ICD-10-PCS 2019

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 2019

ICD 10 PCS
The Complete Official Codebook
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Acknowledgments
Marianne Randall, CPC, Product Manager
Karen Schmidt, BSN, Technical Director
Anita Schmidt, BS, RHIT, AHIMA-approved ICD-10-CM/PCS
Trainer, Clinical Technical Editor
Peggy Willard, CCS, AHIMA-approved ICD-10-CM/PCS
Trainer, Clinical Technical Editor
Stacy Perry, Manager, Desktop Publishing
Tracy Betzler, Senior Desktop Publishing Specialist
Hope M. Dunn, Senior Desktop Publishing Specialist
Katie Russell, Desktop Publishing Specialist
Kate Holden, Editor
Anita Schmidt, BS, RHIT, AHIMA-approved
ICD-10-CM/PCS Trainer
Ms. Schmidt has expertise in Level I adult and pediatric
trauma hospital coding, specializing in ICD-9-CM,
ICD-10-CM/PCS, DRG, and CPT coding. Her experience
includes analysis of medical record documentation,
assignment of ICD-10-CM and PCS codes, DRG validation,
as well as CPT code assignments for same-day surgery
cases. She has conducted coding training and auditing,
including DRG validation, conducted electronic health
record training, and worked with clinical documentation
specialists to identify documentation needs and potential
areas for physician education. Most recently she has been
developing content for resource and educational products
related to ICD-10-CM and ICD-10-PCS. Ms. Schmidt is an
AHIMA-approved ICD-10-CM/PCS trainer, and is an active
member of the American Health Information Management
Association (AHIMA) and the Minnesota Health
Information Management Association (MHIMA).
Peggy Willard, CCS, AHIMA-approved
ICD-10-CM/PCS Trainer
Ms. Willard has 18 years of experience in the healthcare
field. Her expertise is in ICD-10-CM and ICD-10-PCS,
including in-depth analysis of medical record
documentation, ICD-10-CM/PCS code and DRG
assignment, as well as clinical documentation
improvement (CDI). In recent years Ms. Willard has been
responsible for the creation and development of several
products for Optum360 Coding Solutions that are
designed to assist with appropriate application of the
ICD-10-CM and ICD-10-PCS coding systems. She has
several years of prior experience in Level I adult and
pediatric trauma hospital and inpatient rehabilitation
facility (IRF) coding, specializing in ICD-9-CM diagnosis
and procedural coding, with emphasis in conducting
coding audits, and conducting coding training for coding
staff and clinical documentation specialists. Ms. Willard is
an AHIMA-approved ICD-10 CM/PCS trainer and is an
active member of the American Health Information
Management Association (AHIMA) and the Minnesota
Health Information Management Association (MHIMA).
This page is left intentionally blank.
What’s New for 2019
The Centers for Medicare and Medicaid Services is the agency charged New Definitions Addenda
with maintaining and updating ICD-10-PCS. CMS released the most
current revisions, a summary of which may be found on the CMS Section 0 - Medical and Surgical
website at: https://www.cms.gov/Medicare/Coding/ICD10/2019-ICD- Body Part Definitions
10-PCS-and-GEMs.html
ICD-10-PCS Value Definition
Due to the unique structure of ICD-10-PCS, a change in a character
value may affect individual codes and several code tables. Head and Neck Bursa and Ligament Delete Interspinous ligament
Add Interspinous ligament,
cervical
Change Summary Table Add Intertransverse ligament,
2018 Total New Codes Revised Titles Deleted Codes 2019 Total cervical
Add Ligamentum flavum, cervical
78,705 392 8 216 78,881
Lower Spine Bursa and Ligament Delete Interspinous ligament
ICD-10-PCS Code FY 2019 Totals, By Section Delete Intertransverse ligament
Delete Ligamentum flavum
Medical and Surgical 68,639 Add Interspinous ligament,
Obstetrics 302 lumbar
Add Intertransverse ligament,
Placement 861 lumbar
Administration 1,445 Add Ligamentum flavum, lumbar
Measurement and Monitoring 414 Add Mediastinum Add Mediastinal cavity
Extracorporeal or Systemic Assistance and Performance 45 Add Mediastinal space
Extracorporeal or Systemic Therapies 46 Retroperitoneum Add Retroperitoneal cavity
Osteopathic 100
Rib(s) Bursa and Ligament Delete Costoxiphoid ligament
Other Procedures 60 Delete Sternocostal ligament
Chiropractic 90
Sternum Bursa and Ligament Delete Costotransverse ligament
Imaging 2,941
Nuclear Medicine 463 Upper Spine Bursa and Ligament Delete Interspinous ligament
Delete Intertransverse ligament
Radiation Therapy 1,939
Delete Ligamentum flavum
Physical Rehabilitation and Diagnostic Audiology 1,380 Add Interspinous ligament,
Mental Health 30 thoracic
Add Intertransverse ligament,
Substance Abuse Treatment 59 thoracic
New Technology 67 Add Ligamentum flavum, thoracic
Total 78,881
Section 0 - Medical and Surgical
ICD-10-PCS Changes Highlights Device Definitions
• In the Medical and Surgical section, body part values revised or
ICD-10-PCS Value Definition
streamlined for clarity and usefulness as coded data
• ICD-10-PCS guidelines updated with new and revised guidelines Add Articulating Spacer in Add Articulating Spacer
Lower Joints (Antibiotic)
• Root operation Control was added to the Ear, Nose and Sinus body Add Spacer, Articulating
system for the body part of Nasal Mucosa and Soft Tissue (Antibiotic)
• Root Operation Extraction was added to the Hepatobiliary System Spacer in Lower Joints Add Spacer, Static (Antibiotic)
and Pancreas body system Add Static Spacer (Antibiotic)
• The No Device value was removed from the Fusion root operation
tables
• Unicondylar devices (Medial and Lateral) and Articulating Spacers
were added to the Removal table and Replacement table in the
Lower Joints body system
• New qualifiers were added to identify:
— More specificity for Bypass procedures
— Drug coated balloon use in Dilation procedures
— Stent Retriever use in Extirpation procedures
— Use of irreversible electroporation in Destruction procedures

ICD-10-PCS 2019 iii

What’s New for 2019 ICD-10-PCS 2019

Section 0 - Medical and Surgical

Device Aggregation Table

Specific Device for Operation in Body System General Device

Delete Synthetic Substitute, Delete Replacement Delete Lower Joints Delete J Synthetic Substitute
Unicondylar

Section X - New Technology 2019 ICD-10-PCS Code Tables and Index (Zip file)
Root Operation • Code tables for use beginning October 1, 2018
• Downloadable PDF, file name is pcs_2019.pdf
ICD-10-PCS Value Definition
• Downloadable xml files for developers, file names are
Add Destruction Add Definition: Physical icd10pcs_tables_2019.xml, icd10pcs_index_2019.xml,
eradication of all or a portion icd10pcs_definitions_2019.xml
of a body part by the direct
use of energy, force, or a • Accompanying schema for developers, file names are
destructive agent icd10pcs_tables.xsd, icd10pcs_index.xsd,
Add Explanation: None of the icd10pcs_definitions.xsd
body part is physically taken
out 2019 ICD-10-PCS Codes File (Zip file)
Add Includes/Examples: • ICD-10-PCS Codes file is a simple format for non-technical uses,
Fulguration of rectal polyp,
cautery of skin lesion containing the valid FY 2019 ICD-10-PCS codes and their long
titles.
Section X - New Technology • File is in text file format, file name is icd10pcs_codes_2019.txt
Approach • Accompanying documentation for codes file, file name is
icd10pcsCodesFile.pdf
ICD-10-PCS Value Definition
• Codes file addenda in text format, file name is
Add Via Natural or Artificial Add Definition: Entry of codes_addenda_2019.txt
Opening Endoscopic instrumentation through a
natural or artificial external 2019 ICD-10-PCS Order File (Long and Abbreviated Titles) (Zip file)
opening to reach and
visualize the site of the • ICD-10-PCS order file is for developers, provides a unique five-digit
procedure “order number” for each ICD-10-PCS table and code, as well as a
long and abbreviated code title.
Section X - New Technology • ICD-10-PCS order file name is icd10pcs_order_2019.txt
Device / Substance / Technology • Accompanying documentation for tabular order file, file name is
ICD-10-PCS Value Definition icd10pcsOrderFile.pdf
• Tabular order file addenda in text format, file name is
Engineered Autologous Chimeric Add KYMRIAH order_addenda_2019.txt
Antigen Receptor T-cell Add Tisagenlecleucel
Immunotherapy 2019 ICD-10-PCS Final Addenda (Zip file)
Add Synthetic Human Add Angiotensin II • Addenda files in downloadable PDF, file names are
Angiotensin II Add GIAPREZA™ tables_addenda_2019.pdf, index_addenda_2019.pdf,
Add Human angiotensin II, definitions_addenda_2019.pdf
synthetic • Addenda files also in machine readable text format for developers,
file names are tables_addenda_2019.txt,
List of Updated Files index_addenda_2019.txt, definitions_addenda_2019.txt
2019 Official ICD-10-PCS Coding Guidelines 2019 ICD-10-PCS Conversion Table (Zip file)
• New Guideline B3.17 added in response to public comment. • ICD-10-PCS code conversion table is provided to assist users in
data retrieval, in downloadable Excel spreadsheet, file name is
• Guidelines A10, B3.7, and B6.1a revised in response to public
icd10pcs_conversion_table_2019.xlsx
comment and internal review.
• Conversion table also in machine readable text format for
• Downloadable PDF, file name pcs_guidelines_2019.pdf developers, file name is icd10pcs_conversion_table_2019.txt
• Accompanying documentation for code conversion table, file
name is icd10pcsConversionTable.pdf

iv ICD-10-PCS 2019
Introduction
History of ICD-10-PCS
The World Health Organization has maintained the International
Classification of Diseases (ICD) for recording cause of death since 1893.
It has updated the ICD periodically to reflect new discoveries in
epidemiology and changes in medical understanding of disease.
The International Classification of Diseases Tenth Revision (ICD-10),
published in 1992, is the latest revision of the ICD. The WHO authorized
the National Center for Health Statistics (NCHS) to develop a clinical
modification of ICD-10 for use in the United States. This version, called
ICD-10-CM, is intended to replace the previous U.S. clinical
modification, ICD-9-CM, that has been in use since 1979. ICD-9-CM
contains a procedure classification; ICD-10-CM does not.
CMS, the agency responsible for maintaining the inpatient procedure
code set in the United States, contracted with 3M Health Information
Systems in 1993 to design and then develop a procedure classification
system to replace volume 3 of ICD-9-CM.
The result, ICD-10-PCS, was initially completed in 1998. The code set
has been updated annually since that time to ensure that ICD-10-PCS
includes classifications for new procedures, devices, and technologies.
The development of ICD-10-PCS had as its goal the incorporation of the
following major attributes:
• Completeness: There should be a unique code for all
substantially different procedures.
• Unique definitions: Because ICD-10-PCS codes are constructed
of individual values rather than lists of fixed codes and text
descriptions, the unique, stable definition of a code in the system
is retained. New values may be added to the system to represent a
specific new approach or device or qualifier, but whole codes by
design cannot be given new meanings and reused.
• Expandability: As new procedures are developed, the structure
of ICD-10-PCS should allow them to be easily incorporated as
unique codes.
• Multi-axial codes: ICD-10-PCS codes should consist of
independent characters, with each individual component
retaining its meaning across broad ranges of codes to the extent
possible.
• Standardized terminology: ICD-10-PCS should include
definitions of the terminology used. While the meaning of specific
words varies in common usage, ICD-10-PCS should not include
multiple meanings for the same term, and each term must be
assigned a specific meaning. There are no eponyms or common
procedure terms in ICD-10-PCS.
• Structural integrity: ICD-10-PCS can be easily expanded without
disrupting the structure of the system. ICD-10-PCS allows unique
new codes to be added to the system because values for the seven
characters that make up a code can be combined as needed. The
system can evolve as medical technology and clinical practice
evolve, without disrupting the ICD-10-PCS structure.
ICD-10-PCS 2019
In the development of ICD-10-PCS, several additional general
characteristics were added:
• Diagnostic information is not included in procedure
description: When procedures are performed for specific diseases
or disorders, the disease or disorder is not contained in the
procedure code. The diagnosis codes, not the procedure codes,
specify the disease or disorder.
• Explicit not otherwise specified (NOS) options are restricted:
Explicit “not otherwise specified,” (NOS) options are restricted in
ICD-10-PCS. A minimal level of specificity is required for each
component of the procedure.
• Limited use of not elsewhere classified (NEC) option: Because
all significant components of a procedure are specified in
ICD-10-PCS, there is generally no need for a “not elsewhere
classified” (NEC) code option. However, limited NEC options are
incorporated into ICD-10-PCS where necessary. For example, new
devices are frequently developed, and therefore it is necessary to
provide an “other device” option for use until the new device can
be explicitly added to the coding system.
• Level of specificity: All procedures currently performed can be
specified in ICD-10-PCS. The frequency with which a procedure is
performed was not a consideration in the development of the
system. A unique code is available for variations of a procedure
that can be performed.
ICD-10-PCS code structure results in qualities that optimize the
performance of the system in electronic applications, and maximize the
usefulness of the coded healthcare data. These qualities include:
• Optimal search capability: ICD-10-PCS is designed for maximum
versatility in the ability to aggregate coded data. Values belonging
to the same character as defined in a section or sections can be
easily compared, since they occupy the same position in a code.
This provides a high degree of flexibility and functionality for data
mining.
• Consistent characters and values: Stability of characters and
values across vast ranges of codes provides the maximum degree
of functionality and flexibility for the collection and analysis of
data. Because the character definition is consistent, and only the
individual values assigned to that character differ as needed,
meaningful comparisons of data over time can be conducted
across a virtually infinite range of procedures.
• Code readability: ICD-10-PCS resembles a language in the sense
that it is made up of semi-independent values combined by
following the rules of the system, much the way a sentence is
formed by combining words and following the rules of grammar
and syntax. As with words in their context, the meaning of any
single value is a combination of its position in the code and any
preceding values on which it may be dependent.
1
Introduction
ICD-10-PCS Code Structure
ICD-10-PCS has a seven-character alphanumeric code structure. Each
character contains up to 34 possible values. Each value represents a
specific option for the general character definition. The 10 digits 0–9
and the 24 letters A–H, J–N, and P–Z may be used in each character. The
letters O and I are not used so as to avoid confusion with the digits 0
and 1. An ICD-10-PCS code is the result of a process rather than as a
single fixed set of digits or alphabetic characters. The process consists
of combining semi-independent values from among a selection of
values, according to the rules governing the construction of codes.
Operation
Approach
Qualifier
Section
System
Device
Body
Body
Root
Part
Characters: 1 2 3 4 5 6
A code is derived by choosing a specific value for each of the seven
characters. Based on details about the procedure performed, values for
each character specifying the section, body system, root operation,
body part, approach, device, and qualifier are assigned. Because the
definition of each character is also a function of its physical position in
the code, the same letter or number placed in a different position in the
code has a different meaning.
The seven characters that make up a complete code have specific
meanings that vary for each of the 17 sections of the manual.
Procedures are then divided into sections that identify the general type
of procedure (e.g., Medical and Surgical, Obstetrics, Imaging). The first
character of the procedure code always specifies the section. The
second through seventh characters have the same meaning within
each section, but may mean different things in other sections. In all
sections, the third character specifies the general type of procedure
performed (e.g., Resection, Transfusion, Fluoroscopy), while the other
characters give additional information such as the body part and
approach.
In ICD-10-PCS, the term procedure refers to the complete specification
of the seven characters.
Number of Codes in ICD-10-PCS
The table structure of ICD-10-PCS permits the specification of a large
number of codes on a single page. At the time of this publication, there
are 78,881 codes in the 2019 ICD-10-PCS.
2 ICD-10-PCS 2019
ICD-10-PCS 2019
ICD-10-PCS Manual
Index
Codes may be found in the index based on the general type of
procedure (e.g., resection, transfusion, fluoroscopy), or a more
commonly used term (e.g., appendectomy). For example, the code for
percutaneous intraluminal dilation of the coronary arteries with an
intraluminal device can be found in the Index under Dilation, or a
synonym of Dilation (e.g., angioplasty). The Index then specifies the first
three or four values of the code or directs the user to see another term.
Example:
Dilation
Artery
Coronary
7 One Artery 0270
Based on the first three values of the code provided in the Index, the
corresponding table can be located. In the example above, the first
three values indicate table 027 is to be referenced for code completion.
The tables and characters are arranged first by number and then by
letter for each character (tables for 00-, 01-, 02-, etc., are followed by
those for 0B-, 0C-, 0D-, etc., followed by 0B1, 0B2, etc., followed by 0BB,
0BC, 0BD, etc.).
Note: The Tables section must be used to construct a complete and
valid code by specifying the last three or four values.
Tables
The Tables are composed of rows that specify the valid combinations of
code values. In most sections of the system, the upper portion of each
table contains a description of the first three characters of the
procedure code. In the Medical and Surgical section, for example, the
first three characters contain the name of the section, the body system,
and the root operation performed.
For instance, the values 027 specify the section Medical and Surgical (0),
the body system Heart and Great Vessels (2) and the root operation
Dilation (7). As shown in table 027, the root operation (Dilation) is
accompanied by its definition.
The lower portion of the table specifies all the valid combinations of
characters 4 through 7. The four columns in the table specify the last
four characters. In the Medical and Surgical section they are labeled
body part, approach, device and qualifier, respectively. Each row in the
table specifies the valid combination of values for characters 4
through 7.
ICD-10-PCS 2019 Introduction

Table 1: Row from table 027

0 Medical and Surgical
2 Heart and Great Vessels 027
7 Dilation Definition: Expanding an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice. Accomplished by stretching a tubular body part using
intraluminal pressure or by cutting part of the orifice or wall of the tubular body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Coronary Artery, One Artery 0 Open 4 Intraluminal Device, Drug-eluting 6 Bifurcation
1 Coronary Artery, Two Arteries 3 Percutaneous 5 Intraluminal Device, Drug-eluting, Z No Qualifier
2 Coronary Artery, Three Arteries 4 Percutaneous Endoscopic Two
3 Coronary Artery, Four or More 6 Intraluminal Device, Drug-eluting,
Arteries Three
7 Intraluminal Device, Drug-eluting,
Four or More
D Intraluminal Device
E Intraluminal Device, Two
F Intraluminal Device, Three
G Intraluminal Device, Four or More
T Intraluminal Device, Radioactive
Z No Device

The rows of this table can be used to construct 240 unique procedure
codes. For example, code 02703DZ specifies the procedure for dilation
of one coronary artery using an intraluminal device via percutaneous
approach (i.e., percutaneous transluminal coronary angioplasty with
stent).
The valid codes shown in table 2 are constructed using the first body
part value in table 1 (i.e., one coronary artery), combined with all the
valid approaches and devices listed in the table, and the value “No
Qualifier”.
Table 2: Code titles for dilation of one coronary artery (0270)
027004Z Dilation of Coronary Artery, One Artery with Drug-eluting
Intraluminal Device, Open Approach
027005Z Dilation of Coronary Artery, One Artery with Two
Drug-eluting Intraluminal Devices, Open Approach
027006Z Dilation of Coronary Artery, One Artery with Three
Drug-eluting Intraluminal Devices, Open Approach
027007Z Dilation of Coronary Artery, One Artery with Four or More
Drug-eluting Intraluminal Devices, Open Approach
02700DZ Dilation of Coronary Artery, One Artery with Intraluminal
Device, Open Approach
02700EZ Dilation of Coronary Artery, One Artery with Two
Intraluminal Devices, Open Approach
02700FZ Dilation of Coronary Artery, One Artery with Three
Intraluminal Devices, Open Approach
02700GZ Dilation of Coronary Artery, One Artery with Four or More
Intraluminal Devices, Open Approach
02700TZ Dilation of Coronary Artery, One Artery with Radioactive
Intraluminal Device, Open Approach
02700ZZ Dilation of Coronary Artery, One Artery, Open Approach
027034Z Dilation of Coronary Artery, One Artery with Drug-eluting
Intraluminal Device, Percutaneous Approach
027035Z Dilation of Coronary Artery, One Artery with Two
Drug-eluting Intraluminal Devices, Percutaneous
Approach
027036Z Dilation of Coronary Artery, One Artery with Three
Drug-eluting Intraluminal Devices, Percutaneous
Approach
027037Z Dilation of Coronary Artery, One Artery with Four or More
Drug-eluting Intraluminal Devices, Percutaneous
Approach
02703DZ Dilation of Coronary Artery, One Artery with Intraluminal
Device, Percutaneous Approach
02703EZ Dilation of Coronary Artery, One Artery with Two
Intraluminal Devices, Percutaneous Approach
02703FZ Dilation of Coronary Artery, One Artery with Three
Intraluminal Devices, Percutaneous Approach
02703GZ Dilation of Coronary Artery, One Artery with Four or More
Intraluminal Devices, Percutaneous Approach
02703TZ Dilation of Coronary Artery, One Artery with Radioactive
Intraluminal Device, Percutaneous Approach
02703ZZ Dilation of Coronary Artery, One Artery, Percutaneous
Approach
027044Z Dilation of Coronary Artery, One Artery with Drug-eluting
Intraluminal Device, Percutaneous Endoscopic Approach
027045Z Dilation of Coronary Artery, One Artery with Two
Drug-eluting Intraluminal Devices, Percutaneous
Endoscopic Approach
027046Z Dilation of Coronary Artery, One Artery with Three
Drug-eluting Intraluminal Devices, Percutaneous
Endoscopic Approach
027047Z Dilation of Coronary Artery, One Artery with Four or More
Drug-eluting Intraluminal Devices, Percutaneous
Endoscopic Approach
02704DZ Dilation of Coronary Artery, One Artery with Intraluminal
Device, Percutaneous Endoscopic Approach
02704EZ Dilation of Coronary Artery, One Artery with Two
Intraluminal Devices, Percutaneous Endoscopic Approach
02704FZ Dilation of Coronary Artery, One Artery with Three
Intraluminal Devices, Percutaneous Endoscopic Approach
02704GZ Dilation of Coronary Artery, One Artery with Four or More
Intraluminal Devices, Percutaneous Endoscopic Approach
02704TZ Dilation of Coronary Artery, One Artery with Radioactive
Intraluminal Device, Percutaneous Endoscopic Approach
02704ZZ Dilation of Coronary Artery, One Artery, Percutaneous
Endoscopic Approach

ICD-10-PCS 2019 3
Introduction ICD-10-PCS 2019

Table 3: Rows from table 00H

0 Medical and Surgical
0 Central Nervous System and Cranial Nerves 00H
H Insertion Definition: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically
take the place of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Brain 0 Open 2 Monitoring Device Z No Qualifier
Cerebrum 3 Infusion Device
Corpus callosum 4 Radioactive Element,
Encephalon Cesium-131 Collagen
Implant
M Neurostimulator Lead
Y Other Device
0 Brain 3 Percutaneous 2 Monitoring Device Z No Qualifier
Cerebrum 4 Percutaneous Endoscopic 3 Infusion Device
Corpus callosum M Neurostimulator Lead
Encephalon Y Other Device
6 Cerebral Ventricle E Cranial Nerve 0 Open 2 Monitoring Device Z No Qualifier
Aqueduct of Sylvius U Spinal Canal 3 Percutaneous 3 Infusion Device
Cerebral aqueduct (Sylvius) Epidural space, spinal 4 Percutaneous Endoscopic M Neurostimulator Lead
Choroid plexus Extradural space, spinal Y Other Device
Ependyma Subarachnoid space,
Foramen of Monro spinal
(intraventricular) Subdural space, spinal
Fourth ventricle Interventricular Vertebral canal
foramen (Monro) V Spinal Cord
Left lateral ventricle
Right lateral ventricle
Third ventricle

Table 3, is split into three rows; values of characters must all be selected
from within the same row of the table. Row 1 and 2 indicate that the
body part (character 4) value 0 and Qualifier value Z may both be used
in combination with device values 2, 3, M or Y. However, the approach
(character 5) and device (character 6) values are not exactly the same
for both rows. As shown in row 1, Body part value Brain (0) with Device
value Radioactive Element, Cesium-131 Collagen Implant (4) can only
be used with approach value Open (0). In other words, code 00H034Z
would be invalid as the approach value 3 is only applicable to row 2 and
the device value 4 is only applicable to row 1. It would be inappropriate
to build a code for body part 0 if all of the values are not contained in its
own row.
Note: In this manual, there are instances in which some tables due to
length must be continued on the next page. Each section must be used
separately and value selection must be made within the same row of
the table.
Character Meanings
In each section, each character has a specific meaning, and this
character meaning remains constant within that section. Character
meaning tables have been provided at the beginning of each section or,
in the case of the Medical and Surgical section (0), at the beginning of
each body system to help the user identify the character members
available within that section. These tables have purple headers, unlike
the official code tables that have green headers and SHOULD NOT be
used to build a PCS code. Following is an excerpt of a character
meaning table.

Table 4: Rows from Central Nervous System and Cranial Nerves - Character Meanings Table
Operation–Character 3 Body Part–Character 4 Approach–Character 5 Device–Character 6 Qualifier–Character 7
1 Bypass 0 Brain 0 Open 0 Drainage Device 0 Nasopharynx
2 Change 1 Cerebral Meninges 3 Percutaneous 2 Monitoring Device 1 Mastoid Sinus
5 Destruction 2 Dura Mater 4 Percutaneous Endoscopic 3 Infusion Device 2 Atrium
7 Dilation 3 Epidural Space, Intracranial X External 4 Radioactive Element, 3 Blood Vessel
Cesium-131 Collagen Implant
8 Division 4 Subdural Space, Intracranial 7 Autologous Tissue Substitute 4 Pleural Cavity
9 Drainage 5 Subarachnoid Space, J Synthetic Substitute 5 Intestine
Intracranial
B Excision 6 Cerebral Ventricle K Nonautologous Tissue 6 Peritoneal Cavity
Substitute
C Extirpation 7 Cerebral Hemisphere M Neurostimulator Lead 7 Urinary Tract
D Extraction 8 Basal Ganglia Y Other Device 8 Bone Marrow
F Fragmentation 9 Thalamus Z No Device 9 Fallopian Tube
H Insertion A Hypothalamus B Cerebral Cisterns
J Inspection B Pons F Olfactory Nerve

4 ICD-10-PCS 2019
ICD-10-PCS 2019 Introduction

Sections Synthetic Substitute). The seventh character is qualifier, which has a

Procedures are divided into sections that identify the general type of specific meaning for each root operation. For example, the qualifier can
procedure (e.g., Medical and Surgical, Obstetrics, Imaging). The first be used to identify the destination site of a Bypass. The first through
character of the procedure code always specifies the section. fifth characters are always assigned a specific value, but the device
(sixth character) and the qualifier (seventh character) are not applicable
The sections are listed below: to all procedures. The value Z is used for the sixth and seventh
characters to indicate that a specific device or qualifier does not apply
Medical and Surgical section to the procedure.
0 Medical and Surgical
Section (Character 1)
Medical and Surgical-related sections Medical and Surgical procedure codes all have a first character value
1 Obstetrics of 0.
2 Placement
3 Administration Body Systems (Character 2)
Body systems for Medical and Surgical section codes are specified in the
4 Measurement and Monitoring second character.
5 Extracorporeal or Systemic Assistance and Performance
Body Systems
6 Extracorporeal or Systemic Therapies
0 Central Nervous System and Cranial Nerves
7 Osteopathic
1 Peripheral Nervous System
8 Other Procedures
2 Heart and Great Vessels
9 Chiropractic 3 Upper Arteries
Ancillary Sections 4 Lower Arteries
B Imaging 5 Upper Veins
C Nuclear Medicine 6 Lower Veins
D Radiation Therapy 7 Lymphatic and Hemic Systems
F Physical Rehabilitation and Diagnostic Audiology 8 Eye
G Mental Health 9 Ear, Nose, Sinus
H Substance Abuse Treatment B Respiratory System
C Mouth and Throat
New Technology Section
X New Technology D Gastrointestinal System
F Hepatobiliary System and Pancreas
G Endocrine System
Medical and Surgical Section (0)
H Skin and Breast
Character Meaning J Subcutaneous Tissue and Fascia
The seven characters for Medical and Surgical procedures have the
following meaning: K Muscles
L Tendons
Character Meaning M Bursae and Ligaments
1 Section N Head and Facial Bones
2 Body System P Upper Bones
3 Root Operation Q Lower Bones
4 Body Part R Upper Joints
5 Approach S Lower Joints
6 Device T Urinary System
7 Qualifier U Female Reproductive System
V Male Reproductive System
The Medical and Surgical section constitutes the vast majority of
W Anatomical Regions, General
procedures reported in an inpatient setting. Medical and Surgical
procedure codes all have a first character value of 0. The second X Anatomical Regions, Upper Extremities
character indicates the general body system (e.g., Mouth and Throat, Y Anatomical Regions, Lower Extremities
Gastrointestinal). The third character indicates the root operation, or
specific objective, of the procedure (e.g., Excision). The fourth character Root Operations (Character 3)
indicates the specific body part on which the procedure was performed The root operation is specified in the third character. In the Medical and
(e.g., Tonsils, Duodenum). The fifth character indicates the approach Surgical section there are 31 different root operations. The root
used to reach the procedure site (e.g., Open). The sixth character operation identifies the objective of the procedure. Each root operation
indicates whether a device was left in place during the procedure (e.g., has a precise definition.

ICD-10-PCS 2019 5
Introduction
• Alteration: Modifying the natural anatomic structure of a body
part without affecting the function of the body part
• Bypass: Altering the route of passage of the contents of a tubular
body part
• Change: Taking out or off a device from a body part and putting
back an identical or similar device in or on the same body part
without cutting or puncturing the skin or a mucous membrane
• Control: Stopping, or attempting to stop, postprocedural or other
acute bleeding
• Creation: Putting in or on biological or synthetic material to form a
new body part that to the extent possible replicates the anatomic
structure or function of an absent body part
• Destruction: Physical eradication of all or a portion of a body part
by the direct use of energy, force, or a destructive agent
• Detachment: Cutting off all or a portion of the upper or lower
extremities
• Dilation: Expanding an orifice or the lumen of a tubular body part
• Division: Cutting into a body part without draining fluids and/or
gases from the body part in order to separate or transect a body
part
• Drainage: Taking or letting out fluids and/or gases from a body
part
• Excision: Cutting out or off, without replacement, a portion of a
body part
• Extirpation: Taking or cutting out solid matter from a body part
• Extraction: Pulling or stripping out or off all or a portion of a body
part by the use of force
• Fragmentation: Breaking solid matter in a body part into pieces
• Fusion: Joining together portions of an articular body part
rendering the articular body part immobile
• Insertion: Putting in a nonbiological appliance that monitors,
assists, performs, or prevents a physiological function but does
not physically take the place of a body part
• Inspection: Visually and/or manually exploring a body part
• Map: Locating the route of passage of electrical impulses and/or
locating functional areas in a body part
• Occlusion: Completely closing an orifice or lumen of a tubular
body part
• Reattachment: Putting back in or on all or a portion of a separated
body part to its normal location or other suitable location
• Release: Freeing a body part from an abnormal physical constraint
by cutting or by use of force
• Removal: Taking out or off a device from a body part
• Repair: Restoring, to the extent possible, a body part to its normal
anatomic structure and function
• Replacement: Putting in or on biological or synthetic material that
physically takes the place and/or function of all or a portion of a
body part
• Reposition: Moving to its normal location or other suitable location
all or a portion of a body part
• Resection: Cutting out or off, without replacement, all of a body
part
6 ICD-10-PCS 2019
ICD-10-PCS 2019
• Restriction: Partially closing an orifice or lumen of a tubular body
part
• Revision: Correcting, to the extent possible, a portion of a
malfunctioning device or the position of a displaced device
• Supplement: Putting in or on biological or synthetic material that
physically reinforces and/or augments the function of a portion of
a body part
• Transfer: Moving, without taking out, all or a portion of a body part
to another location to take over the function of all or a portion of a
body part
• Transplantation: Putting in or on all or a portion of a living body
part taken from another individual or animal to physically take the
place and/or function of all or a portion of a similar body part
The above definitions of root operations illustrate the precision of code
values defined in the system. There is a clear distinction between each
root operation.
A root operation specifies the objective of the procedure. The term
anastomosis is not a root operation, because it is a means of joining and
is always an integral part of another procedure (e.g., Bypass, Resection)
with a specific objective. Similarly, incision is not a root operation, since
it is always part of the objective of another procedure (e.g., Division,
Drainage). The root operation Repair in the Medical and Surgical section
functions as a “not elsewhere classified” option. Repair is used when the
procedure performed is not one of the other specific root operations.
Appendix B provides additional explanation and representative
examples of the Medical and Surgical root operations. Appendix C
groups all root operations in the Medical and Surgical section into
subcategories and provides an example of each root operation.
Body Part (Character 4)
The body part is specified in the fourth character. The body part
indicates the specific anatomical site of the body system on which the
procedure was performed (e.g., Duodenum). Tubular body parts are
defined in ICD-10-PCS as those hollow body parts that provide a route
of passage for solids, liquids, or gases. They include the cardiovascular
system and body parts such as those contained in the gastrointestinal
tract, genitourinary tract, biliary tract, and respiratory tract.
Approach (Character 5)
The technique used to reach the site of the procedure is specified in the
fifth character. There are seven different approaches:
• Open: Cutting through the skin or mucous membrane and any
other body layers necessary to expose the site of the procedure
• Percutaneous: Entry, by puncture or minor incision, of
instrumentation through the skin or mucous membrane and any
other body layers necessary to reach the site of the procedure
• Percutaneous Endoscopic: Entry, by puncture or minor incision, of
instrumentation through the skin or mucous membrane and any
other body layers necessary to reach and visualize the site of the
procedure
• Via Natural or Artificial Opening: Entry of instrumentation through
a natural or artificial external opening to reach the site of the
procedure
• Via Natural or Artificial Opening Endoscopic: Entry of
instrumentation through a natural or artificial external opening to
reach and visualize the site of the procedure
ICD-10-PCS 2019
• Via Natural or Artificial Opening with Percutaneous Endoscopic
Assistance: Entry of instrumentation through a natural or artificial
external opening and entry, by puncture or minor incision, of
instrumentation through the skin or mucous membrane and any
other body layers necessary to aid in the performance of the
procedure
• External: Procedures performed directly on the skin or mucous
membrane and procedures performed indirectly by the
application of external force through the skin or mucous
membrane
The approach comprises three components: the access location,
method, and type of instrumentation.
Access location: For procedures performed on an internal body part,
the access location specifies the external site through which the site of
the procedure is reached. There are two general types of access
locations: skin or mucous membranes, and external orifices. Every
approach value except external includes one of these two access
locations. The skin or mucous membrane can be cut or punctured to
reach the procedure site. All open and percutaneous approach values
use this access location. The site of a procedure can also be reached
through an external opening. External openings can be natural (e.g.,
mouth) or artificial (e.g., colostomy stoma).
Method: For procedures performed on an internal body part, the
method specifies how the external access location is entered. An open
method specifies cutting through the skin or mucous membrane and
any other intervening body layers necessary to expose the site of the
procedure. An instrumentation method specifies the entry of
instrumentation through the access location to the internal procedure
site. Instrumentation can be introduced by puncture or minor incision,
or through an external opening. The puncture or minor incision does
not constitute an open approach because it does not expose the site of
the procedure. An approach can define multiple methods. For example,
Via Natural or Artificial Opening with Percutaneous Endoscopic Assistance
includes both the initial entry of instrumentation to reach the site of the
procedure, and the placement of additional percutaneous
instrumentation into the body part to visualize and assist in the
performance of the procedure.
Type of instrumentation: For procedures performed on an internal
body part, instrumentation means that specialized equipment is used
to perform the procedure. Instrumentation is used in all internal
approaches other than the basic open approach. Instrumentation may
or may not include the capacity to visualize the procedure site. For
example, the instrumentation used to perform a sigmoidoscopy
permits the internal site of the procedure to be visualized, while the
instrumentation used to perform a needle biopsy of the liver does not.
The term “endoscopic” as used in approach values refers to
instrumentation that permits a site to be visualized.
Procedures performed directly on the skin or mucous membrane are
identified by the external approach (e.g., skin excision). Procedures
performed indirectly by the application of external force are also
identified by the external approach (e.g., closed reduction of fracture).
Appendix A compares the components (access location, method, and
type of instrumentation) of each approach and provides an example
and illustration of each approach.
ICD-10-PCS 2019
Introduction
Device (Character 6)
The device is specified in the sixth character and is used only to specify
devices that remain after the procedure is completed. There are four
general types of devices:
• Biological or synthetic material that takes the place of all or a
portion of a body part (e.g, skin graft, joint prosthesis).
• Biological or synthetic material that assists or prevents a
physiological function (e.g., IUD).
• Therapeutic material that is not absorbed by, eliminated by, or
incorporated into a body part (e.g., radioactive implant).
• Mechanical or electronic appliances used to assist, monitor, take
the place of or prevent a physiological function (e.g., cardiac
pacemaker, orthopedic pin).
While all devices can be removed, some cannot be removed without
putting in another nonbiological appliance or body-part substitute.
When a specific device value is used to identify the device for a root
operation, such as Insertion and that same device value is not an option
for a more broad range root operation such as Removal, select the
general device value. For example, in the body system Heart and Great
Vessels, the specific device character for Cardiac Lead, Pacemaker in
root operation Insertion is J. For the root operation Removal, the general
device character M Cardiac Lead would be selected for the pacemaker
lead.
ICD-10-PCS contains a PCS Device Aggregation Table (see appendix F)
that crosswalks the specific device character values that have been
created for specific root operations and specific body part character
values to the general device character value that would be used for root
operations that represent a broad range of procedures and general
body part character values, such as Removal and Revision.
Instruments used to visualize the procedure site are specified in the
approach, not the device, value.
If the objective of the procedure is to put in the device, then the root
operation is Insertion. If the device is put in to meet an objective other
than Insertion, then the root operation defining the underlying
objective of the procedure is used, with the device specified in the
device character. For example, if a procedure to replace the hip joint is
performed, the root operation Replacement is coded, and the prosthetic
device is specified in the device character. Materials that are incidental
to a procedure such as clips, ligatures, and sutures are not specified in
the device character. Because new devices can be developed, the value
Other Device is provided as a temporary option for use until a specific
device value is added to the system.
Qualifier (Character 7)
The qualifier is specified in the seventh character. The qualifier contains
unique values for individual procedures. For example, the qualifier can
be used to identify the destination site in a Bypass.
Medical and Surgical Section Principles
In developing the Medical and Surgical procedure codes, several
specific principles were followed.
Composite Terms Are Not Root Operations
Composite terms such as colonoscopy, sigmoidectomy, or
appendectomy do not describe root operations, but they do specify
multiple components of a specific root operation. In ICD-10-PCS, the
components of a procedure are defined separately by the characters
making up the complete code. The only component of a procedure
7
Introduction
specified in the root operation is the objective of the procedure. With
each complete code the underlying objective of the procedure is
specified by the root operation (third character), the precise part is
specified by the body part (fourth character), and the method used to
reach and visualize the procedure site is specified by the approach (fifth
character). While colonoscopy, sigmoidectomy, and appendectomy are
included in the Index, they do not constitute root operations in the
Tables section. The objective of colonoscopy is the visualization of the
colon and the root operation (character 3) is Inspection. Character 4
specifies the body part, which in this case is part of the colon. These
composite terms, like colonoscopy or appendectomy, are included as
cross-reference only. The index provides the correct root operation
reference. Examples of other types of composite terms not
representative of root operations are partial sigmoidectomy, total
hysterectomy, and partial hip replacement. Always refer to the correct
root operation in the Index and Tables section.
Root Operation Based on Objective of Procedure
The root operation is based on the objective of the procedure, such as
Resection of transverse colon or Dilation of an artery. The assignment of
the root operation is based on the procedure actually performed, which
may or may not have been the intended procedure. If the intended
procedure is modified or discontinued (e.g., excision instead of
resection is performed), the root operation is determined by the
procedure actually performed. If the desired result is not attained after
completing the procedure (i.e., the artery does not remain expanded
after the dilation procedure), the root operation is still determined by
the procedure actually performed.
Examples:
• Dilating the urethra is coded as Dilation since the objective of the
procedure is to dilate the urethra. If dilation of the urethra includes
putting in an intraluminal stent, the root operation remains
Dilation and not Insertion of the intraluminal device because the
underlying objective of the procedure is dilation of the urethra.
The stent is identified by the intraluminal device value in the sixth
character of the dilation procedure code.
• If the objective is solely to put a radioactive element in the
urethra, then the procedure is coded to the root operation
Insertion, with the radioactive element identified in the sixth
character of the code.
• If the objective of the procedure is to correct a malfunctioning or
displaced device, then the procedure is coded to the root
operation Revision. In the root operation Revision, the original
device being revised is identified in the device character. Revision
is typically performed on mechanical appliances (e.g., pacemaker)
or materials used in replacement procedures (e.g., synthetic
substitute). Typical revision procedures include adjustment of
pacemaker position and correction of malfunctioning knee
prosthesis.
Combination Procedures Are Coded Separately
If multiple procedures as defined by distinct objectives are performed
during an operative episode, then multiple codes are used. For
example, obtaining the vein graft used for coronary bypass surgery is
coded as a separate procedure from the bypass itself.
Redo of Procedures
The complete or partial redo of the original procedure is coded to the
root operation that identifies the procedure performed rather than
Revision.
8 ICD-10-PCS 2019
ICD-10-PCS 2019
Example:
A complete redo of a hip replacement procedure that requires
putting in a new prosthesis is coded to the root operation
Replacement rather than Revision.
The correction of complications arising from the original procedure,
other than device complications, is coded to the procedure performed.
Correction of a malfunctioning or displaced device would be coded to
the root operation Revision.
Example:
A procedure to control hemorrhage arising from the original
procedure is coded to Control rather than Revision.
Examples of Procedures Coded in the Medical
Surgical Section
The following are examples of procedures from the Medical and
Surgical section, coded in ICD-10-PCS.
• Suture of skin laceration, left lower arm: 0HQEXZZ
Medical and Surgical section (0), body system Skin and Breast (H),
root operation Repair (Q), body part Skin, Left Lower Arm (E),
External Approach (X) No device (Z), and No qualifier (Z).
• Laparoscopic appendectomy: 0DTJ4ZZ
Medical and Surgical section (0), body system Gastrointestinal (D),
root operation Resection (T), body part Appendix (J), Percutaneous
Endoscopic approach (4), No Device (Z), and No qualifier (Z).
• Sigmoidoscopy with biopsy: 0DBN8ZX
Medical and Surgical section (0), body system Gastrointestinal (D),
root operation Excision (B), body part Sigmoid Colon (N), Via
Natural or Artificial Opening Endoscopic approach (8), No Device (Z),
and with qualifier Diagnostic (X).
• Tracheostomy with tracheostomy tube: 0B110F4
Medical and Surgical section (0), body system Respiratory (B), root
operation Bypass (1), body part Trachea (1), Open approach (0),
with Tracheostomy Device (F), and qualifier Cutaneous (4).
Obstetrics Section (1)
Character Meanings
The seven characters in the Obstetrics section have the same meaning
as in the Medical and Surgical section.
Character Meaning
1 Section
2 Body System
3 Root Operation
4 Body Part
5 Approach
6 Device
7 Qualifier
The Obstetrics section includes procedures performed on the products
of conception only. Procedures on the pregnant female are coded in the
Medical and Surgical section (e.g., episiotomy). The term “products of
conception” refers to all physical components of a pregnancy, including
the fetus, amnion, umbilical cord, and placenta. There is no
differentiation of the products of conception based on gestational age.
Thus, the specification of the products of conception as a zygote,
ICD-10-PCS 2019 Introduction

embryo or fetus, or the trimester of the pregnancy is not part of the

Character Meaning
procedure code but can be found in the diagnosis code.
1 Section
Section (Character 1) 2 Body System
Obstetrics procedure codes have a first character value of 1. 3 Root Operation
4 Body Region
Body System (Character 2)
The second character value for body system is Pregnancy. 5 Approach
6 Device
Root Operation (Character 3) 7 Qualifier
The root operations Change, Drainage, Extraction, Insertion, Inspection,
Removal, Repair, Reposition, Resection, and Transplantation are used in Placement section codes represent procedures for putting a device in or
the obstetrics section and have the same meaning as in the Medical
on a body region for the purpose of protection, immobilization,
and Surgical section. stretching, compression, or packing.
The Obstetrics section also includes two additional root operations,
Abortion and Delivery, defined below: Section (Character 1)
Placement procedure codes have a first character value of 2.
• Abortion: Artificially terminating a pregnancy
• Delivery: Assisting the passage of the products of conception from
Body System (Character 2)
the genital canal The second character contains two values specifying either Anatomical
Regions or Anatomical Orifices.
A cesarean section is not a separate root operation because the
underlying objective is Extraction (i.e., pulling out all or a portion of a Root Operation (Character 3)
body part). The root operations in the Placement section include only those
procedures that are performed without making an incision or a
Body Part (Character 4) puncture. The root operations Change and Removal are in the
The body part values in the obstetrics section are: Placement section and have the same meaning as in the Medical and
Surgical section.
• Products of conception
The Placement section also includes five additional root operations,
• Products of conception, retained defined as follows:
• Products of conception, ectopic
• Compression: Putting pressure on a body region
Approach (Character 5) • Dressing: Putting material on a body region for protection
The fifth character specifies approaches and is defined as are those in • Immobilization: Limiting or preventing motion of an external body
the Medical and Surgical section. In the case of an abortion procedure region
that uses a laminaria or an abortifacient, the approach is Via Natural or
Artificial Opening. • Packing: Putting material in a body region or orifice
• Traction: Exerting a pulling force on a body region in a distal
Device (Character 6) direction
The sixth character is used for devices such as fetal monitoring
electrodes. Body Region (Character 4)
The fourth character values are either body regions (e.g., Upper Leg) or
Qualifier (Character 7) natural orifices (e.g., Ear).
Qualifier values are specific to the root operation and are used to
specify the type of extraction (e.g., low forceps, high forceps, etc.), the Approach (Character 5)
type of cesarean section (e.g., classical, low cervical, etc.), or the type of Since all placement procedures are performed directly on the skin or
fluid taken out during a drainage procedure (e.g., amniotic fluid, fetal mucous membrane, or performed indirectly by applying external force
blood, etc.). through the skin or mucous membrane, the approach value is always
External.

Placement Section (2) Device (Character 6)

Character Meanings The device character is always specified (except in the case of manual
The seven characters in the Placement section have the following traction) and indicates the device placed during the procedure (e.g.,
cast, splint, bandage, etc.). Except for casts for fractures and
meaning:
dislocations, devices in the Placement section are off the shelf and do
not require any extensive design, fabrication, or fitting. Placement of
devices that require extensive design, fabrication, or fitting are coded in
the Rehabilitation section.

ICD-10-PCS 2019 9
Introduction ICD-10-PCS 2019

Qualifier (Character 7) The Central Artery or Vein is typically used when the site where the
The qualifier character is not specified in the Placement section; the substance is introduced is distant from the point of entry into the artery
qualifier value is always No Qualifier. or vein. For example, the introduction of a substance directly at the site
of a clot within an artery or vein using a catheter is coded as an
introduction of a thrombolytic substance into a central artery or vein by
Administration Section (3) a percutaneous approach. In general, the substance introduced into a
central artery or vein has a local effect.
Character Meanings
The seven characters in the Administration section have the following Approach (Character 5)
meaning: The fifth character specifies approaches as defined in the Medical and
Surgical section. The approach for intradermal, subcutaneous, and
Character Meaning intramuscular introductions (i.e., injections) is Percutaneous. If a
1 Section catheter is placed to introduce a substance into an internal site within
the circulatory system, then the approach is also Percutaneous. For
2 Body System
example, if a catheter is used to introduce contrast directly into the
3 Root Operation heart for angiography, then the procedure would be coded as a
4 Body System/Region percutaneous introduction of contrast into the heart.
5 Approach
Substance (Character 6)
6 Substance The sixth character specifies the substance being introduced. Broad
7 Qualifier categories of substances are defined, such as anesthetic, contrast,
dialysate, and blood products such as platelets.
Administration section codes represent procedures for putting in or on
a therapeutic, prophylactic, protective, diagnostic, nutritional, or Qualifier (Character 7)
physiological substance. The section includes transfusions, infusions, The seventh character is a qualifier and is used to indicate whether the
and injections, along with other similar services such as irrigation and substance is Autologous or Nonautologous, or to further specify the
tattooing. substance.

Section (Character 1)
Administration procedure codes have a first character value of 3. Measurement and Monitoring Section (4)
Character Meanings
Body System (Character 2) The seven characters in the Measurement and Monitoring section have
The body system character contains only three values: Indwelling the following meaning:
Device, Physiological Systems and Anatomical Regions, or Circulatory
System. The Circulatory System is used for transfusion procedures. Character Meaning
1 Section
Root Operation (Character 3)
There are three root operations in the Administration section. 2 Body System
3 Root Operation
• Introduction: Putting in or on a therapeutic, diagnostic, nutritional,
physiological, or prophylactic substance except blood or blood 4 Body System
products 5 Approach
• Irrigation: Putting in or on a cleansing substance 6 Function/Device
• Transfusion: Putting in blood or blood products 7 Qualifier

Body/System Region (Character 4) Measurement and Monitoring section codes represent procedures for
The fourth character specifies the body system/region. The fourth determining the level of a physiological or physical function.
character identifies the site where the substance is administered, not
the site where the substance administered takes effect. Sites include Section (Character 1)
Skin and Mucous Membranes, Subcutaneous Tissue, and Muscle. These Measurement and Monitoring procedure codes have a first character
differentiate intradermal, subcutaneous, and intramuscular injections, value of 4.
respectively. Other sites include Eye, Respiratory Tract, Peritoneal Cavity,
and Epidural Space. Body System (Character 2)
The second character values for body system are A, Physiological
The body systems/regions for arteries and veins are Peripheral Artery, Systems or B, Physiological Devices.
Central Artery, Peripheral Vein, and Central Vein. The Peripheral Artery or
Vein is typically used when a substance is introduced locally into an
artery or vein. For example, chemotherapy is the introduction of an
Root Operation (Character 3)
There are two root operations in the Measurement and Monitoring
antineoplastic substance into a peripheral artery or vein by a
section, as defined below:
percutaneous approach. In general, the substance introduced into a
peripheral artery or vein has a systemic effect. • Measurement: Determining the level of a physiological or physical
function at a point in time

10 ICD-10-PCS 2019
ICD-10-PCS 2019 Introduction

• Monitoring: Determining the level of a physiological or physical Root Operation (Character 3)

function repetitively over a period of time
Body System (Character 4)
The fourth character specifies the specific body system measured or
monitored.
Approach (Character 5)
The fifth character specifies approaches as defined in the Medical and
Surgical section.
Function/Device (Character 6)
The sixth character specifies the physiological or physical function
being measured or monitored. Examples of physiological or physical
functions are Conductivity, Metabolism, Pulse, Temperature, and Volume.
If a device used to perform the measurement or monitoring is inserted
and left in, then insertion of the device is coded as a separate Medical
and Surgical procedure.
Qualifier (Character 7)
The seventh character qualifier contains specific values as needed to
further specify the body part (e.g., central, portal, pulmonary) or a
variation of the procedure performed (e.g., ambulatory, stress).
Examples of typical procedures coded in this section are EKG, EEG, and
cardiac catheterization. An EKG is the measurement of cardiac electrical
activity, while an EEG is the measurement of electrical activity of the
central nervous system. A cardiac catheterization performed to
measure the pressure in the heart is coded as the measurement of
cardiac pressure by percutaneous approach.
There are three root operations in the Extracorporeal or Systemic
Assistance and Performance section, as defined below.
• Assistance: Taking over a portion of a physiological function by
extracorporeal means
• Performance: Completely taking over a physiological function by
extracorporeal means
• Restoration: Returning, or attempting to return, a physiological
function to its natural state by extracorporeal means
The root operation Restoration contains a single procedure code that
identifies extracorporeal cardioversion.
Body System (Character 4)
The fourth character specifies the body system (e.g., cardiac,
respiratory) to which extracorporeal or systemic assistance or
performance is applied.
Duration (Character 5)
The fifth character specifies the duration of the procedure—Single,
Intermittent, or Continuous. For respiratory ventilation assistance or
performance, the duration is specified in hours— < 24 Consecutive
Hours, 24–96 Consecutive Hours, or > 96 Consecutive Hours. For urinary
procedures, duration is specified as Intermittent, Less than 6 Hours Per
Day; Prolonged Intermittent, 6-18 hours Per Day; or Continuous, Greater
than 18 hours Per Day. Value 6, Multiple identifies serial procedure
treatment.

Function (Character 6)
Extracorporeal or Systemic Assistance The sixth character specifies the physiological function assisted or
performed (e.g., oxygenation, ventilation) during the procedure.
and Performance Section (5)
Character Meanings Qualifier (Character 7)
The seven characters in the Extracorporeal or Systemic Assistance and The seventh character qualifier specifies the type of equipment used, if
Performance section have the following meaning: any.

Character Meaning
1 Section
Extracorporeal or Systemic Therapies
2 Body System
Section (6)
3 Root Operation Character Meanings
4 Body System The seven characters in the Extracorporeal or Systemic Therapies
section have the following meaning:
5 Duration
6 Function Character Meaning
7 Qualifier 1 Section
2 Body System
In Extracorporeal or Systemic Assistance and Performance procedures, 3 Root Operation
equipment outside the body is used to assist or perform a physiological
function. The section includes procedures performed in a critical care 4 Body System
setting, such as mechanical ventilation and cardioversion; it also 5 Duration
includes other services such as hyperbaric oxygen treatment and 6 Qualifier
hemodialysis.
7 Qualifier
Section (Character 1)
Extracorporeal or Systemic Assistance and Performance procedure In extracorporeal or systemic therapy, equipment outside the body is
codes have a first character value of 5. used for a therapeutic purpose that does not involve the assistance or
performance of a physiological function.
Body System (Character 2)
The second character value for body system is A, Physiological Systems.

ICD-10-PCS 2019 11
Introduction ICD-10-PCS 2019

Section (Character 1) Qualifier (Character 6)

Extracorporeal or Systemic Therapy procedure codes have a first The sixth character for Extracorporeal or Systemic Therapies is No
character value of 6. Qualifier, except for root operation Perfusion which has a sixth character
qualifier of Donor Organ.
Body System (Character 2)
The second character value for body system is Physiological Systems. Qualifier (Character 7)
The seventh character qualifier is used in the root operation Pheresis to
Root Operation (Character 3) specify the blood component on which pheresis is performed and in
There are 11 root operations in the Extracorporeal or Systemic Therapy the root operation Ultrasound Therapy to specify site of treatment.
section, as defined below.

• Atmospheric Control: Extracorporeal control of atmospheric Osteopathic Section (7)

pressure and composition
Character Meanings
• Decompression: Extracorporeal elimination of undissolved gas The seven characters in the Osteopathic section have the following
from body fluids meaning:
Coding note: The root operation Decompression involves only one
type of procedure: treatment for decompression sickness (the Character Meaning
bends) in a hyperbaric chamber. 1 Section
• Electromagnetic Therapy: Extracorporeal treatment by 2 Body System
electromagnetic rays 3 Root Operation
• Hyperthermia: Extracorporeal raising of body temperature 4 Body Region
Coding note: The term hyperthermia is used to describe both a 5 Approach
temperature imbalance treatment and also as an adjunct radiation
6 Method
treatment for cancer. When treating the temperature imbalance, it
is coded to this section; for the cancer treatment, it is coded in 7 Qualifier
section D Radiation Therapy.
• Hypothermia: Extracorporeal lowering of body temperature Section (Character 1)
Osteopathic procedure codes have a first character value of 7.
• Perfusion: Extracorporeal treatment by diffusion of therapeutic
fluid
Body System (Character 2)
• Pheresis: Extracorporeal separation of blood products The body system character contains the value Anatomical Regions.
Coding note: Pheresis may be used for two main purposes: to treat
diseases when too much of a blood component is produced (e.g., Root Operation (Character 3)
leukemia) and to remove a blood product such as platelets from a There is only one root operation in the Osteopathic section.
donor, for transfusion into another patient.
• Treatment: Manual treatment to eliminate or alleviate somatic
• Phototherapy: Extracorporeal treatment by light rays dysfunction and related disorders
Coding note: Phototherapy involves using a machine that exposes
the blood to light rays outside the body, recirculates it, and then Body Region (Character 4)
returns it to the body. The fourth character specifies the body region on which the
osteopathic treatment is performed.
• Shock Wave Therapy: Extracorporeal treatment by shock waves
• Ultrasound Therapy: Extracorporeal treatment by ultrasound Approach (Character 5)
• Ultraviolet Light Therapy: Extracorporeal treatment by ultraviolet The approach for osteopathic treatment is always External.
light
Method (Character 6)
Body System (Character 4) The sixth character specifies the method by which the treatment is
The fourth character specifies the body system on which the accomplished.
extracorporeal or systemic therapy is performed (e.g., skin, circulatory).
Qualifier (Character 7)
Duration (Character 5) The seventh character is not specified in the Osteopathic section and
The fifth character specifies the duration of the procedure (e.g., single always has the value None.
or intermittent).

12 ICD-10-PCS 2019
ICD-10-PCS 2019 Introduction

Other Procedures Section (8) Chiropractic Section (9)

Character Meanings Character Meanings
The seven characters in the Other Procedures section have the The seven characters in the Chiropractic section have the following
following meaning: meaning:

Character Meaning Character Meaning

1 Section 1 Section
2 Body System 2 Body System
3 Root Operation 3 Root Operation
4 Body Region 4 Body Region
5 Approach 5 Approach
6 Method 6 Method
7 Qualifier 7 Qualifier

The Other Procedures section includes acupuncture, suture removal, Section (Character 1)
and in vitro fertilization. Chiropractic section procedure codes have a first character value of 9.

Section (Character 1) Body System (Character 2)

Other Procedure section codes have a first character value of 8. The second character value for body system is Anatomical Regions.

Body System (Character 2) Root Operation (Character 3)

The second character values for body systems are Physiological Systems
and Anatomical Regions and Indwelling Device.
Root Operation (Character 3)
The Other Procedures section has only one root operation, defined as
follows:
• Other Procedures: Methodologies that attempt to remediate or
cure a disorder or disease.
There is only one root operation in the Chiropractic section.
• Manipulation: Manual procedure that involves a directed thrust to
move a joint past the physiological range of motion, without
exceeding the anatomical limit.
Body Region (Character 4)
The fourth character specifies the body region on which the
chiropractic manipulation is performed.

Body Region (Character 4) Approach (Character 5)

The fourth character contains specified body-region values, and also The approach for chiropractic manipulation is always External.
the body-region value None.
Method (Character 6)
Approach (Character 5) The sixth character is the method by which the manipulation is
The fifth character specifies approaches as defined in the Medical and accomplished.
Surgical section.
Qualifier (Character 7)
Method (Character 6) The seventh character is not specified in the Chiropractic section and
The sixth character specifies the method (e.g., Acupuncture, Therapeutic always has the value None.
Massage).

Qualifier (Character 7) Imaging Section (B)

The seventh character is a qualifier and contains specific values as
needed. Character Meanings
The seven characters in Imaging procedures have the following
meaning:

Character Meaning
1 Section
2 Body System
3 Type
4 Body Part
5 Contrast
6 Qualifier
7 Qualifier

ICD-10-PCS 2019 13
Introduction
Imaging procedures include plain radiography, fluoroscopy, CT, MRI,
and ultrasound. Nuclear medicine procedures, including PET, uptakes,
and scans, are in the nuclear medicine section. Therapeutic radiation
procedure codes are in a separate radiation therapy section.
Section (Character 1)
Imaging procedure codes have a first character value of B.
Body System (Character 2)
In the Imaging section, the second character defines the body system,
such as Heart or Gastrointestinal System.
Type (Character 3)
The third character defines the type of imaging procedure (e.g., MRI,
ultrasound). The following list includes all types in the Imaging section
with a definition of each type:
• Computerized Tomography (CT Scan): Computer reformatted digital
display of multiplanar images developed from the capture of
multiple exposures of external ionizing radiation
• Fluoroscopy: Single plane or bi-plane real time display of an image
developed from the capture of external ionizing radiation on a
fluorescent screen. The image may also be stored by either digital
or analog means
• Magnetic Resonance Imaging (MRI): Computer reformatted digital
display of multiplanar images developed from the capture of
radiofrequency signals emitted by nuclei in a body site excited
within a magnetic field
• Plain Radiography: Planar display of an image developed from the
capture of external ionizing radiation on photographic or
photoconductive plate
• Ultrasonography: Real time display of images of anatomy or flow
information developed from the capture of reflected and
attenuated high frequency sound waves
Body Part (Character 4)
The fourth character defines the body part with different values for
each body system (character 2) value.
Contrast (Character 5)
The fifth character specifies whether the contrast material used in the
imaging procedure is High Osmolar, Low Osmolar, or Other Contrast
when applicable.
Qualifier (Character 6)
The sixth character qualifier provides further detail regarding the
nature of the substance or technologies used, such as Unenhanced and
Enhanced (contrast), Laser, or Intravascular Optical Coherence.
Qualifier (Character 7)
The seventh character is a qualifier that may be used to specify certain
procedural circumstances, the method by which the procedure was
performed, or technologies utilized, such as Intraoperative,
Intravascular, or Transesophageal.
14
ICD-10-PCS 2019
Nuclear Medicine Section (C)
Character Meanings
The seven characters in the Nuclear Medicine section have the
following meaning:
Character Meaning
1 Section
2 Body System
3 Type
4 Body Part
5 Radionuclide
6 Qualifier
7 Qualifier
Nuclear Medicine is the introduction of radioactive material into the
body to create an image, to diagnose and treat pathologic conditions,
or to assess metabolic functions. The Nuclear Medicine section does not
include the introduction of encapsulated radioactive material for the
treatment of cancer. These procedures are included in the Radiation
Therapy section.
Section (Character 1)
Nuclear Medicine procedure codes have a first character value
of C.
Body System (Character 2)
The second character specifies the body system on which the nuclear
medicine procedure is performed.
Type (Character 3)
The third character indicates the type of nuclear medicine procedure
(e.g., planar imaging or nonimaging uptake). The following list includes
the types of nuclear medicine procedures with a definition of each type.
• Nonimaging Nuclear Medicine Assay: Introduction of radioactive
materials into the body for the study of body fluids and blood
elements, by the detection of radioactive emissions
• Nonimaging Nuclear Medicine Probe: Introduction of radioactive
materials into the body for the study of distribution and fate of
certain substances by the detection of radioactive emissions; or
alternatively, measurement of absorption of radioactive emissions
from an external source
• Nonimaging Nuclear Medicine Uptake: Introduction of radioactive
materials into the body for measurements of organ function, from
the detection of radioactive emissions
• Planar Nuclear Medicine Imaging: Introduction of radioactive
materials into the body for single-plane display of images
developed from the capture of radioactive emissions
• Positron Emission Tomography (PET) Imaging: Introduction of
radioactive materials into the body for three dimensional display
of images developed from the simultaneous capture, 180 degrees
apart, of radioactive emissions
• Systemic Nuclear Medicine Therapy: Introduction of unsealed
radioactive materials into the body for treatment
• Tomographic (Tomo) Nuclear Medicine Imaging: Introduction of
radioactive materials into the body for three dimensional display
of images developed from the capture of radioactive emissions
ICD-10-PCS 2019
ICD-10-PCS 2019 Introduction

Body Part (Character 4) Physical Rehabilitation and Diagnostic

The fourth character indicates the body part or body region studied;
with regional (e.g., lower extremity veins) and combination (e.g., liver
Audiology Section (F)
and spleen) body parts commonly used. Character Meanings
The seven characters in the Physical Rehabilitation and Diagnostic
Radionuclide (Character 5) Audiology section have the following meaning:
The fifth character specifies the radionuclide, the radiation source. The
option Other Radionuclide is provided in the nuclear medicine section Character Meaning
for newly approved radionuclides until they can be added to the coding
1 Section
system. If more than one radiopharmaceutical is given to perform the
procedure, then more than one code is used. 2 Section Qualifier
3 Type
Qualifier (Character 6 and 7) 4 Body System/Region
The sixth and seventh characters are qualifiers but are not specified in
the Nuclear Medicine section; the value is always None. 5 Type Qualifier
6 Equipment
7 Qualifier
Radiation Therapy Section (D)
Character Meanings Physical rehabilitation procedures include physical therapy,
The seven characters in the Radiation Therapy section have the occupational therapy, and speech-language pathology. Osteopathic
following meaning: procedures and chiropractic procedures are in separate sections.

Character Meaning Section (Character 1)

1 Section Physical Rehabilitation and Diagnostic Audiology procedure codes have
a first character value of F.
2 Body System
3 Modality Section Qualifier (Character 2)
4 Treatment Site The section qualifier Rehabilitation or Diagnostic Audiology is specified
in the second character.
5 Modality Qualifier
6 Isotope Type (Character 3)
7 Qualifier The third character specifies the type. There are 14 different values,
which can be classified into four basic types of rehabilitation and
diagnostic audiology procedures, defined as follows:
Section (Character 1)
Radiation therapy procedure codes have a first character value of D. Assessment: Includes a determination of the patient’s diagnosis
when appropriate, need for treatment, planning for treatment,
Body System (Character 2) periodic assessment, and documentation related to these
The second character specifies the body system (e.g., central nervous activities
system, musculoskeletal) irradiated.
Assessments are further classified into more than 100 different
tests or methods. The majority of these focus on the faculties of
Modality (Character 3) hearing and speech, but others focus on various aspects of body
The third character specifies the general modality used (e.g., beam function, and on the patient’s quality of life, such as muscle
radiation). performance, neuromotor development, and reintegration skills.

Treatment Site (Character 4) • Speech Assessment: Measurement of speech and related

The fourth character specifies the body part that is the focus of the functions
radiation therapy. • Motor and/or Nerve Function Assessment: Measurement of
motor, nerve, and related functions
Modality Qualifier (Character 5) • Activities of Daily Living Assessment: Measurement of
The fifth character further specifies the radiation modality used (e.g.,
functional level for activities of daily living
photons, electrons).
• Hearing Assessment: Measurement of hearing and related
Isotope (Character 6) functions
The sixth character specifies the isotopes introduced into the body, if • Hearing Aid Assessment: Measurement of the
applicable. appropriateness and/or effectiveness of a hearing device
• Vestibular Assessment: Measurement of the vestibular system
Qualifier (Character 7) and related functions
The seventh character may specify whether the procedure was
performed intraoperatively. Caregiver Training: Educating caregiver with the skills and
knowledge used to interact with and assist the patient

ICD-10-PCS 2019 15
Introduction
Caregiver Training is divided into 18 different broad subjects
taught to help a caregiver provide proper patient care.
• Caregiver Training: Training in activities to support patient’s
optimal level of function
Fitting(s): Design, fabrication, modification, selection, and/or
application of splint, orthosis, prosthesis, hearing aids, and/or
other rehabilitation device
The fifth character used in Device Fitting procedures describes the
device being fitted rather than the method used to fit the device.
Definitions of devices, when provided, are located in the
definitions portion of the ICD-10-PCS tables and index, under
section F, character 5.
• Device Fitting: Fitting of a device designed to facilitate or
support achievement of a higher level of function
Treatment: Use of specific activities or methods to develop,
improve, and/or restore the performance of necessary functions,
compensate for dysfunction and/or minimize debilitation
Treatment procedures include swallowing dysfunction exercises,
bathing and showering techniques, wound management, gait
training, and a host of activities typically associated with
rehabilitation.
• Speech Treatment: Application of techniques to improve,
augment, or compensate for speech and related functional
impairment
• Motor Treatment: Exercise or activities to increase or facilitate
motor function
• Activities of Daily Living Treatment: Exercise or activities to
facilitate functional competence for activities of daily living
• Hearing Treatment: Application of techniques to improve,
augment, or compensate for hearing and related functional
impairment
• Cochlear Implant Treatment: Application of techniques to
improve the communication abilities of individuals with
cochlear implant
• Vestibular Treatment: Application of techniques to improve,
augment, or compensate for vestibular and related
functional impairment
The type of treatment includes training as well as activities that
restore function.
Body System/Region (Character 4)
The fourth character specifies the body region and/or system on which
the procedure is performed.
Type Qualifier (Character 5)
The fifth character is a type qualifier that further specifies the procedure
performed. Examples include therapy to improve the range of motion
and training for bathing techniques. Refer to appendix I for definitions
of these types of procedures.
Equipment (Character 6)
The sixth character specifies the equipment used. Specific equipment is
not defined in the equipment value. Instead, broad categories of
equipment are specified (e.g., aerobic endurance and conditioning,
assistive/adaptive/supportive, etc.)
16
ICD-10-PCS 2019
Qualifier (Character 7)
The seventh character is not specified in the Physical Rehabilitation and
Diagnostic Audiology section and always has the value None.
Mental Health Section (G)
Character Meanings
The seven characters in the Mental Health section have the following
meaning:
Character Meaning
1 Section
2 Body System
3 Type
4 Qualifier
5 Qualifier
6 Qualifier
7 Qualifier
Section (Character 1)
Mental health procedure codes have a first character value of G.
Body System (Character 2)
The second character is used to identify the body system elsewhere in
ICD-10-PCS. In this section it always has the value None.
Type (Character 3)
The third character specifies the procedure type, such as crisis
intervention or counseling. There are 12 types of mental health
procedures.
• Psychological Tests: The administration and interpretation of
standardized psychological tests and measurement instruments
for the assessment of psychological function
• Crisis Intervention: Treatment of a traumatized, acutely disturbed,
or distressed individual for the purpose of short-term stabilization
• Medication Management: Monitoring and adjusting the use of
medications for the treatment of a mental health disorder
• Individual Psychotherapy: Treatment of an individual with a mental
health disorder by behavioral, cognitive, psychoanalytic,
psychodynamic, or psychophysiological means to improve
functioning or well-being
• Counseling: The application of psychological methods to treat an
individual with normal developmental issues and psychological
problems in order to increase function, improve well-being,
alleviate distress, maladjustment, or resolve crises
• Family Psychotherapy: Treatment that includes one or more family
members of an individual with a mental health disorder by
behavioral, cognitive, psychoanalytic, psychodynamic, or
psychophysiological means to improve functioning or well-being
• Electroconvulsive Therapy: The application of controlled electrical
voltages to treat a mental health disorder
• Biofeedback: Provision of information from the monitoring and
regulating of physiological processes in conjunction with
cognitive-behavioral techniques to improve patient functioning
or well-being
ICD-10-PCS 2019
ICD-10-PCS 2019
• Hypnosis: Induction of a state of heightened suggestibility by
auditory, visual, and tactile techniques to elicit an emotional or
behavioral response
• Narcosynthesis: Administration of intravenous barbiturates in
order to release suppressed or repressed thoughts
• Group Psychotherapy: Treatment of two or more individuals with a
mental health disorder by behavioral, cognitive, psychoanalytic,
psychodynamic, or psychophysiological means to improve
functioning or well-being
• Light Therapy: Application of specialized light treatments to
improve functioning or well-being
Qualifier (Character 4)
The fourth character is a qualifier to indicate that counseling was
educational or vocational or to indicate type of test or method of
therapy.
Qualifier (Character 5, 6 and 7)
The fifth, sixth, and seventh characters are not specified and always
have the value None.
Substance Abuse Treatment Section (H)
Character Meanings
The seven characters in the Substance Abuse Treatment section have
the following meaning:
Character Meaning
1 Section
2 Body System
3 Type
4 Qualifier
5 Qualifier
6 Qualifier
7 Qualifier
Section (Character 1)
Substance Abuse Treatment codes have a first character value of H.
Body System (Character 2)
The second character is used to identify the body system elsewhere in
ICD-10-PCS. In this section, it always has the value None.
Type (Character 3)
The third character specifies the type of procedure. There are seven
values classified in this section, as listed below:
• Detoxification Services: Detoxification from alcohol and/or drugs
• Individual Counseling: The application of psychological methods to
treat an individual with addictive behavior
• Group Counseling: The application of psychological methods to
treat two or more individuals with addictive behavior
• Individual Psychotherapy: Treatment of an individual with
addictive behavior by behavioral, cognitive, psychoanalytic,
psychodynamic, or psychophysiological means
ICD-10-PCS 2019
Introduction
• Family Counseling: The application of psychological methods that
includes one or more family members to treat an individual with
addictive behavior
• Medication Management: Monitoring and adjusting the use of
replacement medications for the treatment of addiction
• Pharmacotherapy: The use of replacement medications for the
treatment of addiction
Qualifier (Character 4)
The fourth character further specifies the procedure type. These
qualifier values vary dependent upon the Root Type procedure
(Character 3). Root type 2, Detoxification Services contains only the
value Z, None and Root type 6, Family Counseling contains only the
value 3, Other Family Counseling, whereas the remainder Root Type
procedures include multiple possible values.
Qualifier (Character 5, 6 and 7)
The fifth through seventh characters are designated as qualifiers but
are never specified, so they always have the value None.
New Technology Section (X)
General Information
Section X New Technology is a section added to ICD-10-PCS beginning
October 1, 2015. The new section provides a place for codes that
uniquely identify procedures requested via the New Technology
Application Process or that capture other new technologies not
currently classified in ICD-10-PCS.
Section X does not introduce any new coding concepts or unusual
guidelines for correct coding. In fact, Section X codes maintain
continuity with the other sections in ICD-10-PCS by using the same root
operation and body part values as their closest counterparts in other
sections of ICD-10-PCS. For example, the codes for the infusion of
ceftazidime-avibactam, use the same root operation (Introduction) and
body part values (Central Vein and Peripheral Vein) in section X as the
infusion codes in section 3 Administration, which are their closest
counterparts in the other sections of ICD-10-PCS.
Character Meanings
The seven characters in the new technology section have the following
meaning:
Character Meaning
1 Section
2 Body System
3 Root Operation
4 Body Part
5 Approach
6 Device/Substance/Technology
7 Qualifier
Section (Character 1)
New technology procedure codes have a first character value of X.
Body System (Character 2)
The second character values for body system combine the uses of body
system, body region, and physiological system as specified in other
sections in ICD-10-PCS.
17
Introduction
Root Operation (Character 3)
The third character utilizes the same root operation values as their
counterparts in other sections of ICD-10-PCS.
Body Part (Character 4)
The fourth character specifies the same body part values as their closest
counterparts in other sections of ICD-10-PCS.
Approach (Character 5)
The fifth character specifies approaches as defined in the Medical and
Surgical section.
Device/Substance/Technology (Character 6)
The sixth character specifies the key feature of the new technology
procedure. It may be specified as a new device, a new substance, or
other new technology. Examples of sixth character values are
blinatumomab antineoplastic immunotherapy, orbital atherectomy
technology, and intraoperative knee replacement sensor.
Qualifier (Character 7)
The seventh character qualifier is used exclusively to specify the new
technology group, a number or letter that changes each year that new
technology codes are added to the system. For example, Section X
codes added for the first year have the seventh character value 1, New
Technology Group 1, and the next year that Section X codes are added
have the seventh character value 2, New Technology Group 2, and so on.
Changing the seventh character value to a unique letter or number
every year that there are new codes in the new technology section
allows the ICD-10-PCS to “recycle” the values in the third, fourth, and
sixth characters as needed.
New Technology Coding Instruction
Section X codes are standalone codes. They are not supplemental
codes. Section X codes fully represent the specific procedure described
in the code title, and do not require any additional codes from other
sections of ICD-10-PCS. When section X contains a code title which
describes a specific new technology procedure, only that X code is
reported for the procedure. There is no need to report a broader,
non-specific code in another section of ICD-10-PCS.
For example, code XW04321 Introduction of Ceftazidime-Avibactam
Anti-infective into Central Vein, Percutaneous Approach, New
Technology Group 1, would be reported to indicate that
Ceftazidime-Avibactam Anti-infective was administered via central
vein. A separate code from table 3E0 in the Administration section of
ICD-10-PCS would not be reported in addition to this code. The X
section code fully identifies the administration of the
ceftazidime-avibactam antibiotic, and no additional code is needed.
The New Technology section codes are easily found by looking in the
ICD-10-PCS Index or the Tables. In the Index, the name of the new
technology device, substance or technology for a section X code is
included as a main term. In addition, all codes in section X are listed
under the main term New Technology. The new technology code index
entry for ceftazidime-avibactam is shown below.
Ceftazidime-Avibactam Anti-infective XW0
New Technology
Ceftazidime-Avibactam Anti-infective XW0
18
ICD-10-PCS 2019
Appendixes
The resources described below have been included as appendixes for
ICD-10-PCS The Complete Official Code Set. These resources further
instruct the coder on the appropriate application of the ICD-10-PCS
code set.
Appendix A: Components of the Medical and
Surgical Approach Definitions
This resource further defines the approach characters used in the
Medical and Surgical (0) section. Complementing the detailed
definition of the approach, additional information includes whether or
not instrumentation is a part of the approach, the typical access
location, the method used to initiate the approach, related procedural
examples, and illustrations all of which will help the user determine the
appropriate approach value.
Appendix B: Root Operation Definitions
This resource is a compilation of all root operations found in the
Medical and Surgical-related sections (0-9) of this PCS manual. It
provides a definition and in some cases a more detailed explanation of
the root operation, to better reflect the purpose or objective. Examples
of related procedure(s) may also be provided.
Appendix C: Comparison of Medical and Surgical
Root Operations
The Medical and Surgical root operations are divided into groups that
share similar attributes. These groups, and the root operations in each
group, are listed in this resource along with information identifying the
target of the root operation, the action used to perform the root
operation, any clarification or further explanation on the objective of
the root operation, and procedure examples.
Appendix D: Body Part Key
When an anatomical term or description is provided in the
documentation but does not have a specific body part character within
a table, the user can reference this resource to search for the anatomical
description or site noted in the documentation to determine if there is a
specific PCS body part character (character 4) to which the anatomical
description or site could be coded.
Appendix E: Body Part Definitions
This resource is the reverse look-up of the Body Part Key. Each table in
the Medical and Surgical section (0) of the PCS manual contains
anatomical terms linked to a body part character or value, for example,
in Table 0BB the Body Part (character 4) of 1 is Trachea. The body part
Trachea may have anatomical structures or descriptions that may be
used in procedure documentation instead of the term trachea. The
Body Part Definitions list other anatomical structures or synonyms that
are included in specific ICD-10-PCS body part values. According to the
body part definitions, in the example above, cricoid cartilage is
included in the Trachea (character 1) body part.
Appendix F: Device Key and Aggregation Table
The Device Key relates specific devices used in the medical profession,
such as stents or bovine pericardial valves, with the appropriate device
character (character 6).
The Aggregation Table crosswalks specific device character value
definitions for specific root operations in a specific body system to the
more general device character value to be used when the root
operation covers a wide range of body parts and the device character
represents an entire family of devices.
ICD-10-PCS 2019
ICD-10-PCS 2019
Appendix G: Device Definitions
This resource is a reverse look-up to the Device Key. The user may
reference this resource to see all the specific devices that may be
grouped to a particular device character (character 6).
Appendix H: Substance Key/Substance
Definitions
The Substance Key lists substances by trade name or synonym and
relates them to a PCS character in the Administration (3) or New
Technology (X) section in the sixth character Substance or seventh
character Qualifier column.
The Substance Definitions table is the reverse look-up of the substance
key, relating all substance categories, the sixth- or seventh character
values, to all trade name or synonyms that may be classified to that
particular character.
Appendix I: Sections B-H Character Definitions
In each ancillary section (B-H) the characters in a particular column may
have different meanings depending on which ancillary section the user
is working from. This resource provides the values for the characters in
that particular ancillary section as well as a definition of the character
value.
ICD-10-PCS 2019
Introduction
Appendix J: Hospital Acquired Conditions
This comprehensive table displays codes identifying conditions that are
considered reasonably preventable when occurring during the hospital
admission and may prevent the case from grouping to a higher-paying
MS-DRG. Many of these HACs are conditional and are based on
reporting of a specific ICD-10-CM diagnosis code in combination with
certain ICD-10-PCS procedure codes, all of which are noted in this table.
Appendix K: Coding Exercises with Answers
This resource provides the coding exercises with answers, and in some
cases a brief explanation as to the reason that particular code was used.
Appendix L: Procedure Combination Tables
The procedure combination tables provided in this resource illustrate
certain procedure combinations that must occur in order to assign a
specific MS-DRG.
Sources
All material contained in this manual is derived from the ICD-10-PCS
Coding System files, revised and distributed by the Centers for Medicare
and Medicaid Services, FY 2019.
19
ICD-10-PCS Index and Tabular Format
The ICD-10-PCS: The Complete Official Code Set is based on the official
version of the International Classification of Diseases, 10th Revision,
Procedure Classification System, issued by the U.S. Department of
Health and Human Services, Centers for Medicare and Medicaid
Services. This book is consistent with the content of the government’s
version of ICD-10-PCS and follows their official format.
See Reference
The second type of term in the index uses common procedure names,
such as “appendectomy” or “fundoplication.” These common terms are
listed as main terms with a “see” reference noting the PCS root
operations that are possible valid code tables based on the objective of
the procedure.

Index
The Alphabetic Index can be used to locate the appropriate table
containing all the information necessary to construct a procedure code,
however, the PCS tables should always be consulted to find the most
appropriate valid code. Users may choose a valid code directly from the
tables—he or she need not consult the index before proceeding to the
tables to complete the code.
Main Terms
The Alphabetic Index reflects the structure of the tables. Therefore, the
index is organized as an alphabetic listing. The index:
• Is based on the value of the third character
• Contains common procedure terms
• Lists anatomic sites
• Uses device terms
The main terms in the Alphabetic Index are root operations, root
procedure types, or common procedure names. In addition, anatomic
sites from the Body Part Key and device terms from the Device Key have
been added for ease of use.
Examples:
Resection (root operation)
Fluoroscopy (root type)
Prostatectomy (common procedure name)
Brachial artery (body part)
Bard® Dulex™ mesh (device)
The index provides at least the first three or four values of the code, and
some entries may provide complete valid codes. However, the user
should always consult the appropriate table to verify that the most
appropriate valid code has been selected.
Examples:
Tendonectomy
see Excision, Tendons 0LB
see Resection, Tendons 0LT
Use Reference
The index also lists anatomic sites from the Body Part Key and device
terms from the Device Key. These terms are listed with a “use” reference.
The purpose of these references is to act as an additional reference to
the terms located in the Appendix Keys. The term provided is the Body
Part value or Device value to be selected when constructing a
procedure code using the code tables. This type of index reference is
not intended to direct the user to another term in the index, but to
provide guidance regarding character value selection. Therefore, “use”
references generally do not refer to specific valid code tables.
Examples:
CoAxia NeuroFlo catheter
use Intraluminal Device
Epitrochlear lymph node
use Lymphatic, Right Upper Extremity
use Lymphatic, Left Upper Extremity
SynCardia Total Artificial Heart
use Synthetic Substitute
Code Tables
ICD-10-PCS contains 17 sections of Code Tables organized by general
type of procedure. The first three characters of a procedure code define
each table. The tables consist of columns providing the possible last
four characters of codes and rows providing valid values for each
character. Within a PCS table, valid codes include all combinations of
choices in characters 4 through 7 contained in the same row of the
table. All seven characters must be specified to form a valid code.
There are three main sections of tables:

Root Operation and Procedure Type Main Terms • Medical and Surgical section:
For the Medical and Surgical and related sections, the root operation — Medical and Surgical (0)
values are used as main terms in the index. The subterms under the root
operation main terms are body parts. For the Ancillary section of the • Medical and Surgical-related sections:
tables, the main terms in the index are the general type of procedure — Obstetrics (1)
performed. — Placement (2)
Examples: — Administration (3)
Biofeedback GZC9ZZZ — Measurement and Monitoring (4)
Destruction — Extracorporeal or Systemic Assistance and Performance (5)
Acetabulum
Left 0Q55 — Extracorporeal or Systemic Therapies (6)
Right 0Q54 — Osteopathic (7)
Adenoids 0C5Q
Ampulla of Vater 0F5C — Other Procedures (8)
Planar Nuclear Medicine Imaging — Chiropractic (9)
Abdomen CW10

ICD-10-PCS 2019 21
ICD-10-PCS Index and Tabular Format ICD-10-PCS 2019

• Ancillary sections: not split rows between pages. For instance, the entire table of
— Imaging (B) valid characters completing a code beginning with 4A1 is split
between two pages, but the split is between, not within, rows.
— Nuclear Medicine (C) This means that all the valid sixth and seventh characters for, say,
— Radiation Therapy (D) body system Arterial (3) and approach External (X) are contained
on one page.
— Physical Rehabilitation and Diagnostic Audiology (F)
• Individual entries may be listed in several horizontal “selection”
— Mental Health (G) lines.
— Substance Abuse Treatment (H) • When a table is continued onto another page, a note to this effect
• New Technology section: has been added in red.
— New Technology (X) Body Part Definitions:
The first three character values define each table. The root operation or An exclusive feature in the tables is the incorporation of the body part
root type designated for each table is accompanied by its official definitions provided in appendix E into the Medical and Surgical section
definition. (0) tables under their appropriate body part characters in the fourth
column (character 4). This provides the user a direct reference to all
Example: anatomical descriptions, terms, and sites that could be coded to that
Table 00F provides codes for procedures on the central nervous system particular body part value.
that involve breaking up of solid matter into pieces:
Paired body parts typically have values for the right and left side and in
Character 1, Section 0: Medical and Surgical some cases a value for bilateral. These paired body parts often have the
Character 2, Body System 0: Central Nervous System and same list of inclusive body part definitions. When there are paired body
Cranial Nerves parts with the same body part definitions, the first listed body part
(usually the right side) contains the list of body part definitions while
Character 3, Root Operation F: Fragmentation: Breaking solid the second listed body part (usually the left side) contains a See
matter in a body part into pieces instruction. This See instruction references the body part value that
Tables are arranged numerically, then alphabetically. contains the body part definitions. In the table below, body part value
P – Upper Eyelid, Left is followed by a See instruction that states
When reviewing tables, the user should keep in mind that: See N Upper Eyelid, Right. All body part descriptions under value N also
apply to body part value P.
• Some tables may cover multiple pages in the code book—to
ensure maximum clarity about character choices, valid entries do

Example:

0 Medical and Surgical

8 Eye 08M
M Reattachment Definition: Putting back in or on all or a portion of a separated body part to its normal location or other suitable location
Explanation: Vascular circulation and nervous pathways may or may not be reestablished
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
N Upper Eyelid, Right X External Z No Device Z No Qualifier
Lateral canthus
Levator palpebrae superioris muscle
Orbicularis oculi muscle
Superior tarsal plate
P Upper Eyelid, Left
See N Upper Eyelid, Right
Q Lower Eyelid, Right
Inferior tarsal plate
Medial canthus
R Lower Eyelid, Left
See Q Lower Eyelid, Right

22 ICD-10-PCS 2019
ICD-10-PCS Additional Features
Use of Official Sources
The ICD-10-PCS: The Complete Official Code Set contains the official U.S.
Department of Health and Human Services, Tenth Revision, Procedure
Classification System, effective for the current year.
Color-coding, symbol, and other annotations in this manual that
identify coding and reimbursement issues are derived from various
official federal government sources, including Medicare Code Editor
(MCE), version 35, ICD-10 MS-DRG Definitions Manual Files, version 35,
and the Federal Register, volume 83, number 88, May 7, 2018 (“Hospital
Inpatient Prospective Payment Systems for Acute Care Hospitals and
the Long Term Care Hospital Prospective Payment System and
Proposed Policy Changes and Fiscal Year 2019 Rates; Proposed Rule”).
For the most current files related to IPPS, please refer to the following:
https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/
AcuteInpatientPPS/IPPS-Regulations-and-Notices.html.
Table Notations
Many tables in ICD-10-PCS contain color or symbol annotations that
may aid in code selection, provide clinical or coding information, or
alert the coder to reimbursement issues affected by the PCS code
assignment. These annotations are most often displayed on or next to a
character 4 value. Some character 4 values may have more than one
annotation.
The valid fourth character values (Body Part) that may be selected for
this specific circumstance are as follows:
3 Epidural Space, Intracranial
4 Subdural Space, Intracranial
5 Subarachnoid Space, Intracranial
6 Cerebral Ventricle
The fragmentation of matter in the spinal canal, Body Part value U, is
not included in the noncovered procedure code edits.
Color-Coding/Symbols
New and Revised Text
To highlight changes to the PCS tables for the current year, the new and
revised text is provided in green font.
Medicare Code Edits
Medicare administrative contractors (MACs) and many payers use
Medicare code edits to check the coding accuracy on claims. The coding
edits in this manual are only those directly related to ICD-10-PCS codes
and are used for acute care hospital inpatient admissions.
The PCS related Medicare code edits are listed below:
• Invalid procedure code

Refer to the color/symbol legend at the bottom of each page in the • *Sex conflict
tables section for an abridged description of each color and symbol. • *Noncovered procedure
• *Limited coverage procedure
Annotation Box
An annotation box has been appended to all tables that contain Starred edits above that are related to PCS issues are identified in this
color-coding or symbol annotations. The color bar or symbol attached manual by symbols as described below.
to a character 4 value is provided in the box, as well as a list of the valid
PCS code(s) to which that edit applies. The box may also list conditional Sex Edit Symbols
criteria that must be met to satisfy the edit. The sex edit symbols below address MCE and are used to detect
inconsistencies between the patient’s sex and the procedure. The
For example, see Table 00F. Four character 4 body part values have a symbols below most often appear to the right of a character 4
gray color bar. In the annotation box below the table, the gray color bar value but may also be found to the right of a character 7 value:
is defined as “Non-OR,” or a nonoperating room procedure edit.
: Male procedure only
Following the Non-OR annotation are the PCS codes that are
considered nonoperating room procedures from that row of Table 00F. ; Female procedure only

Bracketed Code Notation
The use of bracketed codes is an efficient convention to provide all valid
character value alternatives for a specific set of circumstances. The
character values in the brackets correspond to the valid values for the
character in the position the bracket appears.
Examples:
In the annotation box for Table 00F the Noncovered Procedure edit (NC)
applies to codes represented in the bracketed code 00F[3,4,5,6]XZZ.
4 Noncovered Procedure
Medicare does not cover all procedures. However, some
noncovered procedures, due to the presence of certain diagnoses,
are reimbursed.
3 Limited Coverage
For certain procedures whose medical complexity and serious
nature incur extraordinary associated costs, Medicare limits
coverage to a portion of the cost. The limited coverage edit
indicates the type of limited coverage.

00F[3,4,5,6]XZZ Fragmentation in (Central Nervous

System and Cranial Nerves), External Approach

ICD-10-PCS 2019 23
ICD-10-PCS Additional Features
ICD-10 MS-DRG Definitions Manual Edits
An MS-DRG is assigned based on specific patient attributes, such as
principal diagnosis, secondary diagnoses, procedures, and discharge
status. The attributes (edits) provided in this manual are only those
directly related to ICD-10-PCS codes and are used for acute care
hospital inpatient admissions.
Non-Operating Room Procedures Not Affecting MS-DRG
Assignment
In the Medical and Surgical section (001-0YW) and the Obstetric
section (102-10Y) tables only, ICD-10-PCS procedures codes that
DO NOT affect MS-DRG assignment are identified by a
gray color bar over the character 4 value and are considered
non-operating room (non-OR) procedures.
NOTE: The majority of the ICD-10-PCS codes in the Medical and
Surgical-Related, Ancillary and New Technology section tables are
non-operating room procedures that do not typically affect
MS-DRG assignment. Only the Valid Operating Room and DRG
Non-Operating Room procedures are highlighted in these
sections, see Non-Operating Room Procedures Affecting MS-DRG
Assignment and Valid OR Procedure description below.
Non-Operating Room Procedures Affecting MS-DRG Assignment
Some ICD-10-PCS procedure codes, although considered
non-operating room procedures, may still affect MS-DRG
assignment. In all sections of the ICD-10-PCS book, these
procedures are identified by a purple color bar over the character
4 value.
Valid OR Procedure
In the Medical and Surgical-Related (2W0-9WB), Ancillary
(B00-HZ9) and New Technology (X2A-XY0) section tables only,
any codes that are considered a valid operating room procedure
are identified with a blue color bar over the character 4 value and
will affect MS-DRG assignment. All codes without a color bar (blue
or purple) are considered non-operating room procedures.
Hospital-Acquired Condition Related Procedures
Procedures associated with hospital-acquired conditions (HAC)
are identified with the yellow color bar over the body part value.
24
ICD-10-PCS 2019
Combination Only
Some ICD-10-PCS procedure codes are considered “noncovered
procedures” except when reported in combination with certain
other procedure codes. Such codes are designated by a
red color bar over the character 4 value.
? Combination Member
A combination member is an ICD-10-PCS procedure code that can
influence MS-DRG assignment either on its own or in combination
with other specific ICD-10-PCS procedure codes. Combination
member codes are designated by a plus sign (?) to the right of
the body part value.
See Appendix L for Procedure Combinations
Under certain circumstances, more than one procedure code is
needed in order to group to a specific MS-DRG. When codes
within a table have been identified as a Combination Only
(red color bar) or Combination Member (?) code, there is also a
footnote instructing the coder to see Appendix L. Appendix L
contains tables that identify the other procedure codes needed in
the combination and the title and number of the MS-DRG to
which the combination will group.
Other Table Notations
AHA Coding Clinic:
Official citations from AHA’s Coding Clinic for ICD-10-CM/PCS have
been provided at the beginning of each section, when applicable.
Each specific citation is listed below a header identifying the table
to which that particular Coding Clinic citation applies. The citations
appear in purple type with the year, quarter, and page of the
reference as well as the title of the question as it appears in that
Coding Clinic’s table of contents. Coding Clinic citations included in
this edition have been updated through first quarter 2018.
Index Notations
2 Subterms under main terms may continue to the next column or
page. This warning statement is a reminder to always check for
additional subterms and information that may continue onto the
next page or column before making a final selection.
ICD-10-PCS 2019
ICD-10-PCS Official Guidelines for Coding and
Reporting 2019
Narrative changes appear in bold text.
The Centers for Medicare and Medicaid Services (CMS) and the National
Center for Health Statistics (NCHS), two departments within the U.S.
Federal Government’s Department of Health and Human Services
(DHHS) provide the following guidelines for coding and reporting using
the International Classification of Diseases, 10th Revision, Procedure
Coding System (ICD-10-PCS). These guidelines should be used as a
companion document to the official version of the ICD-10-PCS as
published on the CMS website. The ICD-10-PCS is a procedure
classification published by the United States for classifying procedures
performed in hospital inpatient health care settings.
These guidelines have been approved by the four organizations that
make up the Cooperating Parties for the ICD-10-PCS: the American
Hospital Association (AHA), the American Health Information
Management Association (AHIMA), CMS, and NCHS.
These guidelines are a set of rules that have been developed to
accompany and complement the official conventions and instructions
provided within the ICD-10-PCS itself. The instructions and conventions
of the classification take precedence over guidelines. These guidelines
are based on the coding and sequencing instructions in the Tables,
Index and Definitions of ICD-10-PCS, but provide additional instruction.
Adherence to these guidelines when assigning ICD-10-PCS procedure
codes is required under the Health Insurance Portability and
Accountability Act (HIPAA). The procedure codes have been adopted
under HIPAA for hospital inpatient healthcare settings. A joint effort
between the healthcare provider and the coder is essential to achieve
complete and accurate documentation, code assignment, and
reporting of diagnoses and procedures. These guidelines have been
developed to assist both the healthcare provider and the coder in
identifying those procedures that are to be reported. The importance of
consistent, complete documentation in the medical record cannot be
overemphasized. Without such documentation accurate coding cannot
be achieved.
Conventions
A1. ICD-10-PCS codes are composed of seven characters. Each
character is an axis of classification that specifies information about the
procedure performed. Within a defined code range, a character
specifies the same type of information in that axis of classification.
Example: The fifth axis of classification specifies the approach in
sections 0 through 4 and 7 through 9 of the system.
A2. One of 34 possible values can be assigned to each axis of
classification in the seven-character code: they are the numbers 0
Section: 0 Medical and Surgical
Body System: J Subcutaneous Tissue and Fascia
Operation: H Insertion Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not
physically take the place of a body part
Body Part Approach
S Subcutaneous Tissue and Fascia, Head and Neck 0 Open
V Subcutaneous Tissue and Fascia, Upper Extremity 3 Percutaneous
W Subcutaneous Tissue and Fascia, Lower Extremity
T Subcutaneous Tissue and Fascia, Trunk 0 Open
3 Percutaneous
ICD-10-PCS 2019
through 9 and the alphabet (except I and O because they are easily
confused with the numbers 1 and 0). The number of unique values used
in an axis of classification differs as needed.
Example: Where the fifth axis of classification specifies the approach,
seven different approach values are currently used to specify the
approach.
A3. The valid values for an axis of classification can be added to as
needed.
Example: If a significantly distinct type of device is used in a new
procedure, a new device value can be added to the system.
A4. As with words in their context, the meaning of any single value is a
combination of its axis of classification and any preceding values on
which it may be dependent.
Example: The meaning of a body part value in the Medical and Surgical
section is always dependent on the body system value. The body part
value 0 in the Central Nervous body system specifies Brain and the body
part value 0 in the Peripheral Nervous body system specifies Cervical
Plexus.
A5. As the system is expanded to become increasingly detailed, over
time more values will depend on preceding values for their meaning.
Example: In the Lower Joints body system, the device value 3 in the root
operation Insertion specifies Infusion Device and the device value 3 in
the root operation Replacement specifies Ceramic Synthetic Substitute.
A6. The purpose of the alphabetic index is to locate the appropriate
table that contains all information necessary to construct a procedure
code. The PCS Tables should always be consulted to find the most
appropriate valid code.
A7. It is not required to consult the index first before proceeding to the
tables to complete the code. A valid code may be chosen directly from
the tables.
A8. All seven characters must be specified to be a valid code. If the
documentation is incomplete for coding purposes, the physician should
be queried for the necessary information.
A9. Within a PCS table, valid codes include all combinations of choices
in characters 4 through 7 contained in the same row of the table. In the
example below, 0JHT3VZ is a valid code, and 0JHW3VZ is not a valid
code.
Device Qualifier
1 Radioactive Element Z No Qualifier
3 Infusion Device
1 Radioactive Element Z No Qualifier
3 Infusion Device
V Infusion Pump
25
ICD-10-PCS Official Guidelines for Coding and Reporting 2019
A10. “And,” when used in a code description, means “and/or,“ except
when used to describe a combination of multiple body parts for
which separate values exist for each body part (e.g., Skin and
Subcutaneous Tissue used as a qualifier, where there are separate
body part values for “Skin” and “Subcutaneous Tissue”).
Example: Lower Arm and Wrist Muscle means lower arm and/or wrist
muscle.
A11. Many of the terms used to construct PCS codes are defined within
the system. It is the coder’s responsibility to determine what the
documentation in the medical record equates to in the PCS definitions.
The physician is not expected to use the terms used in PCS code
descriptions, nor is the coder required to query the physician when the
correlation between the documentation and the defined PCS terms is
clear.
Example: When the physician documents “partial resection” the coder
can independently correlate “partial resection” to the root operation
Excision without querying the physician for clarification.
Medical and Surgical Section Guidelines
(section 0)
B2. Body System
General guidelines
B2.1a. The procedure codes in the general anatomical regions body
systems can be used when the procedure is performed on an
anatomical region rather than a specific body part (e.g., root operations
Control and Detachment, Drainage of a body cavity) or on the rare
occasion when no information is available to support assignment of a
code to a specific body part.
Examples: Control of postoperative hemorrhage is coded to the root
operation Control found in the general anatomical regions body
systems.
Chest tube drainage of the pleural cavity is coded to the root operation
Drainage found in the general anatomical regions body systems. Suture
repair of the abdominal wall is coded to the root operation Repair in the
general anatomical regions body system.
B2.1b. Where the general body part values “upper” and “lower” are
provided as an option in the Upper Arteries, Lower Arteries, Upper
Veins, Lower Veins, Muscles and Tendons body systems, “upper” or
“lower “specifies body parts located above or below the diaphragm
respectively.
Example: Vein body parts above the diaphragm are found in the Upper
Veins body system; vein body parts below the diaphragm are found in
the Lower Veins body system.
B3. Root Operation
General guidelines
B3.1a. In order to determine the appropriate root operation, the full
definition of the root operation as contained in the PCS Tables must be
applied.
B3.1b. Components of a procedure specified in the root operation
definition and explanation are not coded separately. Procedural steps
necessary to reach the operative site and close the operative site,
26
ICD-10-PCS 2019
including anastomosis of a tubular body part, are also not coded
separately.
Examples: Resection of a joint as part of a joint replacement procedure
is included in the root operation definition of Replacement and is not
coded separately.
Laparotomy performed to reach the site of an open liver biopsy is not
coded separately. In a resection of sigmoid colon with anastomosis of
descending colon to rectum, the anastomosis is not coded separately.
Multiple procedures
B3.2. During the same operative episode, multiple procedures are
coded if:
a. The same root operation is performed on different body
parts as defined by distinct values of the body part character.
Examples: Diagnostic excision of liver and pancreas are coded
separately.
Excision of lesion in the ascending colon and excision of
lesion in the transverse colon are coded separately.
b. The same root operation is repeated in multiple body parts,
and those body parts are separate and distinct body parts
classified to a single ICD-10-PCS body part value.
Examples: Excision of the sartorius muscle and excision of the
gracilis muscle are both included in the upper leg muscle
body part value, and multiple procedures are coded.
Extraction of multiple toenails are coded separately.
c. Multiple root operations with distinct objectives are
performed on the same body part.
Example: Destruction of sigmoid lesion and bypass of
sigmoid colon are coded separately.
d. The intended root operation is attempted using one
approach, but is converted to a different approach.
Example: Laparoscopic cholecystectomy converted to an
open cholecystectomy is coded as percutaneous endoscopic
Inspection and open Resection.
Discontinued or incomplete procedures
B3.3. If the intended procedure is discontinued or otherwise not
completed, code the procedure to the root operation performed. If a
procedure is discontinued before any other root operation is
performed, code the root operation Inspection of the body part or
anatomical region inspected.
Example: A planned aortic valve replacement procedure is discontinued
after the initial thoracotomy and before any incision is made in the
heart muscle, when the patient becomes hemodynamically unstable.
This procedure is coded as an open Inspection of the mediastinum.
Biopsy procedures
B3.4a. Biopsy procedures are coded using the root operations Excision,
Extraction, or Drainage and the qualifier Diagnostic.
Examples: Fine needle aspiration biopsy of fluid in the lung is coded to
the root operation Drainage with the qualifier Diagnostic.
Biopsy of bone marrow is coded to the root operation Extraction with
the qualifier Diagnostic.
Lymph node sampling for biopsy is coded to the root operation Excision
with the qualifier Diagnostic.
ICD-10-PCS 2019
ICD-10-PCS 2019
Biopsy followed by more definitive treatment
B3.4b. If a diagnostic Excision, Extraction, or Drainage procedure
(biopsy) is followed by a more definitive procedure, such as
Destruction, Excision or Resection at the same procedure site, both the
biopsy and the more definitive treatment are coded.
Example: Biopsy of breast followed by partial mastectomy at the same
procedure site, both the biopsy and the partial mastectomy procedure
are coded.
Overlapping body layers
B3.5. If the root operations Excision, Repair or Inspection are
performed on overlapping layers of the musculoskeletal system, the
body part specifying the deepest layer is coded.
Example: Excisional debridement that includes skin and subcutaneous
tissue and muscle is coded to the muscle body part.
Bypass procedures
B3.6a. Bypass procedures are coded by identifying the body part
bypassed “from” and the body part bypassed “to.” The fourth character
body part specifies the body part bypassed from, and the qualifier
specifies the body part bypassed to.
Example: Bypass from stomach to jejunum, stomach is the body part
and jejunum is the qualifier.
B3.6b. Coronary artery bypass procedures are coded differently than
other bypass procedures as described in the previous guideline. Rather
than identifying the body part bypassed from, the body part identifies
the number of coronary arteries bypassed to, and the qualifier specifies
the vessel bypassed from.
Example: Aortocoronary artery bypass of the left anterior descending
coronary artery and the obtuse marginal coronary artery is classified in
the body part axis of classification as two coronary arteries, and the
qualifier specifies the aorta as the body part bypassed from.
B3.6c. If multiple coronary arteries are bypassed, a separate procedure
is coded for each coronary artery that uses a different device and/or
qualifier.
Example: Aortocoronary artery bypass and internal mammary coronary
artery bypass are coded separately.
Control vs. more definitive root operations
B3.7. The root operation Control is defined as, “Stopping, or attempting
to stop, postprocedural or other acute bleeding.” If an attempt to stop
postprocedural or other acute bleeding is initially unsuccessful, and to
stop the bleeding requires performing a more definitive root operation,
such as Bypass, Detachment, Excision, Extraction, Reposition,
Replacement, or Resection, then the more definitive root operation is
coded instead of Control.
Example: Resection of spleen to stop bleeding is coded to Resection
instead of Control.
Excision vs. Resection
B3.8. PCS contains specific body parts for anatomical subdivisions of a
body part, such as lobes of the lungs or liver and regions of the
intestine. Resection of the specific body part is coded whenever all of
the body part is cut out or off, rather than coding Excision of a less
specific body part.
ICD-10-PCS 2019
ICD-10-PCS Official Guidelines for Coding and Reporting 2019
Example: Left upper lung lobectomy is coded to Resection of Upper
Lung Lobe, Left rather than Excision of Lung, Left.
Excision for graft
B3.9. If an autograft is obtained from a different procedure site in order
to complete the objective of the procedure, a separate procedure is
coded.
Example: Coronary bypass with excision of saphenous vein graft,
excision of saphenous vein is coded separately.
Fusion procedures of the spine
B3.10a. The body part coded for a spinal vertebral joint(s) rendered
immobile by a spinal fusion procedure is classified by the level of the
spine (e.g. thoracic). There are distinct body part values for a single
vertebral joint and for multiple vertebral joints at each spinal level.
Example: Body part values specify Lumbar Vertebral Joint, Lumbar
Vertebral Joints, 2 or More and Lumbosacral Vertebral Joint.
B3.10b. If multiple vertebral joints are fused, a separate procedure is
coded for each vertebral joint that uses a different device and/or
qualifier.
Example: Fusion of lumbar vertebral joint, posterior approach, anterior
column and fusion of lumbar vertebral joint, posterior approach,
posterior column are coded separately.
B3.10c. Combinations of devices and materials are often used on a
vertebral joint to render the joint immobile. When combinations of
devices are used on the same vertebral joint, the device value coded for
the procedure is as follows:
• If an interbody fusion device is used to render the joint immobile
(alone or containing other material like bone graft), the procedure
is coded with the device value Interbody Fusion Device
• If bone graft is the only device used to render the joint immobile,
the procedure is coded with the device value Nonautologous
Tissue Substitute or Autologous Tissue Substitute
• If a mixture of autologous and nonautologous bone graft (with or
without biological or synthetic extenders or binders) is used to
render the joint immobile, code the procedure with the device
value Autologous Tissue Substitute
Examples: Fusion of a vertebral joint using a cage style interbody fusion
device containing morsellized bone graft is coded to the device
Interbody Fusion Device.
Fusion of a vertebral joint using a bone dowel interbody fusion device
made of cadaver bone and packed with a mixture of local morsellized
bone and demineralized bone matrix is coded to the device Interbody
Fusion Device.
Fusion of a vertebral joint using both autologous bone graft and bone
bank bone graft is coded to the device Autologous Tissue Substitute.
Inspection procedures
B3.11a. Inspection of a body part(s) performed in order to achieve the
objective of a procedure is not coded separately.
Example: Fiberoptic bronchoscopy performed for irrigation of bronchus,
only the irrigation procedure is coded.
B3.11b. If multiple tubular body parts are inspected, the most distal
body part (the body part furthest from the starting point of the
inspection) is coded. If multiple non-tubular body parts in a region are
27
ICD-10-PCS Official Guidelines for Coding and Reporting 2019
inspected, the body part that specifies the entire area inspected is
coded.
Examples: Cystoureteroscopy with inspection of bladder and ureters is
coded to the ureter body part value.
Exploratory laparotomy with general inspection of abdominal contents
is coded to the peritoneal cavity body part value.
B3.11c. When both an Inspection procedure and another procedure
are performed on the same body part during the same episode, if the
Inspection procedure is performed using a different approach than the
other procedure, the Inspection procedure is coded separately.
Example: Endoscopic Inspection of the duodenum is coded separately
when open Excision of the duodenum is performed during the same
procedural episode.
Occlusion vs. Restriction for vessel embolization procedures
B3.12. If the objective of an embolization procedure is to completely
close a vessel, the root operation Occlusion is coded. If the objective of
an embolization procedure is to narrow the lumen of a vessel, the root
operation Restriction is coded.
Examples: Tumor embolization is coded to the root operation Occlusion,
because the objective of the procedure is to cut off the blood supply to
the vessel.
Embolization of a cerebral aneurysm is coded to the root operation
Restriction, because the objective of the procedure is not to close off
the vessel entirely, but to narrow the lumen of the vessel at the site of
the aneurysm where it is abnormally wide.
Release procedures
B3.13. In the root operation Release, the body part value coded is the
body part being freed and not the tissue being manipulated or cut to
free the body part.
Example: Lysis of intestinal adhesions is coded to the specific intestine
body part value.
Release vs. Division
B3.14. If the sole objective of the procedure is freeing a body part
without cutting the body part, the root operation is Release. If the sole
objective of the procedure is separating or transecting a body part, the
root operation is Division.
Examples: Freeing a nerve root from surrounding scar tissue to relieve
pain is coded to the root operation Release.
Severing a nerve root to relieve pain is coded to the root operation
Division.
Reposition for fracture treatment
B3.15. Reduction of a displaced fracture is coded to the root operation
Reposition and the application of a cast or splint in conjunction with
the Reposition procedure is not coded separately. Treatment of a
nondisplaced fracture is coded to the procedure performed.
Examples: Casting of a nondisplaced fracture is coded to the root
operation Immobilization in the Placement section.
Putting a pin in a nondisplaced fracture is coded to the root operation
Insertion.
28
ICD-10-PCS 2019
Transplantation vs. Administration
B3.16. Putting in a mature and functioning living body part taken from
another individual or animal is coded to the root operation
Transplantation. Putting in autologous or nonautologous cells is coded
to the Administration section.
Example: Putting in autologous or nonautologous bone marrow,
pancreatic islet cells or stem cells is coded to the Administration
section.
Transfer procedures using multiple tissue layers
B3.17. The root operation Transfer contains qualifiers that can be
used to specify when a transfer flap is composed of more than one
tissue layer, such as a musculocutaneous flap. For procedures
involving transfer of multiple tissue layers including skin,
subcutaneous tissue, fascia or muscle, the procedure is coded to
the body part value that describes the deepest tissue layer in the
flap, and the qualifier can be used to describe the other tissue
layer(s) in the transfer flap.
Example: A musculocutaneous flap transfer is coded to the
appropriate body part value in the body system Muscles, and the
qualifier is used to describe the additional tissue layer(s) in the
transfer flap.
B4. Body Part
General guidelines
B4.1a. If a procedure is performed on a portion of a body part that does
not have a separate body part value, code the body part value
corresponding to the whole body part.
Example: A procedure performed on the alveolar process of the
mandible is coded to the mandible body part.
B4.1b. If the prefix “peri” is combined with a body part to identify the
site of the procedure, and the site of the procedure is not further
specified, then the procedure is coded to the body part named. This
guideline applies only when a more specific body part value is not
available.
Examples: A procedure site identified as perirenal is coded to the kidney
body part when the site of the procedure is not further specified.
A procedure site described in the documentation as peri-urethral, and
the documentation also indicates that it is the vulvar tissue and not the
urethral tissue that is the site of the procedure, then the procedure is
coded to the vulva body part.
B4.1c. If a procedure is performed on a continuous section of a tubular
body part, code the body part value corresponding to the furthest
anatomical site from the point of entry.
Example: A procedure performed on a continuous section of artery from
the femoral artery to the external iliac artery with the point of entry at
the femoral artery is coded to the external iliac body part.
Branches of body parts
B4.2. Where a specific branch of a body part does not have its own
body part value in PCS, the body part is typically coded to the closest
proximal branch that has a specific body part value. In the
cardiovascular body systems, if a general body part is available in the
correct root operation table, and coding to a proximal branch would
require assigning a code in a different body system, the procedure is
coded using the general body part value.
ICD-10-PCS 2019
ICD-10-PCS 2019
Examples: A procedure performed on the mandibular branch of the
trigeminal nerve is coded to the trigeminal nerve body part value.
Occlusion of the bronchial artery is coded to the body part value Upper
Artery in the body system Upper Arteries, and not to the body part
value Thoracic Aorta, Descending in the body system Heart and Great
Vessels.
Bilateral body part values
B4.3. Bilateral body part values are available for a limited number of
body parts. If the identical procedure is performed on contralateral
body parts, and a bilateral body part value exists for that body part, a
single procedure is coded using the bilateral body part value. If no
bilateral body part value exists, each procedure is coded separately
using the appropriate body part value.
Examples: The identical procedure performed on both fallopian tubes is
coded once using the body part value Fallopian Tube, Bilateral.
The identical procedure performed on both knee joints is coded twice
using the body part values Knee Joint, Right and Knee Joint, Left.
Coronary arteries
B4.4. The coronary arteries are classified as a single body part that is
further specified by number of arteries treated. One procedure code
specifying multiple arteries is used when the same procedure is
performed, including the same device and qualifier values.
Examples: Angioplasty of two distinct coronary arteries with placement
of two stents is coded as Dilation of Coronary Artery, Two Arteries with
Two Intraluminal Devices.
Angioplasty of two distinct coronary arteries, one with stent placed and
one without, is coded separately as Dilation of Coronary Artery, One
Artery with Intraluminal Device, and Dilation of Coronary Artery, One
Artery with no device.
Tendons, ligaments, bursae and fascia near a joint
B4.5. Procedures performed on tendons, ligaments, bursae and fascia
supporting a joint are coded to the body part in the respective body
system that is the focus of the procedure. Procedures performed on
joint structures themselves are coded to the body part in the joint body
systems.
Examples: Repair of the anterior cruciate ligament of the knee is coded
to the knee bursa and ligament body part in the bursae and ligaments
body system.
Knee arthroscopy with shaving of articular cartilage is coded to the
knee joint body part in the Lower Joints body system.
Skin, subcutaneous tissue and fascia overlying a joint
B4.6. If a procedure is performed on the skin, subcutaneous tissue or
fascia overlying a joint, the procedure is coded to the following body
part:
• Shoulder is coded to Upper Arm
• Elbow is coded to Lower Arm
• Wrist is coded to Lower Arm
• Hip is coded to Upper Leg
• Knee is coded to Lower Leg
• Ankle is coded to Foot
ICD-10-PCS 2019
ICD-10-PCS Official Guidelines for Coding and Reporting 2019
Fingers and toes
B4.7. If a body system does not contain a separate body part value for
fingers, procedures performed on the fingers are coded to the body
part value for the hand. If a body system does not contain a separate
body part value for toes, procedures performed on the toes are coded
to the body part value for the foot.
Example: Excision of finger muscle is coded to one of the hand muscle
body part values in the Muscles body system.
Upper and lower intestinal tract
B4.8. In the Gastrointestinal body system, the general body part values
Upper Intestinal Tract and Lower Intestinal Tract are provided as an
option for the root operations Change, Inspection, Removal and
Revision. Upper Intestinal Tract includes the portion of the
gastrointestinal tract from the esophagus down to and including the
duodenum, and Lower Intestinal Tract includes the portion of the
gastrointestinal tract from the jejunum down to and including the
rectum and anus.
Example: In the root operation Change table, change of a device in the
jejunum is coded using the body part Lower Intestinal Tract.
B5. Approach
Open approach with percutaneous endoscopic assistance
B5.2. Procedures performed using the open approach with
percutaneous endoscopic assistance are coded to the approach Open.
Example: Laparoscopic-assisted sigmoidectomy is coded to the
approach Open.
External approach
B5.3a. Procedures performed within an orifice on structures that are
visible without the aid of any instrumentation are coded to the
approach External.
Example: Resection of tonsils is coded to the approach External.
B5.3b. Procedures performed indirectly by the application of external
force through the intervening body layers are coded to the approach
External.
Example: Closed reduction of fracture is coded to the approach External.
Percutaneous procedure via device
B5.4. Procedures performed percutaneously via a device placed for the
procedure are coded to the approach Percutaneous.
Example: Fragmentation of kidney stone performed via percutaneous
nephrostomy is coded to the approach Percutaneous.
B6. Device
General guidelines
B6.1a. A device is coded only if a device remains after the procedure is
completed. If no device remains, the device value No Device is coded. In
limited root operations, the classification provides the qualifier values
Temporary and Intraoperative, for specific procedures involving
clinically significant devices, where the purpose of the device is to be
utilized for a brief duration during the procedure or current inpatient
stay. If a device that is intended to remain after the procedure is
completed requires removal before the end of the operative
episode in which it was inserted (for example, the device size is
29
ICD-10-PCS Official Guidelines for Coding and Reporting 2019
inadequate or a complication occurs), both the insertion and
removal of the device should be coded.
B6.1b. Materials such as sutures, ligatures, radiological markers and
temporary post-operative wound drains are considered integral to the
performance of a procedure and are not coded as devices.
B6.1c. Procedures performed on a device only and not on a body part
are specified in the root operations Change, Irrigation, Removal and
Revision, and are coded to the procedure performed.
Example: Irrigation of percutaneous nephrostomy tube is coded to the
root operation Irrigation of indwelling device in the Administration
section.
Drainage device
B6.2. A separate procedure to put in a drainage device is coded to the
root operation Drainage with the device value Drainage Device.
Obstetric Section Guidelines (section 1)
C. Obstetrics Section
Products of conception
C1. Procedures performed on the products of conception are coded to
the Obstetrics section. Procedures performed on the pregnant female
other than the products of conception are coded to the appropriate
root operation in the Medical and Surgical section.
Example: Amniocentesis is coded to the products of conception body
part in the Obstetrics section. Repair of obstetric urethral laceration is
coded to the urethra body part in the Medical and Surgical section.
Procedures following delivery or abortion
C2. Procedures performed following a delivery or abortion for
curettage of the endometrium or evacuation of retained products of
conception are all coded in the Obstetrics section, to the root operation
Extraction and the body part Products of Conception, Retained.
Diagnostic or therapeutic dilation and curettage performed during
times other than the postpartum or post-abortion period are all coded
in the Medical and Surgical section, to the root operation Extraction
and the body part Endometrium.
New Technology Section Guidelines
(section X)
D. New Technology Section
General guidelines
D1. Section X codes are standalone codes. They are not supplemental
codes. Section X codes fully represent the specific procedure described
30
ICD-10-PCS 2019
in the code title, and do not require any additional codes from other
sections of ICD-10-PCS. When section X contains a code title which
describes a specific new technology procedure, only that X code is
reported for the procedure. There is no need to report a broader, non-
specific code in another section of ICD-10-PCS.
Example: XW04321 Introduction of Ceftazidime-Avibactam Anti-
infective into Central Vein, Percutaneous Approach, New Technology
Group 1, can be coded to indicate that Ceftazidime-Avibactam Anti-
infective was administered via a central vein. A separate code from
table 3E0 in the Administration section of ICD-10-PCS is not coded in
addition to this code.
Selection of Principal Procedure
The following instructions should be applied in the selection of
principal procedure and clarification on the importance of the relation
to the principal diagnosis when more than one procedure is performed:
1. Procedure performed for definitive treatment of both
principal diagnosis and secondary diagnosis
a. Sequence procedure performed for definitive
treatment most related to principal diagnosis as
principal procedure.
2. Procedure performed for definitive treatment and diagnostic
procedures performed for both principal diagnosis and
secondary diagnosis.
a. Sequence procedure performed for definitive
treatment most related to principal diagnosis as
principal procedure
3. A diagnostic procedure was performed for the principal
diagnosis and a procedure is performed for definitive
treatment of a secondary diagnosis.
a. Sequence diagnostic procedure as principal procedure,
since the procedure most related to the principal
diagnosis takes precedence.
4. No procedures performed that are related to principal
diagnosis; procedures performed for definitive treatment
and diagnostic procedures were performed for secondary
diagnosis
a. Sequence procedure performed for definitive
treatment of secondary diagnosis as principal
procedure, since there are no procedures (definitive or
nondefinitive treatment) related to principal diagnosis.
ICD-10-PCS 2019
ICD-10-PCS 2019 Anatomical snuffbox
Acupuncture — continued Alteration — continued
#

Index
Integumentary System Eyelid — continued
Anesthesia, 8E0H300 Upper
3f (Aortic) Bioprosthesis valve use Zooplastic Tissue in No Qualifier, 8E0H30Z Left, 080P
Heart and Great Vessels Adductor brevis muscle Right, 080N
use Upper Leg Muscle, Left Face, 0W02
Head, 0W00
A use Upper Leg Muscle, Right
Adductor hallucis muscle Jaw
Lower, 0W05
use Foot Muscle, Left
Abdominal aortic plexus use Abdominal Sympathetic use Foot Muscle, Right Upper, 0W04
Nerve Adductor longus muscle Knee Region
Abdominal esophagus use Esophagus, Lower use Upper Leg Muscle, Left Left, 0Y0G
Abdominohysterectomy see Resection, Uterus, 0UT9 use Upper Leg Muscle, Right Right, 0Y0F
Abdominoplasty Adductor magnus muscle Leg
see Alteration, Abdominal Wall, 0W0F use Upper Leg Muscle, Left Lower
see Repair, Abdominal Wall, 0WQF use Upper Leg Muscle, Right Left, 0Y0J
see Supplement, Abdominal Wall, 0WUF Adenohypophysis use Pituitary Gland Right, 0Y0H
Abductor hallucis muscle Adenoidectomy Upper
use Foot Muscle, Left see Excision, Adenoids, 0CBQ Left, 0Y0D
use Foot Muscle, Right Right, 0Y0C
see Resection, Adenoids, 0CTQ
AbioCor® Total Replacement Heart use Synthetic Sub- Lip
Adenoidotomy see Drainage, Adenoids, 0C9Q Lower, 0C01X
stitute Adhesiolysis see Release
Ablation see Destruction Upper, 0C00X
Administration Nasal Mucosa and Soft Tissue, 090K
Abortion Blood products see Transfusion
Abortifacient, 10A07ZX Neck, 0W06
Other substance see Introduction of substance in or Perineum
Laminaria, 10A07ZW on
Products of Conception, 10A0 Female, 0W0N
Adrenalectomy Male, 0W0M
Vacuum, 10A07Z6 see Excision, Endocrine System, 0GB
Abrasion see Extraction Shoulder Region
see Resection, Endocrine System, 0GT Left, 0X03
Absolute Pro Vascular (OTW) Self-Expanding Stent Adrenalorrhaphy see Repair, Endocrine System, 0GQ
System use Intraluminal Device Right, 0X02
Adrenalotomy see Drainage, Endocrine System, 0G9 Subcutaneous Tissue and Fascia
Accessory cephalic vein Advancement
use Cephalic Vein, Left Abdomen, 0J08
see Reposition Back, 0J07
use Cephalic Vein, Right see Transfer Buttock, 0J09
Accessory obturator nerve use Lumbar Plexus Advisa (MRI) use Pacemaker, Dual Chamber in, 0JH Chest, 0J06
Accessory phrenic nerve use Phrenic Nerve AFX® Endovascular AAA System use Intraluminal Device Face, 0J01
Accessory spleen use Spleen AIGISRx Antibacterial Envelope use Anti-Infective En- Lower Arm
Acculink (RX) Carotid Stent System use Intraluminal velope Left, 0J0H
Device Alar ligament of axis use Head and Neck Bursa and Liga- Right, 0J0G
Acellular Hydrated Dermis use Nonautologous Tissue ment Lower Leg
Substitute Alfieri Stitch Valvuloplasty see Restriction, Valve, Mitral, Left, 0J0P
Acetabular cup use Liner in Lower Joints 02VG Right, 0J0N
Acetabulectomy Alimentation see Introduction of substance in or on Neck
see Excision, Lower Bones, 0QB Alteration Left, 0J05
see Resection, Lower Bones, 0QT Abdominal Wall, 0W0F Right, 0J04
Acetabulofemoral joint Ankle Region Upper Arm
use Hip Joint, Left Left, 0Y0L Left, 0J0F
use Hip Joint, Right Right, 0Y0K Right, 0J0D
Acetabuloplasty Arm Upper Leg
see Repair, Lower Bones, 0QQ Lower Left, 0J0M
see Replacement, Lower Bones, 0QR Left, 0X0F Right, 0J0L
see Supplement, Lower Bones, 0QU Right, 0X0D Wrist Region
Achilles tendon Upper Left, 0X0H
use Lower Leg Tendon, Left Left, 0X09 Right, 0X0G
use Lower Leg Tendon, Right Right, 0X08 Alveolar process of mandible
Achillorrhaphy see Repair, Tendons, 0LQ Axilla use Mandible, Left
Achillotenotomy, achillotomy Left, 0X05 use Mandible, Right

3f (Aortic) Bioprosthesis valve — Anatomical snuffbox

see Division, Tendons, 0L8 Right, 0X04 Alveolar process of maxilla use Maxilla
see Drainage, Tendons, 0L9 Back Alveolectomy
Acromioclavicular ligament Lower, 0W0L see Excision, Head and Facial Bones, 0NB
use Shoulder Bursa and Ligament, Left Upper, 0W0K see Resection, Head and Facial Bones, 0NT
use Shoulder Bursa and Ligament, Right Breast Alveoloplasty
Acromion (process) Bilateral, 0H0V see Repair, Head and Facial Bones, 0NQ
use Scapula, Left Left, 0H0U see Replacement, Head and Facial Bones, 0NR
use Scapula, Right Right, 0H0T see Supplement, Head and Facial Bones, 0NU
Acromionectomy Buttock Alveolotomy
see Excision, Upper Joints, 0RB Left, 0Y01 see Division, Head and Facial Bones, 0N8
see Resection, Upper Joints, 0RT Right, 0Y00 see Drainage, Head and Facial Bones, 0N9
Acromioplasty Chest Wall, 0W08 Ambulatory cardiac monitoring, 4A12X45
see Repair, Upper Joints, 0RQ Ear Amniocentesis see Drainage, Products of Conception,
see Replacement, Upper Joints, 0RR Bilateral, 0902 1090
see Supplement, Upper Joints, 0RU Left, 0901 Amnioinfusion see Introduction of substance in or on,
Right, 0900 Products of Conception, 3E0E
Activa PC neurostimulator use Stimulator Generator, Elbow Region
Multiple Array in, 0JH Amnioscopy, 10J08ZZ
Left, 0X0C Amniotomy see Drainage, Products of Conception, 1090
Activa RC neurostimulator use Stimulator Generator, Right, 0X0B
Multiple Array Rechargeable in, 0JH AMPLATZER® Muscular VSD Occluder use Synthetic
Extremity
Activa SC neurostimulator use Stimulator Generator, Substitute
Lower
Single Array in, 0JH Left, 0Y0B Amputation see Detachment
Activities of Daily Living Assessment, F02 Right, 0Y09 AMS 800® Urinary Control System use Artificial
Activities of Daily Living Treatment, F08 Upper Sphincter in Urinary System
ACUITY™ Steerable Lead Left, 0X07 Anal orifice use Anus
use Cardiac Lead, Defibrillator in 02H Right, 0X06 Analog radiography see Plain Radiography
use Cardiac Lead, Pacemaker in 02H Eyelid Analog radiology see Plain Radiography
Acupuncture Lower Anastomosis see Bypass
Breast Left, 080R Anatomical snuffbox
Anesthesia, 8E0H300 Right, 080Q use Lower Arm and Wrist Muscle, Left
No Qualifier, 8E0H30Z use Lower Arm and Wrist Muscle, Right

2 Subterms under main terms may continue to next column or page 31

 Andexanet Alfa, Factor Xa Inhibitor Reversal Agent
Andexanet Alfa, Factor Xa Inhibitor Reversal Agent
Index
XW0
AneuRx® AAA Advantage® use Intraluminal Device
Angiectomy
see Excision, Heart and Great Vessels, 02B
see Excision, Lower Arteries, 04B
see Excision, Lower Veins, 06B
see Excision, Upper Arteries, 03B
see Excision, Upper Veins, 05B
Angiocardiography
Combined right and left heart see Fluoroscopy, Heart,
Right and Left, B216
Left Heart see Fluoroscopy, Heart, Left, B215
Right Heart see Fluoroscopy, Heart, Right, B214
SPY system intravascular fluorescence see Monitoring,
Physiological Systems, 4A1
Angiography
see Fluoroscopy, Heart, B21
see Plain Radiography, Heart, B20
Angioplasty
see Dilation, Heart and Great Vessels, 027
see Dilation, Lower Arteries, 047
see Dilation, Upper Arteries, 037
see Repair, Heart and Great Vessels, 02Q
see Repair, Lower Arteries, 04Q
see Repair, Upper Arteries, 03Q
see Replacement, Heart and Great Vessels, 02R
see Replacement, Lower Arteries, 04R
see Replacement, Upper Arteries, 03R
see Supplement, Heart and Great Vessels, 02U
see Supplement, Lower Arteries, 04U
see Supplement, Upper Arteries, 03U
Angiorrhaphy
see Repair, Heart and Great Vessels, 02Q
see Repair, Lower Arteries, 04Q
see Repair, Upper Arteries, 03Q
Angioscopy, 02JY4ZZ, 03JY4ZZ, 04JY4ZZ
Angiotensin II use Synthetic Human Angiotensin II
Angiotripsy
see Occlusion, Lower Arteries, 04L
see Occlusion, Upper Arteries, 03L
Angular artery use Face Artery
Angular vein
use Face Vein, Left
use Face Vein, Right
Annular ligament
Andexanet Alfa, Factor Xa Inhibitor Reversal Agent — Aryepiglottic fold
use Elbow Bursa and Ligament, Left
use Elbow Bursa and Ligament, Right
Annuloplasty
see Repair, Heart and Great Vessels, 02Q
see Supplement, Heart and Great Vessels, 02U
Annuloplasty ring use Synthetic Substitute
Anoplasty
see Repair, Anus, 0DQQ
see Supplement, Anus, 0DUQ
Anorectal junction use Rectum
Anoscopy, 0DJD8ZZ
Ansa cervicalis use Cervical Plexus
Antabuse therapy, HZ93ZZZ
Antebrachial fascia
use Subcutaneous Tissue and Fascia, Left Lower Arm
use Subcutaneous Tissue and Fascia, Right Lower Arm
Anterior cerebral artery use Intracranial Artery
Anterior cerebral vein use Intracranial Vein
Anterior choroidal artery use Intracranial Artery
Anterior circumflex humeral artery
use Axillary Artery, Left
use Axillary Artery, Right
Anterior communicating artery use Intracranial Artery
Anterior cruciate ligament (ACL)
use Knee Bursa and Ligament, Left
use Knee Bursa and Ligament, Right
Anterior crural nerve use Femoral Nerve
Anterior facial vein
use Face Vein, Left
use Face Vein, Right
Anterior intercostal artery
use Internal Mammary Artery, Left
use Internal Mammary Artery, Right
Anterior interosseous nerve use Median Nerve
Anterior lateral malleolar artery
use Anterior Tibial Artery, Left
use Anterior Tibial Artery, Right
Anterior lingual gland use Minor Salivary Gland
Anterior (pectoral) lymph node
use Lymphatic, Left Axillary
32
Anterior (pectoral) lymph node — continued
use Lymphatic, Right Axillary
Anterior medial malleolar artery
use Anterior Tibial Artery, Left
use Anterior Tibial Artery, Right
Anterior spinal artery
use Vertebral Artery, Left
use Vertebral Artery, Right
Anterior tibial recurrent artery
use Anterior Tibial Artery, Left
use Anterior Tibial Artery, Right
Anterior ulnar recurrent artery
use Ulnar Artery, Left
use Ulnar Artery, Right
Anterior vagal trunk use Vagus Nerve
Anterior vertebral muscle
use Neck Muscle, Left
use Neck Muscle, Right
Antigen-free air conditioning see Atmospheric Control,
Physiological Systems, 6A0
Antihelix
use External Ear, Bilateral
use External Ear, Left
use External Ear, Right
Antimicrobial envelope use Anti-Infective Envelope
Antitragus
use External Ear, Bilateral
use External Ear, Left
use External Ear, Right
Antrostomy see Drainage, Ear, Nose, Sinus, 099
Antrotomy see Drainage, Ear, Nose, Sinus, 099
Antrum of Highmore
use Maxillary Sinus, Left
use Maxillary Sinus, Right
Aortic annulus use Aortic Valve
Aortic arch use Thoracic Aorta, Ascending/Arch
Aortic intercostal artery use Upper Artery
Aortography
see Fluoroscopy, Lower Arteries, B41
see Fluoroscopy, Upper Arteries, B31
see Plain Radiography, Lower Arteries, B40
see Plain Radiography, Upper Arteries, B30
Aortoplasty
see Repair, Aorta, Abdominal, 04Q0
see Repair, Aorta, Thoracic, Ascending/Arch, 02QX
see Repair, Aorta, Thoracic, Descending, 02QW
see Replacement, Aorta, Abdominal, 04R0
see Replacement, Aorta, Thoracic, Ascending/Arch,
02RX
see Replacement, Aorta, Thoracic, Descending, 02RW
see Supplement, Aorta, Abdominal, 04U0
see Supplement, Aorta, Thoracic, Ascending/Arch,
02UX
see Supplement, Aorta, Thoracic, Descending, 02UW
Apical (subclavicular) lymph node
use Lymphatic, Left Axillary
use Lymphatic, Right Axillary
Apneustic center use Pons
Appendectomy
see Excision, Appendix, 0DBJ
see Resection, Appendix, 0DTJ
Appendicolysis see Release, Appendix, 0DNJ
Appendicotomy see Drainage, Appendix, 0D9J
Application see Introduction of substance in or on
Aquablation therapy, prostate, XV508A4
Aquapheresis, 6A550Z3
Aqueduct of Sylvius use Cerebral Ventricle
Aqueous humour
use Anterior Chamber, Left
use Anterior Chamber, Right
Arachnoid mater, intracranial use Cerebral Meninges
Arachnoid mater, spinal use Spinal Meninges
Arcuate artery
use Foot Artery, Left
use Foot Artery, Right
Areola
use Nipple, Left
use Nipple, Right
AROM (artificial rupture of membranes), 10907ZC
Arterial canal (duct) use Pulmonary Artery, Left
Arterial pulse tracing see Measurement, Arterial, 4A03
Arteriectomy
see Excision, Heart and Great Vessels, 02B
see Excision, Lower Arteries, 04B
see Excision, Upper Arteries, 03B
2 Subterms under main terms may continue to next column or page
ICD-10-PCS 2019
Arteriography
see Fluoroscopy, Heart, B21
see Fluoroscopy, Lower Arteries, B41
see Fluoroscopy, Upper Arteries, B31
see Plain Radiography, Heart, B20
see Plain Radiography, Lower Arteries, B40
see Plain Radiography, Upper Arteries, B30
Arterioplasty
see Repair, Heart and Great Vessels, 02Q
see Repair, Lower Arteries, 04Q
see Repair, Upper Arteries, 03Q
see Replacement, Heart and Great Vessels, 02R
see Replacement, Lower Arteries, 04R
see Replacement, Upper Arteries, 03R
see Supplement, Heart and Great Vessels, 02U
see Supplement, Lower Arteries, 04U
see Supplement, Upper Arteries, 03U
Arteriorrhaphy
see Repair, Heart and Great Vessels, 02Q
see Repair, Lower Arteries, 04Q
see Repair, Upper Arteries, 03Q
Arterioscopy
see Inspection, Artery, Lower, 04JY
see Inspection, Artery, Upper, 03JY
see Inspection, Great Vessel, 02JY
Arthrectomy
see Excision, Lower Joints, 0SB
see Excision, Upper Joints, 0RB
see Resection, Lower Joints, 0ST
see Resection, Upper Joints, 0RT
Arthrocentesis
see Drainage, Lower Joints, 0S9
see Drainage, Upper Joints, 0R9
Arthrodesis
see Fusion, Lower Joints, 0SG
see Fusion, Upper Joints, 0RG
Arthrography
see Plain Radiography, Non-Axial Lower Bones, BQ0
see Plain Radiography, Non-Axial Upper Bones, BP0
see Plain Radiography, Skull and Facial Bones, BN0
Arthrolysis
see Release, Lower Joints, 0SN
see Release, Upper Joints, 0RN
Arthropexy
see Repair, Lower Joints, 0SQ
see Repair, Upper Joints, 0RQ
see Reposition, Lower Joints, 0SS
see Reposition, Upper Joints, 0RS
Arthroplasty
see Repair, Lower Joints, 0SQ
see Repair, Upper Joints, 0RQ
see Replacement, Lower Joints, 0SR
see Replacement, Upper Joints, 0RR
see Supplement, Lower Joints, 0SU
see Supplement, Upper Joints, 0RU
Arthroplasty, radial head
see Replacement, Radius, Left, 0PRJ
see Replacement, Radius, Right, 0PRH
Arthroscopy
see Inspection, Lower Joints, 0SJ
see Inspection, Upper Joints, 0RJ
Arthrotomy
see Drainage, Lower Joints, 0S9
see Drainage, Upper Joints, 0R9
Articulating Spacer (Antibiotic) use Articulating Spacer
in Lower Joints
Artificial anal sphincter (AAS) use Artificial Sphincter in
Gastrointestinal System
Artificial bowel sphincter (neosphincter) use Artificial
Sphincter in Gastrointestinal System
Artificial Sphincter
Insertion of device in
Anus, 0DHQ
Bladder, 0THB
Bladder Neck, 0THC
Urethra, 0THD
Removal of device from
Anus, 0DPQ
Bladder, 0TPB
Urethra, 0TPD
Revision of device in
Anus, 0DWQ
Bladder, 0TWB
Urethra, 0TWD
Artificial urinary sphincter (AUS) use Artificial Sphincter
in Urinary System
Aryepiglottic fold use Larynx
ICD-10-PCS 2019 Beam Radiation
Arytenoid cartilage use Larynx Atherectomy Bandage, Elastic see Compression

Index
Arytenoid muscle see Extirpation, Heart and Great Vessels, 02C Banding
use Neck Muscle, Left see Extirpation, Lower Arteries, 04C see Occlusion
use Neck Muscle, Right see Extirpation, Upper Arteries, 03C see Restriction
Arytenoidectomy see Excision, Larynx, 0CBS Atlantoaxial joint use Cervical Vertebral Joint Banding, esophageal varices see Occlusion, Vein,
Arytenoidopexy see Repair, Larynx, 0CQS Atmospheric Control, 6A0Z Esophageal, 06L3
Ascenda Intrathecal Catheter use Infusion Device Banding, laparoscopic (adjustable) gastric
AtriClip LAA Exclusion System use Extraluminal Device
Ascending aorta use Thoracic Aorta, Ascending/Arch Atrioseptoplasty Initial procedure, 0DV64CZ
Ascending palatine artery use Face Artery see Repair, Heart and Great Vessels, 02Q Surgical correction see Revision of device in, Stomach,
Ascending pharyngeal artery see Replacement, Heart and Great Vessels, 02R 0DW6
use External Carotid Artery, Left see Supplement, Heart and Great Vessels, 02U Bard® Composix® Kugel® patch use Synthetic Substitute
use External Carotid Artery, Right Atrioventricular node use Conduction Mechanism Bard® Composix® (E/X) (LP) mesh use Synthetic Substi-
Aspiration, fine needle Atrium dextrum cordis use Atrium, Right tute
Fluid or gas see Drainage Atrium pulmonale use Atrium, Left Bard® Dulex™ mesh use Synthetic Substitute
Tissue biopsy Attain Ability® lead, 02H Bard® Ventralex™ Hernia Patch use Synthetic Substitute
see Excision use Cardiac Lead, Defibrillator in, 02H Barium swallow see Fluoroscopy, Gastrointestinal System,
see Extraction use Cardiac Lead, Pacemaker in, 02H BD1
Assessment Attain Starfix® (OTW) lead Baroreflex Activation Therapy® (BAT®)
Activities of daily living see Activities of Daily Living use Cardiac Lead, Defibrillator in, 02H use Stimulator Generator in Subcutaneous Tissue and
Assessment, Rehabilitation, F02 use Cardiac Lead, Pacemaker in, 02H Fascia
Hearing see Hearing Assessment, Diagnostic Audiol- Audiology, diagnostic use Stimulator Lead in Upper Arteries
ogy, F13 Bartholin's (greater vestibular) gland use Vestibular
see Hearing Aid Assessment, Diagnostic Audiology,
Hearing aid see Hearing Aid Assessment, Diagnostic F14 Gland
Audiology, F14 Basal (internal) cerebral vein use Intracranial Vein
see Hearing Assessment, Diagnostic Audiology, F13
Intravascular perfusion, using indocyanine green (ICG) Basal metabolic rate (BMR) see Measurement, Physio-
see Vestibular Assessment, Diagnostic Audiology, F15
dye see Monitoring, Physiological Systems, 4A1 Audiometry see Hearing Assessment, Diagnostic Audiol- logical Systems, 4A0Z
Motor function see Motor Function Assessment, Re- ogy, F13 Basal nuclei use Basal Ganglia
habilitation, F01 Auditory tube Base of Tongue use Pharynx
Nerve function see Motor Function Assessment, Re- use Eustachian Tube, Left Basilar artery use Intracranial Artery
habilitation, F01 use Eustachian Tube, Right Basis pontis use Pons
Speech see Speech Assessment, Rehabilitation, F00 Auerbach's (myenteric) plexus use Abdominal Sympa- Beam Radiation
Vestibular see Vestibular Assessment, Diagnostic thetic Nerve Abdomen, DW03
Audiology, F15 Auricle Intraoperative, DW033Z0
Vocational see Activities of Daily Living Treatment, use External Ear, Bilateral Adrenal Gland, DG02
Rehabilitation, F08 use External Ear, Left Intraoperative, DG023Z0
Assistance use External Ear, Right Bile Ducts, DF02
Cardiac Auricularis muscle use Head Muscle Intraoperative, DF023Z0
Continuous Autograft use Autologous Tissue Substitute Bladder, DT02
Balloon Pump, 5A02210 Autologous artery graft Intraoperative, DT023Z0
Impeller Pump, 5A0221D use Autologous Arterial Tissue in Heart and Great Bone
Other Pump, 5A02216 Vessels Intraoperative, DP0C3Z0
Pulsatile Compression, 5A02215 use Autologous Arterial Tissue in Lower Arteries Other, DP0C
Intermittent Bone Marrow, D700
use Autologous Arterial Tissue in Lower Veins
Balloon Pump, 5A02110 Intraoperative, D7003Z0
use Autologous Arterial Tissue in Upper Arteries Brain, D000
Impeller Pump, 5A0211D use Autologous Arterial Tissue in Upper Veins
Other Pump, 5A02116 Intraoperative, D0003Z0
Autologous vein graft Brain Stem, D001
Pulsatile Compression, 5A02115
use Autologous Venous Tissue in Heart and Great Intraoperative, D0013Z0
Circulatory
Vessels Breast
Continuous
Hyperbaric, 5A05221 use Autologous Venous Tissue in Lower Arteries Left, DM00
Supersaturated, 5A0522C use Autologous Venous Tissue in Lower Veins Intraoperative, DM003Z0
Intermittent use Autologous Venous Tissue in Upper Arteries Right, DM01
Hyperbaric, 5A05121 use Autologous Venous Tissue in Upper Veins Intraoperative, DM013Z0
Supersaturated, 5A0512C Autotransfusion see Transfusion Bronchus, DB01
Respiratory Autotransplant Intraoperative, DB013Z0
24-96 Consecutive Hours Adrenal tissue see Reposition, Endocrine System, 0GS
Cervix, DU01
Continuous Negative Airway Pressure, Kidney see Reposition, Urinary System, 0TS Intraoperative, DU013Z0
5A09459 Pancreatic tissue see Reposition, Pancreas, 0FSG Chest, DW02
Continuous Positive Airway Pressure, Parathyroid tissue see Reposition, Endocrine System, Intraoperative, DW023Z0
5A09457 0GS Chest Wall, DB07
Intermittent Negative Airway Pressure, Thyroid tissue see Reposition, Endocrine System, 0GS Intraoperative, DB073Z0
5A0945B Tooth see Reattachment, Mouth and Throat, 0CM Colon, DD05
Intermittent Positive Airway Pressure, Avulsion see Extraction Intraoperative, DD053Z0
5A09458 Axial Lumbar Interbody Fusion System use Interbody Diaphragm, DB08
No Qualifier, 5A0945Z Fusion Device in Lower Joints Intraoperative, DB083Z0
Continuous, Filtration, 5A0920Z AxiaLIF® System use Interbody Fusion Device in Lower Duodenum, DD02
Greater than 96 Consecutive Hours
Continuous Negative Airway Pressure,
Joints
Axicabtagene Ciloeucel use Engineered Autologous
Intraoperative, DD023Z0
Ear, D900 Arytenoid cartilage — Beam Radiation
5A09559 Chimeric Antigen Receptor T-cell Immunotherapy Intraoperative, D9003Z0
Continuous Positive Airway Pressure, Axillary fascia Esophagus, DD00
5A09557 use Subcutaneous Tissue and Fascia, Left Upper Arm Intraoperative, DD003Z0
Intermittent Negative Airway Pressure, Eye, D800
use Subcutaneous Tissue and Fascia, Right Upper Arm
5A0955B Axillary nerve use Brachial Plexus Intraoperative, D8003Z0
Intermittent Positive Airway Pressure, Femur, DP09
5A09558 Intraoperative, DP093Z0
No Qualifier, 5A0955Z
Less than 24 Consecutive Hours
B Fibula, DP0B
Intraoperative, DP0B3Z0
Continuous Negative Airway Pressure, BAK/C® Interbody Cervical Fusion System use Inter- Gallbladder, DF01
5A09359 body Fusion Device in Upper Joints Intraoperative, DF013Z0
Continuous Positive Airway Pressure, BAL (bronchial alveolar lavage), diagnostic see Gland
5A09357 Drainage, Respiratory System, 0B9 Adrenal, DG02
Intermittent Negative Airway Pressure, Balanoplasty Intraoperative, DG023Z0
5A0935B see Repair, Penis, 0VQS Parathyroid, DG04
Intermittent Positive Airway Pressure, see Supplement, Penis, 0VUS Intraoperative, DG043Z0
5A09358 Balloon atrial septostomy (BAS), 02163Z7 Pituitary, DG00
No Qualifier, 5A0935Z Balloon Pump Intraoperative, DG003Z0
Assurant (Cobalt) stent use Intraluminal Device Continuous, Output, 5A02210 Thyroid, DG05
Intermittent, Output, 5A02110 Intraoperative, DG053Z0

2 Subterms under main terms may continue to next column or page 33

 Beam Radiation
Beam Radiation — continued
Index
Glands
Intraoperative, D9063Z0
Salivary, D906
Head and Neck, DW01
Intraoperative, DW013Z0
Hemibody, DW04
Intraoperative, DW043Z0
Humerus, DP06
Intraoperative, DP063Z0
Hypopharynx, D903
Intraoperative, D9033Z0
Ileum, DD04
Intraoperative, DD043Z0
Jejunum, DD03
Intraoperative, DD033Z0
Kidney, DT00
Intraoperative, DT003Z0
Larynx, D90B
Intraoperative, D90B3Z0
Liver, DF00
Intraoperative, DF003Z0
Lung, DB02
Intraoperative, DB023Z0
Lymphatics
Abdomen, D706
Intraoperative, D7063Z0
Axillary, D704
Intraoperative, D7043Z0
Inguinal, D708
Intraoperative, D7083Z0
Neck, D703
Intraoperative, D7033Z0
Pelvis, D707
Intraoperative, D7073Z0
Thorax, D705
Intraoperative, D7053Z0
Mandible, DP03
Intraoperative, DP033Z0
Maxilla, DP02
Intraoperative, DP023Z0
Mediastinum, DB06
Intraoperative, DB063Z0
Mouth, D904
Intraoperative, D9043Z0
Nasopharynx, D90D
Intraoperative, D90D3Z0
Neck and Head, DW01
Intraoperative, DW013Z0
Nerve
Intraoperative, D0073Z0
Peripheral, D007
Nose, D901
Intraoperative, D9013Z0
Oropharynx, D90F
Intraoperative, D90F3Z0
Ovary, DU00
Intraoperative, DU003Z0
Palate
Hard, D908
Intraoperative, D9083Z0
Soft, D909
Intraoperative, D9093Z0
Pancreas, DF03
Intraoperative, DF033Z0
Parathyroid Gland, DG04
Intraoperative, DG043Z0
Pelvic Bones, DP08
Intraoperative, DP083Z0
Beam Radiation — Brachytherapy
Pelvic Region, DW06
Intraoperative, DW063Z0
Pineal Body, DG01
Intraoperative, DG013Z0
Pituitary Gland, DG00
Intraoperative, DG003Z0
Pleura, DB05
Intraoperative, DB053Z0
Prostate, DV00
Intraoperative, DV003Z0
Radius, DP07
Intraoperative, DP073Z0
Rectum, DD07
Intraoperative, DD073Z0
Rib, DP05
Intraoperative, DP053Z0
Sinuses, D907
Intraoperative, D9073Z0
Skin
Abdomen, DH08
34
ICD-10-PCS 2019
Beam Radiation — continued Block, Nerve, anesthetic injection
Skin — continued Blood glucose monitoring system use Monitoring De-
Abdomen — continued vice
Intraoperative, DH083Z0 Blood pressure see Measurement, Arterial, 4A03
Arm, DH04 BMR (basal metabolic rate) see Measurement, Physio-
Intraoperative, DH043Z0 logical Systems, 4A0Z
Back, DH07 Body of femur
Intraoperative, DH073Z0 use Femoral Shaft, Left
Buttock, DH09 use Femoral Shaft, Right
Intraoperative, DH093Z0 Body of fibula
Chest, DH06 use Fibula, Left
Intraoperative, DH063Z0 use Fibula, Right
Face, DH02 Bone anchored hearing device
Intraoperative, DH023Z0 use Hearing Device, Bone Conduction in, 09H
Leg, DH0B use Hearing Device in Head and Facial Bones
Intraoperative, DH0B3Z0 Bone bank bone graft use Nonautologous Tissue Substi-
Neck, DH03 tute
Intraoperative, DH033Z0 Bone Growth Stimulator
Skull, DP00 Insertion of device in
Intraoperative, DP003Z0 Bone
Spinal Cord, D006 Facial, 0NHW
Intraoperative, D0063Z0 Lower, 0QHY
Spleen, D702 Nasal, 0NHB
Intraoperative, D7023Z0 Upper, 0PHY
Sternum, DP04 Skull, 0NH0
Intraoperative, DP043Z0 Removal of device from
Stomach, DD01 Bone
Intraoperative, DD013Z0 Facial, 0NPW
Testis, DV01 Lower, 0QPY
Intraoperative, DV013Z0 Nasal, 0NPB
Thymus, D701 Upper, 0PPY
Intraoperative, D7013Z0 Skull, 0NP0
Thyroid Gland, DG05 Revision of device in
Intraoperative, DG053Z0 Bone
Tibia, DP0B Facial, 0NWW
Intraoperative, DP0B3Z0 Lower, 0QWY
Tongue, D905 Nasal, 0NWB
Intraoperative, D9053Z0 Upper, 0PWY
Trachea, DB00 Skull, 0NW0
Intraoperative, DB003Z0 Bone marrow transplant see Transfusion, Circulatory,
Ulna, DP07 302
Intraoperative, DP073Z0
Bone morphogenetic protein 2 (BMP 2) use Recombi-
Ureter, DT01
nant Bone Morphogenetic Protein
Intraoperative, DT013Z0
Urethra, DT03 Bone screw (interlocking) (lag) (pedicle) (recessed)
Intraoperative, DT033Z0 use Internal Fixation Device in Head and Facial Bones
Uterus, DU02 use Internal Fixation Device in Lower Bones
Intraoperative, DU023Z0 use Internal Fixation Device in Upper Bones
Whole Body, DW05 Bony labyrinth
Intraoperative, DW053Z0 use Inner Ear, Left
Bedside swallow, F00ZJWZ use Inner Ear, Right
Berlin Heart Ventricular Assist Device use Implantable Bony orbit
Heart Assist System in Heart and Great Vessels use Orbit, Left
Bezlotoxumab Monoclonal Antibody, XW0 use Orbit, Right
Biceps brachii muscle Bony vestibule
use Upper Arm Muscle, Left use Inner Ear, Left
use Upper Arm Muscle, Right use Inner Ear, Right
Biceps femoris muscle Botallo's duct use Pulmonary Artery, Left
use Upper Leg Muscle, Left Bovine pericardial valve use Zooplastic Tissue in Heart
use Upper Leg Muscle, Right and Great Vessels
Bicipital aponeurosis Bovine pericardium graft use Zooplastic Tissue in Heart
use Subcutaneous Tissue and Fascia, Left Lower Arm and Great Vessels
use Subcutaneous Tissue and Fascia, Right Lower Arm BP (blood pressure) see Measurement, Arterial, 4A03
Bicuspid valve use Mitral Valve Brachial (lateral) lymph node
Bili light therapy see Phototherapy, Skin, 6A60 use Lymphatic, Left Axillary
Bioactive embolization coil(s) use Intraluminal Device, use Lymphatic, Right Axillary
Bioactive in Upper Arteries Brachialis muscle
use Upper Arm Muscle, Left
Biofeedback, GZC9ZZZ
use Upper Arm Muscle, Right
Biopsy
Brachiocephalic artery use Innominate Artery
see Drainage with qualifier Diagnostic
see Excision with qualifier Diagnostic Brachiocephalic trunk use Innominate Artery
Brachiocephalic vein
see Extraction with qualifier Diagnostic
BiPAP see Assistance, Respiratory, 5A09 use Innominate Vein, Left
use Innominate Vein, Right
Bisection see Division
Biventricular external heart assist system use Short- Brachioradialis muscle
use Lower Arm and Wrist Muscle, Left
term External Heart Assist System in Heart and Great
Vessels use Lower Arm and Wrist Muscle, Right
Blepharectomy Brachytherapy
see Excision, Eye, 08B Abdomen, DW13
see Resection, Eye, 08T Adrenal Gland, DG12
Blepharoplasty Bile Ducts, DF12
see Repair, Eye, 08Q Bladder, DT12
see Replacement, Eye, 08R Bone Marrow, D710
see Reposition, Eye, 08S Brain, D010
see Supplement, Eye, 08U Brain Stem, D011
Breast
Blepharorrhaphy see Repair, Eye, 08Q
Left, DM10
Blepharotomy see Drainage, Eye, 089 Right, DM11
Blinatumomab Antineoplastic Immunotherapy, XW0
2 Subterms under main terms may continue to next column or page
ICD-10-PCS 2019 Bypass
Brachytherapy — continued Bursectomy Bypass — continued

Index
Bronchus, DB11 see Excision, Bursae and Ligaments, 0MB Artery — continued
Cervix, DU11 see Resection, Bursae and Ligaments, 0MT Ulnar — continued
Chest, DW12 Bursocentesis see Drainage, Bursae and Ligaments, 0M9 Right, 03190
Chest Wall, DB17 Bursography Atrium
Colon, DD15 see Plain Radiography, Non-Axial Lower Bones, BQ0 Left, 0217
Diaphragm, DB18 see Plain Radiography, Non-Axial Upper Bones, BP0 Right, 0216
Duodenum, DD12 Bursotomy Bladder, 0T1B
Ear, D910 see Division, Bursae and Ligaments, 0M8 Cavity, Cranial, 0W110J
Esophagus, DD10 see Drainage, Bursae and Ligaments, 0M9 Cecum, 0D1H
Eye, D810 BVS 5000 Ventricular Assist Device use Short-term Ex- Cerebral Ventricle, 0016
Gallbladder, DF11 ternal Heart Assist System in Heart and Great Vessels Colon
Gland Bypass Ascending, 0D1K
Adrenal, DG12 Anterior Chamber Descending, 0D1M
Parathyroid, DG14 Left, 08133 Sigmoid, 0D1N
Pituitary, DG10 Right, 08123 Transverse, 0D1L
Thyroid, DG15 Aorta Duct
Glands, Salivary, D916 Abdominal, 0410 Common Bile, 0F19
Head and Neck, DW11 Thoracic Cystic, 0F18
Hypopharynx, D913 Ascending/Arch, 021X Hepatic
Ileum, DD14 Descending, 021W Common, 0F17
Jejunum, DD13 Artery Left, 0F16
Kidney, DT10 Anterior Tibial Right, 0F15
Larynx, D91B Left, 041Q Lacrimal
Liver, DF10 Right, 041P Left, 081Y
Lung, DB12 Axillary Right, 081X
Lymphatics Left, 03160 Pancreatic, 0F1D
Abdomen, D716 Right, 03150 Accessory, 0F1F
Axillary, D714 Brachial Duodenum, 0D19
Inguinal, D718 Left, 03180 Ear
Neck, D713 Right, 03170 Left, 091E0
Pelvis, D717 Common Carotid Right, 091D0
Thorax, D715 Left, 031J0 Esophagus, 0D15
Mediastinum, DB16 Right, 031H0 Lower, 0D13
Mouth, D914 Common Iliac Middle, 0D12
Nasopharynx, D91D Left, 041D Upper, 0D11
Neck and Head, DW11 Right, 041C Fallopian Tube
Nerve, Peripheral, D017 Coronary Left, 0U16
Nose, D911 Four or More Arteries, 0213 Right, 0U15
Oropharynx, D91F One Artery, 0210 Gallbladder, 0F14
Ovary, DU10 Three Arteries, 0212 Ileum, 0D1B
Palate Two Arteries, 0211 Jejunum, 0D1A
Hard, D918 External Carotid Kidney Pelvis
Soft, D919 Left, 031N0 Left, 0T14
Pancreas, DF13 Right, 031M0 Right, 0T13
Parathyroid Gland, DG14 External Iliac Pancreas, 0F1G
Pelvic Region, DW16 Left, 041J Pelvic Cavity, 0W1J
Pineal Body, DG11 Right, 041H Peritoneal Cavity, 0W1G
Pituitary Gland, DG10 Femoral Pleural Cavity
Pleura, DB15 Left, 041L Left, 0W1B
Prostate, DV10 Right, 041K Right, 0W19
Rectum, DD17 Foot Spinal Canal, 001U
Sinuses, D917 Left, 041W Stomach, 0D16
Spinal Cord, D016 Right, 041V Trachea, 0B11
Spleen, D712 Hepatic, 0413 Ureter
Stomach, DD11 Innominate, 03120 Left, 0T17
Testis, DV11 Internal Carotid Right, 0T16
Thymus, D711 Left, 031L0 Ureters, Bilateral, 0T18
Thyroid Gland, DG15 Right, 031K0 Vas Deferens
Tongue, D915 Internal Iliac Bilateral, 0V1Q
Trachea, DB10 Left, 041F Left, 0V1P
Ureter, DT11 Right, 041E Right, 0V1N
Urethra, DT13 Intracranial, 031G0 Vein
Uterus, DU12 Peroneal Axillary
Brachytherapy seeds use Radioactive Element Left, 041U Left, 0518
Broad ligament use Uterine Supporting Structure Right, 041T Right, 0517
Bronchial artery use Upper Artery Popliteal Azygos, 0510
Bronchography Left, 041N Basilic
see Fluoroscopy, Respiratory System, BB1 Right, 041M Left, 051C
see Plain Radiography, Respiratory System, BB0 Posterior Tibial Right, 051B
Bronchoplasty Left, 041S Brachial
see Repair, Respiratory System, 0BQ Right, 041R Left, 051A
see Supplement, Respiratory System, 0BU Pulmonary Right, 0519
Bronchorrhaphy see Repair, Respiratory System, 0BQ Left, 021R Cephalic
Left, 051F
Brachytherapy — Bypass

Bronchoscopy, 0BJ08ZZ Right, 021Q

Bronchotomy see Drainage, Respiratory System, 0B9 Pulmonary Trunk, 021P Right, 051D
Bronchus Intermedius use Main Bronchus, Right Radial Colic, 0617
BRYAN® Cervical Disc System use Synthetic Substitute Left, 031C0 Common Iliac
Buccal gland use Buccal Mucosa Right, 031B0 Left, 061D
Splenic, 0414 Right, 061C
Buccinator lymph node use Lymphatic, Head
Subclavian Esophageal, 0613
Buccinator muscle use Facial Muscle External Iliac
Buckling, scleral with implant see Supplement, Eye, Left, 03140
Right, 03130 Left, 061G
08U Right, 061F
Bulbospongiosus muscle use Perineum Muscle Temporal
Left, 031T0 External Jugular
Bulbourethral (Cowper's) gland use Urethra Left, 051Q
Bundle of His use Conduction Mechanism Right, 031S0
Ulnar Right, 051P
Bundle of Kent use Conduction Mechanism Face
Bunionectomy see Excision, Lower Bones, 0QB Left, 031A0
Left, 051V

2 Subterms under main terms may continue to next column or page 35

 Bypass ICD-10-PCS 2019
Bypass — continued Cardiac Lead Catheterization
Index
Vein — continued Defibrillator see Dilation
Face — continued Atrium see Drainage
Right, 051T Left, 02H7 see Insertion of device in
Femoral Right, 02H6 see Irrigation
Left, 061N Pericardium, 02HN Heart see Measurement, Cardiac, 4A02
Right, 061M Vein, Coronary, 02H4 Umbilical vein, for infusion, 06H033T
Foot Ventricle Cauda equina use Lumbar Spinal Cord
Left, 061V Left, 02HL Cauterization
Right, 061T Right, 02HK see Destruction
Gastric, 0612 Insertion of device in see Repair
Hand Atrium Cavernous plexus use Head and Neck Sympathetic Nerve
Left, 051H Left, 02H7 CBMA (Concentrated Bone Marrow Aspirate) use
Right, 051G Right, 02H6 Concentrated Bone Marrow Aspirate
Hemiazygos, 0511 Pericardium, 02HN CBMA (Concentrated Bone Marrow Aspirate) injec-
Hepatic, 0614 Vein, Coronary, 02H4 tion, intramuscular, XK02303
Hypogastric Ventricle Cecectomy
Left, 061J Left, 02HL see Excision, Cecum, 0DBH
Right, 061H Right, 02HK
see Resection, Cecum, 0DTH
Inferior Mesenteric, 0616 Pacemaker
Innominate Atrium Cecocolostomy
Left, 0514 Left, 02H7 see Bypass, Gastrointestinal System, 0D1
Right, 0513 Right, 02H6 see Drainage, Gastrointestinal System, 0D9
Internal Jugular Pericardium, 02HN Cecopexy
Left, 051N Vein, Coronary, 02H4 see Repair, Cecum, 0DQH
Right, 051M Ventricle see Reposition, Cecum, 0DSH
Intracranial, 051L Left, 02HL Cecoplication see Restriction, Cecum, 0DVH
Portal, 0618 Right, 02HK Cecorrhaphy see Repair, Cecum, 0DQH
Renal Removal of device from, Heart, 02PA Cecostomy
Left, 061B Revision of device in, Heart, 02WA see Bypass, Cecum, 0D1H
Right, 0619 Cardiac plexus use Thoracic Sympathetic Nerve see Drainage, Cecum, 0D9H
Saphenous Cardiac Resynchronization Defibrillator Pulse Gener- Cecotomy see Drainage, Cecum, 0D9H
Left, 061Q ator Ceftazidime-Avibactam Anti-infective, XW0
Right, 061P Abdomen, 0JH8 Celiac ganglion use Abdominal Sympathetic Nerve
Splenic, 0611 Chest, 0JH6 Celiac lymph node use Lymphatic, Aortic
Subclavian Cardiac Resynchronization Pacemaker Pulse Gener- Celiac (solar) plexus use Abdominal Sympathetic Nerve
Left, 0516 ator Celiac trunk use Celiac Artery
Right, 0515 Abdomen, 0JH8 Central axillary lymph node
Superior Mesenteric, 0615 Chest, 0JH6 use Lymphatic, Left Axillary
Vertebral Cardiac resynchronization therapy (CRT) lead use Lymphatic, Right Axillary
Left, 051S use Cardiac Lead, Defibrillator in, 02H Central venous pressure see Measurement, Venous,
Right, 051R use Cardiac Lead, Pacemaker in, 02H 4A04
Vena Cava Cardiac Rhythm Related Device Centrimag® Blood Pump use Short-term External Heart
Inferior, 0610 Insertion of device in Assist System in Heart and Great Vessels
Superior, 021V Abdomen, 0JH8 Cephalogram, BN00ZZZ
Ventricle Chest, 0JH6 Ceramic on ceramic bearing surface use Synthetic
Left, 021L Removal of device from, Subcutaneous Tissue and Substitute, Ceramic in, 0SR
Right, 021K Fascia, Trunk, 0JPT Cerclage see Restriction
Bypass, cardiopulmonary, 5A1221Z Revision of device in, Subcutaneous Tissue and Fascia, Cerebral aqueduct (Sylvius) use Cerebral Ventricle
Trunk, 0JWT Cerebral Embolic Filtration, Dual Filter, X2A5312
C Cardiocentesis see Drainage, Pericardial Cavity, 0W9D
Cardioesophageal junction use Esophagogastric Junc-
Cerebrum use Brain
Cervical esophagus use Esophagus, Upper
tion Cervical facet joint
Caesarean section see Extraction, Products of Conception, Cardiolysis see Release, Heart and Great Vessels, 02N
10D0 use Cervical Vertebral Joint
CardioMEMS® pressure sensor use Monitoring Device, use Cervical Vertebral Joint, 2 or more
Calcaneocuboid joint Pressure Sensor in, 02H
use Tarsal Joint, Left Cervical ganglion use Head and Neck Sympathetic Nerve
Cardiomyotomy see Division, Esophagogastric Junction, Cervical interspinous ligament use Head and Neck
use Tarsal Joint, Right 0D84
Calcaneocuboid ligament Bursa and Ligament
Cardioplegia see Introduction of substance in or on, Heart, Cervical intertransverse ligament use Head and Neck
use Foot Bursa and Ligament, Left 3E08
use Foot Bursa and Ligament, Right Bursa and Ligament
Cardiorrhaphy see Repair, Heart and Great Vessels, 02Q Cervical ligamentum flavum use Head and Neck Bursa
Calcaneofibular ligament Cardioversion, 5A2204Z and Ligament
use Ankle Bursa and Ligament, Left Caregiver Training, F0FZ Cervical lymph node
use Ankle Bursa and Ligament, Right Caroticotympanic artery use Lymphatic, Left Neck
Calcaneus use Internal Carotid Artery, Left use Lymphatic, Right Neck
use Tarsal, Left use Internal Carotid Artery, Right Cervicectomy
use Tarsal, Right Carotid glomus see Excision, Cervix, 0UBC
Cannulation use Carotid Bodies, Bilateral see Resection, Cervix, 0UTC
see Bypass use Carotid Body, Left Cervicothoracic facet joint use Cervicothoracic Vertebral
see Dilation use Carotid Body, Right Joint
see Drainage Carotid sinus Cesarean section see Extraction, Products of Conception,
see Irrigation use Internal Carotid Artery, Left 10D0
Canthorrhaphy see Repair, Eye, 08Q use Internal Carotid Artery, Right Cesium-131 Collagen Implant use Radioactive Element,
Bypass — Change device in

Canthotomy see Release, Eye, 08N Carotid (artery) sinus (baroreceptor) lead use Stimula- Cesium-131 Collagen Implant in 00H
Capitate bone tor Lead in Upper Arteries Change device in
use Carpal, Left Carotid sinus nerve use Glossopharyngeal Nerve Abdominal Wall, 0W2FX
use Carpal, Right Carotid WALLSTENT® Monorail® Endoprosthesis use Back
Capsulectomy, lens see Excision, Eye, 08B Intraluminal Device Lower, 0W2LX
Capsulorrhaphy, joint Carpectomy Upper, 0W2KX
see Repair, Lower Joints, 0SQ see Excision, Upper Bones, 0PB Bladder, 0T2BX
see Repair, Upper Joints, 0RQ see Resection, Upper Bones, 0PT Bone
Cardia use Esophagogastric Junction Carpometacarpal ligament Facial, 0N2WX
Cardiac contractility modulation lead use Cardiac Lead use Hand Bursa and Ligament, Left Lower, 0Q2YX
in Heart and Great Vessels use Hand Bursa and Ligament, Right Nasal, 0N2BX
Cardiac event recorder use Monitoring Device Casting see Immobilization Upper, 0P2YX
CAT scan see Computerized Tomography (CT Scan) Bone Marrow, 072TX
Brain, 0020X

36 2 Subterms under main terms may continue to next column or page

ICD-10-PCS 2019 Closure
Change device in — continued Change device in — continued Chiropractic Manipulation — continued

Index
Breast Spinal Canal, 002UX Lumbar, 9WB3X
Left, 0H2UX Spleen, 072PX Pelvis, 9WB5X
Right, 0H2TX Subcutaneous Tissue and Fascia Rib Cage, 9WB8X
Bursa and Ligament Head and Neck, 0J2SX Sacrum, 9WB4X
Lower, 0M2YX Lower Extremity, 0J2WX Thoracic, 9WB2X
Upper, 0M2XX Trunk, 0J2TX Choana use Nasopharynx
Cavity, Cranial, 0W21X Upper Extremity, 0J2VX Cholangiogram
Chest Wall, 0W28X Tendon see Fluoroscopy, Hepatobiliary System and Pancreas,
Cisterna Chyli, 072LX Lower, 0L2YX BF1
Diaphragm, 0B2TX Upper, 0L2XX see Plain Radiography, Hepatobiliary System and
Duct Testis, 0V2DX Pancreas, BF0
Hepatobiliary, 0F2BX Thymus, 072MX Cholecystectomy
Pancreatic, 0F2DX Thyroid Gland, 0G2KX see Excision, Gallbladder, 0FB4
Ear Trachea, 0B21 see Resection, Gallbladder, 0FT4
Left, 092JX Tracheobronchial Tree, 0B20X Cholecystojejunostomy
Right, 092HX Ureter, 0T29X see Bypass, Hepatobiliary System and Pancreas, 0F1
Epididymis and Spermatic Cord, 0V2MX Urethra, 0T2DX see Drainage, Hepatobiliary System and Pancreas,
Extremity Uterus and Cervix, 0U2DXHZ 0F9
Lower Vagina and Cul-de-sac, 0U2HXGZ Cholecystopexy
Left, 0Y2BX Vas Deferens, 0V2RX see Repair, Gallbladder, 0FQ4
Right, 0Y29X Vulva, 0U2MX see Reposition, Gallbladder, 0FS4
Upper Change device in or on Cholecystoscopy, 0FJ44ZZ
Left, 0X27X Abdominal Wall, 2W03X Cholecystostomy
Right, 0X26X Anorectal, 2Y03X5Z see Bypass, Gallbladder, 0F14
Eye Arm
Left, 0821X see Drainage, Gallbladder, 0F94
Lower
Right, 0820X Left, 2W0DX Cholecystotomy see Drainage, Gallbladder, 0F94
Face, 0W22X Right, 2W0CX Choledochectomy
Fallopian Tube, 0U28X Upper see Excision, Hepatobiliary System and Pancreas, 0FB
Gallbladder, 0F24X Left, 2W0BX see Resection, Hepatobiliary System and Pancreas,
Gland Right, 2W0AX 0FT
Adrenal, 0G25X Back, 2W05X Choledocholithotomy see Extirpation, Duct, Common
Endocrine, 0G2SX Chest Wall, 2W04X Bile, 0FC9
Pituitary, 0G20X Ear, 2Y02X5Z Choledochoplasty
Salivary, 0C2AX Extremity see Repair, Hepatobiliary System and Pancreas, 0FQ
Head, 0W20X Lower see Replacement, Hepatobiliary System and Pancreas,
Intestinal Tract Left, 2W0MX 0FR
Lower, 0D2DXUZ Right, 2W0LX see Supplement, Hepatobiliary System and Pancreas,
Upper, 0D20XUZ Upper 0FU
Jaw Left, 2W09X Choledochoscopy, 0FJB8ZZ
Lower, 0W25X Right, 2W08X Choledochotomy see Drainage, Hepatobiliary System
Upper, 0W24X Face, 2W01X and Pancreas, 0F9
Joint Finger Cholelithotomy see Extirpation, Hepatobiliary System
Lower, 0S2YX Left, 2W0KX and Pancreas, 0FC
Upper, 0R2YX Right, 2W0JX Chondrectomy
Kidney, 0T25X Foot see Excision, Lower Joints, 0SB
Larynx, 0C2SX Left, 2W0TX see Excision, Upper Joints, 0RB
Liver, 0F20X Right, 2W0SX Knee see Excision, Lower Joints, 0SB
Lung Genital Tract, Female, 2Y04X5Z Semilunar cartilage see Excision, Lower Joints, 0SB
Left, 0B2LX Hand Chondroglossus muscle use Tongue, Palate, Pharynx
Right, 0B2KX Left, 2W0FX Muscle
Lymphatic, 072NX Right, 2W0EX Chorda tympani use Facial Nerve
Thoracic Duct, 072KX Head, 2W00X Chordotomy see Division, Central Nervous System and
Mediastinum, 0W2CX Inguinal Region Cranial Nerves, 008
Mesentery, 0D2VX Left, 2W07X Choroid plexus use Cerebral Ventricle
Mouth and Throat, 0C2YX Right, 2W06X Choroidectomy
Muscle Leg see Excision, Eye, 08B
Lower, 0K2YX Lower see Resection, Eye, 08T
Upper, 0K2XX Left, 2W0RX Ciliary body
Nasal Mucosa and Soft Tissue, 092KX Right, 2W0QX use Eye, Left
Neck, 0W26X Upper use Eye, Right
Nerve Left, 2W0PX Ciliary ganglion use Head and Neck Sympathetic Nerve
Cranial, 002EX Right, 2W0NX Circle of Willis use Intracranial Artery
Peripheral, 012YX Mouth and Pharynx, 2Y00X5Z Circumcision, 0VTTXZZ
Omentum, 0D2UX Nasal, 2Y01X5Z Circumflex iliac artery
Ovary, 0U23X Neck, 2W02X
Pancreas, 0F2GX use Femoral Artery, Left
Thumb
Parathyroid Gland, 0G2RX Left, 2W0HX use Femoral Artery, Right
Pelvic Cavity, 0W2JX Right, 2W0GX Clamp and rod internal fixation system (CRIF)
Penis, 0V2SX Toe use Internal Fixation Device in Lower Bones
Pericardial Cavity, 0W2DX Left, 2W0VX use Internal Fixation Device in Upper Bones
Perineum Right, 2W0UX Clamping see Occlusion
Change device in — Closure

Female, 0W2NX Urethra, 2Y05X5Z Claustrum use Basal Ganglia

Male, 0W2MX Chemoembolization see Introduction of substance in or Claviculectomy
Peritoneal Cavity, 0W2GX on see Excision, Upper Bones, 0PB
Peritoneum, 0D2WX Chemosurgery, Skin, 3E00XTZ see Resection, Upper Bones, 0PT
Pineal Body, 0G21X Chemothalamectomy see Destruction, Thalamus, 0059 Claviculotomy
Pleura, 0B2QX Chemotherapy, Infusion for cancer see Introduction of see Division, Upper Bones, 0P8
Pleural Cavity substance in or on see Drainage, Upper Bones, 0P9
Left, 0W2BX Chest x-ray see Plain Radiography, Chest, BW03 Clipping, aneurysm
Right, 0W29X Chiropractic Manipulation see Occlusion using Extraluminal Device
Products of Conception, 10207 Abdomen, 9WB9X see Restriction using Extraluminal Device
Prostate and Seminal Vesicles, 0V24X Cervical, 9WB1X Clitorectomy, clitoridectomy
Retroperitoneum, 0W2HX Extremities see Excision, Clitoris, 0UBJ
Scrotum and Tunica Vaginalis, 0V28X Lower, 9WB6X see Resection, Clitoris, 0UTJ
Sinus, 092YX Upper, 9WB7X Clolar use Clofarabine
Skin, 0H2PX Head, 9WB0X Closure
Skull, 0N20X see Occlusion

2 Subterms under main terms may continue to next column or page 37

 Closure ICD-10-PCS 2019
Closure — continued Common facial vein Computerized Tomography (CT Scan) — continued
Index
see Repair use Face Vein, Left Abdomen and Chest, BW24
Clysis see Introduction of substance in or on use Face Vein, Right Abdomen and Pelvis, BW21
Coagulation see Destruction Common fibular nerve use Peroneal Nerve Airway, Trachea, BB2F
COALESCE® radiolucent interbody fusion device use Common hepatic artery use Hepatic Artery Ankle
Interbody Fusion Device, Radiolucent Porous in New Common iliac (subaortic) lymph node use Lymphatic, Left, BQ2H
Technology Pelvis Right, BQ2G
CoAxia NeuroFlo catheter use Intraluminal Device Common interosseous artery Aorta
Cobalt/chromium head and polyethylene socket use use Ulnar Artery, Left Abdominal, B420
Synthetic Substitute, Metal on Polyethylene in, 0SR use Ulnar Artery, Right Intravascular Optical Coherence, B420Z2Z
Cobalt/chromium head and socket use Synthetic Sub- Common peroneal nerve use Peroneal Nerve Thoracic, B320
stitute, Metal in, 0SR Complete (SE) stent use Intraluminal Device Intravascular Optical Coherence, B320Z2Z
Coccygeal body use Coccygeal Glomus Compression Arm
Coccygeus muscle see Restriction Left, BP2F
use Trunk Muscle, Left Abdominal Wall, 2W13X Right, BP2E
use Trunk Muscle, Right Arm Artery
Cochlea Lower Celiac, B421
use Inner Ear, Left Left, 2W1DX Intravascular Optical Coherence, B421Z2Z
use Inner Ear, Right Right, 2W1CX Common Carotid
Cochlear implant (CI), multiple channel (electrode) Upper Bilateral, B325
Left, 2W1BX Intravascular Optical Coherence, B325Z2Z
use Hearing Device, Multiple Channel Cochlear
Right, 2W1AX Coronary
Prosthesis in, 09H
Back, 2W15X Bypass Graft
Cochlear implant (CI), single channel (electrode) use Intravascular Optical Coherence,
Hearing Device, Single Channel Cochlear Prosthesis Chest Wall, 2W14X
Extremity B223Z2Z
in, 09H Multiple, B223
Cochlear Implant Treatment, F0BZ0 Lower
Left, 2W1MX Multiple, B221
Cochlear nerve use Acoustic Nerve Intravascular Optical Coherence,
COGNIS® CRT-D use Cardiac Resynchronization Defibrilla- Right, 2W1LX
Upper B221Z2Z
tor Pulse Generator in, 0JH Internal Carotid
COHERE® radiolucent interbody fusion device use In- Left, 2W19X
Right, 2W18X Bilateral, B328
terbody Fusion Device, Radiolucent Porous in New Intravascular Optical Coherence, B328Z2Z
Technology Face, 2W11X
Finger Intracranial, B32R
Colectomy Intravascular Optical Coherence, B32RZ2Z
see Excision, Gastrointestinal System, 0DB Left, 2W1KX
Right, 2W1JX Lower Extremity
see Resection, Gastrointestinal System, 0DT Bilateral, B42H
Collapse see Occlusion Foot
Left, 2W1TX Intravascular Optical Coherence,
Collection from B42HZ2Z
Breast, Breast Milk, 8E0HX62 Right, 2W1SX
Hand Left, B42G
Indwelling Device Intravascular Optical Coherence,
Circulatory System Left, 2W1FX
Right, 2W1EX B42GZ2Z
Blood, 8C02X6K Right, B42F
Other Fluid, 8C02X6L Head, 2W10X
Inguinal Region Intravascular Optical Coherence,
Nervous System B42FZ2Z
Cerebrospinal Fluid, 8C01X6J Left, 2W17X
Right, 2W16X Pelvic, B42C
Other Fluid, 8C01X6L Intravascular Optical Coherence, B42CZ2Z
Integumentary System, Breast Milk, 8E0HX62 Leg
Lower Pulmonary
Reproductive System, Male, Sperm, 8E0VX63 Left, B32T
Colocentesis see Drainage, Gastrointestinal System, 0D9 Left, 2W1RX
Right, 2W1QX Intravascular Optical Coherence,
Colofixation B32TZ2Z
Upper
see Repair, Gastrointestinal System, 0DQ Left, 2W1PX Right, B32S
see Reposition, Gastrointestinal System, 0DS Right, 2W1NX Intravascular Optical Coherence,
Cololysis see Release, Gastrointestinal System, 0DN Neck, 2W12X B32SZ2Z
Colonic Z-Stent® use Intraluminal Device Thumb Renal
Colonoscopy, 0DJD8ZZ Left, 2W1HX Bilateral, B428
Colopexy Right, 2W1GX Intravascular Optical Coherence,
see Repair, Gastrointestinal System, 0DQ Toe B428Z2Z
see Reposition, Gastrointestinal System, 0DS Left, 2W1VX Transplant, B42M
Coloplication see Restriction, Gastrointestinal System, Right, 2W1UX Intravascular Optical Coherence,
0DV Computer Assisted Procedure B42MZ2Z
Coloproctectomy Extremity Superior Mesenteric, B424
Intravascular Optical Coherence, B424Z2Z
Closure — Computerized Tomography (CT Scan)

see Excision, Gastrointestinal System, 0DB Lower

see Resection, Gastrointestinal System, 0DT With Computerized Tomography, Vertebral
Coloproctostomy 8E0YXBG Bilateral, B32G
see Bypass, Gastrointestinal System, 0D1 With Fluoroscopy, 8E0YXBF Intravascular Optical Coherence, B32GZ2Z
see Drainage, Gastrointestinal System, 0D9 With Magnetic Resonance Imaging, Bladder, BT20
Colopuncture see Drainage, Gastrointestinal System, 0D9 8E0YXBH Bone
Colorrhaphy see Repair, Gastrointestinal System, 0DQ No Qualifier, 8E0YXBZ Facial, BN25
Colostomy Upper Temporal, BN2F
see Bypass, Gastrointestinal System, 0D1 With Computerized Tomography, Brain, B020
8E0XXBG Calcaneus
see Drainage, Gastrointestinal System, 0D9
With Fluoroscopy, 8E0XXBF Left, BQ2K
Colpectomy Right, BQ2J
see Excision, Vagina, 0UBG With Magnetic Resonance Imaging,
8E0XXBH Cerebral Ventricle, B028
see Resection, Vagina, 0UTG Chest, Abdomen and Pelvis, BW25
Colpocentesis see Drainage, Vagina, 0U9G No Qualifier, 8E0XXBZ
Head and Neck Region Chest and Abdomen, BW24
Colpopexy Cisterna, B027
see Repair, Vagina, 0UQG With Computerized Tomography, 8E09XBG
With Fluoroscopy, 8E09XBF Clavicle
see Reposition, Vagina, 0USG Left, BP25
Colpoplasty With Magnetic Resonance Imaging, 8E09XBH
No Qualifier, 8E09XBZ Right, BP24
see Repair, Vagina, 0UQG Coccyx, BR2F
see Supplement, Vagina, 0UUG Trunk Region
With Computerized Tomography, 8E0WXBG Colon, BD24
Colporrhaphy see Repair, Vagina, 0UQG Ear, B920
Colposcopy, 0UJH8ZZ With Fluoroscopy, 8E0WXBF
With Magnetic Resonance Imaging, 8E0WXBH Elbow
Columella use Nasal Mucosa and Soft Tissue Left, BP2H
No Qualifier, 8E0WXBZ
Common digital vein Right, BP2G
Computerized Tomography (CT Scan)
use Foot Vein, Left Abdomen, BW20 Extremity
use Foot Vein, Right Chest and Pelvis, BW25 Lower
Left, BQ2S

38 2 Subterms under main terms may continue to next column or page

ICD-10-PCS 2019 Contact Radiation
Computerized Tomography (CT Scan) — continued Computerized Tomography (CT Scan) — continued Computerized Tomography (CT Scan) — continued

Index
Extremity — continued Neck, BW2F Wrist
Lower — continued Neck and Head, BW29 Left, BP2M
Right, BQ2R Orbit, Bilateral, BN23 Right, BP2L
Upper Oropharynx, B92F Concentrated Bone Marrow Aspirate (CBMA) injec-
Bilateral, BP2V Pancreas, BF27 tion, intramuscular, XK02303
Left, BP2U Patella Concerto II CRT-D use Cardiac Resynchronization Defib-
Right, BP2T Left, BQ2W rillator Pulse Generator in, 0JH
Eye Right, BQ2V Condylectomy
Bilateral, B827 Pelvic Region, BW2G see Excision, Head and Facial Bones, 0NB
Left, B826 Pelvis, BR2C see Excision, Lower Bones, 0QB
Right, B825 Chest and Abdomen, BW25 see Excision, Upper Bones, 0PB
Femur Pelvis and Abdomen, BW21 Condyloid process
Left, BQ24 Pituitary Gland, B029 use Mandible, Left
Right, BQ23 Prostate, BV23 use Mandible, Right
Fibula Ribs Condylotomy
Left, BQ2C Left, BP2Y see Division, Head and Facial Bones, 0N8
Right, BQ2B Right, BP2X see Division, Lower Bones, 0Q8
Finger Sacrum, BR2F see Division, Upper Bones, 0P8
Left, BP2S Scapula see Drainage, Head and Facial Bones, 0N9
Right, BP2R Left, BP27
see Drainage, Lower Bones, 0Q9
Foot Right, BP26
Left, BQ2M Sella Turcica, B029 see Drainage, Upper Bones, 0P9
Right, BQ2L Shoulder Condylysis
Forearm Left, BP29 see Release, Head and Facial Bones, 0NN
Left, BP2K Right, BP28 see Release, Lower Bones, 0QN
Right, BP2J Sinus see Release, Upper Bones, 0PN
Gland Intracranial, B522 Conization, cervix see Excision, Cervix, 0UBC
Adrenal, Bilateral, BG22 Intravascular Optical Coherence, B522Z2Z Conjunctivoplasty
Parathyroid, BG23 Paranasal, B922 see Repair, Eye, 08Q
Parotid, Bilateral, B926 Skull, BN20 see Replacement, Eye, 08R
Salivary, Bilateral, B92D Spinal Cord, B02B CONSERVE® PLUS Total Resurfacing Hip System use
Submandibular, Bilateral, B929 Spine Resurfacing Device in Lower Joints
Thyroid, BG24 Cervical, BR20 Construction
Hand Lumbar, BR29 Auricle, ear see Replacement, Ear, Nose, Sinus, 09R
Left, BP2P Thoracic, BR27 Ileal conduit see Bypass, Urinary System, 0T1
Right, BP2N Spleen and Liver, BF26 Consulta CRT-D use Cardiac Resynchronization Defibrilla-
Hands and Wrists, Bilateral, BP2Q Thorax, BP2W tor Pulse Generator in, 0JH
Head, BW28 Tibia Consulta CRT-P use Cardiac Resynchronization Pacemaker
Head and Neck, BW29 Left, BQ2C Pulse Generator in, 0JH
Heart Right, BQ2B Contact Radiation
Intravascular Optical Coherence, B226Z2Z Toe Abdomen, DWY37ZZ
Right and Left, B226 Left, BQ2Q Adrenal Gland, DGY27ZZ
Hepatobiliary System, All, BF2C Right, BQ2P Bile Ducts, DFY27ZZ
Hip Trachea, BB2F Bladder, DTY27ZZ
Left, BQ21 Tracheobronchial Tree Bone, Other, DPYC7ZZ
Right, BQ20 Bilateral, BB29 Brain, D0Y07ZZ
Humerus Left, BB28 Brain Stem, D0Y17ZZ
Left, BP2B Right, BB27 Breast
Right, BP2A Vein Left, DMY07ZZ
Intracranial Sinus, B522 Pelvic (Iliac) Right, DMY17ZZ
Intravascular Optical Coherence, B522Z2Z Left, B52G Bronchus, DBY17ZZ
Joint Intravascular Optical Coherence, Cervix, DUY17ZZ
Acromioclavicular, Bilateral, BP23 B52GZ2Z Chest, DWY27ZZ
Finger Right, B52F Chest Wall, DBY77ZZ

Computerized Tomography (CT Scan) — Contact Radiation

Left, BP2DZZZ Intravascular Optical Coherence, Colon, DDY57ZZ
Right, BP2CZZZ B52FZ2Z Diaphragm, DBY87ZZ
Foot Pelvic (Iliac) Bilateral, B52H Duodenum, DDY27ZZ
Left, BQ2Y Intravascular Optical Coherence, B52HZ2Z Ear, D9Y07ZZ
Right, BQ2X Portal, B52T Esophagus, DDY07ZZ
Hand Intravascular Optical Coherence, B52TZ2Z Eye, D8Y07ZZ
Left, BP2DZZZ Pulmonary Femur, DPY97ZZ
Right, BP2CZZZ Bilateral, B52S Fibula, DPYB7ZZ
Sacroiliac, BR2D Intravascular Optical Coherence, Gallbladder, DFY17ZZ
Sternoclavicular B52SZ2Z Gland
Bilateral, BP22 Left, B52R Adrenal, DGY27ZZ
Left, BP21 Intravascular Optical Coherence, Parathyroid, DGY47ZZ
Right, BP20 B52RZ2Z Pituitary, DGY07ZZ
Temporomandibular, Bilateral, BN29 Right, B52Q Thyroid, DGY57ZZ
Toe Intravascular Optical Coherence, Glands, Salivary, D9Y67ZZ
Left, BQ2Y B52QZ2Z Head and Neck, DWY17ZZ
Right, BQ2X Renal Hemibody, DWY47ZZ
Kidney Bilateral, B52L Humerus, DPY67ZZ
Bilateral, BT23 Intravascular Optical Coherence, Hypopharynx, D9Y37ZZ
Left, BT22 B52LZ2Z Ileum, DDY47ZZ
Right, BT21 Left, B52K Jejunum, DDY37ZZ
Transplant, BT29 Intravascular Optical Coherence, Kidney, DTY07ZZ
Knee B52KZ2Z Larynx, D9YB7ZZ
Left, BQ28 Right, B52J Liver, DFY07ZZ
Right, BQ27 Intravascular Optical Coherence, Lung, DBY27ZZ
Larynx, B92J B52JZ2Z Mandible, DPY37ZZ
Leg Spanchnic, B52T Maxilla, DPY27ZZ
Left, BQ2F Intravascular Optical Coherence, B52TZ2Z Mediastinum, DBY67ZZ
Right, BQ2D Vena Cava Mouth, D9Y47ZZ
Liver, BF25 Inferior, B529 Nasopharynx, D9YD7ZZ
Liver and Spleen, BF26 Intravascular Optical Coherence, B529Z2Z Neck and Head, DWY17ZZ
Lung, Bilateral, BB24 Superior, B528 Nerve, Peripheral, D0Y77ZZ
Mandible, BN26 Intravascular Optical Coherence, B528Z2Z Nose, D9Y17ZZ
Nasopharynx, B92F Ventricle, Cerebral, B028 Oropharynx, D9YF7ZZ

2 Subterms under main terms may continue to next column or page 39

 Contact Radiation ICD-10-PCS 2019
Contact Radiation — continued Contraceptive Device — continued Control bleeding in — continued
Index
Ovary, DUY07ZZ Revision of device in — continued Wrist Region
Palate Subcutaneous Tissue and Fascia — continued Left, 0X3H
Hard, D9Y87ZZ Trunk, 0JWT Right, 0X3G
Soft, D9Y97ZZ Upper Extremity, 0JWV Control, Epistaxis see Control bleeding in, Nasal Mucosa
Pancreas, DFY37ZZ Uterus and Cervix, 0UWD and Soft Tissue, 093K
Parathyroid Gland, DGY47ZZ Contractility Modulation Device Conus arteriosus use Ventricle, Right
Pelvic Bones, DPY87ZZ Abdomen, 0JH8 Conus medullaris use Lumbar Spinal Cord
Pelvic Region, DWY67ZZ Chest, 0JH6 Conversion
Pineal Body, DGY17ZZ Control bleeding in Cardiac rhythm, 5A2204Z
Pituitary Gland, DGY07ZZ Abdominal Wall, 0W3F Gastrostomy to jejunostomy feeding device see Inser-
Pleura, DBY57ZZ Ankle Region tion of device in, Jejunum, 0DHA
Prostate, DVY07ZZ Left, 0Y3L Cook Biodesign® Fistula Plug(s) use Nonautologous
Radius, DPY77ZZ Right, 0Y3K Tissue Substitute
Rectum, DDY77ZZ Arm Cook Biodesign® Hernia Graft(s) use Nonautologous
Rib, DPY57ZZ Lower Tissue Substitute
Sinuses, D9Y77ZZ Left, 0X3F Cook Biodesign® Layered Graft(s) use Nonautologous
Skin Right, 0X3D Tissue Substitute
Abdomen, DHY87ZZ Upper Cook Zenaprom™ Layered Graft(s) use Nonautologous
Arm, DHY47ZZ Left, 0X39 Tissue Substitute
Back, DHY77ZZ Right, 0X38 Cook Zenith AAA Endovascular Graft
Buttock, DHY97ZZ Axilla use Intraluminal Device
Chest, DHY67ZZ Left, 0X35 use Intraluminal Device, Branched or Fenestrated,
Face, DHY27ZZ Right, 0X34 One or Two Arteries in, 04V
Leg, DHYB7ZZ Back use Intraluminal Device, Branched or Fenestrated,
Neck, DHY37ZZ Lower, 0W3L Three or More Arteries in, 04V
Skull, DPY07ZZ Upper, 0W3K Coracoacromial ligament
Spinal Cord, D0Y67ZZ Buttock use Shoulder Bursa and Ligament, Left
Sternum, DPY47ZZ Left, 0Y31 use Shoulder Bursa and Ligament, Right
Stomach, DDY17ZZ Right, 0Y30
Testis, DVY17ZZ Coracobrachialis muscle
Cavity, Cranial, 0W31
Thyroid Gland, DGY57ZZ use Upper Arm Muscle, Left
Chest Wall, 0W38
Tibia, DPYB7ZZ Elbow Region use Upper Arm Muscle, Right
Tongue, D9Y57ZZ Left, 0X3C Coracoclavicular ligament
Trachea, DBY07ZZ Right, 0X3B use Shoulder Bursa and Ligament, Left
Ulna, DPY77ZZ Extremity use Shoulder Bursa and Ligament, Right
Ureter, DTY17ZZ Lower Coracohumeral ligament
Urethra, DTY37ZZ Left, 0Y3B use Shoulder Bursa and Ligament, Left
Uterus, DUY27ZZ Right, 0Y39 use Shoulder Bursa and Ligament, Right
Whole Body, DWY57ZZ Upper Coracoid process
CONTAK RENEWAL® 3 RF (HE) CRT-D use Cardiac Left, 0X37 use Scapula, Left
Resynchronization Defibrillator Pulse Generator in, Right, 0X36 use Scapula, Right
0JH Face, 0W32 Cordotomy see Division, Central Nervous System and
Contegra Pulmonary Valved Conduit use Zooplastic Femoral Region Cranial Nerves, 008
Tissue in Heart and Great Vessels Left, 0Y38 Core needle biopsy see Excision with qualifier Diagnostic
Continuous Glucose Monitoring (CGM) device use Right, 0Y37 CoreValve transcatheter aortic valve use Zooplastic
Monitoring Device Foot Tissue in Heart and Great Vessels
Continuous Negative Airway Pressure Left, 0Y3N Cormet Hip Resurfacing System use Resurfacing Device
24-96 Consecutive Hours, Ventilation, 5A09459 Right, 0Y3M in Lower Joints
Greater than 96 Consecutive Hours, Ventilation, Gastrointestinal Tract, 0W3P Corniculate cartilage use Larynx
5A09559 Genitourinary Tract, 0W3R CoRoent® XL use Interbody Fusion Device in Lower Joints
Less than 24 Consecutive Hours, Ventilation, 5A09359 Hand Coronary arteriography
Continuous Positive Airway Pressure Left, 0X3K see Fluoroscopy, Heart, B21
24-96 Consecutive Hours, Ventilation, 5A09457 Right, 0X3J see Plain Radiography, Heart, B20
Greater than 96 Consecutive Hours, Ventilation, Head, 0W30 Corox (OTW) Bipolar Lead
5A09557 Inguinal Region use Cardiac Lead, Defibrillator in, 02H
Less than 24 Consecutive Hours, Ventilation, 5A09357 Left, 0Y36 use Cardiac Lead, Pacemaker in, 02H
Continuous renal replacement therapy (CRRT), Right, 0Y35 Corpus callosum use Brain
5A1D90Z Jaw Corpus cavernosum use Penis
Contraceptive Device Lower, 0W35 Corpus spongiosum use Penis
Change device in, Uterus and Cervix, 0U2DXHZ Upper, 0W34 Corpus striatum use Basal Ganglia
Insertion of device in Knee Region Corrugator supercilii muscle use Facial Muscle
Contact Radiation — Costotransverse ligament

Cervix, 0UHC Left, 0Y3G Cortical strip neurostimulator lead use Neurostimulator
Subcutaneous Tissue and Fascia Right, 0Y3F Lead in Central Nervous System and Cranial Nerves
Abdomen, 0JH8 Leg Costatectomy
Chest, 0JH6 Lower see Excision, Upper Bones, 0PB
Lower Arm Left, 0Y3J see Resection, Upper Bones, 0PT
Left, 0JHH Right, 0Y3H
Costectomy
Right, 0JHG Upper
Left, 0Y3D see Excision, Upper Bones, 0PB
Lower Leg see Resection, Upper Bones, 0PT
Left, 0JHP Right, 0Y3C
Mediastinum, 0W3C Costocervical trunk
Right, 0JHN use Subclavian Artery, Left
Upper Arm Nasal Mucosa and Soft Tissue, 093K
Neck, 0W36 use Subclavian Artery, Right
Left, 0JHF
Right, 0JHD Oral Cavity and Throat, 0W33 Costochondrectomy
Upper Leg Pelvic Cavity, 0W3J see Excision, Upper Bones, 0PB
Left, 0JHM Pericardial Cavity, 0W3D see Resection, Upper Bones, 0PT
Right, 0JHL Perineum Costoclavicular ligament
Uterus, 0UH9 Female, 0W3N use Shoulder Bursa and Ligament, Left
Removal of device from Male, 0W3M use Shoulder Bursa and Ligament, Right
Subcutaneous Tissue and Fascia Peritoneal Cavity, 0W3G Costosternoplasty
Lower Extremity, 0JPW Pleural Cavity see Repair, Upper Bones, 0PQ
Trunk, 0JPT Left, 0W3B see Replacement, Upper Bones, 0PR
Upper Extremity, 0JPV Right, 0W39 see Supplement, Upper Bones, 0PU
Uterus and Cervix, 0UPD Respiratory Tract, 0W3Q Costotomy
Revision of device in Retroperitoneum, 0W3H see Division, Upper Bones, 0P8
Subcutaneous Tissue and Fascia Shoulder Region see Drainage, Upper Bones, 0P9
Lower Extremity, 0JWW Left, 0X33 Costotransverse joint use Thoracic Vertebral Joint
Right, 0X32 Costotransverse ligament use Rib(s) Bursa and Ligament

40 2 Subterms under main terms may continue to next column or page

ICD-10-PCS 2019 Densitometry
Costovertebral joint use Thoracic Vertebral Joint Cryotherapy see Destruction DeBakey Left Ventricular Assist Device use Implantable

Index
Costoxiphoid ligament use Sternum Bursa and Ligament Cryptorchidectomy Heart Assist System in Heart and Great Vessels
Counseling see Excision, Male Reproductive System, 0VB Debridement
Family, for substance abuse, Other Family Counseling, see Resection, Male Reproductive System, 0VT Excisional see Excision
HZ63ZZZ Cryptorchiectomy Non-excisional see Extraction
Group see Excision, Male Reproductive System, 0VB Decompression, Circulatory, 6A15
12-Step, HZ43ZZZ see Resection, Male Reproductive System, 0VT Decortication, lung
Behavioral, HZ41ZZZ Cryptotomy see Extirpation, Respiratory System, 0BC
Cognitive, HZ40ZZZ see Division, Gastrointestinal System, 0D8 see Release, Respiratory System, 0BN
Cognitive-Behavioral, HZ42ZZZ see Drainage, Gastrointestinal System, 0D9 Deep brain neurostimulator lead use Neurostimulator
Confrontational, HZ48ZZZ CT scan see Computerized Tomography (CT Scan) Lead in Central Nervous System and Cranial Nerves
Continuing Care, HZ49ZZZ CT sialogram see Computerized Tomography (CT Scan), Deep cervical fascia
Infectious Disease Ear, Nose, Mouth and Throat, B92 use Subcutaneous Tissue and Fascia, Left Neck
Post-Test, HZ4CZZZ Cubital lymph node use Subcutaneous Tissue and Fascia, Right Neck
Pre-Test, HZ4CZZZ use Lymphatic, Left Upper Extremity Deep cervical vein
Interpersonal, HZ44ZZZ use Lymphatic, Right Upper Extremity use Vertebral Vein, Left
Motivational Enhancement, HZ47ZZZ Cubital nerve use Ulnar Nerve use Vertebral Vein, Right
Psychoeducation, HZ46ZZZ Cuboid bone Deep circumflex iliac artery
Spiritual, HZ4BZZZ use Tarsal, Left use External Iliac Artery, Left
Vocational, HZ45ZZZ use External Iliac Artery, Right
use Tarsal, Right
Individual
Cuboideonavicular joint Deep facial vein
12-Step, HZ33ZZZ
Behavioral, HZ31ZZZ use Tarsal Joint, Left use Face Vein, Left
Cognitive, HZ30ZZZ use Tarsal Joint, Right use Face Vein, Right
Cognitive-Behavioral, HZ32ZZZ Culdocentesis see Drainage, Cul-de-sac, 0U9F Deep femoral artery
Confrontational, HZ38ZZZ Culdoplasty use Femoral Artery, Left
Continuing Care, HZ39ZZZ see Repair, Cul-de-sac, 0UQF use Femoral Artery, Right
Infectious Disease see Supplement, Cul-de-sac, 0UUF Deep femoral (profunda femoris) vein
Post-Test, HZ3CZZZ Culdoscopy, 0UJH8ZZ use Femoral Vein, Left
Pre-Test, HZ3CZZZ Culdotomy see Drainage, Cul-de-sac, 0U9F use Femoral Vein, Right
Interpersonal, HZ34ZZZ Culmen use Cerebellum Deep Inferior Epigastric Artery Perforator Flap
Motivational Enhancement, HZ37ZZZ Cultured epidermal cell autograft use Autologous Tis- Replacement
Psychoeducation, HZ36ZZZ sue Substitute Bilateral, 0HRV077
Spiritual, HZ3BZZZ Cuneiform cartilage use Larynx Left, 0HRU077
Vocational, HZ35ZZZ Cuneonavicular joint Right, 0HRT077
Mental Health Services use Joint, Tarsal, Left Transfer
Educational, GZ60ZZZ use Joint, Tarsal, Right Left, 0KXG
Other Counseling, GZ63ZZZ Cuneonavicular ligament Right, 0KXF
Vocational, GZ61ZZZ use Foot Bursa and Ligament, Left Deep palmar arch
Countershock, cardiac, 5A2204Z use Foot Bursa and Ligament, Right use Hand Artery, Left
Cowper's (bulbourethral) gland use Urethra Curettage use Hand Artery, Right
CPAP (continuous positive airway pressure) see Assis- see Excision Deep transverse perineal muscle use Perineum Muscle
tance, Respiratory, 5A09 see Extraction Deferential artery
Craniectomy Cutaneous (transverse) cervical nerve use Cervical use Internal Iliac Artery, Left
see Excision, Head and Facial Bones, 0NB Plexus use Internal Iliac Artery, Right
see Resection, Head and Facial Bones, 0NT CVP (central venous pressure) see Measurement, Ve- Defibrillator Generator
Cranioplasty nous, 4A04 Abdomen, 0JH8
see Repair, Head and Facial Bones, 0NQ Cyclodiathermy see Destruction, Eye, 085 Chest, 0JH6
see Replacement, Head and Facial Bones, 0NR Cyclophotocoagulation see Destruction, Eye, 085 Defibrotide Sodium Anticoagulant, XW0
see Supplement, Head and Facial Bones, 0NU CYPHER® Stent use Intraluminal Device, Drug-eluting in Defitelio use Defibrotide Sodium Anticoagulant
Craniotomy Heart and Great Vessels Delivery
see Division, Head and Facial Bones, 0N8 Cystectomy Cesarean see Extraction, Products of Conception,
see Drainage, Central Nervous System and Cranial see Excision, Bladder, 0TBB 10D0
Nerves, 009 see Resection, Bladder, 0TTB Forceps see Extraction, Products of Conception, 10D0
see Drainage, Head and Facial Bones, 0N9 Cystocele repair see Repair, Subcutaneous Tissue and Manually assisted, 10E0XZZ
Creation Fascia, Pelvic Region, 0JQC Products of Conception, 10E0XZZ
Perineum Cystography Vacuum assisted see Extraction, Products of Concep-
Female, 0W4N0 see Fluoroscopy, Urinary System, BT1 tion, 10D0
Male, 0W4M0 see Plain Radiography, Urinary System, BT0 Delta frame external fixator
Valve Cystolithotomy see Extirpation, Bladder, 0TCB use External Fixation Device, Hybrid in, 0PH
Aortic, 024F0 Cystopexy use External Fixation Device, Hybrid in, 0PS
Mitral, 024G0 see Repair, Bladder, 0TQB use External Fixation Device, Hybrid in, 0QH
Tricuspid, 024J0 see Reposition, Bladder, 0TSB use External Fixation Device, Hybrid in, 0QS
Cremaster muscle use Perineum Muscle Cystoplasty Delta III Reverse shoulder prosthesis use Synthetic
Cribriform plate see Repair, Bladder, 0TQB Substitute, Reverse Ball and Socket in, 0RR
use Ethmoid Bone, Left see Replacement, Bladder, 0TRB Deltoid fascia
use Ethmoid Bone, Right see Supplement, Bladder, 0TUB use Subcutaneous Tissue and Fascia, Left Upper Arm
Cricoid cartilage use Trachea Cystorrhaphy see Repair, Bladder, 0TQB use Subcutaneous Tissue and Fascia, Right Upper Arm Costovertebral joint — Densitometry
Cricoidectomy see Excision, Larynx, 0CBS Cystoscopy, 0TJB8ZZ Deltoid ligament
Cricothyroid artery Cystostomy see Bypass, Bladder, 0T1B use Ankle Bursa and Ligament, Left
use Thyroid Artery, Left Cystostomy tube use Drainage Device use Ankle Bursa and Ligament, Right
use Thyroid Artery, Right Cystotomy see Drainage, Bladder, 0T9B Deltoid muscle
Cricothyroid muscle Cystourethrography use Shoulder Muscle, Left
use Neck Muscle, Left see Fluoroscopy, Urinary System, BT1 use Shoulder Muscle, Right
use Neck Muscle, Right see Plain Radiography, Urinary System, BT0 Deltopectoral (infraclavicular) lymph node
Crisis Intervention, GZ2ZZZZ Cystourethroplasty use Lymphatic, Left Upper Extremity
CRRT (Continuous renal replacement therapy), see Repair, Urinary System, 0TQ use Lymphatic, Right Upper Extremity
5A1D90Z see Replacement, Urinary System, 0TR Denervation
Crural fascia see Supplement, Urinary System, 0TU Cranial nerve see Destruction, Central Nervous System
use Subcutaneous Tissue and Fascia, Left Upper Leg Cytarabine and Daunorubicin Liposome Antineoplas- and Cranial Nerves, 005
use Subcutaneous Tissue and Fascia, Right Upper Leg tic, XW0 Peripheral nerve see Destruction, Peripheral Nervous
Crushing, nerve System, 015
Cranial see Destruction, Central Nervous System and Dens use Cervical Vertebra
Cranial Nerves, 005
Peripheral see Destruction, Peripheral Nervous Sys-
D Densitometry
Plain Radiography
tem, 015 DBS lead use Neurostimulator Lead in Central Nervous Femur
Cryoablation see Destruction System and Cranial Nerves Left, BQ04ZZ1
Right, BQ03ZZ1

2 Subterms under main terms may continue to next column or page 41

 Densitometry ICD-10-PCS 2019
Densitometry — continued Destruction — continued Destruction — continued
Index
Plain Radiography — continued Artery — continued Bone — continued
Hip Hand — continued Zygomatic
Left, BQ01ZZ1 Right, 035D Left, 0N5N
Right, BQ00ZZ1 Hepatic, 0453 Right, 0N5M
Spine Inferior Mesenteric, 045B Brain, 0050
Cervical, BR00ZZ1 Innominate, 0352 Breast
Lumbar, BR09ZZ1 Internal Carotid Bilateral, 0H5V
Thoracic, BR07ZZ1 Left, 035L Left, 0H5U
Whole, BR0GZZ1 Right, 035K Right, 0H5T
Ultrasonography Internal Iliac Bronchus
Elbow Left, 045F Lingula, 0B59
Left, BP4HZZ1 Right, 045E Lower Lobe
Right, BP4GZZ1 Internal Mammary Left, 0B5B
Hand Left, 0351 Right, 0B56
Left, BP4PZZ1 Right, 0350 Main
Right, BP4NZZ1 Intracranial, 035G Left, 0B57
Shoulder Lower, 045Y Right, 0B53
Left, BP49ZZ1 Peroneal Middle Lobe, Right, 0B55
Right, BP48ZZ1 Left, 045U Upper Lobe
Wrist Right, 045T Left, 0B58
Left, BP4MZZ1 Popliteal Right, 0B54
Right, BP4LZZ1 Left, 045N Buccal Mucosa, 0C54
Denticulate (dentate) ligament use Spinal Meninges Right, 045M Bursa and Ligament
Depressor anguli oris muscle use Facial Muscle Posterior Tibial Abdomen
Depressor labii inferioris muscle use Facial Muscle Left, 045S Left, 0M5J
Depressor septi nasi muscle use Facial Muscle Right, 045R Right, 0M5H
Depressor supercilii muscle use Facial Muscle Pulmonary Ankle
Dermabrasion see Extraction, Skin and Breast, 0HD Left, 025R Left, 0M5R
Dermis use Skin Right, 025Q Right, 0M5Q
Descending genicular artery Pulmonary Trunk, 025P Elbow
use Femoral Artery, Left Radial Left, 0M54
use Femoral Artery, Right Left, 035C Right, 0M53
Destruction Right, 035B Foot
Acetabulum Renal Left, 0M5T
Left, 0Q55 Left, 045A Right, 0M5S
Right, 0Q54 Right, 0459 Hand
Adenoids, 0C5Q Splenic, 0454 Left, 0M58
Ampulla of Vater, 0F5C Subclavian Right, 0M57
Anal Sphincter, 0D5R Left, 0354 Head and Neck, 0M50
Anterior Chamber Right, 0353 Hip
Left, 08533ZZ Superior Mesenteric, 0455 Left, 0M5M
Right, 08523ZZ Temporal Right, 0M5L
Anus, 0D5Q Left, 035T Knee
Aorta Right, 035S Left, 0M5P
Abdominal Thyroid Right, 0M5N
Thoracic Left, 035V Lower Extremity
Ascending/Arch, 025X Right, 035U Left, 0M5W
Descending, 025W Ulnar Right, 0M5V
Aortic Body, 0G5D Left, 035A Perineum, 0M5K
Appendix, 0D5J Right, 0359 Rib(s), 0M5G
Artery Upper, 035Y Shoulder
Anterior Tibial Vertebral Left, 0M52
Left, 045Q Left, 035Q Right, 0M51
Right, 045P Right, 035P Spine
Axillary Atrium Lower, 0M5D
Left, 0356 Left, 0257 Upper, 0M5C
Right, 0355 Right, 0256 Sternum, 0M5F
Brachial Auditory Ossicle Upper Extremity
Left, 0358 Left, 095A Left, 0M5B
Right, 0357 Right, 0959 Right, 0M59
Celiac, 0451 Basal Ganglia, 0058 Wrist
Colic Bladder, 0T5B Left, 0M56
Left, 0457 Bladder Neck, 0T5C Right, 0M55
Middle, 0458 Bone Carina, 0B52
Right, 0456 Ethmoid Carotid Bodies, Bilateral, 0G58
Common Carotid Left, 0N5G Carotid Body
Left, 035J Right, 0N5F Left, 0G56
Right, 035H Frontal, 0N51 Right, 0G57
Common Iliac Hyoid, 0N5X Carpal
Left, 045D Lacrimal Left, 0P5N
Right, 045C Left, 0N5J Right, 0P5M
Right, 0N5H Cecum, 0D5H
Densitometry — Destruction

External Carotid
Left, 035N Nasal, 0N5B Cerebellum, 005C
Right, 035M Occipital, 0N57 Cerebral Hemisphere, 0057
External Iliac Palatine Cerebral Meninges, 0051
Left, 045J Left, 0N5L Cerebral Ventricle, 0056
Right, 045H Right, 0N5K Cervix, 0U5C
Face, 035R Parietal Chordae Tendineae, 0259
Femoral Left, 0N54 Choroid
Left, 045L Right, 0N53 Left, 085B
Right, 045K Pelvic Right, 085A
Foot Left, 0Q53 Cisterna Chyli, 075L
Left, 045W Right, 0Q52 Clavicle
Right, 045V Sphenoid, 0N5C Left, 0P5B
Gastric, 0452 Temporal Right, 0P59
Hand Left, 0N56 Clitoris, 0U5J
Left, 035F Right, 0N55 Coccygeal Glomus, 0G5B
Coccyx, 0Q5S

42 2 Subterms under main terms may continue to next column or page

ICD-10-PCS 2019 Destruction
Destruction — continued Destruction — continued Destruction — continued

Index
Colon Femur Joint — continued
Ascending, 0D5K Lower Metacarpophalangeal
Descending, 0D5M Left, 0Q5C Left, 0R5V
Sigmoid, 0D5N Right, 0Q5B Right, 0R5U
Transverse, 0D5L Upper Metatarsal-Phalangeal
Conduction Mechanism, 0258 Left, 0Q57 Left, 0S5N
Conjunctiva Right, 0Q56 Right, 0S5M
Left, 085TXZZ Fibula Occipital-cervical, 0R50
Right, 085SXZZ Left, 0Q5K Sacrococcygeal, 0S55
Cord Right, 0Q5J Sacroiliac
Bilateral, 0V5H Finger Nail, 0H5QXZZ Left, 0S58
Left, 0V5G Gallbladder, 0F54 Right, 0S57
Right, 0V5F Gingiva Shoulder
Cornea Lower, 0C56 Left, 0R5K
Left, 0859XZZ Upper, 0C55 Right, 0R5J
Right, 0858XZZ Gland Sternoclavicular
Cul-de-sac, 0U5F Adrenal Left, 0R5F
Diaphragm, 0B5T Bilateral, 0G54 Right, 0R5E
Disc Left, 0G52 Tarsal
Cervical Vertebral, 0R53 Right, 0G53 Left, 0S5J
Cervicothoracic Vertebral, 0R55 Lacrimal Right, 0S5H
Lumbar Vertebral, 0S52 Left, 085W Tarsometatarsal
Lumbosacral, 0S54 Right, 085V Left, 0S5L
Thoracic Vertebral, 0R59 Minor Salivary, 0C5J Right, 0S5K
Thoracolumbar Vertebral, 0R5B Parotid Temporomandibular
Duct Left, 0C59 Left, 0R5D
Common Bile, 0F59 Right, 0C58 Right, 0R5C
Cystic, 0F58 Pituitary, 0G50 Thoracic Vertebral, 0R56
Hepatic Sublingual Thoracolumbar Vertebral, 0R5A
Common, 0F57 Left, 0C5F Toe Phalangeal
Left, 0F56 Right, 0C5D Left, 0S5Q
Right, 0F55 Submaxillary Right, 0S5P
Lacrimal Left, 0C5H Wrist
Left, 085Y Right, 0C5G Left, 0R5P
Right, 085X Vestibular, 0U5L Right, 0R5N
Pancreatic, 0F5D Glenoid Cavity Kidney
Accessory, 0F5F Left, 0P58 Left, 0T51
Parotid Right, 0P57 Right, 0T50
Left, 0C5C Glomus Jugulare, 0G5C Kidney Pelvis
Right, 0C5B Humeral Head Left, 0T54
Duodenum, 0D59 Left, 0P5D Right, 0T53
Dura Mater, 0052 Right, 0P5C Larynx, 0C5S
Ear Humeral Shaft Lens
External Left, 0P5G Left, 085K3ZZ
Left, 0951 Right, 0P5F Right, 085J3ZZ
Right, 0950 Hymen, 0U5K Lip
External Auditory Canal Hypothalamus, 005A Lower, 0C51
Left, 0954 Ileocecal Valve, 0D5C Upper, 0C50
Right, 0953 Ileum, 0D5B Liver, 0F50
Inner Intestine Left Lobe, 0F52
Left, 095E Large, 0D5E Right Lobe, 0F51
Right, 095D Left, 0D5G Lung
Middle Right, 0D5F Bilateral, 0B5M
Left, 0956 Small, 0D58 Left, 0B5L
Right, 0955 Iris Lower Lobe
Endometrium, 0U5B Left, 085D3ZZ Left, 0B5J
Epididymis Right, 085C3ZZ Right, 0B5F
Bilateral, 0V5L Jejunum, 0D5A Middle Lobe, Right, 0B5D
Left, 0V5K Joint Right, 0B5K
Right, 0V5J Acromioclavicular Upper Lobe
Epiglottis, 0C5R Left, 0R5H Left, 0B5G
Esophagogastric Junction, 0D54 Right, 0R5G Right, 0B5C
Esophagus, 0D55 Ankle Lung Lingula, 0B5H
Lower, 0D53 Left, 0S5G Lymphatic
Middle, 0D52 Right, 0S5F Aortic, 075D
Upper, 0D51 Carpal Axillary
Eustachian Tube Left, 0R5R Left, 0756
Left, 095G Right, 0R5Q Right, 0755
Right, 095F Carpometacarpal Head, 0750
Eye Left, 0R5T Inguinal
Left, 0851XZZ Right, 0R5S Left, 075J
Right, 0850XZZ Cervical Vertebral, 0R51 Right, 075H
Eyelid Cervicothoracic Vertebral, 0R54 Internal Mammary
Destruction — Destruction

Lower Coccygeal, 0S56 Left, 0759

Left, 085R Elbow Right, 0758
Right, 085Q Left, 0R5M Lower Extremity
Upper Right, 0R5L Left, 075G
Left, 085P Finger Phalangeal Right, 075F
Right, 085N Left, 0R5X Mesenteric, 075B
Fallopian Tube Right, 0R5W Neck
Left, 0U56 Hip Left, 0752
Right, 0U55 Left, 0S5B Right, 0751
Fallopian Tubes, Bilateral, 0U57 Right, 0S59 Pelvis, 075C
Femoral Shaft Knee Thoracic Duct, 075K
Left, 0Q59 Left, 0S5D Thorax, 0757
Right, 0Q58 Right, 0S5C Upper Extremity
Lumbar Vertebral, 0S50 Left, 0754
Lumbosacral, 0S53 Right, 0753

2 Subterms under main terms may continue to next column or page 43

 Destruction ICD-10-PCS 2019
Destruction — continued Destruction — continued Destruction — continued
Index
Mandible Nerve — continued Sinus — continued
Left, 0N5V Thoracic, 0158 Frontal
Right, 0N5T Thoracic Sympathetic, 015L Left, 095T
Maxilla, 0N5R Tibial, 015G Right, 095S
Medulla Oblongata, 005D Trigeminal, 005K Mastoid
Mesentery, 0D5V Trochlear, 005J Left, 095C
Metacarpal Ulnar, 0154 Right, 095B
Left, 0P5Q Vagus, 005Q Maxillary
Right, 0P5P Nipple Left, 095R
Metatarsal Left, 0H5X Right, 095Q
Left, 0Q5P Right, 0H5W Sphenoid
Right, 0Q5N Omentum, 0D5U Left, 095X
Muscle Orbit Right, 095W
Abdomen Left, 0N5Q Skin
Left, 0K5L Right, 0N5P Abdomen, 0H57XZ
Right, 0K5K Ovary Back, 0H56XZ
Extraocular Bilateral, 0U52 Buttock, 0H58XZ
Left, 085M Left, 0U51 Chest, 0H55XZ
Right, 085L Right, 0U50 Ear
Facial, 0K51 Palate Left, 0H53XZ
Foot Hard, 0C52 Right, 0H52XZ
Left, 0K5W Soft, 0C53 Face, 0H51XZ
Right, 0K5V Pancreas, 0F5G Foot
Hand Para-aortic Body, 0G59 Left, 0H5NXZ
Left, 0K5D Paraganglion Extremity, 0G5F Right, 0H5MXZ
Right, 0K5C Parathyroid Gland, 0G5R Hand
Head, 0K50 Inferior Left, 0H5GXZ
Hip Left, 0G5P Right, 0H5FXZ
Left, 0K5P Right, 0G5N Inguinal, 0H5AXZ
Right, 0K5N Multiple, 0G5Q Lower Arm
Lower Arm and Wrist Superior Left, 0H5EXZ
Left, 0K5B Left, 0G5M Right, 0H5DXZ
Right, 0K59 Right, 0G5L Lower Leg
Lower Leg Patella Left, 0H5LXZ
Left, 0K5T Left, 0Q5F Right, 0H5KXZ
Right, 0K5S Right, 0Q5D Neck, 0H54XZ
Neck Penis, 0V5S Perineum, 0H59XZ
Left, 0K53 Pericardium, 025N Scalp, 0H50XZ
Right, 0K52 Peritoneum, 0D5W Upper Arm
Papillary, 025D Phalanx Left, 0H5CXZ
Perineum, 0K5M Finger Right, 0H5BXZ
Shoulder Left, 0P5V Upper Leg
Left, 0K56 Right, 0P5T Left, 0H5JXZ
Right, 0K55 Thumb Right, 0H5HXZ
Thorax Left, 0P5S Skull, 0N50
Left, 0K5J Right, 0P5R Spinal Cord
Right, 0K5H Toe Cervical, 005W
Tongue, Palate, Pharynx, 0K54 Left, 0Q5R Lumbar, 005Y
Trunk Right, 0Q5Q Thoracic, 005X
Left, 0K5G Pharynx, 0C5M Spinal Meninges, 005T
Right, 0K5F Pineal Body, 0G51 Spleen, 075P
Upper Arm Pleura Sternum, 0P50
Left, 0K58 Left, 0B5P Stomach, 0D56
Right, 0K57 Right, 0B5N Pylorus, 0D57
Upper Leg Pons, 005B Subcutaneous Tissue and Fascia
Left, 0K5R Prepuce, 0V5T Abdomen, 0J58
Right, 0K5Q Prostate, 0V50 Back, 0J57
Nasal Mucosa and Soft Tissue, 095K Robotic Waterjet Ablation, XV508A4 Buttock, 0J59
Nasopharynx, 095N Radius Chest, 0J56
Nerve Left, 0P5J Face, 0J51
Abdominal Sympathetic, 015M Right, 0P5H Foot
Abducens, 005L Rectum, 0D5P Left, 0J5R
Accessory, 005R Retina Right, 0J5Q
Acoustic, 005N Left, 085F3ZZ Hand
Brachial Plexus, 0153 Right, 085E3ZZ Left, 0J5K
Cervical, 0151 Retinal Vessel Right, 0J5J
Cervical Plexus, 0150 Left, 085H3ZZ Lower Arm
Facial, 005M Right, 085G3ZZ Left, 0J5H
Femoral, 015D Ribs Right, 0J5G
Glossopharyngeal, 005P 1 to 2, 0P51 Lower Leg
Head and Neck Sympathetic, 015K 3 or More, 0P52 Left, 0J5P
Hypoglossal, 005S Sacrum, 0Q51 Right, 0J5N
Lumbar, 015B Scapula Neck
Destruction — Destruction

Lumbar Plexus, 0159 Left, 0P56 Left, 0J55

Lumbar Sympathetic, 015N Right, 0P55 Right, 0J54
Lumbosacral Plexus, 015A Sclera Pelvic Region, 0J5C
Median, 0155 Left, 0857XZZ Perineum, 0J5B
Oculomotor, 005H Right, 0856XZZ Scalp, 0J50
Olfactory, 005F Scrotum, 0V55 Upper Arm
Optic, 005G Septum Left, 0J5F
Peroneal, 015H Atrial, 0255 Right, 0J5D
Phrenic, 0152 Nasal, 095M Upper Leg
Pudendal, 015C Ventricular, 025M Left, 0J5M
Radial, 0156 Sinus Right, 0J5L
Sacral, 015R Accessory, 095P Tarsal
Sacral Plexus, 015Q Ethmoid Left, 0Q5M
Sacral Sympathetic, 015P Left, 095V Right, 0Q5L
Sciatic, 015F Right, 095U

44 2 Subterms under main terms may continue to next column or page

ICD-10-PCS 2019 Diagnostic radiology
Destruction — continued Destruction — continued Destruction — continued

Index
Tendon Vein Vitreous — continued
Abdomen Axillary Right, 08543ZZ
Left, 0L5G Left, 0558 Vocal Cord
Right, 0L5F Right, 0557 Left, 0C5V
Ankle Azygos, 0550 Right, 0C5T
Left, 0L5T Basilic Vulva, 0U5M
Right, 0L5S Left, 055C Detachment
Foot Right, 055B Arm
Left, 0L5W Brachial Lower
Right, 0L5V Left, 055A Left, 0X6F0Z
Hand Right, 0559 Right, 0X6D0Z
Left, 0L58 Cephalic Upper
Right, 0L57 Left, 055F Left, 0X690Z
Head and Neck, 0L50 Right, 055D Right, 0X680Z
Hip Colic, 0657 Elbow Region
Left, 0L5K Common Iliac Left, 0X6C0ZZ
Right, 0L5J Left, 065D Right, 0X6B0ZZ
Knee Right, 065C Femoral Region
Left, 0L5R Coronary, 0254 Left, 0Y680ZZ
Right, 0L5Q Esophageal, 0653 Right, 0Y670ZZ
Lower Arm and Wrist External Iliac Finger
Left, 0L56 Left, 065G Index
Right, 0L55 Right, 065F Left, 0X6P0Z
Lower Leg External Jugular Right, 0X6N0Z
Left, 0L5P Left, 055Q Little
Right, 0L5N Right, 055P Left, 0X6W0Z
Perineum, 0L5H Face Right, 0X6V0Z
Shoulder Left, 055V Middle
Left, 0L52 Right, 055T Left, 0X6R0Z
Right, 0L51 Femoral Right, 0X6Q0Z
Thorax Left, 065N Ring
Left, 0L5D Right, 065M Left, 0X6T0Z
Right, 0L5C Foot Right, 0X6S0Z
Trunk Left, 065V Foot
Left, 0L5B Right, 065T Left, 0Y6N0Z
Right, 0L59 Gastric, 0652 Right, 0Y6M0Z
Upper Arm Hand Forequarter
Left, 0L54 Left, 055H Left, 0X610ZZ
Right, 0L53 Right, 055G Right, 0X600ZZ
Upper Leg Hemiazygos, 0551 Hand
Left, 0L5M Hepatic, 0654 Left, 0X6K0Z
Right, 0L5L Hypogastric Right, 0X6J0Z
Testis Left, 065J Hindquarter
Bilateral, 0V5C Right, 065H Bilateral, 0Y640ZZ
Left, 0V5B Inferior Mesenteric, 0656 Left, 0Y630ZZ
Right, 0V59 Innominate Right, 0Y620ZZ
Thalamus, 0059 Left, 0554 Knee Region
Thymus, 075M Right, 0553 Left, 0Y6G0ZZ
Thyroid Gland, 0G5K Internal Jugular Right, 0Y6F0ZZ
Left Lobe, 0G5G Left, 055N Leg
Right Lobe, 0G5H Right, 055M Lower
Tibia Intracranial, 055L Left, 0Y6J0Z
Left, 0Q5H Lower, 065Y Right, 0Y6H0Z
Right, 0Q5G Portal, 0658 Upper
Toe Nail, 0H5RXZZ Pulmonary Left, 0Y6D0Z
Tongue, 0C57 Left, 025T Right, 0Y6C0Z
Tonsils, 0C5P Right, 025S Shoulder Region
Tooth Renal Left, 0X630ZZ
Lower, 0C5X Left, 065B Right, 0X620ZZ
Upper, 0C5W Right, 0659 Thumb
Trachea, 0B51 Saphenous Left, 0X6M0Z
Tunica Vaginalis Left, 065Q Right, 0X6L0Z
Left, 0V57 Right, 065P Toe
Right, 0V56 Splenic, 0651 1st
Turbinate, Nasal, 095L Subclavian Left, 0Y6Q0Z
Tympanic Membrane Left, 0556 Right, 0Y6P0Z
Left, 0958 Right, 0555 2nd Destruction — Diagnostic radiology
Right, 0957 Superior Mesenteric, 0655 Left, 0Y6S0Z
Ulna Upper, 055Y Right, 0Y6R0Z
Left, 0P5L Vertebral 3rd
Right, 0P5K Left, 055S Left, 0Y6U0Z
Ureter Right, 055R Right, 0Y6T0Z
Left, 0T57 Vena Cava 4th
Right, 0T56 Inferior, 0650 Left, 0Y6W0Z
Urethra, 0T5D Superior, 025V Right, 0Y6V0Z
Uterine Supporting Structure, 0U54 Ventricle 5th
Uterus, 0U59 Left, 025L Left, 0Y6Y0Z
Uvula, 0C5N Right, 025K Right, 0Y6X0Z
Vagina, 0U5G Vertebra Determination, Mental status, GZ14ZZZ
Valve Cervical, 0P53 Detorsion
Aortic, 025F Lumbar, 0Q50 see Release
Mitral, 025G Thoracic, 0P54 see Reposition
Pulmonary, 025H Vesicle Detoxification Services, for substance abuse, HZ2ZZZZ
Tricuspid, 025J Bilateral, 0V53 Device Fitting, F0DZ
Vas Deferens Left, 0V52 Diagnostic Audiology see Audiology, Diagnostic
Bilateral, 0V5Q Right, 0V51 Diagnostic imaging see Imaging, Diagnostic
Left, 0V5P Vitreous Diagnostic radiology see Imaging, Diagnostic
Right, 0V5N Left, 08553ZZ

2 Subterms under main terms may continue to next column or page 45

 Dialysis ICD-10-PCS 2019
Dialysis Dilation — continued Dilation — continued
Index
Hemodialysis see Performance, Urinary, 5A1D Artery — continued Larynx, 0C7S
Peritoneal, 3E1M39Z Radial Pharynx, 0C7M
Diaphragma sellae use Dura Mater Left, 037C Rectum, 0D7P
Diaphragmatic pacemaker generator use Stimulator Right, 037B Stomach, 0D76
Generator in Subcutaneous Tissue and Fascia Renal Pylorus, 0D77
Diaphragmatic Pacemaker Lead Left, 047A Trachea, 0B71
Insertion of device in, Diaphragm, 0BHT Right, 0479 Ureter
Removal of device from, Diaphragm, 0BPT Splenic, 0474 Left, 0T77
Revision of device in, Diaphragm, 0BWT Subclavian Right, 0T76
Digital radiography, plain see Plain Radiography Left, 0374 Ureters, Bilateral, 0T78
Dilation Right, 0373 Urethra, 0T7D
Ampulla of Vater, 0F7C Superior Mesenteric, 0475 Uterus, 0U79
Anus, 0D7Q Temporal Vagina, 0U7G
Aorta Left, 037T Valve
Abdominal Right, 037S Aortic, 027F
Thoracic Thyroid Mitral, 027G
Ascending/Arch, 027X Left, 037V Pulmonary, 027H
Descending, 027W Right, 037U Tricuspid, 027J
Artery Ulnar Vas Deferens
Anterior Tibial Left, 037A Bilateral, 0V7Q
Left, 047Q Right, 0379 Left, 0V7P
Right, 047P Upper, 037Y Right, 0V7N
Axillary Vertebral Vein
Left, 0376 Left, 037Q Axillary
Right, 0375 Right, 037P Left, 0578
Brachial Bladder, 0T7B Right, 0577
Left, 0378 Bladder Neck, 0T7C Azygos, 0570
Right, 0377 Bronchus Basilic
Celiac, 0471 Lingula, 0B79 Left, 057C
Colic Lower Lobe Right, 057B
Left, 0477 Left, 0B7B Brachial
Middle, 0478 Right, 0B76 Left, 057A
Right, 0476 Main Right, 0579
Common Carotid Left, 0B77 Cephalic
Left, 037J Right, 0B73 Left, 057F
Right, 037H Middle Lobe, Right, 0B75 Right, 057D
Common Iliac Upper Lobe Colic, 0677
Left, 047D Left, 0B78 Common Iliac
Right, 047C Right, 0B74 Left, 067D
Coronary Carina, 0B72 Right, 067C
Four or More Arteries, 0273 Cecum, 0D7H Esophageal, 0673
One Artery, 0270 Cerebral Ventricle, 0076 External Iliac
Three Arteries, 0272 Cervix, 0U7C Left, 067G
Two Arteries, 0271 Colon Right, 067F
External Carotid Ascending, 0D7K External Jugular
Left, 037N Descending, 0D7M Left, 057Q
Right, 037M Sigmoid, 0D7N Right, 057P
External Iliac Transverse, 0D7L Face
Left, 047J Duct Left, 057V
Right, 047H Common Bile, 0F79 Right, 057T
Face, 037R Cystic, 0F78 Femoral
Femoral Hepatic Left, 067N
Left, 047L Common, 0F77 Right, 067M
Right, 047K Left, 0F76 Foot
Foot Right, 0F75 Left, 067V
Left, 047W Lacrimal Right, 067T
Right, 047V Left, 087Y Gastric, 0672
Gastric, 0472 Right, 087X Hand
Hand Pancreatic, 0F7D Left, 057H
Left, 037F Accessory, 0F7F Right, 057G
Right, 037D Parotid Hemiazygos, 0571
Hepatic, 0473 Left, 0C7C Hepatic, 0674
Inferior Mesenteric, 047B Right, 0C7B Hypogastric
Innominate, 0372 Duodenum, 0D79 Left, 067J
Internal Carotid Esophagogastric Junction, 0D74 Right, 067H
Left, 037L Esophagus, 0D75 Inferior Mesenteric, 0676
Right, 037K Lower, 0D73 Innominate
Internal Iliac Middle, 0D72 Left, 0574
Left, 047F Upper, 0D71 Right, 0573
Right, 047E Eustachian Tube Internal Jugular
Internal Mammary Left, 097G Left, 057N
Left, 0371 Right, 097F Right, 057M
Right, 0370 Fallopian Tube Intracranial, 057L
Intracranial, 037G Left, 0U76 Lower, 067Y
Lower, 047Y Right, 0U75 Portal, 0678
Peroneal Fallopian Tubes, Bilateral, 0U77 Pulmonary
Left, 047U Hymen, 0U7K Left, 027T
Dialysis — Dilation

Right, 047T Ileocecal Valve, 0D7C Right, 027S

Popliteal Ileum, 0D7B Renal
Left, 047N Intestine Left, 067B
Right, 047M Large, 0D7E Right, 0679
Posterior Tibial Left, 0D7G Saphenous
Left, 047S Right, 0D7F Left, 067Q
Right, 047R Small, 0D78 Right, 067P
Pulmonary Jejunum, 0D7A Splenic, 0671
Left, 027R Kidney Pelvis Subclavian
Right, 027Q Left, 0T74 Left, 0576
Pulmonary Trunk, 027P Right, 0T73 Right, 0575

46 2 Subterms under main terms may continue to next column or page

ICD-10-PCS 2019 Division
Dilation — continued Division — continued Division — continued

Index
Vein — continued Bursa and Ligament — continued Muscle — continued
Superior Mesenteric, 0675 Hand — continued Hip — continued
Upper, 057Y Right, 0M87 Right, 0K8N
Vertebral Head and Neck, 0M80 Lower Arm and Wrist
Left, 057S Hip Left, 0K8B
Right, 057R Left, 0M8M Right, 0K89
Vena Cava Right, 0M8L Lower Leg
Inferior, 0670 Knee Left, 0K8T
Superior, 027V Left, 0M8P Right, 0K8S
Ventricle Right, 0M8N Neck
Left, 027L Lower Extremity Left, 0K83
Right, 027K Left, 0M8W Right, 0K82
Direct Lateral Interbody Fusion (DLIF) device use In- Right, 0M8V Papillary, 028D
terbody Fusion Device in Lower Joints Perineum, 0M8K Perineum, 0K8M
Disarticulation see Detachment Rib(s), 0M8G Shoulder
Discectomy, diskectomy Shoulder Left, 0K86
see Excision, Lower Joints, 0SB Left, 0M82 Right, 0K85
see Excision, Upper Joints, 0RB Right, 0M81 Thorax
see Resection, Lower Joints, 0ST Spine Left, 0K8J
see Resection, Upper Joints, 0RT Lower, 0M8D Right, 0K8H
Discography Upper, 0M8C Tongue, Palate, Pharynx, 0K84
see Fluoroscopy, Axial Skeleton, Except Skull and Fa- Sternum, 0M8F Trunk
cial Bones, BR1 Upper Extremity Left, 0K8G
see Plain Radiography, Axial Skeleton, Except Skull Left, 0M8B Right, 0K8F
and Facial Bones, BR0 Right, 0M89 Upper Arm
Distal humerus Wrist Left, 0K88
use Humeral Shaft, Left Left, 0M86 Right, 0K87
use Humeral Shaft, Right Right, 0M85 Upper Leg
Distal humerus, involving joint Carpal Left, 0K8R
use Elbow Joint, Left Left, 0P8N Right, 0K8Q
Right, 0P8M Nerve
use Elbow Joint, Right
Cerebral Hemisphere, 0087 Abdominal Sympathetic, 018M
Distal radioulnar joint Chordae Tendineae, 0289 Abducens, 008L
use Wrist Joint, Left Clavicle Accessory, 008R
use Wrist Joint, Right Left, 0P8B Acoustic, 008N
Diversion see Bypass Right, 0P89 Brachial Plexus, 0183
Diverticulectomy see Excision, Gastrointestinal System, Coccyx, 0Q8S Cervical, 0181
0DB Conduction Mechanism, 0288 Cervical Plexus, 0180
Division Esophagogastric Junction, 0D84 Facial, 008M
Acetabulum Femoral Shaft Femoral, 018D
Left, 0Q85 Left, 0Q89 Glossopharyngeal, 008P
Right, 0Q84 Right, 0Q88 Head and Neck Sympathetic, 018K
Anal Sphincter, 0D8R Femur Hypoglossal, 008S
Basal Ganglia, 0088 Lower Lumbar, 018B
Bladder Neck, 0T8C Left, 0Q8C Lumbar Plexus, 0189
Bone Right, 0Q8B Lumbar Sympathetic, 018N
Ethmoid Upper Lumbosacral Plexus, 018A
Left, 0N8G Left, 0Q87 Median, 0185
Right, 0N8F Right, 0Q86 Oculomotor, 008H
Frontal, 0N81 Fibula Olfactory, 008F
Hyoid, 0N8X Left, 0Q8K Optic, 008G
Lacrimal Right, 0Q8J Peroneal, 018H
Left, 0N8J Gland, Pituitary, 0G80 Phrenic, 0182
Right, 0N8H Glenoid Cavity Pudendal, 018C
Nasal, 0N8B Left, 0P88 Radial, 0186
Occipital, 0N87 Right, 0P87 Sacral, 018R
Palatine Humeral Head Sacral Plexus, 018Q
Left, 0N8L Left, 0P8D Sacral Sympathetic, 018P
Right, 0N8K Right, 0P8C Sciatic, 018F
Parietal Humeral Shaft Thoracic, 0188
Left, 0N84 Left, 0P8G Thoracic Sympathetic, 018L
Right, 0N83 Right, 0P8F Tibial, 018G
Pelvic Hymen, 0U8K Trigeminal, 008K
Left, 0Q83 Kidneys, Bilateral, 0T82 Trochlear, 008J
Right, 0Q82 Mandible Ulnar, 0184
Sphenoid, 0N8C Left, 0N8V Vagus, 008Q
Temporal Right, 0N8T Orbit
Left, 0N86 Maxilla, 0N8R Left, 0N8Q
Right, 0N85 Metacarpal Right, 0N8P
Zygomatic Left, 0P8Q Ovary
Left, 0N8N Right, 0P8P Bilateral, 0U82
Right, 0N8M Metatarsal Left, 0U81
Brain, 0080 Left, 0Q8P Right, 0U80
Bursa and Ligament Right, 0Q8N Pancreas, 0F8G
Abdomen Muscle Patella
Left, 0M8J Abdomen Left, 0Q8F
Right, 0M8H Left, 0K8L Right, 0Q8D
Dilation — Division

Ankle Right, 0K8K Perineum, Female, 0W8NXZZ

Left, 0M8R Facial, 0K81 Phalanx
Right, 0M8Q Foot Finger
Elbow Left, 0K8W Left, 0P8V
Left, 0M84 Right, 0K8V Right, 0P8T
Right, 0M83 Hand Thumb
Foot Left, 0K8D Left, 0P8S
Left, 0M8T Right, 0K8C Right, 0P8R
Right, 0M8S Head, 0K80 Toe
Hand Hip Left, 0Q8R
Left, 0M88 Left, 0K8P Right, 0Q8Q

2 Subterms under main terms may continue to next column or page 47

 Division ICD-10-PCS 2019
Division — continued Division — continued Drainage — continued
Index
Radius Tendon — continued Anterior Chamber
Left, 0P8J Abdomen — continued Left, 0893
Right, 0P8H Right, 0L8F Right, 0892
Ribs Ankle Anus, 0D9Q
1 to 2, 0P81 Left, 0L8T Aorta, Abdominal, 0490
3 or More, 0P82 Right, 0L8S Aortic Body, 0G9D
Sacrum, 0Q81 Foot Appendix, 0D9J
Scapula Left, 0L8W Arm
Left, 0P86 Right, 0L8V Lower
Right, 0P85 Hand Left, 0X9F
Skin Left, 0L88 Right, 0X9D
Abdomen, 0H87XZZ Right, 0L87 Upper
Back, 0H86XZZ Head and Neck, 0L80 Left, 0X99
Buttock, 0H88XZZ Hip Right, 0X98
Chest, 0H85XZZ Left, 0L8K Artery
Ear Right, 0L8J Anterior Tibial
Left, 0H83XZZ Knee Left, 049Q
Right, 0H82XZZ Left, 0L8R Right, 049P
Face, 0H81XZZ Right, 0L8Q Axillary
Foot Lower Arm and Wrist Left, 0396
Left, 0H8NXZZ Left, 0L86 Right, 0395
Right, 0H8MXZZ Right, 0L85 Brachial
Hand Lower Leg Left, 0398
Left, 0H8GXZZ Left, 0L8P Right, 0397
Right, 0H8FXZZ Right, 0L8N Celiac, 0491
Inguinal, 0H8AXZZ Perineum, 0L8H Colic
Lower Arm Shoulder Left, 0497
Left, 0H8EXZZ Left, 0L82 Middle, 0498
Right, 0H8DXZZ Right, 0L81 Right, 0496
Lower Leg Thorax Common Carotid
Left, 0H8LXZZ Left, 0L8D Left, 039J
Right, 0H8KXZZ Right, 0L8C Right, 039H
Neck, 0H84XZZ Trunk Common Iliac
Perineum, 0H89XZZ Left, 0L8B Left, 049D
Scalp, 0H80XZZ Right, 0L89 Right, 049C
Upper Arm Upper Arm External Carotid
Left, 0H8CXZZ Left, 0L84 Left, 039N
Right, 0H8BXZZ Right, 0L83 Right, 039M
Upper Leg Upper Leg External Iliac
Left, 0H8JXZZ Left, 0L8M Left, 049J
Right, 0H8HXZZ Right, 0L8L Right, 049H
Skull, 0N80 Thyroid Gland Isthmus, 0G8J Face, 039R
Spinal Cord Tibia Femoral
Cervical, 008W Left, 0Q8H Left, 049L
Lumbar, 008Y Right, 0Q8G Right, 049K
Thoracic, 008X Turbinate, Nasal, 098L Foot
Sternum, 0P80 Ulna Left, 049W
Stomach, Pylorus, 0D87 Left, 0P8L Right, 049V
Subcutaneous Tissue and Fascia Right, 0P8K Gastric, 0492
Abdomen, 0J88 Uterine Supporting Structure, 0U84 Hand
Back, 0J87 Vertebra Left, 039F
Buttock, 0J89 Cervical, 0P83 Right, 039D
Chest, 0J86 Lumbar, 0Q80 Hepatic, 0493
Face, 0J81 Thoracic, 0P84 Inferior Mesenteric, 049B
Foot Doppler study see Ultrasonography Innominate, 0392
Left, 0J8R Dorsal digital nerve use Radial Nerve Internal Carotid
Right, 0J8Q Dorsal metacarpal vein Left, 039L
Hand use Hand Vein, Left Right, 039K
Left, 0J8K use Hand Vein, Right Internal Iliac
Right, 0J8J Dorsal metatarsal artery Left, 049F
Head and Neck, 0J8S use Foot Artery, Left Right, 049E
Lower Arm use Foot Artery, Right Internal Mammary
Left, 0J8H Dorsal metatarsal vein Left, 0391
Right, 0J8G use Foot Vein, Left Right, 0390
Lower Extremity, 0J8W use Foot Vein, Right Intracranial, 039G
Lower Leg Dorsal scapular artery Lower, 049Y
Left, 0J8P use Subclavian Artery, Left Peroneal
Right, 0J8N use Subclavian Artery, Right Left, 049U
Neck Dorsal scapular nerve use Brachial Plexus Right, 049T
Left, 0J85 Popliteal
Dorsal venous arch
Right, 0J84 Left, 049N
Pelvic Region, 0J8C use Foot Vein, Left Right, 049M
Perineum, 0J8B use Foot Vein, Right Posterior Tibial
Scalp, 0J80 Dorsalis pedis artery Left, 049S
Trunk, 0J8T use Anterior Tibial Artery, Left Right, 049R
Upper Arm use Anterior Tibial Artery, Right Radial
DownStream® System, 5A0512C, 5A0522C
Division — Drainage

Left, 0J8F Left, 039C

Right, 0J8D Drainage Right, 039B
Upper Extremity, 0J8V Abdominal Wall, 0W9F Renal
Upper Leg Acetabulum Left, 049A
Left, 0J8M Left, 0Q95 Right, 0499
Right, 0J8L Right, 0Q94 Splenic, 0494
Tarsal Adenoids, 0C9Q Subclavian
Left, 0Q8M Ampulla of Vater, 0F9C Left, 0394
Right, 0Q8L Anal Sphincter, 0D9R Right, 0393
Tendon Ankle Region Superior Mesenteric, 0495
Abdomen Left, 0Y9L Temporal
Left, 0L8G Right, 0Y9K Left, 039T

48 2 Subterms under main terms may continue to next column or page

ICD-10-PCS 2019 Drainage
Drainage — continued Drainage — continued Drainage — continued

Index
Artery — continued Bursa and Ligament — continued Duct — continued
Temporal — continued Hip Pancreatic, 0F9D
Right, 039S Left, 0M9M Accessory, 0F9F
Thyroid Right, 0M9L Parotid
Left, 039V Knee Left, 0C9C
Right, 039U Left, 0M9P Right, 0C9B
Ulnar Right, 0M9N Duodenum, 0D99
Left, 039A Lower Extremity Dura Mater, 0092
Right, 0399 Left, 0M9W Ear
Upper, 039Y Right, 0M9V External
Vertebral Perineum, 0M9K Left, 0991
Left, 039Q Rib(s), 0M9G Right, 0990
Right, 039P Shoulder External Auditory Canal
Auditory Ossicle Left, 0M92 Left, 0994
Left, 099A Right, 0M91 Right, 0993
Right, 0999 Spine Inner
Axilla Lower, 0M9D Left, 099E
Left, 0X95 Upper, 0M9C Right, 099D
Right, 0X94 Sternum, 0M9F Middle
Back Upper Extremity Left, 0996
Lower, 0W9L Left, 0M9B Right, 0995
Upper, 0W9K Right, 0M99 Elbow Region
Basal Ganglia, 0098 Wrist Left, 0X9C
Bladder, 0T9B Left, 0M96 Right, 0X9B
Bladder Neck, 0T9C Right, 0M95 Epididymis
Bone Buttock Bilateral, 0V9L
Ethmoid Left, 0Y91 Left, 0V9K
Left, 0N9G Right, 0Y90 Right, 0V9J
Right, 0N9F Carina, 0B92 Epidural Space, Intracranial, 0093
Frontal, 0N91 Carotid Bodies, Bilateral, 0G98 Epiglottis, 0C9R
Hyoid, 0N9X Carotid Body Esophagogastric Junction, 0D94
Lacrimal Left, 0G96 Esophagus, 0D95
Left, 0N9J Right, 0G97 Lower, 0D93
Right, 0N9H Carpal Middle, 0D92
Nasal, 0N9B Left, 0P9N Upper, 0D91
Occipital, 0N97 Right, 0P9M Eustachian Tube
Palatine Cavity, Cranial, 0W91 Left, 099G
Left, 0N9L Cecum, 0D9H Right, 099F
Right, 0N9K Cerebellum, 009C Extremity
Parietal Cerebral Hemisphere, 0097 Lower
Left, 0N94 Cerebral Meninges, 0091 Left, 0Y9B
Right, 0N93 Cerebral Ventricle, 0096 Right, 0Y99
Pelvic Cervix, 0U9C Upper
Left, 0Q93 Chest Wall, 0W98 Left, 0X97
Right, 0Q92 Choroid Right, 0X96
Sphenoid, 0N9C Left, 089B Eye
Temporal Right, 089A Left, 0891
Left, 0N96 Cisterna Chyli, 079L Right, 0890
Right, 0N95 Clavicle Eyelid
Zygomatic Left, 0P9B Lower
Left, 0N9N Right, 0P99 Left, 089R
Right, 0N9M Clitoris, 0U9J Right, 089Q
Bone Marrow, 079T Coccygeal Glomus, 0G9B Upper
Brain, 0090 Coccyx, 0Q9S Left, 089P
Breast Colon Right, 089N
Bilateral, 0H9V Ascending, 0D9K Face, 0W92
Left, 0H9U Descending, 0D9M Fallopian Tube
Right, 0H9T Sigmoid, 0D9N Left, 0U96
Bronchus Transverse, 0D9L Right, 0U95
Lingula, 0B99 Conjunctiva Fallopian Tubes, Bilateral, 0U97
Lower Lobe Left, 089T Femoral Region
Left, 0B9B Right, 089S Left, 0Y98
Right, 0B96 Cord Right, 0Y97
Main Bilateral, 0V9H Femoral Shaft
Left, 0B97 Left, 0V9G Left, 0Q99
Right, 0B93 Right, 0V9F Right, 0Q98
Middle Lobe, Right, 0B95 Cornea Femur
Upper Lobe Left, 0899 Lower
Left, 0B98 Right, 0898 Left, 0Q9C
Right, 0B94 Cul-de-sac, 0U9F Right, 0Q9B
Buccal Mucosa, 0C94 Diaphragm, 0B9T Upper
Bursa and Ligament Disc Left, 0Q97
Abdomen Cervical Vertebral, 0R93 Right, 0Q96
Left, 0M9J Cervicothoracic Vertebral, 0R95 Fibula
Right, 0M9H Lumbar Vertebral, 0S92 Left, 0Q9K
Ankle Lumbosacral, 0S94 Right, 0Q9J
Drainage — Drainage

Left, 0M9R Thoracic Vertebral, 0R99 Finger Nail, 0H9Q

Right, 0M9Q Thoracolumbar Vertebral, 0R9B Foot
Elbow Duct Left, 0Y9N
Left, 0M94 Common Bile, 0F99 Right, 0Y9M
Right, 0M93 Cystic, 0F98 Gallbladder, 0F94
Foot Hepatic Gingiva
Left, 0M9T Common, 0F97 Lower, 0C96
Right, 0M9S Left, 0F96 Upper, 0C95
Hand Right, 0F95 Gland
Left, 0M98 Lacrimal Adrenal
Right, 0M97 Left, 089Y Bilateral, 0G94
Head and Neck, 0M90 Right, 089X Left, 0G92

2 Subterms under main terms may continue to next column or page 49

 Drainage ICD-10-PCS 2019
Drainage — continued Drainage — continued Drainage — continued
Index
Gland — continued Joint — continued Lymphatic — continued
Adrenal — continued Sacrococcygeal, 0S95 Upper Extremity
Right, 0G93 Sacroiliac Left, 0794
Lacrimal Left, 0S98 Right, 0793
Left, 089W Right, 0S97 Mandible
Right, 089V Shoulder Left, 0N9V
Minor Salivary, 0C9J Left, 0R9K Right, 0N9T
Parotid Right, 0R9J Maxilla, 0N9R
Left, 0C99 Sternoclavicular Mediastinum, 0W9C
Right, 0C98 Left, 0R9F Medulla Oblongata, 009D
Pituitary, 0G90 Right, 0R9E Mesentery, 0D9V
Sublingual Tarsal Metacarpal
Left, 0C9F Left, 0S9J Left, 0P9Q
Right, 0C9D Right, 0S9H Right, 0P9P
Submaxillary Tarsometatarsal Metatarsal
Left, 0C9H Left, 0S9L Left, 0Q9P
Right, 0C9G Right, 0S9K Right, 0Q9N
Vestibular, 0U9L Temporomandibular Muscle
Glenoid Cavity Left, 0R9D Abdomen
Left, 0P98 Right, 0R9C Left, 0K9L
Right, 0P97 Thoracic Vertebral, 0R96 Right, 0K9K
Glomus Jugulare, 0G9C Thoracolumbar Vertebral, 0R9A Extraocular
Hand Toe Phalangeal Left, 089M
Left, 0X9K Left, 0S9Q Right, 089L
Right, 0X9J Right, 0S9P Facial, 0K91
Head, 0W90 Wrist Foot
Humeral Head Left, 0R9P Left, 0K9W
Left, 0P9D Right, 0R9N Right, 0K9V
Right, 0P9C Kidney Hand
Humeral Shaft Left, 0T91 Left, 0K9D
Left, 0P9G Right, 0T90 Right, 0K9C
Right, 0P9F Kidney Pelvis Head, 0K90
Hymen, 0U9K Left, 0T94 Hip
Hypothalamus, 009A Right, 0T93 Left, 0K9P
Ileocecal Valve, 0D9C Knee Region Right, 0K9N
Ileum, 0D9B Left, 0Y9G Lower Arm and Wrist
Inguinal Region Right, 0Y9F Left, 0K9B
Left, 0Y96 Larynx, 0C9S Right, 0K99
Right, 0Y95 Leg Lower Leg
Intestine Lower Left, 0K9T
Large, 0D9E Left, 0Y9J Right, 0K9S
Left, 0D9G Right, 0Y9H Neck
Right, 0D9F Upper Left, 0K93
Small, 0D98 Left, 0Y9D Right, 0K92
Iris Right, 0Y9C Perineum, 0K9M
Left, 089D Lens Shoulder
Right, 089C Left, 089K Left, 0K96
Jaw Right, 089J Right, 0K95
Lower, 0W95 Lip Thorax
Upper, 0W94 Lower, 0C91 Left, 0K9J
Jejunum, 0D9A Upper, 0C90 Right, 0K9H
Joint Liver, 0F90 Tongue, Palate, Pharynx, 0K94
Acromioclavicular Left Lobe, 0F92 Trunk
Left, 0R9H Right Lobe, 0F91 Left, 0K9G
Right, 0R9G Lung Right, 0K9F
Ankle Bilateral, 0B9M Upper Arm
Left, 0S9G Left, 0B9L Left, 0K98
Right, 0S9F Lower Lobe Right, 0K97
Carpal Left, 0B9J Upper Leg
Left, 0R9R Right, 0B9F Left, 0K9R
Right, 0R9Q Middle Lobe, Right, 0B9D Right, 0K9Q
Carpometacarpal Right, 0B9K Nasal Mucosa and Soft Tissue, 099K
Left, 0R9T Upper Lobe Nasopharynx, 099N
Right, 0R9S Left, 0B9G Neck, 0W96
Cervical Vertebral, 0R91 Right, 0B9C Nerve
Cervicothoracic Vertebral, 0R94 Lung Lingula, 0B9H Abdominal Sympathetic, 019M
Coccygeal, 0S96 Lymphatic Abducens, 009L
Elbow Aortic, 079D Accessory, 009R
Left, 0R9M Axillary Acoustic, 009N
Right, 0R9L Left, 0796 Brachial Plexus, 0193
Finger Phalangeal Right, 0795 Cervical, 0191
Left, 0R9X Head, 0790 Cervical Plexus, 0190
Right, 0R9W Inguinal Facial, 009M
Hip Left, 079J Femoral, 019D
Left, 0S9B Right, 079H Glossopharyngeal, 009P
Right, 0S99 Internal Mammary Head and Neck Sympathetic, 019K
Drainage — Drainage

