JH Replacement of Mitral Valve with Synthetic Substitute, Transapical, Percutaneous Approach
02RG3JZ Replacement of Mitral Valve with Synthetic Substitute, Percutaneous Approach
02RG3KH Replacement of Mitral Valve with Nonautologous Tissue Substitute, Transapical, Percutaneous Approach
02RG3KZ Replacement of Mitral Valve with Nonautologous Tissue Substitute, Percutaneous Approach
02RH Replacement / 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
CORP-224204-AA SEP2014See page 3 for important information about the uses and limitations of this document. 28
Interventional Cardiology
ICD‐9 CMCode
ICD‐9 CM Description
ICD‐10 PCSCode ICD‐10 PCS Description
35.96Percutaneous balloon valvuloplasty
027 Dilation / Heart and Great Vessels
027F Dilation / Aortic Valve
027F34Z Dilation of Aortic Valve with Drug-eluting Intraluminal Device, Percutaneous Approach
027F3DZ Dilation of Aortic Valve with Intraluminal Device, Percutaneous Approach
027F3ZZ Dilation of Aortic Valve, Percutaneous Approach
027F44Z Dilation of Aortic Valve with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
027F4DZ Dilation of Aortic Valve with Intraluminal Device, Percutaneous Endoscopic Approach
027F4ZZ Dilation of Aortic Valve, Percutaneous Endoscopic Approach
027G Dilation / Mitral Valve
027G34Z Dilation of Mitral Valve with Drug-eluting Intraluminal Device, Percutaneous Approach
027G3DZ Dilation of Mitral Valve with Intraluminal Device, Percutaneous Approach
027G3ZZ Dilation of Mitral Valve, Percutaneous Approach
027G44Z Dilation of Mitral Valve with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
027G4DZ Dilation of Mitral Valve with Intraluminal Device, Percutaneous Endoscopic Approach
027G4ZZ Dilation of Mitral Valve, Percutaneous Endoscopic Approach
027H Dilation / Pulmonary Valve
027H34Z Dilation of Pulmonary Valve with Drug-eluting Intraluminal Device, Percutaneous Approach
027H3DZ Dilation of Pulmonary Valve with Intraluminal Device, Percutaneous Approach
027H3ZZ Dilation of Pulmonary Valve, Percutaneous Approach
027H44Z Dilation of Pulmonary Valve with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
027H4DZ Dilation of Pulmonary Valve with Intraluminal Device, Percutaneous Endoscopic Approach
027H4ZZ Dilation of Pulmonary Valve, Percutaneous Endoscopic Approach
027J Dilation / Tricuspid Valve
027J34Z Dilation of Tricuspid Valve with Drug-eluting Intraluminal Device, Percutaneous Approach
027J3DZ Dilation of Tricuspid Valve with Intraluminal Device, Percutaneous Approach
027J3ZZ Dilation of Tricuspid Valve, Percutaneous Approach
027J44Z Dilation of Tricuspid Valve with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
027J4DZ Dilation of Tricuspid Valve with Intraluminal Device, Percutaneous Endoscopic Approach
027J4ZZ Dilation of Tricuspid Valve, Percutaneous Endoscopic Approach
35.97
Percutaneous mitral valve repair with implant
02U Supplement / Heart and Great Vessels
02UG3JZ Supplement Mitral Valve with Synthetic Substitute, Percutaneous Approach
00.59
Intravascular pressure measurement of coronary arteries
4A0 Measurement / Physiological Systems
4A030BC Measurement of Arterial Pressure, Coronary, Open Approach
4A033BC Measurement of Arterial Pressure, Coronary, Percutaneous Approach
4A1 Monitoring / Physiological Systems
4A130BC Monitoring of Arterial Pressure, Coronary, Open Approach
4A133BC Monitoring of Arterial Pressure, Coronary, Percutaneous Approach
00.66
Percutaneous transluminal coronary angioplasty [PTCA]
027 Dilation / Heart and Great Vessels
0270 Dilation / Coronary Artery, One Site
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
02703D6 Dilation of Coronary Artery, One Site, Bifurcation, with Intraluminal Device, Percutaneous Approach
02703DZ Dilation of Coronary Artery, One Site with Intraluminal Device, Percutaneous Approach
02703T6 Dilation of Coronary Artery, One Site, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Approach
02703TZ Dilation of Coronary Artery, One Site with Radioactive Intraluminal Device, Percutaneous Approach
02703Z6 Dilation of Coronary Artery, One Site, Bifurcation, Percutaneous Approach
02703ZZ Dilation of Coronary Artery, One Site, Percutaneous Approach
CORP-224204-AA SEP2014See page 3 for important information about the uses and limitations of this document. 29
Interventional Cardiology
ICD‐9 CMCode
ICD‐9 CM Description
ICD‐10 PCSCode ICD‐10 PCS Description
00.66
Percutaneous transluminal coronary angioplasty [PTCA]
0270446Dilation of Coronary Artery, One Site, Bifurcation, with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
027044Z Dilation of Coronary Artery, One Site with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
02704D6 Dilation of Coronary Artery, One Site, Bifurcation, with Intraluminal Device, Percutaneous Endoscopic Approach
02704DZ Dilation of Coronary Artery, One Site with Intraluminal Device, Percutaneous Endoscopic Approach
02704T6Dilation of Coronary Artery, One Site, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Endoscopic Approach
02704TZ Dilation of Coronary Artery, One Site with Radioactive Intraluminal Device, Percutaneous Endoscopic Approach
02704Z6 Dilation of Coronary Artery, One Site, Bifurcation, Percutaneous Endoscopic Approach
02704ZZ Dilation of Coronary Artery, One Site, Percutaneous Endoscopic Approach
0271 Dilation / Coronary Artery, Two Sites
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
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
02713T6 Dilation of Coronary Artery, Two Sites, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Approach
02713TZ Dilation of Coronary Artery, Two Sites with Radioactive Intraluminal Device, Percutaneous Approach
02713Z6 Dilation of Coronary Artery, Two Sites, Bifurcation, Percutaneous Approach
02713ZZ Dilation of Coronary Artery, Two Sites, Percutaneous Approach
0271446Dilation of Coronary Artery, Two Sites, Bifurcation, with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
027144Z Dilation of Coronary Artery, Two Sites with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
02714D6 Dilation of Coronary Artery, Two Sites, Bifurcation, with Intraluminal Device, Percutaneous Endoscopic Approach
02714DZ Dilation of Coronary Artery, Two Sites with Intraluminal Device, Percutaneous Endoscopic Approach
02714T6Dilation of Coronary Artery, Two Sites, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Endoscopic Approach
02714TZ Dilation of Coronary Artery, Two Sites with Radioactive Intraluminal Device, Percutaneous Endoscopic Approach
02714Z6 Dilation of Coronary Artery, Two Sites, Bifurcation, Percutaneous Endoscopic Approach
02714ZZ Dilation of Coronary Artery, Two Sites, Percutaneous Endoscopic Approach
0272 Dilation / Coronary Artery, Three Sites
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
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
02723T6Dilation of Coronary Artery, Three Sites, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Approach
02723TZ Dilation of Coronary Artery, Three Sites with Radioactive Intraluminal Device, Percutaneous Approach
02723Z6 Dilation of Coronary Artery, Three Sites, Bifurcation, Percutaneous Approach
02723ZZ Dilation of Coronary Artery, Three Sites, Percutaneous Approach
0272446Dilation of Coronary Artery, Three Sites, Bifurcation, with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
027244ZDilation of Coronary Artery, Three Sites with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
02724D6Dilation of Coronary Artery, Three Sites, Bifurcation, with Intraluminal Device, Percutaneous Endoscopic Approach
02724DZ Dilation of Coronary Artery, Three Sites with Intraluminal Device, Percutaneous Endoscopic Approach
02724T6Dilation of Coronary Artery, Three Sites, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Endoscopic Approach
02724TZDilation of Coronary Artery, Three Sites with Radioactive Intraluminal Device, Percutaneous Endoscopic Approach
CORP-224204-AA SEP2014See page 3 for important information about the uses and limitations of this document. 30
Interventional Cardiology
ICD‐9 CMCode
ICD‐9 CM Description
ICD‐10 PCSCode ICD‐10 PCS Description
00.66
Percutaneous transluminal coronary angioplasty [PTCA]
02724Z6 Dilation of Coronary Artery, Three Sites, Bifurcation, Percutaneous Endoscopic Approach
02724ZZ Dilation of Coronary Artery, Three Sites, Percutaneous Endoscopic Approach
0273 Dilation / Coronary Artery, Four or More Sites
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
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
02724Z6 Dilation of Coronary Artery, Three Sites, Bifurcation, Percutaneous Endoscopic Approach
02724ZZ Dilation of Coronary Artery, Three Sites, Percutaneous Endoscopic Approach
0273 Dilation / Coronary Artery, Four or More Sites
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
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
02733T6Dilation of Coronary Artery, Four or More Sites, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Approach
02733TZ Dilation of Coronary Artery, Four or More Sites with Radioactive Intraluminal Device, Percutaneous Approach
02733Z6 Dilation of Coronary Artery, Four or More Sites, Bifurcation, Percutaneous Approach
02733ZZ Dilation of Coronary Artery, Four or More Sites, Percutaneous Approach
0273446Dilation of Coronary Artery, Four or More Sites, Bifurcation, with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
027344ZDilation of Coronary Artery, Four or More Sites with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
02734D6Dilation of Coronary Artery, Four or More Sites, Bifurcation, with Intraluminal Device, Percutaneous Endoscopic Approach
02734DZ Dilation of Coronary Artery, Four or More Sites with Intraluminal Device, Percutaneous Endoscopic Approach
02734T6Dilation of Coronary Artery, Four or More Sites, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Endoscopic Approach
02734TZDilation of Coronary Artery, Four or More Sites with Radioactive Intraluminal Device, Percutaneous Endoscopic Approach
02734Z6 Dilation of Coronary Artery, Four or More Sites, Bifurcation, Percutaneous Endoscopic Approach
02734ZZ Dilation of Coronary Artery, Four or More Sites, Percutaneous Endoscopic Approach
02C Extirpation / Heart and Great Vessels
02C0 Extirpation / Coronary Artery, One Site
02C03ZZ Extirpation of Matter from Coronary Artery, One Site, Percutaneous Approach
02C04ZZ Extirpation of Matter from Coronary Artery, One Site, Percutaneous Endoscopic Approach
02C1 Extirpation / Coronary Artery, Two Sites
02C13ZZ Extirpation of Matter from Coronary Artery, Two Sites, Percutaneous Approach
02C14ZZ Extirpation of Matter from Coronary Artery, Two Sites, Percutaneous Endoscopic Approach
02C2 Extirpation / Coronary Artery, Three Sites
02C23ZZ Extirpation of Matter from Coronary Artery, Three Sites, Percutaneous Approach
02C24ZZ Extirpation of Matter from Coronary Artery, Three Sites, Percutaneous Endoscopic Approach
02C3 Extirpation / Coronary Artery, Four or More Sites
02C33ZZ Extirpation of Matter from Coronary Artery, Four or More Sites, Percutaneous Approach
02C34ZZ Extirpation of Matter from Coronary Artery, Four or More Sites, Percutaneous Endoscopic Approach
CORP-224204-AA SEP2014See page 3 for important information about the uses and limitations of this document. 31
Interventional Cardiology
ICD‐9 CMCode
ICD‐9 CM Description
ICD‐10 PCSCode ICD‐10 PCS Description
39.61
Extracorporeal circulation auxiliary to open heart surgery
5A1 Performance / Physiological Systems
5A1221Z Performance of Cardiac Output, Continuous
00.24Intravascular imaging of coronary vessels
B24 Ultrasonography / Heart
B240 Ultrasonography / Coronary Artery, Single
B240ZZ3 Ultrasonography of Single Coronary Artery, Intravascular
B241 Ultrasonography / Coronary Arteries, Multiple
B241ZZ3 Ultrasonography of Multiple Coronary Arteries, Intravascular
B244 Ultrasonography / Heart, Right
B244ZZ3 Ultrasonography of Right Heart, Intravascular
B245 Ultrasonography / Heart, Left
B245ZZ3 Ultrasonography of Left Heart, Intravascular
B246 Ultrasonography / Heart, Right and Left
B246ZZ3 Ultrasonography of Right and Left Heart, Intravascular
B24D Ultrasonography / Pediatric Heart
B24DZZ3 Ultrasonography of Pediatric Heart, Intravascular
88.50Angio, not otherwise specified
B20 Plain Radiography / Heart
B200 Plain Radiography / Coronary Artery, Single
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
B201 Plain Radiography / Coronary Arteries, Multiple
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
B202 Plain Radiography / Coronary Artery Bypass Graft, Single
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
B203 Plain Radiography / Coronary Artery Bypass Grafts, Multiple
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
B206 Plain Radiography / Heart, Right and Left
B2060ZZ Plain Radiography of Right and Left Heart using High Osmolar Contrast
B2061ZZ Plain Radiography of Right and Left Heart using Low Osmolar Contrast
B206YZZ Plain Radiography of Right and Left Heart using Other Contrast
B21 Fluoroscopy / Heart
B210 Fluoroscopy / Coronary Artery, Single
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
B211 Fluoroscopy / Coronary Arteries, Multiple
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
B212 Fluoroscopy / Coronary Artery Bypass Graft, Single
B2120ZZ Fluoroscopy of Single Coronary Artery Bypass Graft using High Osmolar Contrast
CORP-224204-AA SEP2014See page 3 for important information about the uses and limitations of this document. 32
Interventional Cardiology
ICD‐9 CMCode
ICD‐9 CM Description
ICD‐10 PCSCode ICD‐10 PCS Description
88.50Angio, not otherwise specified
B2121ZZ Fluoroscopy of Single Coronary Artery Bypass Graft using Low Osmolar Contrast
B212YZZ Fluoroscopy of Single Coronary Artery Bypass Graft using Other Contrast
B213 Fluoroscopy / Coronary Artery Bypass Grafts, Multiple
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
B216 Fluoroscopy / Heart, Right and Left
B2160ZZ Fluoroscopy of Right and Left Heart using High Osmolar Contrast
B2161ZZ Fluoroscopy of Right and Left Heart using Low Osmolar Contrast
B216YZZ Fluoroscopy of Right and Left Heart using Other Contrast
B217 Fluoroscopy / Internal Mammary Bypass Graft, Right
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
B218 Fluoroscopy / Internal Mammary Bypass Graft, Left
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
B21F Fluoroscopy / Bypass Graft, Other
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
B20 Plain Radiography / Heart
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
B21 Fluoroscopy / Heart
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
CORP-224204-AA SEP2014See page 3 for important information about the uses and limitations of this document. 33
Neuromodulation
CORP-224204-AA SEP2014See page 3 for important information about the uses and limitations of this document. 34
ICD‐9 CMCode ICD‐9 CM 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
Peripheral Interventions
ICD‐9 CMCode
ICD‐9 CM Description
ICD‐10 PCSCode ICD‐10 PCS Description
39.5
Angioplasty of other non-coronary vessel(s)
027P Dilation / Pulmonary Trunk
027P04Z Dilation of Pulmonary Trunk with Drug-eluting Intraluminal Device, Open Approach
027P0DZ Dilation of Pulmonary Trunk with Intraluminal Device, Open Approach
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
027P0DZ Dilation of Pulmonary Trunk with Intraluminal Device, Open Approach
027P0ZZ Dilation of Pulmonary Trunk, Open Approach
027P34Z Dilation of Pulmonary Trunk with Drug-eluting Intraluminal Device, Percutaneous Approach
027P3DZ Dilation of Pulmonary Trunk with Intraluminal Device, Percutaneous Approach
027P3ZZ Dilation of Pulmonary Trunk, Percutaneous Approach
027P44Z Dilation of Pulmonary Trunk with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
027P4DZ Dilation of Pulmonary Trunk with Intraluminal Device, Percutaneous Endoscopic Approach
027P4ZZ Dilation of Pulmonary Trunk, Percutaneous Endoscopic Approach
027Q Dilation / Pulmonary Artery, Right
027Q04Z Dilation of Right Pulmonary Artery with Drug-eluting Intraluminal Device, Open Approach
027Q0DZ Dilation of Right Pulmonary Artery with Intraluminal Device, Open Approach
027Q0ZZ Dilation of Right Pulmonary Artery, Open Approach
027Q34Z Dilation of Right Pulmonary Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
027Q3DZ Dilation of Right Pulmonary Artery with Intraluminal Device, Percutaneous Approach
027Q3ZZ Dilation of Right Pulmonary Artery, Percutaneous Approach
027Q44Z Dilation of Right Pulmonary Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
