04100AR ICD 10 PCS Code for Bypass Abdominal Aorta to Lower Artery with Autologous Arterial Tissue, Open Approach

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Section 0 Medical and Surgical
Body System 4 Lower Arteries
Operation 1 Bypass
Body Part	Approach	Device	Qualifier
0 Abdominal Aorta C Common Iliac Artery, Right D Common Iliac Artery, Left	0 Open 4 Percutaneous Endoscopic	9 Autologous Venous Tissue A Autologous Arterial Tissue J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device	0 Abdominal Aorta 1 Celiac Artery 2 Mesenteric Artery 3 Renal Artery, Right 4 Renal Artery, Left 5 Renal Artery, Bilateral 6 Common Iliac Artery, Right 7 Common Iliac Artery, Left 8 Common Iliac Arteries, Bilateral 9 Internal Iliac Artery, Right B Internal Iliac Artery, Left C Internal Iliac Arteries, Bilateral D External Iliac Artery, Right F External Iliac Artery, Left G External Iliac Arteries, Bilateral H Femoral Artery, Right J Femoral Artery, Left K Femoral Arteries, Bilateral Q Lower Extremity Artery R Lower Artery
3 Hepatic Artery 4 Splenic Artery	0 Open 4 Percutaneous Endoscopic	9 Autologous Venous Tissue A Autologous Arterial Tissue J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device	3 Renal Artery, Right 4 Renal Artery, Left 5 Renal Artery, Bilateral
E Internal Iliac Artery, Right F Internal Iliac Artery, Left H External Iliac Artery, Right J External Iliac Artery, Left	0 Open 4 Percutaneous Endoscopic	9 Autologous Venous Tissue A Autologous Arterial Tissue J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device	9 Internal Iliac Artery, Right B Internal Iliac Artery, Left C Internal Iliac Arteries, Bilateral D External Iliac Artery, Right F External Iliac Artery, Left G External Iliac Arteries, Bilateral H Femoral Artery, Right J Femoral Artery, Left K Femoral Arteries, Bilateral P Foot Artery Q Lower Extremity Artery
K Femoral Artery, Right L Femoral Artery, Left	0 Open 4 Percutaneous Endoscopic	9 Autologous Venous Tissue A Autologous Arterial Tissue J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device	H Femoral Artery, Right J Femoral Artery, Left K Femoral Arteries, Bilateral L Popliteal Artery M Peroneal Artery N Posterior Tibial Artery P Foot Artery Q Lower Extremity Artery S Lower Extremity Vein
K Femoral Artery, Right L Femoral Artery, Left	3 Percutaneous	J Synthetic Substitute	Q Lower Extremity Artery S Lower Extremity Vein
M Popliteal Artery, Right N Popliteal Artery, Left	0 Open 4 Percutaneous Endoscopic	9 Autologous Venous Tissue A Autologous Arterial Tissue J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device	L Popliteal Artery M Peroneal Artery P Foot Artery Q Lower Extremity Artery S Lower Extremity Vein
M Popliteal Artery, Right N Popliteal Artery, Left	3 Percutaneous	J Synthetic Substitute	Q Lower Extremity Artery S Lower Extremity Vein
P Anterior Tibial Artery, Right Q Anterior Tibial Artery, Left R Posterior Tibial Artery, Right S Posterior Tibial Artery, Left	0 Open 3 Percutaneous 4 Percutaneous Endoscopic	J Synthetic Substitute	Q Lower Extremity Artery S Lower Extremity Vein
T Peroneal Artery, Right U Peroneal Artery, Left V Foot Artery, Right W Foot Artery, Left	0 Open 4 Percutaneous Endoscopic	9 Autologous Venous Tissue A Autologous Arterial Tissue J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device	P Foot Artery Q Lower Extremity Artery S Lower Extremity Vein
T Peroneal Artery, Right U Peroneal Artery, Left V Foot Artery, Right W Foot Artery, Left	3 Percutaneous	J Synthetic Substitute	Q Lower Extremity Artery S Lower Extremity Vein