04763FZ – Dilation of Right Colic Artery with Three Intraluminal Devices, Percutaneous Approach
Coding Notes
Active
Billable, valid for HIPAA-covered transactions
PCS Table
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Section
0
Medical and Surgical
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Body System
4
Lower Arteries
|
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Operation
7
Dilation
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| Body Part | Approach | Device | Qualifier |
|
0
Abdominal Aorta
1
Celiac Artery
2
Gastric Artery
3
Hepatic Artery
4
Splenic Artery
5
Superior Mesenteric Artery
6
Colic Artery, Right
7
Colic Artery, Left
8
Colic Artery, Middle
9
Renal Artery, Right
A
Renal Artery, Left
B
Inferior Mesenteric Artery
C
Common Iliac Artery, Right
D
Common Iliac Artery, Left
E
Internal Iliac Artery, Right
F
Internal Iliac Artery, Left
H
External Iliac Artery, Right
J
External Iliac Artery, Left
K
Femoral Artery, Right
L
Femoral Artery, Left
M
Popliteal Artery, Right
N
Popliteal Artery, Left
P
Anterior Tibial Artery, Right
Q
Anterior Tibial Artery, Left
R
Posterior Tibial Artery, Right
S
Posterior Tibial Artery, Left
T
Peroneal Artery, Right
U
Peroneal Artery, Left
V
Foot Artery, Right
W
Foot Artery, Left
Y
Lower Artery
|
0
Open
3
Percutaneous
4
Percutaneous Endoscopic
|
4
Intraluminal Device, Drug-eluting
D
Intraluminal Device
Z
No Device
|
1
Drug-Coated Balloon
Z
No Qualifier
|
|
0
Abdominal Aorta
1
Celiac Artery
2
Gastric Artery
3
Hepatic Artery
4
Splenic Artery
5
Superior Mesenteric Artery
6
Colic Artery, Right
7
Colic Artery, Left
8
Colic Artery, Middle
9
Renal Artery, Right
A
Renal Artery, Left
B
Inferior Mesenteric Artery
C
Common Iliac Artery, Right
D
Common Iliac Artery, Left
E
Internal Iliac Artery, Right
F
Internal Iliac Artery, Left
H
External Iliac Artery, Right
J
External Iliac Artery, Left
K
Femoral Artery, Right
L
Femoral Artery, Left
M
Popliteal Artery, Right
N
Popliteal Artery, Left
P
Anterior Tibial Artery, Right
Q
Anterior Tibial Artery, Left
R
Posterior Tibial Artery, Right
S
Posterior Tibial Artery, Left
T
Peroneal Artery, Right
U
Peroneal Artery, Left
V
Foot Artery, Right
W
Foot Artery, Left
Y
Lower Artery
|
0
Open
3
Percutaneous
4
Percutaneous Endoscopic
|
5
Intraluminal Device, Drug-eluting, Two
6
Intraluminal Device, Drug-eluting, Three
7
Intraluminal Device, Drug-eluting, Four or More
E
Intraluminal Device, Two
F
Intraluminal Device, Three
G
Intraluminal Device, Four or More
|
Z
No Qualifier
|
GEM Conversion to ICD-9 PCS
Fs: 10112
–
Procedure on single vessel
Fs: 10114
–
Insertion of three vascular stents
Fs: 10111
–
Angioplasty of other non-coronary vessel(s)