027Q4DZ Dilation of Right Pulmonary Artery with Intraluminal Device, Percutaneous Endoscopic Approach
027Q4ZZ Dilation of Right Pulmonary Artery, Percutaneous Endoscopic Approach
027R Dilation / Pulmonary Artery, Left
027R04Z Dilation of Left Pulmonary Artery with Drug-eluting Intraluminal Device, Open Approach
027R0DZ Dilation of Left Pulmonary Artery with Intraluminal Device, Open Approach
027R0ZZ Dilation of Left Pulmonary Artery, Open Approach
027R34Z Dilation of Left Pulmonary Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
027R3DZ Dilation of Left Pulmonary Artery with Intraluminal Device, Percutaneous Approach
027R3ZZ Dilation of Left Pulmonary Artery, Percutaneous Approach
027R44Z Dilation of Left Pulmonary Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
027R4DZ Dilation of Left Pulmonary Artery with Intraluminal Device, Percutaneous Endoscopic Approach
027R4ZZ Dilation of Left Pulmonary Artery, Percutaneous Endoscopic Approach
027S Dilation / Pulmonary Vein, Right
027S04Z Dilation of Right Pulmonary Vein with Drug-eluting Intraluminal Device, Open Approach
027S0DZ Dilation of Right Pulmonary Vein with Intraluminal Device, Open Approach
027S0ZZ Dilation of Right Pulmonary Vein, Open Approach
027S34Z Dilation of Right Pulmonary Vein with Drug-eluting Intraluminal Device, Percutaneous Approach
027S3DZ Dilation of Right Pulmonary Vein with Intraluminal Device, Percutaneous Approach
39.5
Angioplasty of other non-coronary vessel(s)
027S3ZZ Dilation of Right Pulmonary Vein, Percutaneous Approach
027S44Z Dilation of Right Pulmonary Vein with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
027S4DZ Dilation of Right Pulmonary Vein with Intraluminal Device, Percutaneous Endoscopic Approach
027S4ZZ Dilation of Right Pulmonary Vein, Percutaneous Endoscopic Approach
027T Dilation / Pulmonary Vein, Left
027T04Z Dilation of Left Pulmonary Vein with Drug-eluting Intraluminal Device, Open Approach
CORP-224204-AA SEP2014Note: BSC has no stents FDA‐approved for use in the infrainguinal regions of the lower extremities.See page 3 for important information about the uses and limitations of this document. 35
Peripheral Interventions
ICD‐9 CMCode
ICD‐9 CM Description
ICD‐10 PCSCode ICD‐10 PCS Description
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
027T0DZ Dilation of Left Pulmonary Vein with Intraluminal Device, Open Approach
027T0ZZ Dilation of Left Pulmonary Vein, Open Approach
027T34Z Dilation of Left Pulmonary Vein with Drug-eluting Intraluminal Device, Percutaneous Approach
027T3DZ Dilation of Left Pulmonary Vein with Intraluminal Device, Percutaneous Approach
027T3ZZ Dilation of Left Pulmonary Vein, Percutaneous Approach
027T44Z Dilation of Left Pulmonary Vein with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
027T4DZ Dilation of Left Pulmonary Vein with Intraluminal Device, Percutaneous Endoscopic Approach
027T4ZZ Dilation of Left Pulmonary Vein, Percutaneous Endoscopic Approach
027V Dilation / Superior Vena Cava
027V04Z Dilation of Superior Vena Cava with Drug-eluting Intraluminal Device, Open Approach
027V0DZ Dilation of Superior Vena Cava with Intraluminal Device, Open Approach
027V0ZZ Dilation of Superior Vena Cava, Open Approach
027V34Z Dilation of Superior Vena Cava with Drug-eluting Intraluminal Device, Percutaneous Approach
027V3DZ Dilation of Superior Vena Cava with Intraluminal Device, Percutaneous Approach
027V3ZZ Dilation of Superior Vena Cava, Percutaneous Approach
027V44Z Dilation of Superior Vena Cava with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
027V4DZ Dilation of Superior Vena Cava with Intraluminal Device, Percutaneous Endoscopic Approach
027V4ZZ Dilation of Superior Vena Cava, Percutaneous Endoscopic Approach
027W Dilation / Thoracic Aorta
027W04Z Dilation of Thoracic Aorta with Drug-eluting Intraluminal Device, Open Approach
027W0DZ Dilation of Thoracic Aorta with Intraluminal Device, Open Approach
027W0ZZ Dilation of Thoracic Aorta, Open Approach
027W34Z Dilation of Thoracic Aorta with Drug-eluting Intraluminal Device, Percutaneous Approach
027W3DZ Dilation of Thoracic Aorta with Intraluminal Device, Percutaneous Approach
027W3ZZ Dilation of Thoracic Aorta, Percutaneous Approach
027W44Z Dilation of Thoracic Aorta with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
027W4DZ Dilation of Thoracic Aorta with Intraluminal Device, Percutaneous Endoscopic Approach
027W4ZZ Dilation of Thoracic Aorta, Percutaneous Endoscopic Approach
02C Extirpation / Heart and Great Vessels
02CP Extirpation / Pulmonary Trunk
02CP0ZZ Extirpation of Matter from Pulmonary Trunk, Open Approach
02CP3ZZ Extirpation of Matter from Pulmonary Trunk, Percutaneous Approach
02CP4ZZ Extirpation of Matter from Pulmonary Trunk, Percutaneous Endoscopic Approach
02CQ Extirpation / Pulmonary Artery, Right
02CQ0ZZ Extirpation of Matter from Right Pulmonary Artery, Open Approach
02CQ3ZZ Extirpation of Matter from Right Pulmonary Artery, Percutaneous Approach
02CQ4ZZ Extirpation of Matter from Right Pulmonary Artery, Percutaneous Endoscopic Approach
02CR Extirpation / Pulmonary Artery, Left
39.5
Angioplasty of other non-coronary vessel(s)
02CR0ZZ Extirpation of Matter from Left Pulmonary Artery, Open Approach
02CR3ZZ Extirpation of Matter from Left Pulmonary Artery, Percutaneous Approach
02CR4ZZ Extirpation of Matter from Left Pulmonary Artery, Percutaneous Endoscopic Approach
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
02CS Extirpation / Pulmonary Vein, Right
02CS0ZZ Extirpation of Matter from Right Pulmonary Vein, Open Approach
02CS3ZZ Extirpation of Matter from Right Pulmonary Vein, Percutaneous Approach
02CS4ZZ Extirpation of Matter from Right Pulmonary Vein, Percutaneous Endoscopic Approach
02CT Extirpation / Pulmonary Vein, Left
02CT0ZZ Extirpation of Matter from Left Pulmonary Vein, Open Approach
CORP-224204-AA SEP2014Note: BSC has no stents FDA‐approved for use in the infrainguinal regions of the lower extremities.See page 3 for important information about the uses and limitations of this document. 36
Peripheral Interventions
ICD‐9 CMCode
ICD‐9 CM Description
ICD‐10 PCSCode ICD‐10 PCS Description
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
02CT3ZZ Extirpation of Matter from Left Pulmonary Vein, Percutaneous Approach
02CT4ZZ Extirpation of Matter from Left Pulmonary Vein, Percutaneous Endoscopic Approach
02CV Extirpation / Superior Vena Cava
02CV0ZZ Extirpation of Matter from Superior Vena Cava, Open Approach
02CV3ZZ Extirpation of Matter from Superior Vena Cava, Percutaneous Approach
02CV4ZZ Extirpation of Matter from Superior Vena Cava, Percutaneous Endoscopic Approach
02CW Extirpation / Thoracic Aorta
02CW0ZZ Extirpation of Matter from Thoracic Aorta, Open Approach
02CW3ZZ Extirpation of Matter from Thoracic Aorta, Percutaneous Approach
02CW4ZZ Extirpation of Matter from Thoracic Aorta, Percutaneous Endoscopic Approach
037 Dilation / Upper Arteries
0370 Dilation / Internal Mammary Artery, Right
037004Z Dilation of Right Internal Mammary Artery with Drug-eluting Intraluminal Device, Open Approach
03700DZ Dilation of Right Internal Mammary Artery with Intraluminal Device, Open Approach
03700ZZ Dilation of Right Internal Mammary Artery, Open Approach
037034Z Dilation of Right Internal Mammary Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
03703DZ Dilation of Right Internal Mammary Artery with Intraluminal Device, Percutaneous Approach
03703ZZ Dilation of Right Internal Mammary Artery, Percutaneous Approach
037044ZDilation of Right Internal Mammary Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
03704DZ Dilation of Right Internal Mammary Artery with Intraluminal Device, Percutaneous Endoscopic Approach
03704ZZ Dilation of Right Internal Mammary Artery, Percutaneous Endoscopic Approach
0371 Dilation / Internal Mammary Artery, Left
037104Z Dilation of Left Internal Mammary Artery with Drug-eluting Intraluminal Device, Open Approach
03710DZ Dilation of Left Internal Mammary Artery with Intraluminal Device, Open Approach
03710ZZ Dilation of Left Internal Mammary Artery, Open Approach
037134Z Dilation of Left Internal Mammary Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
03713DZ Dilation of Left Internal Mammary Artery with Intraluminal Device, Percutaneous Approach
03713ZZ Dilation of Left Internal Mammary Artery, Percutaneous Approach
037144ZDilation of Left Internal Mammary Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
03714DZ Dilation of Left Internal Mammary Artery with Intraluminal Device, Percutaneous Endoscopic Approach
03714ZZ Dilation of Left Internal Mammary Artery, Percutaneous Endoscopic Approach
0372 Dilation / Innominate Artery
037204Z Dilation of Innominate Artery with Drug-eluting Intraluminal Device, Open Approach
03720DZ Dilation of Innominate Artery with Intraluminal Device, Open Approach
39.5
Angioplasty of other non-coronary vessel(s)
03720ZZ Dilation of Innominate Artery, Open Approach
037234Z Dilation of Innominate Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
03723DZ Dilation of Innominate Artery with Intraluminal Device, Percutaneous Approach
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
03723ZZ Dilation of Innominate Artery, Percutaneous Approach
037244Z Dilation of Innominate Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
03724DZ Dilation of Innominate Artery with Intraluminal Device, Percutaneous Endoscopic Approach
03724ZZ Dilation of Innominate Artery, Percutaneous Endoscopic Approach
0373 Dilation / Subclavian Artery, Right
037304Z Dilation of Right Subclavian Artery with Drug-eluting Intraluminal Device, Open Approach
03730DZ Dilation of Right Subclavian Artery with Intraluminal Device, Open Approach
03730ZZ Dilation of Right Subclavian Artery, Open Approach
037334Z Dilation of Right Subclavian Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
CORP-224204-AA SEP2014Note: BSC has no stents FDA‐approved for use in the infrainguinal regions of the lower extremities.See page 3 for important information about the uses and limitations of this document. 37
Peripheral Interventions
ICD‐9 CMCode
ICD‐9 CM Description
ICD‐10 PCSCode ICD‐10 PCS Description
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
03733DZ Dilation of Right Subclavian Artery with Intraluminal Device, Percutaneous Approach
03733ZZ Dilation of Right Subclavian Artery, Percutaneous Approach
037344Z Dilation of Right Subclavian Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
03734DZ Dilation of Right Subclavian Artery with Intraluminal Device, Percutaneous Endoscopic Approach
03734ZZ Dilation of Right Subclavian Artery, Percutaneous Endoscopic Approach
0374 Dilation / Subclavian Artery, Left
037404Z Dilation of Left Subclavian Artery with Drug-eluting Intraluminal Device, Open Approach
03740DZ Dilation of Left Subclavian Artery with Intraluminal Device, Open Approach
03740ZZ Dilation of Left Subclavian Artery, Open Approach
037434Z Dilation of Left Subclavian Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
03743DZ Dilation of Left Subclavian Artery with Intraluminal Device, Percutaneous Approach
03743ZZ Dilation of Left Subclavian Artery, Percutaneous Approach
037444Z Dilation of Left Subclavian Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
03744DZ Dilation of Left Subclavian Artery with Intraluminal Device, Percutaneous Endoscopic Approach
03744ZZ Dilation of Left Subclavian Artery, Percutaneous Endoscopic Approach
0375 Dilation / Axillary Artery, Right
037504Z Dilation of Right Axillary Artery with Drug-eluting Intraluminal Device, Open Approach
03750DZ Dilation of Right Axillary Artery with Intraluminal Device, Open Approach
03750ZZ Dilation of Right Axillary Artery, Open Approach
037534Z Dilation of Right Axillary Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
03753DZ Dilation of Right Axillary Artery with Intraluminal Device, Percutaneous Approach
03753ZZ Dilation of Right Axillary Artery, Percutaneous Approach
037544Z Dilation of Right Axillary Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
03754DZ Dilation of Right Axillary Artery with Intraluminal Device, Percutaneous Endoscopic Approach
03754ZZ Dilation of Right Axillary Artery, Percutaneous Endoscopic Approach
0376 Dilation / Axillary Artery, Left
037604Z Dilation of Left Axillary Artery with Drug-eluting Intraluminal Device, Open Approach
03760DZ Dilation of Left Axillary Artery with Intraluminal Device, Open Approach
03760ZZ Dilation of Left Axillary Artery, Open Approach
037634Z Dilation of Left Axillary Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
39.5
Angioplasty of other non-coronary vessel(s)
03763DZ Dilation of Left Axillary Artery with Intraluminal Device, Percutaneous Approach
03763ZZ Dilation of Left Axillary Artery, Percutaneous Approach
037644Z Dilation of Left Axillary Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
03764DZ Dilation of Left Axillary Artery with Intraluminal Device, Percutaneous Endoscopic Approach
03764ZZ Dilation of Left Axillary Artery, Percutaneous Endoscopic Approach
0377 Dilation / Brachial Artery, Right
037704Z Dilation of Right Brachial Artery with Drug-eluting Intraluminal Device, Open Approach
03770DZ Dilation of Right Brachial Artery with Intraluminal Device, Open Approach
03770ZZ Dilation of Right Brachial Artery, Open Approach
037734Z Dilation of Right Brachial Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
03773DZ Dilation of Right Brachial Artery with Intraluminal Device, Percutaneous Approach
03773ZZ Dilation of Right Brachial Artery, Percutaneous Approach
037744Z Dilation of Right Brachial Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
03774DZ Dilation of Right Brachial Artery with Intraluminal Device, Percutaneous Endoscopic Approach
03774ZZ Dilation of Right Brachial Artery, Percutaneous Endoscopic Approach
0378 Dilation / Brachial Artery, Left
037804Z Dilation of Left Brachial Artery with Drug-eluting Intraluminal Device, Open Approach
CORP-224204-AA SEP2014Note: BSC has no stents FDA‐approved for use in the infrainguinal regions of the lower extremities.See page 3 for important information about the uses and limitations of this document. 38
Peripheral Interventions
ICD‐9 CMCode
ICD‐9 CM Description
ICD‐10 PCSCode ICD‐10 PCS Description
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
03780DZ Dilation of Left Brachial Artery with Intraluminal Device, Open Approach
03780ZZ Dilation of Left Brachial Artery, Open Approach
037834Z Dilation of Left Brachial Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
03783DZ Dilation of Left Brachial Artery with Intraluminal Device, Percutaneous Approach
03783ZZ Dilation of Left Brachial Artery, Percutaneous Approach
037844Z Dilation of Left Brachial Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
03784DZ Dilation of Left Brachial Artery with Intraluminal Device, Percutaneous Endoscopic Approach
03784ZZ Dilation of Left Brachial Artery, Percutaneous Endoscopic Approach
0379 Dilation / Ulnar Artery, Right
037904Z Dilation of Right Ulnar Artery with Drug-eluting Intraluminal Device, Open Approach
03790DZ Dilation of Right Ulnar Artery with Intraluminal Device, Open Approach
03790ZZ Dilation of Right Ulnar Artery, Open Approach
037934Z Dilation of Right Ulnar Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
03793DZ Dilation of Right Ulnar Artery with Intraluminal Device, Percutaneous Approach
03793ZZ Dilation of Right Ulnar Artery, Percutaneous Approach
037944Z Dilation of Right Ulnar Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
03794DZ Dilation of Right Ulnar Artery with Intraluminal Device, Percutaneous Endoscopic Approach
03794ZZ Dilation of Right Ulnar Artery, Percutaneous Endoscopic Approach
037A Dilation / Ulnar Artery, Left
037A04Z Dilation of Left Ulnar Artery with Drug-eluting Intraluminal Device, Open Approach
037A0DZ Dilation of Left Ulnar Artery with Intraluminal Device, Open Approach
39.5
Angioplasty of other non-coronary vessel(s)
037A0ZZ Dilation of Left Ulnar Artery, Open Approach
037A34Z Dilation of Left Ulnar Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
037A3DZ Dilation of Left Ulnar Artery with Intraluminal Device, Percutaneous Approach
037A3ZZ Dilation of Left Ulnar Artery, Percutaneous Approach
037A44Z Dilation of Left Ulnar Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
037A4DZ Dilation of Left Ulnar Artery with Intraluminal Device, Percutaneous Endoscopic Approach
037A4ZZ Dilation of Left Ulnar Artery, Percutaneous Endoscopic Approach
037B Dilation / Radial Artery, Right
037B04Z Dilation of Right Radial Artery with Drug-eluting Intraluminal Device, Open Approach