Knee Left, 0799 Hypoglossal, 009S

Left, 0S9D Right, 0798 Lumbar, 019B
Right, 0S9C Lower Extremity Lumbar Plexus, 0199
Lumbar Vertebral, 0S90 Left, 079G Lumbar Sympathetic, 019N
Lumbosacral, 0S93 Right, 079F Lumbosacral Plexus, 019A
Metacarpophalangeal Mesenteric, 079B Median, 0195
Left, 0R9V Neck Oculomotor, 009H
Right, 0R9U Left, 0792 Olfactory, 009F
Metatarsal-Phalangeal Right, 0791 Optic, 009G
Left, 0S9N Pelvis, 079C Peroneal, 019H
Right, 0S9M Thoracic Duct, 079K Phrenic, 0192
Occipital-cervical, 0R90 Thorax, 0797 Pudendal, 019C

50 2 Subterms under main terms may continue to next column or page

ICD-10-PCS 2019 Drainage
Drainage — continued Drainage — continued Drainage — continued

Index
Nerve — continued Retinal Vessel — continued Subcutaneous Tissue and Fascia — continued
Radial, 0196 Right, 089G Hand
Sacral, 019R Retroperitoneum, 0W9H Left, 0J9K
Sacral Plexus, 019Q Ribs Right, 0J9J
Sacral Sympathetic, 019P 1 to 2, 0P91 Lower Arm
Sciatic, 019F 3 or More, 0P92 Left, 0J9H
Thoracic, 0198 Sacrum, 0Q91 Right, 0J9G
Thoracic Sympathetic, 019L Scapula Lower Leg
Tibial, 019G Left, 0P96 Left, 0J9P
Trigeminal, 009K Right, 0P95 Right, 0J9N
Trochlear, 009J Sclera Neck
Ulnar, 0194 Left, 0897 Left, 0J95
Vagus, 009Q Right, 0896 Right, 0J94
Nipple Scrotum, 0V95 Pelvic Region, 0J9C
Left, 0H9X Septum, Nasal, 099M Perineum, 0J9B
Right, 0H9W Shoulder Region Scalp, 0J90
Omentum, 0D9U Left, 0X93 Upper Arm
Oral Cavity and Throat, 0W93 Right, 0X92 Left, 0J9F
Orbit Sinus Right, 0J9D
Left, 0N9Q Accessory, 099P Upper Leg
Right, 0N9P Ethmoid Left, 0J9M
Ovary Left, 099V Right, 0J9L
Bilateral, 0U92 Right, 099U Subdural Space, Intracranial, 0094
Left, 0U91 Frontal Tarsal
Right, 0U90 Left, 099T Left, 0Q9M
Palate Right, 099S Right, 0Q9L
Hard, 0C92 Mastoid Tendon
Soft, 0C93 Left, 099C Abdomen
Pancreas, 0F9G Right, 099B Left, 0L9G
Para-aortic Body, 0G99 Maxillary Right, 0L9F
Paraganglion Extremity, 0G9F Left, 099R Ankle
Parathyroid Gland, 0G9R Right, 099Q Left, 0L9T
Inferior Sphenoid Right, 0L9S
Left, 0G9P Left, 099X Foot
Right, 0G9N Right, 099W Left, 0L9W
Multiple, 0G9Q Skin Right, 0L9V
Superior Abdomen, 0H97 Hand
Left, 0G9M Back, 0H96 Left, 0L98
Right, 0G9L Buttock, 0H98 Right, 0L97
Patella Chest, 0H95 Head and Neck, 0L90
Left, 0Q9F Ear Hip
Right, 0Q9D Left, 0H93 Left, 0L9K
Pelvic Cavity, 0W9J Right, 0H92 Right, 0L9J
Penis, 0V9S Face, 0H91 Knee
Pericardial Cavity, 0W9D Foot Left, 0L9R
Perineum Left, 0H9N Right, 0L9Q
Female, 0W9N Right, 0H9M Lower Arm and Wrist
Male, 0W9M Hand Left, 0L96
Peritoneal Cavity, 0W9G Left, 0H9G Right, 0L95
Peritoneum, 0D9W Right, 0H9F Lower Leg
Phalanx Inguinal, 0H9A Left, 0L9P
Finger Lower Arm Right, 0L9N
Left, 0P9V Left, 0H9E Perineum, 0L9H
Right, 0P9T Right, 0H9D Shoulder
Thumb Lower Leg Left, 0L92
Left, 0P9S Left, 0H9L Right, 0L91
Right, 0P9R Right, 0H9K Thorax
Toe Neck, 0H94 Left, 0L9D
Left, 0Q9R Perineum, 0H99 Right, 0L9C
Right, 0Q9Q Scalp, 0H90 Trunk
Pharynx, 0C9M Upper Arm Left, 0L9B
Pineal Body, 0G91 Left, 0H9C Right, 0L99
Pleura Right, 0H9B Upper Arm
Left, 0B9P Upper Leg Left, 0L94
Right, 0B9N Left, 0H9J Right, 0L93
Pleural Cavity Right, 0H9H Upper Leg
Left, 0W9B Skull, 0N90 Left, 0L9M
Right, 0W99 Spinal Canal, 009U Right, 0L9L
Pons, 009B Spinal Cord Testis
Prepuce, 0V9T Cervical, 009W Bilateral, 0V9C
Products of Conception Lumbar, 009Y Left, 0V9B
Amniotic Fluid Thoracic, 009X Right, 0V99
Diagnostic, 1090 Spinal Meninges, 009T Thalamus, 0099
Therapeutic, 1090 Spleen, 079P Thymus, 079M
Fetal Blood, 1090 Sternum, 0P90 Thyroid Gland, 0G9K
Fetal Cerebrospinal Fluid, 1090 Stomach, 0D96 Left Lobe, 0G9G
Drainage — Drainage

Fetal Fluid, Other, 1090 Pylorus, 0D97 Right Lobe, 0G9H

Fluid, Other, 1090 Subarachnoid Space, Intracranial, 0095 Tibia
Prostate, 0V90 Subcutaneous Tissue and Fascia Left, 0Q9H
Radius Abdomen, 0J98 Right, 0Q9G
Left, 0P9J Back, 0J97 Toe Nail, 0H9R
Right, 0P9H Buttock, 0J99 Tongue, 0C97
Rectum, 0D9P Chest, 0J96 Tonsils, 0C9P
Retina Face, 0J91 Tooth
Left, 089F Foot Lower, 0C9X
Right, 089E Left, 0J9R Upper, 0C9W
Retinal Vessel Right, 0J9Q Trachea, 0B91
Left, 089H

2 Subterms under main terms may continue to next column or page 51

 Drainage ICD-10-PCS 2019
Drainage — continued Drainage — continued Duodenocholedochotomy see Drainage, Gallbladder,
Index
Tunica Vaginalis Vein — continued 0F94
Left, 0V97 Vertebral Duodenocystostomy
Right, 0V96 Left, 059S see Bypass, Gallbladder, 0F14
Turbinate, Nasal, 099L Right, 059R see Drainage, Gallbladder, 0F94
Tympanic Membrane Vena Cava, Inferior, 0690 Duodenoenterostomy
Left, 0998 Vertebra see Bypass, Gastrointestinal System, 0D1
Right, 0997 Cervical, 0P93 see Drainage, Gastrointestinal System, 0D9
Ulna Lumbar, 0Q90 Duodenojejunal flexure use Jejunum
Left, 0P9L Thoracic, 0P94 Duodenolysis see Release, Duodenum, 0DN9
Right, 0P9K Vesicle Duodenorrhaphy see Repair, Duodenum, 0DQ9
Ureter Bilateral, 0V93 Duodenostomy
Left, 0T97 Left, 0V92 see Bypass, Duodenum, 0D19
Right, 0T96 Right, 0V91 see Drainage, Duodenum, 0D99
Ureters, Bilateral, 0T98 Vitreous Duodenotomy see Drainage, Duodenum, 0D99
Urethra, 0T9D Left, 0895 Dura mater, intracranial use Dura Mater
Uterine Supporting Structure, 0U94 Right, 0894 Dura mater, spinal use Spinal Meninges
Uterus, 0U99 Vocal Cord
DuraGraft® Endothelial Damage Inhibitor use Endothe-
Uvula, 0C9N Left, 0C9V
lial Damage Inhibitor
Vagina, 0U9G Right, 0C9T
Vas Deferens Vulva, 0U9M DuraHeart Left Ventricular Assist System use Im-
Bilateral, 0V9Q Wrist Region plantable Heart Assist System in Heart and Great
Left, 0V9P Left, 0X9H Vessels
Right, 0V9N Right, 0X9G Dural venous sinus use Intracranial Vein
Vein Dressing Durata® Defibrillation Lead use Cardiac Lead, Defibrilla-
Axillary Abdominal Wall, 2W23X4Z tor in, 02H
Left, 0598 Arm Dynesys® Dynamic Stabilization System
Right, 0597 Lower use Spinal Stabilization Device, Pedicle-Based in, 0RH
Azygos, 0590 Left, 2W2DX4Z use Spinal Stabilization Device, Pedicle-Based in, 0SH
Basilic Right, 2W2CX4Z
Left, 059C
Right, 059B
Upper
Left, 2W2BX4Z E
Brachial Right, 2W2AX4Z
Left, 059A Back, 2W25X4Z
Earlobe
Right, 0599 Chest Wall, 2W24X4Z use Ear, External, Bilateral
Cephalic Extremity use Ear, External, Left
Left, 059F Lower use Ear, External, Right
Right, 059D Left, 2W2MX4Z ECCO2R (Extracorporeal Carbon Dioxide Removal),
Colic, 0697 Right, 2W2LX4Z 5A0920Z
Common Iliac Upper Echocardiogram see Ultrasonography, Heart, B24
Left, 069D Left, 2W29X4Z Echography see Ultrasonography
Right, 069C Right, 2W28X4Z ECMO see Performance, Circulatory, 5A15
Esophageal, 0693 Face, 2W21X4Z EDWARDS INTUITY Elite valve system use Zooplastic
External Iliac Finger Tissue, Rapid Deployment Technique in New Tech-
Left, 069G Left, 2W2KX4Z nology
Right, 069F Right, 2W2JX4Z EEG (electroencephalogram) see Measurement, Central
External Jugular Foot Nervous, 4A00
Left, 059Q Left, 2W2TX4Z EGD (esophagogastroduodenoscopy), 0DJ08ZZ
Right, 059P Right, 2W2SX4Z Eighth cranial nerve use Acoustic Nerve
Face Hand Ejaculatory duct
Left, 059V Left, 2W2FX4Z use Vas Deferens
Right, 059T Right, 2W2EX4Z use Vas Deferens, Bilateral
Femoral Head, 2W20X4Z use Vas Deferens, Left
Left, 069N Inguinal Region use Vas Deferens, Right
Right, 069M Left, 2W27X4Z EKG (electrocardiogram) see Measurement, Cardiac,
Foot Right, 2W26X4Z 4A02
Left, 069V Leg Electrical bone growth stimulator (EBGS)
Right, 069T Lower use Bone Growth Stimulator in Head and Facial Bones
Gastric, 0692 Left, 2W2RX4Z use Bone Growth Stimulator in Lower Bones
Hand Right, 2W2QX4Z use Bone Growth Stimulator in Upper Bones
Left, 059H Upper Electrical muscle stimulation (EMS) lead use Stimulator
Right, 059G Left, 2W2PX4Z Lead in Muscles
Hemiazygos, 0591 Right, 2W2NX4Z Electrocautery
Hepatic, 0694 Neck, 2W22X4Z Destruction see Destruction
Hypogastric Thumb Repair see Repair
Left, 069J Left, 2W2HX4Z Electroconvulsive Therapy
Right, 069H Right, 2W2GX4Z Bilateral-Multiple Seizure, GZB3ZZZ
Inferior Mesenteric, 0696 Toe Bilateral-Single Seizure, GZB2ZZZ
Innominate Left, 2W2VX4Z Electroconvulsive Therapy, Other, GZB4ZZZ
Left, 0594 Right, 2W2UX4Z Unilateral-Multiple Seizure, GZB1ZZZ
Right, 0593 Driver stent (RX) (OTW) use Intraluminal Device Unilateral-Single Seizure, GZB0ZZZ
Internal Jugular Drotrecogin alfa, infusion see Introduction of Recombi- Electroencephalogram (EEG) see Measurement, Central
Left, 059N nant Human-activated Protein C Nervous, 4A00
Right, 059M Duct of Santorini use Pancreatic Duct, Accessory Electromagnetic Therapy
Drainage — Embolectomy

Intracranial, 059L Duct of Wirsung use Pancreatic Duct Central Nervous, 6A22
Lower, 069Y Ductogram, mammary see Plain Radiography, Skin, Urinary, 6A21
Portal, 0698 Subcutaneous Tissue and Breast, BH0 Electronic muscle stimulator lead use Stimulator Lead
Renal Ductography, mammary see Plain Radiography, Skin, in Muscles
Left, 069B Subcutaneous Tissue and Breast, BH0 Electrophysiologic stimulation (EPS) see Measurement,
Right, 0699 Ductus deferens Cardiac, 4A02
Saphenous use Vas Deferens Electroshock therapy see Electroconvulsive Therapy
Left, 069Q use Vas Deferens, Bilateral
Right, 069P Elevation, bone fragments, skull see Reposition, Head
use Vas Deferens, Left and Facial Bones, 0NS
Splenic, 0691 use Vas Deferens, Right
Subclavian Eleventh cranial nerve use Accessory Nerve
Duodenal ampulla use Ampulla of Vater E-Luminexx™ (Biliary) (Vascular) Stent use Intraluminal
Left, 0596 Duodenectomy
Right, 0595 Device
see Excision, Duodenum, 0DB9 Embolectomy see Extirpation
Superior Mesenteric, 0695
see Resection, Duodenum, 0DT9
Upper, 059Y

52 2 Subterms under main terms may continue to next column or page

ICD-10-PCS 2019 Excision
Embolization Esophagectomy Excision — continued

Index
see Occlusion see Excision, Gastrointestinal System, 0DB Arm
see Restriction see Resection, Gastrointestinal System, 0DT Lower
Embolization coil(s) use Intraluminal Device Esophagocoloplasty Left, 0XBF
EMG (electromyogram) see Measurement, Musculoskele- see Repair, Gastrointestinal System, 0DQ Right, 0XBD
tal, 4A0F see Supplement, Gastrointestinal System, 0DU Upper
Encephalon use Brain Esophagoenterostomy Left, 0XB9
Endarterectomy see Bypass, Gastrointestinal System, 0D1 Right, 0XB8
see Extirpation, Lower Arteries, 04C see Drainage, Gastrointestinal System, 0D9 Artery
see Extirpation, Upper Arteries, 03C Esophagoesophagostomy Anterior Tibial
Endeavor® (III) (IV) (Sprint) Zotarolimus-eluting see Bypass, Gastrointestinal System, 0D1 Left, 04BQ
Coronary Stent System use Intraluminal Device, see Drainage, Gastrointestinal System, 0D9 Right, 04BP
Drug-eluting in Heart and Great Vessels Esophagogastrectomy Axillary
Endologix® AFX Endovascular AAA System use Intralu- see Excision, Gastrointestinal System, 0DB Left, 03B6
minal Device see Resection, Gastrointestinal System, 0DT Right, 03B5
EndoSure® sensor use Monitoring Device, Pressure Sensor Esophagogastroduodenoscopy (EGD), 0DJ08ZZ Brachial
in, 02H Left, 03B8
Esophagogastroplasty
ENDOTAK RELIANCE® (G) Defibrillation Lead use Car- Right, 03B7
see Repair, Gastrointestinal System, 0DQ Celiac, 04B1
diac Lead, Defibrillator in, 02H see Supplement, Gastrointestinal System, 0DU
Endothelial damage inhibitor, applied to vein graft, Colic
Esophagogastroscopy, 0DJ68ZZ Left, 04B7
XY0VX83 Esophagogastrostomy
Endotracheal tube (cuffed) (double-lumen) use Intra- Middle, 04B8
see Bypass, Gastrointestinal System, 0D1 Right, 04B6
luminal Device, Endotracheal Airway in Respiratory see Drainage, Gastrointestinal System, 0D9
System Common Carotid
Esophagojejunoplasty see Supplement, Gastrointestinal Left, 03BJ
Endurant® Endovascular Stent Graft use Intraluminal System, 0DU Right, 03BH
Device Esophagojejunostomy Common Iliac
Endurant® II AAA stent graft system use Intraluminal see Bypass, Gastrointestinal System, 0D1 Left, 04BD
Device see Drainage, Gastrointestinal System, 0D9 Right, 04BC
Engineered Autologous Chimeric Antigen Receptor Esophagomyotomy see Division, Esophagogastric Junc- External Carotid
T-cell Immunotherapy, XW0 tion, 0D84 Left, 03BN
Enlargement Esophagoplasty Right, 03BM
see Dilation see Repair, Gastrointestinal System, 0DQ External Iliac
see Repair see Replacement, Esophagus, 0DR5 Left, 04BJ
EnRhythm use Pacemaker, Dual Chamber in, 0JH see Supplement, Gastrointestinal System, 0DU Right, 04BH
Enterorrhaphy see Repair, Gastrointestinal System, 0DQ Esophagoplication see Restriction, Gastrointestinal Sys- Face, 03BR
Enterra gastric neurostimulator use Stimulator Gener- tem, 0DV Femoral
ator, Multiple Array in, 0JH Esophagorrhaphy see Repair, Gastrointestinal System, Left, 04BL
Enucleation 0DQ Right, 04BK
Eyeball see Resection, Eye, 08T Esophagoscopy, 0DJ08ZZ Foot
Eyeball with prosthetic implant see Replacement, Esophagotomy see Drainage, Gastrointestinal System, Left, 04BW
Eye, 08R 0D9 Right, 04BV
Ependyma use Cerebral Ventricle Esteem® implantable hearing system use Hearing De- Gastric, 04B2
Epicel® cultured epidermal autograft use Autologous vice in Ear, Nose, Sinus Hand
Tissue Substitute ESWL (extracorporeal shock wave lithotripsy) see Left, 03BF
Epic™ Stented Tissue Valve (aortic) use Zooplastic Tis- Fragmentation Right, 03BD
sue in Heart and Great Vessels Ethmoidal air cell Hepatic, 04B3
Epidermis use Skin use Ethmoid Sinus, Left Inferior Mesenteric, 04BB
Epididymectomy use Ethmoid Sinus, Right Innominate, 03B2
see Excision, Male Reproductive System, 0VB Ethmoidectomy Internal Carotid
see Resection, Male Reproductive System, 0VT see Excision, Ear, Nose, Sinus, 09B Left, 03BL
Epididymoplasty see Excision, Head and Facial Bones, 0NB Right, 03BK
see Repair, Male Reproductive System, 0VQ see Resection, Ear, Nose, Sinus, 09T Internal Iliac
see Supplement, Male Reproductive System, 0VU see Resection, Head and Facial Bones, 0NT Left, 04BF
Epididymorrhaphy see Repair, Male Reproductive System, Ethmoidotomy see Drainage, Ear, Nose, Sinus, 099 Right, 04BE
0VQ Evacuation Internal Mammary
Epididymotomy see Drainage, Male Reproductive System, Left, 03B1
Hematoma see Extirpation
0V9 Right, 03B0
Other Fluid see Drainage Intracranial, 03BG
Epidural space, spinal use Spinal Canal Evera (XT) (S) (DR/VR) use Defibrillator Generator in, 0JH
Epiphysiodesis Lower, 04BY
Everolimus-eluting coronary stent use Intraluminal Peroneal
see Insertion of device in, Lower Bones, 0QH Device, Drug-eluting in Heart and Great Vessels
see Insertion of device in, Upper Bones, 0PH Left, 04BU
Evisceration Right, 04BT
see Repair, Lower Bones, 0QQ Eyeball see Resection, Eye, 08T
see Repair, Upper Bones, 0PQ Popliteal
Eyeball with prosthetic implant see Replacement, Left, 04BN
Epiploic foramen use Peritoneum Eye, 08R Right, 04BM
Epiretinal Visual Prosthesis Examination see Inspection Posterior Tibial
Left, 08H105Z Exchange see Change device in Left, 04BS
Right, 08H005Z Excision Right, 04BR
Episiorrhaphy see Repair, Perineum, Female, 0WQN Abdominal Wall, 0WBF Pulmonary
Episiotomy see Division, Perineum, Female, 0W8N Acetabulum Left, 02BR
Epithalamus use Thalamus Left, 0QB5 Right, 02BQ
Epitrochlear lymph node Right, 0QB4 Pulmonary Trunk, 02BP
use Lymphatic, Left Upper Extremity Adenoids, 0CBQ Radial
use Lymphatic, Right Upper Extremity Ampulla of Vater, 0FBC Left, 03BC
Embolization — Excision

EPS (electrophysiologic stimulation) see Measurement, Anal Sphincter, 0DBR Right, 03BB
Cardiac, 4A02 Ankle Region Renal
Eptifibatide, infusion see Introduction of Platelet In- Left, 0YBL Left, 04BA
hibitor Right, 0YBK Right, 04B9
ERCP (endoscopic retrograde cholangiopancreatog- Anus, 0DBQ Splenic, 04B4
raphy) see Fluoroscopy, Hepatobiliary System and Aorta Subclavian
Pancreas, BF1 Abdominal Left, 03B4
Erector spinae muscle Thoracic Right, 03B3
use Trunk Muscle, Left Ascending/Arch, 02BX Superior Mesenteric, 04B5
use Trunk Muscle, Right Descending, 02BW Temporal
Esophageal artery use Upper Artery Aortic Body, 0GBD Left, 03BT
Esophageal obturator airway (EOA) use Intraluminal Appendix, 0DBJ Right, 03BS
Device, Airway in Gastrointestinal System Thyroid
Esophageal plexus use Thoracic Sympathetic Nerve Left, 03BV

2 Subterms under main terms may continue to next column or page 53

 Excision ICD-10-PCS 2019
Excision — continued Excision — continued Excision — continued
Index
Artery — continued Bursa and Ligament — continued Duct — continued
Thyroid — continued Hip Lacrimal — continued
Right, 03BU Left, 0MBM Right, 08BX
Ulnar Right, 0MBL Pancreatic, 0FBD
Left, 03BA Knee Accessory, 0FBF
Right, 03B9 Left, 0MBP Parotid
Upper, 03BY Right, 0MBN Left, 0CBC
Vertebral Lower Extremity Right, 0CBB
Left, 03BQ Left, 0MBW Duodenum, 0DB9
Right, 03BP Right, 0MBV Dura Mater, 00B2
Atrium Perineum, 0MBK Ear
Left, 02B7 Rib(s), 0MBG External
Right, 02B6 Shoulder Left, 09B1
Auditory Ossicle Left, 0MB2 Right, 09B0
Left, 09BA Right, 0MB1 External Auditory Canal
Right, 09B9 Spine Left, 09B4
Axilla Lower, 0MBD Right, 09B3
Left, 0XB5 Upper, 0MBC Inner
Right, 0XB4 Sternum, 0MBF Left, 09BE
Back Upper Extremity Right, 09BD
Lower, 0WBL Left, 0MBB Middle
Upper, 0WBK Right, 0MB9 Left, 09B6
Basal Ganglia, 00B8 Wrist Right, 09B5
Bladder, 0TBB Left, 0MB6 Elbow Region
Bladder Neck, 0TBC Right, 0MB5 Left, 0XBC
Bone Buttock Right, 0XBB
Ethmoid Left, 0YB1 Epididymis
Left, 0NBG Right, 0YB0 Bilateral, 0VBL
Right, 0NBF Carina, 0BB2 Left, 0VBK
Frontal, 0NB1 Carotid Bodies, Bilateral, 0GB8 Right, 0VBJ
Hyoid, 0NBX Carotid Body Epiglottis, 0CBR
Lacrimal Left, 0GB6 Esophagogastric Junction, 0DB4
Left, 0NBJ Right, 0GB7 Esophagus, 0DB5
Right, 0NBH Carpal Lower, 0DB3
Nasal, 0NBB Left, 0PBN Middle, 0DB2
Occipital, 0NB7 Right, 0PBM Upper, 0DB1
Palatine Cecum, 0DBH Eustachian Tube
Left, 0NBL Cerebellum, 00BC Left, 09BG
Right, 0NBK Cerebral Hemisphere, 00B7 Right, 09BF
Parietal Cerebral Meninges, 00B1 Extremity
Left, 0NB4 Cerebral Ventricle, 00B6 Lower
Right, 0NB3 Cervix, 0UBC Left, 0YBB
Pelvic Chest Wall, 0WB8 Right, 0YB9
Left, 0QB3 Chordae Tendineae, 02B9 Upper
Right, 0QB2 Choroid Left, 0XB7
Sphenoid, 0NBC Left, 08BB Right, 0XB6
Temporal Right, 08BA Eye
Left, 0NB6 Cisterna Chyli, 07BL Left, 08B1
Right, 0NB5 Clavicle Right, 08B0
Zygomatic Left, 0PBB Eyelid
Left, 0NBN Right, 0PB9 Lower
Right, 0NBM Clitoris, 0UBJ Left, 08BR
Brain, 00B0 Coccygeal Glomus, 0GBB Right, 08BQ
Breast Coccyx, 0QBS Upper
Bilateral, 0HBV Colon Left, 08BP
Left, 0HBU Ascending, 0DBK Right, 08BN
Right, 0HBT Descending, 0DBM Face, 0WB2
Supernumerary, 0HBY Sigmoid, 0DBN Fallopian Tube
Bronchus Transverse, 0DBL Left, 0UB6
Lingula, 0BB9 Conduction Mechanism, 02B8 Right, 0UB5
Lower Lobe Conjunctiva Fallopian Tubes, Bilateral, 0UB7
Left, 0BBB Left, 08BTXZ Femoral Region
Right, 0BB6 Right, 08BSXZ Left, 0YB8
Main Cord Right, 0YB7
Left, 0BB7 Bilateral, 0VBH Femoral Shaft
Right, 0BB3 Left, 0VBG Left, 0QB9
Middle Lobe, Right, 0BB5 Right, 0VBF Right, 0QB8
Upper Lobe Cornea Femur
Left, 0BB8 Left, 08B9XZ Lower
Right, 0BB4 Right, 08B8XZ Left, 0QBC
Buccal Mucosa, 0CB4 Cul-de-sac, 0UBF Right, 0QBB
Bursa and Ligament Diaphragm, 0BBT Upper
Abdomen Disc Left, 0QB7
Left, 0MBJ Cervical Vertebral, 0RB3 Right, 0QB6
Right, 0MBH Cervicothoracic Vertebral, 0RB5 Fibula
Ankle Lumbar Vertebral, 0SB2 Left, 0QBK
Left, 0MBR Lumbosacral, 0SB4 Right, 0QBJ
Excision — Excision

Right, 0MBQ Thoracic Vertebral, 0RB9 Finger Nail, 0HBQXZ

Elbow Thoracolumbar Vertebral, 0RBB Floor of mouth see Excision, Oral Cavity and Throat,
Left, 0MB4 Duct 0WB3
Right, 0MB3 Common Bile, 0FB9 Foot
Foot Cystic, 0FB8 Left, 0YBN
Left, 0MBT Hepatic Right, 0YBM
Right, 0MBS Common, 0FB7 Gallbladder, 0FB4
Hand Left, 0FB6 Gingiva
Left, 0MB8 Right, 0FB5 Lower, 0CB6
Right, 0MB7 Lacrimal Upper, 0CB5
Head and Neck, 0MB0 Left, 08BY

54 2 Subterms under main terms may continue to next column or page

ICD-10-PCS 2019 Excision
Excision — continued Excision — continued Excision — continued

Index
Gland Joint — continued Lymphatic — continued
Adrenal Metatarsal-Phalangeal — continued Pelvis, 07BC
Bilateral, 0GB4 Right, 0SBM Thoracic Duct, 07BK
Left, 0GB2 Occipital-cervical, 0RB0 Thorax, 07B7
Right, 0GB3 Sacrococcygeal, 0SB5 Upper Extremity
Lacrimal Sacroiliac Left, 07B4
Left, 08BW Left, 0SB8 Right, 07B3
Right, 08BV Right, 0SB7 Mandible
Minor Salivary, 0CBJ Shoulder Left, 0NBV
Parotid Left, 0RBK Right, 0NBT
Left, 0CB9 Right, 0RBJ Maxilla, 0NBR
Right, 0CB8 Sternoclavicular Mediastinum, 0WBC
Pituitary, 0GB0 Left, 0RBF Medulla Oblongata, 00BD
Sublingual Right, 0RBE Mesentery, 0DBV
Left, 0CBF Tarsal Metacarpal
Right, 0CBD Left, 0SBJ Left, 0PBQ
Submaxillary Right, 0SBH Right, 0PBP
Left, 0CBH Tarsometatarsal Metatarsal
Right, 0CBG Left, 0SBL Left, 0QBP
Vestibular, 0UBL Right, 0SBK Right, 0QBN
Glenoid Cavity Temporomandibular Muscle
Left, 0PB8 Left, 0RBD Abdomen
Right, 0PB7 Right, 0RBC Left, 0KBL
Glomus Jugulare, 0GBC Thoracic Vertebral, 0RB6 Right, 0KBK
Hand Thoracolumbar Vertebral, 0RBA Extraocular
Left, 0XBK Toe Phalangeal Left, 08BM
Right, 0XBJ Left, 0SBQ Right, 08BL
Head, 0WB0 Right, 0SBP Facial, 0KB1
Humeral Head Wrist Foot
Left, 0PBD Left, 0RBP Left, 0KBW
Right, 0PBC Right, 0RBN Right, 0KBV
Humeral Shaft Kidney Hand
Left, 0PBG Left, 0TB1 Left, 0KBD
Right, 0PBF Right, 0TB0 Right, 0KBC
Hymen, 0UBK Kidney Pelvis Head, 0KB0
Hypothalamus, 00BA Left, 0TB4 Hip
Ileocecal Valve, 0DBC Right, 0TB3 Left, 0KBP
Ileum, 0DBB Knee Region Right, 0KBN
Inguinal Region Left, 0YBG Lower Arm and Wrist
Left, 0YB6 Right, 0YBF Left, 0KBB
Right, 0YB5 Larynx, 0CBS Right, 0KB9
Intestine Leg Lower Leg
Large, 0DBE Lower Left, 0KBT
Left, 0DBG Left, 0YBJ Right, 0KBS
Right, 0DBF Right, 0YBH Neck
Small, 0DB8 Upper Left, 0KB3
Iris Left, 0YBD Right, 0KB2
Left, 08BD3Z Right, 0YBC Papillary, 02BD
Right, 08BC3Z Lens Perineum, 0KBM
Jaw Left, 08BK3Z Shoulder
Lower, 0WB5 Right, 08BJ3Z Left, 0KB6
Upper, 0WB4 Lip Right, 0KB5
Jejunum, 0DBA Lower, 0CB1 Thorax
Joint Upper, 0CB0 Left, 0KBJ
Acromioclavicular Liver, 0FB0 Right, 0KBH
Left, 0RBH Left Lobe, 0FB2 Tongue, Palate, Pharynx, 0KB4
Right, 0RBG Right Lobe, 0FB1 Trunk
Ankle Lung Left, 0KBG
Left, 0SBG Bilateral, 0BBM Right, 0KBF
Right, 0SBF Left, 0BBL Upper Arm
Carpal Lower Lobe Left, 0KB8
Left, 0RBR Left, 0BBJ Right, 0KB7
Right, 0RBQ Right, 0BBF Upper Leg
Carpometacarpal Middle Lobe, Right, 0BBD Left, 0KBR
Left, 0RBT Right, 0BBK Right, 0KBQ
Right, 0RBS Upper Lobe Nasal Mucosa and Soft Tissue, 09BK
Cervical Vertebral, 0RB1 Left, 0BBG Nasopharynx, 09BN
Cervicothoracic Vertebral, 0RB4 Right, 0BBC Neck, 0WB6
Coccygeal, 0SB6 Lung Lingula, 0BBH Nerve
Elbow Lymphatic Abdominal Sympathetic, 01BM
Left, 0RBM Aortic, 07BD Abducens, 00BL
Right, 0RBL Axillary Accessory, 00BR
Finger Phalangeal Left, 07B6 Acoustic, 00BN
Left, 0RBX Right, 07B5 Brachial Plexus, 01B3
Right, 0RBW Head, 07B0 Cervical, 01B1
Hip Inguinal Cervical Plexus, 01B0
Left, 0SBB Left, 07BJ Facial, 00BM
Excision — Excision

Right, 0SB9 Right, 07BH Femoral, 01BD

Knee Internal Mammary Glossopharyngeal, 00BP
Left, 0SBD Left, 07B9 Head and Neck Sympathetic, 01BK
Right, 0SBC Right, 07B8 Hypoglossal, 00BS
Lumbar Vertebral, 0SB0 Lower Extremity Lumbar, 01BB
Lumbosacral, 0SB3 Left, 07BG Lumbar Plexus, 01B9
Metacarpophalangeal Right, 07BF Lumbar Sympathetic, 01BN
Left, 0RBV Mesenteric, 07BB Lumbosacral Plexus, 01BA
Right, 0RBU Neck Median, 01B5
Metatarsal-Phalangeal Left, 07B2 Oculomotor, 00BH
Left, 0SBN Right, 07B1 Olfactory, 00BF

2 Subterms under main terms may continue to next column or page 55

 Excision ICD-10-PCS 2019
Excision — continued Excision — continued Excision — continued
Index
Nerve — continued Scrotum, 0VB5 Subcutaneous Tissue and Fascia — continued
Optic, 00BG Septum Perineum, 0JBB
Peroneal, 01BH Atrial, 02B5 Scalp, 0JB0
Phrenic, 01B2 Nasal, 09BM Upper Arm
Pudendal, 01BC Ventricular, 02BM Left, 0JBF
Radial, 01B6 Shoulder Region Right, 0JBD
Sacral, 01BR Left, 0XB3 Upper Leg
Sacral Plexus, 01BQ Right, 0XB2 Left, 0JBM
Sacral Sympathetic, 01BP Sinus Right, 0JBL
Sciatic, 01BF Accessory, 09BP Tarsal
Thoracic, 01B8 Ethmoid Left, 0QBM
Thoracic Sympathetic, 01BL Left, 09BV Right, 0QBL
Tibial, 01BG Right, 09BU Tendon
Trigeminal, 00BK Frontal Abdomen
Trochlear, 00BJ Left, 09BT Left, 0LBG
Ulnar, 01B4 Right, 09BS Right, 0LBF
Vagus, 00BQ Mastoid Ankle
Nipple Left, 09BC Left, 0LBT
Left, 0HBX Right, 09BB Right, 0LBS
Right, 0HBW Maxillary Foot
Omentum, 0DBU Left, 09BR Left, 0LBW
Oral Cavity and Throat, 0WB3 Right, 09BQ Right, 0LBV
Orbit Sphenoid Hand
Left, 0NBQ Left, 09BX Left, 0LB8
Right, 0NBP Right, 09BW Right, 0LB7
Ovary Skin Head and Neck, 0LB0
Bilateral, 0UB2 Abdomen, 0HB7XZ Hip
Left, 0UB1 Back, 0HB6XZ Left, 0LBK
Right, 0UB0 Buttock, 0HB8XZ Right, 0LBJ
Palate Chest, 0HB5XZ Knee
Hard, 0CB2 Ear Left, 0LBR
Soft, 0CB3 Left, 0HB3XZ Right, 0LBQ
Pancreas, 0FBG Right, 0HB2XZ Lower Arm and Wrist
Para-aortic Body, 0GB9 Face, 0HB1XZ Left, 0LB6
Paraganglion Extremity, 0GBF Foot Right, 0LB5
Parathyroid Gland, 0GBR Left, 0HBNXZ Lower Leg
Inferior Right, 0HBMXZ Left, 0LBP
Left, 0GBP Hand Right, 0LBN
Right, 0GBN Left, 0HBGXZ Perineum, 0LBH
Multiple, 0GBQ Right, 0HBFXZ Shoulder
Superior Inguinal, 0HBAXZ Left, 0LB2
Left, 0GBM Lower Arm Right, 0LB1
Right, 0GBL Left, 0HBEXZ Thorax
Patella Right, 0HBDXZ Left, 0LBD
Left, 0QBF Lower Leg Right, 0LBC
Right, 0QBD Left, 0HBLXZ Trunk
Penis, 0VBS Right, 0HBKXZ Left, 0LBB
Pericardium, 02BN Neck, 0HB4XZ Right, 0LB9
Perineum Perineum, 0HB9XZ Upper Arm
Female, 0WBN Scalp, 0HB0XZ Left, 0LB4
Male, 0WBM Upper Arm Right, 0LB3
Peritoneum, 0DBW Left, 0HBCXZ Upper Leg
Phalanx Right, 0HBBXZ Left, 0LBM
Finger Upper Leg Right, 0LBL
Left, 0PBV Left, 0HBJXZ Testis
Right, 0PBT Right, 0HBHXZ Bilateral, 0VBC
Thumb Skull, 0NB0 Left, 0VBB
Left, 0PBS Spinal Cord Right, 0VB9
Right, 0PBR Cervical, 00BW Thalamus, 00B9
Toe Lumbar, 00BY Thymus, 07BM
Left, 0QBR Thoracic, 00BX Thyroid Gland
Right, 0QBQ Spinal Meninges, 00BT Left Lobe, 0GBG
Pharynx, 0CBM Spleen, 07BP Right Lobe, 0GBH
Pineal Body, 0GB1 Sternum, 0PB0 Thyroid Gland Isthmus, 0GBJ
Pleura Stomach, 0DB6 Tibia
Left, 0BBP Pylorus, 0DB7 Left, 0QBH
Right, 0BBN Subcutaneous Tissue and Fascia Right, 0QBG
Pons, 00BB Abdomen, 0JB8 Toe Nail, 0HBRXZ
Prepuce, 0VBT Back, 0JB7 Tongue, 0CB7
Prostate, 0VB0 Buttock, 0JB9 Tonsils, 0CBP
Radius Chest, 0JB6 Tooth
Left, 0PBJ Face, 0JB1 Lower, 0CBX
Right, 0PBH Foot Upper, 0CBW
Rectum, 0DBP Left, 0JBR Trachea, 0BB1
Retina Right, 0JBQ Tunica Vaginalis
Left, 08BF3Z Hand Left, 0VB7
Right, 08BE3Z Left, 0JBK Right, 0VB6
Excision — Excision

Retroperitoneum, 0WBH Right, 0JBJ Turbinate, Nasal, 09BL

Ribs Lower Arm Tympanic Membrane
1 to 2, 0PB1 Left, 0JBH Left, 09B8
3 or More, 0PB2 Right, 0JBG Right, 09B7
Sacrum, 0QB1 Lower Leg Ulna
Scapula Left, 0JBP Left, 0PBL
Left, 0PB6 Right, 0JBN Right, 0PBK
Right, 0PB5 Neck Ureter
Sclera Left, 0JB5 Left, 0TB7
Left, 08B7XZ Right, 0JB4 Right, 0TB6
Right, 08B6XZ Pelvic Region, 0JBC Urethra, 0TBD

56 2 Subterms under main terms may continue to next column or page

ICD-10-PCS 2019 Extirpation
Excision — continued Excision — continued Extirpation

Index
Uterine Supporting Structure, 0UB4 Ventricle Acetabulum
Uterus, 0UB9 Left, 02BL Left, 0QC5
Uvula, 0CBN Right, 02BK Right, 0QC4
Vagina, 0UBG Vertebra Adenoids, 0CCQ
Valve Cervical, 0PB3 Ampulla of Vater, 0FCC
Aortic, 02BF Lumbar, 0QB0 Anal Sphincter, 0DCR
Mitral, 02BG Thoracic, 0PB4 Anterior Chamber
Pulmonary, 02BH Vesicle Left, 08C3
Tricuspid, 02BJ Bilateral, 0VB3 Right, 08C2
Vas Deferens Left, 0VB2 Anus, 0DCQ
Bilateral, 0VBQ Right, 0VB1 Aorta
Left, 0VBP Vitreous Abdominal, 04C0
Right, 0VBN Left, 08B53Z Thoracic
Vein Right, 08B43Z Ascending/Arch, 02CX
Axillary Vocal Cord Descending, 02CW
Left, 05B8 Left, 0CBV Aortic Body, 0GCD
Right, 05B7 Right, 0CBT Appendix, 0DCJ
Azygos, 05B0 Vulva, 0UBM Artery
Basilic Wrist Region Anterior Tibial
Left, 05BC Left, 0XBH Left, 04CQ
Right, 05BB Right, 0XBG Right, 04CP
Brachial EXCLUDER® AAA Endoprosthesis Axillary
Left, 05BA use Intraluminal Device Left, 03C6
Right, 05B9 use Intraluminal Device, Branched or Fenestrated, Right, 03C5
Cephalic One or Two Arteries in, 04V Brachial
Left, 05BF use Intraluminal Device, Branched or Fenestrated, Left, 03C8
Right, 05BD Three or More Arteries in, 04V Right, 03C7
Colic, 06B7 EXCLUDER® IBE Endoprosthesis use Intraluminal Device, Celiac, 04C1
Common Iliac Branched or Fenestrated, One or Two Arteries in, 04V Colic
Left, 06BD Exclusion, Left atrial appendage (LAA) see Occlusion, Left, 04C7
Right, 06BC Atrium, Left, 02L7 Middle, 04C8
Coronary, 02B4 Exercise, rehabilitation see Motor Treatment, Rehabili- Right, 04C6
Esophageal, 06B3 tation, F07 Common Carotid
External Iliac Exploration see Inspection Left, 03CJ
Left, 06BG Express® Biliary SD Monorail® Premounted Stent Right, 03CH
Right, 06BF System use Intraluminal Device Common Iliac
External Jugular Express® (LD) Premounted Stent System use Intralumi- Left, 04CD
Left, 05BQ nal Device Right, 04CC
Right, 05BP Express® SD Renal Monorail® Premounted Stent Coronary
Face System use Intraluminal Device Four or More Arteries, 02C3
Left, 05BV Ex-PRESS™ mini glaucoma shunt use Synthetic Substi- One Artery, 02C0
Right, 05BT tute Three Arteries, 02C2
Femoral Extensor carpi radialis muscle Two Arteries, 02C1
Left, 06BN External Carotid
use Lower Arm and Wrist Muscle, Left
Right, 06BM Left, 03CN
Foot use Lower Arm and Wrist Muscle, Right Right, 03CM
Left, 06BV Extensor carpi ulnaris muscle External Iliac
Right, 06BT use Lower Arm and Wrist Muscle, Left Left, 04CJ
Gastric, 06B2 use Lower Arm and Wrist Muscle, Right Right, 04CH
Hand Extensor digitorum brevis muscle Face, 03CR
Left, 05BH use Foot Muscle, Left Femoral
Right, 05BG use Foot Muscle, Right Left, 04CL
Hemiazygos, 05B1 Extensor digitorum longus muscle Right, 04CK
Hepatic, 06B4 use Lower Leg Muscle, Left Foot
Hypogastric use Lower Leg Muscle, Right Left, 04CW
Left, 06BJ Extensor hallucis brevis muscle Right, 04CV
Right, 06BH use Foot Muscle, Left Gastric, 04C2
Inferior Mesenteric, 06B6 use Foot Muscle, Right Hand
Innominate Extensor hallucis longus muscle Left, 03CF
Left, 05B4 use Lower Leg Muscle, Left Right, 03CD
Right, 05B3 use Lower Leg Muscle, Right Hepatic, 04C3
Internal Jugular External anal sphincter use Anal Sphincter Inferior Mesenteric, 04CB
Left, 05BN External auditory meatus Innominate, 03C2
Right, 05BM use External Auditory Canal, Left Internal Carotid
Intracranial, 05BL use External Auditory Canal, Right Left, 03CL
Lower, 06BY External fixator Right, 03CK
Portal, 06B8 use External Fixation Device in Head and Facial Bones Internal Iliac
Pulmonary use External Fixation Device in Lower Bones Left, 04CF
Left, 02BT use External Fixation Device in Lower Joints Right, 04CE
Right, 02BS use External Fixation Device in Upper Bones Internal Mammary
Renal use External Fixation Device in Upper Joints Left, 03C1
Left, 06BB External maxillary artery use Face Artery Right, 03C0
Right, 06B9 External naris use Nasal Mucosa and Soft Tissue Intracranial, 03CG
Saphenous External oblique aponeurosis use Subcutaneous Tissue Lower, 04CY
Left, 06BQ and Fascia, Trunk Peroneal
Excision — Extirpation

Right, 06BP External oblique muscle Left, 04CU

Splenic, 06B1 use Abdomen Muscle, Left Right, 04CT
Subclavian Popliteal
use Abdomen Muscle, Right
Left, 05B6 Left, 04CN
Right, 05B5 External popliteal nerve use Peroneal Nerve Right, 04CM
Superior Mesenteric, 06B5 External pudendal artery Posterior Tibial
Upper, 05BY use Femoral Artery, Left Left, 04CS
Vertebral use Femoral Artery, Right Right, 04CR
Left, 05BS External pudendal vein Pulmonary
Right, 05BR use Saphenous Vein, Left Left, 02CR
Vena Cava use Saphenous Vein, Right Right, 02CQ
Inferior, 06B0 External urethral sphincter use Urethra Pulmonary Trunk, 02CP
Superior, 02BV

2 Subterms under main terms may continue to next column or page 57

 Extirpation ICD-10-PCS 2019
Extirpation — continued Extirpation — continued Extirpation — continued
Index
Artery — continued Bursa and Ligament — continued Duct — continued
Radial Elbow — continued Hepatic
Left, 03CC Right, 0MC3 Common, 0FC7
Right, 03CB Foot Left, 0FC6
Renal Left, 0MCT Right, 0FC5
Left, 04CA Right, 0MCS Lacrimal
Right, 04C9 Hand Left, 08CY
Splenic, 04C4 Left, 0MC8 Right, 08CX
Subclavian Right, 0MC7 Pancreatic, 0FCD
Left, 03C4 Head and Neck, 0MC0 Accessory, 0FCF
Right, 03C3 Hip Parotid
Superior Mesenteric, 04C5 Left, 0MCM Left, 0CCC
Temporal Right, 0MCL Right, 0CCB
Left, 03CT Knee Duodenum, 0DC9
Right, 03CS Left, 0MCP Dura Mater, 00C2
Thyroid Right, 0MCN Ear
Left, 03CV Lower Extremity External
Right, 03CU Left, 0MCW Left, 09C1
Ulnar Right, 0MCV Right, 09C0
Left, 03CA Perineum, 0MCK External Auditory Canal
Right, 03C9 Rib(s), 0MCG Left, 09C4
Upper, 03CY Shoulder Right, 09C3
Vertebral Left, 0MC2 Inner
Left, 03CQ Right, 0MC1 Left, 09CE
Right, 03CP Spine Right, 09CD
Atrium Lower, 0MCD Middle
Left, 02C7 Upper, 0MCC Left, 09C6
Right, 02C6 Sternum, 0MCF Right, 09C5
Auditory Ossicle Upper Extremity Endometrium, 0UCB
Left, 09CA Left, 0MCB Epididymis
Right, 09C9 Right, 0MC9 Bilateral, 0VCL
Basal Ganglia, 00C8 Wrist Left, 0VCK
Bladder, 0TCB Left, 0MC6 Right, 0VCJ
Bladder Neck, 0TCC Right, 0MC5 Epidural Space, Intracranial, 00C3
Bone Carina, 0BC2 Epiglottis, 0CCR
Ethmoid Carotid Bodies, Bilateral, 0GC8 Esophagogastric Junction, 0DC4
Left, 0NCG Carotid Body Esophagus, 0DC5
Right, 0NCF Left, 0GC6 Lower, 0DC3
Frontal, 0NC1 Right, 0GC7 Middle, 0DC2
Hyoid, 0NCX Carpal Upper, 0DC1
Lacrimal Left, 0PCN Eustachian Tube
Left, 0NCJ Right, 0PCM Left, 09CG
Right, 0NCH Cavity, Cranial, 0WC1 Right, 09CF
Nasal, 0NCB Cecum, 0DCH Eye
Occipital, 0NC7 Cerebellum, 00CC Left, 08C1XZZ
Palatine Cerebral Hemisphere, 00C7 Right, 08C0XZZ
Left, 0NCL Cerebral Meninges, 00C1 Eyelid
Right, 0NCK Cerebral Ventricle, 00C6 Lower
Parietal Cervix, 0UCC Left, 08CR
Left, 0NC4 Chordae Tendineae, 02C9 Right, 08CQ
Right, 0NC3 Choroid Upper
Pelvic Left, 08CB Left, 08CP
Left, 0QC3 Right, 08CA Right, 08CN
Right, 0QC2 Cisterna Chyli, 07CL Fallopian Tube
Sphenoid, 0NCC Clavicle Left, 0UC6
Temporal Left, 0PCB Right, 0UC5
Left, 0NC6 Right, 0PC9 Fallopian Tubes, Bilateral, 0UC7
Right, 0NC5 Clitoris, 0UCJ Femoral Shaft
Zygomatic Coccygeal Glomus, 0GCB Left, 0QC9
Left, 0NCN Coccyx, 0QCS Right, 0QC8
Right, 0NCM Colon Femur
Brain, 00C0 Ascending, 0DCK Lower
Breast Descending, 0DCM Left, 0QCC
Bilateral, 0HCV Sigmoid, 0DCN Right, 0QCB
Left, 0HCU Transverse, 0DCL Upper
Right, 0HCT Conduction Mechanism, 02C8 Left, 0QC7
Bronchus Conjunctiva Right, 0QC6
Lingula, 0BC9 Left, 08CTXZZ Fibula
Lower Lobe Right, 08CSXZZ Left, 0QCK
Left, 0BCB Cord Right, 0QCJ
Right, 0BC6 Bilateral, 0VCH Finger Nail, 0HCQXZZ
Main Left, 0VCG Gallbladder, 0FC4
Left, 0BC7 Right, 0VCF Gastrointestinal Tract, 0WCP
Extirpation — Extirpation

Right, 0BC3 Cornea Genitourinary Tract, 0WCR

Middle Lobe, Right, 0BC5 Left, 08C9XZZ Gingiva
Upper Lobe Right, 08C8XZZ Lower, 0CC6
Left, 0BC8 Cul-de-sac, 0UCF Upper, 0CC5
Right, 0BC4 Diaphragm, 0BCT Gland
Buccal Mucosa, 0CC4 Disc Adrenal
Bursa and Ligament Cervical Vertebral, 0RC3 Bilateral, 0GC4
Abdomen Cervicothoracic Vertebral, 0RC5 Left, 0GC2
Left, 0MCJ Lumbar Vertebral, 0SC2 Right, 0GC3
Right, 0MCH Lumbosacral, 0SC4 Lacrimal
Ankle Thoracic Vertebral, 0RC9 Left, 08CW
Left, 0MCR Thoracolumbar Vertebral, 0RCB Right, 08CV
Right, 0MCQ Duct Minor Salivary, 0CCJ
Elbow Common Bile, 0FC9 Parotid
Left, 0MC4 Cystic, 0FC8 Left, 0CC9

58 2 Subterms under main terms may continue to next column or page

ICD-10-PCS 2019 Extirpation
Extirpation — continued Extirpation — continued Extirpation — continued

Index
Gland — continued Joint — continued Muscle — continued
Parotid — continued Temporomandibular Foot — continued
Right, 0CC8 Left, 0RCD Right, 0KCV
Pituitary, 0GC0 Right, 0RCC Hand
Sublingual Thoracic Vertebral, 0RC6 Left, 0KCD
Left, 0CCF Thoracolumbar Vertebral, 0RCA Right, 0KCC
Right, 0CCD Toe Phalangeal Head, 0KC0
Submaxillary Left, 0SCQ Hip
Left, 0CCH Right, 0SCP Left, 0KCP
Right, 0CCG Wrist Right, 0KCN
Vestibular, 0UCL Left, 0RCP Lower Arm and Wrist
Glenoid Cavity Right, 0RCN Left, 0KCB
Left, 0PC8 Kidney Right, 0KC9
Right, 0PC7 Left, 0TC1 Lower Leg
Glomus Jugulare, 0GCC Right, 0TC0 Left, 0KCT
Humeral Head Kidney Pelvis Right, 0KCS
Left, 0PCD Left, 0TC4 Neck
Right, 0PCC Right, 0TC3 Left, 0KC3
Humeral Shaft Larynx, 0CCS Right, 0KC2
Left, 0PCG Lens Papillary, 02CD
Right, 0PCF Left, 08CK Perineum, 0KCM
Hymen, 0UCK Right, 08CJ Shoulder
Hypothalamus, 00CA Lip Left, 0KC6
Ileocecal Valve, 0DCC Lower, 0CC1 Right, 0KC5
Ileum, 0DCB Upper, 0CC0 Thorax
Intestine Liver, 0FC0 Left, 0KCJ
Large, 0DCE Left Lobe, 0FC2 Right, 0KCH
Left, 0DCG Right Lobe, 0FC1 Tongue, Palate, Pharynx, 0KC4
Right, 0DCF Lung Trunk
Small, 0DC8 Bilateral, 0BCM Left, 0KCG
Iris Left, 0BCL Right, 0KCF
Left, 08CD Lower Lobe Upper Arm
Right, 08CC Left, 0BCJ Left, 0KC8
Jejunum, 0DCA Right, 0BCF Right, 0KC7
Joint Middle Lobe, Right, 0BCD Upper Leg
Acromioclavicular Right, 0BCK Left, 0KCR
Left, 0RCH Upper Lobe Right, 0KCQ
Right, 0RCG Left, 0BCG Nasal Mucosa and Soft Tissue, 09CK
Ankle Right, 0BCC Nasopharynx, 09CN
Left, 0SCG Lung Lingula, 0BCH Nerve
Right, 0SCF Lymphatic Abdominal Sympathetic, 01CM
Carpal Aortic, 07CD Abducens, 00CL
Left, 0RCR Axillary Accessory, 00CR
Right, 0RCQ Left, 07C6 Acoustic, 00CN
Carpometacarpal Right, 07C5 Brachial Plexus, 01C3
Left, 0RCT Head, 07C0 Cervical, 01C1
Right, 0RCS Inguinal Cervical Plexus, 01C0
Cervical Vertebral, 0RC1 Left, 07CJ Facial, 00CM
Cervicothoracic Vertebral, 0RC4 Right, 07CH Femoral, 01CD
Coccygeal, 0SC6 Internal Mammary Glossopharyngeal, 00CP
Elbow Left, 07C9 Head and Neck Sympathetic, 01CK
Left, 0RCM Right, 07C8 Hypoglossal, 00CS
Right, 0RCL Lower Extremity Lumbar, 01CB
Finger Phalangeal Left, 07CG Lumbar Plexus, 01C9
Left, 0RCX Right, 07CF Lumbar Sympathetic, 01CN
Right, 0RCW Mesenteric, 07CB Lumbosacral Plexus, 01CA
Hip Neck Median, 01C5
Left, 0SCB Left, 07C2 Oculomotor, 00CH
Right, 0SC9 Right, 07C1 Olfactory, 00CF
Knee Pelvis, 07CC Optic, 00CG
Left, 0SCD Thoracic Duct, 07CK Peroneal, 01CH
Right, 0SCC Thorax, 07C7 Phrenic, 01C2
Lumbar Vertebral, 0SC0 Upper Extremity Pudendal, 01CC
Lumbosacral, 0SC3 Left, 07C4 Radial, 01C6
Metacarpophalangeal Right, 07C3 Sacral, 01CR
Left, 0RCV Mandible Sacral Plexus, 01CQ
Right, 0RCU Left, 0NCV Sacral Sympathetic, 01CP
Metatarsal-Phalangeal Right, 0NCT Sciatic, 01CF
Left, 0SCN Maxilla, 0NCR Thoracic, 01C8
Right, 0SCM Mediastinum, 0WCC Thoracic Sympathetic, 01CL
Occipital-cervical, 0RC0 Medulla Oblongata, 00CD Tibial, 01CG
Sacrococcygeal, 0SC5 Mesentery, 0DCV Trigeminal, 00CK
Sacroiliac Metacarpal Trochlear, 00CJ
Extirpation — Extirpation

Left, 0SC8 Left, 0PCQ Ulnar, 01C4

Right, 0SC7 Right, 0PCP Vagus, 00CQ
Shoulder Metatarsal Nipple
Left, 0RCK Left, 0QCP Left, 0HCX
Right, 0RCJ Right, 0QCN Right, 0HCW
Sternoclavicular Muscle Omentum, 0DCU
Left, 0RCF Abdomen Oral Cavity and Throat, 0WC3
Right, 0RCE Left, 0KCL Orbit
Tarsal Right, 0KCK Left, 0NCQ
Left, 0SCJ Extraocular Right, 0NCP
Right, 0SCH Left, 08CM Orbital Atherectomy Technology, X2C
Tarsometatarsal Right, 08CL Ovary
Left, 0SCL Facial, 0KC1 Bilateral, 0UC2
Right, 0SCK Foot Left, 0UC1
Left, 0KCW Right, 0UC0

2 Subterms under main terms may continue to next column or page 59

 Extirpation ICD-10-PCS 2019
Extirpation — continued Extirpation — continued Extirpation — continued
Index
Palate Skin Tendon — continued
Hard, 0CC2 Abdomen, 0HC7XZZ Hand — continued
Soft, 0CC3 Back, 0HC6XZZ Right, 0LC7
Pancreas, 0FCG Buttock, 0HC8XZZ Head and Neck, 0LC0
Para-aortic Body, 0GC9 Chest, 0HC5XZZ Hip
Paraganglion Extremity, 0GCF Ear Left, 0LCK
Parathyroid Gland, 0GCR Left, 0HC3XZZ Right, 0LCJ
Inferior Right, 0HC2XZZ Knee
Left, 0GCP Face, 0HC1XZZ Left, 0LCR
Right, 0GCN Foot Right, 0LCQ
Multiple, 0GCQ Left, 0HCNXZZ Lower Arm and Wrist
Superior Right, 0HCMXZZ Left, 0LC6
Left, 0GCM Hand Right, 0LC5
Right, 0GCL Left, 0HCGXZZ Lower Leg
Patella Right, 0HCFXZZ Left, 0LCP
Left, 0QCF Inguinal, 0HCAXZZ Right, 0LCN
Right, 0QCD Lower Arm Perineum, 0LCH
Pelvic Cavity, 0WCJ Left, 0HCEXZZ Shoulder
Penis, 0VCS Right, 0HCDXZZ Left, 0LC2
Pericardial Cavity, 0WCD Lower Leg Right, 0LC1
Pericardium, 02CN Left, 0HCLXZZ Thorax
Peritoneal Cavity, 0WCG Right, 0HCKXZZ Left, 0LCD
Peritoneum, 0DCW Neck, 0HC4XZZ Right, 0LCC
Phalanx Perineum, 0HC9XZZ Trunk
Finger Scalp, 0HC0XZZ Left, 0LCB
Left, 0PCV Upper Arm Right, 0LC9
Right, 0PCT Left, 0HCCXZZ Upper Arm
Thumb Right, 0HCBXZZ Left, 0LC4
Left, 0PCS Upper Leg Right, 0LC3
Right, 0PCR Left, 0HCJXZZ Upper Leg
Toe Right, 0HCHXZZ Left, 0LCM
Left, 0QCR Spinal Canal, 00CU Right, 0LCL
Right, 0QCQ Spinal Cord Testis
Pharynx, 0CCM Cervical, 00CW Bilateral, 0VCC
Pineal Body, 0GC1 Lumbar, 00CY Left, 0VCB
Pleura Thoracic, 00CX Right, 0VC9
Left, 0BCP Spinal Meninges, 00CT Thalamus, 00C9
Right, 0BCN Spleen, 07CP Thymus, 07CM
Pleural Cavity Sternum, 0PC0 Thyroid Gland, 0GCK
Left, 0WCB Stomach, 0DC6 Left Lobe, 0GCG
Right, 0WC9 Pylorus, 0DC7 Right Lobe, 0GCH
Pons, 00CB Subarachnoid Space, Intracranial, 00C5 Tibia
Prepuce, 0VCT Subcutaneous Tissue and Fascia Left, 0QCH
Prostate, 0VC0 Abdomen, 0JC8 Right, 0QCG
Radius Back, 0JC7 Toe Nail, 0HCRXZZ
Left, 0PCJ Buttock, 0JC9 Tongue, 0CC7
Right, 0PCH Chest, 0JC6 Tonsils, 0CCP
Rectum, 0DCP Face, 0JC1 Tooth
Respiratory Tract, 0WCQ Foot Lower, 0CCX
Retina Left, 0JCR Upper, 0CCW
Left, 08CF Right, 0JCQ Trachea, 0BC1
Right, 08CE Hand Tunica Vaginalis
Retinal Vessel Left, 0JCK Left, 0VC7
Left, 08CH Right, 0JCJ Right, 0VC6
Right, 08CG Lower Arm Turbinate, Nasal, 09CL
Retroperitoneum, 0WCH Left, 0JCH Tympanic Membrane
Ribs Right, 0JCG Left, 09C8
1 to 2, 0PC1 Lower Leg Right, 09C7
3 or More, 0PC2 Left, 0JCP Ulna
Sacrum, 0QC1 Right, 0JCN Left, 0PCL
Scapula Neck Right, 0PCK
Left, 0PC6 Left, 0JC5 Ureter
Right, 0PC5 Right, 0JC4 Left, 0TC7
Sclera Pelvic Region, 0JCC Right, 0TC6
Left, 08C7XZZ Perineum, 0JCB Urethra, 0TCD
Right, 08C6XZZ Scalp, 0JC0 Uterine Supporting Structure, 0UC4
Scrotum, 0VC5 Upper Arm Uterus, 0UC9
Septum Left, 0JCF Uvula, 0CCN
Atrial, 02C5 Right, 0JCD Vagina, 0UCG
Nasal, 09CM Upper Leg Valve
Ventricular, 02CM Left, 0JCM Aortic, 02CF
Sinus Right, 0JCL Mitral, 02CG
Accessory, 09CP Subdural Space, Intracranial, 00C4 Pulmonary, 02CH
Extirpation — Extirpation

Ethmoid Tarsal Tricuspid, 02CJ

Left, 09CV Left, 0QCM Vas Deferens
Right, 09CU Right, 0QCL Bilateral, 0VCQ
Frontal Tendon Left, 0VCP
Left, 09CT Abdomen Right, 0VCN
Right, 09CS Left, 0LCG Vein
Mastoid Right, 0LCF Axillary
Left, 09CC Ankle Left, 05C8
Right, 09CB Left, 0LCT Right, 05C7
Maxillary Right, 0LCS Azygos, 05C0
Left, 09CR Foot Basilic
Right, 09CQ Left, 0LCW Left, 05CC
Sphenoid Right, 0LCV Right, 05CB
Left, 09CX Hand Brachial
Right, 09CW Left, 0LC8 Left, 05CA

60 2 Subterms under main terms may continue to next column or page

ICD-10-PCS 2019 Extraction
Extirpation — continued Extracorporeal shock wave lithotripsy see Fragmenta- Extraction — continued

Index
Vein — continued tion Bursa and Ligament — continued
Brachial — continued Extracranial-intracranial bypass (EC-IC) see Bypass, Spine
Right, 05C9 Upper Arteries, 031 Lower, 0MDD
Cephalic Extraction Upper, 0MDC
Left, 05CF Acetabulum Sternum, 0MDF
Right, 05CD Left, 0QD50ZZ Upper Extremity
Colic, 06C7 Right, 0QD40ZZ Left, 0MDB
Common Iliac Ampulla of Vater, 0FDC Right, 0MD9
Left, 06CD Anus, 0DDQ Wrist
Right, 06CC Appendix, 0DDJ Left, 0MD6
Coronary, 02C4 Auditory Ossicle Right, 0MD5
Esophageal, 06C3 Left, 09DA0ZZ Carina, 0BD2
External Iliac Right, 09D90ZZ Carpal
Left, 06CG Bone Left, 0PDN0ZZ
Right, 06CF Ethmoid Right, 0PDM0ZZ
External Jugular Left, 0NDG0ZZ Cecum, 0DDH
Left, 05CQ Right, 0NDF0ZZ Cerebral Meninges, 00D1
Right, 05CP Frontal, 0ND10ZZ Cisterna Chyli, 07DL
Face Hyoid, 0NDX0ZZ Clavicle
Left, 05CV Lacrimal Left, 0PDB0ZZ
Right, 05CT Left, 0NDJ0ZZ Right, 0PD90ZZ
Femoral Right, 0NDH0ZZ Coccyx, 0QDS0ZZ
Left, 06CN Nasal, 0NDB0ZZ Colon
Right, 06CM Occipital, 0ND70ZZ Ascending, 0DDK
Foot Palatine Descending, 0DDM
Left, 06CV Left, 0NDL0ZZ Sigmoid, 0DDN
Right, 06CT Right, 0NDK0ZZ Transverse, 0DDL
Gastric, 06C2 Parietal Cornea
Hand Left, 0ND40ZZ Left, 08D9XZ
Left, 05CH Right, 0ND30ZZ Right, 08D8XZ
Right, 05CG Pelvic Duct
Hemiazygos, 05C1 Left, 0QD30ZZ Common Bile, 0FD9
Hepatic, 06C4 Right, 0QD20ZZ Cystic, 0FD8
Hypogastric Sphenoid, 0NDC0ZZ Hepatic
Left, 06CJ Temporal Common, 0FD7
Right, 06CH Left, 0ND60ZZ Left, 0FD6
Inferior Mesenteric, 06C6 Right, 0ND50ZZ Right, 0FD5
Innominate Zygomatic Pancreatic, 0FDD
Left, 05C4 Left, 0NDN0ZZ Accessory, 0FDF
Right, 05C3 Right, 0NDM0ZZ Duodenum, 0DD9
Internal Jugular Bone Marrow Dura Mater, 00D2
Left, 05CN Iliac, 07DR Endometrium, 0UDB
Right, 05CM Sternum, 07DQ Esophagogastric Junction, 0DD4
Intracranial, 05CL Vertebral, 07DS Esophagus, 0DD5
Lower, 06CY Bronchus Lower, 0DD3
Portal, 06C8 Lingula, 0BD9 Middle, 0DD2
Pulmonary Lower Lobe Upper, 0DD1
Left, 02CT Left, 0BDB Femoral Shaft
Right, 02CS Right, 0BD6 Left, 0QD90ZZ
Renal Main Right, 0QD80ZZ
Left, 06CB Left, 0BD7 Femur
Right, 06C9 Right, 0BD3 Lower
Saphenous Middle Lobe, Right, 0BD5 Left, 0QDC0ZZ
Left, 06CQ Upper Lobe Right, 0QDB0ZZ
Right, 06CP Left, 0BD8 Upper
Splenic, 06C1 Right, 0BD4 Left, 0QD70ZZ
Subclavian Bursa and Ligament Right, 0QD60ZZ
Left, 05C6 Abdomen Fibula
Right, 05C5 Left, 0MDJ Left, 0QDK0ZZ
Superior Mesenteric, 06C5 Right, 0MDH Right, 0QDJ0ZZ
Upper, 05CY Ankle Finger Nail, 0HDQXZZ
Vertebral Left, 0MDR Gallbladder, 0FD4
Left, 05CS Right, 0MDQ Glenoid Cavity
Right, 05CR Elbow Left, 0PD80ZZ
Vena Cava Left, 0MD4 Right, 0PD70ZZ
Inferior, 06C0 Right, 0MD3 Hair, 0HDSXZZ
Superior, 02CV Foot Humeral Head
Ventricle Left, 0MDT Left, 0PDD0ZZ
Left, 02CL Right, 0MDS Right, 0PDC0ZZ
Right, 02CK Hand Humeral Shaft
Vertebra Left, 0MD8 Left, 0PDG0ZZ
Cervical, 0PC3 Right, 0MD7 Right, 0PDF0ZZ
Lumbar, 0QC0 Head and Neck, 0MD0 Ileocecal Valve, 0DDC
Thoracic, 0PC4 Hip Ileum, 0DDB
Extirpation — Extraction

Vesicle Left, 0MDM Intestine

Bilateral, 0VC3 Right, 0MDL Large, 0DDE
Left, 0VC2 Knee Left, 0DDG
Right, 0VC1 Left, 0MDP Right, 0DDF
Vitreous Right, 0MDN Small, 0DD8
Left, 08C5 Lower Extremity Jejunum, 0DDA
Right, 08C4 Left, 0MDW Kidney
Vocal Cord Right, 0MDV Left, 0TD1
Left, 0CCV Perineum, 0MDK Right, 0TD0
Right, 0CCT Rib(s), 0MDG Lens
Vulva, 0UCM Shoulder Left, 08DK3ZZ
Extracorporeal Carbon Dioxide Removal (ECCO2R), Left, 0MD2 Right, 08DJ3ZZ
5A0920Z Right, 0MD1 Liver, 0FD0
Left Lobe, 0FD2

2 Subterms under main terms may continue to next column or page 61

 Extraction ICD-10-PCS 2019
Extraction — continued Extraction — continued Extraction — continued
Index
Liver — continued Muscle — continued Sinus — continued
Right Lobe, 0FD1 Upper Leg Ethmoid
Lung Left, 0KDR0ZZ Left, 09DV
Bilateral, 0BDM Right, 0KDQ0ZZ Right, 09DU
Left, 0BDL Nerve Frontal
Lower Lobe Abdominal Sympathetic, 01DM Left, 09DT
Left, 0BDJ Abducens, 00DL Right, 09DS
Right, 0BDF Accessory, 00DR Mastoid
Middle Lobe, Right, 0BDD Acoustic, 00DN Left, 09DC
Right, 0BDK Brachial Plexus, 01D3 Right, 09DB
Upper Lobe Cervical, 01D1 Maxillary
Left, 0BDG Cervical Plexus, 01D0 Left, 09DR
Right, 0BDC Facial, 00DM Right, 09DQ
Lung Lingula, 0BDH Femoral, 01DD Sphenoid
Lymphatic Glossopharyngeal, 00DP Left, 09DX
Aortic, 07DD Head and Neck Sympathetic, 01DK Right, 09DW
Axillary Hypoglossal, 00DS Skin
Left, 07D6 Lumbar, 01DB Abdomen, 0HD7XZZ
Right, 07D5 Lumbar Plexus, 01D9 Back, 0HD6XZZ
Head, 07D0 Lumbar Sympathetic, 01DN Buttock, 0HD8XZZ
Inguinal Lumbosacral Plexus, 01DA Chest, 0HD5XZZ
Left, 07DJ Median, 01D5 Ear
Right, 07DH Oculomotor, 00DH Left, 0HD3XZZ
Internal Mammary Olfactory, 00DF Right, 0HD2XZZ
Left, 07D9 Optic, 00DG Face, 0HD1XZZ
Right, 07D8 Peroneal, 01DH Foot
Lower Extremity Phrenic, 01D2 Left, 0HDNXZZ
Left, 07DG Pudendal, 01DC Right, 0HDMXZZ
Right, 07DF Radial, 01D6 Hand
Mesenteric, 07DB Sacral, 01DR Left, 0HDGXZZ
Neck Sacral Plexus, 01DQ Right, 0HDFXZZ
Left, 07D2 Sacral Sympathetic, 01DP Inguinal, 0HDAXZZ
Right, 07D1 Sciatic, 01DF Lower Arm
Pelvis, 07DC Thoracic, 01D8 Left, 0HDEXZZ
Thoracic Duct, 07DK Thoracic Sympathetic, 01DL Right, 0HDDXZZ
Thorax, 07D7 Tibial, 01DG Lower Leg
Upper Extremity Trigeminal, 00DK Left, 0HDLXZZ
Left, 07D4 Trochlear, 00DJ Right, 0HDKXZZ
Right, 07D3 Ulnar, 01D4 Neck, 0HD4XZZ
Mandible Vagus, 00DQ Perineum, 0HD9XZZ
Left, 0NDV0ZZ Orbit Scalp, 0HD0XZZ
Right, 0NDT0ZZ Left, 0NDQ0ZZ Upper Arm
Maxilla, 0NDR0ZZ Right, 0NDP0ZZ Left, 0HDCXZZ
Metacarpal Ova, 0UDN Right, 0HDBXZZ
Left, 0PDQ0ZZ Pancreas, 0FDG Upper Leg
Right, 0PDP0ZZ Patella Left, 0HDJXZZ
Metatarsal Left, 0QDF0ZZ Right, 0HDHXZZ
Left, 0QDP0ZZ Right, 0QDD0ZZ Skull, 0ND00ZZ
Right, 0QDN0ZZ Phalanx Spinal Meninges, 00DT
Muscle Finger Spleen, 07DP
Abdomen Left, 0PDV0ZZ Sternum, 0PD00ZZ
Left, 0KDL0ZZ Right, 0PDT0ZZ Stomach, 0DD6
Right, 0KDK0ZZ Thumb Pylorus, 0DD7
Facial, 0KD10ZZ Left, 0PDS0ZZ Subcutaneous Tissue and Fascia
Foot Right, 0PDR0ZZ Abdomen, 0JD8
Left, 0KDW0ZZ Toe Back, 0JD7
Right, 0KDV0ZZ Left, 0QDR0ZZ Buttock, 0JD9
Hand Right, 0QDQ0ZZ Chest, 0JD6
Left, 0KDD0ZZ Pleura Face, 0JD1
Right, 0KDC0ZZ Left, 0BDP Foot
Head, 0KD00ZZ Right, 0BDN Left, 0JDR
Hip Products of Conception Right, 0JDQ
Left, 0KDP0ZZ Ectopic, 10D2 Hand
Right, 0KDN0ZZ Extraperitoneal, 10D00Z2 Left, 0JDK
Lower Arm and Wrist High, 10D00Z0 Right, 0JDJ
Left, 0KDB0ZZ High Forceps, 10D07Z5 Lower Arm
Right, 0KD90ZZ Internal Version, 10D07Z7 Left, 0JDH
Lower Leg Low, 10D00Z1 Right, 0JDG
Left, 0KDT0ZZ Low Forceps, 10D07Z3 Lower Leg
Right, 0KDS0ZZ Mid Forceps, 10D07Z4 Left, 0JDP
Neck Other, 10D07Z8 Right, 0JDN
Left, 0KD30ZZ Retained, 10D1 Neck
Right, 0KD20ZZ Vacuum, 10D07Z6 Left, 0JD5
Perineum, 0KDM0ZZ Radius Right, 0JD4
Extraction — Extraction

Shoulder Left, 0PDJ0ZZ Pelvic Region, 0JDC

Left, 0KD60ZZ Right, 0PDH0ZZ Perineum, 0JDB
Right, 0KD50ZZ Rectum, 0DDP Scalp, 0JD0
Thorax Ribs Upper Arm
Left, 0KDJ0ZZ 1 to 2, 0PD10ZZ Left, 0JDF
Right, 0KDH0ZZ 3 or More, 0PD20ZZ Right, 0JDD
Tongue, Palate, Pharynx, 0KD40ZZ Sacrum, 0QD10ZZ Upper Leg
Trunk Scapula Left, 0JDM
Left, 0KDG0ZZ Left, 0PD60ZZ Right, 0JDL
Right, 0KDF0ZZ Right, 0PD50ZZ Tarsal
Upper Arm Septum, Nasal, 09DM Left, 0QDM0ZZ
Left, 0KD80ZZ Sinus Right, 0QDL0ZZ
Right, 0KD70ZZ Accessory, 09DP

62 2 Subterms under main terms may continue to next column or page

ICD-10-PCS 2019 Fluoroscopy
Extraction — continued Extraction — continued Filum terminale use Spinal Meninges

Index
Tendon Vocal Cord — continued Fimbriectomy
Abdomen Right, 0CDT see Excision, Female Reproductive System, 0UB
Left, 0LDG0ZZ Extradural space, intracranial use Epidural Space, In- see Resection, Female Reproductive System, 0UT
Right, 0LDF0ZZ tracranial Fine needle aspiration
Ankle Extradural space, spinal use Spinal Canal Fluid or gas see Drainage
Left, 0LDT0ZZ EXtreme Lateral Interbody Fusion (XLIF) device use Tissue biopsy
Right, 0LDS0ZZ Interbody Fusion Device in Lower Joints see Excision
Foot see Extraction
Left, 0LDW0ZZ
Right, 0LDV0ZZ
Hand
F First cranial nerve use Olfactory Nerve
First intercostal nerve use Brachial Plexus
Fistulization
Left, 0LD80ZZ Face lift see Alteration, Face, 0W02 see Bypass
Right, 0LD70ZZ Facet replacement spinal stabilization device see Drainage
Head and Neck, 0LD00ZZ use Spinal Stabilization Device, Facet Replacement see Repair
Hip in, 0RH Fitting
Left, 0LDK0ZZ use Spinal Stabilization Device, Facet Replacement Arch bars, for fracture reduction see Reposition,
Right, 0LDJ0ZZ in, 0SH Mouth and Throat, 0CS
Knee Facial artery use Face Artery Arch bars, for immobilization see Immobilization,
Left, 0LDR0ZZ Factor Xa Inhibitor Reversal Agent, Andexanet Alfa Face, 2W31
Right, 0LDQ0ZZ use Andexanet Alfa, Factor Xa Inhibitor Reversal
Lower Arm and Wrist Artificial limb see Device Fitting, Rehabilitation, F0D
Agent Hearing aid see Device Fitting, Rehabilitation, F0D
Left, 0LD60ZZ False vocal cord use Larynx
Right, 0LD50ZZ Ocular prosthesis, F0DZ8UZ
Falx cerebri use Dura Mater Prosthesis, limb see Device Fitting, Rehabilitation,
Lower Leg Fascia lata
Left, 0LDP0ZZ F0D
use Subcutaneous Tissue and Fascia, Left Upper Leg Prosthesis, ocular, F0DZ8UZ
Right, 0LDN0ZZ use Subcutaneous Tissue and Fascia, Right Upper Leg Fixation, bone
Perineum, 0LDH0ZZ Fasciaplasty, fascioplasty
Shoulder External, with fracture reduction see Reposition
see Repair, Subcutaneous Tissue and Fascia, 0JQ External, without fracture reduction see Insertion
Left, 0LD20ZZ see Replacement, Subcutaneous Tissue and Fascia,
Right, 0LD10ZZ Internal, with fracture reduction see Reposition
0JR Internal, without fracture reduction see Insertion
Thorax Fasciectomy see Excision, Subcutaneous Tissue and Fascia, FLAIR® Endovascular Stent Graft use Intraluminal Device
Left, 0LDD0ZZ 0JB
Right, 0LDC0ZZ Flexible Composite Mesh use Synthetic Substitute
Fasciorrhaphy see Repair, Subcutaneous Tissue and Fas- Flexor carpi radialis muscle
Trunk cia, 0JQ
Left, 0LDB0ZZ use Lower Arm and Wrist Muscle, Left
Fasciotomy use Lower Arm and Wrist Muscle, Right
Right, 0LD90ZZ
Upper Arm
see Division, Subcutaneous Tissue and Fascia, 0J8 Flexor carpi ulnaris muscle
Left, 0LD40ZZ see Drainage, Subcutaneous Tissue and Fascia, 0J9 use Lower Arm and Wrist Muscle, Left
Right, 0LD30ZZ see Release use Lower Arm and Wrist Muscle, Right
Upper Leg Feeding Device Flexor digitorum brevis muscle
Left, 0LDM0ZZ Change device in use Foot Muscle, Left
Right, 0DLL0ZZ Lower, 0D2DXUZ use Foot Muscle, Right
Thymus, 07DM Upper, 0D20XUZ
Insertion of device in
Flexor digitorum longus muscle
Tibia use Lower Leg Muscle, Left
Left, 0QDH0ZZ Duodenum, 0DH9
Esophagus, 0DH5 use Lower Leg Muscle, Right
Right, 0QDG0ZZ Flexor hallucis brevis muscle
Toe Nail, 0HDRXZZ Ileum, 0DHB
Intestine, Small, 0DH8 use Foot Muscle, Left
Tooth use Foot Muscle, Right
Lower, 0CDXXZ Jejunum, 0DHA
Stomach, 0DH6 Flexor hallucis longus muscle
Upper, 0CDWXZ use Lower Leg Muscle, Left
Trachea, 0BD1 Removal of device from
Esophagus, 0DP5 use Lower Leg Muscle, Right
Turbinate, Nasal, 09DL Flexor pollicis longus muscle
Tympanic Membrane Intestinal Tract
Lower, 0DPD use Lower Arm and Wrist Muscle, Left
Left, 09D8 use Lower Arm and Wrist Muscle, Right
Right, 09D7 Upper, 0DP0
Stomach, 0DP6 Fluoroscopy
Ulna
Revision of device in Abdomen and Pelvis, BW11
Left, 0PDL0ZZ
Intestinal Tract Airway, Upper, BB1DZZZ
Right, 0PDK0ZZ
Lower, 0DWD Ankle
Vein
Upper, 0DW0 Left, BQ1H
Basilic
Stomach, 0DW6 Right, BQ1G
Left, 05DC
Femoral head Aorta
Right, 05DB
use Upper Femur, Left Abdominal, B410
Brachial
use Upper Femur, Right Laser, Intraoperative, B410
Left, 05DA
Femoral lymph node Thoracic, B310
Right, 05D9
use Lymphatic, Left Lower Extremity Laser, Intraoperative, B310
Cephalic
use Lymphatic, Right Lower Extremity Thoraco-Abdominal, B31P
Left, 05DF
Femoropatellar joint Laser, Intraoperative, B31P
Right, 05DD
use Knee Joint, Left Aorta and Bilateral Lower Extremity Arteries, B41D
Femoral
use Knee Joint, Left, Tibial Surface Laser, Intraoperative, B41D
Left, 06DN
use Knee Joint, Right Arm
Right, 06DM
use Knee Joint, Right, Femoral Surface Left, BP1FZZZ
Foot
Femorotibial joint Right, BP1EZZZ
Left, 06DV
Artery
Extraction — Fluoroscopy

Right, 06DT use Knee Joint, Left Brachiocephalic-Subclavian

Hand use Knee Joint, Left, Tibial Surface Laser, Intraoperative, B311
Left, 05DH use Knee Joint, Right Right, B311
Right, 05DG use KneeJoint, Right, Tibial Surface Bronchial, B31L
Lower, 06DY Fibular artery Laser, Intraoperative, B31L
Saphenous use Peroneal Artery, Left Bypass Graft, Other, B21F
Left, 06DQ use Peroneal Artery, Right Cervico-Cerebral Arch, B31Q
Right, 06DP Fibularis brevis muscle Laser, Intraoperative, B31Q
Upper, 05DY use Lower Leg Muscle, Left Common Carotid
Vertebra use Lower Leg Muscle, Right Bilateral, B315
Cervical, 0PD30ZZ Fibularis longus muscle Laser, Intraoperative, B315
Lumbar, 0QD00ZZ use Lower Leg Muscle, Left Left, B314
Thoracic, 0PD40ZZ use Lower Leg Muscle, Right Laser, Intraoperative, B314
Vocal Cord Fifth cranial nerve use Trigeminal Nerve Right, B313
Left, 0CDV

2 Subterms under main terms may continue to next column or page 63

 Fluoroscopy ICD-10-PCS 2019
Fluoroscopy — continued Fluoroscopy — continued Fluoroscopy — continued
Index
Artery — continued Artery — continued Joint
Common Carotid — continued Upper Extremity — continued Acromioclavicular, Bilateral, BP13ZZZ
Right — continued Right — continued Finger
Laser, Intraoperative, B313 Laser, Intraoperative, B31H Left, BP1D
Coronary Vertebral Right, BP1C
Bypass Graft Bilateral, B31G Foot
Multiple, B213 Laser, Intraoperative, B31G Left, BQ1Y
Laser, Intraoperative, B213 Left, B31F Right, BQ1X
Single, B212 Laser, Intraoperative, B31F Hand
Laser, Intraoperative, B212 Right, B31D Left, BP1D
Multiple, B211 Laser, Intraoperative, B31D Right, BP1C
Laser, Intraoperative, B211 Bile Duct, BF10 Lumbosacral, BR1B
Single, B210 Pancreatic Duct and Gallbladder, BF14 Sacroiliac, BR1D
Laser, Intraoperative, B210 Bile Duct and Gallbladder, BF13 Sternoclavicular
External Carotid Biliary Duct, BF11 Bilateral, BP12ZZZ
Bilateral, B31C Bladder, BT10 Left, BP11ZZZ
Laser, Intraoperative, B31C Kidney and Ureter, BT14 Right, BP10ZZZ
Left, B31B Left, BT1F Temporomandibular
Laser, Intraoperative, B31B Right, BT1D Bilateral, BN19
Right, B319 Bladder and Urethra, BT1B Left, BN18
Laser, Intraoperative, B319 Bowel, Small, BD1 Right, BN17
Hepatic, B412 Calcaneus Thoracolumbar, BR18
Laser, Intraoperative, B412 Left, BQ1KZZZ Toe
Inferior Mesenteric, B415 Right, BQ1JZZZ Left, BQ1Y
Laser, Intraoperative, B415 Clavicle Right, BQ1X
Intercostal, B31L Left, BP15ZZZ Kidney
Laser, Intraoperative, B31L Right, BP14ZZZ Bilateral, BT13
Internal Carotid Coccyx, BR1F Ileal Loop and Ureter, BT1G
Bilateral, B318 Colon, BD14 Left, BT12
Laser, Intraoperative, B318 Corpora Cavernosa, BV10 Right, BT11
Left, B317 Dialysis Fistula, B51W Ureter and Bladder, BT14
Laser, Intraoperative, B317 Dialysis Shunt, B51W Left, BT1F
Right, B316 Diaphragm, BB16ZZZ Right, BT1D
Laser, Intraoperative, B316 Disc Knee
Internal Mammary Bypass Graft Cervical, BR11 Left, BQ18
Left, B218 Lumbar, BR13 Right, BQ17
Right, B217 Thoracic, BR12 Larynx, B91J
Intra-Abdominal Duodenum, BD19 Leg
Laser, Intraoperative, B41B Elbow Left, BQ1FZZZ
Other, B41B Left, BP1H Right, BQ1DZZZ
Intracranial, B31R Right, BP1G Lung
Laser, Intraoperative, B31R Epiglottis, B91G Bilateral, BB14ZZZ
Lower Esophagus, BD11 Left, BB13ZZZ
Laser, Intraoperative, B41J Extremity Right, BB12ZZZ
Other, B41J Lower, BW1C Mediastinum, BB1CZZZ
Lower Extremity Upper, BW1J Mouth, BD1B
Bilateral and Aorta, B41D Facet Joint Neck and Head, BW19
Laser, Intraoperative, B41D Cervical, BR14 Oropharynx, BD1B
Left, B41G Lumbar, BR16 Pancreatic Duct, BF1
Laser, Intraoperative, B41G Thoracic, BR15 Gallbladder and Bile Buct, BF14
Right, B41F Fallopian Tube Patella
Laser, Intraoperative, B41F Bilateral, BU12 Left, BQ1WZZZ
Lumbar, B419 Left, BU11 Right, BQ1VZZZ
Laser, Intraoperative, B419 Right, BU10 Pelvis, BR1C
Pelvic, B41C Fallopian Tube and Uterus, BU18 Pelvis and Abdomen, BW11
Laser, Intraoperative, B41C Femur Pharynix, B91G
Pulmonary Left, BQ14ZZZ Ribs
Left, B31T Right, BQ13ZZZ Left, BP1YZZZ
Laser, Intraoperative, B31T Finger Right, BP1XZZZ
Right, B31S Left, BP1SZZZ Sacrum, BR1F
Laser, Intraoperative, B31S Right, BP1RZZZ Scapula
Pulmonary Trunk, B31U Foot Left, BP17ZZZ
Laser, Intraoperative, B31U Left, BQ1MZZZ Right, BP16ZZZ
Renal Right, BQ1LZZZ Shoulder
Bilateral, B418 Forearm Left, BP19
Laser, Intraoperative, B418 Left, BP1KZZZ Right, BP18
Left, B417 Right, BP1JZZZ Sinus, Intracranial, B512
Laser, Intraoperative, B417 Gallbladder, BF12 Spinal Cord, B01B
Right, B416 Bile Duct and Pancreatic Duct, BF14 Spine
Laser, Intraoperative, B416 Gallbladder and Bile Duct, BF13 Cervical, BR10
Spinal, B31M Gastrointestinal, Upper, BD1 Lumbar, BR19
Laser, Intraoperative, B31M Hand Thoracic, BR17
Fluoroscopy — Fluoroscopy

Splenic, B413 Left, BP1PZZZ Whole, BR1G

Laser, Intraoperative, B413 Right, BP1NZZZ Sternum, BR1H
Subclavian Head and Neck, BW19 Stomach, BD12
Laser, Intraoperative, B312 Heart Toe
Left, B312 Left, B215 Left, BQ1QZZZ
Superior Mesenteric, B414 Right, B214 Right, BQ1PZZZ
Laser, Intraoperative, B414 Right and Left, B216 Tracheobronchial Tree
Upper Hip Bilateral, BB19YZZ
Laser, Intraoperative, B31N Left, BQ11 Left, BB18YZZ
Other, B31N Right, BQ10 Right, BB17YZZ
Upper Extremity Humerus Ureter
Bilateral, B31K Left, BP1BZZZ Ileal Loop and Kidney, BT1G
Laser, Intraoperative, B31K Right, BP1AZZZ Kidney and Bladder, BT14
Left, B31J Ileal Diversion Loop, BT1C Left, BT1F
Laser, Intraoperative, B31J Ileal Loop, Ureters and Kidney, BT1G Right, BT1D
Right, B31H Intracranial Sinus, B512 Left, BT17

64 2 Subterms under main terms may continue to next column or page

ICD-10-PCS 2019 Fusion
Fluoroscopy — continued Fragmentation — continued Frontal vein

Index
Ureter — continued Cavity, Cranial, 0WF1 use Face Vein, Left
Right, BT16 Cecum, 0DFH use Face Vein, Right
Urethra, BT15 Cerebral Ventricle, 00F6 Fulguration see Destruction
Urethra and Bladder, BT1B Colon Fundoplication, gastroesophageal see Restriction,
Uterus, BU16 Ascending, 0DFK Esophagogastric Junction, 0DV4
Uterus and Fallopian Tube, BU18 Descending, 0DFM Fundus uteri use Uterus
Vagina, BU19 Sigmoid, 0DFN Fusion
Vasa Vasorum, BV18 Transverse, 0DFL Acromioclavicular
Vein Duct Left, 0RGH
Cerebellar, B511 Common Bile, 0FF9 Right, 0RGG
Cerebral, B511 Cystic, 0FF8 Ankle
Epidural, B510 Hepatic Left, 0SGG
Jugular Common, 0FF7 Right, 0SGF
Bilateral, B515 Left, 0FF6 Carpal
Left, B514 Right, 0FF5 Left, 0RGR
Right, B513 Pancreatic, 0FFD Right, 0RGQ
Lower Extremity Accessory, 0FFF Carpometacarpal
Bilateral, B51D Parotid Left, 0RGT
Left, B51C Left, 0CFC Right, 0RGS
Right, B51B Right, 0CFB Cervical Vertebral, 0RG1
Other, B51V Duodenum, 0DF9 2 or more, 0RG2
Pelvic (Iliac) Epidural Space, Intracranial, 00F3 Interbody Fusion Device
Left, B51G Esophagus, 0DF5 Nanotextured Surface, XRG2092
Right, B51F Fallopian Tube Radiolucent Porous, XRG20F3
Pelvic (Iliac) Bilateral, B51H Left, 0UF6 Interbody Fusion Device
Portal, B51T Right, 0UF5 Nanotextured Surface, XRG1092
Pulmonary Fallopian Tubes, Bilateral, 0UF7 Radiolucent Porous, XRG10F3
Bilateral, B51S Gallbladder, 0FF4 Cervicothoracic Vertebral, 0RG4
Left, B51R Gastrointestinal Tract, 0WFP Interbody Fusion Device
Right, B51Q Genitourinary Tract, 0WFR Nanotextured Surface, XRG4092
Renal Ileum, 0DFB Radiolucent Porous, XRG40F3
Bilateral, B51L Intestine Coccygeal, 0SG6
Left, B51K Large, 0DFE Elbow
Right, B51J Left, 0DFG Left, 0RGM
Spanchnic, B51T Right, 0DFF Right, 0RGL
Subclavian Small, 0DF8 Finger Phalangeal
Left, B517 Jejunum, 0DFA Left, 0RGX
Right, B516 Kidney Pelvis Right, 0RGW
Upper Extremity Left, 0TF4 Hip
Bilateral, B51P Right, 0TF3 Left, 0SGB
Left, B51N Mediastinum, 0WFC Right, 0SG9
Right, B51M Oral Cavity and Throat, 0WF3 Knee
Vena Cava Pelvic Cavity, 0WFJ Left, 0SGD
Inferior, B519 Pericardial Cavity, 0WFD Right, 0SGC
Superior, B518 Pericardium, 02FN Lumbar Vertebral, 0SG0
Wrist Peritoneal Cavity, 0WFG 2 or more, 0SG1
Left, BP1M Pleural Cavity Interbody Fusion Device
Right, BP1L Left, 0WFB Nanotextured Surface, XRGC092
Fluoroscopy, laser intraoperative Right, 0WF9 Radiolucent Porous, XRGC0F3
see Fluoroscopy, Heart, B21 Rectum, 0DFP Interbody Fusion Device
see Fluoroscopy, Lower Arteries, B41 Respiratory Tract, 0WFQ Nanotextured Surface, XRGB092
see Fluoroscopy, Upper Arteries, B31 Spinal Canal, 00FU Radiolucent Porous, XRGB0F3
Flushing see Irrigation Stomach, 0DF6 Lumbosacral, 0SG3
Foley catheter use Drainage Device Subarachnoid Space, Intracranial, 00F5 Interbody Fusion Device
Fontan completion procedure Stage II see Bypass, Vena Subdural Space, Intracranial, 00F4 Nanotextured Surface, XRGD092
Cava, Inferior, 0610 Trachea, 0BF1 Radiolucent Porous, XRGD0F3
Foramen magnum use Occipital Bone Ureter Metacarpophalangeal
Foramen of Monro (intraventricular) use Cerebral Left, 0TF7 Left, 0RGV
Ventricle Right, 0TF6 Right, 0RGU
Foreskin use Prepuce Urethra, 0TFD Metatarsal-Phalangeal
Formula™ Balloon-Expandable Renal Stent System Uterus, 0UF9 Left, 0SGN
use Intraluminal Device Vitreous Right, 0SGM
Fossa of Rosenmuller use Nasopharynx Left, 08F5 Occipital-cervical, 0RG0
Fourth cranial nerve use Trochlear Nerve Right, 08F4 Interbody Fusion Device
Fourth ventricle use Cerebral Ventricle Freestyle (Stentless) Aortic Root Bioprosthesis use Nanotextured Surface, XRG0092
Fovea Zooplastic Tissue in Heart and Great Vessels Radiolucent Porous, XRG00F3
use Retina, Left Frenectomy Sacrococcygeal, 0SG5
use Retina, Right see Excision, Mouth and Throat, 0CB Sacroiliac
Fragmentation see Resection, Mouth and Throat, 0CT Left, 0SG8
Ampulla of Vater, 0FFC Frenoplasty, frenuloplasty Right, 0SG7
Anus, 0DFQ see Repair, Mouth and Throat, 0CQ Shoulder
Appendix, 0DFJ see Replacement, Mouth and Throat, 0CR Left, 0RGK
Bladder, 0TFB see Supplement, Mouth and Throat, 0CU Right, 0RGJ
Bladder Neck, 0TFC Frenotomy Sternoclavicular
Bronchus see Drainage, Mouth and Throat, 0C9 Left, 0RGF
Fluoroscopy — Fusion

Lingula, 0BF9 see Release, Mouth and Throat, 0CN Right, 0RGE
Lower Lobe Frenulotomy Tarsal
Left, 0BFB see Drainage, Mouth and Throat, 0C9 Left, 0SGJ
Right, 0BF6 see Release, Mouth and Throat, 0CN Right, 0SGH
Main Frenulum labii inferioris use Lower Lip Tarsometatarsal
Left, 0BF7 Frenulum labii superioris use Upper Lip Left, 0SGL
Right, 0BF3 Frenulum linguae use Tongue Right, 0SGK
Middle Lobe, Right, 0BF5 Frenulumectomy Temporomandibular
Upper Lobe see Excision, Mouth and Throat, 0CB Left, 0RGD
Left, 0BF8 see Resection, Mouth and Throat, 0CT Right, 0RGC
Right, 0BF4 Frontal lobe use Cerebral Hemisphere Thoracic Vertebral, 0RG6
Carina, 0BF2 2 to 7, 0RG7

2 Subterms under main terms may continue to next column or page 65

 Fusion ICD-10-PCS 2019
Fusion — continued Gastroplication see Restriction, Stomach, 0DV6 GORE TAG® Thoracic Endoprosthesis use Intraluminal
Index
Thoracic Vertebral — continued Gastropylorectomy see Excision, Gastrointestinal System, Device
2 to 7 — continued 0DB GORE® DUALMESH® use Synthetic Substitute
Interbody Fusion Device Gastrorrhaphy see Repair, Stomach, 0DQ6 Gracilis muscle
Nanotextured Surface, XRG7092 Gastroscopy, 0DJ68ZZ use Upper Leg Muscle, Left
Radiolucent Porous, XRG70F3 Gastrosplenic ligament use Omentum use Upper Leg Muscle, Right
8 or more, 0RG8 Gastrostomy Graft
Interbody Fusion Device see Bypass, Stomach, 0D16 see Replacement
Nanotextured Surface, XRG8092 see Drainage, Stomach, 0D96 see Supplement
Radiolucent Porous, XRG80F3 Gastrotomy see Drainage, Stomach, 0D96 Great auricular nerve use Cervical Plexus
Interbody Fusion Device Gemellus muscle Great cerebral vein use Intracranial Vein
Nanotextured Surface, XRG6092 use Hip Muscle, Left Great(er) saphenous vein
Radiolucent Porous, XRG60F3 use Hip Muscle, Right use Saphenous Vein, Left
Thoracolumbar Vertebral, 0RGA Geniculate ganglion use Facial Nerve use Saphenous Vein, Right
Interbody Fusion Device Geniculate nucleus use Thalamus Greater alar cartilage use Nasal Mucosa and Soft Tissue
Nanotextured Surface, XRGA092 Genioglossus muscle use Tongue, Palate, Pharynx Muscle Greater occipital nerve use Cervical Nerve
Radiolucent Porous, XRGA0F3 Genioplasty see Alteration, Jaw, Lower, 0W05 Greater Omentum use Omentum
Toe Phalangeal
Genitofemoral nerve use Lumbar Plexus Greater splanchnic nerve use Thoracic Sympathetic
Left, 0SGQ
Right, 0SGP GIAPREZA™ use Synthetic Human Angiotensin II Nerve
Wrist Gingivectomy see Excision, Mouth and Throat, 0CB Greater superficial petrosal nerve use Facial Nerve
Left, 0RGP Gingivoplasty Greater trochanter
Right, 0RGN see Repair, Mouth and Throat, 0CQ use Upper Femur, Left
Fusion screw (compression) (lag) (locking) see Replacement, Mouth and Throat, 0CR use Upper Femur, Right
use Internal Fixation Device in Lower Joints see Supplement, Mouth and Throat, 0CU Greater tuberosity
use Internal Fixation Device in Upper Joints Glans penis use Prepuce use Humeral Head, Left
Glenohumeral joint use Humeral Head, Right
use Shoulder Joint, Left Greater vestibular (Bartholin's) gland use Vestibular
G use Shoulder Joint, Right
Glenohumeral ligament
Gland
Greater wing use Sphenoid Bone
Gait training see Motor Treatment, Rehabilitation, F07 use Shoulder Bursa and Ligament, Left Guedel airway use Intraluminal Device, Airway in Mouth
Galea aponeurotica use Subcutaneous Tissue and Fascia, use Shoulder Bursa and Ligament, Right and Throat
Scalp Glenoid fossa (of scapula) Guidance, catheter placement
GammaTile™ use Radioactive Element, Cesium-131 Colla- use Glenoid Cavity, Left EKG see Measurement, Physiological Systems, 4A0
gen Implant in 00H use Glenoid Cavity, Right Fluoroscopy see Fluoroscopy, Veins, B51
Ganglion impar (ganglion of Walther) use Sacral Sym- Glenoid ligament (labrum) Ultrasound see Ultrasonography, Veins, B54
pathetic Nerve use Shoulder Joint, Left
Ganglionectomy
Destruction of lesion see Destruction
use Shoulder Joint, Right
Globus pallidus use Basal Ganglia H
Excision of lesion see Excision Glomectomy
Gasserian ganglion use Trigeminal Nerve see Excision, Endocrine System, 0GB Hallux
Gastrectomy see Resection, Endocrine System, 0GT use 1st Toe, Left
Partial see Excision, Stomach, 0DB6 Glossectomy use 1st Toe, Right
Total see Resection, Stomach, 0DT6 see Excision, Tongue, 0CB7 Hamate bone
Vertical (sleeve) see Excision, Stomach, 0DB6 see Resection, Tongue, 0CT7 use Carpal, Left
Gastric electrical stimulation (GES) lead use Stimulator Glossoepiglottic fold use Epiglottis use Carpal, Right
Lead in Gastrointestinal System Glossopexy Hancock Bioprosthesis (aortic) (mitral) valve use
Gastric lymph node use Lymphatic, Aortic see Repair, Tongue, 0CQ7 Zooplastic Tissue in Heart and Great Vessels
Gastric pacemaker lead use Stimulator Lead in Gastroin- see Reposition, Tongue, 0CS7 Hancock Bioprosthetic Valved Conduit use Zooplastic
testinal System Glossoplasty Tissue in Heart and Great Vessels
Gastric plexus use Abdominal Sympathetic Nerve see Repair, Tongue, 0CQ7 Harvesting, stem cells see Pheresis, Circulatory, 6A55
Gastrocnemius muscle see Replacement, Tongue, 0CR7 Head of fibula
use Lower Leg Muscle, Left see Supplement, Tongue, 0CU7 use Fibula, Left
use Lower Leg Muscle, Right Glossorrhaphy see Repair, Tongue, 0CQ7 use Fibula, Right
Fusion — HeartMate II® Left Ventricular Assist Device (LVAD)

Gastrocolic ligament use Omentum Glossotomy see Drainage, Tongue, 0C97 Hearing Aid Assessment, F14Z
Gastrocolic omentum use Omentum Glottis use Larynx Hearing Assessment, F13Z
Gastrocolostomy Gluteal Artery Perforator Flap Hearing Device
see Bypass, Gastrointestinal System, 0D1 Replacement Bone Conduction
see Drainage, Gastrointestinal System, 0D9 Bilateral, 0HRV079 Left, 09HE
Gastroduodenal artery use Hepatic Artery Left, 0HRU079 Right, 09HD
Right, 0HRT079 Insertion of device in
Gastroduodenectomy
Transfer Left, 0NH6
see Excision, Gastrointestinal System, 0DB Right, 0NH5
see Resection, Gastrointestinal System, 0DT Left, 0KXG
Right, 0KXF Multiple Channel Cochlear Prosthesis
Gastroduodenoscopy, 0DJ08ZZ Left, 09HE
Gastroenteroplasty Gluteal lymph node use Lymphatic, Pelvis
Right, 09HD
see Repair, Gastrointestinal System, 0DQ Gluteal vein Removal of device from, Skull, 0NP0
see Supplement, Gastrointestinal System, 0DU use Hypogastric Vein, Left Revision of device in, Skull, 0NW0
Gastroenterostomy use Hypogastric Vein, Right Single Channel Cochlear Prosthesis
see Bypass, Gastrointestinal System, 0D1 Gluteus maximus muscle Left, 09HE
see Drainage, Gastrointestinal System, 0D9 use Hip Muscle, Left Right, 09HD
Gastroesophageal (GE) junction use Esophagogastric use Hip Muscle, Right Hearing Treatment, F09Z
Junction Gluteus medius muscle Heart Assist System
Gastrogastrostomy use Hip Muscle, Left Implantable
see Bypass, Stomach, 0D16 use Hip Muscle, Right Insertion of device in, Heart, 02HA
see Drainage, Stomach, 0D96 Gluteus minimus muscle Removal of device from, Heart, 02PA
Gastrohepatic omentum use Omentum use Hip Muscle, Left Revision of device in, Heart, 02WA
Gastrojejunostomy use Hip Muscle, Right Short-term External
see Bypass, Stomach, 0D16 GORE EXCLUDER® AAA Endoprosthesis Insertion of device in, Heart, 02HA
see Drainage, Stomach, 0D96 use Intraluminal Device Removal of device from, Heart, 02PA
Gastrolysis see Release, Stomach, 0DN6 use Intraluminal Device, Branched or Fenestrated, Revision of device in, Heart, 02WA
Gastropexy One or Two Arteries in, 04V HeartMate 3™ LVAS use Implantable Heart Assist System
see Repair, Stomach, 0DQ6 use Intraluminal Device, Branched or Fenestrated, in Heart and Great Vessels
see Reposition, Stomach, 0DS6 Three or More Arteries in, 04V HeartMate II® Left Ventricular Assist Device (LVAD)
Gastrophrenic ligament use Omentum GORE EXCLUDER® IBE Endoprosthesis use Intraluminal use Implantable Heart Assist System in Heart and
Gastroplasty Device, Branched or Fenestrated, One or Two Arteries Great Vessels
see Repair, Stomach, 0DQ6 in, 04V
see Supplement, Stomach, 0DU6

66 2 Subterms under main terms may continue to next column or page

ICD-10-PCS 2019 Hysterotrachelorrhaphy
HeartMate XVE® Left Ventricular Assist Device (LVAD) Holter valve ventricular shunt use Synthetic Substitute Hyperthermia — continued

Index
use Implantable Heart Assist System in Heart and Human angiotensin II, synthetic use Synthetic Human Radiation Therapy — continued
Great Vessels Angiotensin II Mandible, DPY38ZZ
HeartMate® implantable heart assist system see Inser- Humeroradial joint Maxilla, DPY28ZZ
tion of device in, Heart, 02HA use Elbow Joint, Left Mediastinum, DBY68ZZ
Helix use Elbow Joint, Right Mouth, D9Y48ZZ
use Ear, External, Bilateral Humeroulnar joint Nasopharynx, D9YD8ZZ
use Ear, External, Left use Elbow Joint, Left Neck and Head, DWY18ZZ
use Ear, External, Right use Elbow Joint, Right Nerve, Peripheral, D0Y78ZZ
Hematopoietic cell transplant (HCT) see Transfusion, Humerus, distal Nose, D9Y18ZZ
Circulatory, 302 use Humeral Shaft, Left Oropharynx, D9YF8ZZ
Hemicolectomy see Resection, Gastrointestinal System, use Humeral Shaft, Right Ovary, DUY08ZZ
0DT Hydrocelectomy see Excision, Male Reproductive System, Palate
Hemicystectomy see Excision, Urinary System, 0TB 0VB Hard, D9Y88ZZ
Hemigastrectomy see Excision, Gastrointestinal System, Hydrotherapy Soft, D9Y98ZZ
0DB Assisted exercise in pool see Motor Treatment, Reha- Pancreas, DFY38ZZ
Hemiglossectomy see Excision, Mouth and Throat, 0CB bilitation, F07 Parathyroid Gland, DGY48ZZ
Hemilaminectomy Whirlpool see Activities of Daily Living Treatment, Pelvic Bones, DPY88ZZ
see Excision, Lower Bones, 0QB Rehabilitation, F08 Pelvic Region, DWY68ZZ
see Excision, Upper Bones, 0PB Hymenectomy Pineal Body, DGY18ZZ
Hemilaminotomy Pituitary Gland, DGY08ZZ
see Excision, Hymen, 0UBK
Pleura, DBY58ZZ
see Drainage, Lower Bones, 0Q9 see Resection, Hymen, 0UTK Prostate, DVY08ZZ
see Drainage, Upper Bones, 0P9 Hymenoplasty Radius, DPY78ZZ
see Excision, Lower Bones, 0QB see Repair, Hymen, 0UQK Rectum, DDY78ZZ
see Excision, Upper Bones, 0PB see Supplement, Hymen, 0UUK Rib, DPY58ZZ
see Release, Central Nervous System and Cranial Hymenorrhaphy see Repair, Hymen, 0UQK Sinuses, D9Y78ZZ
Nerves, 00N Hymenotomy Skin
see Release, Lower Bones, 0QN see Division, Hymen, 0U8K Abdomen, DHY88ZZ
see Release, Peripheral Nervous System, 01N see Drainage, Hymen, 0U9K Arm, DHY48ZZ
see Release, Upper Bones, 0PN Hyoglossus muscle use Tongue, Palate, Pharynx Muscle Back, DHY78ZZ
Hemilaryngectomy see Excision, Larynx, 0CBS Hyoid artery Buttock, DHY98ZZ
Hemimandibulectomy see Excision, Head and Facial use Thyroid Artery, Left Chest, DHY68ZZ
Bones, 0NB use Thyroid Artery, Right Face, DHY28ZZ
Hemimaxillectomy see Excision, Head and Facial Bones, Hyperalimentation see Introduction of substance in or Leg, DHYB8ZZ
0NB on Neck, DHY38ZZ
Hemipylorectomy see Excision, Gastrointestinal System, Hyperbaric oxygenation Skull, DPY08ZZ
0DB Decompression sickness treatment see Decompres- Spinal Cord, D0Y68ZZ
Hemispherectomy sion, Circulatory, 6A15 Spleen, D7Y28ZZ
see Excision, Central Nervous System and Cranial Wound treatment see Assistance, Circulatory, 5A05 Sternum, DPY48ZZ
Nerves, 00B Hyperthermia Stomach, DDY18ZZ
see Resection, Central Nervous System and Cranial Radiation Therapy Testis, DVY18ZZ
Nerves, 00T

HeartMate XVE® Left Ventricular Assist Device (LVAD) — Hysterotrachelorrhaphy

Abdomen, DWY38ZZ Thymus, D7Y18ZZ
Hemithyroidectomy Adrenal Gland, DGY28ZZ Thyroid Gland, DGY58ZZ
see Excision, Endocrine System, 0GB Bile Ducts, DFY28ZZ Tibia, DPYB8ZZ
see Resection, Endocrine System, 0GT Bladder, DTY28ZZ Tongue, D9Y58ZZ
Hemodialysis see Performance, Urinary, 5A1D Bone Marrow, D7Y08ZZ Trachea, DBY08ZZ
Hemolung® Respiratory Assist System (RAS), 5A0920Z Bone, Other, DPYC8ZZ Ulna, DPY78ZZ
Hepatectomy Brain, D0Y08ZZ Ureter, DTY18ZZ
see Excision, Hepatobiliary System and Pancreas, 0FB Brain Stem, D0Y18ZZ Urethra, DTY38ZZ
see Resection, Hepatobiliary System and Pancreas, Breast Uterus, DUY28ZZ
0FT Left, DMY08ZZ Whole Body, DWY58ZZ
Hepatic artery proper use Hepatic Artery Right, DMY18ZZ Whole Body, 6A3Z
Hepatic flexure use Transverse Colon Bronchus, DBY18ZZ Hypnosis, GZFZZZZ
Hepatic lymph node use Lymphatic, Aortic Cervix, DUY18ZZ Hypogastric artery
Hepatic plexus use Abdominal Sympathetic Nerve Chest, DWY28ZZ use Internal Iliac Artery, Left
Hepatic portal vein use Portal Vein Chest Wall, DBY78ZZ use Internal Iliac Artery, Right
Hepaticoduodenostomy Colon, DDY58ZZ Hypopharynx use Pharynx
see Bypass, Hepatobiliary System and Pancreas, 0F1 Diaphragm, DBY88ZZ Hypophysectomy
see Drainage, Hepatobiliary System and Pancreas, Duodenum, DDY28ZZ see Excision, Gland, Pituitary, 0GB0
0F9 Ear, D9Y08ZZ see Resection, Gland, Pituitary, 0GT0
Hepaticotomy see Drainage, Hepatobiliary System and Esophagus, DDY08ZZ Hypophysis use Pituitary Gland
Pancreas, 0F9 Eye, D8Y08ZZ Hypothalamotomy see Destruction, Thalamus, 0059
Hepatocholedochostomy see Drainage, Duct, Common Femur, DPY98ZZ Hypothenar muscle
Bile, 0F99 Fibula, DPYB8ZZ use Hand Muscle, Left
Gallbladder, DFY18ZZ use Hand Muscle, Right
Hepatogastric ligament use Omentum
Gland Hypothermia, Whole Body, 6A4Z
Hepatopancreatic ampulla use Ampulla of Vater Adrenal, DGY28ZZ
Hepatopexy Hysterectomy
Parathyroid, DGY48ZZ Supracervical see Resection, Uterus, 0UT9
see Repair, Hepatobiliary System and Pancreas, 0FQ Pituitary, DGY08ZZ
see Reposition, Hepatobiliary System and Pancreas, Total see Resection, Uterus, 0UT9
Thyroid, DGY58ZZ
0FS Glands, Salivary, D9Y68ZZ Hysterolysis see Release, Uterus, 0UN9
Hepatorrhaphy see Repair, Hepatobiliary System and Head and Neck, DWY18ZZ Hysteropexy
Pancreas, 0FQ Hemibody, DWY48ZZ see Repair, Uterus, 0UQ9
Hepatotomy see Drainage, Hepatobiliary System and Humerus, DPY68ZZ see Reposition, Uterus, 0US9
Pancreas, 0F9 Hypopharynx, D9Y38ZZ Hysteroplasty see Repair, Uterus, 0UQ9
Herculink (RX) Elite Renal Stent System use Intralumi- Ileum, DDY48ZZ Hysterorrhaphy see Repair, Uterus, 0UQ9
nal Device Jejunum, DDY38ZZ Hysteroscopy, 0UJD8ZZ
Herniorrhaphy Kidney, DTY08ZZ Hysterotomy see Drainage, Uterus, 0U99
With synthetic substitute Larynx, D9YB8ZZ Hysterotrachelectomy
see Supplement, Anatomical Regions, General, Liver, DFY08ZZ see Resection, Cervix, 0UTC
0WU Lung, DBY28ZZ see Resection, Uterus, 0UT9
see Supplement, Anatomical Regions, Lower Lymphatics Hysterotracheloplasty see Repair, Uterus, 0UQ9
Extremities, 0YU Abdomen, D7Y68ZZ Hysterotrachelorrhaphy see Repair, Uterus, 0UQ9
see Repair, Anatomical Regions, General, 0WQ Axillary, D7Y48ZZ
see Repair, Anatomical Regions, Lower Extremities, Inguinal, D7Y88ZZ
0YQ Neck, D7Y38ZZ
Hip (joint) liner use Liner in Lower Joints Pelvis, D7Y78ZZ
Holter monitoring, 4A12X45 Thorax, D7Y58ZZ

2 Subterms under main terms may continue to next column or page 67

 IABP (Intra-aortic balloon pump) ICD-10-PCS 2019
Immobilization — continued InDura, intrathecal catheter (1P) (spinal) use Infusion
I
Index
Finger Device
Left, 2W3KX Inferior cardiac nerve use Thoracic Sympathetic Nerve
IABP (Intra-aortic balloon pump) see Assistance, Car- Right, 2W3JX Inferior cerebellar vein use Intracranial Vein
diac, 5A02 Foot Inferior cerebral vein use Intracranial Vein
IAEMT (Intraoperative anesthetic effect monitoring Left, 2W3TX Inferior epigastric artery
and titration) see Monitoring, Central Nervous, Right, 2W3SX use External Iliac Artery, Left
4A10 Hand use External Iliac Artery, Right
Idarucizumab, Dabigatran Reversal Agent, XW0 Left, 2W3FX Inferior epigastric lymph node use Lymphatic, Pelvis
IHD (Intermittent hemodialysis), 5A1D70Z Right, 2W3EX Inferior genicular artery
Ileal artery use Superior Mesenteric Artery Head, 2W30X use Popliteal Artery, Left
Ileectomy Inguinal Region use Popliteal Artery, Right
see Excision, Ileum, 0DBB Left, 2W37X Inferior gluteal artery
see Resection, Ileum, 0DTB Right, 2W36X use Internal Iliac Artery, Left
Ileocolic artery use Superior Mesenteric Artery Leg use Internal Iliac Artery, Right
Ileocolic vein use Colic Vein Lower Inferior gluteal nerve use Sacral Plexus
Ileopexy Left, 2W3RX Inferior hypogastric plexus use Abdominal Sympathetic
see Repair, Ileum, 0DQB Right, 2W3QX Nerve
see Reposition, Ileum, 0DSB Upper
Inferior labial artery use Face Artery
Left, 2W3PX
Ileorrhaphy see Repair, Ileum, 0DQB Right, 2W3NX Inferior longitudinal muscle use Tongue, Palate, Pharynx
Ileoscopy, 0DJD8ZZ Neck, 2W32X Muscle
Ileostomy Thumb Inferior mesenteric ganglion use Abdominal Sympathet-
see Bypass, Ileum, 0D1B Left, 2W3HX ic Nerve
see Drainage, Ileum, 0D9B Right, 2W3GX Inferior mesenteric lymph node use Lymphatic,
Ileotomy see Drainage, Ileum, 0D9B Toe Mesenteric
Ileoureterostomy see Bypass, Urinary System, 0T1 Left, 2W3VX Inferior mesenteric plexus use Abdominal Sympathetic
Iliac crest Right, 2W3UX Nerve
use Pelvic Bone, Left Immunization see Introduction of Serum, Toxoid, and Inferior oblique muscle
use Pelvic Bone, Right Vaccine use Extraocular Muscle, Left
Iliac fascia Immunotherapy see Introduction of Immunotherapeutic use Extraocular Muscle, Right
use Subcutaneous Tissue and Fascia, Left Upper Leg Substance Inferior pancreaticoduodenal artery use Superior
use Subcutaneous Tissue and Fascia, Right Upper Leg Immunotherapy, antineoplastic Mesenteric Artery
Iliac lymph node use Lymphatic, Pelvis Interferon see Introduction of Low-dose Interleukin- Inferior phrenic artery use Abdominal Aorta
Iliacus muscle 2 Inferior rectus muscle
use Hip Muscle, Left Interleukin-2, high-dose see Introduction of High- use Extraocular Muscle, Left
use Hip Muscle, Right dose Interleukin-2 use Extraocular Muscle, Right
Iliofemoral ligament Interleukin-2, low-dose see Introduction of Low-dose Inferior suprarenal artery
use Hip Bursa and Ligament, Left Interleukin-2 use Renal Artery, Left
use Hip Bursa and Ligament, Right Monoclonal antibody see Introduction of Monoclonal use Renal Artery, Right
Iliohypogastric nerve use Lumbar Plexus Antibody Inferior tarsal plate
Ilioinguinal nerve use Lumbar Plexus Proleukin, high-dose see Introduction of High-dose use Lower Eyelid, Left
Iliolumbar artery Interleukin-2 use Lower Eyelid, Right
use Internal Iliac Artery, Left Proleukin, low-dose see Introduction of Low-dose Inferior thyroid vein
use Internal Iliac Artery, Right Interleukin-2 use Innominate Vein, Left
Iliolumbar ligament use Lower Spine Bursa and Ligament Impella® heart pump use Short-term External Heart Assist use Innominate Vein, Right
Iliotibial tract (band) System in Heart and Great Vessels Inferior tibiofibular joint
use Subcutaneous Tissue and Fascia, Left Upper Leg Impeller Pump use Ankle Joint, Left
use Subcutaneous Tissue and Fascia, Right Upper Leg Continuous, Output, 5A0221D use Ankle Joint, Right
Ilium Intermittent, Output, 5A0211D Inferior turbinate use Nasal Turbinate
use Pelvic Bone, Left Implantable cardioverter-defibrillator (ICD) use Defib- Inferior ulnar collateral artery
use Pelvic Bone, Right rillator Generator in, 0JH use Brachial Artery, Left
Ilizarov external fixator Implantable drug infusion pump (anti-spasmodic) use Brachial Artery, Right
use External Fixation Device, Ring in, 0PH (chemotherapy) (pain) use Infusion Device, Pump Inferior vesical artery
use External Fixation Device, Ring in, 0PS in Subcutaneous Tissue and Fascia use Internal Iliac Artery, Left
IABP (Intra-aortic balloon pump) — Infusion Device, Pump

use External Fixation Device, Ring in, 0QH Implantable glucose monitoring device use Monitoring use Internal Iliac Artery, Right
use External Fixation Device, Ring in, 0QS Device Infraauricular lymph node use Lymphatic, Head
Ilizarov-Vecklich device Implantable hemodynamic monitor (IHM) use Moni- Infraclavicular (deltopectoral) lymph node
use External Fixation Device, Limb Lengthening in, toring Device, Hemodynamic in, 0JH use Lymphatic, Left Upper Extremity
0PH Implantable hemodynamic monitoring system use Lymphatic, Right Upper Extremity
use External Fixation Device, Limb Lengthening in, (IHMS) use Monitoring Device, Hemodynamic in, Infrahyoid muscle
0QH 0JH use Neck Muscle, Left
Imaging, diagnostic Implantable Miniature Telescope™ (IMT) use Synthetic use Neck Muscle, Right
see Computerized Tomography (CT Scan) Substitute, Intraocular Telescope in, 08R Infraparotid lymph node use Lymphatic, Head
see Fluoroscopy Implantation Infraspinatus fascia
see Magnetic Resonance Imaging (MRI) see Insertion use Subcutaneous Tissue and Fascia, Left Upper Arm
see Plain Radiography see Replacement use Subcutaneous Tissue and Fascia, Right Upper Arm
see Ultrasonography Implanted (venous)(access) port use Vascular Access Infraspinatus muscle
Immobilization Device, Totally Implantable in Subcutaneous Tissue use Shoulder Muscle, Left
Abdominal Wall, 2W33X and Fascia use Shoulder Muscle, Right
Arm IMV (intermittent mandatory ventilation) see Assis- Infundibulopelvic ligament use Uterine Supporting
Lower tance, Respiratory, 5A09 Structure
Left, 2W3DX In Vitro Fertilization, 8E0ZXY1 Infusion see Introduction of substance in or on
Right, 2W3CX Incision, abscess see Drainage Infusion Device, Pump
Upper Incudectomy Insertion of device in
Left, 2W3BX see Excision, Ear, Nose, Sinus, 09B Abdomen, 0JH8
Right, 2W3AX see Resection, Ear, Nose, Sinus, 09T Back, 0JH7
Back, 2W35X Incudopexy Chest, 0JH6
Chest Wall, 2W34X see Repair, Ear, Nose, Sinus, 09Q Lower Arm
Extremity see Reposition, Ear, Nose, Sinus, 09S Left, 0JHH
Lower Incus Right, 0JHG
Left, 2W3MX use Auditory Ossicle, Left Lower Leg
Right, 2W3LX use Auditory Ossicle, Right Left, 0JHP
Upper Induction of labor Right, 0JHN
Left, 2W39X Artificial rupture of membranes see Drainage, Preg- Trunk, 0JHT
Right, 2W38X nancy, 109 Upper Arm
Face, 2W31X Oxytocin see Introduction of Hormone Left, 0JHF
Right, 0JHD

68 2 Subterms under main terms may continue to next column or page

ICD-10-PCS 2019 Insertion of device in
Infusion Device, Pump — continued Insertion of device in — continued Insertion of device in — continued

Index
Insertion of device in — continued Artery — continued Bone — continued
Upper Leg External Carotid — continued Lacrimal — continued
Left, 0JHM Right, 03HM Right, 0NHH
Right, 0JHL External Iliac Lower, 0QHY
Removal of device from Left, 04HJ Nasal, 0NHB
Lower Extremity, 0JPW Right, 04HH Occipital, 0NH7
Trunk, 0JPT Face, 03HR Palatine
Upper Extremity, 0JPV Femoral Left, 0NHL
Revision of device in Left, 04HL Right, 0NHK
Lower Extremity, 0JWW Right, 04HK Parietal
Trunk, 0JWT Foot Left, 0NH4
Upper Extremity, 0JWV Left, 04HW Right, 0NH3
Infusion, glucarpidase Right, 04HV Pelvic
Central Vein, 3E043GQ Gastric, 04H2 Left, 0QH3
Peripheral Vein, 3E033GQ Hand Right, 0QH2
Inguinal canal Left, 03HF Sphenoid, 0NHC
use Inguinal Region, Bilateral Right, 03HD Temporal
use Inguinal Region, Left Hepatic, 04H3 Left, 0NH6
use Inguinal Region, Right Inferior Mesenteric, 04HB Right, 0NH5
Inguinal triangle Innominate, 03H2 Upper, 0PHY
use Inguinal Region, Bilateral Internal Carotid Zygomatic
use Inguinal Region, Left Left, 03HL Left, 0NHN
use Inguinal Region, Right Right, 03HK Right, 0NHM
Injection see Introduction of substance in or on Internal Iliac Brain, 00H0
Injection, Concentrated Bone Marrow Aspirate (CB- Left, 04HF Breast
MA), intramuscular, XK02303 Right, 04HE Bilateral, 0HHV
Injection reservoir, port use Vascular Access Device, Internal Mammary Left, 0HHU
Totally Implantable in Subcutaneous Tissue and Left, 03H1 Right, 0HHT
Fascia Right, 03H0 Bronchus
Injection reservoir, pump use Infusion Device, Pump in Intracranial, 03HG Lingula, 0BH9
Subcutaneous Tissue and Fascia Lower, 04HY Lower Lobe
Insemination, artificial, 3E0P7LZ Peroneal Left, 0BHB
Left, 04HU Right, 0BH6
Insertion
Right, 04HT Main
Antimicrobial envelope see Introduction of Anti-infec- Popliteal Left, 0BH7
tive Left, 04HN Right, 0BH3
Aqueous drainage shunt Right, 04HM Middle Lobe, Right, 0BH5
see Bypass, Eye, 081 Posterior Tibial Upper Lobe
see Drainage, Eye, 089 Left, 04HS Left, 0BH8
Products of Conception, 10H0 Right, 04HR Right, 0BH4
Spinal Stabilization Device Pulmonary Bursa and Ligament
see Insertion of device in, Lower Joints, 0SH Left, 02HR Lower, 0MHY
see Insertion of device in, Upper Joints, 0RH Right, 02HQ Upper, 0MHX
Insertion of device in Pulmonary Trunk, 02HP Buttock
Abdominal Wall, 0WHF Radial Left, 0YH1
Acetabulum Left, 03HC Right, 0YH0
Left, 0QH5 Right, 03HB Carpal
Right, 0QH4 Renal Left, 0PHN
Anal Sphincter, 0DHR Left, 04HA Right, 0PHM
Ankle Region Right, 04H9 Cavity, Cranial, 0WH1
Left, 0YHL Splenic, 04H4 Cerebral Ventricle, 00H6
Right, 0YHK Subclavian Cervix, 0UHC
Anus, 0DHQ Left, 03H4 Chest Wall, 0WH8
Aorta Right, 03H3 Cisterna Chyli, 07HL
Abdominal, 04H0 Superior Mesenteric, 04H5 Clavicle
Thoracic Temporal Left, 0PHB
Ascending/Arch, 02HX Left, 03HT Right, 0PH9
Descending, 02HW Right, 03HS Coccyx, 0QHS
Arm Thyroid Cul-de-sac, 0UHF
Lower Left, 03HV Diaphragm, 0BHT
Left, 0XHF Right, 03HU Disc
Right, 0XHD

Infusion Device, Pump — Insertion of device in

Ulnar Cervical Vertebral, 0RH3
Upper Left, 03HA Cervicothoracic Vertebral, 0RH5
Left, 0XH9 Right, 03H9 Lumbar Vertebral, 0SH2
Right, 0XH8 Upper, 03HY Lumbosacral, 0SH4
Artery Vertebral Thoracic Vertebral, 0RH9
Anterior Tibial Left, 03HQ Thoracolumbar Vertebral, 0RHB
Left, 04HQ Right, 03HP Duct
Right, 04HP Atrium Hepatobiliary, 0FHB
Axillary Left, 02H7 Pancreatic, 0FHD
Left, 03H6 Right, 02H6 Duodenum, 0DH9
Right, 03H5 Axilla Ear
Brachial Left, 0XH5 Inner
Left, 03H8 Right, 0XH4 Left, 09HE
Right, 03H7 Back Right, 09HD
Celiac, 04H1 Lower, 0WHL Left, 09HJ
Colic Upper, 0WHK Right, 09HH
Left, 04H7 Bladder, 0THB Elbow Region
Middle, 04H8 Bladder Neck, 0THC Left, 0XHC
Right, 04H6 Bone Right, 0XHB
Common Carotid Ethmoid Epididymis and Spermatic Cord, 0VHM
Left, 03HJ Left, 0NHG Esophagus, 0DH5
Right, 03HH Right, 0NHF Extremity
Common Iliac Facial, 0NHW Lower
Left, 04HD Frontal, 0NH1 Left, 0YHB
Right, 04HC Hyoid, 0NHX Right, 0YH9
External Carotid Lacrimal Upper
Left, 03HN Left, 0NHJ Left, 0XH7

2 Subterms under main terms may continue to next column or page 69

 Insertion of device in ICD-10-PCS 2019
Insertion of device in — continued Insertion of device in — continued Insertion of device in — continued
Index
Extremity — continued Joint — continued Pancreas, 0FHG
Upper — continued Knee — continued Patella
Right, 0XH6 Right, 0SHC Left, 0QHF
Eye Lumbar Vertebral, 0SH0 Right, 0QHD
Left, 08H1 Lumbosacral, 0SH3 Pelvic Cavity, 0WHJ
Right, 08H0 Metacarpophalangeal Penis, 0VHS
Face, 0WH2 Left, 0RHV Pericardial Cavity, 0WHD
Fallopian Tube, 0UH8 Right, 0RHU Pericardium, 02HN
Femoral Region Metatarsal-Phalangeal Perineum
Left, 0YH8 Left, 0SHN Female, 0WHN
Right, 0YH7 Right, 0SHM Male, 0WHM
Femoral Shaft Occipital-cervical, 0RH0 Peritoneal Cavity, 0WHG
Left, 0QH9 Sacrococcygeal, 0SH5 Phalanx
Right, 0QH8 Sacroiliac Finger
Femur Left, 0SH8 Left, 0PHV
Lower Right, 0SH7 Right, 0PHT
Left, 0QHC Shoulder Thumb
Right, 0QHB Left, 0RHK Left, 0PHS
Upper Right, 0RHJ Right, 0PHR
Left, 0QH7 Sternoclavicular Toe
Right, 0QH6 Left, 0RHF Left, 0QHR
Fibula Right, 0RHE Right, 0QHQ
Left, 0QHK Tarsal Pleura, 0BHQ
Right, 0QHJ Left, 0SHJ Pleural Cavity
Foot Right, 0SHH Left, 0WHB
Left, 0YHN Tarsometatarsal Right, 0WH9
Right, 0YHM Left, 0SHL Prostate, 0VH0
Gallbladder, 0FH4 Right, 0SHK Prostate and Seminal Vesicles, 0VH4
Gastrointestinal Tract, 0WHP Temporomandibular Radius
Genitourinary Tract, 0WHR Left, 0RHD Left, 0PHJ
Gland Right, 0RHC Right, 0PHH
Endocrine, 0GHS Thoracic Vertebral, 0RH6 Rectum, 0DHP
Salivary, 0CHA Thoracolumbar Vertebral, 0RHA Respiratory Tract, 0WHQ
Glenoid Cavity Toe Phalangeal Retroperitoneum, 0WHH
Left, 0PH8 Left, 0SHQ Ribs
Right, 0PH7 Right, 0SHP 1 to 2, 0PH1
Hand Wrist 3 or More, 0PH2
Left, 0XHK Left, 0RHP Sacrum, 0QH1
Right, 0XHJ Right, 0RHN Scapula
Head, 0WH0 Kidney, 0TH5 Left, 0PH6
Heart, 02HA Knee Region Right, 0PH5
Humeral Head Left, 0YHG Scrotum and Tunica Vaginalis, 0VH8
Left, 0PHD Right, 0YHF Shoulder Region
Right, 0PHC Larynx, 0CHS Left, 0XH3
Humeral Shaft Leg Right, 0XH2
Left, 0PHG Lower Sinus, 09HY
Right, 0PHF Left, 0YHJ Skin, 0HHPXYZ
Ileum, 0DHB Right, 0YHH Skull, 0NH0
Inguinal Region Upper Spinal Canal, 00HU
Left, 0YH6 Left, 0YHD Spinal Cord, 00HV
Right, 0YH5 Right, 0YHC Spleen, 07HP
Intestinal Tract Liver, 0FH0 Sternum, 0PH0
Lower, 0DHD Left Lobe, 0FH2 Stomach, 0DH6
Upper, 0DH0 Right Lobe, 0FH1 Subcutaneous Tissue and Fascia
Intestine Lung Abdomen, 0JH8
Large, 0DHE Left, 0BHL Back, 0JH7
Small, 0DH8 Right, 0BHK Buttock, 0JH9
Jaw Lymphatic, 07HN Chest, 0JH6
Lower, 0WH5 Thoracic Duct, 07HK Face, 0JH1
Upper, 0WH4 Mandible Foot
Jejunum, 0DHA Left, 0NHV Left, 0JHR
Joint Right, 0NHT Right, 0JHQ
Insertion of device in — Insertion of device in

Acromioclavicular Maxilla, 0NHR Hand

Left, 0RHH Mediastinum, 0WHC Left, 0JHK
Right, 0RHG Metacarpal Right, 0JHJ
Ankle Left, 0PHQ Head and Neck, 0JHS
Left, 0SHG Right, 0PHP Lower Arm
Right, 0SHF Metatarsal Left, 0JHH
Carpal Left, 0QHP Right, 0JHG
Left, 0RHR Right, 0QHN Lower Extremity, 0JHW
Right, 0RHQ Mouth and Throat, 0CHY Lower Leg
Carpometacarpal Muscle Left, 0JHP
Left, 0RHT Lower, 0KHY Right, 0JHN
Right, 0RHS Upper, 0KHX Neck
Cervical Vertebral, 0RH1 Nasal Mucosa and Soft Tissue, 09HK Left, 0JH5
Cervicothoracic Vertebral, 0RH4 Nasopharynx, 09HN Right, 0JH4
Coccygeal, 0SH6 Neck, 0WH6 Pelvic Region, 0JHC
Elbow Nerve Perineum, 0JHB
Left, 0RHM Cranial, 00HE Scalp, 0JH0
Right, 0RHL Peripheral, 01HY Trunk, 0JHT
Finger Phalangeal Nipple Upper Arm
Left, 0RHX Left, 0HHX Left, 0JHF
Right, 0RHW Right, 0HHW Right, 0JHD
Hip Oral Cavity and Throat, 0WH3 Upper Extremity, 0JHV
Left, 0SHB Orbit Upper Leg
Right, 0SH9 Left, 0NHQ Left, 0JHM
Knee Right, 0NHP Right, 0JHL
Left, 0SHD Ovary, 0UH3

70 2 Subterms under main terms may continue to next column or page

ICD-10-PCS 2019 Inspection
Insertion of device in — continued Insertion of device in — continued Inspection — continued

Index
Tarsal Vein — continued Extremity — continued
Left, 0QHM Subclavian Upper
Right, 0QHL Left, 05H6 Left, 0XJ7
Tendon Right, 05H5 Right, 0XJ6
Lower, 0LHY Superior Mesenteric, 06H5 Eye
Upper, 0LHX Upper, 05HY Left, 08J1XZZ
Testis, 0VHD Vertebral Right, 08J0XZZ
Thymus, 07HM Left, 05HS Face, 0WJ2
Tibia Right, 05HR Fallopian Tube, 0UJ8
Left, 0QHH Vena Cava Femoral Region
Right, 0QHG Inferior, 06H0 Bilateral, 0YJE
Tongue, 0CH7 Superior, 02HV Left, 0YJ8
Trachea, 0BH1 Ventricle Right, 0YJ7
Tracheobronchial Tree, 0BH0 Left, 02HL Finger Nail, 0HJQXZZ
Ulna Right, 02HK Foot
Left, 0PHL Vertebra Left, 0YJN
Right, 0PHK Cervical, 0PH3 Right, 0YJM
Ureter, 0TH9 Lumbar, 0QH0 Gallbladder, 0FJ4
Urethra, 0THD Thoracic, 0PH4 Gastrointestinal Tract, 0WJP
Uterus, 0UH9 Wrist Region Genitourinary Tract, 0WJR
Uterus and Cervix, 0UHD Left, 0XHH Gland
Vagina, 0UHG Right, 0XHG Adrenal, 0GJ5
Vagina and Cul-de-sac, 0UHH Inspection Endocrine, 0GJS
Vas Deferens, 0VHR Abdominal Wall, 0WJF Pituitary, 0GJ0
Vein Ankle Region Salivary, 0CJA
Axillary Left, 0YJL Great Vessel, 02JY
Left, 05H8 Right, 0YJK Hand
Right, 05H7 Arm Left, 0XJK
Azygos, 05H0 Lower Right, 0XJJ
Basilic Left, 0XJF Head, 0WJ0
Left, 05HC Right, 0XJD Heart, 02JA
Right, 05HB Upper Inguinal Region
Brachial Left, 0XJ9 Bilateral, 0YJA
Left, 05HA Right, 0XJ8 Left, 0YJ6
Right, 05H9 Artery Right, 0YJ5
Cephalic Lower, 04JY Intestinal Tract
Left, 05HF Upper, 03JY Lower, 0DJD
Right, 05HD Axilla Upper, 0DJ0
Colic, 06H7 Left, 0XJ5 Jaw
Common Iliac Right, 0XJ4 Lower, 0WJ5
Left, 06HD Back Upper, 0WJ4
Right, 06HC Lower, 0WJL Joint
Coronary, 02H4 Upper, 0WJK Acromioclavicular
Esophageal, 06H3 Bladder, 0TJB Left, 0RJH
External Iliac Bone Right, 0RJG
Left, 06HG Facial, 0NJW Ankle
Right, 06HF Lower, 0QJY Left, 0SJG
External Jugular Nasal, 0NJB Right, 0SJF
Left, 05HQ Upper, 0PJY Carpal
Right, 05HP Bone Marrow, 07JT Left, 0RJR
Face Brain, 00J0 Right, 0RJQ
Left, 05HV Breast Carpometacarpal
Right, 05HT Left, 0HJU Left, 0RJT
Femoral Right, 0HJT Right, 0RJS
Left, 06HN Bursa and Ligament Cervical Vertebral, 0RJ1
Right, 06HM Lower, 0MJY Cervicothoracic Vertebral, 0RJ4
Foot Upper, 0MJX Coccygeal, 0SJ6
Left, 06HV Buttock Elbow
Right, 06HT Left, 0YJ1 Left, 0RJM
Gastric, 06H2 Right, 0YJ0 Right, 0RJL
Hand Cavity, Cranial, 0WJ1 Finger Phalangeal
Left, 05HH Chest Wall, 0WJ8 Left, 0RJX
Right, 05HG Cisterna Chyli, 07JL Right, 0RJW
Hemiazygos, 05H1 Diaphragm, 0BJT Hip
Hepatic, 06H4 Disc Left, 0SJB
Hypogastric Cervical Vertebral, 0RJ3 Right, 0SJ9
Left, 06HJ Cervicothoracic Vertebral, 0RJ5 Knee
Right, 06HH Lumbar Vertebral, 0SJ2 Left, 0SJD
Insertion of device in — Inspection
Inferior Mesenteric, 06H6 Lumbosacral, 0SJ4 Right, 0SJC
Innominate Thoracic Vertebral, 0RJ9 Lumbar Vertebral, 0SJ0
Left, 05H4 Thoracolumbar Vertebral, 0RJB Lumbosacral, 0SJ3
Right, 05H3 Duct Metacarpophalangeal
Internal Jugular Hepatobiliary, 0FJB Left, 0RJV
Left, 05HN Pancreatic, 0FJD Right, 0RJU
Right, 05HM Ear Metatarsal-Phalangeal
Intracranial, 05HL Inner Left, 0SJN
Lower, 06HY Left, 09JE Right, 0SJM
Portal, 06H8 Right, 09JD Occipital-cervical, 0RJ0
Pulmonary Left, 09JJ Sacrococcygeal, 0SJ5
Left, 02HT Right, 09JH Sacroiliac
Right, 02HS Elbow Region Left, 0SJ8
Renal Left, 0XJC Right, 0SJ7
Left, 06HB Right, 0XJB Shoulder
Right, 06H9 Epididymis and Spermatic Cord, 0VJM Left, 0RJK
Saphenous Extremity Right, 0RJJ
Left, 06HQ Lower Sternoclavicular
Right, 06HP Left, 0YJB Left, 0RJF
Splenic, 06H1 Right, 0YJ9 Right, 0RJE

2 Subterms under main terms may continue to next column or page 71

 Inspection ICD-10-PCS 2019
Inspection — continued Inspection — continued Intermittent mandatory ventilation see Assistance,
Index
Joint — continued Subcutaneous Tissue and Fascia Respiratory, 5A09
Tarsal Head and Neck, 0JJS Intermittent Negative Airway Pressure
Left, 0SJJ Lower Extremity, 0JJW 24-96 Consecutive Hours, Ventilation, 5A0945B
Right, 0SJH Trunk, 0JJT Greater than 96 Consecutive Hours, Ventilation,
Tarsometatarsal Upper Extremity, 0JJV 5A0955B
Left, 0SJL Tendon Less than 24 Consecutive Hours, Ventilation, 5A0935B
Right, 0SJK Lower, 0LJY Intermittent Positive Airway Pressure
Temporomandibular Upper, 0LJX 24-96 Consecutive Hours, Ventilation, 5A09458
Left, 0RJD Testis, 0VJD Greater than 96 Consecutive Hours, Ventilation,
Right, 0RJC Thymus, 07JM 5A09558
Thoracic Vertebral, 0RJ6 Thyroid Gland, 0GJK Less than 24 Consecutive Hours, Ventilation, 5A09358
Thoracolumbar Vertebral, 0RJA Toe Nail, 0HJRXZZ Intermittent positive pressure breathing see Assis-
Toe Phalangeal Trachea, 0BJ1 tance, Respiratory, 5A09
Left, 0SJQ Tracheobronchial Tree, 0BJ0 Internal anal sphincter use Anal Sphincter
Right, 0SJP Tympanic Membrane Internal carotid artery, intracranial portion use In-
Wrist Left, 09J8 tracranial Artery
Left, 0RJP Right, 09J7 Internal carotid plexus use Head and Neck Sympathetic
Right, 0RJN Ureter, 0TJ9 Nerve
Kidney, 0TJ5 Urethra, 0TJD Internal (basal) cerebral vein use Intracranial Vein
Knee Region Uterus and Cervix, 0UJD Internal iliac vein
Left, 0YJG Vagina and Cul-de-sac, 0UJH use Hypogastric Vein, Left
Right, 0YJF Vas Deferens, 0VJR use Hypogastric Vein, Right
Larynx, 0CJS Vein Internal maxillary artery
Leg Lower, 06JY use External Carotid Artery, Left
Lower Upper, 05JY use External Carotid Artery, Right
Left, 0YJJ Vulva, 0UJM Internal naris use Nasal Mucosa and Soft Tissue
Right, 0YJH Wrist Region Internal oblique muscle
Upper Left, 0XJH
use Abdomen Muscle, Left
Left, 0YJD Right, 0XJG
Right, 0YJC Instillation see Introduction of substance in or on use Abdomen Muscle, Right
Lens Insufflation see Introduction of substance in or on Internal pudendal artery
Left, 08JKXZZ Interatrial septum use Atrial Septum use Internal Iliac Artery, Left
Right, 08JJXZZ Interbody fusion (spine) cage use Internal Iliac Artery, Right
Liver, 0FJ0 Internal pudendal vein
use Interbody Fusion Device in Lower Joints
Lung use Interbody Fusion Device in Upper Joints use Hypogastric Vein, Left
Left, 0BJL Interbody Fusion Device use Hypogastric Vein, Right
Right, 0BJK Nanotextured Surface Internal thoracic artery
Lymphatic, 07JN Cervical Vertebral, XRG1092 use Internal Mammary Artery, Left
Thoracic Duct, 07JK 2 or more, XRG2092 use Internal Mammary Artery, Right
Mediastinum, 0WJC Cervicothoracic Vertebral, XRG4092 use Subclavian Artery, Left
Mesentery, 0DJV Lumbar Vertebral, XRGB092 use Subclavian Artery, Right
Mouth and Throat, 0CJY 2 or more, XRGC092 Internal urethral sphincter use Urethra
Muscle Lumbosacral, XRGD092 Interphalangeal (IP) joint
Extraocular Occipital-cervical, XRG0092 use Finger Phalangeal Joint, Left
Left, 08JM Thoracic Vertebral, XRG6092 use Finger Phalangeal Joint, Right
Right, 08JL 2 to 7, XRG7092 use Toe Phalangeal Joint, Left
Lower, 0KJY 8 or more, XRG8092 use Toe Phalangeal Joint, Right
Upper, 0KJX Thoracolumbar Vertebral, XRGA092 Interphalangeal ligament
Nasal Mucosa and Soft Tissue, 09JK Radiolucent Porous use Foot Bursa and Ligament, Left
Neck, 0WJ6 Cervical Vertebral, XRG10F3 use Foot Bursa and Ligament, Right
Nerve 2 or more, XRG20F3 use Hand Bursa and Ligament, Left
Cranial, 00JE Cervicothoracic Vertebral, XRG40F3 use Hand Bursa and Ligament, Right
Peripheral, 01JY Lumbar Vertebral, XRGB0F3 Interrogation, cardiac rhythm related device
Omentum, 0DJU 2 or more, XRGC0F3 With cardiac function testing see Measurement, Car-
Oral Cavity and Throat, 0WJ3 Lumbosacral, XRGD0F3 diac, 4A02
Ovary, 0UJ3 Occipital-cervical, XRG00F3 Interrogation only see Measurement, Cardiac, 4B02
Pancreas, 0FJG Thoracic Vertebral, XRG60F3 Interruption see Occlusion
Parathyroid Gland, 0GJR 2 to 7, XRG70F3 Interspinalis muscle
Pelvic Cavity, 0WJJ 8 or more, XRG80F3 use Trunk Muscle, Left
Penis, 0VJS Thoracolumbar Vertebral, XRGA0F3 use Trunk Muscle, Right
Pericardial Cavity, 0WJD Intercarpal joint Interspinous ligament, cervical use Head and Neck
Perineum use Carpal Joint, Left Bursa and Ligament
Female, 0WJN use Carpal Joint, Right Interspinous ligament, lumbar use Lower Spine Bursa
Male, 0WJM Intercarpal ligament and Ligament
Peritoneal Cavity, 0WJG use Hand Bursa and Ligament, Left Interspinous ligament, thoracic use Upper Spine Bursa
Inspection — Intestinal lymphatic trunk

Peritoneum, 0DJW use Hand Bursa and Ligament, Right

Pineal Body, 0GJ1 and Ligament
Interclavicular ligament Interspinous process spinal stabilization device
Pleura, 0BJQ use Shoulder Bursa and Ligament, Left
Pleural Cavity use Spinal Stabilization Device, Interspinous Process
use Shoulder Bursa and Ligament, Right in, 0RH
Left, 0WJB
Right, 0WJ9 Intercostal lymph node use Lymphatic, Thorax use Spinal Stabilization Device, Interspinous Process
Products of Conception, 10J0 Intercostal muscle in, 0SH
Ectopic, 10J2 use Thorax Muscle, Left InterStim® Therapy lead use Neurostimulator Lead in
Retained, 10J1 use Thorax Muscle, Right Peripheral Nervous System
Prostate and Seminal Vesicles, 0VJ4 Intercostal nerve use Thoracic Nerve InterStim® Therapy neurostimulator use Stimulator
Respiratory Tract, 0WJQ Intercostobrachial nerve use Thoracic Nerve Generator, Single Array in, 0JH
Retroperitoneum, 0WJH Intercuneiform joint Intertransversarius muscle
Scrotum and Tunica Vaginalis, 0VJ8 use Tarsal Joint, Left use Trunk Muscle, Left
Shoulder Region use Tarsal Joint, Right use Trunk Muscle, Right
Left, 0XJ3 Intercuneiform ligament Intertransverse ligament, cervical use Head and Neck
Right, 0XJ2 use Foot Bursa and Ligament, Left Bursa and Ligament
Sinus, 09JY use Foot Bursa and Ligament, Right Intertransverse ligament, lumbar use Lower Spine
Skin, 0HJPXZZ Intermediate bronchus use Main Bronchus, Right Bursa and Ligament
Skull, 0NJ0 Intermediate cuneiform bone Intertransverse ligament, thoracic use Upper Spine
Spinal Canal, 00JU use Tarsal, Left Bursa and Ligament
Spinal Cord, 00JV use Tarsal, Right Interventricular foramen (Monro) use Cerebral Ventricle
Spleen, 07JP Intermittent hemodialysis (IHD), 5A1D70Z Interventricular septum use Ventricular Septum
Stomach, 0DJ6 Intestinal lymphatic trunk use Cisterna Chyli

72 2 Subterms under main terms may continue to next column or page

ICD-10-PCS 2019 Introduction of substance in or on
Intraluminal Device IntraoperativeRadiationTherapy— continued Introduction of substance in or on — continued

Index
Airway Rectum, DDY7CZZ Bone — continued
Esophagus, 0DH5 Stomach, DDY1CZZ Radioactive Substance, 3E0V3HZ
Mouth and Throat, 0CHY Ureter, DTY1CZZ Sedatives, 3E0V3NZ
Nasopharynx, 09HN Urethra, DTY3CZZ Water Balance Substance, 3E0V37Z
Bioactive Uterus, DUY2CZZ Bone Marrow, 3E0A3GC
Occlusion Intrauterine Device (IUD) use Contraceptive Device in Antineoplastic, 3E0A30
Common Carotid Female Reproductive System Brain, 3E0Q
Left, 03LJ Intravascular fluorescence angiography (IFA) see Analgesics, 3E0Q
Right, 03LH Monitoring, Physiological Systems, 4A1 Anesthetic Agent, 3E0Q
External Carotid Introduction of substance in or on Anti-infective, 3E0Q
Left, 03LN Artery Anti-inflammatory, 3E0Q
Right, 03LM Central, 3E06 Antineoplastic, 3E0Q
Internal Carotid Analgesics, 3E06 Destructive Agent, 3E0Q
Left, 03LL Anesthetic, Intracirculatory, 3E06 Diagnostic Substance, Other, 3E0Q
Right, 03LK Antiarrhythmic, 3E06 Electrolytic Substance, 3E0Q
Intracranial, 03LG Anti-infective, 3E06 Gas, 3E0Q
Vertebral Anti-inflammatory, 3E06 Hypnotics, 3E0Q
Left, 03LQ Antineoplastic, 3E06 Nutritional Substance, 3E0Q
Right, 03LP Destructive Agent, 3E06 Radioactive Substance, 3E0Q
Restriction Diagnostic Substance, Other, 3E06 Sedatives, 3E0Q
Common Carotid Electrolytic Substance, 3E06 Stem Cells
Left, 03VJ Hormone, 3E06 Embryonic, 3E0Q
Right, 03VH Hypnotics, 3E06 Somatic, 3E0Q
External Carotid Immunotherapeutic, 3E06 Water Balance Substance, 3E0Q
Left, 03VN Nutritional Substance, 3E06 Cranial Cavity, 3E0Q
Right, 03VM Platelet Inhibitor, 3E06 Analgesics, 3E0Q
Internal Carotid Radioactive Substance, 3E06 Anesthetic Agent, 3E0Q
Left, 03VL Sedatives, 3E06 Anti-infective, 3E0Q
Right, 03VK Serum, 3E06 Anti-inflammatory, 3E0Q
Intracranial, 03VG Thrombolytic, 3E06 Antineoplastic, 3E0Q
Vertebral Toxoid, 3E06 Destructive Agent, 3E0Q
Left, 03VQ Vaccine, 3E06 Diagnostic Substance, Other, 3E0Q
Right, 03VP Vasopressor, 3E06 Electrolytic Substance, 3E0Q
Endobronchial Valve Water Balance Substance, 3E06 Gas, 3E0Q
Lingula, 0BH9 Coronary, 3E07 Hypnotics, 3E0Q
Lower Lobe Diagnostic Substance, Other, 3E07 Nutritional Substance, 3E0Q
Left, 0BHB Platelet Inhibitor, 3E07 Radioactive Substance, 3E0Q
Right, 0BH6 Thrombolytic, 3E07 Sedatives, 3E0Q
Main Peripheral, 3E05 Stem Cells
Left, 0BH7 Analgesics, 3E05 Embryonic, 3E0Q
Right, 0BH3 Anesthetic, Intracirculatory, 3E05 Somatic, 3E0Q
Middle Lobe, Right, 0BH5 Antiarrhythmic, 3E05 Water Balance Substance, 3E0Q
Upper Lobe Anti-infective, 3E05 Ear, 3E0B
Left, 0BH8 Anti-inflammatory, 3E05 Analgesics, 3E0B
Right, 0BH4 Antineoplastic, 3E05 Anesthetic Agent, 3E0B
Endotracheal Airway Destructive Agent, 3E05 Anti-infective, 3E0B
Change device in, Trachea, 0B21XEZ Diagnostic Substance, Other, 3E05 Anti-inflammatory, 3E0B
Insertion of device in, Trachea, 0BH1 Electrolytic Substance, 3E05 Antineoplastic, 3E0B
Pessary Hormone, 3E05 Destructive Agent, 3E0B
Change device in, Vagina and Cul-de-sac, Hypnotics, 3E05 Diagnostic Substance, Other, 3E0B
0U2HXGZ Immunotherapeutic, 3E05 Hypnotics, 3E0B
Insertion of device in Nutritional Substance, 3E05 Radioactive Substance, 3E0B
Cul-de-sac, 0UHF Platelet Inhibitor, 3E05 Sedatives, 3E0B
Vagina, 0UHG Radioactive Substance, 3E05 Epidural Space, 3E0S3GC
Intramedullary (IM) rod (nail) Sedatives, 3E05 Analgesics, 3E0S3NZ

Intraluminal Device — Introduction of substance in or on

use Internal Fixation Device, Intramedullary in Lower Serum, 3E05 Anesthetic Agent, 3E0S3BZ
Bones Thrombolytic, 3E05 Anti-infective, 3E0S32
use Internal Fixation Device, Intramedullary in Upper Toxoid, 3E05 Anti-inflammatory, 3E0S33Z
Bones Vaccine, 3E05 Antineoplastic, 3E0S30
Intramedullary skeletal kinetic distractor (ISKD) Vasopressor, 3E05 Destructive Agent, 3E0S3TZ
use Internal Fixation Device, Intramedullary in Lower Water Balance Substance, 3E05 Diagnostic Substance, Other, 3E0S3KZ
Bones Biliary Tract, 3E0J Electrolytic Substance, 3E0S37Z
use Internal Fixation Device, Intramedullary in Upper Analgesics, 3E0J Gas, 3E0S
Bones Anesthetic Agent, 3E0J Hypnotics, 3E0S3NZ
Intraocular Telescope Anti-infective, 3E0J Nutritional Substance, 3E0S36Z
Left, 08RK30Z Anti-inflammatory, 3E0J Radioactive Substance, 3E0S3HZ
Right, 08RJ30Z Antineoplastic, 3E0J Sedatives, 3E0S3NZ
Intraoperative Knee Replacement Sensor, XR2 Destructive Agent, 3E0J Water Balance Substance, 3E0S37Z
Intraoperative Radiation Therapy (IORT) Diagnostic Substance, Other, 3E0J Eye, 3E0C
Anus, DDY8CZZ Electrolytic Substance, 3E0J Analgesics, 3E0C
Bile Ducts, DFY2CZZ Gas, 3E0J Anesthetic Agent, 3E0C
Bladder, DTY2CZZ Hypnotics, 3E0J Anti-infective, 3E0C
Cervix, DUY1CZZ Islet Cells, Pancreatic, 3E0J Anti-inflammatory, 3E0C
Colon, DDY5CZZ Nutritional Substance, 3E0J Antineoplastic, 3E0C
Duodenum, DDY2CZZ Radioactive Substance, 3E0J Destructive Agent, 3E0C
Gallbladder, DFY1CZZ Sedatives, 3E0J Diagnostic Substance, Other, 3E0C
Ileum, DDY4CZZ Water Balance Substance, 3E0J Gas, 3E0C
Jejunum, DDY3CZZ Bone, 3E0V Hypnotics, 3E0C
Kidney, DTY0CZZ Analgesics, 3E0V3NZ Pigment, 3E0C
Larynx, D9YBCZZ Anesthetic Agent, 3E0V3BZ Radioactive Substance, 3E0C
Liver, DFY0CZZ Anti-infective, 3E0V32 Sedatives, 3E0C
Mouth, D9Y4CZZ Anti-inflammatory, 3E0V33Z Gastrointestinal Tract
Nasopharynx, D9YDCZZ Antineoplastic, 3E0V30 Lower, 3E0H
Ovary, DUY0CZZ Destructive Agent, 3E0V3TZ Analgesics, 3E0H
Pancreas, DFY3CZZ Diagnostic Substance, Other, 3E0V3KZ Anesthetic Agent, 3E0H
Pharynx, D9YCCZZ Electrolytic Substance, 3E0V37Z Anti-infective, 3E0H
Prostate, DVY0CZZ Hypnotics, 3E0V3NZ Anti-inflammatory, 3E0H
Nutritional Substance, 3E0V36Z Antineoplastic, 3E0H

2 Subterms under main terms may continue to next column or page 73

 Introduction of substance in or on
Introduction of substance in or on — continued
Index
Gastrointestinal Tract — continued
Lower — continued
Destructive Agent, 3E0H
Diagnostic Substance, Other, 3E0H
Electrolytic Substance, 3E0H
Gas, 3E0H
Hypnotics, 3E0H
Nutritional Substance, 3E0H
Radioactive Substance, 3E0H
Sedatives, 3E0H
Water Balance Substance, 3E0H
Upper, 3E0G
Analgesics, 3E0G
Anesthetic Agent, 3E0G
Anti-infective, 3E0G
Anti-inflammatory, 3E0G
Antineoplastic, 3E0G
Destructive Agent, 3E0G
Diagnostic Substance, Other, 3E0G
Electrolytic Substance, 3E0G
Gas, 3E0G
Hypnotics, 3E0G
Nutritional Substance, 3E0G
Radioactive Substance, 3E0G
Sedatives, 3E0G
Water Balance Substance, 3E0G
Genitourinary Tract, 3E0K
Analgesics, 3E0K
Anesthetic Agent, 3E0K
Anti-infective, 3E0K
Anti-inflammatory, 3E0K
Antineoplastic, 3E0K
Destructive Agent, 3E0K
Diagnostic Substance, Other, 3E0K
Electrolytic Substance, 3E0K
Gas, 3E0K
Hypnotics, 3E0K
Nutritional Substance, 3E0K
Radioactive Substance, 3E0K
Sedatives, 3E0K
Water Balance Substance, 3E0K
Heart, 3E08
Diagnostic Substance, Other, 3E08
Platelet Inhibitor, 3E08
Thrombolytic, 3E08
Joint, 3E0U
Analgesics, 3E0U3NZ
Introduction of substance in or on — Introduction of substance in or on
Anesthetic Agent, 3E0U3BZ
Anti-infective, 3E0U
Anti-inflammatory, 3E0U33Z
Antineoplastic, 3E0U30
Destructive Agent, 3E0U3TZ
Diagnostic Substance, Other, 3E0U3KZ
Electrolytic Substance, 3E0U37Z
Gas, 3E0U3SF
Hypnotics, 3E0U3NZ
Nutritional Substance, 3E0U36Z
Radioactive Substance, 3E0U3HZ
Sedatives, 3E0U3NZ
Water Balance Substance, 3E0U37Z
Lymphatic, 3E0W3GC
Analgesics, 3E0W3NZ
Anesthetic Agent, 3E0W3BZ
Anti-infective, 3E0W32
Anti-inflammatory, 3E0W33Z
Antineoplastic, 3E0W30
Destructive Agent, 3E0W3TZ
Diagnostic Substance, Other, 3E0W3KZ
Electrolytic Substance, 3E0W37Z
Hypnotics, 3E0W3NZ
Nutritional Substance, 3E0W36Z
Radioactive Substance, 3E0W3HZ
Sedatives, 3E0W3NZ
Water Balance Substance, 3E0W37Z
Mouth, 3E0D
Analgesics, 3E0D
Anesthetic Agent, 3E0D
Antiarrhythmic, 3E0D
Anti-infective, 3E0D
Anti-inflammatory, 3E0D
Antineoplastic, 3E0D
Destructive Agent, 3E0D
Diagnostic Substance, Other, 3E0D
Electrolytic Substance, 3E0D
Hypnotics, 3E0D
Nutritional Substance, 3E0D
Radioactive Substance, 3E0D
Sedatives, 3E0D
74
ICD-10-PCS 2019
Introduction of substance in or on — continued Introduction of substance in or on — continued
Mouth — continued Pericardial Cavity — continued
Serum, 3E0D Gas, 3E0Y
Toxoid, 3E0D Hypnotics, 3E0Y3NZ
Vaccine, 3E0D Nutritional Substance, 3E0Y36Z
Water Balance Substance, 3E0D Radioactive Substance, 3E0Y3HZ
Mucous Membrane, 3E00XGC Sedatives, 3E0Y3NZ
Analgesics, 3E00XNZ Water Balance Substance, 3E0Y37Z
Anesthetic Agent, 3E00XBZ Peritoneal Cavity, 3E0M
Anti-infective, 3E00X2 Adhesion Barrier, 3E0M
Anti-inflammatory, 3E00X3Z Analgesics, 3E0M3NZ
Antineoplastic, 3E00X0 Anesthetic Agent, 3E0M3BZ
Destructive Agent, 3E00XTZ Anti-infective, 3E0M32
Diagnostic Substance, Other, 3E00XKZ Anti-inflammatory, 3E0M33Z
Hypnotics, 3E00XNZ Antineoplastic, 3E0M
Pigment, 3E00XMZ Destructive Agent, 3E0M3TZ
Sedatives, 3E00XNZ Diagnostic Substance, Other, 3E0M3KZ
Serum, 3E00X4Z Electrolytic Substance, 3E0M37Z
Toxoid, 3E00X4Z Gas, 3E0M
Vaccine, 3E00X4Z Hypnotics, 3E0M3NZ
Muscle, 3E023GC Nutritional Substance, 3E0M36Z
Analgesics, 3E023NZ Radioactive Substance, 3E0M3HZ
Anesthetic Agent, 3E023BZ Sedatives, 3E0M3NZ
Anti-infective, 3E0232 Water Balance Substance, 3E0M37Z
Anti-inflammatory, 3E0233Z Pharynx, 3E0D
Antineoplastic, 3E0230 Analgesics, 3E0D
Destructive Agent, 3E023TZ Anesthetic Agent, 3E0D
Diagnostic Substance, Other, 3E023KZ Antiarrhythmic, 3E0D
Electrolytic Substance, 3E0237Z Anti-infective, 3E0D
Hypnotics, 3E023NZ Anti-inflammatory, 3E0D
Nutritional Substance, 3E0236Z Antineoplastic, 3E0D
Radioactive Substance, 3E023HZ Destructive Agent, 3E0D
Sedatives, 3E023NZ Diagnostic Substance, Other, 3E0D
Serum, 3E0234Z Electrolytic Substance, 3E0D
Toxoid, 3E0234Z Hypnotics, 3E0D
Vaccine, 3E0234Z Nutritional Substance, 3E0D
Water Balance Substance, 3E0237Z Radioactive Substance, 3E0D
Nerve Sedatives, 3E0D
Cranial, 3E0X3GC Serum, 3E0D
Anesthetic Agent, 3E0X3BZ Toxoid, 3E0D
Anti-inflammatory, 3E0X33Z Vaccine, 3E0D
Destructive Agent, 3E0X3TZ Water Balance Substance, 3E0D
Peripheral, 3E0T3GC Pleural Cavity, 3E0L
Anesthetic Agent, 3E0T3BZ Adhesion Barrier, 3E0L
Anti-inflammatory, 3E0T33Z Analgesics, 3E0L3NZ
Destructive Agent, 3E0T3TZ Anesthetic Agent, 3E0L3BZ
Plexus, 3E0T3GC Anti-infective, 3E0L32
Anesthetic Agent, 3E0T3BZ Anti-inflammatory, 3E0L33Z
Anti-inflammatory, 3E0T33Z Antineoplastic, 3E0L
Destructive Agent, 3E0T3TZ Destructive Agent, 3E0L3TZ
Nose, 3E09 Diagnostic Substance, Other, 3E0L3KZ
Analgesics, 3E09 Electrolytic Substance, 3E0L37Z
Anesthetic Agent, 3E09 Gas, 3E0L
Anti-infective, 3E09 Hypnotics, 3E0L3NZ
Anti-inflammatory, 3E09 Nutritional Substance, 3E0L36Z
Antineoplastic, 3E09 Radioactive Substance, 3E0L3HZ
Destructive Agent, 3E09 Sedatives, 3E0L3NZ
Diagnostic Substance, Other, 3E09 Water Balance Substance, 3E0L37Z
Hypnotics, 3E09 Products of Conception, 3E0E
Radioactive Substance, 3E09 Analgesics, 3E0E
Sedatives, 3E09 Anesthetic Agent, 3E0E
Serum, 3E09 Anti-infective, 3E0E
Toxoid, 3E09 Anti-inflammatory, 3E0E
Vaccine, 3E09 Antineoplastic, 3E0E
Pancreatic Tract, 3E0J Destructive Agent, 3E0E
Analgesics, 3E0J Diagnostic Substance, Other, 3E0E
Anesthetic Agent, 3E0J Electrolytic Substance, 3E0E
Anti-infective, 3E0J Gas, 3E0E
Anti-inflammatory, 3E0J Hypnotics, 3E0E
Antineoplastic, 3E0J Nutritional Substance, 3E0E
Destructive Agent, 3E0J Radioactive Substance, 3E0E
Diagnostic Substance, Other, 3E0J Sedatives, 3E0E
Electrolytic Substance, 3E0J Water Balance Substance, 3E0E
Gas, 3E0J Reproductive
Hypnotics, 3E0J Female, 3E0P
Islet Cells, Pancreatic, 3E0J Adhesion Barrier, 3E0P
Nutritional Substance, 3E0J Analgesics, 3E0P
Radioactive Substance, 3E0J Anesthetic Agent, 3E0P
Sedatives, 3E0J Anti-infective, 3E0P
Water Balance Substance, 3E0J Anti-inflammatory, 3E0P
Pericardial Cavity, 3E0Y Antineoplastic, 3E0P
Analgesics, 3E0Y3NZ Destructive Agent, 3E0P
Anesthetic Agent, 3E0Y3BZ Diagnostic Substance, Other, 3E0P
Anti-infective, 3E0Y32 Electrolytic Substance, 3E0P
Anti-inflammatory, 3E0Y33Z Gas, 3E0P
Antineoplastic, 3E0Y Hormone, 3E0P
Destructive Agent, 3E0Y3TZ Hypnotics, 3E0P
Diagnostic Substance, Other, 3E0Y3KZ Nutritional Substance, 3E0P
Electrolytic Substance, 3E0Y37Z Ovum, Fertilized, 3E0P
2 Subterms under main terms may continue to next column or page
ICD-10-PCS 2019 Kuntscher nail
Introduction of substance in or on — continued Introduction of substance in or on — continued Irrigation — continued

Index
Reproductive — continued Vein — continued Mucous Membrane, Irrigating Substance, 3E10
Female — continued Central — continued Nose, Irrigating Substance, 3E19
Radioactive Substance, 3E0P Analgesics, 3E04 Pancreatic Tract, Irrigating Substance, 3E1J
Sedatives, 3E0P Anesthetic, Intracirculatory, 3E04 Pericardial Cavity, Irrigating Substance, 3E1Y38Z
Sperm, 3E0P Antiarrhythmic, 3E04 Peritoneal Cavity
Water Balance Substance, 3E0P Anti-infective, 3E04 Dialysate, 3E1M39Z
Male, 3E0N Anti-inflammatory, 3E04 Irrigating Substance, 3E1M38Z
Analgesics, 3E0N Antineoplastic, 3E04 Pleural Cavity, Irrigating Substance, 3E1L38Z
Anesthetic Agent, 3E0N Destructive Agent, 3E04 Reproductive
Anti-infective, 3E0N Diagnostic Substance, Other, 3E04 Female, Irrigating Substance, 3E1P
Anti-inflammatory, 3E0N Electrolytic Substance, 3E04 Male, Irrigating Substance, 3E1N
Antineoplastic, 3E0N Hormone, 3E04 Respiratory Tract, Irrigating Substance, 3E1F
Destructive Agent, 3E0N Hypnotics, 3E04 Skin, Irrigating Substance, 3E10
Diagnostic Substance, Other, 3E0N Immunotherapeutic, 3E04 Spinal Canal, Irrigating Substance, 3E1R38Z
Electrolytic Substance, 3E0N Nutritional Substance, 3E04 Isavuconazole Anti-infective, XW0
Gas, 3E0N Platelet Inhibitor, 3E04 Ischiatic nerve use Sciatic Nerve
Hypnotics, 3E0N Radioactive Substance, 3E04 Ischiocavernosus muscle use Perineum Muscle
Nutritional Substance, 3E0N Sedatives, 3E04 Ischiofemoral ligament
Radioactive Substance, 3E0N Serum, 3E04 use Hiip Bursa and Ligament, Left
Sedatives, 3E0N Thrombolytic, 3E04 use Hip Bursa and Ligament, Right
Water Balance Substance, 3E0N Toxoid, 3E04 Ischium
Respiratory Tract, 3E0F Vaccine, 3E04 use Pelvic Bone, Left
Analgesics, 3E0F Vasopressor, 3E04 use Pelvic Bone, Right
Anesthetic Agent, 3E0F Water Balance Substance, 3E04 Isolation, 8E0ZXY6
Anti-infective, 3E0F Peripheral, 3E03 Isotope Administration, Whole Body, DWY5G
Anti-inflammatory, 3E0F Analgesics, 3E03 Itrel (3) (4) neurostimulator use Stimulator Generator,
Antineoplastic, 3E0F Anesthetic, Intracirculatory, 3E03 Single Array in, 0JH
Destructive Agent, 3E0F Antiarrhythmic, 3E03
Diagnostic Substance, Other, 3E0F Anti-infective, 3E03
Electrolytic Substance, 3E0F
Gas, 3E0F
Anti-inflammatory, 3E03
Antineoplastic, 3E03
J
Hypnotics, 3E0F Destructive Agent, 3E03 Jejunal artery use Superior Mesenteric Artery
Nutritional Substance, 3E0F Diagnostic Substance, Other, 3E03 Jejunectomy
Radioactive Substance, 3E0F Electrolytic Substance, 3E03 see Excision, Jejunum, 0DBA
Sedatives, 3E0F Hormone, 3E03 see Resection, Jejunum, 0DTA
Water Balance Substance, 3E0F Hypnotics, 3E03 Jejunocolostomy
Skin, 3E00XGC Immunotherapeutic, 3E03 see Bypass, Gastrointestinal System, 0D1
Analgesics, 3E00XNZ Islet Cells, Pancreatic, 3E03 see Drainage, Gastrointestinal System, 0D9
Anesthetic Agent, 3E00XBZ Nutritional Substance, 3E03 Jejunopexy
Anti-infective, 3E00X2 Platelet Inhibitor, 3E03 see Repair, Jejunum, 0DQA
Anti-inflammatory, 3E00X3Z Radioactive Substance, 3E03
Antineoplastic, 3E00X0 Sedatives, 3E03
see Reposition, Jejunum, 0DSA
Destructive Agent, 3E00XTZ Serum, 3E03 Jejunostomy
Diagnostic Substance, Other, 3E00XKZ Thrombolytic, 3E03 see Bypass, Jejunum, 0D1A
Hypnotics, 3E00XNZ Toxoid, 3E03 see Drainage, Jejunum, 0D9A
Pigment, 3E00XMZ Vaccine, 3E03 Jejunotomy see Drainage, Jejunum, 0D9A
Sedatives, 3E00XNZ Vasopressor, 3E03 Joint fixation plate
Serum, 3E00X4Z Water Balance Substance, 3E03 use Internal Fixation Device in Lower Joints
Toxoid, 3E00X4Z Intubation use Internal Fixation Device in Upper Joints
Vaccine, 3E00X4Z Airway Joint liner (insert) use Liner in Lower Joints
Spinal Canal, 3E0R3GC see Insertion of device in, Esophagus, 0DH5 Joint spacer (antibiotic)
Analgesics, 3E0R3NZ see Insertion of device in, Mouth and Throat, use Spacer in Lower Joints
Anesthetic Agent, 3E0R3BZ 0CHY use Spacer in Upper Joints
Anti-infective, 3E0R32 see Insertion of device in, Trachea, 0BH1 Jugular body use Glomus Jugulare
Anti-inflammatory, 3E0R33Z Drainage device see Drainage Jugular lymph node
Antineoplastic, 3E0R30 Feeding Device see Insertion of device in, Gastroin- use Lymphatic, Left Neck
Destructive Agent, 3E0R3TZ testinal System, 0DH use Lymphatic, Right Neck
Diagnostic Substance, Other, 3E0R3KZ INTUITY Elite valve system, EDWARDS use Zooplastic

Introduction of substance in or on — Kuntscher nail

Electrolytic Substance, 3E0R37Z
Gas, 3E0R
Hypnotics, 3E0R3NZ
Tissue, Rapid Deployment Technique in New Tech-
nology K
IPPB (intermittent positive pressure breathing) see
Nutritional Substance, 3E0R36Z Assistance, Respiratory, 5A09 Kappa use Pacemaker, Dual Chamber in, 0JH
Radioactive Substance, 3E0R3HZ IRE (Irreversible Electroporation) see Destruction, Kcentra use 4-Factor Prothrombin Complex Concentrate
Sedatives, 3E0R3NZ Hepatobiliary System and Pancreas, 0F5 Keratectomy, kerectomy
Stem Cells Iridectomy see Excision, Eye, 08B
Embryonic, 3E0R see Excision, Eye, 08B see Resection, Eye, 08T
Somatic, 3E0R see Resection, Eye, 08T Keratocentesis see Drainage, Eye, 089
Water Balance Substance, 3E0R37Z Iridoplasty Keratoplasty
Subcutaneous Tissue, 3E013GC see Repair, Eye, 08Q see Repair, Eye, 08Q
Analgesics, 3E013NZ see Replacement, Eye, 08R see Replacement, Eye, 08R
Anesthetic Agent, 3E013BZ see Supplement, Eye, 08U
see Supplement, Eye, 08U
Anti-infective, 3E01 Keratotomy
Anti-inflammatory, 3E0133Z Iridotomy see Drainage, Eye, 089
Irreversible Electroporation (IRE) see Destruction, see Drainage, Eye, 089
Antineoplastic, 3E0130 see Repair, Eye, 08Q
Destructive Agent, 3E013TZ Hepatobiliary System and Pancreas, 0F5
Irrigation Kirschner wire (K-wire)
Diagnostic Substance, Other, 3E013KZ use Internal Fixation Device in Head and Facial Bones
Electrolytic Substance, 3E0137Z Biliary Tract, Irrigating Substance, 3E1J
Brain, Irrigating Substance, 3E1Q38Z use Internal Fixation Device in Lower Bones
Hormone, 3E013V use Internal Fixation Device in Lower Joints
Hypnotics, 3E013NZ Cranial Cavity, Irrigating Substance, 3E1Q38Z
Ear, Irrigating Substance, 3E1B use Internal Fixation Device in Upper Bones
Nutritional Substance, 3E0136Z use Internal Fixation Device in Upper Joints
Radioactive Substance, 3E013HZ Epidural Space, Irrigating Substance, 3E1S38Z
Eye, Irrigating Substance, 3E1C Knee (implant) insert use Liner in Lower Joints
Sedatives, 3E013NZ KUB x-ray see Plain Radiography, Kidney, Ureter and
Serum, 3E0134Z Gastrointestinal Tract
Lower, Irrigating Substance, 3E1H Bladder, BT04
Toxoid, 3E0134Z Kuntscher nail
Vaccine, 3E0134Z Upper, Irrigating Substance, 3E1G
Water Balance Substance, 3E0137Z Genitourinary Tract, Irrigating Substance, 3E1K use Internal Fixation Device, Intramedullary in Lower
Vein Irrigating Substance, 3C1ZX8Z Bones
Central, 3E04 Joint, Irrigating Substance, 3E1U38Z

2 Subterms under main terms may continue to next column or page 75

 Kuntscher nail ICD-10-PCS 2019
Kuntscher nail — continued Laser Interstitial Thermal Therapy — continued Lavage
Index
use Internal Fixation Device, Intramedullary in Upper Gland — continued see Irrigation
Bones Parathyroid, DGY4KZZ Bronchial alveolar, diagnostic see Drainage, Respira-
KYMRIAH use Engineered Autologous Chimeric Antigen Pituitary, DGY0KZZ tory System, 0B9
Receptor T-cell Immunotherapy Thyroid, DGY5KZZ Least splanchnic nerve use Thoracic Sympathetic Nerve
Ileum, DDY4KZZ Left ascending lumbar vein use Hemiazygos Vein
Jejunum, DDY3KZZ
L Liver, DFY0KZZ
Lung, DBY2KZZ
Left atrioventricular valve use Mitral Valve
Left auricular appendix use Atrium, Left
Left colic vein use Colic Vein
Labia majora use Vulva Mediastinum, DBY6KZZ Left coronary sulcus use Heart, Left
Labia minora use Vulva Nerve, Peripheral, D0Y7KZZ Left gastric artery use Gastric Artery
Labial gland Pancreas, DFY3KZZ Left gastroepiploic artery use Splenic Artery
use Lower Lip Parathyroid Gland, DGY4KZZ Left gastroepiploic vein use Splenic Vein
use Upper Lip Pineal Body, DGY1KZZ Left inferior phrenic vein use Renal Vein, Left
Labiectomy Pituitary Gland, DGY0KZZ Left inferior pulmonary vein use Pulmonary Vein, Left
see Excision, Female Reproductive System, 0UB Pleura, DBY5KZZ Left jugular trunk use Thoracic Duct
see Resection, Female Reproductive System, 0UT Prostate, DVY0KZZ Left lateral ventricle use Cerebral Ventricle
Lacrimal canaliculus Rectum, DDY7KZZ
Left ovarian vein use Renal Vein, Left
use Lacrimal Duct, Left Spinal Cord, D0Y6KZZ
Stomach, DDY1KZZ Left second lumbar vein use Renal Vein, Left
use Lacrimal Duct, Right Left subclavian trunk use Thoracic Duct
Lacrimal punctum Thyroid Gland, DGY5KZZ
Trachea, DBY0KZZ Left subcostal vein use Hemiazygos Vein
use Lacrimal Duct, Left Left superior pulmonary vein use Pulmonary Vein, Left
use Lacrimal Duct, Right Lateral canthus
use Upper Eyelid, Left Left suprarenal vein use Renal Vein, Left
Lacrimal sac Left testicular vein use Renal Vein, Left
use Lacrimal Duct, Left use Upper Eyelid, Right
Lateral collateral ligament (LCL) Lengthening
use Lacrimal Duct, Right Bone, with device see Insertion of Limb Lengthening
LAGB (laparoscopic adjustable gastric banding) use Knee Bursa and Ligament, Left
use Knee Bursa and Ligament, Right Device
Initial procedure, 0DV64CZ Muscle, by incision see Division, Muscles, 0K8
Surgical correction see Revision of device in, Stomach, Lateral condyle of femur Tendon, by incision see Division, Tendons, 0L8
0DW6 use Lower Femur, Left
use Lower Femur, Right Leptomeninges, intracranial use Cerebral Meninges
Laminectomy Leptomeninges, spinal use Spinal Meninges
see Excision, Lower Bones, 0QB Lateral condyle of tibia
use Tibia, Left Lesser alar cartilage use Nasal Mucosa and Soft Tissue
see Excision, Upper Bones, 0PB Lesser occipital nerve use Cervical Plexus
see Release, Central Nervous System and Cranial use Tibia, Right
Lateral cuneiform bone Lesser Omentum use Omentum
Nerves, 00N Lesser saphenous vein
see Release, Peripheral Nervous System, 01N use Tarsal, Left
use Tarsal, Right use Saphenous Vein, Left
Laminotomy use Saphenous Vein, Right
see Drainage, Lower Bones, 0Q9 Lateral epicondyle of femur
use Lower Femur, Left Lesser splanchnic nerve use Thoracic Sympathetic Nerve
see Drainage, Upper Bones, 0P9 Lesser trochanter
see Excision, Lower Bones, 0QB use Lower Femur, Right
Lateral epicondyle of humerus use Upper Femur, Left
see Excision, Upper Bones, 0PB use Upper Femur, Right
see Release, Central Nervous System and Cranial use Humeral Shaft, Left
use Humeral Shaft, Right Lesser tuberosity
Nerves, 00N use Humeral Head, Left
see Release, Lower Bones, 0QN Lateral femoral cutaneous nerve use Lumbar Plexus
Lateral (brachial) lymph node use Humeral Head, Right
see Release, Peripheral Nervous System, 01N Lesser wing use Sphenoid Bone
see Release, Upper Bones, 0PN use Lymphatic, Left Axillary
use Lymphatic, Right Axillary Leukopheresis, therapeutic see Pheresis, Circulatory,
Laparoscopic-assisted transanal pull-through 6A55
see Excision, Gastrointestinal System, 0DB Lateral malleolus
use Fibula, Left Levator anguli oris muscle use Facial Muscle
see Resection, Gastrointestinal System, 0DT Levator ani muscle use Perineum Muscle
Laparoscopy see Inspection use Fibula, Right
Lateral meniscus Levator labii superioris alaeque nasi muscle use Facial
Laparotomy Muscle
Drainage see Drainage, Peritoneal Cavity, 0W9G use Knee Joint, Left
Levator labii superioris muscle use Facial Muscle
Exploratory see Inspection, Peritoneal Cavity, 0WJG use Knee Joint, Right
Levator palpebrae superioris muscle
LAP-BAND® Adjustable Gastric Banding System use Lateral nasal cartilage use Nasal Mucosa and Soft Tissue use Upper Eyelid, Left
Extraluminal Device Lateral plantar artery
use Upper Eyelid, Right
Laryngectomy use Foot Artery, Left
Levator scapulae muscle
see Excision, Larynx, 0CBS use Foot Artery, Right
Lateral plantar nerve use Tibial Nerve use Neck Muscle, Left
see Resection, Larynx, 0CTS use Neck Muscle, Right
Laryngocentesis see Drainage, Larynx, 0C9S Lateral rectus muscle
Levator veli palatini muscle use Tongue, Palate, Pharynx
Laryngogram see Fluoroscopy, Larynx, B91J use Extraocular Muscle, Left
Muscle
Laryngopexy see Repair, Larynx, 0CQS use Extraocular Muscle, Right Levatores costarum muscle
Laryngopharynx use Pharynx Lateral sacral artery
use Thorax Muscle, Left
Laryngoplasty use Internal Iliac Artery, Left use Thorax Muscle, Right
see Repair, Larynx, 0CQS use Internal Iliac Artery, Right LifeStent® (Flexstar) (XL) Vascular Stent System use
see Replacement, Larynx, 0CRS Lateral sacral vein Intraluminal Device
see Supplement, Larynx, 0CUS use Hypogastric Vein, Left Ligament of head of fibula
Laryngorrhaphy see Repair, Larynx, 0CQS use Hypogastric Vein, Right use Knee Bursa and Ligament, Left
Laryngoscopy, 0CJS8ZZ Lateral sural cutaneous nerve use Peroneal Nerve use Knee Bursa and Ligament, Right
Laryngotomy see Drainage, Larynx, 0C9S Lateral tarsal artery Ligament of the lateral malleolus
Laser Interstitial Thermal Therapy use Foot Artery, Left use Ankle Bursa and Ligament, Left
Adrenal Gland, DGY2KZZ use Foot Artery, Right use Ankle Bursa and Ligament, Right
Anus, DDY8KZZ Lateral temporomandibular ligament use Head and Ligamentum flavum, cervical use Head and Neck Bursa
Bile Ducts, DFY2KZZ Neck Bursa and Ligament and Ligament
Brain, D0Y0KZZ Lateral thoracic artery Ligamentum flavum, lumbar use Lower Spine Bursa
Kuntscher nail — Liner

Brain Stem, D0Y1KZZ use Axillary Artery, Left and Ligament

Breast use Axillary Artery, Right Ligamentum flavum, thoracic use Upper Spine Bursa
Left, DMY0KZZ Latissimus dorsi muscle and Ligament
Right, DMY1KZZ use Trunk Muscle, Left Ligation see Occlusion
Bronchus, DBY1KZZ use Trunk Muscle, Right
Chest Wall, DBY7KZZ
Ligation, hemorrhoid see Occlusion, Lower Veins, Hem-
Latissimus Dorsi Myocutaneous Flap orrhoidal Plexus
Colon, DDY5KZZ Replacement
Diaphragm, DBY8KZZ Light Therapy, GZJZZZZ
Bilateral, 0HRV075 Liner
Duodenum, DDY2KZZ Left, 0HRU075
Esophagus, DDY0KZZ Removal of device from
Right, 0HRT075 Hip
Gallbladder, DFY1KZZ Transfer
Gland Left, 0SPB09Z
Left, 0KXG Right, 0SP909Z
Adrenal, DGY2KZZ Right, 0KXF

76 2 Subterms under main terms may continue to next column or page

ICD-10-PCS 2019 Magnetic Resonance Imaging (MRI)
Liner — continued Lymphangioplasty — continued Magnetic Resonance Imaging (MRI) — continued

Index
Removal of device from — continued see Supplement, Lymphatic and Hemic Systems, 07U Fetus, Whole, BY36
Knee Lymphangiorrhaphy see Repair, Lymphatic and Hemic Foot
Left, 0SPD09Z Systems, 07Q Left, BQ3M
Right, 0SPC09Z Lymphangiotomy see Drainage, Lymphatic and Hemic Right, BQ3L
Revision of device in Systems, 079 Forearm
Hip Lysis see Release Left, BP3K
Left, 0SWB09Z Right, BP3J
Right, 0SW909Z Gland
Knee
Left, 0SWD09Z
M Adrenal, Bilateral, BG32
Parathyroid, BG33
Right, 0SWC09Z Macula Parotid, Bilateral, B936
Supplement use Retina, Left Salivary, Bilateral, B93D
Hip use Retina, Right Submandibular, Bilateral, B939
Left, 0SUB09Z MAGEC® Spinal Bracing and Distraction System use Thyroid, BG34
Acetabular Surface, 0SUE09Z Magnetically Controlled Growth Rod(s) in New Head, BW38
Femoral Surface, 0SUS09Z Technology Heart, Right and Left, B236
Right, 0SU909Z Magnet extraction, ocular foreign body see Extirpation, Hip
Acetabular Surface, 0SUA09Z Eye, 08C Left, BQ31
Femoral Surface, 0SUR09Z Magnetic Resonance Imaging (MRI) Right, BQ30
Knee Abdomen, BW30 Intracranial Sinus, B532
Left, 0SUD09 Ankle Joint
Femoral Surface, 0SUU09Z Left, BQ3H Finger
Tibial Surface, 0SUW09Z Right, BQ3G Left, BP3D
Right, 0SUC09 Aorta Right, BP3C
Femoral Surface, 0SUT09Z Abdominal, B430 Hand
Tibial Surface, 0SUV09Z Thoracic, B330 Left, BP3D
Lingual artery Arm Right, BP3C
use External Carotid Artery, Left Left, BP3F Temporomandibular, Bilateral, BN39
use External Carotid Artery, Right Right, BP3E Kidney
Lingual tonsil use Pharynx Artery Bilateral, BT33
Lingulectomy, lung Celiac, B431 Left, BT32
see Excision, Lung Lingula, 0BBH Cervico-Cerebral Arch, B33Q Right, BT31
see Resection, Lung Lingula, 0BTH Common Carotid, Bilateral, B335 Transplant, BT39
Lithotripsy Coronary Knee
With removal of fragments see Extirpation Bypass Graft, Multiple, B233 Left, BQ38
see Fragmentation Multiple, B231 Right, BQ37
LITT (laser interstitial thermal therapy) see Laser Inter- Internal Carotid, Bilateral, B338 Larynx, B93J
stitial Thermal Therapy Intracranial, B33R Leg
LIVIAN™ CRT-D use Cardiac Resynchronization Defibrilla- Lower Extremity Left, BQ3F
tor Pulse Generator in, 0JH Bilateral, B43H Right, BQ3D
Lobectomy Left, B43G Liver, BF35
see Excision, Central Nervous System and Cranial Right, B43F Liver and Spleen, BF36
Nerves, 00B Pelvic, B43C Lung Apices, BB3G
see Excision, Endocrine System, 0GB Renal, Bilateral, B438 Nasopharynx, B93F
Spinal, B33M Neck, BW3F
see Excision, Hepatobiliary System and Pancreas, 0FB
Superior Mesenteric, B434 Nerve
see Excision, Respiratory System, 0BB Acoustic, B03C
see Resection, Endocrine System, 0GT Upper Extremity
Bilateral, B33K Brachial Plexus, BW3P
see Resection, Hepatobiliary System and Pancreas, Oropharynx, B93F
0FT Left, B33J
Right, B33H Ovary
see Resection, Respiratory System, 0BT Bilateral, BU35
Vertebral, Bilateral, B33G
Lobotomy see Division, Brain, 0080 Bladder, BT30 Left, BU34
Localization Brachial Plexus, BW3P Right, BU33
see Imaging Brain, B030 Ovary and Uterus, BU3C
see Map Breast Pancreas, BF37
Locus ceruleus use Pons Bilateral, BH32 Patella
Long thoracic nerve use Brachial Plexus Left, BH31 Left, BQ3W
Loop ileostomy see Bypass, Ileum, 0D1B Right, BH30 Right, BQ3V
Loop recorder, implantable use Monitoring Device Calcaneus Pelvic Region, BW3G
Lower GI series see Fluoroscopy, Colon, BD14 Left, BQ3K Pelvis, BR3C
Lumbar artery use Abdominal Aorta Right, BQ3J Pituitary Gland, B039
Lumbar facet joint use Lumbar Vertebral Joint Chest, BW33Y Plexus, Brachial, BW3P
Lumbar ganglion use Lumbar Sympathetic Nerve Coccyx, BR3F Prostate, BV33

Liner — Magnetic Resonance Imaging (MRI)

Lumbar lymph node use Lymphatic, Aortic Connective Tissue Retroperitoneum, BW3H
Lumbar lymphatic trunk use Cisterna Chyli Lower Extremity, BL31 Sacrum, BR3F
Lumbar splanchnic nerve use Lumbar Sympathetic Nerve Upper Extremity, BL30 Scrotum, BV34
Lumbosacral facet joint use Lumbosacral Joint Corpora Cavernosa, BV30 Sella Turcica, B039
Lumbosacral trunk use Lumbar Nerve Disc Shoulder
Lumpectomy see Excision Cervical, BR31 Left, BP39
Lunate bone Lumbar, BR33 Right, BP38
use Carpal, Left Thoracic, BR32 Sinus
use Carpal, Right Ear, B930 Intracranial, B532
Lunotriquetral ligament Elbow Paranasal, B932
use Hand Bursa and Ligament, Left Left, BP3H Spinal Cord, B03B
use Hand Bursa and Ligament, Right Right, BP3G Spine
Lymphadenectomy Eye Cervical, BR30
see Excision, Lymphatic and Hemic Systems, 07B Bilateral, B837 Lumbar, BR39
see Resection, Lymphatic and Hemic Systems, 07T Left, B836 Thoracic, BR37
Right, B835 Spleen and Liver, BF36
Lymphadenotomy see Drainage, Lymphatic and Hemic
Femur Subcutaneous Tissue
Systems, 079
Left, BQ34 Abdomen, BH3H
Lymphangiectomy Extremity
see Excision, Lymphatic and Hemic Systems, 07B Right, BQ33
Fetal Abdomen, BY33 Lower, BH3J
see Resection, Lymphatic and Hemic Systems, 07T Upper, BH3F
Lymphangiogram see Plain Radiography, Lymphatic Fetal Extremity, BY35
Fetal Head, BY30 Head, BH3D
System, B70 Neck, BH3D
Fetal Heart, BY31
Lymphangioplasty Fetal Spine, BY34 Pelvis, BH3H
see Repair, Lymphatic and Hemic Systems, 07Q Fetal Thorax, BY32 Thorax, BH3G

2 Subterms under main terms may continue to next column or page 77

 Magnetic Resonance Imaging (MRI) ICD-10-PCS 2019
Magnetic Resonance Imaging (MRI) — continued Map — continued Measurement — continued
Index
Tendon Pons, 00KB Central Nervous — continued
Lower Extremity, BL33 Thalamus, 00K9 Stimulator, 4B00XVZ
Upper Extremity, BL32 Mapping Temperature, Intracranial, 4A00
Testicle Doppler ultrasound see Ultrasonography Circulatory, Volume, 4A05XLZ
Bilateral, BV37 Electrocardiogram only see Measurement, Cardiac, Gastrointestinal
Left, BV36 4A02 Motility, 4A0B
Right, BV35 Mark IV Breathing Pacemaker System use Stimulator Pressure, 4A0B
Toe Generator in Subcutaneous Tissue and Fascia Secretion, 4A0B
Left, BQ3Q Marsupialization Lymphatic
Right, BQ3P see Drainage Flow, 4A06
Uterus, BU36 see Excision Pressure, 4A06
Pregnant, BU3B Massage, cardiac Metabolism, 4A0Z
Uterus and Ovary, BU3C External, 5A12012 Musculoskeletal
Vagina, BU39 Open, 02QA0ZZ Contractility, 4A0F
Vein Masseter muscle use Head Muscle Stimulator, 4B0FXVZ
Cerebellar, B531 Masseteric fascia use Subcutaneous Tissue and Fascia, Olfactory, Acuity, 4A08X0Z
Cerebral, B531 Face Peripheral Nervous
Jugular, Bilateral, B535 Mastectomy Conductivity
Lower Extremity see Excision, Skin and Breast, 0HB Motor, 4A01
Bilateral, B53D see Resection, Skin and Breast, 0HT Sensory, 4A01
Left, B53C Mastoid air cells Electrical Activity, 4A01
Right, B53B use Mastoid Sinus, Left Stimulator, 4B01XVZ
Other, B53V Products of Conception
use Mastoid Sinus, Right
Pelvic (Iliac) Bilateral, B53H Cardiac
Portal, B53T Mastoid (postauricular) lymph node Electrical Activity, 4A0H
Pulmonary, Bilateral, B53S use Lymphatic, Left Neck Rate, 4A0H
Renal, Bilateral, B53L use Lymphatic, Right Neck Rhythm, 4A0H
Spanchnic, B53T Mastoid process Sound, 4A0H
Upper Extremity use Temporal Bone, Left Nervous
Bilateral, B53P use Temporal Bone, Right Conductivity, 4A0J
Left, B53N Mastoidectomy Electrical Activity, 4A0J
Right, B53M see Excision, Ear, Nose, Sinus, 09B Pressure, 4A0J
Vena Cava see Resection, Ear, Nose, Sinus, 09T Respiratory
Inferior, B539 Mastoidotomy see Drainage, Ear, Nose, Sinus, 099 Capacity, 4A09
Superior, B538 Mastopexy Flow, 4A09
Wrist see Repair, Skin and Breast, 0HQ Pacemaker, 4B09XSZ
Left, BP3M see Reposition, Skin and Breast, 0HS Rate, 4A09
Right, BP3L Mastorrhaphy see Repair, Skin and Breast, 0HQ Resistance, 4A09
Magnetically Controlled Growth Rod(s) Mastotomy see Drainage, Skin and Breast, 0H9 Total Activity, 4A09
Cervical, XNS3 Maxillary artery Volume, 4A09
Lumbar, XNS0 use External Carotid Artery, Left Sleep, 4A0ZXQZ
Thoracic, XNS4 use External Carotid Artery, Right Temperature, 4A0Z
Malleotomy see Drainage, Ear, Nose, Sinus, 099 Maxillary nerve use Trigeminal Nerve Urinary
Malleus Maximo II DR (VR) use Defibrillator Generator in, 0JH Contractility, 4A0D
use Auditory Ossicle, Left Maximo II DR CRT-D use Cardiac Resynchronization De- Flow, 4A0D
use Auditory Ossicle, Right fibrillator Pulse Generator in, 0JH Pressure, 4A0D
Mammaplasty, mammoplasty Measurement Resistance, 4A0D
see Alteration, Skin and Breast, 0H0 Arterial Volume, 4A0D
see Repair, Skin and Breast, 0HQ Flow Venous
see Replacement, Skin and Breast, 0HR Coronary, 4A03 Flow
see Supplement, Skin and Breast, 0HU Peripheral, 4A03 Central, 4A04
Mammary duct Pulmonary, 4A03 Peripheral, 4A04
Portal, 4A04
Magnetic Resonance Imaging (MRI) — Medial cuneiform bone

use Breast, Bilateral Pressure

use Breast, Left Coronary, 4A03 Pulmonary, 4A04
use Breast, Right Peripheral, 4A03 Pressure
Mammary gland Pulmonary, 4A03 Central, 4A04
Thoracic, Other, 4A03 Peripheral, 4A04
use Breast, Bilateral
Pulse Portal, 4A04
use Breast, Left Pulmonary, 4A04
use Breast, Right Coronary, 4A03
Peripheral, 4A03 Pulse
Mammectomy Central, 4A04
see Excision, Skin and Breast, 0HB Pulmonary, 4A03
Saturation, Peripheral, 4A03 Peripheral, 4A04
see Resection, Skin and Breast, 0HT Portal, 4A04
Sound, Peripheral, 4A03
Mammillary body use Hypothalamus Pulmonary, 4A04
Biliary
Mammography see Plain Radiography, Skin, Subcuta- Flow, 4A0C Saturation, Peripheral, 4A04
neous Tissue and Breast, BH0 Pressure, 4A0C Visual
Mammotomy see Drainage, Skin and Breast, 0H9 Cardiac Acuity, 4A07X0Z
Mandibular nerve use Trigeminal Nerve Action Currents, 4A02 Mobility, 4A07X7Z
Mandibular notch Defibrillator, 4B02XTZ Pressure, 4A07XBZ
use Mandible, Left Electrical Activity, 4A02 Meatoplasty, urethra see Repair, Urethra, 0TQD
use Mandible, Right Guidance, 4A02X4A Meatotomy see Drainage, Urinary System, 0T9
Mandibulectomy No Qualifier, 4A02X4Z Mechanical ventilation see Performance, Respiratory,
see Excision, Head and Facial Bones, 0NB Output, 4A02 5A19
see Resection, Head and Facial Bones, 0NT Pacemaker, 4B02XSZ Medial canthus
Manipulation Rate, 4A02 use Lower Eyelid, Left
Adhesions see Release Rhythm, 4A02 use Lower Eyelid, Right
Chiropractic see Chiropractic Manipulation Sampling and Pressure Medial collateral ligament (MCL)
Manual removal, retained placenta see Extraction, Bilateral, 4A02 use Knee Bursa and Ligament, Left
Products of Conception, Retained, 10D1 Left Heart, 4A02 use Knee Bursa and Ligament, Right
Manubrium use Sternum Right Heart, 4A02 Medial condyle of femur
Map Sound, 4A02 use Lower Femur, Left
Basal Ganglia, 00K8 Total Activity, Stress, 4A02XM4 use Lower Femur, Right
Brain, 00K0 Central Nervous Medial condyle of tibia
Cerebellum, 00KC Conductivity, 4A00 use Tibia, Left
Cerebral Hemisphere, 00K7 Electrical Activity, 4A00 use Tibia, Right
Conduction Mechanism, 02K8 Pressure, 4A000BZ Medial cuneiform bone
Hypothalamus, 00KA Intracranial, 4A00 use Tarsal, Left
Medulla Oblongata, 00KD Saturation, Intracranial, 4A00

78 2 Subterms under main terms may continue to next column or page

ICD-10-PCS 2019 Myelencephalon
Medial cuneiform bone — continued Metatarsophalangeal (MTP) joint — continued Monitoring — continued

Index
use Tarsal, Right use Metatarsal-Phalangeal Joint, Right Peripheral Nervous
Medial epicondyle of femur Metatarsophalangeal ligament Conductivity
use Lower Femur, Left use Foot Bursa and Ligament, Left Motor, 4A11
use Lower Femur, Right use Foot Bursa and Ligament, Right Sensory, 4A11
Medial epicondyle of humerus Metathalamus use Thalamus Electrical Activity
use Humeral Shaft, Left Micro-Driver stent (RX) (OTW) use Intraluminal Device Intraoperative, 4A11
use Humeral Shaft, Right MicroMed HeartAssist use Implantable Heart Assist Sys- No Qualifier, 4A11
Medial malleolus tem in Heart and Great Vessels Products of Conception
use Tibia, Left Micrus CERECYTE Microcoil use Intraluminal Device, Cardiac
use Tibia, Right Bioactive in Upper Arteries Electrical Activity, 4A1H
Medial meniscus Midcarpal joint Rate, 4A1H
use Knee Joint, Left use Carpal Joint, Left Rhythm, 4A1H
use Knee Joint, Right use Carpal Joint, Right Sound, 4A1H
Medial plantar artery Middle cardiac nerve use Thoracic Sympathetic Nerve Nervous
use Foot Artery, Left Middle cerebral artery use Intracranial Artery Conductivity, 4A1J
Middle cerebral vein use Intracranial Vein Electrical Activity, 4A1J
use Foot Artery, Right
Middle colic vein use Colic Vein Pressure, 4A1J
Medial plantar nerve use Tibial Nerve Respiratory
Medial popliteal nerve use Tibial Nerve Middle genicular artery
Capacity, 4A19
Medial rectus muscle use Popliteal Artery, Left Flow, 4A19
use Extraocular Muscle, Left use Popliteal Artery, Right Rate, 4A19
use Extraocular Muscle, Right Middle hemorrhoidal vein Resistance, 4A19
Medial sural cutaneous nerve use Tibial Nerve use Hypogastric Vein, Left Volume, 4A19
Median antebrachial vein use Hypogastric Vein, Right Skin and Breast, Vascular Perfusion, Indocyanine
use Basilic Vein, Left Middle rectal artery Green Dye, 4A1GXSH
use Basilic Vein, Right use Internal Iliac Artery, Left Sleep, 4A1ZXQZ
Median cubital vein use Internal Iliac Artery, Right Temperature, 4A1Z
use Basilic Vein, Left Middle suprarenal artery use Abdominal Aorta Urinary
use Basilic Vein, Right Middle temporal artery Contractility, 4A1D
Median sacral artery use Abdominal Aorta use Temporal Artery, Left Flow, 4A1D
Mediastinal cavity use Mediastinum use Temporal Artery, Right Pressure, 4A1D
Mediastinal lymph node use Lymphatic, Thorax Middle turbinate use Nasal Turbinate Resistance, 4A1D
Mediastinal space use Mediastinum MIRODERM™ Biologic Wound Matrix use Skin Substi- Volume, 4A1D
Mediastinoscopy, 0WJC4ZZ tute, Porcine Liver Derived in New Technology Venous
Medication Management, GZ3ZZZZ MitraClip valve repair system use Synthetic Substitute Flow
for substance abuse Mitral annulus use Mitral Valve Central, 4A14
Antabuse, HZ83ZZZ Mitroflow® Aortic Pericardial Heart Valve use Peripheral, 4A14
Bupropion, HZ87ZZZ Zooplastic Tissue in Heart and Great Vessels Portal, 4A14
Clonidine, HZ86ZZZ Mobilization, adhesions see Release Pulmonary, 4A14
Levo-alpha-acetyl-methadol (LAAM), HZ82ZZZ Molar gland use Buccal Mucosa Pressure
Methadone Maintenance, HZ81ZZZ Monitoring Central, 4A14
Naloxone, HZ85ZZZ Arterial Peripheral, 4A14
Naltrexone, HZ84ZZZ Flow Portal, 4A14
Nicotine Replacement, HZ80ZZZ Coronary, 4A13 Pulmonary, 4A14
Other Replacement Medication, HZ89ZZZ Peripheral, 4A13 Pulse
Psychiatric Medication, HZ88ZZZ Pulmonary, 4A13 Central, 4A14
Meditation, 8E0ZXY5 Pressure Peripheral, 4A14
Medtronic Endurant® II AAA stent graft system use Coronary, 4A13 Portal, 4A14
Intraluminal Device Peripheral, 4A13 Pulmonary, 4A14
Meissner's (submucous) plexus use Abdominal Sympa- Pulmonary, 4A13 Saturation
thetic Nerve Pulse Central, 4A14
Melody® transcatheter pulmonary valve use Zooplastic Coronary, 4A13 Portal, 4A14
Tissue in Heart and Great Vessels Peripheral, 4A13 Pulmonary, 4A14
Membranous urethra use Urethra Pulmonary, 4A13 Monitoring Device, Hemodynamic
Meningeorrhaphy Saturation, Peripheral, 4A13 Abdomen, 0JH8
see Repair, Cerebral Meninges, 00Q1 Sound, Peripheral, 4A13 Chest, 0JH6
see Repair, Spinal Meninges, 00QT Cardiac Mosaic Bioprosthesis (aortic) (mitral) valve use
Meniscectomy, knee Electrical Activity, 4A12 Zooplastic Tissue in Heart and Great Vessels
see Excision, Joint, Knee, Left, 0SBD Ambulatory, 4A12X45 Motor Function Assessment, F01
see Excision, Joint, Knee, Right, 0SBC No Qualifier, 4A12X4Z Motor Treatment, F07
Mental foramen Output, 4A12 MR Angiography
use Mandible, Left Rate, 4A12 see Magnetic Resonance Imaging (MRI), Heart, B23
use Mandible, Right Rhythm, 4A12 see Magnetic Resonance Imaging (MRI), Lower Arter-

Medial cuneiform bone — Myelencephalon

Mentalis muscle use Facial Muscle Sound, 4A12 ies, B43
Mentoplasty see Alteration, Jaw, Lower, 0W05 Total Activity, Stress, 4A12XM4 see Magnetic Resonance Imaging (MRI), Upper Arter-
Mesenterectomy see Excision, Mesentery, 0DBV Vascular Perfusion, Indocyanine Green Dye, ies, B33
4A12XSH MULTI-LINK (VISION) (MINI-VISION) (ULTRA) Coronary
Mesenteriorrhaphy, mesenterorrhaphy see Repair,
Central Nervous Stent System use Intraluminal Device
Mesentery, 0DQV
Conductivity, 4A10 Multiple sleep latency test, 4A0ZXQZ
Mesenteriplication see Repair, Mesentery, 0DQV Electrical Activity
Mesoappendix use Mesentery Musculocutaneous nerve use Brachial Plexus
Intraoperative, 4A10 Musculopexy
Mesocolon use Mesentery No Qualifier, 4A10
Metacarpal ligament see Repair, Muscles, 0KQ
Pressure, 4A100BZ see Reposition, Muscles, 0KS
use Hand Bursa and Ligament, Left Intracranial, 4A10
use Hand Bursa and Ligament, Right Musculophrenic artery
Saturation, Intracranial, 4A10 use Internal Mammary Artery, Left
Metacarpophalangeal ligament Temperature, Intracranial, 4A10
use Hand Bursa and Ligament, Left use Internal Mammary Artery, Right
Gastrointestinal Musculoplasty
use Hand Bursa and Ligament, Right Motility, 4A1B
Metal on metal bearing surface use Synthetic Substi- see Repair, Muscles, 0KQ
Pressure, 4A1B
tute, Metal in, 0SR Secretion, 4A1B see Supplement, Muscles, 0KU
Metatarsal ligament Vascular Perfusion, Indocyanine Green Dye, Musculorrhaphy see Repair, Muscles, 0KQ
use Foot Bursa and Ligament, Left 4A1BXSH Musculospiral nerve use Radial Nerve
use Foot Bursa and Ligament, Right Intraoperative Knee Replacement Sensor, XR2 Myectomy
Metatarsectomy Lymphatic see Excision, Muscles, 0KB
see Excision, Lower Bones, 0QB Flow, 4A16 see Resection, Muscles, 0KT
see Resection, Lower Bones, 0QT Pressure, 4A16 Myelencephalon use Medulla Oblongata
Metatarsophalangeal (MTP) joint
use Metatarsal-Phalangeal Joint, Left

2 Subterms under main terms may continue to next column or page 79

 Myelogram ICD-10-PCS 2019
Myelogram Nephrotomy Neurostimulator Lead — continued
Index
CT see Computerized Tomography (CT Scan), Central see Division, Urinary System, 0T8 Revision of device in — continued
Nervous System, B02 see Drainage, Urinary System, 0T9 Vein — continued
MRI see Magnetic Resonance Imaging (MRI), Central Nerve conduction study Innominate
Nervous System, B03 see Measurement, Central Nervous, 4A00 Left, 05W4
Myenteric (Auerbach's) plexus use Abdominal Sympa- see Measurement, Peripheral Nervous, 4A01 Right, 05W3
thetic Nerve Nerve Function Assessment, F01 Neurotomy
Myocardial Bridge Release see Release, Artery, CoronaryNerve to the stapedius use Facial Nerve see Division, Central Nervous System and Cranial
Myomectomy see Excision, Female Reproductive System, Nesiritide use Human B-Type Natriuretic Peptide Nerves, 008
0UB Neurectomy see Division, Peripheral Nervous System, 018
Myometrium use Uterus see Excision, Central Nervous System and Cranial Neurotripsy
Myopexy Nerves, 00B see Destruction, Central Nervous System and Cranial
see Repair, Muscles, 0KQ see Excision, Peripheral Nervous System, 01B Nerves, 005
see Reposition, Muscles, 0KS Neurexeresis see Destruction, Peripheral Nervous System, 015
Myoplasty see Extraction, Central Nervous System and Cranial Neutralization plate
see Repair, Muscles, 0KQ Nerves, 00D use Internal Fixation Device in Head and Facial Bones
see Supplement, Muscles, 0KU see Extraction, Peripheral Nervous System, 01D use Internal Fixation Device in Lower Bones
Myorrhaphy see Repair, Muscles, 0KQ Neurohypophysis use Pituitary Gland use Internal Fixation Device in Upper Bones
Myoscopy see Inspection, Muscles, 0KJ Neurolysis New Technology
Myotomy see Release, Central Nervous System and Cranial Andexanet Alfa, Factor Xa Inhibitor Reversal Agent,
see Division, Muscles, 0K8 Nerves, 00N XW0
see Drainage, Muscles, 0K9 see Release, Peripheral Nervous System, 01N Bezlotoxumab Monoclonal Antibody, XW0
Myringectomy Neuromuscular electrical stimulation (NEMS) lead Blinatumomab Antineoplastic Immunotherapy, XW0
see Excision, Ear, Nose, Sinus, 09B use Stimulator Lead in Muscles Ceftazidime-Avibactam Anti-infective, XW0
see Resection, Ear, Nose, Sinus, 09T Neurophysiologic monitoring see Monitoring, Central Cerebral Embolic Filtration, Dual Filter, X2A5312
Myringoplasty Nervous, 4A10 Concentrated Bone Marrow Aspirate, XK02303
see Repair, Ear, Nose, Sinus, 09Q Neuroplasty Cytarabine and Daunorubicin Liposome Antineoplas-
see Replacement, Ear, Nose, Sinus, 09R see Repair, Central Nervous System and Cranial tic, XW0
see Supplement, Ear, Nose, Sinus, 09U Nerves, 00Q Defibrotide Sodium Anticoagulant, XW0
Myringostomy see Drainage, Ear, Nose, Sinus, 099 see Repair, Peripheral Nervous System, 01Q Destruction, Prostate, Robotic Waterjet Ablation,
Myringotomy see Drainage, Ear, Nose, Sinus, 099 see Supplement, Central Nervous System and Cranial XV508A4
Nerves, 00U Endothelial Damage Inhibitor, XY0VX83
Engineered Autologous Chimeric Antigen Receptor
N see Supplement, Peripheral Nervous System, 01U
Neurorrhaphy
Fusion
T-cell Immunotherapy, XW0
see Repair, Central Nervous System and Cranial Cervical Vertebral
Nail bed Nerves, 00Q
use Finger Nail 2 or more
see Repair, Peripheral Nervous System, 01Q Nanotextured Surface, XRG2092
use Toe Nail Neurostimulator Generator
Nail plate Radiolucent Porous, XRG20F3
Insertion of device in, Skull, 0NH00NZ Interbody Fusion Device
use Finger Nail Removal of device from, Skull, 0NP00NZ
use Toe Nail Nanotextured Surface, XRG1092
Revision of device in, Skull, 0NW00NZ Radiolucent Porous, XRG10F3
nanoLOCK™ interbody fusion device use Interbody Neurostimulator generator, multiple channel use Cervicothoracic Vertebral
Fusion Device, Nanotextured Surface in New Tech- Stimulator Generator, Multiple Array in, 0JH Nanotextured Surface, XRG4092
nology Neurostimulator generator, multiple channel Radiolucent Porous, XRG40F3
Narcosynthesis, GZGZZZZ rechargeable use Stimulator Generator, Multiple Lumbar Vertebral
Nasal cavity use Nasal Mucosa and Soft Tissue Array Rechargeable in, 0JH 2 or more
Nasal concha use Nasal Turbinate Neurostimulator generator, single channel use Stim- Nanotextured Surface, XRGC092
Nasalis muscle use Facial Muscle ulator Generator, Single Array in, 0JH Radiolucent Porous, XRGC0F3
Nasolacrimal duct Neurostimulator generator, single channel Interbody Fusion Device
use Lacrimal Duct, Left rechargeable use Stimulator Generator, Single Array Nanotextured Surface, XRGB092
use Lacrimal Duct, Right Rechargeable in, 0JH Radiolucent Porous, XRGB0F3
Nasopharyngeal airway (NPA) use Intraluminal Device, Neurostimulator Lead Lumbosacral
Airway in Ear, Nose, Sinus Insertion of device in Nanotextured Surface, XRGD092
Navicular bone Brain, 00H0 Radiolucent Porous, XRGD0F3
use Tarsal, Left Cerebral Ventricle, 00H6 Occipital-cervical
use Tarsal, Right Nerve Nanotextured Surface, XRG0092
Near Infrared Spectroscopy, Circulatory System, Cranial, 00HE Radiolucent Porous, XRG00F3
8E023DZ Peripheral, 01HY Thoracic Vertebral
Neck of femur Spinal Canal, 00HU 2 to 7
use Upper Femur, Left Spinal Cord, 00HV Nanotextured Surface, XRG7092
use Upper Femur, Right Vein Radiolucent Porous, XRG70F3
Neck of humerus (anatomical) (surgical) Azygos, 05H0 8 or more
use Humeral Head, Left Innominate Nanotextured Surface, XRG8092
use Humeral Head, Right Left, 05H4 Radiolucent Porous, XRG80F3
Nephrectomy Right, 05H3 Interbody Fusion Device
see Excision, Urinary System, 0TB Removal of device from Nanotextured Surface, XRG6092
see Resection, Urinary System, 0TT Brain, 00P0 Radiolucent Porous, XRG60F3
Nephrolithotomy see Extirpation, Urinary System, 0TC Cerebral Ventricle, 00P6 Thoracolumbar Vertebral
Nephrolysis see Release, Urinary System, 0TN Nerve Nanotextured Surface, XRGA092
Nephropexy Cranial, 00PE Radiolucent Porous, XRGA0F3
Myelogram — New Technology

see Repair, Urinary System, 0TQ Peripheral, 01PY Idarucizumab, Dabigatran Reversal Agent, XW0
Spinal Canal, 00PU Intraoperative Knee Replacement Sensor, XR2
see Reposition, Urinary System, 0TS Spinal Cord, 00PV
Nephroplasty Isavuconazole Anti-infective, XW0
Vein Orbital Atherectomy Technology, X2C
see Repair, Urinary System, 0TQ Azygos, 05P0
see Supplement, Urinary System, 0TU Other New Technology Therapeutic Substance, XW0
Innominate Plazomicin Anti-infective, XW0
Nephropyeloureterostomy Left, 05P4
see Bypass, Urinary System, 0T1 Replacement
Right, 05P3 Skin Substitute, Porcine Liver Derived, XHRPXL2
see Drainage, Urinary System, 0T9 Revision of device in Zooplastic Tissue, Rapid Deployment Technique,
Nephrorrhaphy see Repair, Urinary System, 0TQ Brain, 00W0 X2RF
Nephroscopy, transurethral, 0TJ58ZZ Cerebral Ventricle, 00W6 Reposition
Nephrostomy Nerve Cervical, Magnetically Controlled Growth Rod(s),
see Bypass, Urinary System, 0T1 Cranial, 00WE XNS3
see Drainage, Urinary System, 0T9 Peripheral, 01WY Lumbar, Magnetically Controlled Growth Rod(s),
Nephrotomography Spinal Canal, 00WU XNS0
see Fluoroscopy, Urinary System, BT1 Spinal Cord, 00WV Thoracic, Magnetically Controlled Growth
see Plain Radiography, Urinary System, BT0 Vein Rod(s), XNS4
Azygos, 05W0

80 2 Subterms under main terms may continue to next column or page

ICD-10-PCS 2019 Occlusion
New Technology — continued Occipital lymph node Occlusion — continued

Index
Synthetic Human Angiotensin II, XW0 use Lymphatic, Left Neck Artery — continued
Uridine Triacetate, XW0DX82 use Lymphatic, Right Neck Thyroid
Ninth cranial nerve use Glossopharyngeal Nerve Occipitofrontalis muscle use Facial Muscle Left, 03LV
Nitinol framed polymer mesh use Synthetic Substitute Occlusion Right, 03LU
Nonimaging Nuclear Medicine Assay Ampulla of Vater, 0FLC Ulnar
Bladder, Kidneys and Ureters, CT63 Anus, 0DLQ Left, 03LA
Blood, C763 Aorta Right, 03L9
Kidneys, Ureters and Bladder, CT63 Abdominal, 04L0 Upper, 03LY
Lymphatics and Hematologic System, C76YYZZ Thoracic, Descending, 02LW3DJ Vertebral
Ureters, Kidneys and Bladder, CT63 Artery Left, 03LQ
Urinary System, CT6YYZZ Anterior Tibial Right, 03LP
Nonimaging Nuclear Medicine Probe Left, 04LQ Atrium, Left, 02L7
Abdomen, CW50 Right, 04LP Bladder, 0TLB
Abdomen and Chest, CW54 Axillary Bladder Neck, 0TLC
Abdomen and Pelvis, CW51 Left, 03L6 Bronchus
Brain, C050 Right, 03L5 Lingula, 0BL9
Central Nervous System, C05YYZZ Brachial Lower Lobe
Chest, CW53 Left, 03L8 Left, 0BLB
Chest and Abdomen, CW54 Right, 03L7 Right, 0BL6
Chest and Neck, CW56 Celiac, 04L1 Main
Extremity Colic Left, 0BL7
Lower, CP5PZZZ Left, 04L7 Right, 0BL3
Upper, CP5NZZZ Middle, 04L8 Middle Lobe, Right, 0BL5
Head and Neck, CW5B Right, 04L6 Upper Lobe
Heart, C25YYZZ Common Carotid Left, 0BL8
Right and Left, C256 Left, 03LJ Right, 0BL4
Lymphatics Right, 03LH Carina, 0BL2
Head, C75J Common Iliac Cecum, 0DLH
Head and Neck, C755 Left, 04LD Cisterna Chyli, 07LL
Lower Extremity, C75P Right, 04LC Colon
Neck, C75K External Carotid Ascending, 0DLK
Pelvic, C75D Left, 03LN Descending, 0DLM
Trunk, C75M Right, 03LM Sigmoid, 0DLN
Upper Chest, C75L External Iliac Transverse, 0DLL
Upper Extremity, C75N Left, 04LJ Cord
Lymphatics and Hematologic System, C75YYZZ Right, 04LH Bilateral, 0VLH
Musculoskeletal System, Other, CP5YYZZ Face, 03LR Left, 0VLG
Neck and Chest, CW56 Femoral Right, 0VLF
Neck and Head, CW5B Left, 04LL Cul-de-sac, 0ULF
Pelvic Region, CW5J Right, 04LK Duct
Pelvis and Abdomen, CW51 Foot Common Bile, 0FL9
Spine, CP55ZZZ Left, 04LW Cystic, 0FL8
Nonimaging Nuclear Medicine Uptake Right, 04LV Hepatic
Endocrine System, CG4YYZZ Gastric, 04L2 Common, 0FL7
Gland, Thyroid, CG42 Hand Left, 0FL6
Non-tunneled central venous catheter use Infusion Left, 03LF Right, 0FL5
Device Right, 03LD Lacrimal
Nostril use Nasal Mucosa and Soft Tissue Hepatic, 04L3 Left, 08LY
Novacor Left Ventricular Assist Device use Implantable Inferior Mesenteric, 04LB Right, 08LX
Heart Assist System in Heart and Great Vessels Innominate, 03L2 Pancreatic, 0FLD
Novation® Ceramic AHS® (Articulation Hip System) Internal Carotid Accessory, 0FLF
use Synthetic Substitute, Ceramic in, 0SR Left, 03LL Parotid
Nuclear medicine Right, 03LK Left, 0CLC
see Nonimaging Nuclear Medicine Assay Internal Iliac Right, 0CLB
see Nonimaging Nuclear Medicine Probe Left, 04LF Duodenum, 0DL9
see Nonimaging Nuclear Medicine Uptake Right, 04LE Esophagogastric Junction, 0DL4
see Planar Nuclear Medicine Imaging Internal Mammary Esophagus, 0DL5
Left, 03L1 Lower, 0DL3
see Positron Emission Tomographic (PET) Imaging
Right, 03L0 Middle, 0DL2
see Systemic Nuclear Medicine Therapy Upper, 0DL1
see Tomographic (Tomo) Nuclear Medicine Imaging Intracranial, 03LG
Lower, 04LY Fallopian Tube
Nuclear scintigraphy see Nuclear Medicine Left, 0UL6
Peroneal
Nutrition, concentrated substances Right, 0UL5
Left, 04LU
Enteral infusion, 3E0G36Z Fallopian Tubes, Bilateral, 0UL7
Right, 04LT
Parenteral (peripheral) infusion see Introduction of Popliteal Ileocecal Valve, 0DLC
Nutritional Substance Left, 04LN Ileum, 0DLB
Right, 04LM Intestine
O Posterior Tibial
Left, 04LS
Large, 0DLE
Left, 0DLG
Right, 04LR Right, 0DLF
Obliteration see Destruction Small, 0DL8
Obturator artery Pulmonary
New Technology — Occlusion

Left, 02LR Jejunum, 0DLA

use Internal Iliac Artery, Left Kidney Pelvis
use Internal Iliac Artery, Right Right, 02LQ
Pulmonary Trunk, 02LP Left, 0TL4
Obturator lymph node use Lymphatic, Pelvis Radial Right, 0TL3
Obturator muscle Left, 03LC Left atrial appendage (LAA) see Occlusion, Atrium,
use Hip Muscle, Left Right, 03LB Left, 02L7
use Hip Muscle, Right Renal Lymphatic
Obturator nerve use Lumbar Plexus Left, 04LA Aortic, 07LD
Obturator vein Right, 04L9 Axillary
use Hypogastric Vein, Left Splenic, 04L4 Left, 07L6
use Hypogastric Vein, Right Subclavian Right, 07L5
Obtuse margin use Heart, Left Left, 03L4 Head, 07L0
Occipital artery Right, 03L3 Inguinal
use External Carotid Artery, Left Superior Mesenteric, 04L5 Left, 07LJ
use External Carotid Artery, Right Temporal Right, 07LH
Occipital lobe use Cerebral Hemisphere Left, 03LT Internal Mammary
Right, 03LS Left, 07L9

2 Subterms under main terms may continue to next column or page 81

 Occlusion ICD-10-PCS 2019
Occlusion — continued Occlusion — continued Optical coherence tomography, intravascular see
Index
Lymphatic — continued Vein — continued Computerized Tomography (CT Scan)
Internal Mammary — continued Renal — continued Optimizer™ III implantable pulse generator use Con-
Right, 07L8 Right, 06L9 tractility Modulation Device in, 0JH
Lower Extremity Saphenous Orbicularis oculi muscle
Left, 07LG Left, 06LQ use Upper Eyelid, Left
Right, 07LF Right, 06LP use Upper Eyelid, Right
Mesenteric, 07LB Splenic, 06L1 Orbicularis oris muscle use Facial Muscle
Neck Subclavian Orbital Atherectomy Technology, X2C
Left, 07L2 Left, 05L6 Orbital fascia use Subcutaneous Tissue and Fascia, Face
Right, 07L1 Right, 05L5 Orbital portion of ethmoid bone
Pelvis, 07LC Superior Mesenteric, 06L5 use Orbit, Left
Thoracic Duct, 07LK Upper, 05LY use Orbit, Right
Thorax, 07L7 Vertebral Orbital portion of frontal bone
Upper Extremity Left, 05LS use Orbit, Left
Left, 07L4 Right, 05LR use Orbit, Right
Right, 07L3 Vena Cava Orbital portion of lacrimal bone
Rectum, 0DLP Inferior, 06L0 use Orbit, Left
Stomach, 0DL6 Superior, 02LV
use Orbit, Right
Pylorus, 0DL7 Occlusion, REBOA (resuscitative endovascular bal-
Trachea, 0BL1 Orbital portion of maxilla
loon occlusion of the aorta)
Ureter use Orbit, Left
02LW3DJ
Left, 0TL7 04L03DJ use Orbit, Right
Right, 0TL6 Occupational therapy see Activities of Daily Living Orbital portion of palatine bone
Urethra, 0TLD Treatment, Rehabilitation, F08 use Orbit, Left
Vagina, 0ULG Odentectomy use Orbit, Right
Valve, Pulmonary, 02LH see Excision, Mouth and Throat, 0CB Orbital portion of sphenoid bone
Vas Deferens see Resection, Mouth and Throat, 0CT use Orbit, Left
Bilateral, 0VLQ Odontoid process use Cervical Vertebra use Orbit, Right
Left, 0VLP Olecranon bursa Orbital portion of zygomatic bone
Right, 0VLN use Elbow Bursa and Ligament, Left use Orbit, Left
Vein use Elbow Bursa and Ligament, Right use Orbit, Right
Axillary Olecranon process Orchectomy, orchidectomy, orchiectomy
Left, 05L8 use Ulna, Left see Excision, Male Reproductive System, 0VB
Right, 05L7 use Ulna, Right see Resection, Male Reproductive System, 0VT
Azygos, 05L0 Olfactory bulb use Olfactory Nerve Orchidoplasty, orchioplasty
Basilic Omentectomy, omentumectomy see Repair, Male Reproductive System, 0VQ
Left, 05LC see Replacement, Male Reproductive System, 0VR
see Excision, Gastrointestinal System, 0DB
Right, 05LB see Supplement, Male Reproductive System, 0VU
Brachial see Resection, Gastrointestinal System, 0DT
Omentofixation see Repair, Gastrointestinal System, 0DQ Orchidorrhaphy, orchiorrhaphy see Repair, Male Repro-
Left, 05LA ductive System, 0VQ
Right, 05L9 Omentoplasty
see Repair, Gastrointestinal System, 0DQ Orchidotomy, orchiotomy, orchotomy see Drainage,
Cephalic Male Reproductive System, 0V9
Left, 05LF see Replacement, Gastrointestinal System, 0DR
Orchiopexy
Right, 05LD see Supplement, Gastrointestinal System, 0DU
Omentorrhaphy see Repair, Gastrointestinal System, 0DQ see Repair, Male Reproductive System, 0VQ
Colic, 06L7 see Reposition, Male Reproductive System, 0VS
Common Iliac Omentotomy see Drainage, Gastrointestinal System, 0D9
Oropharyngeal airway (OPA) use Intraluminal Device,
Left, 06LD Omnilink Elite Vascular Balloon Expandable Stent
Airway in Mouth and Throat
Right, 06LC System use Intraluminal Device Oropharynx use Pharynx
Esophageal, 06L3 Onychectomy Ossiculectomy
External Iliac see Excision, Skin and Breast, 0HB see Excision, Ear, Nose, Sinus, 09B
Left, 06LG see Resection, Skin and Breast, 0HT
see Resection, Ear, Nose, Sinus, 09T
Right, 06LF Onychoplasty
Ossiculotomy see Drainage, Ear, Nose, Sinus, 099
External Jugular see Repair, Skin and Breast, 0HQ Ostectomy
Left, 05LQ see Replacement, Skin and Breast, 0HR
see Excision, Head and Facial Bones, 0NB
Right, 05LP Onychotomy see Drainage, Skin and Breast, 0H9
Face see Excision, Lower Bones, 0QB
Oophorectomy
Left, 05LV see Excision, Upper Bones, 0PB
see Excision, Female Reproductive System, 0UB see Resection, Head and Facial Bones, 0NT
Right, 05LT see Resection, Female Reproductive System, 0UT
Femoral see Resection, Lower Bones, 0QT
Oophoropexy
Left, 06LN see Resection, Upper Bones, 0PT
see Repair, Female Reproductive System, 0UQ Osteoclasis
Right, 06LM see Reposition, Female Reproductive System, 0US
Foot see Division, Head and Facial Bones, 0N8
Oophoroplasty
Left, 06LV see Division, Lower Bones, 0Q8
see Repair, Female Reproductive System, 0UQ see Division, Upper Bones, 0P8
Right, 06LT see Supplement, Female Reproductive System, 0UU
Gastric, 06L2 Osteolysis
Oophororrhaphy see Repair, Female Reproductive Sys-
Hand see Release, Head and Facial Bones, 0NN
tem, 0UQ
Left, 05LH see Release, Lower Bones, 0QN
Oophorostomy see Drainage, Female Reproductive Sys-
Right, 05LG tem, 0U9 see Release, Upper Bones, 0PN
Hemiazygos, 05L1 Oophorotomy Osteopathic Treatment
Hepatic, 06L4 Abdomen, 7W09X
see Division, Female Reproductive System, 0U8
Hypogastric Cervical, 7W01X
see Drainage, Female Reproductive System, 0U9 Extremity
Left, 06LJ
Oophorrhaphy see Repair, Female Reproductive System, Lower, 7W06X
Right, 06LH
0UQ Upper, 7W07X
Inferior Mesenteric, 06L6
Innominate Open Pivot Aortic Valve Graft (AVG) use Synthetic Head, 7W00X
Occlusion — Osteopexy

Left, 05L4 Substitute Lumbar, 7W03X

Right, 05L3 Open Pivot (mechanical) Valve use Synthetic Substitute Pelvis, 7W05X
Internal Jugular Ophthalmic artery use Intracranial Artery Rib Cage, 7W08X
Left, 05LN Ophthalmic nerve use Trigeminal Nerve Sacrum, 7W04X
Right, 05LM Ophthalmic vein use Intracranial Vein Thoracic, 7W02X
Intracranial, 05LL Opponensplasty Osteopexy
Lower, 06LY Tendon replacement see Replacement, Tendons, 0LR see Repair, Head and Facial Bones, 0NQ
Portal, 06L8 Tendon transfer see Transfer, Tendons, 0LX see Repair, Lower Bones, 0QQ
Pulmonary Optic chiasma use Optic Nerve see Repair, Upper Bones, 0PQ
Left, 02LT Optic disc see Reposition, Head and Facial Bones, 0NS
Right, 02LS use Retina, Left see Reposition, Lower Bones, 0QS
Renal use Retina, Right see Reposition, Upper Bones, 0PS
Left, 06LB Optic foramen use Sphenoid Bone

82 2 Subterms under main terms may continue to next column or page

ICD-10-PCS 2019 Pectoralis minor muscle
Osteoplasty Packing — continued Palmaris longus muscle

Index
see Repair, Head and Facial Bones, 0NQ Anorectal, 2Y43X5Z use Lower Arm and Wrist Muscle, Left
see Repair, Lower Bones, 0QQ Arm use Lower Arm and Wrist Muscle, Right
see Repair, Upper Bones, 0PQ Lower Pancreatectomy
see Replacement, Head and Facial Bones, 0NR Left, 2W4DX5Z see Excision, Pancreas, 0FBG
see Replacement, Lower Bones, 0QR Right, 2W4CX5Z see Resection, Pancreas, 0FTG
see Replacement, Upper Bones, 0PR Upper Pancreatic artery use Splenic Artery
see Supplement, Head and Facial Bones, 0NU Left, 2W4BX5Z Pancreatic plexus use Abdominal Sympathetic Nerve
see Supplement, Lower Bones, 0QU Right, 2W4AX5Z Pancreatic vein use Splenic Vein
see Supplement, Upper Bones, 0PU Back, 2W45X5Z Pancreaticoduodenostomy see Bypass, Hepatobiliary
Osteorrhaphy Chest Wall, 2W44X5Z System and Pancreas, 0F1
see Repair, Head and Facial Bones, 0NQ Ear, 2Y42X5Z Pancreaticosplenic lymph node use Lymphatic, Aortic
see Repair, Lower Bones, 0QQ Extremity Pancreatogram, endoscopic retrograde see Fluo-
see Repair, Upper Bones, 0PQ Lower roscopy, Pancreatic Duct, BF18
Osteotomy, ostotomy Left, 2W4MX5Z Pancreatolithotomy see Extirpation, Pancreas, 0FCG
see Division, Head and Facial Bones, 0N8 Right, 2W4LX5Z Pancreatotomy
Upper see Division, Pancreas, 0F8G
see Division, Lower Bones, 0Q8
Left, 2W49X5Z see Drainage, Pancreas, 0F9G
see Division, Upper Bones, 0P8 Right, 2W48X5Z
see Drainage, Head and Facial Bones, 0N9 Panniculectomy
Face, 2W41X5Z
see Drainage, Lower Bones, 0Q9 Finger see Excision, Abdominal Wall, 0WBF
see Drainage, Upper Bones, 0P9 Left, 2W4KX5Z see Excision, Skin, Abdomen, 0HB7
Otic ganglion use Head and Neck Sympathetic Nerve Right, 2W4JX5Z Paraaortic lymph node use Lymphatic, Aortic
Otoplasty Foot Paracentesis
see Repair, Ear, Nose, Sinus, 09Q Left, 2W4TX5Z Eye see Drainage, Eye, 089
see Replacement, Ear, Nose, Sinus, 09R Right, 2W4SX5Z Peritoneal Cavity see Drainage, Peritoneal Cavity,
see Supplement, Ear, Nose, Sinus, 09U Genital Tract, Female, 2Y44X5Z 0W9G
Otoscopy see Inspection, Ear, Nose, Sinus, 09J Hand Tympanum see Drainage, Ear, Nose, Sinus, 099
Oval window Left, 2W4FX5Z Pararectal lymph node use Lymphatic, Mesenteric
use Middle Ear, Left Right, 2W4EX5Z Parasternal lymph node use Lymphatic, Thorax
use Middle Ear, Right Head, 2W40X5Z Parathyroidectomy
Ovarian artery use Abdominal Aorta Inguinal Region see Excision, Endocrine System, 0GB
Ovarian ligament use Uterine Supporting Structure Left, 2W47X5Z see Resection, Endocrine System, 0GT
Ovariectomy Right, 2W46X5Z Paratracheal lymph node use Lymphatic, Thorax
see Excision, Female Reproductive System, 0UB Leg Paraurethral (Skene's) gland use Vestibular Gland
see Resection, Female Reproductive System, 0UT Lower Parenteral nutrition, total see Introduction of Nutritional
Ovariocentesis see Drainage, Female Reproductive Sys- Left, 2W4RX5Z Substance
tem, 0U9 Right, 2W4QX5Z Parietal lobe use Cerebral Hemisphere
Ovariopexy Upper Parotid lymph node use Lymphatic, Head
see Repair, Female Reproductive System, 0UQ Left, 2W4PX5Z Parotid plexus use Facial Nerve
see Reposition, Female Reproductive System, 0US Right, 2W4NX5Z Parotidectomy
Ovariotomy Mouth and Pharynx, 2Y40X5Z see Excision, Mouth and Throat, 0CB
see Division, Female Reproductive System, 0U8 Nasal, 2Y41X5Z see Resection, Mouth and Throat, 0CT
see Drainage, Female Reproductive System, 0U9 Neck, 2W42X5Z Pars flaccida
Ovatio™ CRT-D use Cardiac Resynchronization Defibrillator Thumb use Tympanic Membrane, Left
Pulse Generator in, 0JH Left, 2W4HX5Z use Tympanic Membrane, Right
Oversewing Right, 2W4GX5Z Partial joint replacement
Gastrointestinal ulcer see Repair, Gastrointestinal Toe Hip see Replacement, Lower Joints, 0SR
System, 0DQ Left, 2W4VX5Z Knee see Replacement, Lower Joints, 0SR
Pleural bleb see Repair, Respiratory System, 0BQ Right, 2W4UX5Z Shoulder see Replacement, Upper Joints, 0RR
Oviduct Urethra, 2Y45X5Z Partially absorbable mesh use Synthetic Substitute
use Fallopian Tube, Left Paclitaxel-eluting coronary stent use Intraluminal De- Patch, blood, spinal, 3E0R3GC
use Fallopian Tube, Right vice, Drug-eluting in Heart and Great Vessels Patellapexy
Oximetry, Fetal pulse, 10H073Z Paclitaxel-eluting peripheral stent see Repair, Lower Bones, 0QQ
OXINIUM use Synthetic Substitute, Oxidized Zirconium use Intraluminal Device, Drug-eluting in Lower Arter- see Reposition, Lower Bones, 0QS
on Polyethylene in, 0SR ies Patellaplasty
Oxygenation use Intraluminal Device, Drug-eluting in Upper Arter- see Repair, Lower Bones, 0QQ
ies
Extracorporeal membrane (ECMO) see Performance, see Replacement, Lower Bones, 0QR
Circulatory, 5A15 Palatine gland use Buccal Mucosa see Supplement, Lower Bones, 0QU
Hyperbaric see Assistance, Circulatory, 5A05 Palatine tonsil use Tonsils Patellar ligament
Supersaturated see Assistance, Circulatory, 5A05 Palatine uvula use Uvula
use Knee Bursa and Ligament, Left
Palatoglossal muscle use Tongue, Palate, Pharynx Muscle use Knee Bursa and Ligament, Right
Palatopharyngeal muscle use Tongue, Palate, Pharynx
P Muscle
Palatoplasty
Patellar tendon
use Knee Tendon, Left
use Knee Tendon, Right
Pacemaker see Repair, Mouth and Throat, 0CQ
Patellectomy
Osteoplasty — Pectoralis minor muscle
Dual Chamber see Replacement, Mouth and Throat, 0CR
see Supplement, Mouth and Throat, 0CU see Excision, Lower Bones, 0QB
Abdomen, 0JH8 see Resection, Lower Bones, 0QT
Chest, 0JH6 Palatorrhaphy see Repair, Mouth and Throat, 0CQ
Patellofemoral joint
Intracardiac Palmar cutaneous nerve
use Knee Joint, Left
Insertion of device in use Median Nerve
use Knee Joint, Left, Femoral Surface
Atrium use Radial Nerve
use Knee Joint, Right
Left, 02H7 Palmar (volar) digital vein
Right, 02H6 use Knee Joint, Right, Femoral Surface
use Hand Vein, Left
Vein, Coronary, 02H4 Pectineus muscle
use Hand Vein, Right
Ventricle Palmar fascia (aponeurosis) use Upper Leg Muscle, Left
Left, 02HL use Subcutaneous Tissue and Fascia, Left Hand use Upper Leg Muscle, Right
Right, 02HK Pectoral fascia use Subcutaneous Tissue and Fascia, Chest
use Subcutaneous Tissue and Fascia, Right Hand
Removal of device from, Heart, 02PA Pectoral (anterior) lymph node
Palmar interosseous muscle
Revision of device in, Heart, 02WA use Lymphatic Left, Axillary
use Hand Muscle, Left
Single Chamber use Lymphatic Right, Axillary
use Hand Muscle, Right
Abdomen, 0JH8 Pectoralis major muscle
Palmar (volar) metacarpal vein
Chest, 0JH6 use Thorax Muscle, Left
use Hand Vein, Left
Single Chamber Rate Responsive use Thorax Muscle, Right
use Hand Vein, Right
Abdomen, 0JH8 Pectoralis minor muscle
Palmar ulnocarpal ligament
Chest, 0JH6 use Thorax Muscle, Left
use Wrist Bursa and Ligament, Left
Packing use Thorax Muscle, Right
use Wrist Bursa and Ligament, Right
Abdominal Wall, 2W43X5Z

2 Subterms under main terms may continue to next column or page 83

 Pedicle-based dynamic stabilization device ICD-10-PCS 2019
Pedicle-based dynamic stabilization device Peritoneoplasty — continued Phototherapy
Index
use Spinal Stabilization Device, Pedicle-Based in, 0SH see Supplement, Peritoneum, 0DUW Circulatory, 6A65
use Spinal Stabilization Device, Pedicle-Based in, 0RH Peritoneoscopy, 0DJW4ZZ Skin, 6A60
PEEP (positive end expiratory pressure) see Assistance, Peritoneotomy see Drainage, Peritoneum, 0D9W Ultraviolet light see Ultraviolet Light Therapy, Physio-
Respiratory, 5A09 Peritoneumectomy see Excision, Peritoneum, 0DBW logical Systems, 6A8
PEG (percutaneous endoscopic gastrostomy), Peroneus brevis muscle Phrenectomy, phrenoneurectomy see Excision, Nerve,
0DH63UZ use Lower Leg Muscle, Left Phrenic, 01B2
PEJ (percutaneous endoscopic jejunostomy), use Lower Leg Muscle, Right Phrenemphraxis see Destruction, Nerve, Phrenic, 0152
0DHA3UZ Peroneus longus muscle Phrenic nerve stimulator generator use Stimulator
Pelvic splanchnic nerve use Lower Leg Muscle, Left Generator in Subcutaneous Tissue and Fascia
use Abdominal Sympathetic Nerve use Lower Leg Muscle, Right Phrenic nerve stimulator lead use Diaphragmatic
use Sacral Sympathetic Nerve Pessary ring use Intraluminal Device, Pessary in Female Pacemaker Lead in Respiratory System
Penectomy Reproductive System Phreniclasis see Destruction, Nerve, Phrenic, 0152
see Excision, Male Reproductive System, 0VB PET scan see Positron Emission Tomographic (PET) Imag- Phrenicoexeresis see Extraction, Nerve, Phrenic, 01D2
see Resection, Male Reproductive System, 0VT ing Phrenicotomy see Division, Nerve, Phrenic, 0182
Penile urethra use Urethra Petrous part of temoporal bone Phrenicotripsy see Destruction, Nerve, Phrenic, 0152
Perceval sutureless valve use Zooplastic Tissue, Rapid use Temporal Bone, Left Phrenoplasty
Deployment Technique in New Technology use Temporal Bone, Right see Repair, Respiratory System, 0BQ
Percutaneous endoscopic gastrojejunostomy (PEG/J) Phacoemulsification, lens see Supplement, Respiratory System, 0BU
tube use Feeding Device in Gastrointestinal System With IOL implant see Replacement, Eye, 08R Phrenotomy see Drainage, Respiratory System, 0B9
Percutaneous endoscopic gastrostomy (PEG) tube Without IOL implant see Extraction, Eye, 08D Physiatry see Motor Treatment, Rehabilitation, F07
use Feeding Device in Gastrointestinal System Phalangectomy Physical medicine see Motor Treatment, Rehabilitation,
Percutaneous nephrostomy catheter use Drainage see Excision, Lower Bones, 0QB F07
Device see Excision, Upper Bones, 0PB Physical therapy see Motor Treatment, Rehabilitation,
Percutaneous transluminal coronary angioplasty see Resection, Lower Bones, 0QT F07
(PTCA) see Dilation, Heart and Great Vessels, 027 see Resection, Upper Bones, 0PT PHYSIOMESH™ Flexible Composite Mesh use Synthetic
Performance Phallectomy Substitute
Biliary see Excision, Penis, 0VBS Pia mater, intracranial use Cerebral Meninges
Multiple, Filtration, 5A1C60Z see Resection, Penis, 0VTS Pia mater, spinal use Spinal Meninges
Single, Filtration, 5A1C00Z Phalloplasty Pinealectomy
Cardiac see Repair, Penis, 0VQS see Excision, Pineal Body, 0GB1
Continuous see Supplement, Penis, 0VUS see Resection, Pineal Body, 0GT1
Output, 5A1221Z Phallotomy see Drainage, Penis, 0V9S Pinealoscopy, 0GJ14ZZ
Pacing, 5A1223Z Pharmacotherapy, for substance abuse Pinealotomy see Drainage, Pineal Body, 0G91
Intermittent, Pacing, 5A1213Z Antabuse, HZ93ZZZ Pinna
Single, Output, Manual, 5A12012 Bupropion, HZ97ZZZ use External Ear, Bilateral
Circulatory Clonidine, HZ96ZZZ use External Ear, Left
Central Membrane, 5A1522F Levo-alpha-acetyl-methadol (LAAM), HZ92ZZZ use External Ear, Right
Peripheral Veno-arterial Membrane, 5A1522G Methadone Maintenance, HZ91ZZZ Pipeline™ Embolization device (PED) use Intraluminal
Peripheral Veno-venous Membrane, 5A1522H Naloxone, HZ95ZZZ Device
Respiratory Naltrexone, HZ94ZZZ Piriform recess (sinus) use Pharynx
24-96 Consecutive Hours, Ventilation, 5A1945Z Nicotine Replacement, HZ90ZZZ Piriformis muscle
Greater than 96 Consecutive Hours, Ventilation, Psychiatric Medication, HZ98ZZZ use Hip Muscle, Left
5A1955Z Replacement Medication, Other, HZ99ZZZ use Hip Muscle, Right
Less than 24 Consecutive Hours, Ventilation, Pharyngeal constrictor muscle use Tongue, Palate, PIRRT (Prolonged intermittent renal replacement
5A1935Z Pharynx Muscle therapy), 5A1D80Z
Single, Ventilation, Nonmechanical, 5A19054 Pharyngeal plexus use Vagus Nerve Pisiform bone
Urinary Pharyngeal recess use Nasopharynx use Carpal, Left
Continuous, Greater than 18 hours per day, Fil- Pharyngeal tonsil use Adenoids
tration, 5A1D90Z use Carpal, Right
Pharyngogram see Fluoroscopy, Pharynix, B91G Pisohamate ligament
Intermittent, Less than 6 Hours Per Day, Filtra-
Pharyngoplasty
Pedicle-based dynamic stabilization device — Plain Radiography

tion, 5A1D70Z use Hand Bursa and Ligament, Left

Prolonged Intermittent, 6-18 hours per day, see Repair, Mouth and Throat, 0CQ use Hand Bursa and Ligament, Right
Filtration, 5A1D80Z see Replacement, Mouth and Throat, 0CR Pisometacarpal ligament
Perfusion see Introduction of substance in or on see Supplement, Mouth and Throat, 0CU use Hand Bursa and Ligament, Left
Perfusion, donor organ Pharyngorrhaphy see Repair, Mouth and Throat, 0CQ use Hand Bursa and Ligament, Right
Heart, 6AB50BZ Pharyngotomy see Drainage, Mouth and Throat, 0C9 Pituitectomy
Kidney(s), 6ABT0BZ Pharyngotympanic tube see Excision, Gland, Pituitary, 0GB0
Liver, 6ABF0BZ use Eustachian Tube, Left see Resection, Gland, Pituitary, 0GT0
Lung(s), 6ABB0BZ use Eustachian Tube, Right Plain film radiology see Plain Radiography
Pericardiectomy Pheresis Plain Radiography
see Excision, Pericardium, 02BN Erythrocytes, 6A55 Abdomen, BW00ZZZ
see Resection, Pericardium, 02TN Leukocytes, 6A55 Abdomen and Pelvis, BW01ZZZ
Pericardiocentesis see Drainage, Pericardial Cavity, 0W9D Plasma, 6A55 Abdominal Lymphatic
Pericardiolysis see Release, Pericardium, 02NN Platelets, 6A55 Bilateral, B701
Pericardiophrenic artery Stem Cells Unilateral, B700
Cord Blood, 6A55 Airway, Upper, BB0DZZZ
use Internal Mammary Artery, Left
Hematopoietic, 6A55 Ankle
use Internal Mammary Artery, Right Phlebectomy
Pericardioplasty Left, BQ0H
see Excision, Lower Veins, 06B Right, BQ0G
see Repair, Pericardium, 02QN see Excision, Upper Veins, 05B Aorta
see Replacement, Pericardium, 02RN see Extraction, Lower Veins, 06D Abdominal, B400
see Supplement, Pericardium, 02UN see Extraction, Upper Veins, 05D Thoracic, B300
Pericardiorrhaphy see Repair, Pericardium, 02QN Phlebography Thoraco-Abdominal, B30P
Pericardiostomy see Drainage, Pericardial Cavity, 0W9D Aorta and Bilateral Lower Extremity Arteries, B40D
see Plain Radiography, Veins, B50
Pericardiotomy see Drainage, Pericardial Cavity, 0W9D Impedance, 4A04X51 Arch
Perimetrium use Uterus Phleborrhaphy Bilateral, BN0DZZZ
Peripheral parenteral nutrition see Introduction of see Repair, Lower Veins, 06Q Left, BN0CZZZ
Nutritional Substance Right, BN0BZZZ
see Repair, Upper Veins, 05Q
Peripherally inserted central catheter (PICC) use Infu- Arm
Phlebotomy
sion Device Left, BP0FZZZ
Peritoneal dialysis, 3E1M39Z see Drainage, Lower Veins, 069
see Drainage, Upper Veins, 059 Right, BP0EZZZ
Peritoneocentesis Artery
Photocoagulation
see Drainage, Peritoneal Cavity, 0W9G Brachiocephalic-Subclavian, Right, B301
For Destruction see Destruction
see Drainage, Peritoneum, 0D9W Bronchial, B30L
For Repair see Repair
Peritoneoplasty Bypass Graft, Other, B20F
Photopheresis, therapeutic see Phototherapy, Circula-
see Repair, Peritoneum, 0DQW Cervico-Cerebral Arch, B30Q
tory, 6A65
see Replacement, Peritoneum, 0DRW

84 2 Subterms under main terms may continue to next column or page

ICD-10-PCS 2019 Plain Radiography
Plain Radiography — continued Plain Radiography — continued Plain Radiography — continued

Index
Artery — continued Duct — continued Joint — continued
Common Carotid Mammary Sternoclavicular
Bilateral, B305 Multiple Bilateral, BP02ZZZ
Left, B304 Left, BH06 Left, BP01ZZZ
Right, B303 Right, BH05 Right, BP00ZZZ
Coronary Single Temporomandibular
Bypass Graft Left, BH04 Bilateral, BN09
Multiple, B203 Right, BH03 Left, BN08
Single, B202 Elbow Right, BN07
Multiple, B201 Left, BP0H Thoracolumbar, BR08ZZZ
Single, B200 Right, BP0G Toe
External Carotid Epididymis Left, BQ0Y
Bilateral, B30C Left, BV02 Right, BQ0X
Left, B30B Right, BV01 Kidney
Right, B309 Extremity Bilateral, BT03
Hepatic, B402 Lower, BW0CZZZ Left, BT02
Inferior Mesenteric, B405 Upper, BW0JZZZ Right, BT01
Intercostal, B30L Eye Ureter and Bladder, BT04
Internal Carotid Bilateral, B807ZZZ Knee
Bilateral, B308 Left, B806ZZZ Left, BQ08
Left, B307 Right, B805ZZZ Right, BQ07
Right, B306 Facet Joint Leg
Internal Mammary Bypass Graft Cervical, BR04 Left, BQ0FZZZ
Left, B208 Lumbar, BR06 Right, BQ0DZZZ
Right, B207 Thoracic, BR05 Lymphatic
Intra-Abdominal, Other, B40B Fallopian Tube Head, B704
Intracranial, B30R Bilateral, BU02 Lower Extremity
Lower Extremity Left, BU01 Bilateral, B70B
Bilateral and Aorta, B40D Right, BU00 Left, B709
Left, B40G Fallopian Tube and Uterus, BU08 Right, B708
Right, B40F Femur Neck, B704
Lower, Other, B40J Left, Densitometry, BQ04ZZ1 Pelvic, B70C
Lumbar, B409 Right, Densitometry, BQ03ZZ1 Upper Extremity
Pelvic, B40C Finger Bilateral, B707
Pulmonary Left, BP0SZZZ Left, B706
Left, B30T Right, BP0RZZZ Right, B705
Right, B30S Foot Mandible, BN06ZZZ
Renal Left, BQ0MZZZ Mastoid, B90HZZZ
Bilateral, B408 Right, BQ0LZZZ Nasopharynx, B90FZZZ
Left, B407 Forearm Optic Foramina
Right, B406 Left, BP0KZZZ Left, B804ZZZ
Transplant, B40M Right, BP0JZZZ Right, B803ZZZ
Spinal, B30M Gallbladder and Bile Duct, BF03 Orbit
Splenic, B403 Gland Bilateral, BN03ZZZ
Subclavian, Left, B302 Parotid Left, BN02ZZZ
Superior Mesenteric, B404 Bilateral, B906 Right, BN01ZZZ
Upper Extremity Left, B905 Oropharynx, B90FZZZ
Bilateral, B30K Right, B904 Patella
Left, B30J Salivary Left, BQ0WZZZ
Right, B30H Bilateral, B90D Right, BQ0VZZZ
Upper, Other, B30N Left, B90C Pelvis, BR0CZZZ
Vertebral Right, B90B Pelvis and Abdomen, BW01ZZZ
Bilateral, B30G Submandibular Prostate, BV03
Left, B30F Bilateral, B909 Retroperitoneal Lymphatic
Right, B30D Left, B908 Bilateral, B701
Bile Duct, BF00 Right, B907 Unilateral, B700
Bile Duct and Gallbladder, BF03 Hand Ribs
Bladder, BT00 Left, BP0PZZZ Left, BP0YZZZ
Kidney and Ureter, BT04 Right, BP0NZZZ Right, BP0XZZZ
Bladder and Urethra, BT0B Heart Sacrum, BR0FZZZ
Bone Left, B205 Scapula
Facial, BN05ZZZ Right, B204 Left, BP07ZZZ
Nasal, BN04ZZZ Right and Left, B206 Right, BP06ZZZ
Bones, Long, All, BW0BZZZ Hepatobiliary System, All, BF0C Shoulder
Breast Hip Left, BP09

