041C4K1 – Bypass Right Common Iliac Artery to Celiac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
Coding Notes
Active
Billable, valid for HIPAA-covered transactions
PCS Table
Section
0
Medical and Surgical
|
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Body System
4
Lower Arteries
|
|||
Operation
1
Bypass
|
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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
|
GEM Conversion to ICD-9 PCS
Fs: 10000
–
Other intra-abdominal vascular shunt or bypass