037B0DZ Dilation of Right Radial Artery with Intraluminal Device, Open Approach
037B0ZZ Dilation of Right Radial Artery, Open Approach
037B34Z Dilation of Right Radial Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
037B3DZ Dilation of Right Radial Artery with Intraluminal Device, Percutaneous Approach
037B3ZZ Dilation of Right Radial Artery, Percutaneous Approach
037B44Z Dilation of Right Radial Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
037B4DZ Dilation of Right Radial Artery with Intraluminal Device, Percutaneous Endoscopic Approach
037B4ZZ Dilation of Right Radial Artery, Percutaneous Endoscopic Approach
037C Dilation / Radial Artery, Left
037C04Z Dilation of Left Radial Artery with Drug-eluting Intraluminal Device, Open Approach
037C0DZ Dilation of Left Radial Artery with Intraluminal Device, Open Approach
037C0ZZ Dilation of Left Radial Artery, Open Approach
037C34Z Dilation of Left Radial Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
037C3DZ Dilation of Left Radial Artery with Intraluminal Device, Percutaneous Approach
037C3ZZ Dilation of Left Radial Artery, Percutaneous Approach
037C44Z Dilation of Left Radial Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
037C4DZ Dilation of Left Radial Artery with Intraluminal Device, Percutaneous Endoscopic Approach
CORP-224204-AA SEP2014Note: BSC has no stents FDA‐approved for use in the infrainguinal regions of the lower extremities.See page 3 for important information about the uses and limitations of this document. 39
Peripheral Interventions
ICD‐9 CMCode
ICD‐9 CM Description
ICD‐10 PCSCode ICD‐10 PCS Description
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
037C4ZZ Dilation of Left Radial Artery, Percutaneous Endoscopic Approach
037D Dilation / Hand Artery, Right
037D04Z Dilation of Right Hand Artery with Drug-eluting Intraluminal Device, Open Approach
037D0DZ Dilation of Right Hand Artery with Intraluminal Device, Open Approach
037D0ZZ Dilation of Right Hand Artery, Open Approach
037D34Z Dilation of Right Hand Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
037D3DZ Dilation of Right Hand Artery with Intraluminal Device, Percutaneous Approach
037D3ZZ Dilation of Right Hand Artery, Percutaneous Approach
037D44Z Dilation of Right Hand Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
037D4DZ Dilation of Right Hand Artery with Intraluminal Device, Percutaneous Endoscopic Approach
037D4ZZ Dilation of Right Hand Artery, Percutaneous Endoscopic Approach
037F Dilation / Hand Artery, Left
037F04Z Dilation of Left Hand Artery with Drug-eluting Intraluminal Device, Open Approach
037F0DZ Dilation of Left Hand Artery with Intraluminal Device, Open Approach
037F0ZZ Dilation of Left Hand Artery, Open Approach
39.5
Angioplasty of other non-coronary vessel(s)
037F34Z Dilation of Left Hand Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
037F3DZ Dilation of Left Hand Artery with Intraluminal Device, Percutaneous Approach
037F3ZZ Dilation of Left Hand Artery, Percutaneous Approach
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
037F44Z Dilation of Left Hand Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
037F4DZ Dilation of Left Hand Artery with Intraluminal Device, Percutaneous Endoscopic Approach
037F4ZZ Dilation of Left Hand Artery, Percutaneous Endoscopic Approach
037G Dilation / Intracranial Artery
037G04Z Dilation of Intracranial Artery with Drug-eluting Intraluminal Device, Open Approach
037G0DZ Dilation of Intracranial Artery with Intraluminal Device, Open Approach
037G0ZZ Dilation of Intracranial Artery, Open Approach
037G3ZZ Dilation of Intracranial Artery, Percutaneous Approach
037G4ZZ Dilation of Intracranial Artery, Percutaneous Endoscopic Approach
037H Dilation / Common Carotid Artery, Right
037H04Z Dilation of Right Common Carotid Artery with Drug-eluting Intraluminal Device, Open Approach
037H0DZ Dilation of Right Common Carotid Artery with Intraluminal Device, Open Approach
037H0ZZ Dilation of Right Common Carotid Artery, Open Approach
037H3ZZ Dilation of Right Common Carotid Artery, Percutaneous Approach
037H4ZZ Dilation of Right Common Carotid Artery, Percutaneous Endoscopic Approach
037J Dilation / Common Carotid Artery, Left
037J04Z Dilation of Left Common Carotid Artery with Drug-eluting Intraluminal Device, Open Approach
037J0DZ Dilation of Left Common Carotid Artery with Intraluminal Device, Open Approach
037J0ZZ Dilation of Left Common Carotid Artery, Open Approach
037J3ZZ Dilation of Left Common Carotid Artery, Percutaneous Approach
037J4ZZ Dilation of Left Common Carotid Artery, Percutaneous Endoscopic Approach
037K Dilation / Internal Carotid Artery, Right
037K04Z Dilation of Right Internal Carotid Artery with Drug-eluting Intraluminal Device, Open Approach
037K0DZ Dilation of Right Internal Carotid Artery with Intraluminal Device, Open Approach
037K0ZZ Dilation of Right Internal Carotid Artery, Open Approach
037K3ZZ Dilation of Right Internal Carotid Artery, Percutaneous Approach
037K4ZZ Dilation of Right Internal Carotid Artery, Percutaneous Endoscopic Approach
037L Dilation / Internal Carotid Artery, Left
037L04Z Dilation of Left Internal Carotid Artery with Drug-eluting Intraluminal Device, Open Approach
CORP-224204-AA SEP2014Note: BSC has no stents FDA‐approved for use in the infrainguinal regions of the lower extremities.See page 3 for important information about the uses and limitations of this document. 40
Peripheral Interventions
ICD‐9 CMCode
ICD‐9 CM Description
ICD‐10 PCSCode ICD‐10 PCS Description
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
037L0DZ Dilation of Left Internal Carotid Artery with Intraluminal Device, Open Approach
037L0ZZ Dilation of Left Internal Carotid Artery, Open Approach
037L3ZZ Dilation of Left Internal Carotid Artery, Percutaneous Approach
037L4ZZ Dilation of Left Internal Carotid Artery, Percutaneous Endoscopic Approach
037M Dilation / External Carotid Artery, Right
037M04Z Dilation of Right External Carotid Artery with Drug-eluting Intraluminal Device, Open Approach
037M0DZ Dilation of Right External Carotid Artery with Intraluminal Device, Open Approach
037M0ZZ Dilation of Right External Carotid Artery, Open Approach
037M3ZZ Dilation of Right External Carotid Artery, Percutaneous Approach
037M4ZZ Dilation of Right External Carotid Artery, Percutaneous Endoscopic Approach
037N Dilation / External Carotid Artery, Left
037N04Z Dilation of Left External Carotid Artery with Drug-eluting Intraluminal Device, Open Approach
39.5
Angioplasty of other non-coronary vessel(s)
037N0DZ Dilation of Left External Carotid Artery with Intraluminal Device, Open Approach
037N0ZZ Dilation of Left External Carotid Artery, Open Approach
037N3ZZ Dilation of Left External Carotid Artery, Percutaneous Approach
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
037N4ZZ Dilation of Left External Carotid Artery, Percutaneous Endoscopic Approach
037P Dilation / Vertebral Artery, Right
037P04Z Dilation of Right Vertebral Artery with Drug-eluting Intraluminal Device, Open Approach
037P0DZ Dilation of Right Vertebral Artery with Intraluminal Device, Open Approach
037P0ZZ Dilation of Right Vertebral Artery, Open Approach
037P3ZZ Dilation of Right Vertebral Artery, Percutaneous Approach
037P4ZZ Dilation of Right Vertebral Artery, Percutaneous Endoscopic Approach
037Q Dilation / Vertebral Artery, Left
037Q04Z Dilation of Left Vertebral Artery with Drug-eluting Intraluminal Device, Open Approach
037Q0DZ Dilation of Left Vertebral Artery with Intraluminal Device, Open Approach
037Q0ZZ Dilation of Left Vertebral Artery, Open Approach
037Q3ZZ Dilation of Left Vertebral Artery, Percutaneous Approach
037Q4ZZ Dilation of Left Vertebral Artery, Percutaneous Endoscopic Approach
037R Dilation / Face Artery
037R04Z Dilation of Face Artery with Drug-eluting Intraluminal Device, Open Approach
037R0DZ Dilation of Face Artery with Intraluminal Device, Open Approach
037R0ZZ Dilation of Face Artery, Open Approach
037R34Z Dilation of Face Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
037R3DZ Dilation of Face Artery with Intraluminal Device, Percutaneous Approach
037R3ZZ Dilation of Face Artery, Percutaneous Approach
037R44Z Dilation of Face Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
037R4DZ Dilation of Face Artery with Intraluminal Device, Percutaneous Endoscopic Approach
037R4ZZ Dilation of Face Artery, Percutaneous Endoscopic Approach
037S Dilation / Temporal Artery, Right
037S04Z Dilation of Right Temporal Artery with Drug-eluting Intraluminal Device, Open Approach
037S0DZ Dilation of Right Temporal Artery with Intraluminal Device, Open Approach
037S0ZZ Dilation of Right Temporal Artery, Open Approach
037S34Z Dilation of Right Temporal Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
037S3DZ Dilation of Right Temporal Artery with Intraluminal Device, Percutaneous Approach
037S3ZZ Dilation of Right Temporal Artery, Percutaneous Approach
037S44Z Dilation of Right Temporal Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
037S4DZ Dilation of Right Temporal Artery with Intraluminal Device, Percutaneous Endoscopic Approach
CORP-224204-AA SEP2014Note: BSC has no stents FDA‐approved for use in the infrainguinal regions of the lower extremities.See page 3 for important information about the uses and limitations of this document. 41
Peripheral Interventions
ICD‐9 CMCode
ICD‐9 CM Description
ICD‐10 PCSCode ICD‐10 PCS Description
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
037S4ZZ Dilation of Right Temporal Artery, Percutaneous Endoscopic Approach
037T Dilation / Temporal Artery, Left
037T04Z Dilation of Left Temporal Artery with Drug-eluting Intraluminal Device, Open Approach
037T0DZ Dilation of Left Temporal Artery with Intraluminal Device, Open Approach
037T0ZZ Dilation of Left Temporal Artery, Open Approach
037T34Z Dilation of Left Temporal Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
037T3DZ Dilation of Left Temporal Artery with Intraluminal Device, Percutaneous Approach
037T3ZZ Dilation of Left Temporal Artery, Percutaneous Approach
037T44Z Dilation of Left Temporal Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
037T4DZ Dilation of Left Temporal Artery with Intraluminal Device, Percutaneous Endoscopic Approach
037T4ZZ Dilation of Left Temporal Artery, Percutaneous Endoscopic Approach
037U Dilation / Thyroid Artery, Right
39.5
Angioplasty of other non-coronary vessel(s)
037U04Z Dilation of Right Thyroid Artery with Drug-eluting Intraluminal Device, Open Approach
037U0DZ Dilation of Right Thyroid Artery with Intraluminal Device, Open Approach
037U0ZZ Dilation of Right Thyroid Artery, Open Approach
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
037U34Z Dilation of Right Thyroid Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
037U3DZ Dilation of Right Thyroid Artery with Intraluminal Device, Percutaneous Approach
037U3ZZ Dilation of Right Thyroid Artery, Percutaneous Approach
037U44Z Dilation of Right Thyroid Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
037U4DZ Dilation of Right Thyroid Artery with Intraluminal Device, Percutaneous Endoscopic Approach
037U4ZZ Dilation of Right Thyroid Artery, Percutaneous Endoscopic Approach
037V Dilation / Thyroid Artery, Left
037V04Z Dilation of Left Thyroid Artery with Drug-eluting Intraluminal Device, Open Approach
037V0DZ Dilation of Left Thyroid Artery with Intraluminal Device, Open Approach
037V0ZZ Dilation of Left Thyroid Artery, Open Approach
037V34Z Dilation of Left Thyroid Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
037V3DZ Dilation of Left Thyroid Artery with Intraluminal Device, Percutaneous Approach
037V3ZZ Dilation of Left Thyroid Artery, Percutaneous Approach
037V44Z Dilation of Left Thyroid Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
037V4DZ Dilation of Left Thyroid Artery with Intraluminal Device, Percutaneous Endoscopic Approach
037V4ZZ Dilation of Left Thyroid Artery, Percutaneous Endoscopic Approach
037Y Dilation / Upper Artery
037Y04Z Dilation of Upper Artery with Drug-eluting Intraluminal Device, Open Approach
037Y0DZ Dilation of Upper Artery with Intraluminal Device, Open Approach
037Y0ZZ Dilation of Upper Artery, Open Approach
037Y34Z Dilation of Upper Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
037Y3DZ Dilation of Upper Artery with Intraluminal Device, Percutaneous Approach
037Y3ZZ Dilation of Upper Artery, Percutaneous Approach
037Y44Z Dilation of Upper Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
037Y4DZ Dilation of Upper Artery with Intraluminal Device, Percutaneous Endoscopic Approach
037Y4ZZ Dilation of Upper Artery, Percutaneous Endoscopic Approach
03C Extirpation / Upper Arteries
03C0 Extirpation / Internal Mammary Artery, Right
03C00ZZ Extirpation of Matter from Right Internal Mammary Artery, Open Approach
03C03ZZ Extirpation of Matter from Right Internal Mammary Artery, Percutaneous Approach
03C04ZZ Extirpation of Matter from Right Internal Mammary Artery, Percutaneous Endoscopic Approach
03C1 Extirpation / Internal Mammary Artery, Left
CORP-224204-AA SEP2014Note: BSC has no stents FDA‐approved for use in the infrainguinal regions of the lower extremities.See page 3 for important information about the uses and limitations of this document. 42
Peripheral Interventions
ICD‐9 CMCode
ICD‐9 CM Description
ICD‐10 PCSCode ICD‐10 PCS Description
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
03C10ZZ Extirpation of Matter from Left Internal Mammary Artery, Open Approach
03C13ZZ Extirpation of Matter from Left Internal Mammary Artery, Percutaneous Approach
39.5
Angioplasty of other non-coronary vessel(s)
03C14ZZ Extirpation of Matter from Left Internal Mammary Artery, Percutaneous Endoscopic Approach
03C2 Extirpation / Innominate Artery
03C20ZZ Extirpation of Matter from Innominate Artery, Open Approach
03C23ZZ Extirpation of Matter from Innominate Artery, Percutaneous Approach
03C24ZZ Extirpation of Matter from Innominate Artery, Percutaneous Endoscopic Approach
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
03C3 Extirpation / Subclavian Artery, Right
03C30ZZ Extirpation of Matter from Right Subclavian Artery, Open Approach
03C33ZZ Extirpation of Matter from Right Subclavian Artery, Percutaneous Approach
03C34ZZ Extirpation of Matter from Right Subclavian Artery, Percutaneous Endoscopic Approach
03C4 Extirpation / Subclavian Artery, Left
03C40ZZ Extirpation of Matter from Left Subclavian Artery, Open Approach
03C43ZZ Extirpation of Matter from Left Subclavian Artery, Percutaneous Approach
03C44ZZ Extirpation of Matter from Left Subclavian Artery, Percutaneous Endoscopic Approach
03C5 Extirpation / Axillary Artery, Right
03C50ZZ Extirpation of Matter from Right Axillary Artery, Open Approach
03C53ZZ Extirpation of Matter from Right Axillary Artery, Percutaneous Approach
03C54ZZ Extirpation of Matter from Right Axillary Artery, Percutaneous Endoscopic Approach
03C6 Extirpation / Axillary Artery, Left
03C60ZZ Extirpation of Matter from Left Axillary Artery, Open Approach
03C63ZZ Extirpation of Matter from Left Axillary Artery, Percutaneous Approach
03C64ZZ Extirpation of Matter from Left Axillary Artery, Percutaneous Endoscopic Approach
03C7 Extirpation / Brachial Artery, Right
03C70ZZ Extirpation of Matter from Right Brachial Artery, Open Approach
03C73ZZ Extirpation of Matter from Right Brachial Artery, Percutaneous Approach
03C74ZZ Extirpation of Matter from Right Brachial Artery, Percutaneous Endoscopic Approach
03C8 Extirpation / Brachial Artery, Left
03C80ZZ Extirpation of Matter from Left Brachial Artery, Open Approach
03C83ZZ Extirpation of Matter from Left Brachial Artery, Percutaneous Approach
03C84ZZ Extirpation of Matter from Left Brachial Artery, Percutaneous Endoscopic Approach
03C9 Extirpation / Ulnar Artery, Right
03C90ZZ Extirpation of Matter from Right Ulnar Artery, Open Approach
03C93ZZ Extirpation of Matter from Right Ulnar Artery, Percutaneous Approach
03C94ZZ Extirpation of Matter from Right Ulnar Artery, Percutaneous Endoscopic Approach
03CA Extirpation / Ulnar Artery, Left
03CA0ZZ Extirpation of Matter from Left Ulnar Artery, Open Approach
03CA3ZZ Extirpation of Matter from Left Ulnar Artery, Percutaneous Approach
03CA4ZZ Extirpation of Matter from Left Ulnar Artery, Percutaneous Endoscopic Approach
03CB Extirpation / Radial Artery, Right
03CB0ZZ Extirpation of Matter from Right Radial Artery, Open Approach
03CB3ZZ Extirpation of Matter from Right Radial Artery, Percutaneous Approach
03CB4ZZ Extirpation of Matter from Right Radial Artery, Percutaneous Endoscopic Approach