Plain Radiography — Plain Radiography

Bilateral, BH02ZZZ Left, BQ01 Right, BP08
Left, BH01ZZZ Densitometry, BQ01ZZ1 Sinus
Right, BH00ZZZ Right, BQ00 Intracranial, B502
Calcaneus Densitometry, BQ00ZZ1 Paranasal, B902ZZZ
Left, BQ0KZZZ Humerus Skull, BN00ZZZ
Right, BQ0JZZZ Left, BP0BZZZ Spinal Cord, B00B
Chest, BW03ZZZ Right, BP0AZZZ Spine
Clavicle Ileal Diversion Loop, BT0C Cervical, Densitometry, BR00ZZ1
Left, BP05ZZZ Intracranial Sinus, B502 Lumbar, Densitometry, BR09ZZ1
Right, BP04ZZZ Joint Thoracic, Densitometry, BR07ZZ1
Coccyx, BR0FZZZ Acromioclavicular, Bilateral, BP03ZZZ Whole, Densitometry, BR0GZZ1
Corpora Cavernosa, BV00 Finger Sternum, BR0HZZZ
Dialysis Fistula, B50W Left, BP0D Teeth
Dialysis Shunt, B50W Right, BP0C All, BN0JZZZ
Disc Foot Multiple, BN0HZZZ
Cervical, BR01 Left, BQ0Y Testicle
Lumbar, BR03 Right, BQ0X Left, BV06
Thoracic, BR02 Hand Right, BV05
Duct Left, BP0D Toe
Lacrimal Right, BP0C Left, BQ0QZZZ
Bilateral, B802 Lumbosacral, BR0BZZZ Right, BQ0PZZZ
Left, B801 Sacroiliac, BR0D Tooth, Single, BN0GZZZ
Right, B800

2 Subterms under main terms may continue to next column or page 85

 Plain Radiography ICD-10-PCS 2019
Plain Radiography — continued Planar Nuclear Medicine Imaging — continued Plaque Radiation — continued
Index
Tracheobronchial Tree Extremity — continued Bone Marrow, D7Y0FZZ
Bilateral, BB09YZZ Upper, CW1M Bone, Other, DPYCFZZ
Left, BB08YZZ Bilateral, CP1B Brain, D0Y0FZZ
Right, BB07YZZ Left, CP19 Brain Stem, D0Y1FZZ
Ureter Right, CP18 Breast
Bilateral, BT08 Eye, C81YYZZ Left, DMY0FZZ
Kidney and Bladder, BT04 Gallbladder, CF14 Right, DMY1FZZ
Left, BT07 Gastrointestinal Tract, CD17 Bronchus, DBY1FZZ
Right, BT06 Upper, CD15 Cervix, DUY1FZZ
Urethra, BT05 Gland Chest, DWY2FZZ
Urethra and Bladder, BT0B Adrenal, Bilateral, CG14 Chest Wall, DBY7FZZ
Uterus, BU06 Parathyroid, CG11 Colon, DDY5FZZ
Uterus and Fallopian Tube, BU08 Thyroid, CG12 Diaphragm, DBY8FZZ
Vagina, BU09 Glands, Salivary, Bilateral, C91B Duodenum, DDY2FZZ
Vasa Vasorum, BV08 Head and Neck, CW1B Ear, D9Y0FZZ
Vein Heart, C21YYZZ Esophagus, DDY0FZZ
Cerebellar, B501 Right and Left, C216 Eye, D8Y0FZZ
Cerebral, B501 Hepatobiliary System, All, CF1C Femur, DPY9FZZ
Epidural, B500 Hepatobiliary System and Pancreas, CF1YYZZ Fibula, DPYBFZZ
Jugular Kidneys, Ureters and Bladder, CT13 Gallbladder, DFY1FZZ
Bilateral, B505 Liver, CF15 Gland
Left, B504 Liver and Spleen, CF16 Adrenal, DGY2FZZ
Right, B503 Lungs and Bronchi, CB12 Parathyroid, DGY4FZZ
Lower Extremity Lymphatics Pituitary, DGY0FZZ
Bilateral, B50D Head, C71J Thyroid, DGY5FZZ
Left, B50C Head and Neck, C715 Glands, Salivary, D9Y6FZZ
Right, B50B Lower Extremity, C71P Head and Neck, DWY1FZZ
Other, B50V Neck, C71K Hemibody, DWY4FZZ
Pelvic (Iliac) Pelvic, C71D Humerus, DPY6FZZ
Left, B50G Trunk, C71M Ileum, DDY4FZZ
Right, B50F Upper Chest, C71L Jejunum, DDY3FZZ
Pelvic (Iliac) Bilateral, B50H Upper Extremity, C71N Kidney, DTY0FZZ
Portal, B50T Lymphatics and Hematologic System, C71YYZZ Larynx, D9YBFZZ
Pulmonary Musculoskeletal System Liver, DFY0FZZ
Bilateral, B50S All, CP1Z Lung, DBY2FZZ
Left, B50R Other, CP1YYZZ Lymphatics
Right, B50Q Myocardium, C21G Abdomen, D7Y6FZZ
Renal Neck and Chest, CW16 Axillary, D7Y4FZZ
Bilateral, B50L Neck and Head, CW1B Inguinal, D7Y8FZZ
Left, B50K Pancreas and Hepatobiliary System, CF1YYZZ Neck, D7Y3FZZ
Right, B50J Pelvic Region, CW1J Pelvis, D7Y7FZZ
Spanchnic, B50T Pelvis, CP16 Thorax, D7Y5FZZ
Subclavian Pelvis and Abdomen, CW11 Mandible, DPY3FZZ
Left, B507 Pelvis and Spine, CP17 Maxilla, DPY2FZZ
Right, B506 Reproductive System, Male, CV1YYZZ Mediastinum, DBY6FZZ
Upper Extremity Respiratory System, CB1YYZZ Mouth, D9Y4FZZ
Bilateral, B50P Skin, CH1YYZZ Nasopharynx, D9YDFZZ
Left, B50N Skull, CP11 Neck and Head, DWY1FZZ
Right, B50M Spine, CP15 Nerve, Peripheral, D0Y7FZZ
Vena Cava Spine and Pelvis, CP17 Nose, D9Y1FZZ
Inferior, B509 Spleen, C712 Ovary, DUY0FZZ
Superior, B508 Spleen and Liver, CF16 Palate
Whole Body, BW0KZZZ Subcutaneous Tissue, CH1YYZZ Hard, D9Y8FZZ
Infant, BW0MZZZ Testicles, Bilateral, CV19 Soft, D9Y9FZZ
Whole Skeleton, BW0LZZZ Thorax, CP14 Pancreas, DFY3FZZ
Wrist Ureters and Bladder, CT1H Parathyroid Gland, DGY4FZZ
Left, BP0M Ureters, Kidneys and Bladder, CT13 Pelvic Bones, DPY8FZZ
Right, BP0L Urinary System, CT1YYZZ Pelvic Region, DWY6FZZ
Planar Nuclear Medicine Imaging Veins, C51YYZZ Pharynx, D9YCFZZ
Abdomen, CW10 Central, C51R Pineal Body, DGY1FZZ
Abdomen and Chest, CW14 Lower Extremity Pituitary Gland, DGY0FZZ
Abdomen and Pelvis, CW11 Bilateral, C51D Pleura, DBY5FZZ
Anatomical Region, Other, CW1ZZZZ Left, C51C Prostate, DVY0FZZ
Anatomical Regions, Multiple, CW1YYZZ Right, C51B Radius, DPY7FZZ
Bladder and Ureters, CT1H Upper Extremity Rectum, DDY7FZZ
Bladder, Kidneys and Ureters, CT13 Bilateral, C51Q Rib, DPY5FZZ
Plain Radiography — Plaque Radiation

Blood, C713 Left, C51P Sinuses, D9Y7FZZ

Bone Marrow, C710 Right, C51N Skin
Brain, C010 Whole Body, CW1N Abdomen, DHY8FZZ
Breast, CH1YYZZ Plantar digital vein Arm, DHY4FZZ
Bilateral, CH12 use Foot Vein, Left Back, DHY7FZZ
Left, CH11 use Foot Vein, Right Buttock, DHY9FZZ
Right, CH10 Plantar fascia (aponeurosis) Chest, DHY6FZZ
Bronchi and Lungs, CB12 use Subcutaneous Tissue and Fascia, Left Foot Face, DHY2FZZ
Central Nervous System, C01YYZZ use Subcutaneous Tissue and Fascia, Right Foot Foot, DHYCFZZ
Cerebrospinal Fluid, C015 Plantar metatarsal vein Hand, DHY5FZZ
Chest, CW13 use Foot Vein, Left Leg, DHYBFZZ
Chest and Abdomen, CW14 use Foot Vein, Right Neck, DHY3FZZ
Chest and Neck, CW16 Plantar venous arch Skull, DPY0FZZ
Digestive System, CD1YYZZ use Foot Vein, Left Spinal Cord, D0Y6FZZ
Ducts, Lacrimal, Bilateral, C819 use Foot Vein, Right Spleen, D7Y2FZZ
Ear, Nose, Mouth and Throat, C91YYZZ Plaque Radiation Sternum, DPY4FZZ
Endocrine System, CG1YYZZ Abdomen, DWY3FZZ Stomach, DDY1FZZ
Extremity Adrenal Gland, DGY2FZZ Testis, DVY1FZZ
Lower, CW1D Anus, DDY8FZZ Thymus, D7Y1FZZ
Bilateral, CP1F Bile Ducts, DFY2FZZ Thyroid Gland, DGY5FZZ
Left, CP1D Bladder, DTY2FZZ Tibia, DPYBFZZ
Right, CP1C Tongue, D9Y5FZZ

86 2 Subterms under main terms may continue to next column or page

ICD-10-PCS 2019 Psychotherapy
Plaque Radiation — continued Postcava use Inferior Vena Cava Proctopexy

Index
Trachea, DBY0FZZ Posterior auricular artery see Repair, Rectum, 0DQP
Ulna, DPY7FZZ use External Carotid Artery, Left see Reposition, Rectum, 0DSP
Ureter, DTY1FZZ use External Carotid Artery, Right Proctoplasty
Urethra, DTY3FZZ Posterior auricular nerve use Facial Nerve see Repair, Rectum, 0DQP
Uterus, DUY2FZZ Posterior auricular vein see Supplement, Rectum, 0DUP
Whole Body, DWY5FZZ use External Jugular Vein, Left Proctorrhaphy see Repair, Rectum, 0DQP
Plasmapheresis, therapeutic see Pheresis, Physiological use External Jugular Vein, Right Proctoscopy, 0DJD8ZZ
Systems, 6A5 Posterior cerebral artery use Intracranial Artery Proctosigmoidectomy
Plateletpheresis, therapeutic see Pheresis, Physiological Posterior chamber see Excision, Gastrointestinal System, 0DB
Systems, 6A5 use Eye, Left see Resection, Gastrointestinal System, 0DT
Platysma muscle use Eye, Right Proctosigmoidoscopy, 0DJD8ZZ
use Neck Muscle, Left Posterior circumflex humeral artery Proctostomy see Drainage, Rectum, 0D9P
use Neck Muscle, Right use Axillary Artery, Left Proctotomy see Drainage, Rectum, 0D9P
Plazomicin Anti-infective, XW0 use Axillary Artery, Right Prodisc-C use Synthetic Substitute
Pleurectomy Posterior communicating artery use Intracranial Artery Prodisc-L use Synthetic Substitute
see Excision, Respiratory System, 0BB Posterior cruciate ligament (PCL) Production, atrial septal defect see Excision, Septum,
see Resection, Respiratory System, 0BT use Knee Bursa and Ligament, Left Atrial, 02B5
Pleurocentesis see Drainage, Anatomical Regions, Gener- use Knee Bursa and Ligament, Right Profunda brachii
al, 0W9 Posterior facial (retromandibular) vein use Brachial Artery, Left
Pleurodesis, pleurosclerosis use Face Vein, Left use Brachial Artery, Right
Chemical injection see Introduction of Substance in use Face Vein, Right Profunda femoris (deep femoral) vein
or on, Pleural Cavity, 3E0L Posterior femoral cutaneous nerve use Sacral Plexus use Femoral Vein, Left
Surgical see Destruction, Respiratory System, 0B5 Posterior inferior cerebellar artery (PICA) use Intracra- use Femoral Vein, Right
Pleurolysis see Release, Respiratory System, 0BN nial Artery PROLENE Polypropylene Hernia System (PHS) use
Pleuroscopy, 0BJQ4ZZ Posterior interosseous nerve use Radial Nerve Synthetic Substitute
Pleurotomy see Drainage, Respiratory System, 0B9 Posterior labial nerve use Pudendal Nerve Prolonged intermittent renal replacement therapy
Plica semilunaris Posterior (subscapular) lymph node (PIRRT), 5A1D80Z
use Conjunctiva, Left use Lymphatic, Left Axillary Pronator quadratus muscle
use Conjunctiva, Right use Lymphatic, Right Axillary use Lower Arm and Wrist Muscle, Left
Plication see Restriction Posterior scrotal nerve use Pudendal Nerve use Lower Arm and Wrist Muscle, Right
Pneumectomy Posterior spinal artery Pronator teres muscle
see Excision, Respiratory System, 0BB use Vertebral Artery, Left use Lower Arm and Wrist Muscle, Left
see Resection, Respiratory System, 0BT use Vertebral Artery, Right use Lower Arm and Wrist Muscle, Right
Pneumocentesis see Drainage, Respiratory System, 0B9 Posterior tibial recurrent artery Prostatectomy
Pneumogastric nerve use Vagus Nerve use Anterior Tibial Artery, Left see Excision, Prostate, 0VB0
Pneumolysis see Release, Respiratory System, 0BN use Anterior Tibial Artery, Right see Resection, Prostate, 0VT0
Pneumonectomy see Resection, Respiratory System, 0BT Posterior ulnar recurrent artery Prostatic urethra use Urethra
Pneumonolysis see Release, Respiratory System, 0BN use Ulnar Artery, Left Prostatomy, prostatotomy see Drainage, Prostate, 0V90
Pneumonopexy use Ulnar Artery, Right Protecta XT CRT-D use Cardiac Resynchronization Defib-
see Repair, Respiratory System, 0BQ Posterior vagal trunk use Vagus Nerve rillator Pulse Generator in, 0JH
see Reposition, Respiratory System, 0BS PPN (peripheral parenteral nutrition) see Introduction Protecta XT DR (XT VR) use Defibrillator Generator in,
Pneumonorrhaphy see Repair, Respiratory System, 0BQ of Nutritional Substance 0JH
Pneumonotomy see Drainage, Respiratory System, 0B9 Preauricular lymph node use Lymphatic, Head Protégé® RX Carotid Stent System use Intraluminal
Pneumotaxic center use Pons Precava use Superior Vena Cava Device
Pneumotomy see Drainage, Respiratory System, 0B9 Prepatellar bursa Proximal radioulnar joint
Pollicization see Transfer, Anatomical Regions, Upper use Knee Bursa and Ligament, Left use Elbow Joint, Left
Extremities, 0XX use Knee Bursa and Ligament, Right use Elbow Joint, Right
Polyethylene socket use Synthetic Substitute, Polyethy- Preputiotomy see Drainage, Male Reproductive System, Psoas muscle
lene in, 0SR 0V9 use Hip Muscle, Left
Polymethylmethacrylate (PMMA) use Synthetic Substi- Pressure support ventilation see Performance, Respira- use Hip Muscle, Right
tute tory, 5A19 PSV (pressure support ventilation) see Performance,
Polypectomy, gastrointestinal see Excision, Gastroin- PRESTIGE® Cervical Disc use Synthetic Substitute Respiratory, 5A19
testinal System, 0DB Pretracheal fascia Psychoanalysis, GZ54ZZZ
Polypropylene mesh use Synthetic Substitute use Subcutaneous Tissue and Fascia, Left Neck Psychological Tests
Polysomnogram, 4A1ZXQZ use Subcutaneous Tissue and Fascia, Right Neck Cognitive Status, GZ14ZZZ
Pontine tegmentum use Pons Prevertebral fascia Developmental, GZ10ZZZ
Popliteal ligament use Subcutaneous Tissue and Fascia, Left Neck Intellectual and Psychoeducational, GZ12ZZZ
use Knee Bursa and Ligament, Left use Subcutaneous Tissue and Fascia, Right Neck Neurobehavioral Status, GZ14ZZZ
use Knee Bursa and Ligament, Right PrimeAdvanced neurostimulator (SureScan) (MRI Neuropsychological, GZ13ZZZ
Popliteal lymph node Safe) use Stimulator Generator, Multiple Array in, Personality and Behavioral, GZ11ZZZ
use Lymphatic, Left Lower Extremity 0JH Psychotherapy
use Lymphatic, Right Lower Extremity Princeps pollicis artery Family, Mental Health Services, GZ72ZZZ
Popliteal vein use Hand Artery, Left Group, GZHZZZZ
use Femoral Vein, Left use Hand Artery, Right Mental Health Services, GZHZZZZ
use Femoral Vein, Right Probing, duct Individual
Popliteus muscle Diagnostic see Inspection see Psychotherapy, Individual, Mental Health Plaque Radiation — Psychotherapy
use Lower Leg Muscle, Left Dilation see Dilation Services
use Lower Leg Muscle, Right PROCEED™ Ventral Patch use Synthetic Substitute for substance abuse
Porcine (bioprosthetic) valve use Zooplastic Tissue in Procerus muscle use Facial Muscle 12-Step, HZ53ZZZ
Heart and Great Vessels Proctectomy Behavioral, HZ51ZZZ
Positive end expiratory pressure see Performance, Cognitive, HZ50ZZZ
see Excision, Rectum, 0DBP
Respiratory, 5A19 Cognitive-Behavioral, HZ52ZZZ
see Resection, Rectum, 0DTP Confrontational, HZ58ZZZ
Positron Emission Tomographic (PET) Imaging Proctoclysis see Introduction of substance in or on, Gas-
Brain, C030 Interactive, HZ55ZZZ
trointestinal Tract, Lower, 3E0H Interpersonal, HZ54ZZZ
Bronchi and Lungs, CB32 Proctocolectomy
Central Nervous System, C03YYZZ Motivational Enhancement, HZ57ZZZ
see Excision, Gastrointestinal System, 0DB Psychoanalysis, HZ5BZZZ
Heart, C23YYZZ see Resection, Gastrointestinal System, 0DT
Lungs and Bronchi, CB32 Psychodynamic, HZ5CZZZ
Proctocolpoplasty Psychoeducation, HZ56ZZZ
Myocardium, C23G
see Repair, Gastrointestinal System, 0DQ Psychophysiological, HZ5DZZZ
Respiratory System, CB3YYZZ
Whole Body, CW3NYZZ see Supplement, Gastrointestinal System, 0DU Supportive, HZ59ZZZ
Positron emission tomography see Positron Emission Proctoperineoplasty Mental Health Services
Tomographic (PET) Imaging see Repair, Gastrointestinal System, 0DQ Behavioral, GZ51ZZZ
Postauricular (mastoid) lymph node see Supplement, Gastrointestinal System, 0DU Cognitive, GZ52ZZZ
use Lymphatic, Left Neck Proctoperineorrhaphy see Repair, Gastrointestinal Sys- Cognitive-Behavioral, GZ58ZZZ
use Lymphatic, Right Neck tem, 0DQ Interactive, GZ50ZZZ

2 Subterms under main terms may continue to next column or page 87

 Psychotherapy ICD-10-PCS 2019
Psychotherapy — continued Quadratus lumborum muscle — continued Reattachment — continued
Index
Individual — continued use Trunk Muscle, Right Bronchus — continued
Mental Health Services — continued Quadratus plantae muscle Upper Lobe
Interpersonal, GZ53ZZZ use Foot Muscle, Left Left, 0BM80ZZ
Psychoanalysis, GZ54ZZZ use Foot Muscle, Right Right, 0BM40ZZ
Psychodynamic, GZ55ZZZ Quadriceps (femoris) Bursa and Ligament
Psychophysiological, GZ59ZZZ use Upper Leg Muscle, Left Abdomen
Supportive, GZ56ZZZ use Upper Leg Muscle, Right Left, 0MMJ
PTCA (percutaneous transluminal coronary angio- Quarantine, 8E0ZXY6 Right, 0MMH
plasty) see Dilation, Heart and Great Vessels, 027 Ankle
Pterygoid muscle use Head Muscle Left, 0MMR
Pterygoid process use Sphenoid Bone
Pterygopalatine (sphenopalatine) ganglion use Head
R Right, 0MMQ
Elbow
and Neck Sympathetic Nerve Radial collateral carpal ligament Left, 0MM4
Pubis use Wrist Bursa and Ligament, Left Right, 0MM3
use Pelvic Bone, Left use Wrist Bursa and Ligament, Right Foot
use Pelvic Bone, Right Radial collateral ligament Left, 0MMT
Pubofemoral ligament use Elbow Bursa and Ligament, Left Right, 0MMS
use Hip Bursa and Ligament, Left use Elbow Bursa and Ligament, Right Hand
use Hip Bursa and Ligament, Right Radial notch Left, 0MM8
Pudendal nerve use Sacral Plexus use Ulna, Left Right, 0MM7
Pull-through, laparoscopic-assisted transanal use Ulna, Right Head and Neck, 0MM0
see Excision, Gastrointestinal System, 0DB Radial recurrent artery Hip
see Resection, Gastrointestinal System, 0DT use Radial Artery, Left Left, 0MMM
use Radial Artery, Right Right, 0MML
Pull-through, rectal see Resection, Rectum, 0DTP
Radial vein Knee
Pulmoaortic canal use Pulmonary Artery, Left Left, 0MMP
Pulmonary annulus use Pulmonary Valve use Brachial Vein, Left Right, 0MMN
Pulmonary artery wedge monitoring see Monitoring, use Brachial Vein, Right Lower Extremity
Arterial, 4A13 Radialis indicis Left, 0MMW
Pulmonary plexus use Hand Artery, Left Right, 0MMV
use Thoracic Sympathetic Nerve use Hand Artery, Right Perineum, 0MMK
use Vagus Nerve Radiation Therapy Rib(s), 0MMG
Pulmonic valve use Pulmonary Valve see Beam Radiation Shoulder
Pulpectomy see Excision, Mouth and Throat, 0CB see Brachytherapy Left, 0MM2
Pulverization see Fragmentation see Stereotactic Radiosurgery Right, 0MM1
Pulvinar use Thalamus Radiation treatment see Radiation Therapy Spine
Pump reservoir use Infusion Device, Pump in Subcuta- Radiocarpal joint Lower, 0MMD
neous Tissue and Fascia use Wrist Joint, Left Upper, 0MMC
Punch biopsy see Excision with qualifier Diagnostic use Wrist Joint, Right Sternum, 0MMF
Puncture see Drainage Radiocarpal ligament Upper Extremity
Puncture, lumbar see Drainage, Spinal Canal, 009U use Wrist Bursa and Ligament, Left Left, 0MMB
Pyelography use Wrist Bursa and Ligament, Right Right, 0MM9
see Fluoroscopy, Urinary System, BT1 Radiography see Plain Radiography Wrist
see Plain Radiography, Urinary System, BT0 Radiology, analog see Plain Radiography Left, 0MM6
Pyeloileostomy, urinary diversion see Bypass, Urinary Radiology, diagnostic see Imaging, Diagnostic Right, 0MM5
System, 0T1 Radioulnar ligament Buttock
Pyeloplasty use Wrist Bursa and Ligament, Left Left, 0YM10ZZ
see Repair, Urinary System, 0TQ use Wrist Bursa and Ligament, Right Right, 0YM00ZZ
see Replacement, Urinary System, 0TR Range of motion testing see Motor Function Assessment, Carina, 0BM20ZZ
see Supplement, Urinary System, 0TU Rehabilitation, F01 Cecum, 0DMH
Pyelorrhaphy see Repair, Urinary System, 0TQ REALIZE® Adjustable Gastric Band use Extraluminal Cervix, 0UMC
Pyeloscopy, 0TJ58ZZ Device Chest Wall, 0WM80ZZ
Pyelostomy Reattachment Clitoris, 0UMJXZZ
see Bypass, Urinary System, 0T1 Abdominal Wall, 0WMF0ZZ Colon
see Drainage, Urinary System, 0T9 Ampulla of Vater, 0FMC Ascending, 0DMK
Pyelotomy see Drainage, Urinary System, 0T9 Ankle Region Descending, 0DMM
Pylorectomy Left, 0YML0ZZ Sigmoid, 0DMN
see Excision, Stomach, Pylorus, 0DB7 Right, 0YMK0ZZ Transverse, 0DML
see Resection, Stomach, Pylorus, 0DT7 Arm Cord
Lower Bilateral, 0VMH
Pyloric antrum use Stomach, Pylorus
Left, 0XMF0ZZ Left, 0VMG
Pyloric canal use Stomach, Pylorus Right, 0VMF
Pyloric sphincter use Stomach, Pylorus Right, 0XMD0ZZ
Upper Cul-de-sac, 0UMF
Pylorodiosis see Dilation, Stomach, Pylorus, 0D77 Diaphragm, 0BMT0ZZ
Pylorogastrectomy Left, 0XM90ZZ
Right, 0XM80ZZ Duct
see Excision, Gastrointestinal System, 0DB Common Bile, 0FM9
see Resection, Gastrointestinal System, 0DT Axilla
Left, 0XM50ZZ Cystic, 0FM8
Pyloroplasty Hepatic
see Repair, Stomach, Pylorus, 0DQ7 Right, 0XM40ZZ
Back Common, 0FM7
see Supplement, Stomach, Pylorus, 0DU7
Psychotherapy — Reattachment

Lower, 0WML0ZZ Left, 0FM6

Pyloroscopy, 0DJ68ZZ Upper, 0WMK0ZZ Right, 0FM5
Pylorotomy see Drainage, Stomach, Pylorus, 0D97 Bladder, 0TMB Pancreatic, 0FMD
Pyramidalis muscle Bladder Neck, 0TMC Accessory, 0FMF
use Abdomen Muscle, Left Breast Duodenum, 0DM9
use Abdomen Muscle, Right Bilateral, 0HMVXZZ Ear
Left, 0HMUXZZ Left, 09M1XZZ
Q Right, 0HMTXZZ
Bronchus
Right, 09M0XZZ
Elbow Region
Lingula, 0BM90ZZ Left, 0XMC0ZZ
Quadrangular cartilage use Nasal Septum Lower Lobe Right, 0XMB0ZZ
Quadrant resection of breast see Excision, Skin and Left, 0BMB0ZZ Esophagus, 0DM5
Breast, 0HB Right, 0BM60ZZ Extremity
Quadrate lobe use Liver Main Lower
Quadratus femoris muscle Left, 0BM70ZZ Left, 0YMB0ZZ
use Hip Muscle, Left Right, 0BM30ZZ Right, 0YM90ZZ
use Hip Muscle, Right Middle Lobe, Right, 0BM50ZZ Upper
Quadratus lumborum muscle Left, 0XM70ZZ
use Trunk Muscle, Left Right, 0XM60ZZ

88 2 Subterms under main terms may continue to next column or page

ICD-10-PCS 2019 Reattachment
Reattachment — continued Reattachment — continued Reattachment — continued

Index
Eyelid Lung — continued Skin — continued
Lower Right, 0BMK0ZZ Hand
Left, 08MRXZZ Upper Lobe Left, 0HMGXZZ
Right, 08MQXZZ Left, 0BMG0ZZ Right, 0HMFXZZ
Upper Right, 0BMC0ZZ Inguinal, 0HMAXZZ
Left, 08MPXZZ Lung Lingula, 0BMH0ZZ Lower Arm
Right, 08MNXZZ Muscle Left, 0HMEXZZ
Face, 0WM20ZZ Abdomen Right, 0HMDXZZ
Fallopian Tube Left, 0KML Lower Leg
Left, 0UM6 Right, 0KMK Left, 0HMLXZZ
Right, 0UM5 Facial, 0KM1 Right, 0HMKXZZ
Fallopian Tubes, Bilateral, 0UM7 Foot Neck, 0HM4XZZ
Femoral Region Left, 0KMW Perineum, 0HM9XZZ
Left, 0YM80ZZ Right, 0KMV Scalp, 0HM0XZZ
Right, 0YM70ZZ Hand Upper Arm
Finger Left, 0KMD Left, 0HMCXZZ
Index Right, 0KMC Right, 0HMBXZZ
Left, 0XMP0ZZ Head, 0KM0 Upper Leg
Right, 0XMN0ZZ Hip Left, 0HMJXZZ
Little Left, 0KMP Right, 0HMHXZZ
Left, 0XMW0ZZ Right, 0KMN Stomach, 0DM6
Right, 0XMV0ZZ Lower Arm and Wrist Tendon
Middle Left, 0KMB Abdomen
Left, 0XMR0ZZ Right, 0KM9 Left, 0LMG
Right, 0XMQ0ZZ Lower Leg Right, 0LMF
Ring Left, 0KMT Ankle
Left, 0XMT0ZZ Right, 0KMS Left, 0LMT
Right, 0XMS0ZZ Neck Right, 0LMS
Foot Left, 0KM3 Foot
Left, 0YMN0ZZ Right, 0KM2 Left, 0LMW
Right, 0YMM0ZZ Perineum, 0KMM Right, 0LMV
Forequarter Shoulder Hand
Left, 0XM10ZZ Left, 0KM6 Left, 0LM8
Right, 0XM00ZZ Right, 0KM5 Right, 0LM7
Gallbladder, 0FM4 Thorax Head and Neck, 0LM0
Gland Left, 0KMJ Hip
Left, 0GM2 Right, 0KMH Left, 0LMK
Right, 0GM3 Tongue, Palate, Pharynx, 0KM4 Right, 0LMJ
Hand Trunk Knee
Left, 0XMK0ZZ Left, 0KMG Left, 0LMR
Right, 0XMJ0ZZ Right, 0KMF Right, 0LMQ
Hindquarter Upper Arm Lower Arm and Wrist
Bilateral, 0YM40ZZ Left, 0KM8 Left, 0LM6
Left, 0YM30ZZ Right, 0KM7 Right, 0LM5
Right, 0YM20ZZ Upper Leg Lower Leg
Hymen, 0UMK Left, 0KMR Left, 0LMP
Ileum, 0DMB Right, 0KMQ Right, 0LMN
Inguinal Region Nasal Mucosa and Soft Tissue, 09MKXZZ Perineum, 0LMH
Left, 0YM60ZZ Neck, 0WM60ZZ Shoulder
Right, 0YM50ZZ Nipple Left, 0LM2
Intestine Left, 0HMXXZZ Right, 0LM1
Large, 0DME Right, 0HMWXZZ Thorax
Left, 0DMG Ovary Left, 0LMD
Right, 0DMF Bilateral, 0UM2 Right, 0LMC
Small, 0DM8 Left, 0UM1 Trunk
Jaw Right, 0UM0 Left, 0LMB
Lower, 0WM50ZZ Palate, Soft, 0CM30ZZ Right, 0LM9
Upper, 0WM40ZZ Pancreas, 0FMG Upper Arm
Jejunum, 0DMA Parathyroid Gland, 0GMR Left, 0LM4
Kidney Inferior Right, 0LM3
Left, 0TM1 Left, 0GMP Upper Leg
Right, 0TM0 Right, 0GMN Left, 0LMM
Kidney Pelvis Multiple, 0GMQ Right, 0LML
Left, 0TM4 Superior Testis
Right, 0TM3 Left, 0GMM Bilateral, 0VMC
Kidneys, Bilateral, 0TM2 Right, 0GML Left, 0VMB
Knee Region Penis, 0VMSXZZ Right, 0VM9
Left, 0YMG0ZZ Perineum Thumb
Right, 0YMF0ZZ Female, 0WMN0ZZ Left, 0XMM0ZZ
Leg Male, 0WMM0ZZ Right, 0XML0ZZ
Reattachment — Reattachment

Lower Rectum, 0DMP Thyroid Gland

Left, 0YMJ0ZZ Scrotum, 0VM5XZZ Left Lobe, 0GMG
Right, 0YMH0ZZ Shoulder Region Right Lobe, 0GMH
Upper Left, 0XM30ZZ Toe
Left, 0YMD0ZZ Right, 0XM20ZZ 1st
Right, 0YMC0ZZ Skin Left, 0YMQ0ZZ
Lip Abdomen, 0HM7XZZ Right, 0YMP0ZZ
Lower, 0CM10ZZ Back, 0HM6XZZ 2nd
Upper, 0CM00ZZ Buttock, 0HM8XZZ Left, 0YMS0ZZ
Liver, 0FM0 Chest, 0HM5XZZ Right, 0YMR0ZZ
Left Lobe, 0FM2 Ear 3rd
Right Lobe, 0FM1 Left, 0HM3XZZ Left, 0YMU0ZZ
Lung Right, 0HM2XZZ Right, 0YMT0ZZ
Left, 0BML0ZZ Face, 0HM1XZZ 4th
Lower Lobe Foot Left, 0YMW0ZZ
Left, 0BMJ0ZZ Left, 0HMNXZZ Right, 0YMV0ZZ
Right, 0BMF0ZZ Right, 0HMMXZZ 5th
Middle Lobe, Right, 0BMD0ZZ Left, 0YMY0ZZ

2 Subterms under main terms may continue to next column or page 89

 Reattachment ICD-10-PCS 2019
Reattachment — continued Rehabilitation — continued Release — continued
Index
Toe — continued see Speech Assessment, Rehabilitation, F00 Artery — continued
5th — continued see Speech Treatment, Rehabilitation, F06 Peroneal
Right, 0YMX0ZZ see Vestibular Treatment, Rehabilitation, F0C Left, 04NU
Tongue, 0CM70ZZ Reimplantation Right, 04NT
Tooth see Reattachment Popliteal
Lower, 0CMX see Reposition Left, 04NN
Upper, 0CMW see Transfer Right, 04NM
Trachea, 0BM10ZZ Reinforcement Posterior Tibial
Tunica Vaginalis see Repair Left, 04NS
Left, 0VM7 see Supplement Right, 04NR
Right, 0VM6 Relaxation, scar tissue see Release Pulmonary
Ureter Release Left, 02NR
Left, 0TM7 Acetabulum Right, 02NQ
Right, 0TM6 Left, 0QN5 Pulmonary Trunk, 02NP
Ureters, Bilateral, 0TM8 Right, 0QN4 Radial
Urethra, 0TMD Adenoids, 0CNQ Left, 03NC
Uterine Supporting Structure, 0UM4 Ampulla of Vater, 0FNC Right, 03NB
Uterus, 0UM9 Anal Sphincter, 0DNR Renal
Uvula, 0CMN0ZZ Anterior Chamber Left, 04NA
Vagina, 0UMG Left, 08N33ZZ Right, 04N9
Vulva, 0UMMXZZ Right, 08N23ZZ Splenic, 04N4
Wrist Region Anus, 0DNQ Subclavian
Left, 0XMH0ZZ Aorta Left, 03N4
Right, 0XMG0ZZ Abdominal, 04N0 Right, 03N3
REBOA (resuscitative endovascular balloon occlusion Thoracic Superior Mesenteric, 04N5
of the aorta) Ascending/Arch, 02NX Temporal
02LW3DJ Descending, 02NW Left, 03NT
04L03DJ Aortic Body, 0GND Right, 03NS
Rebound HRD® (Hernia Repair Device) use Synthetic Appendix, 0DNJ Thyroid
Substitute Artery Left, 03NV
Recession Anterior Tibial Right, 03NU
see Repair Left, 04NQ Ulnar
see Reposition Right, 04NP Left, 03NA
Reclosure, disrupted abdominal wall, 0WQFXZZ Axillary Right, 03N9
Reconstruction Left, 03N6 Upper, 03NY
see Repair Right, 03N5 Vertebral
see Replacement Brachial Left, 03NQ
see Supplement Left, 03N8 Right, 03NP
Rectectomy Right, 03N7 Atrium
see Excision, Rectum, 0DBP Celiac, 04N1 Left, 02N7
see Resection, Rectum, 0DTP Colic Right, 02N6
Rectocele repair see Repair, Subcutaneous Tissue and Left, 04N7 Auditory Ossicle
Fascia, Pelvic Region, 0JQC Middle, 04N8 Left, 09NA
Right, 04N6 Right, 09N9
Rectopexy
Common Carotid Basal Ganglia, 00N8
see Repair, Gastrointestinal System, 0DQ Bladder, 0TNB
see Reposition, Gastrointestinal System, 0DS Left, 03NJ
Right, 03NH Bladder Neck, 0TNC
Rectoplasty Bone
see Repair, Gastrointestinal System, 0DQ Common Iliac
Left, 04ND Ethmoid
see Supplement, Gastrointestinal System, 0DU Left, 0NNG
Rectorrhaphy see Repair, Gastrointestinal System, 0DQ Right, 04NC
Coronary Right, 0NNF
Rectoscopy, 0DJD8ZZ Frontal, 0NN1
Rectosigmoid junction use Sigmoid Colon Four or More Arteries, 02N3
One Artery, 02N0 Hyoid, 0NNX
Rectosigmoidectomy Lacrimal
see Excision, Gastrointestinal System, 0DB Three Arteries, 02N2
Two Arteries, 02N1 Left, 0NNJ
see Resection, Gastrointestinal System, 0DT Right, 0NNH
External Carotid
Rectostomy see Drainage, Rectum, 0D9P Nasal, 0NNB
Left, 03NN
Rectotomy see Drainage, Rectum, 0D9P Right, 03NM Occipital, 0NN7
Rectus abdominis muscle External Iliac Palatine
use Abdomen Muscle, Left Left, 04NJ Left, 0NNL
use Abdomen Muscle, Right Right, 04NH Right, 0NNK
Rectus femoris muscle Face, 03NR Parietal
use Upper Leg Muscle, Left Femoral Left, 0NN4
use Upper Leg Muscle, Right Left, 04NL Right, 0NN3
Recurrent laryngeal nerve use Vagus Nerve Right, 04NK Pelvic
Reduction Foot Left, 0QN3
Dislocation see Reposition Left, 04NW Right, 0QN2
Fracture see Reposition Right, 04NV Sphenoid, 0NNC
Intussusception, intestinal see Reposition, Gastroin- Gastric, 04N2 Temporal
testinal System, 0DS Hand Left, 0NN6
Mammoplasty see Excision, Skin and Breast, 0HB Left, 03NF Right, 0NN5
Prolapse see Reposition Right, 03ND Zygomatic
Torsion see Reposition Hepatic, 04N3 Left, 0NNN
Right, 0NNM
Reattachment — Release

Volvulus, gastrointestinal see Reposition, Gastroin- Inferior Mesenteric, 04NB

testinal System, 0DS Innominate, 03N2 Brain, 00N0
Refusion see Fusion Internal Carotid Breast
Rehabilitation Left, 03NL Bilateral, 0HNV
see Activities of Daily Living Assessment, Rehabilita- Right, 03NK Left, 0HNU
tion, F02 Internal Iliac Right, 0HNT
Left, 04NF Bronchus
see Activities of Daily Living Treatment, Rehabilitation,
Right, 04NE Lingula, 0BN9
F08
Internal Mammary Lower Lobe
see Caregiver Training, Rehabilitation, F0F Left, 0BNB
see Cochlear Implant Treatment, Rehabilitation, F0B Left, 03N1
Right, 03N0 Right, 0BN6
see Device Fitting, Rehabilitation, F0D Main
see Hearing Treatment, Rehabilitation, F09 Intracranial, 03NG
Lower, 04NY Left, 0BN7
see Motor Function Assessment, Rehabilitation, F01 Right, 0BN3
see Motor Treatment, Rehabilitation, F07 Middle Lobe, Right, 0BN5

90 2 Subterms under main terms may continue to next column or page

ICD-10-PCS 2019 Release
Release — continued Release — continued Release — continued

Index
Bronchus — continued Diaphragm, 0BNT Gland — continued
Upper Lobe Disc Lacrimal
Left, 0BN8 Cervical Vertebral, 0RN3 Left, 08NW
Right, 0BN4 Cervicothoracic Vertebral, 0RN5 Right, 08NV
Buccal Mucosa, 0CN4 Lumbar Vertebral, 0SN2 Minor Salivary, 0CNJ
Bursa and Ligament Lumbosacral, 0SN4 Parotid
Abdomen Thoracic Vertebral, 0RN9 Left, 0CN9
Left, 0MNJ Thoracolumbar Vertebral, 0RNB Right, 0CN8
Right, 0MNH Duct Pituitary, 0GN0
Ankle Common Bile, 0FN9 Sublingual
Left, 0MNR Cystic, 0FN8 Left, 0CNF
Right, 0MNQ Hepatic Right, 0CND
Elbow Common, 0FN7 Submaxillary
Left, 0MN4 Left, 0FN6 Left, 0CNH
Right, 0MN3 Right, 0FN5 Right, 0CNG
Foot Lacrimal Vestibular, 0UNL
Left, 0MNT Left, 08NY Glenoid Cavity
Right, 0MNS Right, 08NX Left, 0PN8
Hand Pancreatic, 0FND Right, 0PN7
Left, 0MN8 Accessory, 0FNF Glomus Jugulare, 0GNC
Right, 0MN7 Parotid Humeral Head
Head and Neck, 0MN0 Left, 0CNC Left, 0PND
Hip Right, 0CNB Right, 0PNC
Left, 0MNM Duodenum, 0DN9 Humeral Shaft
Right, 0MNL Dura Mater, 00N2 Left, 0PNG
Knee Ear Right, 0PNF
Left, 0MNP External Hymen, 0UNK
Right, 0MNN Left, 09N1 Hypothalamus, 00NA
Lower Extremity Right, 09N0 Ileocecal Valve, 0DNC
Left, 0MNW External Auditory Canal Ileum, 0DNB
Right, 0MNV Left, 09N4 Intestine
Perineum, 0MNK Right, 09N3 Large, 0DNE
Rib(s), 0MNG Inner Left, 0DNG
Shoulder Left, 09NE Right, 0DNF
Left, 0MN2 Right, 09ND Small, 0DN8
Right, 0MN1 Middle Iris
Spine Left, 09N6 Left, 08ND3ZZ
Lower, 0MND Right, 09N5 Right, 08NC3ZZ
Upper, 0MNC Epididymis Jejunum, 0DNA
Sternum, 0MNF Bilateral, 0VNL Joint
Upper Extremity Left, 0VNK Acromioclavicular
Left, 0MNB Right, 0VNJ Left, 0RNH
Right, 0MN9 Epiglottis, 0CNR Right, 0RNG
Wrist Esophagogastric Junction, 0DN4 Ankle
Left, 0MN6 Esophagus, 0DN5 Left, 0SNG
Right, 0MN5 Lower, 0DN3 Right, 0SNF
Carina, 0BN2 Middle, 0DN2 Carpal
Carotid Bodies, Bilateral, 0GN8 Upper, 0DN1 Left, 0RNR
Carotid Body Eustachian Tube Right, 0RNQ
Left, 0GN6 Left, 09NG Carpometacarpal
Right, 0GN7 Right, 09NF Left, 0RNT
Carpal Eye Right, 0RNS
Left, 0PNN Left, 08N1XZZ Cervical Vertebral, 0RN1
Right, 0PNM Right, 08N0XZZ Cervicothoracic Vertebral, 0RN4
Cecum, 0DNH Eyelid Coccygeal, 0SN6
Cerebellum, 00NC Lower Elbow
Cerebral Hemisphere, 00N7 Left, 08NR Left, 0RNM
Cerebral Meninges, 00N1 Right, 08NQ Right, 0RNL
Cerebral Ventricle, 00N6 Upper Finger Phalangeal
Cervix, 0UNC Left, 08NP Left, 0RNX
Chordae Tendineae, 02N9 Right, 08NN Right, 0RNW
Choroid Fallopian Tube Hip
Left, 08NB Left, 0UN6 Left, 0SNB
Right, 08NA Right, 0UN5 Right, 0SN9
Cisterna Chyli, 07NL Fallopian Tubes, Bilateral, 0UN7 Knee
Clavicle Femoral Shaft Left, 0SND
Left, 0PNB Left, 0QN9 Right, 0SNC
Right, 0PN9 Right, 0QN8 Lumbar Vertebral, 0SN0
Clitoris, 0UNJ Femur Lumbosacral, 0SN3
Coccygeal Glomus, 0GNB Lower Metacarpophalangeal
Coccyx, 0QNS Left, 0QNC Left, 0RNV
Colon Right, 0QNB Right, 0RNU
Ascending, 0DNK Upper Metatarsal-Phalangeal
Descending, 0DNM Left, 0QN7 Left, 0SNN
Sigmoid, 0DNN Right, 0QN6 Right, 0SNM
Transverse, 0DNL Fibula Occipital-cervical, 0RN0
Conduction Mechanism, 02N8 Left, 0QNK Sacrococcygeal, 0SN5
Release — Release

Conjunctiva Right, 0QNJ Sacroiliac

Left, 08NTXZZ Finger Nail, 0HNQXZZ Left, 0SN8
Right, 08NSXZZ Gallbladder, 0FN4 Right, 0SN7
Cord Gingiva Shoulder
Bilateral, 0VNH Lower, 0CN6 Left, 0RNK
Left, 0VNG Upper, 0CN5 Right, 0RNJ
Right, 0VNF Gland Sternoclavicular
Cornea Adrenal Left, 0RNF
Left, 08N9XZZ Bilateral, 0GN4 Right, 0RNE
Right, 08N8XZZ Left, 0GN2 Tarsal
Cul-de-sac, 0UNF Right, 0GN3 Left, 0SNJ

2 Subterms under main terms may continue to next column or page 91

 Release ICD-10-PCS 2019
Release — continued Release — continued Release — continued
Index
Joint — continued Muscle — continued Ovary
Tarsal — continued Extraocular — continued Bilateral, 0UN2
Right, 0SNH Right, 08NL Left, 0UN1
Tarsometatarsal Facial, 0KN1 Right, 0UN0
Left, 0SNL Foot Palate
Right, 0SNK Left, 0KNW Hard, 0CN2
Temporomandibular Right, 0KNV Soft, 0CN3
Left, 0RND Hand Pancreas, 0FNG
Right, 0RNC Left, 0KND Para-aortic Body, 0GN9
Thoracic Vertebral, 0RN6 Right, 0KNC Paraganglion Extremity, 0GNF
Thoracolumbar Vertebral, 0RNA Head, 0KN0 Parathyroid Gland, 0GNR
Toe Phalangeal Hip Inferior
Left, 0SNQ Left, 0KNP Left, 0GNP
Right, 0SNP Right, 0KNN Right, 0GNN
Wrist Lower Arm and Wrist Multiple, 0GNQ
Left, 0RNP Left, 0KNB Superior
Right, 0RNN Right, 0KN9 Left, 0GNM
Kidney Lower Leg Right, 0GNL
Left, 0TN1 Left, 0KNT Patella
Right, 0TN0 Right, 0KNS Left, 0QNF
Kidney Pelvis Neck Right, 0QND
Left, 0TN4 Left, 0KN3 Penis, 0VNS
Right, 0TN3 Right, 0KN2 Pericardium, 02NN
Larynx, 0CNS Papillary, 02ND Peritoneum, 0DNW
Lens Perineum, 0KNM Phalanx
Left, 08NK3ZZ Shoulder Finger
Right, 08NJ3ZZ Left, 0KN6 Left, 0PNV
Lip Right, 0KN5 Right, 0PNT
Lower, 0CN1 Thorax Thumb
Upper, 0CN0 Left, 0KNJ Left, 0PNS
Liver, 0FN0 Right, 0KNH Right, 0PNR
Left Lobe, 0FN2 Tongue, Palate, Pharynx, 0KN4 Toe
Right Lobe, 0FN1 Trunk Left, 0QNR
Lung Left, 0KNG Right, 0QNQ
Bilateral, 0BNM Right, 0KNF Pharynx, 0CNM
Left, 0BNL Upper Arm Pineal Body, 0GN1
Lower Lobe Left, 0KN8 Pleura
Left, 0BNJ Right, 0KN7 Left, 0BNP
Right, 0BNF Upper Leg Right, 0BNN
Middle Lobe, Right, 0BND Left, 0KNR Pons, 00NB
Right, 0BNK Right, 0KNQ Prepuce, 0VNT
Upper Lobe Myocardial Bridge see Release, Artery, Coronary Prostate, 0VN0
Left, 0BNG Nasal Mucosa and Soft Tissue, 09NK Radius
Right, 0BNC Nasopharynx, 09NN Left, 0PNJ
Lung Lingula, 0BNH Nerve Right, 0PNH
Lymphatic Abdominal Sympathetic, 01NM Rectum, 0DNP
Aortic, 07ND Abducens, 00NL Retina
Axillary Accessory, 00NR Left, 08NF3ZZ
Left, 07N6 Acoustic, 00NN Right, 08NE3ZZ
Right, 07N5 Brachial Plexus, 01N3 Retinal Vessel
Head, 07N0 Cervical, 01N1 Left, 08NH3ZZ
Inguinal Cervical Plexus, 01N0 Right, 08NG3ZZ
Left, 07NJ Facial, 00NM Ribs
Right, 07NH Femoral, 01ND 1 to 2, 0PN1
Internal Mammary Glossopharyngeal, 00NP 3 or More, 0PN2
Left, 07N9 Head and Neck Sympathetic, 01NK Sacrum, 0QN1
Right, 07N8 Hypoglossal, 00NS Scapula
Lower Extremity Lumbar, 01NB Left, 0PN6
Left, 07NG Lumbar Plexus, 01N9 Right, 0PN5
Right, 07NF Lumbar Sympathetic, 01NN Sclera
Mesenteric, 07NB Lumbosacral Plexus, 01NA Left, 08N7XZZ
Neck Median, 01N5 Right, 08N6XZZ
Left, 07N2 Oculomotor, 00NH Scrotum, 0VN5
Right, 07N1 Olfactory, 00NF Septum
Pelvis, 07NC Optic, 00NG Atrial, 02N5
Thoracic Duct, 07NK Peroneal, 01NH Nasal, 09NM
Thorax, 07N7 Phrenic, 01N2 Ventricular, 02NM
Upper Extremity Pudendal, 01NC Sinus
Left, 07N4 Radial, 01N6 Accessory, 09NP
Right, 07N3 Sacral, 01NR Ethmoid
Mandible Sacral Plexus, 01NQ Left, 09NV
Left, 0NNV Sacral Sympathetic, 01NP Right, 09NU
Right, 0NNT Sciatic, 01NF Frontal
Maxilla, 0NNR Thoracic, 01N8 Left, 09NT
Medulla Oblongata, 00ND Thoracic Sympathetic, 01NL Right, 09NS
Mesentery, 0DNV Tibial, 01NG Mastoid
Metacarpal Trigeminal, 00NK Left, 09NC
Release — Release

Left, 0PNQ Trochlear, 00NJ Right, 09NB

Right, 0PNP Ulnar, 01N4 Maxillary
Metatarsal Vagus, 00NQ Left, 09NR
Left, 0QNP Nipple Right, 09NQ
Right, 0QNN Left, 0HNX Sphenoid
Muscle Right, 0HNW Left, 09NX
Abdomen Omentum, 0DNU Right, 09NW
Left, 0KNL Orbit Skin
Right, 0KNK Left, 0NNQ Abdomen, 0HN7XZZ
Extraocular Right, 0NNP Back, 0HN6XZZ
Left, 08NM Buttock, 0HN8XZZ

92 2 Subterms under main terms may continue to next column or page

ICD-10-PCS 2019 Removal
Release — continued Release — continued Release — continued

Index
Skin — continued Tendon — continued Vein — continued
Chest, 0HN5XZZ Knee Common Iliac
Ear Left, 0LNR Left, 06ND
Left, 0HN3XZZ Right, 0LNQ Right, 06NC
Right, 0HN2XZZ Lower Arm and Wrist Coronary, 02N4
Face, 0HN1XZZ Left, 0LN6 Esophageal, 06N3
Foot Right, 0LN5 External Iliac
Left, 0HNNXZZ Lower Leg Left, 06NG
Right, 0HNMXZZ Left, 0LNP Right, 06NF
Hand Right, 0LNN External Jugular
Left, 0HNGXZZ Perineum, 0LNH Left, 05NQ
Right, 0HNFXZZ Shoulder Right, 05NP
Inguinal, 0HNAXZZ Left, 0LN2 Face
Lower Arm Right, 0LN1 Left, 05NV
Left, 0HNEXZZ Thorax Right, 05NT
Right, 0HNDXZZ Left, 0LND Femoral
Lower Leg Right, 0LNC Left, 06NN
Left, 0HNLXZZ Trunk Right, 06NM
Right, 0HNKXZZ Left, 0LNB Foot
Neck, 0HN4XZZ Right, 0LN9 Left, 06NV
Perineum, 0HN9XZZ Upper Arm Right, 06NT
Scalp, 0HN0XZZ Left, 0LN4 Gastric, 06N2
Upper Arm Right, 0LN3 Hand
Left, 0HNCXZZ Upper Leg Left, 05NH
Right, 0HNBXZZ Left, 0LNM Right, 05NG
Upper Leg Right, 0LNL Hemiazygos, 05N1
Left, 0HNJXZZ Testis Hepatic, 06N4
Right, 0HNHXZZ Bilateral, 0VNC Hypogastric
Spinal Cord Left, 0VNB Left, 06NJ
Cervical, 00NW Right, 0VN9 Right, 06NH
Lumbar, 00NY Thalamus, 00N9 Inferior Mesenteric, 06N6
Thoracic, 00NX Thymus, 07NM Innominate
Spinal Meninges, 00NT Thyroid Gland, 0GNK Left, 05N4
Spleen, 07NP Left Lobe, 0GNG Right, 05N3
Sternum, 0PN0 Right Lobe, 0GNH Internal Jugular
Stomach, 0DN6 Tibia Left, 05NN
Pylorus, 0DN7 Left, 0QNH Right, 05NM
Subcutaneous Tissue and Fascia Right, 0QNG Intracranial, 05NL
Abdomen, 0JN8 Toe Nail, 0HNRXZZ Lower, 06NY
Back, 0JN7 Tongue, 0CN7 Portal, 06N8
Buttock, 0JN9 Tonsils, 0CNP Pulmonary
Chest, 0JN6 Tooth Left, 02NT
Face, 0JN1 Lower, 0CNX Right, 02NS
Foot Upper, 0CNW Renal
Left, 0JNR Trachea, 0BN1 Left, 06NB
Right, 0JNQ Tunica Vaginalis Right, 06N9
Hand Left, 0VN7 Saphenous
Left, 0JNK Right, 0VN6 Left, 06NQ
Right, 0JNJ Turbinate, Nasal, 09NL Right, 06NP
Lower Arm Tympanic Membrane Splenic, 06N1
Left, 0JNH Left, 09N8 Subclavian
Right, 0JNG Right, 09N7 Left, 05N6
Lower Leg Ulna Right, 05N5
Left, 0JNP Left, 0PNL Superior Mesenteric, 06N5
Right, 0JNN Right, 0PNK Upper, 05NY
Neck Ureter Vertebral
Left, 0JN5 Left, 0TN7 Left, 05NS
Right, 0JN4 Right, 0TN6 Right, 05NR
Pelvic Region, 0JNC Urethra, 0TND Vena Cava
Perineum, 0JNB Uterine Supporting Structure, 0UN4 Inferior, 06N0
Scalp, 0JN0 Uterus, 0UN9 Superior, 02NV
Upper Arm Uvula, 0CNN Ventricle
Left, 0JNF Vagina, 0UNG Left, 02NL
Right, 0JND Valve Right, 02NK
Upper Leg Aortic, 02NF Vertebra
Left, 0JNM Mitral, 02NG Cervical, 0PN3
Right, 0JNL Pulmonary, 02NH Lumbar, 0QN0
Tarsal Tricuspid, 02NJ Thoracic, 0PN4
Left, 0QNM Vas Deferens Vesicle
Right, 0QNL Bilateral, 0VNQ Bilateral, 0VN3
Tendon Left, 0VNP Left, 0VN2
Abdomen Right, 0VNN Right, 0VN1
Left, 0LNG Vein Vitreous
Right, 0LNF Axillary Left, 08N53ZZ
Ankle Left, 05N8 Right, 08N43ZZ
Left, 0LNT Right, 05N7 Vocal Cord
Right, 0LNS Azygos, 05N0 Left, 0CNV
Release — Removal

Foot Basilic Right, 0CNT

Left, 0LNW Left, 05NC Vulva, 0UNM
Right, 0LNV Right, 05NB Relocation see Reposition
Hand Brachial Removal
Left, 0LN8 Left, 05NA Abdominal Wall, 2W53X
Right, 0LN7 Right, 05N9 Anorectal, 2Y53X5Z
Head and Neck, 0LN0 Cephalic Arm
Hip Left, 05NF Lower
Left, 0LNK Right, 05ND Left, 2W5DX
Right, 0LNJ Colic, 06N7 Right, 2W5CX

2 Subterms under main terms may continue to next column or page 93

 Removal ICD-10-PCS 2019
Removal — continued Removal of device from — continued Removal of device from — continued
Index
Arm — continued Disc Joint — continued
Upper Cervical Vertebral, 0RP3 Elbow
Left, 2W5BX Cervicothoracic Vertebral, 0RP5 Left, 0RPM
Right, 2W5AX Lumbar Vertebral, 0SP2 Right, 0RPL
Back, 2W55X Lumbosacral, 0SP4 Finger Phalangeal
Chest Wall, 2W54X Thoracic Vertebral, 0RP9 Left, 0RPX
Ear, 2Y52X5Z Thoracolumbar Vertebral, 0RPB Right, 0RPW
Extremity Duct Hip
Lower Hepatobiliary, 0FPB Left, 0SPB
Left, 2W5MX Pancreatic, 0FPD Acetabular Surface, 0SPE
Right, 2W5LX Ear Femoral Surface, 0SPS
Upper Inner Right, 0SP9
Left, 2W59X Left, 09PJ Acetabular Surface, 0SPA
Right, 2W58X Right, 09PD Femoral Surface, 0SPR
Face, 2W51X Left, 09PJ Knee
Finger Right, 09PH Left, 0SPD
Left, 2W5KX Epididymis and Spermatic Cord, 0VPM Femoral Surface, 0SPU
Right, 2W5JX Esophagus, 0DP5 Tibial Surface, 0SPW
Foot Extremity Right, 0SPC
Left, 2W5TX Lower Femoral Surface, 0SPT
Right, 2W5SX Left, 0YPB Tibial Surface, 0SPV
Genital Tract, Female, 2Y54X5Z Right, 0YP9 Lumbar Vertebral, 0SP0
Hand Upper Lumbosacral, 0SP3
Left, 2W5FX Left, 0XP7 Metacarpophalangeal
Right, 2W5EX Right, 0XP6 Left, 0RPV
Head, 2W50X Eye Right, 0RPU
Inguinal Region Left, 08P1 Metatarsal-Phalangeal
Left, 2W57X Right, 08P0 Left, 0SPN
Right, 2W56X Face, 0WP2 Right, 0SPM
Leg Fallopian Tube, 0UP8 Occipital-cervical, 0RP0
Lower Femoral Shaft Sacrococcygeal, 0SP5
Left, 2W5RX Left, 0QP9 Sacroiliac
Right, 2W5QX Right, 0QP8 Left, 0SP8
Upper Femur Right, 0SP7
Left, 2W5PX Lower Shoulder
Right, 2W5NX Left, 0QPC Left, 0RPK
Mouth and Pharynx, 2Y50X5Z Right, 0QPB Right, 0RPJ
Nasal, 2Y51X5Z Upper Sternoclavicular
Neck, 2W52X Left, 0QP7 Left, 0RPF
Thumb Right, 0QP6 Right, 0RPE
Left, 2W5HX Fibula Tarsal
Right, 2W5GX Left, 0QPK Left, 0SPJ
Toe Right, 0QPJ Right, 0SPH
Left, 2W5VX Finger Nail, 0HPQX Tarsometatarsal
Right, 2W5UX Gallbladder, 0FP4 Left, 0SPL
Urethra, 2Y55X5Z Gastrointestinal Tract, 0WPP Right, 0SPK
Removal of device from Genitourinary Tract, 0WPR Temporomandibular
Abdominal Wall, 0WPF Gland Left, 0RPD
Acetabulum Adrenal, 0GP5 Right, 0RPC
Left, 0QP5 Endocrine, 0GPS Thoracic Vertebral, 0RP6
Right, 0QP4 Pituitary, 0GP0 Thoracolumbar Vertebral, 0RPA
Anal Sphincter, 0DPR Salivary, 0CPA Toe Phalangeal
Anus, 0DPQ Glenoid Cavity Left, 0SPQ
Artery Left, 0PP8 Right, 0SPP
Lower, 04PY Right, 0PP7 Wrist
Upper, 03PY Great Vessel, 02PY Left, 0RPP
Back Hair, 0HPSX Right, 0RPN
Lower, 0WPL Head, 0WP0 Kidney, 0TP5
Upper, 0WPK Heart, 02PA Larynx, 0CPS
Bladder, 0TPB Humeral Head Lens
Bone Left, 0PPD Left, 08PK3
Facial, 0NPW Right, 0PPC Right, 08PJ3
Lower, 0QPY Humeral Shaft Liver, 0FP0
Nasal, 0NPB Left, 0PPG Lung
Pelvic Right, 0PPF Left, 0BPL
Left, 0QP3 Intestinal Tract Right, 0BPK
Right, 0QP2 Lower, 0DPD Lymphatic, 07PN
Upper, 0PPY Upper, 0DP0 Thoracic Duct, 07PK
Removal — Removal of device from

Bone Marrow, 07PT Jaw Mediastinum, 0WPC

Brain, 00P0 Lower, 0WP5 Mesentery, 0DPV
Breast Upper, 0WP4 Metacarpal
Left, 0HPU Joint Left, 0PPQ
Right, 0HPT Acromioclavicular Right, 0PPP
Bursa and Ligament Left, 0RPH Metatarsal
Lower, 0MPY Right, 0RPG Left, 0QPP
Upper, 0MPX Ankle Right, 0QPN
Carpal Left, 0SPG Mouth and Throat, 0CPY
Left, 0PPN Right, 0SPF Muscle
Right, 0PPM Carpal Extraocular
Cavity, Cranial, 0WP1 Left, 0RPR Left, 08PM
Cerebral Ventricle, 00P6 Right, 0RPQ Right, 08PL
Chest Wall, 0WP8 Carpometacarpal Lower, 0KPY
Cisterna Chyli, 07PL Left, 0RPT Upper, 0KPX
Clavicle Right, 0RPS Nasal Mucosa and Soft Tissue, 09PK
Left, 0PPB Cervical Vertebral, 0RP1 Neck, 0WP6
Right, 0PP9 Cervicothoracic Vertebral, 0RP4 Nerve
Coccyx, 0QPS Coccygeal, 0SP6 Cranial, 00PE
Diaphragm, 0BPT Peripheral, 01PY

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ICD-10-PCS 2019 Repair
Removal of device from — continued Removal of device from — continued Repair — continued

Index
Omentum, 0DPU Vein — continued Artery — continued
Ovary, 0UP3 Innominate Common Iliac
Pancreas, 0FPG Left, 05P4 Left, 04QD
Parathyroid Gland, 0GPR Right, 05P3 Right, 04QC
Patella Lower, 06PY Coronary
Left, 0QPF Upper, 05PY Four or More Arteries, 02Q3
Right, 0QPD Vertebra One Artery, 02Q0
Pelvic Cavity, 0WPJ Cervical, 0PP3 Three Arteries, 02Q2
Penis, 0VPS Lumbar, 0QP0 Two Arteries, 02Q1
Pericardial Cavity, 0WPD Thoracic, 0PP4 External Carotid
Perineum Vulva, 0UPM Left, 03QN
Female, 0WPN Renal calyx Right, 03QM
Male, 0WPM use Kidney External Iliac
Peritoneal Cavity, 0WPG use Kidney, Left Left, 04QJ
Peritoneum, 0DPW use Kidney, Right Right, 04QH
Phalanx use Kidneys, Bilateral Face, 03QR
Finger Renal capsule Femoral
Left, 0PPV use Kidney Left, 04QL
Right, 0PPT use Kidney, Left Right, 04QK
Thumb use Kidney, Right Foot
Left, 0PPS use Kidneys, Bilateral Left, 04QW
Right, 0PPR Renal cortex Right, 04QV
Toe use Kidney Gastric, 04Q2
Left, 0QPR use Kidney, Left Hand
Right, 0QPQ use Kidney, Right Left, 03QF
Pineal Body, 0GP1 use Kidneys, Bilateral Right, 03QD
Pleura, 0BPQ Hepatic, 04Q3
Renal dialysis see Performance, Urinary, 5A1D
Pleural Cavity Inferior Mesenteric, 04QB
Left, 0WPB Renal plexus use Abdominal Sympathetic Nerve Innominate, 03Q2
Right, 0WP9 Renal segment Internal Carotid
Products of Conception, 10P0 use Kidney Left, 03QL
Prostate and Seminal Vesicles, 0VP4 use Kidney, Left Right, 03QK
Radius use Kidney, Right Internal Iliac
Left, 0PPJ use Kidneys, Bilateral Left, 04QF
Right, 0PPH Renal segmental artery Right, 04QE
Rectum, 0DPP use Renal Artery, Left Internal Mammary
Respiratory Tract, 0WPQ use Renal Artery, Right Left, 03Q1
Retroperitoneum, 0WPH Reopening, operative site Right, 03Q0
Ribs Control of bleeding see Control bleeding in Intracranial, 03QG
1 to 2, 0PP1 Inspection only see Inspection Lower, 04QY
3 or More, 0PP2 Repair Peroneal
Sacrum, 0QP1 Abdominal Wall, 0WQF Left, 04QU
Scapula Acetabulum Right, 04QT
Left, 0PP6 Left, 0QQ5 Popliteal
Right, 0PP5 Right, 0QQ4 Left, 04QN
Scrotum and Tunica Vaginalis, 0VP8 Adenoids, 0CQQ Right, 04QM
Sinus, 09PY Ampulla of Vater, 0FQC Posterior Tibial
Skin, 0HPPX Anal Sphincter, 0DQR Left, 04QS
Skull, 0NP0 Ankle Region Right, 04QR
Spinal Canal, 00PU Left, 0YQL Pulmonary
Spinal Cord, 00PV Right, 0YQK Left, 02QR
Spleen, 07PP Anterior Chamber Right, 02QQ
Sternum, 0PP0 Left, 08Q33ZZ Pulmonary Trunk, 02QP
Stomach, 0DP6 Right, 08Q23ZZ Radial
Subcutaneous Tissue and Fascia Anus, 0DQQ Left, 03QC
Head and Neck, 0JPS Aorta Right, 03QB
Lower Extremity, 0JPW Abdominal, 04Q0 Renal
Trunk, 0JPT Thoracic Left, 04QA
Upper Extremity, 0JPV Ascending/Arch, 02QX Right, 04Q9
Tarsal Descending, 02QW Splenic, 04Q4
Left, 0QPM Aortic Body, 0GQD Subclavian
Right, 0QPL Appendix, 0DQJ Left, 03Q4
Tendon Arm Right, 03Q3
Lower, 0LPY Lower Superior Mesenteric, 04Q5
Upper, 0LPX Left, 0XQF Temporal
Testis, 0VPD Right, 0XQD Left, 03QT
Thymus, 07PM Upper Right, 03QS
Thyroid Gland, 0GPK Left, 0XQ9 Thyroid
Tibia Right, 0XQ8 Left, 03QV
Removal of device from — Repair
Left, 0QPH Artery Right, 03QU
Right, 0QPG Anterior Tibial Ulnar
Toe Nail, 0HPRX Left, 04QQ Left, 03QA
Trachea, 0BP1 Right, 04QP Right, 03Q9
Tracheobronchial Tree, 0BP0 Axillary Upper, 03QY
Tympanic Membrane Left, 03Q6 Vertebral
Left, 09P8 Right, 03Q5 Left, 03QQ
Right, 09P7 Brachial Right, 03QP
Ulna Left, 03Q8 Atrium
Left, 0PPL Right, 03Q7 Left, 02Q7
Right, 0PPK Celiac, 04Q1 Right, 02Q6
Ureter, 0TP9 Colic Auditory Ossicle
Urethra, 0TPD Left, 04Q7 Left, 09QA
Uterus and Cervix, 0UPD Middle, 04Q8 Right, 09Q9
Vagina and Cul-de-sac, 0UPH Right, 04Q6 Axilla
Vas Deferens, 0VPR Common Carotid Left, 0XQ5
Vein Left, 03QJ Right, 0XQ4
Azygos, 05P0 Right, 03QH Back
Lower, 0WQL

2 Subterms under main terms may continue to next column or page 95

 Repair ICD-10-PCS 2019
Repair — continued Repair — continued Repair — continued
Index
Back — continued Bursa and Ligament — continued Ear — continued
Upper, 0WQK Upper Extremity — continued Middle
Basal Ganglia, 00Q8 Right, 0MQ9 Left, 09Q6
Bladder, 0TQB Wrist Right, 09Q5
Bladder Neck, 0TQC Left, 0MQ6 Elbow Region
Bone Right, 0MQ5 Left, 0XQC
Ethmoid Buttock Right, 0XQB
Left, 0NQG Left, 0YQ1 Epididymis
Right, 0NQF Right, 0YQ0 Bilateral, 0VQL
Frontal, 0NQ1 Carina, 0BQ2 Left, 0VQK
Hyoid, 0NQX Carotid Bodies, Bilateral, 0GQ8 Right, 0VQJ
Lacrimal Carotid Body Epiglottis, 0CQR
Left, 0NQJ Left, 0GQ6 Esophagogastric Junction, 0DQ4
Right, 0NQH Right, 0GQ7 Esophagus, 0DQ5
Nasal, 0NQB Carpal Lower, 0DQ3
Occipital, 0NQ7 Left, 0PQN Middle, 0DQ2
Palatine Right, 0PQM Upper, 0DQ1
Left, 0NQL Cecum, 0DQH Eustachian Tube
Right, 0NQK Cerebellum, 00QC Left, 09QG
Parietal Cerebral Hemisphere, 00Q7 Right, 09QF
Left, 0NQ4 Cerebral Meninges, 00Q1 Extremity
Right, 0NQ3 Cerebral Ventricle, 00Q6 Lower
Pelvic Cervix, 0UQC Left, 0YQB
Left, 0QQ3 Chest Wall, 0WQ8 Right, 0YQ9
Right, 0QQ2 Chordae Tendineae, 02Q9 Upper
Sphenoid, 0NQC Choroid Left, 0XQ7
Temporal Left, 08QB Right, 0XQ6
Left, 0NQ6 Right, 08QA Eye
Right, 0NQ5 Cisterna Chyli, 07QL Left, 08Q1XZZ
Zygomatic Clavicle Right, 08Q0XZZ
Left, 0NQN Left, 0PQB Eyelid
Right, 0NQM Right, 0PQ9 Lower
Brain, 00Q0 Clitoris, 0UQJ Left, 08QR
Breast Coccygeal Glomus, 0GQB Right, 08QQ
Bilateral, 0HQV Coccyx, 0QQS Upper
Left, 0HQU Colon Left, 08QP
Right, 0HQT Ascending, 0DQK Right, 08QN
Supernumerary, 0HQY Descending, 0DQM Face, 0WQ2
Bronchus Sigmoid, 0DQN Fallopian Tube
Lingula, 0BQ9 Transverse, 0DQL Left, 0UQ6
Lower Lobe Conduction Mechanism, 02Q8 Right, 0UQ5
Left, 0BQB Conjunctiva Fallopian Tubes, Bilateral, 0UQ7
Right, 0BQ6 Left, 08QTXZZ Femoral Region
Main Right, 08QSXZZ Bilateral, 0YQE
Left, 0BQ7 Cord Left, 0YQ8
Right, 0BQ3 Bilateral, 0VQH Right, 0YQ7
Middle Lobe, Right, 0BQ5 Left, 0VQG Femoral Shaft
Upper Lobe Right, 0VQF Left, 0QQ9
Left, 0BQ8 Cornea Right, 0QQ8
Right, 0BQ4 Left, 08Q9XZZ Femur
Buccal Mucosa, 0CQ4 Right, 08Q8XZZ Lower
Bursa and Ligament Cul-de-sac, 0UQF Left, 0QQC
Abdomen Diaphragm, 0BQT Right, 0QQB
Left, 0MQJ Disc Upper
Right, 0MQH Cervical Vertebral, 0RQ3 Left, 0QQ7
Ankle Cervicothoracic Vertebral, 0RQ5 Right, 0QQ6
Left, 0MQR Lumbar Vertebral, 0SQ2 Fibula
Right, 0MQQ Lumbosacral, 0SQ4 Left, 0QQK
Elbow Thoracic Vertebral, 0RQ9 Right, 0QQJ
Left, 0MQ4 Thoracolumbar Vertebral, 0RQB Finger
Right, 0MQ3 Duct Index
Foot Common Bile, 0FQ9 Left, 0XQP
Left, 0MQT Cystic, 0FQ8 Right, 0XQN
Right, 0MQS Hepatic Little
Hand Common, 0FQ7 Left, 0XQW
Left, 0MQ8 Left, 0FQ6 Right, 0XQV
Right, 0MQ7 Right, 0FQ5 Middle
Head and Neck, 0MQ0 Lacrimal Left, 0XQR
Hip Left, 08QY Right, 0XQQ
Left, 0MQM Right, 08QX Ring
Right, 0MQL Pancreatic, 0FQD Left, 0XQT
Knee Accessory, 0FQF Right, 0XQS
Left, 0MQP Parotid Finger Nail, 0HQQXZZ
Right, 0MQN Left, 0CQC Floor of mouth see Repair, Oral Cavity and Throat,
Lower Extremity Right, 0CQB 0WQ3
Left, 0MQW Duodenum, 0DQ9 Foot
Right, 0MQV Dura Mater, 00Q2 Left, 0YQN
Perineum, 0MQK Ear Right, 0YQM
Rib(s), 0MQG External Gallbladder, 0FQ4
Repair — Repair

Shoulder Bilateral, 09Q2 Gingiva

Left, 0MQ2 Left, 09Q1 Lower, 0CQ6
Right, 0MQ1 Right, 09Q0 Upper, 0CQ5
Spine External Auditory Canal Gland
Lower, 0MQD Left, 09Q4 Adrenal
Upper, 0MQC Right, 09Q3 Bilateral, 0GQ4
Sternum, 0MQF Inner Left, 0GQ2
Upper Extremity Left, 09QE Right, 0GQ3
Left, 0MQB Right, 09QD

96 2 Subterms under main terms may continue to next column or page

ICD-10-PCS 2019 Repair
Repair — continued Repair — continued Repair — continued

Index
Gland — continued Joint — continued Lymphatic — continued
Lacrimal Metatarsal-Phalangeal — continued Pelvis, 07QC
Left, 08QW Right, 0SQM Thoracic Duct, 07QK
Right, 08QV Occipital-cervical, 0RQ0 Thorax, 07Q7
Minor Salivary, 0CQJ Sacrococcygeal, 0SQ5 Upper Extremity
Parotid Sacroiliac Left, 07Q4
Left, 0CQ9 Left, 0SQ8 Right, 07Q3
Right, 0CQ8 Right, 0SQ7 Mandible
Pituitary, 0GQ0 Shoulder Left, 0NQV
Sublingual Left, 0RQK Right, 0NQT
Left, 0CQF Right, 0RQJ Maxilla, 0NQR
Right, 0CQD Sternoclavicular Mediastinum, 0WQC
Submaxillary Left, 0RQF Medulla Oblongata, 00QD
Left, 0CQH Right, 0RQE Mesentery, 0DQV
Right, 0CQG Tarsal Metacarpal
Vestibular, 0UQL Left, 0SQJ Left, 0PQQ
Glenoid Cavity Right, 0SQH Right, 0PQP
Left, 0PQ8 Tarsometatarsal Metatarsal
Right, 0PQ7 Left, 0SQL Left, 0QQP
Glomus Jugulare, 0GQC Right, 0SQK Right, 0QQN
Hand Temporomandibular Muscle
Left, 0XQK Left, 0RQD Abdomen
Right, 0XQJ Right, 0RQC Left, 0KQL
Head, 0WQ0 Thoracic Vertebral, 0RQ6 Right, 0KQK
Heart, 02QA Thoracolumbar Vertebral, 0RQA Extraocular
Left, 02QC Toe Phalangeal Left, 08QM
Right, 02QB Left, 0SQQ Right, 08QL
Humeral Head Right, 0SQP Facial, 0KQ1
Left, 0PQD Wrist Foot
Right, 0PQC Left, 0RQP Left, 0KQW
Humeral Shaft Right, 0RQN Right, 0KQV
Left, 0PQG Kidney Hand
Right, 0PQF Left, 0TQ1 Left, 0KQD
Hymen, 0UQK Right, 0TQ0 Right, 0KQC
Hypothalamus, 00QA Kidney Pelvis Head, 0KQ0
Ileocecal Valve, 0DQC Left, 0TQ4 Hip
Ileum, 0DQB Right, 0TQ3 Left, 0KQP
Inguinal Region Knee Region Right, 0KQN
Bilateral, 0YQA Left, 0YQG Lower Arm and Wrist
Left, 0YQ6 Right, 0YQF Left, 0KQB
Right, 0YQ5 Larynx, 0CQS Right, 0KQ9
Intestine Leg Lower Leg
Large, 0DQE Lower Left, 0KQT
Left, 0DQG Left, 0YQJ Right, 0KQS
Right, 0DQF Right, 0YQH Neck
Small, 0DQ8 Upper Left, 0KQ3
Iris Left, 0YQD Right, 0KQ2
Left, 08QD3ZZ Right, 0YQC Papillary, 02QD
Right, 08QC3ZZ Lens Perineum, 0KQM
Jaw Left, 08QK3ZZ Shoulder
Lower, 0WQ5 Right, 08QJ3ZZ Left, 0KQ6
Upper, 0WQ4 Lip Right, 0KQ5
Jejunum, 0DQA Lower, 0CQ1 Thorax
Joint Upper, 0CQ0 Left, 0KQJ
Acromioclavicular Liver, 0FQ0 Right, 0KQH
Left, 0RQH Left Lobe, 0FQ2 Tongue, Palate, Pharynx, 0KQ4
Right, 0RQG Right Lobe, 0FQ1 Trunk
Ankle Lung Left, 0KQG
Left, 0SQG Bilateral, 0BQM Right, 0KQF
Right, 0SQF Left, 0BQL Upper Arm
Carpal Lower Lobe Left, 0KQ8
Left, 0RQR Left, 0BQJ Right, 0KQ7
Right, 0RQQ Right, 0BQF Upper Leg
Carpometacarpal Middle Lobe, Right, 0BQD Left, 0KQR
Left, 0RQT Right, 0BQK Right, 0KQQ
Right, 0RQS Upper Lobe Nasal Mucosa and Soft Tissue, 09QK
Cervical Vertebral, 0RQ1 Left, 0BQG Nasopharynx, 09QN
Cervicothoracic Vertebral, 0RQ4 Right, 0BQC Neck, 0WQ6
Coccygeal, 0SQ6 Lung Lingula, 0BQH Nerve
Elbow Lymphatic Abdominal Sympathetic, 01QM
Left, 0RQM Aortic, 07QD Abducens, 00QL
Right, 0RQL Axillary Accessory, 00QR
Finger Phalangeal Left, 07Q6 Acoustic, 00QN
Left, 0RQX Right, 07Q5 Brachial Plexus, 01Q3
Right, 0RQW Head, 07Q0 Cervical, 01Q1
Hip Inguinal Cervical Plexus, 01Q0
Left, 0SQB Left, 07QJ Facial, 00QM
Right, 0SQ9 Right, 07QH Femoral, 01QD
Knee Internal Mammary Glossopharyngeal, 00QP
Repair — Repair

Left, 0SQD Left, 07Q9 Head and Neck Sympathetic, 01QK

Right, 0SQC Right, 07Q8 Hypoglossal, 00QS
Lumbar Vertebral, 0SQ0 Lower Extremity Lumbar, 01QB
Lumbosacral, 0SQ3 Left, 07QG Lumbar Plexus, 01Q9
Metacarpophalangeal Right, 07QF Lumbar Sympathetic, 01QN
Left, 0RQV Mesenteric, 07QB Lumbosacral Plexus, 01QA
Right, 0RQU Neck Median, 01Q5
Metatarsal-Phalangeal Left, 07Q2 Oculomotor, 00QH
Left, 0SQN Right, 07Q1 Olfactory, 00QF

2 Subterms under main terms may continue to next column or page 97

 Repair ICD-10-PCS 2019
Repair — continued Repair — continued Repair — continued
Index
Nerve — continued Sclera Subcutaneous Tissue and Fascia — continued
Optic, 00QG Left, 08Q7XZZ Neck
Peroneal, 01QH Right, 08Q6XZZ Left, 0JQ5
Phrenic, 01Q2 Scrotum, 0VQ5 Right, 0JQ4
Pudendal, 01QC Septum Pelvic Region, 0JQC
Radial, 01Q6 Atrial, 02Q5 Perineum, 0JQB
Sacral, 01QR Nasal, 09QM Scalp, 0JQ0
Sacral Plexus, 01QQ Ventricular, 02QM Upper Arm
Sacral Sympathetic, 01QP Shoulder Region Left, 0JQF
Sciatic, 01QF Left, 0XQ3 Right, 0JQD
Thoracic, 01Q8 Right, 0XQ2 Upper Leg
Thoracic Sympathetic, 01QL Sinus Left, 0JQM
Tibial, 01QG Accessory, 09QP Right, 0JQL
Trigeminal, 00QK Ethmoid Tarsal
Trochlear, 00QJ Left, 09QV Left, 0QQM
Ulnar, 01Q4 Right, 09QU Right, 0QQL
Vagus, 00QQ Frontal Tendon
Nipple Left, 09QT Abdomen
Left, 0HQX Right, 09QS Left, 0LQG
Right, 0HQW Mastoid Right, 0LQF
Omentum, 0DQU Left, 09QC Ankle
Oral Cavity and Throat, 0WQ3 Right, 09QB Left, 0LQT
Orbit Maxillary Right, 0LQS
Left, 0NQQ Left, 09QR Foot
Right, 0NQP Right, 09QQ Left, 0LQW
Ovary Sphenoid Right, 0LQV
Bilateral, 0UQ2 Left, 09QX Hand
Left, 0UQ1 Right, 09QW Left, 0LQ8
Right, 0UQ0 Skin Right, 0LQ7
Palate Abdomen, 0HQ7XZZ Head and Neck, 0LQ0
Hard, 0CQ2 Back, 0HQ6XZZ Hip
Soft, 0CQ3 Buttock, 0HQ8XZZ Left, 0LQK
Pancreas, 0FQG Chest, 0HQ5XZZ Right, 0LQJ
Para-aortic Body, 0GQ9 Ear Knee
Paraganglion Extremity, 0GQF Left, 0HQ3XZZ Left, 0LQR
Parathyroid Gland, 0GQR Right, 0HQ2XZZ Right, 0LQQ
Inferior Face, 0HQ1XZZ Lower Arm and Wrist
Left, 0GQP Foot Left, 0LQ6
Right, 0GQN Left, 0HQNXZZ Right, 0LQ5
Multiple, 0GQQ Right, 0HQMXZZ Lower Leg
Superior Hand Left, 0LQP
Left, 0GQM Left, 0HQGXZZ Right, 0LQN
Right, 0GQL Right, 0HQFXZZ Perineum, 0LQH
Patella Inguinal, 0HQAXZZ Shoulder
Left, 0QQF Lower Arm Left, 0LQ2
Right, 0QQD Left, 0HQEXZZ Right, 0LQ1
Penis, 0VQS Right, 0HQDXZZ Thorax
Pericardium, 02QN Lower Leg Left, 0LQD
Perineum Left, 0HQLXZZ Right, 0LQC
Female, 0WQN Right, 0HQKXZZ Trunk
Male, 0WQM Neck, 0HQ4XZZ Left, 0LQB
Peritoneum, 0DQW Perineum, 0HQ9XZZ Right, 0LQ9
Phalanx Scalp, 0HQ0XZZ Upper Arm
Finger Upper Arm Left, 0LQ4
Left, 0PQV Left, 0HQCXZZ Right, 0LQ3
Right, 0PQT Right, 0HQBXZZ Upper Leg
Thumb Upper Leg Left, 0LQM
Left, 0PQS Left, 0HQJXZZ Right, 0LQL
Right, 0PQR Right, 0HQHXZZ Testis
Toe Skull, 0NQ0 Bilateral, 0VQC
Left, 0QQR Spinal Cord Left, 0VQB
Right, 0QQQ Cervical, 00QW Right, 0VQ9
Pharynx, 0CQM Lumbar, 00QY Thalamus, 00Q9
Pineal Body, 0GQ1 Thoracic, 00QX Thumb
Pleura Spinal Meninges, 00QT Left, 0XQM
Left, 0BQP Spleen, 07QP Right, 0XQL
Right, 0BQN Sternum, 0PQ0 Thymus, 07QM
Pons, 00QB Stomach, 0DQ6 Thyroid Gland, 0GQK
Prepuce, 0VQT Pylorus, 0DQ7 Left Lobe, 0GQG
Products of Conception, 10Q0 Subcutaneous Tissue and Fascia Right Lobe, 0GQH
Prostate, 0VQ0 Abdomen, 0JQ8 Thyroid Gland Isthmus, 0GQJ
Radius Back, 0JQ7 Tibia
Left, 0PQJ Buttock, 0JQ9 Left, 0QQH
Right, 0PQH Chest, 0JQ6 Right, 0QQG
Rectum, 0DQP Face, 0JQ1 Toe
Retina Foot 1st
Left, 08QF3ZZ Left, 0JQR Left, 0YQQ
Right, 08QE3ZZ Right, 0JQQ Right, 0YQP
Retinal Vessel Hand 2nd
Repair — Repair

Left, 08QH3ZZ Left, 0JQK Left, 0YQS

Right, 08QG3ZZ Right, 0JQJ Right, 0YQR
Ribs Lower Arm 3rd
1 to 2, 0PQ1 Left, 0JQH Left, 0YQU
3 or More, 0PQ2 Right, 0JQG Right, 0YQT
Sacrum, 0QQ1 Lower Leg 4th
Scapula Left, 0JQP Left, 0YQW
Left, 0PQ6 Right, 0JQN Right, 0YQV
Right, 0PQ5

98 2 Subterms under main terms may continue to next column or page

ICD-10-PCS 2019 Replacement
Repair — continued Repair — continued Replacement — continued

Index
Toe — continued Vein — continued Artery — continued
5th Internal Jugular — continued Femoral
Left, 0YQY Right, 05QM Left, 04RL
Right, 0YQX Intracranial, 05QL Right, 04RK
Toe Nail, 0HQRXZZ Lower, 06QY Foot
Tongue, 0CQ7 Portal, 06Q8 Left, 04RW
Tonsils, 0CQP Pulmonary Right, 04RV
Tooth Left, 02QT Gastric, 04R2
Lower, 0CQX Right, 02QS Hand
Upper, 0CQW Renal Left, 03RF
Trachea, 0BQ1 Left, 06QB Right, 03RD
Tunica Vaginalis Right, 06Q9 Hepatic, 04R3
Left, 0VQ7 Saphenous Inferior Mesenteric, 04RB
Right, 0VQ6 Left, 06QQ Innominate, 03R2
Turbinate, Nasal, 09QL Right, 06QP Internal Carotid
Tympanic Membrane Splenic, 06Q1 Left, 03RL
Left, 09Q8 Subclavian Right, 03RK
Right, 09Q7 Left, 05Q6 Internal Iliac
Ulna Right, 05Q5 Left, 04RF
Left, 0PQL Superior Mesenteric, 06Q5 Right, 04RE
Right, 0PQK Upper, 05QY Internal Mammary
Ureter Vertebral Left, 03R1
Left, 0TQ7 Left, 05QS Right, 03R0
Right, 0TQ6 Right, 05QR Intracranial, 03RG
Urethra, 0TQD Vena Cava Lower, 04RY
Uterine Supporting Structure, 0UQ4 Inferior, 06Q0 Peroneal
Uterus, 0UQ9 Superior, 02QV Left, 04RU
Uvula, 0CQN Ventricle Right, 04RT
Vagina, 0UQG Left, 02QL Popliteal
Valve Right, 02QK Left, 04RN
Aortic, 02QF Vertebra Right, 04RM
Mitral, 02QG Cervical, 0PQ3 Posterior Tibial
Pulmonary, 02QH Lumbar, 0QQ0 Left, 04RS
Tricuspid, 02QJ Thoracic, 0PQ4 Right, 04RR
Vas Deferens Vesicle Pulmonary
Bilateral, 0VQQ Bilateral, 0VQ3 Left, 02RR
Left, 0VQP Left, 0VQ2 Right, 02RQ
Right, 0VQN Right, 0VQ1 Pulmonary Trunk, 02RP
Vein Vitreous Radial
Axillary Left, 08Q53ZZ Left, 03RC
Left, 05Q8 Right, 08Q43ZZ Right, 03RB
Right, 05Q7 Vocal Cord Renal
Azygos, 05Q0 Left, 0CQV Left, 04RA
Basilic Right, 0CQT Right, 04R9
Left, 05QC Vulva, 0UQM Splenic, 04R4
Right, 05QB Wrist Region Subclavian
Brachial Left, 0XQH Left, 03R4
Left, 05QA Right, 0XQG Right, 03R3
Right, 05Q9 Repair, obstetric laceration, periurethral, 0UQMXZZ Superior Mesenteric, 04R5
Cephalic Replacement Temporal
Left, 05QF Acetabulum Left, 03RT
Right, 05QD Left, 0QR5 Right, 03RS
Colic, 06Q7 Right, 0QR4 Thyroid
Common Iliac Ampulla of Vater, 0FRC Left, 03RV
Left, 06QD Anal Sphincter, 0DRR Right, 03RU
Right, 06QC Aorta Ulnar
Coronary, 02Q4 Abdominal, 04R0 Left, 03RA
Esophageal, 06Q3 Thoracic Right, 03R9
External Iliac Ascending/Arch, 02RX Upper, 03RY
Left, 06QG Descending, 02RW Vertebral
Right, 06QF Artery Left, 03RQ
External Jugular Anterior Tibial Right, 03RP
Left, 05QQ Left, 04RQ Atrium
Right, 05QP Right, 04RP Left, 02R7
Face Axillary Right, 02R6
Left, 05QV Left, 03R6 Auditory Ossicle
Right, 05QT Right, 03R5 Left, 09RA0
Femoral Brachial Right, 09R90
Left, 06QN Left, 03R8 Bladder, 0TRB
Right, 06QM Right, 03R7 Bladder Neck, 0TRC
Foot Celiac, 04R1 Bone
Left, 06QV Colic Ethmoid
Right, 06QT Left, 04R7 Left, 0NRG
Gastric, 06Q2 Middle, 04R8 Right, 0NRF
Hand Right, 04R6 Frontal, 0NR1
Repair — Replacement

Left, 05QH Common Carotid Hyoid, 0NRX

Right, 05QG Left, 03RJ Lacrimal
Hemiazygos, 05Q1 Right, 03RH Left, 0NRJ
Hepatic, 06Q4 Common Iliac Right, 0NRH
Hypogastric Left, 04RD Nasal, 0NRB
Left, 06QJ Right, 04RC Occipital, 0NR7
Right, 06QH External Carotid Palatine
Inferior Mesenteric, 06Q6 Left, 03RN Left, 0NRL
Innominate Right, 03RM Right, 0NRK
Left, 05Q4 External Iliac Parietal
Right, 05Q3 Left, 04RJ Left, 0NR4
Internal Jugular Right, 04RH Right, 0NR3
Left, 05QN Face, 03RR

2 Subterms under main terms may continue to next column or page 99

 Replacement ICD-10-PCS 2019
Replacement — continued Replacement — continued Replacement — continued
Index
Bone — continued Cornea — continued Joint — continued
Pelvic Right, 08R8 Carpal — continued
Left, 0QR3 Diaphragm, 0BRT Right, 0RRQ0
Right, 0QR2 Disc Carpometacarpal
Sphenoid, 0NRC Cervical Vertebral, 0RR30 Left, 0RRT0
Temporal Cervicothoracic Vertebral, 0RR50 Right, 0RRS0
Left, 0NR6 Lumbar Vertebral, 0SR20 Cervical Vertebral, 0RR10
Right, 0NR5 Lumbosacral, 0SR40 Cervicothoracic Vertebral, 0RR40
Zygomatic Thoracic Vertebral, 0RR90 Coccygeal, 0SR60
Left, 0NRN Thoracolumbar Vertebral, 0RRB0 Elbow
Right, 0NRM Duct Left, 0RRM0
Breast Common Bile, 0FR9 Right, 0RRL0
Bilateral, 0HRV Cystic, 0FR8 Finger Phalangeal
Left, 0HRU Hepatic Left, 0RRX0
Right, 0HRT Common, 0FR7 Right, 0RRW0
Bronchus Left, 0FR6 Hip
Lingula, 0BR9 Right, 0FR5 Left, 0SRB
Lower Lobe Lacrimal Acetabular Surface, 0SRE
Left, 0BRB Left, 08RY Femoral Surface, 0SRS
Right, 0BR6 Right, 08RX Right, 0SR9
Main Pancreatic, 0FRD Acetabular Surface, 0SRA
Left, 0BR7 Accessory, 0FRF Femoral Surface, 0SRR
Right, 0BR3 Parotid Knee
Middle Lobe, Right, 0BR5 Left, 0CRC Left, 0SRD
Upper Lobe Right, 0CRB Femoral Surface, 0SRU
Left, 0BR8 Dura Mater, 00R2 Tibial Surface, 0SRW
Right, 0BR4 Ear Right, 0SRC
Buccal Mucosa, 0CR4 External Femoral Surface, 0SRT
Bursa and Ligament Bilateral, 09R2 Tibial Surface, 0SRV
Abdomen Left, 09R1 Lumbar Vertebral, 0SR00
Left, 0MRJ Right, 09R0 Lumbosacral, 0SR30
Right, 0MRH Inner Metacarpophalangeal
Ankle Left, 09RE0 Left, 0RRV0
Left, 0MRR Right, 09RD0 Right, 0RRU0
Right, 0MRQ Middle Metatarsal-Phalangeal
Elbow Left, 09R60 Left, 0SRN0
Left, 0MR4 Right, 09R50 Right, 0SRM0
Right, 0MR3 Epiglottis, 0CRR Occipital-cervical, 0RR00
Foot Esophagus, 0DR5 Sacrococcygeal, 0SR50
Left, 0MRT Eye Sacroiliac
Right, 0MRS Left, 08R1 Left, 0SR80
Hand Right, 08R0 Right, 0SR70
Left, 0MR8 Eyelid Shoulder
Right, 0MR7 Lower Left, 0RRK
Head and Neck, 0MR0 Left, 08RR Right, 0RRJ
Hip Right, 08RQ Sternoclavicular
Left, 0MRM Upper Left, 0RRF0
Right, 0MRL Left, 08RP Right, 0RRE0
Knee Right, 08RN Tarsal
Left, 0MRP Femoral Shaft Left, 0SRJ0
Right, 0MRN Left, 0QR9 Right, 0SRH0
Lower Extremity Right, 0QR8 Tarsometatarsal
Left, 0MRW Femur Left, 0SRL0
Right, 0MRV Lower Right, 0SRK0
Perineum, 0MRK Left, 0QRC Temporomandibular
Rib(s), 0MRG Right, 0QRB Left, 0RRD0
Shoulder Upper Right, 0RRC0
Left, 0MR2 Left, 0QR7 Thoracic Vertebral, 0RR60
Right, 0MR1 Right, 0QR6 Thoracolumbar Vertebral, 0RRA0
Spine Fibula Toe Phalangeal
Lower, 0MRD Left, 0QRK Left, 0SRQ0
Upper, 0MRC Right, 0QRJ Right, 0SRP0
Sternum, 0MRF Finger Nail, 0HRQX Wrist
Upper Extremity Gingiva Left, 0RRP0
Left, 0MRB Lower, 0CR6 Right, 0RRN0
Right, 0MR9 Upper, 0CR5 Kidney Pelvis
Wrist Glenoid Cavity Left, 0TR4
Left, 0MR6 Left, 0PR8 Right, 0TR3
Right, 0MR5 Right, 0PR7 Larynx, 0CRS
Carina, 0BR2 Hair, 0HRSX Lens
Carpal Humeral Head Left, 08RK30Z
Replacement — Replacement

Left, 0PRN Left, 0PRD Right, 08RJ30Z

Right, 0PRM Right, 0PRC Lip
Cerebral Meninges, 00R1 Humeral Shaft Lower, 0CR1
Cerebral Ventricle, 00R6 Left, 0PRG Upper, 0CR0
Chordae Tendineae, 02R9 Right, 0PRF Mandible
Choroid Iris Left, 0NRV
Left, 08RB Left, 08RD3 Right, 0NRT
Right, 08RA Right, 08RC3 Maxilla, 0NRR
Clavicle Joint Mesentery, 0DRV
Left, 0PRB Acromioclavicular Metacarpal
Right, 0PR9 Left, 0RRH0 Left, 0PRQ
Coccyx, 0QRS Right, 0RRG0 Right, 0PRP
Conjunctiva Ankle Metatarsal
Left, 08RTX Left, 0SRG Left, 0QRP
Right, 08RSX Right, 0SRF Right, 0QRN
Cornea Carpal
Left, 08R9 Left, 0RRR0

100 2 Subterms under main terms may continue to next column or page
ICD-10-PCS 2019 Replacement
Replacement — continued Replacement — continued Replacement — continued

Index
Muscle Phalanx — continued Subcutaneous Tissue and Fascia — continued
Abdomen Finger — continued Scalp, 0JR0
Left, 0KRL Right, 0PRT Upper Arm
Right, 0KRK Thumb Left, 0JRF
Facial, 0KR1 Left, 0PRS Right, 0JRD
Foot Right, 0PRR Upper Leg
Left, 0KRW Toe Left, 0JRM
Right, 0KRV Left, 0QRR Right, 0JRL
Hand Right, 0QRQ Tarsal
Left, 0KRD Pharynx, 0CRM Left, 0QRM
Right, 0KRC Radius Right, 0QRL
Head, 0KR0 Left, 0PRJ Tendon
Hip Right, 0PRH Abdomen
Left, 0KRP Retinal Vessel Left, 0LRG
Right, 0KRN Left, 08RH3 Right, 0LRF
Lower Arm and Wrist Right, 08RG3 Ankle
Left, 0KRB Ribs Left, 0LRT
Right, 0KR9 1 to 2, 0PR1 Right, 0LRS
Lower Leg 3 or More, 0PR2 Foot
Left, 0KRT Sacrum, 0QR1 Left, 0LRW
Right, 0KRS Scapula Right, 0LRV
Neck Left, 0PR6 Hand
Left, 0KR3 Right, 0PR5 Left, 0LR8
Right, 0KR2 Sclera Right, 0LR7
Papillary, 02RD Left, 08R7X Head and Neck, 0LR0
Perineum, 0KRM Right, 08R6X Hip
Shoulder Septum Left, 0LRK
Left, 0KR6 Atrial, 02R5 Right, 0LRJ
Right, 0KR5 Nasal, 09RM Knee
Thorax Ventricular, 02RM Left, 0LRR
Left, 0KRJ Skin Right, 0LRQ
Right, 0KRH Abdomen, 0HR7 Lower Arm and Wrist
Tongue, Palate, Pharynx, 0KR4 Back, 0HR6 Left, 0LR6
Trunk Buttock, 0HR8 Right, 0LR5
Left, 0KRG Chest, 0HR5 Lower Leg
Right, 0KRF Ear Left, 0LRP
Upper Arm Left, 0HR3 Right, 0LRN
Left, 0KR8 Right, 0HR2 Perineum, 0LRH
Right, 0KR7 Face, 0HR1 Shoulder
Upper Leg Foot Left, 0LR2
Left, 0KRR Left, 0HRN Right, 0LR1
Right, 0KRQ Right, 0HRM Thorax
Nasal Mucosa and Soft Tissue, 09RK Hand Left, 0LRD
Nasopharynx, 09RN Left, 0HRG Right, 0LRC
Nerve Right, 0HRF Trunk
Abducens, 00RL Inguinal, 0HRA Left, 0LRB
Accessory, 00RR Lower Arm Right, 0LR9
Acoustic, 00RN Left, 0HRE Upper Arm
Cervical, 01R1 Right, 0HRD Left, 0LR4
Facial, 00RM Lower Leg Right, 0LR3
Femoral, 01RD Left, 0HRL Upper Leg
Glossopharyngeal, 00RP Right, 0HRK Left, 0LRM
Hypoglossal, 00RS Neck, 0HR4 Right, 0LRL
Lumbar, 01RB Perineum, 0HR9 Testis
Median, 01R5 Scalp, 0HR0 Bilateral, 0VRC0JZ
Oculomotor, 00RH Upper Arm Left, 0VRB0JZ
Olfactory, 00RF Left, 0HRC Right, 0VR90JZ
Optic, 00RG Right, 0HRB Thumb
Peroneal, 01RH Upper Leg Left, 0XRM
Phrenic, 01R2 Left, 0HRJ Right, 0XRL
Pudendal, 01RC Right, 0HRH Tibia
Radial, 01R6 Skin Substitute, Porcine Liver Derived, XHRPXL2 Left, 0QRH
Sacral, 01RR Skull, 0NR0 Right, 0QRG
Sciatic, 01RF Spinal Meninges, 00RT Toe Nail, 0HRRX
Thoracic, 01R8 Sternum, 0PR0 Tongue, 0CR7
Tibial, 01RG Subcutaneous Tissue and Fascia Tooth
Trigeminal, 00RK Abdomen, 0JR8 Lower, 0CRX
Trochlear, 00RJ Back, 0JR7 Upper, 0CRW
Ulnar, 01R4 Buttock, 0JR9 Trachea, 0BR1
Vagus, 00RQ Chest, 0JR6 Turbinate, Nasal, 09RL
Nipple Face, 0JR1 Tympanic Membrane
Replacement — Replacement

Left, 0HRX Foot Left, 09R8

Right, 0HRW Left, 0JRR Right, 09R7
Omentum, 0DRU Right, 0JRQ Ulna
Orbit Hand Left, 0PRL
Left, 0NRQ Left, 0JRK Right, 0PRK
Right, 0NRP Right, 0JRJ Ureter
Palate Lower Arm Left, 0TR7
Hard, 0CR2 Left, 0JRH Right, 0TR6
Soft, 0CR3 Right, 0JRG Urethra, 0TRD
Patella Lower Leg Uvula, 0CRN
Left, 0QRF Left, 0JRP Valve
Right, 0QRD Right, 0JRN Aortic, 02RF
Pericardium, 02RN Neck Mitral, 02RG
Peritoneum, 0DRW Left, 0JR5 Pulmonary, 02RH
Phalanx Right, 0JR4 Tricuspid, 02RJ
Finger Pelvic Region, 0JRC
Left, 0PRV Perineum, 0JRB

2 Subterms under main terms may continue to next column or page 101
 Replacement ICD-10-PCS 2019
Replacement — continued Replacement, hip Reposition — continued
Index
Vein Partial or total see Replacement, Lower Joints, 0SR Artery — continued
Axillary Resurfacing only see Supplement, Lower Joints, 0SU Renal — continued
Left, 05R8 Replantation see Reposition Right, 04S9
Right, 05R7 Replantation, scalp see Reattachment, Skin, Scalp, 0HM0 Splenic, 04S4
Azygos, 05R0 Reposition Subclavian
Basilic Acetabulum Left, 03S4
Left, 05RC Left, 0QS5 Right, 03S3
Right, 05RB Right, 0QS4 Superior Mesenteric, 04S5
Brachial Ampulla of Vater, 0FSC Temporal
Left, 05RA Anus, 0DSQ Left, 03ST
Right, 05R9 Aorta Right, 03SS
Cephalic Abdominal, 04S0 Thyroid
Left, 05RF Thoracic Left, 03SV
Right, 05RD Ascending/Arch, 02SX0ZZ Right, 03SU
Colic, 06R7 Descending, 02SW0ZZ Ulnar
Common Iliac Artery Left, 03SA
Left, 06RD Anterior Tibial Right, 03S9
Right, 06RC Left, 04SQ Upper, 03SY
Esophageal, 06R3 Right, 04SP Vertebral
External Iliac Axillary Left, 03SQ
Left, 06RG Left, 03S6 Right, 03SP
Right, 06RF Right, 03S5 Auditory Ossicle
External Jugular Brachial Left, 09SA
Left, 05RQ Left, 03S8 Right, 09S9
Right, 05RP Right, 03S7 Bladder, 0TSB
Face Celiac, 04S1 Bladder Neck, 0TSC
Left, 05RV Colic Bone
Right, 05RT Left, 04S7 Ethmoid
Femoral Middle, 04S8 Left, 0NSG
Left, 06RN Right, 04S6 Right, 0NSF
Right, 06RM Common Carotid Frontal, 0NS1
Foot Left, 03SJ Hyoid, 0NSX
Left, 06RV Right, 03SH Lacrimal
Right, 06RT Common Iliac Left, 0NSJ
Gastric, 06R2 Left, 04SD Right, 0NSH
Hand Right, 04SC Nasal, 0NSB
Left, 05RH Coronary Occipital, 0NS7
Right, 05RG One Artery, 02S00ZZ Palatine
Hemiazygos, 05R1 Two Arteries, 02S10ZZ Left, 0NSL
Hepatic, 06R4 External Carotid Right, 0NSK
Hypogastric Left, 03SN Parietal
Left, 06RJ Right, 03SM Left, 0NS4
Right, 06RH External Iliac Right, 0NS3
Inferior Mesenteric, 06R6 Left, 04SJ Pelvic
Innominate Right, 04SH Left, 0QS3
Left, 05R4 Face, 03SR Right, 0QS2
Right, 05R3 Femoral Sphenoid, 0NSC
Internal Jugular Left, 04SL Temporal
Left, 05RN Right, 04SK Left, 0NS6
Right, 05RM Foot Right, 0NS5
Intracranial, 05RL Left, 04SW Zygomatic
Lower, 06RY Right, 04SV Left, 0NSN
Portal, 06R8 Gastric, 04S2 Right, 0NSM
Pulmonary Hand Breast
Left, 02RT Left, 03SF Bilateral, 0HSV0ZZ
Right, 02RS Right, 03SD Left, 0HSU0ZZ
Renal Hepatic, 04S3 Right, 0HST0ZZ
Left, 06RB Inferior Mesenteric, 04SB Bronchus
Right, 06R9 Innominate, 03S2 Lingula, 0BS90ZZ
Saphenous Internal Carotid Lower Lobe
Left, 06RQ Left, 03SL Left, 0BSB0ZZ
Right, 06RP Right, 03SK Right, 0BS60ZZ
Splenic, 06R1 Internal Iliac Main
Subclavian Left, 04SF Left, 0BS70ZZ
Left, 05R6 Right, 04SE Right, 0BS30ZZ
Right, 05R5 Internal Mammary Middle Lobe, Right, 0BS50ZZ
Superior Mesenteric, 06R5 Left, 03S1 Upper Lobe
Upper, 05RY Right, 03S0 Left, 0BS80ZZ
Vertebral Intracranial, 03SG Right, 0BS40ZZ
Left, 05RS Lower, 04SY Bursa and Ligament
Right, 05RR Peroneal Abdomen
Vena Cava Left, 04SU Left, 0MSJ
Replacement — Reposition

Inferior, 06R0 Right, 04ST Right, 0MSH

Superior, 02RV Popliteal Ankle
Ventricle Left, 04SN Left, 0MSR
Left, 02RL Right, 04SM Right, 0MSQ
Right, 02RK Posterior Tibial Elbow
Vertebra Left, 04SS Left, 0MS4
Cervical, 0PR3 Right, 04SR Right, 0MS3
Lumbar, 0QR0 Pulmonary Foot
Thoracic, 0PR4 Left, 02SR0ZZ Left, 0MST
Vitreous Right, 02SQ0ZZ Right, 0MSS
Left, 08R53 Pulmonary Trunk, 02SP0ZZ Hand
Right, 08R43 Radial Left, 0MS8
Vocal Cord Left, 03SC Right, 0MS7
Left, 0CRV Right, 03SB Head and Neck, 0MS0
Right, 0CRT Renal Hip
Zooplastic Tissue, Rapid Deployment Technique, X2RF Left, 04SA Left, 0MSM

102 2 Subterms under main terms may continue to next column or page
ICD-10-PCS 2019 Reposition
Reposition — continued Reposition — continued Reposition — continued

Index
Bursa and Ligament — continued Femur — continued Joint — continued
Hip — continued Upper Temporomandibular — continued
Right, 0MSL Left, 0QS7 Right, 0RSC
Knee Right, 0QS6 Thoracic Vertebral, 0RS6
Left, 0MSP Fibula Thoracolumbar Vertebral, 0RSA
Right, 0MSN Left, 0QSK Toe Phalangeal
Lower Extremity Right, 0QSJ Left, 0SSQ
Left, 0MSW Gallbladder, 0FS4 Right, 0SSP
Right, 0MSV Gland Wrist
Perineum, 0MSK Adrenal Left, 0RSP
Rib(s), 0MSG Left, 0GS2 Right, 0RSN
Shoulder Right, 0GS3 Kidney
Left, 0MS2 Lacrimal Left, 0TS1
Right, 0MS1 Left, 08SW Right, 0TS0
Spine Right, 08SV Kidney Pelvis
Lower, 0MSD Glenoid Cavity Left, 0TS4
Upper, 0MSC Left, 0PS8 Right, 0TS3
Sternum, 0MSF Right, 0PS7 Kidneys, Bilateral, 0TS2
Upper Extremity Hair, 0HSSXZZ Lens
Left, 0MSB Humeral Head Left, 08SK3ZZ
Right, 0MS9 Left, 0PSD Right, 08SJ3ZZ
Wrist Right, 0PSC Lip
Left, 0MS6 Humeral Shaft Lower, 0CS1
Right, 0MS5 Left, 0PSG Upper, 0CS0
Carina, 0BS20ZZ Right, 0PSF Liver, 0FS0
Carpal Ileum, 0DSB Lung
Left, 0PSN Intestine Left, 0BSL0ZZ
Right, 0PSM Large, 0DSE Lower Lobe
Cecum, 0DSH Small, 0DS8 Left, 0BSJ0ZZ
Cervix, 0USC Iris Right, 0BSF0ZZ
Clavicle Left, 08SD3ZZ Middle Lobe, Right, 0BSD0ZZ
Left, 0PSB Right, 08SC3ZZ Right, 0BSK0ZZ
Right, 0PS9 Jejunum, 0DSA Upper Lobe
Coccyx, 0QSS Joint Left, 0BSG0ZZ
Colon Acromioclavicular Right, 0BSC0ZZ
Ascending, 0DSK Left, 0RSH Lung Lingula, 0BSH0ZZ
Descending, 0DSM Right, 0RSG Mandible
Sigmoid, 0DSN Ankle Left, 0NSV
Transverse, 0DSL Left, 0SSG Right, 0NST
Cord Right, 0SSF Maxilla, 0NSR
Bilateral, 0VSH Carpal Metacarpal
Left, 0VSG Left, 0RSR Left, 0PSQ
Right, 0VSF Right, 0RSQ Right, 0PSP
Cul-de-sac, 0USF Carpometacarpal Metatarsal
Diaphragm, 0BST0ZZ Left, 0RST Left, 0QSP
Duct Right, 0RSS Right, 0QSN
Common Bile, 0FS9 Cervical Vertebral, 0RS1 Muscle
Cystic, 0FS8 Cervicothoracic Vertebral, 0RS4 Abdomen
Hepatic Coccygeal, 0SS6 Left, 0KSL
Common, 0FS7 Elbow Right, 0KSK
Left, 0FS6 Left, 0RSM Extraocular
Right, 0FS5 Right, 0RSL Left, 08SM
Lacrimal Finger Phalangeal Right, 08SL
Left, 08SY Left, 0RSX Facial, 0KS1
Right, 08SX Right, 0RSW Foot
Pancreatic, 0FSD Hip Left, 0KSW
Accessory, 0FSF Left, 0SSB Right, 0KSV
Parotid Right, 0SS9 Hand
Left, 0CSC Knee Left, 0KSD
Right, 0CSB Left, 0SSD Right, 0KSC
Duodenum, 0DS9 Right, 0SSC Head, 0KS0
Ear Lumbar Vertebral, 0SS0 Hip
Bilateral, 09S2 Lumbosacral, 0SS3 Left, 0KSP
Left, 09S1 Metacarpophalangeal Right, 0KSN
Right, 09S0 Left, 0RSV Lower Arm and Wrist
Epiglottis, 0CSR Right, 0RSU Left, 0KSB
Esophagus, 0DS5 Metatarsal-Phalangeal Right, 0KS9
Eustachian Tube Left, 0SSN Lower Leg
Left, 09SG Right, 0SSM Left, 0KST
Right, 09SF Occipital-cervical, 0RS0 Right, 0KSS
Eyelid Sacrococcygeal, 0SS5 Neck
Lower Sacroiliac Left, 0KS3
Left, 08SR Left, 0SS8 Right, 0KS2
Right, 08SQ Right, 0SS7 Perineum, 0KSM
Reposition — Reposition

Upper Shoulder Shoulder

Left, 08SP Left, 0RSK Left, 0KS6
Right, 08SN Right, 0RSJ Right, 0KS5
Fallopian Tube Sternoclavicular Thorax
Left, 0US6 Left, 0RSF Left, 0KSJ
Right, 0US5 Right, 0RSE Right, 0KSH
Fallopian Tubes, Bilateral, 0US7 Tarsal Tongue, Palate, Pharynx, 0KS4
Femoral Shaft Left, 0SSJ Trunk
Left, 0QS9 Right, 0SSH Left, 0KSG
Right, 0QS8 Tarsometatarsal Right, 0KSF
Femur Left, 0SSL Upper Arm
Lower Right, 0SSK Left, 0KS8
Left, 0QSC Temporomandibular Right, 0KS7
Right, 0QSB Left, 0RSD

2 Subterms under main terms may continue to next column or page 103
 Reposition ICD-10-PCS 2019
Reposition — continued Reposition — continued Reposition — continued
Index
Muscle — continued Sesamoid Bone(s) 1st Toe Vein
Upper Leg see Reposition, Metatarsal, Left, 0QSP Axillary
Left, 0KSR see Reposition, Metatarsal, Right, 0QSN Left, 05S8
Right, 0KSQ Skull, 0NS0 Right, 05S7
Nasal Mucosa and Soft Tissue, 09SK Spinal Cord Azygos, 05S0
Nerve Cervical, 00SW Basilic
Abducens, 00SL Lumbar, 00SY Left, 05SC
Accessory, 00SR Thoracic, 00SX Right, 05SB
Acoustic, 00SN Spleen, 07SP0ZZ Brachial
Brachial Plexus, 01S3 Sternum, 0PS0 Left, 05SA
Cervical, 01S1 Stomach, 0DS6 Right, 05S9
Cervical Plexus, 01S0 Tarsal Cephalic
Facial, 00SM Left, 0QSM Left, 05SF
Femoral, 01SD Right, 0QSL Right, 05SD
Glossopharyngeal, 00SP Tendon Colic, 06S7
Hypoglossal, 00SS Abdomen Common Iliac
Lumbar, 01SB Left, 0LSG Left, 06SD
Lumbar Plexus, 01S9 Right, 0LSF Right, 06SC
Lumbosacral Plexus, 01SA Ankle Esophageal, 06S3
Median, 01S5 Left, 0LST External Iliac
Oculomotor, 00SH Right, 0LSS Left, 06SG
Olfactory, 00SF Foot Right, 06SF
Optic, 00SG Left, 0LSW External Jugular
Peroneal, 01SH Right, 0LSV Left, 05SQ
Phrenic, 01S2 Hand Right, 05SP
Pudendal, 01SC Left, 0LS8 Face
Radial, 01S6 Right, 0LS7 Left, 05SV
Sacral, 01SR Head and Neck, 0LS0 Right, 05ST
Sacral Plexus, 01SQ Hip Femoral
Sciatic, 01SF Left, 0LSK Left, 06SN
Thoracic, 01S8 Right, 0LSJ Right, 06SM
Tibial, 01SG Knee Foot
Trigeminal, 00SK Left, 0LSR Left, 06SV
Trochlear, 00SJ Right, 0LSQ Right, 06ST
Ulnar, 01S4 Lower Arm and Wrist Gastric, 06S2
Vagus, 00SQ Left, 0LS6 Hand
Nipple Right, 0LS5 Left, 05SH
Left, 0HSXXZZ Lower Leg Right, 05SG
Right, 0HSWXZZ Left, 0LSP Hemiazygos, 05S1
Orbit Right, 0LSN Hepatic, 06S4
Left, 0NSQ Perineum, 0LSH Hypogastric
Right, 0NSP Shoulder Left, 06SJ
Ovary Left, 0LS2 Right, 06SH
Bilateral, 0US2 Right, 0LS1 Inferior Mesenteric, 06S6
Left, 0US1 Thorax Innominate
Right, 0US0 Left, 0LSD Left, 05S4
Palate Right, 0LSC Right, 05S3
Hard, 0CS2 Trunk Internal Jugular
Soft, 0CS3 Left, 0LSB Left, 05SN
Pancreas, 0FSG Right, 0LS9 Right, 05SM
Parathyroid Gland, 0GSR Upper Arm Intracranial, 05SL
Inferior Left, 0LS4 Lower, 06SY
Left, 0GSP Right, 0LS3 Portal, 06S8
Right, 0GSN Upper Leg Pulmonary
Multiple, 0GSQ Left, 0LSM Left, 02ST0ZZ
Superior Right, 0LSL Right, 02SS0ZZ
Left, 0GSM Testis Renal
Right, 0GSL Bilateral, 0VSC Left, 06SB
Patella Left, 0VSB Right, 06S9
Left, 0QSF Right, 0VS9 Saphenous
Right, 0QSD Thymus, 07SM0ZZ Left, 06SQ
Phalanx Thyroid Gland Right, 06SP
Finger Left Lobe, 0GSG Splenic, 06S1
Left, 0PSV Right Lobe, 0GSH Subclavian
Right, 0PST Tibia Left, 05S6
Thumb Left, 0QSH Right, 05S5
Left, 0PSS Right, 0QSG Superior Mesenteric, 06S5
Right, 0PSR Tongue, 0CS7 Upper, 05SY
Toe Tooth Vertebral
Left, 0QSR Lower, 0CSX Left, 05SS
Right, 0QSQ Upper, 0CSW Right, 05SR
Products of Conception, 10S0 Trachea, 0BS10ZZ Vena Cava
Ectopic, 10S2 Turbinate, Nasal, 09SL Inferior, 06S0
Radius Tympanic Membrane Superior, 02SV0ZZ
Reposition — Reposition

Left, 0PSJ Left, 09S8 Vertebra

Right, 0PSH Right, 09S7 Cervical, 0PS3
Rectum, 0DSP Ulna Magnetically Controlled Growth Rod(s),
Retinal Vessel Left, 0PSL XNS3
Left, 08SH3ZZ Right, 0PSK Lumbar, 0QS0
Right, 08SG3ZZ Ureter Magnetically Controlled Growth Rod(s),
Ribs Left, 0TS7 XNS0
1 to 2, 0PS1 Right, 0TS6 Thoracic, 0PS4
3 or More, 0PS2 Ureters, Bilateral, 0TS8 Magnetically Controlled Growth Rod(s),
Sacrum, 0QS1 Urethra, 0TSD XNS4
Scapula Uterine Supporting Structure, 0US4 Vocal Cord
Left, 0PS6 Uterus, 0US9 Left, 0CSV
Right, 0PS5 Uvula, 0CSN Right, 0CST
Septum, Nasal, 09SM Vagina, 0USG

104 2 Subterms under main terms may continue to next column or page
ICD-10-PCS 2019 Resection
Resection Resection — continued Resection — continued

Index
Acetabulum Bursa and Ligament — continued Esophagus — continued
Left, 0QT50ZZ Shoulder — continued Middle, 0DT2
Right, 0QT40ZZ Right, 0MT1 Upper, 0DT1
Adenoids, 0CTQ Spine Eustachian Tube
Ampulla of Vater, 0FTC Lower, 0MTD Left, 09TG
Anal Sphincter, 0DTR Upper, 0MTC Right, 09TF
Anus, 0DTQ Sternum, 0MTF Eye
Aortic Body, 0GTD Upper Extremity Left, 08T1XZZ
Appendix, 0DTJ Left, 0MTB Right, 08T0XZZ
Auditory Ossicle Right, 0MT9 Eyelid
Left, 09TA Wrist Lower
Right, 09T9 Left, 0MT6 Left, 08TR
Bladder, 0TTB Right, 0MT5 Right, 08TQ
Bladder Neck, 0TTC Carina, 0BT2 Upper
Bone Carotid Bodies, Bilateral, 0GT8 Left, 08TP
Ethmoid Carotid Body Right, 08TN
Left, 0NTG0ZZ Left, 0GT6 Fallopian Tube
Right, 0NTF0ZZ Right, 0GT7 Left, 0UT6
Frontal, 0NT10ZZ Carpal Right, 0UT5
Hyoid, 0NTX0ZZ Left, 0PTN0ZZ Fallopian Tubes, Bilateral, 0UT7
Lacrimal Right, 0PTM0ZZ Femoral Shaft
Left, 0NTJ0ZZ Cecum, 0DTH Left, 0QT90ZZ
Right, 0NTH0ZZ Cerebral Hemisphere, 00T7 Right, 0QT80ZZ
Nasal, 0NTB0ZZ Cervix, 0UTC Femur
Occipital, 0NT70ZZ Chordae Tendineae, 02T9 Lower
Palatine Cisterna Chyli, 07TL Left, 0QTC0ZZ
Left, 0NTL0ZZ Clavicle Right, 0QTB0ZZ
Right, 0NTK0ZZ Left, 0PTB0ZZ Upper
Parietal Right, 0PT90ZZ Left, 0QT70ZZ
Left, 0NT40ZZ Clitoris, 0UTJ Right, 0QT60ZZ
Right, 0NT30ZZ Coccygeal Glomus, 0GTB Fibula
Pelvic Coccyx, 0QTS0ZZ Left, 0QTK0ZZ
Left, 0QT30ZZ Colon Right, 0QTJ0ZZ
Right, 0QT20ZZ Ascending, 0DTK Finger Nail, 0HTQXZZ
Sphenoid, 0NTC0ZZ Descending, 0DTM Gallbladder, 0FT4
Temporal Sigmoid, 0DTN Gland
Left, 0NT60ZZ Transverse, 0DTL Adrenal
Right, 0NT50ZZ Conduction Mechanism, 02T8 Bilateral, 0GT4
Zygomatic Cord Left, 0GT2
Left, 0NTN0ZZ Bilateral, 0VTH Right, 0GT3
Right, 0NTM0ZZ Left, 0VTG Lacrimal
Breast Right, 0VTF Left, 08TW
Bilateral, 0HTV0ZZ Cornea Right, 08TV
Left, 0HTU0ZZ Left, 08T9XZZ Minor Salivary, 0CTJ0ZZ
Right, 0HTT0ZZ Right, 08T8XZZ Parotid
Supernumerary, 0HTY0ZZ Cul-de-sac, 0UTF Left, 0CT90ZZ
Bronchus Diaphragm, 0BTT Right, 0CT80ZZ
Lingula, 0BT9 Disc Pituitary, 0GT0
Lower Lobe Cervical Vertebral, 0RT30ZZ Sublingual
Left, 0BTB Cervicothoracic Vertebral, 0RT50ZZ Left, 0CTF0ZZ
Right, 0BT6 Lumbar Vertebral, 0ST20ZZ Right, 0CTD0ZZ
Main Lumbosacral, 0ST40ZZ Submaxillary
Left, 0BT7 Thoracic Vertebral, 0RT90ZZ Left, 0CTH0ZZ
Right, 0BT3 Thoracolumbar Vertebral, 0RTB0ZZ Right, 0CTG0ZZ
Middle Lobe, Right, 0BT5 Duct Vestibular, 0UTL
Upper Lobe Common Bile, 0FT9 Glenoid Cavity
Left, 0BT8 Cystic, 0FT8 Left, 0PT80ZZ
Right, 0BT4 Hepatic Right, 0PT70ZZ
Bursa and Ligament Common, 0FT7 Glomus Jugulare, 0GTC
Abdomen Left, 0FT6 Humeral Head
Left, 0MTJ Right, 0FT5 Left, 0PTD0ZZ
Right, 0MTH Lacrimal Right, 0PTC0ZZ
Ankle Left, 08TY Humeral Shaft
Left, 0MTR Right, 08TX Left, 0PTG0ZZ
Right, 0MTQ Pancreatic, 0FTD Right, 0PTF0ZZ
Elbow Accessory, 0FTF Hymen, 0UTK
Left, 0MT4 Parotid Ileocecal Valve, 0DTC
Right, 0MT3 Left, 0CTC0ZZ Ileum, 0DTB
Foot Right, 0CTB0ZZ Intestine
Left, 0MTT Duodenum, 0DT9 Large, 0DTE
Right, 0MTS Ear Left, 0DTG
Hand External Right, 0DTF
Left, 0MT8 Left, 09T1 Small, 0DT8
Right, 0MT7 Right, 09T0 Iris
Head and Neck, 0MT0 Inner Left, 08TD3ZZ
Resection — Resection

Hip Left, 09TE Right, 08TC3ZZ

Left, 0MTM Right, 09TD Jejunum, 0DTA
Right, 0MTL Middle Joint
Knee Left, 09T6 Acromioclavicular
Left, 0MTP Right, 09T5 Left, 0RTH0ZZ
Right, 0MTN Epididymis Right, 0RTG0ZZ
Lower Extremity Bilateral, 0VTL Ankle
Left, 0MTW Left, 0VTK Left, 0STG0ZZ
Right, 0MTV Right, 0VTJ Right, 0STF0ZZ
Perineum, 0MTK Epiglottis, 0CTR Carpal
Rib(s), 0MTG Esophagogastric Junction, 0DT4 Left, 0RTR0ZZ
Shoulder Esophagus, 0DT5 Right, 0RTQ0ZZ
Left, 0MT2 Lower, 0DT3

2 Subterms under main terms may continue to next column or page 105
 Resection ICD-10-PCS 2019
Resection — continued Resection — continued Resection — continued
Index
Joint — continued Lymphatic — continued Pancreas, 0FTG
Carpometacarpal Internal Mammary Para-aortic Body, 0GT9
Left, 0RTT0ZZ Left, 07T9 Paraganglion Extremity, 0GTF
Right, 0RTS0ZZ Right, 07T8 Parathyroid Gland, 0GTR
Cervicothoracic Vertebral, 0RT40ZZ Lower Extremity Inferior
Coccygeal, 0ST60ZZ Left, 07TG Left, 0GTP
Elbow Right, 07TF Right, 0GTN
Left, 0RTM0ZZ Mesenteric, 07TB Multiple, 0GTQ
Right, 0RTL0ZZ Neck Superior
Finger Phalangeal Left, 07T2 Left, 0GTM
Left, 0RTX0ZZ Right, 07T1 Right, 0GTL
Right, 0RTW0ZZ Pelvis, 07TC Patella
Hip Thoracic Duct, 07TK Left, 0QTF0ZZ
Left, 0STB0ZZ Thorax, 07T7 Right, 0QTD0ZZ
Right, 0ST90ZZ Upper Extremity Penis, 0VTS
Knee Left, 07T4 Pericardium, 02TN
Left, 0STD0ZZ Right, 07T3 Phalanx
Right, 0STC0ZZ Mandible Finger
Metacarpophalangeal Left, 0NTV0ZZ Left, 0PTV0ZZ
Left, 0RTV0ZZ Right, 0NTT0ZZ Right, 0PTT0ZZ
Right, 0RTU0ZZ Maxilla, 0NTR0ZZ Thumb
Metatarsal-Phalangeal Metacarpal Left, 0PTS0ZZ
Left, 0STN0ZZ Left, 0PTQ0ZZ Right, 0PTR0ZZ
Right, 0STM0ZZ Right, 0PTP0ZZ Toe
Sacrococcygeal, 0ST50ZZ Metatarsal Left, 0QTR0ZZ
Sacroiliac Left, 0QTP0ZZ Right, 0QTQ0ZZ
Left, 0ST80ZZ Right, 0QTN0ZZ Pharynx, 0CTM
Right, 0ST70ZZ Muscle Pineal Body, 0GT1
Shoulder Abdomen Prepuce, 0VTT
Left, 0RTK0ZZ Left, 0KTL Products of Conception, Ectopic, 10T2
Right, 0RTJ0ZZ Right, 0KTK Prostate, 0VT0
Sternoclavicular Extraocular Radius
Left, 0RTF0ZZ Left, 08TM Left, 0PTJ0ZZ
Right, 0RTE0ZZ Right, 08TL Right, 0PTH0ZZ
Tarsal Facial, 0KT1 Rectum, 0DTP
Left, 0STJ0ZZ Foot Ribs
Right, 0STH0ZZ Left, 0KTW 1 to 2, 0PT10ZZ
Tarsometatarsal Right, 0KTV 3 or More, 0PT20ZZ
Left, 0STL0ZZ Hand Scapula
Right, 0STK0ZZ Left, 0KTD Left, 0PT60ZZ
Temporomandibular Right, 0KTC Right, 0PT50ZZ
Left, 0RTD0ZZ Head, 0KT0 Scrotum, 0VT5
Right, 0RTC0ZZ Hip Septum
Toe Phalangeal Left, 0KTP Atrial, 02T5
Left, 0STQ0ZZ Right, 0KTN Nasal, 09TM
Right, 0STP0ZZ Lower Arm and Wrist Ventricular, 02TM
Wrist Left, 0KTB Sinus
Left, 0RTP0ZZ Right, 0KT9 Accessory, 09TP
Right, 0RTN0ZZ Lower Leg Ethmoid
Kidney Left, 0KTT Left, 09TV
Left, 0TT1 Right, 0KTS Right, 09TU
Right, 0TT0 Neck Frontal
Kidney Pelvis Left, 0KT3 Left, 09TT
Left, 0TT4 Right, 0KT2 Right, 09TS
Right, 0TT3 Papillary, 02TD Mastoid
Kidneys, Bilateral, 0TT2 Perineum, 0KTM Left, 09TC
Larynx, 0CTS Shoulder Right, 09TB
Lens Left, 0KT6 Maxillary
Left, 08TK3ZZ Right, 0KT5 Left, 09TR
Right, 08TJ3ZZ Thorax Right, 09TQ
Lip Left, 0KTJ Sphenoid
Lower, 0CT1 Right, 0KTH Left, 09TX
Upper, 0CT0 Tongue, Palate, Pharynx, 0KT4 Right, 09TW
Liver, 0FT0 Trunk Spleen, 07TP
Left Lobe, 0FT2 Left, 0KTG Sternum, 0PT00ZZ
Right Lobe, 0FT1 Right, 0KTF Stomach, 0DT6
Lung Upper Arm Pylorus, 0DT7
Bilateral, 0BTM Left, 0KT8 Tarsal
Left, 0BTL Right, 0KT7 Left, 0QTM0ZZ
Lower Lobe Upper Leg Right, 0QTL0ZZ
Left, 0BTJ Left, 0KTR Tendon
Right, 0BTF Right, 0KTQ Abdomen
Middle Lobe, Right, 0BTD Nasal Mucosa and Soft Tissue, 09TK Left, 0LTG
Right, 0BTK Nasopharynx, 09TN Right, 0LTF
Upper Lobe Nipple Ankle
Resection — Resection

Left, 0BTG Left, 0HTXXZZ Left, 0LTT

Right, 0BTC Right, 0HTWXZZ Right, 0LTS
Lung Lingula, 0BTH Omentum, 0DTU Foot
Lymphatic Orbit Left, 0LTW
Aortic, 07TD Left, 0NTQ0ZZ Right, 0LTV
Axillary Right, 0NTP0ZZ Hand
Left, 07T6 Ovary Left, 0LT8
Right, 07T5 Bilateral, 0UT2 Right, 0LT7
Head, 07T0 Left, 0UT1 Head and Neck, 0LT0
Inguinal Right, 0UT0 Hip
Left, 07TJ Palate Left, 0LTK
Right, 07TH Hard, 0CT2 Right, 0LTJ
Soft, 0CT3

106 2 Subterms under main terms may continue to next column or page
ICD-10-PCS 2019 Restriction
Resection — continued RestoreAdvanced neurostimulator (SureScan) (MRI Restriction — continued

Index
Tendon — continued Safe) use Stimulator Generator, Multiple Array Artery — continued
Knee Rechargeable in, 0JH Renal
Left, 0LTR RestoreSensor neurostimulator (SureScan) (MRI Safe) Left, 04VA
Right, 0LTQ use Stimulator Generator, Multiple Array Recharge- Right, 04V9
Lower Arm and Wrist able in, 0JH Splenic, 04V4
Left, 0LT6 RestoreUltra neurostimulator (SureScan) (MRI Safe) Subclavian
Right, 0LT5 use Simulator Generator, Multiple Array Recharge- Left, 03V4
Lower Leg able in, 0JH Right, 03V3
Left, 0LTP Restriction Superior Mesenteric, 04V5
Right, 0LTN Ampulla of Vater, 0FVC Temporal
Perineum, 0LTH Anus, 0DVQ Left, 03VT
Shoulder Aorta Right, 03VS
Left, 0LT2 Abdominal, 04V0 Thyroid
Right, 0LT1 Intraluminal Device, Branched or Fenestrat- Left, 03VV
Thorax ed, 04V0 Right, 03VU
Left, 0LTD Thoracic Ulnar
Right, 0LTC Ascending/Arch, Intraluminal Device, Left, 03VA
Trunk Branched or Fenestrated, 02VX Right, 03V9
Left, 0LTB Descending, Intraluminal Device, Upper, 03VY
Right, 0LT9 Branched or Fenestrated, 02VW Vertebral
Upper Arm Artery Left, 03VQ
Left, 0LT4 Anterior Tibial Right, 03VP
Right, 0LT3 Left, 04VQ Bladder, 0TVB
Upper Leg Right, 04VP Bladder Neck, 0TVC
Left, 0LTM Axillary Bronchus
Right, 0LTL Left, 03V6 Lingula, 0BV9
Testis Right, 03V5 Lower Lobe
Bilateral, 0VTC Brachial Left, 0BVB
Left, 0VTB Left, 03V8 Right, 0BV6
Right, 0VT9 Right, 03V7 Main
Thymus, 07TM Celiac, 04V1 Left, 0BV7
Thyroid Gland, 0GTK Colic Right, 0BV3
Left Lobe, 0GTG Left, 04V7 Middle Lobe, Right, 0BV5
Right Lobe, 0GTH Middle, 04V8 Upper Lobe
Thyroid Gland Isthmus, 0GTJ Right, 04V6 Left, 0BV8
Tibia Common Carotid Right, 0BV4
Left, 0QTH0ZZ Left, 03VJ Carina, 0BV2
Right, 0QTG0ZZ Right, 03VH Cecum, 0DVH
Toe Nail, 0HTRXZZ Common Iliac Cervix, 0UVC
Tongue, 0CT7 Left, 04VD Cisterna Chyli, 07VL
Tonsils, 0CTP Right, 04VC Colon
Tooth External Carotid Ascending, 0DVK
Lower, 0CTX0Z Left, 03VN Descending, 0DVM
Upper, 0CTW0Z Right, 03VM Sigmoid, 0DVN
Trachea, 0BT1 External Iliac Transverse, 0DVL
Tunica Vaginalis Left, 04VJ Duct
Left, 0VT7 Right, 04VH Common Bile, 0FV9
Right, 0VT6 Face, 03VR Cystic, 0FV8
Turbinate, Nasal, 09TL Femoral Hepatic
Tympanic Membrane Left, 04VL Common, 0FV7
Left, 09T8 Right, 04VK Left, 0FV6
Right, 09T7 Foot Right, 0FV5
Ulna Left, 04VW Lacrimal
Left, 0PTL0ZZ Right, 04VV Left, 08VY
Right, 0PTK0ZZ Gastric, 04V2 Right, 08VX
Ureter Hand Pancreatic, 0FVD
Left, 0TT7 Left, 03VF Accessory, 0FVF
Right, 0TT6 Right, 03VD Parotid
Urethra, 0TTD Hepatic, 04V3 Left, 0CVC
Uterine Supporting Structure, 0UT4 Inferior Mesenteric, 04VB Right, 0CVB
Uterus, 0UT9 Innominate, 03V2 Duodenum, 0DV9
Uvula, 0CTN Internal Carotid Esophagogastric Junction, 0DV4
Vagina, 0UTG Left, 03VL Esophagus, 0DV5
Valve, Pulmonary, 02TH Right, 03VK Lower, 0DV3
Vas Deferens Internal Iliac Middle, 0DV2
Bilateral, 0VTQ Left, 04VF Upper, 0DV1
Left, 0VTP Right, 04VE Heart, 02VA
Right, 0VTN Internal Mammary Ileocecal Valve, 0DVC
Vesicle Left, 03V1 Ileum, 0DVB
Bilateral, 0VT3 Right, 03V0 Intestine
Left, 0VT2 Intracranial, 03VG Large, 0DVE
Right, 0VT1 Lower, 04VY Left, 0DVG
Vitreous Peroneal Right, 0DVF
Left, 08T53ZZ Left, 04VU Small, 0DV8
Resection — Restriction

Right, 08T43ZZ Right, 04VT Jejunum, 0DVA

Vocal Cord Popliteal Kidney Pelvis
Left, 0CTV Left, 04VN Left, 0TV4
Right, 0CTT Right, 04VM Right, 0TV3
Vulva, 0UTM Posterior Tibial Lymphatic
Resection, Left ventricular outflow tract obstruction Left, 04VS Aortic, 07VD
(LVOT) see Dilation, Ventricle, Left, 027L Right, 04VR Axillary
Resection, Subaortic membrane (Left ventricular Pulmonary Left, 07V6
outflow tract obstruction) see Dilation, Ventricle, Left, 02VR Right, 07V5
Left, 027L Right, 02VQ Head, 07V0
Restoration, Cardiac, Single, Rhythm, 5A2204Z Pulmonary Trunk, 02VP Inguinal
Radial Left, 07VJ
Left, 03VC Right, 07VH
Right, 03VB

2 Subterms under main terms may continue to next column or page 107
 Restriction ICD-10-PCS 2019
Restriction — continued Restriction — continued Revision of device in — continued
Index
Lymphatic — continued Vein — continued Bone
Internal Mammary Splenic, 06V1 Facial, 0NWW
Left, 07V9 Subclavian Lower, 0QWY
Right, 07V8 Left, 05V6 Nasal, 0NWB
Lower Extremity Right, 05V5 Pelvic
Left, 07VG Superior Mesenteric, 06V5 Left, 0QW3
Right, 07VF Upper, 05VY Right, 0QW2
Mesenteric, 07VB Vertebral Upper, 0PWY
Neck Left, 05VS Bone Marrow, 07WT
Left, 07V2 Right, 05VR Brain, 00W0
Right, 07V1 Vena Cava Breast
Pelvis, 07VC Inferior, 06V0 Left, 0HWU
Thoracic Duct, 07VK Superior, 02VV Right, 0HWT
Thorax, 07V7 Resurfacing Device Bursa and Ligament
Upper Extremity Removal of device from Lower, 0MWY
Left, 07V4 Left, 0SPB0BZ Upper, 0MWX
Right, 07V3 Right, 0SP90BZ Carpal
Rectum, 0DVP Revision of device in Left, 0PWN
Stomach, 0DV6 Left, 0SWB0BZ Right, 0PWM
Pylorus, 0DV7 Right, 0SW90BZ Cavity, Cranial, 0WW1
Trachea, 0BV1 Supplement Cerebral Ventricle, 00W6
Ureter Left, 0SUB0BZ Chest Wall, 0WW8
Left, 0TV7 Acetabular Surface, 0SUE0BZ Cisterna Chyli, 07WL
Right, 0TV6 Femoral Surface, 0SUS0BZ Clavicle
Urethra, 0TVD Right, 0SU90BZ Left, 0PWB
Valve, Mitral, 02VG Acetabular Surface, 0SUA0BZ Right, 0PW9
Vein Femoral Surface, 0SUR0BZ Coccyx, 0QWS
Axillary Resuscitation Diaphragm, 0BWT
Left, 05V8 Cardiopulmonary see Assistance, Cardiac, 5A02 Disc
Right, 05V7 Cardioversion, 5A2204Z Cervical Vertebral, 0RW3
Azygos, 05V0 Defibrillation, 5A2204Z Cervicothoracic Vertebral, 0RW5
Basilic Endotracheal intubation see Insertion of device in, Lumbar Vertebral, 0SW2
Left, 05VC Trachea, 0BH1 Lumbosacral, 0SW4
Right, 05VB External chest compression, 5A12012 Thoracic Vertebral, 0RW9
Brachial Pulmonary, 5A19054 Thoracolumbar Vertebral, 0RWB
Left, 05VA Resuscitative endovascular balloon occlusion of the Duct
Right, 05V9 aorta (REBOA) Hepatobiliary, 0FWB
Cephalic 02LW3DJ Pancreatic, 0FWD
Left, 05VF 04L03DJ Ear
Right, 05VD Resuture, Heart valve prosthesis see Revision of device Inner
Colic, 06V7 in, Heart and Great Vessels, 02W Left, 09WE
Common Iliac Retained placenta, manual removal see Extraction, Right, 09WD
Left, 06VD Products of Conception, Retained, 10D1 Left, 09WJ
Right, 06VC Retraining Right, 09WH
Esophageal, 06V3 Cardiac see Motor Treatment, Rehabilitation, F07 Epididymis and Spermatic Cord, 0VWM
External Iliac Vocational see Activities of Daily Living Treatment, Esophagus, 0DW5
Left, 06VG Rehabilitation, F08 Extremity
Right, 06VF Retrogasserian rhizotomy see Division, Nerve, Trigemi- Lower
External Jugular nal, 008K Left, 0YWB
Left, 05VQ Retroperitoneal cavity use Retroperitoneum Right, 0YW9
Right, 05VP Retroperitoneal lymph node use Lymphatic, Aortic Upper
Face Retroperitoneal space use Retroperitoneum Left, 0XW7
Left, 05VV Right, 0XW6
Retropharyngeal lymph node
Right, 05VT Eye
Femoral use Lymphatic, Left Neck Left, 08W1
Left, 06VN use Lymphatic, Right Neck Right, 08W0
Right, 06VM Retropubic space use Pelvic Cavity Face, 0WW2
Foot Reveal (DX) (XT) use Monitoring Device Fallopian Tube, 0UW8
Left, 06VV Reverse total shoulder replacement see Replacement, Femoral Shaft
Right, 06VT Upper Joints, 0RR Left, 0QW9
Gastric, 06V2 Reverse® Shoulder Prosthesis use Synthetic Substitute, Right, 0QW8
Hand Reverse Ball and Socket in, 0RR Femur
Left, 05VH Revision Lower
Right, 05VG Correcting a portion of existing device see Revision Left, 0QWC
Hemiazygos, 05V1 of device in Right, 0QWB
Hepatic, 06V4 Removal of device without replacement see Removal Upper
Hypogastric of device from Left, 0QW7
Left, 06VJ Replacement of existing device Right, 0QW6
Restriction — Revision of device in

Right, 06VH see Removal of device from Fibula

Inferior Mesenteric, 06V6 see Root operation to place new device, e.g., Left, 0QWK
Innominate Insertion, Replacement, Supplement Right, 0QWJ
Left, 05V4 Revision of device in Finger Nail, 0HWQX
Right, 05V3 Abdominal Wall, 0WWF Gallbladder, 0FW4
Internal Jugular Acetabulum Gastrointestinal Tract, 0WWP
Left, 05VN Left, 0QW5 Genitourinary Tract, 0WWR
Right, 05VM Right, 0QW4 Gland
Intracranial, 05VL Anal Sphincter, 0DWR Adrenal, 0GW5
Lower, 06VY Anus, 0DWQ Endocrine, 0GWS
Portal, 06V8 Artery Pituitary, 0GW0
Pulmonary Lower, 04WY Salivary, 0CWA
Left, 02VT Upper, 03WY Glenoid Cavity
Right, 02VS Auditory Ossicle Left, 0PW8
Renal Left, 09WA Right, 0PW7
Left, 06VB Right, 09W9 Great Vessel, 02WY
Right, 06V9 Back Hair, 0HWSX
Saphenous Lower, 0WWL Head, 0WW0
Left, 06VQ Upper, 0WWK Heart, 02WA
Right, 06VP Bladder, 0TWB

108 2 Subterms under main terms may continue to next column or page
ICD-10-PCS 2019 Right lymphatic duct
Revision of device in — continued Revision of device in — continued Revision of device in — continued

Index
Humeral Head Larynx, 0CWS Subcutaneous Tissue and Fascia — continued
Left, 0PWD Lens Trunk, 0JWT
Right, 0PWC Left, 08WK Upper Extremity, 0JWV
Humeral Shaft Right, 08WJ Tarsal
Left, 0PWG Liver, 0FW0 Left, 0QWM
Right, 0PWF Lung Right, 0QWL
Intestinal Tract Left, 0BWL Tendon
Lower, 0DWD Right, 0BWK Lower, 0LWY
Upper, 0DW0 Lymphatic, 07WN Upper, 0LWX
Intestine Thoracic Duct, 07WK Testis, 0VWD
Large, 0DWE Mediastinum, 0WWC Thymus, 07WM
Small, 0DW8 Mesentery, 0DWV Thyroid Gland, 0GWK
Jaw Metacarpal Tibia
Lower, 0WW5 Left, 0PWQ Left, 0QWH
Upper, 0WW4 Right, 0PWP Right, 0QWG
Joint Metatarsal Toe Nail, 0HWRX
Acromioclavicular Left, 0QWP Trachea, 0BW1
Left, 0RWH Right, 0QWN Tracheobronchial Tree, 0BW0
Right, 0RWG Mouth and Throat, 0CWY Tympanic Membrane
Ankle Muscle Left, 09W8
Left, 0SWG Extraocular Right, 09W7
Right, 0SWF Left, 08WM Ulna
Carpal Right, 08WL Left, 0PWL
Left, 0RWR Lower, 0KWY Right, 0PWK
Right, 0RWQ Upper, 0KWX Ureter, 0TW9
Carpometacarpal Nasal Mucosa and Soft Tissue, 09WK Urethra, 0TWD
Left, 0RWT Neck, 0WW6 Uterus and Cervix, 0UWD
Right, 0RWS Nerve Vagina and Cul-de-sac, 0UWH
Cervical Vertebral, 0RW1 Cranial, 00WE Valve
Cervicothoracic Vertebral, 0RW4 Peripheral, 01WY Aortic, 02WF
Coccygeal, 0SW6 Omentum, 0DWU Mitral, 02WG
Elbow Ovary, 0UW3 Pulmonary, 02WH
Left, 0RWM Pancreas, 0FWG Tricuspid, 02WJ
Right, 0RWL Parathyroid Gland, 0GWR Vas Deferens, 0VWR
Finger Phalangeal Patella Vein
Left, 0RWX Left, 0QWF Azygos, 05W0
Right, 0RWW Right, 0QWD Innominate
Hip Pelvic Cavity, 0WWJ Left, 05W4
Left, 0SWB Penis, 0VWS Right, 05W3
Acetabular Surface, 0SWE Pericardial Cavity, 0WWD Lower, 06WY
Femoral Surface, 0SWS Perineum Upper, 05WY
Right, 0SW9 Female, 0WWN Vertebra
Acetabular Surface, 0SWA Male, 0WWM Cervical, 0PW3
Femoral Surface, 0SWR Peritoneal Cavity, 0WWG Lumbar, 0QW0
Knee Peritoneum, 0DWW Thoracic, 0PW4
Left, 0SWD Phalanx Vulva, 0UWM
Femoral Surface, 0SWU Finger Revo MRI™ SureScan® pacemaker use Pacemaker, Dual
Tibial Surface, 0SWW Left, 0PWV Chamber in, 0JH
Right, 0SWC Right, 0PWT rhBMP-2 use Recombinant Bone Morphogenetic Protein
Femoral Surface, 0SWT Thumb Rheos® System device use Stimulator Generator in Sub-
Tibial Surface, 0SWV Left, 0PWS cutaneous Tissue and Fascia
Lumbar Vertebral, 0SW0 Right, 0PWR Rheos® System lead use Stimulator Lead in Upper Arteries
Lumbosacral, 0SW3 Toe Rhinopharynx use Nasopharynx
Metacarpophalangeal Left, 0QWR Rhinoplasty
Left, 0RWV Right, 0QWQ see Alteration, Nasal Mucosa and Soft Tissue, 090K
Right, 0RWU Pineal Body, 0GW1 see Repair, Nasal Mucosa and Soft Tissue, 09QK
Metatarsal-Phalangeal Pleura, 0BWQ see Replacement, Nasal Mucosa and Soft Tissue, 09RK
Left, 0SWN Pleural Cavity see Supplement, Nasal Mucosa and Soft Tissue, 09UK
Right, 0SWM Left, 0WWB Rhinorrhaphy see Repair, Nasal Mucosa and Soft Tissue,
Occipital-cervical, 0RW0 Right, 0WW9 09QK
Sacrococcygeal, 0SW5 Prostate and Seminal Vesicles, 0VW4 Rhinoscopy, 09JKXZZ
Sacroiliac Radius Rhizotomy

Revision of device in — Right lymphatic duct

Left, 0SW8 Left, 0PWJ see Division, Central Nervous System and Cranial
Right, 0SW7 Right, 0PWH Nerves, 008
Shoulder Respiratory Tract, 0WWQ see Division, Peripheral Nervous System, 018
Left, 0RWK Retroperitoneum, 0WWH
Rhomboid major muscle
Right, 0RWJ Ribs
Sternoclavicular 1 to 2, 0PW1 use Trunk Muscle, Left
Left, 0RWF 3 or More, 0PW2 use Trunk Muscle, Right
Right, 0RWE Sacrum, 0QW1 Rhomboid minor muscle
Tarsal Scapula use Trunk Muscle, Left
Left, 0SWJ Left, 0PW6 use Trunk Muscle, Right
Right, 0SWH Right, 0PW5 Rhythm electrocardiogram see Measurement, Cardiac,
Tarsometatarsal Scrotum and Tunica Vaginalis, 0VW8 4A02
Left, 0SWL Septum Rhytidectomy see Alteration, Face, 0W02
Right, 0SWK Atrial, 02W5 Right ascending lumbar vein use Azygos Vein
Temporomandibular Ventricular, 02WM Right atrioventricular valve use Tricuspid Valve
Left, 0RWD Sinus, 09WY Right auricular appendix use Atrium, Right
Right, 0RWC Skin, 0HWPX Right colic vein use Colic Vein
Thoracic Vertebral, 0RW6 Skull, 0NW0 Right coronary sulcus use Heart, Right
Thoracolumbar Vertebral, 0RWA Spinal Canal, 00WU Right gastric artery use Gastric Artery
Toe Phalangeal Spinal Cord, 00WV Right gastroepiploic vein use Superior Mesenteric Vein
Left, 0SWQ Spleen, 07WP Right inferior phrenic vein use Inferior Vena Cava
Right, 0SWP Sternum, 0PW0 Right inferior pulmonary vein use Pulmonary Vein,
Wrist Stomach, 0DW6 Right
Left, 0RWP Subcutaneous Tissue and Fascia Right jugular trunk use Lymphatic, Right Neck
Right, 0RWN Head and Neck, 0JWS Right lateral ventricle use Cerebral Ventricle
Kidney, 0TW5 Lower Extremity, 0JWW Right lymphatic duct use Lymphatic, Right Neck

2 Subterms under main terms may continue to next column or page 109
 Right ovarian vein
Right ovarian vein use Inferior Vena Cava
Index
Right second lumbar vein use Inferior Vena Cava
Right subclavian trunk use Lymphatic, Right Neck
Right subcostal vein use Azygos Vein
Right superior pulmonary vein use Pulmonary Vein,
Right
Right suprarenal vein use Inferior Vena Cava
Right testicular vein use Inferior Vena Cava
Rima glottidis use Larynx
Risorius muscle use Facial Muscle
RNS System lead use Neurostimulator Lead in Central
Nervous System and Cranial Nerves
RNS system neurostimulator generator use Neurostim-
ulator Generator in Head and Facial Bones
Robotic Assisted Procedure
Extremity
Lower, 8E0Y
Upper, 8E0X
Head and Neck Region, 8E09
Trunk Region, 8E0W
Robotic Waterjet Ablation, Destruction, Prostate,
XV508A4
Rotation of fetal head
Forceps, 10S07ZZ
Manual, 10S0XZZ
Round ligament of uterus use Uterine Supporting
Structure
Round window
use Inner Ear, Left
use Inner Ear, Right
Roux-en-Y operation
see Bypass, Gastrointestinal System, 0D1
see Bypass, Hepatobiliary System and Pancreas, 0F1
Rupture
Adhesions see Release
Fluid collection see Drainage
S Second cranial nerve use Optic Nerve
Sacral ganglion use Sacral Sympathetic Nerve
Sacral lymph node use Lymphatic, Pelvis
Sacral nerve modulation (SNM) lead use Stimulator
Lead in Urinary System
Sacral neuromodulation lead use Stimulator Lead in
Urinary System
Sacral splanchnic nerve use Sacral Sympathetic Nerve
Sacrectomy see Excision, Lower Bones, 0QB
Sacrococcygeal ligament use Lower Spine Bursa and
Ligament
Sacrococcygeal symphysis use Sacrococcygeal Joint
Sacroiliac ligament use Lower Spine Bursa and LIgament
Sacrospinous ligament use Lower Spine Bursa and Liga-
ment
Sacrotuberous ligament use Lower Spine Bursa and
Ligament
Salpingectomy
see Excision, Female Reproductive System, 0UB
see Resection, Female Reproductive System, 0UT
Salpingolysis see Release, Female Reproductive System,
0UN
Salpingopexy
see Repair, Female Reproductive System, 0UQ
see Reposition, Female Reproductive System, 0US
Salpingopharyngeus muscle use Tongue, Palate, Phar-
ynx Muscle
Salpingoplasty
see Repair, Female Reproductive System, 0UQ
see Supplement, Female Reproductive System, 0UU
Salpingorrhaphy see Repair, Female Reproductive Sys-
tem, 0UQ
Right ovarian vein — Spacer
Scalene muscle — continued
use Neck Muscle, Right
Scan
Computerized Tomography (CT) see Computerized
Tomography (CT Scan)
Radioisotope see Planar Nuclear Medicine Imaging
Scaphoid bone
use Carpal, Left
use Carpal, Right
Scapholunate ligament
use Hand Bursa and Ligament, Left
use Hand Bursa and Ligament, Right
Scaphotrapezium ligament
use Hand Bursa and Ligament, Left
use Hand Bursa and Ligament, Right
Scapulectomy
see Excision, Upper Bones, 0PB
see Resection, Upper Bones, 0PT
Scapulopexy
see Repair, Upper Bones, 0PQ
see Reposition, Upper Bones, 0PS
Scarpa's (vestibular) ganglion use Acoustic Nerve
Sclerectomy see Excision, Eye, 08B
Sclerotherapy, mechanical see Destruction
Sclerotherapy, via injection of sclerosing agent see
Introduction, Destructive Agent
Sclerotomy see Drainage, Eye, 089
Scrotectomy
see Excision, Male Reproductive System, 0VB
see Resection, Male Reproductive System, 0VT
Scrotoplasty
see Repair, Male Reproductive System, 0VQ
see Supplement, Male Reproductive System, 0VU
Scrotorrhaphy see Repair, Male Reproductive System,
0VQ
Scrototomy see Drainage, Male Reproductive System, 0V9
Sebaceous gland use Skin
Section, cesarean see Extraction, Pregnancy, 10D
Secura (DR) (VR) use Defibrillator Generator in, 0JH
Sella turcica use Sphenoid Bone
Semicircular canal
use Inner Ear, Left
use Inner Ear, Right
Semimembranosus muscle
use Upper Leg Muscle, Left
use Upper Leg Muscle, Right
Semitendinosus muscle
use Upper Leg Muscle, Left
use Upper Leg Muscle, Right
Seprafilm use Adhesion Barrier
Septal cartilage use Nasal Septum
Septectomy
see Excision, Ear, Nose, Sinus, 09B
see Excision, Heart and Great Vessels, 02B
see Resection, Ear, Nose, Sinus, 09T
see Resection, Heart and Great Vessels, 02T
Septoplasty
see Repair, Ear, Nose, Sinus, 09Q
see Repair, Heart and Great Vessels, 02Q
see Replacement, Ear, Nose, Sinus, 09R
see Replacement, Heart and Great Vessels, 02R
see Reposition, Ear, Nose, Sinus, 09S
see Supplement, Ear, Nose, Sinus, 09U
see Supplement, Heart and Great Vessels, 02U
Septostomy, balloon atrial, 02163Z7
Septotomy see Drainage, Ear, Nose, Sinus, 099
Sequestrectomy, bone see Extirpation
Serratus anterior muscle
use Thorax Muscle, Left
use Thorax Muscle, Right
ICD-10-PCS 2019
Shock Wave Therapy, Musculoskeletal, 6A93
Short gastric artery use Splenic Artery
Shortening
see Excision
see Repair
see Reposition
Shunt creation see Bypass
Sialoadenectomy
Complete see Resection, Mouth and Throat, 0CT
Partial see Excision, Mouth and Throat, 0CB
Sialodochoplasty
see Repair, Mouth and Throat, 0CQ
see Replacement, Mouth and Throat, 0CR
see Supplement, Mouth and Throat, 0CU
Sialoectomy
see Excision, Mouth and Throat, 0CB
see Resection, Mouth and Throat, 0CT
Sialography see Plain Radiography, Ear, Nose, Mouth and
Throat, B90
Sialolithotomy see Extirpation, Mouth and Throat, 0CC
Sigmoid artery use Inferior Mesenteric Artery
Sigmoid flexure use Sigmoid Colon
Sigmoid vein use Inferior Mesenteric Vein
Sigmoidectomy
see Excision, Gastrointestinal System, 0DB
see Resection, Gastrointestinal System, 0DT
Sigmoidorrhaphy see Repair, Gastrointestinal System,
0DQ
Sigmoidoscopy, 0DJD8ZZ
Sigmoidotomy see Drainage, Gastrointestinal System,
0D9
Single lead pacemaker (atrium) (ventricle) use Pace-
maker, Single Chamber in, 0JH
Single lead rate responsive pacemaker (atrium)
(ventricle) use Pacemaker, Single Chamber Rate
Responsive in, 0JH
Sinoatrial node use Conduction Mechanism
Sinogram
Abdominal Wall see Fluoroscopy, Abdomen and
Pelvis, BW11
Chest Wall see Plain Radiography, Chest, BW03
Retroperitoneum see Fluoroscopy, Abdomen and
Pelvis, BW11
Sinus venosus use Atrium, Right
Sinusectomy
see Excision, Ear, Nose, Sinus, 09B
see Resection, Ear, Nose, Sinus, 09T
Sinusoscopy, 09JY4ZZ
Sinusotomy see Drainage, Ear, Nose, Sinus, 099
Sirolimus-eluting coronary stent use Intraluminal De-
vice, Drug-eluting in Heart and Great Vessels
Sixth cranial nerve use Abducens Nerve
Size reduction, breast see Excision, Skin and Breast, 0HB
SJM Biocor® Stented Valve System use Zooplastic Tissue
in Heart and Great Vessels
Skene's (paraurethral) gland use Vestibular Gland
Skin Substitute, Porcine Liver Derived, Replacement,
XHRPXL2
Sling
Fascial, orbicularis muscle (mouth) see Supplement,
Muscle, Facial, 0KU1
Levator muscle, for urethral suspension see Reposi-
tion, Bladder Neck, 0TSC
Pubococcygeal, for urethral suspension see Reposi-
tion, Bladder Neck, 0TSC
Rectum see Reposition, Rectum, 0DSP
Small bowel series see Fluoroscopy, Bowel, Small, BD13
Small saphenous vein
use Saphenous Vein, Left
use Saphenous Vein, Right
Snaring, polyp, colon see Excision, Gastrointestinal Sys-

Salpingoscopy, 0UJ88ZZ tem, 0DB

Salpingostomy see Drainage, Female Reproductive Sys- Serratus posterior muscle
use Trunk Muscle, Left Solar (celiac) plexus use Abdominal Sympathetic Nerve
tem, 0U9
use Trunk Muscle, Right Soleus muscle
Salpingotomy see Drainage, Female Reproductive System,
0U9 Seventh cranial nerve use Facial Nerve use Lower Leg Muscle, Left
Salpinx Sheffield hybrid external fixator use Lower Leg Muscle, Right
use Fallopian Tube, Left use External Fixation Device, Hybrid in, 0PH Spacer
use External Fixation Device, Hybrid in, 0PS Insertion of device in
use Fallopian Tube, Right Disc
Saphenous nerve use Femoral Nerve use External Fixation Device, Hybrid in, 0QH
use External Fixation Device, Hybrid in, 0QS Lumbar Vertebral, 0SH2
SAPIEN transcatheter aortic valve use Zooplastic Tissue Lumbosacral, 0SH4
in Heart and Great Vessels Sheffield ring external fixator
Joint
Sartorius muscle use External Fixation Device, Ring in, 0PH
Acromioclavicular
use Upper Leg Muscle, Left use External Fixation Device, Ring in, 0PS Left, 0RHH
use Upper Leg Muscle, Right use External Fixation Device, Ring in, 0QH Right, 0RHG
Scalene muscle use External Fixation Device, Ring in, 0QS Ankle
use Neck Muscle, Left Shirodkar cervical cerclage, 0UVC7ZZ Left, 0SHG

110 2 Subterms under main terms may continue to next column or page
ICD-10-PCS 2019 Splenic flexure
Spacer — continued Spacer — continued Spacer — continued

Index
Insertion of device in — continued Removal of device from — continued Revision of device in — continued
Joint — continued Knee — continued Tarsal — continued
Ankle — continued Right, 0SPC Right, 0SWH
Right, 0SHF Lumbar Vertebral, 0SP0 Tarsometatarsal
Carpal Lumbosacral, 0SP3 Left, 0SWL
Left, 0RHR Metacarpophalangeal Right, 0SWK
Right, 0RHQ Left, 0RPV Temporomandibular
Carpometacarpal Right, 0RPU Left, 0RWD
Left, 0RHT Metatarsal-Phalangeal Right, 0RWC
Right, 0RHS Left, 0SPN Thoracic Vertebral, 0RW6
Cervical Vertebral, 0RH1 Right, 0SPM Thoracolumbar Vertebral, 0RWA
Cervicothoracic Vertebral, 0RH4 Occipital-cervical, 0RP0 Toe Phalangeal
Coccygeal, 0SH6 Sacrococcygeal, 0SP5 Left, 0SWQ
Elbow Sacroiliac Right, 0SWP
Left, 0RHM Left, 0SP8 Wrist
Right, 0RHL Right, 0SP7 Left, 0RWP
Finger Phalangeal Shoulder Right, 0RWN
Left, 0RHX Left, 0RPK Spacer, Articulating (Antibiotic) use Articulating Spacer
Right, 0RHW Right, 0RPJ in Lower Joints
Hip Sternoclavicular Spacer, Static (Antibiotic) use Spacer in Lower Joints
Left, 0SHB Left, 0RPF Spectroscopy
Right, 0SH9 Right, 0RPE Intravascular, 8E023DZ
Knee Tarsal Near infrared, 8E023DZ
Left, 0SHD Left, 0SPJ Speech Assessment, F00
Right, 0SHC Right, 0SPH Speech therapy see Speech Treatment, Rehabilitation,
Lumbar Vertebral, 0SH0 Tarsometatarsal F06
Lumbosacral, 0SH3 Left, 0SPL Speech Treatment, F06
Metacarpophalangeal Right, 0SPK Sphenoidectomy
Left, 0RHV Temporomandibular see Excision, Ear, Nose, Sinus, 09B
Right, 0RHU Left, 0RPD see Excision, Head and Facial Bones, 0NB
Metatarsal-Phalangeal Right, 0RPC see Resection, Ear, Nose, Sinus, 09T
Left, 0SHN Thoracic Vertebral, 0RP6 see Resection, Head and Facial Bones, 0NT
Right, 0SHM Thoracolumbar Vertebral, 0RPA Sphenoidotomy see Drainage, Ear, Nose, Sinus, 099
Occipital-cervical, 0RH0 Toe Phalangeal Sphenomandibular ligament use Head and Neck Bursa
Sacrococcygeal, 0SH5 Left, 0SPQ and Ligament
Sacroiliac Right, 0SPP Sphenopalatine (pterygopalatine) ganglion use Head
Left, 0SH8 Wrist and Neck Sympathetic Nerve
Right, 0SH7 Left, 0RPP Sphincterorrhaphy, anal see Repair, Anal Sphincter,
Shoulder Right, 0RPN 0DQR
Left, 0RHK Revision of device in
Sphincterotomy, anal
Right, 0RHJ Acromioclavicular
Sternoclavicular Left, 0RWH see Division, Anal Sphincter, 0D8R
Left, 0RHF Right, 0RWG see Drainage, Anal Sphincter, 0D9R
Right, 0RHE Ankle Spinal cord neurostimulator lead use Neurostimulator
Tarsal Left, 0SWG Lead in Central Nervous System and Cranial Nerves
Left, 0SHJ Right, 0SWF Spinal growth rods, magnetically controlled use
Right, 0SHH Carpal Magnetically Controlled Growth Rod(s) in New
Tarsometatarsal Left, 0RWR Technology
Left, 0SHL Right, 0RWQ Spinal nerve, cervical use Cervical Nerve
Right, 0SHK Carpometacarpal Spinal nerve, lumbar use Lumbar Nerve
Temporomandibular Left, 0RWT Spinal nerve, sacral use Sacral Nerve
Left, 0RHD Right, 0RWS Spinal nerve, thoracic use Thoracic Nerve
Right, 0RHC Cervical Vertebral, 0RW1 Spinal Stabilization Device
Thoracic Vertebral, 0RH6 Cervicothoracic Vertebral, 0RW4 Facet Replacement
Thoracolumbar Vertebral, 0RHA Coccygeal, 0SW6 Cervical Vertebral, 0RH1
Toe Phalangeal Elbow Cervicothoracic Vertebral, 0RH4
Left, 0SHQ Left, 0RWM Lumbar Vertebral, 0SH0
Right, 0SHP Right, 0RWL Lumbosacral, 0SH3
Wrist Finger Phalangeal Occipital-cervical, 0RH0
Left, 0RHP Left, 0RWX Thoracic Vertebral, 0RH6
Right, 0RHN Right, 0RWW Thoracolumbar Vertebral, 0RHA
Removal of device from Hip Interspinous Process
Acromioclavicular Left, 0SWB Cervical Vertebral, 0RH1
Left, 0RPH Right, 0SW9 Cervicothoracic Vertebral, 0RH4
Right, 0RPG Knee Lumbar Vertebral, 0SH0
Ankle Left, 0SWD Lumbosacral, 0SH3
Left, 0SPG Right, 0SWC Occipital-cervical, 0RH0
Right, 0SPF Lumbar Vertebral, 0SW0 Thoracic Vertebral, 0RH6
Carpal Lumbosacral, 0SW3 Thoracolumbar Vertebral, 0RHA
Left, 0RPR Metacarpophalangeal Pedicle-Based
Right, 0RPQ Left, 0RWV Cervical Vertebral, 0RH1
Carpometacarpal Right, 0RWU Cervicothoracic Vertebral, 0RH4
Left, 0RPT Metatarsal-Phalangeal Lumbar Vertebral, 0SH0
Right, 0RPS Left, 0SWN Lumbosacral, 0SH3
Spacer — Splenic flexure

Cervical Vertebral, 0RP1 Right, 0SWM Occipital-cervical, 0RH0

Cervicothoracic Vertebral, 0RP4 Occipital-cervical, 0RW0 Thoracic Vertebral, 0RH6
Coccygeal, 0SP6 Sacrococcygeal, 0SW5 Thoracolumbar Vertebral, 0RHA
Elbow Sacroiliac Spinous process
Left, 0RPM Left, 0SW8 use Cervical Vertebra
Right, 0RPL Right, 0SW7 use Lumbar Vertebra
Finger Phalangeal Shoulder use Thoracic Vertebra
Left, 0RPX Left, 0RWK Spiral ganglion use Acoustic Nerve
Right, 0RPW Right, 0RWJ Spiration IBV™ Valve System use Intraluminal Device,
Hip Sternoclavicular Endobronchial Valve in Respiratory System
Left, 0SPB Left, 0RWF Splenectomy
Right, 0SP9 Right, 0RWE see Excision, Lymphatic and Hemic Systems, 07B
Knee Tarsal see Resection, Lymphatic and Hemic Systems, 07T
Left, 0SPD Left, 0SWJ Splenic flexure use Transverse Colon

2 Subterms under main terms may continue to next column or page 111
 Splenic plexus ICD-10-PCS 2019
Splenic plexus use Abdominal Sympathetic Nerve Stereotactic Radiosurgery — continued Stereotactic Radiosurgery — continued
Index
Splenius capitis muscle use Head Muscle Gamma Beam — continued Other Photon — continued
Splenius cervicis muscle Eye, D820JZZ Breast
use Neck Muscle, Left Gallbladder, DF21JZZ Left, DM20DZZ
use Neck Muscle, Right Gland Right, DM21DZZ
Splenolysis see Release, Lymphatic and Hemic Systems, Adrenal, DG22JZZ Bronchus, DB21DZZ
07N Parathyroid, DG24JZZ Cervix, DU21DZZ
Splenopexy Pituitary, DG20JZZ Chest, DW22DZZ
see Repair, Lymphatic and Hemic Systems, 07Q Thyroid, DG25JZZ Chest Wall, DB27DZZ
see Reposition, Lymphatic and Hemic Systems, 07S Glands, Salivary, D926JZZ Colon, DD25DZZ
Splenoplasty see Repair, Lymphatic and Hemic Systems, Head and Neck, DW21JZZ Diaphragm, DB28DZZ
07Q Ileum, DD24JZZ Duodenum, DD22DZZ
Splenorrhaphy see Repair, Lymphatic and Hemic Systems, Jejunum, DD23JZZ Ear, D920DZZ
07Q Kidney, DT20JZZ Esophagus, DD20DZZ
Splenotomy see Drainage, Lymphatic and Hemic Systems, Larynx, D92BJZZ Eye, D820DZZ
079 Liver, DF20JZZ Gallbladder, DF21DZZ
Splinting, musculoskeletal see Immobilization, Lung, DB22JZZ Gland
Anatomical Regions, 2W3 Lymphatics Adrenal, DG22DZZ
SPY system intravascular fluorescence angiography Abdomen, D726JZZ Parathyroid, DG24DZZ
see Monitoring, Physiological Systems, 4A1 Axillary, D724JZZ Pituitary, DG20DZZ
Stapedectomy Inguinal, D728JZZ Thyroid, DG25DZZ
Neck, D723JZZ Glands, Salivary, D926DZZ
see Excision, Ear, Nose, Sinus, 09B
Pelvis, D727JZZ Head and Neck, DW21DZZ
see Resection, Ear, Nose, Sinus, 09T Thorax, D725JZZ Ileum, DD24DZZ
Stapediolysis see Release, Ear, Nose, Sinus, 09N Mediastinum, DB26JZZ Jejunum, DD23DZZ
Stapedioplasty Mouth, D924JZZ Kidney, DT20DZZ
see Repair, Ear, Nose, Sinus, 09Q Nasopharynx, D92DJZZ Larynx, D92BDZZ
see Replacement, Ear, Nose, Sinus, 09R Neck and Head, DW21JZZ Liver, DF20DZZ
see Supplement, Ear, Nose, Sinus, 09U Nerve, Peripheral, D027JZZ Lung, DB22DZZ
Stapedotomy see Drainage, Ear, Nose, Sinus, 099 Nose, D921JZZ Lymphatics
Stapes Ovary, DU20JZZ Abdomen, D726DZZ
use Auditory Ossicle, Left Palate Axillary, D724DZZ
use Auditory Ossicle, Right Hard, D928JZZ Inguinal, D728DZZ
Static Spacer (Antibiotic) use Spacer in Lower Joints Soft, D929JZZ Neck, D723DZZ
STELARA® use Other New Technology Therapeutic Sub- Pancreas, DF23JZZ Pelvis, D727DZZ
stance Parathyroid Gland, DG24JZZ Thorax, D725DZZ
Stellate ganglion use Head and Neck Sympathetic Nerve Pelvic Region, DW26JZZ Mediastinum, DB26DZZ
Stem cell transplant see Transfusion, Circulatory, 302 Pharynx, D92CJZZ Mouth, D924DZZ
Stensen's duct Pineal Body, DG21JZZ Nasopharynx, D92DDZZ
use Parotid Duct, Left Pituitary Gland, DG20JZZ Neck and Head, DW21DZZ
use Parotid Duct, Right Pleura, DB25JZZ Nerve, Peripheral, D027DZZ
Stent, intraluminal (cardiovascular) (gastrointestinal) Prostate, DV20JZZ Nose, D921DZZ
(hepatobiliary) (urinary) use Intraluminal Device Rectum, DD27JZZ Ovary, DU20DZZ
Stent retriever thrombectomy see Extirpation, Upper Sinuses, D927JZZ Palate
Arteries, 03C Spinal Cord, D026JZZ Hard, D928DZZ
Stented tissue valve use Zooplastic Tissue in Heart and Spleen, D722JZZ Soft, D929DZZ
Great Vessels Stomach, DD21JZZ Pancreas, DF23DZZ
Stereotactic Radiosurgery Testis, DV21JZZ Parathyroid Gland, DG24DZZ
Abdomen, DW23 Thymus, D721JZZ Pelvic Region, DW26DZZ
Adrenal Gland, DG22 Thyroid Gland, DG25JZZ Pharynx, D92CDZZ
Bile Ducts, DF22 Tongue, D925JZZ Pineal Body, DG21DZZ
Bladder, DT22 Trachea, DB20JZZ Pituitary Gland, DG20DZZ
Bone Marrow, D720 Ureter, DT21JZZ Pleura, DB25DZZ
Brain, D020 Urethra, DT23JZZ Prostate, DV20DZZ
Brain Stem, D021 Uterus, DU22JZZ Rectum, DD27DZZ
Breast Gland Sinuses, D927DZZ
Left, DM20 Adrenal, DG22 Spinal Cord, D026DZZ
Right, DM21 Parathyroid, DG24 Spleen, D722DZZ
Bronchus, DB21 Pituitary, DG20 Stomach, DD21DZZ
Cervix, DU21 Thyroid, DG25 Testis, DV21DZZ
Chest, DW22 Glands, Salivary, D926 Thymus, D721DZZ
Chest Wall, DB27 Head and Neck, DW21 Thyroid Gland, DG25DZZ
Colon, DD25 Ileum, DD24 Tongue, D925DZZ
Diaphragm, DB28 Jejunum, DD23 Trachea, DB20DZZ
Splenic plexus — Stereotactic Radiosurgery

Duodenum, DD22 Kidney, DT20 Ureter, DT21DZZ

Ear, D920 Larynx, D92B Urethra, DT23DZZ
Esophagus, DD20 Liver, DF20 Uterus, DU22DZZ
Eye, D820 Lung, DB22 Ovary, DU20
Gallbladder, DF21 Lymphatics Palate
Gamma Beam Abdomen, D726 Hard, D928
Abdomen, DW23JZZ Axillary, D724 Soft, D929
Adrenal Gland, DG22JZZ Inguinal, D728 Pancreas, DF23
Bile Ducts, DF22JZZ Neck, D723 Parathyroid Gland, DG24
Bladder, DT22JZZ Pelvis, D727 Particulate
Bone Marrow, D720JZZ Thorax, D725 Abdomen, DW23HZZ
Brain, D020JZZ Mediastinum, DB26 Adrenal Gland, DG22HZZ
Brain Stem, D021JZZ Mouth, D924 Bile Ducts, DF22HZZ
Breast Nasopharynx, D92D Bladder, DT22HZZ
Left, DM20JZZ Neck and Head, DW21 Bone Marrow, D720HZZ
Right, DM21JZZ Nerve, Peripheral, D027 Brain, D020HZZ
Bronchus, DB21JZZ Nose, D921 Brain Stem, D021HZZ
Cervix, DU21JZZ Other Photon Breast
Chest, DW22JZZ Abdomen, DW23DZZ Left, DM20HZZ
Chest Wall, DB27JZZ Adrenal Gland, DG22DZZ Right, DM21HZZ
Colon, DD25JZZ Bile Ducts, DF22DZZ Bronchus, DB21HZZ
Diaphragm, DB28JZZ Bladder, DT22DZZ Cervix, DU21HZZ
Duodenum, DD22JZZ Bone Marrow, D720DZZ Chest, DW22HZZ
Ear, D920JZZ Brain, D020DZZ Chest Wall, DB27HZZ
Esophagus, DD20JZZ Brain Stem, D021DZZ Colon, DD25HZZ

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ICD-10-PCS 2019 Substance Abuse Treatment
Stereotactic Radiosurgery — continued Sternotomy Stylopharyngeus muscle use Tongue, Palate, Pharynx

Index
Particulate — continued see Division, Sternum, 0P80 Muscle
Diaphragm, DB28HZZ see Drainage, Sternum, 0P90 Subacromial bursa
Duodenum, DD22HZZ Stimulation, cardiac use Shoulder Bursa and Ligament, Left
Ear, D920HZZ Cardioversion, 5A2204Z use Shoulder Bursa and Ligament, Right
Esophagus, DD20HZZ Electrophysiologic testing see Measurement, Cardiac, Subaortic (common iliac) lymph node use Lymphatic,
Eye, D820HZZ 4A02 Pelvis
Gallbladder, DF21HZZ Stimulator Generator Subarachnoid space, spinal use Spinal Canal
Gland Insertion of device in Subclavicular (apical) lymph node
Adrenal, DG22HZZ Abdomen, 0JH8 use Lymphatic, Left Axillary
Parathyroid, DG24HZZ Back, 0JH7 use Lymphatic, Right Axillary
Pituitary, DG20HZZ Chest, 0JH6 Subclavius muscle
Thyroid, DG25HZZ Multiple Array use Thorax Muscle, Left
Glands, Salivary, D926HZZ Abdomen, 0JH8 use Thorax Muscle, Right
Head and Neck, DW21HZZ Back, 0JH7 Subclavius nerve use Brachial Plexus
Ileum, DD24HZZ Chest, 0JH6 Subcostal artery use Upper Artery
Jejunum, DD23HZZ Multiple Array Rechargeable Subcostal muscle
Kidney, DT20HZZ Abdomen, 0JH8 use Thorax Muscle, Left
Larynx, D92BHZZ Back, 0JH7 use Thorax Muscle, Right
Liver, DF20HZZ Chest, 0JH6
Lung, DB22HZZ Subcostal nerve use Thoracic Nerve
Removal of device from, Subcutaneous Tissue and Subcutaneous injection reservoir, port use Vascular
Lymphatics Fascia, Trunk, 0JPT
Abdomen, D726HZZ Access Device, Totally Implantable in Subcutaneous
Revision of device in, Subcutaneous Tissue and Fascia, Tissue and Fascia
Axillary, D724HZZ Trunk, 0JWT
Inguinal, D728HZZ Subcutaneous injection reservoir, pump use Infusion
Single Array Device, Pump in Subcutaneous Tissue and Fascia
Neck, D723HZZ Abdomen, 0JH8
Pelvis, D727HZZ Subdermal progesterone implant use Contraceptive
Back, 0JH7 Device in Subcutaneous Tissue and Fascia
Thorax, D725HZZ Chest, 0JH6
Mediastinum, DB26HZZ Subdural space, spinal use Spinal Canal
Single Array Rechargeable
Mouth, D924HZZ Abdomen, 0JH8 Submandibular ganglion
Nasopharynx, D92DHZZ Back, 0JH7 use Facial Nerve
Neck and Head, DW21HZZ Chest, 0JH6 use Head and Neck Sympathetic Nerve
Nerve, Peripheral, D027HZZ Stimulator Lead Submandibular gland
Nose, D921HZZ Insertion of device in use Submaxillary Gland, Left
Ovary, DU20HZZ Anal Sphincter, 0DHR use Submaxillary Gland, Right
Palate Artery Submandibular lymph node use Lymphatic, Head
Hard, D928HZZ Left, 03HL Submaxillary ganglion use Head and Neck Sympathetic
Soft, D929HZZ Right, 03HK Nerve
Pancreas, DF23HZZ Bladder, 0THB Submaxillary lymph node use Lymphatic, Head
Parathyroid Gland, DG24HZZ Muscle Submental artery use Face Artery
Pelvic Region, DW26HZZ Lower, 0KHY Submental lymph node use Lymphatic, Head
Pharynx, D92CHZZ Upper, 0KHX Submucous (Meissner's) plexus use Abdominal Sympa-
Pineal Body, DG21HZZ Stomach, 0DH6 thetic Nerve
Pituitary Gland, DG20HZZ Ureter, 0TH9 Suboccipital nerve use Cervical Nerve
Pleura, DB25HZZ Removal of device from Suboccipital venous plexus
Prostate, DV20HZZ Anal Sphincter, 0DPR use Vertebral Vein, Left
Rectum, DD27HZZ Artery, Upper, 03PY use Vertebral Vein, Right
Sinuses, D927HZZ Bladder, 0TPB Subparotid lymph node use Lymphatic, Head
Spinal Cord, D026HZZ Muscle Subscapular aponeurosis
Spleen, D722HZZ Lower, 0KPY use Subcutaneous Tissue and Fascia, Left Upper Arm
Stomach, DD21HZZ Upper, 0KPX use Subcutaneous Tissue and Fascia, Right Upper Arm
Testis, DV21HZZ Stomach, 0DP6 Subscapular artery
Thymus, D721HZZ Ureter, 0TP9 use Axillary Artery, Left
Thyroid Gland, DG25HZZ Revision of device in use Axillary Artery, Right
Tongue, D925HZZ Anal Sphincter, 0DWR Subscapular (posterior) lymph node
Trachea, DB20HZZ Artery, Upper, 03WY use Lymphatic, Axillary, Left

Stereotactic Radiosurgery — Substance Abuse Treatment

Ureter, DT21HZZ Bladder, 0TWB use Lymphatic, Axillary, Right
Urethra, DT23HZZ Muscle Subscapularis muscle
Uterus, DU22HZZ Lower, 0KWY
Pelvic Region, DW26 use Shoulder Muscle, Left
Upper, 0KWX use Shoulder Muscle, Right
Pharynx, D92C Stomach, 0DW6
Pineal Body, DG21 Substance Abuse Treatment
Ureter, 0TW9 Counseling
Pituitary Gland, DG20 Stoma
Pleura, DB25 Family, for substance abuse, Other Family
Excision Counseling, HZ63ZZZ
Prostate, DV20 Abdominal Wall, 0WBFXZ2
Rectum, DD27 Group
Neck, 0WB6XZ2 12-Step, HZ43ZZZ
Sinuses, D927 Repair
Spinal Cord, D026 Behavioral, HZ41ZZZ
Abdominal Wall, 0WQFXZ2 Cognitive, HZ40ZZZ
Spleen, D722 Neck, 0WQ6XZ2
Stomach, DD21 Cognitive-Behavioral, HZ42ZZZ
Stomatoplasty Confrontational, HZ48ZZZ
Testis, DV21 see Repair, Mouth and Throat, 0CQ
Thymus, D721 Continuing Care, HZ49ZZZ
see Replacement, Mouth and Throat, 0CR Infectious Disease
Thyroid Gland, DG25 see Supplement, Mouth and Throat, 0CU
Tongue, D925 Post-Test, HZ4CZZZ
Stomatorrhaphy see Repair, Mouth and Throat, 0CQ Pre-Test, HZ4CZZZ
Trachea, DB20 Stratos LV use Cardiac Resynchronization Pacemaker Pulse
Ureter, DT21 Interpersonal, HZ44ZZZ
Generator in, 0JH Motivational Enhancement, HZ47ZZZ
Urethra, DT23 Stress test, 4A02XM4, 4A12XM4
Uterus, DU22 Psychoeducation, HZ46ZZZ
Stripping see Extraction Spiritual, HZ4BZZZ
Sternoclavicular ligament Study
use Shoulder Bursa and Ligament, Left Vocational, HZ45ZZZ
Electrophysiologic stimulation, cardiac see Measure- Individual
use Shoulder Bursa and Ligament, Right ment, Cardiac, 4A02 12-Step, HZ33ZZZ
Sternocleidomastoid artery Ocular motility, 4A07X7Z Behavioral, HZ31ZZZ
use Thyroid Artery, Left Pulmonary airway flow measurement see Measure- Cognitive, HZ30ZZZ
use Thyroid Artery, Right ment, Respiratory, 4A09 Cognitive-Behavioral, HZ32ZZZ
Sternocleidomastoid muscle Visual acuity, 4A07X0Z Confrontational, HZ38ZZZ
use Neck Muscle, Left Styloglossus muscle use Tongue, Palate, Pharynx Muscle Continuing Care, HZ39ZZZ
use Neck Muscle, Right Stylomandibular ligament use Head and Neck Bursa Infectious Disease
Sternocostal ligament use Sternum Bursa and Ligament and Ligament Post-Test, HZ3CZZZ

2 Subterms under main terms may continue to next column or page 113
 Substance Abuse Treatment ICD-10-PCS 2019
Substance Abuse Treatment — continued Superior cerebellar vein use Intracranial Vein Supplement — continued
Index
Counseling — continued Superior cerebral vein use Intracranial Vein Artery — continued
Individual — continued Superior clunic (cluneal) nerve use Lumbar Nerve Colic
Infectious Disease — continued Superior epigastric artery Left, 04U7
Pre-Test, HZ3CZZZ use Internal Mammary Artery, Left Middle, 04U8
Interpersonal, HZ34ZZZ use Internal Mammary Artery, Right Right, 04U6
Motivational Enhancement, HZ37ZZZ Superior genicular artery Common Carotid
Psychoeducation, HZ36ZZZ use Popliteal Artery, Left Left, 03UJ
Spiritual, HZ3BZZZ use Popliteal Artery, Right Right, 03UH
Vocational, HZ35ZZZ Superior gluteal artery Common Iliac
Detoxification Services, for substance abuse, HZ2ZZZZ use Internal Iliac Artery, Left Left, 04UD
Medication Management use Internal Iliac Artery, Right Right, 04UC
Antabuse, HZ83ZZZ Superior gluteal nerve use Lumbar Plexus External Carotid
Bupropion, HZ87ZZZ Superior hypogastric plexus use Abdominal Sympathet- Left, 03UN
Clonidine, HZ86ZZZ ic Nerve Right, 03UM
Levo-alpha-acetyl-methadol (LAAM), HZ82ZZZ Superior labial artery use Face Artery External Iliac
Methadone Maintenance, HZ81ZZZ Superior laryngeal artery Left, 04UJ
Naloxone, HZ85ZZZ Right, 04UH
use Thyroid Artery, Left
Naltrexone, HZ84ZZZ Face, 03UR
Nicotine Replacement, HZ80ZZZ use Thyroid Artery, Right Femoral
Other Replacement Medication, HZ89ZZZ Superior laryngeal nerve use Vagus Nerve Left, 04UL
Psychiatric Medication, HZ88ZZZ Superior longitudinal muscle use Tongue, Palate, Right, 04UK
Pharmacotherapy Pharynx Muscle Foot
Antabuse, HZ93ZZZ Superior mesenteric ganglion use Abdominal Sympa- Left, 04UW
Bupropion, HZ97ZZZ thetic Nerve Right, 04UV
Clonidine, HZ96ZZZ Superior mesenteric lymph node use Lymphatic, Gastric, 04U2
Levo-alpha-acetyl-methadol (LAAM), HZ92ZZZ Mesenteric Hand
Methadone Maintenance, HZ91ZZZ Superior mesenteric plexus use Abdominal Sympathetic Left, 03UF
Naloxone, HZ95ZZZ Nerve Right, 03UD
Naltrexone, HZ94ZZZ Superior oblique muscle Hepatic, 04U3
Nicotine Replacement, HZ90ZZZ use Extraocular Muscle, Left Inferior Mesenteric, 04UB
Psychiatric Medication, HZ98ZZZ use Extraocular Muscle, Right Innominate, 03U2
Replacement Medication, Other, HZ99ZZZ Superior olivary nucleus use Pons Internal Carotid
Psychotherapy Superior rectal artery use Inferior Mesenteric Artery Left, 03UL
12-Step, HZ53ZZZ Superior rectal vein use Inferior Mesenteric Vein Right, 03UK
Behavioral, HZ51ZZZ Superior rectus muscle Internal Iliac
Cognitive, HZ50ZZZ use Extraocular Muscle, Left Left, 04UF
Cognitive-Behavioral, HZ52ZZZ use Extraocular Muscle, Right Right, 04UE
Confrontational, HZ58ZZZ Superior tarsal plate Internal Mammary
Interactive, HZ55ZZZ use Upper Eyelid, Left Left, 03U1
Interpersonal, HZ54ZZZ use Upper Eyelid, Right Right, 03U0
Motivational Enhancement, HZ57ZZZ Superior thoracic artery Intracranial, 03UG
Psychoanalysis, HZ5BZZZ use Axillary Artery, Left Lower, 04UY
Psychodynamic, HZ5CZZZ use Axillary Artery, Right Peroneal
Psychoeducation, HZ56ZZZ Superior thyroid artery Left, 04UU
Psychophysiological, HZ5DZZZ use External Carotid Artery, Left Right, 04UT
Supportive, HZ59ZZZ use External Carotid Artery, Right Popliteal
Substantia nigra use Basal Ganglia use Thyroid Artery, Left Left, 04UN
Subtalar (talocalcaneal) joint use Thyroid Artery, Right Right, 04UM
use Tarsal Joint, Left Superior turbinate use Nasal Turbinate Posterior Tibial
use Tarsal Joint, Right Superior ulnar collateral artery Left, 04US
Subtalar ligament use Brachial Artery, Left Right, 04UR
use Foot Bursa and Ligament, Left use Brachial Artery, Right Pulmonary
use Foot Bursa and Ligament, Right Supersaturated Oxygen therapy, 5A0512C, 5A0522C Left, 02UR
Subthalamic nucleus use Basal Ganglia Right, 02UQ
Supplement
Suction curettage (D&C), nonobstetric see Extraction, Pulmonary Trunk, 02UP
Abdominal Wall, 0WUF
Endometrium, 0UDB Radial
Acetabulum
Suction curettage, obstetric post-delivery see Extrac- Left, 03UC
Left, 0QU5
tion, Products of Conception, Retained, 10D1 Right, 03UB
Right, 0QU4
Superficial circumflex iliac vein Renal
Ampulla of Vater, 0FUC
use Saphenous Vein, Left Left, 04UA
Anal Sphincter, 0DUR
use Saphenous Vein, Right Right, 04U9
Ankle Region
Superficial epigastric artery Splenic, 04U4
Left, 0YUL
use Femoral Artery, Left Subclavian
Substance Abuse Treatment — Supplement

Right, 0YUK
Left, 03U4
use Femoral Artery, Right Anus, 0DUQ
Right, 03U3
Superficial epigastric vein Aorta
Superior Mesenteric, 04U5
use Saphenous Vein, Left Abdominal, 04U0
Temporal
use Saphenous Vein, Right Thoracic
Left, 03UT
Superficial Inferior Epigastric Artery Flap Ascending/Arch, 02UX
Right, 03US
Replacement Descending, 02UW
Thyroid
Bilateral, 0HRV078 Arm
Left, 03UV
Left, 0HRU078 Lower
Right, 03UU
Right, 0HRT078 Left, 0XUF
Ulnar
Transfer Right, 0XUD
Left, 03UA
Left, 0KXG Upper
Right, 03U9
Right, 0KXF Left, 0XU9
Upper, 03UY
Superficial palmar arch Right, 0XU8
Vertebral
use Hand Artery, Left Artery
Left, 03UQ
use Hand Artery, Right Anterior Tibial
Right, 03UP
Superficial palmar venous arch Left, 04UQ
Atrium
use Hand Vein, Left Right, 04UP
Left, 02U7
use Hand Vein, Right Axillary
Right, 02U6
Superficial temporal artery Left, 03U6
Auditory Ossicle
use Temporal Artery, Left Right, 03U5
Left, 09UA
use Temporal Artery, Right Brachial
Right, 09U9
Superficial transverse perineal muscle use Perineum Left, 03U8
Axilla
Muscle Right, 03U7
Left, 0XU5
Superior cardiac nerve use Thoracic Sympathetic Nerve Celiac, 04U1
Right, 0XU4

114 2 Subterms under main terms may continue to next column or page
ICD-10-PCS 2019 Supplement
Supplement — continued Supplement — continued Supplement — continued

Index
Back Bursa and Ligament — continued Eye
Lower, 0WUL Wrist Left, 08U1
Upper, 0WUK Left, 0MU6 Right, 08U0
Bladder, 0TUB Right, 0MU5 Eyelid
Bladder Neck, 0TUC Buttock Lower
Bone Left, 0YU1 Left, 08UR
Ethmoid Right, 0YU0 Right, 08UQ
Left, 0NUG Carina, 0BU2 Upper
Right, 0NUF Carpal Left, 08UP
Frontal, 0NU1 Left, 0PUN Right, 08UN
Hyoid, 0NUX Right, 0PUM Face, 0WU2
Lacrimal Cecum, 0DUH Fallopian Tube
Left, 0NUJ Cerebral Meninges, 00U1 Left, 0UU6
Right, 0NUH Cerebral Ventricle, 00U6 Right, 0UU5
Nasal, 0NUB Chest Wall, 0WU8 Fallopian Tubes, Bilateral, 0UU7
Occipital, 0NU7 Chordae Tendineae, 02U9 Femoral Region
Palatine Cisterna Chyli, 07UL Bilateral, 0YUE
Left, 0NUL Clavicle Left, 0YU8
Right, 0NUK Left, 0PUB Right, 0YU7
Parietal Right, 0PU9 Femoral Shaft
Left, 0NU4 Clitoris, 0UUJ Left, 0QU9
Right, 0NU3 Coccyx, 0QUS Right, 0QU8
Pelvic Colon Femur
Left, 0QU3 Ascending, 0DUK Lower
Right, 0QU2 Descending, 0DUM Left, 0QUC
Sphenoid, 0NUC Sigmoid, 0DUN Right, 0QUB
Temporal Transverse, 0DUL Upper
Left, 0NU6 Cord Left, 0QU7
Right, 0NU5 Bilateral, 0VUH Right, 0QU6
Zygomatic Left, 0VUG Fibula
Left, 0NUN Right, 0VUF Left, 0QUK
Right, 0NUM Cornea Right, 0QUJ
Breast Left, 08U9 Finger
Bilateral, 0HUV Right, 08U8 Index
Left, 0HUU Cul-de-sac, 0UUF Left, 0XUP
Right, 0HUT Diaphragm, 0BUT Right, 0XUN
Bronchus Disc Little
Lingula, 0BU9 Cervical Vertebral, 0RU3 Left, 0XUW
Lower Lobe Cervicothoracic Vertebral, 0RU5 Right, 0XUV
Left, 0BUB Lumbar Vertebral, 0SU2 Middle
Right, 0BU6 Lumbosacral, 0SU4 Left, 0XUR
Main Thoracic Vertebral, 0RU9 Right, 0XUQ
Left, 0BU7 Thoracolumbar Vertebral, 0RUB Ring
Right, 0BU3 Duct Left, 0XUT
Middle Lobe, Right, 0BU5 Common Bile, 0FU9 Right, 0XUS
Upper Lobe Cystic, 0FU8 Foot
Left, 0BU8 Hepatic Left, 0YUN
Right, 0BU4 Common, 0FU7 Right, 0YUM
Buccal Mucosa, 0CU4 Left, 0FU6 Gingiva
Bursa and Ligament Right, 0FU5 Lower, 0CU6
Abdomen Lacrimal Upper, 0CU5
Left, 0MUJ Left, 08UY Glenoid Cavity
Right, 0MUH Right, 08UX Left, 0PU8
Ankle Pancreatic, 0FUD Right, 0PU7
Left, 0MUR Accessory, 0FUF Hand
Right, 0MUQ Duodenum, 0DU9 Left, 0XUK
Elbow Dura Mater, 00U2 Right, 0XUJ
Left, 0MU4 Ear Head, 0WU0
Right, 0MU3 External Heart, 02UA
Foot Bilateral, 09U2 Humeral Head
Left, 0MUT Left, 09U1 Left, 0PUD
Right, 0MUS Right, 09U0 Right, 0PUC
Hand Inner Humeral Shaft
Left, 0MU8 Left, 09UE Left, 0PUG
Right, 0MU7 Right, 09UD Right, 0PUF
Head and Neck, 0MU0 Middle Hymen, 0UUK
Hip Left, 09U6 Ileocecal Valve, 0DUC
Left, 0MUM Right, 09U5 Ileum, 0DUB
Right, 0MUL Elbow Region Inguinal Region
Knee Left, 0XUC Bilateral, 0YUA
Left, 0MUP Right, 0XUB Left, 0YU6
Right, 0MUN Epididymis Right, 0YU5
Supplement — Supplement

Lower Extremity Bilateral, 0VUL Intestine

Left, 0MUW Left, 0VUK Large, 0DUE
Right, 0MUV Right, 0VUJ Left, 0DUG
Perineum, 0MUK Epiglottis, 0CUR Right, 0DUF
Rib(s), 0MUG Esophagogastric Junction, 0DU4 Small, 0DU8
Shoulder Esophagus, 0DU5 Iris
Left, 0MU2 Lower, 0DU3 Left, 08UD
Right, 0MU1 Middle, 0DU2 Right, 08UC
Spine Upper, 0DU1 Jaw
Lower, 0MUD Extremity Lower, 0WU5
Upper, 0MUC Lower Upper, 0WU4
Sternum, 0MUF Left, 0YUB Jejunum, 0DUA
Upper Extremity Right, 0YU9 Joint
Left, 0MUB Upper Acromioclavicular
Right, 0MU9 Left, 0XU7 Left, 0RUH
Right, 0XU6 Right, 0RUG

2 Subterms under main terms may continue to next column or page 115
 Supplement ICD-10-PCS 2019
Supplement — continued Supplement — continued Supplement — continued
Index
Joint — continued Lymphatic — continued Nerve — continued
Ankle Axillary Cervical, 01U1
Left, 0SUG Left, 07U6 Facial, 00UM
Right, 0SUF Right, 07U5 Femoral, 01UD
Carpal Head, 07U0 Glossopharyngeal, 00UP
Left, 0RUR Inguinal Hypoglossal, 00US
Right, 0RUQ Left, 07UJ Lumbar, 01UB
Carpometacarpal Right, 07UH Median, 01U5
Left, 0RUT Internal Mammary Oculomotor, 00UH
Right, 0RUS Left, 07U9 Olfactory, 00UF
Cervical Vertebral, 0RU1 Right, 07U8 Optic, 00UG
Cervicothoracic Vertebral, 0RU4 Lower Extremity Peroneal, 01UH
Coccygeal, 0SU6 Left, 07UG Phrenic, 01U2
Elbow Right, 07UF Pudendal, 01UC
Left, 0RUM Mesenteric, 07UB Radial, 01U6
Right, 0RUL Neck Sacral, 01UR
Finger Phalangeal Left, 07U2 Sciatic, 01UF
Left, 0RUX Right, 07U1 Thoracic, 01U8
Right, 0RUW Pelvis, 07UC Tibial, 01UG
Hip Thoracic Duct, 07UK Trigeminal, 00UK
Left, 0SUB Thorax, 07U7 Trochlear, 00UJ
Acetabular Surface, 0SUE Upper Extremity Ulnar, 01U4
Femoral Surface, 0SUS Left, 07U4 Vagus, 00UQ
Right, 0SU9 Right, 07U3 Nipple
Acetabular Surface, 0SUA Mandible Left, 0HUX
Femoral Surface, 0SUR Left, 0NUV Right, 0HUW
Knee Right, 0NUT Omentum, 0DUU
Left, 0SUD Maxilla, 0NUR Orbit
Femoral Surface, 0SUU09Z Mediastinum, 0WUC Left, 0NUQ
Tibial Surface, 0SUW09Z Mesentery, 0DUV Right, 0NUP
Right, 0SUC Metacarpal Palate
Femoral Surface, 0SUT09Z Left, 0PUQ Hard, 0CU2
Tibial Surface, 0SUV09Z Right, 0PUP Soft, 0CU3
Lumbar Vertebral, 0SU0 Metatarsal Patella
Lumbosacral, 0SU3 Left, 0QUP Left, 0QUF
Metacarpophalangeal Right, 0QUN Right, 0QUD
Left, 0RUV Muscle Penis, 0VUS
Right, 0RUU Abdomen Pericardium, 02UN
Metatarsal-Phalangeal Left, 0KUL Perineum
Left, 0SUN Right, 0KUK Female, 0WUN
Right, 0SUM Extraocular Male, 0WUM
Occipital-cervical, 0RU0 Left, 08UM Peritoneum, 0DUW
Sacrococcygeal, 0SU5 Right, 08UL Phalanx
Sacroiliac Facial, 0KU1 Finger
Left, 0SU8 Foot Left, 0PUV
Right, 0SU7 Left, 0KUW Right, 0PUT
Shoulder Right, 0KUV Thumb
Left, 0RUK Hand Left, 0PUS
Right, 0RUJ Left, 0KUD Right, 0PUR
Sternoclavicular Right, 0KUC Toe
Left, 0RUF Head, 0KU0 Left, 0QUR
Right, 0RUE Hip Right, 0QUQ
Tarsal Left, 0KUP Pharynx, 0CUM
Left, 0SUJ Right, 0KUN Prepuce, 0VUT
Right, 0SUH Lower Arm and Wrist Radius
Tarsometatarsal Left, 0KUB Left, 0PUJ
Left, 0SUL Right, 0KU9 Right, 0PUH
Right, 0SUK Lower Leg Rectum, 0DUP
Temporomandibular Left, 0KUT Retina
Left, 0RUD Right, 0KUS Left, 08UF
Right, 0RUC Neck Right, 08UE
Thoracic Vertebral, 0RU6 Left, 0KU3 Retinal Vessel
Thoracolumbar Vertebral, 0RUA Right, 0KU2 Left, 08UH
Toe Phalangeal Papillary, 02UD Right, 08UG
Left, 0SUQ Perineum, 0KUM Ribs
Right, 0SUP Shoulder 1 to 2, 0PU1
Wrist Left, 0KU6 3 or More, 0PU2
Left, 0RUP Right, 0KU5 Sacrum, 0QU1
Right, 0RUN Thorax Scapula
Kidney Pelvis Left, 0KUJ Left, 0PU6
Left, 0TU4 Right, 0KUH Right, 0PU5
Right, 0TU3 Tongue, Palate, Pharynx, 0KU4 Scrotum, 0VU5
Supplement — Supplement

Knee Region Trunk Septum

Left, 0YUG Left, 0KUG Atrial, 02U5
Right, 0YUF Right, 0KUF Nasal, 09UM
Larynx, 0CUS Upper Arm Ventricular, 02UM
Leg Left, 0KU8 Shoulder Region
Lower Right, 0KU7 Left, 0XU3
Left, 0YUJ Upper Leg Right, 0XU2
Right, 0YUH Left, 0KUR Skull, 0NU0
Upper Right, 0KUQ Spinal Meninges, 00UT
Left, 0YUD Nasal Mucosa and Soft Tissue, 09UK Sternum, 0PU0
Right, 0YUC Nasopharynx, 09UN Stomach, 0DU6
Lip Neck, 0WU6 Pylorus, 0DU7
Lower, 0CU1 Nerve Subcutaneous Tissue and Fascia
Upper, 0CU0 Abducens, 00UL Abdomen, 0JU8
Lymphatic Accessory, 00UR Back, 0JU7
Aortic, 07UD Acoustic, 00UN Buttock, 0JU9

116 2 Subterms under main terms may continue to next column or page
ICD-10-PCS 2019 Suspension
Supplement — continued Supplement — continued Supplement — continued

Index
Subcutaneous Tissue and Fascia — continued Toe — continued Vein — continued
Chest, 0JU6 2nd — continued Internal Jugular
Face, 0JU1 Right, 0YUR Left, 05UN
Foot 3rd Right, 05UM
Left, 0JUR Left, 0YUU Intracranial, 05UL
Right, 0JUQ Right, 0YUT Lower, 06UY
Hand 4th Portal, 06U8
Left, 0JUK Left, 0YUW Pulmonary
Right, 0JUJ Right, 0YUV Left, 02UT
Lower Arm 5th Right, 02US
Left, 0JUH Left, 0YUY Renal
Right, 0JUG Right, 0YUX Left, 06UB
Lower Leg Tongue, 0CU7 Right, 06U9
Left, 0JUP Trachea, 0BU1 Saphenous
Right, 0JUN Tunica Vaginalis Left, 06UQ
Neck Left, 0VU7 Right, 06UP
Left, 0JU5 Right, 0VU6 Splenic, 06U1
Right, 0JU4 Turbinate, Nasal, 09UL Subclavian
Pelvic Region, 0JUC Tympanic Membrane Left, 05U6
Perineum, 0JUB Left, 09U8 Right, 05U5
Scalp, 0JU0 Right, 09U7 Superior Mesenteric, 06U5
Upper Arm Ulna Upper, 05UY
Left, 0JUF Left, 0PUL Vertebral
Right, 0JUD Right, 0PUK Left, 05US
Upper Leg Ureter Right, 05UR
Left, 0JUM Left, 0TU7 Vena Cava
Right, 0JUL Right, 0TU6 Inferior, 06U0
Tarsal Urethra, 0TUD Superior, 02UV
Left, 0QUM Uterine Supporting Structure, 0UU4 Ventricle
Right, 0QUL Uvula, 0CUN Left, 02UL
Tendon Vagina, 0UUG Right, 02UK
Abdomen Valve Vertebra
Left, 0LUG Aortic, 02UF Cervical, 0PU3
Right, 0LUF Mitral, 02UG Lumbar, 0QU0
Ankle Pulmonary, 02UH Thoracic, 0PU4
Left, 0LUT Tricuspid, 02UJ Vesicle
Right, 0LUS Vas Deferens Bilateral, 0VU3
Foot Bilateral, 0VUQ Left, 0VU2
Left, 0LUW Left, 0VUP Right, 0VU1
Right, 0LUV Right, 0VUN Vocal Cord
Hand Vein Left, 0CUV
Left, 0LU8 Axillary Right, 0CUT
Right, 0LU7 Left, 05U8 Vulva, 0UUM
Head and Neck, 0LU0 Right, 05U7 Wrist Region
Hip Azygos, 05U0 Left, 0XUH
Left, 0LUK Basilic Right, 0XUG
Right, 0LUJ Left, 05UC Supraclavicular (Virchow's) lymph node
Knee Right, 05UB use Lymphatic, Left Neck
Left, 0LUR Brachial use Lymphatic, Right Neck
Right, 0LUQ Left, 05UA Supraclavicular nerve use Cervical Plexus
Lower Arm and Wrist Right, 05U9 Suprahyoid lymph node use Lymphatic, Head
Left, 0LU6 Cephalic Suprahyoid muscle
Right, 0LU5 Left, 05UF use Neck Muscle, Left
Lower Leg Right, 05UD use Neck Muscle, Right
Left, 0LUP Colic, 06U7 Suprainguinal lymph node use Lymphatic, Pelvis
Right, 0LUN Common Iliac Supraorbital vein
Perineum, 0LUH Left, 06UD use Face Vein, Left
Shoulder Right, 06UC use Face Vein, Right
Left, 0LU2 Esophageal, 06U3 Suprarenal gland
Right, 0LU1 External Iliac use Adrenal Gland
Thorax Left, 06UG use Adrenal Gland, Bilateral
Left, 0LUD Right, 06UF
use Adrenal Gland, Left
Right, 0LUC External Jugular
Trunk Left, 05UQ use Adrenal Gland, Right
Left, 0LUB Right, 05UP Suprarenal plexus use Abdominal Sympathetic Nerve
Right, 0LU9 Face Suprascapular nerve use Brachial Plexus
Upper Arm Left, 05UV Supraspinatus fascia
Left, 0LU4 Right, 05UT use Subcutaneous Tissue and Fascia, Left Upper Arm
Right, 0LU3 Femoral use Subcutaneous Tissue and Fascia, Right Upper Arm
Upper Leg Left, 06UN Supraspinatus muscle
Left, 0LUM Right, 06UM use Shoulder Muscle, Left
Right, 0LUL Foot use Shoulder Muscle, Right
Testis Left, 06UV Supraspinous ligament
Supplement — Suspension

Bilateral, 0VUC0 Right, 06UT use Lower Spine Bursa and Ligament
Left, 0VUB0 Gastric, 06U2 use Upper Spine Bursa and LIgament
Right, 0VU90 Hand Suprasternal notch use Sternum
Thumb Left, 05UH Supratrochlear lymph node
Left, 0XUM Right, 05UG use Lymphatic, Left Upper Extremity
Right, 0XUL Hemiazygos, 05U1 use Lymphatic, Right Upper Extremity
Tibia Hepatic, 06U4 Sural artery
Left, 0QUH Hypogastric use Popliteal Artery, Left
Right, 0QUG Left, 06UJ use Popliteal Artery, Right
Toe Right, 06UH Suspension
1st Inferior Mesenteric, 06U6 Bladder Neck see Reposition, Bladder Neck, 0TSC
Left, 0YUQ Innominate Kidney see Reposition, Urinary System, 0TS
Right, 0YUP Left, 05U4 Urethra see Reposition, Urinary System, 0TS
2nd Right, 05U3 Urethrovesical see Reposition, Bladder Neck, 0TSC
Left, 0YUS

2 Subterms under main terms may continue to next column or page 117
 Suspension ICD-10-PCS 2019
Suspension — continued TBNA—continued Thermotherapy, prostate see Destruction, Prostate,
Index
Uterus see Reposition, Uterus, 0US9 TissuebiopsyseeExtraction,RespiratorySystem,0BD 0V50
Vagina see Reposition, Vagina, 0USG Telemetry,4A12X4Z Third cranial nerve use Oculomotor Nerve
Suture Ambulatory,4A12X45 Third occipital nerve use Cervical Nerve
Laceration repair see Repair Temperaturegradientstudy,4A0ZXKZ Third ventricle use Cerebral Ventricle
Ligation see Occlusion TemporallobeuseCerebralHemisphere Thoracectomy see Excision, Anatomical Regions, General,
Suture Removal TemporalismuscleuseHeadMuscle 0WB
Extremity TemporoparietalismuscleuseHeadMuscle Thoracentesis see Drainage, Anatomical Regions, General,
Lower, 8E0YXY8 TendolysisseeRelease,Tendons,0LN 0W9
Upper, 8E0XXY8 Tendonectomy Thoracic aortic plexus use Thoracic Sympathetic Nerve
Head and Neck Region, 8E09XY8 seeExcision,Tendons,0LB Thoracic esophagus use Esophagus, Middle
Trunk Region, 8E0WXY8 seeResection,Tendons,0LT Thoracic facet joint use Thoracic Vertebral Joint
Sutureless valve, Perceval use Zooplastic Tissue, Rapid Tendonoplasty,tenoplasty Thoracic ganglion use Thoracic Sympathetic Nerve
Deployment Technique in New Technology see Repair, Tendons, 0LQ Thoracoacromial artery
Sweat gland use Skin see Replacement, Tendons, 0LR use Axillary Artery, Left
Sympathectomy see Excision, Peripheral Nervous System, see Supplement, Tendons, 0LU use Axillary Artery, Right
01B Tendorrhaphy see Repair, Tendons, 0LQ Thoracocentesis see Drainage, Anatomical Regions,
SynCardia Total Artificial Heart use Synthetic Substitute Tendototomy General, 0W9
Synchra CRT-P use Cardiac Resynchronization Pacemaker see Division, Tendons, 0L8 Thoracolumbar facet joint use Thoracolumbar Vertebral
Pulse Generator in, 0JH see Drainage, Tendons, 0L9 Joint
SynchroMed pump use Infusion Device, Pump in Subcu- Tenectomy, tenonectomy Thoracoplasty
taneous Tissue and Fascia see Excision, Tendons, 0LB see Repair, Anatomical Regions, General, 0WQ
Synechiotomy, iris see Release, Eye, 08N see Resection, Tendons, 0LT see Supplement, Anatomical Regions, General, 0WU
Synovectomy Tenolysis see Release, Tendons, 0LN Thoracostomy, for lung collapse see Drainage, Respira-
Lower joint see Excision, Lower Joints, 0SB Tenontorrhaphy see Repair, Tendons, 0LQ tory System, 0B9
Upper joint see Excision, Upper Joints, 0RB Tenontotomy Thoracostomy tube use Drainage Device
Synthetic Human Angiotensin II, XW0 see Division, Tendons, 0L8 Thoracotomy see Drainage, Anatomical Regions, General,
Systemic Nuclear Medicine Therapy see Drainage, Tendons, 0L9 0W9
Abdomen, CW70 Tenorrhaphy see Repair, Tendons, 0LQ Thoratec IVAD (Implantable Ventricular Assist De-
Anatomical Regions, Multiple, CW7YYZZ Tenosynovectomy vice) use Implantable Heart Assist System in Heart
Chest, CW73 see Excision, Tendons, 0LB and Great Vessels
Thyroid, CW7G see Resection, Tendons, 0LT Thoratec Paracorporeal Ventricular Assist Device use
Whole Body, CW7N Tenotomy Short-term External Heart Assist System in Heart and
see Division, Tendons, 0L8 Great Vessels
T see Drainage, Tendons, 0L9
Tensor fasciae latae muscle
Thrombectomy see Extirpation
Thymectomy
use Hip Muscle, Left see Excision, Lymphatic and Hemic Systems, 07B
Takedown see Resection, Lymphatic and Hemic Systems, 07T
Arteriovenous shunt see Removal of device from, use Hip Muscle, Right
Tensor veli palatini muscle use Tongue, Palate, Pharynx Thymopexy
Upper Arteries, 03P see Repair, Lymphatic and Hemic Systems, 07Q
Arteriovenous shunt, with creation of new shunt see Muscle
Tenth cranial nerve use Vagus Nerve see Reposition, Lymphatic and Hemic Systems, 07S
Bypass, Upper Arteries, 031 Thymus gland use Thymus
Stoma Tentorium cerebelli use Dura Mater
Teres major muscle Thyroarytenoid muscle
see Excision
use Shoulder Muscle, Left use Neck Muscle, Left
see Reposition
use Shoulder Muscle, Right use Neck Muscle, Right
Talent® Converter use Intraluminal Device
Teres minor muscle Thyrocervical trunk
Talent® Occluder use Intraluminal Device
use Shoulder Muscle, Left use Thyroid Artery, Left
Talent® Stent Graft (abdominal) (thoracic) use Intralu-
minal Device use Shoulder Muscle, Right use Thyroid Artery, Right
Talocalcaneal (subtalar) joint Termination of pregnancy Thyroid cartilage use Larynx
use Tarsal Joint, Left Aspiration curettage, 10A07ZZ Thyroidectomy
use Tarsal Joint, Right Dilation and curettage, 10A07ZZ see Excision, Endocrine System, 0GB
Talocalcaneal ligament Hysterotomy, 10A00ZZ see Resection, Endocrine System, 0GT
use Foot Bursa and Ligament, Left Intra-amniotic injection, 10A03ZZ Thyroidorrhaphy see Repair, Endocrine System, 0GQ
use Foot Bursa and Ligament, Right Laminaria, 10A07ZW Thyroidoscopy, 0GJK4ZZ
Talocalcaneonavicular joint Vacuum, 10A07Z6 Thyroidotomy see Drainage, Endocrine System, 0G9
use Tarsal Joint, Left Testectomy Tibial insert use Liner in Lower Joints
use Tarsal Joint, Right see Excision, Male Reproductive System, 0VB Tibialis anterior muscle
Talocalcaneonavicular ligament see Resection, Male Reproductive System, 0VT use Lower Leg Muscle, Left
use Foot Bursa and Ligament, Left Testicular artery use Abdominal Aorta use Lower Leg Muscle, Right
use Foot Bursa and Ligament, Right Testing Tibialis posterior muscle
Talocrural joint Glaucoma, 4A07XBZ use Lower Leg Muscle, Left
use Ankle Joint, Left Hearing see Hearing Assessment, Diagnostic Audiol- use Lower Leg Muscle, Right
use Joint, Ankle, Right ogy, F13 Tibiofemoral joint
Talofibular ligament Mental health see Psychological Tests use Knee Joint, Left
use Ankle Bursa and Ligament, Left Muscle function, electromyography (EMG) see Mea- use Knee Joint, Right
surement, Musculoskeletal, 4A0F use Knee Joint, Tibial Surface, Left
use Ankle Bursa and Ligament, Right
Muscle function, manual see Motor Function Assess- use Knee Joint, Tibial Surface, Right
Talus bone ment, Rehabilitation, F01
use Tarsal, Left Tisagenlecleucel use Engineered Autologous Chimeric
Neurophysiologic monitoring, intra-operative see Antigen Receptor T-cell Immunotherapy
use Tarsal, Right
Suspension — Tissue Expander

Monitoring, Physiological Systems, 4A1 Tissue bank graft use Nonautologous Tissue Substitute
TandemHeart® System use Short-term External Heart Range of motion see Motor Function Assessment,
Assist System in Heart and Great Vessels
Tissue Expander
Rehabilitation, F01 Insertion of device in
Tarsectomy Vestibular function see Vestibular Assessment, Diag- Breast
see Excision, Lower Bones, 0QB nostic Audiology, F15 Bilateral, 0HHV
see Resection, Lower Bones, 0QT Thalamectomy see Excision, Thalamus, 00B9 Left, 0HHU
Tarsometatarsal ligament Thalamotomy see Drainage, Thalamus, 0099 Right, 0HHT
use Foot Bursa and Ligament, Left Thenar muscle Nipple
use Foot Bursa and Ligament, Right use Hand Muscle, Left Left, 0HHX
Tarsorrhaphy see Repair, Eye, 08Q use Hand Muscle, Right Right, 0HHW
Tattooing Therapeutic Massage Subcutaneous Tissue and Fascia
Cornea, 3E0CXMZ Musculoskeletal System, 8E0KX1Z Abdomen, 0JH8
Skin see Introduction of substance in or on, Skin, 3E00 Reproductive System Back, 0JH7
TAXUS® Liberté® Paclitaxel-eluting Coronary Stent Prostate, 8E0VX1C Buttock, 0JH9
System use Intraluminal Device, Drug-eluting in Rectum, 8E0VX1D Chest, 0JH6
Heart and Great Vessels Therapeutic occlusion coil(s) use Intraluminal Device Face, 0JH1
TBNA (transbronchial needle aspiration) Thermography, 4A0ZXKZ Foot
Fluid or gas see Drainage, Respiratory System, 0B9 Left, 0JHR

118 2 Subterms under main terms may continue to next column or page
ICD-10-PCS 2019 Transfer
Tissue Expander — continued Tomographic (Tomo) Nuclear Medicine Imaging — Traction — continued

Index
Insertion of device in — continued continued Chest Wall, 2W64X
Subcutaneous Tissue and Fascia — continued Kidneys, Ureters and Bladder, CT23 Extremity
Foot — continued Liver, CF25 Lower
Right, 0JHQ Liver and Spleen, CF26 Left, 2W6MX
Hand Lungs and Bronchi, CB22 Right, 2W6LX
Left, 0JHK Lymphatics and Hematologic System, C72YYZZ Upper
Right, 0JHJ Musculoskeletal System, Other, CP2YYZZ Left, 2W69X
Lower Arm Myocardium, C22G Right, 2W68X
Left, 0JHH Neck and Chest, CW26 Face, 2W61X
Right, 0JHG Neck and Head, CW2B Finger
Lower Leg Pancreas and Hepatobiliary System, CF2YYZZ Left, 2W6KX
Left, 0JHP Pelvic Region, CW2J Right, 2W6JX
Right, 0JHN Pelvis, CP26 Foot
Neck Pelvis and Abdomen, CW21 Left, 2W6TX
Left, 0JH5 Pelvis and Spine, CP27 Right, 2W6SX
Right, 0JH4 Respiratory System, CB2YYZZ Hand
Pelvic Region, 0JHC Skin, CH2YYZZ Left, 2W6FX
Perineum, 0JHB Skull, CP21 Right, 2W6EX
Scalp, 0JH0 Skull and Cervical Spine, CP23 Head, 2W60X
Upper Arm Spine Inguinal Region
Left, 0JHF Cervical, CP22 Left, 2W67X
Right, 0JHD Cervical and Skull, CP23 Right, 2W66X
Upper Leg Lumbar, CP2H Leg
Left, 0JHM Thoracic, CP2G Lower
Right, 0JHL Thoracolumbar, CP2J Left, 2W6RX
Removal of device from Spine and Pelvis, CP27 Right, 2W6QX
Breast Spleen, C722 Upper
Left, 0HPU Spleen and Liver, CF26 Left, 2W6PX
Right, 0HPT Subcutaneous Tissue, CH2YYZZ Right, 2W6NX
Subcutaneous Tissue and Fascia Thorax, CP24 Neck, 2W62X
Head and Neck, 0JPS Ureters, Kidneys and Bladder, CT23 Thumb
Lower Extremity, 0JPW Urinary System, CT2YYZZ Left, 2W6HX
Trunk, 0JPT Tomography, computerized see Computerized Tomog- Right, 2W6GX
Upper Extremity, 0JPV raphy (CT Scan) Toe
Revision of device in Tongue, base of use Pharynx Left, 2W6VX
Breast Tonometry, 4A07XBZ Right, 2W6UX
Left, 0HWU Tonsillectomy Tractotomy see Division, Central Nervous System and
Right, 0HWT see Excision, Mouth and Throat, 0CB Cranial Nerves, 008
Subcutaneous Tissue and Fascia see Resection, Mouth and Throat, 0CT Tragus
Head and Neck, 0JWS Tonsillotomy see Drainage, Mouth and Throat, 0C9 use External Ear, Bilateral
Lower Extremity, 0JWW Total Anomalous Pulmonary Venous Return (TAPVR) use External Ear, Left
Trunk, 0JWT repair use External Ear, Right
Upper Extremity, 0JWV see Bypass, Atrium, Left, 0217 Training, caregiver see Caregiver Training
Tissue expander (inflatable) (injectable) see Bypass, Vena Cava, Superior, 021V TRAM (transverse rectus abdominis myocutaneous)
use Tissue Expander in Skin and Breast Total artificial (replacement) heart use Synthetic Sub- flap reconstruction
use Tissue Expander in Subcutaneous Tissue and stitute Free see Replacement, Skin and Breast, 0HR
Fascia Total parenteral nutrition (TPN) see Introduction of Pedicled see Transfer, Muscles, 0KX
Tissue Plasminogen Activator (tPA) (r-tPA) use Other Nutritional Substance Transection see Division
Thrombolytic Trachectomy Transfer
Titanium Sternal Fixation System (TSFS) see Excision, Trachea, 0BB1 Buccal Mucosa, 0CX4
use Internal Fixation Device, Rigid Plate in, 0PS see Resection, Trachea, 0BT1 Bursa and Ligament
use Internal Fixation Device, Rigid Plate in, 0PH Trachelectomy Abdomen
Tomographic (Tomo) Nuclear Medicine Imaging see Excision, Cervix, 0UBC Left, 0MXJ
Abdomen, CW20 see Resection, Cervix, 0UTC Right, 0MXH
Abdomen and Chest, CW24 Trachelopexy Ankle
Abdomen and Pelvis, CW21 see Repair, Cervix, 0UQC Left, 0MXR
Anatomical Regions, Multiple, CW2YYZZ see Reposition, Cervix, 0USC Right, 0MXQ
Bladder, Kidneys and Ureters, CT23 Tracheloplasty see Repair, Cervix, 0UQC Elbow
Brain, C020 Left, 0MX4
Trachelorrhaphy see Repair, Cervix, 0UQC
Breast, CH2YYZZ Right, 0MX3
Bilateral, CH22 Trachelotomy see Drainage, Cervix, 0U9C
Tracheobronchial lymph node use Lymphatic, Thorax Foot
Left, CH21 Left, 0MXT
Right, CH20 Tracheoesophageal fistulization, 0B110D6
Right, 0MXS
Bronchi and Lungs, CB22 Tracheolysis see Release, Respiratory System, 0BN
Hand
Central Nervous System, C02YYZZ Tracheoplasty Left, 0MX8
Cerebrospinal Fluid, C025 see Repair, Respiratory System, 0BQ Right, 0MX7
Chest, CW23 see Supplement, Respiratory System, 0BU Head and Neck, 0MX0
Chest and Abdomen, CW24 Tracheorrhaphy see Repair, Respiratory System, 0BQ Hip
Chest and Neck, CW26 Tracheoscopy, 0BJ18ZZ Left, 0MXM
Digestive System, CD2YYZZ Tracheostomy see Bypass, Respiratory System, 0B1 Right, 0MXL
Endocrine System, CG2YYZZ Tracheostomy Device Knee
Extremity Bypass, Trachea, 0B11 Left, 0MXP
Tissue Expander — Transfer

Lower, CW2D Change device in, Trachea, 0B21XFZ Right, 0MXN

Bilateral, CP2F Removal of device from, Trachea, 0BP1 Lower Extremity
Left, CP2D Revision of device in, Trachea, 0BW1 Left, 0MXW
Right, CP2C Tracheostomy tube use Tracheostomy Device in Respira- Right, 0MXV
Upper, CW2M tory System Perineum, 0MXK
Bilateral, CP2B Tracheotomy see Drainage, Respiratory System, 0B9 Rib(s), 0MXG
Left, CP29 Traction Shoulder
Right, CP28 Abdominal Wall, 2W63X Left, 0MX2
Gallbladder, CF24 Arm Right, 0MX1
Gastrointestinal Tract, CD27 Lower Spine
Gland, Parathyroid, CG21 Left, 2W6DX Lower, 0MXD
Head and Neck, CW2B Right, 2W6CX Upper, 0MXC
Heart, C22YYZZ Upper Sternum, 0MXF
Right and Left, C226 Left, 2W6BX Upper Extremity
Hepatobiliary System and Pancreas, CF2YYZZ Right, 2W6AX Left, 0MXB
Back, 2W65X

2 Subterms under main terms may continue to next column or page 119
 Transfer ICD-10-PCS 2019
Transfer — continued Transfer — continued Transfer — continued
Index
Bursa and Ligament — continued Prepuce, 0VXT Tendon — continued
Upper Extremity — continued Skin Lower Leg — continued
Right, 0MX9 Abdomen, 0HX7XZZ Right, 0LXN
Wrist Back, 0HX6XZZ Perineum, 0LXH
Left, 0MX6 Buttock, 0HX8XZZ Shoulder
Right, 0MX5 Chest, 0HX5XZZ Left, 0LX2
Finger Ear Right, 0LX1
Left, 0XXP0ZM Left, 0HX3XZZ Thorax
Right, 0XXN0ZL Right, 0HX2XZZ Left, 0LXD
Gingiva Face, 0HX1XZZ Right, 0LXC
Lower, 0CX6 Foot Trunk
Upper, 0CX5 Left, 0HXNXZZ Left, 0LXB
Intestine Right, 0HXMXZZ Right, 0LX9
Large, 0DXE Hand Upper Arm
Small, 0DX8 Left, 0HXGXZZ Left, 0LX4
Lip Right, 0HXFXZZ Right, 0LX3
Lower, 0CX1 Inguinal, 0HXAXZZ Upper Leg
Upper, 0CX0 Lower Arm Left, 0LXM
Muscle Left, 0HXEXZZ Right, 0LXL
Abdomen Right, 0HXDXZZ Tongue, 0CX7
Left, 0KXL Lower Leg Transfusion
Right, 0KXK Left, 0HXLXZZ Artery
Extraocular Right, 0HXKXZZ Central
Left, 08XM Neck, 0HX4XZZ Antihemophilic Factors, 3026
Right, 08XL Perineum, 0HX9XZZ Blood
Facial, 0KX1 Scalp, 0HX0XZZ Platelets, 3026
Foot Upper Arm Red Cells, 3026
Left, 0KXW Left, 0HXCXZZ Frozen, 3026
Right, 0KXV Right, 0HXBXZZ White Cells, 3026
Hand Upper Leg Whole, 3026
Left, 0KXD Left, 0HXJXZZ Bone Marrow, 3026
Right, 0KXC Right, 0HXHXZZ Factor IX, 3026
Head, 0KX0 Stomach, 0DX6 Fibrinogen, 3026
Hip Subcutaneous Tissue and Fascia Globulin, 3026
Left, 0KXP Abdomen, 0JX8 Plasma
Right, 0KXN Back, 0JX7 Fresh, 3026
Lower Arm and Wrist Buttock, 0JX9 Frozen, 3026
Left, 0KXB Chest, 0JX6 Plasma Cryoprecipitate, 3026
Right, 0KX9 Face, 0JX1 Serum Albumin, 3026
Lower Leg Foot Stem Cells
Left, 0KXT Left, 0JXR Cord Blood, 3026
Right, 0KXS Right, 0JXQ Hematopoietic, 3026
Neck Hand Peripheral
Left, 0KX3 Left, 0JXK Antihemophilic Factors, 3025
Right, 0KX2 Right, 0JXJ Blood
Perineum, 0KXM Lower Arm Platelets, 3025
Shoulder Left, 0JXH Red Cells, 3025
Left, 0KX6 Right, 0JXG Frozen, 3025
Right, 0KX5 Lower Leg White Cells, 3025
Thorax Left, 0JXP Whole, 3025
Left, 0KXJ Right, 0JXN Bone Marrow, 3025
Right, 0KXH Neck Factor IX, 3025
Tongue, Palate, Pharynx, 0KX4 Left, 0JX5 Fibrinogen, 3025
Trunk Right, 0JX4 Globulin, 3025
Left, 0KXG Pelvic Region, 0JXC Plasma
Right, 0KXF Perineum, 0JXB Fresh, 3025
Upper Arm Scalp, 0JX0 Frozen, 3025
Left, 0KX8 Upper Arm Plasma Cryoprecipitate, 3025
Right, 0KX7 Left, 0JXF Serum Albumin, 3025
Upper Leg Right, 0JXD Stem Cells
Left, 0KXR Upper Leg Cord Blood, 3025
Right, 0KXQ Left, 0JXM Hematopoietic, 3025
Nerve Right, 0JXL Products of Conception
Abducens, 00XL Tendon Antihemophilic Factors, 3027
Accessory, 00XR Abdomen Blood
Acoustic, 00XN Left, 0LXG Platelets, 3027
Cervical, 01X1 Right, 0LXF Red Cells, 3027
Facial, 00XM Ankle Frozen, 3027
Femoral, 01XD Left, 0LXT White Cells, 3027
Glossopharyngeal, 00XP Right, 0LXS Whole, 3027
Hypoglossal, 00XS Foot Factor IX, 3027
Lumbar, 01XB Left, 0LXW Fibrinogen, 3027
Median, 01X5 Right, 0LXV Globulin, 3027
Oculomotor, 00XH Hand Plasma
Olfactory, 00XF Left, 0LX8
Transfer — Transfusion

Fresh, 3027
Optic, 00XG Right, 0LX7 Frozen, 3027
Peroneal, 01XH Head and Neck, 0LX0 Plasma Cryoprecipitate, 3027
Phrenic, 01X2 Hip Serum Albumin, 3027
Pudendal, 01XC Left, 0LXK Vein
Radial, 01X6 Right, 0LXJ 4-Factor Prothrombin Complex Concentrate,
Sciatic, 01XF Knee 30280B1
Thoracic, 01X8 Left, 0LXR Central
Tibial, 01XG Right, 0LXQ Antihemophilic Factors, 3024
Trigeminal, 00XK Lower Arm and Wrist Blood
Trochlear, 00XJ Left, 0LX6 Platelets, 3024
Ulnar, 01X4 Right, 0LX5 Red Cells, 3024
Vagus, 00XQ Lower Leg Frozen, 3024
Palate, Soft, 0CX3 Left, 0LXP White Cells, 3024

120 2 Subterms under main terms may continue to next column or page
ICD-10-PCS 2019 Ultrasonography
Transfusion — continued Transverse (cutaneous) cervical nerve use Cervical Tympanic nerve use Glossopharyngeal Nerve

Index
Vein — continued Plexus Tympanic part of temoporal bone
Central — continued Transverse facial artery use Temporal Bone, Left
Blood — continued use Temporal Artery, Left use Temporal Bone, Right
Whole, 3024 use Temporal Artery, Right Tympanogram see Hearing Assessment, Diagnostic Audi-
Bone Marrow, 3024 Transverse foramen use Cervical Vertebra ology, F13
Factor IX, 3024 Transverse humeral ligament Tympanoplasty
Fibrinogen, 3024 use Shoulder Bursa and Ligament, Left see Repair, Ear, Nose, Sinus, 09Q
Globulin, 3024 use Shoulder Bursa and Ligament, Right see Replacement, Ear, Nose, Sinus, 09R
Plasma Transverse ligament of atlas use Head and Neck Bursa see Supplement, Ear, Nose, Sinus, 09U
Fresh, 3024 and Ligament Tympanosympathectomy see Excision, Nerve, Head and
Frozen, 3024 Transverse process Neck Sympathetic, 01BK
Plasma Cryoprecipitate, 3024 use Cervical Vertebra Tympanotomy see Drainage, Ear, Nose, Sinus, 099
Serum Albumin, 3024 use Lumbar Vertebra
Stem Cells
Cord Blood, 3024
Embryonic, 3024
use Thoracic Vertebra
Transverse Rectus Abdominis Myocutaneous Flap U
Replacement
Hematopoietic, 3024 Bilateral, 0HRV076 Ulnar collateral carpal ligament
Peripheral Left, 0HRU076 use Wrist Bursa and Ligament, Left
Antihemophilic Factors, 3023 Right, 0HRT076 use Wrist Bursa and Ligament, Right
Blood Transfer Ulnar collateral ligament
Platelets, 3023 Left, 0KXL use Elbow Bursa and Ligament, Left
Red Cells, 3023 Right, 0KXK use Elbow Bursa and Ligament, Right
Frozen, 3023 Transverse scapular ligament Ulnar notch
White Cells, 3023 use Shoulder Bursa and Ligament, Left use Radius, Left
Whole, 3023 use Radius, Right
use Shoulder Bursa and Ligament, Right
Bone Marrow, 3023 Ulnar vein
Factor IX, 3023 Transverse thoracis muscle
use Thorax Muscle, Left use Brachial Vein, Left
Fibrinogen, 3023
Globulin, 3023 use Thorax Muscle, Right use Brachial Vein, Right
Plasma Transversospinalis muscle Ultrafiltration
Fresh, 3023 use Trunk Muscle, Left Hemodialysis see Performance, Urinary, 5A1D
Frozen, 3023 use Trunk Muscle, Right Therapeutic plasmapheresis see Pheresis, Circulatory,
Plasma Cryoprecipitate, 3023 Transversus abdominis muscle 6A55
Serum Albumin, 3023 use Abdomen Muscle, Left Ultraflex™ Precision Colonic Stent System use Intralu-
Stem Cells use Abdomen Muscle, Right minal Device
Cord Blood, 3023 Trapezium bone ULTRAPRO Hernia System (UHS) use Synthetic Substi-
Embryonic, 3023 use Carpal, Left tute
Hematopoietic, 3023 use Carpal, Right ULTRAPRO Partially Absorbable Lightweight Mesh
Transplant see Transplantation Trapezius muscle use Synthetic Substitute
Transplantation use Trunk Muscle, Left ULTRAPRO Plug use Synthetic Substitute
Bone marrow see Transfusion, Circulatory, 302 use Trunk Muscle, Right Ultrasonic osteogenic stimulator
Esophagus, 0DY50Z Trapezoid bone use Bone Growth Stimulator in Head and Facial Bones
Face, 0WY20Z use Carpal, Left use Bone Growth Stimulator in Lower Bones
Hand use Carpal, Right use Bone Growth Stimulator in Upper Bones
Left, 0XYK0Z Triceps brachii muscle Ultrasonography
Right, 0XYJ0Z use Upper Arm Muscle, Left Abdomen, BW40ZZZ
Heart, 02YA0Z use Upper Arm Muscle, Right Abdomen and Pelvis, BW41ZZZ
Hematopoietic cell see Transfusion, Circulatory, 302 Tricuspid annulus use Tricuspid Valve Abdominal Wall, BH49ZZZ
Intestine Trifacial nerve use Trigeminal Nerve Aorta
Large, 0DYE0Z Trifecta™ Valve (aortic) use Zooplastic Tissue in Heart Abdominal, Intravascular, B440ZZ3
Small, 0DY80Z and Great Vessels Thoracic, Intravascular, B340ZZ3
Kidney Trigone of bladder use Bladder Appendix, BD48ZZZ
Left, 0TY10Z Trimming, excisional see Excision Artery
Right, 0TY00Z Triquetral bone Brachiocephalic-Subclavian, Right, Intravascular,
Liver, 0FY00Z use Carpal, Left B341ZZ3
Lung use Carpal, Right Celiac and Mesenteric, Intravascular, B44KZZ3
Bilateral, 0BYM0Z Common Carotid
Trochanteric bursa Bilateral, Intravascular, B345ZZ3
Left, 0BYL0Z use Hip Bursa and Ligament, Left
Lower Lobe Left, Intravascular, B344ZZ3
use Hip Bursa and Ligament, Right Right, Intravascular, B343ZZ3
Left, 0BYJ0Z TUMT (transurethral microwave thermotherapy of
Right, 0BYF0Z Coronary
prostate), 0V507ZZ Multiple, B241YZZ
Middle Lobe, Right, 0BYD0Z TUNA (transurethral needle ablation of prostate),
Right, 0BYK0Z Intravascular, B241ZZ3
0V507ZZ Transesophageal, B241ZZ4
Upper Lobe
Tunneled central venous catheter use Vascular Access Single, B240YZZ
Left, 0BYG0Z
Device, Tunneled in Subcutaneous Tissue and Fascia Intravascular, B240ZZ3
Right, 0BYC0Z
Lung Lingula, 0BYH0Z Tunneled spinal (intrathecal) catheter use Infusion Transesophageal, B240ZZ4
Ovary Device Femoral, Intravascular, B44LZZ3
Left, 0UY10Z Turbinectomy Inferior Mesenteric, Intravascular, B445ZZ3
see Excision, Ear, Nose, Sinus, 09B Internal Carotid
Transfusion — Ultrasonography
Right, 0UY00Z
Pancreas, 0FYG0Z see Resection, Ear, Nose, Sinus, 09T Bilateral, Intravascular, B348ZZ3
Products of Conception, 10Y0 Turbinoplasty Left, Intravascular, B347ZZ3
Spleen, 07YP0Z see Repair, Ear, Nose, Sinus, 09Q Right, Intravascular, B346ZZ3
Stem cell see Transfusion, Circulatory, 302 see Replacement, Ear, Nose, Sinus, 09R Intra-Abdominal, Other, Intravascular, B44BZZ3
Stomach, 0DY60Z see Supplement, Ear, Nose, Sinus, 09U Intracranial, Intravascular, B34RZZ3
Thymus, 07YM0Z Turbinotomy Lower Extremity
Uterus, 0UY90Z see Division, Ear, Nose, Sinus, 098 Bilateral, Intravascular, B44HZZ3
Transposition see Drainage, Ear, Nose, Sinus, 099 Left, Intravascular, B44GZZ3
see Bypass TURP (transurethral resection of prostate), 0VB07ZZ Right, Intravascular, B44FZZ3
see Reposition see Excision, Prostate, 0VB0 Mesenteric and Celiac, Intravascular, B44KZZ3
see Transfer see Resection, Prostate, 0VT0 Ophthalmic, Intravascular, B34VZZ3
Transversalis fascia use Subcutaneous Tissue and Fascia, Twelfth cranial nerve use Hypoglossal Nerve Penile, Intravascular, B44NZZ3
Trunk Two lead pacemaker use Pacemaker, Dual Chamber in, Pulmonary
Transverse acetabular ligament 0JH Left, Intravascular, B34TZZ3
use Hip Bursa and Ligament, Left Tympanic cavity Right, Intravascular, B34SZZ3
use Hip Bursa and Ligament, Right use Middle Ear, Left Renal
use Middle Ear, Right Bilateral, Intravascular, B448ZZ3
Left, Intravascular, B447ZZ3

2 Subterms under main terms may continue to next column or page 121
 Ultrasonography ICD-10-PCS 2019
Ultrasonography — continued Ultrasonography — continued Umbilical artery
Index
Artery — continued Kidney — continued use Internal Iliac Artery, Left
Renal — continued Transplant, BT49ZZZ use Internal Iliac Artery, Right
Right, Intravascular, B446ZZ3 Knee use Lower Artery
Subclavian, Left, Intravascular, B342ZZ3 Bilateral, BQ49ZZZ Uniplanar external fixator
Superior Mesenteric, Intravascular, B444ZZ3 Left, BQ48ZZZ use External Fixation Device, Monoplanar in, 0PH
Upper Extremity Right, BQ47ZZZ use External Fixation Device, Monoplanar in, 0PS
Bilateral, Intravascular, B34KZZ3 Liver, BF45ZZZ use External Fixation Device, Monoplanar in, 0QH
Left, Intravascular, B34JZZ3 Liver and Spleen, BF46ZZZ use External Fixation Device, Monoplanar in, 0QS
Right, Intravascular, B34HZZ3 Mediastinum, BB4CZZZ Upper GI series see Fluoroscopy, Gastrointestinal, Upper,
Bile Duct, BF40ZZZ Neck, BW4FZZZ BD15
Bile Duct and Gallbladder, BF43ZZZ Ovary Ureteral orifice
Bladder, BT40ZZZ Bilateral, BU45 use Ureter
and Kidney, BT4JZZZ Left, BU44 use Ureter, Left
Brain, B040ZZZ Right, BU43 use Ureter, Right
Breast Ovary and Uterus, BU4C use Ureters, Bilateral
Bilateral, BH42ZZZ Pancreas, BF47ZZZ Ureterectomy
Left, BH41ZZZ Pelvic Region, BW4GZZZ
see Excision, Urinary System, 0TB
Right, BH40ZZZ Pelvis and Abdomen, BW41ZZZ
Chest Wall, BH4BZZZ Penis, BV4BZZZ see Resection, Urinary System, 0TT
Coccyx, BR4FZZZ Pericardium, B24CYZZ Ureterocolostomy see Bypass, Urinary System, 0T1
Connective Tissue Intravascular, B24CZZ3 Ureterocystostomy see Bypass, Urinary System, 0T1
Lower Extremity, BL41ZZZ Transesophageal, B24CZZ4 Ureteroenterostomy see Bypass, Urinary System, 0T1
Upper Extremity, BL40ZZZ Placenta, BY48ZZZ Ureteroileostomy see Bypass, Urinary System, 0T1
Duodenum, BD49ZZZ Pleura, BB4BZZZ Ureterolithotomy see Extirpation, Urinary System, 0TC
Elbow Prostate and Seminal Vesicle, BV49ZZZ Ureterolysis see Release, Urinary System, 0TN
Left, Densitometry, BP4HZZ1 Rectum, BD4CZZZ Ureteroneocystostomy
Right, Densitometry, BP4GZZ1 Sacrum, BR4FZZZ see Bypass, Urinary System, 0T1
Esophagus, BD41ZZZ Scrotum, BV44ZZZ see Reposition, Urinary System, 0TS
Extremity Seminal Vesicle and Prostate, BV49ZZZ Ureteropelvic junction (UPJ)
Lower, BH48ZZZ Shoulder use Kidney Pelvis, Left
Upper, BH47ZZZ Left, Densitometry, BP49ZZ1 use Kidney Pelvis, Right
Eye Right, Densitometry, BP48ZZ1 Ureteropexy
Bilateral, B847ZZZ Spinal Cord, B04BZZZ see Repair, Urinary System, 0TQ
Left, B846ZZZ Spine see Reposition, Urinary System, 0TS
Right, B845ZZZ Cervical, BR40ZZZ Ureteroplasty
Fallopian Tube Lumbar, BR49ZZZ see Repair, Urinary System, 0TQ
Bilateral, BU42 Thoracic, BR47ZZZ see Replacement, Urinary System, 0TR
Left, BU41 Spleen and Liver, BF46ZZZ see Supplement, Urinary System, 0TU
Right, BU40 Stomach, BD42ZZZ Ureteroplication see Restriction, Urinary System, 0TV
Fetal Umbilical Cord, BY47ZZZ Tendon Ureteropyelography see Fluoroscopy, Urinary System,
Fetus Lower Extremity, BL43ZZZ BT1
First Trimester, Multiple Gestation, BY4BZZZ Upper Extremity, BL42ZZZ Ureterorrhaphy see Repair, Urinary System, 0TQ
Second Trimester, Multiple Gestation, BY4DZZZ Ureter Ureteroscopy, 0TJ98ZZ
Single Bilateral, BT48ZZZ Ureterostomy
First Trimester, BY49ZZZ Left, BT47ZZZ see Bypass, Urinary System, 0T1
Second Trimester, BY4CZZZ Right, BT46ZZZ see Drainage, Urinary System, 0T9
Third Trimester, BY4FZZZ Urethra, BT45ZZZ Ureterotomy see Drainage, Urinary System, 0T9
Third Trimester, Multiple Gestation, BY4GZZZ Uterus, BU46 Ureteroureterostomy see Bypass, Urinary System, 0T1
Gallbladder, BF42ZZZ Uterus and Ovary, BU4C Ureterovesical orifice
Gallbladder and Bile Duct, BF43ZZZ Vein use Ureter
Gastrointestinal Tract, BD47ZZZ Jugular
use Ureter, Left
Gland Left, Intravascular, B544ZZ3
Adrenal Right, Intravascular, B543ZZ3 use Ureter, Right
Bilateral, BG42ZZZ Lower Extremity use Ureters, Bilateral
Left, BG41ZZZ Bilateral, Intravascular, B54DZZ3 Urethral catheterization, indwelling, 0T9B70Z
Right, BG40ZZZ Left, Intravascular, B54CZZ3 Urethrectomy
Parathyroid, BG43ZZZ Right, Intravascular, B54BZZ3 see Excision, Urethra, 0TBD
Thyroid, BG44ZZZ Portal, Intravascular, B54TZZ3 see Resection, Urethra, 0TTD
Hand Renal Urethrolithotomy see Extirpation, Urethra, 0TCD
Left, Densitometry, BP4PZZ1 Bilateral, Intravascular, B54LZZ3 Urethrolysis see Release, Urethra, 0TND
Right, Densitometry, BP4NZZ1 Left, Intravascular, B54KZZ3 Urethropexy
Head and Neck, BH4CZZZ Right, Intravascular, B54JZZ3 see Repair, Urethra, 0TQD
Heart Spanchnic, Intravascular, B54TZZ3 see Reposition, Urethra, 0TSD
Left, B245YZZ Subclavian Urethroplasty
Intravascular, B245ZZ3 Left, Intravascular, B547ZZ3 see Repair, Urethra, 0TQD
Transesophageal, B245ZZ4 Right, Intravascular, B546ZZ3 see Replacement, Urethra, 0TRD
Pediatric, B24DYZZ Upper Extremity see Supplement, Urethra, 0TUD
Intravascular, B24DZZ3 Bilateral, Intravascular, B54PZZ3 Urethrorrhaphy see Repair, Urethra, 0TQD
Transesophageal, B24DZZ4 Left, Intravascular, B54NZZ3 Urethroscopy, 0TJD8ZZ
Ultrasonography — Uterine vein

Right, B244YZZ Right, Intravascular, B54MZZ3 Urethrotomy see Drainage, Urethra, 0T9D
Intravascular, B244ZZ3 Vena Cava Uridine Triacetate, XW0DX82
Transesophageal, B244ZZ4 Inferior, Intravascular, B549ZZ3 Urinary incontinence stimulator lead use Stimulator
Right and Left, B246YZZ Superior, Intravascular, B548ZZ3 Lead in Urinary System
Intravascular, B246ZZ3 Wrist Urography see Fluoroscopy, Urinary System, BT1
Transesophageal, B246ZZ4 Left, Densitometry, BP4MZZ1 Ustekinumab use Other New Technology Therapeutic
Heart with Aorta, B24BYZZ Right, Densitometry, BP4LZZ1 Substance
Intravascular, B24BZZ3 Ultrasound bone healing system Uterine Artery
Transesophageal, B24BZZ4 use Bone Growth Stimulator in Head and Facial Bones use Internal Iliac Artery, Left
Hepatobiliary System, All, BF4CZZZ use Bone Growth Stimulator in Lower Bones use Internal Iliac Artery, Right
Hip use Bone Growth Stimulator in Upper Bones Uterine artery embolization (UAE) see Occlusion,
Bilateral, BQ42ZZZ Ultrasound Therapy Lower Arteries, 04L
Left, BQ41ZZZ Heart, 6A75 Uterine cornu use Uterus
Right, BQ40ZZZ No Qualifier, 6A75 Uterine tube
Kidney Vessels use Fallopian Tube, Left
and Bladder, BT4JZZZ Head and Neck, 6A75 use Fallopian Tube, Right
Bilateral, BT43ZZZ Other, 6A75 Uterine vein
Left, BT42ZZZ Peripheral, 6A75 use Hypogastric Vein, Left
Right, BT41ZZZ Ultraviolet Light Therapy, Skin, 6A80

122 2 Subterms under main terms may continue to next column or page
ICD-10-PCS 2019 XIENCE Everolimus Eluting Coronary Stent System
Uterine vein — continued Vascular Access Device — continued Vertebral body — continued

Index
use Hypogastric Vein, Right Tunneled — continued use Thoracic Vertebra
Uvulectomy Removal of device from Vertebral canal use Spinal Canal
see Excision, Uvula, 0CBN Lower Extremity, 0JPW Vertebral foramen
see Resection, Uvula, 0CTN Trunk, 0JPT use Cervical Vertebra
Uvulorrhaphy see Repair, Uvula, 0CQN Upper Extremity, 0JPV use Lumbar Vertebra
Uvulotomy see Drainage, Uvula, 0C9N Revision of device in use Thoracic Vertebra
Lower Extremity, 0JWW Vertebral lamina
Trunk, 0JWT
V Upper Extremity, 0JWV
Vasectomy see Excision, Male Reproductive System, 0VB
use Cervical Vertebra
use Lumbar Vertebra
use Thoracic Vertebra
Vaccination see Introduction of Serum, Toxoid, and Vac- Vasography Vertebral pedicle
cine see Fluoroscopy, Male Reproductive System, BV1 use Cervical Vertebra
Vacuum extraction, obstetric, 10D07Z6 see Plain Radiography, Male Reproductive System, use Lumbar Vertebra
Vaginal artery BV0 use Thoracic Vertebra
use Internal Iliac Artery, Left Vasoligation see Occlusion, Male Reproductive System, Vesical vein
use Internal Iliac Artery, Right 0VL use Hypogastric Vein, Left
Vaginal pessary use Intraluminal Device, Pessary in Fe- Vasorrhaphy see Repair, Male Reproductive System, 0VQ use Hypogastric Vein, Right
male Reproductive System Vasostomy see Bypass, Male Reproductive System, 0V1 Vesicotomy see Drainage, Urinary System, 0T9
Vaginal vein Vasotomy Vesiculectomy
use Hypogastric Vein, Left With ligation see Occlusion, Male Reproductive Sys- see Excision, Male Reproductive System, 0VB
use Hypogastric Vein, Right tem, 0VL see Resection, Male Reproductive System, 0VT
Vaginectomy Drainage see Drainage, Male Reproductive System, Vesiculogram, seminal see Plain Radiography, Male Re-
see Excision, Vagina, 0UBG 0V9 productive System, BV0
see Resection, Vagina, 0UTG Vasovasostomy see Repair, Male Reproductive System, Vesiculotomy see Drainage, Male Reproductive System,
Vaginofixation 0VQ 0V9
see Repair, Vagina, 0UQG Vastus intermedius muscle Vestibular Assessment, F15Z
see Reposition, Vagina, 0USG use Upper Leg Muscle, Left Vestibular (Scarpa's) ganglion use Acoustic Nerve
Vaginoplasty use Upper Leg Muscle, Right Vestibular nerve use Acoustic Nerve
see Repair, Vagina, 0UQG Vastus lateralis muscle Vestibular Treatment, F0C
see Supplement, Vagina, 0UUG use Upper Leg Muscle, Left Vestibulocochlear nerve use Acoustic Nerve
Vaginorrhaphy see Repair, Vagina, 0UQG use Upper Leg Muscle, Right VH-IVUS (virtual histology intravascular ultrasound)
Vaginoscopy, 0UJH8ZZ Vastus medialis muscle see Ultrasonography, Heart, B24
Vaginotomy see Drainage, Female Reproductive System, use Upper Leg Muscle, Left Virchow's (supraclavicular) lymph node
0U9 use Upper Leg Muscle, Right use Lymphatic, Left Neck
Vagotomy see Division, Nerve, Vagus, 008Q VCG (vectorcardiogram) see Measurement, Cardiac, use Lymphatic, Right Neck
Valiant Thoracic Stent Graft use Intraluminal Device 4A02 Virtuoso (II) (DR) (VR) use Defibrillator Generator in, 0JH
Valvotomy, valvulotomy Vectra® Vascular Access Graft use Vascular Access De- Vistogard(R) use Uridine Triacetate
see Division, Heart and Great Vessels, 028 vice, Tunneled in Subcutaneous Tissue and Fascia Vitrectomy
see Release, Heart and Great Vessels, 02N Venectomy see Excision, Eye, 08B
Valvuloplasty see Excision, Lower Veins, 06B see Resection, Eye, 08T
see Repair, Heart and Great Vessels, 02Q see Excision, Upper Veins, 05B Vitreous body
see Replacement, Heart and Great Vessels, 02R Venography use Vitreous, Left
see Supplement, Heart and Great Vessels, 02U see Fluoroscopy, Veins, B51 use Vitreous, Right
Valvuloplasty, Alfieri Stitch see Restriction, Valve, Mitral, see Plain Radiography, Veins, B50 Viva (XT) (S) use Cardiac Resynchronization Defibrillator
02VG Venorrhaphy Pulse Generator in, 0JH
Vascular Access Device see Repair, Lower Veins, 06Q Vocal fold
Totally Implantable see Repair, Upper Veins, 05Q use Vocal Cord, Left
Insertion of device in Venotripsy use Vocal Cord, Right
Abdomen, 0JH8 see Occlusion, Lower Veins, 06L Vocational

Uterine vein — XIENCE Everolimus Eluting Coronary Stent System

Chest, 0JH6 see Occlusion, Upper Veins, 05L Assessment see Activities of Daily Living Assessment,
Lower Arm Ventricular fold use Larynx Rehabilitation, F02
Left, 0JHH Ventriculoatriostomy see Bypass, Central Nervous Sys- Retraining see Activities of Daily Living Treatment,
Right, 0JHG tem and Cranial Nerves, 001 Rehabilitation, F08
Lower Leg Ventriculocisternostomy see Bypass, Central Nervous
Left, 0JHP
Volar (palmar) digital vein
System and Cranial Nerves, 001 use Hand Vein, Left
Right, 0JHN Ventriculogram, cardiac
Upper Arm use Hand Vein, Right
Combined left and right heart see Fluoroscopy, Heart, Volar (palmar) metacarpal vein
Left, 0JHF Right and Left, B216
Right, 0JHD use Hand Vein, Left
Left ventricle see Fluoroscopy, Heart, Left, B215 use Hand Vein, Right
Upper Leg Right ventricle see Fluoroscopy, Heart, Right, B214
Left, 0JHM Vomer bone use Nasal Septum
Ventriculopuncture, through previously implanted Vomer of nasal septum use Nasal Bone
Right, 0JHL catheter, 8C01X6J
Removal of device from Voraxaze use Glucarpidase
Ventriculoscopy, 00J04ZZ Vulvectomy
Lower Extremity, 0JPW Ventriculostomy
Trunk, 0JPT see Excision, Female Reproductive System, 0UB
External drainage see Drainage, Cerebral Ventricle, see Resection, Female Reproductive System, 0UT
Upper Extremity, 0JPV 0096
Revision of device in VYXEOS™ use Cytarabine and Daunorubicin Liposome
Internal shunt see Bypass, Cerebral Ventricle, 0016 Antineoplastic
Lower Extremity, 0JWW Ventriculovenostomy see Bypass, Cerebral Ventricle,
Trunk, 0JWT
0016
Upper Extremity, 0JWV
Tunneled
Ventrio™ Hernia Patch use Synthetic Substitute
VEP (visual evoked potential), 4A07X0Z
W
Insertion of device in
Abdomen, 0JH8 Vermiform appendix use Appendix WALLSTENT® Endoprosthesis use Intraluminal Device
Chest, 0JH6 Vermilion border Washing see Irrigation
Lower Arm use Lower Lip Wedge resection, pulmonary see Excision, Respiratory
Left, 0JHH use Upper Lip System, 0BB
Right, 0JHG Versa use Pacemaker, Dual Chamber in, 0JH Window see Drainage
Lower Leg Version, obstetric Wiring, dental, 2W31X9Z
Left, 0JHP External, 10S0XZZ
Internal, 10S07ZZ
Right, 0JHN
Upper Arm Vertebral arch
use Cervical Vertebra
X
Left, 0JHF
Right, 0JHD use Lumbar Vertebra Xact Carotid Stent System use Intraluminal Device
Upper Leg use Thoracic Vertebra Xenograft use Zooplastic Tissue in Heart and Great Vessels
Left, 0JHM Vertebral body XIENCE Everolimus Eluting Coronary Stent System
Right, 0JHL use Cervical Vertebra use Intraluminal Device, Drug-eluting in Heart and
use Lumbar Vertebra Great Vessels

2 Subterms under main terms may continue to next column or page 123
 Xiphoid process ICD-10-PCS 2019
Xiphoid process use Sternum Zenith AAA Endovascular Graft — continued Zimmer® NexGen® LPS-Flex Mobile Knee use Synthetic
Index
XLIF® System use Interbody Fusion Device in Lower Joints use Intraluminal Device, Branched or Fenestrated, Substitute
X-ray see Plain Radiography One or Two Arteries in, 04V ZINPLAVA™ use Bezlotoxumab Monoclonal Antibody
X-STOP® Spacer use Intraluminal Device, Branched or Fenestrated, Zonule of Zinn
use Spinal Stabilization Device, Interspinous Process Three or More Arteries in, 04V use Lens, Left
in, 0RH Zenith Flex® AAA Endovascular Graft use Intraluminal use Lens, Right
use Spinal Stabilization Device, Interspinous Process Device Zooplastic Tissue, Rapid Deployment Technique,
in, 0SH Zenith TX2® TAA Endovascular Graft use Intraluminal Replacement, X2RF
Device Zotarolimus-eluting Coronary Stent use Intraluminal
Y Zenith® Renu™ AAA Ancillary Graft use Intraluminal
Device
Zilver® PTX® (paclitaxel) Drug-Eluting Peripheral
Device, Drug-eluting in Heart and Great Vessels
Z-plasty, skin for scar contracture see Release, Skin and
Breast, 0HN
Yoga Therapy, 8E0ZXY4 Stent Zygomatic process of frontal bone use Frontal Bone
use Intraluminal Device, Drug-eluting in Lower Arter- Zygomatic process of temporal bone
Z ies
use Intraluminal Device, Drug-eluting in Upper Arter-
use Temporal Bone, Left
use Temporal Bone, Right
ies Zygomaticus muscle use Facial Muscle
Zenith AAA Endovascular Graft Zimmer® NexGen® LPS Mobile Bearing Knee use Syn-
use Intraluminal Device Zyvox use Oxazolidinones
thetic Substitute
Xiphoid process — Zyvox

124 2 Subterms under main terms may continue to next column or page
 Central Nervous System and Cranial Nerves
ICD-10-PCS Tables
Central Nervous System and Cranial Nerves 001–00X
Character Meanings
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.

