03160Z3 ICD 10 PCS Code for Bypass Left Axillary Artery to Right Lower Arm Artery, Open Approach

Active

Billable, valid for HIPAA-covered transactions

Section 0 Medical and Surgical
Body System 3 Upper Arteries
Operation 1 Bypass
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