03CC Extirpation / Radial Artery, Left
03CC0ZZ Extirpation of Matter from Left Radial Artery, Open Approach
CORP-224204-AA SEP2014Note: BSC has no stents FDA‐approved for use in the infrainguinal regions of the lower extremities.See page 3 for important information about the uses and limitations of this document. 43
Peripheral Interventions
ICD‐9 CMCode
ICD‐9 CM Description
ICD‐10 PCSCode ICD‐10 PCS Description
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
03CC3ZZ Extirpation of Matter from Left Radial Artery, Percutaneous Approach
03CC4ZZ Extirpation of Matter from Left Radial Artery, Percutaneous Endoscopic Approach
03CD Extirpation / Hand Artery, Right
03CD0ZZ Extirpation of Matter from Right Hand Artery, Open Approach
03CD3ZZ Extirpation of Matter from Right Hand Artery, Percutaneous Approach
03CD4ZZ Extirpation of Matter from Right Hand Artery, Percutaneous Endoscopic Approach
03CF Extirpation / Hand Artery, Left
03CF0ZZ Extirpation of Matter from Left Hand Artery, Open Approach
03CF3ZZ Extirpation of Matter from Left Hand Artery, Percutaneous Approach
39.5
Angioplasty of other non-coronary vessel(s)
03CF4ZZ Extirpation of Matter from Left Hand Artery, Percutaneous Endoscopic Approach
03CG Extirpation / Intracranial Artery
03CG0ZZ Extirpation of Matter from Intracranial Artery, Open Approach
03CH Extirpation / Common Carotid Artery, Right
03CH0ZZ Extirpation of Matter from Right Common Carotid Artery, Open Approach
03CJ Extirpation / Common Carotid Artery, Left
03CJ0ZZ Extirpation of Matter from Left Common Carotid Artery, Open Approach
03CK Extirpation / Internal Carotid Artery, Right
03CK0ZZ Extirpation of Matter from Right Internal Carotid Artery, Open Approach
03CL Extirpation / Internal Carotid Artery, Left
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
03CL0ZZ Extirpation of Matter from Left Internal Carotid Artery, Open Approach
03CM Extirpation / External Carotid Artery, Right
03CM0ZZ Extirpation of Matter from Right External Carotid Artery, Open Approach
03CN Extirpation / External Carotid Artery, Left
03CN0ZZ Extirpation of Matter from Left External Carotid Artery, Open Approach
03CP Extirpation / Vertebral Artery, Right
03CP0ZZ Extirpation of Matter from Right Vertebral Artery, Open Approach
03CQ Extirpation / Vertebral Artery, Left
03CQ0ZZ Extirpation of Matter from Left Vertebral Artery, Open Approach
03CR Extirpation / Face Artery
03CR0ZZ Extirpation of Matter from Face Artery, Open Approach
03CR3ZZ Extirpation of Matter from Face Artery, Percutaneous Approach
03CR4ZZ Extirpation of Matter from Face Artery, Percutaneous Endoscopic Approach
03CS Extirpation / Temporal Artery, Right
03CS0ZZ Extirpation of Matter from Right Temporal Artery, Open Approach
03CS3ZZ Extirpation of Matter from Right Temporal Artery, Percutaneous Approach
03CS4ZZ Extirpation of Matter from Right Temporal Artery, Percutaneous Endoscopic Approach
03CT Extirpation / Temporal Artery, Left
03CT0ZZ Extirpation of Matter from Left Temporal Artery, Open Approach
03CT3ZZ Extirpation of Matter from Left Temporal Artery, Percutaneous Approach
03CT4ZZ Extirpation of Matter from Left Temporal Artery, Percutaneous Endoscopic Approach
03CU Extirpation / Thyroid Artery, Right
03CU0ZZ Extirpation of Matter from Right Thyroid Artery, Open Approach
03CU3ZZ Extirpation of Matter from Right Thyroid Artery, Percutaneous Approach
03CU4ZZ Extirpation of Matter from Right Thyroid Artery, Percutaneous Endoscopic Approach
03CV Extirpation / Thyroid Artery, Left
03CV0ZZ Extirpation of Matter from Left Thyroid Artery, Open Approach
03CV3ZZ Extirpation of Matter from Left Thyroid Artery, Percutaneous Approach
CORP-224204-AA SEP2014Note: BSC has no stents FDA‐approved for use in the infrainguinal regions of the lower extremities.See page 3 for important information about the uses and limitations of this document. 44
Peripheral Interventions
ICD‐9 CMCode
ICD‐9 CM Description
ICD‐10 PCSCode ICD‐10 PCS Description
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
03CV4ZZ Extirpation of Matter from Left Thyroid Artery, Percutaneous Endoscopic Approach
03CY Extirpation / Upper Artery
03CY0ZZ Extirpation of Matter from Upper Artery, Open Approach
03CY3ZZ Extirpation of Matter from Upper Artery, Percutaneous Approach
03CY4ZZ Extirpation of Matter from Upper Artery, Percutaneous Endoscopic Approach
047 Dilation / Lower Arteries
0470 Dilation / Abdominal Aorta
047004Z Dilation of Abdominal Aorta with Drug-eluting Intraluminal Device, Open Approach
04700DZ Dilation of Abdominal Aorta with Intraluminal Device, Open Approach
04700ZZ Dilation of Abdominal Aorta, Open Approach
047034Z Dilation of Abdominal Aorta with Drug-eluting Intraluminal Device, Percutaneous Approach
04703DZ Dilation of Abdominal Aorta with Intraluminal Device, Percutaneous Approach
04703ZZ Dilation of Abdominal Aorta, Percutaneous Approach
047044Z Dilation of Abdominal Aorta with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
04704DZ Dilation of Abdominal Aorta with Intraluminal Device, Percutaneous Endoscopic Approach
04704ZZ Dilation of Abdominal Aorta, Percutaneous Endoscopic Approach
0471 Dilation / Celiac Artery
39.5
Angioplasty of other non-coronary vessel(s)
047104Z Dilation of Celiac Artery with Drug-eluting Intraluminal Device, Open Approach
04710DZ Dilation of Celiac Artery with Intraluminal Device, Open Approach
04710ZZ Dilation of Celiac Artery, Open Approach
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
047134Z Dilation of Celiac Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
04713DZ Dilation of Celiac Artery with Intraluminal Device, Percutaneous Approach
04713ZZ Dilation of Celiac Artery, Percutaneous Approach
047144Z Dilation of Celiac Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
04714DZ Dilation of Celiac Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04714ZZ Dilation of Celiac Artery, Percutaneous Endoscopic Approach
0472 Dilation / Gastric Artery
047204Z Dilation of Gastric Artery with Drug-eluting Intraluminal Device, Open Approach
04720DZ Dilation of Gastric Artery with Intraluminal Device, Open Approach
04720ZZ Dilation of Gastric Artery, Open Approach
047234Z Dilation of Gastric Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
04723DZ Dilation of Gastric Artery with Intraluminal Device, Percutaneous Approach
04723ZZ Dilation of Gastric Artery, Percutaneous Approach
047244Z Dilation of Gastric Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
04724DZ Dilation of Gastric Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04724ZZ Dilation of Gastric Artery, Percutaneous Endoscopic Approach
0473 Dilation / Hepatic Artery
047304Z Dilation of Hepatic Artery with Drug-eluting Intraluminal Device, Open Approach
04730DZ Dilation of Hepatic Artery with Intraluminal Device, Open Approach
04730ZZ Dilation of Hepatic Artery, Open Approach
047334Z Dilation of Hepatic Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
04733DZ Dilation of Hepatic Artery with Intraluminal Device, Percutaneous Approach
04733ZZ Dilation of Hepatic Artery, Percutaneous Approach
047344Z Dilation of Hepatic Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
04734DZ Dilation of Hepatic Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04734ZZ Dilation of Hepatic Artery, Percutaneous Endoscopic Approach
0474 Dilation / Splenic Artery
CORP-224204-AA SEP2014Note: BSC has no stents FDA‐approved for use in the infrainguinal regions of the lower extremities.See page 3 for important information about the uses and limitations of this document. 45
Peripheral Interventions
ICD‐9 CMCode
ICD‐9 CM Description
ICD‐10 PCSCode ICD‐10 PCS Description
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
047404Z Dilation of Splenic Artery with Drug-eluting Intraluminal Device, Open Approach
04740DZ Dilation of Splenic Artery with Intraluminal Device, Open Approach
04740ZZ Dilation of Splenic Artery, Open Approach
047434Z Dilation of Splenic Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
04743DZ Dilation of Splenic Artery with Intraluminal Device, Percutaneous Approach
39.5
Angioplasty of other non-coronary vessel(s)
04743ZZ Dilation of Splenic Artery, Percutaneous Approach
047444Z Dilation of Splenic Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
04744DZ Dilation of Splenic Artery with Intraluminal Device, Percutaneous Endoscopic Approach
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
04744ZZ Dilation of Splenic Artery, Percutaneous Endoscopic Approach
0475 Dilation / Superior Mesenteric Artery
047504Z Dilation of Superior Mesenteric Artery with Drug-eluting Intraluminal Device, Open Approach
04750DZ Dilation of Superior Mesenteric Artery with Intraluminal Device, Open Approach
04750ZZ Dilation of Superior Mesenteric Artery, Open Approach
047534Z Dilation of Superior Mesenteric Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
04753DZ Dilation of Superior Mesenteric Artery with Intraluminal Device, Percutaneous Approach
04753ZZ Dilation of Superior Mesenteric Artery, Percutaneous Approach
047544Z Dilation of Superior Mesenteric Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
04754DZ Dilation of Superior Mesenteric Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04754ZZ Dilation of Superior Mesenteric Artery, Percutaneous Endoscopic Approach
0476 Dilation / Colic Artery, Right
047604Z Dilation of Right Colic Artery with Drug-eluting Intraluminal Device, Open Approach
04760DZ Dilation of Right Colic Artery with Intraluminal Device, Open Approach
04760ZZ Dilation of Right Colic Artery, Open Approach
047634Z Dilation of Right Colic Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
04763DZ Dilation of Right Colic Artery with Intraluminal Device, Percutaneous Approach
04763ZZ Dilation of Right Colic Artery, Percutaneous Approach
047644Z Dilation of Right Colic Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
04764DZ Dilation of Right Colic Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04764ZZ Dilation of Right Colic Artery, Percutaneous Endoscopic Approach
0477 Dilation / Colic Artery, Left
047704Z Dilation of Left Colic Artery with Drug-eluting Intraluminal Device, Open Approach
04770DZ Dilation of Left Colic Artery with Intraluminal Device, Open Approach
04770ZZ Dilation of Left Colic Artery, Open Approach
047734Z Dilation of Left Colic Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
04773DZ Dilation of Left Colic Artery with Intraluminal Device, Percutaneous Approach
04773ZZ Dilation of Left Colic Artery, Percutaneous Approach
047744Z Dilation of Left Colic Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
04774DZ Dilation of Left Colic Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04774ZZ Dilation of Left Colic Artery, Percutaneous Endoscopic Approach
0478 Dilation / Colic Artery, Middle
047804Z Dilation of Middle Colic Artery with Drug-eluting Intraluminal Device, Open Approach
04780DZ Dilation of Middle Colic Artery with Intraluminal Device, Open Approach
CORP-224204-AA SEP2014Note: BSC has no stents FDA‐approved for use in the infrainguinal regions of the lower extremities.See page 3 for important information about the uses and limitations of this document. 46
Peripheral Interventions
ICD‐9 CMCode
ICD‐9 CM Description
ICD‐10 PCSCode ICD‐10 PCS Description
39.5
Angioplasty of other non-coronary vessel(s)
04780ZZ Dilation of Middle Colic Artery, Open Approach
047834Z Dilation of Middle Colic Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
04783DZ Dilation of Middle Colic Artery with Intraluminal Device, Percutaneous Approach
04783ZZ Dilation of Middle Colic Artery, Percutaneous Approach
047844Z Dilation of Middle Colic Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
04784DZ Dilation of Middle Colic Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04784ZZ Dilation of Middle Colic Artery, Percutaneous Endoscopic Approach
0479 Dilation / Renal Artery, Right
047904Z Dilation of Right Renal Artery with Drug-eluting Intraluminal Device, Open Approach
04790DZ Dilation of Right Renal Artery with Intraluminal Device, Open Approach
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
04790ZZ Dilation of Right Renal Artery, Open Approach
047934Z Dilation of Right Renal Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
04793DZ Dilation of Right Renal Artery with Intraluminal Device, Percutaneous Approach
04793ZZ Dilation of Right Renal Artery, Percutaneous Approach
047944Z Dilation of Right Renal Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
04794DZ Dilation of Right Renal Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04794ZZ Dilation of Right Renal Artery, Percutaneous Endoscopic Approach
047A Dilation / Renal Artery, Left
047A04Z Dilation of Left Renal Artery with Drug-eluting Intraluminal Device, Open Approach
047A0DZ Dilation of Left Renal Artery with Intraluminal Device, Open Approach
047A0ZZ Dilation of Left Renal Artery, Open Approach
047A34Z Dilation of Left Renal Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
047A3DZ Dilation of Left Renal Artery with Intraluminal Device, Percutaneous Approach
047A3ZZ Dilation of Left Renal Artery, Percutaneous Approach
047A44Z Dilation of Left Renal Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
047A4DZ Dilation of Left Renal Artery with Intraluminal Device, Percutaneous Endoscopic Approach
047A4ZZ Dilation of Left Renal Artery, Percutaneous Endoscopic Approach
047B Dilation / Inferior Mesenteric Artery
047B04Z Dilation of Inferior Mesenteric Artery with Drug-eluting Intraluminal Device, Open Approach
047B0DZ Dilation of Inferior Mesenteric Artery with Intraluminal Device, Open Approach
047B0ZZ Dilation of Inferior Mesenteric Artery, Open Approach
047B34Z Dilation of Inferior Mesenteric Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
047B3DZ Dilation of Inferior Mesenteric Artery with Intraluminal Device, Percutaneous Approach
047B3ZZ Dilation of Inferior Mesenteric Artery, Percutaneous Approach
047B44Z Dilation of Inferior Mesenteric Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
047B4DZ Dilation of Inferior Mesenteric Artery with Intraluminal Device, Percutaneous Endoscopic Approach
047B4ZZ Dilation of Inferior Mesenteric Artery, Percutaneous Endoscopic Approach
047C Dilation / Common Iliac Artery, Right
047C04Z Dilation of Right Common Iliac Artery with Drug-eluting Intraluminal Device, Open Approach
047C0DZ Dilation of Right Common Iliac Artery with Intraluminal Device, Open Approach
047C0ZZ Dilation of Right Common Iliac Artery, Open Approach
047C34Z Dilation of Right Common Iliac Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
047C3DZ Dilation of Right Common Iliac Artery with Intraluminal Device, Percutaneous Approach
047C3ZZ Dilation of Right Common Iliac Artery, Percutaneous Approach
047C44Z Dilation of Right Common Iliac Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
047C4DZ Dilation of Right Common Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach
CORP-224204-AA SEP2014Note: BSC has no stents FDA‐approved for use in the infrainguinal regions of the lower extremities.See page 3 for important information about the uses and limitations of this document. 47
Peripheral Interventions
ICD‐9 CMCode
ICD‐9 CM Description
ICD‐10 PCSCode ICD‐10 PCS Description
39.5
Angioplasty of other non-coronary vessel(s)
047C4ZZ Dilation of Right Common Iliac Artery, Percutaneous Endoscopic Approach
047D Dilation / Common Iliac Artery, Left
047D04Z Dilation of Left Common Iliac Artery with Drug-eluting Intraluminal Device, Open Approach
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
047D0DZ Dilation of Left Common Iliac Artery with Intraluminal Device, Open Approach
047D0ZZ Dilation of Left Common Iliac Artery, Open Approach
047D34Z Dilation of Left Common Iliac Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
047D3DZ Dilation of Left Common Iliac Artery with Intraluminal Device, Percutaneous Approach
047D3ZZ Dilation of Left Common Iliac Artery, Percutaneous Approach
047D44Z Dilation of Left Common Iliac Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
047D4DZ Dilation of Left Common Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach
047D4ZZ Dilation of Left Common Iliac Artery, Percutaneous Endoscopic Approach
047E Dilation / Internal Iliac Artery, Right
047E04Z Dilation of Right Internal Iliac Artery with Drug-eluting Intraluminal Device, Open Approach
047E0DZ Dilation of Right Internal Iliac Artery with Intraluminal Device, Open Approach
047E0ZZ Dilation of Right Internal Iliac Artery, Open Approach