Operation–Character 3 Body Part–Character 4 Approach–Character 5 Device–Character 6 Qualifier–Character 7

1 Bypass 0 Brain 0 Open 0 Drainage Device 0 Nasopharynx
2 Change 1 Cerebral Meninges 3 Percutaneous 2 Monitoring Device 1 Mastoid Sinus
5 Destruction 2 Dura Mater 4 Percutaneous Endoscopic 3 Infusion Device 2 Atrium
7 Dilation 3 Epidural Space, Intracranial X External 4 Radioactive Element, 3 Blood Vessel
Cesium-131 Collagen
Implant
8 Division 4 Subdural Space, 7 Autologous Tissue 4 Pleural Cavity
Intracranial Substitute
9 Drainage 5 Subarachnoid Space, J Synthetic Substitute 5 Intestine
Intracranial
B Excision 6 Cerebral Ventricle K Nonautologous Tissue 6 Peritoneal Cavity
Substitute
C Extirpation 7 Cerebral Hemisphere M Neurostimulator Lead 7 Urinary Tract
D Extraction 8 Basal Ganglia Y Other Device 8 Bone Marrow
F Fragmentation 9 Thalamus Z No Device 9 Fallopian Tube
H Insertion A Hypothalamus B Cerebral Cisterns
J Inspection B Pons F Olfactory Nerve
K Map C Cerebellum G Optic Nerve
N Release D Medulla Oblongata H Oculomotor Nerve
P Removal E Cranial Nerve J Trochlear Nerve
Q Repair F Olfactory Nerve K Trigeminal Nerve
R Replacement G Optic Nerve L Abducens Nerve
S Reposition H Oculomotor Nerve M Facial Nerve
T Resection J Trochlear Nerve N Acoustic Nerve
U Supplement K Trigeminal Nerve P Glossopharyngeal Nerve
W Revision L Abducens Nerve Q Vagus Nerve
X Transfer M Facial Nerve R Accessory Nerve
N Acoustic Nerve S Hypoglossal Nerve
P Glossopharyngeal Nerve X Diagnostic
Q Vagus Nerve Z No Qualifier
R Accessory Nerve
S Hypoglossal Nerve
T Spinal Meninges
U Spinal Canal
V Spinal Cord
W Cervical Spinal Cord
X Thoracic Spinal Cord
Y Lumbar Spinal Cord

ICD-10-PCS 2019 125

 Central Nervous System and Cranial Nerves ICD-10-PCS 2019
Central Nervous System and Cranial Nerves

AHA Coding Clinic for table 001 AHA Coding Clinic for table 00H
2017, 4Q, 39-41 Dilation and bypass of cerebral ventricle 2017, 4Q, 30-31 Radiotherapeutic brain implant
2015, 2Q, 9 Revision of ventriculoperitoneal (VP) shunt 2017, 3Q, 13 Implantation of bilateral neurostimulator electrodes
2013, 2Q, 36 Insertion of ventriculoperitoneal shunt with laparoscopic assistance 2014, 3Q, 19 End of life replacement of Baclofen pump
AHA Coding Clinic for table 007 AHA Coding Clinic for table 00J
2017, 4Q, 39-41 Dilation and bypass of cerebral ventricle 2017, 1Q, 50 Failed lumbar puncture
AHA Coding Clinic for table 009 AHA Coding Clinic for table 00N
2017, 1Q, 50 Failed lumbar puncture 2017, 3Q, 10 Repair of Chiari malformation
2015, 3Q, 10 Open evacuation of subdural hematoma 2017, 2Q, 23 Decompression of spinal cord and placement of instrumentation
2015, 3Q, 11 Percutaneous drainage of subdural hematoma 2016, 2Q, 29 Decompressive craniectomy with cryopreservation and storage of bone flap
2015, 3Q, 12 Subdural evacuation portal system (SEPS) placement 2015, 2Q, 20 Cervical laminoplasty
2015, 3Q, 12 Placement of ventriculostomy catheter via burr hole 2015, 2Q, 21 Multiple decompressive cervical laminectomies
2015, 2Q, 30 Drainage of syrinx 2015, 2Q, 34 Decompressive laminectomy
2015, 1Q, 31 Intrathecal chemotherapy 2014, 3Q, 24 Repair of lipomyelomeningocele and tethered cord
2014, 1Q, 8 Diagnostic lumbar tap AHA Coding Clinic for table 00P
2014, 1Q, 8 Lumbar drainage port aspiration
2014, 3Q, 19 End of life replacement of Baclofen pump
AHA Coding Clinic for table 00B
AHA Coding Clinic for table 00Q
2017, 3Q, 17 Resection of schwannoma and placement of DuraGen and Lorenz
2014, 3Q, 7 Hemi-cranioplasty for repair of cranial defect
cranial plating system
2013, 3Q, 25 Fracture of frontal bone with repair and coagulation for hemostasis
2016, 2Q, 12 Resection of malignant neoplasm of infratemporal fossa
2016, 2Q, 18 Amygdalohippocampectomy AHA Coding Clinic for table 00S
2014, 4Q, 34 Resection of brain malignancy with implantation of 2014, 4Q, 35 Reimplantation of buccal nerve
chemotherapeutic wafer AHA Coding Clinic for table 00U
2014, 3Q, 24 Repair of lipomyelomeningocele and tethered cord 2018, 1Q, 9 Craniectomy with DuraGaurd placement
AHA Coding Clinic for table 00C 2017, 4Q, 62 Added and revised device values - Nerve substitutes
2017, 4Q, 48 New and revised body part values - Extirpation spinal canal 2017, 3Q, 10 Repair of Chiari malformation
2016, 2Q, 29 Decompressive craniectomy with cryopreservation and storage 2017, 3Q, 17 Resection of schwannoma and placement of DuraGen and Lorenz cranial
of bone flap plating system
2015, 3Q, 10 Open evacuation of subdural hematoma 2015, 4Q, 39 Dural patch graft
2015, 3Q, 11 Percutaneous drainage of subdural hematoma 2014, 3Q, 24 Repair of lipomyelomeningocele and tethered cord
2015, 3Q, 13 Evacuation of intracerebral hematoma
AHA Coding Clinic for table 00D
2015, 3Q, 13 Nonexcisional debridement of cranial wound with removal and
replacement of hardware

126 ICD-10-PCS 2019

ICD-10-PCS 2019 Central Nervous System and Cranial Nerves

Central Nervous System and Cranial Nerves

Brain
Third ventricle 6
Corpus callosum 0
Brain (cerebrum) 0
Thalamus 9

Fourth ventricle 6

Hypothalamus A

Cerebellum C
Pons B

Spinal cord V
Medulla oblongata D

Cranial Nerves

Accessory nerve (XI) R

Hypoglossal nerve (XIII) S
Vagus nerve (X) Q
Glossopharyngeal nerve (IX) P
Vestibulocochlear nerve (VIII) N
Facial nerve (VII) M
Abducens nerve (VI) L
Trigeminal nerve (V) K
Trochlear nerve (IV) J
Pons B Oculomotor nerve (III) H
Optic nerve (II) G
Olfactory bulb (I) F

ICD-10-PCS 2019 127

 001–002 Central Nervous System and Cranial Nerves ICD-10-PCS 2019
Central Nervous System and Cranial Nerves

0 Medical and Surgical

0 Central Nervous System and Cranial Nerves 001
1 Bypass Definition: Altering the route of passage of the contents of a tubular body part
Explanation: Rerouting contents of a body part to a downstream area of the normal route, to a similar route and body part, or to an abnormal
route and dissimilar body part. Includes one or more anastomoses, with or without the use of a device.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
6 Cerebral Ventricle 0 Open 7 Autologous Tissue 0 Nasopharynx
Aqueduct of Sylvius 3 Percutaneous Substitute 1 Mastoid Sinus
Cerebral aqueduct (Sylvius) 4 Percutaneous Endoscopic J Synthetic Substitute 2 Atrium
Choroid plexus K Nonautologous Tissue 3 Blood Vessel
Ependyma Substitute 4 Pleural Cavity
Foramen of Monro (intraventricular)
Fourth ventricle 5 Intestine
Interventricular foramen (Monro) 6 Peritoneal Cavity
Left lateral ventricle 7 Urinary Tract
Right lateral ventricle 8 Bone Marrow
Third ventricle B Cerebral Cisterns
6 Cerebral Ventricle 0 Open Z No Device B Cerebral Cisterns
Aqueduct of Sylvius 3 Percutaneous
Cerebral aqueduct (Sylvius) 4 Percutaneous Endoscopic
Choroid plexus
Ependyma
Foramen of Monro (intraventricular)
Fourth ventricle
Interventricular foramen (Monro)
Left lateral ventricle
Right lateral ventricle
Third ventricle
U Spinal Canal 0 Open 7 Autologous Tissue 2 Atrium
Epidural space, spinal 3 Percutaneous Substitute 4 Pleural Cavity
Extradural space, spinal 4 Percutaneous Endoscopic J Synthetic Substitute 6 Peritoneal Cavity
Subarachnoid space, spinal K Nonautologous Tissue 7 Urinary Tract
Subdural space, spinal Substitute 9 Fallopian Tube
Vertebral canal

0 Medical and Surgical

0 Central Nervous System and Cranial Nerves 002
2 Change Definition: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without
cutting or puncturing the skin or a mucous membrane
Explanation: All CHANGE procedures are coded using the approach EXTERNAL
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Brain X External 0 Drainage Device Z No Qualifier
Cerebrum Y Other Device
Corpus callosum
Encephalon
E Cranial Nerve
U Spinal Canal
Epidural space, spinal
Extradural space, spinal
Subarachnoid space, spinal
Subdural space, spinal
Vertebral canal
Non-OR All body part, approach, device, and qualifier values
001–002

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
128 ICD-10-PCS 2019
ICD-10-PCS 2019 Central Nervous System and Cranial Nerves 005–005

Central Nervous System and Cranial Nerves

0 Medical and Surgical
0 Central Nervous System and Cranial Nerves 005
5 Destruction Definition: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent
Explanation: None of the body part is physically taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Brain H Oculomotor Nerve 0 Open Z No Device Z No Qualifier
Cerebrum Third cranial nerve 3 Percutaneous
Corpus callosum J Trochlear Nerve 4 Percutaneous Endoscopic
Encephalon Fourth cranial nerve
1 Cerebral Meninges K Trigeminal Nerve
Arachnoid mater, Fifth cranial nerve
intracranial Gasserian ganglion
Leptomeninges, Mandibular nerve
intracranial Maxillary nerve
Pia mater, intracranial Ophthalmic nerve
2 Dura Mater Trifacial nerve
Diaphragma sellae L Abducens Nerve
Dura mater, intracranial Sixth cranial nerve
Falx cerebri M Facial Nerve
Tentorium cerebelli Chorda tympani
6 Cerebral Ventricle Geniculate ganglion
Aqueduct of Sylvius Greater superficial petrosal
Cerebral aqueduct (Sylvius) nerve
Choroid plexus Nerve to the stapedius
Ependyma Parotid plexus
Foramen of Monro Posterior auricular nerve
(intraventricular) Seventh cranial nerve
Fourth ventricle Submandibular ganglion
Interventricular foramen N Acoustic Nerve
(Monro) Cochlear nerve
Left lateral ventricle Eighth cranial nerve
Right lateral ventricle Scarpa's (vestibular)
Third ventricle ganglion
7 Cerebral Hemisphere Spiral ganglion
Frontal lobe Vestibular (Scarpa's)
Occipital lobe ganglion
Parietal lobe Vestibular nerve
Temporal lobe Vestibulocochlear nerve
8 Basal Ganglia P Glossopharyngeal Nerve
Basal nuclei Carotid sinus nerve
Claustrum Ninth cranial nerve
Corpus striatum Tympanic nerve
Globus pallidus Q Vagus Nerve
Substantia nigra Anterior vagal trunk
Subthalamic nucleus Pharyngeal plexus
9 Thalamus Pneumogastric nerve
Epithalamus Posterior vagal trunk
Geniculate nucleus Pulmonary plexus
Metathalamus Recurrent laryngeal nerve
Pulvinar Superior laryngeal nerve
A Hypothalamus Tenth cranial nerve
Mammillary body R Accessory Nerve
B Pons Eleventh cranial nerve
Apneustic center S Hypoglossal Nerve
Basis pontis Twelfth cranial nerve
Locus ceruleus T Spinal Meninges
Pneumotaxic center Arachnoid mater, spinal
Pontine tegmentum Denticulate (dentate)
Superior olivary nucleus ligament
C Cerebellum Dura mater, spinal
Culmen Filum terminale
D Medulla Oblongata Leptomeninges, spinal
Myelencephalon Pia mater, spinal
F Olfactory Nerve W Cervical Spinal Cord
First cranial nerve X Thoracic Spinal Cord
Olfactory bulb Y Lumbar Spinal Cord
G Optic Nerve Cauda equina
Optic chiasma Conus medullaris
Second cranial nerve
Non-OR 005[F,G,H,J,K,L,M,N,P,Q,R,S][0,3,4]ZZ
005–005

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 129
 007–008 Central Nervous System and Cranial Nerves ICD-10-PCS 2019
Central Nervous System and Cranial Nerves

0 Medical and Surgical

0 Central Nervous System and Cranial Nerves 007
7 Dilation Definition: Expanding an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice. Accomplished by stretching a tubular body part using
intraluminal pressure or by cutting part of the orifice or wall of the tubular body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
6 Cerebral Ventricle 0 Open Z No Device Z No Qualifier
Aqueduct of Sylvius 3 Percutaneous
Cerebral aqueduct (Sylvius) 4 Percutaneous Endoscopic
Choroid plexus
Ependyma
Foramen of Monro (intraventricular)
Fourth ventricle
Interventricular foramen (Monro)
Left lateral ventricle
Right lateral ventricle
Third ventricle

0 Medical and Surgical

0 Central Nervous System and Cranial Nerves 008
8 Division Definition: Cutting into a body part, without draining fluids and/or gases from the body part, in order to separate or transect a body part
Explanation: All or a portion of the body part is separated into two or more portions
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Brain N Acoustic Nerve 0 Open Z No Device Z No Qualifier
Cerebrum Cochlear nerve 3 Percutaneous
Corpus callosum Eighth cranial nerve 4 Percutaneous Endoscopic
Encephalon Scarpa's (vestibular)
7 Cerebral Hemisphere ganglion
Frontal lobe Spiral ganglion
Occipital lobe Vestibular (Scarpa's)
Parietal lobe ganglion
Temporal lobe Vestibular nerve
8 Basal Ganglia Vestibulocochlear nerve
Basal nuclei P Glossopharyngeal Nerve
Claustrum Carotid sinus nerve
Corpus striatum Ninth cranial nerve
Globus pallidus Tympanic nerve
Substantia nigra Q Vagus Nerve
Subthalamic nucleus Anterior vagal trunk
F Olfactory Nerve Pharyngeal plexus
First cranial nerve Pneumogastric nerve
Olfactory bulb Posterior vagal trunk
G Optic Nerve Pulmonary plexus
Optic chiasma Recurrent laryngeal nerve
Second cranial nerve Superior laryngeal nerve
H Oculomotor Nerve Tenth cranial nerve
Third cranial nerve R Accessory Nerve
J Trochlear Nerve Eleventh cranial nerve
Fourth cranial nerve S Hypoglossal Nerve
K Trigeminal Nerve Twelfth cranial nerve
Fifth cranial nerve W Cervical Spinal Cord
Gasserian ganglion X Thoracic Spinal Cord
Mandibular nerve Y Lumbar Spinal Cord
Maxillary nerve Cauda equina
Ophthalmic nerve Conus medullaris
Trifacial nerve
L Abducens Nerve
Sixth cranial nerve
M Facial Nerve
Chorda tympani
Geniculate ganglion
Greater superficial petrosal
nerve
Nerve to the stapedius
Parotid plexus
Posterior auricular nerve
Seventh cranial nerve
Submandibular ganglion
007–008

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
130 ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
0 Central Nervous System and Cranial Nerves
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part
Character 4
0 Brain
Cerebrum
Corpus callosum
Encephalon
1 Cerebral Meninges
Arachnoid mater,
intracranial
Leptomeninges,
intracranial
Pia mater, intracranial
2 Dura Mater
Diaphragma sellae
Dura mater, intracranial
Falx cerebri
Tentorium cerebelli
3 Epidural Space,
Intracranial
Extradural space,
intracranial
4 Subdural Space,
Intracranial
5 Subarachnoid Space,
Intracranial
6 Cerebral Ventricle
Aqueduct of Sylvius
Cerebral aqueduct (Sylvius)
Choroid plexus
Ependyma
Foramen of Monro
(intraventricular)
Fourth ventricle
Interventricular foramen
(Monro)
Left lateral ventricle
Right lateral ventricle
Third ventricle
7 Cerebral Hemisphere
Frontal lobe
Occipital lobe
Parietal lobe
Temporal lobe
8 Basal Ganglia
Basal nuclei
Claustrum
Corpus striatum
Globus pallidus
Substantia nigra
Subthalamic nucleus
9 Thalamus
Epithalamus
Geniculate nucleus
Metathalamus
Pulvinar
A Hypothalamus
Mammillary body
B Pons
Apneustic center
Basis pontis
Locus ceruleus
Pneumotaxic center
Pontine tegmentum
Superior olivary nucleus
C Cerebellum
Culmen
D Medulla Oblongata
Myelencephalon
F Olfactory Nerve
First cranial nerve
Olfactory bulb
Non-OR 009[T,W,X,Y]30Z
Non-OR 009U[3,4]0Z
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Central Nervous System and Cranial Nerves 009–009
Central Nervous System and Cranial Nerves
009
Approach Device Qualifier
Character 5 Character 6 Character 7
G Optic Nerve 0 Open 0 Drainage Device Z No Qualifier
Optic chiasma 3 Percutaneous
Second cranial nerve 4 Percutaneous Endoscopic
H Oculomotor Nerve
Third cranial nerve
J Trochlear Nerve
Fourth cranial nerve
K Trigeminal Nerve
Fifth cranial nerve
Gasserian ganglion
Mandibular nerve
Maxillary nerve
Ophthalmic nerve
Trifacial nerve
L Abducens Nerve
Sixth cranial nerve
M Facial Nerve
Chorda tympani
Geniculate ganglion
Greater superficial petrosal
nerve
Nerve to the stapedius
Parotid plexus
Posterior auricular nerve
Seventh cranial nerve
Submandibular ganglion
N Acoustic Nerve
Cochlear nerve
Eighth cranial nerve
Scarpa's (vestibular) ganglion
Spiral ganglion
Vestibular (Scarpa's) ganglion
Vestibular nerve
Vestibulocochlear nerve
P Glossopharyngeal Nerve
Carotid sinus nerve
Ninth cranial nerve
Tympanic nerve
Q Vagus Nerve
Anterior vagal trunk
Pharyngeal plexus
Pneumogastric nerve
Posterior vagal trunk
Pulmonary plexus
Recurrent laryngeal nerve
Superior laryngeal nerve
Tenth cranial nerve
R Accessory Nerve
Eleventh cranial nerve
S Hypoglossal Nerve
Twelfth cranial nerve
T Spinal Meninges
Arachnoid mater, spinal
Denticulate (dentate)
ligament
Dura mater, spinal
Filum terminale
Leptomeninges, spinal
Pia mater, spinal
U Spinal Canal
Epidural space, spinal
Extradural space, spinal
Subarachnoid space, spinal
Subdural space, spinal
Vertebral canal
W Cervical Spinal Cord
X Thoracic Spinal Cord
Y Lumbar Spinal Cord
Cauda equina
Conus medullaris
009 Continued on next page
009–009
New/Revised in GREEN
131
 009–009 Central Nervous System and Cranial Nerves ICD-10-PCS 2019
Central Nervous System and Cranial Nerves

0 Medical and Surgical 009 Continued

0 Central Nervous System and Cranial Nerves 009
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Brain G Optic Nerve 0 Open Z No Device X Diagnostic
Cerebrum Optic chiasma 3 Percutaneous Z No Qualifier
Corpus callosum Second cranial nerve 4 Percutaneous Endoscopic
Encephalon H Oculomotor Nerve
1 Cerebral Meninges Third cranial nerve
Arachnoid mater, J Trochlear Nerve
intracranial Fourth cranial nerve
Leptomeninges, K Trigeminal Nerve
intracranial Fifth cranial nerve
Pia mater, intracranial Gasserian ganglion
2 Dura Mater Mandibular nerve
Diaphragma sellae Maxillary nerve
Dura mater, intracranial Ophthalmic nerve
Falx cerebri Trifacial nerve
Tentorium cerebelli L Abducens Nerve
3 Epidural Space, Sixth cranial nerve
Intracranial M Facial Nerve
Extradural space, Chorda tympani
intracranial Geniculate ganglion
4 Subdural Space, Greater superficial petrosal
Intracranial nerve
5 Subarachnoid Space, Nerve to the stapedius
Intracranial Parotid plexus
6 Cerebral Ventricle Posterior auricular nerve
Aqueduct of Sylvius Seventh cranial nerve
Cerebral aqueduct (Sylvius) Submandibular ganglion
Choroid plexus N Acoustic Nerve
Ependyma Cochlear nerve
Foramen of Monro Eighth cranial nerve
(intraventricular) Scarpa's (vestibular) ganglion
Fourth ventricle Spiral ganglion
Interventricular foramen Vestibular (Scarpa's) ganglion
(Monro) Vestibular nerve
Left lateral ventricle Vestibulocochlear nerve
Right lateral ventricle P Glossopharyngeal Nerve
Third ventricle Carotid sinus nerve
7 Cerebral Hemisphere Ninth cranial nerve
Frontal lobe Tympanic nerve
Occipital lobe Q Vagus Nerve
Parietal lobe Anterior vagal trunk
Temporal lobe Pharyngeal plexus
8 Basal Ganglia Pneumogastric nerve
Basal nuclei Posterior vagal trunk
Claustrum Pulmonary plexus
Corpus striatum Recurrent laryngeal nerve
Globus pallidus Superior laryngeal nerve
Substantia nigra Tenth cranial nerve
Subthalamic nucleus R Accessory Nerve
9 Thalamus Eleventh cranial nerve
Epithalamus S Hypoglossal Nerve
Geniculate nucleus Twelfth cranial nerve
Metathalamus T Spinal Meninges
Pulvinar Arachnoid mater, spinal
A Hypothalamus Denticulate (dentate)
Mammillary body ligament
B Pons Dura mater, spinal
Apneustic center Filum terminale
Basis pontis Leptomeninges, spinal
Locus ceruleus Pia mater, spinal
Pneumotaxic center U Spinal Canal
Pontine tegmentum Epidural space, spinal
Superior olivary nucleus Extradural space, spinal
C Cerebellum Subarachnoid space, spinal
Culmen Subdural space, spinal
D Medulla Oblongata Vertebral canal
Myelencephalon W Cervical Spinal Cord
F Olfactory Nerve X Thoracic Spinal Cord
First cranial nerve Y Lumbar Spinal Cord
Olfactory bulb Cauda equina
Conus medullaris
Non-OR 009[0,1,2,3,4,5,6,7,8,9,A,B,C,D,F,G,H,J,K,L,M,N,P,Q,R,S][3,4]ZX
Non-OR 009[T,W,X,Y]3Z[X,Z]
009–009

Non-OR 009U[3,4]Z[X,Z]

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
132 ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
0 Central Nervous System and Cranial Nerves
B Excision Definition: Cutting out or off, without replacement, a portion of a body part
Explanation: The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies
Body Part
Character 4
0 Brain
Cerebrum
Corpus callosum
Encephalon
1 Cerebral Meninges
Arachnoid mater,
intracranial
Leptomeninges,
intracranial
Pia mater, intracranial
2 Dura Mater
Diaphragma sellae
Dura mater, intracranial
Falx cerebri
Tentorium cerebelli
6 Cerebral Ventricle
Aqueduct of Sylvius
Cerebral aqueduct (Sylvius)
Choroid plexus
Ependyma
Foramen of Monro
(intraventricular)
Fourth ventricle
Interventricular foramen
(Monro)
Left lateral ventricle
Right lateral ventricle
Third ventricle
7 Cerebral Hemisphere
Frontal lobe
Occipital lobe
Parietal lobe
Temporal lobe
8 Basal Ganglia
Basal nuclei
Claustrum
Corpus striatum
Globus pallidus
Substantia nigra
Subthalamic nucleus
9 Thalamus
Epithalamus
Geniculate nucleus
Metathalamus
Pulvinar
A Hypothalamus
Mammillary body
B Pons
Apneustic center
Basis pontis
Locus ceruleus
Pneumotaxic center
Pontine tegmentum
Superior olivary nucleus
C Cerebellum
Culmen
D Medulla Oblongata
Myelencephalon
F Olfactory Nerve
First cranial nerve
Olfactory bulb
G Optic Nerve
Optic chiasma
Second cranial nerve
Non-OR 00B[0,1,2,6,7,8,9,A,B,C,D,F,G,H,J,K,L,M,N,P,Q,R,S][3,4]ZX
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Central Nervous System and Cranial Nerves 00B–00B
Central Nervous System and Cranial Nerves
00B
Approach Device Qualifier
Character 5 Character 6 Character 7
H Oculomotor Nerve 0 Open Z No Device X Diagnostic
Third cranial nerve 3 Percutaneous Z No Qualifier
J Trochlear Nerve 4 Percutaneous Endoscopic
Fourth cranial nerve
K Trigeminal Nerve
Fifth cranial nerve
Gasserian ganglion
Mandibular nerve
Maxillary nerve
Ophthalmic nerve
Trifacial nerve
L Abducens Nerve
Sixth cranial nerve
M Facial Nerve
Chorda tympani
Geniculate ganglion
Greater superficial petrosal
nerve
Nerve to the stapedius
Parotid plexus
Posterior auricular nerve
Seventh cranial nerve
Submandibular ganglion
N Acoustic Nerve
Cochlear nerve
Eighth cranial nerve
Scarpa's (vestibular)
ganglion
Spiral ganglion
Vestibular (Scarpa's)
ganglion
Vestibular nerve
Vestibulocochlear nerve
P Glossopharyngeal Nerve
Carotid sinus nerve
Ninth cranial nerve
Tympanic nerve
Q Vagus Nerve
Anterior vagal trunk
Pharyngeal plexus
Pneumogastric nerve
Posterior vagal trunk
Pulmonary plexus
Recurrent laryngeal nerve
Superior laryngeal nerve
Tenth cranial nerve
R Accessory Nerve
Eleventh cranial nerve
S Hypoglossal Nerve
Twelfth cranial nerve
T Spinal Meninges
Arachnoid mater, spinal
Denticulate (dentate)
ligament
Dura mater, spinal
Filum terminale
Leptomeninges, spinal
Pia mater, spinal
W Cervical Spinal Cord
X Thoracic Spinal Cord
Y Lumbar Spinal Cord
Cauda equina
Conus medullaris
00B–00B
New/Revised in GREEN
133
 00C–00C
Central Nervous System and Cranial Nerves
0 Medical and Surgical
0 Central Nervous System and Cranial Nerves
C Extirpation Definition: Taking or cutting out solid matter from a body part
Explanation: The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in
the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces.
Body Part
Character 4
0 Brain
Cerebrum
Corpus callosum
Encephalon
1 Cerebral Meninges
Arachnoid mater,
intracranial
Leptomeninges,
intracranial
Pia mater, intracranial
2 Dura Mater
Diaphragma sellae
Dura mater, intracranial
Falx cerebri
Tentorium cerebelli
3 Epidural Space,
Intracranial
Extradural space,
intracranial
4 Subdural Space,
Intracranial
5 Subarachnoid Space,
Intracranial
6 Cerebral Ventricle
Aqueduct of Sylvius
Cerebral aqueduct (Sylvius)
Choroid plexus
Ependyma
Foramen of Monro
(intraventricular)
Fourth ventricle
Interventricular foramen
(Monro)
Left lateral ventricle
Right lateral ventricle
Third ventricle
7 Cerebral Hemisphere
Frontal lobe
Occipital lobe
Parietal lobe
Temporal lobe
8 Basal Ganglia
Basal nuclei
Claustrum
Corpus striatum
Globus pallidus
Substantia nigra
Subthalamic nucleus
9 Thalamus
Epithalamus
Geniculate nucleus
Metathalamus
Pulvinar
A Hypothalamus
Mammillary body
B Pons
Apneustic center
Basis pontis
Locus ceruleus
Pneumotaxic center
Pontine tegmentum
Superior olivary nucleus
C Cerebellum
Culmen
D Medulla Oblongata
Myelencephalon
F Olfactory Nerve
First cranial nerve
Olfactory bulb
00C–00C
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
134
Central Nervous System and Cranial Nerves ICD-10-PCS 2019
00C
Approach Device Qualifier
Character 5 Character 6 Character 7
G Optic Nerve 0 Open Z No Device Z No Qualifier
Optic chiasma 3 Percutaneous
Second cranial nerve 4 Percutaneous Endoscopic
H Oculomotor Nerve
Third cranial nerve
J Trochlear Nerve
Fourth cranial nerve
K Trigeminal Nerve
Fifth cranial nerve
Gasserian ganglion
Mandibular nerve
Maxillary nerve
Ophthalmic nerve
Trifacial nerve
L Abducens Nerve
Sixth cranial nerve
M Facial Nerve
Chorda tympani
Geniculate ganglion
Greater superficial petrosal
nerve
Nerve to the stapedius
Parotid plexus
Posterior auricular nerve
Seventh cranial nerve
Submandibular ganglion
N Acoustic Nerve
Cochlear nerve
Eighth cranial nerve
Scarpa's (vestibular)
ganglion
Spiral ganglion
Vestibular (Scarpa's)
ganglion
Vestibular nerve
Vestibulocochlear nerve
P Glossopharyngeal Nerve
Carotid sinus nerve
Ninth cranial nerve
Tympanic nerve
Q Vagus Nerve
Anterior vagal trunk
Pharyngeal plexus
Pneumogastric nerve
Posterior vagal trunk
Pulmonary plexus
Recurrent laryngeal nerve
Superior laryngeal nerve
Tenth cranial nerve
R Accessory Nerve
Eleventh cranial nerve
S Hypoglossal Nerve
Twelfth cranial nerve
T Spinal Meninges
Arachnoid mater, spinal
Denticulate (dentate)
ligament
Dura mater, spinal
Filum terminale
Leptomeninges, spinal
Pia mater, spinal
U Spinal Canal
W Cervical Spinal Cord
X Thoracic Spinal Cord
Y Lumbar Spinal Cord
Cauda equina
Conus medullaris
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019 Central Nervous System and Cranial Nerves 00D–00F

Central Nervous System and Cranial Nerves

0 Medical and Surgical
0 Central Nervous System and Cranial Nerves 00D
D Extraction Definition: Pulling or stripping out or off all or a portion of a body part by the use of force
Explanation: The qualifier DIAGNOSTIC is used to identify extraction procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Cerebral Meninges N Acoustic Nerve 0 Open Z No Device Z No Qualifier
Arachnoid mater, Cochlear nerve 3 Percutaneous
intracranial Eighth cranial nerve 4 Percutaneous Endoscopic
Leptomeninges, Scarpa's (vestibular)
intracranial ganglion
Pia mater, intracranial Spiral ganglion
2 Dura Mater Vestibular (Scarpa's)
Diaphragma sellae ganglion
Dura mater, intracranial Vestibular nerve
Falx cerebri Vestibulocochlear nerve
Tentorium cerebelli P Glossopharyngeal Nerve
F Olfactory Nerve Carotid sinus nerve
First cranial nerve Ninth cranial nerve
Olfactory bulb Tympanic nerve
G Optic Nerve Q Vagus Nerve
Optic chiasma Anterior vagal trunk
Second cranial nerve Pharyngeal plexus
H Oculomotor Nerve Pneumogastric nerve
Third cranial nerve Posterior vagal trunk
J Trochlear Nerve Pulmonary plexus
Fourth cranial nerve Recurrent laryngeal nerve
Superior laryngeal nerve
K Trigeminal Nerve
Tenth cranial nerve
Fifth cranial nerve
Gasserian ganglion R Accessory Nerve
Mandibular nerve Eleventh cranial nerve
Maxillary nerve S Hypoglossal Nerve
Ophthalmic nerve Twelfth cranial nerve
Trifacial nerve T Spinal Meninges
L Abducens Nerve Arachnoid mater, spinal
Sixth cranial nerve Denticulate (dentate)
M Facial Nerve ligament
Chorda tympani Dura mater, spinal
Geniculate ganglion Filum terminale
Greater superficial petrosal Leptomeninges, spinal
nerve Pia mater, spinal
Nerve to the stapedius
Parotid plexus
Posterior auricular nerve
Seventh cranial nerve
Submandibular ganglion

0 Medical and Surgical

0 Central Nervous System and Cranial Nerves 00F
F Fragmentation Definition: Breaking solid matter in a body part into pieces
Explanation: Physical force (e.g., manual, ultrasonic) applied directly or indirectly is used to break the solid matter into pieces. The solid matter
may be an abnormal byproduct of a biological function or a foreign body. The pieces of solid matter are not taken out.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
3 Epidural Space, Intracranial 4 0 Open Z No Device Z No Qualifier
Extradural space, intracranial 3 Percutaneous
4 Subdural Space, Intracranial 4 4 Percutaneous Endoscopic
5 Subarachnoid Space, Intracranial 4 X External
6 Cerebral Ventricle 4
Aqueduct of Sylvius
Cerebral aqueduct (Sylvius)
Choroid plexus
Ependyma
Foramen of Monro (intraventricular)
Fourth ventricle
Interventricular foramen (Monro)
Left lateral ventricle
Right lateral ventricle
Third ventricle
U Spinal Canal
Epidural space, spinal
Extradural space, spinal
Subarachnoid space, spinal
Subdural space, spinal
Vertebral canal
Non-OR 00F[3,4,5,6]XZZ
00D–00F

4 00F[3,4,5,6]XZZ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 135
 00H–00K Central Nervous System and Cranial Nerves ICD-10-PCS 2019
Central Nervous System and Cranial Nerves

0 Medical and Surgical

0 Central Nervous System and Cranial Nerves 00H
H Insertion Definition: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically
take the place of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Brain ? 0 Open 2 Monitoring Device Z No Qualifier
Cerebrum 3 Infusion Device
Corpus callosum 4 Radioactive Element,
Encephalon Cesium-131 Collagen
Implant
M Neurostimulator Lead
Y Other Device
0 Brain ? 3 Percutaneous 2 Monitoring Device Z No Qualifier
Cerebrum 4 Percutaneous Endoscopic 3 Infusion Device
Corpus callosum M Neurostimulator Lead
Encephalon Y Other Device
6 Cerebral Ventricle ? E Cranial Nerve ? 0 Open 2 Monitoring Device Z No Qualifier
Aqueduct of Sylvius U Spinal Canal ? 3 Percutaneous 3 Infusion Device
Cerebral aqueduct (Sylvius) Epidural space, spinal 4 Percutaneous Endoscopic M Neurostimulator Lead
Choroid plexus Extradural space, spinal Y Other Device
Ependyma Subarachnoid space,
Foramen of Monro spinal
(intraventricular) Subdural space, spinal
Fourth ventricle Interventricular Vertebral canal
foramen (Monro) V Spinal Cord ?
Left lateral ventricle
Right lateral ventricle
Third ventricle
DRG Non-OR 00H004Z See Appendix L for Procedure Combinations
Non-OR 00H[E,U,V]32Z ? 00H00MZ
Non-OR 00H[E,U][3,4]YZ ? 00H0[3,4]MZ
Non-OR 00H[U,V][0,3,4]3Z ? 00H[6,E,U,V][0,3,4]MZ

0 Medical and Surgical

0 Central Nervous System and Cranial Nerves 00J
J Inspection Definition: Visually and/or manually exploring a body part
Explanation: Visual exploration may be performed with or without optical instrumentation. Manual exploration may be performed directly or
through intervening body layers.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Brain U Spinal Canal 0 Open Z No Device Z No Qualifier
Cerebrum Epidural space, spinal 3 Percutaneous
Corpus callosum Extradural space, spinal 4 Percutaneous Endoscopic
Encephalon Subarachnoid space, spinal
E Cranial Nerve Subdural space, spinal
Vertebral canal
V Spinal Cord
Non-OR 00J[0,E,U,V]3ZZ

0 Medical and Surgical

0 Central Nervous System and Cranial Nerves 00K
K Map Definition: Locating the route of passage of electrical impulses and/or locating functional areas in a body part
Explanation: Applicable only to the cardiac conduction mechanism and the central nervous system
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Brain 9 Thalamus 0 Open Z No Device Z No Qualifier
Cerebrum Epithalamus 3 Percutaneous
Corpus callosum Geniculate nucleus 4 Percutaneous Endoscopic
Encephalon Metathalamus
7 Cerebral Hemisphere Pulvinar
Frontal lobe A Hypothalamus
Occipital lobe Mammillary body
Parietal lobe B Pons
Temporal lobe Apneustic center
8 Basal Ganglia Basis pontis
Basal nuclei Locus ceruleus
Claustrum Pneumotaxic center
Corpus striatum Pontine tegmentum
Globus pallidus Superior olivary nucleus
Substantia nigra C Cerebellum
Subthalamic nucleus Culmen
00H–00K

D Medulla Oblongata
Myelencephalon

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
136 ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
0 Central Nervous System and Cranial Nerves
N Release Definition: Freeing a body part from an abnormal physical constraint by cutting or by the use of force
Explanation: Some of the restraining tissue may be taken out but none of the body part is taken out
Body Part
Character 4
0 Brain
Cerebrum
Corpus callosum
Encephalon
1 Cerebral Meninges
Arachnoid mater,
intracranial
Leptomeninges,
intracranial
Pia mater, intracranial
2 Dura Mater
Diaphragma sellae
Dura mater, intracranial
Falx cerebri
Tentorium cerebelli
6 Cerebral Ventricle
Aqueduct of Sylvius
Cerebral aqueduct (Sylvius)
Choroid plexus
Ependyma
Foramen of Monro
(intraventricular)
Fourth ventricle
Interventricular foramen
(Monro)
Left lateral ventricle
Right lateral ventricle
Third ventricle
7 Cerebral Hemisphere
Frontal lobe
Occipital lobe
Parietal lobe
Temporal lobe
8 Basal Ganglia
Basal nuclei
Claustrum
Corpus striatum
Globus pallidus
Substantia nigra
Subthalamic nucleus
9 Thalamus
Epithalamus
Geniculate nucleus
Metathalamus
Pulvinar
A Hypothalamus
Mammillary body
B Pons
Apneustic center
Basis pontis
Locus ceruleus
Pneumotaxic center
Pontine tegmentum
Superior olivary nucleus
C Cerebellum
Culmen
D Medulla Oblongata
Myelencephalon
F Olfactory Nerve
First cranial nerve
Olfactory bulb
G Optic Nerve
Optic chiasma
Second cranial nerve
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Central Nervous System and Cranial Nerves 00N–00N
Central Nervous System and Cranial Nerves
00N
Approach Device Qualifier
Character 5 Character 6 Character 7
H Oculomotor Nerve 0 Open Z No Device Z No Qualifier
Third cranial nerve 3 Percutaneous
J Trochlear Nerve 4 Percutaneous Endoscopic
Fourth cranial nerve
K Trigeminal Nerve
Fifth cranial nerve
Gasserian ganglion
Mandibular nerve
Maxillary nerve
Ophthalmic nerve
Trifacial nerve
L Abducens Nerve
Sixth cranial nerve
M Facial Nerve
Chorda tympani
Geniculate ganglion
Greater superficial petrosal
nerve
Nerve to the stapedius
Parotid plexus
Posterior auricular nerve
Seventh cranial nerve
Submandibular ganglion
N Acoustic Nerve
Cochlear nerve
Eighth cranial nerve
Scarpa's (vestibular)
ganglion
Spiral ganglion
Vestibular (Scarpa's)
ganglion
Vestibular nerve
Vestibulocochlear nerve
P Glossopharyngeal Nerve
Carotid sinus nerve
Ninth cranial nerve
Tympanic nerve
Q Vagus Nerve
Anterior vagal trunk
Pharyngeal plexus
Pneumogastric nerve
Posterior vagal trunk
Pulmonary plexus
Recurrent laryngeal nerve
Superior laryngeal nerve
Tenth cranial nerve
R Accessory Nerve
Eleventh cranial nerve
S Hypoglossal Nerve
Twelfth cranial nerve
T Spinal Meninges
Arachnoid mater, spinal
Denticulate (dentate)
ligament
Dura mater, spinal
Filum terminale
Leptomeninges, spinal
Pia mater, spinal
W Cervical Spinal Cord
X Thoracic Spinal Cord
Y Lumbar Spinal Cord
Cauda equina
Conus medullaris
00N–00N
New/Revised in GREEN
137
 00P–00P Central Nervous System and Cranial Nerves ICD-10-PCS 2019
Central Nervous System and Cranial Nerves

0 Medical and Surgical

0 Central Nervous System and Cranial Nerves 00P
P Removal Definition: Taking out or off a device from a body part
Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is
coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Brain 0 Open 0 Drainage Device Z No Qualifier
Cerebrum 3 Percutaneous 2 Monitoring Device
Corpus callosum 4 Percutaneous Endoscopic 3 Infusion Device
Encephalon 7 Autologous Tissue
V Spinal Cord Substitute
J Synthetic Substitute
K Nonautologous Tissue
Substitute
M Neurostimulator Lead
Y Other Device
0 Brain X External 0 Drainage Device Z No Qualifier
Cerebrum 2 Monitoring Device
Corpus callosum 3 Infusion Device
Encephalon M Neurostimulator Lead
V Spinal Cord
6 Cerebral Ventricle 0 Open 0 Drainage Device Z No Qualifier
Aqueduct of Sylvius 3 Percutaneous 2 Monitoring Device
Cerebral aqueduct (Sylvius) 4 Percutaneous Endoscopic 3 Infusion Device
Choroid plexus J Synthetic Substitute
Ependyma
M Neurostimulator Lead
Foramen of Monro (intraventricular)
Fourth ventricle Y Other Device
Interventricular foramen (Monro)
Left lateral ventricle
Right lateral ventricle
Third ventricle
U Spinal Canal
Epidural space, spinal
Extradural space, spinal
Subarachnoid space, spinal
Subdural space, spinal
Vertebral canal
6 Cerebral Ventricle X External 0 Drainage Device Z No Qualifier
Aqueduct of Sylvius 2 Monitoring Device
Cerebral aqueduct (Sylvius) 3 Infusion Device
Choroid plexus M Neurostimulator Lead
Ependyma
Foramen of Monro (intraventricular)
Fourth ventricle
Interventricular foramen (Monro)
Left lateral ventricle
Right lateral ventricle
Third ventricle
U Spinal Canal
Epidural space, spinal
Extradural space, spinal
Subarachnoid space, spinal
Subdural space, spinal
Vertebral canal
E Cranial Nerve 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous 2 Monitoring Device
4 Percutaneous Endoscopic 3 Infusion Device
7 Autologous Tissue
Substitute
M Neurostimulator Lead
Y Other Device
E Cranial Nerve X External 0 Drainage Device Z No Qualifier
2 Monitoring Device
3 Infusion Device
M Neurostimulator Lead
Non-OR 00P[0,V]3[0,2,3]Z
Non-OR 00P[0,V][3,4]YZ
Non-OR 00P[0,V]X[0,2,3,M]Z
Non-OR 00P[6,U]3[0,2,3]Z
Non-OR 00P[6,U][3,4]YZ
Non-OR 00P[6,U]X[0,2,3,M]Z
Non-OR 00PE3[0,2,3]Z
Non-OR 00PE[3,4]YZ
00P–00P

Non-OR 00PEX[0,2,3,M]Z

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
138 ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
0 Central Nervous System and Cranial Nerves
Q Repair Definition: Restoring, to the extent possible, a body part to its normal anatomic structure and function
Explanation: Used only when the method to accomplish the repair is not one of the other root operations
Body Part
Character 4
0 Brain
Cerebrum
Corpus callosum
Encephalon
1 Cerebral Meninges
Arachnoid mater,
intracranial
Leptomeninges,
intracranial
Pia mater, intracranial
2 Dura Mater
Diaphragma sellae
Dura mater, intracranial
Falx cerebri
Tentorium cerebelli
6 Cerebral Ventricle
Aqueduct of Sylvius
Cerebral aqueduct (Sylvius)
Choroid plexus
Ependyma
Foramen of Monro
(intraventricular)
Fourth ventricle
Interventricular foramen
(Monro)
Left lateral ventricle
Right lateral ventricle
Third ventricle
7 Cerebral Hemisphere
Frontal lobe
Occipital lobe
Parietal lobe
Temporal lobe
8 Basal Ganglia
Basal nuclei
Claustrum
Corpus striatum
Globus pallidus
Substantia nigra
Subthalamic nucleus
9 Thalamus
Epithalamus
Geniculate nucleus
Metathalamus
Pulvinar
A Hypothalamus
Mammillary body
B Pons
Apneustic center
Basis pontis
Locus ceruleus
Pneumotaxic center
Pontine tegmentum
Superior olivary nucleus
C Cerebellum
Culmen
D Medulla Oblongata
Myelencephalon
F Olfactory Nerve
First cranial nerve
Olfactory bulb
G Optic Nerve
Optic chiasma
Second cranial nerve
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Central Nervous System and Cranial Nerves 00Q–00Q
Central Nervous System and Cranial Nerves
00Q
Approach Device Qualifier
Character 5 Character 6 Character 7
H Oculomotor Nerve 0 Open Z No Device Z No Qualifier
Third cranial nerve 3 Percutaneous
J Trochlear Nerve 4 Percutaneous Endoscopic
Fourth cranial nerve
K Trigeminal Nerve
Fifth cranial nerve
Gasserian ganglion
Mandibular nerve
Maxillary nerve
Ophthalmic nerve
Trifacial nerve
L Abducens Nerve
Sixth cranial nerve
M Facial Nerve
Chorda tympani
Geniculate ganglion
Greater superficial petrosal
nerve
Nerve to the stapedius
Parotid plexus
Posterior auricular nerve
Seventh cranial nerve
Submandibular ganglion
N Acoustic Nerve
Cochlear nerve
Eighth cranial nerve
Scarpa's (vestibular)
ganglion
Spiral ganglion
Vestibular (Scarpa's)
ganglion
Vestibular nerve
Vestibulocochlear nerve
P Glossopharyngeal Nerve
Carotid sinus nerve
Ninth cranial nerve
Tympanic nerve
Q Vagus Nerve
Anterior vagal trunk
Pharyngeal plexus
Pneumogastric nerve
Posterior vagal trunk
Pulmonary plexus
Recurrent laryngeal nerve
Superior laryngeal nerve
Tenth cranial nerve
R Accessory Nerve
Eleventh cranial nerve
S Hypoglossal Nerve
Twelfth cranial nerve
T Spinal Meninges
Arachnoid mater, spinal
Denticulate (dentate)
ligament
Dura mater, spinal
Filum terminale
Leptomeninges, spinal
Pia mater, spinal
W Cervical Spinal Cord
X Thoracic Spinal Cord
Y Lumbar Spinal Cord
Cauda equina
Conus medullaris
00Q–00Q
New/Revised in GREEN
139
 00R–00R Central Nervous System and Cranial Nerves ICD-10-PCS 2019
Central Nervous System and Cranial Nerves

0 Medical and Surgical

0 Central Nervous System and Cranial Nerves 00R
R Replacement Definition: Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part
Explanation: The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during
the REPLACEMENT procedure. A REMOVAL procedure is coded for taking out the device used in a previous replacement procedure.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Cerebral Meninges M Facial Nerve 0 Open 7 Autologous Tissue Z No Qualifier
Arachnoid mater, Chorda tympani 4 Percutaneous Endoscopic Substitute
intracranial Geniculate ganglion J Synthetic Substitute
Leptomeninges, Greater superficial petrosal K Nonautologous Tissue
intracranial nerve Substitute
Pia mater, intracranial Nerve to the stapedius
2 Dura Mater Parotid plexus
Diaphragma sellae Posterior auricular nerve
Dura mater, intracranial Seventh cranial nerve
Falx cerebri Submandibular ganglion
Tentorium cerebelli N Acoustic Nerve
6 Cerebral Ventricle Cochlear nerve
Aqueduct of Sylvius Eighth cranial nerve
Cerebral aqueduct (Sylvius) Scarpa's (vestibular)
Choroid plexus ganglion
Ependyma Spiral ganglion
Foramen of Monro Vestibular (Scarpa's)
(intraventricular) ganglion
Fourth ventricle Vestibular nerve
Interventricular foramen Vestibulocochlear nerve
(Monro) P Glossopharyngeal Nerve
Left lateral ventricle Carotid sinus nerve
Right lateral ventricle Ninth cranial nerve
Third ventricle Tympanic nerve
F Olfactory Nerve Q Vagus Nerve
First cranial nerve Anterior vagal trunk
Olfactory bulb Pharyngeal plexus
G Optic Nerve Pneumogastric nerve
Optic chiasma Posterior vagal trunk
Second cranial nerve Pulmonary plexus
H Oculomotor Nerve Recurrent laryngeal nerve
Third cranial nerve Superior laryngeal nerve
J Trochlear Nerve Tenth cranial nerve
Fourth cranial nerve R Accessory Nerve
K Trigeminal Nerve Eleventh cranial nerve
Fifth cranial nerve S Hypoglossal Nerve
Gasserian ganglion Twelfth cranial nerve
Mandibular nerve T Spinal Meninges
Maxillary nerve Arachnoid mater, spinal
Ophthalmic nerve Denticulate (dentate)
Trifacial nerve ligament
L Abducens Nerve Dura mater, spinal
Sixth cranial nerve Filum terminale
Leptomeninges, spinal
Pia mater, spinal
00R–00R

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
140 ICD-10-PCS 2019
ICD-10-PCS 2019 Central Nervous System and Cranial Nerves 00S–00T

Central Nervous System and Cranial Nerves

0 Medical and Surgical
0 Central Nervous System and Cranial Nerves 00S
S Reposition Definition: Moving to its normal location, or other suitable location, all or a portion of a body part
Explanation: The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning
correctly. The body part may or may not be cut out or off to be moved to the new location.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
F Olfactory Nerve N Acoustic Nerve 0 Open Z No Device Z No Qualifier
First cranial nerve Cochlear nerve 3 Percutaneous
Olfactory bulb Eighth cranial nerve 4 Percutaneous Endoscopic
G Optic Nerve Scarpa's (vestibular)
Optic chiasma ganglion
Second cranial nerve Spiral ganglion
H Oculomotor Nerve Vestibular (Scarpa's)
Third cranial nerve ganglion
J Trochlear Nerve Vestibular nerve
Fourth cranial nerve Vestibulocochlear nerve
K Trigeminal Nerve P Glossopharyngeal Nerve
Fifth cranial nerve Carotid sinus nerve
Gasserian ganglion Ninth cranial nerve
Mandibular nerve Tympanic nerve
Maxillary nerve Q Vagus Nerve
Ophthalmic nerve Anterior vagal trunk
Trifacial nerve Pharyngeal plexus
L Abducens Nerve Pneumogastric nerve
Sixth cranial nerve Posterior vagal trunk
Pulmonary plexus
M Facial Nerve
Recurrent laryngeal nerve
Chorda tympani
Superior laryngeal nerve
Geniculate ganglion
Tenth cranial nerve
Greater superficial petrosal
nerve R Accessory Nerve
Nerve to the stapedius Eleventh cranial nerve
Parotid plexus S Hypoglossal Nerve
Posterior auricular nerve Twelfth cranial nerve
Seventh cranial nerve W Cervical Spinal Cord
Submandibular ganglion X Thoracic Spinal Cord
Y Lumbar Spinal Cord
Cauda equina
Conus medullaris

0 Medical and Surgical

0 Central Nervous System and Cranial Nerves 00T
T Resection Definition: Cutting out or off, without replacement, all of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
7 Cerebral Hemisphere 0 Open Z No Device Z No Qualifier
Frontal lobe 3 Percutaneous
Occipital lobe 4 Percutaneous Endoscopic
Parietal lobe
Temporal lobe
00S–00T

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 141
 00U–00U Central Nervous System and Cranial Nerves ICD-10-PCS 2019
Central Nervous System and Cranial Nerves

0 Medical and Surgical

0 Central Nervous System and Cranial Nerves 00U
U Supplement Definition: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part
Explanation: The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced,
and the SUPPLEMENT procedure is performed to physically reinforce and/or augment the function of the replaced body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Cerebral Meninges M Facial Nerve 0 Open 7 Autologous Tissue Z No Qualifier
Arachnoid mater, Chorda tympani 3 Percutaneous Substitute
intracranial Geniculate ganglion 4 Percutaneous Endoscopic J Synthetic Substitute
Leptomeninges, Greater superficial petrosal K Nonautologous Tissue
intracranial nerve Substitute
Pia mater, intracranial Nerve to the stapedius
2 Dura Mater Parotid plexus
Diaphragma sellae Posterior auricular nerve
Dura mater, intracranial Seventh cranial nerve
Falx cerebri Submandibular ganglion
Tentorium cerebelli N Acoustic Nerve
6 Cerebral Ventricle Cochlear nerve
Aqueduct of Sylvius Eighth cranial nerve
Cerebral aqueduct (Sylvius) Scarpa's (vestibular)
Choroid plexus ganglion
Ependyma Spiral ganglion
Foramen of Monro Vestibular (Scarpa's)
(intraventricular) ganglion
Fourth ventricle Vestibular nerve
Interventricular foramen Vestibulocochlear nerve
(Monro) P Glossopharyngeal Nerve
Left lateral ventricle Carotid sinus nerve
Right lateral ventricle Ninth cranial nerve
Third ventricle Tympanic nerve
F Olfactory Nerve Q Vagus Nerve
First cranial nerve Anterior vagal trunk
Olfactory bulb Pharyngeal plexus
G Optic Nerve Pneumogastric nerve
Optic chiasma Posterior vagal trunk
Second cranial nerve Pulmonary plexus
H Oculomotor Nerve Recurrent laryngeal nerve
Third cranial nerve Superior laryngeal nerve
J Trochlear Nerve Tenth cranial nerve
Fourth cranial nerve R Accessory Nerve
K Trigeminal Nerve Eleventh cranial nerve
Fifth cranial nerve S Hypoglossal Nerve
Gasserian ganglion Twelfth cranial nerve
Mandibular nerve T Spinal Meninges
Maxillary nerve Arachnoid mater, spinal
Ophthalmic nerve Denticulate (dentate)
Trifacial nerve ligament
L Abducens Nerve Dura mater, spinal
Sixth cranial nerve Filum terminale
Leptomeninges, spinal
Pia mater, spinal
00U–00U

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
142 ICD-10-PCS 2019
ICD-10-PCS 2019 Central Nervous System and Cranial Nerves 00W–00W

Central Nervous System and Cranial Nerves

0 Medical and Surgical
0 Central Nervous System and Cranial Nerves 00W
W Revision Definition: Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device
Explanation: Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as
a screw or pin
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Brain 0 Open 0 Drainage Device Z No Qualifier
Cerebrum 3 Percutaneous 2 Monitoring Device
Corpus callosum 4 Percutaneous Endoscopic 3 Infusion Device
Encephalon 7 Autologous Tissue
V Spinal Cord Substitute
J Synthetic Substitute
K Nonautologous Tissue
Substitute
M Neurostimulator Lead
Y Other Device
0 Brain X External 0 Drainage Device Z No Qualifier
Cerebrum 2 Monitoring Device
Corpus callosum 3 Infusion Device
Encephalon 7 Autologous Tissue
V Spinal Cord Substitute
J Synthetic Substitute
K Nonautologous Tissue
Substitute
M Neurostimulator Lead
6 Cerebral Ventricle 0 Open 0 Drainage Device Z No Qualifier
Aqueduct of Sylvius 3 Percutaneous 2 Monitoring Device
Cerebral aqueduct (Sylvius) 4 Percutaneous Endoscopic 3 Infusion Device
Choroid plexus J Synthetic Substitute
Ependyma
M Neurostimulator Lead
Foramen of Monro (intraventricular)
Fourth ventricle Y Other Device
Interventricular foramen (Monro)
Left lateral ventricle
Right lateral ventricle
Third ventricle
U Spinal Canal
Epidural space, spinal
Extradural space, spinal
Subarachnoid space, spinal
Subdural space, spinal
Vertebral canal
6 Cerebral Ventricle X External 0 Drainage Device Z No Qualifier
Aqueduct of Sylvius 2 Monitoring Device
Cerebral aqueduct (Sylvius) 3 Infusion Device
Choroid plexus J Synthetic Substitute
Ependyma
M Neurostimulator Lead
Foramen of Monro (intraventricular)
Fourth ventricle
Interventricular foramen (Monro)
Left lateral ventricle
Right lateral ventricle
Third ventricle
U Spinal Canal
Epidural space, spinal
Extradural space, spinal
Subarachnoid space, spinal
Subdural space, spinal
Vertebral canal
E Cranial Nerve 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous 2 Monitoring Device
4 Percutaneous Endoscopic 3 Infusion Device
7 Autologous Tissue
Substitute
M Neurostimulator Lead
Y Other Device
E Cranial Nerve X External 0 Drainage Device Z No Qualifier
2 Monitoring Device
3 Infusion Device
7 Autologous Tissue
Substitute
M Neurostimulator Lead
Non-OR 00W[0,V][3,4]YZ
00W–00W

Non-OR 00W[0,V]X[0,2,3,7,J,K,M]Z
Non-OR 00W[6,U][3,4]YZ
Non-OR 00W[6,U]X[0,2,3,J,M]Z
Non-OR 00WE[3,4]YZ
Non-OR 00WEX[0,2,3,7,M]Z

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 143
 00X–00X Central Nervous System and Cranial Nerves ICD-10-PCS 2019
Central Nervous System and Cranial Nerves

0 Medical and Surgical

0 Central Nervous System and Cranial Nerves 00X
X Transfer Definition: Moving, without taking out, all or a portion of a body part to another location to take over the function of all or a portion of a body part
Explanation: The body part transferred remains connected to its vascular and nervous supply
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
F Olfactory Nerve 0 Open Z No Device F Olfactory Nerve
First cranial nerve 4 Percutaneous Endoscopic G Optic Nerve
Olfactory bulb H Oculomotor Nerve
G Optic Nerve J Trochlear Nerve
Optic chiasma K Trigeminal Nerve
Second cranial nerve
L Abducens Nerve
H Oculomotor Nerve
M Facial Nerve
Third cranial nerve
N Acoustic Nerve
J Trochlear Nerve
Fourth cranial nerve P Glossopharyngeal Nerve
K Trigeminal Nerve Q Vagus Nerve
Fifth cranial nerve R Accessory Nerve
Gasserian ganglion S Hypoglossal Nerve
Mandibular nerve
Maxillary nerve
Ophthalmic nerve
Trifacial nerve
L Abducens Nerve
Sixth cranial nerve
M Facial Nerve
Chorda tympani
Geniculate ganglion
Greater superficial petrosal nerve
Nerve to the stapedius
Parotid plexus
Posterior auricular nerve
Seventh cranial nerve
Submandibular ganglion
N Acoustic Nerve
Cochlear nerve
Eighth cranial nerve
Scarpa's (vestibular) ganglion
Spiral ganglion
Vestibular (Scarpa's) ganglion
Vestibular nerve
Vestibulocochlear nerve
P Glossopharyngeal Nerve
Carotid sinus nerve
Ninth cranial nerve
Tympanic nerve
Q Vagus Nerve
Anterior vagal trunk
Pharyngeal plexus
Pneumogastric nerve
Posterior vagal trunk
Pulmonary plexus
Recurrent laryngeal nerve
Superior laryngeal nerve
Tenth cranial nerve
R Accessory Nerve
Eleventh cranial nerve
S Hypoglossal Nerve
Twelfth cranial nerve
00X–00X

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
144 ICD-10-PCS 2019
ICD-10-PCS 2019 Peripheral Nervous System

Peripheral Nervous System

Peripheral Nervous System 012–01X
Character Meanings
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.

Operation–Character 3 Body Part–Character 4 Approach–Character 5 Device–Character 6 Qualifier–Character 7

2 Change 0 Cervical Plexus 0 Open 0 Drainage Device 1 Cervical Nerve
5 Destruction 1 Cervical Nerve 3 Percutaneous 2 Monitoring Device 2 Phrenic Nerve
8 Division 2 Phrenic Nerve 4 Percutaneous Endoscopic 7 Autologous Tissue Substitute 4 Ulnar Nerve
9 Drainage 3 Brachial Plexus X External M Neurostimulator Lead 5 Median Nerve
B Excision 4 Ulnar Nerve Y Other Device 6 Radial Nerve
C Extirpation 5 Median Nerve Z No Device 8 Thoracic Nerve
D Extraction 6 Radial Nerve B Lumbar Nerve
H Insertion 8 Thoracic Nerve C Perineal Nerve
J Inspection 9 Lumbar Plexus D Femoral Nerve
N Release A Lumbosacral Plexus F Sciatic Nerve
P Removal B Lumbar Nerve G Tibial Nerve
Q Repair C Pudendal Nerve H Peroneal Nerve
R Replacement D Femoral Nerve X Diagnostic
S Reposition F Sciatic Nerve Z No Qualifier
U Supplement G Tibial Nerve
W Revision H Peroneal Nerve
X Transfer K Head and Neck Sympathetic Nerve
L Thoracic Sympathetic Nerve
M Abdominal Sympathetic Nerve
N Lumbar Sympathetic Nerve
P Sacral Sympathetic Nerve
Q Sacral Plexus
R Sacral Nerve
Y Peripheral Nerve

AHA Coding Clinic for table 01B AHA Coding Clinic for table 01U
2018, 2Q, 22 Excision of synovial cyst 2017, 4Q, 62 Added and revised device values - Nerve substitutes
2017, 2Q, 19 Thoracic outlet decompression with sympathectomy
AHA Coding Clinic for table 01N
2018, 2Q, 22 Excision of synovial cyst
2017, 2Q, 19 Thoracic outlet decompression with sympathectomy
2016, 2Q, 16 Decompressive laminectomy/foraminotomy and lumbar discectomy
2016, 2Q, 17 Removal of longitudinal ligament to decompress cervical nerve root
2016, 2Q, 23 Thoracic outlet syndrome and release of brachial plexus
2015, 2Q, 34 Decompressive laminectomy
2014, 3Q, 33 Radial fracture treatment with open reduction internal fixation, and
release of carpal ligament

Median and Ulnar Nerves

Median nerve 5 Ulnar nerve 4

Palmar branch 4

Deep branch 4

Superficial
branch 4

ICD-10-PCS 2019 145

 Peripheral Nervous System ICD-10-PCS 2019
Peripheral Nervous System

Peripheral Nervous System

Great auricular Cervical plexus 0

Lesser occiptial
Greater occipital
Suboccipital Cervical nerve 1
Ansa cervicalis 3rd occipital
Cervical plexus 0
Transverse cervical L. phrenic 2
Supraclavicular 0
Dorsal scapular
First intercostal
Subclavian
Brachial plexus 3 Long thoracic
Axillary
Musculocutaneous Median 5

Ulnar 4

Intercostal nerves 8 Radial 6

Thoracic splanchnic L

Lumbar splanchnic N
Subcostal 8 Genitofemoral
Iliohypogastric
Ilioinguinal Lumbar
Obturator plexus 9
Lateral femoral cutaneous
Sacral R Accessory obturator
Superior gluteal

Inferior gluteal Q
Sacral splanchnic P Sacral plexus
Pelvic splanchnic P and sacral
sympathetic nerves
Posterior Pudendal Q
scrotal/labial C Posterior femoral
Femoral D cutaneous Q
Sciatic F

Saphenous D

Common peroneal H
Tibial G

Superficial peroneal H

Deep peroneal H

146 ICD-10-PCS 2019

ICD-10-PCS 2019 Peripheral Nervous System 012–015

Peripheral Nervous System

0 Medical and Surgical
1 Peripheral Nervous System012
2 Change Definition: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without
cutting or puncturing the skin or a mucous membrane
Explanation: All CHANGE procedures are coded using the approach EXTERNAL
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
Y Peripheral Nerve X External 0 Drainage Device Z No Qualifier
Y Other Device
Non-OR All body part, approach, device, and qualifier values

0 Medical and Surgical

1 Peripheral Nervous System015 Definition: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent
5 Destruction Explanation: None of the body part is physically taken out
Body Part
Character 4
0 Cervical Plexus
Ansa cervicalis
Cutaneous (transverse) cervical nerve
Great auricular nerve
Lesser occipital nerve
Supraclavicular nerve
Transverse (cutaneous) cervical nerve
1 Cervical Nerve
Greater occipital nerve
Spinal nerve, cervical
Suboccipital nerve
Third occipital nerve
2 Phrenic Nerve
Accessory phrenic nerve
3 Brachial Plexus
Axillary nerve
Dorsal scapular nerve
First intercostal nerve
Long thoracic nerve
Musculocutaneous nerve
Subclavius nerve
Suprascapular nerve
4 Ulnar Nerve
Cubital nerve
5 Median Nerve
Anterior interosseous nerve
Palmar cutaneous nerve
6 Radial Nerve
Dorsal digital nerve
Musculospiral nerve
Palmar cutaneous nerve
Posterior interosseous nerve
8 Thoracic Nerve
Intercostal nerve
Intercostobrachial nerve
Spinal nerve, thoracic
Subcostal nerve
9 Lumbar Plexus
Accessory obturator nerve
Genitofemoral nerve
Iliohypogastric nerve
Ilioinguinal nerve
Lateral femoral cutaneous nerve
Obturator nerve
Superior gluteal nerve
A Lumbosacral Plexus
B Lumbar Nerve
Lumbosacral trunk
Spinal nerve, lumbar
Superior clunic (cluneal) nerve
C Pudendal Nerve
Posterior labial nerve
Posterior scrotal nerve
D Femoral Nerve
Anterior crural nerve
Saphenous nerve
F Sciatic Nerve
Ischiatic nerve
G Tibial Nerve
Lateral plantar nerve
Medial plantar nerve
Medial popliteal nerve
Medial sural cutaneous nerve
Approach Device Qualifier
Character 5 Character 6 Character 7
H Peroneal Nerve 0 Open Z No Device Z No Qualifier
Common fibular nerve 3 Percutaneous
Common peroneal nerve 4 Percutaneous
External popliteal nerve Endoscopic
Lateral sural cutaneous nerve
K Head and Neck Sympathetic Nerve
Cavernous plexus
Cervical ganglion
Ciliary ganglion
Internal carotid plexus
Otic ganglion
Pterygopalatine (sphenopalatine)
ganglion
Sphenopalatine (pterygopalatine)
ganglion
Stellate ganglion
Submandibular ganglion
Submaxillary ganglion
L Thoracic Sympathetic Nerve
Cardiac plexus
Esophageal plexus
Greater splanchnic nerve
Inferior cardiac nerve
Least splanchnic nerve
Lesser splanchnic nerve
Middle cardiac nerve
Pulmonary plexus
Superior cardiac nerve
Thoracic aortic plexus
Thoracic ganglion
M Abdominal Sympathetic Nerve
Abdominal aortic plexus
Auerbach's (myenteric) plexus
Celiac (solar) plexus
Celiac ganglion
Gastric plexus
Hepatic plexus
Inferior hypogastric plexus
Inferior mesenteric ganglion
Inferior mesenteric plexus
Meissner's (submucous) plexus
Myenteric (Auerbach's) plexus
Pancreatic plexus
Pelvic splanchnic nerve
Renal plexus
Solar (celiac) plexus
Splenic plexus
Submucous (Meissner's) plexus
Superior hypogastric plexus
Superior mesenteric ganglion
Superior mesenteric plexus
Suprarenal plexus
N Lumbar Sympathetic Nerve
Lumbar ganglion
Lumbar splanchnic nerve
P Sacral Sympathetic Nerve
Ganglion impar (ganglion of
Walther)
Pelvic splanchnic nerve
Sacral ganglion
Sacral splanchnic nerve
Q Sacral Plexus
Inferior gluteal nerve
Posterior femoral cutaneous nerve
012–015

Pudendal nerve
R Sacral Nerve
Spinal nerve, sacral
Non-OR 015[0,2,3,4,5,6,9,A,C,D,F,G,H,Q][0,3,4]ZZ Non-OR 015[1,8,B,R]3ZZ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 147
 018–018
Peripheral Nervous System
0 Medical and Surgical
1 Peripheral Nervous System
8 Division Definition: Cutting into a body part, without draining fluids and/or gases from the body part, in order to separate or transect a body part
Explanation: All or a portion of the body part is separated into two or more portions
Body Part
Character 4
0 Cervical Plexus
Ansa cervicalis
Cutaneous (transverse) cervical
nerve
Great auricular nerve
Lesser occipital nerve
Supraclavicular nerve
Transverse (cutaneous) cervical
nerve
1 Cervical Nerve
Greater occipital nerve
Spinal nerve, cervical
Suboccipital nerve
Third occipital nerve
2 Phrenic Nerve
Accessory phrenic nerve
3 Brachial Plexus
Axillary nerve
Dorsal scapular nerve
First intercostal nerve
Long thoracic nerve
Musculocutaneous nerve
Subclavius nerve
Suprascapular nerve
4 Ulnar Nerve
Cubital nerve
5 Median Nerve
Anterior interosseous nerve
Palmar cutaneous nerve
6 Radial Nerve
Dorsal digital nerve
Musculospiral nerve
Palmar cutaneous nerve
Posterior interosseous nerve
8 Thoracic Nerve
Intercostal nerve
Intercostobrachial nerve
Spinal nerve, thoracic
Subcostal nerve
9 Lumbar Plexus
Accessory obturator nerve
Genitofemoral nerve
Iliohypogastric nerve
Ilioinguinal nerve
Lateral femoral cutaneous
nerve
Obturator nerve
Superior gluteal nerve
A Lumbosacral Plexus
B Lumbar Nerve
Lumbosacral trunk
Spinal nerve, lumbar
Superior clunic (cluneal) nerve
C Pudendal Nerve
Posterior labial nerve
Posterior scrotal nerve
D Femoral Nerve
Anterior crural nerve
Saphenous nerve
F Sciatic Nerve
Ischiatic nerve
018–018
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
148
Peripheral Nervous System ICD-10-PCS 2019
018
Approach Device Qualifier
Character 5 Character 6 Character 7
G Tibial Nerve 0 Open Z No Device Z No Qualifier
Lateral plantar nerve 3 Percutaneous
Medial plantar nerve 4 Percutaneous Endoscopic
Medial popliteal nerve
Medial sural cutaneous nerve
H Peroneal Nerve
Common fibular nerve
Common peroneal nerve
External popliteal nerve
Lateral sural cutaneous nerve
K Head and Neck Sympathetic
Nerve
Cavernous plexus
Cervical ganglion
Ciliary ganglion
Internal carotid plexus
Otic ganglion
Pterygopalatine
(sphenopalatine) ganglion
Sphenopalatine
(pterygopalatine) ganglion
Stellate ganglion
Submandibular ganglion
Submaxillary ganglion
L Thoracic Sympathetic Nerve
Cardiac plexus
Esophageal plexus
Greater splanchnic nerve
Inferior cardiac nerve
Least splanchnic nerve
Lesser splanchnic nerve
Middle cardiac nerve
Pulmonary plexus
Superior cardiac nerve
Thoracic aortic plexus
Thoracic ganglion
M Abdominal Sympathetic
Nerve
Abdominal aortic plexus
Auerbach's (myenteric) plexus
Celiac (solar) plexus
Celiac ganglion
Gastric plexus
Hepatic plexus
Inferior hypogastric plexus
Inferior mesenteric ganglion
Inferior mesenteric plexus
Meissner's (submucous) plexus
Myenteric (Auerbach's) plexus
Pancreatic plexus
Pelvic splanchnic nerve
Renal plexus
Solar (celiac) plexus
Splenic plexus
Submucous (Meissner's) plexus
Superior hypogastric plexus
Superior mesenteric ganglion
Superior mesenteric plexus
Suprarenal plexus
N Lumbar Sympathetic Nerve
Lumbar ganglion
Lumbar splanchnic nerve
P Sacral Sympathetic Nerve
Ganglion impar (ganglion of
Walther)
Pelvic splanchnic nerve
Sacral ganglion
Sacral splanchnic nerve
Q Sacral Plexus
Inferior gluteal nerve
Posterior femoral cutaneous
nerve
Pudendal nerve
R Sacral Nerve
Spinal nerve, sacral
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
1 Peripheral Nervous System
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part
Character 4
0 Cervical Plexus
Ansa cervicalis
Cutaneous (transverse) cervical
nerve
Great auricular nerve
Lesser occipital nerve
Supraclavicular nerve
Transverse (cutaneous) cervical
nerve
1 Cervical Nerve
Greater occipital nerve
Spinal nerve, cervical
Suboccipital nerve
Third occipital nerve
2 Phrenic Nerve
Accessory phrenic nerve
3 Brachial Plexus
Axillary nerve
Dorsal scapular nerve
First intercostal nerve
Long thoracic nerve
Musculocutaneous nerve
Subclavius nerve
Suprascapular nerve
4 Ulnar Nerve
Cubital nerve
5 Median Nerve
Anterior interosseous nerve
Palmar cutaneous nerve
6 Radial Nerve
Dorsal digital nerve
Musculospiral nerve
Palmar cutaneous nerve
Posterior interosseous nerve
8 Thoracic Nerve
Intercostal nerve
Intercostobrachial nerve
Spinal nerve, thoracic
Subcostal nerve
9 Lumbar Plexus
Accessory obturator nerve
Genitofemoral nerve
Iliohypogastric nerve
Ilioinguinal nerve
Lateral femoral cutaneous
nerve
Obturator nerve
Superior gluteal nerve
A Lumbosacral Plexus
B Lumbar Nerve
Lumbosacral trunk
Spinal nerve, lumbar
Superior clunic (cluneal) nerve
C Pudendal Nerve
Posterior labial nerve
Posterior scrotal nerve
D Femoral Nerve
Anterior crural nerve
Saphenous nerve
F Sciatic Nerve
Ischiatic nerve
G Tibial Nerve
Lateral plantar nerve
Medial plantar nerve
Medial popliteal nerve
Medial sural cutaneous nerve
Non-OR 019[0,1,2,3,4,5,6,8,9,A,B,C,D,F,G,H,K,L,M,N,P,Q,R]30Z
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Peripheral Nervous System 019–019
Peripheral Nervous System
019
Approach Device Qualifier
Character 5 Character 6 Character 7
H Peroneal Nerve 0 Open 0 Drainage Device Z No Qualifier
Common fibular nerve 3 Percutaneous
Common peroneal nerve 4 Percutaneous Endoscopic
External popliteal nerve
Lateral sural cutaneous nerve
K Head and Neck Sympathetic
Nerve
Cavernous plexus
Cervical ganglion
Ciliary ganglion
Internal carotid plexus
Otic ganglion
Pterygopalatine
(sphenopalatine) ganglion
Sphenopalatine
(pterygopalatine) ganglion
Stellate ganglion
Submandibular ganglion
Submaxillary ganglion
L Thoracic Sympathetic Nerve
Cardiac plexus
Esophageal plexus
Greater splanchnic nerve
Inferior cardiac nerve
Least splanchnic nerve
Lesser splanchnic nerve
Middle cardiac nerve
Pulmonary plexus
Superior cardiac nerve
Thoracic aortic plexus
Thoracic ganglion
M Abdominal Sympathetic
Nerve
Abdominal aortic plexus
Auerbach's (myenteric) plexus
Celiac (solar) plexus
Celiac ganglion
Gastric plexus
Hepatic plexus
Inferior hypogastric plexus
Inferior mesenteric ganglion
Inferior mesenteric plexus
Meissner's (submucous) plexus
Myenteric (Auerbach's) plexus
Pancreatic plexus
Pelvic splanchnic nerve
Renal plexus
Solar (celiac) plexus
Splenic plexus
Submucous (Meissner's) plexus
Superior hypogastric plexus
Superior mesenteric ganglion
Superior mesenteric plexus
Suprarenal plexus
N Lumbar Sympathetic Nerve
Lumbar ganglion
Lumbar splanchnic nerve
P Sacral Sympathetic Nerve
Ganglion impar (ganglion of
Walther)
Pelvic splanchnic nerve
Sacral ganglion
Sacral splanchnic nerve
Q Sacral Plexus
Inferior gluteal nerve
Posterior femoral cutaneous
nerve
Pudendal nerve
R Sacral Nerve
Spinal nerve, sacral
019 Continued on next page
019–019
New/Revised in GREEN
149
 019–019
Peripheral Nervous System
0 Medical and Surgical
1 Peripheral Nervous System
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part
Character 4
0 Cervical Plexus
Ansa cervicalis
Cutaneous (transverse) cervical
nerve
Great auricular nerve
Lesser occipital nerve
Supraclavicular nerve
Transverse (cutaneous) cervical
nerve
1 Cervical Nerve
Greater occipital nerve
Spinal nerve, cervical
Suboccipital nerve
Third occipital nerve
2 Phrenic Nerve
Accessory phrenic nerve
3 Brachial Plexus
Axillary nerve
Dorsal scapular nerve
First intercostal nerve
Long thoracic nerve
Musculocutaneous nerve
Subclavius nerve
Suprascapular nerve
4 Ulnar Nerve
Cubital nerve
5 Median Nerve
Anterior interosseous nerve
Palmar cutaneous nerve
6 Radial Nerve
Dorsal digital nerve
Musculospiral nerve
Palmar cutaneous nerve
Posterior interosseous nerve
8 Thoracic Nerve
Intercostal nerve
Intercostobrachial nerve
Spinal nerve, thoracic
Subcostal nerve
9 Lumbar Plexus
Accessory obturator nerve
Genitofemoral nerve
Iliohypogastric nerve
Ilioinguinal nerve
Lateral femoral cutaneous
nerve
Obturator nerve
Superior gluteal nerve
A Lumbosacral Plexus
B Lumbar Nerve
Lumbosacral trunk
Spinal nerve, lumbar
Superior clunic (cluneal) nerve
C Pudendal Nerve
Posterior labial nerve
Posterior scrotal nerve
D Femoral Nerve
Anterior crural nerve
Saphenous nerve
F Sciatic Nerve
Ischiatic nerve
G Tibial Nerve
Lateral plantar nerve
Medial plantar nerve
Medial popliteal nerve
Medial sural cutaneous nerve
Non-OR 019[0,1,2,3,4,5,6,8,9,A,B,C,D,F,G,H,Q,R][3,4]ZX
Non-OR 019[0,1,2,3,4,5,6,8,9,A,B,C,D,F,G,H,K,L,M,N,P,Q,R]3ZZ
019–019
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
150
Peripheral Nervous System ICD-10-PCS 2019
019 Continued
019
Approach Device Qualifier
Character 5 Character 6 Character 7
H Peroneal Nerve 0 Open Z No Device X Diagnostic
Common fibular nerve 3 Percutaneous Z No Qualifier
Common peroneal nerve 4 Percutaneous Endoscopic
External popliteal nerve
Lateral sural cutaneous nerve
K Head and Neck Sympathetic
Nerve
Cavernous plexus
Cervical ganglion
Ciliary ganglion
Internal carotid plexus
Otic ganglion
Pterygopalatine
(sphenopalatine) ganglion
Sphenopalatine
(pterygopalatine) ganglion
Stellate ganglion
Submandibular ganglion
Submaxillary ganglion
L Thoracic Sympathetic Nerve
Cardiac plexus
Esophageal plexus
Greater splanchnic nerve
Inferior cardiac nerve
Least splanchnic nerve
Lesser splanchnic nerve
Middle cardiac nerve
Pulmonary plexus
Superior cardiac nerve
Thoracic aortic plexus
Thoracic ganglion
M Abdominal Sympathetic
Nerve
Abdominal aortic plexus
Auerbach's (myenteric) plexus
Celiac (solar) plexus
Celiac ganglion
Gastric plexus
Hepatic plexus
Inferior hypogastric plexus
Inferior mesenteric ganglion
Inferior mesenteric plexus
Meissner's (submucous) plexus
Myenteric (Auerbach's) plexus
Pancreatic plexus
Pelvic splanchnic nerve
Renal plexus
Solar (celiac) plexus
Splenic plexus
Submucous (Meissner's) plexus
Superior hypogastric plexus
Superior mesenteric ganglion
Superior mesenteric plexus
Suprarenal plexus
N Lumbar Sympathetic Nerve
Lumbar ganglion
Lumbar splanchnic nerve
P Sacral Sympathetic Nerve
Ganglion impar (ganglion of
Walther)
Pelvic splanchnic nerve
Sacral ganglion
Sacral splanchnic nerve
Q Sacral Plexus
Inferior gluteal nerve
Posterior femoral cutaneous
nerve
Pudendal nerve
R Sacral Nerve
Spinal nerve, sacral
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
1 Peripheral Nervous System
B Excision Definition: Cutting out or off, without replacement, a portion of a body part
Explanation: The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies
Body Part
Character 4
0 Cervical Plexus
Ansa cervicalis
Cutaneous (transverse) cervical
nerve
Great auricular nerve
Lesser occipital nerve
Supraclavicular nerve
Transverse (cutaneous) cervical
nerve
1 Cervical Nerve
Greater occipital nerve
Spinal nerve, cervical
Suboccipital nerve
Third occipital nerve
2 Phrenic Nerve
Accessory phrenic nerve
3 Brachial Plexus
Axillary nerve
Dorsal scapular nerve
First intercostal nerve
Long thoracic nerve
Musculocutaneous nerve
Subclavius nerve
Suprascapular nerve
4 Ulnar Nerve
Cubital nerve
5 Median Nerve
Anterior interosseous nerve
Palmar cutaneous nerve
6 Radial Nerve
Dorsal digital nerve
Musculospiral nerve
Palmar cutaneous nerve
Posterior interosseous nerve
8 Thoracic Nerve
Intercostal nerve
Intercostobrachial nerve
Spinal nerve, thoracic
Subcostal nerve
9 Lumbar Plexus
Accessory obturator nerve
Genitofemoral nerve
Iliohypogastric nerve
Ilioinguinal nerve
Lateral femoral cutaneous
nerve
Obturator nerve
Superior gluteal nerve
A Lumbosacral Plexus
B Lumbar Nerve
Lumbosacral trunk
Spinal nerve, lumbar
Superior clunic (cluneal) nerve
C Pudendal Nerve
Posterior labial nerve
Posterior scrotal nerve
D Femoral Nerve
Anterior crural nerve
Saphenous nerve
F Sciatic Nerve
Ischiatic nerve
G Tibial Nerve
Lateral plantar nerve
Medial plantar nerve
Medial popliteal nerve
Medial sural cutaneous nerve
Non-OR 01B[0,1,2,3,4,5,6,8,9,A,B,C,D,F,G,H,Q,R][3,4]ZX
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Peripheral Nervous System 01B–01B
Peripheral Nervous System
01B
Approach Device Qualifier
Character 5 Character 6 Character 7
H Peroneal Nerve 0 Open Z No Device X Diagnostic
Common fibular nerve 3 Percutaneous Z No Qualifier
Common peroneal nerve 4 Percutaneous Endoscopic
External popliteal nerve
Lateral sural cutaneous nerve
K Head and Neck Sympathetic
Nerve
Cavernous plexus
Cervical ganglion
Ciliary ganglion
Internal carotid plexus
Otic ganglion
Pterygopalatine
(sphenopalatine) ganglion
Sphenopalatine
(pterygopalatine) ganglion
Stellate ganglion
Submandibular ganglion
Submaxillary ganglion
L Thoracic Sympathetic
Nerve
Cardiac plexus
Esophageal plexus
Greater splanchnic nerve
Inferior cardiac nerve
Least splanchnic nerve
Lesser splanchnic nerve
Middle cardiac nerve
Pulmonary plexus
Superior cardiac nerve
Thoracic aortic plexus
Thoracic ganglion
M Abdominal Sympathetic
Nerve
Abdominal aortic plexus
Auerbach's (myenteric) plexus
Celiac (solar) plexus
Celiac ganglion
Gastric plexus
Hepatic plexus
Inferior hypogastric plexus
Inferior mesenteric ganglion
Inferior mesenteric plexus
Meissner's (submucous) plexus
Myenteric (Auerbach's) plexus
Pancreatic plexus
Pelvic splanchnic nerve
Renal plexus
Solar (celiac) plexus
Splenic plexus
Submucous (Meissner's) plexus
Superior hypogastric plexus
Superior mesenteric ganglion
Superior mesenteric plexus
Suprarenal plexus
N Lumbar Sympathetic Nerve
Lumbar ganglion
Lumbar splanchnic nerve
P Sacral Sympathetic Nerve
Ganglion impar (ganglion of
Walther)
Pelvic splanchnic nerve
Sacral ganglion
Sacral splanchnic nerve
Q Sacral Plexus
Inferior gluteal nerve
Posterior femoral cutaneous
nerve
Pudendal nerve
R Sacral Nerve
Spinal nerve, sacral
01B–01B
New/Revised in GREEN
151
 01C–01C
Peripheral Nervous System
0 Medical and Surgical
1 Peripheral Nervous System
C Extirpation Definition: Taking or cutting out solid matter from a body part
Explanation: The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in
the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces.
Body Part
Character 4
0 Cervical Plexus
Ansa cervicalis
Cutaneous (transverse) cervical
nerve
Great auricular nerve
Lesser occipital nerve
Supraclavicular nerve
Transverse (cutaneous) cervical
nerve
1 Cervical Nerve
Greater occipital nerve
Spinal nerve, cervical
Suboccipital nerve
Third occipital nerve
2 Phrenic Nerve
Accessory phrenic nerve
3 Brachial Plexus
Axillary nerve
Dorsal scapular nerve
First intercostal nerve
Long thoracic nerve
Musculocutaneous nerve
Subclavius nerve
Suprascapular nerve
4 Ulnar Nerve
Cubital nerve
5 Median Nerve
Anterior interosseous nerve
Palmar cutaneous nerve
6 Radial Nerve
Dorsal digital nerve
Musculospiral nerve
Palmar cutaneous nerve
Posterior interosseous nerve
8 Thoracic Nerve
Intercostal nerve
Intercostobrachial nerve
Spinal nerve, thoracic
Subcostal nerve
9 Lumbar Plexus
Accessory obturator nerve
Genitofemoral nerve
Iliohypogastric nerve
Ilioinguinal nerve
Lateral femoral cutaneous
nerve
Obturator nerve
Superior gluteal nerve
A Lumbosacral Plexus
B Lumbar Nerve
Lumbosacral trunk
Spinal nerve, lumbar
Superior clunic (cluneal) nerve
C Pudendal Nerve
Posterior labial nerve
Posterior scrotal nerve
D Femoral Nerve
Anterior crural nerve
Saphenous nerve
F Sciatic Nerve
Ischiatic nerve
G Tibial Nerve
Lateral plantar nerve
Medial plantar nerve
Medial popliteal nerve
Medial sural cutaneous nerve
01C–01C
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
152
Peripheral Nervous System ICD-10-PCS 2019
01C
Approach Device Qualifier
Character 5 Character 6 Character 7
H Peroneal Nerve 0 Open Z No Device Z No Qualifier
Common fibular nerve 3 Percutaneous
Common peroneal nerve 4 Percutaneous Endoscopic
External popliteal nerve
Lateral sural cutaneous nerve
K Head and Neck Sympathetic
Nerve
Cavernous plexus
Cervical ganglion
Ciliary ganglion
Internal carotid plexus
Otic ganglion
Pterygopalatine
(sphenopalatine) ganglion
Sphenopalatine
(pterygopalatine) ganglion
Stellate ganglion
Submandibular ganglion
Submaxillary ganglion
L Thoracic Sympathetic Nerve
Cardiac plexus
Esophageal plexus
Greater splanchnic nerve
Inferior cardiac nerve
Least splanchnic nerve
Lesser splanchnic nerve
Middle cardiac nerve
Pulmonary plexus
Superior cardiac nerve
Thoracic aortic plexus
Thoracic ganglion
M Abdominal Sympathetic
Nerve
Abdominal aortic plexus
Auerbach's (myenteric) plexus
Celiac (solar) plexus
Celiac ganglion
Gastric plexus
Hepatic plexus
Inferior hypogastric plexus
Inferior mesenteric ganglion
Inferior mesenteric plexus
Meissner's (submucous) plexus
Myenteric (Auerbach's) plexus
Pancreatic plexus
Pelvic splanchnic nerve
Renal plexus
Solar (celiac) plexus
Splenic plexus
Submucous (Meissner's) plexus
Superior hypogastric plexus
Superior mesenteric ganglion
Superior mesenteric plexus
Suprarenal plexus
N Lumbar Sympathetic Nerve
Lumbar ganglion
Lumbar splanchnic nerve
P Sacral Sympathetic Nerve
Ganglion impar (ganglion of
Walther)
Pelvic splanchnic nerve
Sacral ganglion
Sacral splanchnic nerve
Q Sacral Plexus
Inferior gluteal nerve
Posterior femoral cutaneous
nerve
Pudendal nerve
R Sacral Nerve
Spinal nerve, sacral
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
1 Peripheral Nervous System
D Extraction Definition: Pulling or stripping out or off all or a portion of a body part by the use of force
Explanation: The qualifier DIAGNOSTIC is used to identify extraction procedures that are biopsies
Body Part
Character 4
0 Cervical Plexus
Ansa cervicalis
Cutaneous (transverse) cervical
nerve
Great auricular nerve
Lesser occipital nerve
Supraclavicular nerve
Transverse (cutaneous) cervical
nerve
1 Cervical Nerve
Greater occipital nerve
Spinal nerve, cervical
Suboccipital nerve
Third occipital nerve
2 Phrenic Nerve
Accessory phrenic nerve
3 Brachial Plexus
Axillary nerve
Dorsal scapular nerve
First intercostal nerve
Long thoracic nerve
Musculocutaneous nerve
Subclavius nerve
Suprascapular nerve
4 Ulnar Nerve
Cubital nerve
5 Median Nerve
Anterior interosseous nerve
Palmar cutaneous nerve
6 Radial Nerve
Dorsal digital nerve
Musculospiral nerve
Palmar cutaneous nerve
Posterior interosseous nerve
8 Thoracic Nerve
Intercostal nerve
Intercostobrachial nerve
Spinal nerve, thoracic
Subcostal nerve
9 Lumbar Plexus
Accessory obturator nerve
Genitofemoral nerve
Iliohypogastric nerve
Ilioinguinal nerve
Lateral femoral cutaneous nerve
Obturator nerve
Superior gluteal nerve
A Lumbosacral Plexus
B Lumbar Nerve
Lumbosacral trunk
Spinal nerve, lumbar
Superior clunic (cluneal) nerve
C Pudendal Nerve]
Posterior labial nerve
Posterior scrotal nerve
D Femoral Nerve
Anterior crural nerve
Saphenous nerve
F Sciatic Nerve
Ischiatic nerve
G Tibial Nerve
Lateral plantar nerve
Medial plantar nerve
Medial popliteal nerve
Medial sural cutaneous nerve
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Peripheral Nervous System 01D–01D
Peripheral Nervous System
01D
Approach Device Qualifier
Character 5 Character 6 Character 7
H Peroneal Nerve 0 Open Z No Device Z No Qualifier
Common fibular nerve 3 Percutaneous
Common peroneal nerve 4 Percutaneous Endoscopic
External popliteal nerve
Lateral sural cutaneous nerve
K Head and Neck Sympathetic
Nerve
Cavernous plexus
Cervical ganglion
Ciliary ganglion
Internal carotid plexus
Otic ganglion
Pterygopalatine
(sphenopalatine) ganglion
Sphenopalatine
(pterygopalatine) ganglion
Stellate ganglion
Submandibular ganglion
Submaxillary ganglion
L Thoracic Sympathetic Nerve
Cardiac plexus
Esophageal plexus
Greater splanchnic nerve
Inferior cardiac nerve
Least splanchnic nerve
Lesser splanchnic nerve
Middle cardiac nerve
Pulmonary plexus
Superior cardiac nerve
Thoracic aortic plexus
Thoracic ganglion
M Abdominal Sympathetic Nerve
Abdominal aortic plexus
Auerbach's (myenteric) plexus
Celiac (solar) plexus
Celiac ganglion
Gastric plexus
Hepatic plexus
Inferior hypogastric plexus
Inferior mesenteric ganglion
Inferior mesenteric plexus
Meissner's (submucous) plexus
Myenteric (Auerbach's) plexus
Pancreatic plexus
Pelvic splanchnic nerve
Renal plexus
Solar (celiac) plexus
Splenic plexus
Submucous (Meissner's) plexus
Superior hypogastric plexus
Superior mesenteric ganglion
Superior mesenteric plexus
Suprarenal plexus
N Lumbar Sympathetic Nerve
Lumbar ganglion
Lumbar splanchnic nerve
P Sacral Sympathetic Nerve
Ganglion impar (ganglion of
Walther)
Pelvic splanchnic nerve
Sacral ganglion
Sacral splanchnic nerve
Q Sacral Plexus
Inferior gluteal nerve
Posterior femoral cutaneous
nerve
Pudendal nerve
R Sacral Nerve
Spinal nerve, sacral
01D–01D
New/Revised in GREEN
153
 01H–01J Peripheral Nervous System ICD-10-PCS 2019
Peripheral Nervous System

0 Medical and Surgical

1 Peripheral Nervous System 01H
H Insertion Definition: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically
take the place of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
Y Peripheral Nerve ? 0 Open 2 Monitoring Device Z No Qualifier
3 Percutaneous M Neurostimulator Lead
4 Percutaneous Endoscopic Y Other Device
Non-OR 01HY[3,4]YZ See Appendix L for Procedure Combinations
? 01HY[0,3,4]MZ

0 Medical and Surgical

1 Peripheral Nervous System 01J
J Inspection Definition: Visually and/or manually exploring a body part
Explanation: Visual exploration may be performed with or without optical instrumentation. Manual exploration may be performed directly or
through intervening body layers.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
Y Peripheral Nerve 0 Open Z No Device Z No Qualifier
3 Percutaneous
4 Percutaneous Endoscopic
Non-OR 01JY3ZZ
01H–01J

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
154 ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
1 Peripheral Nervous System
N Release Definition: Freeing a body part from an abnormal physical constraint by cutting or by the use of force
Explanation: Some of the restraining tissue may be taken out but none of the body part is taken out
Body Part
Character 4
0 Cervical Plexus
Ansa cervicalis
Cutaneous (transverse) cervical
nerve
Great auricular nerve
Lesser occipital nerve
Supraclavicular nerve
Transverse (cutaneous) cervical
nerve
1 Cervical Nerve
Greater occipital nerve
Spinal nerve, cervical
Suboccipital nerve
Third occipital nerve
2 Phrenic Nerve
Accessory phrenic nerve
3 Brachial Plexus
Axillary nerve
Dorsal scapular nerve
First intercostal nerve
Long thoracic nerve
Musculocutaneous nerve
Subclavius nerve
Suprascapular nerve
4 Ulnar Nerve
Cubital nerve
5 Median Nerve
Anterior interosseous nerve
Palmar cutaneous nerve
6 Radial Nerve
Dorsal digital nerve
Musculospiral nerve
Palmar cutaneous nerve
Posterior interosseous nerve
8 Thoracic Nerve
Intercostal nerve
Intercostobrachial nerve
Spinal nerve, thoracic
Subcostal nerve
9 Lumbar Plexus
Accessory obturator nerve
Genitofemoral nerve
Iliohypogastric nerve
Ilioinguinal nerve
Lateral femoral cutaneous nerve
Obturator nerve
Superior gluteal nerve
A Lumbosacral Plexus
B Lumbar Nerve
Lumbosacral trunk
Spinal nerve, lumbar
Superior clunic (cluneal) nerve
C Pudendal Nerve
Posterior labial nerve
Posterior scrotal nerve
D Femoral Nerve
Anterior crural nerve
Saphenous nerve
F Sciatic Nerve
Ischiatic nerve
G Tibial Nerve
Lateral plantar nerve
Medial plantar nerve
Medial popliteal nerve
Medial sural cutaneous nerve
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Peripheral Nervous System 01N–01N
Peripheral Nervous System
01N
Approach Device Qualifier
Character 5 Character 6 Character 7
H Peroneal Nerve 0 Open Z No Device Z No Qualifier
Common fibular nerve 3 Percutaneous
Common peroneal nerve 4 Percutaneous Endoscopic
External popliteal nerve
Lateral sural cutaneous nerve
K Head and Neck Sympathetic
Nerve
Cavernous plexus
Cervical ganglion
Ciliary ganglion
Internal carotid plexus
Otic ganglion
Pterygopalatine
(sphenopalatine) ganglion
Sphenopalatine
(pterygopalatine) ganglion
Stellate ganglion
Submandibular ganglion
Submaxillary ganglion
L Thoracic Sympathetic Nerve
Cardiac plexus
Esophageal plexus
Greater splanchnic nerve
Inferior cardiac nerve
Least splanchnic nerve
Lesser splanchnic nerve
Middle cardiac nerve
Pulmonary plexus
Superior cardiac nerve
Thoracic aortic plexus
Thoracic ganglion
M Abdominal Sympathetic
Nerve
Abdominal aortic plexus
Auerbach's (myenteric) plexus
Celiac (solar) plexus
Celiac ganglion
Gastric plexus
Hepatic plexus
Inferior hypogastric plexus
Inferior mesenteric ganglion
Inferior mesenteric plexus
Meissner's (submucous) plexus
Myenteric (Auerbach's) plexus
Pancreatic plexus
Pelvic splanchnic nerve
Renal plexus
Solar (celiac) plexus
Splenic plexus
Submucous (Meissner's) plexus
Superior hypogastric plexus
Superior mesenteric ganglion
Superior mesenteric plexus
Suprarenal plexus
N Lumbar Sympathetic Nerve
Lumbar ganglion
Lumbar splanchnic nerve
P Sacral Sympathetic Nerve
Ganglion impar (ganglion of
Walther)
Pelvic splanchnic nerve
Sacral ganglion
Sacral splanchnic nerve
Q Sacral Plexus
Inferior gluteal nerve
Posterior femoral cutaneous
nerve
Pudendal nerve
R Sacral Nerve
Spinal nerve, sacral
01N–01N
New/Revised in GREEN
155
 01P–01P Peripheral Nervous System ICD-10-PCS 2019
Peripheral Nervous System

0 Medical and Surgical

1 Peripheral Nervous System 01P
P Removal Definition: Taking out or off a device from a body part
Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is
coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
Y Peripheral Nerve 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous 2 Monitoring Device
4 Percutaneous Endoscopic 7 Autologous Tissue Substitute
M Neurostimulator Lead
Y Other Device
Y Peripheral Nerve X External 0 Drainage Device Z No Qualifier
2 Monitoring Device
M Neurostimulator Lead
Non-OR 01PY3[0,2]Z
Non-OR 01PY[3,4]YZ
Non-OR 01PYX[0,2,M]Z
01P–01P

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
156 ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
1 Peripheral Nervous System
Q Repair Definition: Restoring, to the extent possible, a body part to its normal anatomic structure and function
Explanation: Used only when the method to accomplish the repair is not one of the other root operations
Body Part
Character 4
0 Cervical Plexus
Ansa cervicalis
Cutaneous (transverse) cervical
nerve
Great auricular nerve
Lesser occipital nerve
Supraclavicular nerve
Transverse (cutaneous) cervical
nerve
1 Cervical Nerve
Greater occipital nerve
Spinal nerve, cervical
Suboccipital nerve
Third occipital nerve
2 Phrenic Nerve
Accessory phrenic nerve
3 Brachial Plexus
Axillary nerve
Dorsal scapular nerve
First intercostal nerve
Long thoracic nerve
Musculocutaneous nerve
Subclavius nerve
Suprascapular nerve
4 Ulnar Nerve
Cubital nerve
5 Median Nerve
Anterior interosseous nerve
Palmar cutaneous nerve
6 Radial Nerve
Dorsal digital nerve
Musculospiral nerve
Palmar cutaneous nerve
Posterior interosseous nerve
8 Thoracic Nerve
Intercostal nerve
Intercostobrachial nerve
Spinal nerve, thoracic
Subcostal nerve
9 Lumbar Plexus
Accessory obturator nerve
Genitofemoral nerve
Iliohypogastric nerve
Ilioinguinal nerve
Lateral femoral cutaneous
nerve
Obturator nerve
Superior gluteal nerve
A Lumbosacral Plexus
B Lumbar Nerve
Lumbosacral trunk
Spinal nerve, lumbar
Superior clunic (cluneal) nerve
C Pudendal Nerve
Posterior labial nerve
Posterior scrotal nerve
D Femoral Nerve
Anterior crural nerve
Saphenous nerve
F Sciatic Nerve
Ischiatic nerve
G Tibial Nerve
Lateral plantar nerve
Medial plantar nerve
Medial popliteal nerve
Medial sural cutaneous nerve
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Peripheral Nervous System 01Q–01Q
Peripheral Nervous System
01Q
Approach Device Qualifier
Character 5 Character 6 Character 7
H Peroneal Nerve 0 Open Z No Device Z No Qualifier
Common fibular nerve 3 Percutaneous
Common peroneal nerve 4 Percutaneous Endoscopic
External popliteal nerve
Lateral sural cutaneous nerve
K Head and Neck Sympathetic
Nerve
Cavernous plexus
Cervical ganglion
Ciliary ganglion
Internal carotid plexus
Otic ganglion
Pterygopalatine
(sphenopalatine) ganglion
Sphenopalatine
(pterygopalatine) ganglion
Stellate ganglion
Submandibular ganglion
Submaxillary ganglion
L Thoracic Sympathetic Nerve
Cardiac plexus
Esophageal plexus
Greater splanchnic nerve
Inferior cardiac nerve
Least splanchnic nerve
Lesser splanchnic nerve
Middle cardiac nerve
Pulmonary plexus
Superior cardiac nerve
Thoracic aortic plexus
Thoracic ganglion
M Abdominal Sympathetic
Nerve
Abdominal aortic plexus
Auerbach's (myenteric) plexus
Celiac (solar) plexus
Celiac ganglion
Gastric plexus
Hepatic plexus
Inferior hypogastric plexus
Inferior mesenteric ganglion
Inferior mesenteric plexus
Meissner's (submucous) plexus
Myenteric (Auerbach's) plexus
Pancreatic plexus
Pelvic splanchnic nerve
Renal plexus
Solar (celiac) plexus
Splenic plexus
Submucous (Meissner's) plexus
Superior hypogastric plexus
Superior mesenteric ganglion
Superior mesenteric plexus
Suprarenal plexus
N Lumbar Sympathetic Nerve
Lumbar ganglion
Lumbar splanchnic nerve
P Sacral Sympathetic Nerve
Ganglion impar (ganglion of
Walther)
Pelvic splanchnic nerve
Sacral ganglion
Sacral splanchnic nerve
Q Sacral Plexus
Inferior gluteal nerve
Posterior femoral cutaneous
nerve
Pudendal nerve
R Sacral Nerve
Spinal nerve, sacral
01Q–01Q
New/Revised in GREEN
157
 01R–01R Peripheral Nervous System ICD-10-PCS 2019
Peripheral Nervous System

0 Medical and Surgical

1 Peripheral Nervous System 01R
R Replacement Definition: Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part
Explanation: The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during
the REPLACEMENT procedure. A REMOVAL procedure is coded for taking out the device used in a previous replacement procedure.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Cervical Nerve 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Greater occipital nerve 4 Percutaneous Endoscopic J Synthetic Substitute
Spinal nerve, cervical K Nonautologous Tissue Substitute
Suboccipital nerve
Third occipital nerve
2 Phrenic Nerve
Accessory phrenic nerve
4 Ulnar Nerve
Cubital nerve
5 Median Nerve
Anterior interosseous nerve
Palmar cutaneous nerve
6 Radial Nerve
Dorsal digital nerve
Musculospiral nerve
Palmar cutaneous nerve
Posterior interosseous nerve
8 Thoracic Nerve
Intercostal nerve
Intercostobrachial nerve
Spinal nerve, thoracic
Subcostal nerve
B Lumbar Nerve
Lumbosacral trunk
Spinal nerve, lumbar
Superior clunic (cluneal) nerve
C Pudendal Nerve
Posterior labial nerve
Posterior scrotal nerve
D Femoral Nerve
Anterior crural nerve
Saphenous nerve
F Sciatic Nerve
Ischiatic nerve
G Tibial Nerve
Lateral plantar nerve
Medial plantar nerve
Medial popliteal nerve
Medial sural cutaneous nerve
H Peroneal Nerve
Common fibular nerve
Common peroneal nerve
External popliteal nerve
Lateral sural cutaneous nerve
R Sacral Nerve
Spinal nerve, sacral
01R–01R

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
158 ICD-10-PCS 2019
ICD-10-PCS 2019 Peripheral Nervous System 01S–01S

Peripheral Nervous System

0 Medical and Surgical
1 Peripheral Nervous System 01S
S Reposition Definition: Moving to its normal location, or other suitable location, all or a portion of a body part
Explanation: The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning
correctly. The body part may or may not be cut out or off to be moved to the new location.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Cervical Plexus 0 Open Z No Device Z No Qualifier
Ansa cervicalis 3 Percutaneous
Cutaneous (transverse) cervical nerve 4 Percutaneous Endoscopic
Great auricular nerve
Lesser occipital nerve
Supraclavicular nerve
Transverse (cutaneous) cervical nerve
1 Cervical Nerve
Greater occipital nerve
Spinal nerve, cervical
Suboccipital nerve
Third occipital nerve
2 Phrenic Nerve
Accessory phrenic nerve
3 Brachial Plexus
Axillary nerve
Dorsal scapular nerve
First intercostal nerve
Long thoracic nerve
Musculocutaneous nerve
Subclavius nerve
Suprascapular nerve
4 Ulnar Nerve
Cubital nerve
5 Median Nerve
Anterior interosseous nerve
Palmar cutaneous nerve
6 Radial Nerve
Dorsal digital nerve
Musculospiral nerve
Palmar cutaneous nerve
Posterior interosseous nerve
8 Thoracic Nerve
Intercostal nerve
Intercostobrachial nerve
Spinal nerve, thoracic
Subcostal nerve
9 Lumbar Plexus
Accessory obturator nerve
Genitofemoral nerve
Iliohypogastric nerve
Ilioinguinal nerve
Lateral femoral cutaneous nerve
Obturator nerve
Superior gluteal nerve
A Lumbosacral Plexus
B Lumbar Nerve
Lumbosacral trunk
Spinal nerve, lumbar
Superior clunic (cluneal) nerve
C Pudendal Nerve
Posterior labial nerve
Posterior scrotal nerve
D Femoral Nerve
Anterior crural nerve
Saphenous nerve
F Sciatic Nerve
Ischiatic nerve
G Tibial Nerve
Lateral plantar nerve
Medial plantar nerve
Medial popliteal nerve
Medial sural cutaneous nerve
H Peroneal Nerve
Common fibular nerve
Common peroneal nerve
External popliteal nerve
Lateral sural cutaneous nerve
Q Sacral Plexus
Inferior gluteal nerve
Posterior femoral cutaneous nerve
Pudendal nerve
01S–01S

R Sacral Nerve
Spinal nerve, sacral

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 159
 01U–01W Peripheral Nervous System ICD-10-PCS 2019
Peripheral Nervous System

0 Medical and Surgical

1 Peripheral Nervous System 01U
U Supplement Definition: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part
Explanation: The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced,
and the SUPPLEMENT procedure is performed to physically reinforce and/or augment the function of the replaced body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Cervical Nerve 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Greater occipital nerve 3 Percutaneous J Synthetic Substitute
Spinal nerve, cervical 4 Percutaneous Endoscopic K Nonautologous Tissue Substitute
Suboccipital nerve
Third occipital nerve
2 Phrenic Nerve
Accessory phrenic nerve
4 Ulnar Nerve
Cubital nerve
5 Median Nerve
Anterior interosseous nerve
Palmar cutaneous nerve
6 Radial Nerve
Dorsal digital nerve
Musculospiral nerve
Palmar cutaneous nerve
Posterior interosseous nerve
8 Thoracic Nerve
Intercostal nerve
Intercostobrachial nerve
Spinal nerve, thoracic
Subcostal nerve
B Lumbar Nerve
Lumbosacral trunk
Spinal nerve, lumbar
Superior clunic (cluneal) nerve
C Pudendal Nerve
Posterior labial nerve
Posterior scrotal nerve
D Femoral Nerve
Anterior crural nerve
Saphenous nerve
F Sciatic Nerve
Ischiatic nerve
G Tibial Nerve
Lateral plantar nerve
Medial plantar nerve
Medial popliteal nerve
Medial sural cutaneous nerve
H Peroneal Nerve
Common fibular nerve
Common peroneal nerve
External popliteal nerve
Lateral sural cutaneous nerve
R Sacral Nerve
Spinal nerve, sacral

0 Medical and Surgical

1 Peripheral Nervous System 01W
W Revision Definition: Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device
Explanation: Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as
a screw or pin
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
Y Peripheral Nerve 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous 2 Monitoring Device
4 Percutaneous Endoscopic 7 Autologous Tissue Substitute
M Neurostimulator Lead
Y Other Device
Y Peripheral Nerve X External 0 Drainage Device Z No Qualifier
2 Monitoring Device
7 Autologous Tissue Substitute
M Neurostimulator Lead
Non-OR 01WY[3,4]YZ
Non-OR 01WYX[0,2,7,M]Z
01U–01W

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
160 ICD-10-PCS 2019
ICD-10-PCS 2019 Peripheral Nervous System 01X–01X

Peripheral Nervous System

0 Medical and Surgical
1 Peripheral Nervous System 01X
X Transfer Definition: Moving, without taking out, all or a portion of a body part to another location to take over the function of all or a portion of a body part
Explanation: The body part transferred remains connected to its vascular and nervous supply
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Cervical Nerve 0 Open Z No Device 1 Cervical Nerve
Greater occipital nerve 4 Percutaneous Endoscopic 2 Phrenic Nerve
Spinal nerve, cervical
Suboccipital nerve
Third occipital nerve
2 Phrenic Nerve
Accessory phrenic nerve
4 Ulnar Nerve 0 Open Z No Device 4 Ulnar Nerve
Cubital nerve 4 Percutaneous Endoscopic 5 Median Nerve
5 Median Nerve 6 Radial Nerve
Anterior interosseous nerve
Palmar cutaneous nerve
6 Radial Nerve
Dorsal digital nerve
Musculospiral nerve
Palmar cutaneous nerve
Posterior interosseous nerve
8 Thoracic Nerve 0 Open Z No Device 8 Thoracic Nerve
Intercostal nerve 4 Percutaneous Endoscopic
Intercostobrachial nerve
Spinal nerve, thoracic
Subcostal nerve
B Lumbar Nerve 0 Open Z No Device B Lumbar Nerve
Lumbosacral trunk 4 Percutaneous Endoscopic C Perineal Nerve
Spinal nerve, lumbar
Superior clunic (cluneal) nerve
C Pudendal Nerve
Posterior labial nerve
Posterior scrotal nerve
D Femoral Nerve 0 Open Z No Device D Femoral Nerve
Anterior crural nerve 4 Percutaneous Endoscopic F Sciatic Nerve
Saphenous nerve G Tibial Nerve
F Sciatic Nerve H Peroneal Nerve
Ischiatic nerve
G Tibial Nerve
Lateral plantar nerve
Medial plantar nerve
Medial popliteal nerve
Medial sural cutaneous nerve
H Peroneal Nerve
Common fibular nerve
Common peroneal nerve
External popliteal nerve
Lateral sural cutaneous nerve
01X–01X

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 161
ICD-10-PCS 2019 Heart and Great Vessels

Heart and Great Vessels

Heart and Great Vessels 021–02Y
Character Meanings
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.

Operation–Character 3 Body Part–Character 4 Approach–Character 5 Device–Character 6 Qualifier–Character 7

1 Bypass 0 Coronary Artery, One Artery 0 Open 0 Monitoring Device, Pressure 0 Allogeneic
Sensor
4 Creation 1 Coronary Artery, Two 3 Percutaneous 2 Monitoring Device 1 Syngeneic
Arteries
5 Destruction 2 Coronary Artery, Three 4 Percutaneous Endoscopic 3 Infusion Device 2 Zooplastic
Arteries OR
Common Atrioventricular Valve
7 Dilation 3 Coronary Artery, Four or X External 4 Intraluminal Device, Drug- 3 Coronary Artery
More Arteries eluting
8 Division 4 Coronary Vein 5 Intraluminal Device, Drug- 4 Coronary Vein
eluting, Two
B Excision 5 Atrial Septum 6 Intraluminal Device, Drug- 5 Coronary Circulation
eluting, Three
C Extirpation 6 Atrium, Right 7 Intraluminal Device, Drug- 6 Bifurcation
eluting, Four or More
OR
Autologous Tissue Substitute
F Fragmentation 7 Atrium, Left 8 Zooplastic Tissue 7 Atrium, Left
H Insertion 8 Conduction Mechanism 9 Autologous Venous Tissue 8 Internal Mammary, Right
J Inspection 9 Chordae Tendineae A Autologous Arterial Tissue 9 Internal Mammary, Left
K Map A Heart C Extraluminal Device A Innominate Artery
L Occlusion B Heart, Right D Intraluminal Device B Subclavian
N Release C Heart, Left E Intraluminal Device, Two C Thoracic Artery
OR
Intraluminal Device, Branched
or Fenestrated, One or Two
Arteries
P Removal D Papillary Muscle F Intraluminal Device, Three D Carotid
OR
Intraluminal Device, Branched
or Fenestrated, Three or More
Arteries
Q Repair F Aortic Valve G Intraluminal Device, Four or E Atrioventricular Valve, Left
More
R Replacement G Mitral Valve J Synthetic Substitute F Abdominal Artery
OR
Cardiac Lead, Pacemaker
S Reposition H Pulmonary Valve K Nonautologous Tissue G Atrioventricular Valve, Right
Substitute OR
OR Axillary Artery
Cardiac Lead, Defibrillator
T Resection J Tricuspid Valve M Cardiac Lead H Transapical
OR
Brachial Artery
U Supplement K Ventricle, Right N Intracardiac Pacemaker J Truncal Valve
OR
Temporary
OR
Intraoperative
V Restriction L Ventricle, Left Q Implantable Heart Assist K Left Atrial Appendage
System
W Revision M Ventricular Septum R Short-term External Heart P Pulmonary Trunk
Assist System
Y Transplantation N Pericardium T Intraluminal Device, Q Pulmonary Artery, Right
Radioactive
P Pulmonary Trunk Y Other Device R Pulmonary Artery, Left
Q Pulmonary Artery, Right Z No Device S Pulmonary Vein, Right
OR
Biventricular
R Pulmonary Artery, Left T Pulmonary Vein, Left
OR
Ductus Arteriosus
Continued on next page

ICD-10-PCS 2019 163

 Heart and Great Vessels
Heart and Great Vessels
Continued from previous page
Operation–Character 3 Body Part–Character 4
S Pulmonary Vein, Right
T Pulmonary Vein, Left
V Superior Vena Cava
W Thoracic Aorta, Descending
X Thoracic Aorta, Ascending/
Arch
Y Great Vessel
164
ICD-10-PCS 2019
Approach–Character 5 Device–Character 6 Qualifier–Character 7
U Pulmonary Vein, Confluence
V Lower Extremity Artery
W Aorta
X Diagnostic
Z No Qualifier
ICD-10-PCS 2019
ICD-10-PCS 2019 Heart and Great Vessels

Heart and Great Vessels

AHA Coding Clinic for table 021 AHA Coding Clinic for table 02L
2017, 4Q, 56 Added approach values - Percutaneous heart valve procedures 2017, 4Q, 31 Resuscitative endovascular balloon occlusion of the aorta
2017, 1Q, 19 Norwood Sano procedure 2017, 4Q, 33-34 Occlusion/ligation of pulmonary trunk & right pulmonary artery
2016, 4Q, 80-81 Thoracic aorta, ascending/arch and descending 2016, 4Q, 102-109 Correction of congenital heart defects
2016, 4Q, 82-83 Coronary artery, number of arteries 2016, 2Q, 26 Embolization of pulmonary arteriovenous fistula
2016, 4Q, 102-109 Correction of congenital heart defects 2015, 4Q, 23 Congenital heart corrective procedures
2016, 4Q, 144 Repair of atrial septal defect and anomalous pulmonary venous return 2014, 3Q, 20 MAZE procedure performed with coronary artery bypass graft
2016, 4Q, 145 Modified Warden procedure for repair of septal defect and right partial AHA Coding Clinic for table 02N
anomalous pulmonary venous return
2017, 4Q, 35 Release of myocardial bridge
2016, 1Q, 27 Aortocoronary bypass graft utilizing Y-graft
2016, 4Q, 80-81 Thoracic aorta, ascending/arch and descending
2015, 4Q, 22, 24 Congenital heart corrective procedures
2014, 3Q, 16 Repair of Tetralogy of Fallot
2015, 3Q, 16 Revision of previous truncus arteriosus surgery with ventricle to
pulmonary artery conduit AHA Coding Clinic for table 02P
2014, 3Q, 3 Blalock-Taussig shunt procedure 2018, 2Q, 3-5 Intra-aortic balloon pump
2014, 3Q, 8 Coronary artery bypass graft utilizing internal mammary as pedicle 2017, 4Q, 42-45 Insertion of external heart assist devices
graft 2017, 4Q, 104 Placement of Watchman ™ left atrial appendage device
2014, 3Q, 20 MAZE procedure performed with coronary artery bypass graft 2017, 3Q, 18 Intra-aortic balloon pump removal
2014, 3Q, 29 Fontan completion procedure stage II 2017, 2Q, 24 Tunneled catheter versus totally implantable catheter
2014, 3Q, 30 Creation of conduit from right ventricle to pulmonary artery 2017, 2Q, 26 Exchange of tunneled catheter
2014, 1Q, 10 Repair of thoracic aortic aneurysm & coronary artery bypass graft 2017, 1Q, 11 External heart assist device
2013, 2Q, 37 Coronary artery release performed during coronary artery bypass graft 2017, 1Q, 13 SynCardia total artificial heart
2016, 4Q, 95-96 Intracardiac pacemaker
AHA Coding Clinic for table 024
2016, 4Q, 137-139 Heart assist device systems
2016, 4Q, 101 Root operation Creation
2016, 3Q, 19 Nonoperative removal of peripherally inserted central catheter
2016, 4Q, 102-109 Correction of congenital heart defects
2016, 2Q, 15 Removal and replacement of tunneled internal jugular catheter
AHA Coding Clinic for table 025 2015, 4Q, 31 Vascular access devices
2016, 4Q, 80-81 Thoracic aorta, ascending/arch and descending 2015, 3Q, 33 Approach values for repositioning and removal of cardiac lead
2016, 3Q, 43-44 Peri-pulmonary catheter ablation
AHA Coding Clinic for table 02Q
2016, 3Q, 44-45 Maze procedure
2018, 1Q, 12 Percutaneous balloon valvuloplasty & cardiac catheterization with
2016, 2Q, 17 Photodynamic therapy for treatment of malignant mesothelioma
ventriculogram
2014, 4Q, 47 Catheter ablation of peripulmonary veins
2017, 1Q, 18 Sutureless repair of pulmonary vein stenosis
2014, 3Q, 19 Ablation of ventricular tachycardia with Impella® support
2016, 4Q, 80-81 Thoracic aorta, ascending/arch and descending
2014, 3Q, 20 MAZE procedure performed with coronary artery bypass graft
2016, 4Q, 82-83 Coronary artery, number of arteries
2013, 2Q, 38 Catheter ablation to treat atrial fibrillation
2016, 4Q, 101 Root operation Creation
AHA Coding Clinic for table 027 2016, 4Q, 102-109 Correction of congenital heart defects
2018, 2Q, 24 Coronary artery bifurcation 2015, 4Q, 23 Congenital heart corrective procedures
2017, 4Q, 32-33 Corrective surgery of left ventricular outflow tract obstruction 2015, 3Q, 16 Vascular ring surgery and double aortic arch
2016, 4Q, 80-81 Thoracic aorta, ascending/arch and descending 2015, 2Q, 23 Annuloplasty ring
2016, 4Q, 82-83 Coronary artery, number of arteries 2013, 3Q, 26 Transcatheter replacement of heart valve (TAVR) with measurements
2016, 4Q, 84-85 Coronary Artery, number of stents AHA Coding Clinic for table 02R
2016, 4Q, 86-88 Coronary and peripheral artery bifurcation
2018, 1Q, 12 Percutaneous balloon valvuloplasty & cardiac catheterization with
2016, 1Q, 16 Pulmonary valvotomy and dilation of annulus
ventriculogram
2015, 4Q, 13 New Section X codes—New Technology procedures
2017, 4Q, 55-56 Added approach values - Percutaneous heart valve procedures
2015, 3Q, 9 Failed attempt to treat coronary artery occlusion
2017, 1Q, 13 SynCardia total artificial heart
2015, 3Q, 10 Coronary angioplasty with unsuccessful stent insertion
2016, 4Q, 80-81 Thoracic aorta, ascending/arch and descending
2015, 3Q, 16 Revision of previous truncus arteriosus surgery with ventricle to
2016, 3Q, 32 Transcatheter tricuspid valve replacement
pulmonary artery conduit
2014, 1Q, 10 Repair of thoracic aortic aneurysm & coronary artery bypass graft
2015, 2Q, 3-5 Coronary artery intervention site
2014, 2Q, 4 Coronary angioplasty of bypassed vessel AHA Coding Clinic for table 02S
2016, 4Q, 80-81 Thoracic aorta, ascending/arch and descending
AHA Coding Clinic for table 02B
2016, 4Q, 82-83 Coronary artery, number of arteries
2017, 1Q, 38 Mitral valve repair and chordae tendineae transfer
2016, 4Q, 102-109 Correction of congenital heart defects
2016, 4Q, 80-81 Thoracic aorta, ascending/arch and descending
2015, 4Q, 23 Congenital heart corrective procedures
2015, 2Q, 23 Annuloplasty ring
AHA Coding Clinic for table 02U
AHA Coding Clinic for table 02C
2018, 1Q, 12 Percutaneous balloon valvuloplasty & cardiac catheterization with
2018, 2Q, 24 Coronary artery bifurcation
ventriculogram
2017, 2Q, 23 Thrombectomy via Fogarty catheter
2017, 4Q, 36 Alfieri stitch procedure
2016, 4Q, 80-81 Thoracic aorta, ascending/arch and descending
2017, 3Q, 7 Senning procedure (arterial switch)
2016, 4Q, 82-83 Coronary artery, number of arteries
2017, 1Q, 19 Norwood Sano procedure
2016, 4Q, 86-87 Coronary and peripheral artery bifurcation
2016, 4Q, 80-81 Thoracic aorta, ascending/arch and descending
2016, 2Q, 24 Repair/decalcification of mitral valve
2016, 4Q, 101 Root operation Creation
2016, 2Q, 25 Aortic valve surgery with excision of calcium deposits
2016, 4Q, 102-109 Correction of congenital heart defects
AHA Coding Clinic for table 02H 2016, 2Q, 23 Repair of tetralogy of Fallot with autologous pericardial patch graft
2018, 2Q, 3-5 Intra-aortic balloon pump 2016, 2Q, 26 Aortic valve replacement with aortic root enlargement
2018, 2Q, 19 Pacing lead attached to automatic implantable cardioverter defibrillator 2015, 4Q, 22-24 Congenital heart corrective procedures
2017, 4Q, 42-45 Insertion of external heart assist devices 2015, 3Q, 16 Revision of previous truncus arteriosus surgery with ventricle to pulmonary
2017, 4Q, 63-64 Added and revised device values - Vascular access reservoir artery conduit
2017, 4Q, 104 Placement of Watchman ™ left atrial appendage device 2015, 2Q, 23 Annuloplasty ring
2017, 3Q, 11 Placement of peripherally inserted central catheter using 3CG ECG 2014, 3Q, 16 Repair of Tetralogy of Fallot
technology AHA Coding Clinic for table 02V
2017, 2Q, 24 Tunneled catheter versus totally implantable catheter
2017, 4Q, 35-36 Alfieri stitch procedure
2017, 2Q, 26 Exchange of tunneled catheter
2016, 4Q, 80-81 Thoracic aorta, ascending/arch and descending
2017, 1Q, 10-11 External heart assist device
2016, 4Q, 89-92 Branched and fenestrated endograft repair of aneurysms
2016, 4Q, 80-81 Thoracic aorta, ascending/arch and descending
2016, 4Q, 95 Intracardiac pacemaker AHA Coding Clinic for table 02W
2016, 4Q, 137-138 Heart assist device systems 2018, 1Q, 17 Repositioning of Impella short-term external heart assist device
2016, 2Q, 15 Removal and replacement of tunneled internal jugular catheter 2017, 4Q, 42-45 Insertion of external heart assist devices
2015, 4Q, 14 New Section X codes—New Technology procedures 2017, 4Q, 55-56 Added approach values - Percutaneous heart valve procedures
2015, 4Q, 26-31 Vascular access devices 2016, 4Q, 85 Coronary Artery, number of stents
2015, 3Q, 35 Swan Ganz catheterization 2016, 4Q, 95-96 Intracardiac pacemaker
2015, 2Q, 31 Leadless pacemaker insertion 2015, 3Q, 32 Approach values for repositioning and removal of cardiac lead
2015, 2Q, 33 Totally implantable central venous access device (Port-a-Cath) 2014, 3Q, 31 Closure of paravalvular leak using Amplatzer® vascular plug
2013, 3Q, 18 Placement of peripherally inserted central catheter (PICC) AHA Coding Clinic for table 02Y
AHA Coding Clinic for table 02J 2013, 3Q, 18 Heart transplant surgery
2015, 3Q, 9 Failed attempt to treat coronary artery occlusion

ICD-10-PCS 2019 165

 Heart and Great Vessels ICD-10-PCS 2019
Heart and Great Vessels

Coronary Arteries

Left coronary artery

Circumflex branch
Right coronary artery

Marginal branches
Descending branch
(anterior interventricular artery)
Descending branch
(posterior interventricular artery)

Heart Anatomy

Right heart B
Aortic arch X
Superior vena cava V Pulmonary artery Q, R

Pulmonary vein S, T

Aortic valve F
Pulmonary valve H
Atrial septum 5
Right atrium 6 Left atrium 7
Mitral valve G
Tricuspid valve J
Chordae tendinae 9
Right ventricle K
Left ventricle L

Ventricular septum M
Left heart C
Thoracic aorta W, X

166 ICD-10-PCS 2019

ICD-10-PCS 2019 Heart and Great Vessels 021–021

Heart and Great Vessels

0 Medical and Surgical
2 Heart and Great Vessels 021
1 Bypass Definition: Altering the route of passage of the contents of a tubular body part
Explanation: Rerouting contents of a body part to a downstream area of the normal route, to a similar route and body part, or to an abnormal
route and dissimilar body part. Includes one or more anastomoses, with or without the use of a device.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Coronary Artery, One Artery 0 Open 8 Zooplastic Tissue 3 Coronary Artery
1 Coronary Artery, Two Arteries 9 Autologous Venous Tissue 8 Internal Mammary, Right
2 Coronary Artery, Three Arteries A Autologous Arterial Tissue 9 Internal Mammary, Left
3 Coronary Artery, Four or More Arteries J Synthetic Substitute C Thoracic Artery
K Nonautologous Tissue Substitute F Abdominal Artery
W Aorta
0 Coronary Artery, One Artery 0 Open Z No Device 3 Coronary Artery
1 Coronary Artery, Two Arteries 8 Internal Mammary, Right
2 Coronary Artery, Three Arteries 9 Internal Mammary, Left
3 Coronary Artery, Four or More Arteries C Thoracic Artery
F Abdominal Artery
0 Coronary Artery, One Artery 3 Percutaneous 4 Intraluminal Device, 4 Coronary Vein
1 Coronary Artery, Two Arteries Drug-eluting
2 Coronary Artery, Three Arteries D Intraluminal Device
3 Coronary Artery, Four or More Arteries
0 Coronary Artery, One Artery 4 Percutaneous Endoscopic 4 Intraluminal Device, 4 Coronary Vein
1 Coronary Artery, Two Arteries Drug-eluting
2 Coronary Artery, Three Arteries D Intraluminal Device
3 Coronary Artery, Four or More Arteries
0 Coronary Artery, One Artery 4 Percutaneous Endoscopic 8 Zooplastic Tissue 3 Coronary Artery
1 Coronary Artery, Two Arteries 9 Autologous Venous Tissue 8 Internal Mammary, Right
2 Coronary Artery, Three Arteries A Autologous Arterial Tissue 9 Internal Mammary, Left
3 Coronary Artery, Four or More Arteries J Synthetic Substitute C Thoracic Artery
K Nonautologous Tissue Substitute F Abdominal Artery
W Aorta
0 Coronary Artery, One Artery 4 Percutaneous Endoscopic Z No Device 3 Coronary Artery
1 Coronary Artery, Two Arteries 8 Internal Mammary, Right
2 Coronary Artery, Three Arteries 9 Internal Mammary, Left
3 Coronary Artery, Four or More Arteries C Thoracic Artery
F Abdominal Artery
6 Atrium, Right 0 Open 8 Zooplastic Tissue P Pulmonary Trunk
Atrium dextrum cordis 4 Percutaneous Endoscopic 9 Autologous Venous Tissue Q Pulmonary Artery, Right
Right auricular appendix A Autologous Arterial Tissue R Pulmonary Artery, Left
Sinus venosus J Synthetic Substitute
K Nonautologous Tissue Substitute
6 Atrium, Right 0 Open Z No Device 7 Atrium, Left
Atrium dextrum cordis 4 Percutaneous Endoscopic P Pulmonary Trunk
Right auricular appendix Q Pulmonary Artery, Right
Sinus venosus R Pulmonary Artery, Left
6 Atrium, Right 3 Percutaneous Z No Device 7 Atrium, Left
Atrium dextrum cordis
Right auricular appendix
Sinus venosus
7 Atrium, Left 0 Open 8 Zooplastic Tissue P Pulmonary Trunk
Atrium pulmonale 4 Percutaneous Endoscopic 9 Autologous Venous Tissue Q Pulmonary Artery, Right
Left auricular appendix A Autologous Arterial Tissue R Pulmonary Artery, Left
V Superior Vena Cava J Synthetic Substitute S Pulmonary Vein, Right
Precava K Nonautologous Tissue Substitute T Pulmonary Vein, Left
Z No Device U Pulmonary Vein, Confluence
K Ventricle, Right 0 Open 8 Zooplastic Tissue P Pulmonary Trunk
Conus arteriosus 4 Percutaneous Endoscopic 9 Autologous Venous Tissue Q Pulmonary Artery, Right
L Ventricle, Left A Autologous Arterial Tissue R Pulmonary Artery, Left
J Synthetic Substitute
K Nonautologous Tissue Substitute
021 Continued on next page
HAC 021[0,1,2,3]0[8,9,A,J,K][3,8,9,C,F,W] when reported with SDx J98.51 or J98.59
HAC 021[0,1,2,3]0Z[3,8,9,C,F] when reported with SDx J98.51 or J98.59
HAC 021[0,1,2,3]4[8,9,A,J,K][3,8,9,C,F,W] when reported with SDx J98.51 or J98.59
HAC 021[0,1,2,3]4Z[3,8,9,C,F] when reported with SDx J98.51 or J98.59=
021–021

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 167
 021–024 Heart and Great Vessels ICD-10-PCS 2019
Heart and Great Vessels

0 Medical and Surgical 021 Continued

2 Heart and Great Vessels 021
1 Bypass Definition: Altering the route of passage of the contents of a tubular body part
Explanation: Rerouting contents of a body part to a downstream area of the normal route, to a similar route and body part, or to an abnormal
route and dissimilar body part. Includes one or more anastomoses, with or without the use of a device.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
K Ventricle, Right 0 Open Z No Device 5 Coronary Circulation
Conus arteriosus 4 Percutaneous Endoscopic 8 Internal Mammary, Right
L Ventricle, Left 9 Internal Mammary, Left
C Thoracic Artery
F Abdominal Artery
P Pulmonary Trunk
Q Pulmonary Artery, Right
R Pulmonary Artery, Left
W Aorta
P Pulmonary Trunk 0 Open 8 Zooplastic Tissue A Innominate Artery
Q Pulmonary Artery, Right 4 Percutaneous Endoscopic 9 Autologous Venous Tissue B Subclavian
R Pulmonary Artery, Left A Autologous Arterial Tissue D Carotid
Arterial canal (duct) J Synthetic Substitute
Botallo’s duct K Nonautologous Tissue Substitute
Pulmoaortic canal Z No Device
W Thoracic Aorta, Descending 0 Open 8 Zooplastic Tissue B Subclavian
9 Autologous Venous Tissue D Carotid
A Autologous Arterial Tissue F Abdominal Artery
J Synthetic Substitute G Axillary Artery
K Nonautologous Tissue Substitute H Brachial Artery
P Pulmonary Trunk
Q Pulmonary Artery, Right
R Pulmonary Artery, Left
V Lower Extremity Artery
W Thoracic Aorta, Descending 0 Open Z No Device B Subclavian
D Carotid
P Pulmonary Trunk
Q Pulmonary Artery, Right
R Pulmonary Artery, Left
W Thoracic Aorta, Descending 4 Percutaneous Endoscopic 8 Zooplastic Tissue B Subclavian
9 Autologous Venous Tissue D Carotid
A Autologous Arterial Tissue P Pulmonary Trunk
J Synthetic Substitute Q Pulmonary Artery, Right
K Nonautologous Tissue Substitute R Pulmonary Artery, Left
Z No Device
X Thoracic Aorta, Ascending/Arch 0 Open 8 Zooplastic Tissue B Subclavian
Aortic arch 4 Percutaneous Endoscopic 9 Autologous Venous Tissue D Carotid
Ascending aorta A Autologous Arterial Tissue P Pulmonary Trunk
J Synthetic Substitute Q Pulmonary Artery, Right
K Nonautologous Tissue Substitute R Pulmonary Artery, Left
Z No Device

0 Medical and Surgical

2 Heart and Great Vessels 024
4 Creation Definition: Putting in or on biological or synthetic material to form a new body part that to the extent possible replicates the anatomic structure
or function of an absent body part
Explanation: Used for gender reassignment surgery and corrective procedures in individuals with congenital anomalies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
F Aortic Valve 0 Open 7 Autologous Tissue J Truncal Valve
Aortic annulus 8 Zooplastic Tissue
J Synthetic Substitute
K Nonautologous Tissue Substitute
G Mitral Valve 0 Open 7 Autologous Tissue 2 Common Atrioventricular Valve
Bicuspid valve 8 Zooplastic Tissue
Left atrioventricular valve J Synthetic Substitute
Mitral annulus K Nonautologous Tissue Substitute
J Tricuspid Valve
Right atrioventricular valve
Tricuspid annulus
021–024

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
168 ICD-10-PCS 2019
ICD-10-PCS 2019 Heart and Great Vessels 025–025

Heart and Great Vessels

0 Medical and Surgical
2 Heart and Great Vessels 025
5 Destruction Definition: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent
Explanation: None of the body part is physically taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
4 Coronary Vein 0 Open Z No Device Z No Qualifier
5 Atrial Septum 3 Percutaneous
Interatrial septum 4 Percutaneous Endoscopic
6 Atrium, Right
Atrium dextrum cordis
Right auricular appendix
Sinus venosus
8 Conduction Mechanism
Atrioventricular node
Bundle of His
Bundle of Kent
Sinoatrial node
9 Chordae Tendineae
D Papillary Muscle
F Aortic Valve
Aortic annulus
G Mitral Valve
Bicuspid valve
Left atrioventricular valve
Mitral annulus
H Pulmonary Valve
Pulmonary annulus
Pulmonic valve
J Tricuspid Valve
Right atrioventricular valve
Tricuspid annulus
K Ventricle, Right
Conus arteriosus
L Ventricle, Left
M Ventricular Septum
Interventricular septum
N Pericardium
P Pulmonary Trunk
Q Pulmonary Artery, Right
R Pulmonary Artery, Left
Arterial canal (duct)
Botallo's duct
Pulmoaortic canal
S Pulmonary Vein, Right
Right inferior pulmonary vein
Right superior pulmonary vein
T Pulmonary Vein, Left
Left inferior pulmonary vein
Left superior pulmonary vein
V Superior Vena Cava
Precava
W Thoracic Aorta, Descending
X Thoracic Aorta, Ascending/Arch
Aortic arch
Ascending aorta

7 Atrium, Left 0 Open Z No Device K Left Atrial Appendage

Atrium pulmonale 3 Percutaneous Z No Qualifier
Left auricular appendix 4 Percutaneous Endoscopic
DRG Non-OR 0257[0,3,4]ZK
025–025

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 169
 027–028 Heart and Great Vessels ICD-10-PCS 2019
Heart and Great Vessels

0 Medical and Surgical

2 Heart and Great Vessels 027
7 Dilation Definition: Expanding an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice. Accomplished by stretching a tubular body part using
intraluminal pressure or by cutting part of the orifice or wall of the tubular body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Coronary Artery, One Artery 0 Open 4 Intraluminal Device, 6 Bifurcation
1 Coronary Artery, Two Arteries 3 Percutaneous Drug-eluting Z No Qualifier
2 Coronary Artery, Three Arteries 4 Percutaneous Endoscopic 5 Intraluminal Device, Drug-eluting,
3 Coronary Artery, Four or More Arteries Two
6 Intraluminal Device, Drug-eluting,
Three
7 Intraluminal Device, Drug-eluting,
Four or More
D Intraluminal Device
E Intraluminal Device, Two
F Intraluminal Device, Three
G Intraluminal Device, Four or More
T Intraluminal Device, Radioactive
Z No Device
F Aortic Valve 0 Open 4 Intraluminal Device, Z No Qualifier
Aortic annulus 3 Percutaneous Drug-eluting
G Mitral Valve 4 Percutaneous Endoscopic D Intraluminal Device
Bicuspid valve Z No Device
Left atrioventricular valve
Mitral annulus
H Pulmonary Valve
Pulmonary annulus
Pulmonic valve
J Tricuspid Valve
Right atrioventricular valve
Tricuspid annulus
K Ventricle, Right
Conus arteriosus
L Ventricle, Left
P Pulmonary Trunk
Q Pulmonary Artery, Right
S Pulmonary Vein, Right
Right inferior pulmonary vein
Right superior pulmonary vein
T Pulmonary Vein, Left
Left inferior pulmonary vein
Left superior pulmonary vein
V Superior Vena Cava
Precava
W Thoracic Aorta, Descending
X Thoracic Aorta, Ascending/Arch
Aortic arch
Ascending aorta
R Pulmonary Artery, Left 0 Open 4 Intraluminal Device, T Ductus Arteriosus
Arterial canal (duct) 3 Percutaneous Drug-eluting Z No Qualifier
Botallo's duct 4 Percutaneous Endoscopic D Intraluminal Device
Pulmoaortic canal Z No Device

0 Medical and Surgical

2 Heart and Great Vessels 028
8 Division Definition: Cutting into a body part, without draining fluids and/or gases from the body part, in order to separate or transect a body part
Explanation: All or a portion of the body part is separated into two or more portions
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
8 Conduction Mechanism 0 Open Z No Device Z No Qualifier
Atrioventricular node 3 Percutaneous
Bundle of His 4 Percutaneous Endoscopic
Bundle of Kent
Sinoatrial node
9 Chordae Tendineae
D Papillary Muscle
027–028

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
170 ICD-10-PCS 2019
ICD-10-PCS 2019 Heart and Great Vessels 02B–02B

Heart and Great Vessels

0 Medical and Surgical
2 Heart and Great Vessels 02B
B Excision Definition: Cutting out or off, without replacement, a portion of a body part
Explanation: The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
4 Coronary Vein 0 Open Z No Device X Diagnostic
5 Atrial Septum 3 Percutaneous Z No Qualifier
Interatrial septum 4 Percutaneous Endoscopic
6 Atrium, Right
Atrium dextrum cordis
Right auricular appendix
Sinus venosus
8 Conduction Mechanism
Atrioventricular node
Bundle of His
Bundle of Kent
Sinoatrial node
9 Chordae Tendineae
D Papillary Muscle
F Aortic Valve
Aortic annulus
G Mitral Valve
Bicuspid valve
Left atrioventricular valve
Mitral annulus
H Pulmonary Valve
Pulmonary annulus
Pulmonic valve
J Tricuspid Valve
Right atrioventricular valve
Tricuspid annulus
K Ventricle, Right 4
Conus arteriosus
L Ventricle, Left 4
M Ventricular Septum
Interventricular septum
N Pericardium
P Pulmonary Trunk
Q Pulmonary Artery, Right
R Pulmonary Artery, Left
Arterial canal (duct)
Botallo's duct
Pulmoaortic canal
S Pulmonary Vein, Right
Right inferior pulmonary vein
Right superior pulmonary vein
T Pulmonary Vein, Left
Left inferior pulmonary vein
Left superior pulmonary vein
V Superior Vena Cava
Precava
W Thoracic Aorta, Descending
X Thoracic Aorta, Ascending/Arch
Aortic arch
Ascending aorta
7 Atrium, Left 0 Open Z No Device K Left Atrial Appendage
Atrium pulmonale 3 Percutaneous X Diagnostic
Left auricular appendix 4 Percutaneous Endoscopic Z No Qualifier
DRG Non-OR 02B7[0,3,4]ZK
Non-OR 02B[4,5,6,8,9,D,F,G,H,J,K,L,M][0,3,4]ZX
4 02B[K,L][0,3,4]ZZ
02B–02B

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 171
 02C–02F Heart and Great Vessels ICD-10-PCS 2019
Heart and Great Vessels

0 Medical and Surgical

2 Heart and Great Vessels 02C
C Extirpation Definition: Taking or cutting out solid matter from a body part
Explanation: The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in
the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Coronary Artery, One Artery 0 Open Z No Device 6 Bifurcation
1 Coronary Artery, Two Arteries 3 Percutaneous Z No Qualifier
2 Coronary Artery, Three Arteries 4 Percutaneous Endoscopic
3 Coronary Artery, Four or More Arteries
4 Coronary Vein 0 Open Z No Device Z No Qualifier
5 Atrial Septum 3 Percutaneous
Interatrial septum 4 Percutaneous Endoscopic
6 Atrium, Right
Atrium dextrum cordis
Right auricular appendix
Sinus venosus
7 Atrium, Left
Atrium pulmonale
Left auricular appendix
8 Conduction Mechanism
Atrioventricular node
Bundle of His
Bundle of Kent
Sinoatrial node
9 Chordae Tendineae
D Papillary Muscle
F Aortic Valve
Aortic annulus
G Mitral Valve
Bicuspid valve
Left atrioventricular valve
Mitral annulus
H Pulmonary Valve
Pulmonary annulus
Pulmonic valve
J Tricuspid Valve
Right atrioventricular valve
Tricuspid annulus
K Ventricle, Right
Conus arteriosus
L Ventricle, Left
M Ventricular Septum
Interventricular septum
N Pericardium
P Pulmonary Trunk
Q Pulmonary Artery, Right
R Pulmonary Artery, Left
Arterial canal (duct)
Botallo's duct
Pulmoaortic canal
S Pulmonary Vein, Right
Right inferior pulmonary vein
Right superior pulmonary vein
T Pulmonary Vein, Left
Left inferior pulmonary vein
Left superior pulmonary vein
V Superior Vena Cava
Precava
W Thoracic Aorta, Descending
X Thoracic Aorta, Ascending/Arch
Aortic arch
Ascending aorta

0 Medical and Surgical

2 Heart and Great Vessels 02F
F Fragmentation Definition: Breaking solid matter in a body part into pieces
Explanation: Physical force (e.g., manual, ultrasonic) applied directly or indirectly is used to break the solid matter into pieces. The solid matter
may be an abnormal byproduct of a biological function or a foreign body. The pieces of solid matter are not taken out.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
N Pericardium 4 0 Open Z No Device Z No Qualifier
3 Percutaneous
02C–02F

4 Percutaneous Endoscopic
X External
Non-OR 02FNXZZ
4 02FNXZZ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
172 ICD-10-PCS 2019
ICD-10-PCS 2019 Heart and Great Vessels 02H–02H

Heart and Great Vessels

0 Medical and Surgical
2 Heart and Great Vessels 02H
H Insertion Definition: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically
take the place of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
4 Coronary Vein ? 0 Open 0 Monitoring Device, Pressure Sensor Z No Qualifier
6 Atrium, Right ? 3 Percutaneous 2 Monitoring Device
Atrium dextrum cordis 4 Percutaneous Endoscopic 3 Infusion Device
Right auricular appendix D Intraluminal Device
Sinus venosus J Cardiac Lead, Pacemaker
7 Atrium, Left ? K Cardiac Lead, Defibrillator
Atrium pulmonale
M Cardiac Lead
Left auricular appendix
N Intracardiac Pacemaker
K Ventricle, Right ?
Conus arteriosus Y Other Device
L Ventricle, Left ?
A Heart 34 0 Open Q Implantable Heart Assist System Z No Qualifier
3 Percutaneous Y Other Device
4 Percutaneous Endoscopic
A Heart ? 0 Open R Short-term External Heart Assist J Intraoperative
3 Percutaneous System S Biventricular
4 Percutaneous Endoscopic Z No Qualifier
N Pericardium ? 0 Open 0 Monitoring Device, Pressure Sensor Z No Qualifier
3 Percutaneous 2 Monitoring Device
4 Percutaneous Endoscopic J Cardiac Lead, Pacemaker
K Cardiac Lead, Defibrillator
M Cardiac Lead
Y Other Device
P Pulmonary Trunk 0 Open 0 Monitoring Device, Pressure Sensor Z No Qualifier
Q Pulmonary Artery, Right 3 Percutaneous 2 Monitoring Device
R Pulmonary Artery, Left 4 Percutaneous Endoscopic 3 Infusion Device
Arterial canal (duct) D Intraluminal Device
Botallo's duct Y Other Device
Pulmoaortic canal
S Pulmonary Vein, Right
Right inferior pulmonary vein
Right superior pulmonary vein
T Pulmonary Vein, Left
Left inferior pulmonary vein
Left superior pulmonary vein
V Superior Vena Cava
Precava
W Thoracic Aorta, Descending
X Thoracic Aorta, Ascending/Arch 0 Open 0 Monitoring Device, Pressure Sensor Z No Qualifier
Aortic arch 3 Percutaneous 2 Monitoring Device
Ascending aorta 4 Percutaneous Endoscopic 3 Infusion Device
D Intraluminal Device
DRG Non-OR 02H[4,6,7][0,4][J,M]Z HAC 02H43[J,K,M]Z when reported with SDx K68.11 or T81.4XXA or T82.6XXA
DRG Non-OR 02H[6,7]3JZ or T82.7XXA
DRG Non-OR 02H[K,L][0,3,4][J,M]Z HAC 02H[6,K]33Z when reported with SDx J95.811
DRG Non-OR 02HK32Z HAC 02H[6,7]3[J,M]Z when reported with SDx K68.11 or T81.4XXA or T82.6XXA
Non-OR 02H[4,6,7,L]3[2,3]Z or T82.7XXA
Non-OR 02H[6,7]3MZ HAC 02H[K,L]3JZ when reported with SDx K68.11 or T81.4XXA or T82.6XXA or
Non-OR 02HK3[0,3]Z T82.7XXA
Non-OR 02HN32Z HAC 02HN[0,3,4][J,M]Z when reported with SDx K68.11 or T81.4XXA or
T82.6XXA or T82.7XXA
Non-OR 02HP[0,3,4][0,2,3]Z
HAC 02H[S,T,V][3,4]3Z when reported with SDx J95.811
Non-OR 02H[Q,R][0,3,4][2,3]Z
Non-OR 02H[S,T,V,W][0,3,4]3Z 3 02HA0QZ
Non-OR 02H[S,T,V,W]32Z 4 02HA[3,4]QZ
Non-OR 02HW[0,3]0Z See Appendix L for Procedure Combinations
Non-OR 02HX[0,3,4][0,3]Z ? 02H[4,6,7,K,L][0,3,4]KZ
? 02H43[J,M]Z
? 02HA[0,4]R[S,Z]
? 02HA3RS
? 02HN[0,3,4][J,K,M]Z
02H–02H

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 173
 02J–02L Heart and Great Vessels ICD-10-PCS 2019
Heart and Great Vessels

0 Medical and Surgical

2 Heart and Great Vessels 02J
J Inspection Definition: Visually and/or manually exploring a body part
Explanation: Visual exploration may be performed with or without optical instrumentation. Manual exploration may be performed directly or
through intervening body layers.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
A Heart 0 Open Z No Device Z No Qualifier
Y Great Vessel 3 Percutaneous
4 Percutaneous Endoscopic
Non-OR 02J[A,Y]3ZZ

0 Medical and Surgical

2 Heart and Great Vessels 02K
K Map Definition: Locating the route of passage of electrical impulses and/or locating functional areas in a body part
Explanation: Applicable only to the cardiac conduction mechanism and the central nervous system
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
8 Conduction Mechanism 0 Open Z No Device Z No Qualifier
Atrioventricular node 3 Percutaneous
Bundle of His 4 Percutaneous Endoscopic
Bundle of Kent
Sinoatrial node
DRG Non-OR 02K8[0,3,4]ZZ

0 Medical and Surgical

2 Heart and Great Vessels 02L
L Occlusion Definition: Completely closing an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
7 Atrium, Left 0 Open C Extraluminal Device K Left Atrial Appendage
Atrium pulmonale 3 Percutaneous D Intraluminal Device
Left auricular appendix 4 Percutaneous Endoscopic Z No Device
H Pulmonary Valve 0 Open C Extraluminal Device Z No Qualifier
Pulmonary annulus 3 Percutaneous D Intraluminal Device
Pulmonic valve 4 Percutaneous Endoscopic Z No Device
P Pulmonary Trunk
Q Pulmonary Artery, Right
S Pulmonary Vein, Right
Right inferior pulmonary vein
Right superior pulmonary vein
T Pulmonary Vein, Left
Left inferior pulmonary vein
Left superior pulmonary vein
V Superior Vena Cava
Precava
R Pulmonary Artery, Left 0 Open C Extraluminal Device T Ductus Arteriosus
Arterial canal (duct) 3 Percutaneous D Intraluminal Device Z No Qualifier
Botallo's duct 4 Percutaneous Endoscopic Z No Device
Pulmoaortic canal
W Thoracic Aorta, Descending 3 Percutaneous D Intraluminal Device J Temporary
DRG Non-OR 02L7[0,3,4][C,D,Z]K
02J–02L

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
174 ICD-10-PCS 2019
ICD-10-PCS 2019 Heart and Great Vessels 02N–02N

Heart and Great Vessels

0 Medical and Surgical
2 Heart and Great Vessels 02N
N Release Definition: Freeing a body part from an abnormal physical constraint by cutting or by the use of force
Explanation: Some of the restraining tissue may be taken out but none of the body part is taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Coronary Artery, One Artery 0 Open Z No Device Z No Qualifier
1 Coronary Artery, Two Arteries 3 Percutaneous
2 Coronary Artery, Three Arteries 4 Percutaneous Endoscopic
3 Coronary Artery, Four or More Arteries
4 Coronary Vein
5 Atrial Septum
Interatrial septum
6 Atrium, Right
Atrium dextrum cordis
Right auricular appendix
Sinus venosus
7 Atrium, Left
Atrium pulmonale
Left auricular appendix
8 Conduction Mechanism
Atrioventricular node
Bundle of His
Bundle of Kent
Sinoatrial node
9 Chordae Tendineae
D Papillary Muscle
F Aortic Valve
Aortic annulus
G Mitral Valve
Bicuspid valve
Left atrioventricular valve
Mitral annulus
H Pulmonary Valve
Pulmonary annulus
Pulmonic valve
J Tricuspid Valve
Right atrioventricular valve
Tricuspid annulus
K Ventricle, Right
Conus arteriosus
L Ventricle, Left
M Ventricular Septum
Interventricular septum
N Pericardium
P Pulmonary Trunk
Q Pulmonary Artery, Right
R Pulmonary Artery, Left
Arterial canal (duct)
Botallo's duct
Pulmoaortic canal
S Pulmonary Vein, Right
Right inferior pulmonary vein
Right superior pulmonary vein
T Pulmonary Vein, Left
Left inferior pulmonary vein
Left superior pulmonary vein
V Superior Vena Cava
Precava
W Thoracic Aorta, Descending
X Thoracic Aorta, Ascending/Arch
Aortic arch
Ascending aorta
02N–02N

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 175
 02P–02P Heart and Great Vessels ICD-10-PCS 2019
Heart and Great Vessels

0 Medical and Surgical

2 Heart and Great Vessels 02P
P Removal Definition: Taking out or off a device from a body part
Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is
coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
A Heart 0 Open 2 Monitoring Device Z No Qualifier
3 Percutaneous 3 Infusion Device
4 Percutaneous Endoscopic 7 Autologous Tissue Substitute
8 Zooplastic Tissue
C Extraluminal Device
D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
M Cardiac Lead
N Intracardiac Pacemaker
Q Implantable Heart Assist System
Y Other Device
A Heart ? 0 Open R Short-term External Heart Assist S Biventricular
3 Percutaneous System Z No Qualifier
4 Percutaneous Endoscopic
A Heart X External 2 Monitoring Device Z No Qualifier
3 Infusion Device
D Intraluminal Device
M Cardiac Lead
Y Great Vessel 0 Open 2 Monitoring Device Z No Qualifier
3 Percutaneous 3 Infusion Device
4 Percutaneous Endoscopic 7 Autologous Tissue Substitute
8 Zooplastic Tissue
C Extraluminal Device
D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
Y Other Device
Y Great Vessel X External 2 Monitoring Device Z No Qualifier
3 Infusion Device
D Intraluminal Device
Non-OR 02PA3[2,3,D]Z See Appendix L for Procedure Combinations
Non-OR 02PA[3,4]YZ ? 02PA[0,3,4]RZ
Non-OR 02PAX[2,3,D,M]Z
Non-OR 02PY3[2,3,D]Z
Non-OR 02PY[3,4]YZ
Non-OR 02PYX[2,3,D]Z
HAC 02PA[0,3,4]MZ when reported with SDx K68.11 or T81.4XXA or T82.6XXA
or T82.7XXA
HAC 02PAXMZ when reported with SDx K68.11 or T81.4XXA or T82.6XXA or
T82.7XXA
02P–02P

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
176 ICD-10-PCS 2019
ICD-10-PCS 2019 Heart and Great Vessels 02Q–02Q

Heart and Great Vessels

0 Medical and Surgical
2 Heart and Great Vessels 02Q
Q Repair Definition: Restoring, to the extent possible, a body part to its normal anatomic structure and function
Explanation: Used only when the method to accomplish the repair is not one of the other root operations
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Coronary Artery, One Artery 0 Open Z No Device Z No Qualifier
1 Coronary Artery, Two Arteries 3 Percutaneous
2 Coronary Artery, Three Arteries 4 Percutaneous Endoscopic
3 Coronary Artery, Four or More
Arteries
4 Coronary Vein
5 Atrial Septum
Interatrial septum
6 Atrium, Right
Atrium dextrum cordis
Right auricular appendix
Sinus venosus
7 Atrium, Left
Atrium pulmonale
Left auricular appendix
8 Conduction Mechanism
Atrioventricular node
Bundle of His
Bundle of Kent
Sinoatrial node
9 Chordae Tendineae
A Heart
B Heart, Right
Right coronary sulcus
C Heart, Left
Left coronary sulcus
Obtuse margin
D Papillary Muscle
H Pulmonary Valve
Pulmonary annulus
Pulmonic valve
K Ventricle, Right
Conus arteriosus
L Ventricle, Left
M Ventricular Septum
Interventricular septum
N Pericardium
P Pulmonary Trunk
Q Pulmonary Artery, Right
R Pulmonary Artery, Left
Arterial canal (duct)
Botallo's duct
Pulmoaortic canal
S Pulmonary Vein, Right
Right inferior pulmonary vein
Right superior pulmonary vein
T Pulmonary Vein, Left
Left inferior pulmonary vein
Left superior pulmonary vein
V Superior Vena Cava
Precava
W Thoracic Aorta, Descending
X Thoracic Aorta, Ascending/Arch
Aortic arch
Ascending aorta
F Aortic Valve 0 Open Z No Device J Truncal Valve
Aortic annulus 3 Percutaneous Z No Qualifier
4 Percutaneous Endoscopic
G Mitral Valve 0 Open Z No Device E Atrioventricular Valve, Left
Bicuspid valve 3 Percutaneous Z No Qualifier
Left atrioventricular valve 4 Percutaneous Endoscopic
Mitral annulus
J Tricuspid Valve 0 Open Z No Device G Atrioventricular Valve, Right
Right atrioventricular valve 3 Percutaneous Z No Qualifier
Tricuspid annulus 4 Percutaneous Endoscopic
02Q–02Q

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 177
 02R–02R Heart and Great Vessels ICD-10-PCS 2019
Heart and Great Vessels

0 Medical and Surgical

2 Heart and Great Vessels 02R
R Replacement Definition: Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part
Explanation: The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during
the REPLACEMENT procedure. A REMOVAL procedure is coded for taking out the device used in a previous replacement procedure.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
5 Atrial Septum 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Interatrial septum 4 Percutaneous Endoscopic 8 Zooplastic Tissue
6 Atrium, Right J Synthetic Substitute
Atrium dextrum cordis K Nonautologous Tissue Substitute
Right auricular appendix
Sinus venosus
7 Atrium, Left
Atrium pulmonale
Left auricular appendix
9 Chordae Tendineae
D Papillary Muscle
K Ventricle, Right ?34
Conus arteriosus
L Ventricle, Left ?34
M Ventricular Septum
Interventricular septum
N Pericardium
P Pulmonary Trunk
Q Pulmonary Artery, Right
R Pulmonary Artery, Left
Arterial canal (duct)
Botallo's duct
Pulmoaortic canal
S Pulmonary Vein, Right
Right inferior pulmonary vein
Right superior pulmonary vein
T Pulmonary Vein, Left
Left inferior pulmonary vein
Left superior pulmonary vein
V Superior Vena Cava
Precava
W Thoracic Aorta, Descending
X Thoracic Aorta, Ascending/Arch
Aortic arch
Ascending aorta
F Aortic Valve 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Aortic annulus 4 Percutaneous Endoscopic 8 Zooplastic Tissue
G Mitral Valve J Synthetic Substitute
Bicuspid valve K Nonautologous Tissue Substitute
Left atrioventricular valve
Mitral annulus
H Pulmonary Valve
Pulmonary annulus
Pulmonic valve
J Tricuspid Valve
Right atrioventricular valve
Tricuspid annulus
F Aortic Valve 3 Percutaneous 7 Autologous Tissue Substitute H Transapical
Aortic annulus 8 Zooplastic Tissue Z No Qualifier
G Mitral Valve J Synthetic Substitute
Bicuspid valve K Nonautologous Tissue Substitute
Left atrioventricular valve
Mitral annulus
H Pulmonary Valve
Pulmonary annulus
Pulmonic valve
J Tricuspid Valve
Right atrioventricular valve
Tricuspid annulus
3 02RK0JZ with 02RL0JZ with diagnosis code Z00.6 See Appendix L for Procedure Combinations
4 02RK0JZ with 02RL0JZ without diagnosis code Z00.6 ? 02R[K,L]0JZ
02R–02R

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
178 ICD-10-PCS 2019
ICD-10-PCS 2019 Heart and Great Vessels 02S–02T

Heart and Great Vessels

0 Medical and Surgical
2 Heart and Great Vessels 02S
S Reposition Definition: Moving to its normal location, or other suitable location, all or a portion of a body part
Explanation: The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning
correctly. The body part may or may not be cut out or off to be moved to the new location.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Coronary Artery, One Artery 0 Open Z No Device Z No Qualifier
1 Coronary Artery, Two Arteries
P Pulmonary Trunk
Q Pulmonary Artery, Right
R Pulmonary Artery, Left
Arterial canal (duct)
Botallo's duct
Pulmoaortic canal
S Pulmonary Vein, Right
Right inferior pulmonary vein
Right superior pulmonary vein
T Pulmonary Vein, Left
Left inferior pulmonary vein
Left superior pulmonary vein
V Superior Vena Cava
Precava
W Thoracic Aorta, Descending
X Thoracic Aorta, Ascending/Arch
Aortic arch
Ascending aorta

0 Medical and Surgical

2 Heart and Great Vessels 02T
T Resection Definition: Cutting out or off, without replacement, all of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
5 Atrial Septum 0 Open Z No Device Z No Qualifier
Interatrial septum 3 Percutaneous
8 Conduction Mechanism 4 Percutaneous Endoscopic
Atrioventricular node
Bundle of His
Bundle of Kent
Sinoatrial node
9 Chordae Tendineae
D Papillary Muscle
H Pulmonary Valve
Pulmonary annulus
Pulmonic valve
M Ventricular Septum
Interventricular septum
N Pericardium
02S–02T

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 179
 02U–02U Heart and Great Vessels ICD-10-PCS 2019
Heart and Great Vessels

0 Medical and Surgical

2 Heart and Great Vessels 02U
U Supplement Definition: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part
Explanation: The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced,
and the SUPPLEMENT procedure is performed to physically reinforce and/or augment the function of the replaced body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
5 Atrial Septum 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Interatrial septum 3 Percutaneous 8 Zooplastic Tissue
6 Atrium, Right 4 Percutaneous Endoscopic J Synthetic Substitute
Atrium dextrum cordis K Nonautologous Tissue Substitute
Right auricular appendix
Sinus venosus
7 Atrium, Left
Atrium pulmonale
Left auricular appendix
9 Chordae Tendineae
A Heart
D Papillary Muscle
H Pulmonary Valve
Pulmonary annulus
Pulmonic valve
K Ventricle, Right
Conus arteriosus
L Ventricle, Left
M Ventricular Septum
Interventricular septum
N Pericardium
P Pulmonary Trunk
Q Pulmonary Artery, Right
R Pulmonary Artery, Left
Arterial canal (duct)
Botallo's duct
Pulmoaortic canal
S Pulmonary Vein, Right
Right inferior pulmonary vein
Right superior pulmonary vein
T Pulmonary Vein, Left
Left inferior pulmonary vein
Left superior pulmonary vein
V Superior Vena Cava
Precava
W Thoracic Aorta, Descending
X Thoracic Aorta, Ascending/Arch
Aortic arch
Ascending aorta
F Aortic Valve 0 Open 7 Autologous Tissue Substitute J Truncal Valve
Aortic annulus 3 Percutaneous 8 Zooplastic Tissue Z No Qualifier
4 Percutaneous Endoscopic J Synthetic Substitute
K Nonautologous Tissue Substitute
G Mitral Valve 0 Open 7 Autologous Tissue Substitute E Atrioventricular Valve, Left
Bicuspid valve 3 Percutaneous 8 Zooplastic Tissue Z No Qualifier
Left atrioventricular valve 4 Percutaneous Endoscopic J Synthetic Substitute
Mitral annulus K Nonautologous Tissue Substitute
J Tricuspid Valve 0 Open 7 Autologous Tissue Substitute G Atrioventricular Valve, Right
Right atrioventricular valve 3 Percutaneous 8 Zooplastic Tissue Z No Qualifier
Tricuspid annulus 4 Percutaneous Endoscopic J Synthetic Substitute
K Nonautologous Tissue Substitute
DRG Non-OR 02U7[3,4]JZ
02U–02U

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
180 ICD-10-PCS 2019
ICD-10-PCS 2019 Heart and Great Vessels 02V–02V

Heart and Great Vessels

0 Medical and Surgical
2 Heart and Great Vessels 02V
V Restriction Definition: Partially closing an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
A Heart 0 Open C Extraluminal Device Z No Qualifier
3 Percutaneous Z No Device
4 Percutaneous Endoscopic
G Mitral Valve 0 Open Z No Device Z No Qualifier
Bicuspid valve 3 Percutaneous
Left atrioventricular valve 4 Percutaneous Endoscopic
Mitral annulus
P Pulmonary Trunk 0 Open C Extraluminal Device Z No Qualifier
Q Pulmonary Artery, Right 3 Percutaneous D Intraluminal Device
S Pulmonary Vein, Right 4 Percutaneous Endoscopic Z No Device
Right inferior pulmonary vein
Right superior pulmonary vein
T Pulmonary Vein, Left
Left inferior pulmonary vein
Left superior pulmonary vein
V Superior Vena Cava
Precava
R Pulmonary Artery, Left 0 Open C Extraluminal Device T Ductus Arteriosus
Arterial canal (duct) 3 Percutaneous D Intraluminal Device Z No Qualifier
Botallo's duct 4 Percutaneous Endoscopic Z No Device
Pulmoaortic canal
W Thoracic Aorta, Descending 0 Open C Extraluminal Device Z No Qualifier
X Thoracic Aorta, Ascending/Arch 3 Percutaneous D Intraluminal Device
Aortic arch 4 Percutaneous Endoscopic E Intraluminal Device, Branched or
Ascending aorta Fenestrated, One or Two Arteries
F Intraluminal Device, Branched or
Fenestrated, Three or More Arteries
Z No Device

02V–02V

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 181
 02W–02W Heart and Great Vessels ICD-10-PCS 2019
Heart and Great Vessels

0 Medical and Surgical

2 Heart and Great Vessels 02W
W Revision Definition: Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device
Explanation: Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as
a screw or pin
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
5 Atrial Septum 0 Open J Synthetic Substitute Z No Qualifier
Interatrial septum 4 Percutaneous Endoscopic
M Ventricular Septum
Interventricular septum
A Heart ?34 0 Open 2 Monitoring Device Z No Qualifier
3 Percutaneous 3 Infusion Device
4 Percutaneous Endoscopic 7 Autologous Tissue Substitute
8 Zooplastic Tissue
C Extraluminal Device
D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
M Cardiac Lead
N Intracardiac Pacemaker
Q Implantable Heart Assist System
Y Other Device
A Heart ? 0 Open R Short-term External Heart Assist S Biventricular
3 Percutaneous System Z No Qualifier
4 Percutaneous Endoscopic
A Heart X External 2 Monitoring Device Z No Qualifier
3 Infusion Device
7 Autologous Tissue Substitute
8 Zooplastic Tissue
C Extraluminal Device
D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
M Cardiac Lead
N Intracardiac Pacemaker
Q Implantable Heart Assist System
A Heart X External R Short-term External Heart Assist S Biventricular
System Z No Qualifier
F Aortic Valve 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Aortic annulus 3 Percutaneous 8 Zooplastic Tissue
G Mitral Valve 4 Percutaneous Endoscopic J Synthetic Substitute
Bicuspid valve K Nonautologous Tissue Substitute
Left atrioventricular valve
Mitral annulus
H Pulmonary Valve
Pulmonary annulus
Pulmonic valve
J Tricuspid Valve
Right atrioventricular valve
Tricuspid annulus
Y Great Vessel 0 Open 2 Monitoring Device Z No Qualifier
3 Percutaneous 3 Infusion Device
4 Percutaneous Endoscopic 7 Autologous Tissue Substitute
8 Zooplastic Tissue
C Extraluminal Device
D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
Y Other Device
Y Great Vessel X External 2 Monitoring Device Z No Qualifier
3 Infusion Device
7 Autologous Tissue Substitute
8 Zooplastic Tissue
C Extraluminal Device
D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
Non-OR 02WA3[2,3,D]Z HAC 02WA[0,3,4]MZ when reported with SDx K68.11 or T81.4XXA
Non-OR 02WA[3,4]YZ or T82.6XXA or T82.7XXA
Non-OR 02WAX[2,3,7,8,C,D,J,K,M,N,Q]Z 3 02WA0[J,Q]Z
02W–02W

Non-OR 02WAXRZ 4 02WA[3,4]QZ

Non-OR 02WY3[2,3,D]Z See Appendix L for Procedure Combinations
Non-OR 02WY[3,4]YZ ? 02WA[0,3,4]QZ
Non-OR 02WYX[2,3,7,8,C,D,J,K]Z ? 02WA[0,3,4]RZ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
182 ICD-10-PCS 2019
ICD-10-PCS 2019 Heart and Great Vessels 02Y–02Y

Heart and Great Vessels

0 Medical and Surgical
2 Heart and Great Vessels 02Y
Y Transplantation Definition: Putting in or on all or a portion of a living body part taken from another individual or animal to physically take the place and/or
function of all or a portion of a similar body part
Explanation: The native body part may or may not be taken out, and the transplanted body part may take over all or a portion of its function
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
A Heart 3 0 Open Z No Device 0 Allogeneic
1 Syngeneic
2 Zooplastic
3 02YA0Z[0,1,2]

02Y–02Y

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 183
This page is left intentionally blank.
ICD-10-PCS 2019
Upper Arteries 031–03W
Character Meanings
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.
Operation–Character 3 Body Part–Character 4
1 Bypass 0 Internal Mammary Artery, Right 0 Open
5 Destruction 1 Internal Mammary Artery, Left
7 Dilation 2 Innominate Artery
9 Drainage 3 Subclavian Artery, Right
B Excision 4 Subclavian Artery, Left
C Extirpation 5 Axillary Artery, Right
H Insertion 6 Axillary Artery, Left
J Inspection 7 Brachial Artery, Right
L Occlusion 8 Brachial Artery, Left
N Release 9 Ulnar Artery, Right
P Removal A Ulnar Artery, Left
Q Repair B Radial Artery, Right
R Replacement C Radial Artery, Left
S Reposition D Hand Artery, Right
U Supplement F Hand Artery, Left
V Restriction G Intracranial Artery
W Revision H Common Carotid Artery, Right
J Common Carotid Artery, Left
K Internal Carotid Artery, Right
L Internal Carotid Artery, Left
M External Carotid Artery, Right
N External Carotid Artery, Left
P Vertebral Artery, Right
Q Vertebral Artery, Left
R Face Artery
S Temporal Artery, Right
T Temporal Artery, Left
U Thyroid Artery, Right
V Thyroid Artery, Left
Y Upper Artery
ICD-10-PCS 2019
Approach–Character 5 Device–Character 6
0 Drainage Device
3 Percutaneous 2 Monitoring Device
4 Percutaneous Endoscopic 3 Infusion Device
X External 4 Intraluminal Device, Drug-
eluting
5 Intraluminal Device, Drug-
eluting, Two
6 Intraluminal Device, Drug-
eluting, Three
7 Intraluminal Device, Drug-
eluting, Four or More
OR
Autologous Tissue Substitute
9 Autologous Venous Tissue
A Autologous Arterial Tissue
B Intraluminal Device, Bioactive 9 Lower Leg Artery, Right
C Extraluminal Device
D Intraluminal Device
E Intraluminal Device, Two
F Intraluminal Device, Three
G Intraluminal Device, Four or
More
J Synthetic Substitute
K Nonautologous Tissue
Substitute
M Stimulator Lead
Y Other Device
Z No Device
Upper Arteries
Upper Arteries
Qualifier–Character 7
0 Upper Arm Artery, Right
1 Upper Arm Artery, Left
OR
Drug-Coated Balloon
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
OR
Bifurcation
7 Upper Leg Artery, Left
OR
Stent Retriever
8 Upper Leg Artery, Bilateral
B Lower Leg Artery, Left
C Lower Leg Artery, Bilateral
D Upper Arm Vein
F Lower Arm Vein
G Intracranial Artery
J Extracranial Artery, Right
K Extracranial Artery, Left
M Pulmonary Artery, Right
N Pulmonary Artery, Left
T Abdominal Artery
V Superior Vena Cava
X Diagnostic
Y Upper Artery
Z No Qualifier
185
 Upper Arteries ICD-10-PCS 2019
Upper Arteries

AHA Coding Clinic for table 031 AHA Coding Clinic for table 03J
2017, 4Q, 64-65 New qualifier values - Left to right carotid bypass 2015, 1Q, 29 Discontinued carotid endarterectomy
2017, 2Q, 22 Carotid artery to subclavian artery transposition
AHA Coding Clinic for table 03L
2017, 1Q, 31 Left to right common carotid artery bypass
2016, 2Q, 30 Clipping (occlusion) of cerebral artery, decompressive craniectomy and storage
2016, 3Q, 37 Insertion of arteriovenous graft using HeRO device
of bone flap in abdominal wall
2016, 3Q, 39 Revision of arteriovenous graft
2014, 4Q, 20 Control of epistaxis
2013, 4Q, 125 Stage II cephalic vein transposition (superficialization) of
2014, 4Q, 37 Endovascular embolization of arteriovenous malformation using Onyx-18 liquid
arteriovenous fistula
2013, 1Q, 27 Creation of radial artery fistula AHA Coding Clinic for table 03Q
2017, 1Q, 31 Left to right common carotid artery bypass
AHA Coding Clinic for table 037
2018, 2Q, 24 Coronary artery bifurcation AHA Coding Clinic for table 03S
2016, 4Q, 86 Peripheral artery, number of stents 2017, 2Q, 22 Carotid artery to subclavian artery transposition
2016, 4Q, 86-87 Coronary and peripheral artery bifurcation 2015, 3Q, 27 Moyamoya disease and hemispheric pial synagiosis with craniotomy
2015, 1Q, 32 Deployment of stent for herniated/migrated coil in basilar artery AHA Coding Clinic for table 03U
AHA Coding Clinic for table 03B 2016, 2Q, 11 Carotid endarterectomy with patch angioplasty
2016, 2Q, 12 Resection of malignant neoplasm of infratemporal fossa AHA Coding Clinic for table 03V
AHA Coding Clinic for table 03C 2016, 1Q, 19 Embolization of superior hypophyseal aneurysm using stent-assisted coil
2018, 2Q, 24 Coronary artery bifurcation AHA Coding Clinic for table 03W
2017, 4Q, 64-65 New qualifier values - Left to right carotid bypass 2016, 3Q, 39 Revision of arteriovenous graft
2017, 2Q, 23 Thrombectomy via Fogarty catheter 2015, 1Q, 32 Deployment of stent for herniated/migrated coil in basilar artery
2016, 4Q, 86-87 Coronary and peripheral artery bifurcation
2016, 2Q, 11 Carotid endarterectomy with patch angioplasty
2015, 1Q, 29 Discontinued carotid endarterectomy
AHA Coding Clinic for table 03H
2016, 2Q, 32 Arterial catheter placement

186 ICD-10-PCS 2019

ICD-10-PCS 2019 Upper Arteries

Upper Arteries
Upper Arteries
Middle temporal S, T
Transverse facial S, T

Superficial temporal S, T

Face R External carotid M, N

Internal carotid K, L
Common carotid H, J
Superior thyroid U, V Vertebral P, Q
Inferior thyroid U, V Subclavian 3, 4
Innominate 2

Axillary 5, 6

Internal thoracic (mammary) 0, 1

Brachial 7, 8

Radial B, C
Ulnar 9, A

Deep palmar arch D, F

Superficial palmar arch D, F

Head and Neck Arteries

Middle cerebral G Anterior cerebral G

Posterior communicating G Anterior communicating G
Posterior cerebral G Ophthalmic G
Basilar G
Internal carotid K,L

External carotid M,N

Vertebral P,Q
Common carotid H,J

ICD-10-PCS 2019 187

 031–031
Upper Arteries
0 Medical and Surgical
3 Upper Arteries
1 Bypass Definition: Altering the route of passage of the contents of a tubular body part
Explanation: Rerouting contents of a body part to a downstream area of the normal route, to a similar route and body part, or to an abnormal
route and dissimilar body part. Includes one or more anastomoses, with or without the use of a device.
Body Part
Character 4
2 Innominate Artery
Brachiocephalic artery
Brachiocephalic trunk
3 Subclavian Artery, Right
Costocervical trunk
Dorsal scapular artery
Internal thoracic artery
4 Subclavian Artery, Left
See 3 Subclavian Artery, Right
5 Axillary Artery, Right
Anterior circumflex humeral artery
Lateral thoracic artery
Posterior circumflex humeral artery
Subscapular artery
Superior thoracic artery
Thoracoacromial artery
6 Axillary Artery, Left
See 5 Axillary Artery, Right
7 Brachial Artery, Right
Inferior ulnar collateral artery
Profunda brachii
Superior ulnar collateral artery
8 Brachial Artery, Left
Inferior ulnar collateral artery
Profunda brachii
Superior ulnar collateral artery
031–031
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
188
Upper Arteries
Approach Device
Character 5 Character 6
0 Open 9 Autologous Venous Tissue
A Autologous Arterial Tissue
J Synthetic Substitute
K Nonautologous Tissue Substitute
Z No Device
0 Open 9 Autologous Venous Tissue
A Autologous Arterial Tissue
J Synthetic Substitute
K Nonautologous Tissue Substitute
Z No Device
0 Open 9 Autologous Venous Tissue
A Autologous Arterial Tissue
J Synthetic Substitute
K Nonautologous Tissue Substitute
Z No Device
0 Open 9 Autologous Venous Tissue
A Autologous Arterial Tissue
J Synthetic Substitute
K Nonautologous Tissue Substitute
Z No Device
0 Open 9 Autologous Venous Tissue
A Autologous Arterial Tissue
J Synthetic Substitute
K Nonautologous Tissue Substitute
Z No Device
031 Continued on next page
ICD-10-PCS 2019
031
Qualifier
Character 7
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
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
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
0 Upper Arm Artery, Right
3 Lower Arm Artery, Right
D Upper Arm Vein
F Lower Arm Vein
V Superior Vena Cava
1 Upper Arm Artery, Left
4 Lower Arm Artery, Left
D Upper Arm Vein
F Lower Arm Vein
V Superior Vena Cava
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019 Upper Arteries 031–031

Upper Arteries
0 Medical and Surgical 031 Continued
3 Upper Arteries 031
1 Bypass Definition: Altering the route of passage of the contents of a tubular body part
Explanation: Rerouting contents of a body part to a downstream area of the normal route, to a similar route and body part, or to an abnormal
route and dissimilar body part. Includes one or more anastomoses, with or without the use of a device.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
9 Ulnar Artery, Right 0 Open 9 Autologous Venous Tissue 3 Lower Arm Artery, Right
Anterior ulnar recurrent artery A Autologous Arterial Tissue F Lower Arm Vein
Common interosseous artery J Synthetic Substitute
Posterior ulnar recurrent artery K Nonautologous Tissue Substitute
B Radial Artery, Right Z No Device
Radial recurrent artery
A Ulnar Artery, Left 0 Open 9 Autologous Venous Tissue 4 Lower Arm Artery, Left
Anterior ulnar recurrent artery A Autologous Arterial Tissue F Lower Arm Vein
Common interosseous artery J Synthetic Substitute
Posterior ulnar recurrent artery K Nonautologous Tissue Substitute
C Radial Artery, Left Z No Device
Radial recurrent artery
G Intracranial Artery 0 Open 9 Autologous Venous Tissue G Intracranial Artery
Anterior cerebral artery A Autologous Arterial Tissue
Anterior choroidal artery J Synthetic Substitute
Anterior communicating artery K Nonautologous Tissue Substitute
Basilar artery
Z No Device
Circle of Willis
Internal carotid artery, intracranial
portion
Middle cerebral artery
Ophthalmic artery
Posterior cerebral artery
Posterior communicating artery
Posterior inferior cerebellar artery
(PICA)
S Temporal Artery, Right
Middle temporal artery
Superficial temporal artery
Transverse facial artery
T Temporal Artery, Left
See S Temporal Artery, Right
H Common Carotid Artery, Right 0 Open 9 Autologous Venous Tissue G Intracranial Artery
J Common Carotid Artery, Left A Autologous Arterial Tissue J Extracranial Artery, Right
J Synthetic Substitute K Extracranial Artery, Left
K Nonautologous Tissue Substitute Y Upper Artery
Z No Device
K Internal Carotid Artery, Right 0 Open 9 Autologous Venous Tissue J Extracranial Artery, Right
Caroticotympanic artery A Autologous Arterial Tissue K Extracranial Artery, Left
Carotid sinus J Synthetic Substitute
L Internal Carotid Artery, Left K Nonautologous Tissue Substitute
Caroticotympanic artery Z No Device
Carotid sinus
M External Carotid Artery, Right
Ascending pharyngeal artery
Internal maxillary artery
Lingual artery
Maxillary artery
Occipital artery
Posterior auricular artery
Superior thyroid artery
N External Carotid Artery, Left
Ascending pharyngeal artery
Internal maxillary artery
Lingual artery
Maxillary artery
Occipital artery
Posterior auricular artery
Superior thyroid artery
031–031

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 189
 035–035
Upper Arteries
0 Medical and Surgical
3 Upper Arteries
5 Destruction Definition: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent
Explanation: None of the body part is physically taken out
Body Part
Character 4
0 Internal Mammary Artery,
Right
Anterior intercostal artery
Internal thoracic artery
Musculophrenic artery
Pericardiophrenic artery
Superior epigastric artery
1 Internal Mammary Artery,
Left
See 0 Internal Mammary Artery,
Right
2 Innominate Artery
Brachiocephalic artery
Brachiocephalic trunk
3 Subclavian Artery, Right
Costocervical trunk
Dorsal scapular artery
Internal thoracic artery
4 Subclavian Artery, Left
See 3 Subclavian Artery, Right
5 Axillary Artery, Right
Anterior circumflex humeral
artery
Lateral thoracic artery
Posterior circumflex humeral
artery
Subscapular artery
Superior thoracic artery
Thoracoacromial artery
6 Axillary Artery, Left
See 5 Axillary Artery, Right
7 Brachial Artery, Right
Inferior ulnar collateral artery
Profunda brachii
Superior ulnar collateral artery
8 Brachial Artery, Left
See 7 Brachial Artery, Right
9 Ulnar Artery, Right
Anterior ulnar recurrent artery
Common interosseous artery
Posterior ulnar recurrent artery
A Ulnar Artery, Left
See 9 Ulnar Artery, Right
B Radial Artery, Right
Radial recurrent artery
C Radial Artery, Left
See B Radial Artery, Right
D Hand Artery, Right
Deep palmar arch
Princeps pollicis artery
Radialis indicis
Superficial palmar arch
F Hand Artery, Left
See D Hand Artery, Right
G Intracranial Artery
Anterior cerebral artery
Anterior choroidal artery
Anterior communicating artery
Basilar artery
Circle of Willis
Internal carotid artery,
intracranial portion
Middle cerebral artery
Ophthalmic artery
Posterior cerebral artery
Posterior communicating artery
Posterior inferior cerebellar
artery (PICA)
035–035
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
190
Upper Arteries ICD-10-PCS 2019
035
Approach Device Qualifier
Character 5 Character 6 Character 7
H Common Carotid Artery, 0 Open Z No Device Z No Qualifier
Right 3 Percutaneous
J Common Carotid Artery, Left 4 Percutaneous Endoscopic
K Internal Carotid Artery, Right
Caroticotympanic artery
Carotid sinus
L Internal Carotid Artery, Left
See K Internal Carotid Artery,
Right
M External Carotid Artery, Right
Ascending pharyngeal artery
Internal maxillary artery
Lingual artery
Maxillary artery
Occipital artery
Posterior auricular artery
Superior thyroid artery
N External Carotid Artery, Left
See M External Carotid Artery,
Right
P Vertebral Artery, Right
Anterior spinal artery
Posterior spinal artery
Q Vertebral Artery, Left
See P Vertebral Artery, Right
R Face Artery
Angular artery
Ascending palatine artery
External maxillary artery
Facial artery
Inferior labial artery
Submental artery
Superior labial artery
S Temporal Artery, Right
Middle temporal artery
Superficial temporal artery
Transverse facial artery
T Temporal Artery, Left
See S Temporal Artery, Right
U Thyroid Artery, Right
Cricothyroid artery
Hyoid artery
Sternocleidomastoid artery
Superior laryngeal artery
Superior thyroid artery
Thyrocervical trunk
V Thyroid Artery, Left
See U Thyroid Artery, Right
Y Upper Artery
Aortic intercostal artery
Bronchial artery
Esophageal artery
Subcostal artery
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
3 Upper Arteries
7 Dilation Definition: Expanding an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice. Accomplished by stretching a tubular body part using
intraluminal pressure or by cutting part of the orifice or wall of the tubular body part.
Body Part
Character 4
0 Internal Mammary Artery,
Right
Anterior intercostal artery
Internal thoracic artery
Musculophrenic artery
Pericardiophrenic artery
Superior epigastric artery
1 Internal Mammary Artery,
Left
See 0 Internal Mammary Artery,
Right
2 Innominate Artery
Brachiocephalic artery
Brachiocephalic trunk
3 Subclavian Artery, Right
Costocervical trunk
Dorsal scapular artery
Internal thoracic artery
4 Subclavian Artery, Left
See 3 Subclavian Artery, Right
5 Axillary Artery, Right
Anterior circumflex humeral
artery
Lateral thoracic artery
Posterior circumflex humeral
artery
Subscapular artery
Superior thoracic artery
Thoracoacromial artery
0 Internal Mammary Artery,
Right
Anterior intercostal artery
Internal thoracic artery
Musculophrenic artery
Pericardiophrenic artery
Superior epigastric artery
1 Internal Mammary Artery,
Left
See 0 Internal Mammary Artery,
Right
2 Innominate Artery
Brachiocephalic artery
Brachiocephalic trunk
3 Subclavian Artery, Right
Costocervical trunk
Dorsal scapular artery
Internal thoracic artery
4 Subclavian Artery, Left
See 3 Subclavian Artery, Right
5 Axillary Artery, Right
Anterior circumflex humeral
artery
Lateral thoracic artery
Posterior circumflex humeral
artery
Subscapular artery
Superior thoracic artery
Thoracoacromial artery
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Upper Arteries 037–037
Upper Arteries
037
Approach Device Qualifier
Character 5 Character 6 Character 7
6 Axillary Artery, Left 0 Open 4 Intraluminal Device, 6 Bifurcation
See 5 Axillary Artery, Right 3 Percutaneous Drug-eluting Z No Qualifier
7 Brachial Artery, Right 4 Percutaneous Endoscopic 5 Intraluminal Device, Drug-
Inferior ulnar collateral artery eluting, Two
Profunda brachii 6 Intraluminal Device, Drug-
Superior ulnar collateral artery eluting, Three
8 Brachial Artery, Left 7 Intraluminal Device, Drug-
See 7 Brachial Artery, Right eluting, Four or More
9 Ulnar Artery, Right E Intraluminal Device, Two
Anterior ulnar recurrent artery F Intraluminal Device, Three
Common interosseous artery G Intraluminal Device, Four
Posterior ulnar recurrent artery or More
A Ulnar Artery, Left
See 9 Ulnar Artery, Right
B Radial Artery, Right
Radial recurrent artery
C Radial Artery, Left
See B Radial Artery, Right
6 Axillary Artery, Left 0 Open D Intraluminal Device 1 Drug-Coated Balloon
See 5 Axillary Artery, Right 3 Percutaneous Z No Device 6 Bifurcation
7 Brachial Artery, Right 4 Percutaneous Endoscopic Z No Qualifier
Inferior ulnar collateral artery
Profunda brachii
Superior ulnar collateral artery
8 Brachial Artery, Left
See 7 Brachial Artery, Right
9 Ulnar Artery, Right
Anterior ulnar recurrent artery
Common interosseous artery
Posterior ulnar recurrent artery
A Ulnar Artery, Left
See 9 Ulnar Artery, Right
B Radial Artery, Right
Radial recurrent artery
C Radial Artery, Left
See B Radial Artery, Right
037 Continued on next page
037–037
New/Revised in GREEN
191
 037–037 Upper Arteries ICD-10-PCS 2019
Upper Arteries

0 Medical and Surgical 037 Continued

3 Upper Arteries 037
7 Dilation Definition: Expanding an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice. Accomplished by stretching a tubular body part using
intraluminal pressure or by cutting part of the orifice or wall of the tubular body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
D Hand Artery, Right N External Carotid Artery, Left 0 Open 4 Intraluminal Device, 6 Bifurcation
Deep palmar arch See M External Carotid Artery, 3 Percutaneous Drug-eluting Z No Qualifier
Princeps pollicis artery Right 4 Percutaneous Endoscopic 5 Intraluminal Device, Drug-
Radialis indicis P Vertebral Artery, Right eluting, Two
Superficial palmar arch Anterior spinal artery 6 Intraluminal Device, Drug-
F Hand Artery, Left Posterior spinal artery eluting, Three
See D Hand Artery, Right Q Vertebral Artery, Left 7 Intraluminal Device, Drug-
G Intracranial Artery 4 See P Vertebral Artery, Right eluting, Four or More
Anterior cerebral artery R Face Artery D Intraluminal Device
Anterior choroidal artery Angular artery E Intraluminal Device, Two
Anterior communicating artery Ascending palatine artery F Intraluminal Device, Three
Basilar artery External maxillary artery
Circle of Willis G Intraluminal Device, Four
Facial artery
Internal carotid artery, or More
Inferior labial artery
intracranial portion Submental artery Z No Device
Middle cerebral artery Superior labial artery
Ophthalmic artery S Temporal Artery, Right
Posterior cerebral artery Middle temporal artery
Posterior communicating Superficial temporal artery
artery Transverse facial artery
Posterior inferior cerebellar T Temporal Artery, Left
artery (PICA) See S Temporal Artery, Right
H Common Carotid Artery, U Thyroid Artery, Right
Right Cricothyroid artery
J Common Carotid Artery, Left Hyoid artery
K Internal Carotid Artery, Right Sternocleidomastoid artery
Caroticotympanic artery Superior laryngeal artery
Carotid sinus Superior thyroid artery
L Internal Carotid Artery, Left Thyrocervical trunk
See K Internal Carotid Artery, V Thyroid Artery, Left
Right See U Thyroid Artery, Right
M External Carotid Artery, Right Y Upper Artery
Ascending pharyngeal artery Aortic intercostal artery
Internal maxillary artery Bronchial artery
Lingual artery Esophageal artery
Maxillary artery Subcostal artery
Occipital artery
Posterior auricular artery
Superior thyroid artery
4 037G[3,4]Z[6,Z]
037–037

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
192 ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
3 Upper Arteries
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part
Character 4
0 Internal Mammary Artery,
Right
Anterior intercostal artery
Internal thoracic artery
Musculophrenic artery
Pericardiophrenic artery
Superior epigastric artery
1 Internal Mammary Artery,
Left
See 0 Internal Mammary Artery,
Right above
2 Innominate Artery
Brachiocephalic artery
Brachiocephalic trunk
3 Subclavian Artery, Right
Costocervical trunk
Dorsal scapular artery
Internal thoracic artery
4 Subclavian Artery, Left
See 3 Subclavian Artery, Right
5 Axillary Artery, Right
Anterior circumflex humeral
artery
Lateral thoracic artery
Posterior circumflex humeral
artery
Subscapular artery
Superior thoracic artery
Thoracoacromial artery
6 Axillary Artery, Left
See 5 Axillary Artery, Right
7 Brachial Artery, Right
Inferior ulnar collateral artery
Profunda brachii
Superior ulnar collateral artery
8 Brachial Artery, Left
See 7 Brachial Artery, Right
9 Ulnar Artery, Right
Anterior ulnar recurrent artery
Common interosseous artery
Posterior ulnar recurrent artery
A Ulnar Artery, Left
See 9 Ulnar Artery, Right
B Radial Artery, Right
Radial recurrent artery
C Radial Artery, Left
See B Radial Artery, Right
D Hand Artery, Right
Deep palmar arch
Princeps pollicis artery
Radialis indicis
Superficial palmar arch
F Hand Artery, Left
See D Hand Artery, Right
G Intracranial Artery
Anterior cerebral artery
Anterior choroidal artery
Anterior communicating artery
Basilar artery
Circle of Willis
Internal carotid artery,
intracranial portion
Middle cerebral artery
Ophthalmic artery
Posterior cerebral artery
Posterior communicating artery
Posterior inferior cerebellar
artery (PICA)
Non-OR 039[0,1,2,3,4,5,6,7,8,9,A,B,C,D,F,G,H,J,K,L,M,N,P,Q,R,S,T,U,V,Y][0,3,4]0Z
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Upper Arteries 039–039
Upper Arteries
039
Approach Device Qualifier
Character 5 Character 6 Character 7
H Common Carotid Artery, 0 Open 0 Drainage Device Z No Qualifier
Right 3 Percutaneous
J Common Carotid Artery, Left 4 Percutaneous Endoscopic
K Internal Carotid Artery, Right
Caroticotympanic artery
Carotid sinus
L Internal Carotid Artery, Left
See K Internal Carotid Artery,
Right
M External Carotid Artery, Right
Ascending pharyngeal artery
Internal maxillary artery
Lingual artery
Maxillary artery
Occipital artery
Posterior auricular artery
Superior thyroid artery
N External Carotid Artery, Left
See M External Carotid Artery,
Right
P Vertebral Artery, Right
Anterior spinal artery
Posterior spinal artery
Q Vertebral Artery, Left
See P Vertebral Artery, Right
R Face Artery
Angular artery
Ascending palatine artery
External maxillary artery
Facial artery
Inferior labial artery
Submental artery
Superior labial artery
S Temporal Artery, Right
Middle temporal artery
Superficial temporal artery
Transverse facial artery
T Temporal Artery, Left
See S Temporal Artery, Right
U Thyroid Artery, Right
Cricothyroid artery
Hyoid artery
Sternocleidomastoid artery
Superior laryngeal artery
Superior thyroid artery
Thyrocervical trunk
V Thyroid Artery, Left
See U Thyroid Artery, Right
Y Upper Artery
Aortic intercostal artery
Bronchial artery
Esophageal artery
Subcostal artery
039 Continued on next page
039–039
New/Revised in GREEN
193
 039–039
Upper Arteries
0 Medical and Surgical
3 Upper Arteries
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part
Character 4
0 Internal Mammary Artery,
Right
Anterior intercostal artery
Internal thoracic artery
Musculophrenic artery
Pericardiophrenic artery
Superior epigastric artery
1 Internal Mammary Artery,
Left
See 0 Internal Mammary Artery,
Right
2 Innominate Artery
Brachiocephalic artery
Brachiocephalic trunk
3 Subclavian Artery, Right
Costocervical trunk
Dorsal scapular artery
Internal thoracic artery
4 Subclavian Artery, Left
See 3 Subclavian Artery, Right
5 Axillary Artery, Right
Anterior circumflex humeral
artery
Lateral thoracic artery
Posterior circumflex humeral
artery
Subscapular artery
Superior thoracic artery
Thoracoacromial artery
6 Axillary Artery, Left
See 5 Axillary Artery, Right
7 Brachial Artery, Right
Inferior ulnar collateral artery
Profunda brachii
Superior ulnar collateral artery
8 Brachial Artery, Left
See 7 Brachial Artery, Right
9 Ulnar Artery, Right
Anterior ulnar recurrent artery
Common interosseous artery
Posterior ulnar recurrent artery
A Ulnar Artery, Left
See 9 Ulnar Artery, Right
B Radial Artery, Right
Radial recurrent artery
C Radial Artery, Left
See B Radial Artery, Right
D Hand Artery, Right
Deep palmar arch
Princeps pollicis artery
Radialis indicis
Superficial palmar arch
F Hand Artery, Left
See D Hand Artery, Right
G Intracranial Artery
Anterior cerebral artery
Anterior choroidal artery
Anterior communicating artery
Basilar artery
Circle of Willis
Internal carotid artery,
intracranial portion
Middle cerebral artery
Ophthalmic artery
Posterior cerebral artery
Posterior communicating artery
Posterior inferior cerebellar
artery (PICA)
Non-OR 039[0,1,2,3,4,5,6,7,8,9,A,B,C,D,F,G,H,J,K,L,M,N,P,Q,R,S,T,U,V,Y]3ZX
Non-OR 039[0,1,2,3,4,5,6,7,8,9,A,B,C,D,F,G,H,J,K,L,M,N,P,Q,R,S,T,U,V,Y][0,3,4]ZZ
039–039
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
194
Upper Arteries ICD-10-PCS 2019
039 Continued
039
Approach Device Qualifier
Character 5 Character 6 Character 7
H Common Carotid Artery, 0 Open Z No Device X Diagnostic
Right 3 Percutaneous Z No Qualifier
J Common Carotid Artery, Left 4 Percutaneous Endoscopic
K Internal Carotid Artery, Right
Caroticotympanic artery
Carotid sinus
L Internal Carotid Artery, Left
See K Internal Carotid Artery,
Right
M External Carotid Artery, Right
Ascending pharyngeal artery
Internal maxillary artery
Lingual artery
Maxillary artery
Occipital artery
Posterior auricular artery
Superior thyroid artery
N External Carotid Artery, Left
See M External Carotid Artery,
Right
P Vertebral Artery, Right
Anterior spinal artery
Posterior spinal artery
Q Vertebral Artery, Left
See P Vertebral Artery, Right
R Face Artery
Angular artery
Ascending palatine artery
External maxillary artery
Facial artery
Inferior labial artery
Submental artery
Superior labial artery
S Temporal Artery, Right
Middle temporal artery
Superficial temporal artery
Transverse facial artery
T Temporal Artery, Left
See S Temporal Artery, Right
U Thyroid Artery, Right
Cricothyroid artery
Hyoid artery
Sternocleidomastoid artery
Superior laryngeal artery
Superior thyroid artery
Thyrocervical trunk
V Thyroid Artery, Left
See U Thyroid Artery, Right
Y Upper Artery
Aortic intercostal artery
Bronchial artery
Esophageal artery
Subcostal artery
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
3 Upper Arteries
B Excision Definition: Cutting out or off, without replacement, a portion of a body part
Explanation: The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies
Body Part
Character 4
0 Internal Mammary Artery,
Right
Anterior intercostal artery
Internal thoracic artery
Musculophrenic artery
Pericardiophrenic artery
Superior epigastric artery
1 Internal Mammary Artery,
Left
See 0 Internal Mammary
Artery, Right
2 Innominate Artery
Brachiocephalic artery
Brachiocephalic trunk
3 Subclavian Artery, Right
Costocervical trunk
Dorsal scapular artery
Internal thoracic artery
4 Subclavian Artery, Left
See 3 Subclavian Artery, Right
5 Axillary Artery, Right
Anterior circumflex humeral
artery
Lateral thoracic artery
Posterior circumflex humeral
artery
Subscapular artery
Superior thoracic artery
Thoracoacromial artery
6 Axillary Artery, Left
See 5 Axillary Artery, Right
7 Brachial Artery, Right
Inferior ulnar collateral artery
Profunda brachii
Superior ulnar collateral artery
8 Brachial Artery, Left
See 7 Brachial Artery, Right
9 Ulnar Artery, Right
Anterior ulnar recurrent artery
Common interosseous artery
Posterior ulnar recurrent
artery
A Ulnar Artery, Left
See 9 Ulnar Artery, Right
B Radial Artery, Right
Radial recurrent artery
C Radial Artery, Left
See B Radial Artery, Right
D Hand Artery, Right
Deep palmar arch
Princeps pollicis artery
Radialis indicis
Superficial palmar arch
F Hand Artery, Left
See D Hand Artery, Right
G Intracranial Artery
Anterior cerebral artery
Anterior choroidal artery
Anterior communicating
artery
Basilar artery
Circle of Willis
Internal carotid artery,
intracranial portion
Middle cerebral artery
Ophthalmic artery
Posterior cerebral artery
Posterior communicating
artery
Posterior inferior cerebellar
artery (PICA)
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Upper Arteries 03B–03B
Upper Arteries
03B
Approach Device Qualifier
Character 5 Character 6 Character 7
H Common Carotid Artery, 0 Open Z No Device X Diagnostic
Right 3 Percutaneous Z No Qualifier
J Common Carotid Artery, Left 4 Percutaneous Endoscopic
K Internal Carotid Artery, Right
Caroticotympanic artery
Carotid sinus
L Internal Carotid Artery, Left
See K Internal Carotid Artery,
Right
M External Carotid Artery, Right
Ascending pharyngeal artery
Internal maxillary artery
Lingual artery
Maxillary artery
Occipital artery
Posterior auricular artery
Superior thyroid artery
N External Carotid Artery, Left
See M External Carotid Artery,
Right
P Vertebral Artery, Right
Anterior spinal artery
Posterior spinal artery
Q Vertebral Artery, Left
See P Vertebral Artery, Right
R Face Artery
Angular artery
Ascending palatine artery
External maxillary artery
Facial artery
Inferior labial artery
Submental artery
Superior labial artery
S Temporal Artery, Right
Middle temporal artery
Superficial temporal artery
Transverse facial artery
T Temporal Artery, Left
See S Temporal Artery, Right
U Thyroid Artery, Right
Cricothyroid artery
Hyoid artery
Sternocleidomastoid artery
Superior laryngeal artery
Superior thyroid artery
Thyrocervical trunk
V Thyroid Artery, Left
See U Thyroid Artery, Right
Y Upper Artery
Aortic intercostal artery
Bronchial artery
Esophageal artery
Subcostal artery
03B–03B
New/Revised in GREEN
195
 03C–03C
Upper Arteries
0 Medical and Surgical
3 Upper Arteries
C Extirpation Definition: Taking or cutting out solid matter from a body part
Explanation: The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in
the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces.
Body Part
Character 4
0 Internal Mammary Artery,
Right
Anterior intercostal artery
Internal thoracic artery
Musculophrenic artery
Pericardiophrenic artery
Superior epigastric artery
1 Internal Mammary Artery,
Left
See 0 Internal Mammary
Artery, Right
2 Innominate Artery
Brachiocephalic artery
Brachiocephalic trunk
3 Subclavian Artery, Right
Costocervical trunk
Dorsal scapular artery
Internal thoracic artery
4 Subclavian Artery, Left
See 3 Subclavian Artery, Right
5 Axillary Artery, Right
Anterior circumflex humeral
artery
Lateral thoracic artery
Posterior circumflex humeral
artery
Subscapular artery
Superior thoracic artery
Thoracoacromial artery
6 Axillary Artery, Left
See 5 Axillary Artery, Right
7 Brachial Artery, Right
Inferior ulnar collateral artery
Profunda brachii
Superior ulnar collateral artery
8 Brachial Artery, Left
See 7 Brachial Artery, Right
9 Ulnar Artery, Right
Anterior ulnar recurrent artery
Common interosseous artery
Posterior ulnar recurrent
artery
G Intracranial Artery
Anterior cerebral artery
Anterior choroidal artery
Anterior communicating
artery
Basilar artery
Circle of Willis
Internal carotid artery,
intracranial portion
Middle cerebral artery
Ophthalmic artery
Posterior cerebral artery
Posterior communicating
artery
Posterior inferior cerebellar
artery (PICA)
H Common Carotid Artery,
Right
J Common Carotid Artery, Left
K Internal Carotid Artery, Right
Caroticotympanic artery
Carotid sinus
03C–03C
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
196
Upper Arteries ICD-10-PCS 2019
03C
Approach Device Qualifier
Character 5 Character 6 Character 7
A Ulnar Artery, Left 0 Open Z No Device 6 Bifurcation
See 9 Ulnar Artery, Right 3 Percutaneous Z No Qualifier
B Radial Artery, Right 4 Percutaneous Endoscopic
Radial recurrent artery
C Radial Artery, Left
See B Radial Artery, Right
D Hand Artery, Right
Deep palmar arch
Princeps pollicis artery
Radialis indicis
Superficial palmar arch
F Hand Artery, Left
See D Hand Artery, Right
R Face Artery
Angular artery
Ascending palatine artery
External maxillary artery
Facial artery
Inferior labial artery
Submental artery
Superior labial artery
S Temporal Artery, Right
Middle temporal artery
Superficial temporal artery
Transverse facial artery
T Temporal Artery, Left
See S Temporal Artery, Right
U Thyroid Artery, Right
Cricothyroid artery
Hyoid artery
Sternocleidomastoid artery
Superior laryngeal artery
Superior thyroid artery
Thyrocervical trunk
V Thyroid Artery, Left
See U Thyroid Artery, Right
Y Upper Artery
Aortic intercostal artery
Bronchial artery
Esophageal artery
Subcostal artery
L Internal Carotid Artery, Left 0 Open Z No Device 6 Bifurcation
See K Internal Carotid Artery, 4 Percutaneous Endoscopic Z No Qualifier
Right
M External Carotid Artery, Right
Ascending pharyngeal artery
Internal maxillary artery
Lingual artery
Maxillary artery
Occipital artery
Posterior auricular artery
Superior thyroid artery
N External Carotid Artery, Left
See M External Carotid Artery,
Right
P Vertebral Artery, Right
Anterior spinal artery
Posterior spinal artery
Q Vertebral Artery, Left
See P Vertebral Artery, Right
03C Continued on next page
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019 Upper Arteries 03C–03C

Upper Arteries
0 Medical and Surgical 03C Continued
3 Upper Arteries 03C
C Extirpation Definition: Taking or cutting out solid matter from a body part
Explanation: The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in
the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
G Intracranial Artery L Internal Carotid Artery, Left 3 Percutaneous Z No Device 6 Bifurcation
Anterior cerebral artery See K Internal Carotid Artery, 7 Stent Retriever
Anterior choroidal artery Right Z No Qualifier
Anterior communicating M External Carotid Artery, Right
artery Ascending pharyngeal artery
Basilar artery Internal maxillary artery
Circle of Willis Lingual artery
Internal carotid artery, Maxillary artery
intracranial portion Occipital artery
Middle cerebral artery Posterior auricular artery
Ophthalmic artery Superior thyroid artery
Posterior cerebral artery N External Carotid Artery, Left
Posterior communicating See M External Carotid Artery,
artery Right
Posterior inferior cerebellar P Vertebral Artery, Right
artery (PICA) Anterior spinal artery
H Common Carotid Artery, Posterior spinal artery
Right Q Vertebral Artery, Left
J Common Carotid Artery, Left See P Vertebral Artery, Right
K Internal Carotid Artery, Right
Caroticotympanic artery
Carotid sinus

03C–03C

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 197
 03H–03H
Upper Arteries
0 Medical and Surgical
3 Upper Arteries
H Insertion Definition: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically
take the place of a body part
Explanation: None
Body Part
Character 4
0 Internal Mammary Artery,
Right
Anterior intercostal artery
Internal thoracic artery
Musculophrenic artery
Pericardiophrenic artery
Superior epigastric artery
1 Internal Mammary Artery,
Left
See 0 Internal Mammary Artery,
Right
2 Innominate Artery
Brachiocephalic artery
Brachiocephalic trunk
3 Subclavian Artery, Right
Costocervical trunk
Dorsal scapular artery
Internal thoracic artery
4 Subclavian Artery, Left
See 3 Subclavian Artery, Right
5 Axillary Artery, Right
Anterior circumflex humeral
artery
Lateral thoracic artery
Posterior circumflex humeral
artery
Subscapular artery
Superior thoracic artery
Thoracoacromial artery
6 Axillary Artery, Left
See 5 Axillary Artery, Right
7 Brachial Artery, Right
Inferior ulnar collateral artery
Profunda brachii
Superior ulnar collateral artery
8 Brachial Artery, Left
See 7 Brachial Artery, Right
9 Ulnar Artery, Right
Anterior ulnar recurrent artery
Common interosseous artery
Posterior ulnar recurrent artery
A Ulnar Artery, Left
See 9 Ulnar Artery, Right
B Radial Artery, Right
Radial recurrent artery
C Radial Artery, Left
See B Radial Artery, Right
D Hand Artery, Right
Deep palmar arch
Princeps pollicis artery
Radialis indicis
Superficial palmar arch
F Hand Artery, Left
See D Hand Artery, Right
K Internal Carotid Artery, Right
Caroticotympanic artery
Carotid sinus
L Internal Carotid Artery, Left
See K Internal Carotid Artery, Right
Y Upper Artery
Aortic intercostal artery
Bronchial artery
Esophageal artery
Subcostal artery
Non-OR 03H[0,1,2,3,4,5,6,7,8,9,A,B,C,D,F,G,H,J,M,N,P,Q,R,S,T,U,V][0,3,4]3Z
Non-OR 03H[K,L][0,3,4]3Z
03H–03H
Non-OR 03HY[0,3,4]3Z
Non-OR 03HY32Z
Non-OR 03HY[3,4]YZ
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
198
Upper Arteries ICD-10-PCS 2019
03H
Approach Device Qualifier
Character 5 Character 6 Character 7
G Intracranial Artery 0 Open 3 Infusion Device Z No Qualifier
Anterior cerebral artery 3 Percutaneous D Intraluminal Device
Anterior choroidal artery 4 Percutaneous Endoscopic
Anterior communicating
artery
Basilar artery
Circle of Willis
Internal carotid artery,
intracranial portion
Middle cerebral artery
Ophthalmic artery
Posterior cerebral artery
Posterior communicating
artery
Posterior inferior cerebellar
artery (PICA)
H Common Carotid Artery,
Right
J Common Carotid Artery, Left
M External Carotid Artery, Right
Ascending pharyngeal artery
Internal maxillary artery
Lingual artery
Maxillary artery
Occipital artery
Posterior auricular artery
Superior thyroid artery
N External Carotid Artery, Left
See M External Carotid Artery,
Right
P Vertebral Artery, Right
Anterior spinal artery
Posterior spinal artery
Q Vertebral Artery, Left
See P Vertebral Artery, Right
R Face Artery
Angular artery
Ascending palatine artery
External maxillary artery
Facial artery
Inferior labial artery
Submental artery
Superior labial artery
S Temporal Artery, Right
Middle temporal artery
Superficial temporal artery
Transverse facial artery
T Temporal Artery, Left
See S Temporal Artery, Right
U Thyroid Artery, Right
Cricothyroid artery
Hyoid artery
Sternocleidomastoid artery
Superior laryngeal artery
Superior thyroid artery
Thyrocervical trunk
V Thyroid Artery, Left
See U Thyroid Artery, Right
0 Open 3 Infusion Device Z No Qualifier
3 Percutaneous D Intraluminal Device
4 Percutaneous Endoscope M Stimulator Lead
0 Open 2 Monitoring Device Z No Qualifier
3 Percutaneous 3 Infusion Device
4 Percutaneous Endoscopic D Intraluminal Device
Y Other Device
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019 Upper Arteries 03J–03J

Upper Arteries
0 Medical and Surgical
3 Upper Arteries 03J
J Inspection Definition: Visually and/or manually exploring a body part
Explanation: Visual exploration may be performed with or without optical instrumentation. Manual exploration may be performed directly or
through intervening body layers.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
Y Upper Artery 0 Open Z No Device Z No Qualifier
Aortic intercostal artery 3 Percutaneous
Bronchial artery 4 Percutaneous Endoscopic
Esophageal artery X External
Subcostal artery
Non-OR 03JY[3,4,X]ZZ

03J–03J

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 199
 03L–03L Upper Arteries ICD-10-PCS 2019
Upper Arteries

0 Medical and Surgical

3 Upper Arteries 03L
L Occlusion Definition: Completely closing an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Internal Mammary Artery, A Ulnar Artery, Left 0 Open C Extraluminal Device Z No Qualifier
Right See 9 Ulnar Artery, Right 3 Percutaneous D Intraluminal Device
Anterior intercostal artery B Radial Artery, Right 4 Percutaneous Endoscopic Z No Device
Internal thoracic artery Radial recurrent artery
Musculophrenic artery C Radial Artery, Left
Pericardiophrenic artery See B Radial Artery, Right
Superior epigastric artery D Hand Artery, Right
1 Internal Mammary Artery, Deep palmar arch
Left Princeps pollicis artery
See 0 Internal Mammary Artery, Radialis indicis
Left Superficial palmar arch
2 Innominate Artery F Hand Artery, Left
Brachiocephalic artery See D Hand Artery, Right
Brachiocephalic trunk R Face Artery
3 Subclavian Artery, Right Angular artery
Costocervical trunk Ascending palatine artery
Dorsal scapular artery External maxillary artery
Internal thoracic artery Facial artery
4 Subclavian Artery, Left Inferior labial artery
See 3 Subclavian Artery, Right Submental artery
5 Axillary Artery, Right Superior labial artery
Anterior circumflex humeral S Temporal Artery, Right
artery Middle temporal artery
Lateral thoracic artery Superficial temporal artery
Posterior circumflex humeral Transverse facial artery
artery T Temporal Artery, Left
Subscapular artery See S Temporal Artery, Right
Superior thoracic artery U Thyroid Artery, Right
Thoracoacromial artery Cricothyroid artery
6 Axillary Artery, Left Hyoid artery
See 5 Axillary Artery, Right Sternocleidomastoid artery
7 Brachial Artery, Right Superior laryngeal artery
Inferior ulnar collateral artery Superior thyroid artery
Profunda brachii Thyrocervical trunk
Superior ulnar collateral artery
V Thyroid Artery, Left
8 Brachial Artery, Left See U Thyroid Artery, Right
See 7 Brachial Artery, Right Y Upper Artery
9 Ulnar Artery, Right Aortic intercostal artery
Anterior ulnar recurrent artery Bronchial artery
Common interosseous artery Esophageal artery
Posterior ulnar recurrent artery Subcostal artery
G Intracranial Artery L Internal Carotid Artery, Left 0 Open B Intraluminal Device, Z No Qualifier
Anterior cerebral artery See K Internal Carotid Artery, 3 Percutaneous Bioactive
Anterior choroidal artery Right 4 Percutaneous Endoscopic C Extraluminal Device
Anterior communicating M External Carotid Artery, Right D Intraluminal Device
artery Ascending pharyngeal artery Z No Device
Basilar artery Internal maxillary artery
Circle of Willis Lingual artery
Internal carotid artery, Maxillary artery
intracranial portion Occipital artery
Middle cerebral artery Posterior auricular artery
Ophthalmic artery Superior thyroid artery
Posterior cerebral artery N External Carotid Artery, Left
Posterior communicating See M External Carotid Artery,
artery Right
Posterior inferior cerebellar P Vertebral Artery, Right
artery (PICA) Anterior spinal artery
H Common Carotid Artery, Posterior spinal artery
Right Q Vertebral Artery, Left
J Common Carotid Artery, Left See P Vertebral Artery, Right
K Internal Carotid Artery, Right
Caroticotympanic artery
Carotid sinus
03L–03L

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
200 ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
3 Upper Arteries
N Release Definition: Freeing a body part from an abnormal physical constraint by cutting or by the use of force
Explanation: Some of the restraining tissue may be taken out but none of the body part is taken out
Body Part
Character 4
0 Internal Mammary Artery,
Right
Anterior intercostal artery
Internal thoracic artery
Musculophrenic artery
Pericardiophrenic artery
Superior epigastric artery
1 Internal Mammary Artery,
Left
See 0 Internal Mammary
Artery, Right
2 Innominate Artery
Brachiocephalic artery
Brachiocephalic trunk
3 Subclavian Artery, Right
Costocervical trunk
Dorsal scapular artery
Internal thoracic artery
4 Subclavian Artery, Left
See 3 Subclavian Artery, Right
5 Axillary Artery, Right
Anterior circumflex humeral
artery
Lateral thoracic artery
Posterior circumflex humeral
artery
Subscapular artery
Superior thoracic artery
Thoracoacromial artery
6 Axillary Artery, Left
See 5 Axillary Artery, Right
7 Brachial Artery, Right
Inferior ulnar collateral artery
Profunda brachii
Superior ulnar collateral artery
8 Brachial Artery, Left
See 7 Brachial Artery, Right
9 Ulnar Artery, Right
Anterior ulnar recurrent artery
Common interosseous artery
Posterior ulnar recurrent
artery
A Ulnar Artery, Left
See 9 Ulnar Artery, Right
B Radial Artery, Right
Radial recurrent artery
C Radial Artery, Left
See B Radial Artery, Right
D Hand Artery, Right
Deep palmar arch
Princeps pollicis artery
Radialis indicis
Superficial palmar arch
F Hand Artery, Left
See D Hand Artery, Right
G Intracranial Artery
Anterior cerebral artery
Anterior choroidal artery
Anterior communicating
artery
Basilar artery
Circle of Willis
Internal carotid artery,
intracranial portion
Middle cerebral artery
Ophthalmic artery
Posterior cerebral artery
Posterior communicating
artery
Posterior inferior cerebellar
artery (PICA)
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Upper Arteries 03N–03N
Upper Arteries
03N
Approach Device Qualifier
Character 5 Character 6 Character 7
H Common Carotid Artery, 0 Open Z No Device Z No Qualifier
Right 3 Percutaneous
J Common Carotid Artery, Left 4 Percutaneous Endoscopic
K Internal Carotid Artery, Right
Caroticotympanic artery
Carotid sinus
L Internal Carotid Artery, Left
See K Internal Carotid Artery,
Right
M External Carotid Artery, Right
Ascending pharyngeal artery
Internal maxillary artery
Lingual artery
Maxillary artery
Occipital artery
Posterior auricular artery
Superior thyroid artery
N External Carotid Artery, Left
See M External Carotid Artery,
Right
P Vertebral Artery, Right
Anterior spinal artery
Posterior spinal artery
Q Vertebral Artery, Left
See P Vertebral Artery, Right
R Face Artery
Angular artery
Ascending palatine artery
External maxillary artery
Facial artery
Inferior labial artery
Submental artery
Superior labial artery
S Temporal Artery, Right
Middle temporal artery
Superficial temporal artery
Transverse facial artery
T Temporal Artery, Left
See S Temporal Artery, Right
U Thyroid Artery, Right
Cricothyroid artery
Hyoid artery
Sternocleidomastoid artery
Superior laryngeal artery
Superior thyroid artery
Thyrocervical trunk
V Thyroid Artery, Left
See U Thyroid Artery, Right
Y Upper Artery
Aortic intercostal artery
Bronchial artery
Esophageal artery
Subcostal artery
03N–03N
New/Revised in GREEN
201
 03P–03P Upper Arteries ICD-10-PCS 2019
Upper Arteries

0 Medical and Surgical

3 Upper Arteries 03P
P Removal Definition: Taking out or off a device from a body part
Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is
coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
Y Upper Artery 0 Open 0 Drainage Device Z No Qualifier
Aortic intercostal artery 3 Percutaneous 2 Monitoring Device
Bronchial artery 4 Percutaneous Endoscopic 3 Infusion Device
Esophageal artery 7 Autologous Tissue Substitute
Subcostal artery
C Extraluminal Device
D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
M Stimulator Lead
Y Other Device
Y Upper Artery X External 0 Drainage Device Z No Qualifier
Aortic intercostal artery 2 Monitoring Device
Bronchial artery 3 Infusion Device
Esophageal artery D Intraluminal Device
Subcostal artery
M Stimulator Lead
Non-OR 03PY3[0,2,3,D]Z
Non-OR 03PY[3,4]YZ
Non-OR 03PYX[0,2,3,D,M]Z
03P–03P

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
202 ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
3 Upper Arteries
Q Repair Definition: Restoring, to the extent possible, a body part to its normal anatomic structure and function
Explanation: Used only when the method to accomplish the repair is not one of the other root operations
Body Part
Character 4
0 Internal Mammary Artery,
Right
Anterior intercostal artery
Internal thoracic artery
Musculophrenic artery
Pericardiophrenic artery
Superior epigastric artery
1 Internal Mammary Artery,
Left
See 0 Internal Mammary
Artery, Right
2 Innominate Artery
Brachiocephalic artery
Brachiocephalic trunk
3 Subclavian Artery, Right
Costocervical trunk
Dorsal scapular artery
Internal thoracic artery
4 Subclavian Artery, Left
See 3 Subclavian Artery, Right
5 Axillary Artery, Right
Anterior circumflex humeral
artery
Lateral thoracic artery
Posterior circumflex humeral
artery
Subscapular artery
Superior thoracic artery
Thoracoacromial artery
6 Axillary Artery, Left
See 5 Axillary Artery, Right
7 Brachial Artery, Right
Inferior ulnar collateral artery
Profunda brachii
Superior ulnar collateral artery
8 Brachial Artery, Left
See 7 Brachial Artery, Right
9 Ulnar Artery, Right
Anterior ulnar recurrent artery
Common interosseous artery
Posterior ulnar recurrent
artery
A Ulnar Artery, Left
See 9 Ulnar Artery, Right
B Radial Artery, Right
Radial recurrent artery
C Radial Artery, Left
See B Radial Artery, Right
D Hand Artery, Right
Deep palmar arch
Princeps pollicis artery
Radialis indicis
Superficial palmar arch
F Hand Artery, Left
See D Hand Artery, Right
G Intracranial Artery
Anterior cerebral artery
Anterior choroidal artery
Anterior communicating
artery
Basilar artery
Circle of Willis
Internal carotid artery,
intracranial portion
Middle cerebral artery
Ophthalmic artery
Posterior cerebral artery
Posterior communicating
artery
Posterior inferior cerebellar
artery (PICA)
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Upper Arteries 03Q–03Q
Upper Arteries
03Q
Approach Device Qualifier
Character 5 Character 6 Character 7
H Common Carotid Artery, 0 Open Z No Device Z No Qualifier
Right 3 Percutaneous
J Common Carotid Artery, Left 4 Percutaneous Endoscopic
K Internal Carotid Artery, Right
Caroticotympanic artery
Carotid sinus
L Internal Carotid Artery, Left
See K Internal Carotid Artery,
Right
M External Carotid Artery, Right
Ascending pharyngeal artery
Internal maxillary artery
Lingual artery
Maxillary artery
Occipital artery
Posterior auricular artery
Superior thyroid artery
N External Carotid Artery, Left
See M External Carotid Artery,
Right
P Vertebral Artery, Right
Anterior spinal artery
Posterior spinal artery
Q Vertebral Artery, Left
See P Vertebral Artery, Right
R Face Artery
Angular artery
Ascending palatine artery
External maxillary artery
Facial artery
Inferior labial artery
Submental artery
Superior labial artery
S Temporal Artery, Right
Middle temporal artery
Superficial temporal artery
Transverse facial artery
T Temporal Artery, Left
See S Temporal Artery, Right
U Thyroid Artery, Right
Cricothyroid artery
Hyoid artery
Sternocleidomastoid artery
Superior laryngeal artery
Superior thyroid artery
Thyrocervical trunk
V Thyroid Artery, Left
See U Thyroid Artery, Right
Y Upper Artery
Aortic intercostal artery
Bronchial artery
Esophageal artery
Subcostal artery
03Q–03Q
New/Revised in GREEN
203
 03R–03R
Upper Arteries
0 Medical and Surgical
3 Upper Arteries
R Replacement Definition: Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part
Explanation: The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during
the REPLACEMENT procedure. A REMOVAL procedure is coded for taking out the device used in a previous replacement procedure.
Body Part
Character 4
0 Internal Mammary Artery,
Right
Anterior intercostal artery
Internal thoracic artery
Musculophrenic artery
Pericardiophrenic artery
Superior epigastric artery
1 Internal Mammary Artery,
Left
See 0 Internal Mammary
Artery, Right
2 Innominate Artery
Brachiocephalic artery
Brachiocephalic trunk
3 Subclavian Artery, Right
Costocervical trunk
Dorsal scapular artery
Internal thoracic artery
4 Subclavian Artery, Left
See 3 Subclavian Artery, Right
5 Axillary Artery, Right
Anterior circumflex humeral
artery
Lateral thoracic artery
Posterior circumflex humeral
artery
Subscapular artery
Superior thoracic artery
Thoracoacromial artery
6 Axillary Artery, Left
See 5 Axillary Artery, Right
7 Brachial Artery, Right
Inferior ulnar collateral artery
Profunda brachii
Superior ulnar collateral artery
8 Brachial Artery, Left
See 7 Brachial Artery, Right
9 Ulnar Artery, Right
Anterior ulnar recurrent artery
Common interosseous artery
Posterior ulnar recurrent
artery
A Ulnar Artery, Left
See 9 Ulnar Artery, Right
B Radial Artery, Right
Radial recurrent artery
C Radial Artery, Left
See B Radial Artery, Right
D Hand Artery, Right
Deep palmar arch
Princeps pollicis artery
Radialis indicis
Superficial palmar arch
F Hand Artery, Left
See D Hand Artery, Right
G Intracranial Artery
Anterior cerebral artery
Anterior choroidal artery
Anterior communicating
artery
Basilar artery
Circle of Willis
Internal carotid artery,
intracranial portion
Middle cerebral artery
Ophthalmic artery
Posterior cerebral artery
Posterior communicating artery
Posterior inferior cerebellar
artery (PICA)
03R–03R
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
204
Upper Arteries ICD-10-PCS 2019
03R
Approach Device Qualifier
Character 5 Character 6 Character 7
H Common Carotid Artery, 0 Open 7 Autologous Tissue Z No Qualifier
Right 4 Percutaneous Endoscopic Substitute
J Common Carotid Artery, Left J Synthetic Substitute
K Internal Carotid Artery, Right K Nonautologous Tissue
Caroticotympanic artery Substitute
Carotid sinus
L Internal Carotid Artery, Left
See K Internal Carotid Artery,
Right
M External Carotid Artery, Right
Ascending pharyngeal artery
Internal maxillary artery
Lingual artery
Maxillary artery
Occipital artery
Posterior auricular artery
Superior thyroid artery
N External Carotid Artery, Left
See M External Carotid Artery,
Right
P Vertebral Artery, Right
Anterior spinal artery
Posterior spinal artery
Q Vertebral Artery, Left
See P Vertebral Artery, Right
R Face Artery
Angular artery
Ascending palatine artery
External maxillary artery
Facial artery
Inferior labial artery
Submental artery
Superior labial artery
S Temporal Artery, Right
Middle temporal artery
Superficial temporal artery
Transverse facial artery
T Temporal Artery, Left
See S Temporal Artery, Right
U Thyroid Artery, Right
Cricothyroid artery
Hyoid artery
Sternocleidomastoid artery
Superior laryngeal artery
Superior thyroid artery
Thyrocervical trunk
V Thyroid Artery, Left
See U Thyroid Artery, Right
Y Upper Artery
Aortic intercostal artery
Bronchial artery
Esophageal artery
Subcostal artery
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
3 Upper Arteries
S Reposition Definition: Moving to its normal location, or other suitable location, all or a portion of a body part
Explanation: The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning
correctly. The body part may or may not be cut out or off to be moved to the new location.
Body Part
Character 4
0 Internal Mammary Artery,
Right
Anterior intercostal artery
Internal thoracic artery
Musculophrenic artery
Pericardiophrenic artery
Superior epigastric artery
1 Internal Mammary Artery,
Left
See 0 Internal Mammary
Artery, Right
2 Innominate Artery
Brachiocephalic artery
Brachiocephalic trunk
3 Subclavian Artery, Right
Costocervical trunk
Dorsal scapular artery
Internal thoracic artery
4 Subclavian Artery, Left
See 3 Subclavian Artery, Right
5 Axillary Artery, Right
Anterior circumflex humeral
artery
Lateral thoracic artery
Posterior circumflex humeral
artery
Subscapular artery
Superior thoracic artery
Thoracoacromial artery
6 Axillary Artery, Left
See 5 Axillary Artery, Right
7 Brachial Artery, Right
Inferior ulnar collateral artery
Profunda brachii
Superior ulnar collateral artery
8 Brachial Artery, Left
See 7 Brachial Artery, Right
9 Ulnar Artery, Right
Anterior ulnar recurrent artery
Common interosseous artery
Posterior ulnar recurrent
artery
A Ulnar Artery, Left
See 9 Ulnar Artery, Right
B Radial Artery, Right
Radial recurrent artery
C Radial Artery, Left
See B Radial Artery, Right
D Hand Artery, Right
Deep palmar arch
Princeps pollicis artery
Radialis indicis
Superficial palmar arch
F Hand Artery, Left
See D Hand Artery, Right
G Intracranial Artery
Anterior cerebral artery
Anterior choroidal artery
Anterior communicating
artery
Basilar artery
Circle of Willis
Internal carotid artery,
intracranial portion
Middle cerebral artery
Ophthalmic artery
Posterior cerebral artery
Posterior communicating artery
Posterior inferior cerebellar
artery (PICA)
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Upper Arteries 03S–03S
Upper Arteries
03S
Approach Device Qualifier
Character 5 Character 6 Character 7
H Common Carotid Artery, 0 Open Z No Device Z No Qualifier
Right 3 Percutaneous
J Common Carotid Artery, Left 4 Percutaneous Endoscopic
K Internal Carotid Artery, Right
Caroticotympanic artery
Carotid sinus
L Internal Carotid Artery, Left
See K Internal Carotid Artery,
Right
M External Carotid Artery, Right
Ascending pharyngeal artery
Internal maxillary artery
Lingual artery
Maxillary artery
Occipital artery
Posterior auricular artery
Superior thyroid artery
N External Carotid Artery, Left
See M External Carotid Artery,
Right
P Vertebral Artery, Right
Anterior spinal artery
Posterior spinal artery
Q Vertebral Artery, Left
See P Vertebral Artery, Right
R Face Artery
Angular artery
Ascending palatine artery
External maxillary artery
Facial artery
Inferior labial artery
Submental artery
Superior labial artery
S Temporal Artery, Right
Middle temporal artery
Superficial temporal artery
Transverse facial artery
T Temporal Artery, Left
See S Temporal Artery, Right
U Thyroid Artery, Right
Cricothyroid artery
Hyoid artery
Sternocleidomastoid artery
Superior laryngeal artery
Superior thyroid artery
Thyrocervical trunk
V Thyroid Artery, Left
See U Thyroid Artery, Right
Y Upper Artery
Aortic intercostal artery
Bronchial artery
Esophageal artery
Subcostal artery
03S–03S
New/Revised in GREEN
205
 03U–03U
Upper Arteries
0 Medical and Surgical
3 Upper Arteries
U Supplement Definition: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part
Explanation: The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced,
and the SUPPLEMENT procedure is performed to physically reinforce and/or augment the function of the replaced body part.
Body Part
Character 4
0 Internal Mammary Artery,
Right
Anterior intercostal artery
Internal thoracic artery
Musculophrenic artery
Pericardiophrenic artery
Superior epigastric artery
1 Internal Mammary Artery,
Left
See 0 Internal Mammary
Artery, Right
2 Innominate Artery
Brachiocephalic artery
Brachiocephalic trunk
3 Subclavian Artery, Right
Costocervical trunk
Dorsal scapular artery
Internal thoracic artery
4 Subclavian Artery, Left
See 3 Subclavian Artery, Right
5 Axillary Artery, Right
Anterior circumflex humeral
artery
Lateral thoracic artery
Posterior circumflex humeral
artery
Subscapular artery
Superior thoracic artery
Thoracoacromial artery
6 Axillary Artery, Left
See 5 Axillary Artery, Right
7 Brachial Artery, Right
Inferior ulnar collateral artery
Profunda brachii
Superior ulnar collateral artery
8 Brachial Artery, Left
See 7 Brachial Artery, Right
9 Ulnar Artery, Right
Anterior ulnar recurrent artery
Common interosseous artery
Posterior ulnar recurrent
artery
A Ulnar Artery, Left
See 9 Ulnar Artery, Right
B Radial Artery, Right
Radial recurrent artery
C Radial Artery, Left
See B Radial Artery, Right
D Hand Artery, Right
Deep palmar arch
Princeps pollicis artery
Radialis indicis
Superficial palmar arch
F Hand Artery, Left
See D Hand Artery, Right
G Intracranial Artery
Anterior cerebral artery
Anterior choroidal artery
Anterior communicating
artery
Basilar artery
Circle of Willis
Internal carotid artery,
intracranial portion
Middle cerebral artery
Ophthalmic artery
Posterior cerebral artery
Posterior communicating artery
Posterior inferior cerebellar
artery (PICA)
03U–03U
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
206
Upper Arteries ICD-10-PCS 2019
03U
Approach Device Qualifier
Character 5 Character 6 Character 7
H Common Carotid Artery, 0 Open 7 Autologous Tissue Z No Qualifier
Right 3 Percutaneous Substitute
J Common Carotid Artery, Left 4 Percutaneous Endoscopic J Synthetic Substitute
K Internal Carotid Artery, Right K Nonautologous Tissue
Caroticotympanic artery Substitute
Carotid sinus
L Internal Carotid Artery, Left
See K Internal Carotid Artery,
Right
M External Carotid Artery, Right
Ascending pharyngeal artery
Internal maxillary artery
Lingual artery
Maxillary artery
Occipital artery
Posterior auricular artery
Superior thyroid artery
N External Carotid Artery, Left
See M External Carotid Artery,
Right
P Vertebral Artery, Right
Anterior spinal artery
Posterior spinal artery
Q Vertebral Artery, Left
See P Vertebral Artery, Right
R Face Artery
Angular artery
Ascending palatine artery
External maxillary artery
Facial artery
Inferior labial artery
Submental artery
Superior labial artery
S Temporal Artery, Right
Middle temporal artery
Superficial temporal artery
Transverse facial artery
T Temporal Artery, Left
See S Temporal Artery, Right
U Thyroid Artery, Right
Cricothyroid artery
Hyoid artery
Sternocleidomastoid artery
Superior laryngeal artery
Superior thyroid artery
Thyrocervical trunk
V Thyroid Artery, Left
See U Thyroid Artery, Right
Y Upper Artery
Aortic intercostal artery
Bronchial artery
Esophageal artery
Subcostal artery
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
3 Upper Arteries
V Restriction Definition: Partially closing an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice
Body Part
Character 4
0 Internal Mammary Artery, Right
Anterior intercostal artery
Internal thoracic artery
Musculophrenic artery
Pericardiophrenic artery
Superior epigastric artery
1 Internal Mammary Artery, Left
See 0 Internal Mammary Artery,
Right
2 Innominate Artery
Brachiocephalic artery
Brachiocephalic trunk
3 Subclavian Artery, Right
Costocervical trunk
Dorsal scapular artery
Internal thoracic artery
4 Subclavian Artery, Left
See 3 Subclavian Artery, Right
5 Axillary Artery, Right
Anterior circumflex humeral artery
Lateral thoracic artery
Posterior circumflex humeral artery
Subscapular artery
Superior thoracic artery
Thoracoacromial artery
6 Axillary Artery, Left
See 5 Axillary Artery, Right
7 Brachial Artery, Right
Inferior ulnar collateral artery
Profunda brachii
Superior ulnar collateral artery
8 Brachial Artery, Left
See 7 Brachial Artery, Right
9 Ulnar Artery, Right
Anterior ulnar recurrent artery
Common interosseous artery
Posterior ulnar recurrent artery
A Ulnar Artery, Left
See 9 Ulnar Artery, Right
G Intracranial Artery
Anterior cerebral artery
Anterior choroidal artery
Anterior communicating artery
Basilar artery
Circle of Willis
Internal carotid artery,
intracranial portion
Middle cerebral artery
Ophthalmic artery
Posterior cerebral artery
Posterior communicating artery
Posterior inferior cerebellar artery
(PICA)
H Common Carotid Artery, Right
J Common Carotid Artery, Left
K Internal Carotid Artery, Right
Caroticotympanic artery
Carotid sinus
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Upper Arteries 03V–03V
Upper Arteries
03V
Approach Device Qualifier
Character 5 Character 6 Character 7
B Radial Artery, Right 0 Open C Extraluminal Device Z No Qualifier
Radial recurrent artery 3 Percutaneous D Intraluminal Device
C Radial Artery, Left 4 Percutaneous Z No Device
See B Radial Artery, Right Endoscopic
D Hand Artery, Right
Deep palmar arch
Princeps pollicis artery
Radialis indicis
Superficial palmar arch
F Hand Artery, Left
See D Hand Artery, Right
R Face Artery
Angular artery
Ascending palatine artery
External maxillary artery
Facial artery
Inferior labial artery
Submental artery
Superior labial artery
S Temporal Artery, Right
Middle temporal artery
Superficial temporal artery
Transverse facial artery
T Temporal Artery, Left
See S Temporal Artery, Right
U Thyroid Artery, Right
Cricothyroid artery
Hyoid artery
Sternocleidomastoid artery
Superior laryngeal artery
Superior thyroid artery
Thyrocervical trunk
V Thyroid Artery, Left
See U Thyroid Artery, Right
Y Upper Artery
Aortic intercostal artery
Bronchial artery
Esophageal artery
Subcostal artery
L Internal Carotid Artery, Left 0 Open B Intraluminal Device, Z No Qualifier
See K Internal Carotid Artery, Right 3 Percutaneous Bioactive
M External Carotid Artery, Right 4 Percutaneous C Extraluminal Device
Ascending pharyngeal artery Endoscopic D Intraluminal Device
Internal maxillary artery Z No Device
Lingual artery
Maxillary artery
Occipital artery
Posterior auricular artery
Superior thyroid artery
N External Carotid Artery, Left
See M External Carotid Artery, Right
P Vertebral Artery, Right
Anterior spinal artery
Posterior spinal artery
Q Vertebral Artery, Left
See P Vertebral Artery, Right
03V–03V
New/Revised in GREEN
207
 03W–03W Upper Arteries ICD-10-PCS 2019
Upper Arteries

0 Medical and Surgical

3 Upper Arteries 03W
W Revision Definition: Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device
Explanation: Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as
a screw or pin
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
Y Upper Artery 0 Open 0 Drainage Device Z No Qualifier
Aortic intercostal artery 3 Percutaneous 2 Monitoring Device
Bronchial artery 4 Percutaneous Endoscopic 3 Infusion Device
Esophageal artery 7 Autologous Tissue Substitute
Subcostal artery
C Extraluminal Device
D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
M Stimulator Lead
Y Other Device
Y Upper Artery X External 0 Drainage Device Z No Qualifier
Aortic intercostal artery 2 Monitoring Device
Bronchial artery 3 Infusion Device
Esophageal artery 7 Autologous Tissue Substitute
Subcostal artery
C Extraluminal Device
D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
M Stimulator Lead
Non-OR 03WY3[0,2,3,D]Z
Non-OR 03WY[3,4]YZ
Non-OR 03WYX[0,2,3,7,C,D,J,K,M]Z
03W–03W

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
208 ICD-10-PCS 2019
ICD-10-PCS 2019 Lower Arteries

Lower Arteries
Lower Arteries 041–04W
Character Meanings
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.

