031 – Upper Arteries, Bypass
Coding Notes
Active
Non-billable / Non-specific, not valid for HIPAA-covered transactions
PCS Table
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Section
0
Medical and Surgical
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Body System
3
Upper Arteries
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Operation
1
Bypass
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| Body Part | Approach | Device | Qualifier |
|
2
Innominate Artery
|
0
Open
|
9
Autologous Venous Tissue
A
Autologous Arterial Tissue
J
Synthetic Substitute
K
Nonautologous Tissue Substitute
Z
No Device
|
0
Upper Arm Artery, Right
1
Upper Arm Artery, Left
2
Upper Arm Artery, Bilateral
3
Lower Arm Artery, Right
4
Lower Arm Artery, Left
5
Lower Arm Artery, Bilateral
6
Upper Leg Artery, Right
7
Upper Leg Artery, Left
8
Upper Leg Artery, Bilateral
9
Lower Leg Artery, Right
B
Lower Leg Artery, Left
C
Lower Leg Artery, Bilateral
D
Upper Arm Vein
F
Lower Arm Vein
J
Extracranial Artery, Right
K
Extracranial Artery, Left
W
Lower Extremity Vein
|
|
3
Subclavian Artery, Right
4
Subclavian Artery, Left
|
0
Open
|
9
Autologous Venous Tissue
A
Autologous Arterial Tissue
J
Synthetic Substitute
K
Nonautologous Tissue Substitute
Z
No Device
|
0
Upper Arm Artery, Right
1
Upper Arm Artery, Left
2
Upper Arm Artery, Bilateral
3
Lower Arm Artery, Right
4
Lower Arm Artery, Left
5
Lower Arm Artery, Bilateral
6
Upper Leg Artery, Right
7
Upper Leg Artery, Left
8
Upper Leg Artery, Bilateral
9
Lower Leg Artery, Right
B
Lower Leg Artery, Left
C
Lower Leg Artery, Bilateral
D
Upper Arm Vein
F
Lower Arm Vein
J
Extracranial Artery, Right
K
Extracranial Artery, Left
M
Pulmonary Artery, Right
N
Pulmonary Artery, Left
W
Lower Extremity Vein
|
|
5
Axillary Artery, Right
6
Axillary Artery, Left
|
0
Open
|
9
Autologous Venous Tissue
A
Autologous Arterial Tissue
J
Synthetic Substitute
K
Nonautologous Tissue Substitute
Z
No Device
|
0
Upper Arm Artery, Right
1
Upper Arm Artery, Left
2
Upper Arm Artery, Bilateral
3
Lower Arm Artery, Right
4
Lower Arm Artery, Left
5
Lower Arm Artery, Bilateral
6
Upper Leg Artery, Right
7
Upper Leg Artery, Left
8
Upper Leg Artery, Bilateral
9
Lower Leg Artery, Right
B
Lower Leg Artery, Left
C
Lower Leg Artery, Bilateral
D
Upper Arm Vein
F
Lower Arm Vein
J
Extracranial Artery, Right
K
Extracranial Artery, Left
T
Abdominal Artery
V
Superior Vena Cava
W
Lower Extremity Vein
|
|
7
Brachial Artery, Right
|
0
Open
|
9
Autologous Venous Tissue
A
Autologous Arterial Tissue
J
Synthetic Substitute
K
Nonautologous Tissue Substitute
Z
No Device
|
0
Upper Arm Artery, Right
3
Lower Arm Artery, Right
D
Upper Arm Vein
F
Lower Arm Vein
V
Superior Vena Cava
W
Lower Extremity Vein
|
|
7
Brachial Artery, Right
|
3
Percutaneous
|
Z
No Device
|
F
Lower Arm Vein
|
|
8
Brachial Artery, Left
|
0
Open
|
9
Autologous Venous Tissue
A
Autologous Arterial Tissue
J
Synthetic Substitute
K
Nonautologous Tissue Substitute
Z
No Device
|
1
Upper Arm Artery, Left
4
Lower Arm Artery, Left
D
Upper Arm Vein
F
Lower Arm Vein
V
Superior Vena Cava
W
Lower Extremity Vein
|
|
8
Brachial Artery, Left
|
3
Percutaneous
|
Z
No Device
|
F
Lower Arm Vein
|
|
9
Ulnar Artery, Right
B
Radial Artery, Right
|
0
Open
|
9
Autologous Venous Tissue
A
Autologous Arterial Tissue
J
Synthetic Substitute
K
Nonautologous Tissue Substitute
Z
No Device
|
3
Lower Arm Artery, Right
F
Lower Arm Vein
|
|
9
Ulnar Artery, Right
B
Radial Artery, Right
|
3
Percutaneous
|
Z
No Device
|
F
Lower Arm Vein
|
|
A
Ulnar Artery, Left
C
Radial Artery, Left
|
0
Open
|
9
Autologous Venous Tissue
A
Autologous Arterial Tissue
J
Synthetic Substitute
K
Nonautologous Tissue Substitute
Z
No Device
|
4
Lower Arm Artery, Left
F
Lower Arm Vein
|
|
A
Ulnar Artery, Left
C
Radial Artery, Left
|
3
Percutaneous
|
Z
No Device
|
F
Lower Arm Vein
|
|
G
Intracranial Artery
S
Temporal Artery, Right
T
Temporal Artery, Left
|
0
Open
|
9
Autologous Venous Tissue
A
Autologous Arterial Tissue
J
Synthetic Substitute
K
Nonautologous Tissue Substitute
Z
No Device
|
G
Intracranial Artery
|
|
H
Common Carotid Artery, Right
J
Common Carotid Artery, Left
|
0
Open
|
9
Autologous Venous Tissue
A
Autologous Arterial Tissue
J
Synthetic Substitute
K
Nonautologous Tissue Substitute
Z
No Device
|
G
Intracranial Artery
J
Extracranial Artery, Right
K
Extracranial Artery, Left
Y
Upper Artery
|
|
K
Internal Carotid Artery, Right
L
Internal Carotid Artery, Left
M
External Carotid Artery, Right
N
External Carotid Artery, Left
|
0
Open
|
9
Autologous Venous Tissue
A
Autologous Arterial Tissue
J
Synthetic Substitute
K
Nonautologous Tissue Substitute
Z
No Device
|
J
Extracranial Artery, Right
K
Extracranial Artery, Left
|