047E34Z Dilation of Right Internal Iliac Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
047E3DZ Dilation of Right Internal Iliac Artery with Intraluminal Device, Percutaneous Approach
047E3ZZ Dilation of Right Internal Iliac Artery, Percutaneous Approach
047E44Z Dilation of Right Internal Iliac Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
047E4DZ Dilation of Right Internal Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach
047E4ZZ Dilation of Right Internal Iliac Artery, Percutaneous Endoscopic Approach
047F Dilation / Internal Iliac Artery, Left
047F04Z Dilation of Left Internal Iliac Artery with Drug-eluting Intraluminal Device, Open Approach
047F0DZ Dilation of Left Internal Iliac Artery with Intraluminal Device, Open Approach
047F0ZZ Dilation of Left Internal Iliac Artery, Open Approach
047F34Z Dilation of Left Internal Iliac Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
047F3DZ Dilation of Left Internal Iliac Artery with Intraluminal Device, Percutaneous Approach
047F3ZZ Dilation of Left Internal Iliac Artery, Percutaneous Approach
047F44Z Dilation of Left Internal Iliac Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
047F4DZ Dilation of Left Internal Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach
047F4ZZ Dilation of Left Internal Iliac Artery, Percutaneous Endoscopic Approach
047H Dilation / External Iliac Artery, Right
047H04Z Dilation of Right External Iliac Artery with Drug-eluting Intraluminal Device, Open Approach
047H0DZ Dilation of Right External Iliac Artery with Intraluminal Device, Open Approach
047H0ZZ Dilation of Right External Iliac Artery, Open Approach
047H34Z Dilation of Right External Iliac Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
047H3DZ Dilation of Right External Iliac Artery with Intraluminal Device, Percutaneous Approach
047H3ZZ Dilation of Right External Iliac Artery, Percutaneous Approach
047H44Z Dilation of Right External Iliac Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
047H4DZ Dilation of Right External Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach
047H4ZZ Dilation of Right External Iliac Artery, Percutaneous Endoscopic Approach
047J Dilation / External Iliac Artery, Left
047J04Z Dilation of Left External Iliac Artery with Drug-eluting Intraluminal Device, Open Approach
047J0DZ Dilation of Left External Iliac Artery with Intraluminal Device, Open Approach
047J0ZZ Dilation of Left External Iliac Artery, Open Approach
CORP-224204-AA SEP2014Note: BSC has no stents FDA‐approved for use in the infrainguinal regions of the lower extremities.See page 3 for important information about the uses and limitations of this document. 48
Peripheral Interventions
ICD‐9 CMCode
ICD‐9 CM Description
ICD‐10 PCSCode ICD‐10 PCS Description
39.5
Angioplasty of other non-coronary vessel(s)
047J34Z Dilation of Left External Iliac Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
047J3DZ Dilation of Left External Iliac Artery with Intraluminal Device, Percutaneous Approach
047J3ZZ Dilation of Left External Iliac Artery, Percutaneous Approach
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
047J44Z Dilation of Left External Iliac Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
047J4DZ Dilation of Left External Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach
047J4ZZ Dilation of Left External Iliac Artery, Percutaneous Endoscopic Approach
047K Dilation / Femoral Artery, Right
047K04Z Dilation of Right Femoral Artery with Drug-eluting Intraluminal Device, Open Approach
047K0DZ Dilation of Right Femoral Artery with Intraluminal Device, Open Approach
047K0ZZ Dilation of Right Femoral Artery, Open Approach
047K34Z Dilation of Right Femoral Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
047K3DZ Dilation of Right Femoral Artery with Intraluminal Device, Percutaneous Approach
047K3ZZ Dilation of Right Femoral Artery, Percutaneous Approach
047K44Z Dilation of Right Femoral Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
047K4DZ Dilation of Right Femoral Artery with Intraluminal Device, Percutaneous Endoscopic Approach
047K4ZZ Dilation of Right Femoral Artery, Percutaneous Endoscopic Approach
047L Dilation / Femoral Artery, Left
047L04Z Dilation of Left Femoral Artery with Drug-eluting Intraluminal Device, Open Approach
047L0DZ Dilation of Left Femoral Artery with Intraluminal Device, Open Approach
047L0ZZ Dilation of Left Femoral Artery, Open Approach
047L34Z Dilation of Left Femoral Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
047L3DZ Dilation of Left Femoral Artery with Intraluminal Device, Percutaneous Approach
047L3ZZ Dilation of Left Femoral Artery, Percutaneous Approach
047L44Z Dilation of Left Femoral Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
047L4DZ Dilation of Left Femoral Artery with Intraluminal Device, Percutaneous Endoscopic Approach
047L4ZZ Dilation of Left Femoral Artery, Percutaneous Endoscopic Approach
047M Dilation / Popliteal Artery, Right
047M04Z Dilation of Right Popliteal Artery with Drug-eluting Intraluminal Device, Open Approach
047M0DZ Dilation of Right Popliteal Artery with Intraluminal Device, Open Approach
047M0ZZ Dilation of Right Popliteal Artery, Open Approach
047M34Z Dilation of Right Popliteal Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
047M3DZ Dilation of Right Popliteal Artery with Intraluminal Device, Percutaneous Approach
39.5
Angioplasty of other non-coronary vessel(s)
047M3ZZ Dilation of Right Popliteal Artery, Percutaneous Approach
047M44Z Dilation of Right Popliteal Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
047M4DZ Dilation of Right Popliteal Artery with Intraluminal Device, Percutaneous Endoscopic Approach
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
047M4ZZ Dilation of Right Popliteal Artery, Percutaneous Endoscopic Approach
047N Dilation / Popliteal Artery, Left
047N04Z Dilation of Left Popliteal Artery with Drug-eluting Intraluminal Device, Open Approach
047N0DZ Dilation of Left Popliteal Artery with Intraluminal Device, Open Approach
047N0ZZ Dilation of Left Popliteal Artery, Open Approach
047N34Z Dilation of Left Popliteal Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
047N3DZ Dilation of Left Popliteal Artery with Intraluminal Device, Percutaneous Approach
047N3ZZ Dilation of Left Popliteal Artery, Percutaneous Approach
047N44Z Dilation of Left Popliteal Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
CORP-224204-AA SEP2014Note: BSC has no stents FDA‐approved for use in the infrainguinal regions of the lower extremities.See page 3 for important information about the uses and limitations of this document. 49
Peripheral Interventions
ICD‐9 CMCode
ICD‐9 CM Description
ICD‐10 PCSCode ICD‐10 PCS Description
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
047N4DZ Dilation of Left Popliteal Artery with Intraluminal Device, Percutaneous Endoscopic Approach
047N4ZZ Dilation of Left Popliteal Artery, Percutaneous Endoscopic Approach
047P Dilation / Anterior Tibial Artery, Right
047P04Z Dilation of Right Anterior Tibial Artery with Drug-eluting Intraluminal Device, Open Approach
047P0DZ Dilation of Right Anterior Tibial Artery with Intraluminal Device, Open Approach
047P0ZZ Dilation of Right Anterior Tibial Artery, Open Approach
047P34Z Dilation of Right Anterior Tibial Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
047P3DZ Dilation of Right Anterior Tibial Artery with Intraluminal Device, Percutaneous Approach
047P3ZZ Dilation of Right Anterior Tibial Artery, Percutaneous Approach
047P44Z Dilation of Right Anterior Tibial Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
047P4DZ Dilation of Right Anterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach
047P4ZZ Dilation of Right Anterior Tibial Artery, Percutaneous Endoscopic Approach
047Q Dilation / Anterior Tibial Artery, Left
047Q04Z Dilation of Left Anterior Tibial Artery with Drug-eluting Intraluminal Device, Open Approach
047Q0DZ Dilation of Left Anterior Tibial Artery with Intraluminal Device, Open Approach
047Q0ZZ Dilation of Left Anterior Tibial Artery, Open Approach
047Q34Z Dilation of Left Anterior Tibial Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
047Q3DZ Dilation of Left Anterior Tibial Artery with Intraluminal Device, Percutaneous Approach
047Q3ZZ Dilation of Left Anterior Tibial Artery, Percutaneous Approach
047Q44Z Dilation of Left Anterior Tibial Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
047Q4DZ Dilation of Left Anterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach
047Q4ZZ Dilation of Left Anterior Tibial Artery, Percutaneous Endoscopic Approach
047R Dilation / Posterior Tibial Artery, Right
047R04Z Dilation of Right Posterior Tibial Artery with Drug-eluting Intraluminal Device, Open Approach
047R0DZ Dilation of Right Posterior Tibial Artery with Intraluminal Device, Open Approach
047R0ZZ Dilation of Right Posterior Tibial Artery, Open Approach
047R34Z Dilation of Right Posterior Tibial Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
047R3DZ Dilation of Right Posterior Tibial Artery with Intraluminal Device, Percutaneous Approach
047R3ZZ Dilation of Right Posterior Tibial Artery, Percutaneous Approach
39.5
Angioplasty of other non-coronary vessel(s)
047R44Z Dilation of Right Posterior Tibial Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
047R4DZ Dilation of Right Posterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach
047R4ZZ Dilation of Right Posterior Tibial Artery, Percutaneous Endoscopic Approach
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
047S Dilation / Posterior Tibial Artery, Left
047S04Z Dilation of Left Posterior Tibial Artery with Drug-eluting Intraluminal Device, Open Approach
047S0DZ Dilation of Left Posterior Tibial Artery with Intraluminal Device, Open Approach
047S0ZZ Dilation of Left Posterior Tibial Artery, Open Approach
047S34Z Dilation of Left Posterior Tibial Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
047S3DZ Dilation of Left Posterior Tibial Artery with Intraluminal Device, Percutaneous Approach
047S3ZZ Dilation of Left Posterior Tibial Artery, Percutaneous Approach
047S44Z Dilation of Left Posterior Tibial Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
047S4DZ Dilation of Left Posterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach
047S4ZZ Dilation of Left Posterior Tibial Artery, Percutaneous Endoscopic Approach
047T Dilation / Peroneal Artery, Right
047T04Z Dilation of Right Peroneal Artery with Drug-eluting Intraluminal Device, Open Approach
047T0DZ Dilation of Right Peroneal Artery with Intraluminal Device, Open Approach
CORP-224204-AA SEP2014Note: BSC has no stents FDA‐approved for use in the infrainguinal regions of the lower extremities.See page 3 for important information about the uses and limitations of this document. 50
Peripheral Interventions
ICD‐9 CMCode
ICD‐9 CM Description
ICD‐10 PCSCode ICD‐10 PCS Description
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
047T0ZZ Dilation of Right Peroneal Artery, Open Approach
047T34Z Dilation of Right Peroneal Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
047T3DZ Dilation of Right Peroneal Artery with Intraluminal Device, Percutaneous Approach
047T3ZZ Dilation of Right Peroneal Artery, Percutaneous Approach
047T44Z Dilation of Right Peroneal Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
047T4DZ Dilation of Right Peroneal Artery with Intraluminal Device, Percutaneous Endoscopic Approach
047T4ZZ Dilation of Right Peroneal Artery, Percutaneous Endoscopic Approach
047U Dilation / Peroneal Artery, Left
047U04Z Dilation of Left Peroneal Artery with Drug-eluting Intraluminal Device, Open Approach
047U0DZ Dilation of Left Peroneal Artery with Intraluminal Device, Open Approach
047U0ZZ Dilation of Left Peroneal Artery, Open Approach
047U34Z Dilation of Left Peroneal Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
047U3DZ Dilation of Left Peroneal Artery with Intraluminal Device, Percutaneous Approach
047U3ZZ Dilation of Left Peroneal Artery, Percutaneous Approach
047U44Z Dilation of Left Peroneal Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
047U4DZ Dilation of Left Peroneal Artery with Intraluminal Device, Percutaneous Endoscopic Approach
047U4ZZ Dilation of Left Peroneal Artery, Percutaneous Endoscopic Approach
047V Dilation / Foot Artery, Right
047V04Z Dilation of Right Foot Artery with Drug-eluting Intraluminal Device, Open Approach
047V0DZ Dilation of Right Foot Artery with Intraluminal Device, Open Approach
047V0ZZ Dilation of Right Foot Artery, Open Approach
047V34Z Dilation of Right Foot Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
047V3DZ Dilation of Right Foot Artery with Intraluminal Device, Percutaneous Approach
047V3ZZ Dilation of Right Foot Artery, Percutaneous Approach
047V44Z Dilation of Right Foot Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
39.5
Angioplasty of other non-coronary vessel(s)
047V4DZ Dilation of Right Foot Artery with Intraluminal Device, Percutaneous Endoscopic Approach
047V4ZZ Dilation of Right Foot Artery, Percutaneous Endoscopic Approach
047W Dilation / Foot Artery, Left
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
047W04Z Dilation of Left Foot Artery with Drug-eluting Intraluminal Device, Open Approach
047W0DZ Dilation of Left Foot Artery with Intraluminal Device, Open Approach
047W0ZZ Dilation of Left Foot Artery, Open Approach
047W34Z Dilation of Left Foot Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
047W3DZ Dilation of Left Foot Artery with Intraluminal Device, Percutaneous Approach
047W3ZZ Dilation of Left Foot Artery, Percutaneous Approach
047W44Z Dilation of Left Foot Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
047W4DZ Dilation of Left Foot Artery with Intraluminal Device, Percutaneous Endoscopic Approach
047W4ZZ Dilation of Left Foot Artery, Percutaneous Endoscopic Approach
047Y Dilation / Lower Artery
047Y04Z Dilation of Lower Artery with Drug-eluting Intraluminal Device, Open Approach
047Y0DZ Dilation of Lower Artery with Intraluminal Device, Open Approach
047Y0ZZ Dilation of Lower Artery, Open Approach
047Y34Z Dilation of Lower Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
047Y3DZ Dilation of Lower Artery with Intraluminal Device, Percutaneous Approach
047Y3ZZ Dilation of Lower Artery, Percutaneous Approach
047Y44Z Dilation of Lower Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
047Y4DZ Dilation of Lower Artery with Intraluminal Device, Percutaneous Endoscopic Approach
CORP-224204-AA SEP2014Note: BSC has no stents FDA‐approved for use in the infrainguinal regions of the lower extremities.See page 3 for important information about the uses and limitations of this document. 51
Peripheral Interventions
ICD‐9 CMCode
ICD‐9 CM Description
ICD‐10 PCSCode ICD‐10 PCS Description
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
047Y4ZZ Dilation of Lower Artery, Percutaneous Endoscopic Approach
04C Extirpation / Lower Arteries
04C0 Extirpation / Abdominal Aorta
04C00ZZ Extirpation of Matter from Abdominal Aorta, Open Approach
04C03ZZ Extirpation of Matter from Abdominal Aorta, Percutaneous Approach
04C04ZZ Extirpation of Matter from Abdominal Aorta, Percutaneous Endoscopic Approach
04C1 Extirpation / Celiac Artery
04C10ZZ Extirpation of Matter from Celiac Artery, Open Approach
04C13ZZ Extirpation of Matter from Celiac Artery, Percutaneous Approach
04C14ZZ Extirpation of Matter from Celiac Artery, Percutaneous Endoscopic Approach
04C2 Extirpation / Gastric Artery
04C20ZZ Extirpation of Matter from Gastric Artery, Open Approach
04C23ZZ Extirpation of Matter from Gastric Artery, Percutaneous Approach
04C24ZZ Extirpation of Matter from Gastric Artery, Percutaneous Endoscopic Approach
04C3 Extirpation / Hepatic Artery
04C30ZZ Extirpation of Matter from Hepatic Artery, Open Approach
04C33ZZ Extirpation of Matter from Hepatic Artery, Percutaneous Approach
04C34ZZ Extirpation of Matter from Hepatic Artery, Percutaneous Endoscopic Approach
04C4 Extirpation / Splenic Artery
04C40ZZ Extirpation of Matter from Splenic Artery, Open Approach
04C43ZZ Extirpation of Matter from Splenic Artery, Percutaneous Approach
04C44ZZ Extirpation of Matter from Splenic Artery, Percutaneous Endoscopic Approach
04C5 Extirpation / Superior Mesenteric Artery
04C50ZZ Extirpation of Matter from Superior Mesenteric Artery, Open Approach
04C53ZZ Extirpation of Matter from Superior Mesenteric Artery, Percutaneous Approach
04C54ZZ Extirpation of Matter from Superior Mesenteric Artery, Percutaneous Endoscopic Approach
04C6 Extirpation / Colic Artery, Right
04C60ZZ Extirpation of Matter from Right Colic Artery, Open Approach