Operation–Character 3 Body Part–Character 4 Approach–Character 5 Device–Character 6 Qualifier–Character 7

1 Bypass 0 Abdominal Aorta 0 Open 0 Drainage Device 0 Abdominal Aorta
5 Destruction 1 Celiac Artery 3 Percutaneous 1 Radioactive Element 1 Celiac Artery
OR
Drug-Coated Balloon
7 Dilation 2 Gastric Artery 4 Percutaneous Endoscopic 2 Monitoring Device 2 Mesenteric Artery
9 Drainage 3 Hepatic Artery X External 3 Infusion Device 3 Renal Artery, Right
B Excision 4 Splenic Artery 4 Intraluminal Device, Drug- 4 Renal Artery, Left
eluting
C Extirpation 5 Superior Mesenteric Artery 5 Intraluminal Device, Drug- 5 Renal Artery, Bilateral
eluting, Two

H Insertion 6 Colic Artery, Right 6 Intraluminal Device, Drug- 6 Common Iliac Artery, Right
eluting, Three OR
Bifurcation
J Inspection 7 Colic Artery, Left 7 Intraluminal Device, Drug- 7 Common Iliac Artery, Left
eluting, Four or More
OR
Autologous Tissue
Substitute
L Occlusion 8 Colic Artery, Middle 9 Autologous Venous Tissue 8 Common Iliac Arteries,
Bilateral
N Release 9 Renal Artery, Right A Autologous Arterial Tissue 9 Internal Iliac Artery, Right
P Removal A Renal Artery, Left C Extraluminal Device B Internal Iliac Artery, Left
Q Repair B Inferior Mesenteric Artery D Intraluminal Device C Internal Iliac Arteries, Bilateral
R Replacement C Common Iliac Artery, Right E Intraluminal Device, Two D External Iliac Artery, Right
OR
Intraluminal Device,
Branched or Fenestrated,
One or Two Arteries
S Reposition D Common Iliac Artery, Left F Intraluminal Device, Three F External Iliac Artery, Left
OR
Intraluminal Device,
Branched or Fenestrated,
Three or More Arteries
U Supplement E Internal Iliac Artery, Right G Intraluminal Device, Four or G External Iliac Arteries,
More Bilateral
V Restriction F Internal Iliac Artery, Left J Synthetic Substitute H Femoral Artery, Right
W Revision H External Iliac Artery, Right K Nonautologous Tissue J Femoral Artery, Left
Substitute OR
Temporary
J External Iliac Artery, Left Y Other Device K Femoral Arteries, Bilateral
K Femoral Artery, Right Z No Device L Popliteal Artery
L Femoral Artery, Left M Peroneal Artery
M Popliteal Artery, Right N Posterior Tibial Artery
N Popliteal Artery, Left P Foot Artery
P Anterior Tibial Artery, Right Q Lower Extremity Artery
Q Anterior Tibial Artery, Left R Lower Artery
R Posterior Tibial Artery, Right S Lower Extremity Vein
S Posterior Tibial Artery, Left T Uterine Artery, Right
T Peroneal Artery, Right U Uterine Artery, Left
U Peroneal Artery, Left X Diagnostic
V Foot Artery, Right Z No Qualifier
W Foot Artery, Left
Y Lower Artery

ICD-10-PCS 2019 209

 Lower Arteries ICD-10-PCS 2019
Lower Arteries

AHA Coding Clinic for table 041 AHA Coding Clinic for table 04N
2017, 4Q, 46-47 New and revised body part values - Bypass hepatic artery to renal artery 2015, 2Q, 28 Release and replacement of celiac artery
2017, 3Q, 5 Femoral artery to posterior tibial artery bypass using autologous and synthetic AHA Coding Clinic for table 04Q
grafts
2014, 1Q, 21 Repair of femoral artery pseudoaneurysm
2017, 3Q, 16 Abdominal aortic debranching with bypass of external iliac artery to bilateral
renal arteries and superior mesenteric artery AHA Coding Clinic for table 04R
2017, 1Q, 32 Peroneal artery to dorsalis pedis artery bypass using saphenous vein graft 2015, 2Q, 28 Release and replacement of celiac artery
2016, 2Q, 18 Femoral-tibial artery bypass and saphenous vein graft AHA Coding Clinic for table 04U
2015, 3Q, 28 Bilateral renal artery bypass 2016, 2Q, 18 Femoral-tibial artery bypass and saphenous vein graft
AHA Coding Clinic for table 047 2016, 1Q, 31 Iliofemoral endarterectomy with patch repair
2018, 2Q, 24 Coronary artery bifurcation 2014, 4Q, 37 Bovine patch arterioplasty
2016, 4Q, 86 Peripheral artery, number of stents 2014, 1Q, 22 Repair of pseudoaneurysm of femoral-popliteal bypass graft
2016, 4Q, 86-88 Coronary and peripheral artery bifurcation AHA Coding Clinic for table 04V
2016, 3Q, 39 Infrarenal abdominal aortic aneurysm repair with iliac graft extension 2018, 2Q, 24 Coronary artery bifurcation
2015, 4Q, 4-7, 15 Drug-coated balloon angioplasty in peripheral vessels 2016, 4Q, 86-87 Coronary and peripheral artery bifurcation
2015, 3Q, 9 Aborted endovascular stenting of superficial femoral artery 2016, 4Q, 89-93 Branched and fenestrated endograft repair of aneurysms
AHA Coding Clinic for table 04C 2016, 3Q, 39 Infrarenal abdominal aortic aneurysm repair with iliac graft
2018, 2Q, 24 Coronary artery bifurcation extension
2017, 2Q, 23 Thrombectomy via Fogarty catheter 2014, 1Q, 9 Endovascular repair of abdominal aortic aneurysm
2016, 4Q, 86-88 Coronary and peripheral artery bifurcation AHA Coding Clinic for table 04W
2016, 1Q, 31 Iliofemoral endarterectomy with patch repair 2015, 1Q, 36 Revision of femoropopliteal bypass graft
2015, 1Q, 29 Discontinued carotid endarterectomy 2014, 1Q, 9 Endovascular repair of endoleak
2015, 1Q, 36 Percutaneous mechanical thrombectomy of femoropopliteal bypass graft 2014, 1Q, 22 Repair of pseudoaneurysm of femoral-popliteal bypass graft
AHA Coding Clinic for table 04H
2017, 1Q, 30 Insertion of umbilical artery catheter
AHA Coding Clinic for table 04L
2018, 2Q, 18 Transverse rectus abdominis myocutaneous (TRAM) delay
2017, 4Q, 31 Resuscitative endovascular balloon occlusion of the aorta
2015, 2Q, 27 Uterine artery embolization using Gelfoam
2014, 3Q, 26 Coil embolization of gastroduodenal artery with chemoembolization of
hepatic artery
2014, 1Q, 24 Endovascular embolization for gastrointestinal bleeding

210 ICD-10-PCS 2019

ICD-10-PCS 2019 Lower Arteries

Lower Arteries
Lower Arteries

Common hepatic 3 L. gastric 2

Celiac trunk (artery) 1 Splenic 4
R. gastric 2 Renal 9, A
Superior mesenteric 5

R. colic 6 Abdominal aorta 0

L. colic 7
Inferior mesenteric B
Common iliac C, D
Internal iliac E, F
External iliac H, J
Uterine E, F

Femoral K, L

Popliteal M, N

Anterior tibial P, Q
Peroneal T, U

Posterior tibial R, S

Arcuate V, W

ICD-10-PCS 2019 211

 041–041 Lower Arteries ICD-10-PCS 2019
Lower Arteries

0 Medical and Surgical

4 Lower Arteries
1 Bypass Definition: Altering the route of passage of the contents of a tubular body part
Explanation: Rerouting contents of a body part to a downstream area of the normal route, to a similar route and body part, or to an abnormal
route and dissimilar body part. Includes one or more anastomoses, with or without the use of a device.
Body Part
Character 4
0 Abdominal Aorta
Inferior phrenic artery
Lumbar artery
Median sacral artery
Middle suprarenal artery
Ovarian artery
Testicular artery
C Common Iliac Artery, Right
D Common Iliac Artery, Left
3 Hepatic Artery
Common hepatic artery
Gastroduodenal artery
Hepatic artery proper
E Internal Iliac Artery, Right
Deferential artery
Hypogastric artery
Iliolumbar artery
Inferior gluteal artery
Inferior vesical artery
Internal pudendal artery
Lateral sacral artery
Middle rectal artery
Obturator artery
Superior gluteal artery
Umbilical artery
Uterine artery
Vaginal artery
K Femoral Artery, Right
Circumflex iliac artery
Deep femoral artery
Descending genicular
artery
External pudendal artery
Superficial epigastric
artery
K Femoral Artery, Right
Circumflex iliac artery
Deep femoral artery
Descending genicular
artery
External pudendal artery
Superficial epigastric
artery
M Popliteal Artery, Right
Inferior genicular artery
Middle genicular artery
Superior genicular artery
Sural artery
041–041
Approach Device
Character 5 Character 6
0 Open 9 Autologous Venous Tissue
4 Percutaneous Endoscopic A Autologous Arterial Tissue
J Synthetic Substitute
K Nonautologous Tissue
Substitute
Z No Device
4 Splenic Artery 0 Open 9 Autologous Venous Tissue
Left gastroepiploic artery 4 Percutaneous Endoscopic A Autologous Arterial Tissue
Pancreatic artery J Synthetic Substitute
Short gastric artery K Nonautologous Tissue
Substitute
Z No Device
F Internal Iliac Artery, Left 0 Open 9 Autologous Venous Tissue
See E Internal Iliac Artery, 4 Percutaneous Endoscopic A Autologous Arterial Tissue
Right J Synthetic Substitute
H External Iliac Artery, K Nonautologous Tissue
Right Substitute
Deep circumflex iliac Z No Device
artery
Inferior epigastric artery
J External Iliac Artery, Left
See H External Iliac Artery,
Right
L Femoral Artery, Left 0 Open 9 Autologous Venous Tissue
See K Femoral Artery, Right 4 Percutaneous Endoscopic A Autologous Arterial Tissue
J Synthetic Substitute
K Nonautologous Tissue
Substitute
Z No Device
L Femoral Artery, Left 3 Percutaneous J Synthetic Substitute
See K Femoral Artery, Right
N Popliteal Artery, Left 0 Open 9 Autologous Venous Tissue
See M Popliteal Artery, 4 Percutaneous Endoscopic A Autologous Arterial Tissue
Right J Synthetic Substitute
K Nonautologous Tissue
Substitute
Z No Device
041 Continued on next page
041
Qualifier
Character 7
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 Renal Artery, Right
4 Renal Artery, Left
5 Renal Artery, 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
P Foot Artery
Q Lower Extremity Artery
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
Q Lower Extremity Artery
S Lower Extremity Vein
L Popliteal Artery
M Peroneal Artery
P Foot Artery
Q Lower Extremity Artery
S Lower Extremity Vein

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
212 ICD-10-PCS 2019
ICD-10-PCS 2019 Lower Arteries 041–041

Lower Arteries
0 Medical and Surgical 041 Continued
4 Lower Arteries 041
1 Bypass Definition: Altering the route of passage of the contents of a tubular body part
Explanation: Rerouting contents of a body part to a downstream area of the normal route, to a similar route and body part, or to an abnormal
route and dissimilar body part. Includes one or more anastomoses, with or without the use of a device.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
M Popliteal Artery, Right N Popliteal Artery, Left 3 Percutaneous J Synthetic Substitute Q Lower Extremity Artery
Inferior genicular artery See M Popliteal Artery, S Lower Extremity Vein
Middle genicular artery Right
Superior genicular artery
Sural artery
P Anterior Tibial Artery, Q Anterior Tibial Artery, 0 Open J Synthetic Substitute Q Lower Extremity Artery
Right Left 3 Percutaneous S Lower Extremity Vein
Anterior lateral malleolar See P Anterior Tibial Artery, 4 Percutaneous Endoscopic
artery Right
Anterior medial malleolar R Posterior Tibial Artery,
artery Right
Anterior tibial recurrent S Posterior Tibial Artery,
artery Left
Dorsalis pedis artery
Posterior tibial recurrent
artery
T Peroneal Artery, Right V Foot Artery, Right 0 Open 9 Autologous Venous Tissue P Foot Artery
Fibular artery Arcuate artery 4 Percutaneous Endoscopic A Autologous Arterial Tissue Q Lower Extremity Artery
U Peroneal Artery, Left Dorsal metatarsal artery J Synthetic Substitute S Lower Extremity Vein
See T Peroneal Artery, Right Lateral plantar artery K Nonautologous Tissue
Lateral tarsal artery Substitute
Medial plantar artery
Z No Device
W Foot Artery, Left
See V Foot Artery, Right
T Peroneal Artery, Right V Foot Artery, Right 3 Percutaneous J Synthetic Substitute Q Lower Extremity Artery
Fibular artery Arcuate artery S Lower Extremity Vein
U Peroneal Artery, Left Dorsal metatarsal artery
See T Peroneal Artery, Right Lateral plantar artery
Lateral tarsal artery
Medial plantar artery
W Foot Artery, Left
See V Foot Artery, Right

041–041

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 213
 045–045
Lower Arteries
0 Medical and Surgical
4 Lower Arteries
5 Destruction Definition: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent
Explanation: None of the body part is physically taken out
Body Part
Character 4
0 Abdominal Aorta
Inferior phrenic artery
Lumbar artery
Median sacral artery
Middle suprarenal artery
Ovarian artery
Testicular artery
1 Celiac Artery
Celiac trunk
2 Gastric Artery
Left gastric artery
Right gastric artery
3 Hepatic Artery
Common hepatic artery
Gastroduodenal artery
Hepatic artery proper
4 Splenic Artery
Left gastroepiploic artery
Pancreatic artery
Short gastric artery
5 Superior Mesenteric Artery
Ileal artery
Ileocolic artery
Inferior pancreaticoduodenal
artery
Jejunal artery
6 Colic Artery, Right
7 Colic Artery, Left
8 Colic Artery, Middle
9 Renal Artery, Right
Inferior suprarenal artery
Renal segmental artery
A Renal Artery, Left
See 9 Renal Artery, Right
B Inferior Mesenteric Artery
Sigmoid artery
Superior rectal artery
C Common Iliac Artery, Right
D Common Iliac Artery, Left
E Internal Iliac Artery, Right
Deferential artery
Hypogastric artery
Iliolumbar artery
Inferior gluteal artery
Inferior vesical artery
Internal pudendal artery
Lateral sacral artery
Middle rectal artery
Obturator artery
Superior gluteal artery
Umbilical artery
Uterine artery
Vaginal artery
045–045
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
214
Lower Arteries ICD-10-PCS 2019
045
Approach Device Qualifier
Character 5 Character 6 Character 7
F Internal Iliac Artery, Left 0 Open Z No Device Z No Qualifier
See E Internal Iliac Artery, Right 3 Percutaneous
H External Iliac Artery, Right 4 Percutaneous Endoscopic
Deep circumflex iliac artery
Inferior epigastric artery
J External Iliac Artery, Left
See H External Iliac Artery, Right
K Femoral Artery, Right
Circumflex iliac artery
Deep femoral artery
Descending genicular artery
External pudendal artery
Superficial epigastric artery
L Femoral Artery, Left
See K Femoral Artery, Right
M Popliteal Artery, Right
Inferior genicular artery
Middle genicular artery
Superior genicular artery
Sural artery
N Popliteal Artery, Left
See M Popliteal Artery, Right
P Anterior Tibial Artery, Right
Anterior lateral malleolar
artery
Anterior medial malleolar
artery
Anterior tibial recurrent artery
Dorsalis pedis artery
Posterior tibial recurrent artery
Q Anterior Tibial Artery, Left
See P Anterior Tibial Artery,
Right
R Posterior Tibial Artery, Right
S Posterior Tibial Artery, Left
T Peroneal Artery, Right
Fibular artery
U Peroneal Artery, Left
See T Peroneal Artery, Right
V Foot Artery, Right
Arcuate artery
Dorsal metatarsal artery
Lateral plantar artery
Lateral tarsal artery
Medial plantar artery
W Foot Artery, Left
See V Foot Artery, Right
Y Lower Artery
Umbilical artery
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
4 Lower Arteries
7 Dilation Definition: Expanding an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice. Accomplished by stretching a tubular body part using
intraluminal pressure or by cutting part of the orifice or wall of the tubular body part.
Body Part
Character 4
0 Abdominal Aorta
Inferior phrenic artery
Lumbar artery
Median sacral artery
Middle suprarenal artery
Ovarian artery
Testicular artery
1 Celiac Artery
Celiac trunk
2 Gastric Artery
Left gastric artery
Right gastric artery
3 Hepatic Artery
Common hepatic artery
Gastroduodenal artery
Hepatic artery proper
4 Splenic Artery
Left gastroepiploic artery
Pancreatic artery
Short gastric artery
5 Superior Mesenteric Artery
Ileal artery
Ileocolic artery
Inferior pancreaticoduodenal
artery
Jejunal artery
6 Colic Artery, Right
7 Colic Artery, Left
8 Colic Artery, Middle
9 Renal Artery, Right
Inferior suprarenal artery
Renal segmental artery
A Renal Artery, Left
See 9 Renal Artery, Right
B Inferior Mesenteric Artery
Sigmoid artery
Superior rectal artery
C Common Iliac Artery, Right
D Common Iliac Artery, Left
E Internal Iliac Artery, Right
Deferential artery
Hypogastric artery
Iliolumbar artery
Inferior gluteal artery
Inferior vesical artery
Internal pudendal artery
Lateral sacral artery
Middle rectal artery
Obturator artery
Superior gluteal artery
Umbilical artery
Uterine artery
Vaginal artery
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Lower Arteries 047–047
Lower Arteries
047
Approach Device Qualifier
Character 5 Character 6 Character 7
F Internal Iliac Artery, Left 0 Open 4 Intraluminal Device, 1 Drug-Coated Balloon
See E Internal Iliac Artery, Right 3 Percutaneous Drug-eluting 6 Bifurcation
H External Iliac Artery, Right 4 Percutaneous Endoscopic D Intraluminal Device Z No Qualifier
Deep circumflex iliac artery Z No Device
Inferior epigastric artery
J External Iliac Artery, Left
See H External Iliac Artery, Right
K Femoral Artery, Right
Circumflex iliac artery
Deep femoral artery
Descending genicular artery
External pudendal artery
Superficial epigastric artery
L Femoral Artery, Left
See K Femoral Artery, Right
M Popliteal Artery, Right
Inferior genicular artery
Middle genicular artery
Superior genicular artery
Sural artery
N Popliteal Artery, Left
See M Popliteal Artery, Right
P Anterior Tibial Artery, Right
Anterior lateral malleolar
artery
Anterior medial malleolar
artery
Anterior tibial recurrent artery
Dorsalis pedis artery
Posterior tibial recurrent artery
Q Anterior Tibial Artery, Left
See P Anterior Tibial Artery,
Right
R Posterior Tibial Artery, Right
S Posterior Tibial Artery, Left
T Peroneal Artery, Right
Fibular artery
U Peroneal Artery, Left
See T Peroneal Artery, Right
V Foot Artery, Right
Arcuate artery
Dorsal metatarsal artery
Lateral plantar artery
Lateral tarsal artery
Medial plantar artery
W Foot Artery, Left
See V Foot Artery, Right
Y Lower Artery
Umbilical artery
047 Continued on next page
047–047
New/Revised in GREEN
215
 047–047
Lower Arteries
0 Medical and Surgical
4 Lower Arteries
7 Dilation Definition: Expanding an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice. Accomplished by stretching a tubular body part using
intraluminal pressure or by cutting part of the orifice or wall of the tubular body part.
Body Part
Character 4
0 Abdominal Aorta
Inferior phrenic artery
Lumbar artery
Median sacral artery
Middle suprarenal artery
Ovarian artery
Testicular artery
1 Celiac Artery
Celiac trunk
2 Gastric Artery
Left gastric artery
Right gastric artery
3 Hepatic Artery
Common hepatic artery
Gastroduodenal artery
Hepatic artery proper
4 Splenic Artery
Left gastroepiploic artery
Pancreatic artery
Short gastric artery
5 Superior Mesenteric Artery
Ileal artery
Ileocolic artery
Inferior pancreaticoduodenal
artery
Jejunal artery
6 Colic Artery, Right
7 Colic Artery, Left
8 Colic Artery, Middle
9 Renal Artery, Right
Inferior suprarenal artery
Renal segmental artery
A Renal Artery, Left
See 9 Renal Artery, Right
B Inferior Mesenteric Artery
Sigmoid artery
Superior rectal artery
C Common Iliac Artery, Right
D Common Iliac Artery, Left
E Internal Iliac Artery, Right
Deferential artery
Hypogastric artery
Iliolumbar artery
Inferior gluteal artery
Inferior vesical artery
Internal pudendal artery
Lateral sacral artery
Middle rectal artery
Obturator artery
Superior gluteal artery
Umbilical artery
Uterine artery
Vaginal artery
047–047
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
216
Lower Arteries ICD-10-PCS 2019
047 Continued
047
Approach Device Qualifier
Character 5 Character 6 Character 7
F Internal Iliac Artery, Left 0 Open 5 Intraluminal Device, Drug- 6 Bifurcation
See E Internal Iliac Artery, Right 3 Percutaneous eluting, Two Z No Qualifier
H External Iliac Artery, Right 4 Percutaneous Endoscopic 6 Intraluminal Device, Drug-
Deep circumflex iliac artery eluting, Three
Inferior epigastric artery 7 Intraluminal Device, Drug-
J External Iliac Artery, Left eluting, Four or More
See H External Iliac Artery, Right E Intraluminal Device, Two
K Femoral Artery, Right F Intraluminal Device, Three
Circumflex iliac artery G Intraluminal Device, Four
Deep femoral artery or More
Descending genicular artery
External pudendal artery
Superficial epigastric artery
L Femoral Artery, Left
See K Femoral Artery, Right
M Popliteal Artery, Right
Inferior genicular artery
Middle genicular artery
Superior genicular artery
Sural artery
N Popliteal Artery, Left
See M Popliteal Artery, Right
P Anterior Tibial Artery, Right
Anterior lateral malleolar
artery
Anterior medial malleolar
artery
Anterior tibial recurrent artery
Dorsalis pedis artery
Posterior tibial recurrent artery
Q Anterior Tibial Artery, Left
See P Anterior Tibial Artery,
Right
R Posterior Tibial Artery, Right
S Posterior Tibial Artery, Left
T Peroneal Artery, Right
Fibular artery
U Peroneal Artery, Left
See T Peroneal Artery, Right
V Foot Artery, Right
Arcuate artery
Dorsal metatarsal artery
Lateral plantar artery
Lateral tarsal artery
Medial plantar artery
W Foot Artery, Left
See V Foot Artery, Right
Y Lower Artery
Umbilical artery
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
4 Lower Arteries
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part
Character 4
0 Abdominal Aorta
Inferior phrenic artery
Lumbar artery
Median sacral artery
Middle suprarenal artery
Ovarian artery
Testicular artery
1 Celiac Artery
Celiac trunk
2 Gastric Artery
Left gastric artery
Right gastric artery
3 Hepatic Artery
Common hepatic artery
Gastroduodenal artery
Hepatic artery proper
4 Splenic Artery
Left gastroepiploic artery
Pancreatic artery
Short gastric artery
5 Superior Mesenteric Artery
Ileal artery
Ileocolic artery
Inferior pancreaticoduodenal
artery
Jejunal artery
6 Colic Artery, Right
7 Colic Artery, Left
8 Colic Artery, Middle
9 Renal Artery, Right
Inferior suprarenal artery
Renal segmental artery
A Renal Artery, Left
See 9 Renal Artery, Right
B Inferior Mesenteric Artery
Sigmoid artery
Superior rectal artery
C Common Iliac Artery, Right
D Common Iliac Artery, Left
E Internal Iliac Artery, Right
Deferential artery
Hypogastric artery
Iliolumbar artery
Inferior gluteal artery
Inferior vesical artery
Internal pudendal artery
Lateral sacral artery
Middle rectal artery
Obturator artery
Superior gluteal artery
Umbilical artery
Uterine artery
Vaginal artery
Non-OR 049[0,1,2,3,4,5,6,7,8,9,A,B,C,D,E,F,H,J,K,L,M,N,P,Q,R,S,T,U,V,W,Y][0,3,4]0Z
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Lower Arteries 049–049
Lower Arteries
049
Approach Device Qualifier
Character 5 Character 6 Character 7
F Internal Iliac Artery, Left 0 Open 0 Drainage Device Z No Qualifier
See E Internal Iliac Artery, Right 3 Percutaneous
H External Iliac Artery, Right 4 Percutaneous Endoscopic
Deep circumflex iliac artery
Inferior epigastric artery
J External Iliac Artery, Left
See H External Iliac Artery, Right
K Femoral Artery, Right
Circumflex iliac artery
Deep femoral artery
Descending genicular artery
External pudendal artery
Superficial epigastric artery
L Femoral Artery, Left
See K Femoral Artery, Right
M Popliteal Artery, Right
Inferior genicular artery
Middle genicular artery
Superior genicular artery
Sural artery
N Popliteal Artery, Left
See M Popliteal Artery, Right
P Anterior Tibial Artery, Right
Anterior lateral malleolar
artery
Anterior medial malleolar
artery
Anterior tibial recurrent artery
Dorsalis pedis artery
Posterior tibial recurrent artery
Q Anterior Tibial Artery, Left
See P Anterior Tibial Artery,
Right
R Posterior Tibial Artery, Right
S Posterior Tibial Artery, Left
T Peroneal Artery, Right
Fibular artery
U Peroneal Artery, Left
See T Peroneal Artery, Right
V Foot Artery, Right
Arcuate artery
Dorsal metatarsal artery
Lateral plantar artery
Lateral tarsal artery
Medial plantar artery
W Foot Artery, Left
See V Foot Artery, Right
Y Lower Artery
Umbilical artery
049 Continued on next page
049–049
New/Revised in GREEN
217
 049–049 Lower Arteries ICD-10-PCS 2019
Lower Arteries

0 Medical and Surgical 049 Continued

4 Lower Arteries
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part
Character 4
0 Abdominal Aorta
Inferior phrenic artery
Lumbar artery
Median sacral artery
Middle suprarenal artery
Ovarian artery
Testicular artery
1 Celiac Artery
Celiac trunk
2 Gastric Artery
Left gastric artery
Right gastric artery
3 Hepatic Artery
Common hepatic artery
Gastroduodenal artery
Hepatic artery proper
4 Splenic Artery
Left gastroepiploic artery
Pancreatic artery
Short gastric artery
5 Superior Mesenteric Artery
Ileal artery
Ileocolic artery
Inferior pancreaticoduodenal
artery
Jejunal artery
6 Colic Artery, Right
7 Colic Artery, Left
8 Colic Artery, Middle
9 Renal Artery, Right
Inferior suprarenal artery
Renal segmental artery
A Renal Artery, Left
See 9 Renal Artery, Right
B Inferior Mesenteric Artery
Sigmoid artery
Superior rectal artery
C Common Iliac Artery, Right
D Common Iliac Artery, Left
E Internal Iliac Artery, Right
Deferential artery
Hypogastric artery
Iliolumbar artery
Inferior gluteal artery
Inferior vesical artery
Internal pudendal artery
Lateral sacral artery
Middle rectal artery
Obturator artery
Superior gluteal artery
Umbilical artery
Uterine artery
Vaginal artery
Non-OR 049[0,1,2,3,4,5,6,7,8,9,A,B,C,D,E,F,H,J,K,L,M,N,P,Q,R,S,T,U,V,W,Y]3ZX
Non-OR 049[0,1,2,3,4,5,6,7,8,9,A,B,C,D,E,F,H,J,K,L,M,N,P,Q,R,S,T,U,V,W,Y][0,3,4]ZZ
049–049
049
Approach Device Qualifier
Character 5 Character 6 Character 7
F Internal Iliac Artery, Left 0 Open Z No Device X Diagnostic
See E Internal Iliac Artery, Right 3 Percutaneous Z No Qualifier
H External Iliac Artery, Right 4 Percutaneous Endoscopic
Deep circumflex iliac artery
Inferior epigastric artery
J External Iliac Artery, Left
See H External Iliac Artery, Right
K Femoral Artery, Right
Circumflex iliac artery
Deep femoral artery
Descending genicular artery
External pudendal artery
Superficial epigastric artery
L Femoral Artery, Left
See K Femoral Artery, Right
M Popliteal Artery, Right
Inferior genicular artery
Middle genicular artery
Superior genicular artery
Sural artery
N Popliteal Artery, Left
See M Popliteal Artery, Right
P Anterior Tibial Artery, Right
Anterior lateral malleolar
artery
Anterior medial malleolar
artery
Anterior tibial recurrent artery
Dorsalis pedis artery
Posterior tibial recurrent artery
Q Anterior Tibial Artery, Left
See P Anterior Tibial Artery,
Right
R Posterior Tibial Artery, Right
S Posterior Tibial Artery, Left
T Peroneal Artery, Right
Fibular artery
U Peroneal Artery, Left
See T Peroneal Artery, Right
V Foot Artery, Right
Arcuate artery
Dorsal metatarsal artery
Lateral plantar artery
Lateral tarsal artery
Medial plantar artery
W Foot Artery, Left
See V Foot Artery, Right
Y Lower Artery
Umbilical artery

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
218 ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
4 Lower Arteries
B Excision Definition: Cutting out or off, without replacement, a portion of a body part
Explanation: The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies
Body Part
Character 4
0 Abdominal Aorta
Inferior phrenic artery
Lumbar artery
Median sacral artery
Middle suprarenal artery
Ovarian artery
Testicular artery
1 Celiac Artery
Celiac trunk
2 Gastric Artery
Left gastric artery
Right gastric artery
3 Hepatic Artery
Common hepatic artery
Gastroduodenal artery
Hepatic artery proper
4 Splenic Artery
Left gastroepiploic artery
Pancreatic artery
Short gastric artery
5 Superior Mesenteric Artery
Ileal artery
Ileocolic artery
Inferior pancreaticoduodenal
artery
Jejunal artery
6 Colic Artery, Right
7 Colic Artery, Left
8 Colic Artery, Middle
9 Renal Artery, Right
Inferior suprarenal artery
Renal segmental artery
A Renal Artery, Left
See 9 Renal Artery, Right
B Inferior Mesenteric Artery
Sigmoid artery
Superior rectal artery
C Common Iliac Artery, Right
D Common Iliac Artery, Left
E Internal Iliac Artery, Right
Deferential artery
Hypogastric artery
Iliolumbar artery
Inferior gluteal artery
Inferior vesical artery
Internal pudendal artery
Lateral sacral artery
Middle rectal artery
Obturator artery
Superior gluteal artery
Umbilical artery
Uterine artery
Vaginal artery
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Lower Arteries 04B–04B
Lower Arteries
04B
Approach Device Qualifier
Character 5 Character 6 Character 7
F Internal Iliac Artery, Left 0 Open Z No Device X Diagnostic
See E Internal Iliac Artery, Right 3 Percutaneous Z No Qualifier
H External Iliac Artery, Right 4 Percutaneous Endoscopic
Deep circumflex iliac artery
Inferior epigastric artery
J External Iliac Artery, Left
See H External Iliac Artery, Right
K Femoral Artery, Right
Circumflex iliac artery
Deep femoral artery
Descending genicular artery
External pudendal artery
Superficial epigastric artery
L Femoral Artery, Left
See K Femoral Artery, Right
M Popliteal Artery, Right
Inferior genicular artery
Middle genicular artery
Superior genicular artery
Sural artery
N Popliteal Artery, Left
See M Popliteal Artery, Right
P Anterior Tibial Artery, Right
Anterior lateral malleolar
artery
Anterior medial malleolar
artery
Anterior tibial recurrent artery
Dorsalis pedis artery
Posterior tibial recurrent artery
Q Anterior Tibial Artery, Left
See P Anterior Tibial Artery,
Right
R Posterior Tibial Artery, Right
S Posterior Tibial Artery, Left
T Peroneal Artery, Right
Fibular artery
U Peroneal Artery, Left
See T Peroneal Artery, Right
V Foot Artery, Right
Arcuate artery
Dorsal metatarsal artery
Lateral plantar artery
Lateral tarsal artery
Medial plantar artery
W Foot Artery, Left
See V Foot Artery, Right
Y Lower Artery
Umbilical artery
04B–04B
New/Revised in GREEN
219
 04C–04C
Lower Arteries
0 Medical and Surgical
4 Lower Arteries
C Extirpation Definition: Taking or cutting out solid matter from a body part
Explanation: The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in
the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces.
Body Part
Character 4
0 Abdominal Aorta
Inferior phrenic artery
Lumbar artery
Median sacral artery
Middle suprarenal artery
Ovarian artery
Testicular artery
1 Celiac Artery
Celiac trunk
2 Gastric Artery
Left gastric artery
Right gastric artery
3 Hepatic Artery
Common hepatic artery
Gastroduodenal artery
Hepatic artery proper
4 Splenic Artery
Left gastroepiploic artery
Pancreatic artery
Short gastric artery
5 Superior Mesenteric Artery
Ileal artery
Ileocolic artery
Inferior pancreaticoduodenal
artery
Jejunal artery
6 Colic Artery, Right
7 Colic Artery, Left
8 Colic Artery, Middle
9 Renal Artery, Right
Inferior suprarenal artery
Renal segmental artery
A Renal Artery, Left
See 9 Renal Artery, Right
B Inferior Mesenteric Artery
Sigmoid artery
Superior rectal artery
C Common Iliac Artery, Right
D Common Iliac Artery, Left
E Internal Iliac Artery, Right
Deferential artery
Hypogastric artery
Iliolumbar artery
Inferior gluteal artery
Inferior vesical artery
Internal pudendal artery
Lateral sacral artery
Middle rectal artery
Obturator artery
Superior gluteal artery
Umbilical artery
Uterine artery
Vaginal artery
04C–04C
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
220
Lower Arteries ICD-10-PCS 2019
04C
Approach Device Qualifier
Character 5 Character 6 Character 7
F Internal Iliac Artery, Left 0 Open Z No Device 6 Bifurcation
See E Internal Iliac Artery, Right 3 Percutaneous Z No Qualifier
H External Iliac Artery, Right 4 Percutaneous Endoscopic
Deep circumflex iliac artery
Inferior epigastric artery
J External Iliac Artery, Left
See H External Iliac Artery, Right
K Femoral Artery, Right
Circumflex iliac artery
Deep femoral artery
Descending genicular artery
External pudendal artery
Superficial epigastric artery
L Femoral Artery, Left
See K Femoral Artery, Right
M Popliteal Artery, Right
Inferior genicular artery
Middle genicular artery
Superior genicular artery
Sural artery
N Popliteal Artery, Left
See M Popliteal Artery, Right
P Anterior Tibial Artery, Right
Anterior lateral malleolar artery
Anterior medial malleolar artery
Anterior tibial recurrent artery
Dorsalis pedis artery
Posterior tibial recurrent artery
Q Anterior Tibial Artery, Left
See P Anterior Tibial Artery,
Right
R Posterior Tibial Artery, Right
S Posterior Tibial Artery, Left
T Peroneal Artery, Right
Fibular artery
U Peroneal Artery, Left
See T Peroneal Artery, Right
V Foot Artery, Right
Arcuate artery
Dorsal metatarsal artery
Lateral plantar artery
Lateral tarsal artery
Medial plantar artery
W Foot Artery, Left
See V Foot Artery, Right
Y Lower Artery
Umbilical artery
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
4 Lower Arteries
H Insertion Definition: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically
take the place of a body part
Explanation: None
Body Part
Character 4
0 Abdominal Aorta
Inferior phrenic artery
Lumbar artery
Median sacral artery
Middle suprarenal artery
Ovarian artery
Testicular artery
1 Celiac Artery
Celiac trunk
2 Gastric Artery
Left gastric artery
Right gastric artery
3 Hepatic Artery
Common hepatic artery
Gastroduodenal artery
Hepatic artery proper
4 Splenic Artery
Left gastroepiploic artery
Pancreatic artery
Short gastric artery
5 Superior Mesenteric Artery
Ileal artery
Ileocolic artery
Inferior pancreaticoduodenal
artery
Jejunal artery
6 Colic Artery, Right
7 Colic Artery, Left
8 Colic Artery, Middle
9 Renal Artery, Right
Inferior suprarenal artery
Renal segmental artery
A Renal Artery, Left
See 9 Renal Artery, Right
B Inferior Mesenteric Artery
Sigmoid artery
Superior rectal artery
C Common Iliac Artery, Right
D Common Iliac Artery, Left
E Internal Iliac Artery, Right
Deferential artery
Hypogastric artery
Iliolumbar artery
Inferior gluteal artery
Inferior vesical artery
Internal pudendal artery
Lateral sacral artery
Middle rectal artery
Obturator artery
Superior gluteal artery
Umbilical artery
Uterine artery
Vaginal artery
Y Lower Artery
Umbilical artery
Non-OR 04H0[0,3,4][2,3]Z
Non-OR 04H[1,2,3,4,5,6,7,8,9,A,B,C,D,E,F,H,J,K,L,M,N,P,Q,R,S,T,U,V,W][0,3,4]3Z
Non-OR 04HY32Z
Non-OR 04HY[0,3,4]3Z
Non-OR 04HY[3,4]YZ
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Lower Arteries 04H–04H
Lower Arteries
04H
Approach Device Qualifier
Character 5 Character 6 Character 7
0 Open 2 Monitoring Device Z No Qualifier
3 Percutaneous 3 Infusion Device
4 Percutaneous Endoscopic D Intraluminal Device
F Internal Iliac Artery, Left 0 Open 3 Infusion Device Z No Qualifier
See E Internal Iliac Artery, Right 3 Percutaneous D Intraluminal Device
H External Iliac Artery, Right 4 Percutaneous Endoscopic
Deep circumflex iliac artery
Inferior epigastric artery
J External Iliac Artery, Left
See H External Iliac Artery, Right
K Femoral Artery, Right
Circumflex iliac artery
Deep femoral artery
Descending genicular artery
External pudendal artery
Superficial epigastric artery
L Femoral Artery, Left
See K Femoral Artery, Right
M Popliteal Artery, Right
Inferior genicular artery
Middle genicular artery
Superior genicular artery
Sural artery
N Popliteal Artery, Left
See M Popliteal Artery, Right
P Anterior Tibial Artery, Right
Anterior lateral malleolar artery
Anterior medial malleolar artery
Anterior tibial recurrent artery
Dorsalis pedis artery
Posterior tibial recurrent artery
Q Anterior Tibial Artery, Left
See P Anterior Tibial Artery,
Right
R Posterior Tibial Artery, Right
S Posterior Tibial Artery, Left
T Peroneal Artery, Right
Fibular artery
U Peroneal Artery, Left
See T Peroneal Artery, Right
V Foot Artery, Right
Arcuate artery
Dorsal metatarsal artery
Lateral plantar artery
Lateral tarsal artery
Medial plantar artery
W Foot Artery, Left
See V Foot Artery, Right
0 Open 2 Monitoring Device Z No Qualifier
3 Percutaneous 3 Infusion Device
4 Percutaneous Endoscopic D Intraluminal Device
Y Other Device
04H–04H
New/Revised in GREEN
221
 04J–04L Lower Arteries ICD-10-PCS 2019
Lower Arteries

0 Medical and Surgical

4 Lower Arteries 04J
J Inspection Definition: Visually and/or manually exploring a body part
Explanation: Visual exploration may be performed with or without optical instrumentation. Manual exploration may be performed directly or
through intervening body layers.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
Y Lower Artery 0 Open Z No Device Z No Qualifier
Umbilical artery 3 Percutaneous
4 Percutaneous Endoscopic
X External
Non-OR 04JY[3,4,X]ZZ

0 Medical and Surgical

4 Lower Arteries 04L
L Occlusion Definition: Completely closing an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Abdominal Aorta 0 Open C Extraluminal Device Z No Qualifier
Inferior phrenic artery 4 Percutaneous Endoscopic D Intraluminal Device
Lumbar artery Z No Device
Median sacral artery
Middle suprarenal artery
Ovarian artery
Testicular artery
0 Abdominal Aorta 3 Percutaneous C Extraluminal Device Z No Qualifier
Inferior phrenic artery Z No Device
Lumbar artery
Median sacral artery
Middle suprarenal artery
Ovarian artery
Testicular artery
0 Abdominal Aorta 3 Percutaneous D Intraluminal Device J Temporary
Inferior phrenic artery Z No Qualifier
Lumbar artery
Median sacral artery
Middle suprarenal artery
Ovarian artery
Testicular artery
04L Continued on next page
04J–04L

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
222 ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
4 Lower Arteries
L Occlusion Definition: Completely closing an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice
Body Part
Character 4
1 Celiac Artery
Celiac trunk
2 Gastric Artery
Left gastric artery
Right gastric artery
3 Hepatic Artery
Common hepatic artery
Gastroduodenal artery
Hepatic artery proper
4 Splenic Artery
Left gastroepiploic artery
Pancreatic artery
Short gastric artery
5 Superior Mesenteric Artery
Ileal artery
Ileocolic artery
Inferior pancreaticoduodenal
artery
Jejunal artery
6 Colic Artery, Right
7 Colic Artery, Left
8 Colic Artery, Middle
9 Renal Artery, Right
Inferior suprarenal artery
Renal segmental artery
A Renal Artery, Left
See 9 Renal Artery, Right
B Inferior Mesenteric Artery
Sigmoid artery
Superior rectal artery
C Common Iliac Artery, Right
D Common Iliac Artery, Left
H External Iliac Artery, Right
Deep circumflex iliac artery
Inferior epigastric artery
J External Iliac Artery, Left
See H External Iliac Artery, Right
E Internal Iliac Artery, Right
Deferential artery
Hypogastric artery
Iliolumbar artery
Inferior gluteal artery
Inferior vesical artery
Internal pudendal artery
Lateral sacral artery
Middle rectal artery
Obturator artery
Superior gluteal artery
Umbilical artery
Uterine artery
Vaginal artery
F Internal Iliac Artery, Left
Deferential artery
Hypogastric artery
Iliolumbar artery
Inferior gluteal artery
Inferior vesical artery
Internal pudendal artery
Lateral sacral artery
Middle rectal artery
Obturator artery
Superior gluteal artery
Umbilical artery
Uterine Artery
Vaginal artery
Non-OR 04L23DZ
; 04LE[0,3,4][C,D,Z]T
; 04LF[0,3,4][C,D,Z]U
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Lower Arteries 04L–04L
Lower Arteries
04L Continued
04L
Approach Device Qualifier
Character 5 Character 6 Character 7
K Femoral Artery, Right 0 Open C Extraluminal Device Z No Qualifier
Circumflex iliac artery 3 Percutaneous D Intraluminal Device
Deep femoral artery 4 Percutaneous Endoscopic Z No Device
Descending genicular artery
External pudendal artery
Superficial epigastric artery
L Femoral Artery, Left
See K Femoral Artery, Right
M Popliteal Artery, Right
Inferior genicular artery
Middle genicular artery
Superior genicular artery
Sural artery
N Popliteal Artery, Left
See M Popliteal Artery, Right
P Anterior Tibial Artery, Right
Anterior lateral malleolar
artery
Anterior medial malleolar
artery
Anterior tibial recurrent artery
Dorsalis pedis artery
Posterior tibial recurrent artery
Q Anterior Tibial Artery, Left
See P Anterior Tibial Artery,
Right
R Posterior Tibial Artery, Right
S Posterior Tibial Artery, Left
T Peroneal Artery, Right
Fibular artery
U Peroneal Artery, Left
See T Peroneal Artery, Right
V Foot Artery, Right
Arcuate artery
Dorsal metatarsal artery
Lateral plantar artery
Lateral tarsal artery
Medial plantar artery
W Foot Artery, Left
See V Foot Artery, Right
Y Lower Artery
Umbilical artery
0 Open C Extraluminal Device T Uterine Artery, Right ;
3 Percutaneous D Intraluminal Device Z No Qualifier
4 Percutaneous Endoscopic Z No Device
0 Open C Extraluminal Device U Uterine Artery, Left ;
3 Percutaneous D Intraluminal Device Z No Qualifier
4 Percutaneous Endoscopic Z No Device
04L–04L
New/Revised in GREEN
223
 04N–04N
Lower Arteries
0 Medical and Surgical
4 Lower Arteries
N Release Definition: Freeing a body part from an abnormal physical constraint by cutting or by the use of force
Explanation: Some of the restraining tissue may be taken out but none of the body part is taken out
Body Part
Character 4
0 Abdominal Aorta
Inferior phrenic artery
Lumbar artery
Median sacral artery
Middle suprarenal artery
Ovarian artery
Testicular artery
1 Celiac Artery
Celiac trunk
2 Gastric Artery
Left gastric artery
Right gastric artery
3 Hepatic Artery
Common hepatic artery
Gastroduodenal artery
Hepatic artery proper
4 Splenic Artery
Left gastroepiploic artery
Pancreatic artery
Short gastric artery
5 Superior Mesenteric Artery
Ileal artery
Ileocolic artery
Inferior pancreaticoduodenal artery
Jejunal artery
6 Colic Artery, Right
7 Colic Artery, Left
8 Colic Artery, Middle
9 Renal Artery, Right
Inferior suprarenal artery
Renal segmental artery
A Renal Artery, Left
See 9 Renal Artery, Right
B Inferior Mesenteric Artery
Sigmoid artery
Superior rectal artery
C Common Iliac Artery, Right
D Common Iliac Artery, Left
E Internal Iliac Artery, Right
Deferential artery
Hypogastric artery
Iliolumbar artery
Inferior gluteal artery
Inferior vesical artery
Internal pudendal artery
Lateral sacral artery
Middle rectal artery
Obturator artery
Superior gluteal artery
Umbilical artery
Uterine artery
Vaginal artery
04N–04N
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
224
Lower Arteries ICD-10-PCS 2019
04N
Approach Device Qualifier
Character 5 Character 6 Character 7
F Internal Iliac Artery, Left 0 Open Z No Device Z No Qualifier
See E Internal Iliac Artery, 3 Percutaneous
Right 4 Percutaneous Endoscopic
H External Iliac Artery, Right
Deep circumflex iliac artery
Inferior epigastric artery
J External Iliac Artery, Left
See H External Iliac Artery,
Right
K Femoral Artery, Right
Circumflex iliac artery
Deep femoral artery
Descending genicular artery
External pudendal artery
Superficial epigastric artery
L Femoral Artery, Left
See K Femoral Artery, Right
M Popliteal Artery, Right
Inferior genicular artery
Middle genicular artery
Superior genicular artery
Sural artery
N Popliteal Artery, Left
See M Popliteal Artery, Right
P Anterior Tibial Artery, Right
Anterior lateral malleolar
artery
Anterior medial malleolar
artery
Anterior tibial recurrent
artery
Dorsalis pedis artery
Posterior tibial recurrent
artery
Q Anterior Tibial Artery, Left
See P Anterior Tibial Artery,
Right
R Posterior Tibial Artery,
Right
S Posterior Tibial Artery, Left
T Peroneal Artery, Right
Fibular artery
U Peroneal Artery, Left
See T Peroneal Artery, Right
V Foot Artery, Right
Arcuate artery
Dorsal metatarsal artery
Lateral plantar artery
Lateral tarsal artery
Medial plantar artery
W Foot Artery, Left
See V Foot Artery, Right
Y Lower Artery
Umbilical artery
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019 Lower Arteries 04P–04P

Lower Arteries
0 Medical and Surgical
4 Lower Arteries 04P
P Removal Definition: Taking out or off a device from a body part
Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is
coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
Y Lower Artery 0 Open 0 Drainage Device Z No Qualifier
Umbilical artery 3 Percutaneous 2 Monitoring Device
4 Percutaneous Endoscopic 3 Infusion Device
7 Autologous Tissue
Substitute
C Extraluminal Device
D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue
Substitute
Y Other Device
Y Lower Artery X External 0 Drainage Device Z No Qualifier
Umbilical artery 1 Radioactive Element
2 Monitoring Device
3 Infusion Device
D Intraluminal Device
Non-OR 04PY3[0,2,3,D]Z
Non-OR 04PY[3,4]YZ
Non-OR 04PYX[0,1,2,3,D]Z

04P–04P

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 225
 04Q–04Q
Lower Arteries
0 Medical and Surgical
4 Lower Arteries
Q Repair Definition: Restoring, to the extent possible, a body part to its normal anatomic structure and function
Explanation: Used only when the method to accomplish the repair is not one of the other root operations
Body Part
Character 4
0 Abdominal Aorta
Inferior phrenic artery
Lumbar artery
Median sacral artery
Middle suprarenal artery
Ovarian artery
Testicular artery
1 Celiac Artery
Celiac trunk
2 Gastric Artery
Left gastric artery
Right gastric artery
3 Hepatic Artery
Common hepatic artery
Gastroduodenal artery
Hepatic artery proper
4 Splenic Artery
Left gastroepiploic artery
Pancreatic artery
Short gastric artery
5 Superior Mesenteric Artery
Ileal artery
Ileocolic artery
Inferior pancreaticoduodenal
artery
Jejunal artery
6 Colic Artery, Right
7 Colic Artery, Left
8 Colic Artery, Middle
9 Renal Artery, Right
Inferior suprarenal artery
Renal segmental artery
A Renal Artery, Left
See 9 Renal Artery, Right
B Inferior Mesenteric Artery
Sigmoid artery
Superior rectal artery
C Common Iliac Artery, Right
D Common Iliac Artery, Left
E Internal Iliac Artery, Right
Deferential artery
Hypogastric artery
Iliolumbar artery
Inferior gluteal artery
Inferior vesical artery
Internal pudendal artery
Lateral sacral artery
Middle rectal artery
Obturator artery
Superior gluteal artery
Umbilical artery
Uterine artery
Vaginal artery
04Q–04Q
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
226
Lower Arteries ICD-10-PCS 2019
04Q
Approach Device Qualifier
Character 5 Character 6 Character 7
F Internal Iliac Artery, Left 0 Open Z No Device Z No Qualifier
See E Internal Iliac Artery, 3 Percutaneous
Right 4 Percutaneous Endoscopic
H External Iliac Artery, Right
Deep circumflex iliac artery
Inferior epigastric artery
J External Iliac Artery, Left
See H External Iliac Artery,
Right
K Femoral Artery, Right
Circumflex iliac artery
Deep femoral artery
Descending genicular artery
External pudendal artery
Superficial epigastric artery
L Femoral Artery, Left
See K Femoral Artery, Right
M Popliteal Artery, Right
Inferior genicular artery
Middle genicular artery
Superior genicular artery
Sural artery
N Popliteal Artery, Left
See M Popliteal Artery, Right
P Anterior Tibial Artery, Right
Anterior lateral malleolar
artery
Anterior medial malleolar
artery
Anterior tibial recurrent
artery
Dorsalis pedis artery
Posterior tibial recurrent
artery
Q Anterior Tibial Artery, Left
See P Anterior Tibial Artery,
Right
R Posterior Tibial Artery,
Right
S Posterior Tibial Artery, Left
T Peroneal Artery, Right
Fibular artery
U Peroneal Artery, Left
See T Peroneal Artery, Right
V Foot Artery, Right
Arcuate artery
Dorsal metatarsal artery
Lateral plantar artery
Lateral tarsal artery
Medial plantar artery
W Foot Artery, Left
See V Foot Artery, Right
Y Lower Artery
Umbilical artery
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
4 Lower Arteries
R Replacement Definition: Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part
Explanation: The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during
the REPLACEMENT procedure. A REMOVAL procedure is coded for taking out the device used in a previous replacement procedure.
Body Part
Character 4
0 Abdominal Aorta
Inferior phrenic artery
Lumbar artery
Median sacral artery
Middle suprarenal artery
Ovarian artery
Testicular artery
1 Celiac Artery
Celiac trunk
2 Gastric Artery
Left gastric artery
Right gastric artery
3 Hepatic Artery
Common hepatic artery
Gastroduodenal artery
Hepatic artery proper
4 Splenic Artery
Left gastroepiploic artery
Pancreatic artery
Short gastric artery
5 Superior Mesenteric Artery
Ileal artery
Ileocolic artery
Inferior pancreaticoduodenal
artery
Jejunal artery
6 Colic Artery, Right
7 Colic Artery, Left
8 Colic Artery, Middle
9 Renal Artery, Right
Inferior suprarenal artery
Renal segmental artery
A Renal Artery, Left
See 9 Renal Artery, Right
B Inferior Mesenteric Artery
Sigmoid artery
Superior rectal artery
C Common Iliac Artery, Right
D Common Iliac Artery, Left
E Internal Iliac Artery, Right
Deferential artery
Hypogastric artery
Iliolumbar artery
Inferior gluteal artery
Inferior vesical artery
Internal pudendal artery
Lateral sacral artery
Middle rectal artery
Obturator artery
Superior gluteal artery
Umbilical artery
Uterine artery
Vaginal artery
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Lower Arteries 04R–04R
Lower Arteries
04R
Approach Device Qualifier
Character 5 Character 6 Character 7
F Internal Iliac Artery, Left 0 Open 7 Autologous Tissue Z No Qualifier
See E Internal Iliac Artery, Right 4 Percutaneous Endoscopic Substitute
H External Iliac Artery, Right J Synthetic Substitute
Deep circumflex iliac artery K Nonautologous Tissue
Inferior epigastric artery Substitute
J External Iliac Artery, Left
See H External Iliac Artery, Right
K Femoral Artery, Right
Circumflex iliac artery
Deep femoral artery
Descending genicular artery
External pudendal artery
Superficial epigastric artery
L Femoral Artery, Left
See K Femoral Artery, Right
M Popliteal Artery, Right
Inferior genicular artery
Middle genicular artery
Superior genicular artery
Sural artery
N Popliteal Artery, Left
See M Popliteal Artery, Right
P Anterior Tibial Artery, Right
Anterior lateral malleolar
artery
Anterior medial malleolar
artery
Anterior tibial recurrent artery
Dorsalis pedis artery
Posterior tibial recurrent artery
Q Anterior Tibial Artery, Left
See P Anterior Tibial Artery,
Right
R Posterior Tibial Artery, Right
S Posterior Tibial Artery, Left
T Peroneal Artery, Right
Fibular artery
U Peroneal Artery, Left
See T Peroneal Artery, Right
V Foot Artery, Right
Arcuate artery
Dorsal metatarsal artery
Lateral plantar artery
Lateral tarsal artery
Medial plantar artery
W Foot Artery, Left
See V Foot Artery, Right
Y Lower Artery
Umbilical artery
04R–04R
New/Revised in GREEN
227
 04S–04S
Lower Arteries
0 Medical and Surgical
4 Lower Arteries
S Reposition Definition: Moving to its normal location, or other suitable location, all or a portion of a body part
Explanation: The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning
correctly. The body part may or may not be cut out or off to be moved to the new location.
Body Part
Character 4
0 Abdominal Aorta
Inferior phrenic artery
Lumbar artery
Median sacral artery
Middle suprarenal artery
Ovarian artery
Testicular artery
1 Celiac Artery
Celiac trunk
2 Gastric Artery
Left gastric artery
Right gastric artery
3 Hepatic Artery
Common hepatic artery
Gastroduodenal artery
Hepatic artery proper
4 Splenic Artery
Left gastroepiploic artery
Pancreatic artery
Short gastric artery
5 Superior Mesenteric Artery
Ileal artery
Ileocolic artery
Inferior pancreaticoduodenal
artery
Jejunal artery
6 Colic Artery, Right
7 Colic Artery, Left
8 Colic Artery, Middle
9 Renal Artery, Right
Inferior suprarenal artery
Renal segmental artery
A Renal Artery, Left
See 9 Renal Artery, Right
B Inferior Mesenteric Artery
Sigmoid artery
Superior rectal artery
C Common Iliac Artery, Right
D Common Iliac Artery, Left
E Internal Iliac Artery, Right
Deferential artery
Hypogastric artery
Iliolumbar artery
Inferior gluteal artery
Inferior vesical artery
Internal pudendal artery
Lateral sacral artery
Middle rectal artery
Obturator artery
Superior gluteal artery
Umbilical artery
Uterine artery
Vaginal artery
04S–04S
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
228
Lower Arteries ICD-10-PCS 2019
04S
Approach Device Qualifier
Character 5 Character 6 Character 7
F Internal Iliac Artery, Left 0 Open Z No Device Z No Qualifier
See E Internal Iliac Artery, Right 3 Percutaneous
H External Iliac Artery, Right 4 Percutaneous Endoscopic
Deep circumflex iliac artery
Inferior epigastric artery
J External Iliac Artery, Left
See H External Iliac Artery, Right
K Femoral Artery, Right
Circumflex iliac artery
Deep femoral artery
Descending genicular artery
External pudendal artery
Superficial epigastric artery
L Femoral Artery, Left
See K Femoral Artery, Right
M Popliteal Artery, Right
Inferior genicular artery
Middle genicular artery
Superior genicular artery
Sural artery
N Popliteal Artery, Left
See M Popliteal Artery, Right
P Anterior Tibial Artery, Right
Anterior lateral malleolar
artery
Anterior medial malleolar
artery
Anterior tibial recurrent artery
Dorsalis pedis artery
Posterior tibial recurrent artery
Q Anterior Tibial Artery, Left
See P Anterior Tibial Artery,
Right
R Posterior Tibial Artery, Right
S Posterior Tibial Artery, Left
T Peroneal Artery, Right
Fibular artery
U Peroneal Artery, Left
See T Peroneal Artery, Right
V Foot Artery, Right
Arcuate artery
Dorsal metatarsal artery
Lateral plantar artery
Lateral tarsal artery
Medial plantar artery
W Foot Artery, Left
See V Foot Artery, Right
Y Lower Artery
Umbilical artery
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
4 Lower Arteries
U Supplement Definition: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part
Explanation: The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced,
and the SUPPLEMENT procedure is performed to physically reinforce and/or augment the function of the replaced body part.
Body Part
Character 4
0 Abdominal Aorta
Inferior phrenic artery
Lumbar artery
Median sacral artery
Middle suprarenal artery
Ovarian artery
Testicular artery
1 Celiac Artery
Celiac trunk
2 Gastric Artery
Left gastric artery
Right gastric artery
3 Hepatic Artery
Common hepatic artery
Gastroduodenal artery
Hepatic artery proper
4 Splenic Artery
Left gastroepiploic artery
Pancreatic artery
Short gastric artery
5 Superior Mesenteric Artery
Ileal artery
Ileocolic artery
Inferior pancreaticoduodenal
artery
Jejunal artery
6 Colic Artery, Right
7 Colic Artery, Left
8 Colic Artery, Middle
9 Renal Artery, Right
Inferior suprarenal artery
Renal segmental artery
A Renal Artery, Left
See 9 Renal Artery, Right
B Inferior Mesenteric Artery
Sigmoid artery
Superior rectal artery
C Common Iliac Artery, Right
D Common Iliac Artery, Left
E Internal Iliac Artery, Right
Deferential artery
Hypogastric artery
Iliolumbar artery
Inferior gluteal artery
Inferior vesical artery
Internal pudendal artery
Lateral sacral artery
Middle rectal artery
Obturator artery
Superior gluteal artery
Umbilical artery
Uterine artery
Vaginal artery
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Lower Arteries 04U–04U
Lower Arteries
04U
Approach Device Qualifier
Character 5 Character 6 Character 7
F Internal Iliac Artery, Left 0 Open 7 Autologous Tissue Z No Qualifier
See E Internal Iliac Artery, Right 3 Percutaneous Substitute
H External Iliac Artery, Right 4 Percutaneous Endoscopic J Synthetic Substitute
Deep circumflex iliac artery K Nonautologous Tissue
Inferior epigastric artery Substitute
J External Iliac Artery, Left
See H External Iliac Artery, Right
K Femoral Artery, Right
Circumflex iliac artery
Deep femoral artery
Descending genicular artery
External pudendal artery
Superficial epigastric artery
L Femoral Artery, Left
See K Femoral Artery, Right
M Popliteal Artery, Right
Inferior genicular artery
Middle genicular artery
Superior genicular artery
Sural artery
N Popliteal Artery, Left
See M Popliteal Artery, Right
P Anterior Tibial Artery, Right
Anterior lateral malleolar
artery
Anterior medial malleolar
artery
Anterior tibial recurrent artery
Dorsalis pedis artery
Posterior tibial recurrent artery
Q Anterior Tibial Artery, Left
See P Anterior Tibial Artery,
Right
R Posterior Tibial Artery, Right
S Posterior Tibial Artery, Left
T Peroneal Artery, Right
Fibular artery
U Peroneal Artery, Left
See T Peroneal Artery, Right
V Foot Artery, Right
Arcuate artery
Dorsal metatarsal artery
Lateral plantar artery
Lateral tarsal artery
Medial plantar artery
W Foot Artery, Left
See V Foot Artery, Right
Y Lower Artery
Umbilical artery
04U–04U
New/Revised in GREEN
229
 04V–04V
Lower Arteries
0 Medical and Surgical
4 Lower Arteries
V Restriction Definition: Partially closing an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice
Body Part
Character 4
0 Abdominal Aorta
Inferior phrenic artery
Lumbar artery
Median sacral artery
Middle suprarenal artery
Ovarian artery
Testicular artery
0 Abdominal Aorta
Inferior phrenic artery
Lumbar artery
Median sacral artery
Middle suprarenal artery
Ovarian artery
Testicular artery
1 Celiac Artery
Celiac trunk
2 Gastric Artery
Left gastric artery
Right gastric artery
3 Hepatic Artery
Common hepatic artery
Gastroduodenal artery
Hepatic artery proper
4 Splenic Artery
Left gastroepiploic artery
Pancreatic artery
Short gastric artery
5 Superior Mesenteric Artery
Ileal artery
Ileocolic artery
Inferior pancreaticoduodenal
artery
Jejunal artery
6 Colic Artery, Right
7 Colic Artery, Left
8 Colic Artery, Middle
9 Renal Artery, Right
Inferior suprarenal artery
Renal segmental artery
A Renal Artery, Left
See 9 Renal Artery, Right
B Inferior Mesenteric Artery
Sigmoid artery
Superior rectal artery
E Internal Iliac Artery, Right
Deferential artery
Hypogastric artery
Iliolumbar artery
Inferior gluteal artery
Inferior vesical artery
Internal pudendal artery
Lateral sacral artery
Middle rectal artery
Obturator artery
Superior gluteal artery
Umbilical artery
Uterine artery
Vaginal artery
F Internal Iliac Artery, Left
See E Internal Iliac Artery, Right
C Common Iliac Artery, Right
D Common Iliac Artery, Left
04V–04V
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
230
Lower Arteries ICD-10-PCS 2019
04V
Approach Device Qualifier
Character 5 Character 6 Character 7
0 Open C Extraluminal Device 6 Bifurcation
3 Percutaneous E Intraluminal Device, Z No Qualifier
4 Percutaneous Endoscopic Branched or Fenestrated,
One or Two Arteries
F Intraluminal Device,
Branched or Fenestrated,
Three or More Arteries
Z No Device
0 Open D Intraluminal Device 6 Bifurcation
3 Percutaneous J Temporary
4 Percutaneous Endoscopic Z No Qualifier
H External Iliac Artery, Right 0 Open C Extraluminal Device Z No Qualifier
Deep circumflex iliac artery 3 Percutaneous D Intraluminal Device
Inferior epigastric artery 4 Percutaneous Endoscopic Z No Device
J External Iliac Artery, Left
See H External Iliac Artery, Right
K Femoral Artery, Right
Circumflex iliac artery
Deep femoral artery
Descending genicular artery
External pudendal artery
Superficial epigastric artery
L Femoral Artery, Left
See K Femoral Artery, Right
M Popliteal Artery, Right
Inferior genicular artery
Middle genicular artery
Superior genicular artery
Sural artery
N Popliteal Artery, Left
See M Popliteal Artery, Right
P Anterior Tibial Artery, Right
Anterior lateral malleolar
artery
Anterior medial malleolar
artery
Anterior tibial recurrent artery
Dorsalis pedis artery
Posterior tibial recurrent artery
Q Anterior Tibial Artery, Left
See P Anterior Tibial Artery,
Right
R Posterior Tibial Artery, Right
S Posterior Tibial Artery, Left
T Peroneal Artery, Right
Fibular artery
U Peroneal Artery, Left
See T Peroneal Artery, Right
V Foot Artery, Right
Arcuate artery
Dorsal metatarsal artery
Lateral plantar artery
Lateral tarsal artery
Medial plantar artery
W Foot Artery, Left
See V Foot Artery, Right
Y Lower Artery
Umbilical artery
0 Open C Extraluminal Device Z No Qualifier
3 Percutaneous D Intraluminal Device
4 Percutaneous Endoscopic E Intraluminal Device,
Branched or Fenestrated,
One or Two Arteries
Z No Device
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019 Lower Arteries 04W–04W

Lower Arteries
0 Medical and Surgical
4 Lower Arteries 04W
W Revision Definition: Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device
Explanation: Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as
a screw or pin
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
Y Lower Artery 0 Open 0 Drainage Device Z No Qualifier
Umbilical artery 3 Percutaneous 2 Monitoring Device
4 Percutaneous Endoscopic 3 Infusion Device
7 Autologous Tissue
Substitute
C Extraluminal Device
D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue
Substitute
Y Other Device
Y Lower Artery X External 0 Drainage Device Z No Qualifier
Umbilical artery 2 Monitoring Device
3 Infusion Device
7 Autologous Tissue
Substitute
C Extraluminal Device
D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue
Substitute
Non-OR 04WY3[0,2,3,D]Z
Non-OR 04WY[3,4]YZ
Non-OR 04WYX[0,2,3,7,C,D,J,K]Z

04W–04W

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 231
This page is left intentionally blank.
ICD-10-PCS 2019 Upper Veins

Upper Veins
Upper Veins 051–05W
Character Meanings
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.

Operation–Character 3 Body Part–Character 4 Approach–Character 5 Device–Character 6 Qualifier–Character 7

1 Bypass 0 Azygos Vein 0 Open 0 Drainage Device 1 Drug-Coated Balloon
5 Destruction 1 Hemiazygos Vein 3 Percutaneous 2 Monitoring Device X Diagnostic
7 Dilation 3 Innominate Vein, Right 4 Percutaneous Endoscopic 3 Infusion Device Y Upper Vein
9 Drainage 4 Innominate Vein, Left X External 7 Autologous Tissue Substitute Z No Qualifier
B Excision 5 Subclavian Vein, Right 9 Autologous Venous Tissue
C Extirpation 6 Subclavian Vein, Left A Autologous Arterial Tissue
D Extraction 7 Axillary Vein, Right C Extraluminal Device
H Insertion 8 Axillary Vein, Left D Intraluminal Device
J Inspection 9 Brachial Vein, Right J Synthetic Substitute
L Occlusion A Brachial Vein, Left K Nonautologous Tissue
Substitute
N Release B Basilic Vein, Right M Neurostimulator Lead
P Removal C Basilic Vein, Left Y Other Device
Q Repair D Cephalic Vein, Right Z No Device
R Replacement F Cephalic Vein, Left
S Reposition G Hand Vein, Right
U Supplement H Hand Vein, Left
V Restriction L Intracranial Vein
W Revision M Internal Jugular Vein, Right
N Internal Jugular Vein, Left
P External Jugular Vein, Right
Q External Jugular Vein, Left
R Vertebral Vein, Right
S Vertebral Vein, Left
T Face Vein, Right
V Face Vein, Left
Y Upper Vein

AHA Coding Clinic for table 051

2017, 3Q, 15 Bypass of innominate vein to atrial appendage
AHA Coding Clinic for table 05B
2016, 2Q, 12 Resection of malignant neoplasm of infratemporal fossa
AHA Coding Clinic for table 05H
2016, 4Q, 97-98 Phrenic neurostimulator
AHA Coding Clinic for table 05P
2016, 4Q, 97-98 Phrenic neurostimulator
AHA Coding Clinic for table 05Q
2017, 3Q, 15 Bypass of innominate vein to atrial appendage
AHA Coding Clinic for table 05S
2013, 4Q, 125 Stage II cephalic vein transposition (superficialization) of arteriovenous fistula
AHA Coding Clinic for table 05W
2016, 4Q, 97-98 Phrenic neurostimulator

ICD-10-PCS 2019 233

 Upper Veins ICD-10-PCS 2019
Upper Veins

Head and Neck Veins

Superficial temporal L Superior sagittal sinus L

Inferior sagittal sinus L
Superior ophthalmic L
Straight sinus L

Transverse sinus L
Retromandibular T, V
Occipital sinus L
Facial T, V Posterior auricular P, Q

Lingual T, V
Deep cervical R, S
Thyroid P, Q

Anterior jugular P, Q External jugular P, Q

External jugular P, Q
Vertebral R, S
Bracheocephalic 3, 4 Subclavian 5, 6

Upper Veins

Superficial temporal L

Vertebral R, S
Internal jugular M, N
Subclavian 5, 6 External jugular P, Q

Innominate 3, 4

Azygos 0 Axillary 7,8

Hemiazygos 1
Brachial 9, A Cephalic D, F
Basilic B, C

Radial 9, A
Ulnar 9, A

Digital G, H

234 ICD-10-PCS 2019

ICD-10-PCS 2019
0 Medical and Surgical
5 Upper Veins
1 Bypass Definition: Altering the route of passage of the contents of a tubular body part
Explanation: Rerouting contents of a body part to a downstream area of the normal route, to a similar route and body part, or to an abnormal
route and dissimilar body part. Includes one or more anastomoses, with or without the use of a device.
Body Part
Character 4
0 Azygos Vein
Right ascending lumbar vein
Right subcostal vein
1 Hemiazygos Vein
Left ascending lumbar vein
Left subcostal vein
3 Innominate Vein, Right
Brachiocephalic vein
Inferior thyroid vein
4 Innominate Vein, Left
See 3 Innominate Vein, Right
5 Subclavian Vein, Right
6 Subclavian Vein, Left
7 Axillary Vein, Right
8 Axillary Vein, Left
9 Brachial Vein, Right
Radial vein
Ulnar vein
A Brachial Vein, Left
See 9 Brachial Vein, Right
B Basilic Vein, Right
Median antebrachial vein
Median cubital vein
C Basilic Vein, Left
See B Basilic Vein, Right
D Cephalic Vein, Right
Accessory cephalic vein
F Cephalic Vein, Left
See D Cephalic Vein, Right
G Hand Vein, Right
Dorsal metacarpal vein
Palmar (volar) digital vein
Palmar (volar) metacarpal vein
Superficial palmar venous arch
Volar (palmar) digital vein
Volar (palmar) metacarpal vein
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Upper Veins 051–051
Upper Veins
051
Approach Device Qualifier
Character 5 Character 6 Character 7
H Hand Vein, Left 0 Open 7 Autologous Tissue Y Upper Vein
See G Hand Vein, Right 4 Percutaneous Endoscopic Substitute
L Intracranial Vein 9 Autologous Venous Tissue
Anterior cerebral vein A Autologous Arterial Tissue
Basal (internal) cerebral vein J Synthetic Substitute
Dural venous sinus K Nonautologous Tissue
Great cerebral vein Substitute
Inferior cerebellar vein
Z No Device
Inferior cerebral vein
Internal (basal) cerebral vein
Middle cerebral vein
Ophthalmic vein
Superior cerebellar vein
Superior cerebral vein
M Internal Jugular Vein, Right
N Internal Jugular Vein, Left
P External Jugular Vein, Right
Posterior auricular vein
Q External Jugular Vein, Left
See P External Jugular Vein,
Right
R Vertebral Vein, Right
Deep cervical vein
Suboccipital venous plexus
S Vertebral Vein, Left
See R Vertebral Vein, Right
T Face Vein, Right
Angular vein
Anterior facial vein
Common facial vein
Deep facial vein
Frontal vein
Posterior facial
(retromandibular) vein
Supraorbital vein
V Face Vein, Left
See T Face Vein, Right
051–051
New/Revised in GREEN
235
 055–055
Upper Veins
0 Medical and Surgical
5 Upper Veins
5 Destruction Definition: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent
Explanation: None of the body part is physically taken out
Body Part
Character 4
0 Azygos Vein
Right ascending lumbar vein
Right subcostal vein
1 Hemiazygos Vein
Left ascending lumbar vein
Left subcostal vein
3 Innominate Vein, Right
Brachiocephalic vein
Inferior thyroid vein
4 Innominate Vein, Left
See 3 Innominate Vein, Right
5 Subclavian Vein, Right
6 Subclavian Vein, Left
7 Axillary Vein, Right
8 Axillary Vein, Left
9 Brachial Vein, Right
Radial vein
Ulnar vein
A Brachial Vein, Left
See 9 Brachial Vein, Right
B Basilic Vein, Right
Median antebrachial vein
Median cubital vein
C Basilic Vein, Left
See B Basilic Vein, Right
D Cephalic Vein, Right
Accessory cephalic vein
F Cephalic Vein, Left
See D Cephalic Vein, Right
G Hand Vein, Right
Dorsal metacarpal vein
Palmar (volar) digital vein
Palmar (volar) metacarpal vein
Superficial palmar venous arch
Volar (palmar) digital vein
Volar (palmar) metacarpal vein
055–055
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
236
Upper Veins ICD-10-PCS 2019
055
Approach Device Qualifier
Character 5 Character 6 Character 7
H Hand Vein, Left 0 Open Z No Device Z No Qualifier
See G Hand Vein, Right 3 Percutaneous
L Intracranial Vein 4 Percutaneous Endoscopic
Anterior cerebral vein
Basal (internal) cerebral vein
Dural venous sinus
Great cerebral vein
Inferior cerebellar vein
Inferior cerebral vein
Internal (basal) cerebral vein
Middle cerebral vein
Ophthalmic vein
Superior cerebellar vein
Superior cerebral vein
M Internal Jugular Vein, Right
N Internal Jugular Vein, Left
P External Jugular Vein, Right
Posterior auricular vein
Q External Jugular Vein, Left
See P External Jugular Vein,
Right
R Vertebral Vein, Right
Deep cervical vein
Suboccipital venous plexus
S Vertebral Vein, Left
See R Vertebral Vein, Right
T Face Vein, Right
Angular vein
Anterior facial vein
Common facial vein
Deep facial vein
Frontal vein
Posterior facial
(retromandibular) vein
Supraorbital vein
V Face Vein, Left
See T Face Vein, Right
Y Upper Vein
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019 Upper Veins 057–057

Upper Veins
0 Medical and Surgical
5 Upper Veins 057
7 Dilation Definition: Expanding an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice. Accomplished by stretching a tubular body part using
intraluminal pressure or by cutting part of the orifice or wall of the tubular body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Azygos Vein M Internal Jugular Vein, Right 0 Open D Intraluminal Device Z No Qualifier
Right ascending lumbar vein N Internal Jugular Vein, Left 3 Percutaneous Z No Device
Right subcostal vein P External Jugular Vein, Right 4 Percutaneous Endoscopic
1 Hemiazygos Vein Posterior auricular vein
Left ascending lumbar vein Q External Jugular Vein, Left
Left subcostal vein See P External Jugular Vein,
G Hand Vein, Right Right
Dorsal metacarpal vein R Vertebral Vein, Right
Palmar (volar) digital vein Deep cervical vein
Palmar (volar) metacarpal vein Suboccipital venous plexus
Superficial palmar venous arch S Vertebral Vein, Left
Volar (palmar) digital vein See R Vertebral Vein, Right
Volar (palmar) metacarpal vein
T Face Vein, Right
H Hand Vein, Left Angular vein
See G Hand Vein, Right Anterior facial vein
L Intracranial Vein 4 Common facial vein
Anterior cerebral vein Deep facial vein
Basal (internal) cerebral vein Frontal vein
Dural venous sinus Posterior facial
Great cerebral vein (retromandibular) vein
Inferior cerebellar vein Supraorbital vein
Inferior cerebral vein V Face Vein, Left
Internal (basal) cerebral vein See T Face Vein, Right
Middle cerebral vein
Y Upper Vein
Ophthalmic vein
Superior cerebellar vein
Superior cerebral vein
3 Innominate Vein, Right A Brachial Vein, Left 0 Open D Intraluminal Device 1 Drug-Coated Balloon
Brachiocephalic vein See 9 Brachial Vein, Right 3 Percutaneous Z No Device Z No Qualifier
Inferior thyroid vein B Basilic Vein, Right 4 Percutaneous Endoscopic
4 Innominate Vein, Left Median antebrachial vein
See 3 Innominate Vein, Right Median cubital vein
5 Subclavian Vein, Right C Basilic Vein, Left
6 Subclavian Vein, Left See B Basilic Vein, Right
7 Axillary Vein, Right D Cephalic Vein, Right
8 Axillary Vein, Left Accessory cephalic vein
9 Brachial Vein, Right F Cephalic Vein, Left
Radial vein See D Cephalic Vein, Right
Ulnar vein
4 057L[3,4]ZZ 057–057

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 237
 059–059
Upper Veins
0 Medical and Surgical
5 Upper Veins
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part
Character 4
0 Azygos Vein
Right ascending lumbar vein
Right subcostal vein
1 Hemiazygos Vein
Left ascending lumbar vein
Left subcostal vein
3 Innominate Vein, Right
Brachiocephalic vein
Inferior thyroid vein
4 Innominate Vein, Left
See 3 Innominate Vein, Right
5 Subclavian Vein, Right
6 Subclavian Vein, Left
7 Axillary Vein, Right
8 Axillary Vein, Left
9 Brachial Vein, Right
Radial vein
Ulnar vein
A Brachial Vein, Left
See 9 Brachial Vein, Right
B Basilic Vein, Right
Median antebrachial vein
Median cubital vein
C Basilic Vein, Left
See B Basilic Vein, Right
D Cephalic Vein, Right
Accessory cephalic vein
F Cephalic Vein, Left
See D Cephalic Vein, Right
G Hand Vein, Right
Dorsal metacarpal vein
Palmar (volar) digital vein
Palmar (volar) metacarpal vein
Superficial palmar venous arch
Volar (palmar) digital vein
Volar (palmar) metacarpal vein
0 Azygos Vein
Right ascending lumbar vein
Right subcostal vein
1 Hemiazygos Vein
Left ascending lumbar vein
Left subcostal vein
3 Innominate Vein, Right
Brachiocephalic vein
Inferior thyroid vein
4 Innominate Vein, Left
See 3 Innominate Vein, Right
5 Subclavian Vein, Right
6 Subclavian Vein, Left
7 Axillary Vein, Right
8 Axillary Vein, Left
9 Brachial Vein, Right
Radial vein
Ulnar vein
A Brachial Vein, Left
See 9 Brachial Vein, Right
B Basilic Vein, Right
Median antebrachial vein
Median cubital vein
C Basilic Vein, Left
See B Basilic Vein, Right
D Cephalic Vein, Right
Accessory cephalic vein
F Cephalic Vein, Left
See D Cephalic Vein, Right
G Hand Vein, Right
Dorsal metacarpal vein
Palmar (volar) digital vein
Palmar (volar) metacarpal vein
Superficial palmar venous arch V Face Vein, Left
Volar (palmar) digital vein
059–059
Volar (palmar) metacarpal vein Y Upper Vein
Non-OR 059[0,1,3,4,5,6,7,8,9,A,B,C,D,F,G,H,L,M,N,P,Q,R,S,T,V,Y][0,3,4]0Z
Non-OR 059[0,1,3,4,5,6,7,8,9,A,B,C,D,F,G,H,L,M,N,P,Q,R,S,T,V,Y]3ZX
Non-OR 059[0,1,3,4,5,6,7,8,9,A,B,C,D,F,G,H,L,M,N,P,Q,R,S,T,V,Y][0,3,4]ZZ
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
238
Upper Veins ICD-10-PCS 2019
059
Approach Device Qualifier
Character 5 Character 6 Character 7
H Hand Vein, Left 0 Open 0 Drainage Device Z No Qualifier
See G Hand Vein, Right 3 Percutaneous
L Intracranial Vein 4 Percutaneous Endoscopic
Anterior cerebral vein
Basal (internal) cerebral vein
Dural venous sinus
Great cerebral vein
Inferior cerebellar vein
Inferior cerebral vein
Internal (basal) cerebral vein
Middle cerebral vein
Ophthalmic vein
Superior cerebellar vein
Superior cerebral vein
M Internal Jugular Vein, Right
N Internal Jugular Vein, Left
P External Jugular Vein, Right
Posterior auricular vein
Q External Jugular Vein, Left
See P External Jugular Vein, Right
R Vertebral Vein, Right
Deep cervical vein
Suboccipital venous plexus
S Vertebral Vein, Left
See R Vertebral Vein, Right
T Face Vein, Right
Angular vein
Anterior facial vein
Common facial vein
Deep facial vein
Frontal vein
Posterior facial
(retromandibular) vein
Supraorbital vein
V Face Vein, Left
See T Face Vein, Right
Y Upper Vein
H Hand Vein, Left 0 Open Z No Device X Diagnostic
See G Hand Vein, Right 3 Percutaneous Z No Qualifier
L Intracranial Vein 4 Percutaneous Endoscopic
Anterior cerebral vein
Basal (internal) cerebral vein
Dural venous sinus
Great cerebral vein
Inferior cerebellar vein
Inferior cerebral vein
Internal (basal) cerebral vein
Middle cerebral vein
Ophthalmic vein
Superior cerebellar vein
Superior cerebral vein
M Internal Jugular Vein, Right
N Internal Jugular Vein, Left
P External Jugular Vein, Right
Posterior auricular vein
Q External Jugular Vein, Left
See P External Jugular Vein, Right
R Vertebral Vein, Right
Deep cervical vein
Suboccipital venous plexus
S Vertebral Vein, Left
See R Vertebral Vein, Right
T Face Vein, Right
Angular vein
Anterior facial vein
Common facial vein
Deep facial vein
Frontal vein
Posterior facial
(retromandibular) vein
Supraorbital vein
See T Face Vein, Right
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
5 Upper Veins
B Excision Definition: Cutting out or off, without replacement, a portion of a body part
Explanation: The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies
Body Part
Character 4
0 Azygos Vein
Right ascending lumbar vein
Right subcostal vein
1 Hemiazygos Vein
Left ascending lumbar vein
Left subcostal vein
3 Innominate Vein, Right
Brachiocephalic vein
Inferior thyroid vein
4 Innominate Vein, Left
See 3 Innominate Vein, Right
5 Subclavian Vein, Right
6 Subclavian Vein, Left
7 Axillary Vein, Right
8 Axillary Vein, Left
9 Brachial Vein, Right
Radial vein
Ulnar vein
A Brachial Vein, Left
See 9 Brachial Vein, Right
B Basilic Vein, Right
Median antebrachial vein
Median cubital vein
C Basilic Vein, Left
See B Basilic Vein, Right
D Cephalic Vein, Right
Accessory cephalic vein
F Cephalic Vein, Left
See D Cephalic Vein, Right
G Hand Vein, Right
Dorsal metacarpal vein
Palmar (volar) digital vein
Palmar (volar) metacarpal vein
Superficial palmar venous arch
Volar (palmar) digital vein
Volar (palmar) metacarpal vein
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Upper Veins 05B–05B
Upper Veins
05B
Approach Device Qualifier
Character 5 Character 6 Character 7
H Hand Vein, Left 0 Open Z No Device X Diagnostic
See G Hand Vein, Right 3 Percutaneous Z No Qualifier
L Intracranial Vein 4 Percutaneous Endoscopic
Anterior cerebral vein
Basal (internal) cerebral vein
Dural venous sinus
Great cerebral vein
Inferior cerebellar vein
Inferior cerebral vein
Internal (basal) cerebral vein
Middle cerebral vein
Ophthalmic vein
Superior cerebellar vein
Superior cerebral vein
M Internal Jugular Vein, Right
N Internal Jugular Vein, Left
P External Jugular Vein, Right
Posterior auricular vein
Q External Jugular Vein, Left
See P External Jugular Vein,
Right
R Vertebral Vein, Right
Deep cervical vein
Suboccipital venous plexus
S Vertebral Vein, Left
See R Vertebral Vein, Right
T Face Vein, Right
Angular vein
Anterior facial vein
Common facial vein
Deep facial vein
Frontal vein
Posterior facial
(retromandibular) vein
Supraorbital vein
V Face Vein, Left
See T Face Vein, Right
Y Upper Vein
05B–05B
New/Revised in GREEN
239
 05C–05D Upper Veins ICD-10-PCS 2019
Upper Veins

0 Medical and Surgical

5 Upper Veins
C Extirpation Definition: Taking or cutting out solid matter from a body part
Explanation: The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in
the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces.
Body Part
Character 4
0 Azygos Vein
Right ascending lumbar vein
Right subcostal vein
1 Hemiazygos Vein
Left ascending lumbar vein
Left subcostal vein
3 Innominate Vein, Right
Brachiocephalic vein
Inferior thyroid vein
4 Innominate Vein, Left
See 3 Innominate Vein, Right
5 Subclavian Vein, Right
6 Subclavian Vein, Left
7 Axillary Vein, Right
8 Axillary Vein, Left
9 Brachial Vein, Right
Radial vein
Ulnar vein
A Brachial Vein, Left
See 9 Brachial Vein, Right
B Basilic Vein, Right
Median antebrachial vein
Median cubital vein
C Basilic Vein, Left
See B Basilic Vein, Right
D Cephalic Vein, Right
Accessory cephalic vein
F Cephalic Vein, Left
See D Cephalic Vein, Right
G Hand Vein, Right
Dorsal metacarpal vein
Palmar (volar) digital vein
Palmar (volar) metacarpal vein
Superficial palmar venous arch
Volar (palmar) digital vein
Volar (palmar) metacarpal vein
05C
Approach Device Qualifier
Character 5 Character 6 Character 7
H Hand Vein, Left 0 Open Z No Device Z No Qualifier
See G Hand Vein, Right 3 Percutaneous
L Intracranial Vein 4 Percutaneous Endoscopic
Anterior cerebral vein
Basal (internal) cerebral vein
Dural venous sinus
Great cerebral vein
Inferior cerebellar vein
Inferior cerebral vein
Internal (basal) cerebral vein
Middle cerebral vein
Ophthalmic vein
Superior cerebellar vein
Superior cerebral vein
M Internal Jugular Vein, Right
N Internal Jugular Vein, Left
P External Jugular Vein, Right
Posterior auricular vein
Q External Jugular Vein, Left
See P External Jugular Vein,
Right
R Vertebral Vein, Right
Deep cervical vein
Suboccipital venous plexus
S Vertebral Vein, Left
See R Vertebral Vein, Right
T Face Vein, Right
Angular vein
Anterior facial vein
Common facial vein
Deep facial vein
Frontal vein
Posterior facial
(retromandibular) vein
Supraorbital vein
V Face Vein, Left
See T Face Vein, Right
Y Upper Vein

0 Medical and Surgical

5 Upper Veins 05D
D Extraction Definition: Pulling or stripping out or off all or a portion of a body part by the use of force
Explanation: The qualifier DIAGNOSTIC is used to identify extraction procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
9 Brachial Vein, Right F Cephalic Vein, Left 0 Open Z No Device Z No Qualifier
Radial vein See D Cephalic Vein, Right 3 Percutaneous
Ulnar vein G Hand Vein, Right
A Brachial Vein, Left Dorsal metacarpal vein
See 9 Brachial Vein, Right Palmar (volar) digital vein
B Basilic Vein, Right Palmar (volar) metacarpal vein
Median antebrachial vein Superficial palmar venous arch
Median cubital vein Volar (palmar) digital vein
C Basilic Vein, Left Volar (palmar) metacarpal vein
See B Basilic Vein, Right H Hand Vein, Left
D Cephalic Vein, Right See G Hand Vein, Right
Accessory cephalic vein Y Upper Vein
05C–05D

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
240 ICD-10-PCS 2019
ICD-10-PCS 2019 Upper Veins 05H–05J

Upper Veins
0 Medical and Surgical
5 Upper Veins 05H
H Insertion Definition: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically
take the place of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Azygos Vein ? 0 Open 2 Monitoring Device Z No Qualifier
Right ascending lumbar vein 3 Percutaneous 3 Infusion Device
Right subcostal vein 4 Percutaneous Endoscopic D Intraluminal Device
M Neurostimulator Lead
1 Hemiazygos Vein L Intracranial Vein 0 Open 3 Infusion Device Z No Qualifier
Left ascending lumbar vein Anterior cerebral vein 3 Percutaneous D Intraluminal Device
Left subcostal vein Basal (internal) cerebral vein 4 Percutaneous Endoscopic
5 Subclavian Vein, Right Dural venous sinus
6 Subclavian Vein, Left Great cerebral vein
7 Axillary Vein, Right Inferior cerebellar vein
Inferior cerebral vein
8 Axillary Vein, Left
Internal (basal) cerebral vein
9 Brachial Vein, Right Middle cerebral vein
Radial vein Ophthalmic vein
Ulnar vein Superior cerebellar vein
A Brachial Vein, Left Superior cerebral vein
See 9 Brachial Vein, Right M Internal Jugular Vein, Right
B Basilic Vein, Right N Internal Jugular Vein, Left
Median antebrachial vein
P External Jugular Vein, Right
Median cubital vein
Posterior auricular vein
C Basilic Vein, Left
Q External Jugular Vein, Left
See B Basilic Vein, Right
See P External Jugular Vein,
D Cephalic Vein, Right Right
Accessory cephalic vein
R Vertebral Vein, Right
F Cephalic Vein, Left Deep cervical vein
See D Cephalic Vein, Right Suboccipital venous plexus
G Hand Vein, Right S Vertebral Vein, Left
Dorsal metacarpal vein See R Vertebral Vein, Right
Palmar (volar) digital vein
T Face Vein, Right
Palmar (volar) metacarpal vein
Angular vein
Superficial palmar venous arch
Anterior facial vein
Volar (palmar) digital vein
Common facial vein
Volar (palmar) metacarpal vein
Deep facial vein
H Hand Vein, Left Frontal vein
See G Hand Vein, Right Posterior facial
(retromandibular) vein
Supraorbital vein
V Face Vein, Left
See T Face Vein, Right
3 Innominate Vein, Right ? 0 Open 3 Infusion Device Z No Qualifier
Brachiocephalic vein 3 Percutaneous D Intraluminal Device
Inferior thyroid vein 4 Percutaneous Endoscopic M Neurostimulator Lead
4 Innominate Vein, Left ?
See 3 Innominate Vein, Right
Y Upper Vein 0 Open 2 Monitoring Device Z No Qualifier
3 Percutaneous 3 Infusion Device
4 Percutaneous Endoscopic D Intraluminal Device
Y Other Device
Non-OR 05H0[0,3,4]3Z See Appendix L for Procedure Combinations
Non-OR 05H[1,5,6,7,8,9,A,B,C,D,F,G,H,L,M,N,P,Q,R,S,T,V][0,3,4]3Z ? 05H0[0,3,4]MZ
Non-OR 05H[3,4][0,3,4]3Z ? 05H[3,4][0,3,4]MZ
Non-OR 05HY[0,3,4]3Z
Non-OR 05HY32Z
Non-OR 05HY[3,4]YZ
HAC 05H0[3,4]3Z when reported with SDx J95.811
HAC 05H[1,5,6][3,4]3Z when reported with SDx J95.811
HAC 05H[M,N,P,Q]33Z when reported with SDx J95.811
HAC 05H[3,4][3,4]3Z when reported with SDx J95.811

0 Medical and Surgical

5 Upper Veins 05J
J Inspection Definition: Visually and/or manually exploring a body part
Explanation: Visual exploration may be performed with or without optical instrumentation. Manual exploration may be performed directly or
through intervening body layers.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
Y Upper Vein 0 Open Z No Device Z No Qualifier
05H–05J

3 Percutaneous
4 Percutaneous Endoscopic
X External
Non-OR 05JY[3,X]ZZ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 241
 05L–05L
Upper Veins
0 Medical and Surgical
5 Upper Veins
L Occlusion Definition: Completely closing an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice
Body Part
Character 4
0 Azygos Vein
Right ascending lumbar vein
Right subcostal vein
1 Hemiazygos Vein
Left ascending lumbar vein
Left subcostal vein
3 Innominate Vein, Right
Brachiocephalic vein
Inferior thyroid vein
4 Innominate Vein, Left
See 3 Innominate Vein, Right
5 Subclavian Vein, Right
6 Subclavian Vein, Left
7 Axillary Vein, Right
8 Axillary Vein, Left
9 Brachial Vein, Right
Radial vein
Ulnar vein
A Brachial Vein, Left
See 9 Brachial Vein, Right
B Basilic Vein, Right
Median antebrachial vein
Median cubital vein
C Basilic Vein, Left
See B Basilic Vein, Right
D Cephalic Vein, Right
Accessory cephalic vein
F Cephalic Vein, Left
See D Cephalic Vein, Right
G Hand Vein, Right
Dorsal metacarpal vein
Palmar (volar) digital vein
Palmar (volar) metacarpal vein
Superficial palmar venous arch
Volar (palmar) digital vein
Volar (palmar) metacarpal vein
05L–05L
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
242
Upper Veins ICD-10-PCS 2019
05L
Approach Device Qualifier
Character 5 Character 6 Character 7
H Hand Vein, Left 0 Open C Extraluminal Device Z No Qualifier
See G Hand Vein, Right 3 Percutaneous D Intraluminal Device
L Intracranial Vein 4 Percutaneous Endoscopic Z No Device
Anterior cerebral vein
Basal (internal) cerebral vein
Dural venous sinus
Great cerebral vein
Inferior cerebellar vein
Inferior cerebral vein
Internal (basal) cerebral vein
Middle cerebral vein
Ophthalmic vein
Superior cerebellar vein
Superior cerebral vein
M Internal Jugular Vein, Right
N Internal Jugular Vein, Left
P External Jugular Vein, Right
Posterior auricular vein
Q External Jugular Vein, Left
See P External Jugular Vein,
Right
R Vertebral Vein, Right
Deep cervical vein
Suboccipital venous plexus
S Vertebral Vein, Left
See R Vertebral Vein, Right
T Face Vein, Right
Angular vein
Anterior facial vein
Common facial vein
Deep facial vein
Frontal vein
Posterior facial
(retromandibular) vein
Supraorbital vein
V Face Vein, Left
See T Face Vein, Right
Y Upper Vein
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
5 Upper Veins
N Release Definition: Freeing a body part from an abnormal physical constraint by cutting or by the use of force
Explanation: Some of the restraining tissue may be taken out but none of the body part is taken out
Body Part
Character 4
0 Azygos Vein
Right ascending lumbar vein
Right subcostal vein
1 Hemiazygos Vein
Left ascending lumbar vein
Left subcostal vein
3 Innominate Vein, Right
Brachiocephalic vein
Inferior thyroid vein
4 Innominate Vein, Left
See 3 Innominate Vein, Right
5 Subclavian Vein, Right
6 Subclavian Vein, Left
7 Axillary Vein, Right
8 Axillary Vein, Left
9 Brachial Vein, Right
Radial vein
Ulnar vein
A Brachial Vein, Left
See 9 Brachial Vein, Right
B Basilic Vein, Right
Median antebrachial vein
Median cubital vein
C Basilic Vein, Left
See B Basilic Vein, Right
D Cephalic Vein, Right
Accessory cephalic vein
F Cephalic Vein, Left
See D Cephalic Vein, Right
G Hand Vein, Right
Dorsal metacarpal vein
Palmar (volar) digital vein
Palmar (volar) metacarpal vein
Superficial palmar venous arch
Volar (palmar) digital vein
Volar (palmar) metacarpal vein
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Upper Veins 05N–05N
Upper Veins
05N
Approach Device Qualifier
Character 5 Character 6 Character 7
H Hand Vein, Left 0 Open Z No Device Z No Qualifier
See G Hand Vein, Right 3 Percutaneous
L Intracranial Vein 4 Percutaneous Endoscopic
Anterior cerebral vein
Basal (internal) cerebral vein
Dural venous sinus
Great cerebral vein
Inferior cerebellar vein
Inferior cerebral vein
Internal (basal) cerebral vein
Middle cerebral vein
Ophthalmic vein
Superior cerebellar vein
Superior cerebral vein
M Internal Jugular Vein, Right
N Internal Jugular Vein, Left
P External Jugular Vein, Right
Posterior auricular vein
Q External Jugular Vein, Left
See P External Jugular Vein,
Right
R Vertebral Vein, Right
Deep cervical vein
Suboccipital venous plexus
S Vertebral Vein, Left
See R Vertebral Vein, Right
T Face Vein, Right
Angular vein
Anterior facial vein
Common facial vein
Deep facial vein
Frontal vein
Posterior facial
(retromandibular) vein
Supraorbital vein
V Face Vein, Left
See T Face Vein, Right
Y Upper Vein
05N–05N
New/Revised in GREEN
243
 05P–05P Upper Veins ICD-10-PCS 2019
Upper Veins

0 Medical and Surgical

5 Upper Veins 05P
P Removal Definition: Taking out or off a device from a body part
Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is
coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Azygos Vein 0 Open 2 Monitoring Device Z No Qualifier
Right ascending lumbar vein 3 Percutaneous M Neurostimulator Lead
Right subcostal vein 4 Percutaneous Endoscopic
X External
3 Innominate Vein, Right 0 Open M Neurostimulator Lead Z No Qualifier
Brachiocephalic vein 3 Percutaneous
Inferior thyroid vein 4 Percutaneous Endoscopic
4 Innominate Vein, Left X External
See 3 Innominate Vein, Right
Y Upper Vein 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous 2 Monitoring Device
4 Percutaneous Endoscopic 3 Infusion Device
7 Autologous Tissue Substitute
C Extraluminal Device
D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
Y Other Device
Y Upper Vein X External 0 Drainage Device Z No Qualifier
2 Monitoring Device
3 Infusion Device
D Intraluminal Device
Non-OR 05P0[0,3,4,X]2Z
Non-OR 05PY3[0,2,3]Z
Non-OR 05PY[3,4]YZ
Non-OR 05PYX[0,2,3,D]Z
05P–05P

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
244 ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
5 Upper Veins
Q Repair Definition: Restoring, to the extent possible, a body part to its normal anatomic structure and function
Explanation: Used only when the method to accomplish the repair is not one of the other root operations
Body Part
Character 4
0 Azygos Vein
Right ascending lumbar vein
Right subcostal vein
1 Hemiazygos Vein
Left ascending lumbar vein
Left subcostal vein
3 Innominate Vein, Right
Brachiocephalic vein
Inferior thyroid vein
4 Innominate Vein, Left
See 3 Innominate Vein, Right
5 Subclavian Vein, Right
6 Subclavian Vein, Left
7 Axillary Vein, Right
8 Axillary Vein, Left
9 Brachial Vein, Right
Radial vein
Ulnar vein
A Brachial Vein, Left
See 9 Brachial Vein, Right
B Basilic Vein, Right
Median antebrachial vein
Median cubital vein
C Basilic Vein, Left
See B Basilic Vein, Right
D Cephalic Vein, Right
Accessory cephalic vein
F Cephalic Vein, Left
See D Cephalic Vein, Right
G Hand Vein, Right
Dorsal metacarpal vein
Palmar (volar) digital vein
Palmar (volar) metacarpal vein
Superficial palmar venous arch
Volar (palmar) digital vein
Volar (palmar) metacarpal vein
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Upper Veins 05Q–05Q
Upper Veins
05Q
Approach Device Qualifier
Character 5 Character 6 Character 7
H Hand Vein, Left 0 Open Z No Device Z No Qualifier
See G Hand Vein, Right 3 Percutaneous
L Intracranial Vein 4 Percutaneous Endoscopic
Anterior cerebral vein
Basal (internal) cerebral vein
Dural venous sinus
Great cerebral vein
Inferior cerebellar vein
Inferior cerebral vein
Internal (basal) cerebral vein
Middle cerebral vein
Ophthalmic vein
Superior cerebellar vein
Superior cerebral vein
M Internal Jugular Vein, Right
N Internal Jugular Vein, Left
P External Jugular Vein, Right
Posterior auricular vein
Q External Jugular Vein, Left
See P External Jugular Vein,
Right
R Vertebral Vein, Right
Deep cervical vein
Suboccipital venous plexus
S Vertebral Vein, Left
See R Vertebral Vein, Right
T Face Vein, Right
Angular vein
Anterior facial vein
Common facial vein
Deep facial vein
Frontal vein
Posterior facial
(retromandibular) vein
Supraorbital vein
V Face Vein, Left
See T Face Vein, Right
Y Upper Vein
05Q–05Q
New/Revised in GREEN
245
 05R–05R
Upper Veins
0 Medical and Surgical
5 Upper Veins
R Replacement Definition: Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part
Explanation: The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during
the REPLACEMENT procedure. A REMOVAL procedure is coded for taking out the device used in a previous replacement procedure.
Body Part
Character 4
0 Azygos Vein
Right ascending lumbar vein
Right subcostal vein
1 Hemiazygos Vein
Left ascending lumbar vein
Left subcostal vein
3 Innominate Vein, Right
Brachiocephalic vein
Inferior thyroid vein
4 Innominate Vein, Left
See 3 Innominate Vein, Right
5 Subclavian Vein, Right
6 Subclavian Vein, Left
7 Axillary Vein, Right
8 Axillary Vein, Left
9 Brachial Vein, Right
Radial vein
Ulnar vein
A Brachial Vein, Left
See 9 Brachial Vein, Right
B Basilic Vein, Right
Median antebrachial vein
Median cubital vein
C Basilic Vein, Left
See B Basilic Vein, Right
D Cephalic Vein, Right
Accessory cephalic vein
F Cephalic Vein, Left
See D Cephalic Vein, Right
G Hand Vein, Right
Dorsal metacarpal vein
Palmar (volar) digital vein
Palmar (volar) metacarpal vein
Superficial palmar venous arch
Volar (palmar) digital vein
Volar (palmar) metacarpal vein
05R–05R
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
246
Upper Veins ICD-10-PCS 2019
05R
Approach Device Qualifier
Character 5 Character 6 Character 7
H Hand Vein, Left 0 Open 7 Autologous Tissue Z No Qualifier
See G Hand Vein, Right 4 Percutaneous Endoscopic Substitute
L Intracranial Vein J Synthetic Substitute
Anterior cerebral vein K Nonautologous Tissue
Basal (internal) cerebral vein Substitute
Dural venous sinus
Great cerebral vein
Inferior cerebellar vein
Inferior cerebral vein
Internal (basal) cerebral vein
Middle cerebral vein
Ophthalmic vein
Superior cerebellar vein
Superior cerebral vein
M Internal Jugular Vein, Right
N Internal Jugular Vein, Left
P External Jugular Vein, Right
Posterior auricular vein
Q External Jugular Vein, Left
See P External Jugular Vein,
Right
R Vertebral Vein, Right
Deep cervical vein
Suboccipital venous plexus
S Vertebral Vein, Left
See R Vertebral Vein, Right
T Face Vein, Right
Angular vein
Anterior facial vein
Common facial vein
Deep facial vein
Frontal vein
Posterior facial
(retromandibular) vein
Supraorbital vein
V Face Vein, Left
See T Face Vein, Right
Y Upper Vein
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
5 Upper Veins
S Reposition Definition: Moving to its normal location, or other suitable location, all or a portion of a body part
Explanation: The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning
correctly. The body part may or may not be cut out or off to be moved to the new location.
Body Part
Character 4
0 Azygos Vein
Right ascending lumbar vein
Right subcostal vein
1 Hemiazygos Vein
Left ascending lumbar vein
Left subcostal vein
3 Innominate Vein, Right
Brachiocephalic vein
Inferior thyroid vein
4 Innominate Vein, Left
See 3 Innominate Vein, Right
5 Subclavian Vein, Right
6 Subclavian Vein, Left
7 Axillary Vein, Right
8 Axillary Vein, Left
9 Brachial Vein, Right
Radial vein
Ulnar vein
A Brachial Vein, Left
See 9 Brachial Vein, Right
B Basilic Vein, Right
Median antebrachial vein
Median cubital vein
C Basilic Vein, Left
See B Basilic Vein, Right
D Cephalic Vein, Right
Accessory cephalic vein
F Cephalic Vein, Left
See D Cephalic Vein, Right
G Hand Vein, Right
Dorsal metacarpal vein
Palmar (volar) digital vein
Palmar (volar) metacarpal vein
Superficial palmar venous arch
Volar (palmar) digital vein
Volar (palmar) metacarpal vein
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Upper Veins 05S–05S
Upper Veins
05S
Approach Device Qualifier
Character 5 Character 6 Character 7
H Hand Vein, Left 0 Open Z No Device Z No Qualifier
See G Hand Vein, Right 3 Percutaneous
L Intracranial Vein 4 Percutaneous Endoscopic
Anterior cerebral vein
Basal (internal) cerebral vein
Dural venous sinus
Great cerebral vein
Inferior cerebellar vein
Inferior cerebral vein
Internal (basal) cerebral vein
Middle cerebral vein
Ophthalmic vein
Superior cerebellar vein
Superior cerebral vein
M Internal Jugular Vein, Right
N Internal Jugular Vein, Left
P External Jugular Vein, Right
Posterior auricular vein
Q External Jugular Vein, Left
See P External Jugular Vein,
Right
R Vertebral Vein, Right
Deep cervical vein
Suboccipital venous plexus
S Vertebral Vein, Left
See R Vertebral Vein, Right
T Face Vein, Right
Angular vein
Anterior facial vein
Common facial vein
Deep facial vein
Frontal vein
Posterior facial
(retromandibular) vein
Supraorbital vein
V Face Vein, Left
See T Face Vein, Right
Y Upper Vein
05S–05S
New/Revised in GREEN
247
 05U–05U
Upper Veins
0 Medical and Surgical
5 Upper Veins
U Supplement Definition: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part
Explanation: The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced,
and the SUPPLEMENT procedure is performed to physically reinforce and/or augment the function of the replaced body part.
Body Part
Character 4
0 Azygos Vein
Right ascending lumbar vein
Right subcostal vein
1 Hemiazygos Vein
Left ascending lumbar vein
Left subcostal vein
3 Innominate Vein, Right
Brachiocephalic vein
Inferior thyroid vein
4 Innominate Vein, Left
See 3 Innominate Vein, Right
5 Subclavian Vein, Right
6 Subclavian Vein, Left
7 Axillary Vein, Right
8 Axillary Vein, Left
9 Brachial Vein, Right
Radial vein
Ulnar vein
A Brachial Vein, Left
See 9 Brachial Vein, Right
B Basilic Vein, Right
Median antebrachial vein
Median cubital vein
C Basilic Vein, Left
See B Basilic Vein, Right
D Cephalic Vein, Right
Accessory cephalic vein
F Cephalic Vein, Left
See D Cephalic Vein, Right
G Hand Vein, Right
Dorsal metacarpal vein
Palmar (volar) digital vein
Palmar (volar) metacarpal vein
Superficial palmar venous arch
Volar (palmar) digital vein
Volar (palmar) metacarpal vein
05U–05U
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
248
Upper Veins ICD-10-PCS 2019
05U
Approach Device Qualifier
Character 5 Character 6 Character 7
H Hand Vein, Left 0 Open 7 Autologous Tissue Z No Qualifier
See G Hand Vein, Right 3 Percutaneous Substitute
L Intracranial Vein 4 Percutaneous Endoscopic J Synthetic Substitute
Anterior cerebral vein K Nonautologous Tissue
Basal (internal) cerebral vein Substitute
Dural venous sinus
Great cerebral vein
Inferior cerebellar vein
Inferior cerebral vein
Internal (basal) cerebral vein
Middle cerebral vein
Ophthalmic vein
Superior cerebellar vein
Superior cerebral vein
M Internal Jugular Vein, Right
N Internal Jugular Vein, Left
P External Jugular Vein, Right
Posterior auricular vein
Q External Jugular Vein, Left
See P External Jugular Vein,
Right
R Vertebral Vein, Right
Deep cervical vein
Suboccipital venous plexus
S Vertebral Vein, Left
See R Vertebral Vein, Right
T Face Vein, Right
Angular vein
Anterior facial vein
Common facial vein
Deep facial vein
Frontal vein
Posterior facial
(retromandibular) vein
Supraorbital vein
V Face Vein, Left
See T Face Vein, Right
Y Upper Vein
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
5 Upper Veins
V Restriction Definition: Partially closing an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice
Body Part
Character 4
0 Azygos Vein
Right ascending lumbar vein
Right subcostal vein
1 Hemiazygos Vein
Left ascending lumbar vein
Left subcostal vein
3 Innominate Vein, Right
Brachiocephalic vein
Inferior thyroid vein
4 Innominate Vein, Left
See 3 Innominate Vein, Right
5 Subclavian Vein, Right
6 Subclavian Vein, Left
7 Axillary Vein, Right
8 Axillary Vein, Left
9 Brachial Vein, Right
Radial vein
Ulnar vein
A Brachial Vein, Left
See 9 Brachial Vein, Right
B Basilic Vein, Right
Median antebrachial vein
Median cubital vein
C Basilic Vein, Left
See B Basilic Vein, Right
D Cephalic Vein, Right
Accessory cephalic vein
F Cephalic Vein, Left
See D Cephalic Vein, Right
G Hand Vein, Right
Dorsal metacarpal vein
Palmar (volar) digital vein
Palmar (volar) metacarpal vein
Superficial palmar venous arch
Volar (palmar) digital vein
Volar (palmar) metacarpal vein
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Upper Veins 05V–05V
Upper Veins
05V
Approach Device Qualifier
Character 5 Character 6 Character 7
H Hand Vein, Left 0 Open C Extraluminal Device Z No Qualifier
See G Hand Vein, Right 3 Percutaneous D Intraluminal Device
L Intracranial Vein 4 Percutaneous Endoscopic Z No Device
Anterior cerebral vein
Basal (internal) cerebral vein
Dural venous sinus
Great cerebral vein
Inferior cerebellar vein
Inferior cerebral vein
Internal (basal) cerebral vein
Middle cerebral vein
Ophthalmic vein
Superior cerebellar vein
Superior cerebral vein
M Internal Jugular Vein, Right
N Internal Jugular Vein, Left
P External Jugular Vein, Right
Posterior auricular vein
Q External Jugular Vein, Left
See P External Jugular Vein,
Right
R Vertebral Vein, Right
Deep cervical vein
Suboccipital venous plexus
S Vertebral Vein, Left
See R Vertebral Vein, Right
T Face Vein, Right
Angular vein
Anterior facial vein
Common facial vein
Deep facial vein
Frontal vein
Posterior facial
(retromandibular) vein
Supraorbital vein
V Face Vein, Left
See T Face Vein, Right
Y Upper Vein
05V–05V
New/Revised in GREEN
249
 05W–05W Upper Veins ICD-10-PCS 2019
Upper Veins

0 Medical and Surgical

5 Upper Veins 05W
W Revision Definition: Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device
Explanation: Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as
a screw or pin
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Azygos Vein 0 Open 2 Monitoring Device Z No Qualifier
Right ascending lumbar vein 3 Percutaneous M Neurostimulator Lead
Right subcostal vein 4 Percutaneous Endoscopic
X External
3 Innominate Vein, Right 0 Open M Neurostimulator Lead Z No Qualifier
Brachiocephalic vein 3 Percutaneous
Inferior thyroid vein 4 Percutaneous Endoscopic
4 Innominate Vein, Left X External
See 3 Innominate Vein, Right
Y Upper Vein 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous 2 Monitoring Device
4 Percutaneous Endoscopic 3 Infusion Device
7 Autologous Tissue Substitute
C Extraluminal Device
D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
Y Other Device
Y Upper Vein X External 0 Drainage Device Z No Qualifier
2 Monitoring Device
3 Infusion Device
7 Autologous Tissue Substitute
C Extraluminal Device
D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
Non-OR 05W0XMZ
Non-OR 05W[3,4]XMZ
Non-OR 05WY3[0,2,3,D]Z
Non-OR 05WY[3,4]YZ
Non-OR 05WYX[0,2,3,7,C,D,J,K]Z
05W–05W

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
250 ICD-10-PCS 2019
ICD-10-PCS 2019 Lower Veins

Lower Veins
Lower Veins 061–06W
Character Meanings
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.

Operation–Character 3 Body Part–Character 4 Approach–Character 5 Device–Character 6 Qualifier–Character 7

1 Bypass 0 Inferior Vena Cava 0 Open 0 Drainage Device 4 Hepatic Vein
5 Destruction 1 Splenic Vein 3 Percutaneous 2 Monitoring Device 5 Superior Mesenteric Vein
7 Dilation 2 Gastric Vein 4 Percutaneous Endoscopic 3 Infusion Device 6 Inferior Mesenteric Vein
9 Drainage 3 Esophageal Vein 7 Via Natural or Artificial 7 Autologous Tissue 9 Renal Vein, Right
Opening Substitute
B Excision 4 Hepatic Vein 8 Via Natural or Artificial 9 Autologous Venous Tissue B Renal Vein, Left
Opening Endoscopic
C Extirpation 5 Superior Mesenteric Vein X External A Autologous Arterial Tissue C Hemorrhoidal Plexus
D Extraction 6 Inferior Mesenteric Vein C Extraluminal Device P Pulmonary Trunk
H Insertion 7 Colic Vein D Intraluminal Device Q Pulmonary Artery, Right
J Inspection 8 Portal Vein J Synthetic Substitute R Pulmonary Artery, Left
L Occlusion 9 Renal Vein, Right K Nonautologous Tissue T Via Umbilical Vein
Substitute
N Release B Renal Vein, Left Y Other Device X Diagnostic
P Removal C Common Iliac Vein, Right Z No Device Y Lower Vein
Q Repair D Common Iliac Vein, Left Z No Qualifier
R Replacement F External Iliac Vein, Right
S Reposition G External Iliac Vein, Left
U Supplement H Hypogastric Vein, Right
V Restriction J Hypogastric Vein, Left
W Revision M Femoral Vein, Right
N Femoral Vein, Left
P Saphenous Vein, Right
Q Saphenous Vein, Left
T Foot Vein, Right
V Foot Vein, Left
Y Lower Vein

AHA Coding Clinic for table 061

2017, 4Q, 36-38 Fontan completion procedure
2017, 4Q, 66-67 New qualifier values - Portal to hepatic shunt
AHA Coding Clinic for table 06B
2017, 3Q, 5 Femoral artery to posterior tibial artery bypass using autologous and synthetic grafts
2017, 1Q, 31 Left to right common carotid artery bypass
2017, 1Q, 32 Peroneal artery to dorsalis pedis artery bypass using saphenous vein graft
2016, 3Q, 31 Femoral to peroneal artery bypass with in-situ saphenous vein graft and lysis of valves
2016, 2Q, 18 Femoral-tibial artery bypass and saphenous vein graft
2016, 1Q, 27 Aortocoronary bypass graft utilizing Y-graft
2014, 3Q, 8 Excision of saphenous vein for coronary artery bypass graft
2014, 3Q, 20 MAZE procedure performed with coronary artery bypass graft
2014, 1Q, 10 Repair of thoracic aortic aneurysm & coronary artery bypass graft
AHA Coding Clinic for table 06H
2017, 3Q, 11 Placement of peripherally inserted central catheter using 3CG ECG technology
2017, 1Q, 31 Umbilical vein catheterization
2017, 1Q, 31 Central catheter placement in femoral vein
2013, 3Q, 18 Heart transplant surgery
AHA Coding Clinic for table 06L
2018, 2Q, 18 Transverse rectus abdominis myocutaneous (TRAM) delay
2017, 4Q, 57-58 Added approach values - Transorifice esophageal vein banding
2013, 4Q, 112 Endoscopic banding of esophageal varices
AHA Coding Clinic for table 06V
2018, 1Q, 10 Revision of transjugular intrahepatic portosystemic shunt
AHA Coding Clinic for table 06W
2018, 1Q, 10 Revision of transjugular intrahepatic portosystemic shunt
2014, 3Q, 25 Revision of transjugular intrahepatic portosystemic shunt (TIPS)

ICD-10-PCS 2019 251

 Lower Veins ICD-10-PCS 2019
Lower Veins

Lower Veins

Inferior vena cava 0

Esophageal 3
Common hepatic 4
Gastric 2
Portal B
Splenic 1

Renal 9, B
Colic 7 Inferior mesenteric 6
Superior mesenteric 5
Internal
pudendal H, J
Common iliac C, D
Internal iliac (Hypogastric) H, J

External iliac F, G

Rectal venous plexus H, J

Femoral M, N

Greater saphenous P, Q

Popliteal M, N Portal Venous Circulation

Lesser saphenous P, Q Inferior vena cava 0 Gastric 2

Portal 8 Splenic 1
Anterior tibial M, N

Lesser
saphenous P, Q
Posterior tibial M, N Superior
mesenteric 5
Greater Right colic 7
saphenous P, Q
Ileocolic 7

Dorsal
venous arch T, V
Digital T, V Inferior mesenteric 6 Left colic 7

252 ICD-10-PCS 2019

ICD-10-PCS 2019
0 Medical and Surgical
6 Lower Veins
1 Bypass Definition: Altering the route of passage of the contents of a tubular body part
Explanation: Rerouting contents of a body part to a downstream area of the normal route, to a similar route and body part, or to an abnormal
route and dissimilar body part. Includes one or more anastomoses, with or without the use of a device.
Body Part
Character 4
0 Inferior Vena Cava
Postcava
Right inferior phrenic vein
Right ovarian vein
Right second lumbar vein
Right suprarenal vein
Right testicular vein
1 Splenic Vein
Left gastroepiploic vein
Pancreatic vein
2 Gastric Vein
3 Esophageal Vein
4 Hepatic Vein
5 Superior Mesenteric Vein
Right gastroepiploic vein
6 Inferior Mesenteric Vein
Sigmoid vein
Superior rectal vein
7 Colic Vein
Ileocolic vein
Left colic vein
Middle colic vein
Right colic vein
9 Renal Vein, Right
B Renal Vein, Left
Left inferior phrenic vein
Left ovarian vein
Left second lumbar vein
Left suprarenal vein
Left testicular vein
C Common Iliac Vein, Right
D Common Iliac Vein, Left
F External Iliac Vein, Right
G External Iliac Vein, Left
H Hypogastric Vein, Right
Gluteal vein
Internal iliac vein
Internal pudendal vein
Lateral sacral vein
Middle hemorrhoidal vein
Obturator vein
Uterine vein
Vaginal vein
Vesical vein
8 Portal Vein
Hepatic portal vein
8 Portal Vein
Hepatic portal vein
8 Portal Vein
Hepatic portal vein
8 Portal Vein
Hepatic portal vein
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Lower Veins 061–061
Lower Veins
061
Approach Device Qualifier
Character 5 Character 6 Character 7
0 Open 7 Autologous Tissue 5 Superior Mesenteric Vein
4 Percutaneous Endoscopic Substitute 6 Inferior Mesenteric Vein
9 Autologous Venous Tissue P Pulmonary Trunk
A Autologous Arterial Tissue Q Pulmonary Artery, Right
J Synthetic Substitute R Pulmonary Artery, Left
K Nonautologous Tissue Y Lower Vein
Substitute
Z No Device
0 Open 7 Autologous Tissue 9 Renal Vein, Right
4 Percutaneous Endoscopic Substitute B Renal Vein, Left
9 Autologous Venous Tissue Y Lower Vein
A Autologous Arterial Tissue
J Synthetic Substitute
K Nonautologous Tissue
Substitute
Z No Device
J Hypogastric Vein, Left 0 Open 7 Autologous Tissue Y Lower Vein
See H Hypogastric Vein, Right 4 Percutaneous Endoscopic Substitute
M Femoral Vein, Right 9 Autologous Venous Tissue
Deep femoral (profunda A Autologous Arterial Tissue
femoris) vein J Synthetic Substitute
Popliteal vein K Nonautologous Tissue
Profunda femoris (deep Substitute
femoral) vein
Z No Device
N Femoral Vein, Left
See M Femoral Vein, Right
P Saphenous Vein, Right
External pudendal vein
Great(er) saphenous vein
Lesser saphenous vein
Small saphenous vein
Superficial circumflex iliac vein
Superficial epigastric vein
Q Saphenous Vein, Left
See P Saphenous Vein, Right
T Foot Vein, Right
Common digital vein
Dorsal metatarsal vein
Dorsal venous arch
Plantar digital vein
Plantar metatarsal vein
Plantar venous arch
V Foot Vein, Left
See T Foot Vein, Right
0 Open 7 Autologous Tissue 9 Renal Vein, Right
Substitute B Renal Vein, Left
9 Autologous Venous Tissue Y Lower Vein
A Autologous Arterial Tissue
J Synthetic Substitute
K Nonautologous Tissue
Substitute
Z No Device
3 Percutaneous J Synthetic Substitute 4 Hepatic Vein
Y Lower Vein
4 Percutaneous Endoscopic 7 Autologous Tissue 9 Renal Vein, Right
Substitute B Renal Vein, Left
9 Autologous Venous Tissue Y Lower Vein
A Autologous Arterial Tissue
K Nonautologous Tissue
Substitute
Z No Device
4 Percutaneous Endoscopic J Synthetic Substitute 4 Hepatic Vein
9 Renal Vein, Right
061–061
B Renal Vein, Left
Y Lower Vein
New/Revised in GREEN
253
 065–065 Lower Veins ICD-10-PCS 2019
Lower Veins

0 Medical and Surgical

6 Lower Veins 065
5 Destruction Definition: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent
Explanation: None of the body part is physically taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Inferior Vena Cava 0 Open Z No Device Z No Qualifier
Postcava 3 Percutaneous
Right inferior phrenic vein 4 Percutaneous Endoscopic
Right ovarian vein
Right second lumbar vein
Right suprarenal vein
Right testicular vein
1 Splenic Vein
Left gastroepiploic vein
Pancreatic vein
2 Gastric Vein
3 Esophageal Vein
4 Hepatic Vein
5 Superior Mesenteric Vein
Right gastroepiploic vein
6 Inferior Mesenteric Vein
Sigmoid vein
Superior rectal vein
7 Colic Vein
Ileocolic vein
Left colic vein
Middle colic vein
Right colic vein
8 Portal Vein
Hepatic portal vein
9 Renal Vein, Right
B Renal Vein, Left
Left inferior phrenic vein
Left ovarian vein
Left second lumbar vein
Left suprarenal vein
Left testicular vein
C Common Iliac Vein, Right
D Common Iliac Vein, Left
F External Iliac Vein, Right
G External Iliac Vein, Left
H Hypogastric Vein, Right
Gluteal vein
Internal iliac vein
Internal pudendal vein
Lateral sacral vein
Middle hemorrhoidal vein
Obturator vein
Uterine vein
Vaginal vein
Vesical vein
J Hypogastric Vein, Left
See H Hypogastric Vein, Right
M Femoral Vein, Right
Deep femoral (profunda femoris) vein
Popliteal vein
Profunda femoris (deep femoral) vein
N Femoral Vein, Left
See M Femoral Vein, Right
P Saphenous Vein, Right
External pudendal vein
Great(er) saphenous vein
Lesser saphenous vein
Small saphenous vein
Superficial circumflex iliac vein
Superficial epigastric vein
Q Saphenous Vein, Left
See P Saphenous Vein, Right
T Foot Vein, Right
Common digital vein
Dorsal metatarsal vein
Dorsal venous arch
Plantar digital vein
Plantar metatarsal vein
Plantar venous arch
V Foot Vein, Left
See T Foot Vein, Right
065–065

Y Lower Vein 0 Open Z No Device C Hemorrhoidal Plexus

3 Percutaneous Z No Qualifier
4 Percutaneous Endoscopic

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
254 ICD-10-PCS 2019
ICD-10-PCS 2019 Lower Veins 067–067

Lower Veins
0 Medical and Surgical
6 Lower Veins 067
7 Dilation Definition: Expanding an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice. Accomplished by stretching a tubular body part using
intraluminal pressure or by cutting part of the orifice or wall of the tubular body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Inferior Vena Cava 0 Open D Intraluminal Device Z No Qualifier
Postcava 3 Percutaneous Z No Device
Right inferior phrenic vein 4 Percutaneous Endoscopic
Right ovarian vein
Right second lumbar vein
Right suprarenal vein
Right testicular vein
1 Splenic Vein
Left gastroepiploic vein
Pancreatic vein
2 Gastric Vein
3 Esophageal Vein
4 Hepatic Vein
5 Superior Mesenteric Vein
Right gastroepiploic vein
6 Inferior Mesenteric Vein
Sigmoid vein
Superior rectal vein
7 Colic Vein
Ileocolic vein
Left colic vein
Middle colic vein
Right colic vein
8 Portal Vein
Hepatic portal vein
9 Renal Vein, Right
B Renal Vein, Left
Left inferior phrenic vein
Left ovarian vein
Left second lumbar vein
Left suprarenal vein
Left testicular vein
C Common Iliac Vein, Right
D Common Iliac Vein, Left
F External Iliac Vein, Right
G External Iliac Vein, Left
H Hypogastric Vein, Right
Gluteal vein
Internal iliac vein
Internal pudendal vein
Lateral sacral vein
Middle hemorrhoidal vein
Obturator vein
Uterine vein
Vaginal vein
Vesical vein
J Hypogastric Vein, Left
See H Hypogastric Vein, Right
M Femoral Vein, Right
Deep femoral (profunda femoris) vein
Popliteal vein
Profunda femoris (deep femoral) vein
N Femoral Vein, Left
See M Femoral Vein, Right
P Saphenous Vein, Right
External pudendal vein
Great(er) saphenous vein
Lesser saphenous vein
Small saphenous vein
Superficial circumflex iliac vein
Superficial epigastric vein
Q Saphenous Vein, Left
See P Saphenous Vein, Right
T Foot Vein, Right
Common digital vein
Dorsal metatarsal vein
Dorsal venous arch
Plantar digital vein
Plantar metatarsal vein
Plantar venous arch
V Foot Vein, Left
067–067

See T Foot Vein, Right

Y Lower Vein

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 255
 069–069 Lower Veins ICD-10-PCS 2019
Lower Veins

0 Medical and Surgical

6 Lower Veins 069
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Inferior Vena Cava H Hypogastric Vein, Right 0 Open 0 Drainage Device Z No Qualifier
Postcava Gluteal vein 3 Percutaneous
Right inferior phrenic vein Internal iliac vein 4 Percutaneous Endoscopic
Right ovarian vein Internal pudendal vein
Right second lumbar vein Lateral sacral vein
Right suprarenal vein Middle hemorrhoidal vein
Right testicular vein Obturator vein
1 Splenic Vein Uterine vein
Left gastroepiploic vein Vaginal vein
Pancreatic vein Vesical vein
2 Gastric Vein J Hypogastric Vein, Left
3 Esophageal Vein See H Hypogastric Vein, Right
4 Hepatic Vein M Femoral Vein, Right
5 Superior Mesenteric Vein Deep femoral (profunda
Right gastroepiploic vein femoris) vein
Popliteal vein
6 Inferior Mesenteric Vein
Profunda femoris (deep
Sigmoid vein
femoral) vein
Superior rectal vein
N Femoral Vein, Left
7 Colic Vein
See M Femoral Vein, Right
Ileocolic vein
Left colic vein P Saphenous Vein, Right
Middle colic vein External pudendal vein
Right colic vein Great(er) saphenous vein
Lesser saphenous vein
8 Portal Vein
Small saphenous vein
Hepatic portal vein
Superficial circumflex iliac vein
9 Renal Vein, Right Superficial epigastric vein
B Renal Vein, Left Q Saphenous Vein, Left
Left inferior phrenic vein See P Saphenous Vein, Right
Left ovarian vein
T Foot Vein, Right
Left second lumbar vein
Common digital vein
Left suprarenal vein
Dorsal metatarsal vein
Left testicular vein
Dorsal venous arch
C Common Iliac Vein, Right Plantar digital vein
D Common Iliac Vein, Left Plantar metatarsal vein
F External Iliac Vein, Right Plantar venous arch
G External Iliac Vein, Left V Foot Vein, Left
See T Foot Vein, Right
Y Lower Vein
069 Continued on next page
Non-OR 069[0,1,2,4,5,6,7,8,9,B,C,D,F,G,H,J,M,N,P,Q,T,V,Y][0,3,4]0Z
Non-OR 069330Z
069–069

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
256 ICD-10-PCS 2019
ICD-10-PCS 2019 Lower Veins 069–069

0 Medical and Surgical
6 Lower Veins
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part
Character 4
0 Inferior Vena Cava
Postcava
Right inferior phrenic vein
Right ovarian vein
Right second lumbar vein
Right suprarenal vein
Right testicular vein
1 Splenic Vein
Left gastroepiploic vein
Pancreatic vein
2 Gastric Vein
3 Esophageal Vein
4 Hepatic Vein
5 Superior Mesenteric Vein
Right gastroepiploic vein
6 Inferior Mesenteric Vein
Sigmoid vein
Superior rectal vein
7 Colic Vein
Ileocolic vein
Left colic vein
Middle colic vein
Right colic vein
8 Portal Vein
Hepatic portal vein
9 Renal Vein, Right
B Renal Vein, Left
Left inferior phrenic vein
Left ovarian vein
Left second lumbar vein
Left suprarenal vein
Left testicular vein
C Common Iliac Vein, Right
D Common Iliac Vein, Left
F External Iliac Vein, Right
G External Iliac Vein, Left
Non-OR 069[0,1,2,3,4,5,6,7,8,9,B,C,D,F,G,H,J,M,N,P,Q,T,V,Y]3ZX
Non-OR 069[0,1,2,4,5,6,7,8,9,B,C,D,F,G,H,J,M,N,P,Q,T,V,Y][0,3,4]ZZ
Non-OR 06933ZZ
Lower Veins
069 Continued
069
Approach Device Qualifier
Character 5 Character 6 Character 7
H Hypogastric Vein, Right 0 Open Z No Device X Diagnostic
Gluteal vein 3 Percutaneous Z No Qualifier
Internal iliac vein 4 Percutaneous Endoscopic
Internal pudendal vein
Lateral sacral vein
Middle hemorrhoidal vein
Obturator vein
Uterine vein
Vaginal vein
Vesical vein
J Hypogastric Vein, Left
See H Hypogastric Vein, Right
M Femoral Vein, Right
Deep femoral (profunda
femoris) vein
Popliteal vein
Profunda femoris (deep
femoral) vein
N Femoral Vein, Left
See M Femoral Vein, Right
P Saphenous Vein, Right
External pudendal vein
Great(er) saphenous vein
Lesser saphenous vein
Small saphenous vein
Superficial circumflex iliac vein
Superficial epigastric vein
Q Saphenous Vein, Left
See P Saphenous Vein, Right
T Foot Vein, Right
Common digital vein
Dorsal metatarsal vein
Dorsal venous arch
Plantar digital vein
Plantar metatarsal vein
Plantar venous arch
V Foot Vein, Left
See T Foot Vein, Right
Y Lower Vein
069–069

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 257
 06B–06B
Lower Veins
0 Medical and Surgical
6 Lower Veins
B Excision Definition: Cutting out or off, without replacement, a portion of a body part
Explanation: The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies
Body Part
Character 4
0 Inferior Vena Cava
Postcava
Right inferior phrenic vein
Right ovarian vein
Right second lumbar vein
Right suprarenal vein
Right testicular vein
1 Splenic Vein
Left gastroepiploic vein
Pancreatic vein
2 Gastric Vein
3 Esophageal Vein
4 Hepatic Vein
5 Superior Mesenteric Vein
Right gastroepiploic vein
6 Inferior Mesenteric Vein
Sigmoid vein
Superior rectal vein
7 Colic Vein
Ileocolic vein
Left colic vein
Middle colic vein
Right colic vein
8 Portal Vein
Hepatic portal vein
9 Renal Vein, Right
B Renal Vein, Left
Left inferior phrenic vein
Left ovarian vein
Left second lumbar vein
Left suprarenal vein
Left testicular vein
C Common Iliac Vein, Right
D Common Iliac Vein, Left
F External Iliac Vein, Right
G External Iliac Vein, Left
Y Lower Vein
06B–06B
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
258
Lower Veins ICD-10-PCS 2019
06B
Approach Device Qualifier
Character 5 Character 6 Character 7
H Hypogastric Vein, Right 0 Open Z No Device X Diagnostic
Gluteal vein 3 Percutaneous Z No Qualifier
Internal iliac vein 4 Percutaneous Endoscopic
Internal pudendal vein
Lateral sacral vein
Middle hemorrhoidal vein
Obturator vein
Uterine vein
Vaginal vein
Vesical vein
J Hypogastric Vein, Left
See H Hypogastric Vein, Right
M Femoral Vein, Right
Deep femoral (profunda
femoris) vein
Popliteal vein
Profunda femoris (deep
femoral) vein
N Femoral Vein, Left
See M Femoral Vein, Right
P Saphenous Vein, Right
External pudendal vein
Great(er) saphenous vein
Lesser saphenous vein
Small saphenous vein
Superficial circumflex iliac vein
Superficial epigastric vein
Q Saphenous Vein, Left
See P Saphenous Vein, Right
T Foot Vein, Right
Common digital vein
Dorsal metatarsal vein
Dorsal venous arch
Plantar digital vein
Plantar metatarsal vein
Plantar venous arch
V Foot Vein, Left
See T Foot Vein, Right
0 Open Z No Device C Hemorrhoidal Plexus
3 Percutaneous X Diagnostic
4 Percutaneous Endoscopic Z No Qualifier
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019 Lower Veins 06C–06D

0 Medical and Surgical
6 Lower Veins
C Extirpation Definition: Taking or cutting out solid matter from a body part
Explanation: The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in
the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces.
Body Part
Character 4
0 Inferior Vena Cava
Postcava
Right inferior phrenic vein
Right ovarian vein
Right second lumbar vein
Right suprarenal vein
Right testicular vein
1 Splenic Vein
Left gastroepiploic vein
Pancreatic vein
2 Gastric Vein
3 Esophageal Vein
4 Hepatic Vein
5 Superior Mesenteric Vein
Right gastroepiploic vein
6 Inferior Mesenteric Vein
Sigmoid vein
Superior rectal vein
7 Colic Vein
Ileocolic vein
Left colic vein
Middle colic vein
Right colic vein
8 Portal Vein
Hepatic portal vein
9 Renal Vein, Right
B Renal Vein, Left
Left inferior phrenic vein
Left ovarian vein
Left second lumbar vein
Left suprarenal vein
Left testicular vein
C Common Iliac Vein, Right
D Common Iliac Vein, Left
F External Iliac Vein, Right
G External Iliac Vein, Left
Lower Veins
06C
Approach Device Qualifier
Character 5 Character 6 Character 7
H Hypogastric Vein, Right 0 Open Z No Device Z No Qualifier
Gluteal vein 3 Percutaneous
Internal iliac vein 4 Percutaneous Endoscopic
Internal pudendal vein
Lateral sacral vein
Middle hemorrhoidal vein
Obturator vein
Uterine vein
Vaginal vein
Vesical vein
J Hypogastric Vein, Left
See H Hypogastric Vein, Right
M Femoral Vein, Right
Deep femoral (profunda
femoris) vein
Popliteal vein
Profunda femoris (deep
femoral) vein
N Femoral Vein, Left
See M Femoral Vein, Right
P Saphenous Vein, Right
External pudendal vein
Great(er) saphenous vein
Lesser saphenous vein
Small saphenous vein
Superficial circumflex iliac vein
Superficial epigastric vein
Q Saphenous Vein, Left
See P Saphenous Vein, Right
T Foot Vein, Right
Common digital vein
Dorsal metatarsal vein
Dorsal venous arch
Plantar digital vein
Plantar metatarsal vein
Plantar venous arch
V Foot Vein, Left
See T Foot Vein, Right
Y Lower Vein

0 Medical and Surgical

6 Lower Veins 06D
D Extraction Definition: Pulling or stripping out or off all or a portion of a body part by the use of force
Explanation: The qualifier DIAGNOSTIC is used to identify extraction procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
M Femoral Vein, Right T Foot Vein, Right 0 Open Z No Device Z No Qualifier
Deep femoral (profunda Common digital vein 3 Percutaneous
femoris) vein Dorsal metatarsal vein 4 Percutaneous Endoscopic
Popliteal vein Dorsal venous arch
Profunda femoris (deep Plantar digital vein
femoral) vein Plantar metatarsal vein
N Femoral Vein, Left Plantar venous arch
See M Femoral Vein, Right V Foot Vein, Left
P Saphenous Vein, Right See T Foot Vein, Right
External pudendal vein Y Lower Vein
Great(er) saphenous vein
Lesser saphenous vein
Small saphenous vein
Superficial circumflex iliac vein
Superficial epigastric vein
Q Saphenous Vein, Left
See P Saphenous Vein, Right
06C–06D

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 259
 06H–06H Lower Veins ICD-10-PCS 2019
Lower Veins

0 Medical and Surgical

6 Lower Veins 06H
H Insertion Definition: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically
take the place of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Inferior Vena Cava 0 Open 3 Infusion Device T Via Umbilical Vein
Postcava 3 Percutaneous Z No Qualifier
Right inferior phrenic vein
Right ovarian vein
Right second lumbar vein
Right suprarenal vein
Right testicular vein
0 Inferior Vena Cava 0 Open D Intraluminal Device Z No Qualifier
Postcava 3 Percutaneous
Right inferior phrenic vein
Right ovarian vein
Right second lumbar vein
Right suprarenal vein
Right testicular vein
0 Inferior Vena Cava 4 Percutaneous Endoscopic 3 Infusion Device Z No Qualifier
Postcava D Intraluminal Device
Right inferior phrenic vein
Right ovarian vein
Right second lumbar vein
Right suprarenal vein
Right testicular vein
1 Splenic Vein H Hypogastric Vein, Right 0 Open 3 Infusion Device Z No Qualifier
Left gastroepiploic vein Gluteal vein 3 Percutaneous D Intraluminal Device
Pancreatic vein Internal iliac vein 4 Percutaneous Endoscopic
2 Gastric Vein Internal pudendal vein
3 Esophageal Vein Lateral sacral vein
4 Hepatic Vein Middle hemorrhoidal vein
Obturator vein
5 Superior Mesenteric Vein
Uterine vein
Right gastroepiploic vein
Vaginal vein
6 Inferior Mesenteric Vein Vesical vein
Sigmoid vein
J Hypogastric Vein, Left
Superior rectal vein
See H Hypogastric Vein, Right
7 Colic Vein
M Femoral Vein, Right
Ileocolic vein
Deep femoral (profunda
Left colic vein
femoris) vein
Middle colic vein
Popliteal vein
Right colic vein
Profunda femoris (deep
8 Portal Vein femoral) vein
Hepatic portal vein
N Femoral Vein, Left
9 Renal Vein, Right See M Femoral Vein, Right
B Renal Vein, Left P Saphenous Vein, Right
Left inferior phrenic vein External pudendal vein
Left ovarian vein Great(er) saphenous vein
Left second lumbar vein Lesser saphenous vein
Left suprarenal vein Small saphenous vein
Left testicular vein Superficial circumflex iliac vein
C Common Iliac Vein, Right Superficial epigastric vein
D Common Iliac Vein, Left Q Saphenous Vein, Left
F External Iliac Vein, Right See P Saphenous Vein, Right
G External Iliac Vein, Left T Foot Vein, Right
Common digital vein
Dorsal metatarsal vein
Dorsal venous arch
Plantar digital vein
Plantar metatarsal vein
Plantar venous arch
V Foot Vein, Left
See T Foot Vein, Right
Y Lower Vein 0 Open 2 Monitoring Device Z No Qualifier
3 Percutaneous 3 Infusion Device
4 Percutaneous Endoscopic D Intraluminal Device
Y Other Device
Non-OR 06H0[0,3]3[T,Z]
Non-OR 06H03DZ
Non-OR 06H043Z
Non-OR 06H[1,2,3,4,5,6,7,8,9,B,C,D,F,G,H,J,M,N,P,Q,T,V][0,3,4]3Z
Non-OR 06HY[0,3,4]3Z
Non-OR 06HY32Z
06H–06H

Non-OR 06HY[3,4]YZ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
260 ICD-10-PCS 2019
ICD-10-PCS 2019 Lower Veins 06J–06L

Lower Veins
0 Medical and Surgical
6 Lower Veins 06J
J Inspection Definition: Visually and/or manually exploring a body part
Explanation: Visual exploration may be performed with or without optical instrumentation. Manual exploration may be performed directly or
through intervening body layers.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
Y Lower Vein 0 Open Z No Device Z No Qualifier
3 Percutaneous
4 Percutaneous Endoscopic
X External
Non-OR 06JY[3,X]ZZ

0 Medical and Surgical

6 Lower Veins
L Occlusion Definition: Completely closing an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice
Body Part
Character 4
0 Inferior Vena Cava
Postcava
Right inferior phrenic vein
Right ovarian vein
Right second lumbar vein
Right suprarenal vein
Right testicular vein
1 Splenic Vein
Left gastroepiploic vein
Pancreatic vein
2 Gastric Vein
4 Hepatic Vein
5 Superior Mesenteric Vein
Right gastroepiploic vein
6 Inferior Mesenteric Vein
Sigmoid vein
Superior rectal vein
7 Colic Vein
Ileocolic vein
Left colic vein
Middle colic vein
Right colic vein
8 Portal Vein
Hepatic portal vein
9 Renal Vein, Right
B Renal Vein, Left
Left inferior phrenic vein
Left ovarian vein
Left second lumbar vein
Left suprarenal vein
Left testicular vein
C Common Iliac Vein, Right
D Common Iliac Vein, Left
F External Iliac Vein, Right
G External Iliac Vein, Left
3 Esophageal Vein
Y Lower Vein
Non-OR 06L3[3,4,7,8][C,D,Z]Z
06L
Approach Device Qualifier
Character 5 Character 6 Character 7
H Hypogastric Vein, Right 0 Open C Extraluminal Device Z No Qualifier
Gluteal vein 3 Percutaneous D Intraluminal Device
Internal iliac vein 4 Percutaneous Endoscopic Z No Device
Internal pudendal vein
Lateral sacral vein
Middle hemorrhoidal vein
Obturator vein
Uterine vein
Vaginal vein
Vesical vein
J Hypogastric Vein, Left
See H Hypogastric Vein, Right
M Femoral Vein, Right
Deep femoral (profunda
femoris) vein
Popliteal vein
Profunda femoris (deep
femoral) vein
N Femoral Vein, Left
See M Femoral Vein, Right
P Saphenous Vein, Right
External pudendal vein
Great(er) saphenous vein
Lesser saphenous vein
Small saphenous vein
Superficial circumflex iliac vein
Superficial epigastric vein
Q Saphenous Vein, Left
See P Saphenous Vein, Right
T Foot Vein, Right
Common digital vein
Dorsal metatarsal vein
Dorsal venous arch
Plantar digital vein
Plantar metatarsal vein
Plantar venous arch
V Foot Vein, Left
See T Foot Vein, Right
0 Open C Extraluminal Device Z No Qualifier
3 Percutaneous D Intraluminal Device
4 Percutaneous Endoscopic Z No Device
7 Via Natural or Artificial
Opening
8 Via Natural or Artificial
Opening Endoscopic
0 Open C Extraluminal Device C Hemorrhoidal Plexus
3 Percutaneous D Intraluminal Device Z No Qualifier
4 Percutaneous Endoscopic Z No Device
06J–06L

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 261
 06N–06P Lower Veins ICD-10-PCS 2019
Lower Veins

0 Medical and Surgical

6 Lower Veins
N Release Definition: Freeing a body part from an abnormal physical constraint by cutting or by the use of force
Explanation: Some of the restraining tissue may be taken out but none of the body part is taken out
Body Part
Character 4
0 Inferior Vena Cava
Postcava
Right inferior phrenic vein
Right ovarian vein
Right second lumbar vein
Right suprarenal vein
Right testicular vein
1 Splenic Vein
Left gastroepiploic vein
Pancreatic vein
2 Gastric Vein
3 Esophageal Vein
4 Hepatic Vein
5 Superior Mesenteric Vein
Right gastroepiploic vein
6 Inferior Mesenteric Vein
Sigmoid vein
Superior rectal vein
7 Colic Vein
Ileocolic vein
Left colic vein
Middle colic vein
Right colic vein
8 Portal Vein
Hepatic portal vein
9 Renal Vein, Right
B Renal Vein, Left
Left inferior phrenic vein
Left ovarian vein
Left second lumbar vein
Left suprarenal vein
Left testicular vein
C Common Iliac Vein, Right
D Common Iliac Vein, Left
F External Iliac Vein, Right
G External Iliac Vein, Left
06N
Approach Device Qualifier
Character 5 Character 6 Character 7
H Hypogastric Vein, Right 0 Open Z No Device Z No Qualifier
Gluteal vein 3 Percutaneous
Internal iliac vein 4 Percutaneous Endoscopic
Internal pudendal vein
Lateral sacral vein
Middle hemorrhoidal vein
Obturator vein
Uterine vein
Vaginal vein
Vesical vein
J Hypogastric Vein, Left
See H Hypogastric Vein, Right
M Femoral Vein, Right
Deep femoral (profunda
femoris) vein
Popliteal vein
Profunda femoris (deep
femoral) vein
N Femoral Vein, Left
See M Femoral Vein, Right
P Saphenous Vein, Right
External pudendal vein
Great(er) saphenous vein
Lesser saphenous vein
Small saphenous vein
Superficial circumflex iliac vein
Superficial epigastric vein
Q Saphenous Vein, Left
See P Saphenous Vein, Right
T Foot Vein, Right
Common digital vein
Dorsal metatarsal vein
Dorsal venous arch
Plantar digital vein
Plantar metatarsal vein
Plantar venous arch
V Foot Vein, Left
See T Foot Vein, Right
Y Lower Vein

0 Medical and Surgical

6 Lower Veins 06P
P Removal Definition: Taking out or off a device from a body part
Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is
coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
Y Lower Vein 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous 2 Monitoring Device
4 Percutaneous Endoscopic 3 Infusion Device
7 Autologous Tissue
Substitute
C Extraluminal Device
D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue
Substitute
Y Other Device
Y Lower Vein X External 0 Drainage Device Z No Qualifier
2 Monitoring Device
3 Infusion Device
D Intraluminal Device
Non-OR 06PY3[0,2,3]Z
Non-OR 06PY[3,4]YZ
Non-OR 06PYX[0,2,3,D]Z
06N–06P

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
262 ICD-10-PCS 2019
ICD-10-PCS 2019 Lower Veins 06Q–06Q

Lower Veins
0 Medical and Surgical
6 Lower Veins 06Q
Q Repair Definition: Restoring, to the extent possible, a body part to its normal anatomic structure and function
Explanation: Used only when the method to accomplish the repair is not one of the other root operations
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Inferior Vena Cava 0 Open Z No Device Z No Qualifier
Postcava 3 Percutaneous
Right inferior phrenic vein 4 Percutaneous Endoscopic
Right ovarian vein
Right second lumbar vein
Right suprarenal vein
Right testicular vein
1 Splenic Vein
Left gastroepiploic vein
Pancreatic vein
2 Gastric Vein
3 Esophageal Vein
4 Hepatic Vein
5 Superior Mesenteric Vein
Right gastroepiploic vein
6 Inferior Mesenteric Vein
Sigmoid vein
Superior rectal vein
7 Colic Vein
Ileocolic vein
Left colic vein
Middle colic vein
Right colic vein
8 Portal Vein
Hepatic portal vein
9 Renal Vein, Right
B Renal Vein, Left
Left inferior phrenic vein
Left ovarian vein
Left second lumbar vein
Left suprarenal vein
Left testicular vein
C Common Iliac Vein, Right
D Common Iliac Vein, Left
F External Iliac Vein, Right
G External Iliac Vein, Left
H Hypogastric Vein, Right
Gluteal vein
Internal iliac vein
Internal pudendal vein
Lateral sacral vein
Middle hemorrhoidal vein
Obturator vein
Uterine vein
Vaginal vein
Vesical vein
J Hypogastric Vein, Left
See H Hypogastric Vein, Right
M Femoral Vein, Right
Deep femoral (profunda femoris) vein
Popliteal vein
Profunda femoris (deep femoral) vein
N Femoral Vein, Left
See M Femoral Vein, Right
P Saphenous Vein, Right
External pudendal vein
Great(er) saphenous vein
Lesser saphenous vein
Small saphenous vein
Superficial circumflex iliac vein
Superficial epigastric vein
Q Saphenous Vein, Left
See P Saphenous Vein, Right
T Foot Vein, Right
Common digital vein
Dorsal metatarsal vein
Dorsal venous arch
Plantar digital vein
Plantar metatarsal vein
Plantar venous arch
V Foot Vein, Left
See T Foot Vein, Right
06Q–06Q

Y Lower Vein

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 263
 06R–06R Lower Veins ICD-10-PCS 2019
Lower Veins

0 Medical and Surgical

6 Lower Veins 06R
R Replacement Definition: Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part
Explanation: The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during
the REPLACEMENT procedure. A REMOVAL procedure is coded for taking out the device used in a previous replacement procedure.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Inferior Vena Cava 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Postcava 4 Percutaneous Endoscopic J Synthetic Substitute
Right inferior phrenic vein K Nonautologous Tissue Substitute
Right ovarian vein
Right second lumbar vein
Right suprarenal vein
Right testicular vein
1 Splenic Vein
Left gastroepiploic vein
Pancreatic vein
2 Gastric Vein
3 Esophageal Vein
4 Hepatic Vein
5 Superior Mesenteric Vein
Right gastroepiploic vein
6 Inferior Mesenteric Vein
Sigmoid vein
Superior rectal vein
7 Colic Vein
Ileocolic vein
Left colic vein
Middle colic vein
Right colic vein
8 Portal Vein
Hepatic portal vein
9 Renal Vein, Right
B Renal Vein, Left
Left inferior phrenic vein
Left ovarian vein
Left second lumbar vein
Left suprarenal vein
Left testicular vein
C Common Iliac Vein, Right
D Common Iliac Vein, Left
F External Iliac Vein, Right
G External Iliac Vein, Left
H Hypogastric Vein, Right
Gluteal vein
Internal iliac vein
Internal pudendal vein
Lateral sacral vein
Middle hemorrhoidal vein
Obturator vein
Uterine vein
Vaginal vein
Vesical vein
J Hypogastric Vein, Left
See H Hypogastric Vein, Right
M Femoral Vein, Right
Deep femoral (profunda femoris) vein
Popliteal vein
Profunda femoris (deep femoral) vein
N Femoral Vein, Left
See M Femoral Vein, Right
P Saphenous Vein, Right
External pudendal vein
Great(er) saphenous vein
Lesser saphenous vein
Small saphenous vein
Superficial circumflex iliac vein
Superficial epigastric vein
Q Saphenous Vein, Left
See P Saphenous Vein, Right
T Foot Vein, Right
Common digital vein
Dorsal metatarsal vein
Dorsal venous arch
Plantar digital vein
Plantar metatarsal vein
Plantar venous arch
V Foot Vein, Left
06R–06R

See T Foot Vein, Right

Y Lower Vein

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
264 ICD-10-PCS 2019
ICD-10-PCS 2019 Lower Veins 06S–06S

Lower Veins
0 Medical and Surgical
6 Lower Veins 06S
S Reposition Definition: Moving to its normal location, or other suitable location, all or a portion of a body part
Explanation: The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning
correctly. The body part may or may not be cut out or off to be moved to the new location.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Inferior Vena Cava 0 Open Z No Device Z No Qualifier
Postcava 3 Percutaneous
Right inferior phrenic vein 4 Percutaneous Endoscopic
Right ovarian vein
Right second lumbar vein
Right suprarenal vein
Right testicular vein
1 Splenic Vein
Left gastroepiploic vein
Pancreatic vein
2 Gastric Vein
3 Esophageal Vein
4 Hepatic Vein
5 Superior Mesenteric Vein
Right gastroepiploic vein
6 Inferior Mesenteric Vein
Sigmoid vein
Superior rectal vein
7 Colic Vein
Ileocolic vein
Left colic vein
Middle colic vein
Right colic vein
8 Portal Vein
Hepatic portal vein
9 Renal Vein, Right
B Renal Vein, Left
Left inferior phrenic vein
Left ovarian vein
Left second lumbar vein
Left suprarenal vein
Left testicular vein
C Common Iliac Vein, Right
D Common Iliac Vein, Left
F External Iliac Vein, Right
G External Iliac Vein, Left
H Hypogastric Vein, Right
Gluteal vein
Internal iliac vein
Internal pudendal vein
Lateral sacral vein
Middle hemorrhoidal vein
Obturator vein
Uterine vein
Vaginal vein
Vesical vein
J Hypogastric Vein, Left
See H Hypogastric Vein, Right
M Femoral Vein, Right
Deep femoral (profunda femoris) vein
Popliteal vein
Profunda femoris (deep femoral) vein
N Femoral Vein, Left
See M Femoral Vein, Right
P Saphenous Vein, Right
External pudendal vein
Great(er) saphenous vein
Lesser saphenous vein
Small saphenous vein
Superficial circumflex iliac vein
Superficial epigastric vein
Q Saphenous Vein, Left
See P Saphenous Vein, Right
T Foot Vein, Right
Common digital vein
Dorsal metatarsal vein
Dorsal venous arch
Plantar digital vein
Plantar metatarsal vein
Plantar venous arch
V Foot Vein, Left
06S–06S

See T Foot Vein, Right

Y Lower Vein

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 265
 06U–06U Lower Veins ICD-10-PCS 2019
Lower Veins

0 Medical and Surgical

6 Lower Veins 06U
U Supplement Definition: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part
Explanation: The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced,
and the SUPPLEMENT procedure is performed to physically reinforce and/or augment the function of the replaced body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Inferior Vena Cava 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Postcava 3 Percutaneous J Synthetic Substitute
Right inferior phrenic vein 4 Percutaneous Endoscopic K Nonautologous Tissue Substitute
Right ovarian vein
Right second lumbar vein
Right suprarenal vein
Right testicular vein
1 Splenic Vein
Left gastroepiploic vein
Pancreatic vein
2 Gastric Vein
3 Esophageal Vein
4 Hepatic Vein
5 Superior Mesenteric Vein
Right gastroepiploic vein
6 Inferior Mesenteric Vein
Sigmoid vein
Superior rectal vein
7 Colic Vein
Ileocolic vein
Left colic vein
Middle colic vein
Right colic vein
8 Portal Vein
Hepatic portal vein
9 Renal Vein, Right
B Renal Vein, Left
Left inferior phrenic vein
Left ovarian vein
Left second lumbar vein
Left suprarenal vein
Left testicular vein
C Common Iliac Vein, Right
D Common Iliac Vein, Left
F External Iliac Vein, Right
G External Iliac Vein, Left
H Hypogastric Vein, Right
Gluteal vein
Internal iliac vein
Internal pudendal vein
Lateral sacral vein
Middle hemorrhoidal vein
Obturator vein
Uterine vein
Vaginal vein
Vesical vein
J Hypogastric Vein, Left
See H Hypogastric Vein, Right
M Femoral Vein, Right
Deep femoral (profunda femoris) vein
Popliteal vein
Profunda femoris (deep femoral) vein
N Femoral Vein, Left
See M Femoral Vein, Right
P Saphenous Vein, Right
External pudendal vein
Great(er) saphenous vein
Lesser saphenous vein
Small saphenous vein
Superficial circumflex iliac vein
Superficial epigastric vein
Q Saphenous Vein, Left
See P Saphenous Vein, Right
T Foot Vein, Right
Common digital vein
Dorsal metatarsal vein
Dorsal venous arch
Plantar digital vein
Plantar metatarsal vein
Plantar venous arch
06U–06U

V Foot Vein, Left

See T Foot Vein, Right
Y Lower Vein

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
266 ICD-10-PCS 2019
ICD-10-PCS 2019 Lower Veins 06V–06V

Lower Veins
0 Medical and Surgical
6 Lower Veins 06V
V Restriction Definition: Partially closing an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Inferior Vena Cava 0 Open C Extraluminal Device Z No Qualifier
Postcava 3 Percutaneous D Intraluminal Device
Right inferior phrenic vein 4 Percutaneous Endoscopic Z No Device
Right ovarian vein
Right second lumbar vein
Right suprarenal vein
Right testicular vein
1 Splenic Vein
Left gastroepiploic vein
Pancreatic vein
2 Gastric Vein
3 Esophageal Vein
4 Hepatic Vein
5 Superior Mesenteric Vein
Right gastroepiploic vein
6 Inferior Mesenteric Vein
Sigmoid vein
Superior rectal vein
7 Colic Vein
Ileocolic vein
Left colic vein
Middle colic vein
Right colic vein
8 Portal Vein
Hepatic portal vein
9 Renal Vein, Right
B Renal Vein, Left
Left inferior phrenic vein
Left ovarian vein
Left second lumbar vein
Left suprarenal vein
Left testicular vein
C Common Iliac Vein, Right
D Common Iliac Vein, Left
F External Iliac Vein, Right
G External Iliac Vein, Left
H Hypogastric Vein, Right
Gluteal vein
Internal iliac vein
Internal pudendal vein
Lateral sacral vein
Middle hemorrhoidal vein
Obturator vein
Uterine vein
Vaginal vein
Vesical vein
J Hypogastric Vein, Left
See H Hypogastric Vein, Right
M Femoral Vein, Right
Deep femoral (profunda femoris) vein
Popliteal vein
Profunda femoris (deep femoral) vein
N Femoral Vein, Left
See M Femoral Vein, Right
P Saphenous Vein, Right
External pudendal vein
Great(er) saphenous vein
Lesser saphenous vein
Small saphenous vein
Superficial circumflex iliac vein
Superficial epigastric vein
Q Saphenous Vein, Left
See P Saphenous Vein, Right
T Foot Vein, Right
Common digital vein
Dorsal metatarsal vein
Dorsal venous arch
Plantar digital vein
Plantar metatarsal vein
Plantar venous arch
V Foot Vein, Left
See T Foot Vein, Right
06V–06V

Y Lower Vein

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 267
 06W–06W Lower Veins ICD-10-PCS 2019
Lower Veins

0 Medical and Surgical

6 Lower Veins 06W
W Revision Definition: Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device
Explanation: Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as
a screw or pin
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
Y Lower Vein 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous 2 Monitoring Device
4 Percutaneous Endoscopic 3 Infusion Device
7 Autologous Tissue Substitute
C Extraluminal Device
D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
Y Other Device
Y Lower Vein X External 0 Drainage Device Z No Qualifier
2 Monitoring Device
3 Infusion Device
7 Autologous Tissue Substitute
C Extraluminal Device
D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
Non-OR 06WY3[0,2,3,D]Z
Non-OR 06WY[3,4]YZ
Non-OR 06WYX[0,2,3,7,C,D,J,K]Z
06W–06W

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
268 ICD-10-PCS 2019
ICD-10-PCS 2019 Lymphatic and Hemic Systems

Lymphatic and Hemic Systems

Lymphatic and Hemic Systems 072–07Y
Character Meanings*
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.

Operation–Character 3 Body Part–Character 4 Approach–Character 5 Device–Character 6 Qualifier–Character 7

2 Change 0 Lymphatic, Head 0 Open 0 Drainage Device 0 Allogeneic
5 Destruction 1 Lymphatic, Right Neck 3 Percutaneous 3 Infusion Device 1 Syngeneic
9 Drainage 2 Lymphatic, Left Neck 4 Percutaneous Endoscopic 7 Autologous Tissue 2 Zooplastic
Substitute
B Excision 3 Lymphatic, Right Upper 8 Via Natural or Artificial C Extraluminal Device X Diagnostic
Extremity Opening Endoscopic
C Extirpation 4 Lymphatic, Left Upper X External D Intraluminal Device Z No Qualifier
Extremity
D Extraction 5 Lymphatic, Right Axillary J Synthetic Substitute
H Insertion 6 Lymphatic, Left Axillary K Nonautologous Tissue
Substitute
J Inspection 7 Lymphatic, Thorax Y Other Device
L Occlusion 8 Lymphatic, Internal Z No Device
Mammary, Right
N Release 9 Lymphatic, Internal
Mammary, Left
P Removal B Lymphatic, Mesenteric
Q Repair C Lymphatic, Pelvis
S Reposition D Lymphatic, Aortic
T Resection F Lymphatic, Right Lower
Extremity
U Supplement G Lymphatic, Left Lower
Extremity
V Restriction H Lymphatic, Right Inguinal
W Revision J Lymphatic, Left Inguinal
Y Transplantation K Thoracic Duct
L Cisterna Chyli
M Thymus
N Lymphatic
P Spleen
Q Bone Marrow, Sternum
R Bone Marrow, Iliac
S Bone Marrow, Vertebral
T Bone Marrow

* Includes lymph vessels and lymph nodes.

AHA Coding Clinic for table 079 AHA Coding Clinic for table 07Q
2017, 1Q, 34 Lymphovenous bypass following mastectomy 2017, 1Q, 34 Lymphovenous bypass following mastectomy
2014, 1Q, 26 Transbronchial needle aspiration lymph node biopsy AHA Coding Clinic for table 07T
2013, 4Q, 111 Transbronchial needle aspiration lymph node biopsy
2018, 1Q, 22 Resection of lymph node chains
AHA Coding Clinic for table 07B 2016, 2Q, 12 Resection of malignant neoplasm of infratemporal fossa
2018, 1Q, 22 Resection of lymph node chains 2016, 1Q, 30 Axillary lymph node resection with modified radical mastectomy
2016, 1Q, 30 Axillary lymph node resection with modified radical mastectomy 2015, 4Q, 13 New Section X codes—New Technology procedures
2014, 3Q, 10 Selective excision of paratracheal lymph nodes 2014, 3Q, 9 Radical resection of level I lymph nodes
2014, 1Q, 20 Fiducial marker placement 2014, 3Q, 16 Repair of Tetralogy of Fallot
2014, 1Q, 26 Transbronchial endoscopic lymph node aspiration biopsy
AHA Coding Clinic for table 07D
2013, 4Q, 111 Root operation for bone marrow biopsy

ICD-10-PCS 2019 269

 Lymphatic and Hemic Systems ICD-10-PCS 2019
Lymphatic and Hemic Systems

Lymphatic System

Parotid lymph
nodes 0

Entrance of
thoracic duct into
subclavian vein 1
Cervical
lymph nodes 1, 2
Area of the right Intercostal
lymphatic duct 1 lymph nodes 7

Cisterna
Axillary chyli L
lymph nodes 5, 6

Spleen P

Lumbar
lymph nodes D

Thymus M

Thoracic
duct K
Iliac lymph
nodes C

Mesenteric
lymph nodes B

Intestinal
lymph nodes B

Mesocolic
lymph nodes B Inguinal
lymph nodes
H, J

270 ICD-10-PCS 2019

ICD-10-PCS 2019 Lymphatic and Hemic Systems 072–075

Lymphatic and Hemic Systems

0 Medical and Surgical
7 Lymphatic and Hemic Systems 072
2 Change Definition: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without
cutting or puncturing the skin or a mucous membrane
Explanation: All CHANGE procedures are coded using the approach EXTERNAL
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
K Thoracic Duct M Thymus X External 0 Drainage Device Z No Qualifier
Left jugular trunk Thymus gland Y Other Device
Left subclavian trunk N Lymphatic
L Cisterna Chyli P Spleen
Intestinal lymphatic trunk Accessory spleen
Lumbar lymphatic trunk T Bone Marrow
Non-OR All body part, approach, device, and qualifier values

0 Medical and Surgical

7 Lymphatic and Hemic Systems 075
5 Destruction Definition: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent
Explanation: None of the body part is physically taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Lymphatic, Head 6 Lymphatic, Left Axillary 0 Open Z No Device Z No Qualifier
Buccinator lymph node See 5 Lymphatic, Right Axillary 3 Percutaneous
Infraauricular lymph node 7 Lymphatic, Thorax 4 Percutaneous
Infraparotid lymph node Intercostal lymph node Endoscopic
Parotid lymph node Mediastinal lymph node
Preauricular lymph node Parasternal lymph node
Submandibular lymph node Paratracheal lymph node
Submaxillary lymph node Tracheobronchial lymph node
Submental lymph node 8 Lymphatic, Internal Mammary, Right
Subparotid lymph node 9 Lymphatic, Internal Mammary, Left
Suprahyoid lymph node B Lymphatic, Mesenteric
1 Lymphatic, Right Neck Inferior mesenteric lymph node
Cervical lymph node Pararectal lymph node
Jugular lymph node Superior mesenteric lymph node
Mastoid (postauricular) lymph node C Lymphatic, Pelvis
Occipital lymph node Common iliac (subaortic) lymph node
Postauricular (mastoid) lymph node Gluteal lymph node
Retropharyngeal lymph node Iliac lymph node
Right jugular trunk Inferior epigastric lymph node
Right lymphatic duct Obturator lymph node
Right subclavian trunk Sacral lymph node
Supraclavicular (Virchow's) lymph node Subaortic (common iliac) lymph node
Virchow's (supraclavicular) lymph node Suprainguinal lymph node
2 Lymphatic, Left Neck D Lymphatic, Aortic
Cervical lymph node Celiac lymph node
Jugular lymph node Gastric lymph node
Mastoid (postauricular) lymph node Hepatic lymph node
Occipital lymph node Lumbar lymph node
Postauricular (mastoid) lymph node Pancreaticosplenic lymph node
Retropharyngeal lymph node Paraaortic lymph node
Supraclavicular (Virchow's) lymph node Retroperitoneal lymph node
Virchow's (supraclavicular) lymph node F Lymphatic, Right Lower Extremity
3 Lymphatic, Right Upper Extremity Femoral lymph node
Cubital lymph node Popliteal lymph node
Deltopectoral (infraclavicular) lymph G Lymphatic, Left Lower Extremity
node See F Lymphatic, Right Lower Extremity
Epitrochlear lymph node H Lymphatic, Right Inguinal
Infraclavicular (deltopectoral) lymph J Lymphatic, Left Inguinal
node K Thoracic Duct
Supratrochlear lymph node Left jugular trunk
4 Lymphatic, Left Upper Extremity Left subclavian trunk
See 3 Lymphatic, Right Upper Extremity L Cisterna Chyli
5 Lymphatic, Right Axillary Intestinal lymphatic trunk
Anterior (pectoral) lymph node Lumbar lymphatic trunk
Apical (subclavicular) lymph node M Thymus
Brachial (lateral) lymph node Thymus gland
Central axillary lymph node P Spleen
Lateral (brachial) lymph node Accessory spleen
Pectoral (anterior) lymph node
Posterior (subscapular) lymph node
Subclavicular (apical) lymph node
Subscapular (posterior) lymph node
072–075

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 271
 079–079 Lymphatic and Hemic Systems ICD-10-PCS 2019
Lymphatic and Hemic Systems

0 Medical and Surgical

7 Lymphatic and Hemic Systems 079
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Lymphatic, Head 6 Lymphatic, Left Axillary 0 Open 0 Drainage Device Z No Qualifier
Buccinator lymph node See 5 Lymphatic, Right Axillary 3 Percutaneous
Infraauricular lymph node 7 Lymphatic, Thorax 4 Percutaneous
Infraparotid lymph node Intercostal lymph node Endoscopic
Parotid lymph node Mediastinal lymph node 8 Via Natural or
Preauricular lymph node Parasternal lymph node Artificial Opening
Submandibular lymph node Paratracheal lymph node Endoscopic
Submaxillary lymph node Tracheobronchial lymph node
Submental lymph node 8 Lymphatic, Internal Mammary, Right
Subparotid lymph node 9 Lymphatic, Internal Mammary, Left
Suprahyoid lymph node
B Lymphatic, Mesenteric
1 Lymphatic, Right Neck Inferior mesenteric lymph node
Cervical lymph node Pararectal lymph node
Jugular lymph node Superior mesenteric lymph node
Mastoid (postauricular) lymph node
C Lymphatic, Pelvis
Occipital lymph node
Common iliac (subaortic) lymph node
Postauricular (mastoid) lymph node
Gluteal lymph node
Retropharyngeal lymph node
Iliac lymph node
Right jugular trunk
Inferior epigastric lymph node
Right lymphatic duct
Obturator lymph node
Right subclavian trunk
Sacral lymph node
Supraclavicular (Virchow's) lymph
Subaortic (common iliac) lymph node
node
Suprainguinal lymph node
Virchow's (supraclavicular) lymph
node D Lymphatic, Aortic
Celiac lymph node
2 Lymphatic, Left Neck
Gastric lymph node
Cervical lymph node
Hepatic lymph node
Jugular lymph node
Lumbar lymph node
Mastoid (postauricular) lymph node
Pancreaticosplenic lymph node
Occipital lymph node
Paraaortic lymph node
Postauricular (mastoid) lymph node
Retroperitoneal lymph node
Retropharyngeal lymph node
Supraclavicular (Virchow's) lymph F Lymphatic, Right Lower Extremity
node Femoral lymph node
Virchow's (supraclavicular) lymph Popliteal lymph node
node G Lymphatic, Left Lower Extremity
3 Lymphatic, Right Upper Extremity See F Lymphatic, Right Lower Extremity
Cubital lymph node H Lymphatic, Right Inguinal
Deltopectoral (infraclavicular) lymph J Lymphatic, Left Inguinal
node K Thoracic Duct
Epitrochlear lymph node Left jugular trunk
Infraclavicular (deltopectoral) lymph Left subclavian trunk
node L Cisterna Chyli
Supratrochlear lymph node Intestinal lymphatic trunk
4 Lymphatic, Left Upper Extremity Lumbar lymphatic trunk
See 3 Lymphatic, Right Upper Extremity
5 Lymphatic, Right Axillary
Anterior (pectoral) lymph node
Apical (subclavicular) lymph node
Brachial (lateral) lymph node
Central axillary lymph node
Lateral (brachial) lymph node
Pectoral (anterior) lymph node
Posterior (subscapular) lymph node
Subclavicular (apical) lymph node
Subscapular (posterior) lymph node
079 Continued on next page
Non-OR 079[0,1,2,3,4,5,6,7,8,9,B,C,D,F,G,H,J,K,L][3,8]0Z
079–079

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
272 ICD-10-PCS 2019
ICD-10-PCS 2019 Lymphatic and Hemic Systems 079–079

Lymphatic and Hemic Systems

0 Medical and Surgical 079 Continued
7 Lymphatic and Hemic Systems 079
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Lymphatic, Head 6 Lymphatic, Left Axillary 0 Open Z No Device X Diagnostic
Buccinator lymph node See 5 Lymphatic, Right Axillary 3 Percutaneous Z No Qualifier
Infraauricular lymph node 7 Lymphatic, Thorax 4 Percutaneous
Infraparotid lymph node Intercostal lymph node Endoscopic
Parotid lymph node Mediastinal lymph node 8 Via Natural or
Preauricular lymph node Parasternal lymph node Artificial Opening
Submandibular lymph node Paratracheal lymph node Endoscopic
Submaxillary lymph node Tracheobronchial lymph node
Submental lymph node 8 Lymphatic, Internal Mammary, Right
Subparotid lymph node 9 Lymphatic, Internal Mammary, Left
Suprahyoid lymph node
B Lymphatic, Mesenteric
1 Lymphatic, Right Neck Inferior mesenteric lymph node
Cervical lymph node Pararectal lymph node
Jugular lymph node Superior mesenteric lymph node
Mastoid (postauricular) lymph node
C Lymphatic, Pelvis
Occipital lymph node
Common iliac (subaortic) lymph node
Postauricular (mastoid) lymph node
Gluteal lymph node
Retropharyngeal lymph node
Iliac lymph node
Right jugular trunk
Inferior epigastric lymph node
Right lymphatic duct
Obturator lymph node
Right subclavian trunk
Sacral lymph node
Supraclavicular (Virchow's) lymph
Subaortic (common iliac) lymph node
node
Suprainguinal lymph node
Virchow's (supraclavicular) lymph
node D Lymphatic, Aortic
Celiac lymph node
2 Lymphatic, Left Neck
Gastric lymph node
Cervical lymph node
Hepatic lymph node
Jugular lymph node
Lumbar lymph node
Mastoid (postauricular) lymph node
Pancreaticosplenic lymph node
Occipital lymph node
Paraaortic lymph node
Postauricular (mastoid) lymph node
Retroperitoneal lymph node
Retropharyngeal lymph node
Supraclavicular (Virchow's) lymph F Lymphatic, Right Lower Extremity
node Femoral lymph node
Virchow's (supraclavicular) lymph Popliteal lymph node
node G Lymphatic, Left Lower Extremity
3 Lymphatic, Right Upper Extremity See F Lymphatic, Right Lower Extremity
Cubital lymph node H Lymphatic, Right Inguinal
Deltopectoral (infraclavicular) lymph J Lymphatic, Left Inguinal
node K Thoracic Duct
Epitrochlear lymph node Left jugular trunk
Infraclavicular (deltopectoral) lymph Left subclavian trunk
node L Cisterna Chyli
Supratrochlear lymph node Intestinal lymphatic trunk
4 Lymphatic, Left Upper Extremity Lumbar lymphatic trunk
See 3 Lymphatic, Right Upper Extremity
5 Lymphatic, Right Axillary
Anterior (pectoral) lymph node
Apical (subclavicular) lymph node
Brachial (lateral) lymph node
Central axillary lymph node
Lateral (brachial) lymph node
Pectoral (anterior) lymph node
Posterior (subscapular) lymph node
Subclavicular (apical) lymph node
Subscapular (posterior) lymph node
M Thymus 0 Open 0 Drainage Device Z No Qualifier
Thymus gland 3 Percutaneous
P Spleen 4 Percutaneous
Accessory spleen Endoscopic
T Bone Marrow
M Thymus 0 Open Z No Device X Diagnostic
Thymus gland 3 Percutaneous Z No Qualifier
P Spleen 4 Percutaneous
Accessory spleen Endoscopic
T Bone Marrow
Non-OR 079[0,1,2,3,4,5,6,7,8,9,B,C,D,F,G,H,J,K,L]8ZX
Non-OR 079[0,1,2,3,4,5,6,7,8,9,B,C,D,F,G,H,J,K,L][3,8]ZZ
Non-OR 079M30Z
Non-OR 079P[3,4]0Z
Non-OR 079T[0,3,4]0Z
Non-OR 079M3ZZ
079–079

Non-OR 079P[3,4]Z[X,Z]
Non-OR 079T[0,3,4]Z[X,Z]

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 273
 07B–07B Lymphatic and Hemic Systems ICD-10-PCS 2019
Lymphatic and Hemic Systems

0 Medical and Surgical

7 Lymphatic and Hemic Systems 07B
B Excision Definition: Cutting out or off, without replacement, a portion of a body part
Explanation: The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Lymphatic, Head 6 Lymphatic, Left Axillary 0 Open Z No Device X Diagnostic
Buccinator lymph node See 5 Lymphatic, Right Axillary 3 Percutaneous Z No Qualifier
Infraauricular lymph node 7 Lymphatic, Thorax 4 Percutaneous
Infraparotid lymph node Intercostal lymph node Endoscopic
Parotid lymph node Mediastinal lymph node
Preauricular lymph node Parasternal lymph node
Submandibular lymph node Paratracheal lymph node
Submaxillary lymph node Tracheobronchial lymph node
Submental lymph node 8 Lymphatic, Internal Mammary, Right
Subparotid lymph node 9 Lymphatic, Internal Mammary, Left
Suprahyoid lymph node
B Lymphatic, Mesenteric
1 Lymphatic, Right Neck Inferior mesenteric lymph node
Cervical lymph node Pararectal lymph node
Jugular lymph node Superior mesenteric lymph node
Mastoid (postauricular) lymph node
C Lymphatic, Pelvis
Occipital lymph node
Common iliac (subaortic) lymph node
Postauricular (mastoid) lymph node
Gluteal lymph node
Retropharyngeal lymph node
Iliac lymph node
Right jugular trunk
Inferior epigastric lymph node
Right lymphatic duct
Obturator lymph node
Right subclavian trunk
Sacral lymph node
Supraclavicular (Virchow's) lymph
Subaortic (common iliac) lymph node
node
Suprainguinal lymph node
Virchow's (supraclavicular) lymph
node D Lymphatic, Aortic
Celiac lymph node
2 Lymphatic, Left Neck
Gastric lymph node
Cervical lymph node
Hepatic lymph node
Jugular lymph node
Lumbar lymph node
Mastoid (postauricular) lymph node
Pancreaticosplenic lymph node
Occipital lymph node
Paraaortic lymph node
Postauricular (mastoid) lymph node
Retroperitoneal lymph node
Retropharyngeal lymph node
Supraclavicular (Virchow's) lymph F Lymphatic, Right Lower Extremity
node Femoral lymph node
Virchow's (supraclavicular) lymph Popliteal lymph node
node G Lymphatic, Left Lower Extremity
3 Lymphatic, Right Upper Extremity See F Lymphatic, Right Lower Extremity
Cubital lymph node H Lymphatic, Right Inguinal ?
Deltopectoral (infraclavicular) lymph J Lymphatic, Left Inguinal ?
node K Thoracic Duct
Epitrochlear lymph node Left jugular trunk
Infraclavicular (deltopectoral) lymph Left subclavian trunk
node L Cisterna Chyli
Supratrochlear lymph node Intestinal lymphatic trunk
4 Lymphatic, Left Upper Extremity Lumbar lymphatic trunk
See 3 Lymphatic, Right Upper Extremity M Thymus
5 Lymphatic, Right Axillary Thymus gland
Anterior (pectoral) lymph node P Spleen
Apical (subclavicular) lymph node Accessory spleen
Brachial (lateral) lymph node
Central axillary lymph node
Lateral (brachial) lymph node
Pectoral (anterior) lymph node
Posterior (subscapular) lymph node
Subclavicular (apical) lymph node
Subscapular (posterior) lymph node
Non-OR 07BP[3,4]ZX See Appendix L for Procedure Combinations
? 07B[H,J][0,4]ZZ
07B–07B

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
274 ICD-10-PCS 2019
ICD-10-PCS 2019 Lymphatic and Hemic Systems 07C–07C

Lymphatic and Hemic Systems

0 Medical and Surgical
7 Lymphatic and Hemic Systems 07C
C Extirpation Definition: Taking or cutting out solid matter from a body part
Explanation: The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in
the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Lymphatic, Head 6 Lymphatic, Left Axillary 0 Open Z No Device Z No Qualifier
Buccinator lymph node See 5 Lymphatic, Right Axillary 3 Percutaneous
Infraauricular lymph node 7 Lymphatic, Thorax 4 Percutaneous
Infraparotid lymph node Intercostal lymph node Endoscopic
Parotid lymph node Mediastinal lymph node
Preauricular lymph node Parasternal lymph node
Submandibular lymph node Paratracheal lymph node
Submaxillary lymph node Tracheobronchial lymph node
Submental lymph node 8 Lymphatic, Internal Mammary, Right
Subparotid lymph node 9 Lymphatic, Internal Mammary, Left
Suprahyoid lymph node
B Lymphatic, Mesenteric
1 Lymphatic, Right Neck Inferior mesenteric lymph node
Cervical lymph node Pararectal lymph node
Jugular lymph node Superior mesenteric lymph node
Mastoid (postauricular) lymph node
C Lymphatic, Pelvis
Occipital lymph node
Common iliac (subaortic) lymph node
Postauricular (mastoid) lymph node
Gluteal lymph node
Retropharyngeal lymph node
Iliac lymph node
Right jugular trunk
Inferior epigastric lymph node
Right lymphatic duct
Obturator lymph node
Right subclavian trunk
Sacral lymph node
Supraclavicular (Virchow's) lymph
Subaortic (common iliac) lymph node
node
Suprainguinal lymph node
Virchow's (supraclavicular) lymph
node D Lymphatic, Aortic
Celiac lymph node
2 Lymphatic, Left Neck
Gastric lymph node
Cervical lymph node
Hepatic lymph node
Jugular lymph node
Lumbar lymph node
Mastoid (postauricular) lymph node
Pancreaticosplenic lymph node
Occipital lymph node
Paraaortic lymph node
Postauricular (mastoid) lymph node
Retroperitoneal lymph node
Retropharyngeal lymph node
Supraclavicular (Virchow's) lymph F Lymphatic, Right Lower Extremity
node Femoral lymph node
Virchow's (supraclavicular) lymph Popliteal lymph node
node G Lymphatic, Left Lower Extremity
3 Lymphatic, Right Upper Extremity See F Lymphatic, Right Lower Extremity
Cubital lymph node H Lymphatic, Right Inguinal
Deltopectoral (infraclavicular) lymph J Lymphatic, Left Inguinal
node K Thoracic Duct
Epitrochlear lymph node Left jugular trunk
Infraclavicular (deltopectoral) lymph Left subclavian trunk
node L Cisterna Chyli
Supratrochlear lymph node Intestinal lymphatic trunk
4 Lymphatic, Left Upper Extremity Lumbar lymphatic trunk
See 3 Lymphatic, Right Upper Extremity M Thymus
5 Lymphatic, Right Axillary Thymus gland
Anterior (pectoral) lymph node P Spleen
Apical (subclavicular) lymph node Accessory spleen
Brachial (lateral) lymph node
Central axillary lymph node
Lateral (brachial) lymph node
Pectoral (anterior) lymph node
Posterior (subscapular) lymph node
Subclavicular (apical) lymph node
Subscapular (posterior) lymph node
Non-OR 07CP[3,4]ZZ
07C–07C

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 275
 07D–07D Lymphatic and Hemic Systems ICD-10-PCS 2019
Lymphatic and Hemic Systems

0 Medical and Surgical

7 Lymphatic and Hemic Systems
D Extraction Definition: Pulling or stripping out or off all or a portion of a body part by the use of force
Explanation: The qualifier DIAGNOSTIC is used to identify extraction procedures that are biopsies
Body Part
Character 4
0 Lymphatic, Head
Buccinator lymph node
Infraauricular lymph node
Infraparotid lymph node
Parotid lymph node
Preauricular lymph node
Submandibular lymph node
Submaxillary lymph node
Submental lymph node
Subparotid lymph node
Suprahyoid lymph node
1 Lymphatic, Right Neck
Cervical lymph node
Jugular lymph node
Mastoid (postauricular) lymph
node
Occipital lymph node
Postauricular (mastoid) lymph
node
Retropharyngeal lymph node
Right jugular trunk
Right lymphatic duct
Right subclavian trunk
Supraclavicular (Virchow's)
lymph node
Virchow's (supraclavicular)
lymph node
2 Lymphatic, Left Neck
Cervical lymph node
Jugular lymph node
Mastoid (postauricular) lymph
node
Occipital lymph node
Postauricular (mastoid) lymph
node
Retropharyngeal lymph node
Supraclavicular (Virchow's)
lymph node
Virchow's (supraclavicular)
lymph node
3 Lymphatic, Right Upper
Extremity
Cubital lymph node
Deltopectoral (infraclavicular)
lymph node
Epitrochlear lymph node
Infraclavicular (deltopectoral)
lymph node
Supratrochlear lymph node
4 Lymphatic, Left Upper
Extremity
See 3 Lymphatic, Right Upper
Extremity
5 Lymphatic, Right Axillary
Anterior (pectoral) lymph node
Apical (subclavicular) lymph
node
Brachial (lateral) lymph node
Central axillary lymph node
Lateral (brachial) lymph node
Pectoral (anterior) lymph node
Posterior (subscapular) lymph
node
Subclavicular (apical) lymph
node
Subscapular (posterior) lymph
node
M Thymus
Thymus gland
P Spleen
Accessory spleen
Q Bone Marrow, Sternum
07D–07D
07D
Approach Device Qualifier
Character 5 Character 6 Character 7
6 Lymphatic, Left Axillary 3 Percutaneous Z No Device X Diagnostic
See 5 Lymphatic, Right Axillary 4 Percutaneous Endoscopic
7 Lymphatic, Thorax 8 Via Natural or Artificial
Intercostal lymph node Opening Endoscopic
Mediastinal lymph node
Parasternal lymph node
Paratracheal lymph node
Tracheobronchial lymph node
8 Lymphatic, Internal
Mammary, Right
9 Lymphatic, Internal
Mammary, Left
B Lymphatic, Mesenteric
Inferior mesenteric lymph
node
Pararectal lymph node
Superior mesenteric lymph
node
C Lymphatic, Pelvis
Common iliac (subaortic)
lymph node
Gluteal lymph node
Iliac lymph node
Inferior epigastric lymph node
Obturator lymph node
Sacral lymph node
Subaortic (common iliac)
lymph node
Suprainguinal lymph node
D Lymphatic, Aortic
Celiac lymph node
Gastric lymph node
Hepatic lymph node
Lumbar lymph node
Pancreaticosplenic lymph
node
Paraaortic lymph node
Retroperitoneal lymph node
F Lymphatic, Right Lower
Extremity
Femoral lymph node
Popliteal lymph node
G Lymphatic, Left Lower
Extremity
See F Lymphatic, Right Lower
Extremity
H Lymphatic, Right Inguinal
J Lymphatic, Left Inguinal
K Thoracic Duct
Left jugular trunk
Left subclavian trunk
L Cisterna Chyli
Intestinal lymphatic trunk
Lumbar lymphatic trunk
3 Percutaneous Z No Device X Diagnostic
4 Percutaneous Endoscopic
0 Open Z No Device X Diagnostic

R Bone Marrow, Iliac 3 Percutaneous Z No Qualifier

S Bone Marrow, Vertebral
Non-OR All body part, approach, device, and qualifier values

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
276 ICD-10-PCS 2019
ICD-10-PCS 2019 Lymphatic and Hemic Systems 07H–07J

Lymphatic and Hemic Systems

0 Medical and Surgical
7 Lymphatic and Hemic Systems 07H
H Insertion Definition: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically
take the place of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
K Thoracic Duct 0 Open 3 Infusion Device Z No Qualifier
Left jugular trunk 3 Percutaneous Y Other Device
Left subclavian trunk 4 Percutaneous Endoscopic
L Cisterna Chyli
Intestinal lymphatic trunk
Lumbar lymphatic trunk
M Thymus
Thymus gland
N Lymphatic
P Spleen
Accessory spleen
Non-OR 07H[K,L,M,N,P][0,3,4]3Z
Non-OR 07H[K,L,M]3YZ
Non-OR 07H[N,P][3,4]YZ

0 Medical and Surgical

7 Lymphatic and Hemic Systems 07J
J Inspection Definition: Visually and/or manually exploring a body part
Explanation: Visual exploration may be performed with or without optical instrumentation. Manual exploration may be performed directly or
through intervening body layers.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
K Thoracic Duct 0 Open Z No Device Z No Qualifier
Left jugular trunk 3 Percutaneous
Left subclavian trunk 4 Percutaneous Endoscopic
L Cisterna Chyli
Intestinal lymphatic trunk
Lumbar lymphatic trunk
M Thymus
Thymus gland
T Bone Marrow
N Lymphatic 0 Open Z No Device Z No Qualifier
3 Percutaneous
4 Percutaneous Endoscopic
8 Via Natural or Artificial Opening
Endoscopic
X External
P Spleen 0 Open Z No Device Z No Qualifier
Accessory spleen 3 Percutaneous
4 Percutaneous Endoscopic
X External
Non-OR 07J[K,L,M]3ZZ
Non-OR 07JT[0,3,4]ZZ
Non-OR 07JN[3,8,X]ZZ
Non-OR 07JP[3,4,X]ZZ
07H–07J

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 277
 07L–07L Lymphatic and Hemic Systems ICD-10-PCS 2019
Lymphatic and Hemic Systems

0 Medical and Surgical

7 Lymphatic and Hemic Systems 07L
L Occlusion Definition: Completely closing an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Lymphatic, Head 6 Lymphatic, Left Axillary 0 Open C Extraluminal Device Z No Qualifier
Buccinator lymph node See 5 Lymphatic, Right Axillary 3 Percutaneous D Intraluminal Device
Infraauricular lymph node 7 Lymphatic, Thorax 4 Percutaneous Z No Device
Infraparotid lymph node Intercostal lymph node Endoscopic
Parotid lymph node Mediastinal lymph node
Preauricular lymph node Parasternal lymph node
Submandibular lymph node Paratracheal lymph node
Submaxillary lymph node Tracheobronchial lymph node
Submental lymph node 8 Lymphatic, Internal Mammary, Right
Subparotid lymph node 9 Lymphatic, Internal Mammary, Left
Suprahyoid lymph node
B Lymphatic, Mesenteric
1 Lymphatic, Right Neck Inferior mesenteric lymph node
Cervical lymph node Pararectal lymph node
Jugular lymph node Superior mesenteric lymph node
Mastoid (postauricular) lymph node
C Lymphatic, Pelvis
Occipital lymph node
Common iliac (subaortic) lymph node
Postauricular (mastoid) lymph node
Gluteal lymph node
Retropharyngeal lymph node
Iliac lymph node
Right jugular trunk
Inferior epigastric lymph node
Right lymphatic duct
Obturator lymph node
Right subclavian trunk
Sacral lymph node
Supraclavicular (Virchow's) lymph
Subaortic (common iliac) lymph node
node
Suprainguinal lymph node
Virchow's (supraclavicular) lymph
node D Lymphatic, Aortic
Celiac lymph node
2 Lymphatic, Left Neck
Gastric lymph node
Cervical lymph node
Hepatic lymph node
Jugular lymph node
Lumbar lymph node
Mastoid (postauricular) lymph node
Pancreaticosplenic lymph node
Occipital lymph node
Paraaortic lymph node
Postauricular (mastoid) lymph node
Retroperitoneal lymph node
Retropharyngeal lymph node
Supraclavicular (Virchow's) lymph F Lymphatic, Right Lower Extremity
node Femoral lymph node
Virchow's (supraclavicular) lymph Popliteal lymph node
node G Lymphatic, Left Lower Extremity
3 Lymphatic, Right Upper Extremity See F Lymphatic, Right Lower Extremity
Cubital lymph node H Lymphatic, Right Inguinal
Deltopectoral (infraclavicular) lymph J Lymphatic, Left Inguinal
node K Thoracic Duct
Epitrochlear lymph node Left jugular trunk
Infraclavicular (deltopectoral) lymph Left subclavian trunk
node L Cisterna Chyli
Supratrochlear lymph node Intestinal lymphatic trunk
4 Lymphatic, Left Upper Extremity Lumbar lymphatic trunk
See 3 Lymphatic, Right Upper Extremity
5 Lymphatic, Right Axillary
Anterior (pectoral) lymph node
Apical (subclavicular) lymph node
Brachial (lateral) lymph node
Central axillary lymph node
Lateral (brachial) lymph node
Pectoral (anterior) lymph node
Posterior (subscapular) lymph node
Subclavicular (apical) lymph node
Subscapular (posterior) lymph node
07L–07L

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
278 ICD-10-PCS 2019
ICD-10-PCS 2019 Lymphatic and Hemic Systems 07N–07N

Lymphatic and Hemic Systems

0 Medical and Surgical
7 Lymphatic and Hemic Systems 07N
N Release Definition: Freeing a body part from an abnormal physical constraint by cutting or by the use of force
Explanation: Some of the restraining tissue may be taken out but none of the body part is taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Lymphatic, Head 6 Lymphatic, Left Axillary 0 Open Z No Device Z No Qualifier
Buccinator lymph node See 5 Lymphatic, Right Axillary 3 Percutaneous
Infraauricular lymph node 7 Lymphatic, Thorax 4 Percutaneous
Infraparotid lymph node Intercostal lymph node Endoscopic
Parotid lymph node Mediastinal lymph node
Preauricular lymph node Parasternal lymph node
Submandibular lymph node Paratracheal lymph node
Submaxillary lymph node Tracheobronchial lymph node
Submental lymph node 8 Lymphatic, Internal Mammary, Right
Subparotid lymph node 9 Lymphatic, Internal Mammary, Left
Suprahyoid lymph node
B Lymphatic, Mesenteric
1 Lymphatic, Right Neck Inferior mesenteric lymph node
Cervical lymph node Pararectal lymph node
Jugular lymph node Superior mesenteric lymph node
Mastoid (postauricular) lymph node
C Lymphatic, Pelvis
Occipital lymph node
Common iliac (subaortic) lymph node
Postauricular (mastoid) lymph node
Gluteal lymph node
Retropharyngeal lymph node
Iliac lymph node
Right jugular trunk
Inferior epigastric lymph node
Right lymphatic duct
Obturator lymph node
Right subclavian trunk
Sacral lymph node
Supraclavicular (Virchow's) lymph
Subaortic (common iliac) lymph node
node
Suprainguinal lymph node
Virchow's (supraclavicular) lymph
node D Lymphatic, Aortic
Celiac lymph node
2 Lymphatic, Left Neck
Gastric lymph node
Cervical lymph node
Hepatic lymph node
Jugular lymph node
Lumbar lymph node
Mastoid (postauricular) lymph node
Pancreaticosplenic lymph node
Occipital lymph node
Paraaortic lymph node
Postauricular (mastoid) lymph node
Retroperitoneal lymph node
Retropharyngeal lymph node
Supraclavicular (Virchow's) lymph F Lymphatic, Right Lower Extremity
node Femoral lymph node
Virchow's (supraclavicular) lymph Popliteal lymph node
node G Lymphatic, Left Lower Extremity
3 Lymphatic, Right Upper Extremity See F Lymphatic, Right Lower Extremity
Cubital lymph node H Lymphatic, Right Inguinal
Deltopectoral (infraclavicular) lymph J Lymphatic, Left Inguinal
node K Thoracic Duct
Epitrochlear lymph node Left jugular trunk
Infraclavicular (deltopectoral) lymph Left subclavian trunk
node L Cisterna Chyli
Supratrochlear lymph node Intestinal lymphatic trunk
4 Lymphatic, Left Upper Extremity Lumbar lymphatic trunk
See 3 Lymphatic, Right Upper Extremity M Thymus
5 Lymphatic, Right Axillary Thymus gland
Anterior (pectoral) lymph node P Spleen
Apical (subclavicular) lymph node Accessory spleen
Brachial (lateral) lymph node
Central axillary lymph node
Lateral (brachial) lymph node
Pectoral (anterior) lymph node
Posterior (subscapular) lymph node
Subclavicular (apical) lymph node
Subscapular (posterior) lymph node
07N–07N

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 279
 07P–07P Lymphatic and Hemic Systems ICD-10-PCS 2019
Lymphatic and Hemic Systems

0 Medical and Surgical

7 Lymphatic and Hemic Systems 07P
P Removal Definition: Taking out or off a device from a body part
Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is
coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
K Thoracic Duct 0 Open 0 Drainage Device Z No Qualifier
Left jugular trunk 3 Percutaneous 3 Infusion Device
Left subclavian trunk 4 Percutaneous Endoscopic 7 Autologous Tissue
L Cisterna Chyli Substitute
Intestinal lymphatic trunk C Extraluminal Device
Lumbar lymphatic trunk D Intraluminal Device
N Lymphatic J Synthetic Substitute
K Nonautologous Tissue
Substitute
Y Other Device
K Thoracic Duct X External 0 Drainage Device Z No Qualifier
Left jugular trunk 3 Infusion Device
Left subclavian trunk D Intraluminal Device
L Cisterna Chyli
Intestinal lymphatic trunk
Lumbar lymphatic trunk
N Lymphatic
M Thymus 0 Open 0 Drainage Device Z No Qualifier
Thymus gland 3 Percutaneous 3 Infusion Device
P Spleen 4 Percutaneous Endoscopic Y Other Device
Accessory spleen
M Thymus X External 0 Drainage Device Z No Qualifier
Thymus gland 3 Infusion Device
P Spleen
Accessory spleen
T Bone Marrow 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous
4 Percutaneous Endoscopic
X External
Non-OR 07P[K,L,N][3,4]YZ
Non-OR 07P[K,L,N]X[0,3,D]Z
Non-OR 07P[M,P][3,4]YZ
Non-OR 07P[M,P]X[0,3]Z
Non-OR 07PT[0,3,4,X]0Z
07P–07P

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
280 ICD-10-PCS 2019
ICD-10-PCS 2019 Lymphatic and Hemic Systems 07Q–07Q

Lymphatic and Hemic Systems

0 Medical and Surgical
7 Lymphatic and Hemic Systems 07Q
Q Repair Definition: Restoring, to the extent possible, a body part to its normal anatomic structure and function
Explanation: Used only when the method to accomplish the repair is not one of the other root operations
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Lymphatic, Head 6 Lymphatic, Left Axillary 0 Open Z No Device Z No Qualifier
Buccinator lymph node See 5 Lymphatic, Right Axillary 3 Percutaneous
Infraauricular lymph node 7 Lymphatic, Thorax 4 Percutaneous
Infraparotid lymph node Intercostal lymph node Endoscopic
Parotid lymph node Mediastinal lymph node 8 Via Natural or
Preauricular lymph node Parasternal lymph node Artificial Opening
Submandibular lymph node Paratracheal lymph node Endoscopic
Submaxillary lymph node Tracheobronchial lymph node
Submental lymph node 8 Lymphatic, Internal Mammary, Right
Subparotid lymph node 9 Lymphatic, Internal Mammary, Left
Suprahyoid lymph node
B Lymphatic, Mesenteric
1 Lymphatic, Right Neck Inferior mesenteric lymph node
Cervical lymph node Pararectal lymph node
Jugular lymph node Superior mesenteric lymph node
Mastoid (postauricular) lymph node
C Lymphatic, Pelvis
Occipital lymph node
Common iliac (subaortic) lymph node
Postauricular (mastoid) lymph node
Gluteal lymph node
Retropharyngeal lymph node
Iliac lymph node
Right jugular trunk
Inferior epigastric lymph node
Right lymphatic duct
Obturator lymph node
Right subclavian trunk
Sacral lymph node
Supraclavicular (Virchow's) lymph
Subaortic (common iliac) lymph node
node
Suprainguinal lymph node
Virchow's (supraclavicular) lymph
node D Lymphatic, Aortic
Celiac lymph node
2 Lymphatic, Left Neck
Gastric lymph node
Cervical lymph node
Hepatic lymph node
Jugular lymph node
Lumbar lymph node
Mastoid (postauricular) lymph node
Pancreaticosplenic lymph node
Occipital lymph node
Paraaortic lymph node
Postauricular (mastoid) lymph node
Retroperitoneal lymph node
Retropharyngeal lymph node
Supraclavicular (Virchow's) lymph F Lymphatic, Right Lower Extremity
node Femoral lymph node
Virchow's (supraclavicular) lymph Popliteal lymph node
node G Lymphatic, Left Lower Extremity
3 Lymphatic, Right Upper Extremity See F Lymphatic, Right Lower Extremity
Cubital lymph node H Lymphatic, Right Inguinal
Deltopectoral (infraclavicular) lymph J Lymphatic, Left Inguinal
node K Thoracic Duct
Epitrochlear lymph node Left jugular trunk
Infraclavicular (deltopectoral) lymph Left subclavian trunk
node L Cisterna Chyli
Supratrochlear lymph node Intestinal lymphatic trunk
4 Lymphatic, Left Upper Extremity Lumbar lymphatic trunk
See 3 Lymphatic, Right Upper Extremity
5 Lymphatic, Right Axillary
Anterior (pectoral) lymph node
Apical (subclavicular) lymph node
Brachial (lateral) lymph node
Central axillary lymph node
Lateral (brachial) lymph node
Pectoral (anterior) lymph node
Posterior (subscapular) lymph node
Subclavicular (apical) lymph node
Subscapular (posterior) lymph node
M Thymus 0 Open Z No Device Z No Qualifier
Thymus gland 3 Percutaneous
P Spleen 4 Percutaneous
Accessory spleen Endoscopic
07Q–07Q

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 281
 07S–07T Lymphatic and Hemic Systems ICD-10-PCS 2019
Lymphatic and Hemic Systems

0 Medical and Surgical

7 Lymphatic and Hemic Systems 07S
S Reposition Definition: Moving to its normal location, or other suitable location, all or a portion of a body part
Explanation: The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning
correctly. The body part may or may not be cut out or off to be moved to the new location.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
M Thymus 0 Open Z No Device Z No Qualifier
Thymus gland
P Spleen
Accessory spleen

0 Medical and Surgical

7 Lymphatic and Hemic Systems
T Resection Definition: Cutting out or off, without replacement, all of a body part
Explanation: None
0 Lymphatic, Head
Buccinator lymph node
Infraauricular lymph node
Infraparotid lymph node
Parotid lymph node
Preauricular lymph node
Submandibular lymph node
Submaxillary lymph node
Submental lymph node
Subparotid lymph node
Suprahyoid lymph node
1 Lymphatic, Right Neck
Cervical lymph node
Jugular lymph node
Mastoid (postauricular) lymph node
Occipital lymph node
Postauricular (mastoid) lymph node
Retropharyngeal lymph node
Right jugular trunk
Right lymphatic duct
Right subclavian trunk
Supraclavicular (Virchow's) lymph
node
Virchow's (supraclavicular) lymph
node
2 Lymphatic, Left Neck
Cervical lymph node
Jugular lymph node
Mastoid (postauricular) lymph node
Occipital lymph node
Postauricular (mastoid) lymph node
Retropharyngeal lymph node
Supraclavicular (Virchow's) lymph
node
Virchow's (supraclavicular) lymph
node
3 Lymphatic, Right Upper Extremity
Cubital lymph node
Deltopectoral (infraclavicular) lymph
node
Epitrochlear lymph node
Infraclavicular (deltopectoral) lymph
node
Supratrochlear lymph node
4 Lymphatic, Left Upper Extremity
See 3 Lymphatic, Right Upper Extremity
5 Lymphatic, Right Axillary
Anterior (pectoral) lymph node
Apical (subclavicular) lymph node
Brachial (lateral) lymph node
Central axillary lymph node
Lateral (brachial) lymph node
Pectoral (anterior) lymph node
Posterior (subscapular) lymph node
Subclavicular (apical) lymph node
Subscapular (posterior) lymph node
See Appendix L for Procedure Combinations
? 07T[5,6,7,8,9]0ZZ
07S–07T
07T
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
6 Lymphatic, Left Axillary ? 0 Open Z No Device Z No Qualifier
See 5 Lymphatic, Right Axillary 4 Percutaneous
7 Lymphatic, Thorax ? Endoscopic
Intercostal lymph node
Mediastinal lymph node
Parasternal lymph node
Paratracheal lymph node
Tracheobronchial lymph node
8 Lymphatic, Internal ?
Mammary, Right
9 Lymphatic, Internal ?
Mammary, Left
B Lymphatic, Mesenteric
Inferior mesenteric lymph node
Pararectal lymph node
Superior mesenteric lymph node
C Lymphatic, Pelvis
Common iliac (subaortic) lymph node
Gluteal lymph node
Iliac lymph node
Inferior epigastric lymph node
Obturator lymph node
Sacral lymph node
Subaortic (common iliac) lymph node
Suprainguinal lymph node
D Lymphatic, Aortic
Celiac lymph node
Gastric lymph node
Hepatic lymph node
Lumbar lymph node
Pancreaticosplenic lymph node
Paraaortic lymph node
Retroperitoneal lymph node
F Lymphatic, Right Lower Extremity
Femoral lymph node
Popliteal lymph node
G Lymphatic, Left Lower Extremity
See F Lymphatic, Right Lower Extremity
H Lymphatic, Right Inguinal
J Lymphatic, Left Inguinal
K Thoracic Duct
Left jugular trunk
Left subclavian trunk
L Cisterna Chyli
Intestinal lymphatic trunk
Lumbar lymphatic trunk
? M Thymus
Thymus gland
P Spleen
Accessory spleen

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
282 ICD-10-PCS 2019
ICD-10-PCS 2019 Lymphatic and Hemic Systems 07U–07U

Lymphatic and Hemic Systems

0 Medical and Surgical
7 Lymphatic and Hemic Systems 07U
U Supplement Definition: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part
Explanation: The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced,
and the SUPPLEMENT procedure is performed to physically reinforce and/or augment the function of the replaced body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Lymphatic, Head 6 Lymphatic, Left Axillary 0 Open 7 Autologous Tissue Z No Qualifier
Buccinator lymph node See 5 Lymphatic, Right Axillary 4 Percutaneous Substitute
Infraauricular lymph node 7 Lymphatic, Thorax Endoscopic J Synthetic Substitute
Infraparotid lymph node Intercostal lymph node K Nonautologous
Parotid lymph node Mediastinal lymph node Tissue Substitute
Preauricular lymph node Parasternal lymph node
Submandibular lymph node Paratracheal lymph node
Submaxillary lymph node Tracheobronchial lymph node
Submental lymph node 8 Lymphatic, Internal Mammary, Right
Subparotid lymph node 9 Lymphatic, Internal Mammary, Left
Suprahyoid lymph node
B Lymphatic, Mesenteric
1 Lymphatic, Right Neck Inferior mesenteric lymph node
Cervical lymph node Pararectal lymph node
Jugular lymph node Superior mesenteric lymph node
Mastoid (postauricular) lymph node
C Lymphatic, Pelvis
Occipital lymph node
Common iliac (subaortic) lymph node
Postauricular (mastoid) lymph node
Gluteal lymph node
Retropharyngeal lymph node
Iliac lymph node
Right jugular trunk
Inferior epigastric lymph node
Right lymphatic duct
Obturator lymph node
Right subclavian trunk
Sacral lymph node
Supraclavicular (Virchow's) lymph
Subaortic (common iliac) lymph node
node
Suprainguinal lymph node
Virchow's (supraclavicular) lymph
node D Lymphatic, Aortic
Celiac lymph node
2 Lymphatic, Left Neck
Gastric lymph node
Cervical lymph node
Hepatic lymph node
Jugular lymph node
Lumbar lymph node
Mastoid (postauricular) lymph node
Pancreaticosplenic lymph node
Occipital lymph node
Paraaortic lymph node
Postauricular (mastoid) lymph node
Retroperitoneal lymph node
Retropharyngeal lymph node
Supraclavicular (Virchow's) lymph F Lymphatic, Right Lower Extremity
node Femoral lymph node
Virchow's (supraclavicular) lymph Popliteal lymph node
node G Lymphatic, Left Lower Extremity
3 Lymphatic, Right Upper Extremity See F Lymphatic, Right Lower Extremity
Cubital lymph node H Lymphatic, Right Inguinal
Deltopectoral (infraclavicular) lymph J Lymphatic, Left Inguinal
node K Thoracic Duct
Epitrochlear lymph node Left jugular trunk
Infraclavicular (deltopectoral) lymph Left subclavian trunk
node L Cisterna Chyli
Supratrochlear lymph node Intestinal lymphatic trunk
4 Lymphatic, Left Upper Extremity Lumbar lymphatic trunk
See 3 Lymphatic, Right Upper Extremity
5 Lymphatic, Right Axillary
Anterior (pectoral) lymph node
Apical (subclavicular) lymph node
Brachial (lateral) lymph node
Central axillary lymph node
Lateral (brachial) lymph node
Pectoral (anterior) lymph node
Posterior (subscapular) lymph node
Subclavicular (apical) lymph node
Subscapular (posterior) lymph node
07U–07U

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 283
 07V–07V Lymphatic and Hemic Systems ICD-10-PCS 2019
Lymphatic and Hemic Systems

0 Medical and Surgical

7 Lymphatic and Hemic Systems 07V
V Restriction Definition: Partially closing an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Lymphatic, Head 6 Lymphatic, Left Axillary 0 Open C Extraluminal Device Z No Qualifier
Buccinator lymph node See 5 Lymphatic, Right Axillary 3 Percutaneous D Intraluminal Device
Infraauricular lymph node 7 Lymphatic, Thorax 4 Percutaneous Z No Device
Infraparotid lymph node Intercostal lymph node Endoscopic
Parotid lymph node Mediastinal lymph node
Preauricular lymph node Parasternal lymph node
Submandibular lymph node Paratracheal lymph node
Submaxillary lymph node Tracheobronchial lymph node
Submental lymph node 8 Lymphatic, Internal Mammary, Right
Subparotid lymph node 9 Lymphatic, Internal Mammary, Left
Suprahyoid lymph node
B Lymphatic, Mesenteric
1 Lymphatic, Right Neck Inferior mesenteric lymph node
Cervical lymph node Pararectal lymph node
Jugular lymph node Superior mesenteric lymph node
Mastoid (postauricular) lymph node
C Lymphatic, Pelvis
Occipital lymph node
Common iliac (subaortic) lymph node
Postauricular (mastoid) lymph node
Gluteal lymph node
Retropharyngeal lymph node
Iliac lymph node
Right jugular trunk
Inferior epigastric lymph node
Right lymphatic duct
Obturator lymph node
Right subclavian trunk
Sacral lymph node
Supraclavicular (Virchow's) lymph
Subaortic (common iliac) lymph node
node
Suprainguinal lymph node
Virchow's (supraclavicular) lymph
node D Lymphatic, Aortic
Celiac lymph node
2 Lymphatic, Left Neck
Gastric lymph node
Cervical lymph node
Hepatic lymph node
Jugular lymph node
Lumbar lymph node
Mastoid (postauricular) lymph node
Pancreaticosplenic lymph node
Occipital lymph node
Paraaortic lymph node
Postauricular (mastoid) lymph node
Retroperitoneal lymph node
Retropharyngeal lymph node
Supraclavicular (Virchow's) lymph F Lymphatic, Right Lower Extremity
node Femoral lymph node
Virchow's (supraclavicular) lymph Popliteal lymph node
node G Lymphatic, Left Lower Extremity
3 Lymphatic, Right Upper Extremity See F Lymphatic, Right Lower Extremity
Cubital lymph node H Lymphatic, Right Inguinal
Deltopectoral (infraclavicular) lymph J Lymphatic, Left Inguinal
node K Thoracic Duct
Epitrochlear lymph node Left jugular trunk
Infraclavicular (deltopectoral) lymph Left subclavian trunk
node L Cisterna Chyli
Supratrochlear lymph node Intestinal lymphatic trunk
4 Lymphatic, Left Upper Extremity Lumbar lymphatic trunk
See 3 Lymphatic, Right Upper Extremity
5 Lymphatic, Right Axillary
Anterior (pectoral) lymph node
Apical (subclavicular) lymph node
Brachial (lateral) lymph node
Central axillary lymph node
Lateral (brachial) lymph node
Pectoral (anterior) lymph node
Posterior (subscapular) lymph node
Subclavicular (apical) lymph node
Subscapular (posterior) lymph node
07V–07V

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
284 ICD-10-PCS 2019
ICD-10-PCS 2019 Lymphatic and Hemic Systems 07W–07Y

Lymphatic and Hemic Systems

0 Medical and Surgical
7 Lymphatic and Hemic Systems 07W
W Revision Definition: Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device
Explanation: Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as
a screw or pin
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
K Thoracic Duct 0 Open 0 Drainage Device Z No Qualifier
Left jugular trunk 3 Percutaneous 3 Infusion Device
Left subclavian trunk 4 Percutaneous Endoscopic 7 Autologous Tissue
L Cisterna Chyli Substitute
Intestinal lymphatic trunk C Extraluminal Device
Lumbar lymphatic trunk D Intraluminal Device
N Lymphatic J Synthetic Substitute
K Nonautologous Tissue
Substitute
Y Other Device
K Thoracic Duct X External 0 Drainage Device Z No Qualifier
Left jugular trunk 3 Infusion Device
Left subclavian trunk 7 Autologous Tissue
L Cisterna Chyli Substitute
Intestinal lymphatic trunk C Extraluminal Device
Lumbar lymphatic trunk D Intraluminal Device
N Lymphatic J Synthetic Substitute
K Nonautologous Tissue
Substitute
M Thymus 0 Open 0 Drainage Device Z No Qualifier
Thymus gland 3 Percutaneous 3 Infusion Device
P Spleen 4 Percutaneous Endoscopic Y Other Device
Accessory spleen
M Thymus X External 0 Drainage Device Z No Qualifier
Thymus gland 3 Infusion Device
P Spleen
Accessory spleen
T Bone Marrow 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous
4 Percutaneous Endoscopic
X External
Non-OR 07W[K,L,N][3,4]YZ
Non-OR 07W[K,L,N]X[0,3,7,C,D,J,K]Z
Non-OR 07W[M,P][3,4]YZ
Non-OR 07W[M,P]X[0,3]Z
Non-OR 07WT[0,3,4,X]0Z

0 Medical and Surgical

7 Lymphatic and Hemic Systems 07Y
Y Transplantation Definition: Putting in or on all or a portion of a living body part taken from another individual or animal to physically take the place and/or
function of all or a portion of a similar body part
Explanation: The native body part may or may not be taken out, and the transplanted body part may take over all or a portion of its function
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
M Thymus 0 Open Z No Device 0 Allogeneic
Thymus gland 1 Syngeneic
P Spleen 2 Zooplastic
Accessory spleen
07W–07Y

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 285
This page is left intentionally blank.
ICD-10-PCS 2019 Eye

Eye
Eye 080–08X
Character Meanings
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.

Operation–Character 3 Body Part–Character 4 Approach–Character 5 Device–Character 6 Qualifier–Character 7

0 Alteration 0 Eye, Right 0 Open 0 Drainage Device 3 Nasal Cavity
OR
Synthetic Substitute,
Intraocular Telescope
1 Bypass 1 Eye, Left 3 Percutaneous 1 Radioactive Element 4 Sclera
2 Change 2 Anterior Chamber, Right 7 Via Natural or Artificial 3 Infusion Device X Diagnostic
Opening
5 Destruction 3 Anterior Chamber, Left 8 Via Natural or Artificial 5 Epiretinal Visual Prosthesis Z No Qualifier
Opening Endoscopic
7 Dilation 4 Vitreous, Right X External 7 Autologous Tissue
Substitute
9 Drainage 5 Vitreous, Left C Extraluminal Device
B Excision 6 Sclera, Right D Intraluminal Device
C Extirpation 7 Sclera, Left J Synthetic Substitute
D Extraction 8 Cornea, Right K Nonautologous Tissue
Substitute
F Fragmentation 9 Cornea, Left Y Other Device
H Insertion A Choroid, Right Z No Device
J Inspection B Choroid, Left
L Occlusion C Iris, Right
M Reattachment D Iris, Left
N Release E Retina, Right
P Removal F Retina, Left
Q Repair G Retinal Vessel, Right
R Replacement H Retinal Vessel, Left
S Reposition J Lens, Right
T Resection K Lens, Left
U Supplement L Extraocular Muscle, Right
V Restriction M Extraocular Muscle, Left
W Revision N Upper Eyelid, Right
X Transfer P Upper Eyelid, Left
Q Lower Eyelid, Right
R Lower Eyelid, Left
S Conjunctiva, Right
T Conjunctiva, Left
V Lacrimal Gland, Right
W Lacrimal Gland, Left
X Lacrimal Duct, Right
Y Lacrimal Duct, Left

AHA Coding Clinic for table 089

2016, 2Q, 21 Laser trabeculoplasty
AHA Coding Clinic for table 08B
2014, 4Q, 35 Vitrectomy with air/fluid exchange
2014, 4Q, 36 Pars plans vitrectomy without mention of instillation of oil, air or fluid
AHA Coding Clinic for table 08J
2015, 1Q, 35 Attempted removal of foreign body from cornea
AHA Coding Clinic for table 08N
2015, 2Q, 24 Penetrating keratoplasty and anterior segment reconstruction
AHA Coding Clinic for table 08R
2015, 2Q, 24 Penetrating keratoplasty and anterior segment reconstruction
2015, 2Q, 25 Penetrating keratoplasty and placement of viscoelastic eye with paracentesis
AHA Coding Clinic for table 08T
2015, 2Q, 12 Orbital exenteration
AHA Coding Clinic for table 08U
2014, 3Q, 31 Corneal amniotic membrane transplantation

ICD-10-PCS 2019 287

 Eye ICD-10-PCS 2019
Eye

Eye
Choroid (uvea) A, B
Sclera 6, 7

Cornea 8, 9
Vitreous
Iris C, D body 4, 5
Lens
J, K
Anterior chamber 2, 3
Optic disk E, F
Posterior chamber 0, 1
Fovea E, F
Ciliary body 0, 1 Retina E, F
Conjunctiva S, T

Eye Musculature

Superior rectus Superior oblique

Lateral rectus Medial rectus

Inferior rectus
Inferior oblique

Muscles and actions (right eye) L, M

Lacrimal System

Superior and inferior lobes

of lacrimal gland V, W

Medial angle
Lacrimal ducts X, Y

Lacrimal canaliculi X, Y

Nasolacrimal sac X, Y Superior, inferior lacrimal puncta X, Y

Left eye

288 ICD-10-PCS 2019

ICD-10-PCS 2019 Eye 080–082

Eye
0 Medical and Surgical
8 Eye 080
0 Alteration Definition: Modifying the anatomic structure of a body part without affecting the function of the body part
Explanation: Principal purpose is to improve appearance
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
N Upper Eyelid, Right 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Lateral canthus 3 Percutaneous J Synthetic Substitute
Levator palpebrae superioris muscle X External K Nonautologous Tissue Substitute
Orbicularis oculi muscle Z No Device
Superior tarsal plate
P Upper Eyelid, Left
See N Upper Eyelid, Right
Q Lower Eyelid, Right
Inferior tarsal plate
Medial canthus
R Lower Eyelid, Left
See Q Lower Eyelid, Right
Non-OR All body part, approach, device, and qualifier values

0 Medical and Surgical

8 Eye 081
1 Bypass Definition: Altering the route of passage of the contents of a tubular body part
Explanation: Rerouting contents of a body part to a downstream area of the normal route, to a similar route and body part, or to an abnormal
route and dissimilar body part. Includes one or more anastomoses, with or without the use of a device.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
2 Anterior Chamber, Right 3 Percutaneous J Synthetic Substitute 4 Sclera
Aqueous humour K Nonautologous Tissue Substitute
3 Anterior Chamber, Left Z No Device
See 2 Anterior Chamber, Right
X Lacrimal Duct, Right 0 Open J Synthetic Substitute 3 Nasal Cavity
Lacrimal canaliculus 3 Percutaneous K Nonautologous Tissue Substitute
Lacrimal punctum Z No Device
Lacrimal sac
Nasolacrimal duct
Y Lacrimal Duct, Left
See X Lacrimal Duct, Right

0 Medical and Surgical

8 Eye 082
2 Change Definition: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without
cutting or puncturing the skin or a mucous membrane
Explanation: All CHANGE procedures are coded using the approach EXTERNAL
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Eye, Right X External 0 Drainage Device Z No Qualifier
Ciliary body Y Other Device
Posterior chamber
1 Eye, Left
See 0 Eye, Right
Non-OR All body part, approach, device, and qualifier values
080–082

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 289
 085–087 Eye ICD-10-PCS 2019
Eye

0 Medical and Surgical

8 Eye 085
5 Destruction Definition: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent
Explanation: None of the body part is physically taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Eye, Right 8 Cornea, Right X External Z No Device Z No Qualifier
Ciliary body 9 Cornea, Left
Posterior chamber S Conjunctiva, Right
1 Eye, Left Plica semilunaris
See 0 Eye, Right T Conjunctiva, Left
6 Sclera, Right See S Conjunctiva, Right
7 Sclera, Left
2 Anterior Chamber, Right E Retina, Right 3 Percutaneous Z No Device Z No Qualifier
Aqueous humour Fovea
3 Anterior Chamber, Left Macula
See 2 Anterior Chamber, Right Optic disc
4 Vitreous, Right F Retina, Left
Vitreous body See E Retina, Right
5 Vitreous, Left G Retinal Vessel, Right
See 4 Vitreous, Right H Retinal Vessel, Left
C Iris, Right J Lens, Right
D Iris, Left Zonule of Zinn
K Lens, Left
See J Lens, Right
A Choroid, Right M Extraocular Muscle, Left 0 Open Z No Device Z No Qualifier
B Choroid, Left See L Extraocular Muscle, Right 3 Percutaneous
L Extraocular Muscle, Right V Lacrimal Gland, Right
Inferior oblique muscle W Lacrimal Gland, Left
Inferior rectus muscle
Lateral rectus muscle
Medial rectus muscle
Superior oblique muscle
Superior rectus muscle
N Upper Eyelid, Right Q Lower Eyelid, Right 0 Open Z No Device Z No Qualifier
Lateral canthus Inferior tarsal plate 3 Percutaneous
Levator palpebrae superioris Medial canthus X External
muscle R Lower Eyelid, Left
Orbicularis oculi muscle See Q Lower Eyelid, Right
Superior tarsal plate
P Upper Eyelid, Left
See N Upper Eyelid, Right
X Lacrimal Duct, Right Y Lacrimal Duct, Left 0 Open Z No Device Z No Qualifier
Lacrimal canaliculus See X Lacrimal Duct, Right 3 Percutaneous
Lacrimal punctum 7 Via Natural or Artificial
Lacrimal sac Opening
Nasolacrimal duct 8 Via Natural or Artificial
Opening Endoscopic
Non-OR 085[E,F]3ZZ

0 Medical and Surgical

8 Eye 087
7 Dilation Definition: Expanding an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice. Accomplished by stretching a tubular body part using
intraluminal pressure or by cutting part of the orifice or wall of the tubular body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
X Lacrimal Duct, Right 0 Open D Intraluminal Device Z No Qualifier
Lacrimal canaliculus 3 Percutaneous Z No Device
Lacrimal punctum 7 Via Natural or Artificial
Lacrimal sac Opening
Nasolacrimal duct 8 Via Natural or Artificial
Y Lacrimal Duct, Left Opening Endoscopic
See X Lacrimal Duct, Right
085–087

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
290 ICD-10-PCS 2019
ICD-10-PCS 2019 Eye 089–089

Eye
0 Medical and Surgical
8 Eye 089
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Eye, Right 8 Cornea, Right X External 0 Drainage Device Z No Qualifier
Ciliary body 9 Cornea, Left
Posterior chamber S Conjunctiva, Right
1 Eye, Left Plica semilunaris
See 0 Eye, Right T Conjunctiva, Left
6 Sclera, Right See S Conjunctiva, Right
7 Sclera, Left
0 Eye, Right 8 Cornea, Right X External Z No Device X Diagnostic
Ciliary body 9 Cornea, Left Z No Qualifier
Posterior chamber S Conjunctiva, Right
1 Eye, Left Plica semilunaris
See 0 Eye, Right T Conjunctiva, Left
6 Sclera, Right See S Conjunctiva, Right
7 Sclera, Left
2 Anterior Chamber, Right E Retina, Right 3 Percutaneous 0 Drainage Device Z No Qualifier
Aqueous humour Fovea
3 Anterior Chamber, Left Macula
See 2 Anterior Chamber, Right Optic disc
4 Vitreous, Right F Retina, Left
Vitreous body See E Retina, Right
5 Vitreous, Left G Retinal Vessel, Right
See 4 Vitreous, Right H Retinal Vessel, Left
C Iris, Right J Lens, Right
D Iris, Left Zonule of Zinn
K Lens, Left
See J Lens, Right
2 Anterior Chamber, Right E Retina, Right 3 Percutaneous Z No Device X Diagnostic
Aqueous humour Fovea Z No Qualifier
3 Anterior Chamber, Left Macula
See 2 Anterior Chamber, Right Optic disc
4 Vitreous, Right F Retina, Left
Vitreous body See E Retina, Right
5 Vitreous, Left G Retinal Vessel, Right
See 4 Vitreous, Right H Retinal Vessel, Left
C Iris, Right J Lens, Right
D Iris, Left Zonule of Zinn
K Lens, Left
See J Lens, Right
A Choroid, Right M Extraocular Muscle, Left 0 Open 0 Drainage Device Z No Qualifier
B Choroid, Left See L Extraocular Muscle, Right 3 Percutaneous
L Extraocular Muscle, Right V Lacrimal Gland, Right
Inferior oblique muscle W Lacrimal Gland, Left
Inferior rectus muscle
Lateral rectus muscle
Medial rectus muscle
Superior oblique muscle
Superior rectus muscle
A Choroid, Right M Extraocular Muscle, Left 0 Open Z No Device X Diagnostic
B Choroid, Left See L Extraocular Muscle, Right 3 Percutaneous Z No Qualifier
L Extraocular Muscle, Right V Lacrimal Gland, Right
Inferior oblique muscle W Lacrimal Gland, Left
Inferior rectus muscle
Lateral rectus muscle
Medial rectus muscle
Superior oblique muscle
Superior rectus muscle
N Upper Eyelid, Right Q Lower Eyelid, Right 0 Open 0 Drainage Device Z No Qualifier
Lateral canthus Inferior tarsal plate 3 Percutaneous
Levator palpebrae superioris Medial canthus X External
muscle R Lower Eyelid, Left
Orbicularis oculi muscle See Q Lower Eyelid, Right
Superior tarsal plate
P Upper Eyelid, Left
See N Upper Eyelid, Right
089 Continued on next page
Non-OR 089[0,1,6,7,8,9,S,T]XZ[X,Z]
Non-OR 089[N,P,Q,R][0,3,X]0Z
089–089

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 291
 089–08B Eye ICD-10-PCS 2019
Eye

0 Medical and Surgical 089 Continued

8 Eye 089
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
N Upper Eyelid, Right Q Lower Eyelid, Right 0 Open Z No Device X Diagnostic
Lateral canthus Inferior tarsal plate 3 Percutaneous Z No Qualifier
Levator palpebrae superioris Medial canthus X External
muscle R Lower Eyelid, Left
Orbicularis oculi muscle See Q Lower Eyelid, Right
Superior tarsal plate
P Upper Eyelid, Left
See N Upper Eyelid, Right
X Lacrimal Duct, Right Y Lacrimal Duct, Left 0 Open 0 Drainage Device Z No Qualifier
Lacrimal canaliculus See X Lacrimal Duct, Right 3 Percutaneous
Lacrimal punctum 7 Via Natural or Artificial
Lacrimal sac Opening
Nasolacrimal duct 8 Via Natural or Artificial
Opening Endoscopic
X Lacrimal Duct, Right Y Lacrimal Duct, Left 0 Open Z No Device X Diagnostic
Lacrimal canaliculus See X Lacrimal Duct, Right 3 Percutaneous Z No Qualifier
Lacrimal punctum 7 Via Natural or Artificial
Lacrimal sac Opening
Nasolacrimal duct 8 Via Natural or Artificial
Opening Endoscopic
Non-OR 089[N,P,Q,R]0ZZ
Non-OR 089[N,P,Q,R][3,X]Z[X,Z]

0 Medical and Surgical

8 Eye 08B
B Excision Definition: Cutting out or off, without replacement, a portion of a body part
Explanation: The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Eye, Right P Upper Eyelid, Left 0 Open Z No Device X Diagnostic
Ciliary body See N Upper Eyelid, Right 3 Percutaneous Z No Qualifier
Posterior chamber Q Lower Eyelid, Right X External
1 Eye, Left Inferior tarsal plate
See 0 Eye, Right Medial canthus
N Upper Eyelid, Right R Lower Eyelid, Left
Lateral canthus See Q Lower Eyelid, Right
Levator palpebrae superioris
muscle
Orbicularis oculi muscle
Superior tarsal plate
4 Vitreous, Right F Retina, Left 3 Percutaneous Z No Device X Diagnostic
Vitreous body See E Retina, Right Z No Qualifier
5 Vitreous, Left J Lens, Right
See 4 Vitreous, Right Zonule of Zinn
C Iris, Right K Lens, Left
D Iris, Left See J Lens, Right
E Retina, Right
Fovea
Macula
Optic disc
6 Sclera, Right S Conjunctiva, Right X External Z No Device X Diagnostic
7 Sclera, Left Plica semilunaris Z No Qualifier
8 Cornea, Right T Conjunctiva, Left
9 Cornea, Left See S Conjunctiva, Right
A Choroid, Right M Extraocular Muscle, Left 0 Open Z No Device X Diagnostic
B Choroid, Left See L Extraocular Muscle, Right 3 Percutaneous Z No Qualifier
L Extraocular Muscle, Right V Lacrimal Gland, Right
Inferior oblique muscle W Lacrimal Gland, Left
Inferior rectus muscle
Lateral rectus muscle
Medial rectus muscle
Superior oblique muscle
Superior rectus muscle
X Lacrimal Duct, Right Y Lacrimal Duct, Left 0 Open Z No Device X Diagnostic
Lacrimal canaliculus See X Lacrimal Duct, Right 3 Percutaneous Z No Qualifier
Lacrimal punctum 7 Via Natural or Artificial
Lacrimal sac Opening
089–08B

Nasolacrimal duct 8 Via Natural or Artificial

Opening Endoscopic

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
292 ICD-10-PCS 2019
ICD-10-PCS 2019 Eye 08C–08C

Eye
0 Medical and Surgical
8 Eye 08C
C Extirpation Definition: Taking or cutting out solid matter from a body part
Explanation: The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in
the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Eye, Right X External Z No Device Z No Qualifier
Ciliary body
Posterior chamber
1 Eye, Left
See 0 Eye, Right
6 Sclera, Right
7 Sclera, Left
8 Cornea, Right
9 Cornea, Left
S Conjunctiva, Right
Plica semilunaris
T Conjunctiva, Left
See S Conjunctiva, Right
2 Anterior Chamber, Right 3 Percutaneous Z No Device Z No Qualifier
Aqueous humour X External
3 Anterior Chamber, Left
See 2 Anterior Chamber, Right
4 Vitreous, Right
Vitreous body
5 Vitreous, Left
See 4 Vitreous, Right
C Iris, Right
D Iris, Left
E Retina, Right
Fovea
Macula
Optic disc
F Retina, Left
See E Retina, Right
G Retinal Vessel, Right
H Retinal Vessel, Left
J Lens, Right
Zonule of Zinn
K Lens, Left
See J Lens, Right
A Choroid, Right 0 Open Z No Device Z No Qualifier
B Choroid, Left 3 Percutaneous
L Extraocular Muscle, Right X External
Inferior oblique muscle
Inferior rectus muscle
Lateral rectus muscle
Medial rectus muscle
Superior oblique muscle
Superior rectus muscle
M Extraocular Muscle, Left
See L Extraocular Muscle, Right
N Upper Eyelid, Right
Lateral canthus
Levator palpebrae superioris muscle
Orbicularis oculi muscle
Superior tarsal plate
P Upper Eyelid, Left
See N Upper Eyelid, Right
Q Lower Eyelid, Right
Inferior tarsal plate
Medial canthus
R Lower Eyelid, Left
See Q Lower Eyelid, Right
V Lacrimal Gland, Right
W Lacrimal Gland, Left
X Lacrimal Duct, Right 0 Open Z No Device Z No Qualifier
Lacrimal canaliculus 3 Percutaneous
Lacrimal punctum 7 Via Natural or Artificial Opening
Lacrimal sac 8 Via Natural or Artificial Opening
Nasolacrimal duct Endoscopic
Y Lacrimal Duct, Left
See X Lacrimal Duct, Right
Non-OR 08C[0,1,6,7,S,T]XZZ
08C–08C

Non-OR 08C[2,3]XZZ
Non-OR 08C[N,P,Q,R][0,3,X]ZZ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 293
 08D–08H Eye ICD-10-PCS 2019
Eye

0 Medical and Surgical

8 Eye 08D
D Extraction Definition: Pulling or stripping out or off all or a portion of a body part by the use of force
Explanation: The qualifier DIAGNOSTIC is used to identify extraction procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
8 Cornea, Right X External Z No Device X Diagnostic
9 Cornea, Left Z No Qualifier
J Lens, Right 3 Percutaneous Z No Device Z No Qualifier
Zonule of Zinn
K Lens, Left
See J Lens, Right

0 Medical and Surgical

8 Eye 08F
F Fragmentation Definition: Breaking solid matter in a body part into pieces
Explanation: Physical force (e.g., manual, ultrasonic) applied directly or indirectly is used to break the solid matter into pieces. The solid matter
may be an abnormal byproduct of a biological function or a foreign body. The pieces of solid matter are not taken out.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
4 Vitreous, Right 4 3 Percutaneous Z No Device Z No Qualifier
Vitreous body X External
5 Vitreous, Left 4
See 4 Vitreous, Right
Non-OR 08F[4,5]XZZ
4 08F[4,5]XZZ

0 Medical and Surgical

8 Eye 08H
H Insertion Definition: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically
take the place of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Eye, Right 0 Open 5 Epiretinal Visual Prosthesis Z No Qualifier
Ciliary body Y Other Device
Posterior chamber
1 Eye, Left
See 0 Eye, Right
0 Eye, Right 3 Percutaneous 1 Radioactive Element Z No Qualifier
Ciliary body 3 Infusion Device
Posterior chamber Y Other Device
1 Eye, Left
See 0 Eye, Right
0 Eye, Right 7 Via Natural or Artificial Opening Y Other Device Z No Qualifier
Ciliary body 8 Via Natural or Artificial Opening
Posterior chamber Endoscopic
1 Eye, Left
See 0 Eye, Right
0 Eye, Right X External 1 Radioactive Element Z No Qualifier
Ciliary body 3 Infusion Device
Posterior chamber
1 Eye, Left
See 0 Eye, Right
Non-OR 08H[0,1]3YZ
Non-OR 08H[0,1][7,8]YZ
08D–08H

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
294 ICD-10-PCS 2019
ICD-10-PCS 2019 Eye 08J–08M

Eye
0 Medical and Surgical
8 Eye 08J
J Inspection Definition: Visually and/or manually exploring a body part
Explanation: Visual exploration may be performed with or without optical instrumentation. Manual exploration may be performed directly or
through intervening body layers.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Eye, Right X External Z No Device Z No Qualifier
Ciliary body
Posterior chamber
1 Eye, Left
See 0 Eye, Right
J Lens, Right
Zonule of Zinn
K Lens, Left
See J Lens, Right
L Extraocular Muscle, Right 0 Open Z No Device Z No Qualifier
Inferior oblique muscle X External
Inferior rectus muscle
Lateral rectus muscle
Medial rectus muscle
Superior oblique muscle
Superior rectus muscle
M Extraocular Muscle, Left
See L Extraocular Muscle, Right
Non-OR 08J[0,1,J,K]XZZ
Non-OR 08J[L,M]XZZ

0 Medical and Surgical

8 Eye 08L
L Occlusion Definition: Completely closing an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
X Lacrimal Duct, Right 0 Open C Extraluminal Device Z No Qualifier
Lacrimal canaliculus 3 Percutaneous D Intraluminal Device
Lacrimal punctum Z No Device
Lacrimal sac
Nasolacrimal duct
Y Lacrimal Duct, Left
See X Lacrimal Duct, Right
X Lacrimal Duct, Right 7 Via Natural or Artificial Opening D Intraluminal Device Z No Qualifier
Lacrimal canaliculus 8 Via Natural or Artificial Opening Z No Device
Lacrimal punctum Endoscopic
Lacrimal sac
Nasolacrimal duct
Y Lacrimal Duct, Left
See X Lacrimal Duct, Right

0 Medical and Surgical

8 Eye 08M
M Reattachment Definition: Putting back in or on all or a portion of a separated body part to its normal location or other suitable location
Explanation: Vascular circulation and nervous pathways may or may not be reestablished
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
N Upper Eyelid, Right X External Z No Device Z No Qualifier
Lateral canthus
Levator palpebrae superioris muscle
Orbicularis oculi muscle
Superior tarsal plate
P Upper Eyelid, Left
See N Upper Eyelid, Right
Q Lower Eyelid, Right
Inferior tarsal plate
Medial canthus
R Lower Eyelid, Left
See Q Lower Eyelid, Right
08J–08M

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 295
 08N–08N Eye ICD-10-PCS 2019
Eye

0 Medical and Surgical

8 Eye 08N
N Release Definition: Freeing a body part from an abnormal physical constraint by cutting or by the use of force
Explanation: Some of the restraining tissue may be taken out but none of the body part is taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Eye, Right X External Z No Device Z No Qualifier
Ciliary body
Posterior chamber
1 Eye, Left
See 0 Eye, Right
6 Sclera, Right
7 Sclera, Left
8 Cornea, Right
9 Cornea, Left
S Conjunctiva, Right
Plica semilunaris
T Conjunctiva, Left
See S Conjunctiva, Right
2 Anterior Chamber, Right 3 Percutaneous Z No Device Z No Qualifier
Aqueous humour
3 Anterior Chamber, Left
See 2 Anterior Chamber, Right
4 Vitreous, Right
Vitreous body
5 Vitreous, Left
See 4 Vitreous, Right
C Iris, Right
D Iris, Left
E Retina, Right
Fovea
Macula
Optic disc
F Retina, Left
See E Retina, Right
G Retinal Vessel, Right
H Retinal Vessel, Left
J Lens, Right
Zonule of Zinn
K Lens, Left
See J Lens, Right
A Choroid, Right 0 Open Z No Device Z No Qualifier
B Choroid, Left 3 Percutaneous
L Extraocular Muscle, Right
Inferior oblique muscle
Inferior rectus muscle
Lateral rectus muscle
Medial rectus muscle
Superior oblique muscle
Superior rectus muscle
M Extraocular Muscle, Left
See L Extraocular Muscle, Right
V Lacrimal Gland, Right
W Lacrimal Gland, Left
N Upper Eyelid, Right 0 Open Z No Device Z No Qualifier
Lateral canthus 3 Percutaneous
Levator palpebrae superioris muscle X External
Orbicularis oculi muscle
Superior tarsal plate
P Upper Eyelid, Left
See N Upper Eyelid, Right
Q Lower Eyelid, Right
Inferior tarsal plate
Medial canthus
R Lower Eyelid, Left
See Q Lower Eyelid, Right
X Lacrimal Duct, Right 0 Open Z No Device Z No Qualifier
Lacrimal canaliculus 3 Percutaneous
Lacrimal punctum 7 Via Natural or Artificial Opening
Lacrimal sac 8 Via Natural or Artificial Opening
Nasolacrimal duct Endoscopic
Y Lacrimal Duct, Left
See X Lacrimal Duct, Right
08N–08N

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
296 ICD-10-PCS 2019
ICD-10-PCS 2019 Eye 08P–08P

Eye
0 Medical and Surgical
8 Eye 08P
P Removal Definition: Taking out or off a device from a body part
Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is
coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Eye, Right 0 Open 0 Drainage Device Z No Qualifier
Ciliary body 3 Percutaneous 1 Radioactive Element
Posterior chamber 7 Via Natural or Artificial Opening 3 Infusion Device
1 Eye, Left 8 Via Natural or Artificial Opening 7 Autologous Tissue Substitute
See 0 Eye, Right Endoscopic C Extraluminal Device
D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
Y Other Device
0 Eye, Right X External 0 Drainage Device Z No Qualifier
Ciliary body 1 Radioactive Element
Posterior chamber 3 Infusion Device
1 Eye, Left 7 Autologous Tissue Substitute
See 0 Eye, Right C Extraluminal Device
D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
J Lens, Right 3 Percutaneous J Synthetic Substitute Z No Qualifier
Zonule of Zinn Y Other Device
K Lens, Left
See J Lens, Right
L Extraocular Muscle, Right 0 Open 0 Drainage Device Z No Qualifier
Inferior oblique muscle 3 Percutaneous 7 Autologous Tissue Substitute
Inferior rectus muscle J Synthetic Substitute
Lateral rectus muscle K Nonautologous Tissue Substitute
Medial rectus muscle Y Other Device
Superior oblique muscle
Superior rectus muscle
M Extraocular Muscle, Left
See L Extraocular Muscle, Right
Non-OR 08P[0,1]3YZ
Non-OR 08P[0,1][7,8][0,3,D,Y]Z
Non-OR 08P[0,1]X[0,1,3,C,D,J]Z
Non-OR 08P[J,K]3YZ
Non-OR 08P[L,M]3YZ

08P–08P

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 297
 08Q–08Q Eye ICD-10-PCS 2019
Eye

0 Medical and Surgical

8 Eye 08Q
Q Repair Definition: Restoring, to the extent possible, a body part to its normal anatomic structure and function
Explanation: Used only when the method to accomplish the repair is not one of the other root operations
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Eye, Right X External Z No Device Z No Qualifier
Ciliary body
Posterior chamber
1 Eye, Left
See 0 Eye, Right
6 Sclera, Right
7 Sclera, Left
8 Cornea, Right 4
9 Cornea, Left 4
S Conjunctiva, Right
Plica semilunaris
T Conjunctiva, Left
See S Conjunctiva, Right
2 Anterior Chamber, Right 3 Percutaneous Z No Device Z No Qualifier
Aqueous humour
3 Anterior Chamber, Left
See 2 Anterior Chamber, Right
4 Vitreous, Right
Vitreous body
5 Vitreous, Left
See 4 Vitreous, Right
C Iris, Right
D Iris, Left
E Retina, Right
Fovea
Macula
Optic disc
F Retina, Left
See E Retina, Right
G Retinal Vessel, Right
H Retinal Vessel, Left
J Lens, Right
Zonule of Zinn
K Lens, Left
See J Lens, Right
A Choroid, Right 0 Open Z No Device Z No Qualifier
B Choroid, Left 3 Percutaneous
L Extraocular Muscle, Right
Inferior oblique muscle
Inferior rectus muscle
Lateral rectus muscle
Medial rectus muscle
Superior oblique muscle
Superior rectus muscle
M Extraocular Muscle, Left
See L Extraocular Muscle, Right
V Lacrimal Gland, Right
W Lacrimal Gland, Left
N Upper Eyelid, Right 0 Open Z No Device Z No Qualifier
Lateral canthus 3 Percutaneous
Levator palpebrae superioris muscle X External
Orbicularis oculi muscle
Superior tarsal plate
P Upper Eyelid, Left
See N Upper Eyelid, Right
Q Lower Eyelid, Right
Inferior tarsal plate
Medial canthus
R Lower Eyelid, Left
See Q Lower Eyelid, Right
X Lacrimal Duct, Right 0 Open Z No Device Z No Qualifier
Lacrimal canaliculus 3 Percutaneous
Lacrimal punctum 7 Via Natural or Artificial Opening
Lacrimal sac 8 Via Natural or Artificial Opening
Nasolacrimal duct Endoscopic
Y Lacrimal Duct, Left
See X Lacrimal Duct, Right
Non-OR 08Q[N,P,Q,R][0,3,X]ZZ
4 08Q[8,9]XZZ
08Q–08Q

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
298 ICD-10-PCS 2019
ICD-10-PCS 2019 Eye 08R–08R

Eye
0 Medical and Surgical
8 Eye 08R
R Replacement Definition: Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part
Explanation: The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during
the REPLACEMENT procedure. A REMOVAL procedure is coded for taking out the device used in a previous replacement procedure.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Eye, Right 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Ciliary body 3 Percutaneous J Synthetic Substitute
Posterior chamber K Nonautologous Tissue Substitute
1 Eye, Left
See 0 Eye, Right
A Choroid, Right
B Choroid, Left
4 Vitreous, Right 3 Percutaneous 7 Autologous Tissue Substitute Z No Qualifier
Vitreous body J Synthetic Substitute
5 Vitreous, Left K Nonautologous Tissue Substitute
See 4 Vitreous, Right
C Iris, Right
D Iris, Left
G Retinal Vessel, Right
H Retinal Vessel, Left
6 Sclera, Right X External 7 Autologous Tissue Substitute Z No Qualifier
7 Sclera, Left J Synthetic Substitute
S Conjunctiva, Right K Nonautologous Tissue Substitute
Plica semilunaris
T Conjunctiva, Left
See S Conjunctiva, Right
8 Cornea, Right 3 Percutaneous 7 Autologous Tissue Substitute Z No Qualifier
9 Cornea, Left X External J Synthetic Substitute
K Nonautologous Tissue Substitute
J Lens, Right 3 Percutaneous 0 Synthetic Substitute, Intraocular Z No Qualifier
Zonule of Zinn Telescope
K Lens, Left 7 Autologous Tissue Substitute
See J Lens, Right J Synthetic Substitute
K Nonautologous Tissue Substitute
N Upper Eyelid, Right 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Lateral canthus 3 Percutaneous J Synthetic Substitute
Levator palpebrae superioris muscle X External K Nonautologous Tissue Substitute
Orbicularis oculi muscle
Superior tarsal plate
P Upper Eyelid, Left
See N Upper Eyelid, Right
Q Lower Eyelid, Right
Inferior tarsal plate
Medial canthus
R Lower Eyelid, Left
See Q Lower Eyelid, Right
X Lacrimal Duct, Right 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Lacrimal canaliculus 3 Percutaneous J Synthetic Substitute
Lacrimal punctum 7 Via Natural or Artificial Opening K Nonautologous Tissue Substitute
Lacrimal sac 8 Via Natural or Artificial Opening
Nasolacrimal duct Endoscopic
Y Lacrimal Duct, Left
See X Lacrimal Duct, Right
08R–08R

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 299
 08S–08S Eye ICD-10-PCS 2019
Eye

0 Medical and Surgical

8 Eye 08S
S Reposition Definition: Moving to its normal location, or other suitable location, all or a portion of a body part
Explanation: The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning
correctly. The body part may or may not be cut out or off to be moved to the new location.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
C Iris, Right 3 Percutaneous Z No Device Z No Qualifier
D Iris, Left
G Retinal Vessel, Right
H Retinal Vessel, Left
J Lens, Right
Zonule of Zinn
K Lens, Left
See J Lens, Right
L Extraocular Muscle, Right 0 Open Z No Device Z No Qualifier
Inferior oblique muscle 3 Percutaneous
Inferior rectus muscle
Lateral rectus muscle
Medial rectus muscle
Superior oblique muscle
Superior rectus muscle
M Extraocular Muscle, Left
See L Extraocular Muscle, Right
V Lacrimal Gland, Right
W Lacrimal Gland, Left
N Upper Eyelid, Right 0 Open Z No Device Z No Qualifier
Lateral canthus 3 Percutaneous
Levator palpebrae superioris muscle X External
Orbicularis oculi muscle
Superior tarsal plate
P Upper Eyelid, Left
See N Upper Eyelid, Right
Q Lower Eyelid, Right
Inferior tarsal plate
Medial canthus
R Lower Eyelid, Left
See Q Lower Eyelid, Right
X Lacrimal Duct, Right 0 Open Z No Device Z No Qualifier
Lacrimal canaliculus 3 Percutaneous
Lacrimal punctum 7 Via Natural or Artificial Opening
Lacrimal sac 8 Via Natural or Artificial Opening
Nasolacrimal duct Endoscopic
Y Lacrimal Duct, Left
See X Lacrimal Duct, Right
08S–08S

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
300 ICD-10-PCS 2019
ICD-10-PCS 2019 Eye 08T–08T

Eye
0 Medical and Surgical
8 Eye 08T
T Resection Definition: Cutting out or off, without replacement, all of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Eye, Right X External Z No Device Z No Qualifier
Ciliary body
Posterior chamber
1 Eye, Left
See 0 Eye, Right
8 Cornea, Right
9 Cornea, Left
4 Vitreous, Right 3 Percutaneous Z No Device Z No Qualifier
Vitreous body
5 Vitreous, Left
See 4 Vitreous, Right
C Iris, Right
D Iris, Left
J Lens, Right
Zonule of Zinn
K Lens, Left
See J Lens, Right
L Extraocular Muscle, Right 0 Open Z No Device Z No Qualifier
Inferior oblique muscle 3 Percutaneous
Inferior rectus muscle
Lateral rectus muscle
Medial rectus muscle
Superior oblique muscle
Superior rectus muscle
M Extraocular Muscle, Left
See L Extraocular Muscle, Right
V Lacrimal Gland, Right
W Lacrimal Gland, Left
N Upper Eyelid, Right 0 Open Z No Device Z No Qualifier
Lateral canthus X External
Levator palpebrae superioris muscle
Orbicularis oculi muscle
Superior tarsal plate
P Upper Eyelid, Left
See N Upper Eyelid, Right
Q Lower Eyelid, Right
Inferior tarsal plate
Medial canthus
R Lower Eyelid, Left
See Q Lower Eyelid, Right
X Lacrimal Duct, Right 0 Open Z No Device Z No Qualifier
Lacrimal canaliculus 3 Percutaneous
Lacrimal punctum 7 Via Natural or Artificial Opening
Lacrimal sac 8 Via Natural or Artificial Opening
Nasolacrimal duct Endoscopic
Y Lacrimal Duct, Left
See X Lacrimal Duct, Right
08T–08T

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 301
 08U–08V Eye ICD-10-PCS 2019
Eye

0 Medical and Surgical

8 Eye 08U
U Supplement Definition: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part
Explanation: The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced,
and the SUPPLEMENT procedure is performed to physically reinforce and/or augment the function of the replaced body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Eye, Right 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Ciliary body 3 Percutaneous J Synthetic Substitute
Posterior chamber K Nonautologous Tissue Substitute
1 Eye, Left
See 0 Eye, Right
C Iris, Right
D Iris, Left
E Retina, Right
Fovea
Macula
Optic disc
F Retina, Left
See E Retina, Right
G Retinal Vessel, Right
H Retinal Vessel, Left
L Extraocular Muscle, Right
Inferior oblique muscle
Inferior rectus muscle
Lateral rectus muscle
Medial rectus muscle
Superior oblique muscle
Superior rectus muscle
M Extraocular Muscle, Left
See L Extraocular Muscle, Right
8 Cornea, Right 4 0 Open 7 Autologous Tissue Substitute Z No Qualifier
9 Cornea, Left 4 3 Percutaneous J Synthetic Substitute
N Upper Eyelid, Right X External K Nonautologous Tissue Substitute
Lateral canthus
Levator palpebrae superioris muscle
Orbicularis oculi muscle
Superior tarsal plate
P Upper Eyelid, Left
See N Upper Eyelid, Right
Q Lower Eyelid, Right
Inferior tarsal plate
Medial canthus
R Lower Eyelid, Left
See Q Lower Eyelid, Right
X Lacrimal Duct, Right 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Lacrimal canaliculus 3 Percutaneous J Synthetic Substitute
Lacrimal punctum 7 Via Natural or Artificial Opening K Nonautologous Tissue Substitute
Lacrimal sac 8 Via Natural or Artificial Opening
Nasolacrimal duct
Endoscopic
Y Lacrimal Duct, Left
See X Lacrimal Duct, Right
4 08U[8,9][0,3,X]KZ
0 Medical and Surgical
8 Eye 08V
V Restriction Definition: Partially closing an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
X Lacrimal Duct, Right 0 Open C Extraluminal Device Z No Qualifier
Lacrimal canaliculus 3 Percutaneous D Intraluminal Device
Lacrimal punctum Z No Device
Lacrimal sac
Nasolacrimal duct
Y Lacrimal Duct, Left
See X Lacrimal Duct, Right
X Lacrimal Duct, Right 7 Via Natural or Artificial Opening D Intraluminal Device Z No Qualifier
Lacrimal canaliculus 8 Via Natural or Artificial Opening Z No Device
Lacrimal punctum Endoscopic
Lacrimal sac
Nasolacrimal duct
Y Lacrimal Duct, Left
See X Lacrimal Duct, Right
08U–08V

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
302 ICD-10-PCS 2019
ICD-10-PCS 2019 Eye 08W–08X

Eye
0 Medical and Surgical
8 Eye 08W
W Revision Definition: Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device
Explanation: Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as
a screw or pin
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Eye, Right 0 Open 0 Drainage Device Z No Qualifier
Ciliary body 3 Percutaneous 3 Infusion Device
Posterior chamber 7 Via Natural or Artificial Opening 7 Autologous Tissue Substitute
1 Eye, Left 8 Via Natural or Artificial Opening C Extraluminal Device
See 0 Eye, Right Endoscopic D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
Y Other Device
0 Eye, Right X External 0 Drainage Device Z No Qualifier
Ciliary body 3 Infusion Device
Posterior chamber 7 Autologous Tissue Substitute
1 Eye, Left C Extraluminal Device
See 0 Eye, Right D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
J Lens, Right 3 Percutaneous J Synthetic Substitute Z No Qualifier
Zonule of Zinn Y Other Device
K Lens, Left
See J Lens, Right
J Lens, Right X External J Synthetic Substitute Z No Qualifier
Zonule of Zinn
K Lens, Left
See J Lens, Right
L Extraocular Muscle, Right 0 Open 0 Drainage Device Z No Qualifier
Inferior oblique muscle 3 Percutaneous 7 Autologous Tissue Substitute
Inferior rectus muscle J Synthetic Substitute
Lateral rectus muscle K Nonautologous Tissue Substitute
Medial rectus muscle Y Other Device
Superior oblique muscle
Superior rectus muscle
M Extraocular Muscle, Left
See L Extraocular Muscle, Right
Non-OR 08W[0,1][3,7,8]YZ
Non-OR 08W[0,1]X[0,3,7,C,D,J,K]Z
Non-OR 08W[J,K]3YZ
Non-OR 08W[J,K]XJZ
Non-OR 08W[L,M]3YZ

0 Medical and Surgical

8 Eye 08X
X Transfer Definition: Moving, without taking out, all or a portion of a body part to another location to take over the function of all or a portion of a body part
Explanation: The body part transferred remains connected to its vascular and nervous supply
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
L Extraocular Muscle, Right 0 Open Z No Device Z No Qualifier
Inferior oblique muscle 3 Percutaneous
Inferior rectus muscle
Lateral rectus muscle
Medial rectus muscle
Superior oblique muscle
Superior rectus muscle
M Extraocular Muscle, Left
See L Extraocular Muscle, Right
08W–08X

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 303
This page is left intentionally blank.
ICD-10-PCS 2019 Ear, Nose, Sinus

Ear, Nose, Sinus

Ear, Nose, Sinus 090–09W
Character Meanings*
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.

Operation–Character 3 Body Part–Character 4 Approach–Character 5 Device–Character 6 Qualifier–Character 7

0 Alteration 0 External Ear, Right 0 Open 0 Drainage Device 0 Endolymphatic
1 Bypass 1 External Ear, Left 3 Percutaneous 4 Hearing Device, Bone X Diagnostic
Conduction
2 Change 2 External Ear, Bilateral 4 Percutaneous Endoscopic 5 Hearing Device, Single Z No Qualifier
Channel Cochlear
Prosthesis
3 Control 3 External Auditory Canal, 7 Via Natural or Artificial 6 Hearing Device, Multiple
Right Opening Channel Cochlear
Prosthesis
5 Destruction 4 External Auditory Canal, 8 Via Natural or Artificial 7 Autologous Tissue
Left Opening Endoscopic Substitute
7 Dilation 5 Middle Ear, Right X External B Intraluminal Device, Airway
8 Division 6 Middle Ear, Left D Intraluminal Device
9 Drainage 7 Tympanic Membrane, Right J Synthetic Substitute
B Excision 8 Tympanic Membrane, Left K Nonautologous Tissue
Substitute
C Extirpation 9 Auditory Ossicle, Right S Hearing Device
D Extraction A Auditory Ossicle, Left Y Other Device
H Insertion B Mastoid Sinus, Right Z No Device
J Inspection C Mastoid Sinus, Left
M Reattachment D Inner Ear, Right
N Release E Inner Ear, Left
P Removal F Eustachian Tube, Right
Q Repair G Eustachian Tube, Left
R Replacement H Ear, Right
S Reposition J Ear, Left
T Resection K Nasal Mucosa and Soft
Tissue
U Supplement L Nasal Turbinate
W Revision M Nasal Septum
N Nasopharynx
P Accessory Sinus
Q Maxillary Sinus, Right
R Maxillary Sinus, Left
S Frontal Sinus, Right
T Frontal Sinus, Left
U Ethmoid Sinus, Right
V Ethmoid Sinus, Left
W Sphenoid Sinus, Right
X Sphenoid Sinus, Left
Y Sinus

* Includes sinus ducts.