04C63ZZ Extirpation of Matter from Right Colic Artery, Percutaneous Approach
04C64ZZ Extirpation of Matter from Right Colic Artery, Percutaneous Endoscopic Approach
04C7 Extirpation / Colic Artery, Left
04C70ZZ Extirpation of Matter from Left Colic Artery, Open Approach
04C73ZZ Extirpation of Matter from Left Colic Artery, Percutaneous Approach
39.5
Angioplasty of other non-coronary vessel(s)
04C74ZZ Extirpation of Matter from Left Colic Artery, Percutaneous Endoscopic Approach
04C8 Extirpation / Colic Artery, Middle
04C80ZZ Extirpation of Matter from Middle Colic Artery, Open Approach
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
04C83ZZ Extirpation of Matter from Middle Colic Artery, Percutaneous Approach
04C84ZZ Extirpation of Matter from Middle Colic Artery, Percutaneous Endoscopic Approach
04C9 Extirpation / Renal Artery, Right
04C90ZZ Extirpation of Matter from Right Renal Artery, Open Approach
04C93ZZ Extirpation of Matter from Right Renal Artery, Percutaneous Approach
04C94ZZ Extirpation of Matter from Right Renal Artery, Percutaneous Endoscopic Approach
04CA Extirpation / Renal Artery, Left
04CA0ZZ Extirpation of Matter from Left Renal Artery, Open Approach
04CA3ZZ Extirpation of Matter from Left Renal Artery, Percutaneous Approach
04CA4ZZ Extirpation of Matter from Left Renal Artery, Percutaneous Endoscopic Approach
04CB Extirpation / Inferior Mesenteric Artery
CORP-224204-AA SEP2014Note: BSC has no stents FDA‐approved for use in the infrainguinal regions of the lower extremities.See page 3 for important information about the uses and limitations of this document. 52
Peripheral Interventions
ICD‐9 CMCode
ICD‐9 CM Description
ICD‐10 PCSCode ICD‐10 PCS Description
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
04CB0ZZ Extirpation of Matter from Inferior Mesenteric Artery, Open Approach
04CB3ZZ Extirpation of Matter from Inferior Mesenteric Artery, Percutaneous Approach
04CB4ZZ Extirpation of Matter from Inferior Mesenteric Artery, Percutaneous Endoscopic Approach
04CC Extirpation / Common Iliac Artery, Right
04CC0ZZ Extirpation of Matter from Right Common Iliac Artery, Open Approach
04CC3ZZ Extirpation of Matter from Right Common Iliac Artery, Percutaneous Approach
04CC4ZZ Extirpation of Matter from Right Common Iliac Artery, Percutaneous Endoscopic Approach
04CD Extirpation / Common Iliac Artery, Left
04CD0ZZ Extirpation of Matter from Left Common Iliac Artery, Open Approach
04CD3ZZ Extirpation of Matter from Left Common Iliac Artery, Percutaneous Approach
04CD4ZZ Extirpation of Matter from Left Common Iliac Artery, Percutaneous Endoscopic Approach
04CE Extirpation / Internal Iliac Artery, Right
04CE0ZZ Extirpation of Matter from Right Internal Iliac Artery, Open Approach
04CE3ZZ Extirpation of Matter from Right Internal Iliac Artery, Percutaneous Approach
04CE4ZZ Extirpation of Matter from Right Internal Iliac Artery, Percutaneous Endoscopic Approach
04CF Extirpation / Internal Iliac Artery, Left
04CF0ZZ Extirpation of Matter from Left Internal Iliac Artery, Open Approach
04CF3ZZ Extirpation of Matter from Left Internal Iliac Artery, Percutaneous Approach
04CF4ZZ Extirpation of Matter from Left Internal Iliac Artery, Percutaneous Endoscopic Approach
04CH Extirpation / External Iliac Artery, Right
04CH0ZZ Extirpation of Matter from Right External Iliac Artery, Open Approach
39.5
Angioplasty of other non-coronary vessel(s)
04CH3ZZ Extirpation of Matter from Right External Iliac Artery, Percutaneous Approach
04CH4ZZ Extirpation of Matter from Right External Iliac Artery, Percutaneous Endoscopic Approach
04CJ Extirpation / External Iliac Artery, Left
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
04CJ0ZZ Extirpation of Matter from Left External Iliac Artery, Open Approach
04CJ3ZZ Extirpation of Matter from Left External Iliac Artery, Percutaneous Approach
04CJ4ZZ Extirpation of Matter from Left External Iliac Artery, Percutaneous Endoscopic Approach
04CK Extirpation / Femoral Artery, Right
04CK0ZZ Extirpation of Matter from Right Femoral Artery, Open Approach
04CK3ZZ Extirpation of Matter from Right Femoral Artery, Percutaneous Approach
04CK4ZZ Extirpation of Matter from Right Femoral Artery, Percutaneous Endoscopic Approach
04CL Extirpation / Femoral Artery, Left
04CL0ZZ Extirpation of Matter from Left Femoral Artery, Open Approach
04CL3ZZ Extirpation of Matter from Left Femoral Artery, Percutaneous Approach
04CL4ZZ Extirpation of Matter from Left Femoral Artery, Percutaneous Endoscopic Approach
04CM Extirpation / Popliteal Artery, Right
04CM0ZZ Extirpation of Matter from Right Popliteal Artery, Open Approach
04CM3ZZ Extirpation of Matter from Right Popliteal Artery, Percutaneous Approach
04CM4ZZ Extirpation of Matter from Right Popliteal Artery, Percutaneous Endoscopic Approach
04CN Extirpation / Popliteal Artery, Left
04CN0ZZ Extirpation of Matter from Left Popliteal Artery, Open Approach
04CN3ZZ Extirpation of Matter from Left Popliteal Artery, Percutaneous Approach
04CN4ZZ Extirpation of Matter from Left Popliteal Artery, Percutaneous Endoscopic Approach
04CP Extirpation / Anterior Tibial Artery, Right
04CP0ZZ Extirpation of Matter from Right Anterior Tibial Artery, Open Approach
04CP3ZZ Extirpation of Matter from Right Anterior Tibial Artery, Percutaneous Approach
04CP4ZZ Extirpation of Matter from Right Anterior Tibial Artery, Percutaneous Endoscopic Approach
CORP-224204-AA SEP2014Note: BSC has no stents FDA‐approved for use in the infrainguinal regions of the lower extremities.See page 3 for important information about the uses and limitations of this document. 53
Peripheral Interventions
ICD‐9 CMCode
ICD‐9 CM Description
ICD‐10 PCSCode ICD‐10 PCS Description
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
04CQ Extirpation / Anterior Tibial Artery, Left
04CQ0ZZ Extirpation of Matter from Left Anterior Tibial Artery, Open Approach
04CQ3ZZ Extirpation of Matter from Left Anterior Tibial Artery, Percutaneous Approach
04CQ4ZZ Extirpation of Matter from Left Anterior Tibial Artery, Percutaneous Endoscopic Approach
04CR Extirpation / Posterior Tibial Artery, Right
04CR0ZZ Extirpation of Matter from Right Posterior Tibial Artery, Open Approach
04CR3ZZ Extirpation of Matter from Right Posterior Tibial Artery, Percutaneous Approach
04CR4ZZ Extirpation of Matter from Right Posterior Tibial Artery, Percutaneous Endoscopic Approach
04CR Extirpation / Posterior Tibial Artery, Right
04CR0ZZ Extirpation of Matter from Right Posterior Tibial Artery, Open Approach
04CR3ZZ Extirpation of Matter from Right Posterior Tibial Artery, Percutaneous Approach
04CR4ZZ Extirpation of Matter from Right Posterior Tibial Artery, Percutaneous Endoscopic Approach
04CT Extirpation / Peroneal Artery, Right
04CT0ZZ Extirpation of Matter from Right Peroneal Artery, Open Approach
04CT3ZZ Extirpation of Matter from Right Peroneal Artery, Percutaneous Approach
04CT4ZZ Extirpation of Matter from Right Peroneal Artery, Percutaneous Endoscopic Approach
39.5
Angioplasty of other non-coronary vessel(s)
04CU Extirpation / Peroneal Artery, Left
04CU0ZZ Extirpation of Matter from Left Peroneal Artery, Open Approach
04CU3ZZ Extirpation of Matter from Left Peroneal Artery, Percutaneous Approach
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
04CU4ZZ Extirpation of Matter from Left Peroneal Artery, Percutaneous Endoscopic Approach
04CV Extirpation / Foot Artery, Right
04CV0ZZ Extirpation of Matter from Right Foot Artery, Open Approach
04CV3ZZ Extirpation of Matter from Right Foot Artery, Percutaneous Approach
04CV4ZZ Extirpation of Matter from Right Foot Artery, Percutaneous Endoscopic Approach
04CW Extirpation / Foot Artery, Left
04CW0ZZ Extirpation of Matter from Left Foot Artery, Open Approach
04CW3ZZ Extirpation of Matter from Left Foot Artery, Percutaneous Approach
04CW4ZZ Extirpation of Matter from Left Foot Artery, Percutaneous Endoscopic Approach
04CY Extirpation / Lower Artery
04CY0ZZ Extirpation of Matter from Lower Artery, Open Approach
04CY3ZZ Extirpation of Matter from Lower Artery, Percutaneous Approach
04CY4ZZ Extirpation of Matter from Lower Artery, Percutaneous Endoscopic Approach
057 Dilation / Upper Veins
0579 Dilation / Brachial Vein, Right
05790DZ Dilation of Right Brachial Vein with Intraluminal Device, Open Approach
05790ZZ Dilation of Right Brachial Vein, Open Approach
05793DZ Dilation of Right Brachial Vein with Intraluminal Device, Percutaneous Approach
05793ZZ Dilation of Right Brachial Vein, Percutaneous Approach
05794DZ Dilation of Right Brachial Vein with Intraluminal Device, Percutaneous Endoscopic Approach
05794ZZ Dilation of Right Brachial Vein, Percutaneous Endoscopic Approach
057A Dilation / Brachial Vein, Left
057A0DZ Dilation of Left Brachial Vein with Intraluminal Device, Open Approach
057A0ZZ Dilation of Left Brachial Vein, Open Approach
057A3DZ Dilation of Left Brachial Vein with Intraluminal Device, Percutaneous Approach
057A3ZZ Dilation of Left Brachial Vein, Percutaneous Approach
057A4DZ Dilation of Left Brachial Vein with Intraluminal Device, Percutaneous Endoscopic Approach
057A4ZZ Dilation of Left Brachial Vein, Percutaneous Endoscopic Approach
CORP-224204-AA SEP2014Note: BSC has no stents FDA‐approved for use in the infrainguinal regions of the lower extremities.See page 3 for important information about the uses and limitations of this document. 54
Peripheral Interventions
ICD‐9 CMCode
ICD‐9 CM Description
ICD‐10 PCSCode ICD‐10 PCS Description
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
057B Dilation / Basilic Vein, Right
057B0DZ Dilation of Right Basilic Vein with Intraluminal Device, Open Approach
057B0ZZ Dilation of Right Basilic Vein, Open Approach
057B3DZ Dilation of Right Basilic Vein with Intraluminal Device, Percutaneous Approach
057B3ZZ Dilation of Right Basilic Vein, Percutaneous Approach
057B4DZ Dilation of Right Basilic Vein with Intraluminal Device, Percutaneous Endoscopic Approach
057B4ZZ Dilation of Right Basilic Vein, Percutaneous Endoscopic Approach
057C Dilation / Basilic Vein, Left
057C0DZ Dilation of Left Basilic Vein with Intraluminal Device, Open Approach
057C0ZZ Dilation of Left Basilic Vein, Open Approach
057C3DZ Dilation of Left Basilic Vein with Intraluminal Device, Percutaneous Approach
057C3ZZ Dilation of Left Basilic Vein, Percutaneous Approach
057C4DZ Dilation of Left Basilic Vein with Intraluminal Device, Percutaneous Endoscopic Approach
057C4ZZ Dilation of Left Basilic Vein, Percutaneous Endoscopic Approach
057D Dilation / Cephalic Vein, Right
057D0DZ Dilation of Right Cephalic Vein with Intraluminal Device, Open Approach
057D0ZZ Dilation of Right Cephalic Vein, Open Approach
39.5
Angioplasty of other non-coronary vessel(s)
057D3DZ Dilation of Right Cephalic Vein with Intraluminal Device, Percutaneous Approach
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
057D3ZZ Dilation of Right Cephalic Vein, Percutaneous Approach
057D4DZ Dilation of Right Cephalic Vein with Intraluminal Device, Percutaneous Endoscopic Approach
057D4ZZ Dilation of Right Cephalic Vein, Percutaneous Endoscopic Approach
057F Dilation / Cephalic Vein, Left
057F0DZ Dilation of Left Cephalic Vein with Intraluminal Device, Open Approach
057F0ZZ Dilation of Left Cephalic Vein, Open Approach
057F3DZ Dilation of Left Cephalic Vein with Intraluminal Device, Percutaneous Approach
057F3ZZ Dilation of Left Cephalic Vein, Percutaneous Approach
057F4DZ Dilation of Left Cephalic Vein with Intraluminal Device, Percutaneous Endoscopic Approach
057F4ZZ Dilation of Left Cephalic Vein, Percutaneous Endoscopic Approach
067 Dilation / Lower Veins
0670 Dilation / Inferior Vena Cava
06700DZ Dilation of Inferior Vena Cava with Intraluminal Device, Open Approach
06700ZZ Dilation of Inferior Vena Cava, Open Approach
06703DZ Dilation of Inferior Vena Cava with Intraluminal Device, Percutaneous Approach
06703ZZ Dilation of Inferior Vena Cava, Percutaneous Approach
06704DZ Dilation of Inferior Vena Cava with Intraluminal Device, Percutaneous Endoscopic Approach
06704ZZ Dilation of Inferior Vena Cava, Percutaneous Endoscopic Approach
0671 Dilation / Splenic Vein
06710DZ Dilation of Splenic Vein with Intraluminal Device, Open Approach
06710ZZ Dilation of Splenic Vein, Open Approach
06713DZ Dilation of Splenic Vein with Intraluminal Device, Percutaneous Approach
06713ZZ Dilation of Splenic Vein, Percutaneous Approach
06714DZ Dilation of Splenic Vein with Intraluminal Device, Percutaneous Endoscopic Approach
06714ZZ Dilation of Splenic Vein, Percutaneous Endoscopic Approach
0672 Dilation / Gastric Vein
06720DZ Dilation of Gastric Vein with Intraluminal Device, Open Approach
CORP-224204-AA SEP2014Note: BSC has no stents FDA‐approved for use in the infrainguinal regions of the lower extremities.See page 3 for important information about the uses and limitations of this document. 55
Peripheral Interventions
ICD‐9 CMCode
ICD‐9 CM Description
ICD‐10 PCSCode ICD‐10 PCS Description
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
06720ZZ Dilation of Gastric Vein, Open Approach
06723DZ Dilation of Gastric Vein with Intraluminal Device, Percutaneous Approach
06723ZZ Dilation of Gastric Vein, Percutaneous Approach
06724DZ Dilation of Gastric Vein with Intraluminal Device, Percutaneous Endoscopic Approach
06724ZZ Dilation of Gastric Vein, Percutaneous Endoscopic Approach
0673 Dilation / Esophageal Vein
06730DZ Dilation of Esophageal Vein with Intraluminal Device, Open Approach
06730ZZ Dilation of Esophageal Vein, Open Approach
06733DZ Dilation of Esophageal Vein with Intraluminal Device, Percutaneous Approach
06733ZZ Dilation of Esophageal Vein, Percutaneous Approach
06734DZ Dilation of Esophageal Vein with Intraluminal Device, Percutaneous Endoscopic Approach
06734ZZ Dilation of Esophageal Vein, Percutaneous Endoscopic Approach
0679 Dilation / Renal Vein, Right
06790DZ Dilation of Right Renal Vein with Intraluminal Device, Open Approach
06790ZZ Dilation of Right Renal Vein, Open Approach
06793DZ Dilation of Right Renal Vein with Intraluminal Device, Percutaneous Approach
06793ZZ Dilation of Right Renal Vein, Percutaneous Approach
06794DZ Dilation of Right Renal Vein with Intraluminal Device, Percutaneous Endoscopic Approach
06794ZZ Dilation of Right Renal Vein, Percutaneous Endoscopic Approach
067B Dilation / Renal Vein, Left
067B0DZ Dilation of Left Renal Vein with Intraluminal Device, Open Approach
067B0ZZ Dilation of Left Renal Vein, Open Approach
39.5
Angioplasty of other non-coronary vessel(s)
067B3DZ Dilation of Left Renal Vein with Intraluminal Device, Percutaneous Approach
067B3ZZ Dilation of Left Renal Vein, Percutaneous Approach
067B4DZ Dilation of Left Renal Vein with Intraluminal Device, Percutaneous Endoscopic Approach
067B4ZZ Dilation of Left Renal Vein, Percutaneous Endoscopic Approach
067C Dilation / Common Iliac Vein, Right
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
067C0DZ Dilation of Right Common Iliac Vein with Intraluminal Device, Open Approach
067C0ZZ Dilation of Right Common Iliac Vein, Open Approach
067C3DZ Dilation of Right Common Iliac Vein with Intraluminal Device, Percutaneous Approach
067C3ZZ Dilation of Right Common Iliac Vein, Percutaneous Approach
067C4DZ Dilation of Right Common Iliac Vein with Intraluminal Device, Percutaneous Endoscopic Approach
067C4ZZ Dilation of Right Common Iliac Vein, Percutaneous Endoscopic Approach
067D Dilation / Common Iliac Vein, Left
067D0DZ Dilation of Left Common Iliac Vein with Intraluminal Device, Open Approach
067D0ZZ Dilation of Left Common Iliac Vein, Open Approach
067D3DZ Dilation of Left Common Iliac Vein with Intraluminal Device, Percutaneous Approach
067D3ZZ Dilation of Left Common Iliac Vein, Percutaneous Approach
067D4DZ Dilation of Left Common Iliac Vein with Intraluminal Device, Percutaneous Endoscopic Approach
067D4ZZ Dilation of Left Common Iliac Vein, Percutaneous Endoscopic Approach
067F Dilation / External Iliac Vein, Right
067F0DZ Dilation of Right External Iliac Vein with Intraluminal Device, Open Approach
067F0ZZ Dilation of Right External Iliac Vein, Open Approach
067F3DZ Dilation of Right External Iliac Vein with Intraluminal Device, Percutaneous Approach
067F3ZZ Dilation of Right External Iliac Vein, Percutaneous Approach
067F4DZ Dilation of Right External Iliac Vein with Intraluminal Device, Percutaneous Endoscopic Approach
067F4ZZ Dilation of Right External Iliac Vein, Percutaneous Endoscopic Approach
CORP-224204-AA SEP2014Note: BSC has no stents FDA‐approved for use in the infrainguinal regions of the lower extremities.See page 3 for important information about the uses and limitations of this document. 56
Peripheral Interventions
ICD‐9 CMCode
ICD‐9 CM Description
ICD‐10 PCSCode ICD‐10 PCS Description
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
067G Dilation / External Iliac Vein, Left
067G0DZ Dilation of Left External Iliac Vein with Intraluminal Device, Open Approach
067G0ZZ Dilation of Left External Iliac Vein, Open Approach
067G3DZ Dilation of Left External Iliac Vein with Intraluminal Device, Percutaneous Approach
067G3ZZ Dilation of Left External Iliac Vein, Percutaneous Approach
067G4DZ Dilation of Left External Iliac Vein with Intraluminal Device, Percutaneous Endoscopic Approach
067G4ZZ Dilation of Left External Iliac Vein, Percutaneous Endoscopic Approach
067H Dilation / Hypogastric Vein, Right
067H0DZ Dilation of Right Hypogastric Vein with Intraluminal Device, Open Approach
067H0ZZ Dilation of Right Hypogastric Vein, Open Approach
067H3DZ Dilation of Right Hypogastric Vein with Intraluminal Device, Percutaneous Approach
067H3ZZ Dilation of Right Hypogastric Vein, Percutaneous Approach
067H4DZ Dilation of Right Hypogastric Vein with Intraluminal Device, Percutaneous Endoscopic Approach
067H4ZZ Dilation of Right Hypogastric Vein, Percutaneous Endoscopic Approach
067J Dilation / Hypogastric Vein, Left
39.5
Angioplasty of other non-coronary vessel(s)
067J0DZ Dilation of Left Hypogastric Vein with Intraluminal Device, Open Approach
067J0ZZ Dilation of Left Hypogastric Vein, Open Approach
067J3DZ Dilation of Left Hypogastric Vein with Intraluminal Device, Percutaneous Approach
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
067J3ZZ Dilation of Left Hypogastric Vein, Percutaneous Approach
067J4DZ Dilation of Left Hypogastric Vein with Intraluminal Device, Percutaneous Endoscopic Approach
067J4ZZ Dilation of Left Hypogastric Vein, Percutaneous Endoscopic Approach
067M Dilation / Femoral Vein, Right
067M0DZ Dilation of Right Femoral Vein with Intraluminal Device, Open Approach
067M0ZZ Dilation of Right Femoral Vein, Open Approach
067M3DZ Dilation of Right Femoral Vein with Intraluminal Device, Percutaneous Approach
067M3ZZ Dilation of Right Femoral Vein, Percutaneous Approach
067M4DZ Dilation of Right Femoral Vein with Intraluminal Device, Percutaneous Endoscopic Approach
067M4ZZ Dilation of Right Femoral Vein, Percutaneous Endoscopic Approach
067N Dilation / Femoral Vein, Left
067N0DZ Dilation of Left Femoral Vein with Intraluminal Device, Open Approach
067N0ZZ Dilation of Left Femoral Vein, Open Approach
067N3DZ Dilation of Left Femoral Vein with Intraluminal Device, Percutaneous Approach
067N3ZZ Dilation of Left Femoral Vein, Percutaneous Approach
CORP-224204-AA SEP2014Note: BSC has no stents FDA‐approved for use in the infrainguinal regions of the lower extremities.See page 3 for important information about the uses and limitations of this document. 57
Peripheral Interventions
ICD‐9 CMCode
ICD‐9 CM Description
ICD‐10 PCSCode ICD‐10 PCS Description
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
067N4DZ Dilation of Left Femoral Vein with Intraluminal Device, Percutaneous Endoscopic Approach
067N4ZZ Dilation of Left Femoral Vein, Percutaneous Endoscopic Approach
067P Dilation / Greater Saphenous Vein, Right
067P0DZ Dilation of Right Greater Saphenous Vein with Intraluminal Device, Open Approach
067P0ZZ Dilation of Right Greater Saphenous Vein, Open Approach
067P3DZ Dilation of Right Greater Saphenous Vein with Intraluminal Device, Percutaneous Approach
067P3ZZ Dilation of Right Greater Saphenous Vein, Percutaneous Approach
067P4DZ Dilation of Right Greater Saphenous Vein with Intraluminal Device, Percutaneous Endoscopic Approach
067P4ZZ Dilation of Right Greater Saphenous Vein, Percutaneous Endoscopic Approach
067Q Dilation / Greater Saphenous Vein, Left
067Q0DZ Dilation of Left Greater Saphenous Vein with Intraluminal Device, Open Approach
067Q0ZZ Dilation of Left Greater Saphenous Vein, Open Approach
067Q3DZ Dilation of Left Greater Saphenous Vein with Intraluminal Device, Percutaneous Approach
067Q3ZZ Dilation of Left Greater Saphenous Vein, Percutaneous Approach
067Q4DZ Dilation of Left Greater Saphenous Vein with Intraluminal Device, Percutaneous Endoscopic Approach
067Q4ZZ Dilation of Left Greater Saphenous Vein, Percutaneous Endoscopic Approach
067R Dilation / Lesser Saphenous Vein, Right
067R0DZ Dilation of Right Lesser Saphenous Vein with Intraluminal Device, Open Approach
067R0ZZ Dilation of Right Lesser Saphenous Vein, Open Approach
067R3DZ Dilation of Right Lesser Saphenous Vein with Intraluminal Device, Percutaneous Approach
067R3ZZ Dilation of Right Lesser Saphenous Vein, Percutaneous Approach
067R4DZ Dilation of Right Lesser Saphenous Vein with Intraluminal Device, Percutaneous Endoscopic Approach
067R4ZZ Dilation of Right Lesser Saphenous Vein, Percutaneous Endoscopic Approach
067S Dilation / Lesser Saphenous Vein, Left
067S0DZ Dilation of Left Lesser Saphenous Vein with Intraluminal Device, Open Approach
067S0ZZ Dilation of Left Lesser Saphenous Vein, Open Approach
067S3DZ Dilation of Left Lesser Saphenous Vein with Intraluminal Device, Percutaneous Approach
39.5
Angioplasty of other non-coronary vessel(s)
067S3ZZ Dilation of Left Lesser Saphenous Vein, Percutaneous Approach
067S4DZ Dilation of Left Lesser Saphenous Vein with Intraluminal Device, Percutaneous Endoscopic Approach
067S4ZZ Dilation of Left Lesser Saphenous Vein, Percutaneous Endoscopic Approach
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
067T Dilation / Foot Vein, Right
067T0DZ Dilation of Right Foot Vein with Intraluminal Device, Open Approach
067T0ZZ Dilation of Right Foot Vein, Open Approach
067T3DZ Dilation of Right Foot Vein with Intraluminal Device, Percutaneous Approach
067T3ZZ Dilation of Right Foot Vein, Percutaneous Approach
067T4DZ Dilation of Right Foot Vein with Intraluminal Device, Percutaneous Endoscopic Approach
067T4ZZ Dilation of Right Foot Vein, Percutaneous Endoscopic Approach
067V Dilation / Foot Vein, Left
067V0DZ Dilation of Left Foot Vein with Intraluminal Device, Open Approach
067V0ZZ Dilation of Left Foot Vein, Open Approach
067V3DZ Dilation of Left Foot Vein with Intraluminal Device, Percutaneous Approach
067V3ZZ Dilation of Left Foot Vein, Percutaneous Approach
067V4DZ Dilation of Left Foot Vein with Intraluminal Device, Percutaneous Endoscopic Approach
067V4ZZ Dilation of Left Foot Vein, Percutaneous Endoscopic Approach
067Y Dilation / Lower Vein
067Y0DZ Dilation of Lower Vein with Intraluminal Device, Open Approach
067Y0ZZ Dilation of Lower Vein, Open Approach
CORP-224204-AA SEP2014Note: BSC has no stents FDA‐approved for use in the infrainguinal regions of the lower extremities.See page 3 for important information about the uses and limitations of this document. 58
Peripheral Interventions
ICD‐9 CMCode
ICD‐9 CM Description
ICD‐10 PCSCode ICD‐10 PCS Description
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
067Y3DZ Dilation of Lower Vein with Intraluminal Device, Percutaneous Approach
067Y3ZZ Dilation of Lower Vein, Percutaneous Approach
067Y4DZ Dilation of Lower Vein with Intraluminal Device, Percutaneous Endoscopic Approach
067Y4ZZ Dilation of Lower Vein, Percutaneous Endoscopic Approach
06C Extirpation / Lower Veins
06C0 Extirpation / Inferior Vena Cava
06C00ZZ Extirpation of Matter from Inferior Vena Cava, Open Approach
06C03ZZ Extirpation of Matter from Inferior Vena Cava, Percutaneous Approach
06C04ZZ Extirpation of Matter from Inferior Vena Cava, Percutaneous Endoscopic Approach
06C9 Extirpation / Renal Vein, Right
06C90ZZ Extirpation of Matter from Right Renal Vein, Open Approach
06C93ZZ Extirpation of Matter from Right Renal Vein, Percutaneous Approach
06C94ZZ Extirpation of Matter from Right Renal Vein, Percutaneous Endoscopic Approach
06CB Extirpation / Renal Vein, Left
06CB0ZZ Extirpation of Matter from Left Renal Vein, Open Approach
06CB3ZZ Extirpation of Matter from Left Renal Vein, Percutaneous Approach
06CB4ZZ Extirpation of Matter from Left Renal Vein, Percutaneous Endoscopic Approach
06CC Extirpation / Common Iliac Vein, Right
06CC0ZZ Extirpation of Matter from Right Common Iliac Vein, Open Approach
06CC3ZZ Extirpation of Matter from Right Common Iliac Vein, Percutaneous Approach
06CC4ZZ Extirpation of Matter from Right Common Iliac Vein, Percutaneous Endoscopic Approach
06CD Extirpation / Common Iliac Vein, Left
06CD0ZZ Extirpation of Matter from Left Common Iliac Vein, Open Approach
06CD3ZZ Extirpation of Matter from Left Common Iliac Vein, Percutaneous Approach
06CD4ZZ Extirpation of Matter from Left Common Iliac Vein, Percutaneous Endoscopic Approach
06CF Extirpation / External Iliac Vein, Right
06CF0ZZ Extirpation of Matter from Right External Iliac Vein, Open Approach
06CF3ZZ Extirpation of Matter from Right External Iliac Vein, Percutaneous Approach
06CF4ZZ Extirpation of Matter from Right External Iliac Vein, Percutaneous Endoscopic Approach
39.5
Angioplasty of other non-coronary vessel(s)
06CG Extirpation / External Iliac Vein, Left
06CG0ZZ Extirpation of Matter from Left External Iliac Vein, Open Approach
06CG3ZZ Extirpation of Matter from Left External Iliac Vein, Percutaneous Approach
39.9
Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
06CG4ZZ Extirpation of Matter from Left External Iliac Vein, Percutaneous Endoscopic Approach
06CM Extirpation / Femoral Vein, Right
06CM0ZZ Extirpation of Matter from Right Femoral Vein, Open Approach
06CM3ZZ Extirpation of Matter from Right Femoral Vein, Percutaneous Approach
06CM4ZZ Extirpation of Matter from Right Femoral Vein, Percutaneous Endoscopic Approach
06CN Extirpation / Femoral Vein, Left
06CN0ZZ Extirpation of Matter from Left Femoral Vein, Open Approach
06CN3ZZ Extirpation of Matter from Left Femoral Vein, Percutaneous Approach
06CN4ZZ Extirpation of Matter from Left Femoral Vein, Percutaneous Endoscopic Approach
06CP Extirpation / Greater Saphenous Vein, Right
06CP0ZZ Extirpation of Matter from Right Greater Saphenous Vein, Open Approach
06CP3ZZ Extirpation of Matter from Right Greater Saphenous Vein, Percutaneous Approach
06CP4ZZ Extirpation of Matter from Right Greater Saphenous Vein, Percutaneous Endoscopic Approach
06CQ Extirpation / Greater Saphenous Vein, Left
06CQ0ZZ Extirpation of Matter from Left Greater Saphenous Vein, Open Approach
CORP-224204-AA SEP2014Note: BSC has no stents FDA‐approved for use in the infrainguinal regions of the lower extremities.See page 3 for important information about the uses and limitations of this document. 59
Peripheral Interventions
ICD‐9 CMCode ICD‐9 CM Description ICD‐10 PCS
Code ICD‐10 PCS Description
39.9Insertion of non-drug-eluting peripheral (non-coronary) vessel stents(s)
06CQ3ZZ Extirpation of Matter from Left Greater Saphenous Vein, Percutaneous Approach
06CQ4ZZ Extirpation of Matter from Left Greater Saphenous Vein, Percutaneous Endoscopic Approach
06CR Extirpation / Lesser Saphenous Vein, Right
06CR0ZZ Extirpation of Matter from Right Lesser Saphenous Vein, Open Approach
06CR3ZZ Extirpation of Matter from Right Lesser Saphenous Vein, Percutaneous Approach
06CR4ZZ Extirpation of Matter from Right Lesser Saphenous Vein, Percutaneous Endoscopic Approach
06CS Extirpation / Lesser Saphenous Vein, Left
06CS0ZZ Extirpation of Matter from Left Lesser Saphenous Vein, Open Approach
06CS3ZZ Extirpation of Matter from Left Lesser Saphenous Vein, Percutaneous Approach
06CS4ZZ Extirpation of Matter from Left Lesser Saphenous Vein, Percutaneous Endoscopic Approach
06CY Extirpation / Lower Vein
06CY0ZZ Extirpation of Matter from Lower Vein, Open Approach
06CY3ZZ Extirpation of Matter from Lower Vein, Percutaneous Approach
06CY4ZZ Extirpation of Matter from Lower Vein, Percutaneous Endoscopic Approach
CORP-224204-AA SEP2014Note: BSC has no stents FDA‐approved for use in the infrainguinal regions of the lower extremities.See page 3 for important information about the uses and limitations of this document. 60
Rhythm Management and Electrophysiology
ICD‐9 CMCode ICD‐9 CM Description ICD‐10 PCS
Code ICD‐10 PCS Description
00.50
Insertion of cardiac resynchronization pacemaker without mention of defibrillation, total system (CRT-P)
Insertion CRT-P Generator
0JH607ZInsertion Cardiac Resynchronization Pacemaker Pulse Generator in Chest Subcutaneous/Fascia, Open
0JH637ZInsertion Cardiac Resynchronization Pacemaker Pulse Generator in Chest Subcutaneous/Fascia, Percutaneous
0JH807ZInsertion Cardiac Resynchronization Pacemaker Pulse Generator in Abdomen Subcutaneous/Fascia, Open
0JH837ZInsertion Cardiac Resynchronization Pacemaker Pulse Generator in Abdomen Subcutaneous/Fascia, Percutaneous
Insertion Ventricular Lead
02HK0JZ Insertion of Pacemaker Lead into Right Ventricle, Open Approach
02HK3JZ Insertion of Pacemaker Lead into Right Ventricle, Percutaneous Approach
02HK4JZ Insertion of Pacemaker Lead into Right Ventricle, Percutaneous Endoscopic Approach
02HL0JZ Insertion of Pacemaker Lead into Left Ventricle, Open Approach
02HL3JZ Insertion of Pacemaker Lead into Left Ventricle, Percutaneous Approach
02HL4JZ Insertion of Pacemaker Lead into Left Ventricle, Percutaneous Endoscopic Approach
Insertion Atrial Lead
02H60JZ Insertion of Pacemaker Lead into Right Atrium, Open Approach
02H63JZ Insertion of Pacemaker Lead into Right Atrium, Percutaneous Approach
02H64JZ Insertion of Pacemaker Lead into Right Atrium, Percutaneous Endoscopic Approach
Insertion Coronary Vein Lead
02H40JZ Insertion of Pacemaker Lead into Coronary Vein, Open Approach
02H43JZ Insertion of Pacemaker Lead into Coronary Vein, Percutaneous Approach
02H44JZ Insertion of Pacemaker Lead into Coronary Vein, Percutaneous Endoscopic Approach
00.51
Implantation of cardiac resynchronization defibrillator, total system [CRT-D]
Insertion CRT-D Generator
0JH609ZInsertion Cardiaciac Resynchronization Defibrillator Pulse Generator in Chest Subcutaneous/Fascia, Open
0JH639ZInsertion Cardiac Resynchronization Defibrillator Pulse Generator in Chest Subcutaneous/Fascia, Percutaneous
0JH809ZInsertion Cardiac Resynchronization Defibrillator Pulse Generator in Abdomen Subcutaneous/Fascia, Open
0JH839ZInsertion Cardiac Resynchronization Defibrillator Pulse Generator in Abdomen Subcutaneous/Fascia, Percutaneous
Insertion Ventricle Lead
02HK0KZ Insertion of Defibrillator Lead into Right Ventricle, Open Approach
02HK3KZ Insertion of Defibrillator Lead into Right Ventricle, Percutaneous Approach
02HK4KZ Insertion of Defibrillator Lead into Right Ventricle, Percutaneous Endoscopic Approach
02HL0KZ Insertion of Defibrillator Lead into Left Ventricle, Open Approach
02HL3KZ Insertion of Defibrillator Lead into Left Ventricle, Percutaneous Approach
02HL4KZ Insertion of Defibrillator Lead into Left Ventricle, Percutaneous Endoscopic Approach
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ICD‐9 CMCode ICD‐9 CM Description ICD‐10 PCS
Code ICD‐10 PCS Description
00.51
Implantation of cardiac resynchronization defibrillator, total system [CRT-D]
Insertion Atrial Lead
02H63KZ Insertion of Defibrillator Lead into Right Atrium, Percutaneous Approach
02H60KZ Insertion of Defibrillator Lead into Right Atrium, Open Approach
02H64KZ Insertion of Defibrillator Lead into Right Atrium, Percutaneous Endoscopic Approach
Insertion Coronary Vein Lead
02H40KZ Insertion of Defibrillator Lead into Coronary Vein, Open Approach
02H43KZ Insertion of Defibrillator Lead into Coronary Vein, Percutaneous Approach
02H44KZ Insertion of Defibrillator Lead into Coronary Vein, Percutaneous Endoscopic Approach
00.52
Implantation or replacement of transvenous lead [electrode] into left ventricular coronary venous system
Insertion of Lead
02H43JZ Insertion of Pacemaker Lead into Coronary Vein, Percutaneous Approach
02H43KZ Insertion of Defibrillator Lead into Coronary Vein, Percutaneous Approach
02H43MZ Insertion of Cardiac Lead into Coronary Vein, Percutaneous Approach
Removal of Lead
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
0.53
Implantation or replacement of cardiac resynchronization pacemaker pulse generator only [CRT-P]
Insertion of CRT-P
0JH607ZInsertion Cardiac Resynchronization Pacemaker Pulse Generator in Chest Subcutaneous/Fascia, Open
0JH637ZInsertion Cardiac Resynchronization Pacemaker Pulse Generator in Chest Subcutaneous/Fascia, Percutaneous
Removal of CRT-P
0JPT0PZ Removal Cardiac Rhythm Device from Trunk Subcutaneous/Fascia, Open
0JPT3PZ Removal Cardiac Rhythm Device from Trunk Subcutaneous/Fascia, Percutaneous
00.54
Implantation or replacement of cardiac resynchronization defibrillator pulse generator device only [CRT-D]