AHA Coding Clinic for table 095 AHA Coding Clinic for table 09Q
2018, 1Q, 19 Control of epistaxis via silver nitrate cauterization 2018, 1Q, 19 Control of epistaxis via silver nitrate cauterization
2017, 4Q, 106 Control of bleeding of external naris using suture
2014, 4Q, 20 Control of epistaxis
2014, 3Q, 22 Transsphenoidal removal of pituitary tumor and fat graft placement
2013, 4Q, 114 Balloon sinuplasty

ICD-10-PCS 2019 305

 Ear, Nose, Sinus ICD-10-PCS 2019
Ear, Nose, Sinus

Ear Anatomy

Semicircular
Mastoid Auditory ossicles canals D, E
bone/air cells
Pinna 0, 1 C, D Malleus Incus
9, A 9, A
Stapes Vestibular nerve
9, A

Cochlear nerve

Cochlea D, E

External
Lobule 0, 1 auditory Tympanic Round Eustachian
canal 3, 4 membrane 7, 8 window D, E tube F, G

External Ear 0, 1 Middle Ear 5, 6 Inner Ear D, E

Nasal Turbinates
Mid frontal cutaway view Side view schematic

Frontal sinus S, T
Eye Orbit
Ethmoid air cells
(sinus) U, V Superior turbinate L

Superior turbinate L Middle turbinate L

Inferior turbinate L
Middle turbinate L
Sphenoid sinus W, X
Hard
Inferior turbinate L palate

Maxillary sinus Q, R Soft palate

Paranasal Sinuses

Frontal S, T
Ethmoid U, V Frontal S, T Ethmoid U, V
Sphenoid W, X Sphenoid W, X
Maxillary Q, R

Maxillary Q, R

306 ICD-10-PCS 2019

ICD-10-PCS 2019 Ear, Nose, Sinus 090–093

Ear, Nose, Sinus

0 Medical and Surgical
9 Ear, Nose, Sinus 090
0 Alteration Definition: Modifying the anatomic structure of a body part without affecting the function of the body part
Explanation: Principal purpose is to improve appearance
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 External Ear, Right 2 External Ear, Bilateral 0 Open 7 Autologous Tissue Z No Qualifier
Antihelix See 0 External Ear, Right 3 Percutaneous Substitute
Antitragus K Nasal Mucosa and Soft Tissue 4 Percutaneous Endoscopic J Synthetic Substitute
Auricle Columella X External K Nonautologous Tissue
Earlobe External naris Substitute
Helix Greater alar cartilage Z No Device
Pinna Internal naris
Tragus Lateral nasal cartilage
1 External Ear, Left Lesser alar cartilage
See 0 External Ear, Right Nasal cavity
Nostril

0 Medical and Surgical

9 Ear, Nose, Sinus 091
1 Bypass Definition: Altering the route of passage of the contents of a tubular body part
Explanation: Rerouting contents of a body part to a downstream area of the normal route, to a similar route and body part, or to an abnormal
route and dissimilar body part. Includes one or more anastomoses, with or without the use of a device.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
D Inner Ear, Right 0 Open 7 Autologous Tissue 0 Endolymphatic
Bony labyrinth Substitute
Bony vestibule J Synthetic Substitute
Cochlea K Nonautologous Tissue
Round window Substitute
Semicircular canal Z No Device
E Inner Ear, Left
See D Inner Ear, Right

0 Medical and Surgical

9 Ear, Nose, Sinus 092
2 Change Definition: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without
cutting or puncturing the skin or a mucous membrane
Explanation: All CHANGE procedures are coded using the approach EXTERNAL
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
H Ear, Right X External 0 Drainage Device Z No Qualifier
J Ear, Left Y Other Device
K Nasal Mucosa and Soft Tissue
Columella
External naris
Greater alar cartilage
Internal naris
Lateral nasal cartilage
Lesser alar cartilage
Nasal cavity
Nostril
Y Sinus
Non-OR All body part, approach, device, and qualifier values

0 Medical and Surgical

9 Ear, Nose, Sinus 093
3 Control Definition: Stopping, or attempting to stop, postprocedural or other acute bleeding
Explanation: The site of the bleeding is coded as an anatomical region and not to a specific body part
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
K Nasal Mucosa and Soft Tissue 7 Via Natural or Artificial Z No Device Z No Qualifier
Columella Opening
External naris 8 Via Natural or Artificial
Greater alar cartilage Opening Endoscopic
Internal naris
Lateral nasal cartilage
Lesser alar cartilage
Nasal cavity
Nostril
090–093

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 307
 095–095 Ear, Nose, Sinus ICD-10-PCS 2019
Ear, Nose, Sinus

0 Medical and Surgical

9 Ear, Nose, Sinus 095
5 Destruction Definition: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent
Explanation: None of the body part is physically taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 External Ear, Right 1 External Ear, Left 0 Open Z No Device Z No Qualifier
Antihelix See 0 External Ear, Right 3 Percutaneous
Antitragus 4 Percutaneous Endoscopic
Auricle X External
Earlobe
Helix
Pinna
Tragus
3 External Auditory Canal, 4 External Auditory Canal, Left 0 Open Z No Device Z No Qualifier
Right See 3 External Auditory Canal, 3 Percutaneous
External auditory meatus Right 4 Percutaneous Endoscopic
7 Via Natural or Artificial
Opening
8 Via Natural or Artificial
Opening Endoscopic
X External
5 Middle Ear, Right D Inner Ear, Right 0 Open Z No Device Z No Qualifier
Oval window Bony labyrinth 8 Via Natural or Artificial
Tympanic cavity Bony vestibule Opening Endoscopic
6 Middle Ear, Left Cochlea
See 5 Middle Ear, Right Round window
9 Auditory Ossicle, Right Semicircular canal
Incus E Inner Ear, Left
Malleus See D Inner Ear, Right
Stapes
A Auditory Ossicle, Left
See 9 Auditory Ossicle, Right
7 Tympanic Membrane, Right L Nasal Turbinate 0 Open Z No Device Z No Qualifier
Pars flaccida Inferior turbinate 3 Percutaneous
8 Tympanic Membrane, Left Middle turbinate 4 Percutaneous Endoscopic
See 7 Tympanic Membrane, Nasal concha 7 Via Natural or Artificial
Right Superior turbinate Opening
F Eustachian Tube, Right N Nasopharynx 8 Via Natural or Artificial
Auditory tube Choana Opening Endoscopic
Pharyngotympanic tube Fossa of Rosenmuller
G Eustachian Tube, Left Pharyngeal recess
See F Eustachian Tube, Right Rhinopharynx

B Mastoid Sinus, Right R Maxillary Sinus, Left 0 Open Z No Device Z No Qualifier

Mastoid air cells See Q Maxillary Sinus, Right 3 Percutaneous
C Mastoid Sinus, Left S Frontal Sinus, Right 4 Percutaneous Endoscopic
See B Mastoid Sinus, Right T Frontal Sinus, Left 8 Via Natural or Artificial
M Nasal Septum U Ethmoid Sinus, Right Opening Endoscopic
Quadrangular cartilage Ethmoidal air cell
Septal cartilage V Ethmoid Sinus, Left
Vomer bone See U Ethmoid Sinus, Right
P Accessory Sinus W Sphenoid Sinus, Right
Q Maxillary Sinus, Right X Sphenoid Sinus, Left
Antrum of Highmore
K Nasal Mucosa and Soft Tissue 0 Open Z No Device Z No Qualifier
Columella 3 Percutaneous
External naris 4 Percutaneous Endoscopic
Greater alar cartilage 8 Via Natural or Artificial
Internal naris Opening Endoscopic
Lateral nasal cartilage
X External
Lesser alar cartilage
Nasal cavity
Nostril
Non-OR 095[0,1][0,3,4,X]ZZ
Non-OR 095[3,4][0,3,4,7,8,X]ZZ
Non-OR 095[F,G][0,3,4,7,8]ZZ
Non-OR 095M[0,3,4,8]ZZ
Non-OR 095K[0,3,4,8,X]ZZ
095–095

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
308 ICD-10-PCS 2019
ICD-10-PCS 2019 Ear, Nose, Sinus 097–098

Ear, Nose, Sinus

0 Medical and Surgical
9 Ear, Nose, Sinus 097
7 Dilation Definition: Expanding an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice. Accomplished by stretching a tubular body part using
intraluminal pressure or by cutting part of the orifice or wall of the tubular body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
F Eustachian Tube, Right 0 Open D Intraluminal Device Z No Qualifier
Auditory tube 7 Via Natural or Artificial Opening Z No Device
Pharyngotympanic tube 8 Via Natural or Artificial Opening
G Eustachian Tube, Left Endoscopic
See F Eustachian Tube, Right
F Eustachian Tube, Right 3 Percutaneous Z No Device Z No Qualifier
Auditory tube 4 Percutaneous Endoscopic
Pharyngotympanic tube
G Eustachian Tube, Left
See F Eustachian Tube, Right
Non-OR All body part, approach, device, and qualifier values

0 Medical and Surgical

9 Ear, Nose, Sinus 098
8 Division Definition: Cutting into a body part, without draining fluids and/or gases from the body part, in order to separate or transect a body part
Explanation: All or a portion of the body part is separated into two or more portions
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
L Nasal Turbinate 0 Open Z No Device Z No Qualifier
Inferior turbinate 3 Percutaneous
Middle turbinate 4 Percutaneous Endoscopic
Nasal concha 7 Via Natural or Artificial Opening
Superior turbinate
8 Via Natural or Artificial Opening
Endoscopic

097–098

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 309
 099–099 Ear, Nose, Sinus ICD-10-PCS 2019
Ear, Nose, Sinus

0 Medical and Surgical

9 Ear, Nose, Sinus 099
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 External Ear, Right 1 External Ear, Left 0 Open 0 Drainage Device Z No Qualifier
Antihelix See 0 External Ear, Right 3 Percutaneous
Antitragus 4 Percutaneous Endoscopic
Auricle X External
Earlobe
Helix
Pinna
Tragus
0 External Ear, Right 1 External Ear, Left 0 Open Z No Device X Diagnostic
Antihelix See 0 External Ear, Right 3 Percutaneous Z No Qualifier
Antitragus 4 Percutaneous Endoscopic
Auricle X External
Earlobe
Helix
Pinna
Tragus
3 External Auditory Canal, K Nasal Mucosa and Soft Tissue 0 Open 0 Drainage Device Z No Qualifier
Right Columella 3 Percutaneous
External auditory meatus External naris 4 Percutaneous Endoscopic
4 External Auditory Canal, Left Greater alar cartilage 7 Via Natural or Artificial
See 3 External Auditory Canal, Internal naris Opening
Right Lateral nasal cartilage
8 Via Natural or Artificial
Lesser alar cartilage
Opening Endoscopic
Nasal cavity
Nostril X External
3 External Auditory Canal, K Nasal Mucosa and Soft Tissue 0 Open Z No Device X Diagnostic
Right Columella 3 Percutaneous Z No Qualifier
External auditory meatus External naris 4 Percutaneous Endoscopic
4 External Auditory Canal, Left Greater alar cartilage 7 Via Natural or Artificial
See 3 External Auditory Canal, Internal naris Opening
Right Lateral nasal cartilage 8 Via Natural or Artificial
Lesser alar cartilage Opening Endoscopic
Nasal cavity X External
Nostril
5 Middle Ear, Right A Auditory Ossicle, Left 0 Open 0 Drainage Device Z No Qualifier
Oval window See 9 Auditory Ossicle, Right 7 Via Natural or Artificial
Tympanic cavity D Inner Ear, Right Opening
6 Middle Ear, Left Bony labyrinth 8 Via Natural or Artificial
See 5 Middle Ear, Right Bony vestibule Opening Endoscopic
9 Auditory Ossicle, Right Cochlea
Incus Round window
Malleus Semicircular canal
Stapes E Inner Ear, Left
See D Inner Ear, Right
5 Middle Ear, Right A Auditory Ossicle, Left 0 Open Z No Device X Diagnostic
Oval window See 9 Auditory Ossicle, Right 7 Via Natural or Artificial Z No Qualifier
Tympanic cavity D Inner Ear, Right Opening
6 Middle Ear, Left Bony labyrinth 8 Via Natural or Artificial
See 5 Middle Ear, Right Bony vestibule Opening Endoscopic
9 Auditory Ossicle, Right Cochlea
Incus Round window
Malleus Semicircular canal
Stapes E Inner Ear, Left
See D Inner Ear, Right
099 Continued on next page
Non-OR 099[0,1][0,3,4,X]0Z
Non-OR 099[0,1][0,3,4,X]Z[X,Z]
Non-OR 099[3,4,K][0,3,4,7,8,X]0Z
Non-OR 099[3,4,K][0,3,4,7,8,X]Z[X,Z]
Non-OR 099580Z
Non-OR 099[6,9,A,D,E][7,8]0Z
Non-OR 099[5,6]0ZZ
Non-OR 099[5,6,9,A,D,E][7,8]Z[X,Z]
099–099

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
310 ICD-10-PCS 2019
ICD-10-PCS 2019 Ear, Nose, Sinus 099–099

Ear, Nose, Sinus

0 Medical and Surgical 099 Continued
9 Ear, Nose, Sinus 099
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
7 Tympanic Membrane, Right N Nasopharynx 0 Open 0 Drainage Device Z No Qualifier
Pars flaccida Choana 3 Percutaneous
8 Tympanic Membrane, Left Fossa of Rosenmuller 4 Percutaneous Endoscopic
See 7 Tympanic Membrane, Pharyngeal recess 7 Via Natural or Artificial
Right Rhinopharynx Opening
B Mastoid Sinus, Right P Accessory Sinus 8 Via Natural or Artificial
Mastoid air cells Q Maxillary Sinus, Right Opening Endoscopic
C Mastoid Sinus, Left Antrum of Highmore
See B Mastoid Sinus, Right R Maxillary Sinus, Left
F Eustachian Tube, Right See Q Maxillary Sinus, Right
Auditory tube S Frontal Sinus, Right
Pharyngotympanic tube T Frontal Sinus, Left
G Eustachian Tube, Left
U Ethmoid Sinus, Right
See F Eustachian Tube, Right
Ethmoidal air cell
L Nasal Turbinate
Inferior turbinate V Ethmoid Sinus, Left
Middle turbinate See U Ethmoid Sinus, Right
Nasal concha W Sphenoid Sinus, Right
Superior turbinate X Sphenoid Sinus, Left
M Nasal Septum
Quadrangular cartilage
Septal cartilage
Vomer bone
7 Tympanic Membrane, Right N Nasopharynx 0 Open Z No Device X Diagnostic
Pars flaccida Choana 3 Percutaneous Z No Qualifier
8 Tympanic Membrane, Left Fossa of Rosenmuller 4 Percutaneous Endoscopic
See 7 Tympanic Membrane, Pharyngeal recess 7 Via Natural or Artificial
Right Rhinopharynx Opening
B Mastoid Sinus, Right P Accessory Sinus 8 Via Natural or Artificial
Mastoid air cells Q Maxillary Sinus, Right Opening Endoscopic
C Mastoid Sinus, Left Antrum of Highmore
See B Mastoid Sinus, Right R Maxillary Sinus, Left
F Eustachian Tube, Right See Q Maxillary Sinus, Right
Auditory tube S Frontal Sinus, Right
Pharyngotympanic tube T Frontal Sinus, Left
G Eustachian Tube, Left
U Ethmoid Sinus, Right
See F Eustachian Tube, Right
Ethmoidal air cell
L Nasal Turbinate
Inferior turbinate V Ethmoid Sinus, Left
Middle turbinate See U Ethmoid Sinus, Right
Nasal concha W Sphenoid Sinus, Right
Superior turbinate X Sphenoid Sinus, Left
M Nasal Septum
Quadrangular cartilage
Septal cartilage
Vomer bone
Non-OR 099[B,C][3,7,8]0Z
Non-OR 099[F,G,L,M][0,3,4,7,8]0Z
Non-OR 099N30Z
Non-OR 099[P,Q,R,S,T,U,V,W,X][3,4,7,8]0Z
Non-OR 099[7,8][0,3,4,7,8]ZZ
Non-OR 099[7,8][7,8]ZX
Non-OR 099[B,C]3ZZ
Non-OR 099[B,C][7,8]Z[X,Z]
Non-OR 099[F,G][0,3,4,7,8]ZZ
Non-OR 099[F,G][7,8]ZX
Non-OR 099[L,M][0,3,4,7,8]Z[X,Z]
Non-OR 099N[0,3,4,7,8]ZX
Non-OR 099N3ZZ
Non-OR 099[P,Q,R,S,T,U,V,W,X][3,4,7,8]Z[X,Z]
099–099

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 311
 09B–09B Ear, Nose, Sinus ICD-10-PCS 2019
Ear, Nose, Sinus

0 Medical and Surgical

9 Ear, Nose, Sinus 09B
B Excision Definition: Cutting out or off, without replacement, a portion of a body part
Explanation: The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 External Ear, Right 1 External Ear, Left 0 Open Z No Device X Diagnostic
Antihelix See 0 External Ear, Right 3 Percutaneous Z No Qualifier
Antitragus 4 Percutaneous Endoscopic
Auricle X External
Earlobe
Helix
Pinna
Tragus

3 External Auditory Canal, 4 External Auditory Canal, Left 0 Open Z No Device X Diagnostic
Right See 3 External Auditory Canal, 3 Percutaneous Z No Qualifier
External auditory meatus Right 4 Percutaneous Endoscopic
7 Via Natural or Artificial
Opening
8 Via Natural or Artificial
Opening Endoscopic
X External
5 Middle Ear, Right A Auditory Ossicle, Left 0 Open Z No Device X Diagnostic
Oval window See 9 Auditory Ossicle, Right 8 Via Natural or Artificial Z No Qualifier
Tympanic cavity D Inner Ear, Right Opening Endoscopic
6 Middle Ear, Left Bony labyrinth
See 5 Middle Ear, Right Bony vestibule
9 Auditory Ossicle, Right Cochlea
Incus Round window
Malleus Semicircular canal
Stapes E Inner Ear, Left
See D Inner Ear, Right
7 Tympanic Membrane, Right L Nasal Turbinate 0 Open Z No Device X Diagnostic
Pars flaccida Inferior turbinate 3 Percutaneous Z No Qualifier
8 Tympanic Membrane, Left Middle turbinate 4 Percutaneous Endoscopic
See 7 Tympanic Membrane, Nasal concha 7 Via Natural or Artificial
Right Superior turbinate Opening
F Eustachian Tube, Right N Nasopharynx 8 Via Natural or Artificial
Auditory tube Choana Opening Endoscopic
Pharyngotympanic tube Fossa of Rosenmuller
G Eustachian Tube, Left Pharyngeal recess
See F Eustachian Tube, Right Rhinopharynx

B Mastoid Sinus, Right R Maxillary Sinus, Left 0 Open Z No Device X Diagnostic

Mastoid air cells See Q Maxillary Sinus, Right 3 Percutaneous Z No Qualifier
C Mastoid Sinus, Left S Frontal Sinus, Right 4 Percutaneous Endoscopic
See B Mastoid Sinus, Right T Frontal Sinus, Left 8 Via Natural or Artificial
M Nasal Septum U Ethmoid Sinus, Right Opening Endoscopic
Quadrangular cartilage Ethmoidal air cell
Septal cartilage V Ethmoid Sinus, Left
Vomer bone See U Ethmoid Sinus, Right
P Accessory Sinus W Sphenoid Sinus, Right
Q Maxillary Sinus, Right X Sphenoid Sinus, Left
Antrum of Highmore
K Nasal Mucosa and Soft Tissue 0 Open Z No Device X Diagnostic
Columella 3 Percutaneous Z No Qualifier
External naris 4 Percutaneous Endoscopic
Greater alar cartilage 8 Via Natural or Artificial
Internal naris Opening Endoscopic
Lateral nasal cartilage X External
Lesser alar cartilage
Nasal cavity
Nostril
Non-OR 09B[0,1][0,3,4,X]Z[X,Z]
Non-OR 09B[3,4][0,3,4,7,8,X]Z[X,Z]
Non-OR 09B[F,G,L,N][0,3,4,7,8]Z[X,Z]
Non-OR 09BM[0,3,4,8]ZX
Non-OR 09B[P,Q,R,S,T,U,V,W,X][3,4,8]ZX
Non-OR 09BK8Z[X,Z]
09B–09B

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
312 ICD-10-PCS 2019
ICD-10-PCS 2019 Ear, Nose, Sinus 09C–09C

Ear, Nose, Sinus

0 Medical and Surgical
9 Ear, Nose, Sinus 09C
C Extirpation Definition: Taking or cutting out solid matter from a body part
Explanation: The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in
the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 External Ear, Right 1 External Ear, Left 0 Open Z No Device Z No Qualifier
Antihelix See 0 External Ear, Right 3 Percutaneous
Antitragus 4 Percutaneous Endoscopic
Auricle X External
Earlobe
Helix
Pinna
Tragus
3 External Auditory Canal, 4 External Auditory Canal, Left 0 Open Z No Device Z No Qualifier
Right See 3 External Auditory Canal, 3 Percutaneous
External auditory meatus Right 4 Percutaneous Endoscopic
7 Via Natural or Artificial
Opening
8 Via Natural or Artificial
Opening Endoscopic
X External
5 Middle Ear, Right A Auditory Ossicle, Left 0 Open Z No Device Z No Qualifier
Oval window See 9 Auditory Ossicle, Right 8 Via Natural or Artificial
Tympanic cavity D Inner Ear, Right Opening Endoscopic
6 Middle Ear, Left Bony labyrinth
See 5 Middle Ear, Right Bony vestibule
9 Auditory Ossicle, Right Cochlea
Incus Round window
Malleus Semicircular canal
Stapes E Inner Ear, Left
See D Inner Ear, Right
7 Tympanic Membrane, Right L Nasal Turbinate 0 Open Z No Device Z No Qualifier
Pars flaccida Inferior turbinate 3 Percutaneous
8 Tympanic Membrane, Left Middle turbinate 4 Percutaneous Endoscopic
See 7 Tympanic Membrane, Nasal concha 7 Via Natural or Artificial
Right Superior turbinate Opening
F Eustachian Tube, Right N Nasopharynx 8 Via Natural or Artificial
Auditory tube Choana Opening Endoscopic
Pharyngotympanic tube Fossa of Rosenmuller
G Eustachian Tube, Left Pharyngeal recess
See F Eustachian Tube, Right Rhinopharynx
B Mastoid Sinus, Right R Maxillary Sinus, Left 0 Open Z No Device Z No Qualifier
Mastoid air cells See Q Maxillary Sinus, Right 3 Percutaneous
C Mastoid Sinus, Left S Frontal Sinus, Right 4 Percutaneous Endoscopic
See B Mastoid Sinus, Right T Frontal Sinus, Left 8 Via Natural or Artificial
M Nasal Septum U Ethmoid Sinus, Right Opening Endoscopic
Quadrangular cartilage Ethmoidal air cell
Septal cartilage V Ethmoid Sinus, Left
Vomer bone See U Ethmoid Sinus, Right
P Accessory Sinus W Sphenoid Sinus, Right
Q Maxillary Sinus, Right X Sphenoid Sinus, Left
Antrum of Highmore
K Nasal Mucosa and Soft Tissue 0 Open Z No Device Z No Qualifier
Columella 3 Percutaneous
External naris 4 Percutaneous Endoscopic
Greater alar cartilage 8 Via Natural or Artificial
Internal naris Opening Endoscopic
Lateral nasal cartilage X External
Lesser alar cartilage
Nasal cavity
Nostril
Non-OR 09C[0,1][0,3,4,X]ZZ
Non-OR 09C[3,4][0,3,4,7,8,X]ZZ
Non-OR 09C[7,8,F,G,L][0,3,4,7,8]ZZ
Non-OR 09CM[0,3,4,8]ZZ
Non-OR 09CK8ZZ
09C–09C

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 313
 09D–09H Ear, Nose, Sinus ICD-10-PCS 2019
Ear, Nose, Sinus

0 Medical and Surgical

9 Ear, Nose, Sinus 09D
D Extraction Definition: Pulling or stripping out or off all or a portion of a body part by the use of force
Explanation: The qualifier DIAGNOSTIC is used to identify extraction procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
7 Tympanic Membrane, Right 0 Open Z No Device Z No Qualifier
Pars flaccida 3 Percutaneous
8 Tympanic Membrane, Left 4 Percutaneous Endoscopic
See 7 Tympanic Membrane, Right 7 Via Natural or Artificial Opening
L Nasal Turbinate 8 Via Natural or Artificial Opening
Inferior turbinate Endoscopic
Middle turbinate
Nasal concha
Superior turbinate
9 Auditory Ossicle, Right 0 Open Z No Device Z No Qualifier
Incus
Malleus
Stapes
A Auditory Ossicle, Left
See 9 Auditory Ossicle, Right
B Mastoid Sinus, Right 0 Open Z No Device Z No Qualifier
Mastoid air cells 3 Percutaneous
C Mastoid Sinus, Left 4 Percutaneous Endoscopic
See B Mastoid Sinus, Right
M Nasal Septum
Quadrangular cartilage
Septal cartilage
Vomer bone
P Accessory Sinus
Q Maxillary Sinus, Right
Antrum of Highmore
R Maxillary Sinus, Left
See Q Maxillary Sinus, Right
S Frontal Sinus, Right
T Frontal Sinus, Left
U Ethmoid Sinus, Right
Ethmoidal air cell
V Ethmoid Sinus, Left
See U Ethmoid Sinus, Right
W Sphenoid Sinus, Right
X Sphenoid Sinus, Left

0 Medical and Surgical

9 Ear, Nose, Sinus 09H
H Insertion Definition: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically
take the place of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
D Inner Ear, Right 0 Open 4 Hearing Device, Bone Conduction Z No Qualifier
Bony labyrinth 3 Percutaneous 5 Hearing Device, Single Channel
Bony vestibule 4 Percutaneous Endoscopic Cochlear Prosthesis
Cochlea 6 Hearing Device, Multiple Channel
Round window Cochlear Prosthesis
Semicircular canal S Hearing Device
E Inner Ear, Left
See D Inner Ear, Right
H Ear, Right 0 Open Y Other Device Z No Qualifier
J Ear, Left 3 Percutaneous
K Nasal Mucosa and Soft Tissue 4 Percutaneous Endoscopic
Columella 7 Via Natural or Artificial Opening
External naris 8 Via Natural or Artificial Opening
Greater alar cartilage Endoscopic
Internal naris
Lateral nasal cartilage
Lesser alar cartilage
Nasal cavity
Nostril
Y Sinus
N Nasopharynx 7 Via Natural or Artificial Opening B Intraluminal Device, Airway Z No Qualifier
Choana 8 Via Natural or Artificial Opening
Fossa of Rosenmuller Endoscopic
Pharyngeal recess
09D–09H

Rhinopharynx
Non-OR 09H[H,J][3,4,7,8]YZ
Non-OR 09H[K,Y][0,3,4,7,8]YZ
Non-OR 09HN[7,8]BZ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
314 ICD-10-PCS 2019
ICD-10-PCS 2019 Ear, Nose, Sinus 09J–09M

Ear, Nose, Sinus

0 Medical and Surgical
9 Ear, Nose, Sinus 09J
J Inspection Definition: Visually and/or manually exploring a body part
Explanation: Visual exploration may be performed with or without optical instrumentation. Manual exploration may be performed directly or
through intervening body layers.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
7 Tympanic Membrane, Right 0 Open Z No Device Z No Qualifier
Pars flaccida 3 Percutaneous
8 Tympanic Membrane, Left 4 Percutaneous Endoscopic
See 7 Tympanic Membrane, Right 7 Via Natural or Artificial Opening
H Ear, Right 8 Via Natural or Artificial Opening
J Ear, Left Endoscopic
X External
D Inner Ear, Right 0 Open Z No Device Z No Qualifier
Bony labyrinth 3 Percutaneous
Bony vestibule 4 Percutaneous Endoscopic
Cochlea 8 Via Natural or Artificial Opening
Round window Endoscopic
Semicircular canal
X External
E Inner Ear, Left
See D Inner Ear, Right
K Nasal Mucosa and Soft Tissue
Columella
External naris
Greater alar cartilage
Internal naris
Lateral nasal cartilage
Lesser alar cartilage
Nasal cavity
Nostril
Y Sinus
Non-OR 09J[7,8][3,7,8,X]ZZ
Non-OR 09J[H,J][0,3,4,7,8,X]ZZ
Non-OR 09J[D,E][3,8,X]ZZ
Non-OR 09J[K,Y][0,3,4,8,X]ZZ

0 Medical and Surgical

9 Ear, Nose, Sinus 09M
M Reattachment Definition: Putting back in or on all or a portion of a separated body part to its normal location or other suitable location
Explanation: Vascular circulation and nervous pathways may or may not be reestablished
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 External Ear, Right X External Z No Device Z No Qualifier
Antihelix
Antitragus
Auricle
Earlobe
Helix
Pinna
Tragus
1 External Ear, Left
See 0 External Ear, Right
K Nasal Mucosa and Soft Tissue
Columella
External naris
Greater alar cartilage
Internal naris
Lateral nasal cartilage
Lesser alar cartilage
Nasal cavity
Nostril
09J–09M

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 315
 09N–09N Ear, Nose, Sinus ICD-10-PCS 2019
Ear, Nose, Sinus

0 Medical and Surgical

9 Ear, Nose, Sinus 09N
N Release Definition: Freeing a body part from an abnormal physical constraint by cutting or by the use of force
Explanation: Some of the restraining tissue may be taken out but none of the body part is taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 External Ear, Right 1 External Ear, Left 0 Open Z No Device Z No Qualifier
Antihelix See 0 External Ear, Right 3 Percutaneous
Antitragus 4 Percutaneous Endoscopic
Auricle X External
Earlobe
Helix
Pinna
Tragus
3 External Auditory Canal, 4 External Auditory Canal, Left 0 Open Z No Device Z No Qualifier
Right See 3 External Auditory Canal, 3 Percutaneous
External auditory meatus Right 4 Percutaneous Endoscopic
7 Via Natural or Artificial
Opening
8 Via Natural or Artificial
Opening Endoscopic
X External
5 Middle Ear, Right A Auditory Ossicle, Left 0 Open Z No Device Z No Qualifier
Oval window See 9 Auditory Ossicle, Right 8 Via Natural or Artificial
Tympanic cavity D Inner Ear, Right Opening Endoscopic
6 Middle Ear, Left Bony labyrinth
See 5 Middle Ear, Right Bony vestibule
9 Auditory Ossicle, Right Cochlea
Incus Round window
Malleus Semicircular canal
Stapes E Inner Ear, Left
See D Inner Ear, Right
7 Tympanic Membrane, Right L Nasal Turbinate 0 Open Z No Device Z No Qualifier
Pars flaccida Inferior turbinate 3 Percutaneous
8 Tympanic Membrane, Left Middle turbinate 4 Percutaneous Endoscopic
See 7 Tympanic Membrane, Nasal concha 7 Via Natural or Artificial
Right Superior turbinate Opening
F Eustachian Tube, Right N Nasopharynx 8 Via Natural or Artificial
Auditory tube Choana Opening Endoscopic
Pharyngotympanic tube Fossa of Rosenmuller
G Eustachian Tube, Left Pharyngeal recess
See F Eustachian Tube, Right Rhinopharynx
B Mastoid Sinus, Right R Maxillary Sinus, Left 0 Open Z No Device Z No Qualifier
Mastoid air cells See Q Maxillary Sinus, Right 3 Percutaneous
C Mastoid Sinus, Left S Frontal Sinus, Right 4 Percutaneous Endoscopic
See B Mastoid Sinus, Right T Frontal Sinus, Left 8 Via Natural or Artificial
M Nasal Septum U Ethmoid Sinus, Right Opening Endoscopic
Quadrangular cartilage Ethmoidal air cell
Septal cartilage V Ethmoid Sinus, Left
Vomer bone See U Ethmoid Sinus, Right
P Accessory Sinus W Sphenoid Sinus, Right
Q Maxillary Sinus, Right X Sphenoid Sinus, Left
Antrum of Highmore
K Nasal Mucosa and Soft Tissue 0 Open Z No Device Z No Qualifier
Columella 3 Percutaneous
External naris 4 Percutaneous Endoscopic
Greater alar cartilage 8 Via Natural or Artificial
Internal naris Opening Endoscopic
Lateral nasal cartilage
X External
Lesser alar cartilage
Nasal cavity
Nostril
Non-OR 09N[0,1]XZZ
Non-OR 09N[3,4]XZZ
Non-OR 09N[F,G,L][0,3,4,7,8]ZZ
Non-OR 09NM[0,3,4,8]ZZ
Non-OR 09NK[0,3,4,8,X]ZZ
09N–09N

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
316 ICD-10-PCS 2019
ICD-10-PCS 2019 Ear, Nose, Sinus 09P–09P

Ear, Nose, Sinus

0 Medical and Surgical
9 Ear, Nose, Sinus 09P
P Removal Definition: Taking out or off a device from a body part
Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is
coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
7 Tympanic Membrane, Right 0 Open 0 Drainage Device Z No Qualifier
Pars flaccida 7 Via Natural or Artificial Opening
8 Tympanic Membrane, Left 8 Via Natural or Artificial Opening
See 7 Tympanic Membrane, Right Endoscopic
X External
D Inner Ear, Right 0 Open S Hearing Device Z No Qualifier
Bony labyrinth 7 Via Natural or Artificial Opening
Bony vestibule 8 Via Natural or Artificial Opening
Cochlea Endoscopic
Round window
Semicircular canal
E Inner Ear, Left
See D Inner Ear, Right
H Ear, Right 0 Open 0 Drainage Device Z No Qualifier
J Ear, Left 3 Percutaneous 7 Autologous Tissue Substitute
K Nasal Mucosa and Soft Tissue 4 Percutaneous Endoscopic D Intraluminal Device
Columella 7 Via Natural or Artificial Opening J Synthetic Substitute
External naris 8 Via Natural or Artificial Opening K Nonautologous Tissue Substitute
Greater alar cartilage Endoscopic Y Other Device
Internal naris
Lateral nasal cartilage
Lesser alar cartilage
Nasal cavity
Nostril
H Ear, Right X External 0 Drainage Device Z No Qualifier
J Ear, Left 7 Autologous Tissue Substitute
K Nasal Mucosa and Soft Tissue D Intraluminal Device
Columella J Synthetic Substitute
External naris K Nonautologous Tissue Substitute
Greater alar cartilage
Internal naris
Lateral nasal cartilage
Lesser alar cartilage
Nasal cavity
Nostril
Y Sinus 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous Y Other Device
4 Percutaneous Endoscopic
Y Sinus 7 Via Natural or Artificial Opening Y Other Device Z No Qualifier
8 Via Natural or Artificial Opening
Endoscopic
Y Sinus X External 0 Drainage Device Z No Qualifier
Non-OR 09P[7,8][0,7,8,X]0Z
Non-OR 09P[H,J][3,4][0,J,K,Y]Z
Non-OR 09P[H,J][7,8][0,D,Y]Z
Non-OR 09PK[0,3,4,7,8][0,7,D,J,K,Y]Z
Non-OR 09P[H,J]X[0,7,D,J,K]Z
Non-OR 09PKX[0,7,D,J,K]Z
Non-OR 09PY[3,4]YZ
Non-OR 09PY[7,8]YZ
Non-OR 09PYX0Z
09P–09P

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 317
 09Q–09Q Ear, Nose, Sinus ICD-10-PCS 2019
Ear, Nose, Sinus

0 Medical and Surgical

9 Ear, Nose, Sinus 09Q
Q Repair Definition: Restoring, to the extent possible, a body part to its normal anatomic structure and function
Explanation: Used only when the method to accomplish the repair is not one of the other root operations
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 External Ear, Right 1 External Ear, Left 0 Open Z No Device Z No Qualifier
Antihelix See 0 External Ear, Right 3 Percutaneous
Antitragus 2 External Ear, Bilateral 4 Percutaneous Endoscopic
Auricle See 0 External Ear, Right X External
Earlobe
Helix
Pinna
Tragus
3 External Auditory Canal, F Eustachian Tube, Right 0 Open Z No Device Z No Qualifier
Right Auditory tube 3 Percutaneous
External auditory meatus Pharyngotympanic tube 4 Percutaneous Endoscopic
4 External Auditory Canal, Left G Eustachian Tube, Left 7 Via Natural or Artificial
See 3 External Auditory Canal, See F Eustachian Tube, Right Opening
Right 8 Via Natural or Artificial
Opening Endoscopic
X External
5 Middle Ear, Right A Auditory Ossicle, Left 0 Open Z No Device Z No Qualifier
Oval window See 9 Auditory Ossicle, Right 8 Via Natural or Artificial
Tympanic cavity D Inner Ear, Right Opening Endoscopic
6 Middle Ear, Left Bony labyrinth
See 5 Middle Ear, Right Bony vestibule
9 Auditory Ossicle, Right Cochlea
Incus Round window
Malleus Semicircular canal
Stapes E Inner Ear, Left
See D Inner Ear, Right
7 Tympanic Membrane, Right N Nasopharynx 0 Open Z No Device Z No Qualifier
Pars flaccida Choana 3 Percutaneous
8 Tympanic Membrane, Left Fossa of Rosenmuller 4 Percutaneous Endoscopic
See 7 Tympanic Membrane, Pharyngeal recess 7 Via Natural or Artificial
Right Rhinopharynx Opening
L Nasal Turbinate 8 Via Natural or Artificial
Inferior turbinate Opening Endoscopic
Middle turbinate
Nasal concha
Superior turbinate
B Mastoid Sinus, Right R Maxillary Sinus, Left 0 Open Z No Device Z No Qualifier
Mastoid air cells See Q Maxillary Sinus, Right 3 Percutaneous
C Mastoid Sinus, Left S Frontal Sinus, Right 4 Percutaneous Endoscopic
See B Mastoid Sinus, Right T Frontal Sinus, Left 8 Via Natural or Artificial
M Nasal Septum U Ethmoid Sinus, Right Opening Endoscopic
Quadrangular cartilage Ethmoidal air cell
Septal cartilage V Ethmoid Sinus, Left
Vomer bone See U Ethmoid Sinus, Right
P Accessory Sinus W Sphenoid Sinus, Right
Q Maxillary Sinus, Right X Sphenoid Sinus, Left
Antrum of Highmore
K Nasal Mucosa and Soft Tissue 0 Open Z No Device Z No Qualifier
Columella 3 Percutaneous
External naris 4 Percutaneous Endoscopic
Greater alar cartilage 8 Via Natural or Artificial
Internal naris Opening Endoscopic
Lateral nasal cartilage
X External
Lesser alar cartilage
Nasal cavity
Nostril
Non-OR 09Q[0,1,2]XZZ
Non-OR 09Q[3,4]XZZ
Non-OR 09Q[F,G][0,3,4,7,8,X]ZZ
Non-OR 09QKXZZ
09Q–09Q

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
318 ICD-10-PCS 2019
ICD-10-PCS 2019 Ear, Nose, Sinus 09R–09R

Ear, Nose, Sinus

0 Medical and Surgical
9 Ear, Nose, Sinus 09R
R Replacement Definition: Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part
Explanation: The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during
the REPLACEMENT procedure. A REMOVAL procedure is coded for taking out the device used in a previous replacement procedure.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 External Ear, Right 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Antihelix X External J Synthetic Substitute
Antitragus K Nonautologous Tissue Substitute
Auricle
Earlobe
Helix
Pinna
Tragus
1 External Ear, Left
See 0 External Ear, Right
2 External Ear, Bilateral
See 0 External Ear, Right
K Nasal Mucosa and Soft Tissue
Columella
External naris
Greater alar cartilage
Internal naris
Lateral nasal cartilage
Lesser alar cartilage
Nasal cavity
Nostril
5 Middle Ear, Right 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Oval window J Synthetic Substitute
Tympanic cavity K Nonautologous Tissue Substitute
6 Middle Ear, Left
See 5 Middle Ear, Right
9 Auditory Ossicle, Right
Incus
Malleus
Stapes
A Auditory Ossicle, Left
See 9 Auditory Ossicle, Right
D Inner Ear, Right
Bony labyrinth
Bony vestibule
Cochlea
Round window
Semicircular canal
E Inner Ear, Left
See D Inner Ear, Right
7 Tympanic Membrane, Right 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Pars flaccida 7 Via Natural or Artificial Opening J Synthetic Substitute
8 Tympanic Membrane, Left 8 Via Natural or Artificial Opening K Nonautologous Tissue Substitute
See 7 Tympanic Membrane, Right Endoscopic
N Nasopharynx
Choana
Fossa of Rosenmuller
Pharyngeal recess
Rhinopharynx
L Nasal Turbinate 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Inferior turbinate 3 Percutaneous J Synthetic Substitute
Middle turbinate 4 Percutaneous Endoscopic K Nonautologous Tissue Substitute
Nasal concha 7 Via Natural or Artificial Opening
Superior turbinate
8 Via Natural or Artificial Opening
Endoscopic
M Nasal Septum 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Quadrangular cartilage 3 Percutaneous J Synthetic Substitute
Septal cartilage 4 Percutaneous Endoscopic K Nonautologous Tissue Substitute
Vomer bone
09R–09R

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 319
 09S–09S Ear, Nose, Sinus ICD-10-PCS 2019
Ear, Nose, Sinus

0 Medical and Surgical

9 Ear, Nose, Sinus 09S
S Reposition Definition: Moving to its normal location, or other suitable location, all or a portion of a body part
Explanation: The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning
correctly. The body part may or may not be cut out or off to be moved to the new location.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 External Ear, Right 0 Open Z No Device Z No Qualifier
Antihelix 4 Percutaneous Endoscopic
Antitragus X External
Auricle
Earlobe
Helix
Pinna
Tragus
1 External Ear, Left
See 0 External Ear, Right
2 External Ear, Bilateral
See 0 External Ear, Right
K Nasal Mucosa and Soft Tissue
Columella
External naris
Greater alar cartilage
Internal naris
Lateral nasal cartilage
Lesser alar cartilage
Nasal cavity
Nostril
7 Tympanic Membrane, Right 0 Open Z No Device Z No Qualifier
Pars flaccida 4 Percutaneous Endoscopic
8 Tympanic Membrane, Left 7 Via Natural or Artificial Opening
See 7 Tympanic Membrane, Right 8 Via Natural or Artificial Opening
F Eustachian Tube, Right Endoscopic
Auditory tube
Pharyngotympanic tube
G Eustachian Tube, Left
See F Eustachian Tube, Right
L Nasal Turbinate
Inferior turbinate
Middle turbinate
Nasal concha
Superior turbinate
9 Auditory Ossicle, Right 0 Open Z No Device Z No Qualifier
Incus 4 Percutaneous Endoscopic
Malleus
Stapes
A Auditory Ossicle, Left
See 9 Auditory Ossicle, Right
M Nasal Septum
Quadrangular cartilage
Septal cartilage
Vomer bone
Non-OR 09S[F,G][0,4,7,8]ZZ
09S–09S

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
320 ICD-10-PCS 2019
ICD-10-PCS 2019 Ear, Nose, Sinus 09T–09T

Ear, Nose, Sinus

0 Medical and Surgical
9 Ear, Nose, Sinus
T Resection Definition: Cutting out or off, without replacement, all of a body part
Explanation: None
Body Part
Character 4
0 External Ear, Right
Antihelix
Antitragus
Auricle
Earlobe
Helix
Pinna
Tragus
5 Middle Ear, Right
Oval window
Tympanic cavity
6 Middle Ear, Left
See 5 Middle Ear, Right
9 Auditory Ossicle, Right
Incus
Malleus
Stapes
7 Tympanic Membrane, Right
Pars flaccida
8 Tympanic Membrane, Left
See 7 Tympanic Membrane,
Right
F Eustachian Tube, Right
Auditory tube
Pharyngotympanic tube
G Eustachian Tube, Left
See F Eustachian Tube, Right
B Mastoid Sinus, Right
Mastoid air cells
C Mastoid Sinus, Left
See B Mastoid Sinus, Right
M Nasal Septum
Quadrangular cartilage
Septal cartilage
Vomer bone
P Accessory Sinus
Q Maxillary Sinus, Right
Antrum of Highmore
K Nasal Mucosa and Soft Tissue
Columella
External naris
Greater alar cartilage
Internal naris
Lateral nasal cartilage
Lesser alar cartilage
Nasal cavity
Nostril
Non-OR 09T[F,G][0,4,7,8]ZZ
09T
Approach Device Qualifier
Character 5 Character 6 Character 7
1 External Ear, Left 0 Open Z No Device Z No Qualifier
See 0 External Ear, Right 4 Percutaneous Endoscopic
X External
A Auditory Ossicle, Left 0 Open Z No Device Z No Qualifier
See 9 Auditory Ossicle, Right 8 Via Natural or Artificial
D Inner Ear, Right Opening Endoscopic
Bony labyrinth
Bony vestibule
Cochlea
Round window
Semicircular canal
E Inner Ear, Left
See D Inner Ear, Right
L Nasal Turbinate 0 Open Z No Device Z No Qualifier
Inferior turbinate 4 Percutaneous Endoscopic
Middle turbinate 7 Via Natural or Artificial
Nasal concha Opening
Superior turbinate 8 Via Natural or Artificial
N Nasopharynx Opening Endoscopic
Choana
Fossa of Rosenmuller
Pharyngeal recess
Rhinopharynx
R Maxillary Sinus, Left 0 Open Z No Device Z No Qualifier
See Q Maxillary Sinus, Right 4 Percutaneous Endoscopic
S Frontal Sinus, Right 8 Via Natural or Artificial
T Frontal Sinus, Left Opening Endoscopic
U Ethmoid Sinus, Right
Ethmoidal air cell
V Ethmoid Sinus, Left
See U Ethmoid Sinus, Right
W Sphenoid Sinus, Right
X Sphenoid Sinus, Left
0 Open Z No Device Z No Qualifier
4 Percutaneous Endoscopic
8 Via Natural or Artificial
Opening Endoscopic
X External
09T–09T

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 321
 09U–09U Ear, Nose, Sinus ICD-10-PCS 2019
Ear, Nose, Sinus

0 Medical and Surgical

9 Ear, Nose, Sinus 09U
U Supplement Definition: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part
Explanation: The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced,
and the SUPPLEMENT procedure is performed to physically reinforce and/or augment the function of the replaced body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 External Ear, Right 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Antihelix X External J Synthetic Substitute
Antitragus K Nonautologous Tissue Substitute
Auricle
Earlobe
Helix
Pinna
Tragus
1 External Ear, Left
See 0 External Ear, Right
2 External Ear, Bilateral
See 0 External Ear, Right
5 Middle Ear, Right 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Oval window 8 Via Natural or Artificial Opening J Synthetic Substitute
Tympanic cavity Endoscopic K Nonautologous Tissue Substitute
6 Middle Ear, Left
See 5 Middle Ear, Right
9 Auditory Ossicle, Right
Incus
Malleus
Stapes
A Auditory Ossicle, Left
See 9 Auditory Ossicle, Right
D Inner Ear, Right
Bony labyrinth
Bony vestibule
Cochlea
Round window
Semicircular canal
E Inner Ear, Left
See D Inner Ear, Right
7 Tympanic Membrane, Right 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Pars flaccida 7 Via Natural or Artificial Opening J Synthetic Substitute
8 Tympanic Membrane, Left 8 Via Natural or Artificial Opening K Nonautologous Tissue Substitute
See 7 Tympanic Membrane, Right Endoscopic
N Nasopharynx
Choana
Fossa of Rosenmuller
Pharyngeal recess
Rhinopharynx
K Nasal Mucosa and Soft Tissue 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Columella 8 Via Natural or Artificial Opening J Synthetic Substitute
External naris Endoscopic K Nonautologous Tissue Substitute
Greater alar cartilage X External
Internal naris
Lateral nasal cartilage
Lesser alar cartilage
Nasal cavity
Nostril
L Nasal Turbinate 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Inferior turbinate 3 Percutaneous J Synthetic Substitute
Middle turbinate 4 Percutaneous Endoscopic K Nonautologous Tissue Substitute
Nasal concha 7 Via Natural or Artificial Opening
Superior turbinate
8 Via Natural or Artificial Opening
Endoscopic
M Nasal Septum 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Quadrangular cartilage 3 Percutaneous J Synthetic Substitute
Septal cartilage 4 Percutaneous Endoscopic K Nonautologous Tissue Substitute
Vomer bone 8 Via Natural or Artificial Opening
Endoscopic
09U–09U

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
322 ICD-10-PCS 2019
ICD-10-PCS 2019 Ear, Nose, Sinus 09W–09W

Ear, Nose, Sinus

0 Medical and Surgical
9 Ear, Nose, Sinus 09W
W Revision Definition: Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device
Explanation: Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as
a screw or pin
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
7 Tympanic Membrane, Right 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Pars flaccida 7 Via Natural or Artificial Opening J Synthetic Substitute
8 Tympanic Membrane, Left 8 Via Natural or Artificial Opening K Nonautologous Tissue Substitute
See 7 Tympanic Membrane, Right Endoscopic
9 Auditory Ossicle, Right
Incus
Malleus
Stapes
A Auditory Ossicle, Left
See 9 Auditory Ossicle, Right
D Inner Ear, Right 0 Open S Hearing Device Z No Qualifier
Bony labyrinth 7 Via Natural or Artificial Opening
Bony vestibule 8 Via Natural or Artificial Opening
Cochlea Endoscopic
Round window
Semicircular canal
E Inner Ear, Left
See D Inner Ear, Right
H Ear, Right 0 Open 0 Drainage Device Z No Qualifier
J Ear, Left 3 Percutaneous 7 Autologous Tissue Substitute
K Nasal Mucosa and Soft Tissue 4 Percutaneous Endoscopic D Intraluminal Device
Columella 7 Via Natural or Artificial Opening J Synthetic Substitute
External naris 8 Via Natural or Artificial Opening K Nonautologous Tissue Substitute
Greater alar cartilage Endoscopic Y Other Device
Internal naris
Lateral nasal cartilage
Lesser alar cartilage
Nasal cavity
Nostril
H Ear, Right X External 0 Drainage Device Z No Qualifier
J Ear, Left 7 Autologous Tissue Substitute
K Nasal Mucosa and Soft Tissue D Intraluminal Device
Columella J Synthetic Substitute
External naris K Nonautologous Tissue Substitute
Greater alar cartilage
Internal naris
Lateral nasal cartilage
Lesser alar cartilage
Nasal cavity
Nostril
Y Sinus 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous Y Other Device
4 Percutaneous Endoscopic
Y Sinus 7 Via Natural or Artificial Opening Y Other Device Z No Qualifier
8 Via Natural or Artificial Opening
Endoscopic
Y Sinus X External 0 Drainage Device Z No Qualifier
Non-OR 09W[H,J][3,4][J,K,Y]Z
Non-OR 09W[H,J][7,8][D,Y]Z
Non-OR 09WK[0,3,4,7,8][0,7,D,J,K,Y]Z
Non-OR 09W[H,J,K]X[0,7,D,J,K]Z
Non-OR 09WY[3,4]YZ
Non-OR 09WY[7,8]YZ
Non-OR 09WYX0Z
09W–09W

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 323
This page is left intentionally blank.
ICD-10-PCS 2019 Respiratory System

Respiratory System
Respiratory System 0B1–0BY
Character Meanings
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.

Operation–Character 3 Body Part–Character 4 Approach–Character 5 Device–Character 6 Qualifier–Character 7

1 Bypass 0 Tracheobronchial Tree 0 Open 0 Drainage Device 0 Allogeneic
2 Change 1 Trachea 3 Percutaneous 1 Radioactive Element 1 Syngeneic
5 Destruction 2 Carina 4 Percutaneous Endoscopic 2 Monitoring Device 2 Zooplastic
7 Dilation 3 Main Bronchus, Right 7 Via Natural or Artificial 3 Infusion Device 4 Cutaneous
Opening
9 Drainage 4 Upper Lobe Bronchus, 8 Via Natural or Artificial 7 Autologous Tissue 6 Esophagus
Right Opening Endoscopic Substitute
B Excision 5 Middle Lobe Bronchus, X External C Extraluminal Device X Diagnostic
Right
C Extirpation 6 Lower Lobe Bronchus, D Intraluminal Device Z No Qualifier
Right
D Extraction 7 Main Bronchus, Left E Intraluminal Device,
Endotracheal Airway
F Fragmentation 8 Upper Lobe Bronchus, Left F Tracheostomy Device
H Insertion 9 Lingula Bronchus G Intraluminal Device,
Endobronchial Valve
J Inspection B Lower Lobe Bronchus, Left J Synthetic Substitute
L Occlusion C Upper Lung Lobe, Right K Nonautologous Tissue
Substitute
M Reattachment D Middle Lung Lobe, Right M Diaphragmatic Pacemaker
Lead
N Release F Lower Lung Lobe, Right Y Other Device
P Removal G Upper Lung Lobe, Left Z No Device
Q Repair H Lung Lingula
R Replacement J Lower Lung Lobe, Left
S Reposition K Lung, Right
T Resection L Lung, Left
U Supplement M Lungs, Bilateral
V Restriction N Pleura, Right
W Revision P Pleura, Left
Y Transplantation Q Pleura
T Diaphragm

AHA Coding Clinic for table 0B5

2016, 2Q, 17 Photodynamic therapy for treatment of malignant mesothelioma
2015, 2Q, 31 Thoracoscopic talc pleurodesis
AHA Coding Clinic for table 0B9
2017, 3Q, 15 Bronchoscopy with suctioning for removal of retained secretions
2017, 1Q, 51 Bronchoalveolar lavage
2016, 1Q, 26 Bronchoalveolar lavage, endobronchial biopsy and transbronchial biopsy
2016, 1Q, 27 Fiberoptic bronchoscopy with brushings and bronchoalveolar lavage
AHA Coding Clinic for table 0BB
2016, 1Q, 26 Bronchoalveolar lavage, endobronchial biopsy and transbronchial biopsy
2016, 1Q, 27 Fiberoptic bronchoscopy with brushings and bronchoalveolar lavage
2014, 1Q, 20 Fiducial marker placement
AHA Coding Clinic for table 0BC
2017, 3Q, 14 Bronchoscopy with suctioning and washings for removal of mucus plug
AHA Coding Clinic for table 0BH
2014, 4Q, 3-10 Mechanical ventilation
AHA Coding Clinic for table 0BJ
2015, 2Q, 31 Thoracoscopic talc pleurodesis
2014, 1Q, 20 Fiducial marker placement
AHA Coding Clinic for table 0BN
2015, 3Q, 15 Vascular ring surgery with release of esophagus and trachea
AHA Coding Clinic for table 0BQ
2016, 2Q, 22 Esophageal lengthening Collis gastroplasty with Nissen fundoplication and hiatal hernia
2014, 3Q, 28 Laparoscopic Nissen fundoplication and diaphragmatic hernia repair
AHA Coding Clinic for table 0BU
2015, 1Q, 28 Repair of bronchopleural fistula using omental pedicle graft

ICD-10-PCS 2019 325

 Respiratory System ICD-10-PCS 2019
Respiratory System

Respiratory System

Trachea 1 Pleura N, P, Q

Right lung K
Left lung L
Carina of trachea 2

Right main/
primary Left main/
bronchus 3 primary
bronchus 7

Diaphragm T

Right Lung Bronchi

Right lung K

R. main Trachea 1
bronchus 3

R. upper lobe
bronchus 4

Tracheobronchial tree 0

R. middle lobe Carini 2

bronchus 5

R. lower lobe
bronchus 6

326 ICD-10-PCS 2019

ICD-10-PCS 2019 Respiratory System 0B1–0B5

Respiratory System
0 Medical and Surgical
B Respiratory System 0B1
1 Bypass Definition: Altering the route of passage of the contents of a tubular body part
Explanation: Rerouting contents of a body part to a downstream area of the normal route, to a similar route and body part, or to an abnormal
route and dissimilar body part. Includes one or more anastomoses, with or without the use of a device.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Trachea 0 Open D Intraluminal Device 6 Esophagus
Cricoid cartilage
1 Trachea 0 Open F Tracheostomy Device 4 Cutaneous
Cricoid cartilage Z No Device
1 Trachea 3 Percutaneous F Tracheostomy Device 4 Cutaneous
Cricoid cartilage 4 Percutaneous Endoscopic Z No Device
DRG Non-OR 0B113[F,Z]4
Non-OR 0B110D6

0 Medical and Surgical

B Respiratory System 0B2
2 Change Definition: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without
cutting or puncturing the skin or a mucous membrane
Explanation: All CHANGE procedures are coded using the approach EXTERNAL
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Tracheobronchial Tree X External 0 Drainage Device Z No Qualifier
K Lung, Right Y Other Device
L Lung, Left
Q Pleura
T Diaphragm
1 Trachea X External 0 Drainage Device Z No Qualifier
Cricoid cartilage E Intraluminal Device, Endotracheal
Airway
F Tracheostomy Device
Y Other Device
Non-OR All body part, approach, device, and qualifier values

0 Medical and Surgical

B Respiratory System 0B5
5 Destruction Definition: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent
Explanation: None of the body part is physically taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Trachea 0 Open Z No Device Z No Qualifier
Cricoid cartilage 3 Percutaneous
2 Carina 4 Percutaneous Endoscopic
3 Main Bronchus, Right 7 Via Natural or Artificial Opening
Bronchus intermedius 8 Via Natural or Artificial Opening
Intermediate bronchus Endoscopic
4 Upper Lobe Bronchus, Right
5 Middle Lobe Bronchus, Right
6 Lower Lobe Bronchus, Right
7 Main Bronchus, Left
8 Upper Lobe Bronchus, Left
9 Lingula Bronchus
B Lower Lobe Bronchus, Left
C Upper Lung Lobe, Right
D Middle Lung Lobe, Right
F Lower Lung Lobe, Right
G Upper Lung Lobe, Left
H Lung Lingula
J Lower Lung Lobe, Left
K Lung, Right
L Lung, Left
M Lungs, Bilateral
N Pleura, Right 0 Open Z No Device Z No Qualifier
P Pleura, Left 3 Percutaneous
T Diaphragm 4 Percutaneous Endoscopic
Non-OR 0B5[3,4,5,6,7,8,9,B][4,8]ZZ
Non-OR 0B5[C,D,F,G,H,J,K,L,M]8ZZ
0B1–0B5

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 327
 0B7–0B9 Respiratory System ICD-10-PCS 2019
Respiratory System

0 Medical and Surgical

B Respiratory System 0B7
7 Dilation Definition: Expanding an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice. Accomplished by stretching a tubular body part using
intraluminal pressure or by cutting part of the orifice or wall of the tubular body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Trachea 0 Open D Intraluminal Device Z No Qualifier
Cricoid cartilage 3 Percutaneous Z No Device
2 Carina 4 Percutaneous Endoscopic
3 Main Bronchus, Right 7 Via Natural or Artificial
Bronchus intermedius Opening
Intermediate bronchus 8 Via Natural or Artificial
4 Upper Lobe Bronchus, Right Opening Endoscopic
5 Middle Lobe Bronchus, Right
6 Lower Lobe Bronchus, Right
7 Main Bronchus, Left
8 Upper Lobe Bronchus, Left
9 Lingula Bronchus
B Lower Lobe Bronchus, Left
Non-OR 0B7[3,4,5,6,7,8,9,B][0,3,4,7,8][D,Z]Z

0 Medical and Surgical

B Respiratory System 0B9
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Trachea 8 Upper Lobe Bronchus, Left 0 Open 0 Drainage Device Z No Qualifier
Cricoid cartilage 9 Lingula Bronchus 3 Percutaneous
2 Carina B Lower Lobe Bronchus, Left 4 Percutaneous Endoscopic
3 Main Bronchus, Right C Upper Lung Lobe, Right 7 Via Natural or Artificial
Bronchus intermedius D Middle Lung Lobe, Right Opening
Intermediate bronchus F Lower Lung Lobe, Right
4 Upper Lobe Bronchus, 8 Via Natural or Artificial
G Upper Lung Lobe, Left
Right Opening Endoscopic
H Lung Lingula
5 Middle Lobe Bronchus, J Lower Lung Lobe, Left
Right K Lung, Right
6 Lower Lobe Bronchus, L Lung, Left
Right M Lungs, Bilateral
7 Main Bronchus, Left
1 Trachea 8 Upper Lobe Bronchus, Left 0 Open Z No Device X Diagnostic
Cricoid cartilage 9 Lingula Bronchus 3 Percutaneous Z No Qualifier
2 Carina B Lower Lobe Bronchus, Left 4 Percutaneous Endoscopic
3 Main Bronchus, Right C Upper Lung Lobe, Right 7 Via Natural or Artificial
Bronchus intermedius D Middle Lung Lobe, Right Opening
Intermediate bronchus 8 Via Natural or Artificial
F Lower Lung Lobe, Right
4 Upper Lobe Bronchus, Opening Endoscopic
G Upper Lung Lobe, Left
Right
H Lung Lingula
5 Middle Lobe Bronchus, J Lower Lung Lobe, Left
Right K Lung, Right
6 Lower Lobe Bronchus, Right L Lung, Left
7 Main Bronchus, Left M Lungs, Bilateral
N Pleura, Right 0 Open 0 Drainage Device Z No Qualifier
P Pleura, Left 3 Percutaneous
4 Percutaneous Endoscopic
8 Via Natural or Artificial
Opening Endoscopic
N Pleura, Right 0 Open Z No Device X Diagnostic
P Pleura, Left 3 Percutaneous Z No Qualifier
4 Percutaneous Endoscopic
8 Via Natural or Artificial
Opening Endoscopic
T Diaphragm 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous
4 Percutaneous Endoscopic
T Diaphragm 0 Open Z No Device X Diagnostic
3 Percutaneous Z No Qualifier
4 Percutaneous Endoscopic
Non-OR 0B9[1,2,3,4,5,6,7,8,9,B][7,8]0Z Non-OR 0B9[N,P][0,3,8]Z[X,Z]
Non-OR 0B9[1,2,3,4,5,6,7,8,9,B][3,4]ZX Non-OR 0B9[N,P]4ZX
Non-OR 0B9[1,2,3,4,5,6,7,8,9,B][7,8]Z[X,Z] Non-OR 0B9T[3,4]0Z
0B7–0B9

Non-OR 0B9[C,D,F,G,H,J,K,L,M][3,4,7]ZX Non-OR 0B9T[3,4]Z[X,Z]

Non-OR 0B9[N,P][0,3,8]0Z

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
328 ICD-10-PCS 2019
ICD-10-PCS 2019 Respiratory System 0BB–0BC

Respiratory System
0 Medical and Surgical
B Respiratory System 0BB
B Excision Definition: Cutting out or off, without replacement, a portion of a body part
Explanation: The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Trachea 0 Open Z No Device X Diagnostic
Cricoid cartilage 3 Percutaneous Z No Qualifier
2 Carina 4 Percutaneous Endoscopic
3 Main Bronchus, Right 7 Via Natural or Artificial Opening
Bronchus intermedius 8 Via Natural or Artificial Opening
Intermediate bronchus Endoscopic
4 Upper Lobe Bronchus, Right
5 Middle Lobe Bronchus, Right
6 Lower Lobe Bronchus, Right
7 Main Bronchus, Left
8 Upper Lobe Bronchus, Left
9 Lingula Bronchus
B Lower Lobe Bronchus, Left
C Upper Lung Lobe, Right
D Middle Lung Lobe, Right
F Lower Lung Lobe, Right
G Upper Lung Lobe, Left
H Lung Lingula
J Lower Lung Lobe, Left
K Lung, Right
L Lung, Left
M Lungs, Bilateral
N Pleura, Right 0 Open Z No Device X Diagnostic
P Pleura, Left 3 Percutaneous Z No Qualifier
4 Percutaneous Endoscopic
8 Via Natural or Artificial Opening
Endoscopic
T Diaphragm 0 Open Z No Device X Diagnostic
3 Percutaneous Z No Qualifier
4 Percutaneous Endoscopic
Non-OR 0BB[1,2,3,4,5,6,7,8,9,B][3,4,7,8]ZX Non-OR 0BB[C,D,F,G,H,J,K,L]8ZZ
Non-OR 0BB[3,4,5,6,7,8,9,B,M][4,8]ZZ Non-OR 0BB[N,P][0,3]ZX
Non-OR 0BB[C,D,F,G,H,J,K,L,M]3ZX

0 Medical and Surgical

B Respiratory System 0BC
C Extirpation Definition: Taking or cutting out solid matter from a body part
Explanation: The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in
the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Trachea 0 Open Z No Device Z No Qualifier
Cricoid cartilage 3 Percutaneous
2 Carina 4 Percutaneous Endoscopic
3 Main Bronchus, Right 7 Via Natural or Artificial Opening
Bronchus intermedius 8 Via Natural or Artificial Opening
Intermediate bronchus Endoscopic
4 Upper Lobe Bronchus, Right
5 Middle Lobe Bronchus, Right
6 Lower Lobe Bronchus, Right
7 Main Bronchus, Left
8 Upper Lobe Bronchus, Left
9 Lingula Bronchus
B Lower Lobe Bronchus, Left
C Upper Lung Lobe, Right
D Middle Lung Lobe, Right
F Lower Lung Lobe, Right
G Upper Lung Lobe, Left
H Lung Lingula
J Lower Lung Lobe, Left
K Lung, Right
L Lung, Left
M Lungs, Bilateral
N Pleura, Right 0 Open Z No Device Z No Qualifier
P Pleura, Left 3 Percutaneous
0BB–0BC

T Diaphragm 4 Percutaneous Endoscopic

Non-OR 0BC[1,2,3,4,5,6,7,8,9,B][7,8]ZZ
Non-OR 0BC[N,P][0,3,4]ZZ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 329
 0BD–0BF Respiratory System ICD-10-PCS 2019
Respiratory System

0 Medical and Surgical

B Respiratory System 0BD
D Extraction Definition: Pulling or stripping out or off all or a portion of a body part by the use of force
Explanation: The qualifier DIAGNOSTIC is used to identify extraction procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Trachea 4 Percutaneous Endoscopic Z No Device X Diagnostic
Cricoid cartilage 8 Via Natural or Artificial Opening
2 Carina Endoscopic
3 Main Bronchus, Right
Bronchus intermedius
Intermediate bronchus
4 Upper Lobe Bronchus, Right
5 Middle Lobe Bronchus, Right
6 Lower Lobe Bronchus, Right
7 Main Bronchus, Left
8 Upper Lobe Bronchus, Left
9 Lingula Bronchus
B Lower Lobe Bronchus, Left
C Upper Lung Lobe, Right
D Middle Lung Lobe, Right
F Lower Lung Lobe, Right
G Upper Lung Lobe, Left
H Lung Lingula
J Lower Lung Lobe, Left
K Lung, Right
L Lung, Left
M Lungs, Bilateral
N Pleura, Right 0 Open Z No Device X Diagnostic
P Pleura, Left 3 Percutaneous Z No Qualifier
4 Percutaneous Endoscopic
Non-OR 0BD[1,2,3,4,5,6,7,8,9,B,C,D,F,G,H,J,K,L,M][4,8]ZX

0 Medical and Surgical

B Respiratory System 0BF
F Fragmentation Definition: Breaking solid matter in a body part into pieces
Explanation: Physical force (e.g., manual, ultrasonic) applied directly or indirectly is used to break the solid matter into pieces. The solid matter
may be an abnormal byproduct of a biological function or a foreign body. The pieces of solid matter are not taken out.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Trachea 4 0 Open Z No Device Z No Qualifier
Cricoid cartilage 3 Percutaneous
2 Carina 4 4 Percutaneous Endoscopic
3 Main Bronchus, Right 4 7 Via Natural or Artificial Opening
Bronchus intermedius
8 Via Natural or Artificial Opening
Intermediate bronchus
Endoscopic
4 Upper Lobe Bronchus, Right 4
5 Middle Lobe Bronchus, Right 4 X External
6 Lower Lobe Bronchus, Right 4
7 Main Bronchus, Left 4
8 Upper Lobe Bronchus, Left 4
9 Lingula Bronchus 4
B Lower Lobe Bronchus, Left 4
Non-OR 0BF[1,2,3,4,5,6,7,8,9,B]XZZ
Non-OR 0BF[3,4,5,6,7,8,9,B][7,8]ZZ
4 0BF[1,2,3,4,5,6,7,8,9,B]XZZ
0BD–0BF

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
330 ICD-10-PCS 2019
ICD-10-PCS 2019 Respiratory System 0BH–0BH

Respiratory System
0 Medical and Surgical
B Respiratory System 0BH
H Insertion Definition: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically
take the place of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Tracheobronchial Tree 0 Open 1 Radioactive Element Z No Qualifier
3 Percutaneous 2 Monitoring Device
4 Percutaneous Endoscopic 3 Infusion Device
7 Via Natural or Artificial Opening D Intraluminal Device
8 Via Natural or Artificial Opening
Y Other Device
Endoscopic
1 Trachea 0 Open 2 Monitoring Device Z No Qualifier
Cricoid cartilage D Intraluminal Device
Y Other Device
1 Trachea 3 Percutaneous D Intraluminal Device Z No Qualifier
Cricoid cartilage E Intraluminal Device, Endotracheal
Airway
Y Other Device
1 Trachea 4 Percutaneous Endoscopic D Intraluminal Device Z No Qualifier
Cricoid cartilage Y Other Device
1 Trachea 7 Via Natural or Artificial Opening 2 Monitoring Device Z No Qualifier
Cricoid cartilage 8 Via Natural or Artificial Opening D Intraluminal Device
Endoscopic E Intraluminal Device, Endotracheal
Airway
Y Other Device
3 Main Bronchus, Right 0 Open G Intraluminal Device, Endobronchial Z No Qualifier
Bronchus intermedius 3 Percutaneous Valve
Intermediate bronchus 4 Percutaneous Endoscopic
4 Upper Lobe Bronchus, Right 7 Via Natural or Artificial Opening
5 Middle Lobe Bronchus, Right 8 Via Natural or Artificial Opening
6 Lower Lobe Bronchus, Right Endoscopic
7 Main Bronchus, Left
8 Upper Lobe Bronchus, Left
9 Lingula Bronchus
B Lower Lobe Bronchus, Left
K Lung, Right 0 Open 1 Radioactive Element Z No Qualifier
L Lung, Left 3 Percutaneous 2 Monitoring Device
4 Percutaneous Endoscopic 3 Infusion Device
7 Via Natural or Artificial Opening Y Other Device
8 Via Natural or Artificial Opening
Endoscopic
Q Pleura 0 Open Y Other Device Z No Qualifier
3 Percutaneous
4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
T Diaphragm 0 Open 2 Monitoring Device Z No Qualifier
3 Percutaneous M Diaphragmatic Pacemaker Lead
4 Percutaneous Endoscopic Y Other Device
T Diaphragm 7 Via Natural or Artificial Opening Y Other Device Z No Qualifier
8 Via Natural or Artificial Opening
Endoscopic
Non-OR 0BH03YZ
Non-OR 0BH0[7,8][2,3,D,Y]Z
Non-OR 0BH13[E,Y]Z
Non-OR 0BH1[7,8][2,D,E,Y]Z
Non-OR 0BH[3,4,5,6,7,8,9,B]8GZ
Non-OR 0BH[K,L]3YZ
Non-OR 0BH[K,L]7[2,3,Y]Z
Non-OR 0BH[K,L]8[2,3]Z
Non-OR 0BHQ[3,7]YZ
Non-OR 0BHT3YZ
Non-OR 0BHT[7,8]YZ
0BH–0BH

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 331
 0BJ–0BL Respiratory System ICD-10-PCS 2019
Respiratory System

0 Medical and Surgical

B Respiratory System 0BJ
J Inspection Definition: Visually and/or manually exploring a body part
Explanation: Visual exploration may be performed with or without optical instrumentation. Manual exploration may be performed directly or
through intervening body layers.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Tracheobronchial Tree 0 Open Z No Device Z No Qualifier
1 Trachea 3 Percutaneous
Cricoid cartilage 4 Percutaneous Endoscopic
K Lung, Right 7 Via Natural or Artificial Opening
L Lung, Left 8 Via Natural or Artificial Opening
Q Pleura Endoscopic
T Diaphragm X External
Non-OR 0BJ[0,K,L,Q,T][3,7,8,X]ZZ
Non-OR 0BJ1[3,4,7,8,X]ZZ

0 Medical and Surgical

B Respiratory System 0BL
L Occlusion Definition: Completely closing an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Trachea 0 Open C Extraluminal Device Z No Qualifier
Cricoid cartilage 3 Percutaneous D Intraluminal Device
2 Carina 4 Percutaneous Endoscopic Z No Device
3 Main Bronchus, Right
Bronchus intermedius
Intermediate bronchus
4 Upper Lobe Bronchus, Right
5 Middle Lobe Bronchus, Right
6 Lower Lobe Bronchus, Right
7 Main Bronchus, Left
8 Upper Lobe Bronchus, Left
9 Lingula Bronchus
B Lower Lobe Bronchus, Left
1 Trachea 7 Via Natural or Artificial Opening D Intraluminal Device Z No Qualifier
Cricoid cartilage 8 Via Natural or Artificial Opening Z No Device
2 Carina Endoscopic
3 Main Bronchus, Right
Bronchus intermedius
Intermediate bronchus
4 Upper Lobe Bronchus, Right
5 Middle Lobe Bronchus, Right
6 Lower Lobe Bronchus, Right
7 Main Bronchus, Left
8 Upper Lobe Bronchus, Left
9 Lingula Bronchus
B Lower Lobe Bronchus, Left
0BJ–0BL

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
332 ICD-10-PCS 2019
ICD-10-PCS 2019 Respiratory System 0BM–0BN

Respiratory System
0 Medical and Surgical
B Respiratory System 0BM
M Reattachment Definition: Putting back in or on all or a portion of a separated body part to its normal location or other suitable location
Explanation: Vascular circulation and nervous pathways may or may not be reestablished
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Trachea 0 Open Z No Device Z No Qualifier
Cricoid cartilage
2 Carina
3 Main Bronchus, Right
Bronchus intermedius
Intermediate bronchus
4 Upper Lobe Bronchus, Right
5 Middle Lobe Bronchus, Right
6 Lower Lobe Bronchus, Right
7 Main Bronchus, Left
8 Upper Lobe Bronchus, Left
9 Lingula Bronchus
B Lower Lobe Bronchus, Left
C Upper Lung Lobe, Right
D Middle Lung Lobe, Right
F Lower Lung Lobe, Right
G Upper Lung Lobe, Left
H Lung Lingula
J Lower Lung Lobe, Left
K Lung, Right
L Lung, Left
T Diaphragm

0 Medical and Surgical

B Respiratory System 0BN
N Release Definition: Freeing a body part from an abnormal physical constraint by cutting or by the use of force
Explanation: Some of the restraining tissue may be taken out but none of the body part is taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Trachea 0 Open Z No Device Z No Qualifier
Cricoid cartilage 3 Percutaneous
2 Carina 4 Percutaneous Endoscopic
3 Main Bronchus, Right 7 Via Natural or Artificial Opening
Bronchus intermedius
8 Via Natural or Artificial Opening
Intermediate bronchus
Endoscopic
4 Upper Lobe Bronchus, Right
5 Middle Lobe Bronchus, Right
6 Lower Lobe Bronchus, Right
7 Main Bronchus, Left
8 Upper Lobe Bronchus, Left
9 Lingula Bronchus
B Lower Lobe Bronchus, Left
C Upper Lung Lobe, Right
D Middle Lung Lobe, Right
F Lower Lung Lobe, Right
G Upper Lung Lobe, Left
H Lung Lingula
J Lower Lung Lobe, Left
K Lung, Right
L Lung, Left
M Lungs, Bilateral
N Pleura, Right 0 Open Z No Device Z No Qualifier
P Pleura, Left 3 Percutaneous
T Diaphragm 4 Percutaneous Endoscopic
0BM–0BN

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 333
 0BP–0BP Respiratory System ICD-10-PCS 2019
Respiratory System

0 Medical and Surgical

B Respiratory System 0BP
P Removal Definition: Taking out or off a device from a body part
Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is
coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Tracheobronchial Tree 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous 1 Radioactive Element
4 Percutaneous Endoscopic 2 Monitoring Device
7 Via Natural or Artificial Opening 3 Infusion Device
8 Via Natural or Artificial Opening 7 Autologous Tissue Substitute
Endoscopic C Extraluminal Device
D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
Y Other Device
0 Tracheobronchial Tree X External 0 Drainage Device Z No Qualifier
1 Radioactive Element
2 Monitoring Device
3 Infusion Device
D Intraluminal Device
1 Trachea 0 Open 0 Drainage Device Z No Qualifier
Cricoid cartilage 3 Percutaneous 2 Monitoring Device
4 Percutaneous Endoscopic 7 Autologous Tissue Substitute
7 Via Natural or Artificial Opening C Extraluminal Device
8 Via Natural or Artificial Opening D Intraluminal Device
Endoscopic F Tracheostomy Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
1 Trachea X External 0 Drainage Device Z No Qualifier
Cricoid cartilage 2 Monitoring Device
D Intraluminal Device
F Tracheostomy Device
K Lung, Right 0 Open 0 Drainage Device Z No Qualifier
L Lung, Left 3 Percutaneous 1 Radioactive Element
4 Percutaneous Endoscopic 2 Monitoring Device
7 Via Natural or Artificial Opening 3 Infusion Device
8 Via Natural or Artificial Opening
Y Other Device
Endoscopic
K Lung, Right X External 0 Drainage Device Z No Qualifier
L Lung, Left 1 Radioactive Element
2 Monitoring Device
3 Infusion Device
Q Pleura 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous 1 Radioactive Element
4 Percutaneous Endoscopic 2 Monitoring Device
7 Via Natural or Artificial Opening Y Other Device
8 Via Natural or Artificial Opening
Endoscopic
Q Pleura X External 0 Drainage Device Z No Qualifier
1 Radioactive Element
2 Monitoring Device
T Diaphragm 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous 2 Monitoring Device
4 Percutaneous Endoscopic 7 Autologous Tissue Substitute
7 Via Natural or Artificial Opening J Synthetic Substitute
8 Via Natural or Artificial Opening K Nonautologous Tissue Substitute
Endoscopic M Diaphragmatic Pacemaker Lead
Y Other Device
T Diaphragm X External 0 Drainage Device Z No Qualifier
2 Monitoring Device
M Diaphragmatic Pacemaker Lead
Non-OR 0BP0[3,4]YZ Non-OR 0BPL7[0,2,3,Y]Z
Non-OR 0BP0[7,8][0,2,3,D,Y]Z Non-OR 0BPL8[0,2,3]Z
Non-OR 0BP0X[0,1,2,3,D]Z Non-OR 0BP[K,L]X[0,1,2,3]Z
Non-OR 0BP1[0,3,4]FZ Non-OR 0BPQ[0,3,4,7,8][0,1,2,]Z
Non-OR 0BP1[7,8][0,2,D,F]Z Non-OR 0BPQ[3,7]YZ
Non-OR 0BP1X[0,2,D,F]Z Non-OR 0BPQX[0,1,2]Z
Non-OR 0BP[K,L]3YZ Non-OR 0BPT3YZ
Non-OR 0BPK7[0,1,2,3,Y]Z Non-OR 0BPT[7,8][0,2,Y]Z
Non-OR 0BPK8[0,1,2,3]Z Non-OR 0BPTX[0,2,M]Z
0BP–0BP

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
334 ICD-10-PCS 2019
ICD-10-PCS 2019 Respiratory System 0BQ–0BQ

Respiratory System
0 Medical and Surgical
B Respiratory System 0BQ
Q Repair Definition: Restoring, to the extent possible, a body part to its normal anatomic structure and function
Explanation: Used only when the method to accomplish the repair is not one of the other root operations
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Trachea 0 Open Z No Device Z No Qualifier
Cricoid cartilage 3 Percutaneous
2 Carina 4 Percutaneous Endoscopic
3 Main Bronchus, Right 7 Via Natural or Artificial Opening
Bronchus intermedius 8 Via Natural or Artificial Opening
Intermediate bronchus Endoscopic
4 Upper Lobe Bronchus, Right
5 Middle Lobe Bronchus, Right
6 Lower Lobe Bronchus, Right
7 Main Bronchus, Left
8 Upper Lobe Bronchus, Left
9 Lingula Bronchus
B Lower Lobe Bronchus, Left
C Upper Lung Lobe, Right
D Middle Lung Lobe, Right
F Lower Lung Lobe, Right
G Upper Lung Lobe, Left
H Lung Lingula
J Lower Lung Lobe, Left
K Lung, Right
L Lung, Left
M Lungs, Bilateral
N Pleura, Right 0 Open Z No Device Z No Qualifier
P Pleura, Left 3 Percutaneous
T Diaphragm 4 Percutaneous Endoscopic

0BQ–0BQ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 335
 0BR–0BS Respiratory System ICD-10-PCS 2019
Respiratory System

0 Medical and Surgical

B Respiratory System 0BR
R Replacement Definition: Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part
Explanation: The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during
the REPLACEMENT procedure. A REMOVAL procedure is coded for taking out the device used in a previous replacement procedure.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Trachea 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Cricoid cartilage 4 Percutaneous Endoscopic J Synthetic Substitute
2 Carina K Nonautologous Tissue Substitute
3 Main Bronchus, Right
Bronchus intermedius
Intermediate bronchus
4 Upper Lobe Bronchus, Right
5 Middle Lobe Bronchus, Right
6 Lower Lobe Bronchus, Right
7 Main Bronchus, Left
8 Upper Lobe Bronchus, Left
9 Lingula Bronchus
B Lower Lobe Bronchus, Left
T Diaphragm

0 Medical and Surgical

B Respiratory System 0BS
S Reposition Definition: Moving to its normal location, or other suitable location, all or a portion of a body part
Explanation: The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning
correctly. The body part may or may not be cut out or off to be moved to the new location.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Trachea 0 Open Z No Device Z No Qualifier
Cricoid cartilage
2 Carina
3 Main Bronchus, Right
Bronchus intermedius
Intermediate bronchus
4 Upper Lobe Bronchus, Right
5 Middle Lobe Bronchus, Right
6 Lower Lobe Bronchus, Right
7 Main Bronchus, Left
8 Upper Lobe Bronchus, Left
9 Lingula Bronchus
B Lower Lobe Bronchus, Left
C Upper Lung Lobe, Right
D Middle Lung Lobe, Right
F Lower Lung Lobe, Right
G Upper Lung Lobe, Left
H Lung Lingula
J Lower Lung Lobe, Left
K Lung, Right
L Lung, Left
T Diaphragm
0BR–0BS

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
336 ICD-10-PCS 2019
ICD-10-PCS 2019 Respiratory System 0BT–0BU

Respiratory System
0 Medical and Surgical
B Respiratory System 0BT
T Resection Definition: Cutting out or off, without replacement, all of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Trachea 0 Open Z No Device Z No Qualifier
Cricoid cartilage 4 Percutaneous Endoscopic
2 Carina
3 Main Bronchus, Right
Bronchus intermedius
Intermediate bronchus
4 Upper Lobe Bronchus, Right
5 Middle Lobe Bronchus, Right
6 Lower Lobe Bronchus, Right
7 Main Bronchus, Left
8 Upper Lobe Bronchus, Left
9 Lingula Bronchus
B Lower Lobe Bronchus, Left
C Upper Lung Lobe, Right
D Middle Lung Lobe, Right
F Lower Lung Lobe, Right
G Upper Lung Lobe, Left
H Lung Lingula
J Lower Lung Lobe, Left
K Lung, Right
L Lung, Left
M Lungs, Bilateral
T Diaphragm

0 Medical and Surgical

B Respiratory System 0BU
U Supplement Definition: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part
Explanation: The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced,
and the SUPPLEMENT procedure is performed to physically reinforce and/or augment the function of the replaced body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Trachea 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Cricoid cartilage 4 Percutaneous Endoscopic J Synthetic Substitute
2 Carina 8 Via Natural or Artificial Opening K Nonautologous Tissue Substitute
3 Main Bronchus, Right Endoscopic
Bronchus intermedius
Intermediate bronchus
4 Upper Lobe Bronchus, Right
5 Middle Lobe Bronchus, Right
6 Lower Lobe Bronchus, Right
7 Main Bronchus, Left
8 Upper Lobe Bronchus, Left
9 Lingula Bronchus
B Lower Lobe Bronchus, Left
T Diaphragm 0 Open 7 Autologous Tissue Substitute Z No Qualifier
4 Percutaneous Endoscopic J Synthetic Substitute
K Nonautologous Tissue Substitute
0BT–0BU

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 337
 0BV–0BV Respiratory System ICD-10-PCS 2019
Respiratory System

0 Medical and Surgical

B Respiratory System 0BV
V Restriction Definition: Partially closing an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Trachea 0 Open C Extraluminal Device Z No Qualifier
Cricoid cartilage 3 Percutaneous D Intraluminal Device
2 Carina 4 Percutaneous Endoscopic Z No Device
3 Main Bronchus, Right
Bronchus intermedius
Intermediate bronchus
4 Upper Lobe Bronchus, Right
5 Middle Lobe Bronchus, Right
6 Lower Lobe Bronchus, Right
7 Main Bronchus, Left
8 Upper Lobe Bronchus, Left
9 Lingula Bronchus
B Lower Lobe Bronchus, Left
1 Trachea 7 Via Natural or Artificial Opening D Intraluminal Device Z No Qualifier
Cricoid cartilage 8 Via Natural or Artificial Opening Z No Device
2 Carina Endoscopic
3 Main Bronchus, Right
Bronchus intermedius
Intermediate bronchus
4 Upper Lobe Bronchus, Right
5 Middle Lobe Bronchus, Right
6 Lower Lobe Bronchus, Right
7 Main Bronchus, Left
8 Upper Lobe Bronchus, Left
9 Lingula Bronchus
B Lower Lobe Bronchus, Left
0BV–0BV

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
338 ICD-10-PCS 2019
ICD-10-PCS 2019 Respiratory System 0BW–0BW

Respiratory System
0 Medical and Surgical
B Respiratory System 0BW
W Revision Definition: Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device
Explanation: Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as
a screw or pin
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Tracheobronchial Tree 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous 2 Monitoring Device
4 Percutaneous Endoscopic 3 Infusion Device
7 Via Natural or Artificial Opening 7 Autologous Tissue Substitute
8 Via Natural or Artificial Opening C Extraluminal Device
Endoscopic D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
Y Other Device
0 Tracheobronchial Tree X External 0 Drainage Device Z No Qualifier
2 Monitoring Device
3 Infusion Device
7 Autologous Tissue Substitute
C Extraluminal Device
D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
1 Trachea 0 Open 0 Drainage Device Z No Qualifier
Cricoid cartilage 3 Percutaneous 2 Monitoring Device
4 Percutaneous Endoscopic 7 Autologous Tissue Substitute
7 Via Natural or Artificial Opening C Extraluminal Device
8 Via Natural or Artificial Opening D Intraluminal Device
Endoscopic F Tracheostomy Device
X External J Synthetic Substitute
K Nonautologous Tissue Substitute
K Lung, Right 0 Open 0 Drainage Device Z No Qualifier
L Lung, Left 3 Percutaneous 2 Monitoring Device
4 Percutaneous Endoscopic 3 Infusion Device
7 Via Natural or Artificial Opening Y Other Device
8 Via Natural or Artificial Opening
Endoscopic
K Lung, Right X External 0 Drainage Device Z No Qualifier
L Lung, Left 2 Monitoring Device
3 Infusion Device
Q Pleura 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous 2 Monitoring Device
4 Percutaneous Endoscopic Y Other Device
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
Q Pleura X External 0 Drainage Device Z No Qualifier
2 Monitoring Device
T Diaphragm 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous 2 Monitoring Device
4 Percutaneous Endoscopic 7 Autologous Tissue Substitute
7 Via Natural or Artificial Opening J Synthetic Substitute
8 Via Natural or Artificial Opening K Nonautologous Tissue Substitute
Endoscopic M Diaphragmatic Pacemaker Lead
Y Other Device
T Diaphragm X External 0 Drainage Device Z No Qualifier
2 Monitoring Device
7 Autologous Tissue Substitute
J Synthetic Substitute
K Nonautologous Tissue Substitute
M Diaphragmatic Pacemaker Lead
Non-OR 0BW0[3,4]YZ
Non-OR 0BW0[7,8][2,3,D,Y]Z
Non-OR 0BW0X[0,2,3,7,C,D,J,K]Z
Non-OR 0BW1X[0,2,7,C,D,F,J,K]Z
Non-OR 0BW[K,L]3YZ
Non-OR 0BW[K,L]7[0,2,3,Y]Z
Non-OR 0BW[K,L]8[0,2,3]Z
Non-OR 0BW[K,L]X[0,2,3]Z
0BW–0BW

Non-OR 0BWQ[0,3,4,7,8][0,2]Z
Non-OR 0BWQ[0,3,7]YZ
Non-OR 0BWQX[0,2]Z
Non-OR 0BWT[3,7,8]YZ
Non-OR 0BWTX[0,2,7,J,K,M]Z

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 339
 0BY–0BY Respiratory System ICD-10-PCS 2019
Respiratory System

0 Medical and Surgical

B Respiratory System 0BY
Y Transplantation Definition: Putting in or on all or a portion of a living body part taken from another individual or animal to physically take the place and/or
function of all or a portion of a similar body part
Explanation: The native body part may or may not be taken out, and the transplanted body part may take over all or a portion of its function
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
C Upper Lung Lobe, Right 3 0 Open Z No Device 0 Allogeneic
D Middle Lung Lobe, Right 3 1 Syngeneic
F Lower Lung Lobe, Right 3 2 Zooplastic
G Upper Lung Lobe, Left 3
H Lung Lingula 3
J Lower Lung Lobe, Left 3
K Lung, Right 3
L Lung, Left 3
M Lungs, Bilateral 3
3 0BY[C,D,F,G,H,J,K,L,M]0Z[0,1,2]
0BY–0BY

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
340 ICD-10-PCS 2019
ICD-10-PCS 2019 Mouth and Throat

Mouth and Throat

Mouth and Throat 0C0–0CX
Character Meanings
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.

Operation–Character 3 Body Part–Character 4 Approach–Character 5 Device–Character 6 Qualifier–Character 7

0 Alteration 0 Upper Lip 0 Open 0 Drainage Device 0 Single
2 Change 1 Lower Lip 3 Percutaneous 1 Radioactive Element 1 Multiple
5 Destruction 2 Hard Palate 4 Percutaneous Endoscopic 5 External Fixation Device 2 All
7 Dilation 3 Soft Palate 7 Via Natural or Artificial 7 Autologous Tissue X Diagnostic
Opening Substitute
9 Drainage 4 Buccal Mucosa 8 Via Natural or Artificial B Intraluminal Device, Airway Z No Qualifier
Opening Endoscopic
B Excision 5 Upper Gingiva X External C Extraluminal Device
C Extirpation 6 Lower Gingiva D Intraluminal Device
D Extraction 7 Tongue J Synthetic Substitute
F Fragmentation 8 Parotid Gland, Right K Nonautologous Tissue
Substitute
H Insertion 9 Parotid Gland, Left Y Other Device
J Inspection A Salivary Gland Z No Device
L Occlusion B Parotid Duct, Right
M Reattachment C Parotid Duct, Left
N Release D Sublingual Gland, Right
P Removal F Sublingual Gland, Left
Q Repair G Submaxillary Gland, Right
R Replacement H Submaxillary Gland, Left
S Reposition J Minor Salivary Gland
T Resection M Pharynx
U Supplement N Uvula
V Restriction P Tonsils
W Revision Q Adenoids
X Transfer R Epiglottis
S Larynx
T Vocal Cord, Right
V Vocal Cord, Left
W Upper Tooth
X Lower Tooth
Y Mouth and Throat

AHA Coding Clinic for table 0C9 AHA Coding Clinic for table 0CS
2017, 2Q, 16 Incision and drainage of floor of mouth 2016, 3Q, 28 Lingual tonsillectomy, tongue base excision and epiglottopexy
AHA Coding Clinic for table 0CB AHA Coding Clinic for table 0CT
2017, 2Q, 16 Excision of floor of mouth 2016, 2Q, 12 Resection of malignant neoplasm of infratemporal fossa
2016, 3Q, 28 Lingual tonsillectomy, tongue base excision and epiglottopexy 2014, 3Q, 21 Superficial parotidectomy
2016, 2Q, 19 Biopsy of the base of tongue 2014, 3Q, 23 Le Fort I osteotomy
2014, 3Q, 21 Superficial parotidectomy
AHA Coding Clinic for table 0CC
2016, 2Q, 20 Sialendoscopy with stone removal
AHA Coding Clinic for table 0CQ
2017, 1Q, 20 Preparatory nasal adhesion repair before definitive cleft palate repair
AHA Coding Clinic for table 0CR
2014, 3Q, 25 Excision of soft palate with placement of surgical obturator
2014, 2Q, 5 Oasis acellular matrix graft
2014, 2Q, 6 Composite grafting (synthetic versus nonautologous tissue substitute)

ICD-10-PCS 2019 341

 Mouth and Throat ICD-10-PCS 2019
Mouth and Throat

Salivary Glands

Parotid gland 8,9

Parotid duct B,C

Sublingual
gland D, F

Submandibular
(submaxillary) gland G, H

Oral Anatomy

Nasal
cavity

Soft
palate 3
Hard palate 2
Tongue 7 Pharynx M
Epiglottis R
Nasopharynx
region M
Larynx S
Oropharynx
region M
Hypopharynx
region M
Vocal cords
T,V

Mouth Frontal View (Upper) Mouth Frontal View (Lower)

Labial frenulum 0 Mucosa 4

Vestibule 0
Upper
gingiva 5 Tongue 7
Upper
lip 0
Hard
palate 2 Lower
Soft gingiva 6
palate 3 Lower lip 1
Uvula N
Mucosa 4 Vestibule 1
Frenulum 1

342 ICD-10-PCS 2019

ICD-10-PCS 2019 Mouth and Throat 0C0–0C2

Mouth and Throat

0 Medical and Surgical
C Mouth and Throat 0C0
0 Alteration Definition: Modifying the anatomic structure of a body part without affecting the function of the body part
Explanation: Principal purpose is to improve appearance
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Upper Lip X External 7 Autologous Tissue Substitute Z No Qualifier
Frenulum labii superioris J Synthetic Substitute
Labial gland K Nonautologous Tissue Substitute
Vermilion border Z No Device
1 Lower Lip
Frenulum labii inferioris
Labial gland
Vermilion border

0 Medical and Surgical

C Mouth and Throat 0C2
2 Change Definition: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without
cutting or puncturing the skin or a mucous membrane
Explanation: All CHANGE procedures are coded using the approach EXTERNAL
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
A Salivary Gland X External 0 Drainage Device Z No Qualifier
S Larynx Y Other Device
Aryepiglottic fold
Arytenoid cartilage
Corniculate cartilage
Cuneiform cartilage
False vocal cord
Glottis
Rima glottidis
Thyroid cartilage
Ventricular fold
Y Mouth and Throat
Non-OR All body part, approach, device, and qualifier values

0C0–0C2

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 343
 0C5–0C7 Mouth and Throat ICD-10-PCS 2019
Mouth and Throat

0 Medical and Surgical

C Mouth and Throat 0C5
5 Destruction Definition: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent
Explanation: None of the body part is physically taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Upper Lip 5 Upper Gingiva 0 Open Z No Device Z No Qualifier
Frenulum labii superioris 6 Lower Gingiva 3 Percutaneous
Labial gland 7 Tongue X External
Vermilion border Frenulum linguae
1 Lower Lip N Uvula
Frenulum labii inferioris Palatine uvula
Labial gland P Tonsils
Vermilion border Palatine tonsil
2 Hard Palate Q Adenoids
3 Soft Palate Pharyngeal tonsil
4 Buccal Mucosa
Buccal gland
Molar gland
Palatine gland
8 Parotid Gland, Right F Sublingual Gland, Left 0 Open Z No Device Z No Qualifier
9 Parotid Gland, Left G Submaxillary Gland, Right 3 Percutaneous
B Parotid Duct, Right Submandibular gland
Stensen's duct H Submaxillary Gland, Left
C Parotid Duct, Left See G Submaxillary Gland, Right
See B Parotid Duct, Right J Minor Salivary Gland
D Sublingual Gland, Right Anterior lingual gland
M Pharynx S Larynx 0 Open Z No Device Z No Qualifier
Base of tongue Aryepiglottic fold 3 Percutaneous
Hypopharynx Arytenoid cartilage 4 Percutaneous Endoscopic
Laryngopharynx Corniculate cartilage 7 Via Natural or Artificial
Lingual tonsil Cuneiform cartilage Opening
Oropharynx False vocal cord
8 Via Natural or Artificial
Piriform recess (sinus) Glottis
Opening Endoscopic
Tongue, base of Rima glottidis
R Epiglottis Thyroid cartilage
Glossoepiglottic fold Ventricular fold
T Vocal Cord, Right
Vocal fold
V Vocal Cord, Left
See T Vocal Cord, Right
W Upper Tooth 0 Open Z No Device 0 Single
X Lower Tooth X External 1 Multiple
2 All
Non-OR 0C5[5,6][0,3,X]ZZ
Non-OR 0C5[W,X][0,X]Z[0,1,2]

0 Medical and Surgical

C Mouth and Throat 0C7
7 Dilation Definition: Expanding an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice. Accomplished by stretching a tubular body part using
intraluminal pressure or by cutting part of the orifice or wall of the tubular body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
B Parotid Duct, Right 0 Open D Intraluminal Device Z No Qualifier
Stensen's duct 3 Percutaneous Z No Device
C Parotid Duct, Left 7 Via Natural or Artificial
See B Parotid Duct, Right Opening
M Pharynx 7 Via Natural or Artificial D Intraluminal Device Z No Qualifier
Base of tongue Opening Z No Device
Hypopharynx 8 Via Natural or Artificial
Laryngopharynx Opening Endoscopic
Lingual tonsil
Oropharynx
Piriform recess (sinus)
Tongue, base of
S Larynx 0 Open D Intraluminal Device Z No Qualifier
Aryepiglottic fold 3 Percutaneous Z No Device
Arytenoid cartilage 4 Percutaneous Endoscopic
Corniculate cartilage 7 Via Natural or Artificial
Cuneiform cartilage Opening
False vocal cord
8 Via Natural or Artificial
Glottis
Opening Endoscopic
Rima glottidis
0C5–0C7

Thyroid cartilage
Ventricular fold
Non-OR 0C7[B,C][0,3,7][D,Z]Z
Non-OR 0C7M[7,8][D,Z]Z

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
344 ICD-10-PCS 2019
ICD-10-PCS 2019 Mouth and Throat 0C9–0C9

Mouth and Throat

0 Medical and Surgical
C Mouth and Throat 0C9
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Upper Lip 5 Upper Gingiva 0 Open 0 Drainage Device Z No Qualifier
Frenulum labii superioris 6 Lower Gingiva 3 Percutaneous
Labial gland 7 Tongue X External
Vermilion border Frenulum linguae
1 Lower Lip N Uvula
Frenulum labii inferioris Palatine uvula
Labial gland P Tonsils
Vermilion border Palatine tonsil
2 Hard Palate Q Adenoids
3 Soft Palate Pharyngeal tonsil
4 Buccal Mucosa
Buccal gland
Molar gland
Palatine gland
0 Upper Lip 5 Upper Gingiva 0 Open Z No Device X Diagnostic
Frenulum labii superioris 6 Lower Gingiva 3 Percutaneous Z No Qualifier
Labial gland 7 Tongue X External
Vermilion border Frenulum linguae
1 Lower Lip N Uvula
Frenulum labii inferioris Palatine uvula
Labial gland P Tonsils
Vermilion border Palatine tonsil
2 Hard Palate Q Adenoids
3 Soft Palate Pharyngeal tonsil
4 Buccal Mucosa
Buccal gland
Molar gland
Palatine gland
8 Parotid Gland, Right F Sublingual Gland, Left 0 Open 0 Drainage Device Z No Qualifier
9 Parotid Gland, Left G Submaxillary Gland, Right 3 Percutaneous
B Parotid Duct, Right Submandibular gland
Stensen's duct H Submaxillary Gland, Left
C Parotid Duct, Left See G Submaxillary Gland, Right
See B Parotid Duct, Right J Minor Salivary Gland
D Sublingual Gland, Right Anterior lingual gland
8 Parotid Gland, Right D Sublingual Gland, Right 0 Open Z No Device X Diagnostic
9 Parotid Gland, Left F Sublingual Gland, Left 3 Percutaneous Z No Qualifier
B Parotid Duct, Right G Submaxillary Gland, Right
Stensen's duct Submandibular gland
C Parotid Duct, Left H Submaxillary Gland, Left
See B Parotid Duct, Right See G Submaxillary Gland, Right
J Minor Salivary Gland
Anterior lingual gland
M Pharynx S Larynx 0 Open 0 Drainage Device Z No Qualifier
Base of tongue Aryepiglottic fold 3 Percutaneous
Hypopharynx Arytenoid cartilage 4 Percutaneous Endoscopic
Laryngopharynx Corniculate cartilage 7 Via Natural or Artificial
Lingual tonsil Cuneiform cartilage Opening
Oropharynx False vocal cord
8 Via Natural or Artificial
Piriform recess (sinus) Glottis
Opening Endoscopic
Tongue, base of Rima glottidis
R Epiglottis Thyroid cartilage
Glossoepiglottic fold Ventricular fold
T Vocal Cord, Right
Vocal fold
V Vocal Cord, Left
See T Vocal Cord, Right
0C9 Continued on next page
Non-OR 0C9[0,1,2,3,4,7,N,P,Q]30Z
Non-OR 0C9[5,6][0,3,X]0Z
Non-OR 0C9[0,1,4][0,3,X]ZX
Non-OR 0C9[0,1,2,3,4,7,N,P,Q]3ZZ
Non-OR 0C9[5,6][0,3,X]Z[X,Z]
Non-OR 0C97[3,X]ZX
Non-OR 0C9[8,9,B,C,D,F,G,H,J][0,3]0Z
Non-OR 0C9[8,9,B,C,D,F,G,H,J]3ZX
Non-OR 0C9[8,9,B,C,D,F,G,H,J][0,3]ZZ
Non-OR 0C9[M,R,S,T,V]30Z
0C9–0C9

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 345
 0C9–0CB Mouth and Throat ICD-10-PCS 2019
Mouth and Throat

0 Medical and Surgical 0C9 Continued

C Mouth and Throat 0C9
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
M Pharynx S Larynx 0 Open Z No Device X Diagnostic
Base of tongue Aryepiglottic fold 3 Percutaneous Z No Qualifier
Hypopharynx Arytenoid cartilage 4 Percutaneous Endoscopic
Laryngopharynx Corniculate cartilage 7 Via Natural or Artificial
Lingual tonsil Cuneiform cartilage Opening
Oropharynx False vocal cord
8 Via Natural or Artificial
Piriform recess (sinus) Glottis
Opening Endoscopic
Tongue, base of Rima glottidis
R Epiglottis Thyroid cartilage
Glossoepiglottic fold Ventricular fold
T Vocal Cord, Right
Vocal fold
V Vocal Cord, Left
See T Vocal Cord, Right
W Upper Tooth 0 Open 0 Drainage Device 0 Single
X Lower Tooth X External Z No Device 1 Multiple
2 All
Non-OR 0C9M[0,3,4,7,8]ZX
Non-OR 0C9[M,R,S,T,V]3ZZ
Non-OR 0C9[R,S,T,V][3,4,7,8]ZX
Non-OR 0C9[W,X][0,X][0,Z][0,1,2]

0 Medical and Surgical

C Mouth and Throat 0CB
B Excision Definition: Cutting out or off, without replacement, a portion of a body part
Explanation: The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Upper Lip 5 Upper Gingiva 0 Open Z No Device X Diagnostic
Frenulum labii superioris 6 Lower Gingiva 3 Percutaneous Z No Qualifier
Labial gland 7 Tongue X External
Vermilion border Frenulum linguae
1 Lower Lip N Uvula
Frenulum labii inferioris Palatine uvula
Labial gland P Tonsils
Vermilion border Palatine tonsil
2 Hard Palate Q Adenoids
3 Soft Palate Pharyngeal tonsil
4 Buccal Mucosa
Buccal gland
Molar gland
Palatine gland
8 Parotid Gland, Right F Sublingual Gland, Left 0 Open Z No Device X Diagnostic
9 Parotid Gland, Left G Submaxillary Gland, Right 3 Percutaneous Z No Qualifier
B Parotid Duct, Right Submandibular gland
Stensen's duct H Submaxillary Gland, Left
C Parotid Duct, Left See G Submaxillary Gland, Right
See B Parotid Duct, Right J Minor Salivary Gland
D Sublingual Gland, Right Anterior lingual gland
M Pharynx S Larynx 0 Open Z No Device X Diagnostic
Base of tongue Aryepiglottic fold 3 Percutaneous Z No Qualifier
Hypopharynx Arytenoid cartilage 4 Percutaneous Endoscopic
Laryngopharynx Corniculate cartilage 7 Via Natural or Artificial
Lingual tonsil Cuneiform cartilage Opening
Oropharynx False vocal cord
8 Via Natural or Artificial
Piriform recess (sinus) Glottis
Opening Endoscopic
Tongue, base of Rima glottidis
R Epiglottis Thyroid cartilage
Glossoepiglottic fold Ventricular fold
T Vocal Cord, Right
Vocal fold
V Vocal Cord, Left
See T Vocal Cord, Right
W Upper Tooth 0 Open Z No Device 0 Single
X Lower Tooth X External 1 Multiple
2 All
Non-OR 0CB[0,1,4][0,3,X]ZX Non-OR 0CBM[0,3,4,7,8]ZX
0C9–0CB

Non-OR 0CB[5,6][0,3,X]Z[X,Z] Non-OR 0CB[R,S,T,V][3,4,7,8]ZX

Non-OR 0CB7[3,X]ZX Non-OR 0CB[W,X][0,X]Z[0,1,2]
Non-OR 0CB[8,9,B,C,D,F,G,H,J]3ZX

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
346 ICD-10-PCS 2019
ICD-10-PCS 2019 Mouth and Throat 0CC–0CD

Mouth and Throat

0 Medical and Surgical
C Mouth and Throat 0CC
C Extirpation Definition: Taking or cutting out solid matter from a body part
Explanation: The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in
the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Upper Lip 5 Upper Gingiva 0 Open Z No Device Z No Qualifier
Frenulum labii superioris 6 Lower Gingiva 3 Percutaneous
Labial gland 7 Tongue X External
Vermilion border Frenulum linguae
1 Lower Lip N Uvula
Frenulum labii inferioris Palatine uvula
Labial gland P Tonsils
Vermilion border Palatine tonsil
2 Hard Palate Q Adenoids
3 Soft Palate Pharyngeal tonsil
4 Buccal Mucosa
Buccal gland
Molar gland
Palatine gland
8 Parotid Gland, Right F Sublingual Gland, Left 0 Open Z No Device Z No Qualifier
9 Parotid Gland, Left G Submaxillary Gland, Right 3 Percutaneous
B Parotid Duct, Right Submandibular gland
Stensen's duct H Submaxillary Gland, Left
C Parotid Duct, Left See G Submaxillary Gland, Right
See B Parotid Duct, Right J Minor Salivary Gland
D Sublingual Gland, Right Anterior lingual gland
M Pharynx S Larynx 0 Open Z No Device Z No Qualifier
Base of tongue Aryepiglottic fold 3 Percutaneous
Hypopharynx Arytenoid cartilage 4 Percutaneous Endoscopic
Laryngopharynx Corniculate cartilage 7 Via Natural or Artificial
Lingual tonsil Cuneiform cartilage Opening
Oropharynx False vocal cord
8 Via Natural or Artificial
Piriform recess (sinus) Glottis
Opening Endoscopic
Tongue, base of Rima glottidis
R Epiglottis Thyroid cartilage
Glossoepiglottic fold Ventricular fold
T Vocal Cord, Right
Vocal fold
V Vocal Cord, Left
See T Vocal Cord, Right
W Upper Tooth 0 Open Z No Device 0 Single
X Lower Tooth X External 1 Multiple
2 All
Non-OR 0CC[0,1,2,3,4,7,N,P,Q]XZZ
Non-OR 0CC[5,6][0,3,X]ZZ
Non-OR 0CC[8,9,B,C,D,F,G,H,J][0,3]ZZ
Non-OR 0CC[M,S][7,8]ZZ
Non-OR 0CC[W,X][0,X]Z[0,1,2]

0 Medical and Surgical

C Mouth and Throat 0CD
D Extraction Definition: Pulling or stripping out or off all or a portion of a body part by the use of force
Explanation: The qualifier DIAGNOSTIC is used to identify extraction procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
T Vocal Cord, Right 0 Open Z No Device Z No Qualifier
Vocal fold 3 Percutaneous
V Vocal Cord, Left 4 Percutaneous Endoscopic
See T Vocal Cord, Right 7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
W Upper Tooth X External Z No Device 0 Single
X Lower Tooth 1 Multiple
2 All
Non-OR 0CD[W,X]XZ[0,1,2]
0CC–0CD

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 347
 0CF–0CJ Mouth and Throat ICD-10-PCS 2019
Mouth and Throat

0 Medical and Surgical

C Mouth and Throat 0CF
F Fragmentation Definition: Breaking solid matter in a body part into pieces
Explanation: Physical force (e.g., manual, ultrasonic) applied directly or indirectly is used to break the solid matter into pieces. The solid matter
may be an abnormal byproduct of a biological function or a foreign body. The pieces of solid matter are not taken out.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
B Parotid Duct, Right 4 0 Open Z No Device Z No Qualifier
Stensen's duct 3 Percutaneous
C Parotid Duct, Left 4 7 Via Natural or Artificial Opening
See B Parotid Duct, Right X External
Non-OR All body part, approach, device, and qualifier values
4 0CF[B,C]XZZ

0 Medical and Surgical

C Mouth and Throat 0CH
H Insertion Definition: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically
take the place of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
7 Tongue 0 Open 1 Radioactive Element Z No Qualifier
Frenulum linguae 3 Percutaneous
X External
A Salivary Gland 0 Open Y Other Device Z No Qualifier
S Larynx 3 Percutaneous
Aryepiglottic fold 7 Via Natural or Artificial Opening
Arytenoid cartilage 8 Via Natural or Artificial Opening
Corniculate cartilage Endoscopic
Cuneiform cartilage
False vocal cord
Glottis
Rima glottidis
Thyroid cartilage
Ventricular fold
Y Mouth and Throat 0 Open Y Other Device Z No Qualifier
3 Percutaneous
Y Mouth and Throat 7 Via Natural or Artificial Opening B Intraluminal Device, Airway Z No Qualifier
8 Via Natural or Artificial Opening Y Other Device
Endoscopic
Non-OR 0CH[A,S][3,7,8]YZ
Non-OR 0CHS0YZ
Non-OR 0CHY[0,3]YZ
Non-OR 0CHY[7,8][B,Y]Z

0 Medical and Surgical

C Mouth and Throat 0CJ
J Inspection Definition: Visually and/or manually exploring a body part
Explanation: Visual exploration may be performed with or without optical instrumentation. Manual exploration may be performed directly or
through intervening body layers.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
A Salivary Gland 0 Open Z No Device Z No Qualifier
3 Percutaneous
X External
S Larynx 0 Open Z No Device Z No Qualifier
Aryepiglottic fold 3 Percutaneous
Arytenoid cartilage 4 Percutaneous Endoscopic
Corniculate cartilage 7 Via Natural or Artificial Opening
Cuneiform cartilage
8 Via Natural or Artificial Opening
False vocal cord
Endoscopic
Glottis
Rima glottidis X External
Thyroid cartilage
Ventricular fold
Y Mouth and Throat
Non-OR All body part, approach, device, and qualifier values
0CF–0CJ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
348 ICD-10-PCS 2019
ICD-10-PCS 2019 Mouth and Throat 0CL–0CM

Mouth and Throat

0 Medical and Surgical
C Mouth and Throat 0CL
L Occlusion Definition: Completely closing an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
B Parotid Duct, Right 0 Open C Extraluminal Device Z No Qualifier
Stensen's duct 3 Percutaneous D Intraluminal Device
C Parotid Duct, Left 4 Percutaneous Endoscopic Z No Device
See B Parotid Duct, Right
B Parotid Duct, Right 7 Via Natural or Artificial Opening D Intraluminal Device Z No Qualifier
Stensen's duct 8 Via Natural or Artificial Opening Z No Device
C Parotid Duct, Left Endoscopic
See B Parotid Duct, Right

0 Medical and Surgical

C Mouth and Throat 0CM
M Reattachment Definition: Putting back in or on all or a portion of a separated body part to its normal location or other suitable location
Explanation: Vascular circulation and nervous pathways may or may not be reestablished
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Upper Lip 0 Open Z No Device Z No Qualifier
Frenulum labii superioris
Labial gland
Vermilion border
1 Lower Lip
Frenulum labii inferioris
Labial gland
Vermilion border
3 Soft Palate
7 Tongue
Frenulum linguae
N Uvula
Palatine uvula
W Upper Tooth 0 Open Z No Device 0 Single
X Lower Tooth X External 1 Multiple
2 All
Non-OR 0CM[W,X][0,X]Z[0,1,2]

0CL–0CM

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 349
 0CN–0CN Mouth and Throat ICD-10-PCS 2019
Mouth and Throat

0 Medical and Surgical

C Mouth and Throat 0CN
N Release Definition: Freeing a body part from an abnormal physical constraint by cutting or by the use of force
Explanation: Some of the restraining tissue may be taken out but none of the body part is taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Upper Lip 0 Open Z No Device Z No Qualifier
Frenulum labii superioris 3 Percutaneous
Labial gland X External
Vermilion border
1 Lower Lip
Frenulum labii inferioris
Labial gland
Vermilion border
2 Hard Palate
3 Soft Palate
4 Buccal Mucosa
Buccal gland
Molar gland
Palatine gland
5 Upper Gingiva
6 Lower Gingiva
7 Tongue
Frenulum linguae
N Uvula
Palatine uvula
P Tonsils
Palatine tonsil
Q Adenoids
Pharyngeal tonsil
8 Parotid Gland, Right 0 Open Z No Device Z No Qualifier
9 Parotid Gland, Left 3 Percutaneous
B Parotid Duct, Right
Stensen's duct
C Parotid Duct, Left
See B Parotid Duct, Right
D Sublingual Gland, Right
F Sublingual Gland, Left
G Submaxillary Gland, Right
Submandibular gland
H Submaxillary Gland, Left
See G Submaxillary Gland, Right
J Minor Salivary Gland
Anterior lingual gland
M Pharynx 0 Open Z No Device Z No Qualifier
Base of tongue 3 Percutaneous
Hypopharynx 4 Percutaneous Endoscopic
Laryngopharynx 7 Via Natural or Artificial Opening
Lingual tonsil
8 Via Natural or Artificial Opening
Oropharynx
Endoscopic
Piriform recess (sinus)
Tongue, base of
R Epiglottis
Glossoepiglottic fold
S Larynx
Aryepiglottic fold
Arytenoid cartilage
Corniculate cartilage
Cuneiform cartilage
False vocal cord
Glottis
Rima glottidis
Thyroid cartilage
Ventricular fold
T Vocal Cord, Right
Vocal fold
V Vocal Cord, Left
See T Vocal Cord, Right
W Upper Tooth 0 Open Z No Device 0 Single
X Lower Tooth X External 1 Multiple
2 All
Non-OR 0CN[0,1,5,6,7][0,3,X]ZZ
Non-OR 0CN[W,X][0,X]Z[0,1,2]
0CN–0CN

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
350 ICD-10-PCS 2019
ICD-10-PCS 2019 Mouth and Throat 0CP–0CP

Mouth and Throat

0 Medical and Surgical
C Mouth and Throat 0CP
P Removal Definition: Taking out or off a device from a body part
Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is
coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
A Salivary Gland 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous C Extraluminal Device
Y Other Device
A Salivary Gland 7 Via Natural or Artificial Opening Y Other Device Z No Qualifier
8 Via Natural or Artificial Opening
Endoscopic
S Larynx 0 Open 0 Drainage Device Z No Qualifier
Aryepiglottic fold 3 Percutaneous 7 Autologous Tissue Substitute
Arytenoid cartilage 7 Via Natural or Artificial Opening D Intraluminal Device
Corniculate cartilage 8 Via Natural or Artificial Opening J Synthetic Substitute
Cuneiform cartilage Endoscopic K Nonautologous Tissue Substitute
False vocal cord
Glottis Y Other Device
Rima glottidis
Thyroid cartilage
Ventricular fold
S Larynx X External 0 Drainage Device Z No Qualifier
Aryepiglottic fold 7 Autologous Tissue Substitute
Arytenoid cartilage D Intraluminal Device
Corniculate cartilage J Synthetic Substitute
Cuneiform cartilage
K Nonautologous Tissue Substitute
False vocal cord
Glottis
Rima glottidis
Thyroid cartilage
Ventricular fold
Y Mouth and Throat 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous 1 Radioactive Element
7 Via Natural or Artificial Opening 7 Autologous Tissue Substitute
8 Via Natural or Artificial Opening D Intraluminal Device
Endoscopic J Synthetic Substitute
K Nonautologous Tissue Substitute
Y Other Device
Y Mouth and Throat X External 0 Drainage Device Z No Qualifier
1 Radioactive Element
7 Autologous Tissue Substitute
D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
Non-OR 0CPA[0,3][0,C,Y]Z
Non-OR 0CPA[7,8]YZ
Non-OR 0CPS3YZ
Non-OR 0CPS[7,8][0,D,Y]Z
Non-OR 0CPSX[0,7,D,J,K]Z
Non-OR 0CPY3YZ
Non-OR 0CPY[7,8][0,D,Y]Z
Non-OR 0CPYX[0,1,7,D,J,K]Z
0CP–0CP

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 351
 0CQ–0CQ Mouth and Throat ICD-10-PCS 2019
Mouth and Throat

0 Medical and Surgical

C Mouth and Throat 0CQ
Q Repair Definition: Restoring, to the extent possible, a body part to its normal anatomic structure and function
Explanation: Used only when the method to accomplish the repair is not one of the other root operations
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Upper Lip 0 Open Z No Device Z No Qualifier
Frenulum labii superioris 3 Percutaneous
Labial gland X External
Vermilion border
1 Lower Lip
Frenulum labii inferioris
Labial gland
Vermilion border
2 Hard Palate
3 Soft Palate
4 Buccal Mucosa
Buccal gland
Molar gland
Palatine gland
5 Upper Gingiva
6 Lower Gingiva
7 Tongue
Frenulum linguae
N Uvula
Palatine uvula
P Tonsils
Palatine tonsil
Q Adenoids
Pharyngeal tonsil
8 Parotid Gland, Right 0 Open Z No Device Z No Qualifier
9 Parotid Gland, Left 3 Percutaneous
B Parotid Duct, Right
Stensen's duct
C Parotid Duct, Left
See B Parotid Duct, Right
D Sublingual Gland, Right
F Sublingual Gland, Left
G Submaxillary Gland, Right
Submandibular gland
H Submaxillary Gland, Left
See G Submaxillary Gland, Right
J Minor Salivary Gland
Anterior lingual gland
M Pharynx 0 Open Z No Device Z No Qualifier
Base of tongue 3 Percutaneous
Hypopharynx 4 Percutaneous Endoscopic
Laryngopharynx 7 Via Natural or Artificial Opening
Lingual tonsil
8 Via Natural or Artificial Opening
Oropharynx
Endoscopic
Piriform recess (sinus)
Tongue, base of
R Epiglottis
Glossoepiglottic fold
S Larynx
Aryepiglottic fold
Arytenoid cartilage
Corniculate cartilage
Cuneiform cartilage
False vocal cord
Glottis
Rima glottidis
Thyroid cartilage
Ventricular fold
T Vocal Cord, Right
Vocal fold
V Vocal Cord, Left
See T Vocal Cord, Right
W Upper Tooth 0 Open Z No Device 0 Single
X Lower Tooth X External 1 Multiple
2 All
Non-OR 0CQ[0,1,4,7]XZZ
Non-OR 0CQ[5,6][0,3,X]ZZ
Non-OR 0CQ[W,X][0,X]Z[0,1,2]
0CQ–0CQ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
352 ICD-10-PCS 2019
ICD-10-PCS 2019 Mouth and Throat 0CR–0CR

Mouth and Throat

0 Medical and Surgical
C Mouth and Throat 0CR
R Replacement Definition: Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part
Explanation: The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during
the REPLACEMENT procedure. A REMOVAL procedure is coded for taking out the device used in a previous replacement procedure.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Upper Lip 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Frenulum labii superioris 3 Percutaneous J Synthetic Substitute
Labial gland X External K Nonautologous Tissue Substitute
Vermilion border
1 Lower Lip
Frenulum labii inferioris
Labial gland
Vermilion border
2 Hard Palate
3 Soft Palate
4 Buccal Mucosa
Buccal gland
Molar gland
Palatine gland
5 Upper Gingiva
6 Lower Gingiva
7 Tongue
Frenulum linguae
N Uvula
Palatine uvula
B Parotid Duct, Right 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Stensen's duct 3 Percutaneous J Synthetic Substitute
C Parotid Duct, Left K Nonautologous Tissue Substitute
See B Parotid Duct, Right
M Pharynx 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Base of tongue 7 Via Natural or Artificial Opening J Synthetic Substitute
Hypopharynx 8 Via Natural or Artificial Opening K Nonautologous Tissue Substitute
Laryngopharynx Endoscopic
Lingual tonsil
Oropharynx
Piriform recess (sinus)
Tongue, base of
R Epiglottis
Glossoepiglottic fold
S Larynx
Aryepiglottic fold
Arytenoid cartilage
Corniculate cartilage
Cuneiform cartilage
False vocal cord
Glottis
Rima glottidis
Thyroid cartilage
Ventricular fold
T Vocal Cord, Right
Vocal fold
V Vocal Cord, Left
See T Vocal Cord, Right
W Upper Tooth 0 Open 7 Autologous Tissue Substitute 0 Single
X Lower Tooth X External J Synthetic Substitute 1 Multiple
K Nonautologous Tissue Substitute 2 All
Non-OR 0CR[W,X][0,X][7,J,K][0,1,2]
0CR–0CR

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 353
 0CS–0CS Mouth and Throat ICD-10-PCS 2019
Mouth and Throat

0 Medical and Surgical

C Mouth and Throat 0CS
S Reposition Definition: Moving to its normal location, or other suitable location, all or a portion of a body part
Explanation: The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning
correctly. The body part may or may not be cut out or off to be moved to the new location.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Upper Lip 0 Open Z No Device Z No Qualifier
Frenulum labii superioris X External
Labial gland
Vermilion border
1 Lower Lip
Frenulum labii inferioris
Labial gland
Vermilion border
2 Hard Palate
3 Soft Palate
7 Tongue
Frenulum linguae
N Uvula
Palatine uvula
B Parotid Duct, Right 0 Open Z No Device Z No Qualifier
Stensen's duct 3 Percutaneous
C Parotid Duct, Left
See B Parotid Duct, Right
R Epiglottis 0 Open Z No Device Z No Qualifier
Glossoepiglottic fold 7 Via Natural or Artificial Opening
T Vocal Cord, Right 8 Via Natural or Artificial Opening
Vocal fold Endoscopic
V Vocal Cord, Left
See T Vocal Cord, Right
W Upper Tooth 0 Open 5 External Fixation Device 0 Single
X Lower Tooth X External Z No Device 1 Multiple
2 All
Non-OR 0CS[W,X][0,X][5,Z][0,1,2]
0CS–0CS

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
354 ICD-10-PCS 2019
ICD-10-PCS 2019 Mouth and Throat 0CT–0CT

Mouth and Throat

0 Medical and Surgical
C Mouth and Throat 0CT
T Resection Definition: Cutting out or off, without replacement, all of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Upper Lip 0 Open Z No Device Z No Qualifier
Frenulum labii superioris X External
Labial gland
Vermilion border
1 Lower Lip
Frenulum labii inferioris
Labial gland
Vermilion border
2 Hard Palate
3 Soft Palate
7 Tongue
Frenulum linguae
N Uvula
Palatine uvula
P Tonsils
Palatine tonsil
Q Adenoids
Pharyngeal tonsil
8 Parotid Gland, Right 0 Open Z No Device Z No Qualifier
9 Parotid Gland, Left
B Parotid Duct, Right
Stensen's duct
C Parotid Duct, Left
See B Parotid Duct, Right
D Sublingual Gland, Right
F Sublingual Gland, Left
G Submaxillary Gland, Right
Submandibular gland
H Submaxillary Gland, Left
See G Submaxillary Gland, Right
J Minor Salivary Gland
Anterior lingual gland
M Pharynx 0 Open Z No Device Z No Qualifier
Base of tongue 4 Percutaneous Endoscopic
Hypopharynx 7 Via Natural or Artificial Opening
Laryngopharynx 8 Via Natural or Artificial Opening
Lingual tonsil Endoscopic
Oropharynx
Piriform recess (sinus)
Tongue, base of
R Epiglottis
Glossoepiglottic fold
S Larynx
Aryepiglottic fold
Arytenoid cartilage
Corniculate cartilage
Cuneiform cartilage
False vocal cord
Glottis
Rima glottidis
Thyroid cartilage
Ventricular fold
T Vocal Cord, Right
Vocal fold
V Vocal Cord, Left
See T Vocal Cord, Right
W Upper Tooth 0 Open Z No Device 0 Single
X Lower Tooth 1 Multiple
2 All
Non-OR 0CT[W,X]0Z[0,1,2]
0CT–0CT

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 355
 0CU–0CV Mouth and Throat ICD-10-PCS 2019
Mouth and Throat

0 Medical and Surgical

C Mouth and Throat 0CU
U Supplement Definition: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part
Explanation: The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced,
and the SUPPLEMENT procedure is performed to physically reinforce and/or augment the function of the replaced body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Upper Lip 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Frenulum labii superioris 3 Percutaneous J Synthetic Substitute
Labial gland X External K Nonautologous Tissue Substitute
Vermilion border
1 Lower Lip
Frenulum labii inferioris
Labial gland
Vermilion border
2 Hard Palate
3 Soft Palate
4 Buccal Mucosa
Buccal gland
Molar gland
Palatine gland
5 Upper Gingiva
6 Lower Gingiva
7 Tongue
Frenulum linguae
N Uvula
Palatine uvula
M Pharynx 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Base of tongue 7 Via Natural or Artificial Opening J Synthetic Substitute
Hypopharynx 8 Via Natural or Artificial Opening K Nonautologous Tissue Substitute
Laryngopharynx Endoscopic
Lingual tonsil
Oropharynx
Piriform recess (sinus)
Tongue, base of
R Epiglottis
Glossoepiglottic fold
S Larynx
Aryepiglottic fold
Arytenoid cartilage
Corniculate cartilage
Cuneiform cartilage
False vocal cord
Glottis
Rima glottidis
Thyroid cartilage
Ventricular fold
T Vocal Cord, Right
Vocal fold
V Vocal Cord, Left
See T Vocal Cord, Right
Non-OR 0CU2[0,3]JZ

0 Medical and Surgical

C Mouth and Throat 0CV
V Restriction Definition: Partially closing an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
B Parotid Duct, Right 0 Open C Extraluminal Device Z No Qualifier
Stensen's duct 3 Percutaneous D Intraluminal Device
C Parotid Duct, Left Z No Device
See B Parotid Duct, Right
B Parotid Duct, Right 7 Via Natural or Artificial Opening D Intraluminal Device Z No Qualifier
Stensen's duct 8 Via Natural or Artificial Opening Z No Device
C Parotid Duct, Left Endoscopic
See B Parotid Duct, Right
0CU–0CV

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
356 ICD-10-PCS 2019
ICD-10-PCS 2019 Mouth and Throat 0CW–0CW

Mouth and Throat

0 Medical and Surgical
C Mouth and Throat 0CW
W Revision Definition: Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device
Explanation: Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as
a screw or pin
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
A Salivary Gland 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous C Extraluminal Device
Y Other Device
A Salivary Gland 7 Via Natural or Artificial Opening Y Other Device Z No Qualifier
8 Via Natural or Artificial Opening
Endoscopic
A Salivary Gland X External 0 Drainage Device Z No Qualifier
C Extraluminal Device
S Larynx 0 Open 0 Drainage Device Z No Qualifier
Aryepiglottic fold 3 Percutaneous 7 Autologous Tissue Substitute
Arytenoid cartilage 7 Via Natural or Artificial Opening D Intraluminal Device
Corniculate cartilage 8 Via Natural or Artificial Opening J Synthetic Substitute
Cuneiform cartilage Endoscopic K Nonautologous Tissue Substitute
False vocal cord
Glottis Y Other Device
Rima glottidis
Thyroid cartilage
Ventricular fold
S Larynx X External 0 Drainage Device Z No Qualifier
Aryepiglottic fold 7 Autologous Tissue Substitute
Arytenoid cartilage D Intraluminal Device
Corniculate cartilage J Synthetic Substitute
Cuneiform cartilage
K Nonautologous Tissue Substitute
False vocal cord
Glottis
Rima glottidis
Thyroid cartilage
Ventricular fold
Y Mouth and Throat 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous 1 Radioactive Element
7 Via Natural or Artificial Opening 7 Autologous Tissue Substitute
8 Via Natural or Artificial Opening D Intraluminal Device
Endoscopic J Synthetic Substitute
K Nonautologous Tissue Substitute
Y Other Device
Y Mouth and Throat X External 0 Drainage Device Z No Qualifier
1 Radioactive Element
7 Autologous Tissue Substitute
D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
Non-OR 0CWA[0,3][0,C,Y]Z
Non-OR 0CWA[7,8]YZ
Non-OR 0CWAX[0,C]Z
Non-OR 0CWS[3,7,8]YZ
Non-OR 0CWSX[0,7,D,J,K]Z
Non-OR 0CWY07Z
Non-OR 0CWY[3,7,8]YZ
Non-OR 0CWYX[0,1,7,D,J,K]Z
0CW–0CW

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 357
 0CX–0CX Mouth and Throat ICD-10-PCS 2019
Mouth and Throat

0 Medical and Surgical

C Mouth and Throat 0CX
X Transfer Definition: Moving, without taking out, all or a portion of a body part to another location to take over the function of all or a portion of a body part
Explanation: The body part transferred remains connected to its vascular and nervous supply
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Upper Lip 0 Open Z No Device Z No Qualifier
Frenulum labii superioris X External
Labial gland
Vermilion border
1 Lower Lip
Frenulum labii inferioris
Labial gland
Vermilion border
3 Soft Palate
4 Buccal Mucosa
Buccal gland
Molar gland
Palatine gland
5 Upper Gingiva
6 Lower Gingiva
7 Tongue
Frenulum linguae
0CX–0CX

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
358 ICD-10-PCS 2019
ICD-10-PCS 2019 Gastrointestinal System

Gastrointestinal System
Gastrointestinal System 0D1–0DY
Character Meanings
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.

Operation–Character 3 Body Part–Character 4 Approach–Character 5 Device–Character 6 Qualifier–Character 7

1 Bypass 0 Upper Intestinal Tract 0 Open 0 Drainage Device 0 Allogeneic
2 Change 1 Esophagus, Upper 3 Percutaneous 1 Radioactive Element 1 Syngeneic
5 Destruction 2 Esophagus, Middle 4 Percutaneous Endoscopic 2 Monitoring Device 2 Zooplastic
7 Dilation 3 Esophagus, Lower 7 Via Natural or Artificial 3 Infusion Device 3 Vertical
Opening
8 Division 4 Esophagogastric Junction 8 Via Natural or Artificial 7 Autologous Tissue 4 Cutaneous
Opening Endoscopic Substitute
9 Drainage 5 Esophagus F Via Natural or Artificial B Intraluminal Device, Airway 5 Esophagus
Opening with
Percutaneous Endoscopic
Assistance
B Excision 6 Stomach X External C Extraluminal Device 6 Stomach
C Extirpation 7 Stomach, Pylorus D Intraluminal Device 9 Duodenum
D Extraction 8 Small Intestine J Synthetic Substitute A Jejunum
F Fragmentation 9 Duodenum K Nonautologous Tissue B Ileum
Substitute
H Insertion A Jejunum L Artificial Sphincter H Cecum
J Inspection B Ileum M Stimulator Lead K Ascending Colon
L Occlusion C Ileocecal Valve U Feeding Device L Transverse Colon
M Reattachment D Lower Intestinal Tract Y Other Device M Descending Colon
N Release E Large Intestine Z No Device N Sigmoid Colon
P Removal F Large Intestine, Right P Rectum
Q Repair G Large Intestine, Left Q Anus
R Replacement H Cecum X Diagnostic
S Reposition J Appendix Z No Qualifier
T Resection K Ascending Colon
U Supplement L Transverse Colon
V Restriction M Descending Colon
W Revision N Sigmoid Colon
X Transfer P Rectum
Y Transplantation Q Anus
R Anal Sphincter
U Omentum
V Mesentery
W Peritoneum

ICD-10-PCS 2019 359

 Gastrointestinal System ICD-10-PCS 2019
Gastrointestinal System

AHA Coding Clinic for table 0D1 AHA Coding Clinic for table 0DL
2017, 2Q, 17 Billroth II (distal gastrectomy and gastrojejunostomy) 2013, 4Q, 112 Endoscopic banding of esophageal varices
2016, 2Q, 31 Laparoscopic biliopancreatic diversion with duodenal switch
AHA Coding Clinic for table 0DN
2014, 4Q, 41 Abdominoperineal resection (APR) with flap closure of perineum and
2017, 4Q, 49-50 New and revised body part values - Repositioning of the intestine
colostomy
2017, 1Q, 35 Lysis of omental and peritoneal adhesions
AHA Coding Clinic for table 0D5 2015, 3Q, 15 Vascular ring surgery with release of esophagus and trachea
2017, 1Q, 34 Debulking of tumor and peritoneum ablation 2015, 3Q, 16 Vascular ring surgery and double aortic arch
AHA Coding Clinic for table 0D7 AHA Coding Clinic for table 0DQ
2017, 3Q, 23 Laparoscopic pyloromyotomy 2018, 2Q, 25 Third and fourth degree obstetric lacerations
2014, 4Q, 40 Dilation of gastrojejunostomy anastomosis stricture 2018, 1Q, 11 Repair of internal hernia at Petersen space
2017, 3Q, 17 Posterior sagittal anorectoplasty
AHA Coding Clinic for table 0D8
2016, 3Q, 3-7 Stoma creation & takedown procedures
2017, 3Q, 22 Laparoscopic esophagomyotomy (Heller type) and Toupet
2016, 3Q, 26 Insertion of gastrostomy tube
fundoplication
2016, 1Q, 7 Obstetrical perineal laceration repair
2017, 3Q, 23 Laparoscopic pyloromyotomy
2016, 1Q, 8 Obstetrical perineal laceration repair
AHA Coding Clinic for table 0D9 2014, 4Q, 20 Control of bleeding duodenal ulcer
2015, 2Q, 29 Insertion of nasogastric tube for drainage and feeding
AHA Coding Clinic for table 0DS
AHA Coding Clinic for table 0DB 2017, 4Q, 49-50 New and revised body part values - Repositioning of the intestine
2017, 2Q, 17 Billroth II (distal gastrectomy and gastrojejunostomy) 2017, 3Q, 9 Ileocolic intussusception reduction via air enema
2017, 1Q, 16 Hepatic flexure versus transverse colon 2017, 3Q, 17 Posterior sagittal anorectoplasty
2016, 3Q, 3-7 Stoma creation & takedown procedures 2016, 3Q, 3-5 Stoma creation & takedown procedures
2016, 2Q, 31 Laparoscopic biliopancreatic diversion with duodenal switch
AHA Coding Clinic for table 0DT
2016, 1Q, 22 Perineal proctectomy
2017, 4Q, 49-50 New and revised body part values - Repositioning of the intestine
2016, 1Q, 24 Endoscopic brush biopsy of esophagus
2014, 4Q, 40 Abdominoperineal resection (APR) with flap closure of perineum and
2014, 4Q, 40 Abdominoperineal resection (APR) with flap closure of perineum and
colostomy
colostomy
2014, 4Q, 42 Right colectomy with side-to-side functional end-to-end anastomosis
2014, 3Q, 28 Ileostomy takedown and parastomal hernia repair
2014, 3Q, 6 Ileocecectomy including cecum, terminal ileum and appendix
2014, 3Q, 32 Pyloric-sparing Whipple procedure
2014, 3Q, 6 Right colectomy
AHA Coding Clinic for table 0DD
AHA Coding Clinic for table 0DV
2017, 4Q, 41-42 Extraction procedures
2017, 3Q, 22 Laparoscopic esophagomyotomy (Heller type) and Toupet fundoplication
AHA Coding Clinic for table 0DH 2016, 2Q, 22 Esophageal lengthening Collis gastroplasty with Nissen fundoplication and
2016, 3Q, 26 Insertion of gastrostomy tube hiatal hernia
2013, 4Q,117 Percutaneous endoscopic placement of gastrostomy tube 2014, 3Q, 28 Laparoscopic Nissen fundoplication and diaphragmatic hernia repair
AHA Coding Clinic for table 0DJ AHA Coding Clinic for table 0DW
2017, 2Q, 15 Low anterior resection with sigmoidoscopy 2018, 1Q, 20 Adjustment of gastric band
2016, 2Q, 20 Capsule endoscopy of small intestine
AHA Coding Clinic for table 0DX
2015, 3Q, 24 Esophagogastroduodenoscopy with epinephrine injection for
2017, 2Q, 18 Esophagectomy and esophagogastrectomy with cervical
control of bleeding
esophagogastrostomy
2016, 2Q, 22 Esophageal lengthening Collis gastroplasty with Nissen fundoplication and
hiatal hernia
2015, 1Q, 28 Repair of bronchopleural fistula using omental pedicle graft

360 ICD-10-PCS 2019

ICD-10-PCS 2019 Gastrointestinal System

Gastrointestinal System
Upper Intestinal Tract (0) and Lower Intestinal Tract (D)

Upper esophagus

Upper Intestinal Tract (0)

Middle esophagus

Lower esophagus

Esophagogastric
junction
Stomach
Pylorus sphincter
Stomach, pylorus
Duodenum
Transverse
Lower Intestinal Tract (D)

colon
Jejunum
Ascending
colon Descending
Illeocecal valve colon

Cecum
Sigmoid colon
Ileum
Rectum
Anal canal

ICD-10-PCS 2019 361

 Gastrointestinal System ICD-10-PCS 2019
Gastrointestinal System

Upper Intestinal Tract

Esophageal region 5:
Upper esophagus 1
Cervical portion

Middle esophagus 2

Lower esophagus 3
Thoracic portion

Esophagogastric
junction 4
Abdominal portion
Stomach 6

Pylorus sphincter 7
Stomach, pylorus 7

Duodenum 9

Lower Intestinal Tract

(Jejunum Down to and Including Rectum/Anus) Rectum and Anus

Transverse
colon L
Sigmoid
colon N
Hepatic
flexure K Splenic
flexure L Rectum P Rectosigmoid
junction N
Entire large intestine E
Large intestine right F

Large intestine left G

Inferior rectal
Ascending Descending valve P
colon K colon M
Levator ani
muscle

Anal columns R External sphincter:

Ileum B deep R
Pectinate line P subcutaneous R
Cecum H
Anus Q Internal
sphincter R
Sigmoid
Ileocecal colon N
value C Appendix J Rectum P
Sigmoid
flexure N
Anal canal Q

362 ICD-10-PCS 2019

ICD-10-PCS 2019 Gastrointestinal System 0D1–0D1

Gastrointestinal System
0 Medical and Surgical
D Gastrointestinal System 0D1
1 Bypass Definition: Altering the route of passage of the contents of a tubular body part
Explanation: Rerouting contents of a body part to a downstream area of the normal route, to a similar route and body part, or to an abnormal
route and dissimilar body part. Includes one or more anastomoses, with or without the use of a device.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Esophagus, Upper 0 Open 7 Autologous Tissue Substitute 4 Cutaneous
Cervical esophagus 4 Percutaneous Endoscopic J Synthetic Substitute 6 Stomach
2 Esophagus, Middle 8 Via Natural or Artificial Opening K Nonautologous Tissue Substitute 9 Duodenum
Thoracic esophagus Endoscopic Z No Device A Jejunum
3 Esophagus, Lower B Ileum
Abdominal esophagus
5 Esophagus
1 Esophagus, Upper 3 Percutaneous J Synthetic Substitute 4 Cutaneous
Cervical esophagus
2 Esophagus, Middle
Thoracic esophagus
3 Esophagus, Lower
Abdominal esophagus
5 Esophagus
6 Stomach 0 Open 7 Autologous Tissue Substitute 4 Cutaneous
9 Duodenum 4 Percutaneous Endoscopic J Synthetic Substitute 9 Duodenum
8 Via Natural or Artificial Opening K Nonautologous Tissue Substitute A Jejunum
Endoscopic Z No Device B Ileum
L Transverse Colon
6 Stomach 3 Percutaneous J Synthetic Substitute 4 Cutaneous
9 Duodenum
A Jejunum 0 Open 7 Autologous Tissue Substitute 4 Cutaneous
Duodenojejunal flexure 4 Percutaneous Endoscopic J Synthetic Substitute A Jejunum
8 Via Natural or Artificial Opening K Nonautologous Tissue Substitute B Ileum
Endoscopic Z No Device H Cecum
K Ascending Colon
L Transverse Colon
M Descending Colon
N Sigmoid Colon
P Rectum
Q Anus
A Jejunum 3 Percutaneous J Synthetic Substitute 4 Cutaneous
Duodenojejunal flexure
B Ileum 0 Open 7 Autologous Tissue Substitute 4 Cutaneous
4 Percutaneous Endoscopic J Synthetic Substitute B Ileum
8 Via Natural or Artificial Opening K Nonautologous Tissue Substitute H Cecum
Endoscopic Z No Device K Ascending Colon
L Transverse Colon
M Descending Colon
N Sigmoid Colon
P Rectum
Q Anus
B Ileum 3 Percutaneous J Synthetic Substitute 4 Cutaneous
H Cecum 0 Open 7 Autologous Tissue Substitute 4 Cutaneous
4 Percutaneous Endoscopic J Synthetic Substitute H Cecum
8 Via Natural or Artificial Opening K Nonautologous Tissue Substitute K Ascending Colon
Endoscopic Z No Device L Transverse Colon
M Descending Colon
N Sigmoid Colon
P Rectum
H Cecum 3 Percutaneous J Synthetic Substitute 4 Cutaneous
K Ascending Colon 0 Open 7 Autologous Tissue Substitute 4 Cutaneous
4 Percutaneous Endoscopic J Synthetic Substitute K Ascending Colon
8 Via Natural or Artificial Opening K Nonautologous Tissue Substitute L Transverse Colon
Endoscopic Z No Device M Descending Colon
N Sigmoid Colon
P Rectum
0D1 Continued on next page
Non-OR 0D16[0,4,8][7,J,K,Z]4
Non-OR 0D163J4
HAC 0D16[0,4,8][7,J,K,Z][9,A,B,L] when reported with PDx E66.01 and SDx K68.11 or K95.01 or K95.81 or T81.4XXA
0D1–0D1

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 363
 0D1–0D2 Gastrointestinal System ICD-10-PCS 2019
Gastrointestinal System

0 Medical and Surgical 0D1 Continued

D Gastrointestinal System 0D1
1 Bypass Definition: Altering the route of passage of the contents of a tubular body part
Explanation: Rerouting contents of a body part to a downstream area of the normal route, to a similar route and body part, or to an abnormal
route and dissimilar body part. Includes one or more anastomoses, with or without the use of a device.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
K Ascending Colon 3 Percutaneous J Synthetic Substitute 4 Cutaneous
L Transverse Colon 0 Open 7 Autologous Tissue Substitute 4 Cutaneous
Hepatic flexure 4 Percutaneous Endoscopic J Synthetic Substitute L Transverse Colon
Splenic flexure 8 Via Natural or Artificial Opening K Nonautologous Tissue Substitute M Descending Colon
Endoscopic Z No Device N Sigmoid Colon
P Rectum
L Transverse Colon 3 Percutaneous J Synthetic Substitute 4 Cutaneous
Hepatic flexure
Splenic flexure
M Descending Colon 0 Open 7 Autologous Tissue Substitute 4 Cutaneous
4 Percutaneous Endoscopic J Synthetic Substitute M Descending Colon
8 Via Natural or Artificial Opening K Nonautologous Tissue Substitute N Sigmoid Colon
Endoscopic Z No Device P Rectum
M Descending Colon 3 Percutaneous J Synthetic Substitute 4 Cutaneous
N Sigmoid Colon 0 Open 7 Autologous Tissue Substitute 4 Cutaneous
Rectosigmoid junction 4 Percutaneous Endoscopic J Synthetic Substitute N Sigmoid Colon
Sigmoid flexure 8 Via Natural or Artificial Opening K Nonautologous Tissue Substitute P Rectum
Endoscopic Z No Device
N Sigmoid Colon 3 Percutaneous J Synthetic Substitute 4 Cutaneous
Rectosigmoid junction
Sigmoid flexure

0 Medical and Surgical

D Gastrointestinal System 0D2
2 Change Definition: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without
cutting or puncturing the skin or a mucous membrane
Explanation: All CHANGE procedures are coded using the approach EXTERNAL
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Upper Intestinal Tract X External 0 Drainage Device Z No Qualifier
D Lower Intestinal Tract U Feeding Device
Y Other Device
U Omentum X External 0 Drainage Device Z No Qualifier
Gastrocolic ligament Y Other Device
Gastrocolic omentum
Gastrohepatic omentum
Gastrophrenic ligament
Gastrosplenic ligament
Greater Omentum
Hepatogastric ligament
Lesser Omentum
V Mesentery
Mesoappendix
Mesocolon
W Peritoneum
Epiploic foramen
Non-OR All body part, approach, device, and qualifier values
0D1–0D2

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
364 ICD-10-PCS 2019
ICD-10-PCS 2019 Gastrointestinal System 0D5–0D5

Gastrointestinal System
0 Medical and Surgical
D Gastrointestinal System 0D5
5 Destruction Definition: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent
Explanation: None of the body part is physically taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Esophagus, Upper 0 Open Z No Device Z No Qualifier
Cervical esophagus 3 Percutaneous
2 Esophagus, Middle 4 Percutaneous Endoscopic
Thoracic esophagus 7 Via Natural or Artificial Opening
3 Esophagus, Lower 8 Via Natural or Artificial Opening
Abdominal esophagus Endoscopic
4 Esophagogastric Junction
Cardia
Cardioesophageal junction
Gastroesophageal (GE) junction
5 Esophagus
6 Stomach
7 Stomach, Pylorus
Pyloric antrum
Pyloric canal
Pyloric sphincter
8 Small Intestine
9 Duodenum
A Jejunum
Duodenojejunal flexure
B Ileum
C Ileocecal Valve
E Large Intestine
F Large Intestine, Right
G Large Intestine, Left
H Cecum
J Appendix
Vermiform appendix
K Ascending Colon
L Transverse Colon
Hepatic flexure
Splenic flexure
M Descending Colon
N Sigmoid Colon
Rectosigmoid junction
Sigmoid flexure
P Rectum
Anorectal junction
Q Anus 0 Open Z No Device Z No Qualifier
Anal orifice 3 Percutaneous
4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
X External
R Anal Sphincter 0 Open Z No Device Z No Qualifier
External anal sphincter 3 Percutaneous
Internal anal sphincter 4 Percutaneous Endoscopic
U Omentum
Gastrocolic ligament
Gastrocolic omentum
Gastrohepatic omentum
Gastrophrenic ligament
Gastrosplenic ligament
Greater Omentum
Hepatogastric ligament
Lesser Omentum
V Mesentery
Mesoappendix
Mesocolon
W Peritoneum
Epiploic foramen
Non-OR 0D5[1,2,3,4,5,6,7,9,E,F,G,H,K,L,M,N][4,8]ZZ
Non-OR 0D5P[0,3,4,7,8]ZZ
Non-OR 0D5Q[4,8]ZZ
Non-OR 0D5R4ZZ
0D5–0D5

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 365
 0D7–0D8 Gastrointestinal System ICD-10-PCS 2019
Gastrointestinal System

0 Medical and Surgical

D Gastrointestinal System 0D7
7 Dilation Definition: Expanding an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice. Accomplished by stretching a tubular body part using
intraluminal pressure or by cutting part of the orifice or wall of the tubular body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Esophagus, Upper 0 Open D Intraluminal Device Z No Qualifier
Cervical esophagus 3 Percutaneous Z No Device
2 Esophagus, Middle 4 Percutaneous Endoscopic
Thoracic esophagus 7 Via Natural or Artificial Opening
3 Esophagus, Lower 8 Via Natural or Artificial Opening
Abdominal esophagus Endoscopic
4 Esophagogastric Junction
Cardia
Cardioesophageal junction
Gastroesophageal (GE) junction
5 Esophagus
6 Stomach
7 Stomach, Pylorus
Pyloric antrum
Pyloric canal
Pyloric sphincter
8 Small Intestine
9 Duodenum
A Jejunum
Duodenojejunal flexure
B Ileum
C Ileocecal Valve
E Large Intestine
F Large Intestine, Right
G Large Intestine, Left
H Cecum
K Ascending Colon
L Transverse Colon
Hepatic flexure
Splenic flexure
M Descending Colon
N Sigmoid Colon
Rectosigmoid junction
Sigmoid flexure
P Rectum
Anorectal junction
Q Anus
Anal orifice
Non-OR 0D7[1,2,3,4,5,6,8,9,A,B,C,E,F,G,H,K,L,M,N,P,Q][7,8][D,Z]Z
Non-OR 0D77[4,8]DZ
Non-OR 0D777[D,Z]Z
Non-OR 0D7[8,9,A,B,C,E,F,G,H,K,L,M,N][0,3,4]DZ

0 Medical and Surgical

D Gastrointestinal System 0D8
8 Division Definition: Cutting into a body part, without draining fluids and/or gases from the body part, in order to separate or transect a body part
Explanation: All or a portion of the body part is separated into two or more portions
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
4 Esophagogastric Junction 0 Open Z No Device Z No Qualifier
Cardia 3 Percutaneous
Cardioesophageal junction 4 Percutaneous Endoscopic
Gastroesophageal (GE) junction 7 Via Natural or Artificial Opening
7 Stomach, Pylorus 8 Via Natural or Artificial Opening
Pyloric antrum Endoscopic
Pyloric canal
Pyloric sphincter
R Anal Sphincter 0 Open Z No Device Z No Qualifier
External anal sphincter 3 Percutaneous
Internal anal sphincter
0D7–0D8

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
366 ICD-10-PCS 2019
ICD-10-PCS 2019 Gastrointestinal System 0D9–0D9

Gastrointestinal System
0 Medical and Surgical
D Gastrointestinal System 0D9
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Esophagus, Upper A Jejunum 0 Open 0 Drainage Device Z No Qualifier
Cervical esophagus Duodenojejunal flexure 3 Percutaneous
2 Esophagus, Middle B Ileum 4 Percutaneous Endoscopic
Thoracic esophagus C Ileocecal Valve 7 Via Natural or Artificial
3 Esophagus, Lower E Large Intestine Opening
Abdominal esophagus F Large Intestine, Right 8 Via Natural or Artificial
4 Esophagogastric Opening Endoscopic
G Large Intestine, Left
Junction
Cardia H Cecum
Cardioesophageal J Appendix
junction Vermiform appendix
Gastroesophageal (GE) K Ascending Colon
junction L Transverse Colon
5 Esophagus Hepatic flexure
6 Stomach Splenic flexure
7 Stomach, Pylorus M Descending Colon
Pyloric antrum N Sigmoid Colon
Pyloric canal Rectosigmoid junction
Pyloric sphincter Sigmoid flexure
8 Small Intestine P Rectum
9 Duodenum Anorectal junction
1 Esophagus, Upper A Jejunum 0 Open Z No Device X Diagnostic
Cervical esophagus Duodenojejunal flexure 3 Percutaneous Z No Qualifier
2 Esophagus, Middle B Ileum 4 Percutaneous Endoscopic
Thoracic esophagus C Ileocecal Valve 7 Via Natural or Artificial
3 Esophagus, Lower E Large Intestine Opening
Abdominal esophagus F Large Intestine, Right 8 Via Natural or Artificial
4 Esophagogastric G Large Intestine, Left Opening Endoscopic
Junction H Cecum
Cardia
J Appendix
Cardioesophageal
Vermiform appendix
junction
Gastroesophageal (GE) K Ascending Colon
junction L Transverse Colon
5 Esophagus Hepatic flexure
Splenic flexure
6 Stomach
M Descending Colon
7 Stomach, Pylorus
Pyloric antrum N Sigmoid Colon
Pyloric canal Rectosigmoid junction
Pyloric sphincter Sigmoid flexure
8 Small Intestine P Rectum
Anorectal junction
9 Duodenum
Q Anus 0 Open 0 Drainage Device Z No Qualifier
Anal orifice 3 Percutaneous
4 Percutaneous Endoscopic
7 Via Natural or Artificial
Opening
8 Via Natural or Artificial
Opening Endoscopic
X External
Q Anus 0 Open Z No Device X Diagnostic
Anal orifice 3 Percutaneous Z No Qualifier
4 Percutaneous Endoscopic
7 Via Natural or Artificial
Opening
8 Via Natural or Artificial
Opening Endoscopic
X External
0D9 Continued on next page
Non-OR 0D9[1,2,3,4,5,C,J]30Z
Non-OR 0D9[6,7,8,9,A,B,E,F,G,H,K,L,M,N,P][3,7,8]0Z
Non-OR 0D9[1,2,3,4,5,6,7,8,9,A,B,C,E,F,G,H,K,L,M,N,P][3,4,7,8]ZX
Non-OR 0D9[1,2,3,4,5,6,7,8,9,A,B,C,E,F,G,H,J,K,L,M,N,P]3ZZ
Non-OR 0D9Q30Z
Non-OR 0D9Q[0,4,7,8,X]ZX
Non-OR 0D9Q3Z[X,Z]
0D9–0D9

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 367
 0D9–0D9 Gastrointestinal System ICD-10-PCS 2019
Gastrointestinal System

0 Medical and Surgical 0D9 Continued

D Gastrointestinal System 0D9
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
R Anal Sphincter 0 Open 0 Drainage Device Z No Qualifier
External anal sphincter 3 Percutaneous
Internal anal sphincter 4 Percutaneous Endoscopic
U Omentum
Gastrocolic ligament
Gastrocolic omentum
Gastrohepatic omentum
Gastrophrenic ligament
Gastrosplenic ligament
Greater Omentum
Hepatogastric ligament
Lesser Omentum
V Mesentery
Mesoappendix
Mesocolon
W Peritoneum
Epiploic foramen
R Anal Sphincter 0 Open Z No Device X Diagnostic
External anal sphincter 3 Percutaneous Z No Qualifier
Internal anal sphincter 4 Percutaneous Endoscopic
U Omentum
Gastrocolic ligament
Gastrocolic omentum
Gastrohepatic omentum
Gastrophrenic ligament
Gastrosplenic ligament
Greater Omentum
Hepatogastric ligament
Lesser Omentum
V Mesentery
Mesoappendix
Mesocolon
W Peritoneum
Epiploic foramen
Non-OR 0D9R30Z
Non-OR 0D9[U,V,W][3,4]0Z
Non-OR 0D9R[0,4]ZX
Non-OR 0D9[R,U,V,W]3Z[X,Z]
Non-OR 0D9[U,V,W]4ZZ
0D9–0D9

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
368 ICD-10-PCS 2019
ICD-10-PCS 2019 Gastrointestinal System 0DB–0DB

Gastrointestinal System
0 Medical and Surgical
D Gastrointestinal System 0DB
B Excision Definition: Cutting out or off, without replacement, a portion of a body part
Explanation: The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Esophagus, Upper 8 Small Intestine 0 Open Z No Device X Diagnostic
Cervical esophagus 9 Duodenum 3 Percutaneous Z No Qualifier
2 Esophagus, Middle A Jejunum 4 Percutaneous Endoscopic
Thoracic esophagus Duodenojejunal flexure 7 Via Natural or Artificial
3 Esophagus, Lower B Ileum Opening
Abdominal esophagus C Ileocecal Valve 8 Via Natural or Artificial
4 Esophagogastric E Large Intestine Opening Endoscopic
Junction F Large Intestine, Right
Cardia
H Cecum
Cardioesophageal
junction J Appendix
Gastroesophageal (GE) Vermiform appendix
junction K Ascending Colon
5 Esophagus P Rectum
7 Stomach, Pylorus Anorectal junction
Pyloric antrum
Pyloric canal
Pyloric sphincter
6 Stomach 0 Open Z No Device 3 Vertical
3 Percutaneous X Diagnostic
4 Percutaneous Endoscopic Z No Qualifier
7 Via Natural or Artificial
Opening
8 Via Natural or Artificial
Opening Endoscopic
G Large Intestine, Left 0 Open Z No Device X Diagnostic
L Transverse Colon 3 Percutaneous Z No Qualifier
Hepatic flexure 4 Percutaneous Endoscopic
Splenic flexure 7 Via Natural or Artificial
M Descending Colon Opening
N Sigmoid Colon 8 Via Natural or Artificial
Rectosigmoid junction Opening Endoscopic
Sigmoid flexure
G Large Intestine, Left F Via Natural or Artificial Z No Device Z No Qualifier
L Transverse Colon Opening with Percutaneous
Hepatic flexure Endoscopic Assistance
Splenic flexure
M Descending Colon
N Sigmoid Colon
Rectosigmoid junction
Sigmoid flexure
Q Anus 0 Open Z No Device X Diagnostic
Anal orifice 3 Percutaneous Z No Qualifier
4 Percutaneous Endoscopic
7 Via Natural or Artificial
Opening
8 Via Natural or Artificial
Opening Endoscopic
X External
R Anal Sphincter 0 Open Z No Device X Diagnostic
External anal sphincter 3 Percutaneous Z No Qualifier
Internal anal sphincter 4 Percutaneous Endoscopic
U Omentum
Gastrocolic ligament
Gastrocolic omentum
Gastrohepatic omentum
Gastrophrenic ligament
Gastrosplenic ligament
Greater Omentum
Hepatogastric ligament
Lesser Omentum
V Mesentery
Mesoappendix
Mesocolon
W Peritoneum
Epiploic foramen
Non-OR 0DB[1,2,3,4,5,7,8,9,A,B,C,E,F,H,K,P][3,4,7,8]ZX Non-OR 0DB[G,L,M,N]8ZZ
Non-OR 0DB[1,2,3,5,7,9][4,8]ZZ Non-OR 0DBQ[0,3,4,7,8,X]ZX
Non-OR 0DB[4,E,F,H,K,P]8ZZ Non-OR 0DBQ8ZZ
0DB–0DB

Non-OR 0DB6[3,4,7,8]ZX Non-OR 0DBR[0,3,4]ZX

Non-OR 0DB6[4,8]ZZ Non-OR 0DB[U,V,W][3,4]ZX
Non-OR 0DB[G,L,M,N][3,4,7,8]ZX

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 369
 0DC–0DC Gastrointestinal System ICD-10-PCS 2019
Gastrointestinal System

0 Medical and Surgical

D Gastrointestinal System 0DC
C Extirpation Definition: Taking or cutting out solid matter from a body part
Explanation: The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in
the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Esophagus, Upper 0 Open Z No Device Z No Qualifier
Cervical esophagus 3 Percutaneous
2 Esophagus, Middle 4 Percutaneous Endoscopic
Thoracic esophagus 7 Via Natural or Artificial Opening
3 Esophagus, Lower 8 Via Natural or Artificial Opening
Abdominal esophagus Endoscopic
4 Esophagogastric Junction
Cardia
Cardioesophageal junction
Gastroesophageal (GE) junction
5 Esophagus
6 Stomach
7 Stomach, Pylorus
Pyloric antrum
Pyloric canal
Pyloric sphincter
8 Small Intestine
9 Duodenum
A Jejunum
Duodenojejunal flexure
B Ileum
C Ileocecal Valve
E Large Intestine
F Large Intestine, Right
G Large Intestine, Left
H Cecum
J Appendix
Vermiform appendix
K Ascending Colon
L Transverse Colon
Hepatic flexure
Splenic flexure
M Descending Colon
N Sigmoid Colon
Rectosigmoid junction
Sigmoid flexure
P Rectum
Anorectal junction
Q Anus 0 Open Z No Device Z No Qualifier
Anal orifice 3 Percutaneous
4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
X External
R Anal Sphincter 0 Open Z No Device Z No Qualifier
External anal sphincter 3 Percutaneous
Internal anal sphincter 4 Percutaneous Endoscopic
U Omentum
Gastrocolic ligament
Gastrocolic omentum
Gastrohepatic omentum
Gastrophrenic ligament
Gastrosplenic ligament
Greater Omentum
Hepatogastric ligament
Lesser Omentum
V Mesentery
Mesoappendix
Mesocolon
W Peritoneum
Epiploic foramen
Non-OR 0DC[1,2,3,4,5,6,7,8,9,A,B,C,E,F,G,H,K,L,M,N,P][7,8]ZZ
Non-OR 0DCQ[7,8,X]ZZ
0DC–0DC

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
370 ICD-10-PCS 2019
ICD-10-PCS 2019 Gastrointestinal System 0DD–0DD

Gastrointestinal System
0 Medical and Surgical
D Gastrointestinal System 0DD
D Extraction Definition: Pulling or stripping out or off all or a portion of a body part by the use of force
Explanation: The qualifier DIAGNOSTIC is used to identify extraction procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Esophagus, Upper 3 Percutaneous Z No Device X Diagnostic
Cervical esophagus 4 Percutaneous Endoscopic
2 Esophagus, Middle 8 Via Natural or Artificial Opening
Thoracic esophagus Endoscopic
3 Esophagus, Lower
Abdominal esophagus
4 Esophagogastric Junction
Cardia
Cardioesophageal junction
Gastroesophageal (GE) junction
5 Esophagus
6 Stomach
7 Stomach, Pylorus
Pyloric antrum
Pyloric canal
Pyloric sphincter
8 Small Intestine
9 Duodenum
A Jejunum
Duodenojejunal flexure
B Ileum
C Ileocecal Valve
E Large Intestine
F Large Intestine, Right
G Large Intestine, Left
H Cecum
J Appendix
Vermiform appendix
K Ascending Colon
L Transverse Colon
Hepatic flexure
Splenic flexure
M Descending Colon
N Sigmoid Colon
Rectosigmoid junction
Sigmoid flexure
P Rectum
Anorectal junction
Q Anus 3 Percutaneous Z No Device X Diagnostic
Anal orifice 4 Percutaneous Endoscopic
8 Via Natural or Artificial Opening
Endoscopic
X External
Non-OR 0DD[1,2,3,4,5,6,7,8,9,A,B,C,E,F,G,H,K,L,M,N,P][3,4,8]ZX
Non-OR 0DDQ[3,4,8,X]ZX
0DD–0DD

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 371
 0DF–0DF Gastrointestinal System ICD-10-PCS 2019
Gastrointestinal System

0 Medical and Surgical

D Gastrointestinal System 0DF
F Fragmentation Definition: Breaking solid matter in a body part into pieces
Explanation: Physical force (e.g., manual, ultrasonic) applied directly or indirectly is used to break the solid matter into pieces. The solid matter
may be an abnormal byproduct of a biological function or a foreign body. The pieces of solid matter are not taken out.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
5 Esophagus 4 0 Open Z No Device Z No Qualifier
6 Stomach 4 3 Percutaneous
8 Small Intestine 4 4 Percutaneous Endoscopic
9 Duodenum 4 7 Via Natural or Artificial Opening
A Jejunum 4 8 Via Natural or Artificial Opening
Duodenojejunal flexure Endoscopic
B Ileum 4 X External
E Large Intestine 4
F Large Intestine, Right 4
G Large Intestine, Left 4
H Cecum 4
J Appendix 4
Vermiform appendix
K Ascending Colon 4
L Transverse Colon 4
Hepatic flexure
Splenic flexure
M Descending Colon 4
N Sigmoid Colon 4
Rectosigmoid junction
Sigmoid flexure
P Rectum 4
Anorectal junction
Q Anus 4
Anal orifice
Non-OR 0DF[5,6,8,9,A,B,E,F,G,H,J,K,L,M,N,P,Q]XZZ
4 0DF[5,6,8,9,A,B,E,F,G,H,J,K,L,M,N,P,Q]XZZ
0DF–0DF

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
372 ICD-10-PCS 2019
ICD-10-PCS 2019 Gastrointestinal System 0DH–0DH

Gastrointestinal System
0 Medical and Surgical
D Gastrointestinal System 0DH
H Insertion Definition: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically
take the place of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Upper Intestinal Tract 0 Open Y Other Device Z No Qualifier
D Lower Intestinal Tract 3 Percutaneous
4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
5 Esophagus 0 Open 1 Radioactive Element Z No Qualifier
3 Percutaneous 2 Monitoring Device
4 Percutaneous Endoscopic 3 Infusion Device
D Intraluminal Device
U Feeding Device
Y Other Device
5 Esophagus 7 Via Natural or Artificial Opening 1 Radioactive Element Z No Qualifier
8 Via Natural or Artificial Opening 2 Monitoring Device
Endoscopic 3 Infusion Device
B Intraluminal Device, Airway
D Intraluminal Device
U Feeding Device
Y Other Device
6 Stomach ? 0 Open 2 Monitoring Device Z No Qualifier
3 Percutaneous 3 Infusion Device
4 Percutaneous Endoscopic D Intraluminal Device
M Stimulator Lead
U Feeding Device
Y Other Device
6 Stomach 7 Via Natural or Artificial Opening 2 Monitoring Device Z No Qualifier
8 Via Natural or Artificial Opening 3 Infusion Device
Endoscopic D Intraluminal Device
U Feeding Device
Y Other Device
8 Small Intestine 0 Open 2 Monitoring Device Z No Qualifier
9 Duodenum 3 Percutaneous 3 Infusion Device
A Jejunum 4 Percutaneous Endoscopic D Intraluminal Device
Duodenojejunal flexure 7 Via Natural or Artificial Opening U Feeding Device
B Ileum 8 Via Natural or Artificial Opening
Endoscopic
E Large Intestine 0 Open D Intraluminal Device Z No Qualifier
3 Percutaneous
4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
P Rectum 0 Open 1 Radioactive Element Z No Qualifier
Anorectal junction 3 Percutaneous D Intraluminal Device
4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
Q Anus 0 Open D Intraluminal Device Z No Qualifier
Anal orifice 3 Percutaneous L Artificial Sphincter
4 Percutaneous Endoscopic
Q Anus 7 Via Natural or Artificial Opening D Intraluminal Device Z No Qualifier
Anal orifice 8 Via Natural or Artificial Opening
Endoscopic
R Anal Sphincter 0 Open M Stimulator Lead Z No Qualifier
External anal sphincter 3 Percutaneous
Internal anal sphincter 4 Percutaneous Endoscopic
Non-OR 0DH[0,D][0,3,4,7,8]YZ See Appendix L for Procedure Combinations
Non-OR 0DH5[0,3,4][D,U]Z ? 0DH6[0,3,4]MZ
Non-OR 0DH5[3,4]YZ
Non-OR 0DH5[7,8][2,3,B,D,U,Y]Z
Non-OR 0DH6[3,4][U,Y]Z
Non-OR 0DH6[7,8][2,3,D,U,Y]Z
0DH–0DH

Non-OR 0DH[8,9,A,B][0,3,4][D,U]Z
Non-OR 0DH[8,9,A,B][7,8][2,3,D,U]Z
Non-OR 0DHE[0,3,4,7,8]DZ
Non-OR 0DHP[0,3,4,7,8]DZ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 373
 0DJ–0DJ Gastrointestinal System ICD-10-PCS 2019
Gastrointestinal System

0 Medical and Surgical

D Gastrointestinal System 0DJ
J Inspection Definition: Visually and/or manually exploring a body part
Explanation: Visual exploration may be performed with or without optical instrumentation. Manual exploration may be performed directly or
through intervening body layers.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Upper Intestinal Tract 0 Open Z No Device Z No Qualifier
6 Stomach 3 Percutaneous
D Lower Intestinal Tract 4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening Endoscopic
X External
U Omentum 0 Open Z No Device Z No Qualifier
Gastrocolic ligament 3 Percutaneous
Gastrocolic omentum 4 Percutaneous Endoscopic
Gastrohepatic omentum X External
Gastrophrenic ligament
Gastrosplenic ligament
Greater Omentum
Hepatogastric ligament
Lesser Omentum
V Mesentery
Mesoappendix
Mesocolon
W Peritoneum
Epiploic foramen
Non-OR 0DJ[0,6,D][3,7,8,X]ZZ
Non-OR 0DJ[U,V,W][3,X]ZZ
0DJ–0DJ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
374 ICD-10-PCS 2019
ICD-10-PCS 2019 Gastrointestinal System 0DL–0DL

Gastrointestinal System
0 Medical and Surgical
D Gastrointestinal System 0DL
L Occlusion Definition: Completely closing an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Esophagus, Upper 9 Duodenum 0 Open C Extraluminal Device Z No Qualifier
Cervical esophagus A Jejunum 3 Percutaneous D Intraluminal Device
2 Esophagus, Middle Duodenojejunal flexure 4 Percutaneous Endoscopic Z No Device
Thoracic esophagus B Ileum
3 Esophagus, Lower C Ileocecal Valve
Abdominal esophagus E Large Intestine
4 Esophagogastric F Large Intestine, Right
Junction G Large Intestine, Left
Cardia
H Cecum
Cardioesophageal
junction K Ascending Colon
Gastroesophageal (GE) L Transverse Colon
junction Hepatic flexure
5 Esophagus Splenic flexure
6 Stomach M Descending Colon
7 Stomach, Pylorus N Sigmoid Colon
Pyloric antrum Rectosigmoid junction
Pyloric canal Sigmoid flexure
Pyloric sphincter P Rectum
8 Small Intestine Anorectal junction
1 Esophagus, Upper 9 Duodenum 7 Via Natural or Artificial D Intraluminal Device Z No Qualifier
Cervical esophagus A Jejunum Opening Z No Device
2 Esophagus, Middle Duodenojejunal flexure 8 Via Natural or Artificial
Thoracic esophagus B Ileum Opening Endoscopic
3 Esophagus, Lower C Ileocecal Valve
Abdominal esophagus E Large Intestine
4 Esophagogastric F Large Intestine, Right
Junction G Large Intestine, Left
Cardia
H Cecum
Cardioesophageal
junction K Ascending Colon
Gastroesophageal (GE) L Transverse Colon
junction Hepatic flexure
5 Esophagus Splenic flexure
6 Stomach M Descending Colon
7 Stomach, Pylorus N Sigmoid Colon
Pyloric antrum Rectosigmoid junction
Pyloric canal Sigmoid flexure
Pyloric sphincter P Rectum
8 Small Intestine Anorectal junction
Q Anus 0 Open C Extraluminal Device Z No Qualifier
Anal orifice 3 Percutaneous D Intraluminal Device
4 Percutaneous Endoscopic Z No Device
X External
Q Anus 7 Via Natural or Artificial D Intraluminal Device Z No Qualifier
Anal orifice Opening Z No Device
8 Via Natural or Artificial
Opening Endoscopic
Non-OR 0DL[1,2,3,4,5][0,3,4][C,D,Z]Z
Non-OR 0DL[1,2,3,4,5][7,8][D,Z]Z
0DL–0DL

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 375
 0DM–0DN Gastrointestinal System ICD-10-PCS 2019
Gastrointestinal System

0 Medical and Surgical

D Gastrointestinal System 0DM
M Reattachment Definition: Putting back in or on all or a portion of a separated body part to its normal location or other suitable location
Explanation: Vascular circulation and nervous pathways may or may not be reestablished
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
5 Esophagus 0 Open Z No Device Z No Qualifier
6 Stomach 4 Percutaneous Endoscopic
8 Small Intestine
9 Duodenum
A Jejunum
Duodenojejunal flexure
B Ileum
E Large Intestine
F Large Intestine, Right
G Large Intestine, Left
H Cecum
K Ascending Colon
L Transverse Colon
Hepatic flexure
Splenic flexure
M Descending Colon
N Sigmoid Colon
Rectosigmoid junction
Sigmoid flexure
P Rectum
Anorectal junction

0 Medical and Surgical

D Gastrointestinal System 0DN
N Release Definition: Freeing a body part from an abnormal physical constraint by cutting or by the use of force
Explanation: Some of the restraining tissue may be taken out but none of the body part is taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Esophagus, Upper A Jejunum 0 Open Z No Device Z No Qualifier
Cervical esophagus Duodenojejunal flexure 3 Percutaneous
2 Esophagus, Middle B Ileum 4 Percutaneous Endoscopic
Thoracic esophagus C Ileocecal Valve 7 Via Natural or Artificial
3 Esophagus, Lower E Large Intestine Opening
Abdominal esophagus F Large Intestine, Right 8 Via Natural or Artificial
4 Esophagogastric G Large Intestine, Left Opening Endoscopic
Junction H Cecum
Cardia
J Appendix
Cardioesophageal
Vermiform appendix
junction
Gastroesophageal (GE) K Ascending Colon
junction L Transverse Colon
5 Esophagus Hepatic flexure
Splenic flexure
6 Stomach
M Descending Colon
7 Stomach, Pylorus
Pyloric antrum N Sigmoid Colon
Pyloric canal Rectosigmoid junction
Pyloric sphincter Sigmoid flexure
8 Small Intestine P Rectum
Anorectal junction
9 Duodenum
Q Anus 0 Open Z No Device Z No Qualifier
Anal orifice 3 Percutaneous
4 Percutaneous Endoscopic
7 Via Natural or Artificial
Opening
8 Via Natural or Artificial
Opening Endoscopic
X External
R Anal Sphincter 0 Open Z No Device Z No Qualifier
External anal sphincter 3 Percutaneous
Internal anal sphincter 4 Percutaneous Endoscopic
U Omentum
Gastrocolic ligament
Gastrocolic omentum
Gastrohepatic omentum
Gastrophrenic ligament
Gastrosplenic ligament
Greater Omentum
Hepatogastric ligament
Lesser Omentum
V Mesentery
0DM–0DN

Mesoappendix
Mesocolon
W Peritoneum
Epiploic foramen
Non-OR 0DN[8,9,A,B,E,F,G,H,K,L,M,N][7,8]ZZ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
376 ICD-10-PCS 2019
ICD-10-PCS 2019 Gastrointestinal System 0DP–0DP

Gastrointestinal System
0 Medical and Surgical
D Gastrointestinal System 0DP
P Removal Definition: Taking out or off a device from a body part
Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is
coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Upper Intestinal Tract 0 Open 0 Drainage Device Z No Qualifier
D Lower Intestinal Tract 3 Percutaneous 2 Monitoring Device
4 Percutaneous Endoscopic 3 Infusion Device
7 Via Natural or Artificial Opening 7 Autologous Tissue Substitute
8 Via Natural or Artificial Opening C Extraluminal Device
Endoscopic D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
U Feeding Device
Y Other Device
0 Upper Intestinal Tract X External 0 Drainage Device Z No Qualifier
D Lower Intestinal Tract 2 Monitoring Device
3 Infusion Device
D Intraluminal Device
U Feeding Device
5 Esophagus 0 Open 1 Radioactive Element Z No Qualifier
3 Percutaneous 2 Monitoring Device
4 Percutaneous Endoscopic 3 Infusion Device
U Feeding Device
Y Other Device
5 Esophagus 7 Via Natural or Artificial Opening 1 Radioactive Element Z No Qualifier
8 Via Natural or Artificial Opening D Intraluminal Device
Endoscopic Y Other Device
5 Esophagus X External 1 Radioactive Element Z No Qualifier
2 Monitoring Device
3 Infusion Device
D Intraluminal Device
U Feeding Device
6 Stomach 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous 2 Monitoring Device
4 Percutaneous Endoscopic 3 Infusion Device
7 Autologous Tissue Substitute
C Extraluminal Device
D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
M Stimulator Lead
U Feeding Device
Y Other Device
6 Stomach 7 Via Natural or Artificial Opening 0 Drainage Device Z No Qualifier
8 Via Natural or Artificial Opening 2 Monitoring Device
Endoscopic 3 Infusion Device
7 Autologous Tissue Substitute
C Extraluminal Device
D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
U Feeding Device
Y Other Device
6 Stomach X External 0 Drainage Device Z No Qualifier
2 Monitoring Device
3 Infusion Device
D Intraluminal Device
U Feeding Device
0DP Continued on next page
Non-OR 0DP[0,D][3,4]YZ
Non-OR 0DP[0,D][7,8][0,2,3,D,U,Y]Z
Non-OR 0DP[0,D]X[0,2,3,D,U]Z
Non-OR 0DP5[3,4]YZ
Non-OR 0DP5[7,8][1,D,Y]Z
Non-OR 0DP5X[1,2,3,D,U]Z
Non-OR 0DP6[3,4]YZ
Non-OR 0DP6[7,8][0,2,3,D,U,Y]Z
Non-OR 0DP6X[0,2,3,D,U]Z
0DP–0DP

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 377
 0DP–0DP Gastrointestinal System ICD-10-PCS 2019
Gastrointestinal System

0 Medical and Surgical 0DP Continued

D Gastrointestinal System 0DP
P Removal Definition: Taking out or off a device from a body part
Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is
coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
P Rectum 0 Open 1 Radioactive Element Z No Qualifier
Anorectal junction 3 Percutaneous
4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
X External
Q Anus 0 Open L Artificial Sphincter Z No Qualifier
Anal orifice 3 Percutaneous
4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
R Anal Sphincter 0 Open M Stimulator Lead Z No Qualifier
External anal sphincter 3 Percutaneous
Internal anal sphincter 4 Percutaneous Endoscopic
U Omentum 0 Open 0 Drainage Device Z No Qualifier
Gastrocolic ligament 3 Percutaneous 1 Radioactive Element
Gastrocolic omentum 4 Percutaneous Endoscopic 7 Autologous Tissue Substitute
Gastrohepatic omentum J Synthetic Substitute
Gastrophrenic ligament
K Nonautologous Tissue Substitute
Gastrosplenic ligament
Greater Omentum
Hepatogastric ligament
Lesser Omentum
V Mesentery
Mesoappendix
Mesocolon
W Peritoneum
Epiploic foramen
Non-OR 0DPP[7,8,X]1Z
0DP–0DP

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
378 ICD-10-PCS 2019
ICD-10-PCS 2019 Gastrointestinal System 0DQ–0DQ

Gastrointestinal System
0 Medical and Surgical
D Gastrointestinal System 0DQ
Q Repair Definition: Restoring, to the extent possible, a body part to its normal anatomic structure and function
Explanation: Used only when the method to accomplish the repair is not one of the other root operations
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Esophagus, Upper 0 Open Z No Device Z No Qualifier
Cervical esophagus 3 Percutaneous
2 Esophagus, Middle 4 Percutaneous Endoscopic
Thoracic esophagus 7 Via Natural or Artificial Opening
3 Esophagus, Lower 8 Via Natural or Artificial Opening
Abdominal esophagus Endoscopic
4 Esophagogastric Junction
Cardia
Cardioesophageal junction
Gastroesophageal (GE) junction
5 Esophagus
6 Stomach
7 Stomach, Pylorus
Pyloric antrum
Pyloric canal
Pyloric sphincter
8 Small Intestine ?
9 Duodenum ?
A Jejunum ?
Duodenojejunal flexure
B Ileum ?
C Ileocecal Valve
E Large Intestine ?
F Large Intestine, Right ?
G Large Intestine, Left ?
H Cecum ?
J Appendix
Vermiform appendix
K Ascending Colon ?
L Transverse Colon ?
Hepatic flexure
Splenic flexure
M Descending Colon ?
N Sigmoid Colon ?
Rectosigmoid junction
Sigmoid flexure
P Rectum
Anorectal junction
Q Anus 0 Open Z No Device Z No Qualifier
Anal orifice 3 Percutaneous
4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
X External
R Anal Sphincter 0 Open Z No Device Z No Qualifier
External anal sphincter 3 Percutaneous
Internal anal sphincter 4 Percutaneous Endoscopic
U Omentum
Gastrocolic ligament
Gastrocolic omentum
Gastrohepatic omentum
Gastrophrenic ligament
Gastrosplenic ligament
Greater Omentum
Hepatogastric ligament
Lesser Omentum
V Mesentery
Mesoappendix
Mesocolon
W Peritoneum
Epiploic foramen
See Appendix L for Procedure Combinations
? 0DQ[8,9,A,B,E,F,G,H,K,L,M,N]0ZZ
0DQ–0DQ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 379
 0DR–0DS Gastrointestinal System ICD-10-PCS 2019
Gastrointestinal System

0 Medical and Surgical

D Gastrointestinal System 0DR
R Replacement Definition: Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part
Explanation: The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during
the REPLACEMENT procedure. A REMOVAL procedure is coded for taking out the device used in a previous replacement procedure.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
5 Esophagus 0 Open 7 Autologous Tissue Substitute Z No Qualifier
4 Percutaneous Endoscopic J Synthetic Substitute
7 Via Natural or Artificial Opening K Nonautologous Tissue Substitute
8 Via Natural or Artificial Opening
Endoscopic
R Anal Sphincter 0 Open 7 Autologous Tissue Substitute Z No Qualifier
External anal sphincter 4 Percutaneous Endoscopic J Synthetic Substitute
Internal anal sphincter K Nonautologous Tissue Substitute
U Omentum
Gastrocolic ligament
Gastrocolic omentum
Gastrohepatic omentum
Gastrophrenic ligament
Gastrosplenic ligament
Greater Omentum
Hepatogastric ligament
Lesser Omentum
V Mesentery
Mesoappendix
Mesocolon
W Peritoneum
Epiploic foramen

0 Medical and Surgical

D Gastrointestinal System 0DS
S Reposition Definition: Moving to its normal location, or other suitable location, all or a portion of a body part
Explanation: The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning
correctly. The body part may or may not be cut out or off to be moved to the new location.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
5 Esophagus 0 Open Z No Device Z No Qualifier
6 Stomach 4 Percutaneous Endoscopic
9 Duodenum 7 Via Natural or Artificial Opening
A Jejunum 8 Via Natural or Artificial Opening
Duodenojejunal flexure Endoscopic
B Ileum X External
H Cecum
K Ascending Colon
L Transverse Colon
Hepatic flexure
Splenic flexure
M Descending Colon
N Sigmoid Colon
Rectosigmoid junction
Sigmoid flexure
P Rectum
Anorectal junction
Q Anus
Anal orifice
8 Small Intestine 0 Open Z No Device Z No Qualifier
E Large Intestine 4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
Non-OR 0DS[5,6,9,A,B,H,K,L,M,N,P,Q]XZZ
0DR–0DS

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
380 ICD-10-PCS 2019
ICD-10-PCS 2019 Gastrointestinal System 0DT–0DT

Gastrointestinal System
0 Medical and Surgical
D Gastrointestinal System 0DT
T Resection Definition: Cutting out or off, without replacement, all of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Esophagus, Upper 0 Open Z No Device Z No Qualifier
Cervical esophagus 4 Percutaneous Endoscopic
2 Esophagus, Middle 7 Via Natural or Artificial Opening
Thoracic esophagus 8 Via Natural or Artificial Opening
3 Esophagus, Lower Endoscopic
Abdominal esophagus
4 Esophagogastric Junction
Cardia
Cardioesophageal junction
Gastroesophageal (GE) junction
5 Esophagus
6 Stomach
7 Stomach, Pylorus
Pyloric antrum
Pyloric canal
Pyloric sphincter
8 Small Intestine
9 Duodenum ?
A Jejunum
Duodenojejunal flexure
B Ileum
C Ileocecal Valve
E Large Intestine
F Large Intestine, Right
H Cecum
J Appendix
Vermiform appendix
K Ascending Colon
P Rectum
Anorectal junction
Q Anus
Anal orifice
G Large Intestine, Left 0 Open Z No Device Z No Qualifier
L Transverse Colon 4 Percutaneous Endoscopic
Hepatic flexure 7 Via Natural or Artificial Opening
Splenic flexure 8 Via Natural or Artificial Opening
M Descending Colon Endoscopic
N Sigmoid Colon F Via Natural or Artificial Opening
Rectosigmoid junction with Percutaneous Endoscopic
Sigmoid flexure Assistance
R Anal Sphincter 0 Open Z No Device Z No Qualifier
External anal sphincter 4 Percutaneous Endoscopic
Internal anal sphincter
U Omentum
Gastrocolic ligament
Gastrocolic omentum
Gastrohepatic omentum
Gastrophrenic ligament
Gastrosplenic ligament
Greater Omentum
Hepatogastric ligament
Lesser Omentum
See Appendix L for Procedure Combinations
? 0DT90ZZ
0DT–0DT

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 381
 0DU–0DU Gastrointestinal System ICD-10-PCS 2019
Gastrointestinal System

0 Medical and Surgical

D Gastrointestinal System 0DU
U Supplement Definition: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part
Explanation: The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced,
and the SUPPLEMENT procedure is performed to physically reinforce and/or augment the function of the replaced body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Esophagus, Upper 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Cervical esophagus 4 Percutaneous Endoscopic J Synthetic Substitute
2 Esophagus, Middle 7 Via Natural or Artificial Opening K Nonautologous Tissue Substitute
Thoracic esophagus 8 Via Natural or Artificial Opening
3 Esophagus, Lower Endoscopic
Abdominal esophagus
4 Esophagogastric Junction
Cardia
Cardioesophageal junction
Gastroesophageal (GE) junction
5 Esophagus
6 Stomach
7 Stomach, Pylorus
Pyloric antrum
Pyloric canal
Pyloric sphincter
8 Small Intestine
9 Duodenum
A Jejunum
Duodenojejunal flexure
B Ileum
C Ileocecal Valve
E Large Intestine
F Large Intestine, Right
G Large Intestine, Left
H Cecum
K Ascending Colon
L Transverse Colon
Hepatic flexure
Splenic flexure
M Descending Colon
N Sigmoid Colon
Rectosigmoid junction
Sigmoid flexure
P Rectum
Anorectal junction
Q Anus 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Anal orifice 4 Percutaneous Endoscopic J Synthetic Substitute
7 Via Natural or Artificial Opening K Nonautologous Tissue Substitute
8 Via Natural or Artificial Opening
Endoscopic
X External
R Anal Sphincter 0 Open 7 Autologous Tissue Substitute Z No Qualifier
External anal sphincter 4 Percutaneous Endoscopic J Synthetic Substitute
Internal anal sphincter K Nonautologous Tissue Substitute
U Omentum
Gastrocolic ligament
Gastrocolic omentum
Gastrohepatic omentum
Gastrophrenic ligament
Gastrosplenic ligament
Greater Omentum
Hepatogastric ligament
Lesser Omentum
V Mesentery
Mesoappendix
Mesocolon
W Peritoneum
Epiploic foramen
0DU–0DU

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
382 ICD-10-PCS 2019
ICD-10-PCS 2019 Gastrointestinal System 0DV–0DV

Gastrointestinal System
0 Medical and Surgical
D Gastrointestinal System 0DV
V Restriction Definition: Partially closing an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Esophagus, Upper 9 Duodenum 0 Open C Extraluminal Device Z No Qualifier
Cervical esophagus A Jejunum 3 Percutaneous D Intraluminal Device
2 Esophagus, Middle Duodenojejunal flexure 4 Percutaneous Endoscopic Z No Device
Thoracic esophagus B Ileum
3 Esophagus, Lower C Ileocecal Valve
Abdominal esophagus E Large Intestine
4 Esophagogastric F Large Intestine, Right
Junction G Large Intestine, Left
Cardia
H Cecum
Cardioesophageal
junction K Ascending Colon
Gastroesophageal (GE) L Transverse Colon
junction Hepatic flexure
5 Esophagus Splenic flexure
6 Stomach M Descending Colon
7 Stomach, Pylorus N Sigmoid Colon
Pyloric antrum Rectosigmoid junction
Pyloric canal Sigmoid flexure
Pyloric sphincter P Rectum
8 Small Intestine Anorectal junction
1 Esophagus, Upper 9 Duodenum 7 Via Natural or Artificial D Intraluminal Device Z No Qualifier
Cervical esophagus A Jejunum Opening Z No Device
2 Esophagus, Middle Duodenojejunal flexure 8 Via Natural or Artificial
Thoracic esophagus B Ileum Opening Endoscopic
3 Esophagus, Lower C Ileocecal Valve
Abdominal esophagus E Large Intestine
4 Esophagogastric F Large Intestine, Right
Junction G Large Intestine, Left
Cardia
H Cecum
Cardioesophageal
junction K Ascending Colon
Gastroesophageal (GE) L Transverse Colon
junction Hepatic flexure
5 Esophagus Splenic flexure
6 Stomach 4 M Descending Colon
7 Stomach, Pylorus N Sigmoid Colon
Pyloric antrum Rectosigmoid junction
Pyloric canal Sigmoid flexure
Pyloric sphincter P Rectum
8 Small Intestine Anorectal junction
Q Anus 0 Open C Extraluminal Device Z No Qualifier
Anal orifice 3 Percutaneous D Intraluminal Device
4 Percutaneous Endoscopic Z No Device
X External
Q Anus 7 Via Natural or Artificial D Intraluminal Device Z No Qualifier
Anal orifice Opening Z No Device
8 Via Natural or Artificial
Opening Endoscopic
Non-OR 0DV6[7,8]DZ
HAC 0DV64CZ when reported with PDx E66.01 and SDx K68.11 or K95.01 or K95.81 or T81.4XXA
4 0DV6[7,8]DZ
0DV–0DV

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 383
 0DW–0DW Gastrointestinal System ICD-10-PCS 2019
Gastrointestinal System

0 Medical and Surgical

D Gastrointestinal System 0DW
W Revision Definition: Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device
Explanation: Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as
a screw or pin
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Upper Intestinal Tract 0 Open 0 Drainage Device Z No Qualifier
D Lower Intestinal Tract 3 Percutaneous 2 Monitoring Device
4 Percutaneous Endoscopic 3 Infusion Device
7 Via Natural or Artificial Opening 7 Autologous Tissue Substitute
C Extraluminal Device
8 Via Natural or Artificial Opening
D Intraluminal Device
Endoscopic
J Synthetic Substitute
K Nonautologous Tissue Substitute
U Feeding Device
Y Other Device
0 Upper Intestinal Tract X External 0 Drainage Device Z No Qualifier
D Lower Intestinal Tract 2 Monitoring Device
3 Infusion Device
7 Autologous Tissue Substitute
C Extraluminal Device
D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
U Feeding Device
5 Esophagus 0 Open Y Other Device Z No Qualifier
3 Percutaneous
4 Percutaneous Endoscopic
5 Esophagus 7 Via Natural or Artificial Opening D Intraluminal Device Z No Qualifier
8 Via Natural or Artificial Opening Y Other Device
Endoscopic
5 Esophagus X External D Intraluminal Device Z No Qualifier
6 Stomach 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous 2 Monitoring Device
4 Percutaneous Endoscopic 3 Infusion Device
7 Autologous Tissue Substitute
C Extraluminal Device
D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
M Stimulator Lead
U Feeding Device
Y Other Device
6 Stomach 7 Via Natural or Artificial Opening 0 Drainage Device Z No Qualifier
8 Via Natural or Artificial Opening 2 Monitoring Device
Endoscopic 3 Infusion Device
7 Autologous Tissue Substitute
C Extraluminal Device
D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
U Feeding Device
Y Other Device
6 Stomach X External 0 Drainage Device Z No Qualifier
2 Monitoring Device
3 Infusion Device
7 Autologous Tissue Substitute
C Extraluminal Device
D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
U Feeding Device
0DW Continued on next page
Non-OR 0DW[0,D][3,4,7,8]YZ
Non-OR 0DW[0,D]X[0,2,3,7,C,D,J,K,U]Z
Non-OR 0DW5[0,3,4]YZ
Non-OR 0DW5[7,8]YZ
Non-OR 0DW5XDZ
Non-OR 0DW6[3,4]YZ
Non-OR 0DW6[7,8]YZ
Non-OR 0DW6X[0,2,3,7,C,D,J,K,U]Z
0DW–0DW

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
384 ICD-10-PCS 2019
ICD-10-PCS 2019 Gastrointestinal System 0DW–0DY

Gastrointestinal System
0 Medical and Surgical 0DW Continued
D Gastrointestinal System 0DW
W Revision Definition: Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device
Explanation: Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as
a screw or pin
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
8 Small Intestine 0 Open 7 Autologous Tissue Substitute Z No Qualifier
E Large Intestine 4 Percutaneous Endoscopic J Synthetic Substitute
7 Via Natural or Artificial Opening K Nonautologous Tissue Substitute
8 Via Natural or Artificial Opening
Endoscopic
Q Anus 0 Open L Artificial Sphincter Z No Qualifier
Anal orifice 3 Percutaneous
4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
R Anal Sphincter 0 Open M Stimulator Lead Z No Qualifier
External anal sphincter 3 Percutaneous
Internal anal sphincter 4 Percutaneous Endoscopic
U Omentum 0 Open 0 Drainage Device Z No Qualifier
Gastrocolic ligament 3 Percutaneous 7 Autologous Tissue Substitute
Gastrocolic omentum 4 Percutaneous Endoscopic J Synthetic Substitute
Gastrohepatic omentum K Nonautologous Tissue Substitute
Gastrophrenic ligament
Gastrosplenic ligament
Greater Omentum
Hepatogastric ligament
Lesser Omentum
V Mesentery
Mesoappendix
Mesocolon
W Peritoneum
Epiploic foramen
Non-OR 0DW[U,V,W][0,3,4]0Z

0 Medical and Surgical

D Gastrointestinal System 0DX
X Transfer Definition: Moving, without taking out, all or a portion of a body part to another location to take over the function of all or a portion of a body part
Explanation: The body part transferred remains connected to its vascular and nervous supply
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
6 Stomach 0 Open Z No Device 5 Esophagus
8 Small Intestine 4 Percutaneous Endoscopic
E Large Intestine

0 Medical and Surgical

D Gastrointestinal System 0DY
Y Transplantation Definition: Putting in or on all or a portion of a living body part taken from another individual or animal to physically take the place and/or
function of all or a portion of a similar body part
Explanation: The native body part may or may not be taken out, and the transplanted body part may take over all or a portion of its function
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
5 Esophagus 0 Open Z No Device 0 Allogeneic
6 Stomach 1 Syngeneic
8 Small Intestine 3 2 Zooplastic
E Large Intestine 3
Non-OR 0DY50Z[0,1,2]
3 0DY[8,E]0Z[0,1,2]
0DW–0DY

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 385
This page is left intentionally blank.
ICD-10-PCS 2019 Hepatobiliary System and Pancreas

Hepatobiliary System and Pancreas

Hepatobiliary System and Pancreas 0F1–0FY
Character Meanings
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.

Operation–Character 3 Body Part–Character 4 Approach–Character 5 Device–Character 6 Qualifier–Character 7

1 Bypass 0 Liver 0 Open 0 Drainage Device 0 Allogeneic
2 Change 1 Liver, Right Lobe 3 Percutaneous 1 Radioactive Element 1 Syngeneic
5 Destruction 2 Liver, Left Lobe 4 Percutaneous Endoscopic 2 Monitoring Device 2 Zooplastic
7 Dilation 4 Gallbladder 7 Via Natural or Artificial 3 Infusion Device 3 Duodenum
Opening
8 Division 5 Hepatic Duct, Right 8 Via Natural or Artificial 7 Autologous Tissue 4 Stomach
Opening Endoscopic Substitute
9 Drainage 6 Hepatic Duct, Left X External C Extraluminal Device 5 Hepatic Duct, Right
B Excision 7 Hepatic Duct, Common D Intraluminal Device 6 Hepatic Duct, Left
C Extirpation 8 Cystic Duct J Synthetic Substitute 7 Hepatic Duct, Caudate
D Extraction 9 Common Bile Duct K Nonautologous Tissue
Substitute
F Fragmentation B Hepatobiliary Duct Y Other Device 8 Cystic Duct
H Insertion C Ampulla of Vater Z No Device 9 Common Bile Duct
J Inspection D Pancreatic Duct B Small Intestine
L Occlusion F Pancreatic Duct, Accessory C Large Intestine
M Reattachment G Pancreas F Irreversible Electroporation
N Release X Diagnostic
P Removal Z No Qualifier
Q Repair
R Replacement
S Reposition
T Resection
U Supplement
V Restriction
W Revision
Y Transplantation

AHA Coding Clinic for table 0F7

2016, 3Q, 27 Endoscopic retrograde cholangiopancreatography with sphincterotomy and insertion of pancreatic stent
2016, 1Q, 25 Endoscopic retrograde cholangiopancreatography with brush biopsy of pancreatic and common bile ducts
2015, 1Q, 32 Percutaneous transhepatic biliary drainage catheter placement
2014, 3Q, 15 Drainage of pancreatic pseudocyst
AHA Coding Clinic for table 0F9
2015, 1Q, 32 Percutaneous transhepatic biliary drainage catheter placement
2014, 3Q, 15 Drainage of pancreatic pseudocyst
AHA Coding Clinic for table 0FB
2016, 3Q, 41 Open cholecystectomy with needle biopsy of liver
2016, 1Q, 23 Endoscopic ultrasound with aspiration biopsy of common hepatic duct
2016, 1Q, 25 Endoscopic retrograde cholangiopancreatography with brush biopsy of pancreatic and common bile ducts
2014, 3Q, 32 Pyloric-sparing Whipple procedure
AHA Coding Clinic for table 0FC
2016, 3Q, 27 Endoscopic retrograde cholangiopancreatography with sphincterotomy and insertion of pancreatic stent
AHA Coding Clinic for table 0FQ
2016, 3Q, 27 Revision of common bile duct anastomosis
2013, 4Q, 109 Separating conjoined twins
AHA Coding Clinic for table 0FT
2012, 4Q, 99 Domino liver transplant
AHA Coding Clinic for table 0FY
2014, 3Q, 13 Orthotopic liver transplant with end to side cavoplasty
2012, 4Q, 99 Domino liver transplant

ICD-10-PCS 2019 387

 Hepatobiliary System and Pancreas ICD-10-PCS 2019
Hepatobiliary System and Pancreas

Liver

Inferior vena cava

Diaphragm Hepatic veins

Left liver lobe 2

Right liver lobe 1

Right hepatic duct 5

Left hepatic duct 6

Cystic duct 8 Common hepatic duct 7

Portal vein

Gallbladder 4 Common bile duct 9

Medial segment Lateral segment

Right lobe 1 Left lobe 2

Pancreas

Head Neck Body Tail

Common
bile duct 9 Spleen
Accessory
pancreatic
duct F

Pancreatic
duct
(of Wirsung) D

Superior
Duodenum mesenteric
artery
and vein

Gallbladder and Ducts

R. hepatic duct 5
L. hepatic duct 6
Gallbladder 4

Common hepatic duct 7

Cystic duct 8

Common bile duct (choledochus) 9

Duodenum

Pancreatic duct D
Ampulla of Vater (sphincter) C

388 ICD-10-PCS 2019

ICD-10-PCS 2019 Hepatobiliary System and Pancreas 0F1–0F5

Hepatobiliary System and Pancreas

0 Medical and Surgical
F Hepatobiliary System and Pancreas 0F1
1 Bypass Definition: Altering the route of passage of the contents of a tubular body part
Explanation: Rerouting contents of a body part to a downstream area of the normal route, to a similar route and body part, or to an abnormal
route and dissimilar body part. Includes one or more anastomoses, with or without the use of a device.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
4 Gallbladder 0 Open D Intraluminal Device 3 Duodenum
5 Hepatic Duct, Right 4 Percutaneous Endoscopic Z No Device 4 Stomach
6 Hepatic Duct, Left 5 Hepatic Duct, Right
7 Hepatic Duct, Common 6 Hepatic Duct, Left
8 Cystic Duct 7 Hepatic Duct, Caudate
9 Common Bile Duct 8 Cystic Duct
9 Common Bile Duct
B Small Intestine
D Pancreatic Duct 0 Open D Intraluminal Device 3 Duodenum
Duct of Wirsung 4 Percutaneous Endoscopic Z No Device B Small Intestine
F Pancreatic Duct, Accessory C Large Intestine
Duct of Santorini
G Pancreas

0 Medical and Surgical

F Hepatobiliary System and Pancreas 0F2
2 Change Definition: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without
cutting or puncturing the skin or a mucous membrane
Explanation: All CHANGE procedures are coded using the approach EXTERNAL
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Liver X External 0 Drainage Device Z No Qualifier
Quadrate lobe Y Other Device
4 Gallbladder
B Hepatobiliary Duct
D Pancreatic Duct
Duct of Wirsung
G Pancreas
Non-OR All body part, approach, device, and qualifier values

0 Medical and Surgical

F Hepatobiliary System and Pancreas 0F5
5 Destruction Definition: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent
Explanation: None of the body part is physically taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Liver 0 Open Z No Device F Irreversible Electroporation
Quadrate lobe 3 Percutaneous Z No Qualifier
1 Liver, Right Lobe 4 Percutaneous Endoscopic
2 Liver, Left Lobe
4 Gallbladder 0 Open Z No Device Z No Qualifier
3 Percutaneous
4 Percutaneous Endoscopic
8 Via Natural or Artificial Opening
Endoscopic
5 Hepatic Duct, Right 0 Open Z No Device Z No Qualifier
6 Hepatic Duct, Left 3 Percutaneous
7 Hepatic Duct, Common 4 Percutaneous Endoscopic
8 Cystic Duct 7 Via Natural or Artificial Opening
9 Common Bile Duct 8 Via Natural or Artificial Opening
C Ampulla of Vater Endoscopic
Duodenal ampulla
Hepatopancreatic ampulla
D Pancreatic Duct
Duct of Wirsung
F Pancreatic Duct, Accessory
Duct of Santorini
G Pancreas 0 Open Z No Device F Irreversible Electroporation
3 Percutaneous Z No Qualifier
4 Percutaneous Endoscopic
G Pancreas 8 Via Natural or Artificial Opening Z No Device Z No Qualifier
Endoscopic
Non-OR 0F5[5,6,7,8,9,C,D,F][4,8]ZZ
0F1–0F5

Non-OR 0F5G4ZZ
Non-OR 0F5G8ZZ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 389
 0F7–0F8 Hepatobiliary System and Pancreas ICD-10-PCS 2019
Hepatobiliary System and Pancreas

0 Medical and Surgical

F Hepatobiliary System and Pancreas 0F7
7 Dilation Definition: Expanding an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice. Accomplished by stretching a tubular body part using
intraluminal pressure or by cutting part of the orifice or wall of the tubular body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
5 Hepatic Duct, Right 0 Open D Intraluminal Device Z No Qualifier
6 Hepatic Duct, Left 3 Percutaneous Z No Device
7 Hepatic Duct, Common 4 Percutaneous Endoscopic
8 Cystic Duct 7 Via Natural or Artificial Opening
9 Common Bile Duct 8 Via Natural or Artificial Opening
C Ampulla of Vater Endoscopic
Duodenal ampulla
Hepatopancreatic ampulla
D Pancreatic Duct
Duct of Wirsung
F Pancreatic Duct, Accessory
Duct of Santorini
Non-OR 0F7[5,6,7,8,9][3,4][D,Z]Z See Appendix L for Procedure Combinations
Non-OR 0F7[5,6,7,8,9,D][7,8]DZ Combo-only 0F7[5,6,8,9,D][7,8]DZ
Non-OR 0F7[5,6,7,8,9,C,D,F]8ZZ
Non-OR 0F7[D,F]4[D,Z]Z
Non-OR 0F7[C,F]8DZ

0 Medical and Surgical

F Hepatobiliary System and Pancreas 0F8
8 Division Definition: Cutting into a body part, without draining fluids and/or gases from the body part, in order to separate or transect a body part
Explanation: All or a portion of the body part is separated into two or more portions
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
G Pancreas 0 Open Z No Device Z No Qualifier
3 Percutaneous
4 Percutaneous Endoscopic
0F7–0F8

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
390 ICD-10-PCS 2019
ICD-10-PCS 2019 Hepatobiliary System and Pancreas 0F9–0F9

Hepatobiliary System and Pancreas

0 Medical and Surgical
F Hepatobiliary System and Pancreas 0F9
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Liver 0 Open 0 Drainage Device Z No Qualifier
Quadrate lobe 3 Percutaneous
1 Liver, Right Lobe 4 Percutaneous Endoscopic
2 Liver, Left Lobe
0 Liver 0 Open Z No Device X Diagnostic
Quadrate lobe 3 Percutaneous Z No Qualifier
1 Liver, Right Lobe 4 Percutaneous Endoscopic
2 Liver, Left Lobe
4 Gallbladder 0 Open 0 Drainage Device Z No Qualifier
G Pancreas 3 Percutaneous
4 Percutaneous Endoscopic
8 Via Natural or Artificial Opening
Endoscopic
4 Gallbladder 0 Open Z No Device X Diagnostic
G Pancreas 3 Percutaneous Z No Qualifier
4 Percutaneous Endoscopic
8 Via Natural or Artificial Opening
Endoscopic
5 Hepatic Duct, Right 0 Open 0 Drainage Device Z No Qualifier
6 Hepatic Duct, Left 3 Percutaneous
7 Hepatic Duct, Common 4 Percutaneous Endoscopic
8 Cystic Duct 7 Via Natural or Artificial Opening
9 Common Bile Duct 8 Via Natural or Artificial Opening
C Ampulla of Vater Endoscopic
Duodenal ampulla
Hepatopancreatic ampulla
D Pancreatic Duct
Duct of Wirsung
F Pancreatic Duct, Accessory
Duct of Santorini
5 Hepatic Duct, Right 0 Open Z No Device X Diagnostic
6 Hepatic Duct, Left 3 Percutaneous Z No Qualifier
7 Hepatic Duct, Common 4 Percutaneous Endoscopic
8 Cystic Duct 7 Via Natural or Artificial Opening
9 Common Bile Duct 8 Via Natural or Artificial Opening
C Ampulla of Vater Endoscopic
Duodenal ampulla
Hepatopancreatic ampulla
D Pancreatic Duct
Duct of Wirsung
F Pancreatic Duct, Accessory
Duct of Santorini
Non-OR 0F9[0,1,2][3,4]0Z Non-OR 0F99[3,8]0Z
Non-OR 0F9[0,1,2][3,4]Z[X,Z] Non-OR 0F9C[3,4,8]0Z
Non-OR 0F9[4,G]80Z Non-OR 0F9[D,F][3,8]0Z
Non-OR 0F9G30Z Non-OR 0F9[5,6,8,9,C,D,F]3Z[X,Z]
Non-OR 0F9[4,G]8Z[X,Z] Non-OR 0F9[5,6,8,9,C,D,F][4,7,8]ZX
Non-OR 0F9G3Z[XZ] Non-OR 0F9[5,6,8,D,F]8ZZ
Non-OR 0F9G4ZX Non-OR 0F97[3,4,7,8]Z[X,Z]
Non-OR 0F9[5,6,8][3,8]0Z Non-OR 0F99[4,7,8]ZZ
Non-OR 0F97[3,4,7,8]0Z Non-OR 0F9C[4,8]ZZ
0F9–0F9

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 391
 0FB–0FC Hepatobiliary System and Pancreas ICD-10-PCS 2019
Hepatobiliary System and Pancreas

0 Medical and Surgical

F Hepatobiliary System and Pancreas 0FB
B Excision Definition: Cutting out or off, without replacement, a portion of a body part
Explanation: The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Liver 0 Open Z No Device X Diagnostic
Quadrate lobe 3 Percutaneous Z No Qualifier
1 Liver, Right Lobe 4 Percutaneous Endoscopic
2 Liver, Left Lobe
4 Gallbladder 0 Open Z No Device X Diagnostic
G Pancreas 3 Percutaneous Z No Qualifier
4 Percutaneous Endoscopic
8 Via Natural or Artificial Opening
Endoscopic
5 Hepatic Duct, Right 0 Open Z No Device X Diagnostic
6 Hepatic Duct, Left 3 Percutaneous Z No Qualifier
7 Hepatic Duct, Common 4 Percutaneous Endoscopic
8 Cystic Duct 7 Via Natural or Artificial Opening
9 Common Bile Duct 8 Via Natural or Artificial Opening
C Ampulla of Vater Endoscopic
Duodenal ampulla
Hepatopancreatic ampulla
D Pancreatic Duct
Duct of Wirsung
F Pancreatic Duct, Accessory
Duct of Santorini
Non-OR 0FB[0,1,2]3ZX
Non-OR 0FB[4,G][3,4,8]ZX
Non-OR 0FB[5,6,7,8,9,C,D,F][3,4,7,8]ZX
Non-OR 0FB[5,6,7,8,9,C,D,F][4,8]ZZ

0 Medical and Surgical

F Hepatobiliary System and Pancreas 0FC
C Extirpation Definition: Taking or cutting out solid matter from a body part
Explanation: The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in
the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Liver 0 Open Z No Device Z No Qualifier
Quadrate lobe 3 Percutaneous
1 Liver, Right Lobe 4 Percutaneous Endoscopic
2 Liver, Left Lobe
4 Gallbladder 0 Open Z No Device Z No Qualifier
G Pancreas 3 Percutaneous
4 Percutaneous Endoscopic
8 Via Natural or Artificial Opening
Endoscopic
5 Hepatic Duct, Right 0 Open Z No Device Z No Qualifier
6 Hepatic Duct, Left 3 Percutaneous
7 Hepatic Duct, Common 4 Percutaneous Endoscopic
8 Cystic Duct 7 Via Natural or Artificial Opening
9 Common Bile Duct 8 Via Natural or Artificial Opening
C Ampulla of Vater Endoscopic
Duodenal ampulla
Hepatopancreatic ampulla
D Pancreatic Duct
Duct of Wirsung
F Pancreatic Duct, Accessory
Duct of Santorini
Non-OR 0FC[5,6,7,8,9][3,4,7,8]ZZ
Non-OR 0FCC[4,8]ZZ
Non-OR 0FC[D,F][3,4,8]ZZ
0FB–0FC

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
392 ICD-10-PCS 2019
ICD-10-PCS 2019 Hepatobiliary System and Pancreas 0FD–0FH

Hepatobiliary System and Pancreas

0 Medical and Surgical
F Hepatobiliary System and Pancreas 0FD
D Extraction Definition: Pulling or stripping out or off all or a portion of a body part by the use of force
Explanation: The qualifier DIAGNOSTIC is used to identify extraction procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Liver 3 Percutaneous Z No Device X Diagnostic
Quadrate lobe 4 Percutaneous Endoscopic
1 Liver, Right Lobe
2 Liver, Left Lobe
4 Gallbladder 3 Percutaneous Z No Device X Diagnostic
5 Hepatic Duct, Right 4 Percutaneous Endoscopic
6 Hepatic Duct, Left 8 Via Natural or Artificial Opening
7 Hepatic Duct, Common Endoscopic
8 Cystic Duct
9 Common Bile Duct
C Ampulla of Vater
Duodenal ampulla
Hepatopancreatic ampulla
D Pancreatic Duct
Duct of Wirsung
F Pancreatic Duct, Accessory
Duct of Santorini
G Pancreas

0 Medical and Surgical

F Hepatobiliary System and Pancreas 0FF
F Fragmentation Definition: Breaking solid matter in a body part into pieces
Explanation: Physical force (e.g., manual, ultrasonic) applied directly or indirectly is used to break the solid matter into pieces. The solid matter
may be an abnormal byproduct of a biological function or a foreign body. The pieces of solid matter are not taken out.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
4 Gallbladder 4 0 Open Z No Device Z No Qualifier
5 Hepatic Duct, Right 4 3 Percutaneous
6 Hepatic Duct, Left 4 4 Percutaneous Endoscopic
7 Hepatic Duct, Common 7 Via Natural or Artificial Opening
8 Cystic Duct 4 8 Via Natural or Artificial Opening
9 Common Bile Duct 4 Endoscopic
C Ampulla of Vater 4 X External
Duodenal ampulla
Hepatopancreatic ampulla
D Pancreatic Duct 4
Duct of Wirsung
F Pancreatic Duct, Accessory 4
Duct of Santorini
Non-OR 0FF[4,5,6,7,8,9,C,D,F][8,X]ZZ
4 0FF[4,5,6,8,9,C,D,F]XZZ

0 Medical and Surgical

F Hepatobiliary System and Pancreas 0FH
H Insertion Definition: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically
take the place of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Liver 0 Open 2 Monitoring Device Z No Qualifier
Quadrate lobe 3 Percutaneous 3 Infusion Device
4 Gallbladder 4 Percutaneous Endoscopic Y Other Device
G Pancreas
1 Liver, Right Lobe 0 Open 2 Monitoring Device Z No Qualifier
2 Liver, Left Lobe 3 Percutaneous 3 Infusion Device
4 Percutaneous Endoscopic
B Hepatobiliary Duct 0 Open 1 Radioactive Element Z No Qualifier
D Pancreatic Duct 3 Percutaneous 2 Monitoring Device
Duct of Wirsung 4 Percutaneous Endoscopic 3 Infusion Device
7 Via Natural or Artificial Opening D Intraluminal Device
8 Via Natural or Artificial Opening Y Other Device
Endoscopic
Non-OR 0FH[0,4,G][0,3,4]3Z See Appendix L for Procedure Combinations
Non-OR 0FH[0,4,G][3,4]YZ Combo-only 0FHB8DZ
Non-OR 0FH[1,2][0,3,4]3Z
Non-OR 0FH[B,D][0,3,4]3Z
Non-OR 0FH[B,D]4DZ
0FD–0FH

Non-OR 0FH[B,D][7,8][2,3]Z
Non-OR 0FH[B,D]8DZ
Non-OR 0FH[B,D][3,4,7,8]YZ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 393
 0FJ–0FL Hepatobiliary System and Pancreas ICD-10-PCS 2019
Hepatobiliary System and Pancreas

0 Medical and Surgical

F Hepatobiliary System and Pancreas 0FJ
J Inspection Definition: Visually and/or manually exploring a body part
Explanation: Visual exploration may be performed with or without optical instrumentation. Manual exploration may be performed directly or
through intervening body layers.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Liver 0 Open Z No Device Z No Qualifier
Quadrate lobe 3 Percutaneous
4 Percutaneous Endoscopic
X External
4 Gallbladder 0 Open Z No Device Z No Qualifier
G Pancreas 3 Percutaneous
4 Percutaneous Endoscopic
8 Via Natural or Artificial Opening
Endoscopic
X External
B Hepatobiliary Duct 0 Open Z No Device Z No Qualifier
D Pancreatic Duct 3 Percutaneous
Duct of Wirsung 4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
Non-OR 0FJ0[3,X]ZZ
Non-OR 0FJ[4,G][3,8,X]ZZ
Non-OR 0FJ[B,D][3,7,8]ZZ

0 Medical and Surgical

F Hepatobiliary System and Pancreas 0FL
L Occlusion Definition: Completely closing an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
5 Hepatic Duct, Right 0 Open C Extraluminal Device Z No Qualifier
6 Hepatic Duct, Left 3 Percutaneous D Intraluminal Device
7 Hepatic Duct, Common 4 Percutaneous Endoscopic Z No Device
8 Cystic Duct
9 Common Bile Duct
C Ampulla of Vater
Duodenal ampulla
Hepatopancreatic ampulla
D Pancreatic Duct
Duct of Wirsung
F Pancreatic Duct, Accessory
Duct of Santorini
5 Hepatic Duct, Right 7 Via Natural or Artificial Opening D Intraluminal Device Z No Qualifier
6 Hepatic Duct, Left 8 Via Natural or Artificial Opening Z No Device
7 Hepatic Duct, Common Endoscopic
8 Cystic Duct
9 Common Bile Duct
C Ampulla of Vater
Duodenal ampulla
Hepatopancreatic ampulla
D Pancreatic Duct
Duct of Wirsung
F Pancreatic Duct, Accessory
Duct of Santorini
Non-OR 0FL[5,6,7,8,9][3,4][C,D,Z]Z
Non-OR 0FL[5,6,7,8,9][7,8][D,Z]Z
0FJ–0FL

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
394 ICD-10-PCS 2019
ICD-10-PCS 2019 Hepatobiliary System and Pancreas 0FM–0FN

Hepatobiliary System and Pancreas

0 Medical and Surgical
F Hepatobiliary System and Pancreas 0FM
M Reattachment Definition: Putting back in or on all or a portion of a separated body part to its normal location or other suitable location
Explanation: Vascular circulation and nervous pathways may or may not be reestablished
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Liver 0 Open Z No Device Z No Qualifier
Quadrate lobe 4 Percutaneous Endoscopic
1 Liver, Right Lobe
2 Liver, Left Lobe
4 Gallbladder
5 Hepatic Duct, Right
6 Hepatic Duct, Left
7 Hepatic Duct, Common
8 Cystic Duct
9 Common Bile Duct
C Ampulla of Vater
Duodenal ampulla
Hepatopancreatic ampulla
D Pancreatic Duct
Duct of Wirsung
F Pancreatic Duct, Accessory
Duct of Santorini
G Pancreas
Non-OR 0FM[4,5,6,7,8,9]4ZZ

0 Medical and Surgical

F Hepatobiliary System and Pancreas 0FN
N Release Definition: Freeing a body part from an abnormal physical constraint by cutting or by the use of force
Explanation: Some of the restraining tissue may be taken out but none of the body part is taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Liver 0 Open Z No Device Z No Qualifier
Quadrate lobe 3 Percutaneous
1 Liver, Right Lobe 4 Percutaneous Endoscopic
2 Liver, Left Lobe
4 Gallbladder 0 Open Z No Device Z No Qualifier
G Pancreas 3 Percutaneous
4 Percutaneous Endoscopic
8 Via Natural or Artificial Opening
Endoscopic
5 Hepatic Duct, Right 0 Open Z No Device Z No Qualifier
6 Hepatic Duct, Left 3 Percutaneous
7 Hepatic Duct, Common 4 Percutaneous Endoscopic
8 Cystic Duct 7 Via Natural or Artificial Opening
9 Common Bile Duct 8 Via Natural or Artificial Opening
C Ampulla of Vater Endoscopic
Duodenal ampulla
Hepatopancreatic ampulla
D Pancreatic Duct
Duct of Wirsung
F Pancreatic Duct, Accessory
Duct of Santorini
0FM–0FN

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 395
 0FP–0FP Hepatobiliary System and Pancreas ICD-10-PCS 2019
Hepatobiliary System and Pancreas

0 Medical and Surgical

F Hepatobiliary System and Pancreas 0FP
P Removal Definition: Taking out or off a device from a body part
Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is
coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Liver 0 Open 0 Drainage Device Z No Qualifier
Quadrate lobe 3 Percutaneous 2 Monitoring Device
4 Percutaneous Endoscopic 3 Infusion Device
Y Other Device
0 Liver X External 0 Drainage Device Z No Qualifier
Quadrate lobe 2 Monitoring Device
3 Infusion Device
4 Gallbladder 0 Open 0 Drainage Device Z No Qualifier
G Pancreas 3 Percutaneous 2 Monitoring Device
4 Percutaneous Endoscopic 3 Infusion Device
D Intraluminal Device
Y Other Device
4 Gallbladder X External 0 Drainage Device Z No Qualifier
G Pancreas 2 Monitoring Device
3 Infusion Device
D Intraluminal Device
B Hepatobiliary Duct 0 Open 0 Drainage Device Z No Qualifier
D Pancreatic Duct 3 Percutaneous 1 Radioactive Element
Duct of Wirsung 4 Percutaneous Endoscopic 2 Monitoring Device
7 Via Natural or Artificial Opening 3 Infusion Device
8 Via Natural or Artificial Opening 7 Autologous Tissue Substitute
Endoscopic C Extraluminal Device
D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
Y Other Device
B Hepatobiliary Duct X External 0 Drainage Device Z No Qualifier
D Pancreatic Duct 1 Radioactive Element
Duct of Wirsung 2 Monitoring Device
3 Infusion Device
D Intraluminal Device
Non-OR 0FP0[3,4]YZ See Appendix L for Procedure Combinations
Non-OR 0FP0X[0,2,3]Z Combo-only 0FP[B,D]XDZ
Non-OR 0FP[4,G][3,4]YZ
Non-OR 0FP4X[0,2,3,D]Z
Non-OR 0FPGX[0,2,3]Z
Non-OR 0FP[B,D][3,4]YZ
Non-OR 0FP[B,D][7,8][0,2,3,D,Y]Z
Non-OR 0FP[B,D]X[0,1,2,3,D]Z
0FP–0FP

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
396 ICD-10-PCS 2019
ICD-10-PCS 2019 Hepatobiliary System and Pancreas 0FQ–0FS

Hepatobiliary System and Pancreas

0 Medical and Surgical
F Hepatobiliary System and Pancreas 0FQ
Q Repair Definition: Restoring, to the extent possible, a body part to its normal anatomic structure and function
Explanation: Used only when the method to accomplish the repair is not one of the other root operations
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Liver 0 Open Z No Device Z No Qualifier
Quadrate lobe 3 Percutaneous
1 Liver, Right Lobe 4 Percutaneous Endoscopic
2 Liver, Left Lobe
4 Gallbladder 0 Open Z No Device Z No Qualifier
G Pancreas 3 Percutaneous
4 Percutaneous Endoscopic
8 Via Natural or Artificial Opening
Endoscopic
5 Hepatic Duct, Right 0 Open Z No Device Z No Qualifier
6 Hepatic Duct, Left 3 Percutaneous
7 Hepatic Duct, Common 4 Percutaneous Endoscopic
8 Cystic Duct 7 Via Natural or Artificial Opening
9 Common Bile Duct 8 Via Natural or Artificial Opening
C Ampulla of Vater Endoscopic
Duodenal ampulla
Hepatopancreatic ampulla
D Pancreatic Duct
Duct of Wirsung
F Pancreatic Duct, Accessory
Duct of Santorini

0 Medical and Surgical

F Hepatobiliary System and Pancreas 0FR
R Replacement Definition: Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part
Explanation: The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during
the REPLACEMENT procedure. A REMOVAL procedure is coded for taking out the device used in a previous replacement procedure.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
5 Hepatic Duct, Right 0 Open 7 Autologous Tissue Substitute Z No Qualifier
6 Hepatic Duct, Left 4 Percutaneous Endoscopic J Synthetic Substitute
7 Hepatic Duct, Common 8 Via Natural or Artificial Opening K Nonautologous Tissue Substitute
8 Cystic Duct Endoscopic
9 Common Bile Duct
C Ampulla of Vater
Duodenal ampulla
Hepatopancreatic ampulla
D Pancreatic Duct
Duct of Wirsung
F Pancreatic Duct, Accessory
Duct of Santorini

0 Medical and Surgical

F Hepatobiliary System and Pancreas 0FS
S Reposition Definition: Moving to its normal location, or other suitable location, all or a portion of a body part
Explanation: The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning
correctly. The body part may or may not be cut out or off to be moved to the new location.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Liver 0 Open Z No Device Z No Qualifier
Quadrate lobe 4 Percutaneous Endoscopic
4 Gallbladder
5 Hepatic Duct, Right
6 Hepatic Duct, Left
7 Hepatic Duct, Common
8 Cystic Duct
9 Common Bile Duct
C Ampulla of Vater
Duodenal ampulla
Hepatopancreatic ampulla
D Pancreatic Duct
Duct of Wirsung
F Pancreatic Duct, Accessory
Duct of Santorini
G Pancreas
0FQ–0FS

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 397
 0FT–0FU Hepatobiliary System and Pancreas ICD-10-PCS 2019
Hepatobiliary System and Pancreas

0 Medical and Surgical

F Hepatobiliary System and Pancreas 0FT
T Resection Definition: Cutting out or off, without replacement, all of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Liver 0 Open Z No Device Z No Qualifier
Quadrate lobe 4 Percutaneous Endoscopic
1 Liver, Right Lobe
2 Liver, Left Lobe
4 Gallbladder
G Pancreas ?
5 Hepatic Duct, Right 0 Open Z No Device Z No Qualifier
6 Hepatic Duct, Left 4 Percutaneous Endoscopic
7 Hepatic Duct, Common 7 Via Natural or Artificial Opening
8 Cystic Duct 8 Via Natural or Artificial Opening
9 Common Bile Duct Endoscopic
C Ampulla of Vater
Duodenal ampulla
Hepatopancreatic ampulla
D Pancreatic Duct
Duct of Wirsung
F Pancreatic Duct, Accessory
Duct of Santorini
Non-OR 0FT[D,F][4,8]ZZ See Appendix L for Procedure Combinations
? 0FTG0ZZ

0 Medical and Surgical

F Hepatobiliary System and Pancreas 0FU
U Supplement Definition: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part
Explanation: The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced,
and the SUPPLEMENT procedure is performed to physically reinforce and/or augment the function of the replaced body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
5 Hepatic Duct, Right 0 Open 7 Autologous Tissue Substitute Z No Qualifier
6 Hepatic Duct, Left 3 Percutaneous J Synthetic Substitute
7 Hepatic Duct, Common 4 Percutaneous Endoscopic K Nonautologous Tissue Substitute
8 Cystic Duct 8 Via Natural or Artificial Opening
9 Common Bile Duct Endoscopic
C Ampulla of Vater
Duodenal ampulla
Hepatopancreatic ampulla
D Pancreatic Duct
Duct of Wirsung
F Pancreatic Duct, Accessory
Duct of Santorini
0FT–0FU

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
398 ICD-10-PCS 2019
ICD-10-PCS 2019 Hepatobiliary System and Pancreas 0FV–0FV

Hepatobiliary System and Pancreas

0 Medical and Surgical
F Hepatobiliary System and Pancreas 0FV
V Restriction Definition: Partially closing an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
5 Hepatic Duct, Right 0 Open C Extraluminal Device Z No Qualifier
6 Hepatic Duct, Left 3 Percutaneous D Intraluminal Device
7 Hepatic Duct, Common 4 Percutaneous Endoscopic Z No Device
8 Cystic Duct
9 Common Bile Duct
C Ampulla of Vater
Duodenal ampulla
Hepatopancreatic ampulla
D Pancreatic Duct
Duct of Wirsung
F Pancreatic Duct, Accessory
Duct of Santorini
5 Hepatic Duct, Right 7 Via Natural or Artificial Opening D Intraluminal Device Z No Qualifier
6 Hepatic Duct, Left 8 Via Natural or Artificial Opening Z No Device
7 Hepatic Duct, Common Endoscopic
8 Cystic Duct
9 Common Bile Duct
C Ampulla of Vater
Duodenal ampulla
Hepatopancreatic ampulla
D Pancreatic Duct
Duct of Wirsung
F Pancreatic Duct, Accessory
Duct of Santorini
Non-OR 0FV[5,6,7,8,9][3,4][C,D,Z]Z
Non-OR 0FV[5,6,7,8,9][7,8][D,Z]Z

0FV–0FV

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 399
 0FW–0FY Hepatobiliary System and Pancreas ICD-10-PCS 2019
Hepatobiliary System and Pancreas

0 Medical and Surgical

F Hepatobiliary System and Pancreas 0FW
W Revision Definition: Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device
Explanation: Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as
a screw or pin
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Liver 0 Open 0 Drainage Device Z No Qualifier
Quadrate lobe 3 Percutaneous 2 Monitoring Device
4 Percutaneous Endoscopic 3 Infusion Device
Y Other Device
0 Liver X External 0 Drainage Device Z No Qualifier
Quadrate lobe 2 Monitoring Device
3 Infusion Device
4 Gallbladder 0 Open 0 Drainage Device Z No Qualifier
G Pancreas 3 Percutaneous 2 Monitoring Device
4 Percutaneous Endoscopic 3 Infusion Device
D Intraluminal Device
Y Other Device
4 Gallbladder X External 0 Drainage Device Z No Qualifier
G Pancreas 2 Monitoring Device
3 Infusion Device
D Intraluminal Device
B Hepatobiliary Duct 0 Open 0 Drainage Device Z No Qualifier
D Pancreatic Duct 3 Percutaneous 2 Monitoring Device
Duct of Wirsung 4 Percutaneous Endoscopic 3 Infusion Device
7 Via Natural or Artificial Opening 7 Autologous Tissue Substitute
8 Via Natural or Artificial Opening C Extraluminal Device
Endoscopic D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
Y Other Device
B Hepatobiliary Duct X External 0 Drainage Device Z No Qualifier
D Pancreatic Duct 2 Monitoring Device
Duct of Wirsung 3 Infusion Device
7 Autologous Tissue Substitute
C Extraluminal Device
D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
Non-OR 0FW0[3,4]YZ
Non-OR 0FW0X[0,2,3]Z
Non-OR 0FW[4,G][3,4]YZ
Non-OR 0FW[4,G]X[0,2,3,D]Z
Non-OR 0FW[B,D][3,4,7,8]YZ
Non-OR 0FW[B,D]X[0,2,3,7,C,D,J,K]Z

0 Medical and Surgical

F Hepatobiliary System and Pancreas 0FY
Y Transplantation Definition: Putting in or on all or a portion of a living body part taken from another individual or animal to physically take the place and/or
function of all or a portion of a similar body part
Explanation: The native body part may or may not be taken out, and the transplanted body part may take over all or a portion of its function
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Liver 3 0 Open Z No Device 0 Allogeneic
Quadrate lobe 1 Syngeneic
G Pancreas ?34 2 Zooplastic
3 0FY00Z[0,1,2] See Appendix L for Procedure Combinations
3 0FYG0Z[0,1] ? 0FYG0Z[0,1,2]
4 0FYG0Z2
4 0FYG0Z[0,1] If reported alone without one of the following procedures
0TY00Z[0,1,2], 0TY10Z[0,1,2] and without one of the following
diagnoses E10.10-E10.9, E89.1
0FW–0FY

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
400 ICD-10-PCS 2019
ICD-10-PCS 2019 Endocrine System

Endocrine System
Endocrine System 0G2–0GW
Character Meanings
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.

Operation–Character 3 Body Part–Character 4 Approach–Character 5 Device–Character 6 Qualifier–Character 7

2 Change 0 Pituitary Gland 0 Open 0 Drainage Device X Diagnostic
5 Destruction 1 Pineal Body 3 Percutaneous 2 Monitoring Device Z No Qualifier
8 Division 2 Adrenal Gland, Left 4 Percutaneous Endoscopic 3 Infusion Device
9 Drainage 3 Adrenal Gland, Right X External Y Other Device
B Excision 4 Adrenal Glands, Bilateral Z No Device
C Extirpation 5 Adrenal Gland
H Insertion 6 Carotid Body, Left
J Inspection 7 Carotid Body, Right
M Reattachment 8 Carotid Bodies, Bilateral
N Release 9 Para-aortic Body
P Removal B Coccygeal Glomus
Q Repair C Glomus Jugulare
S Reposition D Aortic Body
T Resection F Paraganglion Extremity
W Revision G Thyroid Gland Lobe, Left
H Thyroid Gland Lobe, Right
J Thyroid Gland Isthmus
K Thyroid Gland
L Superior Parathyroid Gland,
Right
M Superior Parathyroid Gland,
Left
N Inferior Parathyroid Gland,
Right
P Inferior Parathyroid Gland,
Left
Q Parathyroid Glands,
Multiple
R Parathyroid Gland
S Endocrine Gland

AHA Coding Clinic for table 0GB

2017, 2Q, 20 Near total thyroidectomy
2014, 3Q, 22 Transsphenoidal removal of pituitary tumor and fat graft placement
AHA Coding Clinic for table 0GT
2017, 2Q, 20 Near total thyroidectomy

ICD-10-PCS 2019 401

 Endocrine System ICD-10-PCS 2019
Endocrine System

Endocrine System

Pineal gland 1
Pituitary 0

Parathyroid glands L, M, N, P, Q, R
Thyroid gland G, H, J, K

Thymus gland

Thoracic duct

Adrenals
(suprarenal)
gland 2, 3, 4, 5
Pancreas

Left Adrenal Gland

Fat and
Left adrenal (suprarenal) retroperitoneal
gland 2 wall

Renal pelvis

Ureter
Left kidney

402 ICD-10-PCS 2019

ICD-10-PCS 2019 Endocrine System

Endocrine System
Thyroid
Anterior view Lateral view

Epiglottis
Cricothyroid
Hyoid bone ligament

Thyroglossal duct
(dotted line)
Pyramid lobe
Hyoid bone
Thyroid cartilage
Thyroid cartilage
Right lobe H Left lobe G Cricothyroid
Cricoid cartilage muscle
Cricoid cartilage Isthmus J
Thyroid gland
Thyroid gland K

Trachea
Esophagus

Thyroid and Parathyroid Glands

Posterior view

Epiglottis

Pharynx

Superior parathyroid
glands L, M

Thyroid gland Thyroid gland

lobe, left G lobe, right H

Inferior parathyroid
glands N, P

ICD-10-PCS 2019 403

 0G2–0G8 Endocrine System ICD-10-PCS 2019
Endocrine System

0 Medical and Surgical

G Endocrine System 0G2
2 Change Definition: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without
cutting or puncturing the skin or a mucous membrane
Explanation: All CHANGE procedures are coded using the approach EXTERNAL
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Pituitary Gland X External 0 Drainage Device Z No Qualifier
Adenohypophysis Y Other Device
Hypophysis
Neurohypophysis
1 Pineal Body
5 Adrenal Gland
Suprarenal gland
K Thyroid Gland
R Parathyroid Gland
S Endocrine Gland
Non-OR All body part, approach, device, and qualifier values

0 Medical and Surgical

G Endocrine System 0G5
5 Destruction Definition: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent
Explanation: None of the body part is physically taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Pituitary Gland 0 Open Z No Device Z No Qualifier
Adenohypophysis 3 Percutaneous
Hypophysis 4 Percutaneous Endoscopic
Neurohypophysis
1 Pineal Body
2 Adrenal Gland, Left
Suprarenal gland
3 Adrenal Gland, Right
See 2 Adrenal Gland, Left
4 Adrenal Glands, Bilateral
See 2 Adrenal Gland, Left
6 Carotid Body, Left
Carotid glomus
7 Carotid Body, Right
See 6 Carotid Body, Left
8 Carotid Bodies, Bilateral
See 6 Carotid Body, Left
9 Para-aortic Body
B Coccygeal Glomus
Coccygeal body
C Glomus Jugulare
Jugular body
D Aortic Body
F Paraganglion Extremity
G Thyroid Gland Lobe, Left
H Thyroid Gland Lobe, Right
K Thyroid Gland
L Superior Parathyroid Gland, Right
M Superior Parathyroid Gland, Left
N Inferior Parathyroid Gland, Right
P Inferior Parathyroid Gland, Left
Q Parathyroid Glands, Multiple
R Parathyroid Gland

0 Medical and Surgical

G Endocrine System 0G8
8 Division Definition: Cutting into a body part, without draining fluids and/or gases from the body part, in order to separate or transect a body part
Explanation: All or a portion of the body part is separated into two or more portions
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Pituitary Gland 0 Open Z No Device Z No Qualifier
Adenohypophysis 3 Percutaneous
Hypophysis 4 Percutaneous Endoscopic
Neurohypophysis
J Thyroid Gland Isthmus
0G2–0G8

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
404 ICD-10-PCS 2019
ICD-10-PCS 2019 Endocrine System 0G9–0G9

Endocrine System
0 Medical and Surgical
G Endocrine System 0G9
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Pituitary Gland 0 Open 0 Drainage Device Z No Qualifier
Adenohypophysis 3 Percutaneous
Hypophysis 4 Percutaneous Endoscopic
Neurohypophysis
1 Pineal Body
2 Adrenal Gland, Left
Suprarenal gland
3 Adrenal Gland, Right
See 2 Adrenal Gland, Left
4 Adrenal Glands, Bilateral
See 2 Adrenal Gland, Left
6 Carotid Body, Left
Carotid glomus
7 Carotid Body, Right
See 6 Carotid Body, Left
8 Carotid Bodies, Bilateral
See 6 Carotid Body, Left
9 Para-aortic Body
B Coccygeal Glomus
Coccygeal body
C Glomus Jugulare
Jugular body
D Aortic Body
F Paraganglion Extremity
G Thyroid Gland Lobe, Left
H Thyroid Gland Lobe, Right
K Thyroid Gland
L Superior Parathyroid Gland, Right
M Superior Parathyroid Gland, Left
N Inferior Parathyroid Gland, Right
P Inferior Parathyroid Gland, Left
Q Parathyroid Glands, Multiple
R Parathyroid Gland
0 Pituitary Gland 0 Open Z No Device X Diagnostic
Adenohypophysis 3 Percutaneous Z No Qualifier
Hypophysis 4 Percutaneous Endoscopic
Neurohypophysis
1 Pineal Body
2 Adrenal Gland, Left
Suprarenal gland
3 Adrenal Gland, Right
See 2 Adrenal Gland, Left
4 Adrenal Glands, Bilateral
See 2 Adrenal Gland, Left
6 Carotid Body, Left
Carotid glomus
7 Carotid Body, Right
See 6 Carotid Body, Left
8 Carotid Bodies, Bilateral
See 6 Carotid Body, Left
9 Para-aortic Body
B Coccygeal Glomus
Coccygeal body
C Glomus Jugulare
Jugular body
D Aortic Body
F Paraganglion Extremity
G Thyroid Gland Lobe, Left
H Thyroid Gland Lobe, Right
K Thyroid Gland
L Superior Parathyroid Gland, Right
M Superior Parathyroid Gland, Left
N Inferior Parathyroid Gland, Right
P Inferior Parathyroid Gland, Left
Q Parathyroid Glands, Multiple
R Parathyroid Gland
Non-OR 0G9[0,1,2,3,4,6,7,8,9,B,C,D,F,G,H,K,L,M,N,P,Q,R]30Z
Non-OR 0G9[G,H,K,L,M,N,P,Q,R]40Z
0G9–0G9

Non-OR 0G9[2,3,4,G,H,K][3,4]ZX
Non-OR 0G9[0,1,2,3,4,6,7,8,9,B,C,D,F,G,H,K,L,M,N,P,Q,R]3ZZ
Non-OR 0G9[G,H,K,L,M,N,P,Q,R]4ZZ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 405
 0GB–0GC Endocrine System ICD-10-PCS 2019
Endocrine System

0 Medical and Surgical

G Endocrine System 0GB
B Excision Definition: Cutting out or off, without replacement, a portion of a body part
Explanation: The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Pituitary Gland 0 Open Z No Device X Diagnostic
Adenohypophysis 3 Percutaneous Z No Qualifier
Hypophysis 4 Percutaneous Endoscopic
Neurohypophysis
1 Pineal Body
2 Adrenal Gland, Left
Suprarenal gland
3 Adrenal Gland, Right
See 2 Adrenal Gland, Left
4 Adrenal Glands, Bilateral
See 2 Adrenal Gland, Left
6 Carotid Body, Left
Carotid glomus
7 Carotid Body, Right
See 6 Carotid Body, Left
8 Carotid Bodies, Bilateral
See 6 Carotid Body, Left
9 Para-aortic Body
B Coccygeal Glomus
Coccygeal body
C Glomus Jugulare
Jugular body
D Aortic Body
F Paraganglion Extremity
G Thyroid Gland Lobe, Left
H Thyroid Gland Lobe, Right
J Thyroid Gland Isthmus
L Superior Parathyroid Gland, Right
M Superior Parathyroid Gland, Left
N Inferior Parathyroid Gland, Right
P Inferior Parathyroid Gland, Left
Q Parathyroid Glands, Multiple
R Parathyroid Gland
Non-OR 0GB[2,3,4,G,H,J][3,4]ZX

0 Medical and Surgical

G Endocrine System 0GC
C Extirpation Definition: Taking or cutting out solid matter from a body part
Explanation: The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in
the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Pituitary Gland 0 Open Z No Device Z No Qualifier
Adenohypophysis 3 Percutaneous
Hypophysis 4 Percutaneous Endoscopic
Neurohypophysis
1 Pineal Body
2 Adrenal Gland, Left
Suprarenal gland
3 Adrenal Gland, Right
See 2 Adrenal Gland, Left
4 Adrenal Glands, Bilateral
See 2 Adrenal Gland, Left
6 Carotid Body, Left
Carotid glomus
7 Carotid Body, Right
See 6 Carotid Body, Left
8 Carotid Bodies, Bilateral
See 6 Carotid Body, Left
9 Para-aortic Body
B Coccygeal Glomus
Coccygeal body
C Glomus Jugulare
Jugular body
D Aortic Body
F Paraganglion Extremity
G Thyroid Gland Lobe, Left
H Thyroid Gland Lobe, Right
K Thyroid Gland
L Superior Parathyroid Gland, Right
M Superior Parathyroid Gland, Left
N Inferior Parathyroid Gland, Right
0GB–0GC

P Inferior Parathyroid Gland, Left

Q Parathyroid Glands, Multiple
R Parathyroid Gland

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
406 ICD-10-PCS 2019
ICD-10-PCS 2019 Endocrine System 0GH–0GM

Endocrine System
0 Medical and Surgical
G Endocrine System 0GH
H Insertion Definition: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically
take the place of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
S Endocrine Gland 0 Open 2 Monitoring Device Z No Qualifier
3 Percutaneous 3 Infusion Device
4 Percutaneous Endoscopic Y Other Device
Non-OR 0GHS[3,4]YZ

0 Medical and Surgical

G Endocrine System 0GJ
J Inspection Definition: Visually and/or manually exploring a body part
Explanation: Visual exploration may be performed with or without optical instrumentation. Manual exploration may be performed directly or
through intervening body layers.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Pituitary Gland 0 Open Z No Device Z No Qualifier
Adenohypophysis 3 Percutaneous
Hypophysis 4 Percutaneous Endoscopic
Neurohypophysis
1 Pineal Body
5 Adrenal Gland
Suprarenal gland
K Thyroid Gland
R Parathyroid Gland
S Endocrine Gland
Non-OR 0GJ[0,1,5,K,R,S]3ZZ

0 Medical and Surgical

G Endocrine System 0GM
M Reattachment Definition: Putting back in or on all or a portion of a separated body part to its normal location or other suitable location
Explanation: Vascular circulation and nervous pathways may or may not be reestablished
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
2 Adrenal Gland, Left 0 Open Z No Device Z No Qualifier
Suprarenal gland 4 Percutaneous Endoscopic
3 Adrenal Gland, Right
See 2 Adrenal Gland, Left
G Thyroid Gland Lobe, Left
H Thyroid Gland Lobe, Right
L Superior Parathyroid Gland, Right
M Superior Parathyroid Gland, Left
N Inferior Parathyroid Gland, Right
P Inferior Parathyroid Gland, Left
Q Parathyroid Glands, Multiple
R Parathyroid Gland
0GH–0GM

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 407
 0GN–0GP Endocrine System ICD-10-PCS 2019
Endocrine System

0 Medical and Surgical

G Endocrine System 0GN
N Release Definition: Freeing a body part from an abnormal physical constraint by cutting or by the use of force
Explanation: Some of the restraining tissue may be taken out but none of the body part is taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Pituitary Gland 0 Open Z No Device Z No Qualifier
Adenohypophysis 3 Percutaneous
Hypophysis 4 Percutaneous Endoscopic
Neurohypophysis
1 Pineal Body
2 Adrenal Gland, Left
Suprarenal gland
3 Adrenal Gland, Right
See 2 Adrenal Gland, Left
4 Adrenal Glands, Bilateral
See 2 Adrenal Gland, Left
6 Carotid Body, Left
Carotid glomus
7 Carotid Body, Right
See 6 Carotid Body, Left
8 Carotid Bodies, Bilateral
See 6 Carotid Body, Left
9 Para-aortic Body
B Coccygeal Glomus
Coccygeal body
C Glomus Jugulare
Jugular body
D Aortic Body
F Paraganglion Extremity
G Thyroid Gland Lobe, Left
H Thyroid Gland Lobe, Right
K Thyroid Gland
L Superior Parathyroid Gland, Right
M Superior Parathyroid Gland, Left
N Inferior Parathyroid Gland, Right
P Inferior Parathyroid Gland, Left
Q Parathyroid Glands, Multiple
R Parathyroid Gland
Non-OR 0GN[6,7,8,9,B,C,D,F][0,3,4]ZZ

0 Medical and Surgical

G Endocrine System 0GP
P Removal Definition: Taking out or off a device from a body part
Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is
coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Pituitary Gland 0 Open 0 Drainage Device Z No Qualifier
Adenohypophysis 3 Percutaneous
Hypophysis 4 Percutaneous Endoscopic
Neurohypophysis X External
1 Pineal Body
5 Adrenal Gland
Suprarenal gland
K Thyroid Gland
R Parathyroid Gland
S Endocrine Gland 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous 2 Monitoring Device
4 Percutaneous Endoscopic 3 Infusion Device
Y Other Device
S Endocrine Gland X External 0 Drainage Device Z No Qualifier
2 Monitoring Device
3 Infusion Device
Non-OR 0GP[0,1,5,K,R]X0Z
Non-OR 0GPS[3,4]YZ
Non-OR 0GPSX[0,2,3]Z
0GN–0GP

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
408 ICD-10-PCS 2019
ICD-10-PCS 2019 Endocrine System 0GQ–0GS

Endocrine System
0 Medical and Surgical
G Endocrine System 0GQ
Q Repair Definition: Restoring, to the extent possible, a body part to its normal anatomic structure and function
Explanation: Used only when the method to accomplish the repair is not one of the other root operations
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Pituitary Gland 0 Open Z No Device Z No Qualifier
Adenohypophysis 3 Percutaneous
Hypophysis 4 Percutaneous Endoscopic
Neurohypophysis
1 Pineal Body
2 Adrenal Gland, Left
Suprarenal gland
3 Adrenal Gland, Right
See 2 Adrenal Gland, Left
4 Adrenal Glands, Bilateral
See 2 Adrenal Gland, Left
6 Carotid Body, Left
Carotid glomus
7 Carotid Body, Right
See 6 Carotid Body, Left
8 Carotid Bodies, Bilateral
See 6 Carotid Body, Left
9 Para-aortic Body
B Coccygeal Glomus
Coccygeal body
C Glomus Jugulare
Jugular body
D Aortic Body
F Paraganglion Extremity
G Thyroid Gland Lobe, Left
H Thyroid Gland Lobe, Right
J Thyroid Gland Isthmus
K Thyroid Gland
L Superior Parathyroid Gland, Right
M Superior Parathyroid Gland, Left
N Inferior Parathyroid Gland, Right
P Inferior Parathyroid Gland, Left
Q Parathyroid Glands, Multiple
R Parathyroid Gland

0 Medical and Surgical

G Endocrine System 0GS
S Reposition Definition: Moving to its normal location, or other suitable location, all or a portion of a body part
Explanation: The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning
correctly. The body part may or may not be cut out or off to be moved to the new location.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
2 Adrenal Gland, Left 0 Open Z No Device Z No Qualifier
Suprarenal gland 4 Percutaneous Endoscopic
3 Adrenal Gland, Right
See 2 Adrenal Gland, Left
G Thyroid Gland Lobe, Left
H Thyroid Gland Lobe, Right
L Superior Parathyroid Gland, Right
M Superior Parathyroid Gland, Left
N Inferior Parathyroid Gland, Right
P Inferior Parathyroid Gland, Left
Q Parathyroid Glands, Multiple
R Parathyroid Gland
0GQ–0GS

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 409
 0GT–0GW Endocrine System ICD-10-PCS 2019
Endocrine System

0 Medical and Surgical

G Endocrine System 0GT
T Resection Definition: Cutting out or off, without replacement, all of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Pituitary Gland 0 Open Z No Device Z No Qualifier
Adenohypophysis 4 Percutaneous Endoscopic
Hypophysis
Neurohypophysis
1 Pineal Body
2 Adrenal Gland, Left
Suprarenal gland
3 Adrenal Gland, Right
See 2 Adrenal Gland, Left
4 Adrenal Glands, Bilateral
See 2 Adrenal Gland, Left
6 Carotid Body, Left
Carotid glomus
7 Carotid Body, Right
See 6 Carotid Body, Left
8 Carotid Bodies, Bilateral
See 6 Carotid Body, Left
9 Para-aortic Body
B Coccygeal Glomus
Coccygeal body
C Glomus Jugulare
Jugular body
D Aortic Body
F Paraganglion Extremity
G Thyroid Gland Lobe, Left
H Thyroid Gland Lobe, Right
J Thyroid Gland Isthmus
K Thyroid Gland
L Superior Parathyroid Gland, Right
M Superior Parathyroid Gland, Left
N Inferior Parathyroid Gland, Right
P Inferior Parathyroid Gland, Left
Q Parathyroid Glands, Multiple
R Parathyroid Gland
Non-OR 0GT[6,7,8,9,B,C,D,F][0,4]ZZ

0 Medical and Surgical

G Endocrine System 0GW
W Revision Definition: Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device
Explanation: Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as
a screw or pin
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Pituitary Gland 0 Open 0 Drainage Device Z No Qualifier
Adenohypophysis 3 Percutaneous
Hypophysis 4 Percutaneous Endoscopic
Neurohypophysis X External
1 Pineal Body
5 Adrenal Gland
Suprarenal gland
K Thyroid Gland
R Parathyroid Gland
S Endocrine Gland 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous 2 Monitoring Device
4 Percutaneous Endoscopic 3 Infusion Device
Y Other Device
S Endocrine Gland X External 0 Drainage Device Z No Qualifier
2 Monitoring Device
3 Infusion Device
Non-OR 0GW[0,1,5,K,R]X0Z
Non-OR 0GWS[3,4]YZ
Non-OR 0GWSX[0,2,3]Z
0GT–0GW

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
410 ICD-10-PCS 2019
ICD-10-PCS 2019 Skin and Breast

Skin and Breast

Skin and Breast 0H0–0HX
Character Meanings*
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.

Operation–Character 3 Body Part–Character 4 Approach–Character 5 Device–Character 6 Qualifier–Character 7

0 Alteration 0 Skin, Scalp 0 Open 0 Drainage Device 3 Full Thickness
2 Change 1 Skin, Face 3 Percutaneous 1 Radioactive Element 4 Partial Thickness
5 Destruction 2 Skin, Right Ear 7 Via Natural or Artificial 7 Autologous Tissue 5 Latissimus Dorsi
Opening Substitute Myocutaneous Flap
8 Division 3 Skin, Left Ear 8 Via Natural or Artificial J Synthetic Substitute 6 Transverse Rectus
Opening Endoscopic Abdominis Myocutaneous
Flap
9 Drainage 4 Skin, Neck X External K Nonautologous Tissue 7 Deep Inferior Epigastric
Substitute Artery Perforator Flap
B Excision 5 Skin, Chest N Tissue Expander 8 Superficial Inferior
Epigastric Artery Flap
C Extirpation 6 Skin, Back Y Other Device 9 Gluteal Artery Perforator
Flap
D Extraction 7 Skin, Abdomen Z No Device D Multiple
H Insertion 8 Skin, Buttock X Diagnostic
J Inspection 9 Skin, Perineum Z No Qualifier
M Reattachment A Skin, Inguinal
N Release B Skin, Right Upper Arm
P Removal C Skin, Left Upper Arm
Q Repair D Skin, Right Lower Arm
R Replacement E Skin, Left Lower Arm
S Reposition F Skin, Right Hand
T Resection G Skin, Left Hand
U Supplement H Skin, Right Upper Leg
W Revision J Skin, Left Upper Leg
X Transfer K Skin, Right Lower Leg
L Skin, Left Lower Leg
M Skin, Right Foot
N Skin, Left Foot
P Skin
Q Finger Nail
R Toe Nail
S Hair
T Breast, Right
U Breast, Left
V Breast, Bilateral
W Nipple, Right
X Nipple, Left
Y Supernumerary Breast

* Includes skin and breast glands and ducts.