Insertion of CRT-D
0JH609ZInsertion Cardiac Resynchronization Defibrillator Pulse Generatorerator in Chest Subcutaneous/Fascia, Open
0JH639ZInsertion Cardiac Resynchronization Defibrillator Pulse Generatorerator in Chest Subcutaneous/Fascia, Percutaneous
Removal of CRT-D
0JPT0PZ Removal Cardiac Rhythm Device from Trunk Subcutaneous/Fascia, Open
0JPT3PZ Removal Cardiac Rhythm Device from Trunk Subcutaneous/Fascia, Percutaneous
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ICD‐9 CMCode ICD‐9 CM Description ICD‐10 PCS
Code ICD‐10 PCS Description
37.26
Catheter based invasive electrophysiologic testing Electrophysiologic studies [EPS]
Measurement of Rhythm
4A023FZ Measurement of Cardiac Rhythm, Percutaneous Approach
Injection of Diagnostic Substance
3E053KZ Introduction of Other Diagnostic Substance into Peripheral Artery, Percutaneous Approach
3E063KZ Introduction of Other Diagnostic Substance into Central Artery, Percutaneous 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 Pediatriac Heart using Other Contrast
B24DZZZ Ultrasonography of Pediatriac Heart
37.29Other diagnosticprocedures on heart andpericardium
02JA3ZZ Inspection of Heart, Percutaneous Approach
02JY3ZZ Inspection of Great Vessel, Percutaneous Approach
0WJD0ZZ Inspection of Pericardial Cavity, Open Approach
0WJD3ZZ Inspection of Pericardial Cavity, Percutaneous Approach
37.34 Excision or destruction of other lesion or tissue of heart, endovascular approach
***Not an All-Inclusive List***
02583ZZ Destruction of Conduction Mechanism, Percutaneous Approach
02B83ZZ Excision of Conduction Mechanism, Percutaneous Approach
02T83ZZ Recection of Conduction Mechanism, Percutaneous Approach
37.70 Initial insertion of lead [electrode], not otherwise specified
02H40JZ Insertion of Pacemaker Lead into Coronary Vein, Open Approach
02H40MZ Insertion of Cardiac Lead into Coronary Vein, Open Approach
02H44JZ Insertion of Pacemaker Lead into Coronary Vein, Percutaneous Endoscopic Approach
02H44MZ Insertion of Cardiac Lead into Coronary Vein, Percutaneous Endoscopic Approach
02H60JZ Insertion of Pacemaker Lead into Right Atrium, Open Approach
02H60MZ Insertion of Cardiac Lead into Right Atrium, Open Approach
02H63JZ Insertion of Pacemaker 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
02H70JZ Insertion of Pacemaker Lead into Left Atrium, Open Approach
02H70MZ Insertion of Cardiac Lead into Left Atrium, Open Approach
02H73JZ Insertion of Pacemaker 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
02HK0JZ Insertion of Pacemaker Lead into Right Ventricle, Open Approach
02HK0MZ Insertion of Cardiac Lead into Right Ventricle, Open Approach
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ICD‐9 CMCode ICD‐9 CM Description ICD‐10 PCS
Code ICD‐10 PCS Description
37.70Initial insertion of lead [electrode], not otherwise specified
02HK3JZ Insertion of Pacemaker 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
02HL0JZ Insertion of Pacemaker Lead into Left Ventricle, Open Approach
02HL0MZ Insertion of Cardiac Lead into Left Ventricle, Open Approach
02HL3JZ Insertion of Pacemaker Lead into Left Ventricle, Percutaneous Approach
02HL4JZ Insertion of Pacemaker Lead into Left Ventricle, Percutaneous Endoscopic Approach
02HL4MZ Insertion of Cardiac 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
02HK3MZ Insertion of Cardiac Lead into Right Ventricle, Percutaneous Approach
02HL3JZ Insertion of Pacemaker Lead into Left Ventricle, Percutaneous Approach
02HL3MZ Insertion of Cardiac Lead into Left Ventricle, Percutaneous Approach
37.72
Initial insertion of transvenous leads [electrodes] into atrium and ventricle
Insertion of Lead into Ventricle
02HK3JZ Insertion of Pacemaker Lead into Right Ventricle, Percutaneous Approach
02HL3JZ Insertion of Pacemaker Lead into Left Ventricle, Percutaneous Approach
Insertion of Lead into Atrium
02H63JZ Insertion of Pacemaker Lead into Right Atrium, Percutaneous Approach
02H73JZ Insertion of Pacemaker Lead into Left Atrium, Percutaneous Approach
37.73Initial insertion of transvenous lead [electrode] into atrium
02H63JZ Insertion of Pacemaker Lead into Right Atrium, Percutaneous Approach
02H73JZ Insertion of Pacemaker Lead into Left Atrium, Percutaneous Approach
37.74Insertion or replacement of epicardial lead [electrode] into epicardium
Insertion of Lead 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
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
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ICD‐9 CMCode ICD‐9 CM Description ICD‐10 PCS
Code ICD‐10 PCS Description
37.76 Replacement of transvenous atrial and/or ventricular lead(s) [electrode]
Insertion of Lead
02H63JZ Insertion of Pacemaker Lead into Right Atrium, Percutaneous Approach
02H63MZ Insertion of Cardiac Lead into Right Atrium, Percutaneous Approach
02H73JZ Insertion of Pacemaker Lead into Left Atrium, Percutaneous Approach
02H73MZ Insertion of Cardiac Lead into Left Atrium, Percutaneous Approach
02HK3JZ Insertion of Pacemaker Lead into Right Ventricle, Percutaneous Approach
02HL3JZ Insertion of Pacemaker Lead into Left Ventricle, Percutaneous Approach
Removal of Lead
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
37.77 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
37.79 Revision or relocation of cardiac device pocket
0JWT0PZ Revision of Cardiac Rhythm Related Device in Trunk Subcutansous Tissue and Fascia, Open Approach
0JWT3PZRevision of Cardiac Rhythm Related Device in Trunk Subcutansous Tissue and Fascia, Percutaneous Approach
37.80
Insertion of permanent pacemaker, initial or replacement, type of device not specified
Insertion of Pacemaker
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
Removal of Pacemaker
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
0JPT0PZRemoval of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Open Approach
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 Pacemkaer, Single Chamber into Abdomen Subcutaneous Tissue and Fascia, Open Approach
0JH834ZInsertion of Pacemaker, Single Chamber into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach
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ICD‐9 CMCode ICD‐9 CM Description ICD‐10 PCS
Code ICD‐10 PCS Description
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
Insertion Single-Chamber Device, not specified as rate responsive
0JH604Z Insertion of Pacemaker, Single Chamber in Chest Subcutaneous Tissue and Fascia, Open Approach
0JH634ZInsertionof Pacemaker, Single Chamber into Chest Subcutaneous and Fascia, Percutaneous Approach
0JH804ZInsertion of Pacemaker, Single Chamber into Abdomen Subcutaneous Tissue and Fascia, Open Approach
0JH834Z Insertion Pacemaker, Single Chamber in Abdomen Subcutaneous/Fascia, Percutaneous
Removal Single-Chamber Device
0JPT0PZRemoval of Related Cardiac Rhythm Device from Trunk Subcutaneous Tissue and Fascia, Open Approach
0JPT3PZRemoval 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
Insertion 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 in Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach
Removal Single-Chamber 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
37.87Replacement of any type pacemaker device with dual-Chamber device
Insertion of Dual Chamber Device
0JH606Z Insertion of Pacemaker Dual Chamber into Chest Subcutaneous Tissue Fascia, Open Approach
0JH636ZInsertion of Pacemaker Dual Chamber into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach
0JH806Z Insertion of Pacemaker Dual Chamber iton Abdomen Subcutaneous Tissue and Fascia, Open Approach
0JH836ZInsertion of Pacemaker Dual Chamber into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach
Removal of Device
0JPT0PZRemoval of Cardiac Rhythm Related Device from Trunk Subcutaneou Tissue and Fascia, Open Approach
0JPT3PZRemoval of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Percutaneous Approach
Rhythm Management and Electrophysiology
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ICD‐9 CMCode ICD‐9 CM Description ICD‐10 PCS
Code ICD‐10 PCS Description
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 Fasci, Open Approach
0JWT3PZRevision of Cardiac Rhythm Related Device in Trunk Subcutaneous Tissue and Fasci, 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]
Insertion of Generator
0JH608Z Insertion of Defibrillator Generator into Chest Subcutaneous/Fascia, Open Approach
0JH638Z Insertion of Defibrillator Generator into Chest Subcutaneous/Fascia, Percutaneous Approach
0JH808Z Insertion of Defibrillator Generator into Abdomen Subcutaneous/Fascia, Open Approach
0JH838Z Insertion of Defibrillator Generator into Abdomen Subcutaneous/Fascia, Percutaneous Approach
Insertion of Atrial Lead
02H60KZ Insertion of Lead
02H63KZ Insertion of Defibrillator Lead into Right Atrium, Percutaneous Approach
02H64KZ Insertion of Defibrillator Lead into Right Atrium, Percutaneous Endoscopic Approach
02H70KZ Insertion of Defibrillator Lead into Left Atrium, Open Approach
02H73KZ Insertion of Defibrillator Lead into Left Atrium, Percutaneous Approach
02H74KZ Insertion of Defibrillator Lead into Left Atrium, Percutaneous Endoscopic Approach
Insertion of Ventricular Lead
02HK0KZ Insertion of Defibrillator Lead into Right Ventricle, Open Approach
02HK3KZ Insertion of Defibrillator Lead into Right Ventricle, Percutaneous Approach
02HK4KZ Insertion of Defibrillator Lead into Right Ventricle, Percutaneous Endoscopic Approach
02HL0KZ Insertion of Defibrillator Lead into Left Ventricle, Open Approach
02HL3KZ Insertion of Defibrillator Lead into Left Ventricle, Percutaneous Approach
02HL4KZ Insertion of Defibrillator Lead into Left Ventricle, Percutaneous Endoscopic Approach
Insertion of Defibrillator into Chest or Abdomen
0JH608Z Insertion of Defibrillator Generator into Chest Subcutaneous/Fascia, Open Approach
0JH638Z Insertion of Defibrillator Generator into Chest Subcutaneous/Fascia, Percutaneous Approach
0JH808Z Insertion of Defibrillator Generator into Abdomen Subcutaneous/Fascia, Open Approach
0JH838Z Insertion of Defibrillator Generator into Abdomen Subcutaneous/Fascia, Percutaneous Approach
Rhythm Management and Electrophysiology
ICD‐9 CMCode ICD‐9 CM Description ICD‐10 PCS
Code ICD‐10 PCS Description
37.94
Implantation or replacement of automatic cardioverter/defibrillator, total system [AICD]
Removal of Generator
0JPT0PZ Removal Cardiac Rhythm Device from Trunk Subcutaneous/Fascia, Open
0JPT3PZ Removal Cardiac Rhythm Device from Trunk Subcutaneous/Fascia, Percutaneous
Removal of Lead
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
Insertion of Defibrillator Lead into Atrium
02H60KZ Insertion of Defibrillator Lead into Right Atrium, Open Approach
02H63KZ Insertion of Defibrillator Lead into Right Atrium, Percutaneous Approach
02H64KZ Insertion of Defibrillator Lead into Right Atrium, Percutaneous Endoscopic Approach
02H70KZ Insertion of Defibrillator Lead into Left Atrium, Open Approach
02H73KZ Insertion of Defibrillator Lead into Left Atrium, Percutaneous Approach
02H74KZ Insertion of Defibrillator Lead into Left Atrium, Percutaneous Endoscopic Approach
Insertion of Defibrillator Lead into Ventricle
02HK0KZ Insertion of Defibrillator Lead into Right Ventricle, Open Approach
02HK3KZ Insertion of Defibrillator Lead into Right Ventricle, Percutaneous Approach
02HK4KZ Insertion of Defibrillator Lead into Right Ventricle, Percutaneous Endoscopic Approach
02HL0KZ Insertion of Defibrillator Lead into Left Ventricle, Open Approach
02HL3KZ Insertion of Defibrillator Lead into Left Ventricle, Percutaneous Approach
02HL4KZ Insertion of Defibrillator Lead into Left Ventricle,Percutaneous Endoscopic Approach
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ICD‐9 CMCode ICD‐9 CM Description ICD‐10 PCS
Code ICD‐10 PCS Description
37.95 Implantation of automatic cardioverter/defibrillator lead(s) only
02H40KZ Insertion of Defibrillator Lead into Coronary Vein, Open Approach
02H44KZ Insertion of Defibrillator Lead into Coronary Vein, Percutaneous Endoscopic Approach
02H60KZ Insertion of Defibrillator Lead into Right Atrium, Open Approach
02H63KZ Insertion of Defibrillator Lead into Right Atrium, Percutaneous Approach
02H64KZ Insertion of Defibrillator Lead into Right Atrium, Percutaneous Endoscopic Approach
02H70KZ Insertion of Defibrillator Lead into Left Atrium, Open Approach
02H73KZ Insertion of Defibrillator Lead into Left Atrium, Percutaneous Approach
02H74KZ Insertion of Defibrillator Lead into Left Atrium, Percutaneous Endoscopic Approach
02HL0KZ Insertion of Defibrillator Lead into Left Ventricle, Open Approach
02HL3KZ Insertion of Defibrillator Lead into Left Ventricle, Percutaneous Approach
02HL4KZ Insertion of Defibrillator Lead into Left Ventricle, 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
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
Insertion of Defibrillator Lead
02H40KZ Insertion of Defibrillator Lead into Coronary Vein, Open Approach
02H44KZ Insertion of Defibrillator Lead into Coronary Vein, Percutaneous Endoscopic Approach
02H60KZ Insertion of Defibrillator Lead into Right Atrium, Open Approach
02H63KZ Insertion of Defibrillator Lead into Right Atrium, Percutaneous Approach
02H64KZ Insertion of Defibrillator Lead into Right Atrium, Percutaneous Endoscopic Approach
02H70KZ Insertion of Defibrillator Lead into Left Atrium, Open Approach
02H73KZ Insertion of Defibrillator Lead into Left Atrium, Percutaneous Approach
02H74KZ Insertion of Defibrillator Lead into Left Atrium, Percutaneous Endoscopic Approach
02HK0KZ Insertion of Defibrillator Lead into Right Ventricle, Open Approach
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ICD‐9 CMCode ICD‐9 CM Description ICD‐10 PCS
Code ICD‐10 PCS Description
37.97Replacement of automatic cardioverter/defibrillator lead(s) only
02HK3KZ Insertion of Defibrillator Lead into Right Ventricle, Percutaneous Approach
02HK4KZ Insertion of Defibrillator Lead into Right Ventricle, Percutaneous Endoscopic Approach
02HL0KZ Insertion of Defibrillator Lead into Left Ventricle, Open Approach
02HL3KZ Insertion of Defibrillator Lead into Left Ventricle, Percutaneous Approach
02HL4KZ Insertion of Defibrillator Lead into Left Ventricle, 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
Removal of Lead
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
37.98 Replacement of automatic cardioverter/defibrillator pulse generator only
Insertion of Generator
0JH608Z Insertion of Defibrillator Generator into Chest Subcutaneous/Fascia, Open Approach
0JH638Z Insertion of Defibrillator Generator into Chest Subcutaneous/Fascia, Percutaneous Approach
0JH808Z Insertion of Defibrillator Generator into Abdomen Subcutaneous/Fascia, Open Approach
Removal of Device
0JPT0PZ Removal Cardiac Rhythm Device from Trunk Subcutaneous/Fascia, Open
0JPT3PZ Removal Cardiac Rhythm Device from Trunk Subcutaneous/Fascia, Percutaneous
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Urology
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ICD‐9 CMCode ICD‐9 CM Description ICD‐10 PCS
Code ICD‐10 PCS Description
40.30 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
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
Urology
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ICD‐9 CMCode ICD‐9 CM 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
Urology
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ICD‐9 CMCode ICD‐9 CM Description ICD‐10 PCS
Code ICD‐10 PCS Description
60.21 Transurethral guided laser induced prostatectomy
0V508ZZ Desctruction of Prostate, Via Natural or Artificial Opening Endoscopic
0V507ZZ Desctruction 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
60.40 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
Women’s Health
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ICD‐9 CMCode ICD‐9 CM Description ICD‐10 PCS
Code ICD‐10 PCS Description
59.4 Suprpubic 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
70.54Repair of cystocele with graft or prosthesis (anterior colporrhaphy)
0JUC0KZ Supplement Pelvic Subcu/Fascia w Nonaut Sub, Open
70.77 Vaginal suspension and fixation
0USG0ZZ Reposition Vagina, Open Approach
0USG4ZZ Reposition Vagina, Percutaneous Endoscopic Approach
0USGXZZ Reposition Vagina, External Approach
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
Women’s Health
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ICD‐9 CMCode ICD‐9 CM Description ICD‐10 PCS
Code ICD‐10 PCS Description
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
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ENDO-47411-AD DEC2014