AHA Coding Clinic for table 0HB AHA Coding Clinic for table 0HP
2018, 1Q, 14 Excisional debridement of breast tissue and skin 2016, 2Q, 27 Removal of nonviable transverse rectus abdominis
2016, 3Q, 29 Closure of bilateral alveolar clefts myocutaneous (TRAM) flaps
2015, 3Q, 3-8 Excisional and nonexcisional debridement
AHA Coding Clinic for table 0HQ
AHA Coding Clinic for table 0HD 2018, 2Q, 25 Third and fourth degree obstetric lacerations
2016, 1Q, 40 Nonexcisional debridement of skin and subcutaneous tissue 2016, 1Q, 7 Obstetrical perineal laceration repair
2015, 3Q, 3-8 Excisional and nonexcisional debridement 2014, 4Q, 31 Delayed wound closure following fracture treatment
AHA Coding Clinic for table 0HH AHA Coding Clinic for table 0HR
2017, 4Q, 67 New qualifier values - Pedicle flap procedures 2017, 1Q, 35 Epifix® allograft
2014, 2Q, 12 Pedicle latissimus myocutaneous flap with placement of breast tissue expanders 2014, 3Q, 14 Application of TheraSkin® and excisional debridement
2013, 4Q, 107 Breast tissue expander placement using acellular dermal matrix
AHA Coding Clinic for table 0HT
2014, 4Q, 34 Skin-sparing mastectomy

ICD-10-PCS 2019 411

 Skin and Breast ICD-10-PCS 2019
Skin and Breast

Integumentary Anatomy

Hair S Sebaceous gland 0-9, A-P

Hair follicle S Arrector pili muscle

Epidermis Thick-skin
epidermis

Hair shaft S
Dermis
Pacinian corpuscle
Hair matrix S
Hypodermis Sweat (eccrine gland) 0-9, A-P
(subcutaneous layer)
Sensory nerve
Bulb Blood vessels

Nail Anatomy

Nail root Nail matrix

Nail bed
Nail plate

Hyponchium

Distal phalanx bone

Breast

Fat and interlobular

tissues T,U,V

Nipple W, X

Areola W,X Ducts T,U,V

Nipple W,X

Lobules T,U,V

412 ICD-10-PCS 2019

ICD-10-PCS 2019 Skin and Breast 0H0–0H5

Skin and Breast

0 Medical and Surgical
H Skin and Breast 0H0
0 Alteration Definition: Modifying the anatomic structure of a body part without affecting the function of the body part
Explanation: Principal purpose is to improve appearance
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
T Breast, Right 0 Open 7 Autologous Tissue Z No Qualifier
Mammary duct 3 Percutaneous Substitute
Mammary gland X External J Synthetic Substitute
U Breast, Left K Nonautologous Tissue
See T Breast, Right Substitute
V Breast, Bilateral Z No Device
See T Breast, Right
Non-OR 0H0[T,U,V]3JZ

0 Medical and Surgical

H Skin and Breast 0H2
2 Change Definition: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without
cutting or puncturing the skin or a mucous membrane
Explanation: All CHANGE procedures are coded using the approach EXTERNAL
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
P Skin X External 0 Drainage Device Z No Qualifier
Dermis Y Other Device
Epidermis
Sebaceous gland
Sweat gland
T Breast, Right
Mammary duct
Mammary gland
U Breast, Left
See T Breast, Right
Non-OR All body part, approach, device, and qualifier values

0 Medical and Surgical

H Skin and Breast 0H5
5 Destruction Definition: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent
Explanation: None of the body part is physically taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Skin, Scalp C Skin, Left Upper Arm X External Z No Device D Multiple
1 Skin, Face D Skin, Right Lower Arm Z No Qualifier
2 Skin, Right Ear E Skin, Left Lower Arm
3 Skin, Left Ear F Skin, Right Hand
4 Skin, Neck G Skin, Left Hand
5 Skin, Chest H Skin, Right Upper Leg
6 Skin, Back J Skin, Left Upper Leg
7 Skin, Abdomen K Skin, Right Lower Leg
8 Skin, Buttock L Skin, Left Lower Leg
9 Skin, Perineum M Skin, Right Foot
A Skin, Inguinal N Skin, Left Foot
B Skin, Right Upper Arm
Q Finger Nail R Toe Nail X External Z No Device Z No Qualifier
Nail bed See Q Finger Nail
Nail plate
T Breast, Right W Nipple, Right 0 Open Z No Device Z No Qualifier
Mammary duct Areola 3 Percutaneous
Mammary gland X Nipple, Left 7 Via Natural or Artificial
U Breast, Left See W Nipple, Right Opening
See T Breast, Right 8 Via Natural or Artificial
V Breast, Bilateral Opening Endoscopic
See T Breast, Right X External

DRG Non-OR 0H5[0,1,4,5,6,7,8,9,A,B,C,D,E,F,G,H,J,K,L,M,N]XZ[D,Z]

DRG Non-OR 0H5[Q,R]XZZ
Non-OR 0H5[2,3]XZ[D,Z]
0H0–0H5

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 413
 0H8–0H9 Skin and Breast ICD-10-PCS 2019
Skin and Breast

0 Medical and Surgical

H Skin and Breast 0H8
8 Division Definition: Cutting into a body part, without draining fluids and/or gases from the body part, in order to separate or transect a body part
Explanation: All or a portion of the body part is separated into two or more portions
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Skin, Scalp C Skin, Left Upper Arm X External Z No Device Z No Qualifier
1 Skin, Face D Skin, Right Lower Arm
2 Skin, Right Ear E Skin, Left Lower Arm
3 Skin, Left Ear F Skin, Right Hand
4 Skin, Neck G Skin, Left Hand
5 Skin, Chest H Skin, Right Upper Leg
6 Skin, Back J Skin, Left Upper Leg
7 Skin, Abdomen K Skin, Right Lower Leg
8 Skin, Buttock L Skin, Left Lower Leg
9 Skin, Perineum M Skin, Right Foot
A Skin, Inguinal N Skin, Left Foot
B Skin, Right Upper Arm
Non-OR All body part, approach, device, and qualifier values

0 Medical and Surgical

H Skin and Breast 0H9
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Skin, Scalp E Skin, Left Lower Arm X External 0 Drainage Device Z No Qualifier
1 Skin, Face F Skin, Right Hand
2 Skin, Right Ear G Skin, Left Hand
3 Skin, Left Ear H Skin, Right Upper Leg
4 Skin, Neck J Skin, Left Upper Leg
5 Skin, Chest K Skin, Right Lower Leg
6 Skin, Back L Skin, Left Lower Leg
7 Skin, Abdomen M Skin, Right Foot
8 Skin, Buttock N Skin, Left Foot
9 Skin, Perineum Q Finger Nail
A Skin, Inguinal Nail bed
B Skin, Right Upper Arm Nail plate
C Skin, Left Upper Arm R Toe Nail
D Skin, Right Lower Arm See Q Finger Nail
0 Skin, Scalp E Skin, Left Lower Arm X External Z No Device X Diagnostic
1 Skin, Face F Skin, Right Hand Z No Qualifier
2 Skin, Right Ear G Skin, Left Hand
3 Skin, Left Ear H Skin, Right Upper Leg
4 Skin, Neck J Skin, Left Upper Leg
5 Skin, Chest K Skin, Right Lower Leg
6 Skin, Back L Skin, Left Lower Leg
7 Skin, Abdomen M Skin, Right Foot
8 Skin, Buttock N Skin, Left Foot
9 Skin, Perineum Q Finger Nail
A Skin, Inguinal Nail bed
B Skin, Right Upper Arm Nail plate
C Skin, Left Upper Arm R Toe Nail
D Skin, Right Lower Arm See Q Finger Nail
T Breast, Right W Nipple, Right 0 Open 0 Drainage Device Z No Qualifier
Mammary duct Areola 3 Percutaneous
Mammary gland X Nipple, Left 7 Via Natural or Artificial
U Breast, Left See W Nipple, Right Opening
See T Breast, Right 8 Via Natural or Artificial
V Breast, Bilateral Opening Endoscopic
See T Breast, Right X External
T Breast, Right W Nipple, Right 0 Open Z No Device X Diagnostic
Mammary duct Areola 3 Percutaneous Z No Qualifier
Mammary gland X Nipple, Left 7 Via Natural or Artificial
U Breast, Left See W Nipple, Right Opening
See T Breast, Right 8 Via Natural or Artificial
V Breast, Bilateral Opening Endoscopic
See T Breast, Right X External
Non-OR 0H9[0,1,2,3,4,5,6,7,8,A,B,C,D,E,F,G,H,J,K,L,M,N,Q,R]X0Z
Non-OR 0H9[0,1,2,3,4,5,6,7,8,A,B,C,D,E,F,G,H,J,K,L,M,N,Q,R]XZ[X,Z]
0H8–0H9

Non-OR 0H99XZX
Non-OR 0H9[T,U,V,W,X][0,3,7,8,X]0Z
Non-OR 0H9[T,U,V,W,X][3,7,8,X]Z[X,Z]
Non-OR 0H9[T,U,V,W,X]0ZZ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
414 ICD-10-PCS 2019
ICD-10-PCS 2019 Skin and Breast 0HB–0HB

Skin and Breast

0 Medical and Surgical
H Skin and Breast 0HB
B Excision Definition: Cutting out or off, without replacement, a portion of a body part
Explanation: The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Skin, Scalp X External Z No Device X Diagnostic
1 Skin, Face Z No Qualifier
2 Skin, Right Ear
3 Skin, Left Ear
4 Skin, Neck
5 Skin, Chest
6 Skin, Back
7 Skin, Abdomen
8 Skin, Buttock
9 Skin, Perineum
A Skin, Inguinal
B Skin, Right Upper Arm
C Skin, Left Upper Arm
D Skin, Right Lower Arm
E Skin, Left Lower Arm
F Skin, Right Hand
G Skin, Left Hand
H Skin, Right Upper Leg
J Skin, Left Upper Leg
K Skin, Right Lower Leg
L Skin, Left Lower Leg
M Skin, Right Foot
N Skin, Left Foot
Q Finger Nail
Nail bed
Nail plate
R Toe Nail
See Q Finger Nail
T Breast, Right 0 Open Z No Device X Diagnostic
Mammary duct 3 Percutaneous Z No Qualifier
Mammary gland 7 Via Natural or Artificial Opening
U Breast, Left 8 Via Natural or Artificial Opening
See T Breast, Right Endoscopic
V Breast, Bilateral X External
See T Breast, Right
W Nipple, Right
Areola
X Nipple, Left
See W Nipple, Right
Y Supernumerary Breast
DRG Non-OR 0HB9XZZ
Non-OR 0HB[0,1,2,3,4,5,6,7,8,A,B,C,D,E,F,G,H,J,K,L,M,N,Q,R]XZ[X,Z]
Non-OR 0HB9XZX
Non-OR 0HB[T,U,V,W,X,Y][3,7,8,X]ZX
0HB–0HB

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 415
 0HC–0HC Skin and Breast ICD-10-PCS 2019
Skin and Breast

0 Medical and Surgical

H Skin and Breast 0HC
C Extirpation Definition: Taking or cutting out solid matter from a body part
Explanation: The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in
the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Skin, Scalp X External Z No Device Z No Qualifier
1 Skin, Face
2 Skin, Right Ear
3 Skin, Left Ear
4 Skin, Neck
5 Skin, Chest
6 Skin, Back
7 Skin, Abdomen
8 Skin, Buttock
9 Skin, Perineum
A Skin, Inguinal
B Skin, Right Upper Arm
C Skin, Left Upper Arm
D Skin, Right Lower Arm
E Skin, Left Lower Arm
F Skin, Right Hand
G Skin, Left Hand
H Skin, Right Upper Leg
J Skin, Left Upper Leg
K Skin, Right Lower Leg
L Skin, Left Lower Leg
M Skin, Right Foot
N Skin, Left Foot
Q Finger Nail
Nail bed
Nail plate
R Toe Nail
See Q Finger Nail
T Breast, Right 0 Open Z No Device Z No Qualifier
Mammary duct 3 Percutaneous
Mammary gland 7 Via Natural or Artificial Opening
U Breast, Left 8 Via Natural or Artificial Opening
See T Breast, Right Endoscopic
V Breast, Bilateral X External
See T Breast, Right
W Nipple, Right
Areola
X Nipple, Left
See W Nipple, Right
Non-OR All body part, approach, device and qualifier values
0HC–0HC

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
416 ICD-10-PCS 2019
ICD-10-PCS 2019 Skin and Breast 0HD–0HH

Skin and Breast

0 Medical and Surgical
H Skin and Breast 0HD
D Extraction Definition: Pulling or stripping out or off all or a portion of a body part by the use of force
Explanation: The qualifier DIAGNOSTIC is used to identify extraction procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Skin, Scalp X External Z No Device Z No Qualifier
1 Skin, Face
2 Skin, Right Ear
3 Skin, Left Ear
4 Skin, Neck
5 Skin, Chest
6 Skin, Back
7 Skin, Abdomen
8 Skin, Buttock
9 Skin, Perineum
A Skin, Inguinal
B Skin, Right Upper Arm
C Skin, Left Upper Arm
D Skin, Right Lower Arm
E Skin, Left Lower Arm
F Skin, Right Hand
G Skin, Left Hand
H Skin, Right Upper Leg
J Skin, Left Upper Leg
K Skin, Right Lower Leg
L Skin, Left Lower Leg
M Skin, Right Foot
N Skin, Left Foot
Q Finger Nail
Nail bed
Nail plate
R Toe Nail
See Q Finger Nail
S Hair
Non-OR All body part, approach, device, and qualifier values

0 Medical and Surgical

H Skin and Breast 0HH
H Insertion Definition: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically
take the place of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
P Skin X External Y Other Device Z No Qualifier
T Breast, Right 0 Open 1 Radioactive Element Z No Qualifier
Mammary duct 3 Percutaneous N Tissue Expander
Mammary gland 7 Via Natural or Artificial Opening Y Other Device
U Breast, Left 8 Via Natural or Artificial Opening
See T Breast, Right Endoscopic
T Breast, Right X External 1 Radioactive Element Z No Qualifier
Mammary duct
Mammary gland
U Breast, Left
See T Breast, Right
V Breast, Bilateral 0 Open 1 Radioactive Element Z No Qualifier
See T Breast, Right 3 Percutaneous N Tissue Expander
W Nipple, Right 7 Via Natural or Artificial Opening
Areola 8 Via Natural or Artificial Opening
X Nipple, Left Endoscopic
See W Nipple, Right
V Breast, Bilateral X External 1 Radioactive Element Z No Qualifier
See T Breast, Right
W Nipple, Right
Areola
X Nipple, Left
See W Nipple, Right
Non-OR 0HHPXYZ
Non-OR 0HH[T,U][3,7,8]YZ
0HD–0HH

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 417
 0HJ–0HM Skin and Breast ICD-10-PCS 2019
Skin and Breast

0 Medical and Surgical

H Skin and Breast 0HJ
J Inspection Definition: Visually and/or manually exploring a body part
Explanation: Visual exploration may be performed with or without optical instrumentation. Manual exploration may be performed directly or
through intervening body layers.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
P Skin X External Z No Device Z No Qualifier
Dermis
Epidermis
Sebaceous gland
Sweat gland
Q Finger Nail
Nail bed
Nail plate
R Toe Nail
See Q Finger Nail
T Breast, Right 0 Open Z No Device Z No Qualifier
Mammary duct 3 Percutaneous
Mammary gland 7 Via Natural or Artificial Opening
U Breast, Left 8 Via Natural or Artificial Opening
See T Breast, Right Endoscopic
X External
Non-OR All body part, approach, device and qualifier values

0 Medical and Surgical

H Skin and Breast 0HM
M Reattachment Definition: Putting back in or on all or a portion of a separated body part to its normal location or other suitable location
Explanation: Vascular circulation and nervous pathways may or may not be reestablished
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Skin, Scalp X External Z No Device Z No Qualifier
1 Skin, Face
2 Skin, Right Ear
3 Skin, Left Ear
4 Skin, Neck
5 Skin, Chest
6 Skin, Back
7 Skin, Abdomen
8 Skin, Buttock
9 Skin, Perineum
A Skin, Inguinal
B Skin, Right Upper Arm
C Skin, Left Upper Arm
D Skin, Right Lower Arm
E Skin, Left Lower Arm
F Skin, Right Hand
G Skin, Left Hand
H Skin, Right Upper Leg
J Skin, Left Upper Leg
K Skin, Right Lower Leg
L Skin, Left Lower Leg
M Skin, Right Foot
N Skin, Left Foot
T Breast, Right
Mammary duct
Mammary gland
U Breast, Left
See T Breast, Right
V Breast, Bilateral
See T Breast, Right
W Nipple, Right
Areola
X Nipple, Left
See W Nipple, Right
Non-OR 0HM0XZZ
0HJ–0HM

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
418 ICD-10-PCS 2019
ICD-10-PCS 2019 Skin and Breast 0HN–0HN

Skin and Breast

0 Medical and Surgical
H Skin and Breast 0HN
N Release Definition: Freeing a body part from an abnormal physical constraint by cutting or by the use of force
Explanation: Some of the restraining tissue may be taken out but none of the body part is taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Skin, Scalp X External Z No Device Z No Qualifier
1 Skin, Face
2 Skin, Right Ear
3 Skin, Left Ear
4 Skin, Neck
5 Skin, Chest
6 Skin, Back
7 Skin, Abdomen
8 Skin, Buttock
9 Skin, Perineum
A Skin, Inguinal
B Skin, Right Upper Arm
C Skin, Left Upper Arm
D Skin, Right Lower Arm
E Skin, Left Lower Arm
F Skin, Right Hand
G Skin, Left Hand
H Skin, Right Upper Leg
J Skin, Left Upper Leg
K Skin, Right Lower Leg
L Skin, Left Lower Leg
M Skin, Right Foot
N Skin, Left Foot
Q Finger Nail
Nail bed
Nail plate
R Toe Nail
See Q Finger Nail
T Breast, Right 0 Open Z No Device Z No Qualifier
Mammary duct 3 Percutaneous
Mammary gland 7 Via Natural or Artificial Opening
U Breast, Left 8 Via Natural or Artificial Opening
See T Breast, Right Endoscopic
V Breast, Bilateral X External
See T Breast, Right
W Nipple, Right
Areola
X Nipple, Left
See W Nipple, Right 0HN–0HN

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 419
 0HP–0HP Skin and Breast ICD-10-PCS 2019
Skin and Breast

0 Medical and Surgical

H Skin and Breast 0HP
P Removal Definition: Taking out or off a device from a body part
Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is
coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
P Skin X External 0 Drainage Device Z No Qualifier
Dermis 7 Autologous Tissue Substitute
Epidermis J Synthetic Substitute
Sebaceous gland K Nonautologous Tissue Substitute
Sweat gland
Y Other Device
Q Finger Nail X External 0 Drainage Device Z No Qualifier
Nail bed 7 Autologous Tissue Substitute
Nail plate J Synthetic Substitute
R Toe Nail K Nonautologous Tissue Substitute
See Q Finger Nail
S Hair X External 7 Autologous Tissue Substitute Z No Qualifier
J Synthetic Substitute
K Nonautologous Tissue Substitute
T Breast, Right 0 Open 0 Drainage Device Z No Qualifier
Mammary duct 3 Percutaneous 1 Radioactive Element
Mammary gland 7 Via Natural or Artificial Opening 7 Autologous Tissue Substitute
U Breast, Left 8 Via Natural or Artificial Opening J Synthetic Substitute
See T Breast, Right Endoscopic K Nonautologous Tissue Substitute
N Tissue Expander
Y Other Device
T Breast, Right X External 0 Drainage Device Z No Qualifier
Mammary duct 1 Radioactive Element
Mammary gland 7 Autologous Tissue Substitute
U Breast, Left J Synthetic Substitute
See T Breast, Right K Nonautologous Tissue Substitute
Non-OR 0HPPX[0,7,J,K,Y]Z
Non-OR 0HP[Q,R]X[0,7,J,K]Z
Non-OR 0HPSX[7,J,K]Z
Non-OR 0HP[T,U]0[0,1,7,K]Z
Non-OR 0HP[T,U]3[0,1,7,K,Y]Z
Non-OR 0HP[T,U][7,8][0,1,7,J,K,N,Y]Z
Non-OR 0HP[T,U]X[0,1,7,J,K]Z
0HP–0HP

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
420 ICD-10-PCS 2019
ICD-10-PCS 2019 Skin and Breast 0HQ–0HQ

Skin and Breast

0 Medical and Surgical
H Skin and Breast 0HQ
Q Repair Definition: Restoring, to the extent possible, a body part to its normal anatomic structure and function
Explanation: Used only when the method to accomplish the repair is not one of the other root operations
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Skin, Scalp X External Z No Device Z No Qualifier
1 Skin, Face
2 Skin, Right Ear
3 Skin, Left Ear
4 Skin, Neck
5 Skin, Chest
6 Skin, Back
7 Skin, Abdomen
8 Skin, Buttock
9 Skin, Perineum
A Skin, Inguinal
B Skin, Right Upper Arm
C Skin, Left Upper Arm
D Skin, Right Lower Arm
E Skin, Left Lower Arm
F Skin, Right Hand
G Skin, Left Hand
H Skin, Right Upper Leg
J Skin, Left Upper Leg
K Skin, Right Lower Leg
L Skin, Left Lower Leg
M Skin, Right Foot
N Skin, Left Foot
Q Finger Nail
Nail bed
Nail plate
R Toe Nail
See Q Finger Nail
T Breast, Right 0 Open Z No Device Z No Qualifier
Mammary duct 3 Percutaneous
Mammary gland 7 Via Natural or Artificial Opening
U Breast, Left 8 Via Natural or Artificial Opening
See T Breast, Right Endoscopic
V Breast, Bilateral X External
See T Breast, Right
W Nipple, Right
Areola
X Nipple, Left
See W Nipple, Right
Y Supernumerary Breast
DRG Non-OR 0HQ9XZZ
Non-OR 0HQ[0,1,2,3,4,5,6,7,8,A,B,C,D,E,F,G,H,J,K,L,M,N]XZZ
Non-OR 0HQ[T,U,V,Y]XZZ
0HQ–0HQ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 421
 0HR–0HR
Skin and Breast
0 Medical and Surgical
H Skin and Breast
R Replacement Definition: Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part
Explanation: The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during
the REPLACEMENT procedure. A REMOVAL procedure is coded for taking out the device used in a previous replacement procedure.
Body Part
Character 4
0 Skin, Scalp
1 Skin, Face
2 Skin, Right Ear
3 Skin, Left Ear
4 Skin, Neck
5 Skin, Chest
6 Skin, Back
7 Skin, Abdomen
8 Skin, Buttock
9 Skin, Perineum
A Skin, Inguinal
B Skin, Right Upper Arm
0 Skin, Scalp
1 Skin, Face
2 Skin, Right Ear
3 Skin, Left Ear
4 Skin, Neck
5 Skin, Chest
6 Skin, Back
7 Skin, Abdomen
8 Skin, Buttock
9 Skin, Perineum
A Skin, Inguinal
B Skin, Right Upper Arm
Q Finger Nail
Nail bed
Nail plate
R Toe Nail
See Q Finger Nail
S Hair
T Breast, Right
Mammary duct
Mammary gland
U Breast, Left
See T Breast, Right
V Breast, Bilateral
See T Breast, Right
T Breast, Right
Mammary duct
Mammary gland
U Breast, Left
See T Breast, Right
V Breast, Bilateral
See T Breast, Right
T Breast, Right
Mammary duct
Mammary gland
U Breast, Left
See T Breast, Right
V Breast, Bilateral
See T Breast, Right
W Nipple, Right
Areola
X Nipple, Left
See W Nipple, Right
Non-OR 0HRSX7Z
0HR–0HR
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
422
C Skin, Left Upper Arm
D Skin, Right Lower Arm
E Skin, Left Lower Arm
F Skin, Right Hand
G Skin, Left Hand
H Skin, Right Upper Leg
J Skin, Left Upper Leg
K Skin, Right Lower Leg
L Skin, Left Lower Leg
M Skin, Right Foot
N Skin, Left Foot
C Skin, Left Upper Arm
D Skin, Right Lower Arm
E Skin, Left Lower Arm
F Skin, Right Hand
G Skin, Left Hand
H Skin, Right Upper Leg
J Skin, Left Upper Leg
K Skin, Right Lower Leg
L Skin, Left Lower Leg
M Skin, Right Foot
N Skin, Left Foot
? 3 Percutaneous
? Substitute
?
Skin and Breast ICD-10-PCS 2019
0HR
Approach Device Qualifier
Character 5 Character 6 Character 7
X External 7 Autologous Tissue Substitute 3 Full Thickness
K Nonautologous Tissue 4 Partial Thickness
Substitute
X External J Synthetic Substitute 3 Full Thickness
4 Partial Thickness
Z No Qualifier
X External 7 Autologous Tissue Substitute Z No Qualifier
J Synthetic Substitute
K Nonautologous Tissue
Substitute
0 Open 7 Autologous Tissue Substitute 5 Latissimus Dorsi
Myocutaneous Flap
6 Transverse Rectus Abdominis
Myocutaneous Flap
7 Deep Inferior Epigastric
Artery Perforator Flap
8 Superficial Inferior Epigastric
Artery Flap
9 Gluteal Artery Perforator Flap
Z No Qualifier
0 Open J Synthetic Substitute Z No Qualifier
K Nonautologous Tissue
Substitute
7 Autologous Tissue Substitute Z No Qualifier
X External J Synthetic Substitute
K Nonautologous Tissue
0 Open 7 Autologous Tissue Substitute Z No Qualifier
3 Percutaneous J Synthetic Substitute
X External K Nonautologous Tissue
Substitute
See Appendix L for Procedure Combinations
? 0HR[T,U,V]37Z
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019 Skin and Breast 0HS–0HU

Skin and Breast

0 Medical and Surgical
H Skin and Breast 0HS
S Reposition Definition: Moving to its normal location, or other suitable location, all or a portion of a body part
Explanation: The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning
correctly. The body part may or may not be cut out or off to be moved to the new location.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
S Hair X External Z No Device Z No Qualifier
W Nipple, Right
Areola
X Nipple, Left
See W Nipple, Right
T Breast, Right 0 Open Z No Device Z No Qualifier
Mammary duct
Mammary gland
U Breast, Left
See T Breast, Right
V Breast, Bilateral
See T Breast, Right
Non-OR 0HSSXZZ

0 Medical and Surgical

H Skin and Breast 0HT
T Resection Definition: Cutting out or off, without replacement, all of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
Q Finger Nail X External Z No Device Z No Qualifier
Nail bed
Nail plate
R Toe Nail
See Q Finger Nail
W Nipple, Right
Areola
X Nipple, Left
See W Nipple, Right
T Breast, Right ? 0 Open Z No Device Z No Qualifier
Mammary duct
Mammary gland
U Breast, Left ?
See T Breast, Right
V Breast, Bilateral ?
See T Breast, Right
Y Supernumerary Breast
Non-OR 0HT[Q,R]XZZ See Appendix L for Procedure Combinations
? 0HT[T,U,V]0ZZ

0 Medical and Surgical

H Skin and Breast 0HU
U Supplement Definition: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part
Explanation: The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced,
and the SUPPLEMENT procedure is performed to physically reinforce and/or augment the function of the replaced body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
T Breast, Right 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Mammary duct 3 Percutaneous J Synthetic Substitute
Mammary gland 7 Via Natural or Artificial Opening K Nonautologous Tissue Substitute
U Breast, Left 8 Via Natural or Artificial Opening
See T Breast, Right Endoscopic
V Breast, Bilateral
X External
See T Breast, Right
W Nipple, Right
Areola
X Nipple, Left
See W Nipple, Right
Non-OR 0HU[T,U,V]3JZ
0HS–0HU

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 423
 0HW–0HX Skin and Breast ICD-10-PCS 2019
Skin and Breast

0 Medical and Surgical

H Skin and Breast 0HW
W Revision Definition: Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device
Explanation: Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as
a screw or pin
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
P Skin X External 0 Drainage Device Z No Qualifier
Dermis 7 Autologous Tissue Substitute
Epidermis J Synthetic Substitute
Sebaceous gland K Nonautologous Tissue Substitute
Sweat gland
Y Other Device
Q Finger Nail X External 0 Drainage Device Z No Qualifier
Nail bed 7 Autologous Tissue Substitute
Nail plate J Synthetic Substitute
R Toe Nail K Nonautologous Tissue Substitute
See Q Finger Nail
S Hair X External 7 Autologous Tissue Substitute Z No Qualifier
J Synthetic Substitute
K Nonautologous Tissue Substitute
T Breast, Right 0 Open 0 Drainage Device Z No Qualifier
Mammary duct 3 Percutaneous 7 Autologous Tissue Substitute
Mammary gland 7 Via Natural or Artificial Opening J Synthetic Substitute
U Breast, Left 8 Via Natural or Artificial Opening K Nonautologous Tissue Substitute
See T Breast, Right Endoscopic N Tissue Expander
Y Other Device
T Breast, Right X External 0 Drainage Device Z No Qualifier
Mammary duct 7 Autologous Tissue Substitute
Mammary gland J Synthetic Substitute
U Breast, Left K Nonautologous Tissue Substitute
See T Breast, Right
Non-OR 0HWPX[0,7,J,K,Y]Z
Non-OR 0HW[Q,R]X[0,7,J,K]Z
Non-OR 0HWSX[7,J,K]Z
Non-OR 0HW[T,U]0[0,7,K,N]Z
Non-OR 0HW[T,U]3[0,7,K,N,Y]Z
Non-OR 0HW[T,U][7,8][0,7,J,K,N,Y]Z
Non-OR 0HW[T,U]X[0,7,J,K]Z

0 Medical and Surgical

H Skin and Breast 0HX
X Transfer Definition: Moving, without taking out, all or a portion of a body part to another location to take over the function of all or a portion of a body part
Explanation: The body part transferred remains connected to its vascular and nervous supply
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Skin, Scalp X External Z No Device Z No Qualifier
1 Skin, Face
2 Skin, Right Ear
3 Skin, Left Ear
4 Skin, Neck
5 Skin, Chest
6 Skin, Back
7 Skin, Abdomen
8 Skin, Buttock
9 Skin, Perineum
A Skin, Inguinal
B Skin, Right Upper Arm
C Skin, Left Upper Arm
D Skin, Right Lower Arm
E Skin, Left Lower Arm
F Skin, Right Hand
G Skin, Left Hand
H Skin, Right Upper Leg
J Skin, Left Upper Leg
K Skin, Right Lower Leg
L Skin, Left Lower Leg
M Skin, Right Foot
N Skin, Left Foot
0HW–0HX

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
424 ICD-10-PCS 2019
ICD-10-PCS 2019
Subcutaneous Tissue and Fascia 0J0–0JX
Character Meanings
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.
Operation–Character 3 Body Part–Character 4
0 Alteration 0 Subcutaneous Tissue and
Fascia, Scalp
2 Change 1 Subcutaneous Tissue and
Fascia, Face
5 Destruction 4 Subcutaneous Tissue and
Fascia, Right Neck
8 Division 5 Subcutaneous Tissue and
Fascia, Left Neck
9 Drainage 6 Subcutaneous Tissue and
Fascia, Chest
B Excision 7 Subcutaneous Tissue and
Fascia, Back
C Extirpation 8 Subcutaneous Tissue and
Fascia, Abdomen
D Extraction 9 Subcutaneous Tissue and
Fascia, Buttock
H Insertion B Subcutaneous Tissue and
Fascia, Perineum
J Inspection C Subcutaneous Tissue and
Fascia, Pelvic Region
N Release D Subcutaneous Tissue and
Fascia, Right Upper Arm
P Removal F Subcutaneous Tissue and
Fascia, Left Upper Arm
Q Repair G Subcutaneous Tissue and
Fascia, Right Lower Arm
R Replacement H Subcutaneous Tissue and
Fascia, Left Lower Arm
U Supplement J Subcutaneous Tissue and
Fascia, Right Hand
W Revision K Subcutaneous Tissue and
Fascia, Left Hand
X Transfer L Subcutaneous Tissue and
Fascia, Right Upper Leg
M Subcutaneous Tissue and
Fascia, Left Upper Leg
N Subcutaneous Tissue and
Fascia, Right Lower Leg
P Subcutaneous Tissue and
Fascia, Left Lower Leg
Q Subcutaneous Tissue and
Fascia, Right Foot
R Subcutaneous Tissue and
Fascia, Left Foot
S Subcutaneous Tissue and
Fascia, Head and Neck
T Subcutaneous Tissue and
Fascia, Trunk
V Subcutaneous Tissue and
Fascia, Upper Extremity
W Subcutaneous Tissue and
Fascia, Lower Extremity
ICD-10-PCS 2019
Subcutaneous Tissue and Fascia
Subcutaneous Tissue and Fascia
Approach–Character 5 Device–Character 6 Qualifier–Character 7
0 Open 0 Drainage Device B Skin and Subcutaneous
OR Tissue
Monitoring Device,
Hemodynamic
3 Percutaneous 1 Radioactive Element C Skin, Subcutaneous Tissue
and Fascia
X External 2 Monitoring Device X Diagnostic
3 Infusion Device Z No Qualifier
4 Pacemaker, Single Chamber
5 Pacemaker, Single Chamber
Rate Responsive
6 Pacemaker, Dual Chamber
7 Autologous Tissue Substitute
OR
Cardiac Resynchronization
Pacemaker Pulse Generator
8 Defibrillator Generator
9 Cardiac Resynchronization
Defibrillator Pulse Generator
A Contractility Modulation Device
B Stimulator Generator, Single
Array
C Stimulator Generator, Single
Array Rechargeable
D Stimulator Generator, Multiple
Array
E Stimulator Generator, Multiple
Array Rechargeable
H Contraceptive Device
J Synthetic Substitute
K Nonautologous Tissue
Substitute
M Stimulator Generator
N Tissue Expander
P Cardiac Rhythm Related Device
V Infusion Device, Pump
W Vascular Access Device, Totally
Implantable
X Vascular Access Device,
Tunneled
Y Other Device
Z No Device
425
 Subcutaneous Tissue and Fascia ICD-10-PCS 2019
Subcutaneous Tissue and Fascia

AHA Coding Clinic for table 0J2 AHA Coding Clinic for table 0JN
2017, 2Q, 26 Exchange of tunneled catheter 2017, 3Q, 11 Bilateral escharotomy of leg, thigh and foot
AHA Coding Clinic for table 0J8 AHA Coding Clinic for table 0JP
2017, 3Q, 11 Bilateral escharotomy of leg, thigh and foot 2016, 2Q, 15 Removal and replacement of tunneled internal jugular catheter
AHA Coding Clinic for table 0J9 2015, 4Q, 31 Vascular access devices
2014, 3Q, 19 End of life replacement of Baclofen pump
2015, 3Q, 23 Incision and drainage of multiple abscess cavities using vessel loop
2013, 4Q, 109 Separating conjoined twins
AHA Coding Clinic for table 0JB 2012, 4Q, 104 Placement of subcutaneous implantable cardioverter defibrillator
2018, 1Q, 7 Placement of fat graft following lumbar decompression surgery
AHA Coding Clinic for table 0JQ
2015, 3Q, 3-8 Excisional and nonexcisional debridement
2017, 3Q, 19 Anterior repair of cystocele
2015, 2Q, 13 Transfer of free flap to reconstruct orbital defect
2014, 4Q, 44 Posterior colporrhaphy/rectocele repair
2015, 1Q, 29 Fistulectomy with placement of seton
2014, 4Q, 38 Abdominoplasty and abdominal wall plication for hernia repair AHA Coding Clinic for table 0JR
2014, 3Q, 22 Transsphenoidal removal of pituitary tumor and fat graft placement 2015, 2Q, 13 Transfer of free flap to reconstruct orbital defect
AHA Coding Clinic for table 0JC AHA Coding Clinic for table 0JU
2017, 3Q, 22 Replacement of native skull bone flap 2018, 2Q, 20 Prelaminated free flap graft using Alloderm™
2018, 1Q, 7 Placement of fat graft following lumbar decompression surgery
AHA Coding Clinic for table 0JD
2016, 3Q, 20 VersaJet™ nonexcisional debridement of leg muscle AHA Coding Clinic for table 0JW
2016, 3Q, 21 Nonexcisional debridement of infected lumbar wound 2018, 1Q, 8 Ventricular peritoneal shunt ligation
2016, 3Q, 21 Nonexcisional pulsed lavage debridement 2015, 4Q, 33 Externalization of peritoneal dialysis catheter
2016, 3Q, 22 Debridement of bone and tendon using Tenex ultrasound device 2015, 2Q, 9 Revision of ventriculoperitoneal (VP) shunt
2016, 1Q, 40 Nonexcisional debridement of skin and subcutaneous tissue 2012, 4Q, 104 Placement of subcutaneous implantable cardioverter defibrillator
2015, 3Q, 3-8 Excisional and nonexcisional debridement AHA Coding Clinic for table 0JX
2015, 1Q, 23 Non-Excisional debridement with lavage of wound
2018, 1Q, 10 Complex wound closure using pericranial flap
AHA Coding Clinic for table 0JH 2014, 3Q, 18 Placement of reverse sural fasciocutaneous pedicle flap
2017, 4Q, 63-64 Added and revised device values - Vascular access reservoir 2013, 4Q, 109 Separating conjoined twins
2017, 2Q, 24 Tunneled catheter versus totally implantable catheter
2017, 2Q, 26 Exchange of tunneled catheter
2016, 4Q, 97-98 Phrenic neurostimulator
2016, 2Q, 14 Insertion of peritoneal totally implantable venous access device
2016, 2Q, 15 Removal and replacement of tunneled internal jugular catheter
2015, 4Q, 14 New Section X codes—New Technology procedures
2015, 4Q, 30-31 Vascular access devices
2015, 2Q, 33 Totally implantable central venous access device (Port-a-Cath)
2014, 3Q, 19 End of life replacement of Baclofen pump
2013, 4Q, 116 Device character for Port-A-Cath placement
2012, 4Q, 104 Placement of subcutaneous implantable cardioverter defibrillator

426 ICD-10-PCS 2019

ICD-10-PCS 2019 Subcutaneous Tissue and Fascia 0J0–0J2

Subcutaneous Tissue and Fascia

0 Medical and Surgical
J Subcutaneous Tissue and Fascia 0J0
0 Alteration Definition: Modifying the anatomic structure of a body part without affecting the function of the body part
Explanation: Principal purpose is to improve appearance
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Subcutaneous Tissue and F Subcutaneous Tissue and 0 Open Z No Device Z No Qualifier
Fascia, Face Fascia, Left Upper Arm 3 Percutaneous
Masseteric fascia See D Subcutaneous Tissue and
Orbital fascia Fascia, Right Upper Arm
4 Subcutaneous Tissue and G Subcutaneous Tissue and
Fascia, Right Neck Fascia, Right Lower Arm
Deep cervical fascia Antebrachial fascia
Pretracheal fascia Bicipital aponeurosis
Prevertebral fascia H Subcutaneous Tissue and
5 Subcutaneous Tissue and Fascia, Left Lower Arm
Fascia, Left Neck See G Subcutaneous Tissue and
See 4 Subcutaneous Tissue and Fascia, Right Lower Arm
Fascia, Right Neck L Subcutaneous Tissue and
6 Subcutaneous Tissue and Fascia, Right Upper Leg
Fascia, Chest Crural fascia
Pectoral fascia Fascia lata
7 Subcutaneous Tissue and Iliac fascia
Fascia, Back Iliotibial tract (band)
8 Subcutaneous Tissue and M Subcutaneous Tissue and
Fascia, Abdomen Fascia, Left Upper Leg
9 Subcutaneous Tissue and See L Subcutaneous Tissue and
Fascia, Buttock Fascia, Right Upper Leg
D Subcutaneous Tissue and N Subcutaneous Tissue and
Fascia, Right Upper Arm Fascia, Right Lower Leg
Axillary fascia P Subcutaneous Tissue and
Deltoid fascia Fascia, Left Lower Leg
Infraspinatus fascia
Subscapular aponeurosis
Supraspinatus fascia

0 Medical and Surgical

J Subcutaneous Tissue and Fascia 0J2
2 Change Definition: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without
cutting or puncturing the skin or a mucous membrane
Explanation: All CHANGE procedures are coded using the approach EXTERNAL
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
S Subcutaneous Tissue and Fascia, Head and Neck X External 0 Drainage Device Z No Qualifier
T Subcutaneous Tissue and Fascia, Trunk Y Other Device
External oblique aponeurosis
Transversalis fascia
V Subcutaneous Tissue and Fascia, Upper Extremity
W Subcutaneous Tissue and Fascia, Lower Extremity
Non-OR All body part, approach, device, and qualifier values
0J0–0J2

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 427
 0J5–0J5 Subcutaneous Tissue and Fascia ICD-10-PCS 2019
Subcutaneous Tissue and Fascia

0 Medical and Surgical

J Subcutaneous Tissue and Fascia 0J5
5 Destruction Definition: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent
Explanation: None of the body part is physically taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Subcutaneous Tissue and G Subcutaneous Tissue and 0 Open Z No Device Z No Qualifier
Fascia, Scalp Fascia, Right Lower Arm 3 Percutaneous
Galea aponeurotica Antebrachial fascia
1 Subcutaneous Tissue and Bicipital aponeurosis
Fascia, Face H Subcutaneous Tissue and
Masseteric fascia Fascia, Left Lower Arm
Orbital fascia See G Subcutaneous Tissue and
4 Subcutaneous Tissue and Fascia, Right Lower Arm
Fascia, Right Neck J Subcutaneous Tissue and
Deep cervical fascia Fascia, Right Hand
Pretracheal fascia Palmar fascia (aponeurosis)
Prevertebral fascia K Subcutaneous Tissue and
5 Subcutaneous Tissue and Fascia, Left Hand
Fascia, Left Neck See J Subcutaneous Tissue and
See 4 Subcutaneous Tissue and Fascia, Right Hand
Fascia, Right Neck L Subcutaneous Tissue and
6 Subcutaneous Tissue and Fascia, Right Upper Leg
Fascia, Chest Crural fascia
Pectoral fascia Fascia lata
7 Subcutaneous Tissue and Iliac fascia
Fascia, Back Iliotibial tract (band)
8 Subcutaneous Tissue and M Subcutaneous Tissue and
Fascia, Abdomen Fascia, Left Upper Leg
9 Subcutaneous Tissue and See L Subcutaneous Tissue and
Fascia, Buttock Fascia, Right Upper Leg
B Subcutaneous Tissue and N Subcutaneous Tissue and
Fascia, Perineum Fascia, Right Lower Leg
C Subcutaneous Tissue and P Subcutaneous Tissue and
Fascia, Pelvic Region Fascia, Left Lower Leg
D Subcutaneous Tissue and Q Subcutaneous Tissue and
Fascia, Right Upper Arm Fascia, Right Foot
Axillary fascia Plantar fascia (aponeurosis)
Deltoid fascia R Subcutaneous Tissue and
Infraspinatus fascia Fascia, Left Foot
Subscapular aponeurosis See Q Subcutaneous Tissue and
Supraspinatus fascia Fascia, Right Foot
F Subcutaneous Tissue and
Fascia, Left Upper Arm
See D Subcutaneous Tissue and
Fascia, Right Upper Arm
DRG Non-OR All body part, approach, device, and qualifier values
0J5–0J5

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
428 ICD-10-PCS 2019
ICD-10-PCS 2019 Subcutaneous Tissue and Fascia 0J8–0J8

Subcutaneous Tissue and Fascia

0 Medical and Surgical
J Subcutaneous Tissue and Fascia
8 Division Definition: Cutting into a body part, without draining fluids and/or gases from the body part, in order to separate or transect a body part
Explanation: All or a portion of the body part is separated into two or more portions
Body Part
Character 4
0 Subcutaneous Tissue and
Fascia, Scalp
Galea aponeurotica
1 Subcutaneous Tissue and
Fascia, Face
Masseteric fascia
Orbital fascia
4 Subcutaneous Tissue and
Fascia, Right Neck
Deep cervical fascia
Pretracheal fascia
Prevertebral fascia
5 Subcutaneous Tissue and
Fascia, Left Neck
See 4 Subcutaneous Tissue and
Fascia, Right Neck
6 Subcutaneous Tissue and
Fascia, Chest
Pectoral fascia
7 Subcutaneous Tissue and
Fascia, Back
8 Subcutaneous Tissue and
Fascia, Abdomen
9 Subcutaneous Tissue and
Fascia, Buttock
B Subcutaneous Tissue and
Fascia, Perineum
C Subcutaneous Tissue and
Fascia, Pelvic Region
D Subcutaneous Tissue and
Fascia, Right Upper Arm
Axillary fascia
Deltoid fascia
Infraspinatus fascia
Subscapular aponeurosis
Supraspinatus fascia
F Subcutaneous Tissue and
Fascia, Left Upper Arm
See D Subcutaneous Tissue and
Fascia, Right Upper Arm
G Subcutaneous Tissue and
Fascia, Right Lower Arm
Antebrachial fascia
Bicipital aponeurosis
0J8
Approach Device Qualifier
Character 5 Character 6 Character 7
H Subcutaneous Tissue and 0 Open Z No Device Z No Qualifier
Fascia, Left Lower Arm 3 Percutaneous
See G Subcutaneous Tissue and
Fascia, Right Lower Arm
J Subcutaneous Tissue and
Fascia, Right Hand
Palmar fascia (aponeurosis)
K Subcutaneous Tissue and
Fascia, Left Hand
See J Subcutaneous Tissue and
Fascia, Right Hand
L Subcutaneous Tissue and
Fascia, Right Upper Leg
Crural fascia
Fascia lata
Iliac fascia
Iliotibial tract (band)
M Subcutaneous Tissue and
Fascia, Left Upper Leg
See L Subcutaneous Tissue and
Fascia, Right Upper Leg
N Subcutaneous Tissue and
Fascia, Right Lower Leg
P Subcutaneous Tissue and
Fascia, Left Lower Leg
Q Subcutaneous Tissue and
Fascia, Right Foot
Plantar fascia (aponeurosis)
R Subcutaneous Tissue and
Fascia, Left Foot
See Q Subcutaneous Tissue and
Fascia, Right Foot
S Subcutaneous Tissue and
Fascia, Head and Neck
T Subcutaneous Tissue and
Fascia, Trunk
External oblique aponeurosis
Transversalis fascia
V Subcutaneous Tissue and
Fascia, Upper Extremity
W Subcutaneous Tissue and
Fascia, Lower Extremity
0J8–0J8

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 429
 0J9–0J9 Subcutaneous Tissue and Fascia ICD-10-PCS 2019
Subcutaneous Tissue and Fascia

0 Medical and Surgical

J Subcutaneous Tissue and Fascia
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part
Character 4
0 Subcutaneous Tissue and
Fascia, Scalp
Galea aponeurotica
1 Subcutaneous Tissue and
Fascia, Face
Masseteric fascia
Orbital fascia
4 Subcutaneous Tissue and
Fascia, Right Neck
Deep cervical fascia
Pretracheal fascia
Prevertebral fascia
5 Subcutaneous Tissue and
Fascia, Left Neck
See 4 Subcutaneous Tissue and
Fascia, Right Neck
6 Subcutaneous Tissue and
Fascia, Chest
Pectoral fascia
7 Subcutaneous Tissue and
Fascia, Back
8 Subcutaneous Tissue and
Fascia, Abdomen
9 Subcutaneous Tissue and
Fascia, Buttock
B Subcutaneous Tissue and
Fascia, Perineum
C Subcutaneous Tissue and
Fascia, Pelvic Region
D Subcutaneous Tissue and
Fascia, Right Upper Arm
Axillary fascia
Deltoid fascia
Infraspinatus fascia
Subscapular aponeurosis
Supraspinatus fascia
F Subcutaneous Tissue and
Fascia, Left Upper Arm
See D Subcutaneous Tissue and
Fascia, Right Upper Arm
Non-OR 0J9[0,1,4,5,6,7,8,9,B,C,D,F,G,H,J,K,L,M,N,P,Q,R][0,3]0Z
0J9–0J9
0J9
Approach Device Qualifier
Character 5 Character 6 Character 7
G Subcutaneous Tissue and 0 Open 0 Drainage Device Z No Qualifier
Fascia, Right Lower Arm 3 Percutaneous
Antebrachial fascia
Bicipital aponeurosis
H Subcutaneous Tissue and
Fascia, Left Lower Arm
See G Subcutaneous Tissue and
Fascia, Right Lower Arm
J Subcutaneous Tissue and
Fascia, Right Hand
Palmar fascia (aponeurosis)
K Subcutaneous Tissue and
Fascia, Left Hand
See J Subcutaneous Tissue and
Fascia, Right Hand
L Subcutaneous Tissue and
Fascia, Right Upper Leg
Crural fascia
Fascia lata
Iliac fascia
Iliotibial tract (band)
M Subcutaneous Tissue and
Fascia, Left Upper Leg
See L Subcutaneous Tissue and
Fascia, Right Upper Leg
N Subcutaneous Tissue and
Fascia, Right Lower Leg
P Subcutaneous Tissue and
Fascia, Left Lower Leg
Q Subcutaneous Tissue and
Fascia, Right Foot
Plantar fascia (aponeurosis)
R Subcutaneous Tissue and
Fascia, Left Foot
See Q Subcutaneous Tissue and
Fascia, Right Foot
0J9 Continued on next page

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
430 ICD-10-PCS 2019
ICD-10-PCS 2019 Subcutaneous Tissue and Fascia 0J9–0J9

Subcutaneous Tissue and Fascia

0 Medical and Surgical 0J9 Continued
J Subcutaneous Tissue and Fascia 0J9
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Subcutaneous Tissue and G Subcutaneous Tissue and 0 Open Z No Device X Diagnostic
Fascia, Scalp Fascia, Right Lower Arm 3 Percutaneous Z No Qualifier
Galea aponeurotica Antebrachial fascia
1 Subcutaneous Tissue and Bicipital aponeurosis
Fascia, Face H Subcutaneous Tissue and
Masseteric fascia Fascia, Left Lower Arm
Orbital fascia See G Subcutaneous Tissue and
4 Subcutaneous Tissue and Fascia, Right Lower Arm
Fascia, Right Neck J Subcutaneous Tissue and
Deep cervical fascia Fascia, Right Hand
Pretracheal fascia Palmar fascia (aponeurosis)
Prevertebral fascia K Subcutaenous Tissue and
5 Subcutaneous Tissue and Fascia, Left Hand
Fascia, Left Neck See J Subcutaneous Tissue and
See 4 Subcutaneous Tissue and Fascia, Right Hand
Fascia, Right Neck L Subcutaneous Tissue and
6 Subcutaneous Tissue and Fascia, Right Upper Leg
Fascia, Chest Crural fascia
Pectoral fascia Fascia lata
7 Subcutaneous Tissue and Iliac fascia
Fascia, Back Iliotibial tract (band)
8 Subcutaneous Tissue and M Subcutaneous Tissue and
Fascia, Abdomen Fascia, Left Upper Leg
9 Subcutaneous Tissue and See L Subcutaneous Tissue and
Fascia, Buttock Fascia, Right Upper Leg
B Subcutaneous Tissue and N Subcutaneous Tissue and
Fascia, Perineum Fascia, Right Lower Leg
C Subcutaneous Tissue and P Subcutaneous Tissue and
Fascia, Pelvic Region Fascia, Left Lower Leg
D Subcutaneous Tissue and Q Subcutaneous Tissue and
Fascia, Right Upper Arm Fascia, Right Foot
Axillary fascia Plantar fascia (aponeurosis)
Deltoid fascia R Subcutaneous Tissue and
Infraspinatus fascia Fascia, Left Foot
Subscapular aponeurosis See Q Subcutaneous Tissue and
Supraspinatus fascia
F Subcutaneous Tissue and Fascia, Right Foot
Fascia, Left Upper Arm
See D Subcutaneous Tissue and
Fascia, Right Upper Arm
Non-OR 0J9[0,1,4,5,6,7,8,9,B,C,D,F,G,H,J,K,L,M,N,P,Q,R][0,3]ZX
Non-OR 0J9[0,1,4,5,6,7,8,9,B,C,D,F,G,H,J,K,L,M,N,P,Q,R]3ZZ
0J9–0J9

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 431
 0JB–0JB Subcutaneous Tissue and Fascia ICD-10-PCS 2019
Subcutaneous Tissue and Fascia

0 Medical and Surgical

J Subcutaneous Tissue and Fascia 0JB
B Excision Definition: Cutting out or off, without replacement, a portion of a body part
Explanation: The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Subcutaneous Tissue and G Subcutaneous Tissue and 0 Open Z No Device X Diagnostic
Fascia, Scalp Fascia, Right Lower Arm 3 Percutaneous Z No Qualifier
Galea aponeurotica Antebrachial fascia
1 Subcutaneous Tissue and Bicipital aponeurosis
Fascia, Face H Subcutaneous Tissue and
Masseteric fascia Fascia, Left Lower Arm
Orbital fascia See G Subcutaneous Tissue and
4 Subcutaneous Tissue and Fascia, Right Lower Arm
Fascia, Right Neck J Subcutaneous Tissue and
Deep cervical fascia Fascia, Right Hand
Pretracheal fascia Palmar fascia (aponeurosis)
Prevertebral fascia K Subcutaneous Tissue and
5 Subcutaneous Tissue and Fascia, Left Hand
Fascia, Left Neck See J Subcutaneous Tissue and
See 4 Subcutaneous Tissue and Fascia, Right Hand
Fascia, Right Neck L Subcutaneous Tissue and
6 Subcutaneous Tissue and Fascia, Right Upper Leg
Fascia, Chest Crural fascia
Pectoral fascia Fascia lata
7 Subcutaneous Tissue and Iliac fascia
Fascia, Back Iliotibial tract (band)
8 Subcutaneous Tissue and M Subcutaneous Tissue and
Fascia, Abdomen Fascia, Left Upper Leg
9 Subcutaneous Tissue and See L Subcutaneous Tissue and
Fascia, Buttock Fascia, Right Upper Leg
B Subcutaneous Tissue and N Subcutaneous Tissue and
Fascia, Perineum Fascia, Right Lower Leg
C Subcutaneous Tissue and P Subcutaneous Tissue and
Fascia, Pelvic Region Fascia, Left Lower Leg
D Subcutaneous Tissue and Q Subcutaneous Tissue and
Fascia, Right Upper Arm Fascia, Right Foot
Axillary fascia Plantar fascia (aponeurosis)
Deltoid fascia R Subcutaneous Tissue and
Infraspinatus fascia Fascia, Left Foot
Subscapular aponeurosis See Q Subcutaneous Tissue and
Supraspinatus fascia Fascia, Right Foot
F Subcutaneous Tissue and
Fascia, Left Upper Arm
See D Subcutaneous Tissue and
Fascia, Right Upper Arm
DRG Non-OR 0JB[0,4,5,6,7,8,9,B,C,D,F,G,H,L,M,N,P,Q,R]3ZZ
Non-OR 0JB[0,1,4,5,6,7,8,9,B,C,D,F,G,H,J,K,L,M,N,P,Q,R][0,3]ZX
0JB–0JB

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
432 ICD-10-PCS 2019
ICD-10-PCS 2019 Subcutaneous Tissue and Fascia 0JC–0JC

Subcutaneous Tissue and Fascia

0 Medical and Surgical
J Subcutaneous Tissue and Fascia 0JC
C Extirpation Definition: Taking or cutting out solid matter from a body part
Explanation: The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in
the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Subcutaneous Tissue and G Subcutaneous Tissue and 0 Open Z No Device Z No Qualifier
Fascia, Scalp Fascia, Right Lower Arm 3 Percutaneous
Galea aponeurotica Antebrachial fascia
1 Subcutaneous Tissue and Bicipital aponeurosis
Fascia, Face H Subcutaneous Tissue and
Masseteric fascia Fascia, Left Lower Arm
Orbital fascia See G Subcutaneous Tissue and
4 Subcutaneous Tissue and Fascia, Right Lower Arm
Fascia, Right Neck J Subcutaneous Tissue and
Deep cervical fascia Fascia, Right Hand
Pretracheal fascia Palmar fascia (aponeurosis)
Prevertebral fascia K Subcutaneous Tissue and
5 Subcutaneous Tissue and Fascia, Left Hand
Fascia, Left Neck See J Subcutaneous Tissue and
See 4 Subcutaneous Tissue and Fascia, Right Hand
Fascia, Right Neck L Subcutaneous Tissue and
6 Subcutaneous Tissue and Fascia, Right Upper Leg
Fascia, Chest Crural fascia
Pectoral fascia Fascia lata
7 Subcutaneous Tissue and Iliac fascia
Fascia, Back Iliotibial tract (band)
8 Subcutaneous Tissue and M Subcutaneous Tissue and
Fascia, Abdomen Fascia, Left Upper Leg
9 Subcutaneous Tissue and See L Subcutaneous Tissue and
Fascia, Buttock Fascia, Right Upper Leg
B Subcutaneous Tissue and N Subcutaneous Tissue and
Fascia, Perineum Fascia, Right Lower Leg
C Subcutaneous Tissue and P Subcutaneous Tissue and
Fascia, Pelvic Region Fascia, Left Lower Leg
D Subcutaneous Tissue and Q Subcutaneous Tissue and
Fascia, Right Upper Arm Fascia, Right Foot
Axillary fascia Plantar fascia (aponeurosis)
Deltoid fascia R Subcutaneous Tissue and
Infraspinatus fascia Fascia, Left Foot
Subscapular aponeurosis See Q Subcutaneous Tissue and
Supraspinatus fascia Fascia, Right Foot
F Subcutaneous Tissue and
Fascia, Left Upper Arm
See D Subcutaneous Tissue and
Fascia, Right Upper Arm
Non-OR All body part, approach, device, and qualifier values
0JC–0JC

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 433
 0JD–0JH Subcutaneous Tissue and Fascia ICD-10-PCS 2019
Subcutaneous Tissue and Fascia

0 Medical and Surgical

J Subcutaneous Tissue and Fascia 0JD
D Extraction Definition: Pulling or stripping out or off all or a portion of a body part by the use of force
Explanation: The qualifier DIAGNOSTIC is used to identify extraction procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Subcutaneous Tissue and G Subcutaneous Tissue and 0 Open Z No Device Z No Qualifier
Fascia, Scalp Fascia, Right Lower Arm 3 Percutaneous
Galea aponeurotica Antebrachial fascia
1 Subcutaneous Tissue and Bicipital aponeurosis
Fascia, Face H Subcutaneous Tissue and
Masseteric fascia Fascia, Left Lower Arm
Orbital fascia See G Subcutaneous Tissue and
4 Subcutaneous Tissue and Fascia, Right Lower Arm
Fascia, Right Neck J Subcutaneous Tissue and
Deep cervical fascia Fascia, Right Hand
Pretracheal fascia Palmar fascia (aponeurosis)
Prevertebral fascia K Subcutaneous Tissue and
5 Subcutaneous Tissue and Fascia, Left Hand
Fascia, Left Neck See J Subcutaneous Tissue and
See 4 Subcutaneous Tissue and Fascia, Right Hand
Fascia, Right Neck L Subcutaneous Tissue and
6 Subcutaneous Tissue and Fascia, Right Upper Leg
Fascia, Chest Crural fascia
Pectoral fascia Fascia lata
7 Subcutaneous Tissue and Iliac fascia
Fascia, Back Iliotibial tract (band)
8 Subcutaneous Tissue and M Subcutaneous Tissue and
Fascia, Abdomen Fascia, Left Upper Leg
9 Subcutaneous Tissue and See L Subcutaneous Tissue and
Fascia, Buttock Fascia, Right Upper Leg
B Subcutaneous Tissue and N Subcutaneous Tissue and
Fascia, Perineum Fascia, Right Lower Leg
C Subcutaneous Tissue and P Subcutaneous Tissue and
Fascia, Pelvic Region Fascia, Left Lower Leg
D Subcutaneous Tissue and Q Subcutaneous Tissue and
Fascia, Right Upper Arm Fascia, Right Foot
Axillary fascia Plantar fascia (aponeurosis)
Deltoid fascia R Subcutaneous Tissue and
Infraspinatus fascia Fascia, Left Foot
Subscapular aponeurosis See Q Subcutaneous Tissue and
Supraspinatus fascia Fascia, Right Foot
F Subcutaneous Tissue and
Fascia, Left Upper Arm
See D Subcutaneous Tissue and
Fascia, Right Upper Arm
Non-OR 0JD[0,1,4,5,B,C,D,F,G,H,J,K,N,P,Q,R]3ZZ See Appendix L for Procedure Combinations
Combo-only 0JD[6,7,8,9,L,M]3ZZ

0 Medical and Surgical

J Subcutaneous Tissue and Fascia 0JH
H Insertion Definition: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically
take the place of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Subcutaneous Tissue and C Subcutaneous Tissue and 0 Open N Tissue Expander Z No Qualifier
Fascia, Scalp Fascia, Pelvic Region 3 Percutaneous
Galea aponeurotica J Subcutaneous Tissue and
1 Subcutaneous Tissue and Fascia, Right Hand
Fascia, Face Palmar fascia (aponeurosis)
Masseteric fascia K Subcutaneous Tissue and
Orbital fascia Fascia, Left Hand
4 Subcutaneous Tissue and See J Subcutaneous Tissue and
Fascia, Right Neck Fascia, Right Hand
Deep cervical fascia Q Subcutaneous Tissue and
Pretracheal fascia Fascia, Right Foot
Prevertebral fascia Plantar fascia (aponeurosis)
5 Subcutaneous Tissue and R Subcutaneous Tissue and
Fascia, Left Neck Fascia, Left Foot
See 4 Subcutaneous Tissue and See Q Subcutaneous Tissue
Fascia, Right Neck and Fascia, Right Foot
9 Subcutaneous Tissue and
Fascia, Buttock
B Subcutaneous Tissue and
Fascia, Perineum
0JD–0JH

0JH Continued on next page

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
434 ICD-10-PCS 2019
ICD-10-PCS 2019 Subcutaneous Tissue and Fascia 0JH–0JH

Subcutaneous Tissue and Fascia

0 Medical and Surgical 0JH Continued
J Subcutaneous Tissue and Fascia 0JH
H Insertion Definition: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically
take the place of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
6 Subcutaneous Tissue and Fascia, Chest ? 0 Open 0 Monitoring Device, Hemodynamic Z No Qualifier
Pectoral fascia 3 Percutaneous 2 Monitoring Device
8 Subcutaneous Tissue and Fascia, Abdomen ?4 4 Pacemaker, Single Chamber
5 Pacemaker, Single Chamber Rate
Responsive
6 Pacemaker, Dual Chamber
7 Cardiac Resynchronization
Pacemaker Pulse Generator
8 Defibrillator Generator
9 Cardiac Resynchronization
Defibrillator Pulse Generator
A Contractility Modulation Device
B Stimulator Generator, Single Array
C Stimulator Generator, Single Array
Rechargeable
D Stimulator Generator, Multiple Array
E Stimulator Generator, Multiple Array
Rechargeable
H Contraceptive Device
M Stimulator Generator
N Tissue Expander
P Cardiac Rhythm Related Device
V Infusion Device, Pump
W Vascular Access Device, Totally
Implantable
X Vascular Access Device, Tunneled
7 Subcutaneous Tissue and Fascia, Back ?4 0 Open B Stimulator Generator, Single Array Z No Qualifier
3 Percutaneous C Stimulator Generator, Single Array
Rechargeable
D Stimulator Generator, Multiple Array
E Stimulator Generator, Multiple Array
Rechargeable
M Stimulator Generator
N Tissue Expander
V Infusion Device, Pump
D Subcutaneous Tissue and L Subcutaneous Tissue and 0 Open H Contraceptive Device Z No Qualifier
Fascia, Right Upper Arm Fascia, Right Upper Leg 3 Percutaneous N Tissue Expander
Axillary fascia Crural fascia V Infusion Device, Pump
Deltoid fascia Fascia lata W Vascular Access Device, Totally
Infraspinatus fascia Iliac fascia Implantable
Subscapular aponeurosis Iliotibial tract (band) X Vascular Access Device, Tunneled
Supraspinatus fascia M Subcutaneous Tissue and
F Subcutaneous Tissue and Fascia, Left Upper Leg
Fascia, Left Upper Arm See L Subcutaneous Tissue
See D Subcutaneous Tissue and Fascia, Right Upper
and Fascia, Right Upper Leg
Arm N Subcutaneous Tissue and
G Subcutaneous Tissue and Fascia, Right Lower Leg
Fascia, Right Lower Arm P Subcutaneous Tissue and
Antebrachial fascia Fascia, Left Lower Leg
Bicipital aponeurosis
H Subcutaneous Tissue and
Fascia, Left Lower Arm
See G Subcutaneous Tissue
and Fascia, Right Lower
Arm
S Subcutaneous Tissue and Fascia, Head and Neck 0 Open 1 Radioactive Element Z No Qualifier
V Subcutaneous Tissue and Fascia, Upper Extremity 3 Percutaneous 3 Infusion Device
W Subcutaneous Tissue and Fascia, Lower Extremity Y Other Device
T Subcutaneous Tissue and Fascia, Trunk 0 Open 1 Radioactive Element Z No Qualifier
External oblique aponeurosis 3 Percutaneous 3 Infusion Device
Transversalis fascia V Infusion Device, Pump
Y Other Device
DRG Non-OR 0JH6[0,3][4,5,6,H,W,X]Z HAC 0JH[6,8][0,3][4,5,6,7,8,9,P]Z when reported with SDx K68.11 or
DRG Non-OR 0JH8[0,3][2,4,5,6,H,W,X]Z T81.4XXA or T82.6XXA or T82.7XXA
DRG Non-OR 0JH[D,F,G,H,L,M][0,3][W,X]Z HAC 0JH63XZ when reported with SDx J95.811
DRG Non-OR 0JHN0[W,X]Z 4 0JH8[0,3]MZ
DRG Non-OR 0JHN3[H,W,X]Z 4 0JH7[0,3]MZ
DRG Non-OR 0JHP[0,3][H,W,X]Z See Appendix L for Procedure Combinations
Non-OR 0JH[D,F,G,H,L,M][0,3]HZ ? 0JH[6,8][0,3][8,9,A,B,C,D,E]Z
Non-OR 0JHN0HZ ? 0JH7[0,3][B,C,D,E]Z
0JH–0JH

Non-OR 0JH[S,V,W]03Z
Non-OR 0JH[S,V,W]3[3,Y]Z
Non-OR 0JHT03Z
Non-OR 0JHT3[3,Y]Z

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 435
 0JJ–0JN Subcutaneous Tissue and Fascia ICD-10-PCS 2019
Subcutaneous Tissue and Fascia

0 Medical and Surgical

J Subcutaneous Tissue and Fascia 0JJ
J Inspection Definition: Visually and/or manually exploring a body part
Explanation: Visual exploration may be performed with or without optical instrumentation. Manual exploration may be performed directly or
through intervening body layers.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
S Subcutaneous Tissue and Fascia, Head and Neck 0 Open Z No Device Z No Qualifier
T Subcutaneous Tissue and Fascia, Trunk 3 Percutaneous
External oblique aponeurosis X External
Transversalis fascia
V Subcutaneous Tissue and Fascia, Upper Extremity
W Subcutaneous Tissue and Fascia, Lower Extremity
Non-OR All body part, approach, device, and qualifier values

0 Medical and Surgical

J Subcutaneous Tissue and Fascia 0JN
N Release Definition: Freeing a body part from an abnormal physical constraint by cutting or by the use of force
Explanation: Some of the restraining tissue may be taken out but none of the body part is taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Subcutaneous Tissue and G Subcutaneous Tissue and 0 Open Z No Device Z No Qualifier
Fascia, Scalp Fascia, Right Lower Arm 3 Percutaneous
Galea aponeurotica Antebrachial fascia X External
1 Subcutaneous Tissue and Bicipital aponeurosis
Fascia, Face H Subcutaneous Tissue and
Masseteric fascia Fascia, Left Lower Arm
Orbital fascia See G Subcutaneous Tissue and
4 Subcutaneous Tissue and Fascia, Right Lower Arm
Fascia, Right Neck J Subcutaneous Tissue and
Deep cervical fascia Fascia, Right Hand
Pretracheal fascia Palmar fascia (aponeurosis)
Prevertebral fascia K Subcutaneous Tissue and
5 Subcutaneous Tissue and Fascia, Left Hand
Fascia, Left Neck See J Subcutaneous Tissue and
See 4 Subcutaneous Tissue and Fascia, Right Hand
Fascia, Right Neck L Subcutaneous Tissue and
6 Subcutaneous Tissue and Fascia, Right Upper Leg
Fascia, Chest Crural fascia
Pectoral fascia Fascia lata
7 Subcutaneous Tissue and Iliac fascia
Fascia, Back Iliotibial tract (band)
8 Subcutaneous Tissue and M Subcutaneous Tissue and
Fascia, Abdomen Fascia, Left Upper Leg
9 Subcutaneous Tissue and See L Subcutaneous Tissue and
Fascia, Buttock Fascia, Right Upper Leg
B Subcutaneous Tissue and N Subcutaneous Tissue and
Fascia, Perineum Fascia, Right Lower Leg
C Subcutaneous Tissue and P Subcutaneous Tissue and
Fascia, Pelvic Region Fascia, Left Lower Leg
D Subcutaneous Tissue and Q Subcutaneous Tissue and
Fascia, Right Upper Arm Fascia, Right Foot
Axillary fascia Plantar fascia (aponeurosis)
Deltoid fascia R Subcutaneous Tissue and
Infraspinatus fascia Fascia, Left Foot
Subscapular aponeurosis See Q Subcutaneous Tissue and
Supraspinatus fascia Fascia, Right Foot
F Subcutaneous Tissue and
Fascia, Left Upper Arm
See D Subcutaneous Tissue and
Fascia, Right Upper Arm
Non-OR 0JN[0,1,4,5,6,7,8,9,B,C,D,F,G,H,J,K,L,M,N,P,Q,R]XZZ
0JJ–0JN

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
436 ICD-10-PCS 2019
ICD-10-PCS 2019 Subcutaneous Tissue and Fascia 0JP–0JP

Subcutaneous Tissue and Fascia

0 Medical and Surgical
J Subcutaneous Tissue and Fascia 0JP
P Removal Definition: Taking out or off a device from a body part
Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is
coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
S Subcutaneous Tissue and Fascia, 0 Open 0 Drainage Device Z No Qualifier
Head and Neck 3 Percutaneous 1 Radioactive Element
3 Infusion Device
7 Autologous Tissue Substitute
J Synthetic Substitute
K Nonautologous Tissue Substitute
N Tissue Expander
Y Other Device
S Subcutaneous Tissue and Fascia, X External 0 Drainage Device Z No Qualifier
Head and Neck 1 Radioactive Element
3 Infusion Device
T Subcutaneous Tissue and 0 Open 0 Drainage Device Z No Qualifier
Fascia, Trunk 3 Percutaneous 1 Radioactive Element
External oblique aponeurosis 2 Monitoring Device
Transversalis fascia 3 Infusion Device
7 Autologous Tissue Substitute
H Contraceptive Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
M Stimulator Generator
N Tissue Expander
P Cardiac Rhythm Related Device
V Infusion Device, Pump
W Vascular Access Device, Totally
Implantable
X Vascular Access Device, Tunneled
Y Other Device
T Subcutaneous Tissue and Fascia, X External 0 Drainage Device Z No Qualifier
Trunk 1 Radioactive Element
External oblique aponeurosis 2 Monitoring Device
Transversalis fascia 3 Infusion Device
H Contraceptive Device
V Infusion Device, Pump
X Vascular Access Device, Tunneled
V Subcutaneous Tissue and Fascia, 0 Open 0 Drainage Device Z No Qualifier
Upper Extremity 3 Percutaneous 1 Radioactive Element
W Subcutaneous Tissue and Fascia, 3 Infusion Device
Lower Extremity 7 Autologous Tissue Substitute
H Contraceptive Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
N Tissue Expander
V Infusion Device, Pump
W Vascular Access Device, Totally
Implantable
X Vascular Access Device, Tunneled
Y Other Device
V Subcutaneous Tissue and Fascia, X External 0 Drainage Device Z No Qualifier
Upper Extremity 1 Radioactive Element
W Subcutaneous Tissue and Fascia, 3 Infusion Device
Lower Extremity H Contraceptive Device
V Infusion Device, Pump
X Vascular Access Device, Tunneled
Non-OR 0JPS[0,3][0,1,3,7,J,K,N,Y]Z
Non-OR 0JPSX[0,1,3]Z
Non-OR 0JPT[0,3][0,1,2,3,7,H,J,K,M,N,V,W,X,Y]Z
Non-OR 0JPTX[0,1,2,3,H,V,X]Z
Non-OR 0JP[V,W][0,3][0,1,3,7,H,J,K,N,V,W,X,Y]Z
Non-OR 0JP[V,W]X[0,1,3,H,V,X]Z
HAC 0JPT[0,3]PZ when reported with SDx K68.11 or T81.4XXA or
T82.6XXA or T82.7XXA
0JP–0JP

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 437
 0JQ–0JQ Subcutaneous Tissue and Fascia ICD-10-PCS 2019
Subcutaneous Tissue and Fascia

0 Medical and Surgical

J Subcutaneous Tissue and Fascia 0JQ
Q Repair Definition: Restoring, to the extent possible, a body part to its normal anatomic structure and function
Explanation: Used only when the method to accomplish the repair is not one of the other root operations
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Subcutaneous Tissue and G Subcutaneous Tissue and 0 Open Z No Device Z No Qualifier
Fascia, Scalp Fascia, Right Lower Arm 3 Percutaneous
Galea aponeurotica Antebrachial fascia
1 Subcutaneous Tissue and Bicipital aponeurosis
Fascia, Face H Subcutaneous Tissue and
Masseteric fascia Fascia, Left Lower Arm
Orbital fascia See G Subcutaneous Tissue and
4 Subcutaneous Tissue and Fascia, Right Lower Arm
Fascia, Right Neck J Subcutaneous Tissue and
Deep cervical fascia Fascia, Right Hand
Pretracheal fascia Palmar fascia (aponeurosis)
Prevertebral fascia K Subcutaneous Tissue and
5 Subcutaneous Tissue and Fascia, Left Hand
Fascia, Left Neck See J Subcutaneous Tissue and
See 4 Subcutaneous Tissue and Fascia, Right Hand
Fascia, Right Neck L Subcutaneous Tissue and
6 Subcutaneous Tissue and Fascia, Right Upper Leg
Fascia, Chest Crural fascia
Pectoral fascia Fascia lata
7 Subcutaneous Tissue and Iliac fascia
Fascia, Back Iliotibial tract (band)
8 Subcutaneous Tissue and M Subcutaneous Tissue and
Fascia, Abdomen Fascia, Left Upper Leg
9 Subcutaneous Tissue and See L Subcutaneous Tissue and
Fascia, Buttock Fascia, Right Upper Leg
B Subcutaneous Tissue and N Subcutaneous Tissue and
Fascia, Perineum Fascia, Right Lower Leg
C Subcutaneous Tissue and P Subcutaneous Tissue and
Fascia, Pelvic Region Fascia, Left Lower Leg
D Subcutaneous Tissue and Q Subcutaneous Tissue and
Fascia, Right Upper Arm Fascia, Right Foot
Axillary fascia Plantar fascia (aponeurosis)
Deltoid fascia R Subcutaneous Tissue and
Infraspinatus fascia Fascia, Left Foot
Subscapular aponeurosis See Q Subcutaneous Tissue and
Supraspinatus fascia Fascia, Right Foot
F Subcutaneous Tissue and
Fascia, Left Upper Arm
See D Subcutaneous Tissue and
Fascia, Right Upper Arm
Non-OR 0JQ[0,1,4,5,6,7,8,9,B,C,D,F,G,H,J,K,L,M,N,P,Q,R]3ZZ
0JQ–0JQ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
438 ICD-10-PCS 2019
ICD-10-PCS 2019 Subcutaneous Tissue and Fascia 0JR–0JR

Subcutaneous Tissue and Fascia

0 Medical and Surgical
J Subcutaneous Tissue and Fascia 0JR
R Replacement Definition: Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part
Explanation: The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during
the REPLACEMENT procedure. A REMOVAL procedure is coded for taking out the device used in a previous replacement procedure.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Subcutaneous Tissue and G Subcutaneous Tissue and 0 Open 7 Autologous Tissue Z No Qualifier
Fascia, Scalp Fascia, Right Lower Arm 3 Percutaneous Substitute
Galea aponeurotica Antebrachial fascia J Synthetic Substitute
1 Subcutaneous Tissue and Bicipital aponeurosis K Nonautologous Tissue
Fascia, Face H Subcutaneous Tissue and Substitute
Masseteric fascia Fascia, Left Lower Arm
Orbital fascia See G Subcutaneous Tissue and
4 Subcutaneous Tissue and Fascia, Right Lower Arm
Fascia, Right Neck J Subcutaneous Tissue and
Deep cervical fascia Fascia, Right Hand
Pretracheal fascia Palmar fascia (aponeurosis)
Prevertebral fascia K Subcutaneous Tissue and
5 Subcutaneous Tissue and Fascia, Left Hand
Fascia, Left Neck See J Subcutaneous Tissue and
See 4 Subcutaneous Tissue and Fascia, Right Hand
Fascia, Right Neck L Subcutaneous Tissue and
6 Subcutaneous Tissue and Fascia, Right Upper Leg
Fascia, Chest Crural fascia
Pectoral fascia Fascia lata
7 Subcutaneous Tissue and Iliac fascia
Fascia, Back Iliotibial tract (band)
8 Subcutaneous Tissue and M Subcutaneous Tissue and
Fascia, Abdomen Fascia, Left Upper Leg
9 Subcutaneous Tissue and See L Subcutaneous Tissue and
Fascia, Buttock Fascia, Right Upper Leg
B Subcutaneous Tissue and N Subcutaneous Tissue and
Fascia, Perineum Fascia, Right Lower Leg
C Subcutaneous Tissue and P Subcutaneous Tissue and
Fascia, Pelvic Region Fascia, Left Lower Leg
D Subcutaneous Tissue and Q Subcutaneous Tissue and
Fascia, Right Upper Arm Fascia, Right Foot
Axillary fascia Plantar fascia (aponeurosis)
Deltoid fascia R Subcutaneous Tissue and
Infraspinatus fascia Fascia, Left Foot
Subscapular aponeurosis See Q Subcutaneous Tissue and
Supraspinatus fascia Fascia, Right Foot
F Subcutaneous Tissue and
Fascia, Left Upper Arm
See D Subcutaneous Tissue and
Fascia, Right Upper Arm
0JR–0JR

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 439
 0JU–0JU Subcutaneous Tissue and Fascia ICD-10-PCS 2019
Subcutaneous Tissue and Fascia

0 Medical and Surgical

J Subcutaneous Tissue and Fascia 0JU
U Supplement: Definition: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part
Explanation: The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced,
and the SUPPLEMENT procedure is performed to physically reinforce and/or augment the function of the replaced body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Subcutaneous Tissue and G Subcutaneous Tissue and 0 Open 7 Autologous Tissue Z No Qualifier
Fascia, Scalp Fascia, Right Lower Arm 3 Percutaneous Substitute
Galea aponeurotica Antebrachial fascia J Synthetic Substitute
1 Subcutaneous Tissue and Bicipital aponeurosis K Nonautologous Tissue
Fascia, Face H Subcutaneous Tissue and Substitute
Masseteric fascia Fascia, Left Lower Arm
Orbital fascia See G Subcutaneous Tissue and
4 Subcutaneous Tissue and Fascia, Right Lower Arm
Fascia, Right Neck J Subcutaneous Tissue and
Deep cervical fascia Fascia, Right Hand
Pretracheal fascia Palmar fascia (aponeurosis)
Prevertebral fascia K Subcutaneous Tissue and
5 Subcutaneous Tissue and Fascia, Left Hand
Fascia, Left Neck See J Subcutaneous Tissue and
See 4 Subcutaneous Tissue and Fascia, Right Hand
Fascia, Right Neck L Subcutaneous Tissue and
6 Subcutaneous Tissue and Fascia, Right Upper Leg
Fascia, Chest Crural fascia
Pectoral fascia Fascia lata
7 Subcutaneous Tissue and Iliac fascia
Fascia, Back Iliotibial tract (band)
8 Subcutaneous Tissue and M Subcutaneous Tissue and
Fascia, Abdomen Fascia, Left Upper Leg
9 Subcutaneous Tissue and See L Subcutaneous Tissue and
Fascia, Buttock Fascia, Right Upper Leg
B Subcutaneous Tissue and N Subcutaneous Tissue and
Fascia, Perineum Fascia, Right Lower Leg
C Subcutaneous Tissue and P Subcutaneous Tissue and
Fascia, Pelvic Region Fascia, Left Lower Leg
D Subcutaneous Tissue and Q Subcutaneous Tissue and
Fascia, Right Upper Arm Fascia, Right Foot
Axillary fascia Plantar fascia (aponeurosis)
Deltoid fascia R Subcutaneous Tissue and
Infraspinatus fascia Fascia, Left Foot
Subscapular aponeurosis See Q Subcutaneous Tissue and
Supraspinatus fascia Fascia, Right Foot
F Subcutaneous Tissue and
Fascia, Left Upper Arm
See D Subcutaneous Tissue and
Fascia, Right Upper Arm
0JU–0JU

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
440 ICD-10-PCS 2019
ICD-10-PCS 2019 Subcutaneous Tissue and Fascia 0JW–0JW

Subcutaneous Tissue and Fascia

0 Medical and Surgical
J Subcutaneous Tissue and Fascia 0JW
W Revision Definition: Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device
Explanation: Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as
a screw or pin
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
S Subcutaneous Tissue and Fascia, 0 Open 0 Drainage Device Z No Qualifier
Head and Neck 3 Percutaneous 3 Infusion Device
7 Autologous Tissue Substitute
J Synthetic Substitute
K Nonautologous Tissue Substitute
N Tissue Expander
Y Other Device
S Subcutaneous Tissue and Fascia, X External 0 Drainage Device Z No Qualifier
Head and Neck 3 Infusion Device
7 Autologous Tissue Substitute
J Synthetic Substitute
K Nonautologous Tissue Substitute
N Tissue Expander
T Subcutaneous Tissue and Fascia, 0 Open 0 Drainage Device Z No Qualifier
Trunk 3 Percutaneous 2 Monitoring Device
External oblique aponeurosis 3 Infusion Device
Transversalis fascia 7 Autologous Tissue Substitute
H Contraceptive Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
M Stimulator Generator
N Tissue Expander
P Cardiac Rhythm Related Device
V Infusion Device, Pump
W Vascular Access Device, Totally Implantable
X Vascular Access Device, Tunneled
Y Other Device
T Subcutaneous Tissue and Fascia, X External 0 Drainage Device Z No Qualifier
Trunk 2 Monitoring Device
External oblique aponeurosis 3 Infusion Device
Transversalis fascia 7 Autologous Tissue Substitute
H Contraceptive Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
M Stimulator Generator
N Tissue Expander
P Cardiac Rhythm Related Device
V Infusion Device, Pump
W Vascular Access Device, Totally Implantable
X Vascular Access Device, Tunneled
V Subcutaneous Tissue and Fascia, 0 Open 0 Drainage Device Z No Qualifier
Upper Extremity 3 Percutaneous 3 Infusion Device
W Subcutaneous Tissue and Fascia, 7 Autologous Tissue Substitute
Lower Extremity H Contraceptive Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
N Tissue Expander
V Infusion Device, Pump
W Vascular Access Device, Totally Implantable
X Vascular Access Device, Tunneled
Y Other Device
V Subcutaneous Tissue and Fascia, X External 0 Drainage Device Z No Qualifier
Upper Extremity 3 Infusion Device
W Subcutaneous Tissue and Fascia, 7 Autologous Tissue Substitute
Lower Extremity H Contraceptive Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
N Tissue Expander
V Infusion Device, Pump
W Vascular Access Device, Totally Implantable
X Vascular Access Device, Tunneled
DRG Non-OR 0JWS[0,3][0,3,7,J,K,N,Y]Z HAC 0JWT[0,3]PZ when reported with SDx K68.11 or T81.4XXA or T82.6XXA or
DRG Non-OR 0JWT[0,3][0,3,7,H,J,K,M,N,V,W,X]Z T82.7XXA
DRG Non-OR 0JWTXMZ
DRG Non-OR 0JW[V,W][0,3][0,3,7,H,J,K,N,V,W,X,Y]Z
Non-OR 0JWSX[0,3,7,J,K,N]Z
Non-OR 0JWT3YZ
Non-OR 0JWTX[0,2,3,7,H,J,K,N,P,V,W,X]Z
Non-OR 0JW[V,W]X[0,3,7,H,J,K,N,V,W,X]Z
0JW–0JW

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 441
 0JX–0JX
Subcutaneous Tissue and Fascia
0 Medical and Surgical
J Subcutaneous Tissue and Fascia
X Transfer Definition: Moving, without taking out, all or a portion of a body part to another location to take over the function of all or a portion of a body part
Explanation: The body part transferred remains connected to its vascular and nervous supply
Body Part
Character 4
0 Subcutaneous Tissue and
Fascia, Scalp
Galea aponeurotica
1 Subcutaneous Tissue and
Fascia, Face
Masseteric fascia
Orbital fascia
4 Subcutaneous Tissue and
Fascia, Right Neck
Deep cervical fascia
Pretracheal fascia
Prevertebral fascia
5 Subcutaneous Tissue and
Fascia, Left Neck
See 4 Subcutaneous Tissue and
Fascia, Right Neck
6 Subcutaneous Tissue and
Fascia, Chest
Pectoral fascia
7 Subcutaneous Tissue and
Fascia, Back
8 Subcutaneous Tissue and
Fascia, Abdomen
9 Subcutaneous Tissue and
Fascia, Buttock
B Subcutaneous Tissue and
Fascia, Perineum
C Subcutaneous Tissue and
Fascia, Pelvic Region
D Subcutaneous Tissue and
Fascia, Right Upper Arm
Axillary fascia
Deltoid fascia
Infraspinatus fascia
Subscapular aponeurosis
Supraspinatus fascia
F Subcutaneous Tissue and
Fascia, Left Upper Arm
See D Subcutaneous Tissue and
Fascia, Right Upper Arm
0JX–0JX
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
442
Subcutaneous Tissue and Fascia ICD-10-PCS 2019
0JX
Approach Device Qualifier
Character 5 Character 6 Character 7
G Subcutaneous Tissue and 0 Open Z No Device B Skin and Subcutaneous
Fascia, Right Lower Arm 3 Percutaneous Tissue
Antebrachial fascia C Skin, Subcutaneous Tissue
Bicipital aponeurosis and Fascia
H Subcutaneous Tissue and Z No Qualifier
Fascia, Left Lower Arm
See G Subcutaneous Tissue and
Fascia, Right Lower Arm
J Subcutaneous Tissue and
Fascia, Right Hand
Palmar fascia (aponeurosis)
K Subcutaneous Tissue and
Fascia, Left Hand
See J Subcutaneous Tissue and
Fascia, Right Hand
L Subcutaneous Tissue and
Fascia, Right Upper Leg
Crural fascia
Fascia lata
Iliac fascia
Iliotibial tract (band)
M Subcutaneous Tissue and
Fascia, Left Upper Leg
See L Subcutaneous Tissue and
Fascia, Right Upper Leg
N Subcutaneous Tissue and
Fascia, Right Lower Leg
P Subcutaneous Tissue and
Fascia, Left Lower Leg
Q Subcutaneous Tissue and
Fascia, Right Foot
Plantar fascia (aponeurosis)
R Subcutaneous Tissue and
Fascia, Left Foot
See Q Subcutaneous Tissue and
Fascia, Right Foot
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019 Muscles

Muscles
Muscles 0K2–0KX
Character Meanings
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.

Operation–Character 3 Body Part–Character 4 Approach–Character 5 Device–Character 6 Qualifier–Character 7

2 Change 0 Head Muscle 0 Open 0 Drainage Device 0 Skin
5 Destruction 1 Facial Muscle 3 Percutaneous 7 Autologous Tissue 1 Subcutaneous Tissue
Substitute
8 Division 2 Neck Muscle, Right 4 Percutaneous Endoscopic J Synthetic Substitute 2 Skin and Subcutaneous
Tissue
9 Drainage 3 Neck Muscle, Left X External K Nonautologous Tissue 5 Latissimus Dorsi
Substitute Myocutaneous Flap
B Excision 4 Tongue, Palate, Pharynx M Stimulator Lead 6 Transverse Rectus
Muscle Abdominis Myocutaneous
Flap
C Extirpation 5 Shoulder Muscle, Right Y Other Device 7 Deep Inferior Epigastric
Artery Perforator Flap
D Extraction 6 Shoulder Muscle, Left Z No Device 8 Superficial Inferior
Epigastric Artery Flap
H Insertion 7 Upper Arm Muscle, Right 9 Gluteal Artery Perforator
Flap
J Inspection 8 Upper Arm Muscle, Left X Diagnostic
M Reattachment 9 Lower Arm and Wrist Z No Qualifier
Muscle, Right
N Release B Lower Arm and Wrist
Muscle, Left
P Removal C Hand Muscle, Right
Q Repair D Hand Muscle, Left
R Replacement F Trunk Muscle, Right
S Reposition G Trunk Muscle, Left
T Resection H Thorax Muscle, Right
U Supplement J Thorax Muscle, Left
W Revision K Abdomen Muscle, Right
X Transfer L Abdomen Muscle, Left
M Perineum Muscle
N Hip Muscle, Right
P Hip Muscle, Left
Q Upper Leg Muscle, Right
R Upper Leg Muscle, Left
S Lower Leg Muscle, Right
T Lower Leg Muscle, Left
V Foot Muscle, Right
W Foot Muscle, Left
X Upper Muscle
Y Lower Muscle

AHA Coding Clinic for table 0KB AHA Coding Clinic for table 0KS
2016, 3Q, 20 Excisional debridement of sacrum 2017, 1Q, 41 Manual reduction of hernia
2015, 3Q, 3-8 Excisional and nonexcisional debridement
AHA Coding Clinic for table 0KT
AHA Coding Clinic for table 0KD 2016, 2Q, 12 Resection of malignant neoplasm of infratemporal fossa
2017, 4Q, 41-42 Extraction procedures 2015, 1Q, 38 Abdominoperineal resection with flap closure of the perineum and
AHA Coding Clinic for table 0KN colostomy
2017, 2Q, 12 Compartment syndrome and fasciotomy of foot AHA Coding Clinic for table 0KX
2017, 2Q, 13 Compartment syndrome and fasciotomy of leg 2018, 2Q, 18 Transverse rectus abdominis myocutaneous (TRAM) delay
2015, 2Q, 22 Arthroscopic subacromial decompression 2017, 4Q, 67 New qualifier values - Pedicle flap procedures
2014, 4Q, 39 Abdominal component release with placement of mesh for 2016, 3Q, 30 Resection of femur with interposition arthroplasty
hernia repair 2015, 3Q, 33 Cleft lip repair using Millard rotation advancement
AHA Coding Clinic for table 0KQ 2015, 2Q, 26 Pharyngeal flap to soft palate
2014, 4Q, 41 Abdominoperineal resection (APR) with flap closure of perineum and
2018, 2Q, 25 Third and fourth degree obstetric lacerations
colostomy
2016, 2Q, 34 Assisted vaginal delivery
2014, 2Q, 10 Transverse abdominomyocutaneous (TRAM) breast reconstruction
2016, 1Q, 7 Obstetrical perineal laceration repair
2014, 2Q, 12 Pedicle latissimus myocutaneous flap with placement of breast tissue
2014, 4Q, 43 Second degree obstetric perineal laceration
expanders
2013, 4Q, 120 Repair of second degree perineum obstetric laceration

ICD-10-PCS 2019 443

 Muscles ICD-10-PCS 2019
Muscles

Muscles

Frontalis 0 Temporalis 0

Orbicularis oculi 1

Orbicularis oris 1 Masseter 0

Zygomaticus major 1
Depressor labii inferioris 1
Mentalis 1 Splenius 2, 3
Sternocleidomastoid (clavicular head) 2, 3
Sternocleidomastoid (sternal head) 2, 3 Levator scapulae 2, 3
Platysma 2, 3
Deltoid 5, 6

Pectoralis major H, J
Latissimus dorsi F, G

Serratus anterior H, J Coracobrachialis

Biceps brachii
(short head) Upper arm
Rectus abdominis K, L Biceps brachii muscles 7, 8
(long head)
External oblique K, L Triceps
Brachialis
Brachioradialis

Extensor carpi Pronator teres

Lower arm radialis longus Flexor carpi
and radialis
Flexor carpi radialis
wrist Extensor carpi Lower arm
muscles 9, B Palmaris longus radialis longus and
Extensor carpi wrist
Flexor carpi ulnaris radialis brevis muscles 9, B
Flexor digitorum Extensor
superficialis digitorum
Extensor digiti
minimi

Tensor Iliopsoas
fascia Pectineus
latae N, P
Adductor longus
Sartorius
Upper leg
Gracilis muscles Q, R
Rectus femoris
Vastus lateralis

Vastus medialis

Gastrocnemius
Tibialis anterior
Soleus
Lower leg muscles S, T Peroneus longus
Extensor digitorum
longus

444 ICD-10-PCS 2019

ICD-10-PCS 2019
0 Medical and Surgical
K Muscles
2 Change Definition: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without
cutting or puncturing the skin or a mucous membrane
Explanation: All CHANGE procedures are coded using the approach EXTERNAL
Body Part
Character 4
X Upper Muscle
Y Lower Muscle
Non-OR All body part, approach, device, and qualifier values
0 Medical and Surgical
K Muscles
5 Destruction Definition: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent
Explanation: None of the body part is physically taken out
0 Head Muscle
Auricularis muscle
Masseter muscle
Pterygoid muscle
Splenius capitis muscle
Temporalis muscle
Temporoparietalis muscle
1 Facial Muscle
Buccinator muscle
Corrugator supercilii muscle
Depressor anguli oris muscle
Depressor labii inferioris muscle
Depressor septi nasi muscle
Depressor supercilii muscle
Levator anguli oris muscle
Levator labii superioris alaeque
nasi muscle
Levator labii superioris muscle
Mentalis muscle
Nasalis muscle
Occipitofrontalis muscle
Orbicularis oris muscle
Procerus muscle
Risorius muscle
Zygomaticus muscle
2 Neck Muscle, Right
Anterior vertebral muscle
Arytenoid muscle
Cricothyroid muscle
Infrahyoid muscle
Levator scapulae muscle
Platysma muscle
Scalene muscle
Splenius cervicis muscle
Sternocleidomastoid muscle
Suprahyoid muscle
Thyroarytenoid muscle
3 Neck Muscle, Left
See 2 Neck Muscle, Right
4 Tongue, Palate, Pharynx
Muscle
Chondroglossus muscle
Genioglossus muscle
Hyoglossus muscle
Inferior longitudinal muscle
Levator veli palatini muscle
Palatoglossal muscle
Palatopharyngeal muscle
Pharyngeal constrictor muscle
Salpingopharyngeus muscle
Styloglossus muscle
Stylopharyngeus muscle
Superior longitudinal muscle
Tensor veli palatini muscle
5 Shoulder Muscle, Right
Deltoid muscle
Infraspinatus muscle
Subscapularis muscle
Supraspinatus muscle
Teres major muscle
Teres minor muscle
6 Shoulder Muscle, Left
See 5 Shoulder Muscle, Right
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Approach
Character 5
X External
Body Part
Character 4
7 Upper Arm Muscle, Right
Biceps brachii muscle
Brachialis muscle
Coracobrachialis muscle
Triceps brachii muscle
8 Upper Arm Muscle, Left
See 7 Upper Arm Muscle, Right
9 Lower Arm and Wrist Muscle,
Right
Anatomical snuffbox
Brachioradialis muscle
Extensor carpi radialis muscle
Extensor carpi ulnaris muscle
Flexor carpi radialis muscle
Flexor carpi ulnaris muscle
Flexor pollicis longus muscle
Palmaris longus muscle
Pronator quadratus muscle
Pronator teres muscle
B Lower Arm and Wrist Muscle,
Left
See 9 Lower Arm and Wrist
Muscle, Right
C Hand Muscle, Right
Hypothenar muscle
Palmar interosseous muscle
Thenar muscle
D Hand Muscle, Left
See C Hand Muscle, Right
F Trunk Muscle, Right
Coccygeus muscle
Erector spinae muscle
Interspinalis muscle
Intertransversarius muscle
Latissimus dorsi muscle
Quadratus lumborum muscle
Rhomboid major muscle
Rhomboid minor muscle
Serratus posterior muscle
Transversospinalis muscle
Trapezius muscle
G Trunk Muscle, Left
See F Trunk Muscle, Right
H Thorax Muscle, Right
Intercostal muscle
Levatores costarum muscle
Pectoralis major muscle
Pectoralis minor muscle
Serratus anterior muscle
Subclavius muscle
Subcostal muscle
Transverse thoracis muscle
J Thorax Muscle, Left
See H Thorax Muscle, Right
K Abdomen Muscle, Right
External oblique muscle
Internal oblique muscle
Pyramidalis muscle
Rectus abdominis muscle
Transversus abdominis muscle
L Abdomen Muscle, Left
See K Abdomen Muscle, Right
Muscles 0K2–0K5
Muscles
0K2
Device Qualifier
Character 6 Character 7
0 Drainage Device Z No Qualifier
Y Other Device
0K5
Approach Device Qualifier
Character 5 Character 6 Character 7
M Perineum Muscle 0 Open Z No Device Z No Qualifier
Bulbospongiosus muscle 3 Percutaneous
Cremaster muscle 4 Percutaneous
Deep transverse perineal muscle Endoscopic
Ischiocavernosus muscle
Levator ani muscle
Superficial transverse perineal
muscle
N Hip Muscle, Right
Gemellus muscle
Gluteus maximus muscle
Gluteus medius muscle
Gluteus minimus muscle
Iliacus muscle
Obturator muscle
Piriformis muscle
Psoas muscle
Quadratus femoris muscle
Tensor fasciae latae muscle
P Hip Muscle, Left
See N Hip Muscle, Right
Q Upper Leg Muscle, Right
Adductor brevis muscle
Adductor longus muscle
Adductor magnus muscle
Biceps femoris muscle
Gracilis muscle
Pectineus muscle
Quadriceps (femoris)
Rectus femoris muscle
Sartorius muscle
Semimembranosus muscle
Semitendinosus muscle
Vastus intermedius muscle
Vastus lateralis muscle
Vastus medialis muscle
R Upper Leg Muscle, Left
See Q Upper Leg Muscle, Right
S Lower Leg Muscle, Right
Extensor digitorum longus muscle
Extensor hallucis longus muscle
Fibularis brevis muscle
Fibularis longus muscle
Flexor digitorum longus muscle
Flexor hallucis longus muscle
Gastrocnemius muscle
Peroneus brevis muscle
Peroneus longus muscle
Popliteus muscle
Soleus muscle
Tibialis anterior muscle
Tibialis posterior muscle
T Lower Leg Muscle, Left
See S Lower Leg Muscle, Right
V Foot Muscle, Right
Abductor hallucis muscle
Adductor hallucis muscle
Extensor digitorum brevis muscle
Extensor hallucis brevis muscle
Flexor digitorum brevis muscle
Flexor hallucis brevis muscle
Quadratus plantae muscle
0K2–0K5
W Foot Muscle, Left
See V Foot Muscle, Right
New/Revised in GREEN
445
 0K8–0K8
Muscles
0 Medical and Surgical
K Muscles
8 Division Definition: Cutting into a body part, without draining fluids and/or gases from the body part, in order to separate or transect a body part
Explanation: All or a portion of the body part is separated into two or more portions
0 Head Muscle
Auricularis muscle
Masseter muscle
Pterygoid muscle
Splenius capitis muscle
Temporalis muscle
Temporoparietalis muscle
1 Facial Muscle
Buccinator muscle
Corrugator supercilii
muscle
Depressor anguli oris
muscle
Depressor labii inferioris
muscle
Depressor septi nasi
muscle
Depressor supercilii
muscle
Levator anguli oris muscle
Levator labii superioris
alaeque nasi muscle
Levator labii superioris
muscle
Mentalis muscle
Nasalis muscle
Occipitofrontalis muscle
Orbicularis oris muscle
Procerus muscle
Risorius muscle
Zygomaticus muscle
2 Neck Muscle, Right
Anterior vertebral muscle
Arytenoid muscle
Cricothyroid muscle
Infrahyoid muscle
Levator scapulae muscle
Platysma muscle
Scalene muscle
Splenius cervicis muscle
Sternocleidomastoid
muscle
Suprahyoid muscle
Thyroarytenoid muscle
3 Neck Muscle, Left
See 2 Neck Muscle, Right
4 Tongue, Palate, Pharynx
Muscle
Chondroglossus muscle
Genioglossus muscle
Hyoglossus muscle
Inferior longitudinal
muscle
Levator veli palatini
muscle
Palatoglossal muscle
Palatopharyngeal muscle
Pharyngeal constrictor
muscle
Salpingopharyngeus
muscle
Styloglossus muscle
Stylopharyngeus muscle
Superior longitudinal
muscle
Tensor veli palatini muscle
5 Shoulder Muscle, Right
Deltoid muscle
Infraspinatus muscle
Subscapularis muscle
Supraspinatus muscle
Teres major muscle
Teres minor muscle
0K8–0K8
6 Shoulder Muscle, Left
See 5 Shoulder Muscle,
Right
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
446
Body Part
Character 4
7 Upper Arm Muscle, Right
Biceps brachii muscle
Brachialis muscle
Coracobrachialis muscle
Triceps brachii muscle
8 Upper Arm Muscle, Left
See 7 Upper Arm Muscle,
Right
9 Lower Arm and Wrist
Muscle, Right
Anatomical snuffbox
Brachioradialis muscle
Extensor carpi radialis
muscle
Extensor carpi ulnaris
muscle
Flexor carpi radialis muscle
Flexor carpi ulnaris muscle
Flexor pollicis longus
muscle
Palmaris longus muscle
Pronator quadratus
muscle
Pronator teres muscle
B Lower Arm and Wrist
Muscle, Left
See 9 Lower Arm and Wrist
Muscle, Right
C Hand Muscle, Right
Hypothenar muscle
Palmar interosseous
muscle
Thenar muscle
D Hand Muscle, Left
See C Hand Muscle, Right
F Trunk Muscle, Right
Coccygeus muscle
Erector spinae muscle
Interspinalis muscle
Intertransversarius muscle
Latissimus dorsi muscle
Quadratus lumborum
muscle
Rhomboid major muscle
Rhomboid minor muscle
Serratus posterior muscle
Transversospinalis muscle
Trapezius muscle
G Trunk Muscle, Left
See F Trunk Muscle, Right
H Thorax Muscle, Right
Intercostal muscle
Levatores costarum
muscle
Pectoralis major muscle
Pectoralis minor muscle
Serratus anterior muscle
Subclavius muscle
Subcostal muscle
Transverse thoracis muscle
J Thorax Muscle, Left
See H Thorax Muscle, Right
K Abdomen Muscle, Right
External oblique muscle
Internal oblique muscle
Pyramidalis muscle
Rectus abdominis muscle
Transversus abdominis
muscle
L Abdomen Muscle, Left
See K Abdomen Muscle,
Right
Muscles ICD-10-PCS 2019
0K8
Approach Device Qualifier
Character 5 Character 6 Character 7
M Perineum Muscle 0 Open Z No Device Z No Qualifier
Bulbospongiosus muscle 3 Percutaneous
Cremaster muscle 4 Percutaneous
Deep transverse perineal Endoscopic
muscle
Ischiocavernosus muscle
Levator ani muscle
Superficial transverse
perineal muscle
N Hip Muscle, Right
Gemellus muscle
Gluteus maximus muscle
Gluteus medius muscle
Gluteus minimus muscle
Iliacus muscle
Obturator muscle
Piriformis muscle
Psoas muscle
Quadratus femoris muscle
Tensor fasciae latae
muscle
P Hip Muscle, Left
See N Hip Muscle, Right
Q Upper Leg Muscle, Right
Adductor brevis muscle
Adductor longus muscle
Adductor magnus muscle
Biceps femoris muscle
Gracilis muscle
Pectineus muscle
Quadriceps (femoris)
Rectus femoris muscle
Sartorius muscle
Semimembranosus
muscle
Semitendinosus muscle
Vastus intermedius muscle
Vastus lateralis muscle
Vastus medialis muscle
R Upper Leg Muscle, Left
See Q Upper Leg Muscle,
Right
S Lower Leg Muscle, Right
Extensor digitorum longus
muscle
Extensor hallucis longus
muscle
Fibularis brevis muscle
Fibularis longus muscle
Flexor digitorum longus
muscle
Flexor hallucis longus
muscle
Gastrocnemius muscle
Peroneus brevis muscle
Peroneus longus muscle
Popliteus muscle
Soleus muscle
Tibialis anterior muscle
Tibialis posterior muscle
T Lower Leg Muscle, Left
See S Lower Leg Muscle,
Right
V Foot Muscle, Right
Abductor hallucis muscle
Adductor hallucis muscle
Extensor digitorum brevis
muscle
Extensor hallucis brevis
muscle
Flexor digitorum brevis
muscle
Flexor hallucis brevis
muscle
Quadratus plantae muscle
W Foot Muscle, Left
See V Foot Muscle, Right
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019 Muscles 0K9–0K9

Muscles
0 Medical and Surgical
K Muscles 0K9
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Head Muscle 7 Upper Arm Muscle, Right M Perineum Muscle 0 Open 0 Drainage Device Z No Qualifier
Auricularis muscle Biceps brachii muscle Bulbospongiosus muscle 3 Percutaneous
Masseter muscle Brachialis muscle Cremaster muscle 4 Percutaneous
Pterygoid muscle Coracobrachialis muscle Deep transverse perineal Endoscopic
Splenius capitis muscle Triceps brachii muscle muscle
Temporalis muscle 8 Upper Arm Muscle, Left Ischiocavernosus muscle
Temporoparietalis muscle See 7 Upper Arm Muscle, Levator ani muscle
1 Facial Muscle Right Superficial transverse
Buccinator muscle 9 Lower Arm and Wrist perineal muscle
Corrugator supercilii Muscle, Right N Hip Muscle, Right
muscle Anatomical snuffbox Gemellus muscle
Depressor anguli oris Brachioradialis muscle Gluteus maximus muscle
muscle Extensor carpi radialis Gluteus medius muscle
Depressor labii inferioris muscle Gluteus minimus muscle
muscle Extensor carpi ulnaris Iliacus muscle
Depressor septi nasi muscle Obturator muscle
muscle Flexor carpi radialis muscle Piriformis muscle
Depressor supercilii Flexor carpi ulnaris muscle Psoas muscle
muscle Flexor pollicis longus Quadratus femoris muscle
Levator anguli oris muscle muscle Tensor fasciae latae
Levator labii superioris Palmaris longus muscle muscle
alaeque nasi muscle Pronator quadratus P Hip Muscle, Left
Levator labii superioris muscle See N Hip Muscle, Right
muscle Pronator teres muscle Q Upper Leg Muscle, Right
Mentalis muscle B Lower Arm and Wrist Adductor brevis muscle
Nasalis muscle Muscle, Left Adductor longus muscle
Occipitofrontalis muscle See 9 Lower Arm and Wrist Adductor magnus muscle
Orbicularis oris muscle Muscle, Right Biceps femoris muscle
Procerus muscle C Hand Muscle, Right Gracilis muscle
Risorius muscle Hypothenar muscle Pectineus muscle
Zygomaticus muscle Palmar interosseous Quadriceps (femoris)
2 Neck Muscle, Right muscle Rectus femoris muscle
Anterior vertebral muscle Thenar muscle Sartorius muscle
Arytenoid muscle D Hand Muscle, Left Semimembranosus
Cricothyroid muscle See C Hand Muscle, Right muscle
Infrahyoid muscle Semitendinosus muscle
F Trunk Muscle, Right
Levator scapulae muscle Vastus intermedius muscle
Coccygeus muscle
Platysma muscle Vastus lateralis muscle
Erector spinae muscle
Scalene muscle Vastus medialis muscle
Interspinalis muscle
Splenius cervicis muscle R Upper Leg Muscle, Left
Intertransversarius muscle
Sternocleidomastoid
Latissimus dorsi muscle See Q Upper Leg Muscle,
muscle Right
Quadratus lumborum
Suprahyoid muscle S Lower Leg Muscle, Right
muscle
Thyroarytenoid muscle Extensor digitorum longus
Rhomboid major muscle
3 Neck Muscle, Left Rhomboid minor muscle muscle
See 2 Neck Muscle, Right Serratus posterior muscle Extensor hallucis longus
4 Tongue, Palate, Pharynx Transversospinalis muscle muscle
Muscle Trapezius muscle Fibularis brevis muscle
Chondroglossus muscle G Trunk Muscle, Left Fibularis longus muscle
Genioglossus muscle See F Trunk Muscle, Right Flexor digitorum longus
Hyoglossus muscle muscle
H Thorax Muscle, Right
Inferior longitudinal Flexor hallucis longus
Intercostal muscle
muscle muscle
Levatores costarum
Levator veli palatini Gastrocnemius muscle
muscle
muscle Peroneus brevis muscle
Pectoralis major muscle
Palatoglossal muscle Peroneus longus muscle
Pectoralis minor muscle
Palatopharyngeal muscle Popliteus muscle
Serratus anterior muscle
Pharyngeal constrictor Soleus muscle
Subclavius muscle
muscle Tibialis anterior muscle
Subcostal muscle
Salpingopharyngeus Tibialis posterior muscle
Transverse thoracis muscle
muscle T Lower Leg Muscle, Left
J Thorax Muscle, Left
Styloglossus muscle
See H Thorax Muscle, Right See S Lower Leg Muscle,
Stylopharyngeus muscle Right
Superior longitudinal K Abdomen Muscle, Right
External oblique muscle V Foot Muscle, Right
muscle Abductor hallucis muscle
Tensor veli palatini muscle Internal oblique muscle
Pyramidalis muscle Adductor hallucis muscle
5 Shoulder Muscle, Right Extensor digitorum brevis
Deltoid muscle Rectus abdominis muscle
Transversus abdominis muscle
Infraspinatus muscle Extensor hallucis brevis
Subscapularis muscle muscle
muscle
Supraspinatus muscle L Abdomen Muscle, Left Flexor digitorum brevis
Teres major muscle See K Abdomen Muscle, muscle
Teres minor muscle Right Flexor hallucis brevis
6 Shoulder Muscle, Left muscle
0K9–0K9

See 5 Shoulder Muscle, Quadratus plantae muscle

Right W Foot Muscle, Left
See V Foot Muscle, Right
Non-OR 0K9[0,1,2,3,4,5,6,7,8,9,B,C,D,F,G,H,J,K,L,M,N,P,Q,R,S,T,V,W]30Z 0K9 Continued on next page
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 447
 0K9–0K9
Muscles
0 Medical and Surgical
K Muscles
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
0 Head Muscle
Auricularis muscle
Masseter muscle
Pterygoid muscle
Splenius capitis muscle
Temporalis muscle
Temporoparietalis muscle
1 Facial Muscle
Buccinator muscle
Corrugator supercilii
muscle
Depressor anguli oris
muscle
Depressor labii inferioris
muscle
Depressor septi nasi
muscle
Depressor supercilii
muscle
Levator anguli oris muscle
Levator labii superioris
alaeque nasi muscle
Levator labii superioris
muscle
Mentalis muscle
Nasalis muscle
Occipitofrontalis muscle
Orbicularis oris muscle
Procerus muscle
Risorius muscle
Zygomaticus muscle
2 Neck Muscle, Right
Anterior vertebral muscle
Arytenoid muscle
Cricothyroid muscle
Infrahyoid muscle
Levator scapulae muscle
Platysma muscle
Scalene muscle
Splenius cervicis muscle
Sternocleidomastoid
muscle
Suprahyoid muscle
Thyroarytenoid muscle
3 Neck Muscle, Left
See 2 Neck Muscle, Right
4 Tongue, Palate, Pharynx
Muscle
Chondroglossus muscle
Genioglossus muscle
Hyoglossus muscle
Inferior longitudinal
muscle
Levator veli palatini
muscle
Palatoglossal muscle
Palatopharyngeal muscle
Pharyngeal constrictor
muscle
Salpingopharyngeus
muscle
Styloglossus muscle
Stylopharyngeus muscle
Superior longitudinal
muscle
Tensor veli palatini muscle
5 Shoulder Muscle, Right
Deltoid muscle
Infraspinatus muscle
Subscapularis muscle
Supraspinatus muscle
Teres major muscle
Teres minor muscle
6 Shoulder Muscle, Left
0K9–0K9
See 5 Shoulder Muscle,
Right
Non-OR 0K9[0,1,2,3,4,5,6,7,8,9,B,F,G,H,J,K,L,M,N,P,Q,R,S,T,V,W]3ZZ
Non-OR 0K9[C,D][3,4]ZZ
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
448
Body Part
Character 4
7 Upper Arm Muscle, Right
Biceps brachii muscle
Brachialis muscle
Coracobrachialis muscle
Triceps brachii muscle
8 Upper Arm Muscle, Left
See 7 Upper Arm Muscle,
Right
9 Lower Arm and Wrist
Muscle, Right
Anatomical snuffbox
Brachioradialis muscle
Extensor carpi radialis
muscle
Extensor carpi ulnaris
muscle
Flexor carpi radialis muscle
Flexor carpi ulnaris muscle
Flexor pollicis longus
muscle
Palmaris longus muscle
Pronator quadratus
muscle
Pronator teres muscle
B Lower Arm and Wrist
Muscle, Left
See 9 Lower Arm and Wrist
Muscle, Right
C Hand Muscle, Right
Hypothenar muscle
Palmar interosseous
muscle
Thenar muscle
D Hand Muscle, Left
See C Hand Muscle, Right
F Trunk Muscle, Right
Coccygeus muscle
Erector spinae muscle
Interspinalis muscle
Intertransversarius muscle
Latissimus dorsi muscle
Quadratus lumborum
muscle
Rhomboid major muscle
Rhomboid minor muscle
Serratus posterior muscle
Transversospinalis muscle
Trapezius muscle
G Trunk Muscle, Left
See F Trunk Muscle, Right
H Thorax Muscle, Right
Intercostal muscle
Levatores costarum
muscle
Pectoralis major muscle
Pectoralis minor muscle
Serratus anterior muscle
Subclavius muscle
Subcostal muscle
Transverse thoracis muscle
J Thorax Muscle, Left
See H Thorax Muscle, Right
K Abdomen Muscle, Right
External oblique muscle
Internal oblique muscle
Pyramidalis muscle
Rectus abdominis muscle
Transversus abdominis
muscle
L Abdomen Muscle, Left
See K Abdomen Muscle,
Right
Muscles ICD-10-PCS 2019
0K9 Continued
0K9
Approach Device Qualifier
Character 5 Character 6 Character 7
M Perineum Muscle 0 Open Z No Device X Diagnostic
Bulbospongiosus muscle 3 Percutaneous Z No Qualifier
Cremaster muscle 4 Percutaneous
Deep transverse perineal Endoscopic
muscle
Ischiocavernosus muscle
Levator ani muscle
Superficial transverse
perineal muscle
N Hip Muscle, Right
Gemellus muscle
Gluteus maximus muscle
Gluteus medius muscle
Gluteus minimus muscle
Iliacus muscle
Obturator muscle
Piriformis muscle
Psoas muscle
Quadratus femoris muscle
Tensor fasciae latae
muscle
P Hip Muscle, Left
See N Hip Muscle, Right
Q Upper Leg Muscle, Right
Adductor brevis muscle
Adductor longus muscle
Adductor magnus muscle
Biceps femoris muscle
Gracilis muscle
Pectineus muscle
Quadriceps (femoris)
Rectus femoris muscle
Sartorius muscle
Semimembranosus muscle
Semitendinosus muscle
Vastus intermedius muscle
Vastus lateralis muscle
Vastus medialis muscle
R Upper Leg Muscle, Left
See Q Upper Leg Muscle,
Right
S Lower Leg Muscle, Right
Extensor digitorum longus
muscle
Extensor hallucis longus
muscle
Fibularis brevis muscle
Fibularis longus muscle
Flexor digitorum longus
muscle
Flexor hallucis longus
muscle
Gastrocnemius muscle
Peroneus brevis muscle
Peroneus longus muscle
Popliteus muscle
Soleus muscle
Tibialis anterior muscle
Tibialis posterior muscle
T Lower Leg Muscle, Left
See S Lower Leg Muscle,
Right
V Foot Muscle, Right
Abductor hallucis muscle
Adductor hallucis muscle
Extensor digitorum brevis
muscle
Extensor hallucis brevis
muscle
Flexor digitorum brevis
muscle
Flexor hallucis brevis
muscle
Quadratus plantae muscle
W Foot Muscle, Left
See V Foot Muscle, Right
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
K Muscles
B Excision Definition: Cutting out or off, without replacement, a portion of a body part
Explanation: The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies
0 Head Muscle
Auricularis muscle
Masseter muscle
Pterygoid muscle
Splenius capitis muscle
Temporalis muscle
Temporoparietalis muscle
1 Facial Muscle
Buccinator muscle
Corrugator supercilii
muscle
Depressor anguli oris
muscle
Depressor labii inferioris
muscle
Depressor septi nasi
muscle
Depressor supercilii
muscle
Levator anguli oris muscle
Levator labii superioris
alaeque nasi muscle
Levator labii superioris
muscle
Mentalis muscle
Nasalis muscle
Occipitofrontalis muscle
Orbicularis oris muscle
Procerus muscle
Risorius muscle
Zygomaticus muscle
2 Neck Muscle, Right
Anterior vertebral muscle
Arytenoid muscle
Cricothyroid muscle
Infrahyoid muscle
Levator scapulae muscle
Platysma muscle
Scalene muscle
Splenius cervicis muscle
Sternocleidomastoid
muscle
Suprahyoid muscle
Thyroarytenoid muscle
3 Neck Muscle, Left
See 2 Neck Muscle, Right
4 Tongue, Palate, Pharynx
Muscle
Chondroglossus muscle
Genioglossus muscle
Hyoglossus muscle
Inferior longitudinal
muscle
Levator veli palatini
muscle
Palatoglossal muscle
Palatopharyngeal muscle
Pharyngeal constrictor
muscle
Salpingopharyngeus
muscle
Styloglossus muscle
Stylopharyngeus muscle
Superior longitudinal
muscle
Tensor veli palatini muscle
5 Shoulder Muscle, Right
Deltoid muscle
Infraspinatus muscle
Subscapularis muscle
Supraspinatus muscle
Teres major muscle
Teres minor muscle
6 Shoulder Muscle, Left
See 5 Shoulder Muscle,
Right
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Body Part
Character 4
7 Upper Arm Muscle, Right
Biceps brachii muscle
Brachialis muscle
Coracobrachialis muscle
Triceps brachii muscle
8 Upper Arm Muscle, Left
See 7 Upper Arm Muscle,
Right
9 Lower Arm and Wrist
Muscle, Right
Anatomical snuffbox
Brachioradialis muscle
Extensor carpi radialis
muscle
Extensor carpi ulnaris
muscle
Flexor carpi radialis muscle
Flexor carpi ulnaris muscle
Flexor pollicis longus
muscle
Palmaris longus muscle
Pronator quadratus
muscle
Pronator teres muscle
B Lower Arm and Wrist
Muscle, Left
See 9 Lower Arm and Wrist
Muscle, Right
C Hand Muscle, Right
Hypothenar muscle
Palmar interosseous
muscle
Thenar muscle
D Hand Muscle, Left
See C Hand Muscle, Right
F Trunk Muscle, Right
Coccygeus muscle
Erector spinae muscle
Interspinalis muscle
Intertransversarius muscle
Latissimus dorsi muscle
Quadratus lumborum
muscle
Rhomboid major muscle
Rhomboid minor muscle
Serratus posterior muscle
Transversospinalis muscle
Trapezius muscle
G Trunk Muscle, Left
See F Trunk Muscle, Right
H Thorax Muscle, Right
Intercostal muscle
Levatores costarum
muscle
Pectoralis major muscle
Pectoralis minor muscle
Serratus anterior muscle
Subclavius muscle
Subcostal muscle
Transverse thoracis muscle
J Thorax Muscle, Left
See H Thorax Muscle, Right
K Abdomen Muscle, Right
External oblique muscle
Internal oblique muscle
Pyramidalis muscle
Rectus abdominis muscle
Transversus abdominis
muscle
L Abdomen Muscle, Left
See K Abdomen Muscle,
Right
Muscles 0KB–0KB
Muscles
0KB
Approach Device Qualifier
Character 5 Character 6 Character 7
M Perineum Muscle 0 Open Z No Device X Diagnostic
Bulbospongiosus muscle 3 Percutaneous Z No Qualifier
Cremaster muscle 4 Percutaneous
Deep transverse perineal Endoscopic
muscle
Ischiocavernosus muscle
Levator ani muscle
Superficial transverse
perineal muscle
N Hip Muscle, Right
Gemellus muscle
Gluteus maximus muscle
Gluteus medius muscle
Gluteus minimus muscle
Iliacus muscle
Obturator muscle
Piriformis muscle
Psoas muscle
Quadratus femoris muscle
Tensor fasciae latae
muscle
P Hip Muscle, Left
See N Hip Muscle, Right
Q Upper Leg Muscle, Right
Adductor brevis muscle
Adductor longus muscle
Adductor magnus muscle
Biceps femoris muscle
Gracilis muscle
Pectineus muscle
Quadriceps (femoris)
Rectus femoris muscle
Sartorius muscle
Semimembranosus
muscle
Semitendinosus muscle
Vastus intermedius muscle
Vastus lateralis muscle
Vastus medialis muscle
R Upper Leg Muscle, Left
See Q Upper Leg Muscle,
Right
S Lower Leg Muscle, Right
Extensor digitorum longus
muscle
Extensor hallucis longus
muscle
Fibularis brevis muscle
Fibularis longus muscle
Flexor digitorum longus
muscle
Flexor hallucis longus
muscle
Gastrocnemius muscle
Peroneus brevis muscle
Peroneus longus muscle
Popliteus muscle
Soleus muscle
Tibialis anterior muscle
Tibialis posterior muscle
T Lower Leg Muscle, Left
See S Lower Leg Muscle,
Right
V Foot Muscle, Right
Abductor hallucis muscle
Adductor hallucis muscle
Extensor digitorum brevis
muscle
Extensor hallucis brevis
muscle
Flexor digitorum brevis
muscle
Flexor hallucis brevis
muscle
0KB–0KB
Quadratus plantae muscle
W Foot Muscle, Left
See V Foot Muscle, Right
New/Revised in GREEN
449
 0KC–0KC
Muscles
0 Medical and Surgical
K Muscles
C Extirpation Definition: Taking or cutting out solid matter from a body part
Explanation: The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in
the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces.
0 Head Muscle
Auricularis muscle
Masseter muscle
Pterygoid muscle
Splenius capitis muscle
Temporalis muscle
Temporoparietalis muscle
1 Facial Muscle
Buccinator muscle
Corrugator supercilii
muscle
Depressor anguli oris
muscle
Depressor labii inferioris
muscle
Depressor septi nasi
muscle
Depressor supercilii
muscle
Levator anguli oris muscle
Levator labii superioris
alaeque nasi muscle
Levator labii superioris
muscle
Mentalis muscle
Nasalis muscle
Occipitofrontalis muscle
Orbicularis oris muscle
Procerus muscle
Risorius muscle
Zygomaticus muscle
2 Neck Muscle, Right
Anterior vertebral muscle
Arytenoid muscle
Cricothyroid muscle
Infrahyoid muscle
Levator scapulae muscle
Platysma muscle
Scalene muscle
Splenius cervicis muscle
Sternocleidomastoid
muscle
Suprahyoid muscle
Thyroarytenoid muscle
3 Neck Muscle, Left
See 2 Neck Muscle, Right
4 Tongue, Palate, Pharynx
Muscle
Chondroglossus muscle
Genioglossus muscle
Hyoglossus muscle
Inferior longitudinal
muscle
Levator veli palatini
muscle
Palatoglossal muscle
Palatopharyngeal muscle
Pharyngeal constrictor
muscle
Salpingopharyngeus
muscle
Styloglossus muscle
Stylopharyngeus muscle
Superior longitudinal
muscle
Tensor veli palatini muscle
5 Shoulder Muscle, Right
Deltoid muscle
Infraspinatus muscle
Subscapularis muscle
Supraspinatus muscle
Teres major muscle
Teres minor muscle
6 Shoulder Muscle, Left
See 5 Shoulder Muscle,
0KC–0KC
Right
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
450
Body Part
Character 4
7 Upper Arm Muscle, Right
Biceps brachii muscle
Brachialis muscle
Coracobrachialis muscle
Triceps brachii muscle
8 Upper Arm Muscle, Left
See 7 Upper Arm Muscle,
Right
9 Lower Arm and Wrist
Muscle, Right
Anatomical snuffbox
Brachioradialis muscle
Extensor carpi radialis
muscle
Extensor carpi ulnaris
muscle
Flexor carpi radialis muscle
Flexor carpi ulnaris muscle
Flexor pollicis longus
muscle
Palmaris longus muscle
Pronator quadratus
muscle
Pronator teres muscle
B Lower Arm and Wrist
Muscle, Left
See 9 Lower Arm and Wrist
Muscle, Right
C Hand Muscle, Right
Hypothenar muscle
Palmar interosseous
muscle
Thenar muscle
D Hand Muscle, Left
See C Hand Muscle, Right
F Trunk Muscle, Right
Coccygeus muscle
Erector spinae muscle
Interspinalis muscle
Intertransversarius muscle
Latissimus dorsi muscle
Quadratus lumborum
muscle
Rhomboid major muscle
Rhomboid minor muscle
Serratus posterior muscle
Transversospinalis muscle
Trapezius muscle
G Trunk Muscle, Left
See F Trunk Muscle, Right
H Thorax Muscle, Right
Intercostal muscle
Levatores costarum
muscle
Pectoralis major muscle
Pectoralis minor muscle
Serratus anterior muscle
Subclavius muscle
Subcostal muscle
Transverse thoracis muscle
J Thorax Muscle, Left
See H Thorax Muscle, Right
K Abdomen Muscle, Right
External oblique muscle
Internal oblique muscle
Pyramidalis muscle
Rectus abdominis muscle
Transversus abdominis
muscle
L Abdomen Muscle, Left
See K Abdomen Muscle,
Right
Muscles ICD-10-PCS 2019
0KC
Approach Device Qualifier
Character 5 Character 6 Character 7
M Perineum Muscle 0 Open Z No Device Z No Qualifier
Bulbospongiosus muscle 3 Percutaneous
Cremaster muscle 4 Percutaneous
Deep transverse perineal Endoscopic
muscle
Ischiocavernosus muscle
Levator ani muscle
Superficial transverse
perineal muscle
N Hip Muscle, Right
Gemellus muscle
Gluteus maximus muscle
Gluteus medius muscle
Gluteus minimus muscle
Iliacus muscle
Obturator muscle
Piriformis muscle
Psoas muscle
Quadratus femoris muscle
Tensor fasciae latae
muscle
P Hip Muscle, Left
See N Hip Muscle, Right
Q Upper Leg Muscle, Right
Adductor brevis muscle
Adductor longus muscle
Adductor magnus muscle
Biceps femoris muscle
Gracilis muscle
Pectineus muscle
Quadriceps (femoris)
Rectus femoris muscle
Sartorius muscle
Semimembranosus
muscle
Semitendinosus muscle
Vastus intermedius muscle
Vastus lateralis muscle
Vastus medialis muscle
R Upper Leg Muscle, Left
See Q Upper Leg Muscle,
Right
S Lower Leg Muscle, Right
Extensor digitorum longus
muscle
Extensor hallucis longus
muscle
Fibularis brevis muscle
Fibularis longus muscle
Flexor digitorum longus
muscle
Flexor hallucis longus
muscle
Gastrocnemius muscle
Peroneus brevis muscle
Peroneus longus muscle
Popliteus muscle
Soleus muscle
Tibialis anterior muscle
Tibialis posterior muscle
T Lower Leg Muscle, Left
See S Lower Leg Muscle,
Right
V Foot Muscle, Right
Abductor hallucis muscle
Adductor hallucis muscle
Extensor digitorum brevis
muscle
Extensor hallucis brevis
muscle
Flexor digitorum brevis
muscle
Flexor hallucis brevis
muscle
Quadratus plantae muscle
W Foot Muscle, Left
See V Foot Muscle, Right
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
K Muscles
D Extraction Definition: Pulling or stripping out or off all or a portion of a body part by the use of force
Explanation: The qualifier DIAGNOSTIC is used to identify extraction procedures that are biopsies
0 Head Muscle
Auricularis muscle
Masseter muscle
Pterygoid muscle
Splenius capitis muscle
Temporalis muscle
Temporoparietalis muscle
1 Facial Muscle
Buccinator muscle
Corrugator supercilii
muscle
Depressor anguli oris
muscle
Depressor labii inferioris
muscle
Depressor septi nasi
muscle
Depressor supercilii
muscle
Levator anguli oris muscle
Levator labii superioris
alaeque nasi muscle
Levator labii superioris
muscle
Mentalis muscle
Nasalis muscle
Occipitofrontalis muscle
Orbicularis oris muscle
Procerus muscle
Risorius muscle
Zygomaticus muscle
2 Neck Muscle, Right
Anterior vertebral muscle
Arytenoid muscle
Cricothyroid muscle
Infrahyoid muscle
Levator scapulae muscle
Platysma muscle
Scalene muscle
Splenius cervicis muscle
Sternocleidomastoid
muscle
Suprahyoid muscle
Thyroarytenoid muscle
3 Neck Muscle, Left
See 2 Neck Muscle, Right
4 Tongue, Palate, Pharynx
Muscle
Chondroglossus muscle
Genioglossus muscle
Hyoglossus muscle
Inferior longitudinal
muscle
Levator veli palatini
muscle
Palatoglossal muscle
Palatopharyngeal muscle
Pharyngeal constrictor
muscle
Salpingopharyngeus
muscle
Styloglossus muscle
Stylopharyngeus muscle
Superior longitudinal
muscle
Tensor veli palatini muscle
5 Shoulder Muscle, Right
Deltoid muscle
Infraspinatus muscle
Subscapularis muscle
Supraspinatus muscle
Teres major muscle
Teres minor muscle
6 Shoulder Muscle, Left
See 5 Shoulder Muscle,
Right
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Body Part
Character 4
7 Upper Arm Muscle, Right
Biceps brachii muscle
Brachialis muscle
Coracobrachialis muscle
Triceps brachii muscle
8 Upper Arm Muscle, Left
See 7 Upper Arm Muscle,
Right
9 Lower Arm and Wrist
Muscle, Right
Anatomical snuffbox
Brachioradialis muscle
Extensor carpi radialis
muscle
Extensor carpi ulnaris
muscle
Flexor carpi radialis muscle
Flexor carpi ulnaris muscle
Flexor pollicis longus
muscle
Palmaris longus muscle
Pronator quadratus
muscle
Pronator teres muscle
B Lower Arm and Wrist
Muscle, Left
See 9 Lower Arm and Wrist
Muscle, Right
C Hand Muscle, Right
Hypothenar muscle
Palmar interosseous
muscle
Thenar muscle
D Hand Muscle, Left
See C Hand Muscle, Right
F Trunk Muscle, Right
Coccygeus muscle
Erector spinae muscle
Interspinalis muscle
Intertransversarius muscle
Latissimus dorsi muscle
Quadratus lumborum
muscle
Rhomboid major muscle
Rhomboid minor muscle
Serratus posterior muscle
Transversospinalis muscle
Trapezius muscle
G Trunk Muscle, Left
See F Trunk Muscle, Right
H Thorax Muscle, Right
Intercostal muscle
Levatores costarum
muscle
Pectoralis major muscle
Pectoralis minor muscle
Serratus anterior muscle
Subclavius muscle
Subcostal muscle
Transverse thoracis muscle
J Thorax Muscle, Left
See H Thorax Muscle, Right
K Abdomen Muscle, Right
External oblique muscle
Internal oblique muscle
Pyramidalis muscle
Rectus abdominis muscle
Transversus abdominis
muscle
L Abdomen Muscle, Left
See K Abdomen Muscle,
Right
Muscles 0KD–0KD
Muscles
0KD
Approach Device Qualifier
Character 5 Character 6 Character 7
M Perineum Muscle 0 Open Z No Device Z No Qualifier
Bulbospongiosus muscle
Cremaster muscle
Deep transverse perineal
muscle
Ischiocavernosus muscle
Levator ani muscle
Superficial transverse
perineal muscle
N Hip Muscle, Right
Gemellus muscle
Gluteus maximus muscle
Gluteus medius muscle
Gluteus minimus muscle
Iliacus muscle
Obturator muscle
Piriformis muscle
Psoas muscle
Quadratus femoris muscle
Tensor fasciae latae
muscle
P Hip Muscle, Left
See N Hip Muscle, Right
Q Upper Leg Muscle, Right
Adductor brevis muscle
Adductor longus muscle
Adductor magnus muscle
Biceps femoris muscle
Gracilis muscle
Pectineus muscle
Quadriceps (femoris)
Rectus femoris muscle
Sartorius muscle
Semimembranosus
muscle
Semitendinosus muscle
Vastus intermedius muscle
Vastus lateralis muscle
Vastus medialis muscle
R Upper Leg Muscle, Left
See Q Upper Leg Muscle,
Right
S Lower Leg Muscle, Right
Extensor digitorum longus
muscle
Extensor hallucis longus
muscle
Fibularis brevis muscle
Fibularis longus muscle
Flexor digitorum longus
muscle
Flexor hallucis longus
muscle
Gastrocnemius muscle
Peroneus brevis muscle
Peroneus longus muscle
Popliteus muscle
Soleus muscle
Tibialis anterior muscle
Tibialis posterior muscle
T Lower Leg Muscle, Left
See S Lower Leg Muscle,
Right
V Foot Muscle, Right
Abductor hallucis muscle
Adductor hallucis muscle
Extensor digitorum brevis
muscle
Extensor hallucis brevis
muscle
Flexor digitorum brevis
muscle
Flexor hallucis brevis
0KD–0KD
muscle
Quadratus plantae muscle
W Foot Muscle, Left
See V Foot Muscle, Right
New/Revised in GREEN
451
 0KH–0KJ Muscles ICD-10-PCS 2019
Muscles

0 Medical and Surgical

K Muscles 0KH
H Insertion Definition: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically
take the place of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
X Upper Muscle 0 Open M Stimulator Lead Z No Qualifier
Y Lower Muscle 3 Percutaneous Y Other Device
4 Percutaneous Endoscopic
Non-OR 0KH[X,Y][3,4]YZ

0 Medical and Surgical

K Muscles 0KJ
J Inspection Definition: Visually and/or manually exploring a body part
Explanation: Visual exploration may be performed with or without optical instrumentation. Manual exploration may be performed directly or
through intervening body layers.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
X Upper Muscle 0 Open Z No Device Z No Qualifier
Y Lower Muscle 3 Percutaneous
4 Percutaneous Endoscopic
X External
Non-OR 0KJ[X,Y][3,X]ZZ
0KH–0KJ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
452 ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
K Muscles
M Reattachment Definition: Putting back in or on all or a portion of a separated body part to its normal location or other suitable location
Explanation: Vascular circulation and nervous pathways may or may not be reestablished
0 Head Muscle
Auricularis muscle
Masseter muscle
Pterygoid muscle
Splenius capitis muscle
Temporalis muscle
Temporoparietalis muscle
1 Facial Muscle
Buccinator muscle
Corrugator supercilii
muscle
Depressor anguli oris
muscle
Depressor labii inferioris
muscle
Depressor septi nasi
muscle
Depressor supercilii
muscle
Levator anguli oris muscle
Levator labii superioris
alaeque nasi muscle
Levator labii superioris
muscle
Mentalis muscle
Nasalis muscle
Occipitofrontalis muscle
Orbicularis oris muscle
Procerus muscle
Risorius muscle
Zygomaticus muscle
2 Neck Muscle, Right
Anterior vertebral muscle
Arytenoid muscle
Cricothyroid muscle
Infrahyoid muscle
Levator scapulae muscle
Platysma muscle
Scalene muscle
Splenius cervicis muscle
Sternocleidomastoid
muscle
Suprahyoid muscle
Thyroarytenoid muscle
3 Neck Muscle, Left
See 2 Neck Muscle, Right
4 Tongue, Palate, Pharynx
Muscle
Chondroglossus muscle
Genioglossus muscle
Hyoglossus muscle
Inferior longitudinal
muscle
Levator veli palatini
muscle
Palatoglossal muscle
Palatopharyngeal muscle
Pharyngeal constrictor
muscle
Salpingopharyngeus
muscle
Styloglossus muscle
Stylopharyngeus muscle
Superior longitudinal
muscle
Tensor veli palatini muscle
5 Shoulder Muscle, Right
Deltoid muscle
Infraspinatus muscle
Subscapularis muscle
Supraspinatus muscle
Teres major muscle
Teres minor muscle
6 Shoulder Muscle, Left
See 5 Shoulder Muscle,
Right
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Body Part
Character 4
7 Upper Arm Muscle, Right
Biceps brachii muscle
Brachialis muscle
Coracobrachialis muscle
Triceps brachii muscle
8 Upper Arm Muscle, Left
See 7 Upper Arm Muscle,
Right
9 Lower Arm and Wrist
Muscle, Right
Anatomical snuffbox
Brachioradialis muscle
Extensor carpi radialis
muscle
Extensor carpi ulnaris
muscle
Flexor carpi radialis muscle
Flexor carpi ulnaris muscle
Flexor pollicis longus
muscle
Palmaris longus muscle
Pronator quadratus
muscle
Pronator teres muscle
B Lower Arm and Wrist
Muscle, Left
See 9 Lower Arm and Wrist
Muscle, Right
C Hand Muscle, Right
Hypothenar muscle
Palmar interosseous
muscle
Thenar muscle
D Hand Muscle, Left
See C Hand Muscle, Right
F Trunk Muscle, Right
Coccygeus muscle
Erector spinae muscle
Interspinalis muscle
Intertransversarius muscle
Latissimus dorsi muscle
Quadratus lumborum
muscle
Rhomboid major muscle
Rhomboid minor muscle
Serratus posterior muscle
Transversospinalis muscle
Trapezius muscle
G Trunk Muscle, Left
See F Trunk Muscle, Right
H Thorax Muscle, Right
Intercostal muscle
Levatores costarum
muscle
Pectoralis major muscle
Pectoralis minor muscle
Serratus anterior muscle
Subclavius muscle
Subcostal muscle
Transverse thoracis muscle
J Thorax Muscle, Left
See H Thorax Muscle, Right
K Abdomen Muscle, Right
External oblique muscle
Internal oblique muscle
Pyramidalis muscle
Rectus abdominis muscle
Transversus abdominis
muscle
L Abdomen Muscle, Left
See K Abdomen Muscle,
Right
Muscles 0KM–0KM
Muscles
0KM
Approach Device Qualifier
Character 5 Character 6 Character 7
M Perineum Muscle 0 Open Z No Device Z No Qualifier
Bulbospongiosus muscle 4 Percutaneous
Cremaster muscle Endoscopic
Deep transverse perineal
muscle
Ischiocavernosus muscle
Levator ani muscle
Superficial transverse
perineal muscle
N Hip Muscle, Right
Gemellus muscle
Gluteus maximus muscle
Gluteus medius muscle
Gluteus minimus muscle
Iliacus muscle
Obturator muscle
Piriformis muscle
Psoas muscle
Quadratus femoris muscle
Tensor fasciae latae
muscle
P Hip Muscle, Left
See N Hip Muscle, Right
Q Upper Leg Muscle, Right
Adductor brevis muscle
Adductor longus muscle
Adductor magnus muscle
Biceps femoris muscle
Gracilis muscle
Pectineus muscle
Quadriceps (femoris)
Rectus femoris muscle
Sartorius muscle
Semimembranosus
muscle
Semitendinosus muscle
Vastus intermedius muscle
Vastus lateralis muscle
Vastus medialis muscle
R Upper Leg Muscle, Left
See Q Upper Leg Muscle,
Right
S Lower Leg Muscle, Right
Extensor digitorum longus
muscle
Extensor hallucis longus
muscle
Fibularis brevis muscle
Fibularis longus muscle
Flexor digitorum longus
muscle
Flexor hallucis longus
muscle
Gastrocnemius muscle
Peroneus brevis muscle
Peroneus longus muscle
Popliteus muscle
Soleus muscle
Tibialis anterior muscle
Tibialis posterior muscle
T Lower Leg Muscle, Left
See S Lower Leg Muscle,
Right
V Foot Muscle, Right
Abductor hallucis muscle
Adductor hallucis muscle
Extensor digitorum brevis
muscle
Extensor hallucis brevis
muscle
Flexor digitorum brevis
muscle
Flexor hallucis brevis
0KM–0KM
muscle
Quadratus plantae muscle
W Foot Muscle, Left
See V Foot Muscle, Right
New/Revised in GREEN
453
 0KN–0KN
Muscles
0 Medical and Surgical
K Muscles
N Release Definition: Freeing a body part from an abnormal physical constraint by cutting or by the use of force
Explanation: Some of the restraining tissue may be taken out but none of the body part is taken out
0 Head Muscle
Auricularis muscle
Masseter muscle
Pterygoid muscle
Splenius capitis muscle
Temporalis muscle
Temporoparietalis muscle
1 Facial Muscle
Buccinator muscle
Corrugator supercilii
muscle
Depressor anguli oris
muscle
Depressor labii inferioris
muscle
Depressor septi nasi
muscle
Depressor supercilii
muscle
Levator anguli oris muscle
Levator labii superioris
alaeque nasi muscle
Levator labii superioris
muscle
Mentalis muscle
Nasalis muscle
Occipitofrontalis muscle
Orbicularis oris muscle
Procerus muscle
Risorius muscle
Zygomaticus muscle
2 Neck Muscle, Right
Anterior vertebral muscle
Arytenoid muscle
Cricothyroid muscle
Infrahyoid muscle
Levator scapulae muscle
Platysma muscle
Scalene muscle
Splenius cervicis muscle
Sternocleidomastoid
muscle
Suprahyoid muscle
Thyroarytenoid muscle
3 Neck Muscle, Left
See 2 Neck Muscle, Right
4 Tongue, Palate, Pharynx
Muscle
Chondroglossus muscle
Genioglossus muscle
Hyoglossus muscle
Inferior longitudinal
muscle
Levator veli palatini
muscle
Palatoglossal muscle
Palatopharyngeal muscle
Pharyngeal constrictor
muscle
Salpingopharyngeus
muscle
Styloglossus muscle
Stylopharyngeus muscle
Superior longitudinal
muscle
Tensor veli palatini muscle
5 Shoulder Muscle, Right
Deltoid muscle
Infraspinatus muscle
Subscapularis muscle
Supraspinatus muscle
Teres major muscle
Teres minor muscle
0KN–0KN
6 Shoulder Muscle, Left
See 5 Shoulder Muscle,
Right
Non-OR 0KN[0,1,2,3,4,5,6,7,8,9,B,C,D,F,G,H,J,K,L,M,N,P,Q,R,S,T,V,W]XZZ
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
454
Body Part
Character 4
7 Upper Arm Muscle, Right
Biceps brachii muscle
Brachialis muscle
Coracobrachialis muscle
Triceps brachii muscle
8 Upper Arm Muscle, Left
See 7 Upper Arm Muscle,
Right
9 Lower Arm and Wrist
Muscle, Right
Anatomical snuffbox
Brachioradialis muscle
Extensor carpi radialis
muscle
Extensor carpi ulnaris
muscle
Flexor carpi radialis muscle
Flexor carpi ulnaris muscle
Flexor pollicis longus
muscle
Palmaris longus muscle
Pronator quadratus
muscle
Pronator teres muscle
B Lower Arm and Wrist
Muscle, Left
See 9 Lower Arm and Wrist
Muscle, Right
C Hand Muscle, Right
Hypothenar muscle
Palmar interosseous
muscle
Thenar muscle
D Hand Muscle, Left
See C Hand Muscle, Right
F Trunk Muscle, Right
Coccygeus muscle
Erector spinae muscle
Interspinalis muscle
Intertransversarius muscle
Latissimus dorsi muscle
Quadratus lumborum
muscle
Rhomboid major muscle
Rhomboid minor muscle
Serratus posterior muscle
Transversospinalis muscle
Trapezius muscle
G Trunk Muscle, Left
See F Trunk Muscle, Right
H Thorax Muscle, Right
Intercostal muscle
Levatores costarum
muscle
Pectoralis major muscle
Pectoralis minor muscle
Serratus anterior muscle
Subclavius muscle
Subcostal muscle
Transverse thoracis muscle
J Thorax Muscle, Left
See H Thorax Muscle, Right
K Abdomen Muscle, Right
External oblique muscle
Internal oblique muscle
Pyramidalis muscle
Rectus abdominis muscle
Transversus abdominis
muscle
L Abdomen Muscle, Left
See K Abdomen Muscle,
Right
Muscles ICD-10-PCS 2019
0KN
Approach Device Qualifier
Character 5 Character 6 Character 7
M Perineum Muscle 0 Open Z No Device Z No Qualifier
Bulbospongiosus muscle 3 Percutaneous
Cremaster muscle 4 Percutaneous
Deep transverse perineal Endoscopic
muscle X External
Ischiocavernosus muscle
Levator ani muscle
Superficial transverse
perineal muscle
N Hip Muscle, Right
Gemellus muscle
Gluteus maximus muscle
Gluteus medius muscle
Gluteus minimus muscle
Iliacus muscle
Obturator muscle
Piriformis muscle
Psoas muscle
Quadratus femoris muscle
Tensor fasciae latae
muscle
P Hip Muscle, Left
See N Hip Muscle, Right
Q Upper Leg Muscle, Right
Adductor brevis muscle
Adductor longus muscle
Adductor magnus muscle
Biceps femoris muscle
Gracilis muscle
Pectineus muscle
Quadriceps (femoris)
Rectus femoris muscle
Sartorius muscle
Semimembranosus
muscle
Semitendinosus muscle
Vastus intermedius muscle
Vastus lateralis muscle
Vastus medialis muscle
R Upper Leg Muscle, Left
See Q Upper Leg Muscle,
Right
S Lower Leg Muscle, Right
Extensor digitorum longus
muscle
Extensor hallucis longus
muscle
Fibularis brevis muscle
Fibularis longus muscle
Flexor digitorum longus
muscle
Flexor hallucis longus
muscle
Gastrocnemius muscle
Peroneus brevis muscle
Peroneus longus muscle
Popliteus muscle
Soleus muscle
Tibialis anterior muscle
Tibialis posterior muscle
T Lower Leg Muscle, Left
See S Lower Leg Muscle,
Right
V Foot Muscle, Right
Abductor hallucis muscle
Adductor hallucis muscle
Extensor digitorum brevis
muscle
Extensor hallucis brevis
muscle
Flexor digitorum brevis
muscle
Flexor hallucis brevis
muscle
Quadratus plantae muscle
W Foot Muscle, Left
See V Foot Muscle, Right
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019 Muscles 0KP–0KP

Muscles
0 Medical and Surgical
K Muscles 0KP
P Removal Definition: Taking out or off a device from a body part
Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is
coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
X Upper Muscle 0 Open 0 Drainage Device Z No Qualifier
Y Lower Muscle 3 Percutaneous 7 Autologous Tissue Substitute
4 Percutaneous Endoscopic J Synthetic Substitute
K Nonautologous Tissue Substitute
M Stimulator Lead
Y Other Device
X Upper Muscle X External 0 Drainage Device Z No Qualifier
Y Lower Muscle M Stimulator Lead
Non-OR 0KP[X,Y][3,4]YZ
Non-OR 0KP[X,Y]X[0,M]Z

0KP–0KP

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 455
 0KQ–0KQ
Muscles
0 Medical and Surgical
K Muscles
Q Repair Definition: Restoring, to the extent possible, a body part to its normal anatomic structure and function
Explanation: Used only when the method to accomplish the repair is not one of the other root operations
0 Head Muscle
Auricularis muscle
Masseter muscle
Pterygoid muscle
Splenius capitis muscle
Temporalis muscle
Temporoparietalis muscle
1 Facial Muscle
Buccinator muscle
Corrugator supercilii
muscle
Depressor anguli oris
muscle
Depressor labii inferioris
muscle
Depressor septi nasi
muscle
Depressor supercilii
muscle
Levator anguli oris muscle
Levator labii superioris
alaeque nasi muscle
Levator labii superioris
muscle
Mentalis muscle
Nasalis muscle
Occipitofrontalis muscle
Orbicularis oris muscle
Procerus muscle
Risorius muscle
Zygomaticus muscle
2 Neck Muscle, Right
Anterior vertebral muscle
Arytenoid muscle
Cricothyroid muscle
Infrahyoid muscle
Levator scapulae muscle
Platysma muscle
Scalene muscle
Splenius cervicis muscle
Sternocleidomastoid
muscle
Suprahyoid muscle
Thyroarytenoid muscle
3 Neck Muscle, Left
See 2 Neck Muscle, Right
4 Tongue, Palate, Pharynx
Muscle
Chondroglossus muscle
Genioglossus muscle
Hyoglossus muscle
Inferior longitudinal
muscle
Levator veli palatini
muscle
Palatoglossal muscle
Palatopharyngeal muscle
Pharyngeal constrictor
muscle
Salpingopharyngeus
muscle
Styloglossus muscle
Stylopharyngeus muscle
Superior longitudinal
muscle
Tensor veli palatini muscle
5 Shoulder Muscle, Right
Deltoid muscle
Infraspinatus muscle
Subscapularis muscle
Supraspinatus muscle
Teres major muscle
Teres minor muscle
0KQ–0KQ
6 Shoulder Muscle, Left
See 5 Shoulder Muscle,
Right
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
456
Body Part
Character 4
7 Upper Arm Muscle, Right
Biceps brachii muscle
Brachialis muscle
Coracobrachialis muscle
Triceps brachii muscle
8 Upper Arm Muscle, Left
See 7 Upper Arm Muscle,
Right
9 Lower Arm and Wrist
Muscle, Right
Anatomical snuffbox
Brachioradialis muscle
Extensor carpi radialis
muscle
Extensor carpi ulnaris
muscle
Flexor carpi radialis muscle
Flexor carpi ulnaris muscle
Flexor pollicis longus
muscle
Palmaris longus muscle
Pronator quadratus
muscle
Pronator teres muscle
B Lower Arm and Wrist
Muscle, Left
See 9 Lower Arm and Wrist
Muscle, Right
C Hand Muscle, Right
Hypothenar muscle
Palmar interosseous
muscle
Thenar muscle
D Hand Muscle, Left
See C Hand Muscle, Right
F Trunk Muscle, Right
Coccygeus muscle
Erector spinae muscle
Interspinalis muscle
Intertransversarius muscle
Latissimus dorsi muscle
Quadratus lumborum
muscle
Rhomboid major muscle
Rhomboid minor muscle
Serratus posterior muscle
Transversospinalis muscle
Trapezius muscle
G Trunk Muscle, Left
See F Trunk Muscle, Right
H Thorax Muscle, Right
Intercostal muscle
Levatores costarum
muscle
Pectoralis major muscle
Pectoralis minor muscle
Serratus anterior muscle
Subclavius muscle
Subcostal muscle
Transverse thoracis muscle
J Thorax Muscle, Left
See H Thorax Muscle, Right
K Abdomen Muscle, Right
External oblique muscle
Internal oblique muscle
Pyramidalis muscle
Rectus abdominis muscle
Transversus abdominis
muscle
L Abdomen Muscle, Left
See K Abdomen Muscle,
Right
Muscles ICD-10-PCS 2019
0KQ
Approach Device Qualifier
Character 5 Character 6 Character 7
M Perineum Muscle 0 Open Z No Device Z No Qualifier
Bulbospongiosus muscle 3 Percutaneous
Cremaster muscle 4 Percutaneous
Deep transverse perineal Endoscopic
muscle
Ischiocavernosus muscle
Levator ani muscle
Superficial transverse
perineal muscle
N Hip Muscle, Right
Gemellus muscle
Gluteus maximus muscle
Gluteus medius muscle
Gluteus minimus muscle
Iliacus muscle
Obturator muscle
Piriformis muscle
Psoas muscle
Quadratus femoris muscle
Tensor fasciae latae
muscle
P Hip Muscle, Left
See N Hip Muscle, Right
Q Upper Leg Muscle, Right
Adductor brevis muscle
Adductor longus muscle
Adductor magnus muscle
Biceps femoris muscle
Gracilis muscle
Pectineus muscle
Quadriceps (femoris)
Rectus femoris muscle
Sartorius muscle
Semimembranosus
muscle
Semitendinosus muscle
Vastus intermedius muscle
Vastus lateralis muscle
Vastus medialis muscle
R Upper Leg Muscle, Left
See Q Upper Leg Muscle,
Right
S Lower Leg Muscle, Right
Extensor digitorum longus
muscle
Extensor hallucis longus
muscle
Fibularis brevis muscle
Fibularis longus muscle
Flexor digitorum longus
muscle
Flexor hallucis longus
muscle
Gastrocnemius muscle
Peroneus brevis muscle
Peroneus longus muscle
Popliteus muscle
Soleus muscle
Tibialis anterior muscle
Tibialis posterior muscle
T Lower Leg Muscle, Left
See S Lower Leg Muscle,
Right
V Foot Muscle, Right
Abductor hallucis muscle
Adductor hallucis muscle
Extensor digitorum brevis
muscle
Extensor hallucis brevis
muscle
Flexor digitorum brevis
muscle
Flexor hallucis brevis
muscle
Quadratus plantae muscle
W Foot Muscle, Left
See V Foot Muscle, Right
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
K Muscles
R Replacement Definition: Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part
Explanation: The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during
the REPLACEMENT procedure. A REMOVAL procedure is coded for taking out the device used in a previous replacement procedure.
0 Head Muscle
Auricularis muscle
Masseter muscle
Pterygoid muscle
Splenius capitis muscle
Temporalis muscle
Temporoparietalis muscle
1 Facial Muscle
Buccinator muscle
Corrugator supercilii
muscle
Depressor anguli oris
muscle
Depressor labii inferioris
muscle
Depressor septi nasi
muscle
Depressor supercilii
muscle
Levator anguli oris muscle
Levator labii superioris
alaeque nasi muscle
Levator labii superioris
muscle
Mentalis muscle
Nasalis muscle
Occipitofrontalis muscle
Orbicularis oris muscle
Procerus muscle
Risorius muscle
Zygomaticus muscle
2 Neck Muscle, Right
Anterior vertebral muscle
Arytenoid muscle
Cricothyroid muscle
Infrahyoid muscle
Levator scapulae muscle
Platysma muscle
Scalene muscle
Splenius cervicis muscle
Sternocleidomastoid
muscle
Suprahyoid muscle
Thyroarytenoid muscle
3 Neck Muscle, Left
See 2 Neck Muscle, Right
4 Tongue, Palate, Pharynx
Muscle
Chondroglossus muscle
Genioglossus muscle
Hyoglossus muscle
Inferior longitudinal
muscle
Levator veli palatini
muscle
Palatoglossal muscle
Palatopharyngeal muscle
Pharyngeal constrictor
muscle
Salpingopharyngeus
muscle
Styloglossus muscle
Stylopharyngeus muscle
Superior longitudinal
muscle
Tensor veli palatini muscle
5 Shoulder Muscle, Right
Deltoid muscle
Infraspinatus muscle
Subscapularis muscle
Supraspinatus muscle
Teres major muscle
Teres minor muscle
6 Shoulder Muscle, Left
See 5 Shoulder Muscle,
Right
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Body Part
Character 4
7 Upper Arm Muscle, Right
Biceps brachii muscle
Brachialis muscle
Coracobrachialis muscle
Triceps brachii muscle
8 Upper Arm Muscle, Left
See 7 Upper Arm Muscle,
Right
9 Lower Arm and Wrist
Muscle, Right
Anatomical snuffbox
Brachioradialis muscle
Extensor carpi radialis
muscle
Extensor carpi ulnaris
muscle
Flexor carpi radialis muscle
Flexor carpi ulnaris muscle
Flexor pollicis longus
muscle
Palmaris longus muscle
Pronator quadratus
muscle
Pronator teres muscle
B Lower Arm and Wrist
Muscle, Left
See 9 Lower Arm and Wrist
Muscle, Right
C Hand Muscle, Right
Hypothenar muscle
Palmar interosseous
muscle
Thenar muscle
D Hand Muscle, Left
See C Hand Muscle, Right
F Trunk Muscle, Right
Coccygeus muscle
Erector spinae muscle
Interspinalis muscle
Intertransversarius muscle
Latissimus dorsi muscle
Quadratus lumborum
muscle
Rhomboid major muscle
Rhomboid minor muscle
Serratus posterior muscle
Transversospinalis muscle
Trapezius muscle
G Trunk Muscle, Left
See F Trunk Muscle, Right
H Thorax Muscle, Right
Intercostal muscle
Levatores costarum
muscle
Pectoralis major muscle
Pectoralis minor muscle
Serratus anterior muscle
Subclavius muscle
Subcostal muscle
Transverse thoracis muscle
J Thorax Muscle, Left
See H Thorax Muscle, Right
K Abdomen Muscle, Right
External oblique muscle
Internal oblique muscle
Pyramidalis muscle
Rectus abdominis muscle
Transversus abdominis
muscle
L Abdomen Muscle, Left
See K Abdomen Muscle,
Right
Muscles 0KR–0KR
Muscles
0KR
Approach Device Qualifier
Character 5 Character 6 Character 7
M Perineum Muscle 0 Open 7 Autologous Tissue Z No Qualifier
Bulbospongiosus muscle 4 Percutaneous Substitute
Cremaster muscle Endoscopic J Synthetic
Deep transverse perineal Substitute
muscle K Nonautologous
Ischiocavernosus muscle Tissue Substitute
Levator ani muscle
Superficial transverse
perineal muscle
N Hip Muscle, Right
Gemellus muscle
Gluteus maximus muscle
Gluteus medius muscle
Gluteus minimus muscle
Iliacus muscle
Obturator muscle
Piriformis muscle
Psoas muscle
Quadratus femoris muscle
Tensor fasciae latae
muscle
P Hip Muscle, Left
See N Hip Muscle, Right
Q Upper Leg Muscle, Right
Adductor brevis muscle
Adductor longus muscle
Adductor magnus muscle
Biceps femoris muscle
Gracilis muscle
Pectineus muscle
Quadriceps (femoris)
Rectus femoris muscle
Sartorius muscle
Semimembranosus
muscle
Semitendinosus muscle
Vastus intermedius muscle
Vastus lateralis muscle
Vastus medialis muscle
R Upper Leg Muscle, Left
See Q Upper Leg Muscle,
Right
S Lower Leg Muscle, Right
Extensor digitorum longus
muscle
Extensor hallucis longus
muscle
Fibularis brevis muscle
Fibularis longus muscle
Flexor digitorum longus
muscle
Flexor hallucis longus
muscle
Gastrocnemius muscle
Peroneus brevis muscle
Peroneus longus muscle
Popliteus muscle
Soleus muscle
Tibialis anterior muscle
Tibialis posterior muscle
T Lower Leg Muscle, Left
See S Lower Leg Muscle,
Right
V Foot Muscle, Right
Abductor hallucis muscle
Adductor hallucis muscle
Extensor digitorum brevis
muscle
Extensor hallucis brevis
muscle
Flexor digitorum brevis
muscle
0KR–0KR
Flexor hallucis brevis
muscle
Quadratus plantae muscle
W Foot Muscle, Left
See V Foot Muscle, Right
New/Revised in GREEN
457
 0KS–0KS
Muscles
0 Medical and Surgical
K Muscles
S Reposition Definition: Moving to its normal location, or other suitable location, all or a portion of a body part
Explanation: The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning
correctly. The body part may or may not be cut out or off to be moved to the new location.
0 Head Muscle
Auricularis muscle
Masseter muscle
Pterygoid muscle
Splenius capitis muscle
Temporalis muscle
Temporoparietalis muscle
1 Facial Muscle
Buccinator muscle
Corrugator supercilii
muscle
Depressor anguli oris
muscle
Depressor labii inferioris
muscle
Depressor septi nasi
muscle
Depressor supercilii
muscle
Levator anguli oris muscle
Levator labii superioris
alaeque nasi muscle
Levator labii superioris
muscle
Mentalis muscle
Nasalis muscle
Occipitofrontalis muscle
Orbicularis oris muscle
Procerus muscle
Risorius muscle
Zygomaticus muscle
2 Neck Muscle, Right
Anterior vertebral muscle
Arytenoid muscle
Cricothyroid muscle
Infrahyoid muscle
Levator scapulae muscle
Platysma muscle
Scalene muscle
Splenius cervicis muscle
Sternocleidomastoid
muscle
Suprahyoid muscle
Thyroarytenoid muscle
3 Neck Muscle, Left
See 2 Neck Muscle, Right
4 Tongue, Palate, Pharynx
Muscle
Chondroglossus muscle
Genioglossus muscle
Hyoglossus muscle
Inferior longitudinal
muscle
Levator veli palatini
muscle
Palatoglossal muscle
Palatopharyngeal muscle
Pharyngeal constrictor
muscle
Salpingopharyngeus
muscle
Styloglossus muscle
Stylopharyngeus muscle
Superior longitudinal
muscle
Tensor veli palatini muscle
5 Shoulder Muscle, Right
Deltoid muscle
Infraspinatus muscle
Subscapularis muscle
Supraspinatus muscle
Teres major muscle
Teres minor muscle
0KS–0KS
6 Shoulder Muscle, Left
See 5 Shoulder Muscle,
Right
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
458
Body Part
Character 4
7 Upper Arm Muscle, Right
Biceps brachii muscle
Brachialis muscle
Coracobrachialis muscle
Triceps brachii muscle
8 Upper Arm Muscle, Left
See 7 Upper Arm Muscle,
Right
9 Lower Arm and Wrist
Muscle, Right
Anatomical snuffbox
Brachioradialis muscle
Extensor carpi radialis
muscle
Extensor carpi ulnaris
muscle
Flexor carpi radialis muscle
Flexor carpi ulnaris muscle
Flexor pollicis longus
muscle
Palmaris longus muscle
Pronator quadratus
muscle
Pronator teres muscle
B Lower Arm and Wrist
Muscle, Left
See 9 Lower Arm and Wrist
Muscle, Right
C Hand Muscle, Right
Hypothenar muscle
Palmar interosseous
muscle
Thenar muscle
D Hand Muscle, Left
See C Hand Muscle, Right
F Trunk Muscle, Right
Coccygeus muscle
Erector spinae muscle
Interspinalis muscle
Intertransversarius muscle
Latissimus dorsi muscle
Quadratus lumborum
muscle
Rhomboid major muscle
Rhomboid minor muscle
Serratus posterior muscle
Transversospinalis muscle
Trapezius muscle
G Trunk Muscle, Left
See F Trunk Muscle, Right
H Thorax Muscle, Right
Intercostal muscle
Levatores costarum
muscle
Pectoralis major muscle
Pectoralis minor muscle
Serratus anterior muscle
Subclavius muscle
Subcostal muscle
Transverse thoracis muscle
J Thorax Muscle, Left
See H Thorax Muscle, Right
K Abdomen Muscle, Right
External oblique muscle
Internal oblique muscle
Pyramidalis muscle
Rectus abdominis muscle
Transversus abdominis
muscle
L Abdomen Muscle, Left
See K Abdomen Muscle,
Right
Muscles ICD-10-PCS 2019
0KS
Approach Device Qualifier
Character 5 Character 6 Character 7
M Perineum Muscle 0 Open Z No Device Z No Qualifier
Bulbospongiosus muscle 4 Percutaneous
Cremaster muscle Endoscopic
Deep transverse perineal
muscle
Ischiocavernosus muscle
Levator ani muscle
Superficial transverse
perineal muscle
N Hip Muscle, Right
Gemellus muscle
Gluteus maximus muscle
Gluteus medius muscle
Gluteus minimus muscle
Iliacus muscle
Obturator muscle
Piriformis muscle
Psoas muscle
Quadratus femoris muscle
Tensor fasciae latae
muscle
P Hip Muscle, Left
See N Hip Muscle, Right
Q Upper Leg Muscle, Right
Adductor brevis muscle
Adductor longus muscle
Adductor magnus muscle
Biceps femoris muscle
Gracilis muscle
Pectineus muscle
Quadriceps (femoris)
Rectus femoris muscle
Sartorius muscle
Semimembranosus
muscle
Semitendinosus muscle
Vastus intermedius muscle
Vastus lateralis muscle
Vastus medialis muscle
R Upper Leg Muscle, Left
See Q Upper Leg Muscle,
Right
S Lower Leg Muscle, Right
Extensor digitorum longus
muscle
Extensor hallucis longus
muscle
Fibularis brevis muscle
Fibularis longus muscle
Flexor digitorum longus
muscle
Flexor hallucis longus
muscle
Gastrocnemius muscle
Peroneus brevis muscle
Peroneus longus muscle
Popliteus muscle
Soleus muscle
Tibialis anterior muscle
Tibialis posterior muscle
T Lower Leg Muscle, Left
See S Lower Leg Muscle,
Right
V Foot Muscle, Right
Abductor hallucis muscle
Adductor hallucis muscle
Extensor digitorum brevis
muscle
Extensor hallucis brevis
muscle
Flexor digitorum brevis
muscle
Flexor hallucis brevis
muscle
Quadratus plantae muscle
W Foot Muscle, Left
See V Foot Muscle, Right
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
K Muscles
T Resection Definition: Cutting out or off, without replacement, all of a body part
Explanation: None
0 Head Muscle
Auricularis muscle
Masseter muscle
Pterygoid muscle
Splenius capitis muscle
Temporalis muscle
Temporoparietalis muscle
1 Facial Muscle
Buccinator muscle
Corrugator supercilii
muscle
Depressor anguli oris
muscle
Depressor labii inferioris
muscle
Depressor septi nasi
muscle
Depressor supercilii
muscle
Levator anguli oris muscle
Levator labii superioris
alaeque nasi muscle
Levator labii superioris
muscle
Mentalis muscle
Nasalis muscle
Occipitofrontalis muscle
Orbicularis oris muscle
Procerus muscle
Risorius muscle
Zygomaticus muscle
2 Neck Muscle, Right
Anterior vertebral muscle
Arytenoid muscle
Cricothyroid muscle
Infrahyoid muscle
Levator scapulae muscle
Platysma muscle
Scalene muscle
Splenius cervicis muscle
Sternocleidomastoid
muscle
Suprahyoid muscle
Thyroarytenoid muscle
3 Neck Muscle, Left
See 2 Neck Muscle, Right
4 Tongue, Palate, Pharynx
Muscle
Chondroglossus muscle
Genioglossus muscle
Hyoglossus muscle
Inferior longitudinal
muscle
Levator veli palatini muscle
Palatoglossal muscle
Palatopharyngeal muscle
Pharyngeal constrictor
muscle
Salpingopharyngeus
muscle
Styloglossus muscle
Stylopharyngeus muscle
Superior longitudinal
muscle
Tensor veli palatini muscle
5 Shoulder Muscle, Right
Deltoid muscle
Infraspinatus muscle
Subscapularis muscle
Supraspinatus muscle
Teres major muscle
Teres minor muscle
6 Shoulder Muscle, Left
See 5 Shoulder Muscle,
Right
See Appendix L for Procedure Combinations
? 0KT[H,J]0ZZ
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Body Part
Character 4
7 Upper Arm Muscle, Right
Biceps brachii muscle
Brachialis muscle
Coracobrachialis muscle
Triceps brachii muscle
8 Upper Arm Muscle, Left
See 7 Upper Arm Muscle,
Right
9 Lower Arm and Wrist
Muscle, Right
Anatomical snuffbox
Brachioradialis muscle
Extensor carpi radialis
muscle
Extensor carpi ulnaris
muscle
Flexor carpi radialis muscle
Flexor carpi ulnaris muscle
Flexor pollicis longus
muscle
Palmaris longus muscle
Pronator quadratus
muscle
Pronator teres muscle
B Lower Arm and Wrist
Muscle, Left
See 9 Lower Arm and Wrist
Muscle, Right
C Hand Muscle, Right
Hypothenar muscle
Palmar interosseous
muscle
Thenar muscle
D Hand Muscle, Left
See C Hand Muscle, Right
F Trunk Muscle, Right
Coccygeus muscle
Erector spinae muscle
Interspinalis muscle
Intertransversarius muscle
Latissimus dorsi muscle
Quadratus lumborum
muscle
Rhomboid major muscle
Rhomboid minor muscle
Serratus posterior muscle
Transversospinalis muscle
Trapezius muscle
G Trunk Muscle, Left
See F Trunk Muscle, Right
H Thorax Muscle, Right ?
Intercostal muscle
Levatores costarum
muscle
Pectoralis major muscle
Pectoralis minor muscle
Serratus anterior muscle
Subclavius muscle
Subcostal muscle
Transverse thoracis muscle
J Thorax Muscle, Left ?
See H Thorax Muscle, Right
K Abdomen Muscle, Right
External oblique muscle
Internal oblique muscle
Pyramidalis muscle
Rectus abdominis muscle
Transversus abdominis
muscle
L Abdomen Muscle, Left
See K Abdomen Muscle,
Right
Muscles 0KT–0KT
Muscles
0KT
Approach Device Qualifier
Character 5 Character 6 Character 7
M Perineum Muscle 0 Open Z No Device Z No Qualifier
Bulbospongiosus muscle 4 Percutaneous
Cremaster muscle Endoscopic
Deep transverse perineal
muscle
Ischiocavernosus muscle
Levator ani muscle
Superficial transverse
perineal muscle
N Hip Muscle, Right
Gemellus muscle
Gluteus maximus muscle
Gluteus medius muscle
Gluteus minimus muscle
Iliacus muscle
Obturator muscle
Piriformis muscle
Psoas muscle
Quadratus femoris muscle
Tensor fasciae latae
muscle
P Hip Muscle, Left
See N Hip Muscle, Right
Q Upper Leg Muscle, Right
Adductor brevis muscle
Adductor longus muscle
Adductor magnus muscle
Biceps femoris muscle
Gracilis muscle
Pectineus muscle
Quadriceps (femoris)
Rectus femoris muscle
Sartorius muscle
Semimembranosus muscle
Semitendinosus muscle
Vastus intermedius muscle
Vastus lateralis muscle
Vastus medialis muscle
R Upper Leg Muscle, Left
See Q Upper Leg Muscle,
Right
S Lower Leg Muscle, Right
Extensor digitorum longus
muscle
Extensor hallucis longus
muscle
Fibularis brevis muscle
Fibularis longus muscle
Flexor digitorum longus
muscle
Flexor hallucis longus
muscle
Gastrocnemius muscle
Peroneus brevis muscle
Peroneus longus muscle
Popliteus muscle
Soleus muscle
Tibialis anterior muscle
Tibialis posterior muscle
T Lower Leg Muscle, Left
See S Lower Leg Muscle,
Right
V Foot Muscle, Right
Abductor hallucis muscle
Adductor hallucis muscle
Extensor digitorum brevis
muscle
Extensor hallucis brevis
muscle
Flexor digitorum brevis
muscle
Flexor hallucis brevis
muscle
Quadratus plantae muscle
0KT–0KT
W Foot Muscle, Left
See V Foot Muscle, Right
New/Revised in GREEN
459
 0KU–0KU
Muscles
0 Medical and Surgical
K Muscles
U Supplement Definition: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part
Explanation: The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced,
and the SUPPLEMENT procedure is performed to physically reinforce and/or augment the function of the replaced body part.
0 Head Muscle
Auricularis muscle
Masseter muscle
Pterygoid muscle
Splenius capitis muscle
Temporalis muscle
Temporoparietalis muscle
1 Facial Muscle
Buccinator muscle
Corrugator supercilii
muscle
Depressor anguli oris
muscle
Depressor labii inferioris
muscle
Depressor septi nasi
muscle
Depressor supercilii
muscle
Levator anguli oris muscle
Levator labii superioris
alaeque nasi muscle
Levator labii superioris
muscle
Mentalis muscle
Nasalis muscle
Occipitofrontalis muscle
Orbicularis oris muscle
Procerus muscle
Risorius muscle
Zygomaticus muscle
2 Neck Muscle, Right
Anterior vertebral muscle
Arytenoid muscle
Cricothyroid muscle
Infrahyoid muscle
Levator scapulae muscle
Platysma muscle
Scalene muscle
Splenius cervicis muscle
Sternocleidomastoid
muscle
Suprahyoid muscle
Thyroarytenoid muscle
3 Neck Muscle, Left
See 2 Neck Muscle, Right
4 Tongue, Palate, Pharynx
Muscle
Chondroglossus muscle
Genioglossus muscle
Hyoglossus muscle
Inferior longitudinal
muscle
Levator veli palatini
muscle
Palatoglossal muscle
Palatopharyngeal muscle
Pharyngeal constrictor
muscle
Salpingopharyngeus
muscle
Styloglossus muscle
Stylopharyngeus muscle
Superior longitudinal
muscle
Tensor veli palatini muscle
5 Shoulder Muscle, Right
Deltoid muscle
Infraspinatus muscle
Subscapularis muscle
Supraspinatus muscle
Teres major muscle
Teres minor muscle
6 Shoulder Muscle, Left
See 5 Shoulder Muscle,
0KU–0KU
Right
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
460
Body Part
Character 4
7 Upper Arm Muscle, Right
Biceps brachii muscle
Brachialis muscle
Coracobrachialis muscle
Triceps brachii muscle
8 Upper Arm Muscle, Left
See 7 Upper Arm Muscle,
Right
9 Lower Arm and Wrist
Muscle, Right
Anatomical snuffbox
Brachioradialis muscle
Extensor carpi radialis
muscle
Extensor carpi ulnaris
muscle
Flexor carpi radialis muscle
Flexor carpi ulnaris muscle
Flexor pollicis longus
muscle
Palmaris longus muscle
Pronator quadratus
muscle
Pronator teres muscle
B Lower Arm and Wrist
Muscle, Left
See 9 Lower Arm and Wrist
Muscle, Right
C Hand Muscle, Right
Hypothenar muscle
Palmar interosseous
muscle
Thenar muscle
D Hand Muscle, Left
See C Hand Muscle, Right
F Trunk Muscle, Right
Coccygeus muscle
Erector spinae muscle
Interspinalis muscle
Intertransversarius muscle
Latissimus dorsi muscle
Quadratus lumborum
muscle
Rhomboid major muscle
Rhomboid minor muscle
Serratus posterior muscle
Transversospinalis muscle
Trapezius muscle
G Trunk Muscle, Left
See F Trunk Muscle, Right
H Thorax Muscle, Right
Intercostal muscle
Levatores costarum
muscle
Pectoralis major muscle
Pectoralis minor muscle
Serratus anterior muscle
Subclavius muscle
Subcostal muscle
Transverse thoracis muscle
J Thorax Muscle, Left
See H Thorax Muscle, Right
K Abdomen Muscle, Right
External oblique muscle
Internal oblique muscle
Pyramidalis muscle
Rectus abdominis muscle
Transversus abdominis
muscle
L Abdomen Muscle, Left
See K Abdomen Muscle,
Right
Muscles ICD-10-PCS 2019
0KU
Approach Device Qualifier
Character 5 Character 6 Character 7
M Perineum Muscle 0 Open 7 Autologous Tissue Z No Qualifier
Bulbospongiosus muscle 4 Percutaneous Substitute
Cremaster muscle Endoscopic J Synthetic
Deep transverse perineal Substitute
muscle K Nonautologous
Ischiocavernosus muscle Tissue Substitute
Levator ani muscle
Superficial transverse
perineal muscle
N Hip Muscle, Right
Gemellus muscle
Gluteus maximus muscle
Gluteus medius muscle
Gluteus minimus muscle
Iliacus muscle
Obturator muscle
Piriformis muscle
Psoas muscle
Quadratus femoris muscle
Tensor fasciae latae
muscle
P Hip Muscle, Left
See N Hip Muscle, Right
Q Upper Leg Muscle, Right
Adductor brevis muscle
Adductor longus muscle
Adductor magnus muscle
Biceps femoris muscle
Gracilis muscle
Pectineus muscle
Quadriceps (femoris)
Rectus femoris muscle
Sartorius muscle
Semimembranosus
muscle
Semitendinosus muscle
Vastus intermedius muscle
Vastus lateralis muscle
Vastus medialis muscle
R Upper Leg Muscle, Left
See Q Upper Leg Muscle,
Right
S Lower Leg Muscle, Right
Extensor digitorum longus
muscle
Extensor hallucis longus
muscle
Fibularis brevis muscle
Fibularis longus muscle
Flexor digitorum longus
muscle
Flexor hallucis longus
muscle
Gastrocnemius muscle
Peroneus brevis muscle
Peroneus longus muscle
Popliteus muscle
Soleus muscle
Tibialis anterior muscle
Tibialis posterior muscle
T Lower Leg Muscle, Left
See S Lower Leg Muscle,
Right
V Foot Muscle, Right
Abductor hallucis muscle
Adductor hallucis muscle
Extensor digitorum brevis
muscle
Extensor hallucis brevis
muscle
Flexor digitorum brevis
muscle
Flexor hallucis brevis
muscle
Quadratus plantae muscle
W Foot Muscle, Left
See V Foot Muscle, Right
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019 Muscles 0KW–0KW

Muscles
0 Medical and Surgical
K Muscles 0KW
W Revision Definition: Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device
Explanation: Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as
a screw or pin
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
X Upper Muscle 0 Open 0 Drainage Device Z No Qualifier
Y Lower Muscle 3 Percutaneous 7 Autologous Tissue Substitute
4 Percutaneous Endoscopic J Synthetic Substitute
K Nonautologous Tissue Substitute
M Stimulator Lead
Y Other Device
X Upper Muscle X External 0 Drainage Device Z No Qualifier
Y Lower Muscle 7 Autologous Tissue Substitute
J Synthetic Substitute
K Nonautologous Tissue Substitute
M Stimulator Lead
Non-OR 0KW[X,Y][3,4]YZ
Non-OR 0KW[X,Y]X[0,7,J,K,M]Z

0KW–0KW

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 461
 0KX–0KX
Muscles
0 Medical and Surgical
K Muscles
X Transfer Definition: Moving, without taking out, all or a portion of a body part to another location to take over the function of all or a portion of a body part
Explanation: The body part transferred remains connected to its vascular and nervous supply
0 Head Muscle
Auricularis muscle
Masseter muscle
Pterygoid muscle
Splenius capitis muscle
Temporalis muscle
Temporoparietalis muscle
1 Facial Muscle
Buccinator muscle
Corrugator supercilii muscle
Depressor anguli oris
muscle
Depressor labii inferioris
muscle
Depressor septi nasi
muscle
Depressor supercilii
muscle
Levator anguli oris muscle
Levator labii superioris
alaeque nasi muscle
Levator labii superioris
muscle
Mentalis muscle
Nasalis muscle
Occipitofrontalis muscle
Orbicularis oris muscle
Procerus muscle
Risorius muscle
Zygomaticus muscle
2 Neck Muscle, Right
Anterior vertebral muscle
Arytenoid muscle
Cricothyroid muscle
Infrahyoid muscle
Levator scapulae muscle
Platysma muscle
Scalene muscle
Splenius cervicis muscle
Sternocleidomastoid
muscle
Suprahyoid muscle
Thyroarytenoid muscle
3 Neck Muscle, Left
See 2 Neck Muscle, Right
4 Tongue, Palate, Pharynx
Muscle
Chondroglossus muscle
Genioglossus muscle
Hyoglossus muscle
Inferior longitudinal muscle
Levator veli palatini muscle
Palatoglossal muscle
Palatopharyngeal muscle
Pharyngeal constrictor
muscle
Salpingopharyngeus
muscle
Styloglossus muscle
Stylopharyngeus muscle
Superior longitudinal
muscle
Tensor veli palatini muscle
5 Shoulder Muscle, Right
Deltoid muscle
Infraspinatus muscle
Subscapularis muscle
Supraspinatus muscle
Teres major muscle
Teres minor muscle
0KX–0KX
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
462
Body Part
Character 4
6 Shoulder Muscle, Left
See 5 Shoulder Muscle,
Right
7 Upper Arm Muscle, Right
Biceps brachii muscle
Brachialis muscle
Coracobrachialis muscle
Triceps brachii muscle
8 Upper Arm Muscle, Left
See 7 Upper Arm Muscle,
Right
9 Lower Arm and Wrist
Muscle, Right
Anatomical snuffbox
Brachioradialis muscle
Extensor carpi radialis
muscle
Extensor carpi ulnaris
muscle
Flexor carpi radialis muscle
Flexor carpi ulnaris muscle
Flexor pollicis longus
muscle
Palmaris longus muscle
Pronator quadratus
muscle
Pronator teres muscle
B Lower Arm and Wrist
Muscle, Left
See 9 Lower Arm and Wrist
Muscle, Right
C Hand Muscle, Right
Hypothenar muscle
Palmar interosseous
muscle
Thenar muscle
D Hand Muscle, Left
See C Hand Muscle, Right
H Thorax Muscle, Right
Intercostal muscle
Levatores costarum
muscle
Pectoralis major muscle
Pectoralis minor muscle
Serratus anterior muscle
Subclavius muscle
Subcostal muscle
Transverse thoracis muscle
J Thorax Muscle, Left
See H Thorax Muscle, Right
M Perineum Muscle
Bulbospongiosus muscle
Cremaster muscle
Deep transverse perineal
muscle
Ischiocavernosus muscle
Levator ani muscle
Superficial transverse
perineal muscle
N Hip Muscle, Right
Gemellus muscle
Gluteus maximus muscle
Gluteus medius muscle
Gluteus minimus muscle
Iliacus muscle
Obturator muscle
Piriformis muscle
Psoas muscle
Quadratus femoris muscle
Tensor fasciae latae muscle
Muscles ICD-10-PCS 2019
0KX
Approach Device Qualifier
Character 5 Character 6 Character 7
P Hip Muscle, Left 0 Open Z No Device 0 Skin
See N Hip Muscle, Right 4 Percutaneous 1 Subcutaneous
Q Upper Leg Muscle, Right Endoscopic Tissue
Adductor brevis muscle 2 Skin and
Adductor longus muscle Subcutaneous
Adductor magnus muscle Tissue
Biceps femoris muscle Z No Qualifier
Gracilis muscle
Pectineus muscle
Quadriceps (femoris)
Rectus femoris muscle
Sartorius muscle
Semimembranosus muscle
Semitendinosus muscle
Vastus intermedius muscle
Vastus lateralis muscle
Vastus medialis muscle
R Upper Leg Muscle, Left
See Q Upper Leg Muscle,
Right
S Lower Leg Muscle,
Right
Extensor digitorum longus
muscle
Extensor hallucis longus
muscle
Fibularis brevis muscle
Fibularis longus muscle
Flexor digitorum longus
muscle
Flexor hallucis longus
muscle
Gastrocnemius muscle
Peroneus brevis muscle
Peroneus longus muscle
Popliteus muscle
Soleus muscle
Tibialis anterior muscle
Tibialis posterior muscle
T Lower Leg Muscle, Left
See S Lower Leg Muscle,
Right
V Foot Muscle, Right
Abductor hallucis muscle
Adductor hallucis muscle
Extensor digitorum brevis
muscle
Extensor hallucis brevis
muscle
Flexor digitorum brevis
muscle
Flexor hallucis brevis muscle
Quadratus plantae muscle
W Foot Muscle, Left
See V Foot Muscle, Right
0KX Continued on next page
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019 Muscles 0KX–0KX

Muscles
0 Medical and Surgical 0KX Continued
K Muscles 0KX
X Transfer Definition: Moving, without taking out, all or a portion of a body part to another location to take over the function of all or a portion of a body part
Explanation: The body part transferred remains connected to its vascular and nervous supply
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
F Trunk Muscle, Right 0 Open Z No Device 0 Skin
Coccygeus muscle 4 Percutaneous Endoscopic 1 Subcutaneous Tissue
Erector spinae muscle 2 Skin and Subcutaneous Tissue
Interspinalis muscle 5 Latissimus Dorsi Myocutaneous
Intertransversarius muscle Flap
Latissimus dorsi muscle
7 Deep Inferior Epigastric Artery
Quadratus lumborum muscle
Perforator Flap
Rhomboid major muscle
Rhomboid minor muscle 8 Superficial Inferior Epigastric
Serratus posterior muscle Artery Flap
Transversospinalis muscle 9 Gluteal Artery Perforator Flap
Trapezius muscle Z No Qualifier
G Trunk Muscle, Left
See F Trunk Muscle, Right
K Abdomen Muscle, Right 0 Open Z No Device 0 Skin
External oblique muscle 4 Percutaneous Endoscopic 1 Subcutaneous Tissue
Internal oblique muscle 2 Skin and Subcutaneous Tissue
Pyramidalis muscle 6 Transverse Rectus Abdominis
Rectus abdominis muscle Myocutaneous Flap
Transversus abdominis muscle
Z No Qualifier
L Abdomen Muscle, Left
See K Abdomen Muscle, Right

0KX–0KX

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 463
This page is left intentionally blank.
ICD-10-PCS 2019 Tendons

Tendons
Tendons 0L2–0LX
Character Meanings*
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.

Operation–Character 3 Body Part–Character 4 Approach–Character 5 Device–Character 6 Qualifier–Character 7

2 Change 0 Head and Neck Tendon 0 Open 0 Drainage Device X Diagnostic
5 Destruction 1 Shoulder Tendon, Right 3 Percutaneous 7 Autologous Tissue Z No Qualifier
Substitute
8 Division 2 Shoulder Tendon, Left 4 Percutaneous Endoscopic J Synthetic Substitute
9 Drainage 3 Upper Arm Tendon, Right X External K Nonautologous Tissue
Substitute
B Excision 4 Upper Arm Tendon, Left Y Other Device
C Extirpation 5 Lower Arm and Wrist Z No Device
Tendon, Right
D Extraction 6 Lower Arm and Wrist
Tendon, Left
H Insertion 7 Hand Tendon, Right
J Inspection 8 Hand Tendon, Left
M Reattachment 9 Trunk Tendon, Right
N Release B Trunk Tendon, Left
P Removal C Thorax Tendon, Right
Q Repair D Thorax Tendon, Left
R Replacement F Abdomen Tendon, Right
S Reposition G Abdomen Tendon, Left
T Resection H Perineum Tendon
U Supplement J Hip Tendon, Right
W Revision K Hip Tendon, Left
X Transfer L Upper Leg Tendon, Right
M Upper Leg Tendon, Left
N Lower Leg Tendon, Right
P Lower Leg Tendon, Left
Q Knee Tendon, Right
R Knee Tendon, Left
S Ankle Tendon, Right
T Ankle Tendon, Left
V Foot Tendon, Right
W Foot Tendon, Left
X Upper Tendon
Y Lower Tendon

* Includes synovial membrane.

AHA Coding Clinic for table 0L8 AHA Coding Clinic for table 0LS
2016, 3Q, 30 Resection of femur with interposition arthroplasty 2016, 3Q, 32 Rotator cuff repair, tenodesis, decompression, acromioplasty and
AHA Coding Clinic for table 0LB coracoplasty
2015, 3Q, 14 Endoprosthetic replacement of humerus and tendon reattachment
2017, 2Q, 21 Arthroscopic anterior cruciate ligament revision using autograft with
anterolateral ligament reconstruction AHA Coding Clinic for table 0LU
2015, 3Q, 26 Thumb arthroplasty with resection of trapezium 2015, 2Q, 11 Repair of patellar and quadriceps tendons with allograft
2014, 3Q, 14 Application of TheraSkin® and excisional debridement
2014, 3Q, 18 Placement of reverse sural fasciocutaneous pedicle flap
AHA Coding Clinic for table 0LD
2017, 4Q, 41 Extraction procedures
AHA Coding Clinic for table 0LQ
2016, 3Q, 32 Rotator cuff repair, tenodesis, decompression, acromioplasty and
coracoplasty
2015, 2Q, 11 Repair of patellar and quadriceps tendons with allograft
2013, 3Q, 20 Superior labrum anterior posterior (SLAP) repair and subacromial
decompression

ICD-10-PCS 2019 465

 Tendons ICD-10-PCS 2019
Tendons

Foot Tendons

Lateral malleolus Medial malleolus

of fibula of tibia

Extensor hallucis
Peroneus
longus N, P
brevis N, P

Extensor digitorum
longus N, P

Select extensors
of the foot

Shoulder Tendons
Posterior view
Supraspinatus 1, 2
Trapezius 9, B

Deltoid 1, 2

Teres
minor
Infraspinatus 1, 2 1, 2

466 ICD-10-PCS 2019

ICD-10-PCS 2019 Tendons

Tendons
Tendons of Wrist and Hand

Extensor digitorum Extensor carpi radialis

tendons 5, 6 brevis and longus 5, 6 Palmaris longus 5, 6
Extensor carpi ulnaris 5, 6 Extensor
pollicis longus
7, 8
Select flexor tendon
Extensor compartments 7, 8 Ulnar bursa
Select extensors pollicis brevis 7, 8
of the hand 7, 8
Palmar view

The extensor tendons act to open the hand

and extend the fingers. The flexors provide grasping action to the hands

Leg Muscles and Tendons

Head of
fibula Patella
Head of
femur
Soleus Anterior
N, P tibialis N, P Adductor
longus L, M
Extensor
longus N, P Rectus
Gastrocnemius femoris L, M Sartorius
N, P L, M
Peroneus
longus N, P Vastus
lateralis
Peroneus L, M
brevis N, P

Patella
Fibula

ICD-10-PCS 2019 467

 0L2–0L5 Tendons ICD-10-PCS 2019
Tendons

0 Medical and Surgical

L Tendons 0L2
2 Change Definition: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without
cutting or puncturing the skin or a mucous membrane
Explanation: All CHANGE procedures are coded using the approach EXTERNAL
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
X Upper Tendon X External 0 Drainage Device Z No Qualifier
Y Lower Tendon Y Other Device
Non-OR All body part, approach, device, and qualifier values

0 Medical and Surgical

L Tendons 0L5
5 Destruction Definition: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent
Explanation: None of the body part is physically taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Head and Neck Tendon 0 Open Z No Device Z No Qualifier
1 Shoulder Tendon, Right 3 Percutaneous
2 Shoulder Tendon, Left 4 Percutaneous Endoscopic
3 Upper Arm Tendon, Right
4 Upper Arm Tendon, Left
5 Lower Arm and Wrist Tendon, Right
6 Lower Arm and Wrist Tendon, Left
7 Hand Tendon, Right
8 Hand Tendon, Left
9 Trunk Tendon, Right
B Trunk Tendon, Left
C Thorax Tendon, Right
D Thorax Tendon, Left
F Abdomen Tendon, Right
G Abdomen Tendon, Left
H Perineum Tendon
J Hip Tendon, Right
K Hip Tendon, Left
L Upper Leg Tendon, Right
M Upper Leg Tendon, Left
N Lower Leg Tendon, Right
Achilles tendon
P Lower Leg Tendon, Left
See N Lower Leg Tendon, Right
Q Knee Tendon, Right
Patellar tendon
R Knee Tendon, Left
See Q Knee Tendon, Right
S Ankle Tendon, Right
T Ankle Tendon, Left
V Foot Tendon, Right
W Foot Tendon, Left
0L2–0L5

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
468 ICD-10-PCS 2019
ICD-10-PCS 2019 Tendons 0L8–0L8

Tendons
0 Medical and Surgical
L Tendons 0L8
8 Division Definition: Cutting into a body part, without draining fluids and/or gases from the body part, in order to separate or transect a body part
Explanation: All or a portion of the body part is separated into two or more portions
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Head and Neck Tendon 0 Open Z No Device Z No Qualifier
1 Shoulder Tendon, Right 3 Percutaneous
2 Shoulder Tendon, Left 4 Percutaneous Endoscopic
3 Upper Arm Tendon, Right
4 Upper Arm Tendon, Left
5 Lower Arm and Wrist Tendon, Right
6 Lower Arm and Wrist Tendon, Left
7 Hand Tendon, Right
8 Hand Tendon, Left
9 Trunk Tendon, Right
B Trunk Tendon, Left
C Thorax Tendon, Right
D Thorax Tendon, Left
F Abdomen Tendon, Right
G Abdomen Tendon, Left
H Perineum Tendon
J Hip Tendon, Right
K Hip Tendon, Left
L Upper Leg Tendon, Right
M Upper Leg Tendon, Left
N Lower Leg Tendon, Right
Achilles tendon
P Lower Leg Tendon, Left
See N Lower Leg Tendon, Right
Q Knee Tendon, Right
Patellar tendon
R Knee Tendon, Left
See Q Knee Tendon, Right
S Ankle Tendon, Right
T Ankle Tendon, Left
V Foot Tendon, Right
W Foot Tendon, Left

0L8–0L8

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 469
 0L9–0L9 Tendons ICD-10-PCS 2019
Tendons

0 Medical and Surgical

L Tendons 0L9
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Head and Neck Tendon 0 Open 0 Drainage Device Z No Qualifier
1 Shoulder Tendon, Right 3 Percutaneous
2 Shoulder Tendon, Left 4 Percutaneous Endoscopic
3 Upper Arm Tendon, Right
4 Upper Arm Tendon, Left
5 Lower Arm and Wrist Tendon, Right
6 Lower Arm and Wrist Tendon, Left
7 Hand Tendon, Right
8 Hand Tendon, Left
9 Trunk Tendon, Right
B Trunk Tendon, Left
C Thorax Tendon, Right
D Thorax Tendon, Left
F Abdomen Tendon, Right
G Abdomen Tendon, Left
H Perineum Tendon
J Hip Tendon, Right
K Hip Tendon, Left
L Upper Leg Tendon, Right
M Upper Leg Tendon, Left
N Lower Leg Tendon, Right
Achilles tendon
P Lower Leg Tendon, Left
See N Lower Leg Tendon, Right
Q Knee Tendon, Right
Patellar tendon
R Knee Tendon, Left
See Q Knee Tendon, Right
S Ankle Tendon, Right
T Ankle Tendon, Left
V Foot Tendon, Right
W Foot Tendon, Left
0 Head and Neck Tendon 0 Open Z No Device X Diagnostic
1 Shoulder Tendon, Right 3 Percutaneous Z No Qualifier
2 Shoulder Tendon, Left 4 Percutaneous Endoscopic
3 Upper Arm Tendon, Right
4 Upper Arm Tendon, Left
5 Lower Arm and Wrist Tendon, Right
6 Lower Arm and Wrist Tendon, Left
7 Hand Tendon, Right
8 Hand Tendon, Left
9 Trunk Tendon, Right
B Trunk Tendon, Left
C Thorax Tendon, Right
D Thorax Tendon, Left
F Abdomen Tendon, Right
G Abdomen Tendon, Left
H Perineum Tendon
J Hip Tendon, Right
K Hip Tendon, Left
L Upper Leg Tendon, Right
M Upper Leg Tendon, Left
N Lower Leg Tendon, Right
Achilles tendon
P Lower Leg Tendon, Left
See N Lower Leg Tendon, Right
Q Knee Tendon, Right
Patellar tendon
R Knee Tendon, Left
See Q Knee Tendon, Right
S Ankle Tendon, Right
T Ankle Tendon, Left
V Foot Tendon, Right
W Foot Tendon, Left
Non-OR 0L9[0,1,2,3,4,5,6,7,8,9,B,C,D,F,G,H,J,K,L,M,N,P,Q,R,S,T,V,W]30Z Non-OR 0L9[7,8]4ZZ
Non-OR 0L9[0,1,2,3,4,5,6,7,8,9,B,C,D,F,G,H,J,K,L,M,N,P,Q,R,S,T,V,W]3ZZ
0L9–0L9

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
470 ICD-10-PCS 2019
ICD-10-PCS 2019 Tendons 0LB–0LB

Tendons
0 Medical and Surgical
L Tendons 0LB
B Excision Definition: Cutting out or off, without replacement, a portion of a body part
Explanation: The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Head and Neck Tendon 0 Open Z No Device X Diagnostic
1 Shoulder Tendon, Right 3 Percutaneous Z No Qualifier
2 Shoulder Tendon, Left 4 Percutaneous Endoscopic
3 Upper Arm Tendon, Right
4 Upper Arm Tendon, Left
5 Lower Arm and Wrist Tendon, Right
6 Lower Arm and Wrist Tendon, Left
7 Hand Tendon, Right
8 Hand Tendon, Left
9 Trunk Tendon, Right
B Trunk Tendon, Left
C Thorax Tendon, Right
D Thorax Tendon, Left
F Abdomen Tendon, Right
G Abdomen Tendon, Left
H Perineum Tendon
J Hip Tendon, Right
K Hip Tendon, Left
L Upper Leg Tendon, Right
M Upper Leg Tendon, Left
N Lower Leg Tendon, Right
Achilles tendon
P Lower Leg Tendon, Left
See N Lower Leg Tendon, Right
Q Knee Tendon, Right
Patellar tendon
R Knee Tendon, Left
See Q Knee Tendon, Right
S Ankle Tendon, Right
T Ankle Tendon, Left
V Foot Tendon, Right
W Foot Tendon, Left

0LB–0LB

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 471
 0LC–0LC Tendons ICD-10-PCS 2019
Tendons

0 Medical and Surgical

L Tendons 0LC
C Extirpation Definition: Taking or cutting out solid matter from a body part
Explanation: The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in
the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Head and Neck Tendon 0 Open Z No Device Z No Qualifier
1 Shoulder Tendon, Right 3 Percutaneous
2 Shoulder Tendon, Left 4 Percutaneous Endoscopic
3 Upper Arm Tendon, Right
4 Upper Arm Tendon, Left
5 Lower Arm and Wrist Tendon, Right
6 Lower Arm and Wrist Tendon, Left
7 Hand Tendon, Right
8 Hand Tendon, Left
9 Trunk Tendon, Right
B Trunk Tendon, Left
C Thorax Tendon, Right
D Thorax Tendon, Left
F Abdomen Tendon, Right
G Abdomen Tendon, Left
H Perineum Tendon
J Hip Tendon, Right
K Hip Tendon, Left
L Upper Leg Tendon, Right
M Upper Leg Tendon, Left
N Lower Leg Tendon, Right
Achilles tendon
P Lower Leg Tendon, Left
See N Lower Leg Tendon, Right
Q Knee Tendon, Right
Patellar tendon
R Knee Tendon, Left
See Q Knee Tendon, Right
S Ankle Tendon, Right
T Ankle Tendon, Left
V Foot Tendon, Right
W Foot Tendon, Left
0LC–0LC

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
472 ICD-10-PCS 2019
ICD-10-PCS 2019 Tendons 0LD–0LJ

Tendons
0 Medical and Surgical
L Tendons 0LD
D Extraction Definition: Pulling or stripping out or off all or a portion of a body part by the use of force
Explanation: The qualifier DIAGNOSTIC is used to identify extraction procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Head and Neck Tendon 0 Open Z No Device Z No Qualifier
1 Shoulder Tendon, Right
2 Shoulder Tendon, Left
3 Upper Arm Tendon, Right
4 Upper Arm Tendon, Left
5 Lower Arm and Wrist Tendon, Right
6 Lower Arm and Wrist Tendon, Left
7 Hand Tendon, Right
8 Hand Tendon, Left
9 Trunk Tendon, Right
B Trunk Tendon, Left
C Thorax Tendon, Right
D Thorax Tendon, Left
F Abdomen Tendon, Right
G Abdomen Tendon, Left
H Perineum Tendon
J Hip Tendon, Right
K Hip Tendon, Left
L Upper Leg Tendon, Right
M Upper Leg Tendon, Left
N Lower Leg Tendon, Right
Achilles tendon
P Lower Leg Tendon, Left
See N Lower Leg Tendon, Right
Q Knee Tendon, Right
Patellar tendon
R Knee Tendon, Left
See Q Knee Tendon, Right
S Ankle Tendon, Right
T Ankle Tendon, Left
V Foot Tendon, Right
W Foot Tendon, Left

0 Medical and Surgical

L Tendons 0LH
H Insertion Definition: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically
take the place of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
X Upper Tendon 0 Open Y Other Device Z No Qualifier
Y Lower Tendon 3 Percutaneous
4 Percutaneous Endoscopic
Non-OR 0LH[X,Y][3,4]YZ

0 Medical and Surgical

L Tendons 0LJ
J Inspection Definition: Visually and/or manually exploring a body part
Explanation: Visual exploration may be performed with or without optical instrumentation. Manual exploration may be performed directly or
through intervening body layers.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
X Upper Tendon 0 Open Z No Device Z No Qualifier
Y Lower Tendon 3 Percutaneous
4 Percutaneous Endoscopic
X External
Non-OR 0LJ[X,Y][3,X]ZZ
0LD–0LJ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 473
 0LM–0LN Tendons ICD-10-PCS 2019
Tendons

0 Medical and Surgical

L Tendons 0LM
M Reattachment Definition: Putting back in or on all or a portion of a separated body part to its normal location or other suitable location
Explanation: Vascular circulation and nervous pathways may or may not be reestablished
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Head and Neck Tendon 0 Open Z No Device Z No Qualifier
1 Shoulder Tendon, Right 4 Percutaneous Endoscopic
2 Shoulder Tendon, Left
3 Upper Arm Tendon, Right
4 Upper Arm Tendon, Left
5 Lower Arm and Wrist Tendon, Right
6 Lower Arm and Wrist Tendon, Left
7 Hand Tendon, Right
8 Hand Tendon, Left
9 Trunk Tendon, Right
B Trunk Tendon, Left
C Thorax Tendon, Right
D Thorax Tendon, Left
F Abdomen Tendon, Right
G Abdomen Tendon, Left
H Perineum Tendon
J Hip Tendon, Right
K Hip Tendon, Left
L Upper Leg Tendon, Right
M Upper Leg Tendon, Left
N Lower Leg Tendon, Right
Achilles tendon
P Lower Leg Tendon, Left
See N Lower Leg Tendon, Right
Q Knee Tendon, Right
Patellar tendon
R Knee Tendon, Left
See Q Knee Tendon, Right
S Ankle Tendon, Right
T Ankle Tendon, Left
V Foot Tendon, Right
W Foot Tendon, Left

0 Medical and Surgical

L Tendons 0LN
N Release Definition: Freeing a body part from an abnormal physical constraint by cutting or by the use of force
Explanation: Some of the restraining tissue may be taken out but none of the body part is taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Head and Neck Tendon 0 Open Z No Device Z No Qualifier
1 Shoulder Tendon, Right 3 Percutaneous
2 Shoulder Tendon, Left 4 Percutaneous Endoscopic
3 Upper Arm Tendon, Right X External
4 Upper Arm Tendon, Left
5 Lower Arm and Wrist Tendon, Right
6 Lower Arm and Wrist Tendon, Left
7 Hand Tendon, Right
8 Hand Tendon, Left
9 Trunk Tendon, Right
B Trunk Tendon, Left
C Thorax Tendon, Right
D Thorax Tendon, Left
F Abdomen Tendon, Right
G Abdomen Tendon, Left
H Perineum Tendon
J Hip Tendon, Right
K Hip Tendon, Left
L Upper Leg Tendon, Right
M Upper Leg Tendon, Left
N Lower Leg Tendon, Right
Achilles tendon
P Lower Leg Tendon, Left
See N Lower Leg Tendon, Right
Q Knee Tendon, Right
Patellar tendon
R Knee Tendon, Left
See Q Knee Tendon, Right
S Ankle Tendon, Right
0LM–0LN

T Ankle Tendon, Left

V Foot Tendon, Right
W Foot Tendon, Left
Non-OR 0LN[0,1,2,3,4,5,6,7,8,9,B,C,D,F,G,H,J,K,L,M,N,P,Q,R,S,T,V,W]XZZ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
474 ICD-10-PCS 2019
ICD-10-PCS 2019 Tendons 0LP–0LQ

Tendons
0 Medical and Surgical
L Tendons 0LP
P Removal Definition: Taking out or off a device from a body part
Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is
coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
X Upper Tendon 0 Open 0 Drainage Device Z No Qualifier
Y Lower Tendon 3 Percutaneous 7 Autologous Tissue Substitute
4 Percutaneous Endoscopic J Synthetic Substitute
K Nonautologous Tissue Substitute
Y Other Device
X Upper Tendon X External 0 Drainage Device Z No Qualifier
Y Lower Tendon
Non-OR 0LP[X,Y]30Z
Non-OR 0LP[X,Y][3,4]YZ
Non-OR 0LP[X,Y]X0Z

0 Medical and Surgical

L Tendons 0LQ
Q Repair Definition: Restoring, to the extent possible, a body part to its normal anatomic structure and function
Explanation: Used only when the method to accomplish the repair is not one of the other root operations
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Head and Neck Tendon 0 Open Z No Device Z No Qualifier
1 Shoulder Tendon, Right 3 Percutaneous
2 Shoulder Tendon, Left 4 Percutaneous Endoscopic
3 Upper Arm Tendon, Right
4 Upper Arm Tendon, Left
5 Lower Arm and Wrist Tendon, Right
6 Lower Arm and Wrist Tendon, Left
7 Hand Tendon, Right
8 Hand Tendon, Left
9 Trunk Tendon, Right
B Trunk Tendon, Left
C Thorax Tendon, Right
D Thorax Tendon, Left
F Abdomen Tendon, Right
G Abdomen Tendon, Left
H Perineum Tendon
J Hip Tendon, Right
K Hip Tendon, Left
L Upper Leg Tendon, Right
M Upper Leg Tendon, Left
N Lower Leg Tendon, Right
Achilles tendon
P Lower Leg Tendon, Left
See N Lower Leg Tendon, Right
Q Knee Tendon, Right
Patellar tendon
R Knee Tendon, Left
See Q Knee Tendon, Right
S Ankle Tendon, Right
T Ankle Tendon, Left
V Foot Tendon, Right
W Foot Tendon, Left
0LP–0LQ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 475
 0LR–0LS Tendons ICD-10-PCS 2019
Tendons

0 Medical and Surgical

L Tendons 0LR
R Replacement Definition: Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part
Explanation: The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during
the REPLACEMENT procedure. A REMOVAL procedure is coded for taking out the device used in a previous replacement procedure.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Head and Neck Tendon 0 Open 7 Autologous Tissue Substitute Z No Qualifier
1 Shoulder Tendon, Right 4 Percutaneous Endoscopic J Synthetic Substitute
2 Shoulder Tendon, Left K Nonautologous Tissue Substitute
3 Upper Arm Tendon, Right
4 Upper Arm Tendon, Left
5 Lower Arm and Wrist Tendon, Right
6 Lower Arm and Wrist Tendon, Left
7 Hand Tendon, Right
8 Hand Tendon, Left
9 Trunk Tendon, Right
B Trunk Tendon, Left
C Thorax Tendon, Right
D Thorax Tendon, Left
F Abdomen Tendon, Right
G Abdomen Tendon, Left
H Perineum Tendon
J Hip Tendon, Right
K Hip Tendon, Left
L Upper Leg Tendon, Right
M Upper Leg Tendon, Left
N Lower Leg Tendon, Right
Achilles tendon
P Lower Leg Tendon, Left
See N Lower Leg Tendon, Right
Q Knee Tendon, Right
Patellar tendon
R Knee Tendon, Left
See Q Knee Tendon, Right
S Ankle Tendon, Right
T Ankle Tendon, Left
V Foot Tendon, Right
W Foot Tendon, Left

0 Medical and Surgical

L Tendons 0LS
S Reposition Definition: Moving to its normal location, or other suitable location, all or a portion of a body part
Explanation: The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning
correctly. The body part may or may not be cut out or off to be moved to the new location.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Head and Neck Tendon 0 Open Z No Device Z No Qualifier
1 Shoulder Tendon, Right 4 Percutaneous Endoscopic
2 Shoulder Tendon, Left
3 Upper Arm Tendon, Right
4 Upper Arm Tendon, Left
5 Lower Arm and Wrist Tendon, Right
6 Lower Arm and Wrist Tendon, Left
7 Hand Tendon, Right
8 Hand Tendon, Left
9 Trunk Tendon, Right
B Trunk Tendon, Left
C Thorax Tendon, Right
D Thorax Tendon, Left
F Abdomen Tendon, Right
G Abdomen Tendon, Left
H Perineum Tendon
J Hip Tendon, Right
K Hip Tendon, Left
L Upper Leg Tendon, Right
M Upper Leg Tendon, Left
N Lower Leg Tendon, Right
Achilles tendon
P Lower Leg Tendon, Left
See N Lower Leg Tendon, Right
Q Knee Tendon, Right
Patellar tendon
R Knee Tendon, Left
See Q Knee Tendon, Right
S Ankle Tendon, Right
T Ankle Tendon, Left
0LR–0LS

V Foot Tendon, Right

W Foot Tendon, Left

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
476 ICD-10-PCS 2019
ICD-10-PCS 2019 Tendons 0LT–0LU

Tendons
0 Medical and Surgical
L Tendons 0LT
T Resection Definition: Cutting out or off, without replacement, all of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Head and Neck Tendon 0 Open Z No Device Z No Qualifier
1 Shoulder Tendon, Right 4 Percutaneous Endoscopic
2 Shoulder Tendon, Left
3 Upper Arm Tendon, Right
4 Upper Arm Tendon, Left
5 Lower Arm and Wrist Tendon, Right
6 Lower Arm and Wrist Tendon, Left
7 Hand Tendon, Right
8 Hand Tendon, Left
9 Trunk Tendon, Right
B Trunk Tendon, Left
C Thorax Tendon, Right
D Thorax Tendon, Left
F Abdomen Tendon, Right
G Abdomen Tendon, Left
H Perineum Tendon
J Hip Tendon, Right
K Hip Tendon, Left
L Upper Leg Tendon, Right
M Upper Leg Tendon, Left
N Lower Leg Tendon, Right
Achilles tendon
P Lower Leg Tendon, Left
See N Lower Leg Tendon, Right
Q Knee Tendon, Right
Patellar tendon
R Knee Tendon, Left
See Q Knee Tendon, Right
S Ankle Tendon, Right
T Ankle Tendon, Left
V Foot Tendon, Right
W Foot Tendon, Left

0 Medical and Surgical

L Tendons 0LU
U Supplement Definition: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part
Explanation: The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced,
and the SUPPLEMENT procedure is performed to physically reinforce and/or augment the function of the replaced body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Head and Neck Tendon 0 Open 7 Autologous Tissue Substitute Z No Qualifier
1 Shoulder Tendon, Right 4 Percutaneous Endoscopic J Synthetic Substitute
2 Shoulder Tendon, Left K Nonautologous Tissue Substitute
3 Upper Arm Tendon, Right
4 Upper Arm Tendon, Left
5 Lower Arm and Wrist Tendon, Right
6 Lower Arm and Wrist Tendon, Left
7 Hand Tendon, Right
8 Hand Tendon, Left
9 Trunk Tendon, Right
B Trunk Tendon, Left
C Thorax Tendon, Right
D Thorax Tendon, Left
F Abdomen Tendon, Right
G Abdomen Tendon, Left
H Perineum Tendon
J Hip Tendon, Right
K Hip Tendon, Left
L Upper Leg Tendon, Right
M Upper Leg Tendon, Left
N Lower Leg Tendon, Right
Achilles tendon
P Lower Leg Tendon, Left
See N Lower Leg Tendon, Right
Q Knee Tendon, Right
Patellar tendon
R Knee Tendon, Left
See Q Knee Tendon, Right
0LT–0LU

S Ankle Tendon, Right

T Ankle Tendon, Left
V Foot Tendon, Right
W Foot Tendon, Left

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 477
 0LW–0LX Tendons ICD-10-PCS 2019
Tendons

0 Medical and Surgical

L Tendons 0LW
W Revision Definition: Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device
Explanation: Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as
a screw or pin
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
X Upper Tendon 0 Open 0 Drainage Device Z No Qualifier
Y Lower Tendon 3 Percutaneous 7 Autologous Tissue Substitute
4 Percutaneous Endoscopic J Synthetic Substitute
K Nonautologous Tissue Substitute
Y Other Device
X Upper Tendon X External 0 Drainage Device Z No Qualifier
Y Lower Tendon 7 Autologous Tissue Substitute
J Synthetic Substitute
K Nonautologous Tissue Substitute
Non-OR 0LW[X,Y][3,4]YZ
Non-OR 0LW[X,Y]X[0,7,J,K]Z

0 Medical and Surgical

L Tendons 0LX
X Transfer Definition: Moving, without taking out, all or a portion of a body part to another location to take over the function of all or a portion of a body part
Explanation: The body part transferred remains connected to its vascular and nervous supply
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Head and Neck Tendon 0 Open Z No Device Z No Qualifier
1 Shoulder Tendon, Right 4 Percutaneous Endoscopic
2 Shoulder Tendon, Left
3 Upper Arm Tendon, Right
4 Upper Arm Tendon, Left
5 Lower Arm and Wrist Tendon, Right
6 Lower Arm and Wrist Tendon, Left
7 Hand Tendon, Right
8 Hand Tendon, Left
9 Trunk Tendon, Right
B Trunk Tendon, Left
C Thorax Tendon, Right
D Thorax Tendon, Left
F Abdomen Tendon, Right
G Abdomen Tendon, Left
H Perineum Tendon
J Hip Tendon, Right
K Hip Tendon, Left
L Upper Leg Tendon, Right
M Upper Leg Tendon, Left
N Lower Leg Tendon, Right
Achilles tendon
P Lower Leg Tendon, Left
See N Lower Leg Tendon, Right
Q Knee Tendon, Right
Patellar tendon
R Knee Tendon, Left
See Q Knee Tendon, Right
S Ankle Tendon, Right
T Ankle Tendon, Left
V Foot Tendon, Right
W Foot Tendon, Left
0LW–0LX

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
478 ICD-10-PCS 2019
ICD-10-PCS 2019 Bursae and Ligaments

Bursae and Ligaments

Bursae and Ligaments 0M2–0MX
Character Meanings*
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.

Operation–Character 3 Body Part–Character 4 Approach–Character 5 Device–Character 6 Qualifier–Character 7

2 Change 0 Head and Neck Bursa and Ligament 0 Open 0 Drainage Device X Diagnostic
5 Destruction 1 Shoulder Bursa and Ligament, Right 3 Percutaneous 7 Autologous Tissue Z No Qualifier
Substitute
8 Division 2 Shoulder Bursa and Ligament, Left 4 Percutaneous Endoscopic J Synthetic Substitute
9 Drainage 3 Elbow Bursa and Ligament, Right X External K Nonautologous Tissue
Substitute
B Excision 4 Elbow Bursa and Ligament, Left Y Other Device
C Extirpation 5 Wrist Bursa and Ligament, Right Z No Device
D Extraction 6 Wrist Bursa and Ligament, Left
H Insertion 7 Hand Bursa and Ligament, Right
J Inspection 8 Hand Bursa and Ligament, Left
M Reattachment 9 Upper Extremity Bursa and
Ligament, Right
N Release B Upper Extremity Bursa and
Ligament, Left
P Removal C Upper Spine Bursa and Ligament
Q Repair D Lower Spine Bursa and Ligament
R Replacement F Sternum Bursa and Ligament
S Reposition G Rib(s) Bursa and Ligament
T Resection H Abdomen Bursa and Ligament,
Right
U Supplement J Abdomen Bursa and Ligament, Left
W Revision K Perineum Bursa and Ligament
X Transfer L Hip Bursa and Ligament, Right
M Hip Bursa and Ligament, Left
N Knee Bursa and Ligament, Right
P Knee Bursa and Ligament, Left
Q Ankle Bursa and Ligament, Right
R Ankle Bursa and Ligament, Left
S Foot Bursa and Ligament, Right
T Foot Bursa and Ligament, Left
V Lower Extremity Bursa and
Ligament, Right
W Lower Extremity Bursa and
Ligament, Left
X Upper Bursa and Ligament
Y Lower Bursa and Ligament

* Includes synovial membrane.

AHA Coding Clinic for table 0MM

2013, 3Q, 20 Superior labrum anterior posterior (SLAP) repair and subacromial decompression
AHA Coding Clinic for table 0MQ
2014, 3Q, 9 Interspinous ligamentoplasty
AHA Coding Clinic for table 0MT
2017, 2Q, 21 Arthroscopic anterior cruciate ligament revision using autograft with anterolateral ligament reconstruction
AHA Coding Clinic for table 0MU
2017, 2Q, 21 Arthroscopic anterior cruciate ligament revision using autograft with anterolateral ligament reconstruction

ICD-10-PCS 2019 479

 Bursae and Ligaments ICD-10-PCS 2019
Bursae and Ligaments

Shoulder Ligaments

Anterior view of right shoulder

Acromioclavicular
Acromion ligament 1, 2

Coracoclavicular
ligament 1, 2

Transverse humeral
ligament 1, 2

Coracoid
process
Clavicle

Head of Scapula
humerus

Knee Bursae

Suprapatellar N, P

Patella
Femur
Prepatellar N, P

Infrapatellar N, P

Tibia
Popliteus N, P

480 ICD-10-PCS 2019

ICD-10-PCS 2019 Bursae and Ligaments

Bursae and Ligaments

Knee Ligaments
Anterior view

Lateral collateral ligament N, P Medial collateral ligament N, P

Patella Posterior cruciate ligament N, P

(Behind the Anterior cruciate)

Anterior cruciate ligament N, P

Fibula

Tibia

Posterior cruciate
ligament N, P

Anterior cruciate ligament N, P

Wrist Ligaments

Palmar view

4 3 2
5
1
Flexor carpi Radial collateral
ulnaris 5, 6 carpal 5, 6

Ulnar collateral
carpal 5, 6 Palmar radiocarpal 5, 6

Dorsal view

1 2 3 4 5

Ulnar collateral
Radial collateral carpal 5, 6
carpal 5, 6

Dorsal Ulnocarpal 5, 6
radiocarpal 5, 6

ICD-10-PCS 2019 481

 M2–0M5 Bursae and Ligaments ICD-10-PCS 2019
Bursae and Ligaments

0 Medical and Surgical

M Bursae and LigamentsM2
2 Change Definition: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without
cutting or puncturing the skin or a mucous membrane
Explanation: All CHANGE procedures are coded using the approach EXTERNAL
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
X Upper Bursa and Ligament X External 0 Drainage Device Z No Qualifier
Y Lower Bursa and Ligament Y Other Device
Non-OR All body part, approach, device, and qualifier values

0 Medical and Surgical

M Bursae and Ligaments0M5
5 Destruction Definition: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent
Explanation: None of the body part is physically taken out
Body Part
Character 4
0 Head and Neck Bursa and Ligament
Alar ligament of axis
Cervical interspinous ligament
Cervical intertransverse ligament
Cervical ligamentum flavum
Interspinous ligament, cervical
Intertransverse ligament, cervical
Lateral temporomandibular ligament
Ligamentum flavum, cervical
Sphenomandibular ligament
Stylomandibular ligament
Transverse ligament of atlas
1 Shoulder Bursa and Ligament, Right
Acromioclavicular ligament
Coracoacromial ligament
Coracoclavicular ligament
Coracohumeral ligament
Costoclavicular ligament
Glenohumeral ligament
Interclavicular ligament
Sternoclavicular ligament
Subacromial bursa
Transverse humeral ligament
Transverse scapular ligament
2 Shoulder Bursa and Ligament, Left
See 1 Shoulder Bursa and Ligament, Right
3 Elbow Bursa and Ligament, Right
Annular ligament
Olecranon bursa
Radial collateral ligament
Ulnar collateral ligament
4 Elbow Bursa and Ligament, Left
See 3 Elbow Bursa and Ligament, Right
5 Wrist Bursa and Ligament, Right
Palmar ulnocarpal ligament
Radial collateral carpal ligament
Radiocarpal ligament
Radioulnar ligament
Ulnar collateral carpal ligament
6 Wrist Bursa and Ligament, Left
See 5 Wrist Bursa and Ligament, Right
7 Hand Bursa and Ligament, Right
Carpometacarpal ligament
Intercarpal ligament
Interphalangeal ligament
Lunotriquetral ligament
Metacarpal ligament
Metacarpophalangeal ligament
Pisohamate ligament
Pisometacarpal ligament
Scapholunate ligament
Scaphotrapezium ligament
8 Hand Bursa and Ligament, Left
See 7 Hand Bursa and Ligament, Right
9 Upper Extremity Bursa and Ligament,
Right
B Upper Extremity Bursa and Ligament,
Left
C Upper Spine Bursa and Ligament
Interspinous ligament, thoracic
Intertransverse ligament, thoracic
Ligamentum flavum, thoracic
M2–0M5
Approach Device Qualifier
Character 5 Character 6 Character 7
D Lower Spine Bursa and Ligament 0 Open Z No Device Z No Qualifier
Iliolumbar ligament 3 Percutaneous
Interspinous ligament, lumbar 4 Percutaneous
Intertransverse ligament, lumbar Endoscopic
Ligamentum flavum, lumbar
Sacrococcygeal ligament
Sacroiliac ligament
Sacrospinous ligament
Sacrotuberous ligament
Supraspinous ligament
F Sternum Bursa and Ligament
Costoxiphoid ligament
Sternocostal ligament
G Rib(s) Bursa and Ligament
Costotransverse ligament
H Abdomen Bursa and Ligament,
Right
J Abdomen Bursa and Ligament, Left
K Perineum Bursa and Ligament
L Hip Bursa and Ligament, Right
Iliofemoral ligament
Ischiofemoral ligament
Pubofemoral ligament
Transverse acetabular ligament
Trochanteric bursa
M Hip Bursa and Ligament, Left
See L Hip Bursa and Ligament, Right
N Knee Bursa and Ligament, Right
Anterior cruciate ligament (ACL)
Lateral collateral ligament (LCL)
Ligament of head of fibula
Medial collateral ligament (MCL)
Patellar ligament
Popliteal ligament
Posterior cruciate ligament (PCL)
Prepatellar bursa
P Knee Bursa and Ligament, Left
See N Knee Bursa and Ligament, Right
Q Ankle Bursa and Ligament, Right
Calcaneofibular ligament
Deltoid ligament
Ligament of the lateral malleolus
Talofibular ligament
R Ankle Bursa and Ligament, Left
See Q Ankle Bursa and Ligament,
Right
S Foot Bursa and Ligament, Right
Calcaneocuboid ligament
Cuneonavicular ligament
Intercuneiform ligament
Interphalangeal ligament
Metatarsal ligament
Metatarsophalangeal ligament
Subtalar ligament
Talocalcaneal ligament
Talocalcaneonavicular ligament
Tarsometatarsal ligament
T Foot Bursa and Ligament, Left
See S Foot Bursa and Ligament, Right
V Lower Extremity Bursa and
Ligament, Right
W Lower Extremity Bursa and

Supraspinous ligament Ligament, Left

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
482 ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
M Bursae and Ligaments
8 Division Definition: Cutting into a body part, without draining fluids and/or gases from the body part, in order to separate or transect a body part
Explanation: All or a portion of the body part is separated into two or more portions
Body Part
Character 4
0 Head and Neck Bursa and
Ligament
Alar ligament of axis
Cervical interspinous ligament
Cervical intertransverse ligament
Cervical ligamentum flavum
Interspinous ligament, cervical
Intertransverse ligament, cervical
Lateral temporomandibular
ligament
Ligamentum flavum, cervical
Sphenomandibular ligament
Stylomandibular ligament
Transverse ligament of atlas
1 Shoulder Bursa and Ligament,
Right
Acromioclavicular ligament
Coracoacromial ligament
Coracoclavicular ligament
Coracohumeral ligament
Costoclavicular ligament
Glenohumeral ligament
Interclavicular ligament
Sternoclavicular ligament
Subacromial bursa
Transverse humeral ligament
Transverse scapular ligament
2 Shoulder Bursa and Ligament,
Left
See 1 Shoulder Bursa and
Ligament, Right
3 Elbow Bursa and Ligament,
Right
Annular ligament
Olecranon bursa
Radial collateral ligament
Ulnar collateral ligament
4 Elbow Bursa and Ligament, Left
See 3 Elbow Bursa and Ligament,
Right
5 Wrist Bursa and Ligament, Right
Palmar ulnocarpal ligament
Radial collateral carpal ligament
Radiocarpal ligament
Radioulnar ligament
Ulnar collateral carpal ligament
6 Wrist Bursa and Ligament, Left
See 5 Wrist Bursa and Ligament,
Right
7 Hand Bursa and Ligament, Right
Carpometacarpal ligament
Intercarpal ligament
Interphalangeal ligament
Lunotriquetral ligament
Metacarpal ligament
Metacarpophalangeal ligament
Pisohamate ligament
Pisometacarpal ligament
Scapholunate ligament
Scaphotrapezium ligament
8 Hand Bursa and Ligament, Left
See 7 Hand Bursa and Ligament,
Right
9 Upper Extremity Bursa and
Ligament, Right
B Upper Extremity Bursa and
Ligament, Left
C Upper Spine Bursa and Ligament
Interspinous ligament, thoracic
Intertransverse ligament, thoracic
Ligamentum flavum, thoracic
Supraspinous ligament
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Bursae and Ligaments 0M8–0M8
Bursae and Ligaments
0M8
Approach Device Qualifier
Character 5 Character 6 Character 7
D Lower Spine Bursa and Ligament 0 Open Z No Device Z No Qualifier
Iliolumbar ligament 3 Percutaneous
Interspinous ligament, lumbar 4 Percutaneous
Intertransverse ligament, lumbar Endoscopic
Ligamentum flavum, lumbar
Sacrococcygeal ligament
Sacroiliac ligament
Sacrospinous ligament
Sacrotuberous ligament
Supraspinous ligament
F Sternum Bursa and Ligament
Costoxiphoid ligament
Sternocostal ligament
G Rib(s) Bursa and Ligament
Costotransverse ligament
H Abdomen Bursa and Ligament,
Right
J Abdomen Bursa and Ligament,
Left
K Perineum Bursa and Ligament
L Hip Bursa and Ligament, Right
Iliofemoral ligament
Ischiofemoral ligament
Pubofemoral ligament
Transverse acetabular ligament
Trochanteric bursa
M Hip Bursa and Ligament, Left
See L Hip Bursa and Ligament,
Right
N Knee Bursa and Ligament, Right
Anterior cruciate ligament (ACL)
Lateral collateral ligament (LCL)
Ligament of head of fibula
Medial collateral ligament (MCL)
Patellar ligament
Popliteal ligament
Posterior cruciate ligament (PCL)
Prepatellar bursa
P Knee Bursa and Ligament, Left
See N Knee Bursa and Ligament,
Right
Q Ankle Bursa and Ligament, Right
Calcaneofibular ligament
Deltoid ligament
Ligament of the lateral malleolus
Talofibular ligament
R Ankle Bursa and Ligament, Left
See Q Ankle Bursa and Ligament,
Right
S Foot Bursa and Ligament, Right
Calcaneocuboid ligament
Cuneonavicular ligament
Intercuneiform ligament
Interphalangeal ligament
Metatarsal ligament
Metatarsophalangeal ligament
Subtalar ligament
Talocalcaneal ligament
Talocalcaneonavicular ligament
Tarsometatarsal ligament
T Foot Bursa and Ligament, Left
See S Foot Bursa and Ligament,
Right
V Lower Extremity Bursa and
Ligament, Right
W Lower Extremity Bursa and
Ligament, Left
0M8–0M8
New/Revised in GREEN
483
 0M9–0M9
Bursae and Ligaments
0 Medical and Surgical
M Bursae and Ligaments
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part
Character 4
0 Head and Neck Bursa and
Ligament
Alar ligament of axis
Cervical interspinous ligament
Cervical intertransverse ligament
Cervical ligamentum flavum
Interspinous ligament, cervical
Intertransverse ligament, cervical
Lateral temporomandibular
ligament
Ligamentum flavum, cervical
Sphenomandibular ligament
Stylomandibular ligament
Transverse ligament of atlas
1 Shoulder Bursa and Ligament,
Right
Acromioclavicular ligament
Coracoacromial ligament
Coracoclavicular ligament
Coracohumeral ligament
Costoclavicular ligament
Glenohumeral ligament
Interclavicular ligament
Sternoclavicular ligament
Subacromial bursa
Transverse humeral ligament
Transverse scapular ligament
2 Shoulder Bursa and Ligament,
Left
See 1 Shoulder Bursa and
Ligament, Right
3 Elbow Bursa and Ligament,
Right
Annular ligament
Olecranon bursa
Radial collateral ligament
Ulnar collateral ligament
4 Elbow Bursa and Ligament, Left
See 3 Elbow Bursa and Ligament,
Right
5 Wrist Bursa and Ligament, Right
Palmar ulnocarpal ligament
Radial collateral carpal ligament
Radiocarpal ligament
Radioulnar ligament
Ulnar collateral carpal ligament
6 Wrist Bursa and Ligament, Left
See 5 Wrist Bursa and Ligament,
Right
7 Hand Bursa and Ligament, Right
Carpometacarpal ligament
Intercarpal ligament
Interphalangeal ligament
Lunotriquetral ligament
Metacarpal ligament
Metacarpophalangeal ligament
Pisohamate ligament
Pisometacarpal ligament
Scapholunate ligament
Scaphotrapezium ligament
8 Hand Bursa and Ligament, Left
See 7 Hand Bursa and Ligament,
Right
9 Upper Extremity Bursa and
Ligament, Right
B Upper Extremity Bursa and
Ligament, Left
C Upper Spine Bursa and Ligament
Interspinous ligament, thoracic
Intertransverse ligament, thoracic
Ligamentum flavum, thoracic
Supraspinous ligament
0M9–0M9
Non-OR 0M9[0,1,2,3,4,5,6,7,8,9,B,C,D,F,G,H,J,K,L,M,N,P,Q,R,S,T,V,W]30Z
Non-OR 0M9[1,2,3,4,7,8,9,B,C,D,F,G,H,J,K,L,M,V,W]40Z
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
484
Bursae and Ligaments ICD-10-PCS 2019
0M9
Approach Device Qualifier
Character 5 Character 6 Character 7
D Lower Spine Bursa and Ligament 0 Open 0 Drainage Device Z No Qualifier
Iliolumbar ligament 3 Percutaneous
Interspinous ligament, lumbar 4 Percutaneous
Intertransverse ligament, lumbar Endoscopic
Ligamentum flavum, lumbar
Sacrococcygeal ligament
Sacroiliac ligament
Sacrospinous ligament
Sacrotuberous ligament
Supraspinous ligament
F Sternum Bursa and Ligament
Costoxiphoid ligament
Sternocostal ligament
G Rib(s) Bursa and Ligament
Costotransverse ligament
H Abdomen Bursa and Ligament,
Right
J Abdomen Bursa and Ligament,
Left
K Perineum Bursa and Ligament
L Hip Bursa and Ligament, Right
Iliofemoral ligament
Ischiofemoral ligament
Pubofemoral ligament
Transverse acetabular ligament
Trochanteric bursa
M Hip Bursa and Ligament, Left
See L Hip Bursa and Ligament,
Right
N Knee Bursa and Ligament, Right
Anterior cruciate ligament (ACL)
Lateral collateral ligament (LCL)
Ligament of head of fibula
Medial collateral ligament (MCL)
Patellar ligament
Popliteal ligament
Posterior cruciate ligament (PCL)
Prepatellar bursa
P Knee Bursa and Ligament, Left
See N Knee Bursa and Ligament,
Right
Q Ankle Bursa and Ligament, Right
Calcaneofibular ligament
Deltoid ligament
Ligament of the lateral malleolus
Talofibular ligament
R Ankle Bursa and Ligament, Left
See Q Ankle Bursa and Ligament,
Right
S Foot Bursa and Ligament, Right
Calcaneocuboid ligament
Cuneonavicular ligament
Intercuneiform ligament
Interphalangeal ligament
Metatarsal ligament
Metatarsophalangeal ligament
Subtalar ligament
Talocalcaneal ligament
Talocalcaneonavicular ligament
Tarsometatarsal ligament
T Foot Bursa and Ligament, Left
See S Foot Bursa and Ligament,
Right
V Lower Extremity Bursa and
Ligament, Right
W Lower Extremity Bursa and
Ligament, Left
0M9 Continued on next page
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
M Bursae and Ligaments
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part
Character 4
0 Head and Neck Bursa and
Ligament
Alar ligament of axis
Cervical interspinous ligament
Cervical intertransverse ligament
Cervical ligamentum flavum
Interspinous ligament, cervical
Intertransverse ligament, cervical
Lateral temporomandibular
ligament
Ligamentum flavum, cervical
Sphenomandibular ligament
Stylomandibular ligament
Transverse ligament of atlas
1 Shoulder Bursa and Ligament,
Right
Acromioclavicular ligament
Coracoacromial ligament
Coracoclavicular ligament
Coracohumeral ligament
Costoclavicular ligament
Glenohumeral ligament
Interclavicular ligament
Sternoclavicular ligament
Subacromial bursa
Transverse humeral ligament
Transverse scapular ligament
2 Shoulder Bursa and Ligament,
Left
See 1 Shoulder Bursa and
Ligament, Right
3 Elbow Bursa and Ligament,
Right
Annular ligament
Olecranon bursa
Radial collateral ligament
Ulnar collateral ligament
4 Elbow Bursa and Ligament, Left
See 3 Elbow Bursa and Ligament,
Right
5 Wrist Bursa and Ligament, Right
Palmar ulnocarpal ligament
Radial collateral carpal ligament
Radiocarpal ligament
Radioulnar ligament
Ulnar collateral carpal ligament
6 Wrist Bursa and Ligament, Left
See 5 Wrist Bursa and Ligament,
Right
7 Hand Bursa and Ligament, Right
Carpometacarpal ligament
Intercarpal ligament
Interphalangeal ligament
Lunotriquetral ligament
Metacarpal ligament
Metacarpophalangeal ligament
Pisohamate ligament
Pisometacarpal ligament
Scapholunate ligament
Scaphotrapezium ligament
8 Hand Bursa and Ligament, Left
See 7 Hand Bursa and Ligament,
Right
9 Upper Extremity Bursa and
Ligament, Right
B Upper Extremity Bursa and
Ligament, Left
C Upper Spine Bursa and Ligament
Interspinous ligament, thoracic
Intertransverse ligament, thoracic
Ligamentum flavum, thoracic
Supraspinous ligament
Non-OR 0M9[0,1,2,3,4,5,6,7,8,C,D,F,G,L,M,N,P,Q,R,S,T][0,3,4]ZX
Non-OR 0M9[0,1,2,3,4,5,6,7,8,9,B,C,D,F,G,H,J,K,L,M,N,P,Q,R,S,T,V,W]3ZZ
Non-OR 0M9[0,5,6,7,8,9,B,C,D,F,G,H,J,K,N,P,Q,R,S,T,V,W]4ZZ
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Bursae and Ligaments 0M9–0M9
Bursae and Ligaments
0M9 Continued
0M9
Approach Device Qualifier
Character 5 Character 6 Character 7
D Lower Spine Bursa and Ligament 0 Open Z No Device X Diagnostic
Iliolumbar ligament 3 Percutaneous Z No Qualifier
Interspinous ligament, lumbar 4 Percutaneous
Intertransverse ligament, lumbar Endoscopic
Ligamentum flavum, lumbar
Sacrococcygeal ligament
Sacroiliac ligament
Sacrospinous ligament
Sacrotuberous ligament
Supraspinous ligament
F Sternum Bursa and Ligament
Costoxiphoid ligament
Sternocostal ligament
G Rib(s) Bursa and Ligament
Costotransverse ligament
H Abdomen Bursa and Ligament,
Right
J Abdomen Bursa and Ligament,
Left
K Perineum Bursa and Ligament
L Hip Bursa and Ligament, Right
Iliofemoral ligament
Ischiofemoral ligament
Pubofemoral ligament
Transverse acetabular ligament
Trochanteric bursa
M Hip Bursa and Ligament, Left
See L Hip Bursa and Ligament,
Right
N Knee Bursa and Ligament, Right
Anterior cruciate ligament (ACL)
Lateral collateral ligament (LCL)
Ligament of head of fibula
Medial collateral ligament (MCL)
Patellar ligament
Popliteal ligament
Posterior cruciate ligament (PCL)
Prepatellar bursa
P Knee Bursa and Ligament, Left
See N Knee Bursa and Ligament,
Right
Q Ankle Bursa and Ligament, Right
Calcaneofibular ligament
Deltoid ligament
Ligament of the lateral malleolus
Talofibular ligament
R Ankle Bursa and Ligament, Left
See Q Ankle Bursa and Ligament,
Right
S Foot Bursa and Ligament, Right
Calcaneocuboid ligament
Cuneonavicular ligament
Intercuneiform ligament
Interphalangeal ligament
Metatarsal ligament
Metatarsophalangeal ligament
Subtalar ligament
Talocalcaneal ligament
Talocalcaneonavicular ligament
Tarsometatarsal ligament
T Foot Bursa and Ligament, Left
See S Foot Bursa and Ligament,
Right
V Lower Extremity Bursa and
Ligament, Right
W Lower Extremity Bursa and
Ligament, Left
0M9–0M9
New/Revised in GREEN
485
 0MB–0MB
Bursae and Ligaments
0 Medical and Surgical
M Bursae and Ligaments
B Excision Definition: Cutting out or off, without replacement, a portion of a body part
Explanation: The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies
Body Part
Character 4
0 Head and Neck Bursa and
Ligament
Alar ligament of axis
Cervical interspinous ligament
Cervical intertransverse ligament
Cervical ligamentum flavum
Interspinous ligament, cervical
Intertransverse ligament, cervical
Lateral temporomandibular
ligament
Ligamentum flavum, cervical
Sphenomandibular ligament
Stylomandibular ligament
Transverse ligament of atlas
1 Shoulder Bursa and Ligament,
Right
Acromioclavicular ligament
Coracoacromial ligament
Coracoclavicular ligament
Coracohumeral ligament
Costoclavicular ligament
Glenohumeral ligament
Interclavicular ligament
Sternoclavicular ligament
Subacromial bursa
Transverse humeral ligament
Transverse scapular ligament
2 Shoulder Bursa and Ligament,
Left
See 1 Shoulder Bursa and
Ligament, Right
3 Elbow Bursa and Ligament,
Right
Annular ligament
Olecranon bursa
Radial collateral ligament
Ulnar collateral ligament
4 Elbow Bursa and Ligament, Left
See 3 Elbow Bursa and Ligament,
Right
5 Wrist Bursa and Ligament, Right
Palmar ulnocarpal ligament
Radial collateral carpal ligament
Radiocarpal ligament
Radioulnar ligament
Ulnar collateral carpal ligament
6 Wrist Bursa and Ligament, Left
See 5 Wrist Bursa and Ligament,
Right
7 Hand Bursa and Ligament, Right
Carpometacarpal ligament
Intercarpal ligament
Interphalangeal ligament
Lunotriquetral ligament
Metacarpal ligament
Metacarpophalangeal ligament
Pisohamate ligament
Pisometacarpal ligament
Scapholunate ligament
Scaphotrapezium ligament
8 Hand Bursa and Ligament, Left
See 7 Hand Bursa and Ligament,
Right
9 Upper Extremity Bursa and
Ligament, Right
B Upper Extremity Bursa and
Ligament, Left
C Upper Spine Bursa and Ligament
Interspinous ligament, thoracic
Intertransverse ligament, thoracic
Ligamentum flavum, thoracic
Supraspinous ligament
0MB–0MB
Non-OR 0MB[0,1,2,3,4,5,6,7,8,B,C,D,F,G,L,M,N,P,Q,R,S,T][0,3,4]ZX
Non-OR 0MB94ZX
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
486
Bursae and Ligaments ICD-10-PCS 2019
0MB
Approach Device Qualifier
Character 5 Character 6 Character 7
D Lower Spine Bursa and Ligament 0 Open Z No Device X Diagnostic
Iliolumbar ligament 3 Percutaneous Z No Qualifier
Interspinous ligament, lumbar 4 Percutaneous
Intertransverse ligament, lumbar Endoscopic
Ligamentum flavum, lumbar
Sacrococcygeal ligament
Sacroiliac ligament
Sacrospinous ligament
Sacrotuberous ligament
Supraspinous ligament
F Sternum Bursa and Ligament
Costoxiphoid ligament
Sternocostal ligament
G Rib(s) Bursa and Ligament
Costotransverse ligament
H Abdomen Bursa and Ligament,
Right
J Abdomen Bursa and Ligament,
Left
K Perineum Bursa and Ligament
L Hip Bursa and Ligament, Right
Iliofemoral ligament
Ischiofemoral ligament
Pubofemoral ligament
Transverse acetabular ligament
Trochanteric bursa
M Hip Bursa and Ligament, Left
See L Hip Bursa and Ligament,
Right
N Knee Bursa and Ligament, Right
Anterior cruciate ligament (ACL)
Lateral collateral ligament (LCL)
Ligament of head of fibula
Medial collateral ligament (MCL)
Patellar ligament
Popliteal ligament
Posterior cruciate ligament (PCL)
Prepatellar bursa
P Knee Bursa and Ligament, Left
See N Knee Bursa and Ligament,
Right
Q Ankle Bursa and Ligament, Right
Calcaneofibular ligament
Deltoid ligament
Ligament of the lateral malleolus
Talofibular ligament
R Ankle Bursa and Ligament, Left
See Q Ankle Bursa and Ligament,
Right
S Foot Bursa and Ligament, Right
Calcaneocuboid ligament
Cuneonavicular ligament
Intercuneiform ligament
Interphalangeal ligament
Metatarsal ligament
Metatarsophalangeal ligament
Subtalar ligament
Talocalcaneal ligament
Talocalcaneonavicular ligament
Tarsometatarsal ligament
T Foot Bursa and Ligament, Left
See S Foot Bursa and Ligament,
Right
V Lower Extremity Bursa and
Ligament, Right
W Lower Extremity Bursa and
Ligament, Left
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
M Bursae and Ligaments
C Extirpation Definition: Taking or cutting out solid matter from a body part
Explanation: The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in
the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces.
Body Part
Character 4
0 Head and Neck Bursa and
Ligament
Alar ligament of axis
Cervical interspinous ligament
Cervical intertransverse ligament
Cervical ligamentum flavum
Interspinous ligament, cervical
Intertransverse ligament, cervical
Lateral temporomandibular
ligament
Ligamentum flavum, cervical
Sphenomandibular ligament
Stylomandibular ligament
Transverse ligament of atlas
1 Shoulder Bursa and Ligament,
Right
Acromioclavicular ligament
Coracoacromial ligament
Coracoclavicular ligament
Coracohumeral ligament
Costoclavicular ligament
Glenohumeral ligament
Interclavicular ligament
Sternoclavicular ligament
Subacromial bursa
Transverse humeral ligament
Transverse scapular ligament
2 Shoulder Bursa and Ligament,
Left
See 1 Shoulder Bursa and
Ligament, Right
3 Elbow Bursa and Ligament,
Right
Annular ligament
Olecranon bursa
Radial collateral ligament
Ulnar collateral ligament
4 Elbow Bursa and Ligament, Left
See 3 Elbow Bursa and Ligament,
Right
5 Wrist Bursa and Ligament, Right
Palmar ulnocarpal ligament
Radial collateral carpal ligament
Radiocarpal ligament
Radioulnar ligament
Ulnar collateral carpal ligament
6 Wrist Bursa and Ligament, Left
See 5 Wrist Bursa and Ligament,
Right
7 Hand Bursa and Ligament, Right
Carpometacarpal ligament
Intercarpal ligament
Interphalangeal ligament
Lunotriquetral ligament
Metacarpal ligament
Metacarpophalangeal ligament
Pisohamate ligament
Pisometacarpal ligament
Scapholunate ligament
Scaphotrapezium ligament
8 Hand Bursa and Ligament, Left
See 7 Hand Bursa and Ligament,
Right
9 Upper Extremity Bursa and
Ligament, Right
B Upper Extremity Bursa and
Ligament, Left
C Upper Spine Bursa and Ligament
Interspinous ligament, thoracic
Intertransverse ligament, thoracic
Ligamentum flavum, thoracic
Supraspinous ligament
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Bursae and Ligaments 0MC–0MC
Bursae and Ligaments
0MC
Approach Device Qualifier
Character 5 Character 6 Character 7
D Lower Spine Bursa and Ligament 0 Open Z No Device Z No Qualifier
Iliolumbar ligament 3 Percutaneous
Interspinous ligament, lumbar 4 Percutaneous
Intertransverse ligament, lumbar Endoscopic
Ligamentum flavum, lumbar
Sacrococcygeal ligament
Sacroiliac ligament
Sacrospinous ligament
Sacrotuberous ligament
Supraspinous ligament
F Sternum Bursa and Ligament
Costoxiphoid ligament
Sternocostal ligament
G Rib(s) Bursa and Ligament
Costotransverse ligament
H Abdomen Bursa and Ligament,
Right
J Abdomen Bursa and Ligament,
Left
K Perineum Bursa and Ligament
L Hip Bursa and Ligament, Right
Iliofemoral ligament
Ischiofemoral ligament
Pubofemoral ligament
Transverse acetabular ligament
Trochanteric bursa
M Hip Bursa and Ligament, Left
See L Hip Bursa and Ligament,
Right
N Knee Bursa and Ligament, Right
Anterior cruciate ligament (ACL)
Lateral collateral ligament (LCL)
Ligament of head of fibula
Medial collateral ligament (MCL)
Patellar ligament
Popliteal ligament
Posterior cruciate ligament (PCL)
Prepatellar bursa
P Knee Bursa and Ligament, Left
See N Knee Bursa and Ligament,
Right
Q Ankle Bursa and Ligament, Right
Calcaneofibular ligament
Deltoid ligament
Ligament of the lateral malleolus
Talofibular ligament
R Ankle Bursa and Ligament, Left
See Q Ankle Bursa and Ligament,
Right
S Foot Bursa and Ligament, Right
Calcaneocuboid ligament
Cuneonavicular ligament
Intercuneiform ligament
Interphalangeal ligament
Metatarsal ligament
Metatarsophalangeal ligament
Subtalar ligament
Talocalcaneal ligament
Talocalcaneonavicular ligament
Tarsometatarsal ligament
T Foot Bursa and Ligament, Left
See S Foot Bursa and Ligament,
Right
V Lower Extremity Bursa and
Ligament, Right
W Lower Extremity Bursa and
Ligament, Left
0MC–0MC
New/Revised in GREEN
487
 0MD–0MD
Bursae and Ligaments
0 Medical and Surgical
M Bursae and Ligaments
D Extraction Definition: Pulling or stripping out or off all or a portion of a body part by the use of force
Explanation: The qualifier DIAGNOSTIC is used to identify extraction procedures that are biopsies
Body Part
Character 4
0 Head and Neck Bursa and
Ligament
Alar ligament of axis
Cervical interspinous ligament
Cervical intertransverse ligament
Cervical ligamentum flavum
Interspinous ligament, cervical
Intertransverse ligament, cervical
Lateral temporomandibular
ligament
Ligamentum flavum, cervical
Sphenomandibular ligament
Stylomandibular ligament
Transverse ligament of atlas
1 Shoulder Bursa and Ligament,
Right
Acromioclavicular ligament
Coracoacromial ligament
Coracoclavicular ligament
Coracohumeral ligament
Costoclavicular ligament
Glenohumeral ligament
Interclavicular ligament
Sternoclavicular ligament
Subacromial bursa
Transverse humeral ligament
Transverse scapular ligament
2 Shoulder Bursa and Ligament,
Left
See 1 Shoulder Bursa and
Ligament, Right
3 Elbow Bursa and Ligament,
Right
Annular ligament
Olecranon bursa
Radial collateral ligament
Ulnar collateral ligament
4 Elbow Bursa and Ligament, Left
See 3 Elbow Bursa and Ligament,
Right
5 Wrist Bursa and Ligament, Right
Palmar ulnocarpal ligament
Radial collateral carpal ligament
Radiocarpal ligament
Radioulnar ligament
Ulnar collateral carpal ligament
6 Wrist Bursa and Ligament, Left
See 5 Wrist Bursa and Ligament,
Right
7 Hand Bursa and Ligament, Right
Carpometacarpal ligament
Intercarpal ligament
Interphalangeal ligament
Lunotriquetral ligament
Metacarpal ligament
Metacarpophalangeal ligament
Pisohamate ligament
Pisometacarpal ligament
Scapholunate ligament
Scaphotrapezium ligament
8 Hand Bursa and Ligament, Left
See 7 Hand Bursa and Ligament,
Right
9 Upper Extremity Bursa and
Ligament, Right
B Upper Extremity Bursa and
Ligament, Left
C Upper Spine Bursa and Ligament
Interspinous ligament, thoracic
Intertransverse ligament, thoracic
Ligamentum flavum, thoracic
Supraspinous ligament
0MD–0MD
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
488
Bursae and Ligaments ICD-10-PCS 2019
0MD
Approach Device Qualifier
Character 5 Character 6 Character 7
D Lower Spine Bursa and Ligament 0 Open Z No Device Z No Qualifier
Iliolumbar ligament 3 Percutaneous
Interspinous ligament, lumbar 4 Percutaneous
Intertransverse ligament, lumbar Endoscopic
Ligamentum flavum, lumbar
Sacrococcygeal ligament
Sacroiliac ligament
Sacrospinous ligament
Sacrotuberous ligament
Supraspinous ligament
F Sternum Bursa and Ligament
Costoxiphoid ligament
Sternocostal ligament
G Rib(s) Bursa and Ligament
Costotransverse ligament
H Abdomen Bursa and Ligament,
Right
J Abdomen Bursa and Ligament,
Left
K Perineum Bursa and Ligament
L Hip Bursa and Ligament, Right
Iliofemoral ligament
Ischiofemoral ligament
Pubofemoral ligament
Transverse acetabular ligament
Trochanteric bursa
M Hip Bursa and Ligament, Left
See L Hip Bursa and Ligament,
Right
N Knee Bursa and Ligament, Right
Anterior cruciate ligament (ACL)
Lateral collateral ligament (LCL)
Ligament of head of fibula
Medial collateral ligament (MCL)
Patellar ligament
Popliteal ligament
Posterior cruciate ligament (PCL)
Prepatellar bursa
P Knee Bursa and Ligament, Left
See N Knee Bursa and Ligament,
Right
Q Ankle Bursa and Ligament, Right
Calcaneofibular ligament
Deltoid ligament
Ligament of the lateral malleolus
Talofibular ligament
R Ankle Bursa and Ligament, Left
See Q Ankle Bursa and Ligament,
Right
S Foot Bursa and Ligament, Right
Calcaneocuboid ligament
Cuneonavicular ligament
Intercuneiform ligament
Interphalangeal ligament
Metatarsal ligament
Metatarsophalangeal ligament
Subtalar ligament
Talocalcaneal ligament
Talocalcaneonavicular ligament
Tarsometatarsal ligament
T Foot Bursa and Ligament, Left
See S Foot Bursa and Ligament,
Right
V Lower Extremity Bursa and
Ligament, Right
W Lower Extremity Bursa and
Ligament, Left
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019 Bursae and Ligaments 0MH–0MJ

Bursae and Ligaments

0 Medical and Surgical
M Bursae and Ligaments 0MH
H Insertion Definition: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically
take the place of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
X Upper Bursa and Ligament 0 Open Y Other Device Z No Qualifier
Y Lower Bursa and Ligament 3 Percutaneous
4 Percutaneous Endoscopic
Non-OR 0MH[X,Y][3,4]YZ

0 Medical and Surgical

M Bursae and Ligaments 0MJ
J Inspection Definition: Visually and/or manually exploring a body part
Explanation: Visual exploration may be performed with or without optical instrumentation. Manual exploration may be performed directly or
through intervening body layers.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
X Upper Bursa and Ligament 0 Open Z No Device Z No Qualifier
Y Lower Bursa and Ligament 3 Percutaneous
4 Percutaneous Endoscopic
X External
Non-OR 0MJ[X,Y][3,X]ZZ

0MH–0MJ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 489
 0MM–0MM
Bursae and Ligaments
0 Medical and Surgical
M Bursae and Ligaments
M Reattachment Definition: Putting back in or on all or a portion of a separated body part to its normal location or other suitable location
Explanation: Vascular circulation and nervous pathways may or may not be reestablished
Body Part
Character 4
0 Head and Neck Bursa and
Ligament
Alar ligament of axis
Cervical interspinous ligament
Cervical intertransverse ligament
Cervical ligamentum flavum
Interspinous ligament, cervical
Intertransverse ligament, cervical
Lateral temporomandibular
ligament
Ligamentum flavum, cervical
Sphenomandibular ligament
Stylomandibular ligament
Transverse ligament of atlas
1 Shoulder Bursa and Ligament,
Right
Acromioclavicular ligament
Coracoacromial ligament
Coracoclavicular ligament
Coracohumeral ligament
Costoclavicular ligament
Glenohumeral ligament
Interclavicular ligament
Sternoclavicular ligament
Subacromial bursa
Transverse humeral ligament
Transverse scapular ligament
2 Shoulder Bursa and Ligament,
Left
See 1 Shoulder Bursa and
Ligament, Right
3 Elbow Bursa and Ligament,
Right
Annular ligament
Olecranon bursa
Radial collateral ligament
Ulnar collateral ligament
4 Elbow Bursa and Ligament, Left
See 3 Elbow Bursa and Ligament,
Right
5 Wrist Bursa and Ligament, Right P Knee Bursa and Ligament, Left
Palmar ulnocarpal ligament
Radial collateral carpal ligament
Radiocarpal ligament
Radioulnar ligament
Ulnar collateral carpal ligament
6 Wrist Bursa and Ligament, Left
See 5 Wrist Bursa and Ligament,
Right
7 Hand Bursa and Ligament, Right
Carpometacarpal ligament
Intercarpal ligament
Interphalangeal ligament
Lunotriquetral ligament
Metacarpal ligament
Metacarpophalangeal ligament
Pisohamate ligament
Pisometacarpal ligament
Scapholunate ligament
Scaphotrapezium ligament
8 Hand Bursa and Ligament, Left
See 7 Hand Bursa and Ligament,
Right
9 Upper Extremity Bursa and
Ligament, Right
B Upper Extremity Bursa and
Ligament, Left
C Upper Spine Bursa and Ligament
Interspinous ligament, thoracic
Intertransverse ligament, thoracic
Ligamentum flavum, thoracic
Supraspinous ligament
0MM–0MM
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
490
Bursae and Ligaments ICD-10-PCS 2019
0MM
Approach Device Qualifier
Character 5 Character 6 Character 7
D Lower Spine Bursa and Ligament 0 Open Z No Device Z No Qualifier
Iliolumbar ligament 4 Percutaneous
Interspinous ligament, lumbar Endoscopic
Intertransverse ligament, lumbar
Ligamentum flavum, lumbar
Sacrococcygeal ligament
Sacroiliac ligament
Sacrospinous ligament
Sacrotuberous ligament
Supraspinous ligament
F Sternum Bursa and Ligament
Costoxiphoid ligament
Sternocostal ligament
G Rib(s) Bursa and Ligament
Costotransverse ligament
H Abdomen Bursa and Ligament,
Right
J Abdomen Bursa and Ligament,
Left
K Perineum Bursa and Ligament
L Hip Bursa and Ligament, Right
Iliofemoral ligament
Ischiofemoral ligament
Pubofemoral ligament
Transverse acetabular ligament
Trochanteric bursa
M Hip Bursa and Ligament, Left
See L Hip Bursa and Ligament,
Right
N Knee Bursa and Ligament, Right
Anterior cruciate ligament (ACL)
Lateral collateral ligament (LCL)
Ligament of head of fibula
Medial collateral ligament (MCL)
Patellar ligament
Popliteal ligament
Posterior cruciate ligament (PCL)
Prepatellar bursa
See N Knee Bursa and Ligament,
Right
Q Ankle Bursa and Ligament, Right
Calcaneofibular ligament
Deltoid ligament
Ligament of the lateral malleolus
Talofibular ligament
R Ankle Bursa and Ligament, Left
See Q Ankle Bursa and Ligament,
Right
S Foot Bursa and Ligament, Right
Calcaneocuboid ligament
Cuneonavicular ligament
Intercuneiform ligament
Interphalangeal ligament
Metatarsal ligament
Metatarsophalangeal ligament
Subtalar ligament
Talocalcaneal ligament
Talocalcaneonavicular ligament
Tarsometatarsal ligament
T Foot Bursa and Ligament, Left
See S Foot Bursa and Ligament,
Right
V Lower Extremity Bursa and
Ligament, Right
W Lower Extremity Bursa and
Ligament, Left
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
M Bursae and Ligaments
N Release Definition: Freeing a body part from an abnormal physical constraint by cutting or by the use of force
Explanation: Some of the restraining tissue may be taken out but none of the body part is taken out
Body Part
Character 4
0 Head and Neck Bursa and
Ligament
Alar ligament of axis
Cervical interspinous ligament
Cervical intertransverse ligament
Cervical ligamentum flavum
Interspinous ligament, cervical
Intertransverse ligament, cervical
Lateral temporomandibular
ligament
Ligamentum flavum, cervical
Sphenomandibular ligament
Stylomandibular ligament
Transverse ligament of atlas
1 Shoulder Bursa and Ligament,
Right
Acromioclavicular ligament
Coracoacromial ligament
Coracoclavicular ligament
Coracohumeral ligament
Costoclavicular ligament
Glenohumeral ligament
Interclavicular ligament
Sternoclavicular ligament
Subacromial bursa
Transverse humeral ligament
Transverse scapular ligament
2 Shoulder Bursa and Ligament,
Left
See 1 Shoulder Bursa and
Ligament, Right
3 Elbow Bursa and Ligament,
Right
Annular ligament
Olecranon bursa
Radial collateral ligament
Ulnar collateral ligament
4 Elbow Bursa and Ligament, Left
See 3 Elbow Bursa and Ligament,
Right
5 Wrist Bursa and Ligament, Right
Palmar ulnocarpal ligament
Radial collateral carpal ligament
Radiocarpal ligament
Radioulnar ligament
Ulnar collateral carpal ligament
6 Wrist Bursa and Ligament, Left
See 5 Wrist Bursa and Ligament,
Right
7 Hand Bursa and Ligament, Right
Carpometacarpal ligament
Intercarpal ligament
Interphalangeal ligament
Lunotriquetral ligament
Metacarpal ligament
Metacarpophalangeal ligament
Pisohamate ligament
Pisometacarpal ligament
Scapholunate ligament
Scaphotrapezium ligament
8 Hand Bursa and Ligament, Left
See 7 Hand Bursa and Ligament,
Right
9 Upper Extremity Bursa and
Ligament, Right
B Upper Extremity Bursa and
Ligament, Left
C Upper Spine Bursa and Ligament
Interspinous ligament, thoracic
Intertransverse ligament, thoracic
Ligamentum flavum, thoracic
Supraspinous ligament
Non-OR 0MN[0,1,2,3,4,5,6,7,8,9,B,C,D,F,G,H,J,K,L,M,N,P,Q,R,S,T,V,W]XZZ
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Bursae and Ligaments 0MN–0MN
Bursae and Ligaments
0MN
Approach Device Qualifier
Character 5 Character 6 Character 7
D Lower Spine Bursa and Ligament 0 Open Z No Device Z No Qualifier
Iliolumbar ligament 3 Percutaneous
Interspinous ligament, lumbar 4 Percutaneous
Intertransverse ligament, lumbar Endoscopic
Ligamentum flavum, lumbar
X External
Sacrococcygeal ligament
Sacroiliac ligament
Sacrospinous ligament
Sacrotuberous ligament
Supraspinous ligament
F Sternum Bursa and Ligament
Costoxiphoid ligament
Sternocostal ligament
G Rib(s) Bursa and Ligament
Costotransverse ligament
H Abdomen Bursa and Ligament,
Right
J Abdomen Bursa and Ligament,
Left
K Perineum Bursa and Ligament
L Hip Bursa and Ligament, Right
Iliofemoral ligament
Ischiofemoral ligament
Pubofemoral ligament
Transverse acetabular ligament
Trochanteric bursa
M Hip Bursa and Ligament, Left
See L Hip Bursa and Ligament,
Right
N Knee Bursa and Ligament, Right
Anterior cruciate ligament (ACL)
Lateral collateral ligament (LCL)
Ligament of head of fibula
Medial collateral ligament (MCL)
Patellar ligament
Popliteal ligament
Posterior cruciate ligament (PCL)
Prepatellar bursa
P Knee Bursa and Ligament, Left
See N Knee Bursa and Ligament,
Right
Q Ankle Bursa and Ligament, Right
Calcaneofibular ligament
Deltoid ligament
Ligament of the lateral malleolus
Talofibular ligament
R Ankle Bursa and Ligament, Left
See Q Ankle Bursa and Ligament,
Right
S Foot Bursa and Ligament, Right
Calcaneocuboid ligament
Cuneonavicular ligament
Intercuneiform ligament
Interphalangeal ligament
Metatarsal ligament
Metatarsophalangeal ligament
Subtalar ligament
Talocalcaneal ligament
Talocalcaneonavicular ligament
Tarsometatarsal ligament
T Foot Bursa and Ligament, Left
See S Foot Bursa and Ligament,
Right
V Lower Extremity Bursa and
Ligament, Right
W Lower Extremity Bursa and
Ligament, Left
0MN–0MN
New/Revised in GREEN
491
 0MP–0MP Bursae and Ligaments ICD-10-PCS 2019
Bursae and Ligaments

0 Medical and Surgical

M Bursae and Ligaments 0MP
P Removal Definition: Taking out or off a device from a body part
Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is
coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
X Upper Bursa and Ligament 0 Open 0 Drainage Device Z No Qualifier
Y Lower Bursa and Ligament 3 Percutaneous 7 Autologous Tissue Substitute
4 Percutaneous Endoscopic J Synthetic Substitute
K Nonautologous Tissue Substitute
Y Other Device
X Upper Bursa and Ligament X External 0 Drainage Device Z No Qualifier
Y Lower Bursa and Ligament
Non-OR 0MP[X,Y]30Z
Non-OR 0MP[X,Y][3,4]YZ
Non-OR 0MP[X,Y]X0Z
0MP–0MP

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
492 ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
M Bursae and Ligaments
Q Repair Definition: Restoring, to the extent possible, a body part to its normal anatomic structure and function
Explanation: Used only when the method to accomplish the repair is not one of the other root operations
Body Part
Character 4
0 Head and Neck Bursa and
Ligament
Alar ligament of axis
Cervical interspinous ligament
Cervical intertransverse ligament
Cervical ligamentum flavum
Interspinous ligament, cervical
Intertransverse ligament, cervical
Lateral temporomandibular
ligament
Ligamentum flavum, cervical
Sphenomandibular ligament
Stylomandibular ligament
Transverse ligament of atlas
1 Shoulder Bursa and Ligament,
Right
Acromioclavicular ligament
Coracoacromial ligament
Coracoclavicular ligament
Coracohumeral ligament
Costoclavicular ligament
Glenohumeral ligament
Interclavicular ligament
Sternoclavicular ligament
Subacromial bursa
Transverse humeral ligament
Transverse scapular ligament
2 Shoulder Bursa and Ligament,
Left
See 1 Shoulder Bursa and
Ligament, Right
3 Elbow Bursa and Ligament,
Right
Annular ligament
Olecranon bursa
Radial collateral ligament
Ulnar collateral ligament
4 Elbow Bursa and Ligament, Left
See 3 Elbow Bursa and Ligament,
Right
5 Wrist Bursa and Ligament, Right
Palmar ulnocarpal ligament
Radial collateral carpal ligament
Radiocarpal ligament
Radioulnar ligament
Ulnar collateral carpal ligament
6 Wrist Bursa and Ligament, Left
See 5 Wrist Bursa and Ligament,
Right
7 Hand Bursa and Ligament, Right
Carpometacarpal ligament
Intercarpal ligament
Interphalangeal ligament
Lunotriquetral ligament
Metacarpal ligament
Metacarpophalangeal ligament
Pisohamate ligament
Pisometacarpal ligament
Scapholunate ligament
Scaphotrapezium ligament
8 Hand Bursa and Ligament, Left
See 7 Hand Bursa and Ligament,
Right
9 Upper Extremity Bursa and
Ligament, Right
B Upper Extremity Bursa and
Ligament, Left
C Upper Spine Bursa and Ligament
Interspinous ligament, thoracic
Intertransverse ligament, thoracic
Ligamentum flavum, thoracic
Supraspinous ligament
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Bursae and Ligaments 0MQ–0MQ
Bursae and Ligaments
0MQ
Approach Device Qualifier
Character 5 Character 6 Character 7
D Lower Spine Bursa and Ligament 0 Open Z No Device Z No Qualifier
Iliolumbar ligament 3 Percutaneous
Interspinous ligament, lumbar 4 Percutaneous
Intertransverse ligament, lumbar Endoscopic
Ligamentum flavum, lumbar
Sacrococcygeal ligament
Sacroiliac ligament
Sacrospinous ligament
Sacrotuberous ligament
Supraspinous ligament
F Sternum Bursa and Ligament
Costoxiphoid ligament
Sternocostal ligament
G Rib(s) Bursa and Ligament
Costotransverse ligament
H Abdomen Bursa and Ligament,
Right
J Abdomen Bursa and Ligament,
Left
K Perineum Bursa and Ligament
L Hip Bursa and Ligament, Right
Iliofemoral ligament
Ischiofemoral ligament
Pubofemoral ligament
Transverse acetabular ligament
Trochanteric bursa
M Hip Bursa and Ligament, Left
See L Hip Bursa and Ligament,
Right
N Knee Bursa and Ligament,
Right
Anterior cruciate ligament (ACL)
Lateral collateral ligament (LCL)
Ligament of head of fibula
Medial collateral ligament (MCL)
Patellar ligament
Popliteal ligament
Posterior cruciate ligament (PCL)
Prepatellar bursa
P Knee Bursa and Ligament,
Left
See N Knee Bursa and Ligament,
Right
Q Ankle Bursa and Ligament, Right
Calcaneofibular ligament
Deltoid ligament
Ligament of the lateral malleolus
Talofibular ligament
R Ankle Bursa and Ligament, Left
See Q Ankle Bursa and Ligament,
Right
S Foot Bursa and Ligament,
Right
Calcaneocuboid ligament
Cuneonavicular ligament
Intercuneiform ligament
Interphalangeal ligament
Metatarsal ligament
Metatarsophalangeal ligament
Subtalar ligament
Talocalcaneal ligament
Talocalcaneonavicular ligament
Tarsometatarsal ligament
T Foot Bursa and Ligament,
Left
See S Foot Bursa and Ligament,
Right
V Lower Extremity Bursa and
Ligament, Right
W Lower Extremity Bursa and
Ligament, Left
0MQ–0MQ
New/Revised in GREEN
493
 0MR–0MR
Bursae and Ligaments
0 Medical and Surgical
M Bursae and Ligaments
R Replacement Definition: Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part
Explanation: The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during
the REPLACEMENT procedure. A REMOVAL procedure is coded for taking out the device used in a previous replacement procedure.
Body Part
Character 4
0 Head and Neck Bursa and
Ligament
Alar ligament of axis
Cervical interspinous ligament
Cervical intertransverse ligament
Cervical ligamentum flavum
Interspinous ligament, cervical
Intertransverse ligament, cervical
Lateral temporomandibular
ligament
Ligamentum flavum, cervical
Sphenomandibular ligament
Stylomandibular ligament
Transverse ligament of atlas
1 Shoulder Bursa and Ligament,
Right
Acromioclavicular ligament
Coracoacromial ligament
Coracoclavicular ligament
Coracohumeral ligament
Costoclavicular ligament
Glenohumeral ligament
Interclavicular ligament
Sternoclavicular ligament
Subacromial bursa
Transverse humeral ligament
Transverse scapular ligament
2 Shoulder Bursa and Ligament,
Left
See 1 Shoulder Bursa and
Ligament, Right
3 Elbow Bursa and Ligament,
Right
Annular ligament
Olecranon bursa
Radial collateral ligament
Ulnar collateral ligament
4 Elbow Bursa and Ligament, Left
See 3 Elbow Bursa and Ligament,
Right
5 Wrist Bursa and Ligament, Right
Palmar ulnocarpal ligament
Radial collateral carpal ligament
Radiocarpal ligament
Radioulnar ligament
Ulnar collateral carpal ligament
6 Wrist Bursa and Ligament, Left
See 5 Wrist Bursa and Ligament,
Right
7 Hand Bursa and Ligament, Right
Carpometacarpal ligament
Intercarpal ligament
Interphalangeal ligament
Lunotriquetral ligament
Metacarpal ligament
Metacarpophalangeal ligament
Pisohamate ligament
Pisometacarpal ligament
Scapholunate ligament
Scaphotrapezium ligament
8 Hand Bursa and Ligament, Left
See 7 Hand Bursa and Ligament,
Right
9 Upper Extremity Bursa and
Ligament, Right
B Upper Extremity Bursa and
Ligament, Left
C Upper Spine Bursa and Ligament
Interspinous ligament, thoracic
Intertransverse ligament, thoracic
Ligamentum flavum, thoracic
Supraspinous ligament
0MR–0MR
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
494
Bursae and Ligaments ICD-10-PCS 2019
0MR
Approach Device Qualifier
Character 5 Character 6 Character 7
D Lower Spine Bursa and Ligament 0 Open 7 Autologous Tissue Z No Qualifier
Iliolumbar ligament 4 Percutaneous Substitute
Interspinous ligament, lumbar Endoscopic J Synthetic Substitute
Intertransverse ligament, lumbar K Nonautologous Tissue
Ligamentum flavum, lumbar Substitute
Sacrococcygeal ligament
Sacroiliac ligament
Sacrospinous ligament
Sacrotuberous ligament
Supraspinous ligament
F Sternum Bursa and Ligament
Costoxiphoid ligament
Sternocostal ligament
G Rib(s) Bursa and Ligament
Costotransverse ligament
H Abdomen Bursa and Ligament,
Right
J Abdomen Bursa and Ligament,
Left
K Perineum Bursa and Ligament
L Hip Bursa and Ligament, Right
Iliofemoral ligament
Ischiofemoral ligament
Pubofemoral ligament
Transverse acetabular ligament
Trochanteric bursa
M Hip Bursa and Ligament, Left
See L Hip Bursa and Ligament,
Right
N Knee Bursa and Ligament,
Right
Anterior cruciate ligament (ACL)
Lateral collateral ligament (LCL)
Ligament of head of fibula
Medial collateral ligament (MCL)
Patellar ligament
Popliteal ligament
Posterior cruciate ligament (PCL)
Prepatellar bursa
P Knee Bursa and Ligament,
Left
See N Knee Bursa and Ligament,
Right
Q Ankle Bursa and Ligament, Right
Calcaneofibular ligament
Deltoid ligament
Ligament of the lateral malleolus
Talofibular ligament
R Ankle Bursa and Ligament, Left
See Q Ankle Bursa and Ligament,
Right
S Foot Bursa and Ligament,
Right
Calcaneocuboid ligament
Cuneonavicular ligament
Intercuneiform ligament
Interphalangeal ligament
Metatarsal ligament
Metatarsophalangeal ligament
Subtalar ligament
Talocalcaneal ligament
Talocalcaneonavicular ligament
Tarsometatarsal ligament
T Foot Bursa and Ligament, Left
See S Foot Bursa and Ligament,
Right
V Lower Extremity Bursa and
Ligament, Right
W Lower Extremity Bursa and
Ligament, Left
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
M Bursae and Ligaments
S Reposition Definition: Moving to its normal location, or other suitable location, all or a portion of a body part
Explanation: The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning
correctly. The body part may or may not be cut out or off to be moved to the new location.
Body Part
Character 4
0 Head and Neck Bursa and
Ligament
Alar ligament of axis
Cervical interspinous ligament
Cervical intertransverse ligament
Cervical ligamentum flavum
Interspinous ligament, cervical
Intertransverse ligament, cervical
Lateral temporomandibular
ligament
Ligamentum flavum, cervical
Sphenomandibular ligament
Stylomandibular ligament
Transverse ligament of atlas
1 Shoulder Bursa and Ligament,
Right
Acromioclavicular ligament
Coracoacromial ligament
Coracoclavicular ligament
Coracohumeral ligament
Costoclavicular ligament
Glenohumeral ligament
Interclavicular ligament
Sternoclavicular ligament
Subacromial bursa
Transverse humeral ligament
Transverse scapular ligament
2 Shoulder Bursa and Ligament,
Left
See 1 Shoulder Bursa and
Ligament, Right
3 Elbow Bursa and Ligament,
Right
Annular ligament
Olecranon bursa
Radial collateral ligament
Ulnar collateral ligament
4 Elbow Bursa and Ligament, Left
See 3 Elbow Bursa and Ligament,
Right
5 Wrist Bursa and Ligament, Right
Palmar ulnocarpal ligament
Radial collateral carpal ligament
Radiocarpal ligament
Radioulnar ligament
Ulnar collateral carpal ligament
6 Wrist Bursa and Ligament, Left
See 5 Wrist Bursa and Ligament,
Right
7 Hand Bursa and Ligament, Right
Carpometacarpal ligament
Intercarpal ligament
Interphalangeal ligament
Lunotriquetral ligament
Metacarpal ligament
Metacarpophalangeal ligament
Pisohamate ligament
Pisometacarpal ligament
Scapholunate ligament
Scaphotrapezium ligament
8 Hand Bursa and Ligament, Left
See 7 Hand Bursa and Ligament,
Right
9 Upper Extremity Bursa and
Ligament, Right
B Upper Extremity Bursa and
Ligament, Left
C Upper Spine Bursa and Ligament
Interspinous ligament, thoracic
Intertransverse ligament, thoracic
Ligamentum flavum, thoracic
Supraspinous ligament
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Bursae and Ligaments 0MS–0MS
Bursae and Ligaments
0MS
Approach Device Qualifier
Character 5 Character 6 Character 7
D Lower Spine Bursa and Ligament 0 Open Z No Device Z No Qualifier
Iliolumbar ligament 4 Percutaneous
Interspinous ligament, lumbar Endoscopic
Intertransverse ligament, lumbar
Ligamentum flavum, lumbar
Sacrococcygeal ligament
Sacroiliac ligament
Sacrospinous ligament
Sacrotuberous ligament
Supraspinous ligament
F Sternum Bursa and Ligament
Costoxiphoid ligament
Sternocostal ligament
G Rib(s) Bursa and Ligament
Costotransverse ligament
H Abdomen Bursa and Ligament,
Right
J Abdomen Bursa and Ligament,
Left
K Perineum Bursa and Ligament
L Hip Bursa and Ligament, Right
Iliofemoral ligament
Ischiofemoral ligament
Pubofemoral ligament
Transverse acetabular ligament
Trochanteric bursa
M Hip Bursa and Ligament, Left
See L Hip Bursa and Ligament,
Right
N Knee Bursa and Ligament,
Right
Anterior cruciate ligament (ACL)
Lateral collateral ligament (LCL)
Ligament of head of fibula
Medial collateral ligament (MCL)
Patellar ligament
Popliteal ligament
Posterior cruciate ligament (PCL)
Prepatellar bursa
P Knee Bursa and Ligament,
Left
See N Knee Bursa and Ligament,
Right
Q Ankle Bursa and Ligament, Right
Calcaneofibular ligament
Deltoid ligament
Ligament of the lateral malleolus
Talofibular ligament
R Ankle Bursa and Ligament, Left
See Q Ankle Bursa and Ligament,
Right
S Foot Bursa and Ligament,
Right
Calcaneocuboid ligament
Cuneonavicular ligament
Intercuneiform ligament
Interphalangeal ligament
Metatarsal ligament
Metatarsophalangeal ligament
Subtalar ligament
Talocalcaneal ligament
Talocalcaneonavicular ligament
Tarsometatarsal ligament
T Foot Bursa and Ligament, Left
See S Foot Bursa and Ligament,
Right
V Lower Extremity Bursa and
Ligament, Right
W Lower Extremity Bursa and
Ligament, Left
0MS–0MS
New/Revised in GREEN
495
 0MT–0MT
Bursae and Ligaments
0 Medical and Surgical
M Bursae and Ligaments
T Resection Definition: Cutting out or off, without replacement, all of a body part
Explanation: None
Body Part
Character 4
0 Head and Neck Bursa and
Ligament
Alar ligament of axis
Cervical interspinous ligament
Cervical intertransverse ligament
Cervical ligamentum flavum
Interspinous ligament, cervical
Intertransverse ligament, cervical
Lateral temporomandibular
ligament
Ligamentum flavum, cervical
Sphenomandibular ligament
Stylomandibular ligament
Transverse ligament of atlas
1 Shoulder Bursa and Ligament,
Right
Acromioclavicular ligament
Coracoacromial ligament
Coracoclavicular ligament
Coracohumeral ligament
Costoclavicular ligament
Glenohumeral ligament
Interclavicular ligament
Sternoclavicular ligament
Subacromial bursa
Transverse humeral ligament
Transverse scapular ligament
2 Shoulder Bursa and Ligament,
Left
See 1 Shoulder Bursa and
Ligament, Right
3 Elbow Bursa and Ligament,
Right
Annular ligament
Olecranon bursa
Radial collateral ligament
Ulnar collateral ligament
4 Elbow Bursa and Ligament, Left
See 3 Elbow Bursa and Ligament,
Right
5 Wrist Bursa and Ligament, Right
Palmar ulnocarpal ligament
Radial collateral carpal ligament
Radiocarpal ligament
Radioulnar ligament
Ulnar collateral carpal ligament
6 Wrist Bursa and Ligament, Left
See 5 Wrist Bursa and Ligament,
Right
7 Hand Bursa and Ligament, Right
Carpometacarpal ligament
Intercarpal ligament
Interphalangeal ligament
Lunotriquetral ligament
Metacarpal ligament
Metacarpophalangeal ligament
Pisohamate ligament
Pisometacarpal ligament
Scapholunate ligament
Scaphotrapezium ligament
8 Hand Bursa and Ligament, Left
See 7 Hand Bursa and Ligament,
Right
9 Upper Extremity Bursa and
Ligament, Right
B Upper Extremity Bursa and
Ligament, Left
C Upper Spine Bursa and Ligament
Interspinous ligament, thoracic
Intertransverse ligament, thoracic
Ligamentum flavum, thoracic
Supraspinous ligament
0MT–0MT
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
496
Bursae and Ligaments ICD-10-PCS 2019
0MT
Approach Device Qualifier
Character 5 Character 6 Character 7
D Lower Spine Bursa and Ligament 0 Open Z No Device Z No Qualifier
Iliolumbar ligament 4 Percutaneous
Interspinous ligament, lumbar Endoscopic
Intertransverse ligament, lumbar
Ligamentum flavum, lumbar
Sacrococcygeal ligament
Sacroiliac ligament
Sacrospinous ligament
Sacrotuberous ligament
Supraspinous ligament
F Sternum Bursa and Ligament
Costoxiphoid ligament
Sternocostal ligament
G Rib(s) Bursa and Ligament
Costotransverse ligament
H Abdomen Bursa and Ligament,
Right
J Abdomen Bursa and Ligament,
Left
K Perineum Bursa and Ligament
L Hip Bursa and Ligament, Right
Iliofemoral ligament
Ischiofemoral ligament
Pubofemoral ligament
Transverse acetabular ligament
Trochanteric bursa
M Hip Bursa and Ligament, Left
See L Hip Bursa and Ligament,
Right
N Knee Bursa and Ligament,
Right
Anterior cruciate ligament (ACL)
Lateral collateral ligament (LCL)
Ligament of head of fibula
Medial collateral ligament (MCL)
Patellar ligament
Popliteal ligament
Posterior cruciate ligament (PCL)
Prepatellar bursa
P Knee Bursa and Ligament,
Left
See N Knee Bursa and Ligament,
Right
Q Ankle Bursa and Ligament, Right
Calcaneofibular ligament
Deltoid ligament
Ligament of the lateral malleolus
Talofibular ligament
R Ankle Bursa and Ligament, Left
See Q Ankle Bursa and Ligament,
Right
S Foot Bursa and Ligament,
Right
Calcaneocuboid ligament
Cuneonavicular ligament
Intercuneiform ligament
Interphalangeal ligament
Metatarsal ligament
Metatarsophalangeal ligament
Subtalar ligament
Talocalcaneal ligament
Talocalcaneonavicular ligament
Tarsometatarsal ligament
T Foot Bursa and Ligament, Left
See S Foot Bursa and Ligament,
Right
V Lower Extremity Bursa and
Ligament, Right
W Lower Extremity Bursa and
Ligament, Left
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
M Bursae and Ligaments
U Supplement Definition: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part
Explanation: The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced,
and the SUPPLEMENT procedure is performed to physically reinforce and/or augment the function of the replaced body part.
Body Part
Character 4
0 Head and Neck Bursa and
Ligament
Alar ligament of axis
Cervical interspinous ligament
Cervical intertransverse ligament
Cervical ligamentum flavum
Interspinous ligament, cervical
Intertransverse ligament, cervical
Lateral temporomandibular
ligament
Ligamentum flavum, cervical
Sphenomandibular ligament
Stylomandibular ligament
Transverse ligament of atlas
1 Shoulder Bursa and Ligament,
Right
Acromioclavicular ligament
Coracoacromial ligament
Coracoclavicular ligament
Coracohumeral ligament
Costoclavicular ligament
Glenohumeral ligament
Interclavicular ligament
Sternoclavicular ligament
Subacromial bursa
Transverse humeral ligament
Transverse scapular ligament
2 Shoulder Bursa and Ligament,
Left
See 1 Shoulder Bursa and
Ligament, Right
3 Elbow Bursa and Ligament,
Right
Annular ligament
Olecranon bursa
Radial collateral ligament
Ulnar collateral ligament
4 Elbow Bursa and Ligament, Left
See 3 Elbow Bursa and Ligament,
Right
5 Wrist Bursa and Ligament, Right
Palmar ulnocarpal ligament
Radial collateral carpal ligament
Radiocarpal ligament
Radioulnar ligament
Ulnar collateral carpal ligament
6 Wrist Bursa and Ligament, Left
See 5 Wrist Bursa and Ligament,
Right
7 Hand Bursa and Ligament, Right
Carpometacarpal ligament
Intercarpal ligament
Interphalangeal ligament
Lunotriquetral ligament
Metacarpal ligament
Metacarpophalangeal ligament
Pisohamate ligament
Pisometacarpal ligament
Scapholunate ligament
Scaphotrapezium ligament
8 Hand Bursa and Ligament, Left
See 7 Hand Bursa and Ligament,
Right
9 Upper Extremity Bursa and
Ligament, Right
B Upper Extremity Bursa and
Ligament, Left
C Upper Spine Bursa and Ligament
Interspinous ligament, thoracic
Intertransverse ligament, thoracic
Ligamentum flavum, thoracic
Supraspinous ligament
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Bursae and Ligaments 0MU–0MU
Bursae and Ligaments
0MU
Approach Device Qualifier
Character 5 Character 6 Character 7
D Lower Spine Bursa and Ligament 0 Open 7 Autologous Tissue Z No Qualifier
Iliolumbar ligament 4 Percutaneous Substitute
Interspinous ligament, lumbar Endoscopic J Synthetic Substitute
Intertransverse ligament, lumbar K Nonautologous Tissue
Ligamentum flavum, lumbar Substitute
Sacrococcygeal ligament
Sacroiliac ligament
Sacrospinous ligament
Sacrotuberous ligament
Supraspinous ligament
F Sternum Bursa and Ligament
Costoxiphoid ligament
Sternocostal ligament
G Rib(s) Bursa and Ligament
Costotransverse ligament
H Abdomen Bursa and Ligament,
Right
J Abdomen Bursa and Ligament,
Left
K Perineum Bursa and Ligament
L Hip Bursa and Ligament, Right
Iliofemoral ligament
Ischiofemoral ligament
Pubofemoral ligament
Transverse acetabular ligament
Trochanteric bursa
M Hip Bursa and Ligament, Left
See L Hip Bursa and Ligament,
Right
N Knee Bursa and Ligament,
Right
Anterior cruciate ligament (ACL)
Lateral collateral ligament (LCL)
Ligament of head of fibula
Medial collateral ligament (MCL)
Patellar ligament
Popliteal ligament
Posterior cruciate ligament (PCL)
Prepatellar bursa
P Knee Bursa and Ligament,
Left
See N Knee Bursa and Ligament,
Right
Q Ankle Bursa and Ligament, Right
Calcaneofibular ligament
Deltoid ligament
Ligament of the lateral malleolus
Talofibular ligament
R Ankle Bursa and Ligament, Left
See Q Ankle Bursa and Ligament,
Right
S Foot Bursa and Ligament,
Right
Calcaneocuboid ligament
Cuneonavicular ligament
Intercuneiform ligament
Interphalangeal ligament
Metatarsal ligament
Metatarsophalangeal ligament
Subtalar ligament
Talocalcaneal ligament
Talocalcaneonavicular ligament
Tarsometatarsal ligament
T Foot Bursa and Ligament, Left
See S Foot Bursa and Ligament,
Right
V Lower Extremity Bursa and
Ligament, Right
W Lower Extremity Bursa and
Ligament, Left
0MU–0MU
New/Revised in GREEN
497
 0MW–0MW Bursae and Ligaments ICD-10-PCS 2019
Bursae and Ligaments

0 Medical and Surgical

M Bursae and Ligaments 0MW
W Revision Definition: Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device
Explanation: Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as
a screw or pin
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
X Upper Bursa and Ligament 0 Open 0 Drainage Device Z No Qualifier
Y Lower Bursa and Ligament 3 Percutaneous 7 Autologous Tissue Substitute
4 Percutaneous Endoscopic J Synthetic Substitute
K Nonautologous Tissue Substitute
Y Other Device
X Upper Bursa and Ligament X External 0 Drainage Device Z No Qualifier
Y Lower Bursa and Ligament 7 Autologous Tissue Substitute
J Synthetic Substitute
K Nonautologous Tissue Substitute
Non-OR 0MW[X,Y][3,4]YZ
Non-OR 0MW[X,Y]X[0,7,J,K]Z
0MW–0MW

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
498 ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
M Bursae and Ligaments
X Transfer Definition: Moving, without taking out, all or a portion of a body part to another location to take over the function of all or a portion of a body part
Explanation: The body part transferred remains connected to its vascular and nervous supply
Body Part
Character 4
0 Head and Neck Bursa and
Ligament
Alar ligament of axis
Cervical interspinous ligament
Cervical intertransverse ligament
Cervical ligamentum flavum
Interspinous ligament, cervical
Intertransverse ligament, cervical
Lateral temporomandibular
ligament
Ligamentum flavum, cervical
Sphenomandibular ligament
Stylomandibular ligament
Transverse ligament of atlas
1 Shoulder Bursa and Ligament,
Right
Acromioclavicular ligament
Coracoacromial ligament
Coracoclavicular ligament
Coracohumeral ligament
Costoclavicular ligament
Glenohumeral ligament
Interclavicular ligament
Sternoclavicular ligament
Subacromial bursa
Transverse humeral ligament
Transverse scapular ligament
2 Shoulder Bursa and Ligament,
Left
See 1 Shoulder Bursa and
Ligament, Right
3 Elbow Bursa and Ligament,
Right
Annular ligament
Olecranon bursa
Radial collateral ligament
Ulnar collateral ligament
4 Elbow Bursa and Ligament, Left
See 3 Elbow Bursa and Ligament,
Right
5 Wrist Bursa and Ligament, Right P Knee Bursa and Ligament, Left
Palmar ulnocarpal ligament
Radial collateral carpal ligament
Radiocarpal ligament
Radioulnar ligament
Ulnar collateral carpal ligament
6 Wrist Bursa and Ligament, Left
See 5 Wrist Bursa and Ligament,
Right
7 Hand Bursa and Ligament, Right
Carpometacarpal ligament
Intercarpal ligament
Interphalangeal ligament
Lunotriquetral ligament
Metacarpal ligament
Metacarpophalangeal ligament
Pisohamate ligament
Pisometacarpal ligament
Scapholunate ligament
Scaphotrapezium ligament
8 Hand Bursa and Ligament, Left
See 7 Hand Bursa and Ligament,
Right
9 Upper Extremity Bursa and
Ligament, Right
B Upper Extremity Bursa and
Ligament, Left
C Upper Spine Bursa and Ligament
Interspinous ligament, thoracic
Intertransverse ligament, thoracic
Ligamentum flavum, thoracic
Supraspinous ligament
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Bursae and Ligaments 0MX–0MX
Bursae and Ligaments
0MX
Approach Device Qualifier
Character 5 Character 6 Character 7
D Lower Spine Bursa and Ligament 0 Open Z No Device Z No Qualifier
Iliolumbar ligament 4 Percutaneous
Interspinous ligament, lumbar Endoscopic
Intertransverse ligament, lumbar
Ligamentum flavum, lumbar
Sacrococcygeal ligament
Sacroiliac ligament
Sacrospinous ligament
Sacrotuberous ligament
Supraspinous ligament
F Sternum Bursa and Ligament
Costoxiphoid ligament
Sternocostal ligament
G Rib(s) Bursa and Ligament
Costotransverse ligament
H Abdomen Bursa and Ligament,
Right
J Abdomen Bursa and Ligament,
Left
K Perineum Bursa and Ligament
L Hip Bursa and Ligament, Right
Iliofemoral ligament
Ischiofemoral ligament
Pubofemoral ligament
Transverse acetabular ligament
Trochanteric bursa
M Hip Bursa and Ligament, Left
See L Hip Bursa and Ligament,
Right
N Knee Bursa and Ligament, Right
Anterior cruciate ligament (ACL)
Lateral collateral ligament (LCL)
Ligament of head of fibula
Medial collateral ligament (MCL)
Patellar ligament
Popliteal ligament
Posterior cruciate ligament (PCL)
Prepatellar bursa
See N Knee Bursa and Ligament,
Right
Q Ankle Bursa and Ligament, Right
Calcaneofibular ligament
Deltoid ligament
Ligament of the lateral malleolus
Talofibular ligament
R Ankle Bursa and Ligament, Left
See Q Ankle Bursa and Ligament,
Right
S Foot Bursa and Ligament, Right
Calcaneocuboid ligament
Cuneonavicular ligament
Intercuneiform ligament
Interphalangeal ligament
Metatarsal ligament
Metatarsophalangeal ligament
Subtalar ligament
Talocalcaneal ligament
Talocalcaneonavicular ligament
Tarsometatarsal ligament
T Foot Bursa and Ligament, Left
See S Foot Bursa and Ligament,
Right
V Lower Extremity Bursa and
Ligament, Right
W Lower Extremity Bursa and
Ligament, Left
0MX–0MX
New/Revised in GREEN
499
This page is left intentionally blank.
ICD-10-PCS 2019 Head and Facial Bones

Head and Facial Bones

Head and Facial Bones 0N2–0NW
Character Meanings
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.

Operation–Character 3 Body Part–Character 4 Approach–Character 5 Device–Character 6 Qualifier–Character 7

2 Change 0 Skull 0 Open 0 Drainage Device X Diagnostic
5 Destruction 1 Frontal Bone 3 Percutaneous 4 Internal Fixation Device Z No Qualifier
8 Division 3 Parietal Bone, Right 4 Percutaneous Endoscopic 5 External Fixation Device
9 Drainage 4 Parietal Bone, Left X External 7 Autologous Tissue
Substitute
B Excision 5 Temporal Bone, Right J Synthetic Substitute
C Extirpation 6 Temporal Bone, Left K Nonautologous Tissue
Substitute
D Extraction 7 Occipital Bone M Bone Growth Stimulator
H Insertion B Nasal Bone N Neurostimulator Generator
J Inspection C Sphenoid Bone S Hearing Device
N Release F Ethmoid Bone, Right Y Other Device
P Removal G Ethmoid Bone, Left Z No Device
Q Repair H Lacrimal Bone, Right
R Replacement J Lacrimal Bone, Left
S Reposition K Palatine Bone, Right
T Resection L Palatine Bone, Left
U Supplement M Zygomatic Bone, Right
W Revision N Zygomatic Bone, Left
P Orbit, Right
Q Orbit, Left
R Maxilla
T Mandible, Right
V Mandible, Left
W Facial Bone
X Hyoid Bone

AHA Coding Clinic for table 0NB AHA Coding Clinic for table 0NS
2017, 1Q, 20 Preparatory nasal adhesion repair before definitive cleft palate repair 2017, 3Q, 22 Replacement of native skull bone flap
2015, 3Q, 3-8 Excisional and nonexcisional debridement 2017, 1Q, 20 Preparatory nasal adhesion repair before definitive cleft palate repair
2015, 2Q, 12 Orbital exenteration 2016, 2Q, 30 Clipping (occlusion) of cerebral artery, decompressive craniectomy and
AHA Coding Clinic for table 0ND storage of bone flap in abdominal wall
2015, 3Q, 17 Craniosynostosis with cranial vault reconstruction
2017, 4Q, 41 Extraction procedures
2015, 3Q, 27 Moyamoya disease and hemispheric pial synagiosis with craniotomy
AHA Coding Clinic for table 0NH 2014, 3Q, 23 Le Fort I osteotomy
2015, 3Q, 13 Nonexcisional debridement of cranial wound with removal and 2013, 3Q, 24 Distraction osteogenesis
replacement of hardware 2013, 3Q, 25 Fracture of frontal bone with repair and coagulation for hemostasis
AHA Coding Clinic for table 0NP AHA Coding Clinic for table 0NU
2015, 3Q, 13 Nonexcisional debridement of cranial wound with removal and 2016, 3Q, 29 Closure of bilateral alveolar clefts
replacement of hardware 2013, 3Q, 24 Distraction osteogenesis
AHA Coding Clinic for table 0NQ
2016, 3Q, 29 Closure of bilateral alveolar clefts
AHA Coding Clinic for table 0NR
2017, 3Q, 17 Resection of schwannoma and placement of DuraGen and Lorenz
cranial plating system
2017, 3Q, 22 Replacement of native skull bone flap
2017, 1Q, 23 Reconstruction of mandible using titanium and bone
2014, 3Q, 7 Hemi-cranioplasty for repair of cranial defect

ICD-10-PCS 2019 501

 Head and Facial Bones ICD-10-PCS 2019
Head and Facial Bones

Head and Facial Bones

Skull 0

Frontal 1

Nasal B

Supraorbital foramen P, Q
Parietal 3, 4
Temporal 5, 6

Lacrimal H, J

Sphenoid C
Ethmoid F, G

Zygomatic M, N
Vomer B

Ramus of mandible T, V

Alveolar process of mandible T, V

Maxilla R
Alveolar process of maxilla R
Body of mandible T, V
Mandible T, V
Mental protuberance T, V

Skull Bones

Bones of skull vault

Frontal 1
Parietal 3, 4

Skull base from above

Occipital 7

Sphenoid C Frontal sinus

Anterior fossa Ethmoid sinus
Petrosal temporal 5, 6

Squamous temporal 5, 6 Sphenoid

Temporal

Middle fossa

Posterior fossa
Occipital

502 ICD-10-PCS 2019

ICD-10-PCS 2019 Head and Facial Bones 0N2–0N5

Head and Facial Bones

0 Medical and Surgical
N Head and Facial Bones 0N2
2 Change Definition: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without
cutting or puncturing the skin or a mucous membrane
Explanation: All CHANGE procedures are coded using the approach EXTERNAL
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Skull X External 0 Drainage Device Z No Qualifier
B Nasal Bone Y Other Device
Vomer of nasal septum
W Facial Bone
Non-OR All body part, approach, device, and qualifier values

0 Medical and Surgical

N Head and Facial Bones 0N5
5 Destruction Definition: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent
Explanation: None of the body part is physically taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Skull 0 Open Z No Device Z No Qualifier
1 Frontal Bone 3 Percutaneous
Zygomatic process of frontal bone 4 Percutaneous Endoscopic
3 Parietal Bone, Right
4 Parietal Bone, Left
5 Temporal Bone, Right
Mastoid process
Petrous part of temporal bone
Tympanic part of temporal bone
Zygomatic process of temporal bone
6 Temporal Bone, Left
See 5 Temporal Bone, Right
7 Occipital Bone
Foramen magnum
B Nasal Bone
Vomer of nasal septum
C Sphenoid Bone
Greater wing
Lesser wing
Optic foramen
Pterygoid process
Sella turcica
F Ethmoid Bone, Right
Cribriform plate
G Ethmoid Bone, Left
See F Ethmoid Bone, Right
H Lacrimal Bone, Right
J Lacrimal Bone, Left
K Palatine Bone, Right
L Palatine Bone, Left
M Zygomatic Bone, Right
N Zygomatic Bone, Left
P Orbit, Right
Bony orbit
Orbital portion of ethmoid bone
Orbital portion of frontal bone
Orbital portion of lacrimal bone
Orbital portion of maxilla
Orbital portion of palatine bone
Orbital portion of sphenoid bone
Orbital portion of zygomatic bone
Q Orbit, Left
See P Orbit, Right
R Maxilla
Alveolar process of maxilla
T Mandible, Right
Alveolar process of mandible
Condyloid process
Mandibular notch
Mental foramen
V Mandible, Left
See T Mandible, Right
X Hyoid Bone
0N2–0N5

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 503
 0N8–0N8 Head and Facial Bones ICD-10-PCS 2019
Head and Facial Bones

0 Medical and Surgical

N Head and Facial Bones 0N8
8 Division Definition: Cutting into a body part, without draining fluids and/or gases from the body part, in order to separate or transect a body part
Explanation: All or a portion of the body part is separated into two or more portions
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Skull 0 Open Z No Device Z No Qualifier
1 Frontal Bone 3 Percutaneous
Zygomatic process of frontal bone 4 Percutaneous Endoscopic
3 Parietal Bone, Right
4 Parietal Bone, Left
5 Temporal Bone, Right
Mastoid process
Petrous part of temporal bone
Tympanic part of temporal bone
Zygomatic process of temporal bone
6 Temporal Bone, Left
See 5 Temporal Bone, Right
7 Occipital Bone
Foramen magnum
B Nasal Bone
Vomer of nasal septum
C Sphenoid Bone
Greater wing
Lesser wing
Optic foramen
Pterygoid process
Sella turcica
F Ethmoid Bone, Right
Cribriform plate
G Ethmoid Bone, Left
See F Ethmoid Bone, Right
H Lacrimal Bone, Right
J Lacrimal Bone, Left
K Palatine Bone, Right
L Palatine Bone, Left
M Zygomatic Bone, Right
N Zygomatic Bone, Left
P Orbit, Right
Bony orbit
Orbital portion of ethmoid bone
Orbital portion of frontal bone
Orbital portion of lacrimal bone
Orbital portion of maxilla
Orbital portion of palatine bone
Orbital portion of sphenoid bone
Orbital portion of zygomatic bone
Q Orbit, Left
See P Orbit, Right
R Maxilla
Alveolar process of maxilla
T Mandible, Right
Alveolar process of mandible
Condyloid process
Mandibular notch
Mental foramen
V Mandible, Left
See T Mandible, Right
X Hyoid Bone
Non-OR 0N8B[0,3,4]ZZ
0N8–0N8

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
504 ICD-10-PCS 2019
ICD-10-PCS 2019 Head and Facial Bones 0N9–0N9

Head and Facial Bones

0 Medical and Surgical
N Head and Facial Bones 0N9
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Skull 0 Open 0 Drainage Device Z No Qualifier
1 Frontal Bone 3 Percutaneous
Zygomatic process of frontal bone 4 Percutaneous Endoscopic
3 Parietal Bone, Right
4 Parietal Bone, Left
5 Temporal Bone, Right
Mastoid process
Petrous part of temporal bone
Tympanic part of temporal bone
Zygomatic process of temporal bone
6 Temporal Bone, Left
See 5 Temporal Bone, Right
7 Occipital Bone
Foramen magnum
B Nasal Bone
Vomer of nasal septum
C Sphenoid Bone
Greater wing
Lesser wing
Optic foramen
Pterygoid process
Sella turcica
F Ethmoid Bone, Right
Cribriform plate
G Ethmoid Bone, Left
See F Ethmoid Bone, Right
H Lacrimal Bone, Right
J Lacrimal Bone, Left
K Palatine Bone, Right
L Palatine Bone, Left
M Zygomatic Bone, Right
N Zygomatic Bone, Left
P Orbit, Right
Bony orbit
Orbital portion of ethmoid bone
Orbital portion of frontal bone
Orbital portion of lacrimal bone
Orbital portion of maxilla
Orbital portion of palatine bone
Orbital portion of sphenoid bone
Orbital portion of zygomatic bone
Q Orbit, Left
See P Orbit, Right
R Maxilla
Alveolar process of maxilla
T Mandible, Right
Alveolar process of mandible
Condyloid process
Mandibular notch
Mental foramen
V Mandible, Left
See T Mandible, Right
X Hyoid Bone
0N9 Continued on next page
Non-OR 0N9[0,1,3,4,5,6,7,C,F,G,H,J,K,L,M,N,P,Q,X]30Z
Non-OR 0N9[B,R,T,V][0,3,4]0Z
0N9–0N9

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 505
 0N9–0N9 Head and Facial Bones ICD-10-PCS 2019
Head and Facial Bones

0 Medical and Surgical 0N9 Continued

N Head and Facial Bones 0N9
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Skull 0 Open Z No Device X Diagnostic
1 Frontal Bone 3 Percutaneous Z No Qualifier
Zygomatic process of frontal bone 4 Percutaneous Endoscopic
3 Parietal Bone, Right
4 Parietal Bone, Left
5 Temporal Bone, Right
Mastoid process
Petrous part of temporal bone
Tympanic part of temporal bone
Zygomatic process of temporal bone
6 Temporal Bone, Left
See 5 Temporal Bone, Right
7 Occipital Bone
Foramen magnum
B Nasal Bone
Vomer of nasal septum
C Sphenoid Bone
Greater wing
Lesser wing
Optic foramen
Pterygoid process
Sella turcica
F Ethmoid Bone, Right
Cribriform plate
G Ethmoid Bone, Left
See F Ethmoid Bone, Right
H Lacrimal Bone, Right
J Lacrimal Bone, Left
K Palatine Bone, Right
L Palatine Bone, Left
M Zygomatic Bone, Right
N Zygomatic Bone, Left
P Orbit, Right
Bony orbit
Orbital portion of ethmoid bone
Orbital portion of frontal bone
Orbital portion of lacrimal bone
Orbital portion of maxilla
Orbital portion of palatine bone
Orbital portion of sphenoid bone
Orbital portion of zygomatic bone
Q Orbit, Left
See P Orbit, Right
R Maxilla
Alveolar process of maxilla
T Mandible, Right
Alveolar process of mandible
Condyloid process
Mandibular notch
Mental foramen
V Mandible, Left
See T Mandible, Right
X Hyoid Bone
Non-OR 0N9[0,1,3,4,5,6,7,C,F,G,H,J,K,L,M,N,P,Q,X]3ZZ
Non-OR 0N9B[0,3,4]Z[X,Z]
Non-OR 0N9[R,T,V][0,3,4]ZZ
0N9–0N9

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
506 ICD-10-PCS 2019
ICD-10-PCS 2019 Head and Facial Bones 0NB–0NB

Head and Facial Bones

0 Medical and Surgical
N Head and Facial Bones 0NB
B Excision Definition: Cutting out or off, without replacement, a portion of a body part
Explanation: The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Skull 0 Open Z No Device X Diagnostic
1 Frontal Bone 3 Percutaneous Z No Qualifier
Zygomatic process of frontal bone 4 Percutaneous Endoscopic
3 Parietal Bone, Right
4 Parietal Bone, Left
5 Temporal Bone, Right
Mastoid process
Petrous part of temporal bone
Tympanic part of temporal bone
Zygomatic process of temporal bone
6 Temporal Bone, Left
See 5 Temporal Bone, Right
7 Occipital Bone
Foramen magnum
B Nasal Bone
Vomer of nasal septum
C Sphenoid Bone
Greater wing
Lesser wing
Optic foramen
Pterygoid process
Sella turcica
F Ethmoid Bone, Right
Cribriform plate
G Ethmoid Bone, Left
See F Ethmoid Bone, Right
H Lacrimal Bone, Right
J Lacrimal Bone, Left
K Palatine Bone, Right
L Palatine Bone, Left
M Zygomatic Bone, Right
N Zygomatic Bone, Left
P Orbit, Right
Bony orbit
Orbital portion of ethmoid bone
Orbital portion of frontal bone
Orbital portion of lacrimal bone
Orbital portion of maxilla
Orbital portion of palatine bone
Orbital portion of sphenoid bone
Orbital portion of zygomatic bone
Q Orbit, Left
See P Orbit, Right
R Maxilla
Alveolar process of maxilla
T Mandible, Right
Alveolar process of mandible
Condyloid process
Mandibular notch
Mental foramen
V Mandible, Left
See T Mandible, Right
X Hyoid Bone
Non-OR 0NB[B,R,T,V][0,3,4]ZX
0NB–0NB

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 507
 0NC–0NC Head and Facial Bones ICD-10-PCS 2019
Head and Facial Bones

0 Medical and Surgical

N Head and Facial Bones 0NC
C Extirpation Definition: Taking or cutting out solid matter from a body part
Explanation: The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in
the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Frontal Bone 0 Open Z No Device Z No Qualifier
Zygomatic process of frontal bone 3 Percutaneous
3 Parietal Bone, Right 4 Percutaneous Endoscopic
4 Parietal Bone, Left
5 Temporal Bone, Right
Mastoid process
Petrous part of temporal bone
Tympanic part of temporal bone
Zygomatic process of temporal bone
6 Temporal Bone, Left
See 5 Temporal Bone, Right
7 Occipital Bone
Foramen magnum
B Nasal Bone
Vomer of nasal septum
C Sphenoid Bone
Greater wing
Lesser wing
Optic foramen
Pterygoid process
Sella turcica
F Ethmoid Bone, Right
Cribriform plate
G Ethmoid Bone, Left
See F Ethmoid Bone, Right
H Lacrimal Bone, Right
J Lacrimal Bone, Left
K Palatine Bone, Right
L Palatine Bone, Left
M Zygomatic Bone, Right
N Zygomatic Bone, Left
P Orbit, Right
Bony orbit
Orbital portion of ethmoid bone
Orbital portion of frontal bone
Orbital portion of lacrimal bone
Orbital portion of maxilla
Orbital portion of palatine bone
Orbital portion of sphenoid bone
Orbital portion of zygomatic bone
Q Orbit, Left
See P Orbit, Right
R Maxilla
Alveolar process of maxilla
T Mandible, Right
Alveolar process of mandible
Condyloid process
Mandibular notch
Mental foramen
V Mandible, Left
See T Mandible, Right
X Hyoid Bone
Non-OR 0NC[B,R,T,V][0,3,4]ZZ
0NC–0NC

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
508 ICD-10-PCS 2019
ICD-10-PCS 2019 Head and Facial Bones 0ND–0ND

Head and Facial Bones

0 Medical and Surgical
N Head and Facial Bones 0ND
D Extraction Definition: Pulling or stripping out or off all or a portion of a body part by the use of force
Explanation: The qualifier DIAGNOSTIC is used to identify extraction procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Skull 0 Open Z No Device Z No Qualifier
1 Frontal Bone
Zygomatic process of frontal bone
3 Parietal Bone, Right
4 Parietal Bone, Left
5 Temporal Bone, Right
Mastoid process
Petrous part of temporal bone
Tympanic part of temporal bone
Zygomatic process of temporal bone
6 Temporal Bone, Left
See 5 Temporal Bone, Right
7 Occipital Bone
Foramen magnum
B Nasal Bone
Vomer of nasal septum
C Sphenoid Bone
Greater wing
Lesser wing
Optic foramen
Pterygoid process
Sella turcica
F Ethmoid Bone, Right
Cribriform plate
G Ethmoid Bone, Left
See F Ethmoid Bone, Right
H Lacrimal Bone, Right
J Lacrimal Bone, Left
K Palatine Bone, Right
L Palatine Bone, Left
M Zygomatic Bone, Right
N Zygomatic Bone, Left
P Orbit, Right
Bony orbit
Orbital portion of ethmoid bone
Orbital portion of frontal bone
Orbital portion of lacrimal bone
Orbital portion of maxilla
Orbital portion of palatine bone
Orbital portion of sphenoid bone
Orbital portion of zygomatic bone
Q Orbit, Left
See P Orbit, Right
R Maxilla
Alveolar process of maxilla
T Mandible, Right
Alveolar process of mandible
Condyloid process
Mandibular notch
Mental foramen
V Mandible, Left
See T Mandible, Right
X Hyoid Bone
0ND–0ND

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 509
 0NH–0NH Head and Facial Bones ICD-10-PCS 2019
Head and Facial Bones

0 Medical and Surgical

N Head and Facial Bones 0NH
H Insertion Definition: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically
take the place of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Skull ? 0 Open 4 Internal Fixation Device Z No Qualifier
5 External Fixation Device
M Bone Growth Stimulator
N Neurostimulator Generator
0 Skull 3 Percutaneous 4 Internal Fixation Device Z No Qualifier
4 Percutaneous Endoscopic 5 External Fixation Device
M Bone Growth Stimulator
1 Frontal Bone 0 Open 4 Internal Fixation Device Z No Qualifier
Zygomatic process of frontal bone 3 Percutaneous
3 Parietal Bone, Right 4 Percutaneous Endoscopic
4 Parietal Bone, Left
7 Occipital Bone
Foramen magnum
C Sphenoid Bone
Greater wing
Lesser wing
Optic foramen
Pterygoid process
Sella turcica
F Ethmoid Bone, Right
Cribriform plate
G Ethmoid Bone, Left
See F Ethmoid Bone, Right
H Lacrimal Bone, Right
J Lacrimal Bone, Left
K Palatine Bone, Right
L Palatine Bone, Left
M Zygomatic Bone, Right
N Zygomatic Bone, Left
P Orbit, Right
Bony orbit
Orbital portion of ethmoid bone
Orbital portion of frontal bone
Orbital portion of lacrimal bone
Orbital portion of maxilla
Orbital portion of palatine bone
Orbital portion of sphenoid bone
Orbital portion of zygomatic bone
Q Orbit, Left
See P Orbit, Right
X Hyoid Bone
5 Temporal Bone, Right 0 Open 4 Internal Fixation Device Z No Qualifier
Mastoid process 3 Percutaneous S Hearing Device
Petrous part of temporal bone 4 Percutaneous Endoscopic
Tympanic part of temporal bone
Zygomatic process of temporal bone
6 Temporal Bone, Left
See 5 Temporal Bone, Right
B Nasal Bone 0 Open 4 Internal Fixation Device Z No Qualifier
Vomer of nasal septum 3 Percutaneous M Bone Growth Stimulator
4 Percutaneous Endoscopic
R Maxilla 0 Open 4 Internal Fixation Device Z No Qualifier
Alveolar process of maxilla 3 Percutaneous 5 External Fixation Device
T Mandible, Right 4 Percutaneous Endoscopic
Alveolar process of mandible
Condyloid process
Mandibular notch
Mental foramen
V Mandible, Left
See T Mandible, Right
W Facial Bone 0 Open M Bone Growth Stimulator Z No Qualifier
3 Percutaneous
4 Percutaneous Endoscopic
Non-OR 0NH005Z See Appendix L for Procedure Combinations
Non-OR 0NH0[3,4]5Z ? 0NH00NZ
Non-OR 0NHB[0,3,4][4,M]Z
0NH–0NH

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
510 ICD-10-PCS 2019
ICD-10-PCS 2019 Head and Facial Bones 0NJ–0NN

Head and Facial Bones

0 Medical and Surgical
N Head and Facial Bones 0NJ
J Inspection Definition: Visually and/or manually exploring a body part
Explanation: Visual exploration may be performed with or without optical instrumentation. Manual exploration may be performed directly or
through intervening body layers.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Skull 0 Open Z No Device Z No Qualifier
B Nasal Bone 3 Percutaneous
Vomer of nasal septum 4 Percutaneous Endoscopic
W Facial Bone X External
Non-OR 0NJ[0,B,W][3,X]ZZ

0 Medical and Surgical

N Head and Facial Bones 0NN
N Release Definition: Freeing a body part from an abnormal physical constraint by cutting or by the use of force
Explanation: Some of the restraining tissue may be taken out but none of the body part is taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Frontal Bone 0 Open Z No Device Z No Qualifier
Zygomatic process of frontal bone 3 Percutaneous
3 Parietal Bone, Right 4 Percutaneous Endoscopic
4 Parietal Bone, Left
5 Temporal Bone, Right
Mastoid process
Petrous part of temporal bone
Tympanic part of temporal bone
Zygomatic process of temporal bone
6 Temporal Bone, Left
See 5 Temporal Bone, Right
7 Occipital Bone
Foramen magnum
B Nasal Bone
Vomer of nasal septum
C Sphenoid Bone
Greater wing
Lesser wing
Optic foramen
Pterygoid process
Sella turcica
F Ethmoid Bone, Right
Cribriform plate
G Ethmoid Bone, Left
See F Ethmoid Bone, Right
H Lacrimal Bone, Right
J Lacrimal Bone, Left
K Palatine Bone, Right
L Palatine Bone, Left
M Zygomatic Bone, Right
N Zygomatic Bone, Left
P Orbit, Right
Bony orbit
Orbital portion of ethmoid bone
Orbital portion of frontal bone
Orbital portion of lacrimal bone
Orbital portion of maxilla
Orbital portion of palatine bone
Orbital portion of sphenoid bone
Orbital portion of zygomatic bone
Q Orbit, Left
See P Orbit, Right
R Maxilla
Alveolar process of maxilla
T Mandible, Right
Alveolar process of mandible
Condyloid process
Mandibular notch
Mental foramen
V Mandible, Left
See T Mandible, Right
X Hyoid Bone
Non-OR 0NNB[0,3,4]ZZ
0NJ–0NN

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 511
 0NP–0NP Head and Facial Bones ICD-10-PCS 2019
Head and Facial Bones

0 Medical and Surgical

N Head and Facial Bones 0NP
P Removal Definition: Taking out or off a device from a body part
Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is
coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Skull 0 Open 0 Drainage Device Z No Qualifier
4 Internal Fixation Device
5 External Fixation Device
7 Autologous Tissue Substitute
J Synthetic Substitute
K Nonautologous Tissue Substitute
M Bone Growth Stimulator
N Neurostimulator Generator
S Hearing Device
0 Skull 3 Percutaneous 0 Drainage Device Z No Qualifier
4 Percutaneous Endoscopic 4 Internal Fixation Device
5 External Fixation Device
7 Autologous Tissue Substitute
J Synthetic Substitute
K Nonautologous Tissue Substitute
M Bone Growth Stimulator
S Hearing Device
0 Skull X External 0 Drainage Device Z No Qualifier
4 Internal Fixation Device
5 External Fixation Device
M Bone Growth Stimulator
S Hearing Device
B Nasal Bone 0 Open 0 Drainage Device Z No Qualifier
Vomer of nasal septum 3 Percutaneous 4 Internal Fixation Device
W Facial Bone 4 Percutaneous Endoscopic 7 Autologous Tissue Substitute
J Synthetic Substitute
K Nonautologous Tissue Substitute
M Bone Growth Stimulator
B Nasal Bone X External 0 Drainage Device Z No Qualifier
Vomer of nasal septum 4 Internal Fixation Device
W Facial Bone M Bone Growth Stimulator
Non-OR 0NP0[3,4]5Z
Non-OR 0NP0X[0,5]Z
Non-OR 0NPB[0,3,4][0,4,7,J,K,M]Z
Non-OR 0NPBX[0,4,M]Z
Non-OR 0NPWX[0,M]Z
0NP–0NP

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
512 ICD-10-PCS 2019
ICD-10-PCS 2019 Head and Facial Bones 0NQ–0NQ

Head and Facial Bones

0 Medical and Surgical
N Head and Facial Bones 0NQ
Q Repair Definition: Restoring, to the extent possible, a body part to its normal anatomic structure and function
Explanation: Used only when the method to accomplish the repair is not one of the other root operations
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Skull 0 Open Z No Device Z No Qualifier
1 Frontal Bone 3 Percutaneous
Zygomatic process of frontal bone 4 Percutaneous Endoscopic
3 Parietal Bone, Right X External
4 Parietal Bone, Left
5 Temporal Bone, Right
Mastoid process
Petrous part of temporal bone
Tympanic part of temporal bone
Zygomatic process of temporal bone
6 Temporal Bone, Left
See 5 Temporal Bone, Right
7 Occipital Bone
Foramen magnum
B Nasal Bone
Vomer of nasal septum
C Sphenoid Bone
Greater wing
Lesser wing
Optic foramen
Pterygoid process
Sella turcica
F Ethmoid Bone, Right
Cribriform plate
G Ethmoid Bone, Left
See F Ethmoid Bone, Right
H Lacrimal Bone, Right
J Lacrimal Bone, Left
K Palatine Bone, Right
L Palatine Bone, Left
M Zygomatic Bone, Right
N Zygomatic Bone, Left
P Orbit, Right
Bony orbit
Orbital portion of ethmoid bone
Orbital portion of frontal bone
Orbital portion of lacrimal bone
Orbital portion of maxilla
Orbital portion of palatine bone
Orbital portion of sphenoid bone
Orbital portion of zygomatic bone
Q Orbit, Left
See P Orbit, Right
R Maxilla
Alveolar process of maxilla
T Mandible, Right
Alveolar process of mandible
Condyloid process
Mandibular notch
Mental foramen
V Mandible, Left
See T Mandible, Right
X Hyoid Bone
Non-OR 0NQ[0,1,3,4,5,6,7,B,C,F,G,H,J,K,L,M,N,P,Q,R,T,V,X]XZZ
0NQ–0NQ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 513
 0NR–0NR Head and Facial Bones ICD-10-PCS 2019
Head and Facial Bones

0 Medical and Surgical

N Head and Facial Bones 0NR
R Replacement Definition: Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part
Explanation: The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during
the REPLACEMENT procedure. A REMOVAL procedure is coded for taking out the device used in a previous replacement procedure.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Skull 0 Open 7 Autologous Tissue Substitute Z No Qualifier
1 Frontal Bone 3 Percutaneous J Synthetic Substitute
Zygomatic process of frontal bone 4 Percutaneous Endoscopic K Nonautologous Tissue Substitute
3 Parietal Bone, Right
4 Parietal Bone, Left
5 Temporal Bone, Right
Mastoid process
Petrous part of temporal bone
Tympanic part of temporal bone
Zygomatic process of temporal bone
6 Temporal Bone, Left
See 5 Temporal Bone, Right
7 Occipital Bone
Foramen magnum
B Nasal Bone
Vomer of nasal septum
C Sphenoid Bone
Greater wing
Lesser wing
Optic foramen
Pterygoid process
Sella turcica
F Ethmoid Bone, Right
Cribriform plate
G Ethmoid Bone, Left
See F Ethmoid Bone, Right
H Lacrimal Bone, Right
J Lacrimal Bone, Left
K Palatine Bone, Right
L Palatine Bone, Left
M Zygomatic Bone, Right
N Zygomatic Bone, Left
P Orbit, Right
Bony orbit
Orbital portion of ethmoid bone
Orbital portion of frontal bone
Orbital portion of lacrimal bone
Orbital portion of maxilla
Orbital portion of palatine bone
Orbital portion of sphenoid bone
Orbital portion of zygomatic bone
Q Orbit, Left
See P Orbit, Right
R Maxilla
Alveolar process of maxilla
T Mandible, Right
Alveolar process of mandible
Condyloid process
Mandibular notch
Mental foramen
V Mandible, Left
See T Mandible, Right
X Hyoid Bone
0NR–0NR

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
514 ICD-10-PCS 2019
ICD-10-PCS 2019 Head and Facial Bones 0NS–0NS

Head and Facial Bones

0 Medical and Surgical
N Head and Facial Bones 0NS
S Reposition Definition: Moving to its normal location, or other suitable location, all or a portion of a body part
Explanation: The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning
correctly. The body part may or may not be cut out or off to be moved to the new location.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Skull 0 Open 4 Internal Fixation Device Z No Qualifier
R Maxilla 3 Percutaneous 5 External Fixation Device
Alveolar process of maxilla 4 Percutaneous Endoscopic Z No Device
T Mandible, Right
Alveolar process of mandible
Condyloid process
Mandibular notch
Mental foramen
V Mandible, Left
See T Mandible, Right
0 Skull X External Z No Device Z No Qualifier
R Maxilla
Alveolar process of maxilla
T Mandible, Right
Alveolar process of mandible
Condyloid process
Mandibular notch
Mental foramen
V Mandible, Left
See T Mandible, Right
1 Frontal Bone 0 Open 4 Internal Fixation Device Z No Qualifier
Zygomatic process of frontal bone 3 Percutaneous Z No Device
3 Parietal Bone, Right 4 Percutaneous Endoscopic
4 Parietal Bone, Left
5 Temporal Bone, Right
Mastoid process
Petrous part of temporal bone
Tympanic part of temporal bone
Zygomatic process of temporal bone
6 Temporal Bone, Left
See 5 Temporal Bone, Right
7 Occipital Bone
Foramen magnum
B Nasal Bone
Vomer of nasal septum
C Sphenoid Bone
Greater wing
Lesser wing
Optic foramen
Pterygoid process
Sella turcica
F Ethmoid Bone, Right
Cribriform plate
G Ethmoid Bone, Left
See F Ethmoid Bone, Right
H Lacrimal Bone, Right
J Lacrimal Bone, Left
K Palatine Bone, Right
L Palatine Bone, Left
M Zygomatic Bone, Right
N Zygomatic Bone, Left
P Orbit, Right
Bony orbit
Orbital portion of ethmoid bone
Orbital portion of frontal bone
Orbital portion of lacrimal bone
Orbital portion of maxilla
Orbital portion of palatine bone
Orbital portion of sphenoid bone
Orbital portion of zygomatic bone
Q Orbit, Left
See P Orbit, Right
X Hyoid Bone
0NS Continued on next page
Non-OR 0NS[R,T,V][3,4][4,5,Z]Z
Non-OR 0NS[0,R,T,V]XZZ
Non-OR 0NS[B,C,F,G,H,J,K,L,M,N,P,Q,X][3,4][4,Z]Z
0NS–0NS

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 515
 0NS–0NS Head and Facial Bones ICD-10-PCS 2019
Head and Facial Bones

0 Medical and Surgical 0NS Continued

N Head and Facial Bones 0NS
S Reposition Definition: Moving to its normal location, or other suitable location, all or a portion of a body part
Explanation: The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning
correctly. The body part may or may not be cut out or off to be moved to the new location.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Frontal Bone X External Z No Device Z No Qualifier
Zygomatic process of frontal bone
3 Parietal Bone, Right
4 Parietal Bone, Left
5 Temporal Bone, Right
Mastoid process
Petrous part of temporal bone
Tympanic part of temporal bone
Zygomatic process of temporal bone
6 Temporal Bone, Left
See 5 Temporal Bone, Right
7 Occipital Bone
Foramen magnum
B Nasal Bone
Vomer of nasal septum
C Sphenoid Bone
Greater wing
Lesser wing
Optic foramen
Pterygoid process
Sella turcica
F Ethmoid Bone, Right
Cribriform plate
G Ethmoid Bone, Left
See F Ethmoid Bone, Right
H Lacrimal Bone, Right
J Lacrimal Bone, Left
K Palatine Bone, Right
L Palatine Bone, Left
M Zygomatic Bone, Right
N Zygomatic Bone, Left
P Orbit, Right
Bony orbit
Orbital portion of ethmoid bone
Orbital portion of frontal bone
Orbital portion of lacrimal bone
Orbital portion of maxilla
Orbital portion of palatine bone
Orbital portion of sphenoid bone
Orbital portion of zygomatic bone
Q Orbit, Left
See P Orbit, Right
X Hyoid Bone
Non-OR 0NS[1,3,4,5,6,7,B,C,F,G,H,J,K,L,M,N,P,Q,X]XZZ
0NS–0NS

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
516 ICD-10-PCS 2019
ICD-10-PCS 2019 Head and Facial Bones 0NT–0NT

Head and Facial Bones

0 Medical and Surgical
N Head and Facial Bones 0NT
T Resection Definition: Cutting out or off, without replacement, all of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Frontal Bone 0 Open Z No Device Z No Qualifier
Zygomatic process of frontal bone
3 Parietal Bone, Right
4 Parietal Bone, Left
5 Temporal Bone, Right
Mastoid process
Petrous part of temporal bone
Tympanic part of temporal bone
Zygomatic process of temporal bone
6 Temporal Bone, Left
See 5 Temporal Bone, Right
7 Occipital Bone
Foramen magnum
B Nasal Bone
Vomer of nasal septum
C Sphenoid Bone
Greater wing
Lesser wing
Optic foramen
Pterygoid process
Sella turcica
F Ethmoid Bone, Right
Cribriform plate
G Ethmoid Bone, Left
See F Ethmoid Bone, Right
H Lacrimal Bone, Right
J Lacrimal Bone, Left
K Palatine Bone, Right
L Palatine Bone, Left
M Zygomatic Bone, Right
N Zygomatic Bone, Left
P Orbit, Right
Bony orbit
Orbital portion of ethmoid bone
Orbital portion of frontal bone
Orbital portion of lacrimal bone
Orbital portion of maxilla
Orbital portion of palatine bone
Orbital portion of sphenoid bone
Orbital portion of zygomatic bone
Q Orbit, Left
See P Orbit, Right
R Maxilla
Alveolar process of maxilla
T Mandible, Right
Alveolar process of mandible
Condyloid process
Mandibular notch
Mental foramen
V Mandible, Left
See T Mandible, Right
X Hyoid Bone
0NT–0NT

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 517
 0NU–0NU Head and Facial Bones ICD-10-PCS 2019
Head and Facial Bones

0 Medical and Surgical

N Head and Facial Bones 0NU
U Supplement Definition: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part
Explanation: The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced,
and the SUPPLEMENT procedure is performed to physically reinforce and/or augment the function of the replaced body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Skull 0 Open 7 Autologous Tissue Substitute Z No Qualifier
1 Frontal Bone 3 Percutaneous J Synthetic Substitute
Zygomatic process of frontal bone 4 Percutaneous Endoscopic K Nonautologous Tissue Substitute
3 Parietal Bone, Right
4 Parietal Bone, Left
5 Temporal Bone, Right
Mastoid process
Petrous part of temporal bone
Tympanic part of temporal bone
Zygomatic process of temporal bone
6 Temporal Bone, Left
See 5 Temporal Bone, Right
7 Occipital Bone
Foramen magnum
B Nasal Bone
Vomer of nasal septum
C Sphenoid Bone
Greater wing
Lesser wing
Optic foramen
Pterygoid process
Sella turcica
F Ethmoid Bone, Right
Cribriform plate
G Ethmoid Bone, Left
See F Ethmoid Bone, Right
H Lacrimal Bone, Right
J Lacrimal Bone, Left
K Palatine Bone, Right
L Palatine Bone, Left
M Zygomatic Bone, Right
N Zygomatic Bone, Left
P Orbit, Right
Bony orbit
Orbital portion of ethmoid bone
Orbital portion of frontal bone
Orbital portion of lacrimal bone
Orbital portion of maxilla
Orbital portion of palatine bone
Orbital portion of sphenoid bone
Orbital portion of zygomatic bone
Q Orbit, Left
See P Orbit, Right
R Maxilla
Alveolar process of maxilla
T Mandible, Right
Alveolar process of mandible
Condyloid process
Mandibular notch
Mental foramen
V Mandible, Left
See T Mandible, Right
X Hyoid Bone
0NU–0NU

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
518 ICD-10-PCS 2019
ICD-10-PCS 2019 Head and Facial Bones 0NW–0NW

Head and Facial Bones

0 Medical and Surgical
N Head and Facial Bones 0NW
W Revision Definition: Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device
Explanation: Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as
a screw or pin
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Skull 0 Open 0 Drainage Device Z No Qualifier
4 Internal Fixation Device
5 External Fixation Device
7 Autologous Tissue Substitute
J Synthetic Substitute
K Nonautologous Tissue Substitute
M Bone Growth Stimulator
N Neurostimulator Generator
S Hearing Device
0 Skull 3 Percutaneous 0 Drainage Device Z No Qualifier
4 Percutaneous Endoscopic 4 Internal Fixation Device
X External 5 External Fixation Device
7 Autologous Tissue Substitute
J Synthetic Substitute
K Nonautologous Tissue Substitute
M Bone Growth Stimulator
S Hearing Device
B Nasal Bone 0 Open 0 Drainage Device Z No Qualifier
Vomer of nasal septum 3 Percutaneous 4 Internal Fixation Device
W Facial Bone 4 Percutaneous Endoscopic 7 Autologous Tissue Substitute
X External J Synthetic Substitute
K Nonautologous Tissue Substitute
M Bone Growth Stimulator
Non-OR 0NW0X[0,4,5,7,J,K,M,S]Z
Non-OR 0NWB[0,3,4,X][0,4,7,J,K,M]Z
Non-OR 0NWWX[0,4,7,J,K,M]Z

0NW–0NW

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 519
This page is left intentionally blank.
ICD-10-PCS 2019 Upper Bones

Upper Bones
Upper Bones 0P2–0PW
Character Meanings
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.

Operation–Character 3 Body Part–Character 4 Approach–Character 5 Device–Character 6 Qualifier–Character 7

2 Change 0 Sternum 0 Open 0 Drainage Device X Diagnostic
OR
Internal Fixation Device,
Rigid Plate
5 Destruction 1 Ribs, 1 to 2 3 Percutaneous 4 Internal Fixation Device Z No Qualifier
8 Division 2 Ribs, 3 or more 4 Percutaneous Endoscopic 5 External Fixation Device
9 Drainage 3 Cervical Vertebra X External 6 Internal Fixation Device,
Intramedullary
B Excision 4 Thoracic Vertebra 7 Autologous Tissue
Substitute
C Extirpation 5 Scapula, Right 8 External Fixation Device,
Limb Lengthening
D Extraction 6 Scapula, Left B External Fixation Device,
Monoplanar
H Insertion 7 Glenoid Cavity, Right C External Fixation Device,
Ring
J Inspection 8 Glenoid Cavity, Left D External Fixation Device,
Hybrid
N Release 9 Clavicle, Right J Synthetic Substitute
P Removal B Clavicle, Left K Nonautologous Tissue
Substitute
Q Repair C Humeral Head, Right M Bone Growth Stimulator
R Replacement D Humeral Head, Left Y Other Device
S Reposition F Humeral Shaft, Right Z No Device
T Resection G Humeral Shaft, Left
U Supplement H Radius, Right
W Revision J Radius, Left
K Ulna, Right
L Ulna, Left
M Carpal, Right
N Carpal, Left
P Metacarpal, Right
Q Metacarpal, Left
R Thumb Phalanx, Right
S Thumb Phalanx, Left
T Finger Phalanx, Right
V Finger Phalanx, Left
Y Upper Bone

AHA Coding Clinic for table 0PB AHA Coding Clinic for table 0PS
2015, 3Q, 3-8 Excisional and nonexcisional debridement 2017, 4Q, 53 New and revised body part values - Ribs
2015, 2Q, 34 Decompressive laminectomy 2016, 1Q, 21 Elongation derotation flexion casting
2013, 4Q, 109 Separating conjoined twins 2015, 4Q, 33 Ravitch operation
2013, 4Q, 116 Spinal decompression 2015, 2Q, 35 Application of tongs to reduce and stabilize cervical fracture
2013, 3Q, 20 Superior labrum anterior posterior (SLAP) repair and 2014, 4Q, 26 Placement of vertical expandable prosthetic titanium rib (VEPTR)
subacromialdecompression 2014, 4Q, 32 Open reduction internal fixation of fracture with debridement
2012, 4Q, 101 Rib resection with reconstruction of anterior chest wall 2014, 3Q, 33 Radial fracture treatment with open reduction internal fixation, and release
2012, 2Q, 19 Multiple decompressive cervical laminectomies of carpal ligament
AHA Coding Clinic for table 0PD AHA Coding Clinic for table 0PT
2017, 4Q, 41 Extraction procedures 2015, 3Q, 26 Thumb arthroplasty with resection of trapezium
AHA Coding Clinic for table 0PH AHA Coding Clinic for table 0PU
2017, 2Q, 20 Exchange of intramedullary antibiotic impregnated spacer 2015, 2Q, 20 Cervical laminoplasty
2016, 4Q, 117 Placement of magnetic growth rods 2013, 4Q, 109 Separating conjoined twins
2014, 4Q, 28 Removal and replacement of displaced growing rods
AHA Coding Clinic for table 0PW
AHA Coding Clinic for table 0PP 2014, 4Q, 26 Adjustment of VEPTR lengthening mechanism
2017, 2Q, 20 Exchange of intramedullary antibiotic impregnated spacer 2014, 4Q, 27 Bilateral lengthening of growing rods
2016, 4Q, 117 Placement of magnetic growth rods
2014, 4Q, 28 Removal and replacement of displaced growing rods

ICD-10-PCS 2019 521

 Upper Bones ICD-10-PCS 2019
Upper Bones

Upper Bones

Cervical vertebra 3

Clavicle 9, B

Sternum 0 Scapula 5, 6

Rib 1, 2

Humerus C, D, F, G

Thoracic vertebra 4

Ulna K, L

Radius H, J

Carpal M, N
Metacarpal P, Q
Thumb
phalanx R, S

Finger
phalanx T, V

522 ICD-10-PCS 2019

ICD-10-PCS 2019 Upper Bones

Upper Bones
Humerus and Scapula Radius and Ulna
Coracoid
process 5, 6 Clavicle 9, B
Acromion 5, 6

Olecranon process K, L
Radius H, J

Coronoid process K, L

Ulna K, L

Shaft H, J
Head of Shaft K, L
humerus C, D Scapula 5, 6

Glenoid
cavity 7, 8
Anterior-lateral view
of right shoulder and
Humerus its humerus
shaft F, G

Ulnar styloid process K, L

Lateral Radial styloid
epicondyle F, G process H, J
Medial
epicondyle F, G
Carpal M, N

Hand

Distal
phalanx T, V

Middle
Phalanges phalanx T, V
(digits) T, V

Proximal
phalanx T, V

Distal phalanx
(thumb) R, S

Metacarpals Proximal phalanx

P, Q 4 3 2
5 (thumb) R, S
1

Carpals M, N

ICD-10-PCS 2019 523

 0P2–0P5 Upper Bones ICD-10-PCS 2019
Upper Bones

0 Medical and Surgical

P Upper Bones 0P2
2 Change Definition: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without
cutting or puncturing the skin or a mucous membrane
Explanation: All CHANGE procedures are coded using the approach EXTERNAL
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
Y Upper Bone X External 0 Drainage Device Z No Qualifier
Y Other Device
Non-OR All body part, approach, device, and qualifier values

0 Medical and Surgical

P Upper Bones 0P5
5 Destruction Definition: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent
Explanation: None of the body part is physically taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Sternum F Humeral Shaft, Right 0 Open Z No Device Z No Qualifier
Manubrium Distal humerus 3 Percutaneous
Suprasternal notch Humerus, distal 4 Percutaneous Endoscopic
Xiphoid process Lateral epicondyle of
1 Ribs, 1 to 2 humerus
2 Ribs, 3 or More Medial epicondyle of
3 Cervical Vertebra humerus
Dens G Humeral Shaft, Left
Odontoid process See F Humeral Shaft, Right
Spinous process H Radius, Right
Transverse foramen Ulnar notch
Transverse process J Radius, Left
Vertebral arch See H Radius, Right
Vertebral body K Ulna, Right
Vertebral foramen Olecranon process
Vertebral lamina Radial notch
Vertebral pedicle L Ulna, Left
4 Thoracic Vertebra See K Ulna, Right
Spinous process M Carpal, Right
Transverse process Capitate bone
Vertebral arch Hamate bone
Vertebral body Lunate bone
Vertebral foramen Pisiform bone
Vertebral lamina Scaphoid bone
Vertebral pedicle Trapezium bone
5 Scapula, Right Trapezoid bone
Acromion (process) Triquetral bone
Coracoid process N Carpal, Left
6 Scapula, Left See M Carpal, Right
See 5 Scapula, Right P Metacarpal, Right
7 Glenoid Cavity, Right Q Metacarpal, Left
Glenoid fossa (of scapula)
R Thumb Phalanx, Right
8 Glenoid Cavity, Left
S Thumb Phalanx, Left
See 7 Glenoid Cavity, Right
T Finger Phalanx, Right
9 Clavicle, Right
V Finger Phalanx, Left
B Clavicle, Left
C Humeral Head, Right
Greater tuberosity
Lesser tuberosity
Neck of humerus
(anatomical)(surgical)
D Humeral Head, Left
See C Humeral Head, Right
0P2–0P5

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
524 ICD-10-PCS 2019
ICD-10-PCS 2019 Upper Bones 0P8–0P8

Upper Bones
0 Medical and Surgical
P Upper Bones 0P8
8 Division Definition: Cutting into a body part, without draining fluids and/or gases from the body part, in order to separate or transect a body part
Explanation: All or a portion of the body part is separated into two or more portions
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Sternum F Humeral Shaft, Right 0 Open Z No Device Z No Qualifier
Manubrium Distal humerus 3 Percutaneous
Suprasternal notch Humerus, distal 4 Percutaneous Endoscopic
Xiphoid process Lateral epicondyle of
1 Ribs, 1 to 2 humerus
2 Ribs, 3 or More Medial epicondyle of
3 Cervical Vertebra humerus
Dens G Humeral Shaft, Left
Odontoid process See F Humeral Shaft, Right
Spinous process H Radius, Right
Transverse foramen Ulnar notch
Transverse process J Radius, Left
Vertebral arch See H Radius, Right
Vertebral body K Ulna, Right
Vertebral foramen Olecranon process
Vertebral lamina Radial notch
Vertebral pedicle L Ulna, Left
4 Thoracic Vertebra See K Ulna, Right
Spinous process M Carpal, Right
Transverse process Capitate bone
Vertebral arch Hamate bone
Vertebral body Lunate bone
Vertebral foramen Pisiform bone
Vertebral lamina Scaphoid bone
Vertebral pedicle Trapezium bone
5 Scapula, Right Trapezoid bone
Acromion (process) Triquetral bone
Coracoid process N Carpal, Left
6 Scapula, Left See M Carpal, Right
See 5 Scapula, Right P Metacarpal, Right
7 Glenoid Cavity, Right Q Metacarpal, Left
Glenoid fossa (of scapula) R Thumb Phalanx, Right
8 Glenoid Cavity, Left S Thumb Phalanx, Left
See 7 Glenoid Cavity, Right
T Finger Phalanx, Right
9 Clavicle, Right
V Finger Phalanx, Left
B Clavicle, Left
C Humeral Head, Right
Greater tuberosity
Lesser tuberosity
Neck of humerus
(anatomical)(surgical)
D Humeral Head, Left
See C Humeral Head, Right
0P8–0P8

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 525
 0P9–0P9 Upper Bones ICD-10-PCS 2019
Upper Bones

0 Medical and Surgical

P Upper Bones 0P9
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Sternum D Humeral Head, Left 0 Open 0 Drainage Device Z No Qualifier
Manubrium See C Humeral Head, Right 3 Percutaneous
Suprasternal notch F Humeral Shaft, Right 4 Percutaneous Endoscopic
Xiphoid process Distal humerus
1 Ribs, 1 to 2 Humerus, distal
2 Ribs, 3 or More Lateral epicondyle of
3 Cervical Vertebra humerus
Dens Medial epicondyle of
Odontoid process humerus
Spinous process G Humeral Shaft, Left
Transverse foramen See F Humeral Shaft, Right
Transverse process H Radius, Right
Vertebral arch Ulnar notch
Vertebral body J Radius, Left
Vertebral foramen See H Radius, Right
Vertebral lamina K Ulna, Right
Vertebral pedicle Olecranon process
4 Thoracic Vertebra Radial notch
Spinous process L Ulna, Left
Transverse process See K Ulna, Right
Vertebral arch M Carpal, Right
Vertebral body Capitate bone
Vertebral foramen Hamate bone
Vertebral lamina Lunate bone
Vertebral pedicle Pisiform bone
5 Scapula, Right Scaphoid bone
Acromion (process) Trapezium bone
Coracoid process Trapezoid bone
6 Scapula, Left Triquetral bone
See 5 Scapula, Right N Carpal, Left
7 Glenoid Cavity, Right See M Carpal, Right
Glenoid fossa (of scapula) P Metacarpal, Right
8 Glenoid Cavity, Left Q Metacarpal, Left
See 7 Glenoid Cavity, Right R Thumb Phalanx, Right
9 Clavicle, Right S Thumb Phalanx, Left
B Clavicle, Left T Finger Phalanx, Right
C Humeral Head, Right V Finger Phalanx, Left
Greater tuberosity
Lesser tuberosity
Neck of humerus
(anatomical)(surgical)
0P9 Continued on next page
Non-OR 0P9[0,1,2,3,4,5,6,7,8,9,B,C,D,F,G,H,J,K,L,M,N,P,Q,R,S,T,V]30Z
0P9–0P9

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
526 ICD-10-PCS 2019
ICD-10-PCS 2019 Upper Bones 0P9–0P9

Upper Bones
0 Medical and Surgical 0P9 Continued
P Upper Bones 0P9
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Sternum D Humeral Head, Left 0 Open Z No Device X Diagnostic
Manubrium See C Humeral Head, Right 3 Percutaneous Z No Qualifier
Suprasternal notch F Humeral Shaft, Right 4 Percutaneous Endoscopic
Xiphoid process Distal humerus
1 Ribs, 1 to 2 Humerus, distal
2 Ribs, 3 or More Lateral epicondyle of
3 Cervical Vertebra humerus
Dens Medial epicondyle of
Odontoid process humerus
Spinous process G Humeral Shaft, Left
Transverse foramen See F Humeral Shaft, Right
Transverse process H Radius, Right
Vertebral arch Ulnar notch
Vertebral body J Radius, Left
Vertebral foramen See H Radius, Right
Vertebral lamina K Ulna, Right
Vertebral pedicle Olecranon process
4 Thoracic Vertebra Radial notch
Spinous process L Ulna, Left
Transverse process See K Ulna, Right
Vertebral arch M Carpal, Right
Vertebral body Capitate bone
Vertebral foramen Hamate bone
Vertebral lamina Lunate bone
Vertebral pedicle Pisiform bone
5 Scapula, Right Scaphoid bone
Acromion (process) Trapezium bone
Coracoid process Trapezoid bone
6 Scapula, Left Triquetral bone
See 5 Scapula, Right N Carpal, Left
7 Glenoid Cavity, Right See M Carpal, Right
Glenoid fossa (of scapula) P Metacarpal, Right
8 Glenoid Cavity, Left Q Metacarpal, Left
See 7 Glenoid Cavity, Right R Thumb Phalanx, Right
9 Clavicle, Right S Thumb Phalanx, Left
B Clavicle, Left T Finger Phalanx, Right
C Humeral Head, Right V Finger Phalanx, Left
Greater tuberosity
Lesser tuberosity
Neck of humerus
(anatomical)(surgical)
Non-OR 0P9[0,1,2,3,4,5,6,7,8,9,B,C,D,F,G,H,J,K,L,M,N,P,Q,R,S,T,V]3ZZ 0P9–0P9

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 527
 0PB–0PB Upper Bones ICD-10-PCS 2019
Upper Bones

0 Medical and Surgical

P Upper Bones 0PB
B Excision Definition: Cutting out or off, without replacement, a portion of a body part
Explanation: The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Sternum F Humeral Shaft, Right 0 Open Z No Device X Diagnostic
Manubrium Distal humerus 3 Percutaneous Z No Qualifier
Suprasternal notch Humerus, distal 4 Percutaneous Endoscopic
Xiphoid process Lateral epicondyle of
1 Ribs, 1 to 2 humerus
2 Ribs, 3 or More Medial epicondyle of
3 Cervical Vertebra humerus
Dens G Humeral Shaft, Left
Odontoid process See F Humeral Shaft, Right
Spinous process H Radius, Right
Transverse foramen Ulnar notch
Transverse process J Radius, Left
Vertebral arch See H Radius, Right
Vertebral body K Ulna, Right
Vertebral foramen Olecranon process
Vertebral lamina Radial notch
Vertebral pedicle L Ulna, Left
4 Thoracic Vertebra See K Ulna, Right
Spinous process M Carpal, Right
Transverse process Capitate bone
Vertebral arch Hamate bone
Vertebral body Lunate bone
Vertebral foramen Pisiform bone
Vertebral lamina Scaphoid bone
Vertebral pedicle Trapezium bone
5 Scapula, Right Trapezoid bone
Acromion (process) Triquetral bone
Coracoid process N Carpal, Left
6 Scapula, Left See M Carpal, Right
See 5 Scapula, Right P Metacarpal, Right
7 Glenoid Cavity, Right Q Metacarpal, Left
Glenoid fossa (of scapula) R Thumb Phalanx, Right
8 Glenoid Cavity, Left S Thumb Phalanx, Left
See 7 Glenoid Cavity, Right
T Finger Phalanx, Right
9 Clavicle, Right
V Finger Phalanx, Left
B Clavicle, Left
C Humeral Head, Right
Greater tuberosity
Lesser tuberosity
Neck of humerus
(anatomical)(surgical)
D Humeral Head, Left
See C Humeral Head, Right
0PB–0PB

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
528 ICD-10-PCS 2019
ICD-10-PCS 2019 Upper Bones 0PC–0PC

Upper Bones
0 Medical and Surgical
P Upper Bones 0PC
C Extirpation Definition: Taking or cutting out solid matter from a body part
Explanation: The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in
the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Sternum F Humeral Shaft, Right 0 Open Z No Device Z No Qualifier
Manubrium Distal humerus 3 Percutaneous
Suprasternal notch Humerus, distal 4 Percutaneous Endoscopic
Xiphoid process Lateral epicondyle of
1 Ribs, 1 to 2 humerus
2 Ribs, 3 or More Medial epicondyle of
3 Cervical Vertebra humerus
Dens G Humeral Shaft, Left
Odontoid process See F Humeral Shaft, Right
Spinous process H Radius, Right
Transverse foramen Ulnar notch
Transverse process J Radius, Left
Vertebral arch See H Radius, Right
Vertebral body K Ulna, Right
Vertebral foramen Olecranon process
Vertebral lamina Radial notch
Vertebral pedicle L Ulna, Left
4 Thoracic Vertebra See K Ulna, Right
Spinous process M Carpal, Right
Transverse process Capitate bone
Vertebral arch Hamate bone
Vertebral body Lunate bone
Vertebral foramen Pisiform bone
Vertebral lamina Scaphoid bone
Vertebral pedicle Trapezium bone
5 Scapula, Right Trapezoid bone
Acromion (process) Triquetral bone
Coracoid process N Carpal, Left
6 Scapula, Left See M Carpal, Right
See 5 Scapula, Right P Metacarpal, Right
7 Glenoid Cavity, Right Q Metacarpal, Left
Glenoid fossa (of scapula) R Thumb Phalanx, Right
8 Glenoid Cavity, Left S Thumb Phalanx, Left
See 7 Glenoid Cavity, Right
T Finger Phalanx, Right
9 Clavicle, Right
V Finger Phalanx, Left
B Clavicle, Left
C Humeral Head, Right
Greater tuberosity
Lesser tuberosity
Neck of humerus
(anatomical)(surgical)
D Humeral Head, Left
See C Humeral Head, Right
0PC–0PC

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 529
 0PD–0PD Upper Bones ICD-10-PCS 2019
Upper Bones

0 Medical and Surgical

P Upper Bones 0PD
D Extraction Definition: Pulling or stripping out or off all or a portion of a body part by the use of force
Explanation: The qualifier DIAGNOSTIC is used to identify extraction procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Sternum F Humeral Shaft, Right 0 Open Z No Device Z No Qualifier
Manubrium Distal humerus
Suprasternal notch Humerus, distal
Xiphoid process Lateral epicondyle of
1 Ribs, 1 to 2 humerus
2 Ribs, 3 or More Medial epicondyle of
3 Cervical Vertebra humerus
Dens G Humeral Shaft, Left
Odontoid process See F Humeral Shaft, Right
Spinous process H Radius, Right
Transverse foramen Ulnar notch
Transverse process J Radius, Left
Vertebral arch See H Radius, Right
Vertebral body K Ulna, Right
Vertebral foramen Olecranon process
Vertebral lamina Radial notch
Vertebral pedicle L Ulna, Left
4 Thoracic Vertebra See K Ulna, Right
Spinous process M Carpal, Right
Transverse process Capitate bone
Vertebral arch Hamate bone
Vertebral body Lunate bone
Vertebral foramen Pisiform bone
Vertebral lamina Scaphoid bone
Vertebral pedicle Trapezium bone
5 Scapula, Right Trapezoid bone
Acromion (process) Triquetral bone
Coracoid process N Carpal, Left
6 Scapula, Left See M Carpal, Right
See 5 Scapula, Right P Metacarpal, Right
7 Glenoid Cavity, Right Q Metacarpal, Left
Glenoid fossa (of scapula) R Thumb Phalanx, Right
8 Glenoid Cavity, Left S Thumb Phalanx, Left
See 7 Glenoid Cavity, Right
T Finger Phalanx, Right
9 Clavicle, Right
V Finger Phalanx, Left
B Clavicle, Left
C Humeral Head, Right
Greater tuberosity
Lesser tuberosity
Neck of humerus
(anatomical)(surgical)
D Humeral Head, Left
See C Humeral Head, Right
0PD–0PD

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
530 ICD-10-PCS 2019
ICD-10-PCS 2019 Upper Bones 0PH–0PH

Upper Bones
0 Medical and Surgical
P Upper Bones 0PH
H Insertion Definition: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically
take the place of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Sternum 0 Open 0 Internal Fixation Device, Z No Qualifier
Manubrium 3 Percutaneous Rigid Plate
Suprasternal notch 4 Percutaneous Endoscopic 4 Internal Fixation Device
Xiphoid process
1 Ribs, 1 to 2 5 Scapula, Right 0 Open 4 Internal Fixation Device Z No Qualifier
2 Ribs, 3 or More Acromion (process) 3 Percutaneous
3 Cervical Vertebra Coracoid process 4 Percutaneous Endoscopic
Dens 6 Scapula, Left
Odontoid process See 5 Scapula, Right
Spinous process 7 Glenoid Cavity, Right
Transverse foramen Glenoid fossa (of scapula)
Transverse process 8 Glenoid Cavity, Left
Vertebral arch See 7 Glenoid Cavity, Right
Vertebral body 9 Clavicle, Right
Vertebral foramen B Clavicle, Left
Vertebral lamina
Vertebral pedicle
4 Thoracic Vertebra
Spinous process
Transverse process
Vertebral arch
Vertebral body
Vertebral foramen
Vertebral lamina
Vertebral pedicle
C Humeral Head, Right G Humeral Shaft, Left 0 Open 4 Internal Fixation Device Z No Qualifier
Greater tuberosity See F Humeral Shaft, Right 3 Percutaneous 5 External Fixation Device
Lesser tuberosity H Radius, Right 4 Percutaneous Endoscopic 6 Internal Fixation Device,
Neck of humerus Ulnar notch Intramedullary
(anatomical)(surgical) J Radius, Left 8 External Fixation Device,
D Humeral Head, Left See H Radius, Right Limb Lengthening
See C Humeral Head, Right K Ulna, Right B External Fixation Device,
F Humeral Shaft, Right Olecranon process Monoplanar
Distal humerus Radial notch C External Fixation Device,
Humerus, distal L Ulna, Left Ring
Lateral epicondyle of See K Ulna, Right D External Fixation Device,
humerus
Hybrid
Medial epicondyle of
humerus
M Carpal, Right P Metacarpal, Right 0 Open 4 Internal Fixation Device Z No Qualifier
Capitate bone Q Metacarpal, Left 3 Percutaneous 5 External Fixation Device
Hamate bone R Thumb Phalanx, Right 4 Percutaneous Endoscopic
Lunate bone S Thumb Phalanx, Left
Pisiform bone
Scaphoid bone T Finger Phalanx, Right
Trapezium bone V Finger Phalanx, Left
Trapezoid bone
Triquetral bone
N Carpal, Left
See M Carpal, Right
Y Upper Bone 0 Open M Bone Growth Stimulator Z No Qualifier
3 Percutaneous
4 Percutaneous Endoscopic
Non-OR 0PH[C,D,F,G,H,J,K,L][0,3,4]8Z
0PH–0PH

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 531
 0PJ–0PN Upper Bones ICD-10-PCS 2019
Upper Bones

0 Medical and Surgical

P Upper Bones 0PJ
J Inspection Definition: Visually and/or manually exploring a body part
Explanation: Visual exploration may be performed with or without optical instrumentation. Manual exploration may be performed directly or
through intervening body layers.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
Y Upper Bone 0 Open Z No Device Z No Qualifier
3 Percutaneous
4 Percutaneous Endoscopic
X External
Non-OR 0PJY[3,X]ZZ

0 Medical and Surgical

P Upper Bones 0PN
N Release Definition: Freeing a body part from an abnormal physical constraint by cutting or by the use of force
Explanation: Some of the restraining tissue may be taken out but none of the body part is taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Sternum F Humeral Shaft, Right 0 Open Z No Device Z No Qualifier
Manubrium Distal humerus 3 Percutaneous
Suprasternal notch Humerus, distal 4 Percutaneous Endoscopic
Xiphoid process Lateral epicondyle of
1 Ribs, 1 to 2 humerus
2 Ribs, 3 or More Medial epicondyle of
3 Cervical Vertebra humerus
Dens G Humeral Shaft, Left
Odontoid process See F Humeral Shaft, Right
Spinous process H Radius, Right
Transverse foramen Ulnar notch
Transverse process J Radius, Left
Vertebral arch See H Radius, Right
Vertebral body K Ulna, Right
Vertebral foramen Olecranon process
Vertebral lamina Radial notch
Vertebral pedicle L Ulna, Left
4 Thoracic Vertebra See K Ulna, Right
Spinous process M Carpal, Right
Transverse process Capitate bone
Vertebral arch Hamate bone
Vertebral body Lunate bone
Vertebral foramen Pisiform bone
Vertebral lamina Scaphoid bone
Vertebral pedicle Trapezium bone
5 Scapula, Right Trapezoid bone
Acromion (process) Triquetral bone
Coracoid process N Carpal, Left
6 Scapula, Left See M Carpal, Right
See 5 Scapula, Right P Metacarpal, Right
7 Glenoid Cavity, Right Q Metacarpal, Left
Glenoid fossa (of scapula) R Thumb Phalanx, Right
8 Glenoid Cavity, Left S Thumb Phalanx, Left
See 7 Glenoid Cavity, Right
T Finger Phalanx, Right
9 Clavicle, Right
V Finger Phalanx, Left
B Clavicle, Left
C Humeral Head, Right
Greater tuberosity
Lesser tuberosity
Neck of humerus
(anatomical) (surgical)
D Humeral Head, Left
See C Humeral Head, Right
0PJ–0PN

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
532 ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
P Upper Bones
P Removal Definition: Taking out or off a device from a body part
Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is
coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL.
Body Part
Character 4
0 Sternum
Manubrium
Suprasternal notch
Xiphoid process
1 Ribs, 1 to 2
2 Ribs, 3 or More
3 Cervical Vertebra
Dens
Odontoid process
Spinous process
Transverse foramen
Transverse process
Vertebral arch
Vertebral body
Vertebral foramen
Vertebral lamina
Vertebral pedicle
0 Sternum
Manubrium
Suprasternal notch
Xiphoid process
1 Ribs, 1 to 2
2 Ribs, 3 or More
3 Cervical Vertebra
Dens
Odontoid process
Spinous process
Transverse foramen
Transverse process
Vertebral arch
Vertebral body
Vertebral foramen
Vertebral lamina
Vertebral pedicle
C Humeral Head, Right
Greater tuberosity
Lesser tuberosity
Neck of humerus
(anatomical) (surgical)
D Humeral Head, Left
See C Humeral Head, Right
F Humeral Shaft, Right
Distal humerus
Humerus, distal
Lateral epicondyle of
humerus
Medial epicondyle of
humerus
G Humeral Shaft, Left
See F Humeral Shaft, Right
H Radius, Right
Ulnar notch
J Radius, Left
See H Radius, Right
K Ulna, Right
Olecranon process
Radial notch
Non-OR 0PP[0,1,2,3,4,5,6,7,8,9,B]X4Z
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Upper Bones 0PP–0PP
Upper Bones
0PP
Approach Device Qualifier
Character 5 Character 6 Character 7
4 Thoracic Vertebra 0 Open 4 Internal Fixation Device Z No Qualifier
Spinous process 3 Percutaneous 7 Autologous Tissue
Transverse process 4 Percutaneous Endoscopic Substitute
Vertebral arch J Synthetic Substitute
Vertebral body K Nonautologous Tissue
Vertebral foramen Substitute
Vertebral lamina
Vertebral pedicle
5 Scapula, Right
Acromion (process)
Coracoid process
6 Scapula, Left
See 5 Scapula, Right
7 Glenoid Cavity, Right
Glenoid fossa (of scapula)
8 Glenoid Cavity, Left
See 7 Glenoid Cavity, Right
9 Clavicle, Right
B Clavicle, Left
4 Thoracic Vertebra X External 4 Internal Fixation Device Z No Qualifier
Spinous process
Transverse process
Vertebral arch
Vertebral body
Vertebral foramen
Vertebral lamina
Vertebral pedicle
5 Scapula, Right
Acromion (process)
Coracoid process
6 Scapula, Left
See 5 Scapula, Right
7 Glenoid Cavity, Right
Glenoid fossa (of scapula)
8 Glenoid Cavity, Left
See 7 Glenoid Cavity, Right
9 Clavicle, Right
B Clavicle, Left
L Ulna, Left 0 Open 4 Internal Fixation Device Z No Qualifier
See K Ulna, Right 3 Percutaneous 5 External Fixation Device
M Carpal, Right 4 Percutaneous Endoscopic 7 Autologous Tissue
Capitate bone Substitute
Hamate bone J Synthetic Substitute
Lunate bone K Nonautologous Tissue
Pisiform bone Substitute
Scaphoid bone
Trapezium bone
Trapezoid bone
Triquetral bone
N Carpal, Left
See M Carpal, Right
P Metacarpal, Right
Q Metacarpal, Left
R Thumb Phalanx, Right
S Thumb Phalanx, Left
T Finger Phalanx, Right
V Finger Phalanx, Left
0PP Continued on next page
0PP–0PP
New/Revised in GREEN
533
 0PP–0PP Upper Bones ICD-10-PCS 2019
Upper Bones

0 Medical and Surgical 0PP Continued

P Upper Bones 0PP
P Removal Definition: Taking out or off a device from a body part
Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is
coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
C Humeral Head, Right L Ulna, Left X External 4 Internal Fixation Device Z No Qualifier
Greater tuberosity See K Ulna, Right 5 External Fixation Device
Lesser tuberosity M Carpal, Right
Neck of humerus Capitate bone
(anatomical) (surgical) Hamate bone
D Humeral Head, Left Lunate bone
See C Humeral Head, Right Pisiform bone
F Humeral Shaft, Right Scaphoid bone
Distal humerus Trapezium bone
Humerus, distal Trapezoid bone
Lateral epicondyle of Triquetral bone
humerus N Carpal, Left
Medial epicondyle of See M Carpal, Right
humerus P Metacarpal, Right
G Humeral Shaft, Left
Q Metacarpal, Left
See F Humeral Shaft, Right
H Radius, Right R Thumb Phalanx, Right
Ulnar notch S Thumb Phalanx, Left
J Radius, Left T Finger Phalanx, Right
See H Radius, Right V Finger Phalanx, Left
K Ulna, Right
Olecranon process
Radial notch
Y Upper Bone 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous M Bone Growth Stimulator
4 Percutaneous Endoscopic
X External
Non-OR 0PP[C,D,F,G,H,J,K,L,M,N,P,Q,R,S,T,V]X[4,5]Z
Non-OR 0PPY30Z
Non-OR 0PPYX[0,M]Z
0PP–0PP

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
534 ICD-10-PCS 2019
ICD-10-PCS 2019 Upper Bones 0PQ–0PQ

Upper Bones
0 Medical and Surgical
P Upper Bones 0PQ
Q Repair Definition: Restoring, to the extent possible, a body part to its normal anatomic structure and function
Explanation: Used only when the method to accomplish the repair is not one of the other root operations
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Sternum F Humeral Shaft, Right 0 Open Z No Device Z No Qualifier
Manubrium Distal humerus 3 Percutaneous
Suprasternal notch Humerus, distal 4 Percutaneous Endoscopic
Xiphoid process Lateral epicondyle of X External
1 Ribs, 1 to 2 humerus
2 Ribs, 3 or More Medial epicondyle of
3 Cervical Vertebra humerus
Dens G Humeral Shaft, Left
Odontoid process See F Humeral Shaft, Right
Spinous process H Radius, Right
Transverse foramen Ulnar notch
Transverse process J Radius, Left
Vertebral arch See H Radius, Right
Vertebral body K Ulna, Right
Vertebral foramen Olecranon process
Vertebral lamina Radial notch
Vertebral pedicle L Ulna, Left
4 Thoracic Vertebra See K Ulna, Right
Spinous process M Carpal, Right
Transverse process Capitate bone
Vertebral arch Hamate bone
Vertebral body Lunate bone
Vertebral foramen Pisiform bone
Vertebral lamina Scaphoid bone
Vertebral pedicle Trapezium bone
5 Scapula, Right Trapezoid bone
Acromion (process) Triquetral bone
Coracoid process N Carpal, Left
6 Scapula, Left See M Carpal, Right
See 5 Scapula, Right P Metacarpal, Right
7 Glenoid Cavity, Right Q Metacarpal, Left
Glenoid fossa (of scapula) R Thumb Phalanx, Right
8 Glenoid Cavity, Left S Thumb Phalanx, Left
See 7 Glenoid Cavity, Right
T Finger Phalanx, Right
9 Clavicle, Right
V Finger Phalanx, Left
B Clavicle, Left
C Humeral Head, Right
Greater tuberosity
Lesser tuberosity
Neck of humerus
(anatomical)(surgical)
D Humeral Head, Left
See C Humeral Head, Right
Non-OR 0PQ[0,1,2,3,4,5,6,7,8,9,B,C,D,F,G,H,J,K,L,M,N,P,Q,R,S,T,V]XZZ
0PQ–0PQ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 535
 0PR–0PR Upper Bones ICD-10-PCS 2019
Upper Bones

0 Medical and Surgical

P Upper Bones 0PR
R Replacement Definition: Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part
Explanation: The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during
the REPLACEMENT procedure. A REMOVAL procedure is coded for taking out the device used in a previous replacement procedure.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Sternum F Humeral Shaft, Right 0 Open 7 Autologous Tissue Z No Qualifier
Manubrium Distal humerus 3 Percutaneous Substitute
Suprasternal notch Humerus, distal 4 Percutaneous Endoscopic J Synthetic Substitute
Xiphoid process Lateral epicondyle of K Nonautologous Tissue
1 Ribs, 1 to 2 humerus Substitute
2 Ribs, 3 or More Medial epicondyle of
3 Cervical Vertebra humerus
Dens G Humeral Shaft, Left
Odontoid process See F Humeral Shaft, Right
Spinous process H Radius, Right
Transverse foramen Ulnar notch
Transverse process J Radius, Left
Vertebral arch See H Radius, Right
Vertebral body K Ulna, Right
Vertebral foramen Olecranon process
Vertebral lamina Radial notch
Vertebral pedicle L Ulna, Left
4 Thoracic Vertebra See K Ulna, Right
Spinous process M Carpal, Right
Transverse process Capitate bone
Vertebral arch Hamate bone
Vertebral body Lunate bone
Vertebral foramen Pisiform bone
Vertebral lamina Scaphoid bone
Vertebral pedicle Trapezium bone
5 Scapula, Right Trapezoid bone
Acromion (process) Triquetral bone
Coracoid process N Carpal, Left
6 Scapula, Left See M Carpal, Right
See 5 Scapula, Right P Metacarpal, Right
7 Glenoid Cavity, Right Q Metacarpal, Left
Glenoid fossa (of scapula) R Thumb Phalanx, Right
8 Glenoid Cavity, Left S Thumb Phalanx, Left
See 7 Glenoid Cavity, Right
T Finger Phalanx, Right
9 Clavicle, Right
V Finger Phalanx, Left
B Clavicle, Left
C Humeral Head, Right
Greater tuberosity
Lesser tuberosity
Neck of humerus
(anatomical)(surgical)
D Humeral Head, Left
See C Humeral Head, Right
0PR–0PR

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
536 ICD-10-PCS 2019
ICD-10-PCS 2019 Upper Bones 0PS–0PS

Upper Bones
0 Medical and Surgical
P Upper Bones 0PS
S Reposition Definition: Moving to its normal location, or other suitable location, all or a portion of a body part
Explanation: The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning
correctly. The body part may or may not be cut out or off to be moved to the new location.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Sternum 0 Open 0 Internal Fixation Device, Z No Qualifier
Manubrium 3 Percutaneous Rigid Plate
Suprasternal notch 4 Percutaneous Endoscopic 4 Internal Fixation Device
Xiphoid process Z No Device
0 Sternum X External Z No Device Z No Qualifier
Manubrium
Suprasternal notch
Xiphoid process
1 Ribs, 1 to 2 5 Scapula, Right 0 Open 4 Internal Fixation Device Z No Qualifier
2 Ribs, 3 or More Acromion (process) 3 Percutaneous Z No Device
3 Cervical Vertebra ? Coracoid process 4 Percutaneous Endoscopic
Dens 6 Scapula, Left
Odontoid process See 5 Scapula, Right
Spinous process 7 Glenoid Cavity, Right
Transverse foramen Glenoid fossa (of scapula)
Transverse process 8 Glenoid Cavity, Left
Vertebral arch See 7 Glenoid Cavity, Right
Vertebral body 9 Clavicle, Right
Vertebral foramen B Clavicle, Left
Vertebral lamina
Vertebral pedicle
4 Thoracic Vertebra ?
Spinous process
Transverse process
Vertebral arch
Vertebral body
Vertebral foramen
Vertebral lamina
Vertebral pedicle
1 Ribs, 1 to 2 5 Scapula, Right X External Z No Device Z No Qualifier
2 Ribs, 3 or More Acromion (process)
3 Cervical Vertebra Coracoid process
Dens 6 Scapula, Left
Odontoid process See 5 Scapula, Right
Spinous process 7 Glenoid Cavity, Right
Transverse foramen Glenoid fossa (of scapula)
Transverse process 8 Glenoid Cavity, Left
Vertebral arch See 7 Glenoid Cavity, Right
Vertebral body 9 Clavicle, Right
Vertebral foramen B Clavicle, Left
Vertebral lamina
Vertebral pedicle
4 Thoracic Vertebra
Spinous process
Transverse process
Vertebral arch
Vertebral body
Vertebral foramen
Vertebral lamina
Vertebral pedicle
C Humeral Head, Right G Humeral Shaft, Left 0 Open 4 Internal Fixation Device Z No Qualifier
Greater tuberosity See F Humeral Shaft, Right 3 Percutaneous 5 External Fixation Device
Lesser tuberosity H Radius, Right 4 Percutaneous Endoscopic 6 Internal Fixation Device,
Neck of humerus Ulnar notch Intramedullary
(anatomical)(surgical) J Radius, Left B External Fixation Device,
D Humeral Head, Left See H Radius, Right Monoplanar
See C Humeral Head, Right K Ulna, Right C External Fixation Device,
F Humeral Shaft, Right Olecranon process Ring
Distal humerus Radial notch D External Fixation Device,
Humerus, distal L Ulna, Left Hybrid
Lateral epicondyle of See K Ulna, Right Z No Device
humerus
Medial epicondyle of
humerus
0PS Continued on next page
Non-OR 0PS0[3,4]ZZ See Appendix L for Procedure Combinations
Non-OR 0PS0XZZ ? 0PS[3,4]3ZZ
Non-OR 0PS[1,2,5,6,7,8,9,B][3,4]ZZ
Non-OR 0PS[1,2,3,4,5,6,7,8,9,B]XZZ
0PS–0PS

Non-OR 0PS[C,D,F,G,H,J,K,L][3,4]ZZ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 537
 0PS–0PT Upper Bones ICD-10-PCS 2019
Upper Bones

0 Medical and Surgical 0PS Continued

P Upper Bones 0PS
S Reposition Definition: Moving to its normal location, or other suitable location, all or a portion of a body part
Explanation: The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning
correctly. The body part may or may not be cut out or off to be moved to the new location.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
C Humeral Head, Right G Humeral Shaft, Left X External Z No Device Z No Qualifier
Greater tuberosity See F Humeral Shaft, Right
Lesser tuberosity H Radius, Right
Neck of humerus Ulnar notch
(anatomical)(surgical) J Radius, Left
D Humeral Head, Left See H Radius, Right
See C Humeral Head, Right K Ulna, Right
F Humeral Shaft, Right Olecranon process
Distal humerus Radial notch
Humerus, distal L Ulna, Left
Lateral epicondyle of See K Ulna, Right
humerus
Medial epicondyle of
humerus
M Carpal, Right N Carpal, Left 0 Open 4 Internal Fixation Device Z No Qualifier
Capitate bone See M Carpal, Right 3 Percutaneous 5 External Fixation Device
Hamate bone P Metacarpal, Right 4 Percutaneous Endoscopic Z No Device
Lunate bone Q Metacarpal, Left
Pisiform bone R Thumb Phalanx, Right
Scaphoid bone
S Thumb Phalanx, Left
Trapezium bone
Trapezoid bone T Finger Phalanx, Right
Triquetral bone V Finger Phalanx, Left
M Carpal, Right N Carpal, Left X External Z No Device Z No Qualifier
Capitate bone See M Carpal, Right
Hamate bone P Metacarpal, Right
Lunate bone Q Metacarpal, Left
Pisiform bone R Thumb Phalanx, Right
Scaphoid bone
S Thumb Phalanx, Left
Trapezium bone
Trapezoid bone T Finger Phalanx, Right
Triquetral bone V Finger Phalanx, Left
Non-OR 0PS[C,D,F,G,H,J,K,L]XZZ
Non-OR 0PS[M,N,P,Q,R,S,T,V][3,4]ZZ
Non-OR 0PS[M,N,P,Q,R,S,T,V]XZZ

0 Medical and Surgical

P Upper Bones 0PT
T Resection Definition: Cutting out or off, without replacement, all of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Sternum G Humeral Shaft, Left 0 Open Z No Device Z No Qualifier
Manubrium See F Humeral Shaft, Right
Suprasternal notch H Radius, Right
Xiphoid process Ulnar notch
1 Ribs, 1 to 2 J Radius, Left
2 Ribs, 3 or More See H Radius, Right
5 Scapula, Right K Ulna, Right
Acromion (process) Olecranon process
Coracoid process Radial notch
6 Scapula, Left L Ulna, Left
See 5 Scapula, Right See K Ulna, Right
7 Glenoid Cavity, Right M Carpal, Right
Glenoid fossa (of scapula) Capitate bone
8 Glenoid Cavity, Left Hamate bone
See 7 Glenoid Cavity, Right Lunate bone
9 Clavicle, Right Pisiform bone
B Clavicle, Left Scaphoid bone
C Humeral Head, Right Trapezium bone
Greater tuberosity Trapezoid bone
Lesser tuberosity Triquetral bone
Neck of humerus N Carpal, Left
(anatomical) (surgical) See M Carpal, Right
D Humeral Head, Left P Metacarpal, Right
See C Humeral Head, Right Q Metacarpal, Left
F Humeral Shaft, Right R Thumb Phalanx, Right
Distal humerus S Thumb Phalanx, Left
Humerus, distal T Finger Phalanx, Right
Lateral epicondyle of humerus V Finger Phalanx, Left
0PS–0PT

Medial epicondyle of humerus

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
538 ICD-10-PCS 2019
ICD-10-PCS 2019 Upper Bones 0PU–0PU

Upper Bones
0 Medical and Surgical
P Upper Bones 0PU
U Supplement Definition: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part
Explanation: The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced,
and the SUPPLEMENT procedure is performed to physically reinforce and/or augment the function of the replaced body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Sternum D Humeral Head, Left 0 Open 7 Autologous Tissue Z No Qualifier
Manubrium See C Humeral Head, Right 3 Percutaneous Substitute
Suprasternal notch F Humeral Shaft, Right 4 Percutaneous Endoscopic J Synthetic Substitute
Xiphoid process Distal humerus K Nonautologous Tissue
1 Ribs, 1 to 2 Humerus, distal Substitute
2 Ribs, 3 or More Lateral epicondyle of
3 Cervical Vertebra ? humerus
Dens Medial epicondyle of
Odontoid process humerus
Spinous process G Humeral Shaft, Left
Transverse foramen See F Humeral Shaft, Right
Transverse process H Radius, Right
Vertebral arch Ulnar notch
Vertebral body J Radius, Left
Vertebral foramen See H Radius, Right
Vertebral lamina K Ulna, Right
Vertebral pedicle Olecranon process
4 Thoracic Vertebra ? Radial notch
Spinous process L Ulna, Left
Transverse process See K Ulna, Right
Vertebral arch M Carpal, Right
Vertebral body Capitate bone
Vertebral foramen Hamate bone
Vertebral lamina Lunate bone
Vertebral pedicle Pisiform bone
5 Scapula, Right Scaphoid bone
Acromion (process) Trapezium bone
Coracoid process Trapezoid bone
6 Scapula, Left Triquetral bone
See 5 Scapula, Right N Carpal, Left
7 Glenoid Cavity, Right See M Carpal, Right
Glenoid fossa (of scapula) P Metacarpal, Right
8 Glenoid Cavity, Left Q Metacarpal, Left
See 7 Glenoid Cavity, Right R Thumb Phalanx, Right
9 Clavicle, Right S Thumb Phalanx, Left
B Clavicle, Left T Finger Phalanx, Right
C Humeral Head, Right V Finger Phalanx, Left
Greater tuberosity
Lesser tuberosity
Neck of humerus
(anatomical) (surgical)
See Appendix L for Procedure Combinations
? 0PU[3,4]3JZ
0PU–0PU

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 539
 0PW–0PW Upper Bones ICD-10-PCS 2019
Upper Bones

0 Medical and Surgical

P Upper Bones 0PW
W Revision Definition: Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device
Explanation: Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as
a screw or pin
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Sternum 5 Scapula, Right 0 Open 4 Internal Fixation Device Z No Qualifier
Manubrium Acromion (process) 3 Percutaneous 7 Autologous Tissue
Suprasternal notch Coracoid process 4 Percutaneous Endoscopic Substitute
Xiphoid process 6 Scapula, Left X External J Synthetic Substitute
1 Ribs, 1 to 2 See 5 Scapula, Right K Nonautologous Tissue
2 Ribs, 3 or More 7 Glenoid Cavity, Right Substitute
3 Cervical Vertebra Glenoid fossa (of scapula)
Dens 8 Glenoid Cavity, Left
Odontoid process See 7 Glenoid Cavity, Right
Spinous process 9 Clavicle, Right
Transverse foramen B Clavicle, Left
Transverse process
Vertebral arch
Vertebral body
Vertebral foramen
Vertebral lamina
Vertebral pedicle
4 Thoracic Vertebra
Spinous process
Transverse process
Vertebral arch
Vertebral body
Vertebral foramen
Vertebral lamina
Vertebral pedicle
C Humeral Head, Right L Ulna, Left 0 Open 4 Internal Fixation Device Z No Qualifier
Greater tuberosity See K Ulna, Right 3 Percutaneous 5 External Fixation Device
Lesser tuberosity M Carpal, Right 4 Percutaneous Endoscopic 7 Autologous Tissue
Neck of humerus Capitate bone X External Substitute
(anatomical)(surgical) Hamate bone J Synthetic Substitute
D Humeral Head, Left Lunate bone K Nonautologous Tissue
See C Humeral Head, Right Pisiform bone Substitute
F Humeral Shaft, Right Scaphoid bone
Distal humerus Trapezium bone
Humerus, distal Trapezoid bone
Lateral epicondyle of Triquetral bone
humerus N Carpal, Left
Medial epicondyle of See M Carpal, Right
humerus P Metacarpal, Right
G Humeral Shaft, Left Q Metacarpal, Left
See F Humeral Shaft, Right R Thumb Phalanx, Right
H Radius, Right S Thumb Phalanx, Left
Ulnar notch T Finger Phalanx, Right
J Radius, Left V Finger Phalanx, Left
See H Radius, Right
K Ulna, Right
Olecranon process
Radial notch
Y Upper Bone 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous M Bone Growth Stimulator
4 Percutaneous Endoscopic
X External
Non-OR 0PW[0,1,2,3,4,5,6,7,8,9,B]X[4,7,J,K]Z
Non-OR 0PW[C,D,F,G,H,J,K,L,M,N,P,Q,R,S,T,V]X[4,5,7,J,K]Z
Non-OR 0PWYX[0,M]Z
0PW–0PW

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
540 ICD-10-PCS 2019
ICD-10-PCS 2019
Lower Bones 0Q2–0QW
Character Meanings
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.
Operation–Character 3 Body Part–Character 4
2 Change 0 Lumbar Vertebra
5 Destruction 1 Sacrum
8 Division 2 Pelvic Bone, Right
9 Drainage 3 Pelvic Bone, Left
B Excision 4 Acetabulum, Right
C Extirpation 5 Acetabulum, Left
D Extraction 6 Upper Femur, Right
H Insertion 7 Upper Femur, Left
J Inspection 8 Femoral Shaft, Right
N Release 9 Femoral Shaft, Left
P Removal B Lower Femur, Right
Q Repair C Lower Femur, Left
R Replacement D Patella, Right
S Reposition F Patella, Left
T Resection G Tibia, Right
U Supplement H Tibia, Left
W Revision J Fibula, Right
K Fibula, Left
L Tarsal, Right
M Tarsal, Left
N Metatarsal, Right
P Metatarsal, Left
Q Toe Phalanx, Right
R Toe Phalanx, Left
S Coccyx
Y Lower Bone
ICD-10-PCS 2019
Approach–Character 5
0 Open
3 Percutaneous
4 Percutaneous Endoscopic
X External
Lower Bones
Lower Bones
Device–Character 6 Qualifier–Character 7
0 Drainage Device 2 Sesamoid Bone(s) 1st Toe
4 Internal Fixation Device X Diagnostic
5 External Fixation Device Z No Qualifier
6 Internal Fixation Device,
Intramedullary
7 Autologous Tissue
Substitute
8 External Fixation Device,
Limb Lengthening
B External Fixation Device,
Monoplanar
C External Fixation Device,
Ring
D External Fixation Device,
Hybrid
J Synthetic Substitute
K Nonautologous Tissue
Substitute
M Bone Growth Stimulator
Y Other Device
Z No Device
541
 Lower Bones ICD-10-PCS 2019
Lower Bones

AHA Coding Clinic for table 0Q8 AHA Coding Clinic for table 0QR
2018, 1Q, 25 Periacetabular osteotomy for repair of congenital hip dysplasia 2017, 1Q, 22 Total knee replacement and patellar component
2016, 2Q, 31 Periacetabular ostectomy for repair of congenital hip dysplasia 2016, 3Q, 30 Resection of femur with interposition arthroplasty
AHA Coding Clinic for table 0QB AHA Coding Clinic for table 0QS
2017, 1Q, 23 Reconstruction of mandible using titanium and bone 2018, 1Q, 13 Bilateral cuboid osteotomy for repair of congenital talipes equinovarus
2016, 3Q, 30 Resection of femur with interposition arthroplasty 2018, 1Q, 25 Periacetabular osteotomy for repair of congenital hip dysplasia
2015, 3Q, 3-8 Excisional and nonexcisional debridement 2016, 3Q, 34 Tibial/fibula epiphysiodesis
2015, 3Q, 26 Femoral head resection 2014, 4Q, 29 Rotational osteosynthesis
2015, 2Q, 34 Decompressive laminectomy 2014, 4Q, 31 Reposition of femur for correction of valgus and recurvatum deformities
2014, 4Q, 25 Femoroacetabular impingement and labral tear with repair AHA Coding Clinic for table 0QT
2014, 2Q, 6 Posterior lumbar fusion with discectomy
2017, 1Q, 22 Chopart amputation of foot
2013, 4Q, 116 Spinal decompression
2016, 3Q, 30 Resection of femur with interposition arthroplasty
2013, 2Q, 39 Ankle fusion, osteotomy, and removal of hardware
2015, 3Q, 26 Femoral head resection
2012, 2Q, 19 Multiple decompressive cervical laminectomies
2014, 4Q, 29 Rotational osteosynthesis
AHA Coding Clinic for table 0QD AHA Coding Clinic for table 0QU
2017, 4Q, 41 Extraction procedures
2015, 3Q, 18 Total hip replacement with acetabular reconstruction
AHA Coding Clinic for table 0QH 2014, 4Q, 31 Reposition of femur for correction of valgus and recurvatum deformities
2017, 1Q, 21 Staged scoliosis surgery with iliac fixation and spinal fusion 2014, 2Q, 12 Percutaneous vertebroplasty using cement
2016, 3Q, 34 Tibial/fibula epiphysiodesis 2013, 2Q, 35 Use of bone void filler in grafting
AHA Coding Clinic for table 0QP AHA Coding Clinic for table 0QW
2017, 4Q, 74-75 Magnetic growth rods 2017, 4Q, 74-75 Magnetic growth rods
2015, 2Q, 6 Planned implant break
AHA Coding Clinic for table 0QQ
2018, 1Q, 15 Pubic symphysis fusion
2014, 3Q, 24 Repair of lipomyelomeningocele and tethered cord

542 ICD-10-PCS 2019

ICD-10-PCS 2019 Lower Bones

Lower Bones
Lower Bones

Lumbar vertebra 0

Pelvic 2, 3

Sacrum 1

Coccyx S
Acetabulum 4, 5

Femur 6, 7, 8, 9, B, C

Patella D, F

Tibia G, H

Fibula J, K

Metatarsal N, P
Tarsal L, M
Toe phalanx Q, R

ICD-10-PCS 2019 543

 Lower Bones ICD-10-PCS 2019
Lower Bones

Hip Bone Anatomy Pelvic and Lower Extremity Bones

Iliac fossa 2, 3 Iliac crest 2, 3

Iliac crest 2, 3 Sacrum 1

Anterior view
of left hip and
its lower limb Acetabulum (socket) 4, 5

Wing of Obturator
ilium 2, 3 foramen
Head of femur 6, 7

Ischium 2, 3
Greater Lesser trochanter 6, 7
sciatic
notch Acetabulum 4, 5
Pubis 2, 3 Femur shaft 8, 9

Obturator
Ischium 2, 3 foramen

Lateral view of
Patella (knee cap) D, F
right hip socket

Medial epicondyle B, C
Fibula J, K

Tibia G, H

Foot Bones

Intermediate Metatarso- Phalanges Q, R

cuneiform L, M Middle
cuneiform L, M phalangeal
Talus L, M joints Distal Q, R
Navicular L, M
Hallux Q, R

Proximal Q, R
Calcaneus L, M

Medial Q, R
Cuboid L, M Metatarsals N, P

Interphalangeal joint Q, R
Tarsals L, M Lateral cuneiform L, M

544 ICD-10-PCS 2019

ICD-10-PCS 2019 Lower Bones 0Q2–0Q5

Lower Bones
0 Medical and Surgical
Q Lower Bones 0Q2
2 Change Definition: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without
cutting or puncturing the skin or a mucous membrane
Explanation: All CHANGE procedures are coded using the approach EXTERNAL
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
Y Lower Bone X External 0 Drainage Device Z No Qualifier
Y Other Device
Non-OR All body part, approach, device, and qualifier values

0 Medical and Surgical

Q Lower Bones 0Q5
5 Destruction Definition: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent
Explanation: None of the body part is physically taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Lumbar Vertebra D Patella, Right 0 Open Z No Device Z No Qualifier
Spinous process F Patella, Left 3 Percutaneous
Transverse process G Tibia, Right 4 Percutaneous Endoscopic
Vertebral arch Lateral condyle of tibia
Vertebral body Medial condyle of tibia
Vertebral foramen Medial malleolus
Vertebral lamina H Tibia, Left
Vertebral pedicle See G Tibia, Right
1 Sacrum J Fibula, Right
2 Pelvic Bone, Right Body of fibula
Iliac crest Head of fibula
Ilium Lateral malleolus
Ischium K Fibula, Left
Pubis See J Fibula, Right
3 Pelvic Bone, Left L Tarsal, Right
See 2 Pelvic Bone, Right Calcaneus
4 Acetabulum, Right Cuboid bone
5 Acetabulum, Left Intermediate cuneiform
6 Upper Femur, Right bone
Femoral head Lateral cuneiform bone
Greater trochanter Medial cuneiform bone
Lesser trochanter Navicular bone
Neck of femur Talus bone
7 Upper Femur, Left M Tarsal, Left
See 6 Upper Femur, Right See L Tarsal, Right
8 Femoral Shaft, Right N Metatarsal, Right
Body of femur P Metatarsal, Left
9 Femoral Shaft, Left Q Toe Phalanx, Right
See 8 Femoral Shaft, Right R Toe Phalanx, Left
B Lower Femur, Right S Coccyx
Lateral condyle of femur
Lateral epicondyle of femur
Medial condyle of femur
Medial epicondyle of femur
C Lower Femur, Left
See B Lower Femur, Right
0Q2–0Q5

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 545
 0Q8–0Q8 Lower Bones ICD-10-PCS 2019
Lower Bones

0 Medical and Surgical

Q Lower Bones 0Q8
8 Division Definition: Cutting into a body part, without draining fluids and/or gases from the body part, in order to separate or transect a body part
Explanation: All or a portion of the body part is separated into two or more portions
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Lumbar Vertebra 0 Open Z No Device Z No Qualifier
Spinous process 3 Percutaneous
Transverse process 4 Percutaneous Endoscopic
Vertebral arch
Vertebral body
Vertebral foramen
Vertebral lamina
Vertebral pedicle
1 Sacrum
2 Pelvic Bone, Right
Iliac crest
Ilium
Ischium
Pubis
3 Pelvic Bone, Left
See 2 Pelvic Bone, Right
4 Acetabulum, Right
5 Acetabulum, Left
6 Upper Femur, Right
Femoral head
Greater trochanter
Lesser trochanter
Neck of femur
7 Upper Femur, Left
See 6 Upper Femur, Right
8 Femoral Shaft, Right
Body of femur
9 Femoral Shaft, Left
See 8 Femoral Shaft, Right
B Lower Femur, Right
Lateral condyle of femur
Lateral epicondyle of femur
Medial condyle of femur
Medial epicondyle of femur
C Lower Femur, Left
See B Lower Femur, Right
D Patella, Right
F Patella, Left
G Tibia, Right
Lateral condyle of tibia
Medial condyle of tibia
Medial malleolus
H Tibia, Left
See G Tibia, Right
J Fibula, Right
Body of fibula
Head of fibula
Lateral malleolus
K Fibula, Left
See J Fibula, Right
L Tarsal, Right
Calcaneus
Cuboid bone
Intermediate cuneiform bone
Lateral cuneiform bone
Medial cuneiform bone
Navicular bone
Talus bone
M Tarsal, Left
See L Tarsal, Right
N Metatarsal, Right
P Metatarsal, Left
Q Toe Phalanx, Right
R Toe Phalanx, Left
S Coccyx
0Q8–0Q8

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
546 ICD-10-PCS 2019
ICD-10-PCS 2019 Lower Bones 0Q9–0Q9

Lower Bones
0 Medical and Surgical
Q Lower Bones 0Q9
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Lumbar Vertebra C Lower Femur, Left 0 Open 0 Drainage Device Z No Qualifier
Spinous process See B Lower Femur, Right 3 Percutaneous
Transverse process D Patella, Right 4 Percutaneous Endoscopic
Vertebral arch F Patella, Left
Vertebral body G Tibia, Right
Vertebral foramen Lateral condyle of tibia
Vertebral lamina Medial condyle of tibia
Vertebral pedicle Medial malleolus
1 Sacrum H Tibia, Left
2 Pelvic Bone, Right See G Tibia, Right
Iliac crest J Fibula, Right
Ilium Body of fibula
Ischium Head of fibula
Pubis Lateral malleolus
3 Pelvic Bone, Left
K Fibula, Left
See 2 Pelvic Bone, Right
See J Fibula, Right
4 Acetabulum, Right
L Tarsal, Right
5 Acetabulum, Left Calcaneus
6 Upper Femur, Right Cuboid bone
Femoral head Intermediate cuneiform bone
Greater trochanter Lateral cuneiform bone
Lesser trochanter Medial cuneiform bone
Neck of femur Navicular bone
7 Upper Femur, Left Talus bone
See 6 Upper Femur, Right M Tarsal, Left
8 Femoral Shaft, Right See L Tarsal, Right
Body of femur N Metatarsal, Right
9 Femoral Shaft, Left P Metatarsal, Left
See 8 Femoral Shaft, Right
Q Toe Phalanx, Right
B Lower Femur, Right
Lateral condyle of femur R Toe Phalanx, Left
Lateral epicondyle of femur S Coccyx
Medial condyle of femur
Medial epicondyle of femur
0 Lumbar Vertebra C Lower Femur, Left 0 Open Z No Device X Diagnostic
Spinous process See B Lower Femur, Right 3 Percutaneous Z No Qualifier
Transverse process D Patella, Right 4 Percutaneous Endoscopic
Vertebral arch F Patella, Left
Vertebral body G Tibia, Right
Vertebral foramen Lateral condyle of tibia
Vertebral lamina Medial condyle of tibia
Vertebral pedicle Medial malleolus
1 Sacrum H Tibia, Left
2 Pelvic Bone, Right See G Tibia, Right
Iliac crest J Fibula, Right
Ilium Body of fibula
Ischium Head of fibula
Pubis Lateral malleolus
3 Pelvic Bone, Left K Fibula, Left
See 2 Pelvic Bone, Right See J Fibula, Right
4 Acetabulum, Right L Tarsal, Right
5 Acetabulum, Left Calcaneus
6 Upper Femur, Right Cuboid bone
Femoral head Intermediate cuneiform bone
Greater trochanter Lateral cuneiform bone
Lesser trochanter Medial cuneiform bone
Neck of femur Navicular bone
7 Upper Femur, Left Talus bone
See 6 Upper Femur, Right M Tarsal, Left
8 Femoral Shaft, Right See L Tarsal, Right
Body of femur N Metatarsal, Right
9 Femoral Shaft, Left P Metatarsal, Left
See 8 Femoral Shaft, Right Q Toe Phalanx, Right
B Lower Femur, Right R Toe Phalanx, Left
Lateral condyle of femur S Coccyx
Lateral epicondyle of femur
Medial condyle of femur
Medial epicondyle of femur
Non-OR 0Q9[0,1,2,3,4,5,6,7,8,9,B,C,D,F,G,H,J,K,L,M,P,Q,R,S]30Z
Non-OR 0Q9[0,1,2,3,4,5,6,7,8,9,B,C,D,F,G,H,J,K,L,M,P,Q,R,S]3ZZ
0Q9–0Q9

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 547
 0QB–0QB Lower Bones ICD-10-PCS 2019
Lower Bones

0 Medical and Surgical

Q Lower Bones 0QB
B Excision Definition: Cutting out or off, without replacement, a portion of a body part
Explanation: The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Lumbar Vertebra 0 Open Z No Device X Diagnostic
Spinous process 3 Percutaneous Z No Qualifier
Transverse process 4 Percutaneous Endoscopic
Vertebral arch
Vertebral body
Vertebral foramen
Vertebral lamina
Vertebral pedicle
1 Sacrum
2 Pelvic Bone, Right
Iliac crest
Ilium
Ischium
Pubis
3 Pelvic Bone, Left
See 2 Pelvic Bone, Right
4 Acetabulum, Right
5 Acetabulum, Left
6 Upper Femur, Right
Femoral head
Greater trochanter
Lesser trochanter
Neck of femur
7 Upper Femur, Left
See 6 Upper Femur, Right
8 Femoral Shaft, Right
Body of femur
9 Femoral Shaft, Left
See 8 Femoral Shaft, Right
B Lower Femur, Right
Lateral condyle of femur
Lateral epicondyle of femur
Medial condyle of femur
Medial epicondyle of femur
C Lower Femur, Left
See B Lower Femur, Right
D Patella, Right
F Patella, Left
G Tibia, Right
Lateral condyle of tibia
Medial condyle of tibia
Medial malleolus
H Tibia, Left
See G Tibia, Right
J Fibula, Right
Body of fibula
Head of fibula
Lateral malleolus
K Fibula, Left
See J Fibula, Right
L Tarsal, Right
Calcaneus
Cuboid bone
Intermediate cuneiform bone
Lateral cuneiform bone
Medial cuneiform bone
Navicular bone
Talus bone
M Tarsal, Left
See L Tarsal, Right
N Metatarsal, Right
P Metatarsal, Left
Q Toe Phalanx, Right
R Toe Phalanx, Left
S Coccyx
0QB–0QB

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
548 ICD-10-PCS 2019
ICD-10-PCS 2019 Lower Bones 0QC–0QD

Lower Bones
0 Medical and Surgical
Q Lower Bones 0QC
C Extirpation Definition: Taking or cutting out solid matter from a body part
Explanation: The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in
the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Lumbar Vertebra C Lower Femur, Left 0 Open Z No Device Z No Qualifier
Spinous process See B Lower Femur, Right 3 Percutaneous
Transverse process D Patella, Right 4 Percutaneous Endoscopic
Vertebral arch F Patella, Left
Vertebral body G Tibia, Right
Vertebral foramen Lateral condyle of tibia
Vertebral lamina Medial condyle of tibia
Vertebral pedicle Medial malleolus
1 Sacrum H Tibia, Left
2 Pelvic Bone, Right See G Tibia, Right
Iliac crest J Fibula, Right
Ilium Body of fibula
Ischium Head of fibula
Pubis Lateral malleolus
3 Pelvic Bone, Left
K Fibula, Left
See 2 Pelvic Bone, Right
See J Fibula, Right
4 Acetabulum, Right
5 Acetabulum, Left L Tarsal, Right
6 Upper Femur, Right Calcaneus
Femoral head Cuboid bone
Greater trochanter Intermediate cuneiform bone
Lesser trochanter Lateral cuneiform bone
Neck of femur Medial cuneiform bone
Navicular bone
7 Upper Femur, Left
Talus bone
See 6 Upper Femur, Right
M Tarsal, Left
8 Femoral Shaft, Right
See L Tarsal, Right
Body of femur
N Metatarsal, Right
9 Femoral Shaft, Left P Metatarsal, Left
See 8 Femoral Shaft, Right Q Toe Phalanx, Right
B Lower Femur, Right R Toe Phalanx, Left
Lateral condyle of femur S Coccyx
Lateral epicondyle of femur
Medial condyle of femur
Medial epicondyle of femur

0 Medical and Surgical

Q Lower Bones 0QD
D Extraction Definition: Pulling or stripping out or off all or a portion of a body part by the use of force
Explanation: The qualifier DIAGNOSTIC is used to identify extraction procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Lumbar Vertebra C Lower Femur, Left 0 Open Z No Device Z No Qualifier
Spinous process See B Lower Femur, Right
Transverse process D Patella, Right
Vertebral arch F Patella, Left
Vertebral body G Tibia, Right
Vertebral foramen Lateral condyle of tibia
Vertebral lamina Medial condyle of tibia
Vertebral pedicle Medial malleolus
1 Sacrum H Tibia, Left
2 Pelvic Bone, Right See G Tibia, Right
Iliac crest J Fibula, Right
Ilium Body of fibula
Ischium Head of fibula
Pubis Lateral malleolus
3 Pelvic Bone, Left
K Fibula, Left
See 2 Pelvic Bone, Right
See J Fibula, Right
4 Acetabulum, Right
5 Acetabulum, Left L Tarsal, Right
6 Upper Femur, Right Calcaneus
Femoral head Cuboid bone
Greater trochanter Intermediate cuneiform bone
Lesser trochanter Lateral cuneiform bone
Neck of femur Medial cuneiform bone
Navicular bone
7 Upper Femur, Left
Talus bone
See 6 Upper Femur, Right
M Tarsal, Left
8 Femoral Shaft, Right
See L Tarsal, Right
Body of femur
N Metatarsal, Right
9 Femoral Shaft, Left P Metatarsal, Left
See 8 Femoral Shaft, Right Q Toe Phalanx, Right
0QC–0QD

B Lower Femur, Right R Toe Phalanx, Left

Lateral condyle of femur S Coccyx
Lateral epicondyle of femur
Medial condyle of femur
Medial epicondyle of femur

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 549
 0QH–0QJ Lower Bones ICD-10-PCS 2019
Lower Bones

0 Medical and Surgical

Q Lower Bones 0QH
H Insertion Definition: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically
take the place of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Lumbar Vertebra D Patella, Right 0 Open 4 Internal Fixation Device Z No Qualifier
Spinous process F Patella, Left 3 Percutaneous 5 External Fixation Device
Transverse process L Tarsal, Right 4 Percutaneous Endoscopic
Vertebral arch Calcaneus
Vertebral body Cuboid bone
Vertebral foramen Intermediate cuneiform bone
Vertebral lamina Lateral cuneiform bone
Vertebral pedicle Medial cuneiform bone
1 Sacrum Navicular bone
2 Pelvic Bone, Right Talus bone
Iliac crest M Tarsal, Left
Ilium See L Tarsal, Right
Ischium N Metatarsal, Right
Pubis P Metatarsal, Left
Q Toe Phalanx, Right
3 Pelvic Bone, Left R Toe Phalanx, Left
See 2 Pelvic Bone, Right S Coccyx
4 Acetabulum, Right
5 Acetabulum, Left
6 Upper Femur, Right C Lower Femur, Left 0 Open 4 Internal Fixation Device Z No Qualifier
Femoral head See B Lower Femur, Right 3 Percutaneous 5 External Fixation Device
Greater trochanter G Tibia, Right 4 Percutaneous Endoscopic 6 Internal Fixation Device,
Lesser trochanter Lateral condyle of tibia Intramedullary
Neck of femur Medial condyle of tibia 8 External Fixation Device,
7 Upper Femur, Left Medial malleolus Limb Lengthening
See 6 Upper Femur, Right H Tibia, Left B External Fixation Device,
8 Femoral Shaft, Right See G Tibia, Right Monoplanar
Body of femur J Fibula, Right C External Fixation Device,
9 Femoral Shaft, Left Body of fibula Ring
See 8 Femoral Shaft, Right Head of fibula D External Fixation Device,
B Lower Femur, Right Lateral malleolus Hybrid
Lateral condyle of femur K Fibula, Left
Lateral epicondyle of femur See J Fibula, Right
Medial condyle of femur
Medial epicondyle of femur
Y Lower Bone 0 Open M Bone Growth Stimulator Z No Qualifier
3 Percutaneous
4 Percutaneous Endoscopic
Non-OR 0QH[6,7,8,9,B,C,G,H,J,K][0,3,4]8Z

0 Medical and Surgical

Q Lower Bones 0QJ
J Inspection Definition: Visually and/or manually exploring a body part
Explanation: Visual exploration may be performed with or without optical instrumentation. Manual exploration may be performed directly or
through intervening body layers.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
Y Lower Bone 0 Open Z No Device Z No Qualifier
3 Percutaneous
4 Percutaneous Endoscopic
X External
Non-OR 0QJY[3,X]ZZ
0QH–0QJ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
550 ICD-10-PCS 2019
ICD-10-PCS 2019 Lower Bones 0QN–0QP

Lower Bones
0 Medical and Surgical
Q Lower Bones 0QN
N Release Definition: Freeing a body part from an abnormal physical constraint by cutting or by the use of force
Explanation: Some of the restraining tissue may be taken out but none of the body part is taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Lumbar Vertebra C Lower Femur, Left 0 Open Z No Device Z No Qualifier
Spinous process See B Lower Femur, Right 3 Percutaneous
Transverse process D Patella, Right 4 Percutaneous Endoscopic
Vertebral arch F Patella, Left
Vertebral body G Tibia, Right
Vertebral foramen Lateral condyle of tibia
Vertebral lamina Medial condyle of tibia
Vertebral pedicle Medial malleolus
1 Sacrum H Tibia, Left
2 Pelvic Bone, Right See G Tibia, Right
Iliac crest J Fibula, Right
Ilium Body of fibula
Ischium Head of fibula
Pubis Lateral malleolus
3 Pelvic Bone, Left K Fibula, Left
See 2 Pelvic Bone, Right See J Fibula, Right
4 Acetabulum, Right L Tarsal, Right
5 Acetabulum, Left Calcaneus
6 Upper Femur, Right Cuboid bone
Femoral head Intermediate cuneiform
Greater trochanter bone
Lesser trochanter Lateral cuneiform bone
Neck of femur Medial cuneiform bone
7 Upper Femur, Left Navicular bone
See 6 Upper Femur, Right Talus bone
8 Femoral Shaft, Right M Tarsal, Left
Body of femur See L Tarsal, Right
9 Femoral Shaft, Left N Metatarsal, Right
See 8 Femoral Shaft, Right P Metatarsal, Left
B Lower Femur, Right Q Toe Phalanx, Right
Lateral condyle of femur R Toe Phalanx, Left
Lateral epicondyle of femur S Coccyx
Medial condyle of femur
Medial epicondyle of femur

0 Medical and Surgical

Q Lower Bones 0QP
P Removal Definition: Taking out or off a device from a body part
Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is
coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Lumbar Vertebra 0 Open 4 Internal Fixation Device Z No Qualifier
Spinous process 3 Percutaneous 7 Autologous Tissue
Transverse process 4 Percutaneous Endoscopic Substitute
Vertebral arch J Synthetic Substitute
Vertebral body K Nonautologous Tissue
Vertebral foramen Substitute
Vertebral lamina
Vertebral pedicle
1 Sacrum
4 Acetabulum, Right
5 Acetabulum, Left
S Coccyx
0 Lumbar Vertebra X External 4 Internal Fixation Device Z No Qualifier
Spinous process
Transverse process
Vertebral arch
Vertebral body
Vertebral foramen
Vertebral lamina
Vertebral pedicle
1 Sacrum
4 Acetabulum, Right
5 Acetabulum, Left
S Coccyx
0QP Continued on next page
Non-OR 0QP[0,1,4,5,S]X4Z
0QN–0QP

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 551
 0QP–0QP Lower Bones ICD-10-PCS 2019
Lower Bones

0 Medical and Surgical 0QP Continued

Q Lower Bones 0QP
P Removal Definition: Taking out or off a device from a body part
Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is
coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
2 Pelvic Bone, Right G Tibia, Right 0 Open 4 Internal Fixation Device Z No Qualifier
Iliac crest Lateral condyle of tibia 3 Percutaneous 5 External Fixation Device
Ilium Medial condyle of tibia 4 Percutaneous Endoscopic 7 Autologous Tissue
Ischium Medial malleolus Substitute
Pubis H Tibia, Left J Synthetic Substitute
3 Pelvic Bone, Left See G Tibia, Right K Nonautologous Tissue
See 2 Pelvic Bone, Right J Fibula, Right Substitute
6 Upper Femur, Right Body of fibula
Femoral head Head of fibula
Greater trochanter Lateral malleolus
Lesser trochanter K Fibula, Left
Neck of femur See J Fibula, Right
7 Upper Femur, Left L Tarsal, Right
See 6 Upper Femur, Right Calcaneus
8 Femoral Shaft, Right Cuboid bone
Body of femur Intermediate cuneiform bone
9 Femoral Shaft, Left Lateral cuneiform bone
See 8 Femoral Shaft, Right Medial cuneiform bone
B Lower Femur, Right Navicular bone
Lateral condyle of femur Talus bone
Lateral epicondyle of femur M Tarsal, Left
Medial condyle of femur See L Tarsal, Right
Medial epicondyle of femur N Metatarsal, Right
C Lower Femur, Left P Metatarsal, Left
See B Lower Femur, Right Q Toe Phalanx, Right
D Patella, Right R Toe Phalanx, Left
F Patella, Left
2 Pelvic Bone, Right G Tibia, Right X External 4 Internal Fixation Device Z No Qualifier
Iliac crest Lateral condyle of tibia 5 External Fixation Device
Ilium Medial condyle of tibia
Ischium Medial malleolus
Pubis H Tibia, Left
3 Pelvic Bone, Left See G Tibia, Right
See 2 Pelvic Bone, Right J Fibula, Right
6 Upper Femur, Right Body of fibula
Femoral head Head of fibula
Greater trochanter Lateral malleolus
Lesser trochanter K Fibula, Left
Neck of femur See J Fibula, Right
7 Upper Femur, Left L Tarsal, Right
See 6 Upper Femur, Right Calcaneus
8 Femoral Shaft, Right Cuboid bone
Body of femur Intermediate cuneiform bone
9 Femoral Shaft, Left Lateral cuneiform bone
See 8 Femoral Shaft, Right Medial cuneiform bone
B Lower Femur, Right Navicular bone
Lateral condyle of femur Talus bone
Lateral epicondyle of femur M Tarsal, Left
Medial condyle of femur See L Tarsal, Right
Medial epicondyle of femur N Metatarsal, Right
C Lower Femur, Left P Metatarsal, Left
See B Lower Femur, Right Q Toe Phalanx, Right
D Patella, Right R Toe Phalanx, Left
F Patella, Left
Y Lower Bone 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous M Bone Growth Stimulator
4 Percutaneous Endoscopic
X External
Non-OR 0QP[2,3,6,7,8,9,B,C,D,F,G,H,J,K,L,M,N,P,Q,R]X[4,5]Z
Non-OR 0QPY30Z
Non-OR 0QPYX[0,M]Z
0QP–0QP

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
552 ICD-10-PCS 2019
ICD-10-PCS 2019 Lower Bones 0QQ–0QQ

Lower Bones
0 Medical and Surgical
Q Lower Bones 0QQ
Q Repair Definition: Restoring, to the extent possible, a body part to its normal anatomic structure and function
Explanation: Used only when the method to accomplish the repair is not one of the other root operations
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Lumbar Vertebra 0 Open Z No Device Z No Qualifier
Spinous process 3 Percutaneous
Transverse process 4 Percutaneous Endoscopic
Vertebral arch X External
Vertebral body
Vertebral foramen
Vertebral lamina
Vertebral pedicle
1 Sacrum
2 Pelvic Bone, Right
Iliac crest
Ilium
Ischium
Pubis
3 Pelvic Bone, Left
See 2 Pelvic Bone, Right
4 Acetabulum, Right
5 Acetabulum, Left
6 Upper Femur, Right
Femoral head
Greater trochanter
Lesser trochanter
Neck of femur
7 Upper Femur, Left
See 6 Upper Femur, Right
8 Femoral Shaft, Right
Body of femur
9 Femoral Shaft, Left
See 8 Femoral Shaft, Right
B Lower Femur, Right
Lateral condyle of femur
Lateral epicondyle of femur
Medial condyle of femur
Medial epicondyle of femur
C Lower Femur, Left
See B Lower Femur, Right
D Patella, Right
F Patella, Left
G Tibia, Right
Lateral condyle of tibia
Medial condyle of tibia
Medial malleolus
H Tibia, Left
See G Tibia, Right
J Fibula, Right
Body of fibula
Head of fibula
Lateral malleolus
K Fibula, Left
See J Fibula, Right
L Tarsal, Right
Calcaneus
Cuboid bone
Intermediate cuneiform bone
Lateral cuneiform bone
Medial cuneiform bone
Navicular bone
Talus bone
M Tarsal, Left
See L Tarsal, Right
N Metatarsal, Right
P Metatarsal, Left
Q Toe Phalanx, Right
R Toe Phalanx, Left
S Coccyx
Non-OR 0QQ[0,1,2,3,4,5,6,7,8,9,B,C,D,F,G,H,J,K,L,M,N,P,Q,R,S]XZZ
0QQ–0QQ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 553
 0QR–0QR Lower Bones ICD-10-PCS 2019
Lower Bones

0 Medical and Surgical

Q Lower Bones 0QR
R Replacement Definition: Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part
Explanation: The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during
the REPLACEMENT procedure. A REMOVAL procedure is coded for taking out the device used in a previous replacement procedure.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Lumbar Vertebra 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Spinous process 3 Percutaneous J Synthetic Substitute
Transverse process 4 Percutaneous Endoscopic K Nonautologous Tissue Substitute
Vertebral arch
Vertebral body
Vertebral foramen
Vertebral lamina
Vertebral pedicle
1 Sacrum
2 Pelvic Bone, Right
Iliac crest
Ilium
Ischium
Pubis
3 Pelvic Bone, Left
See 2 Pelvic Bone, Right
4 Acetabulum, Right
5 Acetabulum, Left
6 Upper Femur, Right
Femoral head
Greater trochanter
Lesser trochanter
Neck of femur
7 Upper Femur, Left
See 6 Upper Femur, Right
8 Femoral Shaft, Right
Body of femur
9 Femoral Shaft, Left
See 8 Femoral Shaft, Right
B Lower Femur, Right
Lateral condyle of femur
Lateral epicondyle of femur
Medial condyle of femur
Medial epicondyle of femur
C Lower Femur, Left
See B Lower Femur, Right
D Patella, Right
F Patella, Left
G Tibia, Right
Lateral condyle of tibia
Medial condyle of tibia
Medial malleolus
H Tibia, Left
See G Tibia, Right
J Fibula, Right
Body of fibula
Head of fibula
Lateral malleolus
K Fibula, Left
See J Fibula, Right
L Tarsal, Right
Calcaneus
Cuboid bone
Intermediate cuneiform bone
Lateral cuneiform bone
Medial cuneiform bone
Navicular bone
Talus bone
M Tarsal, Left
See L Tarsal, Right
N Metatarsal, Right
P Metatarsal, Left
Q Toe Phalanx, Right
R Toe Phalanx, Left
S Coccyx
0QR–0QR

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
554 ICD-10-PCS 2019
ICD-10-PCS 2019 Lower Bones 0QS–0QS

Lower Bones
0 Medical and Surgical
Q Lower Bones 0QS
S Reposition Definition: Moving to its normal location, or other suitable location, all or a portion of a body part
Explanation: The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning
correctly. The body part may or may not be cut out or off to be moved to the new location.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Lumbar Vertebra ? 0 Open 4 Internal Fixation Device Z No Qualifier
Spinous process 3 Percutaneous Z No Device
Transverse process 4 Percutaneous Endoscopic
Vertebral arch
Vertebral body
Vertebral foramen
Vertebral lamina
Vertebral pedicle
1 Sacrum ?
4 Acetabulum, Right
5 Acetabulum, Left
S Coccyx ?
0 Lumbar Vertebra X External Z No Device Z No Qualifier
Spinous process
Transverse process
Vertebral arch
Vertebral body
Vertebral foramen
Vertebral lamina
Vertebral pedicle
1 Sacrum
4 Acetabulum, Right
5 Acetabulum, Left
S Coccyx
2 Pelvic Bone, Right 0 Open 4 Internal Fixation Device Z No Qualifier
Iliac crest 3 Percutaneous 5 External Fixation Device
Ilium 4 Percutaneous Endoscopic Z No Device
Ischium
Pubis
3 Pelvic Bone, Left
See 2 Pelvic Bone, Right
D Patella, Right
F Patella, Left
L Tarsal, Right
Calcaneus
Cuboid bone
Intermediate cuneiform bone
Lateral cuneiform bone
Medial cuneiform bone
Navicular bone
Talus bone
M Tarsal, Left
See L Tarsal, Right
Q Toe Phalanx, Right
R Toe Phalanx, Left
2 Pelvic Bone, Right X External Z No Device Z No Qualifier
Iliac crest
Ilium
Ischium
Pubis
3 Pelvic Bone, Left
See 2 Pelvic Bone, Right
D Patella, Right
F Patella, Left
L Tarsal, Right
Calcaneus
Cuboid bone
Intermediate cuneiform bone
Lateral cuneiform bone
Medial cuneiform bone
Navicular bone
Talus bone
M Tarsal, Left
See L Tarsal, Right
Q Toe Phalanx, Right
R Toe Phalanx, Left
0QS Continued on next page
Non-OR 0QS[4,5][3,4]ZZ See Appendix L for Procedure Combinations
0QS–0QS

Non-OR 0QS[0,1,4,5,S]XZZ ? 0QS[0,1,S]3ZZ

Non-OR 0QS[2,3,D,F,L,M,Q,R][3,4]ZZ
Non-OR 0QS[2,3,D,F,L,M,Q,R]XZZ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 555
 0QS–0QS Lower Bones ICD-10-PCS 2019
Lower Bones

0 Medical and Surgical 0QS Continued

Q Lower Bones 0QS
S Reposition Definition: Moving to its normal location, or other suitable location, all or a portion of a body part
Explanation: The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning
correctly. The body part may or may not be cut out or off to be moved to the new location.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
6 Upper Femur, Right 0 Open 4 Internal Fixation Device Z No Qualifier
Femoral head 3 Percutaneous 5 External Fixation Device
Greater trochanter 4 Percutaneous Endoscopic 6 Internal Fixation Device,
Lesser trochanter Intramedullary
Neck of femur B External Fixation Device,
7 Upper Femur, Left Monoplanar
See 6 Upper Femur, Right C External Fixation Device, Ring
8 Femoral Shaft, Right D External Fixation Device, Hybrid
Body of femur
Z No Device
9 Femoral Shaft, Left
See 8 Femoral Shaft, Right
B Lower Femur, Right
Lateral condyle of femur
Lateral epicondyle of femur
Medial condyle of femur
Medial epicondyle of femur
C Lower Femur, Left
See B Lower Femur, Right
G Tibia, Right
Lateral condyle of tibia
Medial condyle of tibia
Medial malleolus
H Tibia, Left
See G Tibia, Right
J Fibula, Right
Body of fibula
Head of fibula
Lateral malleolus
K Fibula, Left
See J Fibula, Right
6 Upper Femur, Right X External Z No Device Z No Qualifier
Femoral head
Greater trochanter
Lesser trochanter
Neck of femur
7 Upper Femur, Left
See 6 Upper Femur, Right
8 Femoral Shaft, Right
Body of femur
9 Femoral Shaft, Left
See 8 Femoral Shaft, Right
B Lower Femur, Right
Lateral condyle of femur
Lateral epicondyle of femur
Medial condyle of femur
Medial epicondyle of femur
C Lower Femur, Left
See B Lower Femur, Right
G Tibia, Right
Lateral condyle of tibia
Medial condyle of tibia
Medial malleolus
H Tibia, Left
See G Tibia, Right
J Fibula, Right
Body of fibula
Head of fibula
Lateral malleolus
K Fibula, Left
See J Fibula, Right
N Metatarsal, Right 0 Open 4 Internal Fixation Device 2 Sesamoid Bone(s) 1st Toe
P Metatarsal, Left 3 Percutaneous 5 External Fixation Device Z No Qualifier
4 Percutaneous Endoscopic Z No Device
N Metatarsal, Right X External Z No Device 2 Sesamoid Bone(s) 1st Toe
P Metatarsal, Left Z No Qualifier
Non-OR 0QS[6,7,8,9,B,C,G,H,J,K][3,4]ZZ
Non-OR 0QS[6,7,8,9,B,C,G,H,J,K]XZZ
Non-OR 0QS[N,P][3,4]Z[2,Z]
Non-OR 0QS[N,P]XZ[2,Z]
0QS–0QS

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
556 ICD-10-PCS 2019
ICD-10-PCS 2019 Lower Bones 0QT–0QU

Lower Bones
0 Medical and Surgical
Q Lower Bones 0QT
T Resection Definition: Cutting out or off, without replacement, all of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
2 Pelvic Bone, Right F Patella, Left 0 Open Z No Device Z No Qualifier
Iliac crest G Tibia, Right
Ilium Lateral condyle of tibia
Ischium Medial condyle of tibia
Pubis Medial malleolus
3 Pelvic Bone, Left H Tibia, Left
See 2 Pelvic Bone, Right See G Tibia, Right
4 Acetabulum, Right J Fibula, Right
5 Acetabulum, Left Body of fibula
6 Upper Femur, Right Head of fibula
Femoral head Lateral malleolus
Greater trochanter K Fibula, Left
Lesser trochanter See J Fibula, Right
Neck of femur L Tarsal, Right
7 Upper Femur, Left Calcaneus
See 6 Upper Femur, Right Cuboid bone
8 Femoral Shaft, Right Intermediate cuneiform bone
Body of femur Lateral cuneiform bone
9 Femoral Shaft, Left Medial cuneiform bone
See 8 Femoral Shaft, Right Navicular bone
B Lower Femur, Right Talus bone
Lateral condyle of femur M Tarsal, Left
Lateral epicondyle of femur See L Tarsal, Right
Medial condyle of femur N Metatarsal, Right
Medial epicondyle of femur P Metatarsal, Left
C Lower Femur, Left Q Toe Phalanx, Right
See B Lower Femur, Right R Toe Phalanx, Left
D Patella, Right S Coccyx

0 Medical and Surgical

Q Lower Bones 0QU
U Supplement Definition: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part
Explanation: The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced,
and the SUPPLEMENT procedure is performed to physically reinforce and/or augment the function of the replaced body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Lumbar Vertebra ? C Lower Femur, Left 0 Open 7 Autologous Tissue Z No Qualifier
Spinous process See B Lower Femur, Right 3 Percutaneous Substitute
Transverse process D Patella, Right 4 Percutaneous Endoscopic J Synthetic Substitute
Vertebral arch F Patella, Left K Nonautologous Tissue
Vertebral body G Tibia, Right Substitute
Vertebral foramen Lateral condyle of tibia
Vertebral lamina Medial condyle of tibia
Vertebral pedicle Medial malleolus
1 Sacrum ? H Tibia, Left
2 Pelvic Bone, Right See G Tibia, Right
Iliac crest J Fibula, Right
Ilium Body of fibula
Ischium Head of fibula
Pubis Lateral malleolus
3 Pelvic Bone, Left K Fibula, Left
See 2 Pelvic Bone, Right See J Fibula, Right
4 Acetabulum, Right L Tarsal, Right
5 Acetabulum, Left Calcaneus
6 Upper Femur, Right Cuboid bone
Femoral head Intermediate cuneiform
Greater trochanter bone
Lesser trochanter Lateral cuneiform bone
Neck of femur Medial cuneiform bone
7 Upper Femur, Left Navicular bone
See 6 Upper Femur, Right Talus bone
8 Femoral Shaft, Right M Tarsal, Left
Body of femur See L Tarsal, Right
9 Femoral Shaft, Left N Metatarsal, Right
See 8 Femoral Shaft, Right P Metatarsal, Left
B Lower Femur, Right Q Toe Phalanx, Right
Lateral condyle of femur R Toe Phalanx, Left
Lateral epicondyle of femur S Coccyx ?
Medial condyle of femur
Medial epicondyle of femur
0QT–0QU

See Appendix L for Procedure Combinations

? 0QU[0,1,S]3JZ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 557
 0QW–0QW Lower Bones ICD-10-PCS 2019
Lower Bones

0 Medical and Surgical

Q Lower Bones 0QW
W Revision Definition: Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device
Explanation: Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as
a screw or pin
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Lumbar Vertebra 0 Open 4 Internal Fixation Device Z No Qualifier
Spinous process 3 Percutaneous 7 Autologous Tissue
Transverse process 4 Percutaneous Endoscopic Substitute
Vertebral arch X External J Synthetic Substitute
Vertebral body K Nonautologous Tissue
Vertebral foramen Substitute
Vertebral lamina
Vertebral pedicle
1 Sacrum
4 Acetabulum, Right
5 Acetabulum, Left
S Coccyx
2 Pelvic Bone, Right 0 Open 4 Internal Fixation Device Z No Qualifier
Iliac crest 3 Percutaneous 5 External Fixation Device
Ilium 4 Percutaneous Endoscopic 7 Autologous Tissue
Ischium X External Substitute
Pubis J Synthetic Substitute
3 Pelvic Bone, Left K Nonautologous Tissue
See 2 Pelvic Bone, Right Substitute
6 Upper Femur, Right
Femoral head
Greater trochanter
Lesser trochanter
Neck of femur
7 Upper Femur, Left
See 6 Upper Femur, Right
8 Femoral Shaft, Right
Body of femur
9 Femoral Shaft, Left
See 8 Femoral Shaft, Right
B Lower Femur, Right
Lateral condyle of femur
Lateral epicondyle of femur
Medial condyle of femur
Medial epicondyle of femur
C Lower Femur, Left
See B Lower Femur, Right
D Patella, Right
F Patella, Left
G Tibia, Right
Lateral condyle of tibia
Medial condyle of tibia
Medial malleolus
H Tibia, Left
See G Tibia, Right
J Fibula, Right
Body of fibula
Head of fibula
Lateral malleolus
K Fibula, Left
See J Fibula, Right
L Tarsal, Right
Calcaneus
Cuboid bone
Intermediate cuneiform bone
Lateral cuneiform bone
Medial cuneiform bone
Navicular bone
Talus bone
M Tarsal, Left
See L Tarsal, Right
N Metatarsal, Right
P Metatarsal, Left
Q Toe Phalanx, Right
R Toe Phalanx, Left
Y Lower Bone 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous M Bone Growth Stimulator
4 Percutaneous Endoscopic
0QW–0QW

X External
Non-OR 0QW[0,1,4,5,S]X[4,7,J,K]Z
Non-OR 0QW[2,3,6,7,8,9,B,C,D,F,G,H,J,K,L,M,N,P,Q,R]X[4,5,7,J,K]Z
Non-OR 0QWYX[0,M]Z

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
558 ICD-10-PCS 2019
ICD-10-PCS 2019 Upper Joints

Upper Joints
Upper Joints 0R2–0RW
Character Meanings*
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.

Operation–Character 3 Body Part–Character 4 Approach–Character 5 Device–Character 6 Qualifier–Character 7

2 Change 0 Occipital-cervical Joint 0 Open 0 Drainage Device 0 Anterior Approach,
OR Anterior Column
Synthetic Substitute, Reverse
Ball and Socket
5 Destruction 1 Cervical Vertebral Joint 3 Percutaneous 3 Infusion Device 1 Posterior Approach,
Posterior Column
9 Drainage 2 Cervical Vertebral Joint, 2 or more 4 Percutaneous 4 Internal Fixation Device 6 Humeral Surface
Endoscopic
B Excision 3 Cervical Vertebral Disc X External 5 External Fixation Device 7 Glenoid Surface
C Extirpation 4 Cervicothoracic Vertebral Joint 7 Autologous Tissue J Posterior Approach,
Substitute Anterior Column
G Fusion 5 Cervicothoracic Vertebral Disc 8 Spacer X Diagnostic
H Insertion 6 Thoracic Vertebral Joint A Interbody Fusion Device Z No Qualifier
J Inspection 7 Thoracic Vertebral Joint, 2 to 7 B Spinal Stabilization Device,
Interspinous Process
N Release 8 Thoracic Vertebral Joint, 8 or more C Spinal Stabilization Device,
Pedicle-Based
P Removal 9 Thoracic Vertebral Disc D Spinal Stabilization Device,
Facet Replacement
Q Repair A Thoracolumbar Vertebral Joint J Synthetic Substitute
R Replacement B Thoracolumbar Vertebral Disc K Nonautologous Tissue
Substitute
S Reposition C Temporomandibular Joint, Right Y Other Device
T Resection D Temporomandibular Joint, Left Z No Device
U Supplement E Sternoclavicular Joint, Right
W Revision F Sternoclavicular Joint, Left
G Acromioclavicular Joint, Right
H Acromioclavicular Joint, Left
J Shoulder Joint, Right
K Shoulder Joint, Left
L Elbow Joint, Right
M Elbow Joint, Left
N Wrist Joint, Right
P Wrist Joint, Left
Q Carpal Joint, Right
R Carpal Joint, Left
S Carpometacarpal Joint, Right
T Carpometacarpal Joint, Left
U Metacarpophalangeal Joint, Right
V Metacarpophalangeal Joint, Left
W Finger Phalangeal Joint, Right
X Finger Phalangeal Joint, Left
Y Upper Joint

* Includes synovial membrane.

ICD-10-PCS 2019 559

 Upper Joints ICD-10-PCS 2019
Upper Joints

AHA Coding Clinic for table 0RG AHA Coding Clinic for table 0RQ
2018, 1Q, 22 Spinal fusion procedures without bone graft 2016, 1Q, 30 Thermal capsulorrhapy of shoulder
2017, 4Q, 62 Added and revised device values - Nerve substitutes
AHA Coding Clinic for table 0RR
2017, 4Q, 76 Radiolucent porous interbody fusion device
2017, 4Q, 107 Total ankle replacement versus revision
2017, 2Q, 23 Decompression of spinal cord and placement of instrumentation
2015, 3Q, 14 Endoprosthetic replacement of humerus and tendon reattachment
2014, 3Q, 30 Spinal fusion and fixation instrumentation
2015, 1Q, 27 Reverse total shoulder arthroplasty
2014, 2Q, 7 Anterior cervical thoracic fusion with total discectomy
2013, 1Q, 21-23 Spinal fusion of thoracic and lumbar vertebrae AHA Coding Clinic for table 0RS
2013, 1Q, 29 Cervical and thoracic spinal fusion 2015, 2Q, 35 Application of tongs to reduce and stabilize cervical fracture
2014, 4Q, 32 Open reduction internal fixation of fracture with debridement
AHA Coding Clinic for table 0RH
2014, 3Q, 33 Radial fracture treatment with open reduction internal fixation, and release
2017, 2Q, 23 Decompression of spinal cord and placement of instrumentation
of carpal ligament
2016, 3Q, 32 Rotator cuff repair, tenodesis, decompression, acromioplasty and
2013, 2Q, 39 Application of cervical tongs for reduction of cervical fracture
coracoplasty
AHA Coding Clinic for table 0RT
AHA Coding Clinic for table 0RN
2014, 2Q, 7 Anterior cervical thoracic fusion with total discectomy
2016, 3Q, 32 Rotator cuff repair, tenodesis, decompression, acromioplasty and
coracoplasty AHA Coding Clinic for table 0RU
2015, 2Q, 22 Arthroscopic subacromial decompression 2015, 3Q, 26 Thumb arthroplasty with resection of trapezium
2015, 2Q, 23 Arthroscopic release of shoulder joint AHA Coding Clinic for table 0RW
AHA Coding Clinic for table 0RP 2017, 4Q, 107 Total ankle replacement versus revision
2017, 4Q, 107 Total ankle replacement versus revision

Upper Joints

Temporomandibular C, D

Acromioclavicular G, H
Sternoclavicular E, F Shoulder J, K

Elbow L, M

Wrist: Radiocarpal N, P
Carpometacarpal
S, T

Metacarpophalangeal
U, V

Wrist: Midcarpal N, P

560 ICD-10-PCS 2019

ICD-10-PCS 2019 Upper Joints

Upper Joints
Hand Joints

Phalanges
(digits)
Distal
interphalangeal
joints W, X
Proximal
interphalangeal
joints W, X Distal phalanx

Metacarpophalangeal
joints U, V
Proximal phalanx
Metacarpal bones 4 3 2
5
1

Carpal bones Carpometacarpal

and joints Q, R joints S, T

Shoulder Joints Upper Vertebral Joints

Occiptial-cervical joint 0
Acromioclavicular
G, H
Clavicle Cervical
spine
C1–C7
Sternoclavicular
E, F Cervicothoracic joint 4
Head of
humerus

Scapula

Thoracic
Glenohumeral spine
J, K T1–T12

Thoracolumbar joint A

Lumbar
spine
L1–L5

Sacrum

Coccyx

ICD-10-PCS 2019 561

 0R2–0R5 Upper Joints ICD-10-PCS 2019
Upper Joints

0 Medical and Surgical

R Upper Joints 0R2
2 Change Definition: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without
cutting or puncturing the skin or a mucous membrane
Explanation: All CHANGE procedures are coded using the approach EXTERNAL
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
Y Upper Joint X External 0 Drainage Device Z No Qualifier
Y Other Device
Non-OR All body part, approach, device, and qualifier values

0 Medical and Surgical

R Upper Joints 0R5
5 Destruction Definition: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent
Explanation: None of the body part is physically taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Occipital-cervical Joint 0 Open Z No Device Z No Qualifier
1 Cervical Vertebral Joint 3 Percutaneous
Atlantoaxial joint 4 Percutaneous Endoscopic
Cervical facet joint
3 Cervical Vertebral Disc
4 Cervicothoracic Vertebral Joint
Cervicothoracic facet joint
5 Cervicothoracic Vertebral Disc
6 Thoracic Vertebral Joint
Costotransverse joint
Costovertebral joint
Thoracic facet joint
9 Thoracic Vertebral Disc
A Thoracolumbar Vertebral Joint
Thoracolumbar facet joint
B Thoracolumbar Vertebral Disc
C Temporomandibular Joint, Right
D Temporomandibular Joint, Left
E Sternoclavicular Joint, Right
F Sternoclavicular Joint, Left
G Acromioclavicular Joint, Right
H Acromioclavicular Joint, Left
J Shoulder Joint, Right
Glenohumeral joint
Glenoid ligament (labrum)
K Shoulder Joint, Left
See J Shoulder Joint, Right
L Elbow Joint, Right
Distal humerus, involving joint
Humeroradial joint
Humeroulnar joint
Proximal radioulnar joint
M Elbow Joint, Left
See L Elbow Joint, Right
N Wrist Joint, Right
Distal radioulnar joint
Radiocarpal joint
P Wrist Joint, Left
See N Wrist Joint, Right
Q Carpal Joint, Right
Intercarpal joint
Midcarpal joint
R Carpal Joint, Left
See Q Carpal Joint, Right
S Carpometacarpal Joint, Right
T Carpometacarpal Joint, Left
U Metacarpophalangeal Joint, Right
V Metacarpophalangeal Joint, Left
W Finger Phalangeal Joint, Right
Interphalangeal (IP) joint
X Finger Phalangeal Joint, Left
See W Finger Phalangeal Joint, Right
Non-OR 0R5[3,5,9,B][3,4]ZZ
0R2–0R5

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
562 ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
R Upper Joints
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part
Character 4
0 Occipital-cervical Joint
1 Cervical Vertebral Joint
Atlantoaxial joint
Cervical facet joint
3 Cervical Vertebral Disc
4 Cervicothoracic Vertebral
Joint
Cervicothoracic facet joint
5 Cervicothoracic Vertebral
Disc
6 Thoracic Vertebral Joint
Costotransverse joint
Costovertebral joint
Thoracic facet joint
9 Thoracic Vertebral Disc
A Thoracolumbar Vertebral
Joint
Thoracolumbar facet joint
B Thoracolumbar Vertebral
Disc
C Temporomandibular Joint,
Right
D Temporomandibular Joint,
Left
E Sternoclavicular Joint, Right
F Sternoclavicular Joint, Left
G Acromioclavicular Joint,
Right
H Acromioclavicular Joint, Left
J Shoulder Joint, Right
Glenohumeral joint
Glenoid ligament (labrum)
K Shoulder Joint, Left
See J Shoulder Joint, Right
0 Occipital-cervical Joint
1 Cervical Vertebral Joint
Atlantoaxial joint
Cervical facet joint
3 Cervical Vertebral Disc
4 Cervicothoracic Vertebral
Joint
Cervicothoracic facet joint
5 Cervicothoracic Vertebral
Disc
6 Thoracic Vertebral Joint
Costotransverse joint
Costovertebral joint
Thoracic facet joint
9 Thoracic Vertebral Disc
A Thoracolumbar Vertebral
Joint
Thoracolumbar facet joint
B Thoracolumbar Vertebral
Disc
C Temporomandibular Joint,
Right
D Temporomandibular Joint,
Left
E Sternoclavicular Joint, Right
F Sternoclavicular Joint, Left
G Acromioclavicular Joint,
Right
H Acromioclavicular Joint, Left
J Shoulder Joint, Right
Glenohumeral joint
Glenoid ligament (labrum)
K Shoulder Joint, Left
See J Shoulder Joint, Right
Non-OR 0R9[0,1,3,4,5,6,9,A,B,E,F,G,H,J,K,L,M,N,P,Q,R,S,T,U,V,W,X][3,4]0Z
Non-OR 0R9[C,D]30Z
Non-OR 0R9[0,1,3,4,5,6,9,A,B,E,F,G,H,J,K,L,M,N,P,Q,R,S,T,U,V,W,X][0,3,4]ZX
Non-OR 0R9[0,1,3,4,5,6,9,A,B,E,F,G,H,J,K,L,M,N,P,Q,R,S,T,U,V,W,X][3,4]ZZ
Non-OR 0R9[C,D]3ZZ
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Upper Joints 0R9–0R9
Upper Joints
0R9
Approach Device Qualifier
Character 5 Character 6 Character 7
L Elbow Joint, Right 0 Open 0 Drainage Device Z No Qualifier
Distal humerus, involving 3 Percutaneous
joint 4 Percutaneous Endoscopic
Humeroradial joint
Humeroulnar joint
Proximal radioulnar joint
M Elbow Joint, Left
See L Elbow Joint, Right
N Wrist Joint, Right
Distal radioulnar joint
Radiocarpal joint
P Wrist Joint, Left
See N Wrist Joint, Right
Q Carpal Joint, Right
Intercarpal joint
Midcarpal joint
R Carpal Joint, Left
See Q Carpal Joint, Right
S Carpometacarpal Joint,
Right
T Carpometacarpal Joint, Left
U Metacarpophalangeal Joint,
Right
V Metacarpophalangeal Joint,
Left
W Finger Phalangeal Joint,
Right
Interphalangeal (IP) joint
X Finger Phalangeal Joint, Left
See W Finger Phalangeal Joint,
Right
L Elbow Joint, Right 0 Open Z No Device X Diagnostic
Distal humerus, involving 3 Percutaneous Z No Qualifier
joint 4 Percutaneous Endoscopic
Humeroradial joint
Humeroulnar joint
Proximal radioulnar joint
M Elbow Joint, Left
See L Elbow Joint, Right
N Wrist Joint, Right
Distal radioulnar joint
Radiocarpal joint
P Wrist Joint, Left
See N Wrist Joint, Right
Q Carpal Joint, Right
Intercarpal joint
Midcarpal joint
R Carpal Joint, Left
See Q Carpal Joint, Right
S Carpometacarpal Joint,
Right
T Carpometacarpal Joint, Left
U Metacarpophalangeal Joint,
Right
V Metacarpophalangeal Joint,
Left
W Finger Phalangeal Joint,
Right
Interphalangeal (IP) joint
X Finger Phalangeal Joint, Left
See W Finger Phalangeal Joint,
Right
0R9–0R9
New/Revised in GREEN
563
 0RB–0RB Upper Joints ICD-10-PCS 2019
Upper Joints

0 Medical and Surgical

R Upper Joints 0RB
B Excision Definition: Cutting out or off, without replacement, a portion of a body part
Explanation: The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Occipital-cervical Joint 0 Open Z No Device X Diagnostic
1 Cervical Vertebral Joint 3 Percutaneous Z No Qualifier
Atlantoaxial joint 4 Percutaneous Endoscopic
Cervical facet joint
3 Cervical Vertebral Disc
4 Cervicothoracic Vertebral Joint
Cervicothoracic facet joint
5 Cervicothoracic Vertebral Disc
6 Thoracic Vertebral Joint
Costotransverse joint
Costovertebral joint
Thoracic facet joint
9 Thoracic Vertebral Disc
A Thoracolumbar Vertebral Joint
Thoracolumbar facet joint
B Thoracolumbar Vertebral Disc
C Temporomandibular Joint, Right
D Temporomandibular Joint, Left
E Sternoclavicular Joint, Right
F Sternoclavicular Joint, Left
G Acromioclavicular Joint, Right
H Acromioclavicular Joint, Left
J Shoulder Joint, Right
Glenohumeral joint
Glenoid ligament (labrum)
K Shoulder Joint, Left
See J Shoulder Joint, Right
L Elbow Joint, Right
Distal humerus, involving joint
Humeroradial joint
Humeroulnar joint
Proximal radioulnar joint
M Elbow Joint, Left
See L Elbow Joint, Right
N Wrist Joint, Right
Distal radioulnar joint
Radiocarpal joint
P Wrist Joint, Left
See N Wrist Joint, Right
Q Carpal Joint, Right
Intercarpal joint
Midcarpal joint
R Carpal Joint, Left
See Q Carpal Joint, Right
S Carpometacarpal Joint, Right
T Carpometacarpal Joint, Left
U Metacarpophalangeal Joint, Right
V Metacarpophalangeal Joint, Left
W Finger Phalangeal Joint, Right
Interphalangeal (IP) joint
X Finger Phalangeal Joint, Left
See W Finger Phalangeal Joint, Right
Non-OR 0RB[0,1,3,4,5,6,9,A,B,E,F,G,H,J,K,L,M,N,P,Q,R,S,T,U,V,W,X][0,3,4]ZX
0RB–0RB

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
564 ICD-10-PCS 2019
ICD-10-PCS 2019 Upper Joints 0RC–0RC

Upper Joints
0 Medical and Surgical
R Upper Joints 0RC
C Extirpation Definition: Taking or cutting out solid matter from a body part
Explanation: The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in
the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Occipital-cervical Joint 0 Open Z No Device Z No Qualifier
1 Cervical Vertebral Joint 3 Percutaneous
Atlantoaxial joint 4 Percutaneous Endoscopic
Cervical facet joint
3 Cervical Vertebral Disc
4 Cervicothoracic Vertebral Joint
Cervicothoracic facet joint
5 Cervicothoracic Vertebral Disc
6 Thoracic Vertebral Joint
Costotransverse joint
Costovertebral joint
Thoracic facet joint
9 Thoracic Vertebral Disc
A Thoracolumbar Vertebral Joint
Thoracolumbar facet joint
B Thoracolumbar Vertebral Disc
C Temporomandibular Joint, Right
D Temporomandibular Joint, Left
E Sternoclavicular Joint, Right
F Sternoclavicular Joint, Left
G Acromioclavicular Joint, Right
H Acromioclavicular Joint, Left
J Shoulder Joint, Right
Glenohumeral joint
Glenoid ligament (labrum)
K Shoulder Joint, Left
See J Shoulder Joint, Right
L Elbow Joint, Right
Distal humerus, involving joint
Humeroradial joint
Humeroulnar joint
Proximal radioulnar joint
M Elbow Joint, Left
See L Elbow Joint, Right
N Wrist Joint, Right
Distal radioulnar joint
Radiocarpal joint
P Wrist Joint, Left
See N Wrist Joint, Right
Q Carpal Joint, Right
Intercarpal joint
Midcarpal joint
R Carpal Joint, Left
See Q Carpal Joint, Right
S Carpometacarpal Joint, Right
T Carpometacarpal Joint, Left
U Metacarpophalangeal Joint, Right
V Metacarpophalangeal Joint, Left
W Finger Phalangeal Joint, Right
Interphalangeal (IP) joint
X Finger Phalangeal Joint, Left
See W Finger Phalangeal Joint, Right
0RC–0RC

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 565
 0RG–0RG Upper Joints ICD-10-PCS 2019
Upper Joints

0 Medical and Surgical

R Upper Joints 0RG
G Fusion Definition: Joining together portions of an articular body part rendering the articular body part immobile
Explanation: The body part is joined together by fixation device, bone graft, or other means
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Occipital-cervical Joint 0 Open 7 Autologous Tissue 0 Anterior Approach, Anterior
1 Cervical Vertebral Joint 3 Percutaneous Substitute Column
Atlantoaxial joint 4 Percutaneous Endoscopic J Synthetic Substitute 1 Posterior Approach,
Cervical facet joint K Nonautologous Tissue Posterior Column
2 Cervical Vertebral Joints, 2 or more Substitute J Posterior Approach,
Cervical facet joint Anterior Column
4 Cervicothoracic Vertebral Joint
Cervicothoracic facet joint
6 Thoracic Vertebral Joint
Costotransverse joint
Costovertebral joint
Thoracic facet joint
7 Thoracic Vertebral Joints, 2 to 7 ?
8 Thoracic Vertebral Joints, 8 or more
A Thoracolumbar Vertebral Joint
Thoracolumbar facet joint
0 Occipital-cervical Joint 0 Open A Interbody Fusion Device 0 Anterior Approach, Anterior
1 Cervical Vertebral Joint 3 Percutaneous Column
Atlantoaxial joint 4 Percutaneous Endoscopic J Posterior Approach,
Cervical facet joint Anterior Column
2 Cervical Vertebral Joints, 2 or more
Cervical facet joint
4 Cervicothoracic Vertebral Joint
Cervicothoracic facet joint
6 Thoracic Vertebral Joint
Costotransverse joint
Costovertebral joint
Thoracic facet joint
7 Thoracic Vertebral Joints, 2 to 7 ?
8 Thoracic Vertebral Joints, 8 or more
A Thoracolumbar Vertebral Joint
Thoracolumbar facet joint
C Temporomandibular Joint, Right 0 Open 4 Internal Fixation Device Z No Qualifier
D Temporomandibular Joint, Left 3 Percutaneous 7 Autologous Tissue
E Sternoclavicular Joint, Right 4 Percutaneous Endoscopic Substitute
F Sternoclavicular Joint, Left J Synthetic Substitute
G Acromioclavicular Joint, Right K Nonautologous Tissue
H Acromioclavicular Joint, Left Substitute
J Shoulder Joint, Right
Glenohumeral joint
Glenoid ligament (labrum)
K Shoulder Joint, Left
See J Shoulder Joint, Right
L Elbow Joint, Right R Carpal Joint, Left 0 Open 4 Internal Fixation Device Z No Qualifier
Distal humerus, involving See Q Carpal Joint, Right 3 Percutaneous 5 External Fixation Device
joint S Carpometacarpal Joint, 4 Percutaneous Endoscopic 7 Autologous Tissue
Humeroradial joint Right Substitute
Humeroulnar joint T Carpometacarpal Joint, J Synthetic Substitute
Proximal radioulnar joint Left K Nonautologous Tissue
M Elbow Joint, Left U Metacarpophalangeal Substitute
See L Elbow Joint, Right Joint, Right
N Wrist Joint, Right V Metacarpophalangeal
Distal radioulnar joint Joint, Left
Radiocarpal joint W Finger Phalangeal Joint,
P Wrist Joint, Left Right
See N Wrist Joint, Right Interphalangeal (IP) joint
Q Carpal Joint, Right X Finger Phalangeal Joint,
Intercarpal joint Left
Midcarpal joint See W Finger Phalangeal
Joint, Right
HAC 0RG[0,1,2,4,6,7,8,A][0,3,4][7,J,K][0,1,J] when reported with SDx K68.11 or See Appendix L for Procedure Combinations
T81.4XXA or T84.60-T84.619, T84.63-T84.7 with 7th character A ? 0RG7[0,3,4][7,J,K][0,1,J]
HAC 0RG[0,1,2,4,6,7,8,A][0,3,4]A[0,J] when reported with SDx K68.11 or T81.4XXA or T84.60- ? 0RG7[0,3,4]A[0,J]
T84.619, T84.63-T84.7 with 7th character A
HAC 0RG[E,F,G,H,J,K][0,3,4][4,7,J,K]Z when reported with SDx K68.11 or T81.4XXA or
T84.60-T84.619, T84.63-T84.7 with 7th character A
HAC 0RG[L,M][0,3,4][4,5,7,J,K]Z when reported with SDx K68.11 or T81.4XXA or
T84.60-T84.619, T84.63-T84.7 with 7th character A
0RG–0RG

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
566 ICD-10-PCS 2019
ICD-10-PCS 2019 Upper Joints 0RH–0RH

Upper Joints
0 Medical and Surgical
R Upper Joints 0RH
H Insertion Definition: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically
take the place of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Occipital-cervical Joint 0 Open 3 Infusion Device Z No Qualifier
1 Cervical Vertebral Joint 3 Percutaneous 4 Internal Fixation Device
Atlantoaxial joint 4 Percutaneous Endoscopic 8 Spacer
Cervical facet joint B Spinal Stabilization Device,
4 Cervicothoracic Vertebral Joint Interspinous Process
Cervicothoracic facet joint C Spinal Stabilization Device,
6 Thoracic Vertebral Joint Pedicle-Based
Costotransverse joint D Spinal Stabilization Device,
Costovertebral joint Facet Replacement
Thoracic facet joint
A Thoracolumbar Vertebral Joint
Thoracolumbar facet joint
3 Cervical Vertebral Disc 0 Open 3 Infusion Device Z No Qualifier
5 Cervicothoracic Vertebral Disc 3 Percutaneous
9 Thoracic Vertebral Disc 4 Percutaneous Endoscopic
B Thoracolumbar Vertebral Disc
C Temporomandibular Joint, Right 0 Open 3 Infusion Device Z No Qualifier
D Temporomandibular Joint, Left 3 Percutaneous 4 Internal Fixation Device
E Sternoclavicular Joint, Right 4 Percutaneous Endoscopic 8 Spacer
F Sternoclavicular Joint, Left
G Acromioclavicular Joint, Right
H Acromioclavicular Joint, Left
J Shoulder Joint, Right
Glenohumeral joint
Glenoid ligament (labrum)
K Shoulder Joint, Left
See J Shoulder Joint, Right
L Elbow Joint, Right 0 Open 3 Infusion Device Z No Qualifier
Distal humerus, involving joint 3 Percutaneous 4 Internal Fixation Device
Humeroradial joint 4 Percutaneous Endoscopic 5 External Fixation Device
Humeroulnar joint 8 Spacer
Proximal radioulnar joint
M Elbow Joint, Left
See L Elbow Joint, Right
N Wrist Joint, Right
Distal radioulnar joint
Radiocarpal joint
P Wrist Joint, Left
See N Wrist Joint, Right
Q Carpal Joint, Right
Intercarpal joint
Midcarpal joint
R Carpal Joint, Left
See Q Carpal Joint, Right
S Carpometacarpal Joint, Right
T Carpometacarpal Joint, Left
U Metacarpophalangeal Joint, Right
V Metacarpophalangeal Joint, Left
W Finger Phalangeal Joint, Right
Interphalangeal (IP) joint
X Finger Phalangeal Joint, Left
See W Finger Phalangeal Joint, Right
Non-OR 0RH[0,1,4,6,A][0,3,4][3,8]Z
Non-OR 0RH[3,5,9,B][0,3,4]3Z
Non-OR 0RH[C,D][0,4]8Z
Non-OR 0RH[C,D]3[3,8]Z
Non-OR 0RH[E,F,G,H,J,K][0,3,4][3,8]Z
Non-OR 0RH[L,M,N,P,Q,R,S,T,U,V,W,X][0,3,4][3,8]Z
0RH–0RH

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 567
 0RJ–0RJ Upper Joints ICD-10-PCS 2019
Upper Joints

0 Medical and Surgical

R Upper Joints 0RJ
J Inspection Definition: Visually and/or manually exploring a body part
Explanation: Visual exploration may be performed with or without optical instrumentation. Manual exploration may be performed directly or
through intervening body layers.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Occipital-cervical Joint 0 Open Z No Device Z No Qualifier
1 Cervical Vertebral Joint 3 Percutaneous
Atlantoaxial joint 4 Percutaneous Endoscopic
Cervical facet joint X External
3 Cervical Vertebral Disc
4 Cervicothoracic Vertebral Joint
Cervicothoracic facet joint
5 Cervicothoracic Vertebral Disc
6 Thoracic Vertebral Joint
Costotransverse joint
Costovertebral joint
Thoracic facet joint
9 Thoracic Vertebral Disc
A Thoracolumbar Vertebral Joint
Thoracolumbar facet joint
B Thoracolumbar Vertebral Disc
C Temporomandibular Joint, Right
D Temporomandibular Joint, Left
E Sternoclavicular Joint, Right
F Sternoclavicular Joint, Left
G Acromioclavicular Joint, Right
H Acromioclavicular Joint, Left
J Shoulder Joint, Right
Glenohumeral joint
Glenoid ligament (labrum)
K Shoulder Joint, Left
See J Shoulder Joint, Right
L Elbow Joint, Right
Distal humerus, involving joint
Humeroradial joint
Humeroulnar joint
Proximal radioulnar joint
M Elbow Joint, Left
See L Elbow Joint, Right
N Wrist Joint, Right
Distal radioulnar joint
Radiocarpal joint
P Wrist Joint, Left
See N Wrist Joint, Right
Q Carpal Joint, Right
Intercarpal joint
Midcarpal joint
R Carpal Joint, Left
See Q Carpal Joint, Right
S Carpometacarpal Joint, Right
T Carpometacarpal Joint, Left
U Metacarpophalangeal Joint, Right
V Metacarpophalangeal Joint, Left
W Finger Phalangeal Joint, Right
Interphalangeal (IP) joint
X Finger Phalangeal Joint, Left
See W Finger Phalangeal Joint, Right
Non-OR 0RJ[0,1,3,4,5,6,9,A,B,C,D,E,F,G,H,J,K,L,M,N,P,Q,R,S,T,U,V,W,X][3,X]ZZ
0RJ–0RJ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
568 ICD-10-PCS 2019
ICD-10-PCS 2019 Upper Joints 0RN–0RN

Upper Joints
0 Medical and Surgical
R Upper Joints 0RN
N Release Definition: Freeing a body part from an abnormal physical constraint by cutting or by the use of force
Explanation: Some of the restraining tissue may be taken out but none of the body part is taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Occipital-cervical Joint 0 Open Z No Device Z No Qualifier
1 Cervical Vertebral Joint 3 Percutaneous
Atlantoaxial joint 4 Percutaneous Endoscopic
Cervical facet joint X External
3 Cervical Vertebral Disc
4 Cervicothoracic Vertebral Joint
Cervicothoracic facet joint
5 Cervicothoracic Vertebral Disc
6 Thoracic Vertebral Joint
Costotransverse joint
Costovertebral joint
Thoracic facet joint
9 Thoracic Vertebral Disc
A Thoracolumbar Vertebral Joint
Thoracolumbar facet joint
B Thoracolumbar Vertebral Disc
C Temporomandibular Joint, Right
D Temporomandibular Joint, Left
E Sternoclavicular Joint, Right
F Sternoclavicular Joint, Left
G Acromioclavicular Joint, Right
H Acromioclavicular Joint, Left
J Shoulder Joint, Right
Glenohumeral joint
Glenoid ligament (labrum)
K Shoulder Joint, Left
See J Shoulder Joint, Right
L Elbow Joint, Right
Distal humerus, involving joint
Humeroradial joint
Humeroulnar joint
Proximal radioulnar joint
M Elbow Joint, Left
See L Elbow Joint, Right
N Wrist Joint, Right
Distal radioulnar joint
Radiocarpal joint
P Wrist Joint, Left
See N Wrist Joint, Right
Q Carpal Joint, Right
Intercarpal joint
Midcarpal joint
R Carpal Joint, Left
See Q Carpal Joint, Right
S Carpometacarpal Joint, Right
T Carpometacarpal Joint, Left
U Metacarpophalangeal Joint, Right
V Metacarpophalangeal Joint, Left
W Finger Phalangeal Joint, Right
Interphalangeal (IP) joint
X Finger Phalangeal Joint, Left
See W Finger Phalangeal Joint, Right
Non-OR 0RN[0,1,3,4,5,6,9,A,B,C,D,E,F,G,H,J,K,L,M,N,P,Q,R,S,T,U,V,W,X]XZZ
0RN–0RN

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 569
 0RP–0RP Upper Joints ICD-10-PCS 2019
Upper Joints

0 Medical and Surgical

R Upper Joints 0RP
P Removal Definition: Taking out or off a device from a body part
Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is
coded to the root operation CHANGE. Otherwise, the procedure for taking out the device is coded to the root operation REMOVAL.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Occipital-cervical Joint 0 Open 0 Drainage Device Z No Qualifier
1 Cervical Vertebral Joint 3 Percutaneous 3 Infusion Device
Atlantoaxial joint 4 Percutaneous Endoscopic 4 Internal Fixation Device
Cervical facet joint 7 Autologous Tissue
4 Cervicothoracic Vertebral Joint Substitute
Cervicothoracic facet joint 8 Spacer
6 Thoracic Vertebral Joint A Interbody Fusion Device
Costotransverse joint J Synthetic Substitute
Costovertebral joint
K Nonautologous Tissue
Thoracic facet joint
Substitute
A Thoracolumbar Vertebral Joint
Thoracolumbar facet joint
0 Occipital-cervical Joint X External 0 Drainage Device Z No Qualifier
1 Cervical Vertebral Joint 3 Infusion Device
Atlantoaxial joint 4 Internal Fixation Device
Cervical facet joint
4 Cervicothoracic Vertebral Joint
Cervicothoracic facet joint
6 Thoracic Vertebral Joint
Costotransverse joint
Costovertebral joint
Thoracic facet joint
A Thoracolumbar Vertebral Joint
Thoracolumbar facet joint
3 Cervical Vertebral Disc 0 Open 0 Drainage Device Z No Qualifier
5 Cervicothoracic Vertebral Disc 3 Percutaneous 3 Infusion Device
9 Thoracic Vertebral Disc 4 Percutaneous Endoscopic 7 Autologous Tissue
B Thoracolumbar Vertebral Disc Substitute
J Synthetic Substitute
K Nonautologous Tissue
Substitute
3 Cervical Vertebral Disc X External 0 Drainage Device Z No Qualifier
5 Cervicothoracic Vertebral Disc 3 Infusion Device
9 Thoracic Vertebral Disc
B Thoracolumbar Vertebral Disc
C Temporomandibular Joint, Right 0 Open 0 Drainage Device Z No Qualifier
D Temporomandibular Joint, Left 3 Percutaneous 3 Infusion Device
E Sternoclavicular Joint, Right 4 Percutaneous Endoscopic 4 Internal Fixation Device
F Sternoclavicular Joint, Left 7 Autologous Tissue
G Acromioclavicular Joint, Right Substitute
H Acromioclavicular Joint, Left 8 Spacer
J Shoulder Joint, Right J Synthetic Substitute
Glenohumeral joint K Nonautologous Tissue
Glenoid ligament (labrum) Substitute
K Shoulder Joint, Left
See J Shoulder Joint, Right
C Temporomandibular Joint, Right X External 0 Drainage Device Z No Qualifier
D Temporomandibular Joint, Left 3 Infusion Device
E Sternoclavicular Joint, Right 4 Internal Fixation Device
F Sternoclavicular Joint, Left
G Acromioclavicular Joint, Right
H Acromioclavicular Joint, Left
J Shoulder Joint, Right
Glenohumeral joint
Glenoid ligament (labrum)
K Shoulder Joint, Left
See J Shoulder Joint, Right
0RP Continued on next page
Non-OR 0RP[0,1,4,6,A]3[0,3,8]Z
Non-OR 0RP[0,1,4,6,A][0,4]8Z
Non-OR 0RP[0,1,4,6,A]X[0,3,4]Z
Non-OR 0RP[3,5,9,B]3[0,3]Z
Non-OR 0RP[3,5,9,B]X[0,3]Z
Non-OR 0RP[C,D,E,F,G,H,J,K]3[0,3,8]Z
Non-OR 0RP[C,D,E,F,G,H,J,K][0,4]8Z
Non-OR 0RP[C,D]X[0,3]Z
0RP–0RP

Non-OR 0RP[E,F,G,H,J,K]X[0,3,4]Z

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
570 ICD-10-PCS 2019
ICD-10-PCS 2019 Upper Joints 0RP–0RP

Upper Joints
0 Medical and Surgical 0RP Continued
R Upper Joints 0RP
P Removal Definition: Taking out or off a device from a body part
Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is
coded to the root operation CHANGE. Otherwise, the procedure for taking out the device is coded to the root operation REMOVAL.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
L Elbow Joint, Right 0 Open 0 Drainage Device Z No Qualifier
Distal humerus, involving joint 3 Percutaneous 3 Infusion Device
Humeroradial joint 4 Percutaneous Endoscopic 4 Internal Fixation Device
Humeroulnar joint 5 External Fixation Device
Proximal radioulnar joint
7 Autologous Tissue
M Elbow Joint, Left Substitute
See L Elbow Joint, Right
8 Spacer
N Wrist Joint, Right
J Synthetic Substitute
Distal radioulnar joint
Radiocarpal joint K Nonautologous Tissue
Substitute
P Wrist Joint, Left
See N Wrist Joint, Right
Q Carpal Joint, Right
Intercarpal joint
Midcarpal joint
R Carpal Joint, Left
See Q Carpal Joint, Right
S Carpometacarpal Joint, Right
T Carpometacarpal Joint, Left
U Metacarpophalangeal Joint, Right
V Metacarpophalangeal Joint, Left
W Finger Phalangeal Joint, Right
Interphalangeal (IP) joint
X Finger Phalangeal Joint, Left
See W Finger Phalangeal Joint, Right
L Elbow Joint, Right X External 0 Drainage Device Z No Qualifier
Distal humerus, involving joint 3 Infusion Device
Humeroradial joint 4 Internal Fixation Device
Humeroulnar joint 5 External Fixation Device
Proximal radioulnar joint
M Elbow Joint, Left
See L Elbow Joint, Right
N Wrist Joint, Right
Distal radioulnar joint
Radiocarpal joint
P Wrist Joint, Left
See N Wrist Joint, Right
Q Carpal Joint, Right
Intercarpal joint
Midcarpal joint
R Carpal Joint, Left
See Q Carpal Joint, Right
S Carpometacarpal Joint, Right
T Carpometacarpal Joint, Left
U Metacarpophalangeal Joint, Right
V Metacarpophalangeal Joint, Left
W Finger Phalangeal Joint, Right
Interphalangeal (IP) joint
X Finger Phalangeal Joint, Left
See W Finger Phalangeal Joint, Right
Non-OR 0RP[L,M,N,P,Q,R,S,T,U,V,W,X]3[0,3,8]Z
Non-OR 0RP[L,M,N,P,Q,R,S,T,U,V,W,X][0,4]8Z
Non-OR 0RP[L,M,N,P,Q,R,S,T,U,V,W,X]X[0,3,4,5]Z
0RP–0RP

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 571
 0RQ–0RQ Upper Joints ICD-10-PCS 2019
Upper Joints

0 Medical and Surgical

R Upper Joints 0RQ
Q Repair Definition: Restoring, to the extent possible, a body part to its normal anatomic structure and function
Explanation: Used only when the method to accomplish the repair is not one of the other root operations
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Occipital-cervical Joint 0 Open Z No Device Z No Qualifier
1 Cervical Vertebral Joint 3 Percutaneous
Atlantoaxial joint 4 Percutaneous Endoscopic
Cervical facet joint X External
3 Cervical Vertebral Disc
4 Cervicothoracic Vertebral Joint
Cervicothoracic facet joint
5 Cervicothoracic Vertebral Disc
6 Thoracic Vertebral Joint
Costotransverse joint
Costovertebral joint
Thoracic facet joint
9 Thoracic Vertebral Disc
A Thoracolumbar Vertebral Joint
Thoracolumbar facet joint
B Thoracolumbar Vertebral Disc
C Temporomandibular Joint, Right
D Temporomandibular Joint, Left
E Sternoclavicular Joint, Right
F Sternoclavicular Joint, Left
G Acromioclavicular Joint, Right
H Acromioclavicular Joint, Left
J Shoulder Joint, Right
Glenohumeral joint
Glenoid ligament (labrum)
K Shoulder Joint, Left
See J Shoulder Joint, Right
L Elbow Joint, Right
Distal humerus, involving joint
Humeroradial joint
Humeroulnar joint
Proximal radioulnar joint
M Elbow Joint, Left
See L Elbow Joint, Right
N Wrist Joint, Right
Distal radioulnar joint
Radiocarpal joint
P Wrist Joint, Left
See N Wrist Joint, Right
Q Carpal Joint, Right
Intercarpal joint
Midcarpal joint
R Carpal Joint, Left
See Q Carpal Joint, Right
S Carpometacarpal Joint, Right
T Carpometacarpal Joint, Left
U Metacarpophalangeal Joint, Right
V Metacarpophalangeal Joint, Left
W Finger Phalangeal Joint, Right
Interphalangeal (IP) joint
X Finger Phalangeal Joint, Left
See W Finger Phalangeal Joint, Right
Non-OR 0RQ[0,1,3,4,5,6,9,A,B,C,D,E,F,G,H,J,K,L,M,N,P,Q,R,S,T,U,V,W,X]XZZ
HAC 0RQ[E,F,G,H,J,K,L,M][0,3,4,X]ZZ when reported with SDx K68.11 or T81.4XXA or T84.60-T84.619, T84.63-T84.7 with 7th character A
0RQ–0RQ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
572 ICD-10-PCS 2019
ICD-10-PCS 2019 Upper Joints 0RR–0RR

Upper Joints
0 Medical and Surgical
R Upper Joints 0RR
R Replacement Definition: Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part
Explanation: The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during
the REPLACEMENT procedure. A REMOVAL procedure is coded for taking out the device used in a previous replacement procedure.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Occipital-cervical Joint 0 Open 7 Autologous Tissue Z No Qualifier
1 Cervical Vertebral Joint Substitute
Atlantoaxial joint J Synthetic Substitute
Cervical facet joint K Nonautologous Tissue
3 Cervical Vertebral Disc Substitute
4 Cervicothoracic Vertebral Joint
Cervicothoracic facet joint
5 Cervicothoracic Vertebral Disc
6 Thoracic Vertebral Joint
Costotransverse joint
Costovertebral joint
Thoracic facet joint
9 Thoracic Vertebral Disc
A Thoracolumbar Vertebral Joint
Thoracolumbar facet joint
B Thoracolumbar Vertebral Disc
C Temporomandibular Joint, Right
D Temporomandibular Joint, Left
E Sternoclavicular Joint, Right
F Sternoclavicular Joint, Left
G Acromioclavicular Joint, Right
H Acromioclavicular Joint, Left
L Elbow Joint, Right
Distal humerus, involving joint
Humeroradial joint
Humeroulnar joint
Proximal radioulnar joint
M Elbow Joint, Left
See L Elbow Joint, Right
N Wrist Joint, Right
Distal radioulnar joint
Radiocarpal joint
P Wrist Joint, Left
See N Wrist Joint, Right
Q Carpal Joint, Right
Intercarpal joint
Midcarpal joint
R Carpal Joint, Left
See Q Carpal Joint, Right
S Carpometacarpal Joint, Right
T Carpometacarpal Joint, Left
U Metacarpophalangeal Joint, Right
V Metacarpophalangeal Joint, Left
W Finger Phalangeal Joint, Right
Interphalangeal (IP) joint
X Finger Phalangeal Joint, Left
See W Finger Phalangeal Joint, Right
J Shoulder Joint, Right 0 Open 0 Synthetic Substitute, Z No Qualifier
Glenohumeral joint Reverse Ball and Socket
Glenoid ligament (labrum) 7 Autologous Tissue
K Shoulder Joint, Left Substitute
See J Shoulder Joint, Right K Nonautologous Tissue
Substitute
J Shoulder Joint, Right 0 Open J Synthetic Substitute 6 Humeral Surface
Glenohumeral joint 7 Glenoid Surface
Glenoid ligament (labrum) Z No Qualifier
K Shoulder Joint, Left
See J Shoulder Joint, Right
0RR–0RR

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 573
 0RS–0RS Upper Joints ICD-10-PCS 2019
Upper Joints

0 Medical and Surgical

R Upper Joints 0RS
S Reposition Definition: Moving to its normal location, or other suitable location, all or a portion of a body part
Explanation: The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning
correctly. The body part may or may not be cut out or off to be moved to the new location.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Occipital-cervical Joint 0 Open 4 Internal Fixation Device Z No Qualifier
1 Cervical Vertebral Joint 3 Percutaneous Z No Device
Atlantoaxial joint 4 Percutaneous Endoscopic
Cervical facet joint X External
4 Cervicothoracic Vertebral Joint
Cervicothoracic facet joint
6 Thoracic Vertebral Joint
Costotransverse joint
Costovertebral joint
Thoracic facet joint
A Thoracolumbar Vertebral Joint
Thoracolumbar facet joint
C Temporomandibular Joint, Right
D Temporomandibular Joint, Left
E Sternoclavicular Joint, Right
F Sternoclavicular Joint, Left
G Acromioclavicular Joint, Right
H Acromioclavicular Joint, Left
J Shoulder Joint, Right
Glenohumeral joint
Glenoid ligament (labrum)
K Shoulder Joint, Left
See J Shoulder Joint, Right
L Elbow Joint, Right 0 Open 4 Internal Fixation Device Z No Qualifier
Distal humerus, involving joint 3 Percutaneous 5 External Fixation Device
Humeroradial joint 4 Percutaneous Endoscopic Z No Device
Humeroulnar joint X External
Proximal radioulnar joint
M Elbow Joint, Left
See L Elbow Joint, Right
N Wrist Joint, Right
Distal radioulnar joint
Radiocarpal joint
P Wrist Joint, Left
See N Wrist Joint, Right
Q Carpal Joint, Right
Intercarpal joint
Midcarpal joint
R Carpal Joint, Left
See Q Carpal Joint, Right
S Carpometacarpal Joint, Right
T Carpometacarpal Joint, Left
U Metacarpophalangeal Joint, Right
V Metacarpophalangeal Joint, Left
W Finger Phalangeal Joint, Right
Interphalangeal (IP) joint
X Finger Phalangeal Joint, Left
See W Finger Phalangeal Joint, Right
Non-OR 0RS[0,1,4,6,A,C,D,E,F,G,H,J,K][3,4,X][4,Z]Z
Non-OR 0RS[L,M,N,P,Q,R,S,T,U,V,W,X][3,4,X][4,5,Z]Z
0RS–0RS

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
574 ICD-10-PCS 2019
ICD-10-PCS 2019 Upper Joints 0RT–0RU

Upper Joints
0 Medical and Surgical
R Upper Joints 0RT
T Resection Definition: Cutting out or off, without replacement, all of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
3 Cervical Vertebral Disc M Elbow Joint, Left 0 Open Z No Device Z No Qualifier
4 Cervicothoracic Vertebral See L Elbow Joint, Right
Joint N Wrist Joint, Right
Cervicothoracic facet joint Distal radioulnar joint
5 Cervicothoracic Vertebral Radiocarpal joint
Disc P Wrist Joint, Left
9 Thoracic Vertebral Disc See N Wrist Joint, Right
B Thoracolumbar Vertebral Q Carpal Joint, Right
Disc Intercarpal joint
C Temporomandibular Joint, Midcarpal joint
Right R Carpal Joint, Left
D Temporomandibular Joint, See Q Carpal Joint, Right
Left S Carpometacarpal Joint, Right
E Sternoclavicular Joint, Right T Carpometacarpal Joint, Left
F Sternoclavicular Joint, Left U Metacarpophalangeal Joint,
G Acromioclavicular Joint, Right
Right V Metacarpophalangeal Joint,
H Acromioclavicular Joint, Left Left
J Shoulder Joint, Right W Finger Phalangeal Joint,
Glenohumeral joint Right
Glenoid ligament (labrum) Interphalangeal (IP) joint
K Shoulder Joint, Left X Finger Phalangeal Joint, Left
See J Shoulder Joint, Right See W Finger Phalangeal Joint,
L Elbow Joint, Right Right
Distal humerus, involving joint
Humeroradial joint
Humeroulnar joint
Proximal radioulnar joint

0 Medical and Surgical

R Upper Joints 0RU
U Supplement Definition: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part
Explanation: The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced,
and the SUPPLEMENT procedure is performed to physically reinforce and/or augment the function of the replaced body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Occipital-cervical Joint L Elbow Joint, Right 0 Open 7 Autologous Tissue Z No Qualifier
1 Cervical Vertebral Joint Distal humerus, involving joint 3 Percutaneous Substitute
Atlantoaxial joint Humeroradial joint 4 Percutaneous Endoscopic J Synthetic Substitute
Cervical facet joint Humeroulnar joint K Nonautologous Tissue
3 Cervical Vertebral Disc Proximal radioulnar joint Substitute
4 Cervicothoracic Vertebral M Elbow Joint, Left
Joint See L Elbow Joint, Right
Cervicothoracic facet joint N Wrist Joint, Right
5 Cervicothoracic Vertebral Distal radioulnar joint
Disc Radiocarpal joint
6 Thoracic Vertebral Joint P Wrist Joint, Left
Costotransverse joint See N Wrist Joint, Right
Costovertebral joint Q Carpal Joint, Right
Thoracic facet joint Intercarpal joint
9 Thoracic Vertebral Disc Midcarpal joint
A Thoracolumbar Vertebral R Carpal Joint, Left
Joint See Q Carpal Joint, Right
Thoracolumbar facet joint S Carpometacarpal Joint, Right
B Thoracolumbar Vertebral T Carpometacarpal Joint, Left
Disc U Metacarpophalangeal Joint,
C Temporomandibular Joint, Right
Right V Metacarpophalangeal Joint,
D Temporomandibular Joint, Left
Left W Finger Phalangeal Joint,
E Sternoclavicular Joint, Right Right
F Sternoclavicular Joint, Left Interphalangeal (IP) joint
G Acromioclavicular Joint, X Finger Phalangeal Joint, Left
Right See W Finger Phalangeal Joint,
H Acromioclavicular Joint, Left Right
J Shoulder Joint, Right
Glenohumeral joint
Glenoid ligament (labrum)
K Shoulder Joint, Left
See J Shoulder Joint, Right
0RT–0RU

HAC 0RU[E,F,G,H,J,K,L,M][0,3,4][7,J,K]Z when reported with SDx K68.11 or T81.4XXA or T84.60-T84.619, T84.63-T84.7 with 7th character A

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 575
 0RW–0RW Upper Joints ICD-10-PCS 2019
Upper Joints

0 Medical and Surgical

R Upper Joints 0RW
W Revision Definition: Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device
Explanation: Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as
a screw or pin
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Occipital-cervical Joint 0 Open 0 Drainage Device Z No Qualifier
1 Cervical Vertebral Joint 3 Percutaneous 3 Infusion Device
Atlantoaxial joint 4 Percutaneous Endoscopic 4 Internal Fixation Device
Cervical facet joint X External 7 Autologous Tissue
4 Cervicothoracic Vertebral Joint Substitute
Cervicothoracic facet joint 8 Spacer
6 Thoracic Vertebral Joint A Interbody Fusion Device
Costotransverse joint J Synthetic Substitute
Costovertebral joint
K Nonautologous Tissue
Thoracic facet joint
Substitute
A Thoracolumbar Vertebral Joint
Thoracolumbar facet joint
3 Cervical Vertebral Disc 0 Open 0 Drainage Device Z No Qualifier
5 Cervicothoracic Vertebral Disc 3 Percutaneous 3 Infusion Device
9 Thoracic Vertebral Disc 4 Percutaneous Endoscopic 7 Autologous Tissue
B Thoracolumbar Vertebral Disc X External Substitute
J Synthetic Substitute
K Nonautologous Tissue
Substitute
C Temporomandibular Joint, Right 0 Open 0 Drainage Device Z No Qualifier
D Temporomandibular Joint, Left 3 Percutaneous 3 Infusion Device
E Sternoclavicular Joint, Right 4 Percutaneous Endoscopic 4 Internal Fixation Device
F Sternoclavicular Joint, Left X External 7 Autologous Tissue
G Acromioclavicular Joint, Right Substitute
H Acromioclavicular Joint, Left 8 Spacer
J Shoulder Joint, Right J Synthetic Substitute
Glenohumeral joint K Nonautologous Tissue
Glenoid ligament (labrum) Substitute
K Shoulder Joint, Left
See J Shoulder Joint, Right
L Elbow Joint, Right 0 Open 0 Drainage Device Z No Qualifier
Distal humerus, involving joint 3 Percutaneous 3 Infusion Device
Humeroradial joint 4 Percutaneous Endoscopic 4 Internal Fixation Device
Humeroulnar joint X External 5 External Fixation Device
Proximal radioulnar joint
7 Autologous Tissue
M Elbow Joint, Left Substitute
See L Elbow Joint, Right
8 Spacer
N Wrist Joint, Right
J Synthetic Substitute
Distal radioulnar joint
Radiocarpal joint K Nonautologous Tissue
Substitute
P Wrist Joint, Left
See N Wrist Joint, Right
Q Carpal Joint, Right
Intercarpal joint
Midcarpal joint
R Carpal Joint, Left
See Q Carpal Joint, Right
S Carpometacarpal Joint, Right
T Carpometacarpal Joint, Left
U Metacarpophalangeal Joint, Right
V Metacarpophalangeal Joint, Left
W Finger Phalangeal Joint, Right
Interphalangeal (IP) joint
X Finger Phalangeal Joint, Left
See W Finger Phalangeal Joint, Right
Non-OR 0RW[0,1,4,6,A]X[0,3,4,7,8,A,J,K]Z
Non-OR 0RW[3,5,9,B]X[0,3,7,J,K]Z
Non-OR 0RW[C,D,E,F,G,H,J,K]X[0,3,4,7,8,J,K]Z
Non-OR 0RW[L,M,N,P,Q,R,S,T,U,V,W,X]X[0,3,4,5,7,8,J,K]Z
0RW–0RW

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
576 ICD-10-PCS 2019
ICD-10-PCS 2019 Lower Joints

Lower Joints
Lower Joints 0S2–0SW
Character Meanings*
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.

Operation–Character 3 Body Part–Character 4 Approach–Character 5 Device–Character 6 Qualifier–Character 7

2 Change 0 Lumbar Vertebral Joint 0 Open 0 Drainage Device 0 Anterior Approach,
OR Anterior Column
Synthetic Substitute,
Polyethylene
5 Destruction 1 Lumbar Vertebral Joint, 2 or more 3 Percutaneous 1 Synthetic Substitute, Metal 1 Posterior Approach,
Posterior Column
9 Drainage 2 Lumbar Vertebral Disc 4 Percutaneous Endoscopic 2 Synthetic Substitute, Metal on 9 Cemented
Polyethylene
B Excision 3 Lumbosacral Joint X External 3 Infusion Device A Uncemented
OR
Synthetic Substitute, Ceramic
C Extirpation 4 Lumbosacral Disc 4 Internal Fixation Device C Patellar Surface
OR
Synthetic Substitute, Ceramic
on Polyethylene
G Fusion 5 Sacrococcygeal Joint 5 External Fixation Device J Posterior Approach,
Anterior Column
H Insertion 6 Coccygeal Joint 6 Synthetic Substitute, Oxidized X Diagnostic
Zirconium on Polyethylene
J Inspection 7 Sacroiliac Joint, Right 7 Autologous Tissue Substitute Z No Qualifier
N Release 8 Sacroiliac Joint, Left 8 Spacer
P Removal 9 Hip Joint, Right 9 Liner
A Hip Joint, Acetabular Surface, A Interbody Fusion Device
Right
Q Repair B Hip Joint, Left B Resurfacing Device
OR
Spinal Stabilization Device,
Interspinous Process
R Replacement C Knee Joint, Right C Spinal Stabilization Device,
Pedicle-Based
S Reposition D Knee Joint, Left D Spinal Stabilization Device,
Facet Replacement
T Resection E Hip Joint, Acetabular Surface, Left E Articulating Spacer
U Supplement F Ankle Joint, Right J Synthetic Substitute
W Revision G Ankle Joint, Left K Nonautologous Tissue
Substitute
H Tarsal Joint, Right L Synthetic Substitute,
Unicondylar Medial
J Tarsal Joint, Left M Synthetic Substitute,
Unicondylar Lateral
K Tarsometatarsal Joint, Right N Synthetic Substitute,
Patellofemoral
L Tarsometatarsal Joint, Left Y Other Device
M Metatarsal-Phalangeal Joint, Right Z No Device
N Metatarsal-Phalangeal Joint, Left
P Toe Phalangeal Joint, Right
Q Toe Phalangeal Joint, Left
R Hip Joint, Femoral Surface, Right
S Hip Joint, Femoral Surface, Left
T Knee Joint, Femoral Surface, Right
U Knee Joint, Femoral Surface, Left
V Knee Joint, Tibial Surface, Right
W Knee Joint, Tibial Surface, Left
Y Lower Joint

* Includes synovial membrane.

ICD-10-PCS 2019 577

 Lower Joints ICD-10-PCS 2019
Lower Joints

AHA Coding Clinic for table 0S9 AHA Coding Clinic for table 0SQ
2018, 2Q, 17 Arthroscopic drainage of knee and nonexcisional debridement 2014, 4Q, 25 Femoroacetabular impingement and labral tear with repair
2017, 1Q, 50 Dry aspiration of ankle joint AHA Coding Clinic for table 0SR
AHA Coding Clinic for table 0SB 2018, 2Q, 16 Exchange of tibial polyethylene component with stabilizing insert
2017, 4Q, 76 Radiolucent porous interbody fusion device (tibial tray)
2016, 2Q, 16 Decompressive laminectomy/foraminotomy and lumbar discectomy 2017, 4Q, 38-39 Oxidized zirconium on polyethylene bearing surface
2016, 1Q, 20 Metatarsophalangeal joint resection arthroplasty 2017, 4Q, 107 Total ankle replacement versus revision
2015, 1Q, 34 Arthroscopic meniscectomy with debridement and abrasion 2017, 1Q, 22 Total knee replacement and patellar component
chondroplasty 2016, 4Q, 110-111 Partial (unicondylar) knee replacement
2014, 2Q, 6 Posterior lumbar fusion with discectomy 2016, 4Q, 111-112 Removal and revision of hip and knee devices
AHA Coding Clinic for table 0SG 2016, 3Q, 35 Use of cemented versus uncemented qualifier for joint replacement
2015, 3Q, 18 Total hip replacement with acetabular reconstruction
2018, 1Q, 22 Spinal fusion procedures without bone graft
2015, 2Q, 18 Total knee revision
2017, 4Q, 76 Radiolucent porous interbody fusion device
2015, 2Q, 19 Revision of femoral head and acetabular liner
2017, 2Q, 23 Decompression of spinal cord and placement of instrumentation
2014, 3Q, 30 Spinal fusion and fixation instrumentation AHA Coding Clinic for table 0SS
2014, 3Q, 36 Lumbar interbody fusion of two vertebral levels 2016, 2Q, 31 Periacetabular ostectomy for repair of congenital hip dysplasia
2014, 2Q, 6 Posterior lumbar fusion with discectomy
AHA Coding Clinic for table 0ST
2013, 3Q, 25 360-degree spinal fusion
2016, 1Q, 20 Metatarsophalangeal joint resection arthroplasty
2013, 2Q, 39 Ankle fusion, osteotomy, and removal of hardware
2014, 4Q, 29 Rotational osteosynthesis
2013, 1Q, 21-23 Spinal fusion of thoracic and lumbar vertebrae
AHA Coding Clinic for table 0SU
AHA Coding Clinic for table 0SH
2018, 2Q, 16 Exchange of tibial polyethylene component with stabilizing insert
2017, 2Q, 23 Decompression of spinal cord and placement of instrumentation
(tibial tray)
AHA Coding Clinic for table 0SJ 2016, 4Q, 111 Removal and revision of hip and knee devices
2017, 1Q, 50 Dry aspiration of ankle joint 2015, 2Q, 19 Revision of femoral head and acetabular liner
AHA Coding Clinic for table 0SP AHA Coding Clinic for table 0SW
2018, 2Q, 16 Exchange of tibial polyethylene component with stabilizing insert 2017, 4Q, 107 Total ankle replacement versus revision
(tibial tray) 2016, 4Q, 110-112 Removal and revision of hip and knee devices
2017, 4Q, 107 Total ankle replacement versus revision 2015, 2Q, 18 Total knee revision
2016, 4Q, 110-112 Removal and revision of hip and knee devices 2015, 2Q, 19 Revision of femoral head and acetabular liner
2015, 2Q, 18 Total knee revision
2015, 2Q, 19 Revision of femoral head and acetabular liner
2013, 2Q, 39 Ankle fusion, osteotomy, and removal of hardware

578 ICD-10-PCS 2019

ICD-10-PCS 2019 Lower Joints

Lower Joints
Lower Joints

Lumbosacral 3
Sacroiliac 7, 8
Sacrococcygeal joint 5

Hip 9, B

Knee C, D

Ankle F, G
(Transverse) tarsal H, J
Metatarsal-phalangeal M, N

Hip Joint

Ilium
Sacroiliac joint 7, 8

Sacrum

Acetabulofemoral joint 9, B

Head of femur

Ischium

ICD-10-PCS 2019 579

 Lower Joints ICD-10-PCS 2019
Lower Joints

Knee Joint

Anterior view Lateral view

Synovial cavity
Femur
Patella

Medial meniscus
cartilage Patella

Lateral meniscus
cartilage

Tibia

Foot Joints

Phalanges

Metatarso-phalangeal
Tarsal joints H, J joints M, N

Distal
interphalangeal
joint P, Q
Tarsometatarsal joints K, L
Proximal
interphalangeal
joint P, Q
Tarsals Metatarsals

580 ICD-10-PCS 2019

ICD-10-PCS 2019 Lower Joints 0S2–0S5

Lower Joints
0 Medical and Surgical
S Lower Joints 0S2
2 Change Definition: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without
cutting or puncturing the skin or a mucous membrane
Explanation: All CHANGE procedures are coded using the approach EXTERNAL
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
Y Lower Joint X External 0 Drainage Device Z No Qualifier
Y Other Device
Non-OR All body part, approach, device, and qualifier values

0 Medical and Surgical

S Lower Joints 0S5
5 Destruction Definition: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent
Explanation: None of the body part is physically taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Lumbar Vertebral Joint 0 Open Z No Device Z No Qualifier
Lumbar facet joint 3 Percutaneous
2 Lumbar Vertebral Disc 4 Percutaneous Endoscopic
3 Lumbosacral Joint
Lumbosacral facet joint
4 Lumbosacral Disc
5 Sacrococcygeal Joint
Sacrococcygeal symphysis
6 Coccygeal Joint
7 Sacroiliac Joint, Right
8 Sacroiliac Joint, Left
9 Hip Joint, Right
Acetabulofemoral joint
B Hip Joint, Left
See 9 Hip Joint, Right
C Knee Joint, Right
Femoropatellar joint
Femorotibial joint
Lateral meniscus
Medial meniscus
Patellofemoral joint
Tibiofemoral joint
D Knee Joint, Left
See C Knee Joint, Right
F Ankle Joint, Right
Inferior tibiofibular joint
Talocrural joint
G Ankle Joint, Left
See F Ankle Joint, Right
H Tarsal Joint, Right
Calcaneocuboid joint
Cuboideonavicular joint
Cuneonavicular joint
Intercuneiform joint
Subtalar (talocalcaneal) joint
Talocalcaneal (subtalar) joint
Talocalcaneonavicular joint
J Tarsal Joint, Left
See H Tarsal Joint, Right
K Tarsometatarsal Joint, Right
L Tarsometatarsal Joint, Left
M Metatarsal-Phalangeal Joint, Right
Metatarsophalangeal (MTP) joint
N Metatarsal-Phalangeal Joint, Left
See M Metatarsal-Phalangeal Joint, Right
P Toe Phalangeal Joint, Right
Interphalangeal (IP) joint
Q Toe Phalangeal Joint, Left
See P Toe Phalangeal Joint, Right
0S2–0S5

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 581
 0S9–0S9
Lower Joints
0 Medical and Surgical
S Lower Joints
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part
Character 4
0 Lumbar Vertebral Joint
Lumbar facet joint
2 Lumbar Vertebral Disc
3 Lumbosacral Joint
Lumbosacral facet joint
4 Lumbosacral Disc
5 Sacrococcygeal Joint
Sacrococcygeal symphysis
6 Coccygeal Joint
7 Sacroiliac Joint, Right
8 Sacroiliac Joint, Left
9 Hip Joint, Right
Acetabulofemoral joint
B Hip Joint, Left
See 9 Hip Joint, Right
C Knee Joint, Right
Femoropatellar joint
Femorotibial joint
Lateral meniscus
Medial meniscus
Patellofemoral joint
Tibiofemoral joint
D Knee Joint, Left
See C Knee Joint, Right
F Ankle Joint, Right
Inferior tibiofibular joint
Talocrural joint
G Ankle Joint, Left
See F Ankle Joint, Right
0 Lumbar Vertebral Joint
Lumbar facet joint
2 Lumbar Vertebral Disc
3 Lumbosacral Joint
Lumbosacral facet joint
4 Lumbosacral Disc
5 Sacrococcygeal Joint
Sacrococcygeal symphysis
6 Coccygeal Joint
7 Sacroiliac Joint, Right
8 Sacroiliac Joint, Left
9 Hip Joint, Right
Acetabulofemoral joint
B Hip Joint, Left
See 9 Hip Joint, Right
C Knee Joint, Right
Femoropatellar joint
Femorotibial joint
Lateral meniscus
Medial meniscus
Patellofemoral joint
Tibiofemoral joint
D Knee Joint, Left
See C Knee Joint, Right
F Ankle Joint, Right
Inferior tibiofibular joint
Talocrural joint
G Ankle Joint, Left
See F Ankle Joint, Right
Non-OR 0S9[0,2,3,4,5,6,7,8,9,B,C,D,F,G,H,J,K,L,M,N,P,Q][3,4]0Z
Non-OR 0S9[0,2,3,4,5,6,7,8,9,B,C,D,F,G,H,J,K,L,M,N,P,Q][0,3,4]ZX
Non-OR 0S9[0,2,3,4,5,6,7,8,9,B,C,D,F,G,H,J,K,L,M,N,P,Q][3,4]ZZ
0S9–0S9
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
582
Lower Joints ICD-10-PCS 2019
0S9
Approach Device Qualifier
Character 5 Character 6 Character 7
H Tarsal Joint, Right 0 Open 0 Drainage Device Z No Qualifier
Calcaneocuboid joint 3 Percutaneous
Cuboideonavicular joint 4 Percutaneous Endoscopic
Cuneonavicular joint
Intercuneiform joint
Subtalar (talocalcaneal) joint
Talocalcaneal (subtalar) joint
Talocalcaneonavicular joint
J Tarsal Joint, Left
See H Tarsal Joint, Right
K Tarsometatarsal Joint,
Right
L Tarsometatarsal Joint, Left
M Metatarsal-Phalangeal
Joint, Right
Metatarsophalangeal (MTP)
joint
N Metatarsal-Phalangeal
Joint, Left
See M Metatarsal-Phalangeal
Joint, Right
P Toe Phalangeal Joint, Right
Interphalangeal (IP) joint
Q Toe Phalangeal Joint, Left
See P Toe Phalangeal Joint,
Right
H Tarsal Joint, Right 0 Open Z No Device X Diagnostic
Calcaneocuboid joint 3 Percutaneous Z No Qualifier
Cuboideonavicular joint 4 Percutaneous Endoscopic
Cuneonavicular joint
Intercuneiform joint
Subtalar (talocalcaneal) joint
Talocalcaneal (subtalar) joint
Talocalcaneonavicular joint
J Tarsal Joint, Left
See H Tarsal Joint, Right
K Tarsometatarsal Joint,
Right
L Tarsometatarsal Joint, Left
M Metatarsal-Phalangeal
Joint, Right
Metatarsophalangeal (MTP)
joint
N Metatarsal-Phalangeal
Joint, Left
See M Metatarsal-Phalangeal
Joint, Right
P Toe Phalangeal Joint, Right
Interphalangeal (IP) joint
Q Toe Phalangeal Joint, Left
See P Toe Phalangeal Joint,
Right
New/Revised in GREEN
ICD-10-PCS 2019
ICD-10-PCS 2019 Lower Joints 0SB–0SC

Lower Joints
0 Medical and Surgical
S Lower Joints 0SB
B Excision Definition: Cutting out or off, without replacement, a portion of a body part
Explanation: The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Lumbar Vertebral Joint H Tarsal Joint, Right 0 Open Z No Device X Diagnostic
Lumbar facet joint Calcaneocuboid joint 3 Percutaneous Z No Qualifier
2 Lumbar Vertebral Disc Cuboideonavicular joint 4 Percutaneous Endoscopic
3 Lumbosacral Joint Cuneonavicular joint
Lumbosacral facet joint Intercuneiform joint
4 Lumbosacral Disc Subtalar (talocalcaneal) joint
Talocalcaneal (subtalar) joint
5 Sacrococcygeal Joint
Talocalcaneonavicular joint
Sacrococcygeal symphysis
J Tarsal Joint, Left
6 Coccygeal Joint
See H Tarsal Joint, Right
7 Sacroiliac Joint, Right
K Tarsometatarsal Joint,
8 Sacroiliac Joint, Left Right
9 Hip Joint, Right L Tarsometatarsal Joint, Left
Acetabulofemoral joint
M Metatarsal-Phalangeal
B Hip Joint, Left Joint, Right
See 9 Hip Joint, Right Metatarsophalangeal (MTP)
C Knee Joint, Right joint
Femoropatellar joint N Metatarsal-Phalangeal
Femorotibial joint Joint, Left
Lateral meniscus See M Metatarsal-Phalangeal
Medial meniscus Joint, Right
Patellofemoral joint
P Toe Phalangeal Joint, Right
Tibiofemoral joint
Interphalangeal (IP) joint
D Knee Joint, Left
Q Toe Phalangeal Joint, Left
See C Knee Joint, Right
See P Toe Phalangeal Joint,
F Ankle Joint, Right Right
Inferior tibiofibular joint
Talocrural joint
G Ankle Joint, Left
See F Ankle Joint, Right
Non-OR 0SB[0,2,3,4,5,6,7,8,9,B,C,D,F,G,H,J,K,L,M,N,P,Q][0,3,4]ZX

0 Medical and Surgical

S Lower Joints 0SC
C Extirpation Definition: Taking or cutting out solid matter from a body part
Explanation: The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in
the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Lumbar Vertebral Joint H Tarsal Joint, Right 0 Open Z No Device Z No Qualifier
Lumbar facet joint Calcaneocuboid joint 3 Percutaneous
2 Lumbar Vertebral Disc Cuboideonavicular joint 4 Percutaneous Endoscopic
3 Lumbosacral Joint Cuneonavicular joint
Lumbosacral facet joint Intercuneiform joint
4 Lumbosacral Disc Subtalar (talocalcaneal) joint
Talocalcaneal (subtalar) joint
5 Sacrococcygeal Joint
Talocalcaneonavicular joint
Sacrococcygeal symphysis
J Tarsal Joint, Left
6 Coccygeal Joint
See H Tarsal Joint, Right
7 Sacroiliac Joint, Right
K Tarsometatarsal Joint,
8 Sacroiliac Joint, Left Right
9 Hip Joint, Right L Tarsometatarsal Joint, Left
Acetabulofemoral joint
M Metatarsal-Phalangeal
B Hip Joint, Left Joint, Right
See 9 Hip Joint, Right Metatarsophalangeal (MTP)
C Knee Joint, Right joint
Femoropatellar joint N Metatarsal-Phalangeal
Femorotibial joint Joint, Left
Lateral meniscus See M Metatarsal-Phalangeal
Medial meniscus Joint, Right
Patellofemoral joint
P Toe Phalangeal Joint, Right
Tibiofemoral joint
Interphalangeal (IP) joint
D Knee Joint, Left
Q Toe Phalangeal Joint, Left
See C Knee Joint, Right
See P Toe Phalangeal Joint,
F Ankle Joint, Right Right
Inferior tibiofibular joint
Talocrural joint
G Ankle Joint, Left
See F Ankle Joint, Right
0SB–0SC

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 583
 0SG–0SG Lower Joints ICD-10-PCS 2019
Lower Joints

0 Medical and Surgical

S Lower Joints 0SG
G Fusion Definition: Joining together portions of an articular body part rendering the articular body part immobile
Explanation: The body part is joined together by fixation device, bone graft, or other means
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Lumbar Vertebral Joint 0 Open 7 Autologous Tissue 0 Anterior Approach, Anterior
Lumbar facet joint 3 Percutaneous Substitute Column
1 Lumbar Vertebral Joints, 2 or more ? 4 Percutaneous Endoscopic J Synthetic Substitute 1 Posterior Approach,
3 Lumbosacral Joint K Nonautologous Tissue Posterior Column
Lumbosacral facet joint Substitute J Posterior Approach,
Anterior Column
0 Lumbar Vertebral Joint 0 Open A Interbody Fusion Device 0 Anterior Approach, Anterior
Lumbar facet joint 3 Percutaneous Column
1 Lumbar Vertebral Joints, 2 or more ? 4 Percutaneous Endoscopic J Posterior Approach,
3 Lumbosacral Joint Anterior Column
Lumbosacral facet joint
5 Sacrococcygeal Joint 0 Open 4 Internal Fixation Device Z No Qualifier
Sacrococcygeal symphysis 3 Percutaneous 7 Autologous Tissue
6 Coccygeal Joint 4 Percutaneous Endoscopic Substitute
7 Sacroiliac Joint, Right J Synthetic Substitute
8 Sacroiliac Joint, Left K Nonautologous Tissue
Substitute
9 Hip Joint, Right 0 Open 4 Internal Fixation Device Z No Qualifier
Acetabulofemoral joint 3 Percutaneous 5 External Fixation Device
B Hip Joint, Left 4 Percutaneous Endoscopic 7 Autologous Tissue
See 9 Hip Joint, Right Substitute
C Knee Joint, Right J Synthetic Substitute
Femoropatellar joint K Nonautologous Tissue
Femorotibial joint Substitute
Lateral meniscus
Medial meniscus
Patellofemoral joint
Tibiofemoral joint
D Knee Joint, Left
See C Knee Joint, Right
F Ankle Joint, Right
Inferior tibiofibular joint
Talocrural joint
G Ankle Joint, Left
See F Ankle Joint, Right
H Tarsal Joint, Right
Calcaneocuboid joint
Cuboideonavicular joint
Cuneonavicular joint
Intercuneiform joint
Subtalar (talocalcaneal) joint
Talocalcaneal (subtalar) joint
Talocalcaneonavicular joint
J Tarsal Joint, Left
See H Tarsal Joint, Right
K Tarsometatarsal Joint, Right
L Tarsometatarsal Joint, Left
M Metatarsal-Phalangeal Joint, Right
Metatarsophalangeal (MTP) joint
N Metatarsal-Phalangeal Joint, Left
See M Metatarsal-Phalangeal Joint, Right
P Toe Phalangeal Joint, Right
Interphalangeal (IP) joint
Q Toe Phalangeal Joint, Left
See P Toe Phalangeal Joint, Right
HAC 0SG[0,1,3][0,3,4][7,J,K][0,1,J] when reported with SDx K68.11 or T81.4XXA or T84.60- See Appendix L for Procedure Combinations
T84.619, T84.63-T84.7 with 7th character A ? 0SG1[0,3,4][7,J,K][0,1,J]
HAC 0SG[0,1,3][0,3,4]A[0,J] when reported with SDx K68.11 or T81.4XXA or T84.60-T84.619, ? 0SG1[0,3,4]A[0,J]
T84.63-T84.7 with 7th character A
HAC 0SG[7,8][0,3,4][4,7,J,K]Z when reported with SDx K68.11 or T81.4XXA or T84.60-T84.619,
T84.63-T84.7 with 7th character A
0SG–0SG

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
584 ICD-10-PCS 2019
ICD-10-PCS 2019 Lower Joints 0SH–0SH

Lower Joints
0 Medical and Surgical
S Lower Joints 0SH
H Insertion Definition: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically
take the place of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Lumbar Vertebral Joint 0 Open 3 Infusion Device Z No Qualifier
Lumbar facet joint 3 Percutaneous 4 Internal Fixation Device
3 Lumbosacral Joint 4 Percutaneous Endoscopic 8 Spacer
Lumbosacral facet joint B Spinal Stabilization Device,
Interspinous Process
C Spinal Stabilization Device,
Pedicle-Based
D Spinal Stabilization Device,
Facet Replacement
2 Lumbar Vertebral Disc 0 Open 3 Infusion Device Z No Qualifier
4 Lumbosacral Disc 3 Percutaneous 8 Spacer
4 Percutaneous Endoscopic
5 Sacrococcygeal Joint 0 Open 3 Infusion Device Z No Qualifier
Sacrococcygeal symphysis 3 Percutaneous 4 Internal Fixation Device
6 Coccygeal Joint 4 Percutaneous Endoscopic 8 Spacer
7 Sacroiliac Joint, Right
8 Sacroiliac Joint, Left
9 Hip Joint, Right 0 Open 3 Infusion Device Z No Qualifier
Acetabulofemoral joint 3 Percutaneous 4 Internal Fixation Device
B Hip Joint, Left 4 Percutaneous Endoscopic 5 External Fixation Device
See 9 Hip Joint, Right 8 Spacer
C Knee Joint, Right
Femoropatellar joint
Femorotibial joint
Lateral meniscus
Medial meniscus
Patellofemoral joint
Tibiofemoral joint
D Knee Joint, Left
See C Knee Joint, Right
F Ankle Joint, Right
Inferior tibiofibular joint
Talocrural joint
G Ankle Joint, Left
See F Ankle Joint, Right
H Tarsal Joint, Right
Calcaneocuboid joint
Cuboideonavicular joint
Cuneonavicular joint
Intercuneiform joint
Subtalar (talocalcaneal) joint
Talocalcaneal (subtalar) joint
Talocalcaneonavicular joint
J Tarsal Joint, Left
See H Tarsal Joint, Right
K Tarsometatarsal Joint, Right
L Tarsometatarsal Joint, Left
M Metatarsal-Phalangeal Joint, Right
Metatarsophalangeal (MTP) joint
N Metatarsal-Phalangeal Joint, Left
See M Metatarsal-Phalangeal Joint, Right
P Toe Phalangeal Joint, Right
Interphalangeal (IP) joint
Q Toe Phalangeal Joint, Left
See P Toe Phalangeal Joint, Right
Non-OR 0SH[0,3][0,3,4][3,8]Z
Non-OR 0SH[2,4][0,3,4][3,8]Z
Non-OR 0SH[5,6,7,8][0,3,4][3,8]Z
Non-OR 0SH[9,B,C,D,F,G,H,J,K,L,M,N,P,Q][0,3,4][3,8]Z
0SH–0SH

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 585
 0SJ–0SN Lower Joints ICD-10-PCS 2019
Lower Joints

0 Medical and Surgical

S Lower Joints 0SJ
J Inspection Definition: Visually and/or manually exploring a body part
Explanation: Visual exploration may be performed with or without optical instrumentation. Manual exploration may be performed directly or
through intervening body layers.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Lumbar Vertebral Joint H Tarsal Joint, Right 0 Open Z No Device Z No Qualifier
Lumbar facet joint Calcaneocuboid joint 3 Percutaneous
2 Lumbar Vertebral Disc Cuboideonavicular joint 4 Percutaneous Endoscopic
3 Lumbosacral Joint Cuneonavicular joint X External
Lumbosacral facet joint Intercuneiform joint
4 Lumbosacral Disc Subtalar (talocalcaneal) joint
Talocalcaneal (subtalar) joint
5 Sacrococcygeal Joint
Talocalcaneonavicular joint
Sacrococcygeal symphysis
J Tarsal Joint, Left
6 Coccygeal Joint
See H Tarsal Joint, Right
7 Sacroiliac Joint, Right
K Tarsometatarsal Joint,
8 Sacroiliac Joint, Left Right
9 Hip Joint, Right L Tarsometatarsal Joint, Left
Acetabulofemoral joint
M Metatarsal-Phalangeal
B Hip Joint, Left Joint, Right
See 9 Hip Joint, Right Metatarsophalangeal (MTP)
C Knee Joint, Right joint
Femoropatellar joint N Metatarsal-Phalangeal
Femorotibial joint Joint, Left
Lateral meniscus See M Metatarsal-Phalangeal
Medial meniscus Joint, Right
Patellofemoral joint
P Toe Phalangeal Joint, Right
Tibiofemoral joint
Interphalangeal (IP) joint
D Knee Joint, Left
Q Toe Phalangeal Joint, Left
See C Knee Joint, Right
See P Toe Phalangeal Joint,
F Ankle Joint, Right Right
Inferior tibiofibular joint
Talocrural joint
G Ankle Joint, Left
See F Ankle Joint, Right

Non-OR 0SJ[0,2,3,4,5,6,7,8,9,B,C,D,F,G,H,J,K,L,M,N,P,Q][3,X]ZZ

0 Medical and Surgical

S Lower Joints
N Release Definition: Freeing a body part from an abnormal physical constraint by cutting or by the use of force
Explanation: Some of the restraining tissue may be taken out but none of the body part is taken out
Body Part
Character 4
0 Lumbar Vertebral Joint
Lumbar facet joint
2 Lumbar Vertebral Disc
3 Lumbosacral Joint
Lumbosacral facet joint
4 Lumbosacral Disc
5 Sacrococcygeal Joint
Sacrococcygeal symphysis
6 Coccygeal Joint
7 Sacroiliac Joint, Right
8 Sacroiliac Joint, Left
9 Hip Joint, Right
Acetabulofemoral joint
B Hip Joint, Left
See 9 Hip Joint, Right
C Knee Joint, Right
Femoropatellar joint
Femorotibial joint
Lateral meniscus
Medial meniscus
Patellofemoral joint
Tibiofemoral joint
D Knee Joint, Left
See C Knee Joint, Right
F Ankle Joint, Right
Inferior tibiofibular joint
Talocrural joint
G Ankle Joint, Left
See F Ankle Joint, Right
0SJ–0SN
0SN
Approach Device Qualifier
Character 5 Character 6 Character 7
H Tarsal Joint, Right 0 Open Z No Device Z No Qualifier
Calcaneocuboid joint 3 Percutaneous
Cuboideonavicular joint 4 Percutaneous Endoscopic
Cuneonavicular joint X External
Intercuneiform joint
Subtalar (talocalcaneal) joint
Talocalcaneal (subtalar) joint
Talocalcaneonavicular joint
J Tarsal Joint, Left
See H Tarsal Joint, Right
K Tarsometatarsal Joint,
Right
L Tarsometatarsal Joint, Left
M Metatarsal-Phalangeal
Joint, Right
Metatarsophalangeal (MTP)
joint
N Metatarsal-Phalangeal
Joint, Left
See M Metatarsal-Phalangeal
Joint, Right
P Toe Phalangeal Joint, Right
Interphalangeal (IP) joint
Q Toe Phalangeal Joint, Left
See P Toe Phalangeal Joint,
Right

Non-OR 0SN[0,2,3,4,5,6,7,8,9,B,C,D,F,G,H,J,K,L,M,N,P,Q]XZZ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
586 ICD-10-PCS 2019
ICD-10-PCS 2019
0 Medical and Surgical
S Lower Joints
P Removal Definition: Taking out or off a device from a body part
Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is
coded to the root operation CHANGE. Otherwise, the procedure for taking out the device is coded to the root operation REMOVAL.
Body Part
Character 4
0 Lumbar Vertebral Joint
Lumbar facet joint
3 Lumbosacral Joint
Lumbosacral facet joint
0 Lumbar Vertebral Joint
Lumbar facet joint
3 Lumbosacral Joint
Lumbosacral facet joint
2 Lumbar Vertebral Disc
4 Lumbosacral Disc
2 Lumbar Vertebral Disc
4 Lumbosacral Disc
5 Sacrococcygeal Joint
Sacrococcygeal symphysis
6 Coccygeal Joint
7 Sacroiliac Joint, Right
8 Sacroiliac Joint, Left
5 Sacrococcygeal Joint
Sacrococcygeal symphysis
6 Coccygeal Joint
7 Sacroiliac Joint, Right
8 Sacroiliac Joint, Left
9 Hip Joint, Right
Acetabulofemoral joint
B Hip Joint, Left
See 9 Hip Joint, Right
9 Hip Joint, Right
Acetabulofemoral joint
B Hip Joint, Left
See 9 Hip Joint, Right
9 Hip Joint, Right
Acetabulofemoral joint
B Hip Joint, Left
See 9 Hip Joint, Right
Non-OR 0SP[0,3][0,3,4]8Z
Non-OR 0SP[0,3]3[0,3]Z
Non-OR 0SP[0,3]X[0,3,4]Z
Non-OR 0SP[2,4]3[0,3]Z
Non-OR 0SP[2,4]X[0,3]Z
Non-OR 0SP[5,6,7,8][0,3,4]8Z
Non-OR 0SP[5,6,7,8]3[0,3]Z
Non-OR 0SP[5,6,7,8]X[0,3,4]Z
Non-OR 0SP[9,B]3[0,3,8]Z
Non-OR 0SP[9,B]X[0,3,4,5]Z
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR
ICD-10-PCS 2019
Lower Joints 0SP–0SP
Lower Joints
0SP
Approach Device Qualifier
Character 5 Character 6 Character 7
0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous 3 Infusion Device
4 Percutaneous Endoscopic 4 Internal Fixation Device
7 Autologous Tissue Substitute
8 Spacer
A Interbody Fusion Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
X External 0 Drainage Device Z No Qualifier
3 Infusion Device
4 Internal Fixation Device
0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous 3 Infusion Device
4 Percutaneous Endoscopic 7 Autologous Tissue Substitute
J Synthetic Substitute
K Nonautologous Tissue Substitute
X External 0 Drainage Device Z No Qualifier
3 Infusion Device
0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous 3 Infusion Device
4 Percutaneous Endoscopic 4 Internal Fixation Device
7 Autologous Tissue Substitute
8 Spacer
J Synthetic Substitute
K Nonautologous Tissue Substitute
X External 0 Drainage Device Z No Qualifier
3 Infusion Device
4 Internal Fixation Device
? 0 Open 0 Drainage Device Z No Qualifier
3 Infusion Device
? 4 Internal Fixation Device
5 External Fixation Device
7 Autologous Tissue Substitute
8 Spacer
9 Liner
B Resurfacing Device
E Articulating Spacer
J Synthetic Substitute
K Nonautologous Tissue Substitute
? 3 Percutaneous 0 Drainage Device Z No Qualifier
4 Percutaneous Endoscopic 3 Infusion Device
? 4 Internal Fixation Device
5 External Fixation Device
7 Autologous Tissue Substitute
8 Spacer
J Synthetic Substitute
K Nonautologous Tissue Substitute
X External 0 Drainage Device Z No Qualifier
3 Infusion Device
4 Internal Fixation Device
5 External Fixation Device
0SP Continued on next page
See Appendix L for Procedure Combinations
Combo-only 0SP[9,B]08Z
Combo-only 0SP[9,B]48Z
? 0SP[9,B]0[9,B,J]Z
? 0SP[9,B]4JZ
0SP–0SP
New/Revised in GREEN
587
 0SP–0SP Lower Joints ICD-10-PCS 2019
Lower Joints

0 Medical and Surgical 0SP Continued

S Lower Joints 0SP
P Removal Definition: Taking out or off a device from a body part
Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is
coded to the root operation CHANGE. Otherwise, the procedure for taking out the device is coded to the root operation REMOVAL.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
A Hip Joint, Acetabular Surface, ? 0 Open J Synthetic Substitute Z No Qualifier
Right 3 Percutaneous
E Hip Joint, Acetabular Surface, ? 4 Percutaneous Endoscopic
Left
R Hip Joint, Femoral Surface, ?
Right
S Hip Joint, Femoral Surface, Left ?
T Knee Joint, Femoral Surface, ?
Right
Femoropatellar joint
Patellofemoral joint
U Knee Joint, Femoral Surface, ?
Left
See T Knee Joint, Femoral Surface,
Right
V Knee Joint, Tibial Surface, Right ?
Femorotibial joint
Tibiofemoral joint
W Knee Joint, Tibial Surface, Left ?
See V Knee Joint, Tibial Surface, Right
C Knee Joint, Right ? 0 Open 0 Drainage Device Z No Qualifier
Femoropatellar joint 3 Infusion Device
Femorotibial joint 4 Internal Fixation Device
Lateral meniscus 5 External Fixation Device
Medial meniscus
7 Autologous Tissue Substitute
Patellofemoral joint
Tibiofemoral joint 8 Spacer
D Knee Joint, Left ? 9 Liner
See C Knee Joint, Right E Articulating Spacer
K Nonautologous Tissue Substitute
L Synthetic Substitute, Unicondylar
Medial
M Synthetic Substitute, Unicondylar
Lateral
N Synthetic Substitute, Patellofemoral
C Knee Joint, Right ? 0 Open J Synthetic Substitute C Patellar Surface
Femoropatellar joint Z No Qualifier
Femorotibial joint
Lateral meniscus
Medial meniscus
Patellofemoral joint
Tibiofemoral joint
D Knee Joint, Left ?
See C Knee Joint, Right
C Knee Joint, Right 3 Percutaneous 0 Drainage Device Z No Qualifier
Femoropatellar joint 4 Percutaneous Endoscopic 3 Infusion Device
Femorotibial joint 4 Internal Fixation Device
Lateral meniscus 5 External Fixation Device
Medial meniscus
7 Autologous Tissue Substitute
Patellofemoral joint
Tibiofemoral joint 8 Spacer
D Knee Joint, Left K Nonautologous Tissue Substitute
See C Knee Joint, Right L Synthetic Substitute, Unicondylar
Medial
M Synthetic Substitute, Unicondylar
Lateral
N Synthetic Substitute, Patellofemoral
C Knee Joint, Right ? 3 Percutaneous J Synthetic Substitute C Patellar Surface
Femoropatellar joint 4 Percutaneous Endoscopic Z No Qualifier
Femorotibial joint
Lateral meniscus
Medial meniscus
Patellofemoral joint
Tibiofemoral joint
D Knee Joint, Left ?
See C Knee Joint, Right
0SP Continued on next page
Non-OR 0SP[C,D]3[0,3]Z See Appendix L for Procedure Combinations
Combo-only 0SP[C,D]08Z ? 0SP[C,D]09Z
0SP–0SP

Combo-only 0SP[C,D][3,4]8Z ? 0SP[C,D]0J[C,Z]

? 0SP[A,E,R,S,T,U,V,W][0,4]JZ ? 0SP[C,D]4J[C,Z]

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
588 ICD-10-PCS 2019
ICD-10-PCS 2019 Lower Joints 0SP–0SP

Lower Joints
0 Medical and Surgical 0SP Continued
S Lower Joints 0SP
P Removal Definition: Taking out or off a device from a body part
Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is
coded to the root operation CHANGE. Otherwise, the procedure for taking out the device is coded to the root operation REMOVAL.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
C Knee Joint, Right X External 0 Drainage Device Z No Qualifier
Femoropatellar joint 3 Infusion Device
Femorotibial joint 4 Internal Fixation Device
Lateral meniscus 5 External Fixation Device
Medial meniscus
Patellofemoral joint
Tibiofemoral joint
D Knee Joint, Left
See C Knee Joint, Right
F Ankle Joint, Right 0 Open 0 Drainage Device Z No Qualifier
Inferior tibiofibular joint 3 Percutaneous 3 Infusion Device
Talocrural joint 4 Percutaneous Endoscopic 4 Internal Fixation Device
G Ankle Joint, Left 5 External Fixation Device
See F Ankle Joint, Right 7 Autologous Tissue Substitute
H Tarsal Joint, Right 8 Spacer
Calcaneocuboid joint
J Synthetic Substitute
Cuboideonavicular joint
Cuneonavicular joint K Nonautologous Tissue Substitute
Intercuneiform joint
Subtalar (talocalcaneal) joint
Talocalcaneal (subtalar) joint
Talocalcaneonavicular joint
J Tarsal Joint, Left
See H Tarsal Joint, Right
K Tarsometatarsal Joint, Right
L Tarsometatarsal Joint, Left
M Metatarsal-Phalangeal Joint, Right
Metatarsophalangeal (MTP) joint
N Metatarsal-Phalangeal Joint, Left
See M Metatarsal-Phalangeal Joint,
Right
P Toe Phalangeal Joint, Right
Interphalangeal (IP) joint
Q Toe Phalangeal Joint, Left
See P Toe Phalangeal Joint, Right
F Ankle Joint, Right X External 0 Drainage Device Z No Qualifier
Inferior tibiofibular joint 3 Infusion Device
Talocrural joint 4 Internal Fixation Device
G Ankle Joint, Left 5 External Fixation Device
See F Ankle Joint, Right
H Tarsal Joint, Right
Calcaneocuboid joint
Cuboideonavicular joint
Cuneonavicular joint
Intercuneiform joint
Subtalar (talocalcaneal) joint
Talocalcaneal (subtalar) joint
Talocalcaneonavicular joint
J Tarsal Joint, Left
See H Tarsal Joint, Right
K Tarsometatarsal Joint, Right
L Tarsometatarsal Joint, Left
M Metatarsal-Phalangeal Joint, Right
Metatarsophalangeal (MTP) joint
N Metatarsal-Phalangeal Joint, Left
See M Metatarsal-Phalangeal Joint,
Right
P Toe Phalangeal Joint, Right
Interphalangeal (IP) joint
Q Toe Phalangeal Joint, Left
See P Toe Phalangeal Joint, Right
Non-OR 0SP[C,D]X[0,3,4,5]Z
Non-OR 0SP[F,G,H,J,K,L,M,N,P,Q]3[0,3,8]Z
Non-OR 0SP[F,G,H,J,K,L,M,N,P,Q][0,4]8Z
Non-OR 0SP[F,G,H,J,K,L,M,N,P,Q]X[0,3,4,5]Z
0SP–0SP

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 589
 0SQ–0SQ Lower Joints ICD-10-PCS 2019
Lower Joints

0 Medical and Surgical

S Lower Joints 0SQ
Q Repair Definition: Restoring, to the extent possible, a body part to its normal anatomic structure and function
Explanation: Used only when the method to accomplish the repair is not one of the other root operations
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Lumbar Vertebral Joint 0 Open Z No Device Z No Qualifier
Lumbar facet joint 3 Percutaneous
2 Lumbar Vertebral Disc 4 Percutaneous Endoscopic
3 Lumbosacral Joint X External
Lumbosacral facet joint
4 Lumbosacral Disc
5 Sacrococcygeal Joint
Sacrococcygeal symphysis
6 Coccygeal Joint
7 Sacroiliac Joint, Right
8 Sacroiliac Joint, Left
9 Hip Joint, Right
Acetabulofemoral joint
B Hip Joint, Left
See 9 Hip Joint, Right
C Knee Joint, Right
Femoropatellar joint
Femorotibial joint
Lateral meniscus
Medial meniscus
Patellofemoral joint
Tibiofemoral joint
D Knee Joint, Left
See C Knee Joint, Right
F Ankle Joint, Right
Inferior tibiofibular joint
Talocrural joint
G Ankle Joint, Left
See F Ankle Joint, Right
H Tarsal Joint, Right
Calcaneocuboid joint
Cuboideonavicular joint
Cuneonavicular joint
Intercuneiform joint
Subtalar (talocalcaneal) joint
Talocalcaneal (subtalar) joint
Talocalcaneonavicular joint
J Tarsal Joint, Left
See H Tarsal Joint, Right
K Tarsometatarsal Joint, Right
L Tarsometatarsal Joint, Left
M Metatarsal-Phalangeal Joint, Right
Metatarsophalangeal (MTP) joint
N Metatarsal-Phalangeal Joint, Left
See M Metatarsal-Phalangeal Joint, Right
P Toe Phalangeal Joint, Right
Interphalangeal (IP) joint
Q Toe Phalangeal Joint, Left
See P Toe Phalangeal Joint, Right
Non-OR 0SQ[0,2,3,4,5,6,7,8,9,B,C,D,F,G,H,J,K,L,M,N,P,Q]XZZ
0SQ–0SQ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
590 ICD-10-PCS 2019
ICD-10-PCS 2019 Lower Joints 0SR–0SR

Lower Joints
0 Medical and Surgical
S Lower Joints 0SR
R Replacement Definition: Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part
Explanation: The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during
the REPLACEMENT procedure. A REMOVAL procedure is coded for taking out the device used in a previous replacement procedure.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Lumbar Vertebral Joint 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Lumbar facet joint J Synthetic Substitute
2 Lumbar Vertebral Disc 4 K Nonautologous Tissue Substitute
3 Lumbosacral Joint
Lumbosacral facet joint
4 Lumbosacral Disc 4
5 Sacrococcygeal Joint
Sacrococcygeal symphysis
6 Coccygeal Joint
7 Sacroiliac Joint, Right
8 Sacroiliac Joint, Left
H Tarsal Joint, Right
Calcaneocuboid joint
Cuboideonavicular joint
Cuneonavicular joint
Intercuneiform joint
Subtalar (talocalcaneal) joint
Talocalcaneal (subtalar) joint
Talocalcaneonavicular joint
J Tarsal Joint, Left
See H Tarsal Joint, Right
K Tarsometatarsal Joint, Right
L Tarsometatarsal Joint, Left
M Metatarsal-Phalangeal Joint, Right
Metatarsophalangeal (MTP) joint
N Metatarsal-Phalangeal Joint, Left
See M Metatarsal-Phalangeal Joint, Right
P Toe Phalangeal Joint, Right
Interphalangeal (IP) joint
Q Toe Phalangeal Joint, Left
See P Toe Phalangeal Joint, Right
9 Hip Joint, Right ? 0 Open 1 Synthetic Substitute, Metal 9 Cemented
Acetabulofemoral joint 2 Synthetic Substitute, Metal on A Uncemented
B Hip Joint, Left ? Polyethylene Z No Qualifier
See 9 Hip Joint, Right 3 Synthetic Substitute, Ceramic
4 Synthetic Substitute, Ceramic on
Polyethylene
6 Synthetic Substitute, Oxidized
Zirconium on Polyethylene
J Synthetic Substitute
9 Hip Joint, Right 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Acetabulofemoral joint E Articulating Spacer
B Hip Joint, Left K Nonautologous Tissue Substitute
See 9 Hip Joint, Right
A Hip Joint, Acetabular Surface, ? 0 Open 0 Synthetic Substitute, Polyethylene 9 Cemented
Right 1 Synthetic Substitute, Metal A Uncemented
E Hip Joint, Acetabular Surface, ? 3 Synthetic Substitute, Ceramic Z No Qualifier
Left J Synthetic Substitute
A Hip Joint, Acetabular Surface, Right 0 Open 7 Autologous Tissue Substitute Z No Qualifier
E Hip Joint, Acetabular Surface, Left K Nonautologous Tissue Substitute
0SR Continued on next page
HAC 0SR[9,B]0[1,2,3,4,6,J][9,A,Z] when reported with SDx of I26.02-I26.09, See Appendix L for Procedure Combinations
I26.92-I26.99, or I82.401-I82.4Z9 ? 0SR[9,B]0[1,2,3,4,6,J][9,A,Z]
HAC 0SR[9,B]0[7,K]Z when reported with SDx of I26.02-I26.09, I26.92-I26.99, ? 0SR[A,E]0[0,1,3,J][9,A,Z]
or I82.401-I82.4Z9
HAC 0SR[A,E]0[0,1,3,J][9,A,Z] when reported with SDx of I26.02-I26.09,
I26.92-I26.99, or I82.401-I82.4Z9
HAC 0SR[A,E]0[7,K]Z when reported with SDx of I26.02-I26.09, I26.92-I26.99,
or I82.401-I82.4Z9
4 0SR[2,4]0JZ when beneficiary age is over 60
0SR–0SR

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 591
 0SR–0SR Lower Joints ICD-10-PCS 2019
Lower Joints

0 Medical and Surgical 0SR Continued

S Lower Joints 0SR
R Replacement Definition: Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part
Explanation: The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during
the REPLACEMENT procedure. A REMOVAL procedure is coded for taking out the device used in a previous replacement procedure.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
C Knee Joint, Right 0 Open 6 Synthetic Substitute, Oxidized 9 Cemented
Femoropatellar joint Zirconium on Polyethylene A Uncemented
Femorotibial joint J Synthetic Substitute Z No Qualifier
Lateral meniscus L Synthetic Substitute, Unicondylar
Medial meniscus Medial
Patellofemoral joint M Synthetic Substitute, Unicondylar
Tibiofemoral joint Lateral
D Knee Joint, Left N Synthetic Substitute,
See C Knee Joint, Right Patellofemoral
C Knee Joint, Right ? 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Femoropatellar joint E Articulating Spacer
Femorotibial joint K Nonautologous Tissue Substitute
Lateral meniscus
Medial meniscus
Patellofemoral joint
Tibiofemoral joint
D Knee Joint, Left ?
See C Knee Joint, Right
F Ankle Joint, Right 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Inferior tibiofibular joint K Nonautologous Tissue Substitute
Talocrural joint
G Ankle Joint, Left
See F Ankle Joint, Right
T Knee Joint, Femoral Surface, Right
Femoropatellar joint
Patellofemoral joint
U Knee Joint, Femoral Surface, Left
See T Knee Joint, Femoral Surface, Right
V Knee Joint, Tibial Surface, Right
Femorotibial joint
Tibiofemoral joint
W Knee Joint, Tibial Surface, Left
See V Knee Joint, Tibial Surface, Right
F Ankle Joint, Right 0 Open J Synthetic Substitute 9 Cemented
Inferior tibiofibular joint A Uncemented
Talocrural joint Z No Qualifier
G Ankle Joint, Left
See F Ankle Joint, Right
T Knee Joint, Femoral Surface, Right ?
Femoropatellar joint
Patellofemoral joint
U Knee Joint, Femoral Surface, Left ?
See T Knee Joint, Femoral Surface, Right
V Knee Joint, Tibial Surface, Right ?
Femorotibial joint
Tibiofemoral joint
W Knee Joint, Tibial Surface, Left ?
See V Knee Joint, Tibial Surface, Right
R Hip Joint, Femoral Surface, Right ? 0 Open 1 Synthetic Substitute, Metal 9 Cemented
S Hip Joint, Femoral Surface, Left ? 3 Synthetic Substitute, Ceramic A Uncemented
J Synthetic Substitute Z No Qualifier
R Hip Joint, Femoral Surface, Right 0 Open 7 Autologous Tissue Substitute Z No Qualifier
S Hip Joint, Femoral Surface, Left K Nonautologous Tissue Substitute
HAC 0SR[C,D]0[6,J][9,A,Z] when reported with SDx of I26.02-I26.09, See Appendix L for Procedure Combinations
I26.92-I26.99 or I82.401-I82.4Z9 ? 0SR[C,D]0[6,J][9,A,Z]
HAC 0SR[C,D]0[7,K]Z when reported with SDx of I26.02-I26.09, I26.92-I26.99 ? 0SR[T,U,V,W]0J[9,A,Z]
or I82.401-I82.4Z9 ? 0SR[R,S]0[1,3,J][9,A,Z]
HAC 0SR[T,U,V,W]0[7,K]Z when reported with SDx of I26.02-I26.09,
I26.92-I26.99 or I82.401-I82.4Z9
HAC 0SR[T,U,V,W]0J[9,A,Z] when reported with SDx of I26.02-I26.09,
I26.92-I26.99 or I82.401-I82.4Z9
HAC 0SR[R,S]0[1,3,J][9,A,Z] when reported with SDx of I26.02-I26.09,
I26.92-I26.99, or I82.401-I82.4Z9
HAC 0SR[R,S]0[7,K]Z when reported with SDx of I26.02-I26.09, I26.92-I26.99,
or I82.401-I82.4Z9
0SR–0SR

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
592 ICD-10-PCS 2019
ICD-10-PCS 2019 Lower Joints 0SS–0ST

Lower Joints
0 Medical and Surgical
S Lower Joints 0SS
S Reposition Definition: Moving to its normal location, or other suitable location, all or a portion of a body part
Explanation: The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning
correctly. The body part may or may not be cut out or off to be moved to the new location.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Lumbar Vertebral Joint 0 Open 4 Internal Fixation Device Z No Qualifier
Lumbar facet joint 3 Percutaneous Z No Device
3 Lumbosacral Joint 4 Percutaneous Endoscopic
Lumbosacral facet joint X External
5 Sacrococcygeal Joint
Sacrococcygeal symphysis
6 Coccygeal Joint
7 Sacroiliac Joint, Right
8 Sacroiliac Joint, Left
9 Hip Joint, Right J Tarsal Joint, Left 0 Open 4 Internal Fixation Device Z No Qualifier
Acetabulofemoral joint See H Tarsal Joint, Right 3 Percutaneous 5 External Fixation Device
B Hip Joint, Left K Tarsometatarsal Joint, 4 Percutaneous Endoscopic Z No Device
See 9 Hip Joint, Right Right X External
C Knee Joint, Right L Tarsometatarsal Joint, Left
Femoropatellar joint M Metatarsal-Phalangeal
Femorotibial joint Joint, Right
Lateral meniscus Metatarsophalangeal (MTP)
Medial meniscus joint
Patellofemoral joint N Metatarsal-Phalangeal
Tibiofemoral joint Joint, Left
D Knee Joint, Left See M Metatarsal-Phalangeal
See C Knee Joint, Right Joint, Right
F Ankle Joint, Right P Toe Phalangeal Joint, Right
Inferior tibiofibular joint Interphalangeal (IP) joint
Talocrural joint Q Toe Phalangeal Joint, Left
G Ankle Joint, Left See P Toe Phalangeal Joint,
See F Ankle Joint, Right Right
H Tarsal Joint, Right
Calcaneocuboid joint
Cuboideonavicular joint
Cuneonavicular joint
Intercuneiform joint
Subtalar (talocalcaneal) joint
Talocalcaneal (subtalar) joint
Talocalcaneonavicular joint
Non-OR 0SS[0,3,5,6,7,8][3,4,X][4,Z]Z
Non-OR 0SS[9,B,C,D,F,G,H,J,K,L,M,N,P,Q][3,4,X][4,5,Z]Z

0 Medical and Surgical

S Lower Joints
T Resection Definition: Cutting out or off, without replacement, all of a body part
Explanation: None
Body Part
Character 4
2 Lumbar Vertebral Disc
4 Lumbosacral Disc
5 Sacrococcygeal Joint
Sacrococcygeal symphysis
6 Coccygeal Joint
7 Sacroiliac Joint, Right
8 Sacroiliac Joint, Left
9 Hip Joint, Right
Acetabulofemoral joint
B Hip Joint, Left
See 9 Hip Joint, Right
C Knee Joint, Right
Femoropatellar joint
Femorotibial joint
Lateral meniscus
Medial meniscus
Patellofemoral joint
Tibiofemoral joint
D Knee Joint, Left
See C Knee Joint, Right
F Ankle Joint, Right
Inferior tibiofibular joint
Talocrural joint
G Ankle Joint, Left
See F Ankle Joint, Right
0ST
Approach Device Qualifier
Character 5 Character 6 Character 7
H Tarsal Joint, Right 0 Open Z No Device Z No Qualifier
Calcaneocuboid joint
Cuboideonavicular joint
Cuneonavicular joint
Intercuneiform joint
Subtalar (talocalcaneal) joint
Talocalcaneal (subtalar) joint
Talocalcaneonavicular joint
J Tarsal Joint, Left
See H Tarsal Joint, Right
K Tarsometatarsal Joint,
Right
L Tarsometatarsal Joint, Left
M Metatarsal-Phalangeal
Joint, Right
Metatarsophalangeal (MTP)
joint
N Metatarsal-Phalangeal
Joint, Left
See M Metatarsal-Phalangeal
Joint, Right
P Toe Phalangeal Joint, Right
Interphalangeal (IP) joint
Q Toe Phalangeal Joint, Left
See P Toe Phalangeal Joint,
Right
0SS–0ST

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 593
 0SU–0SU Lower Joints ICD-10-PCS 2019
Lower Joints

0 Medical and Surgical

S Lower Joints 0SU
U Supplement Definition: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part
Explanation: The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced,
and the SUPPLEMENT procedure is performed to physically reinforce and/or augment the function of the replaced body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Lumbar Vertebral Joint J Tarsal Joint, Left 0 Open 7 Autologous Tissue Z No Qualifier
Lumbar facet joint See H Tarsal Joint, Right 3 Percutaneous Substitute
2 Lumbar Vertebral Disc K Tarsometatarsal Joint, 4 Percutaneous Endoscopic J Synthetic Substitute
3 Lumbosacral Joint Right K Nonautologous Tissue
Lumbosacral facet joint L Tarsometatarsal Joint, Left Substitute
4 Lumbosacral Disc M Metatarsal-Phalangeal
5 Sacrococcygeal Joint Joint, Right
Sacrococcygeal symphysis Metatarsophalangeal (MTP)
6 Coccygeal Joint joint
7 Sacroiliac Joint, Right N Metatarsal-Phalangeal
8 Sacroiliac Joint, Left Joint, Left
See M Metatarsal-Phalangeal
F Ankle Joint, Right
Joint, Right
Inferior tibiofibular joint
Talocrural joint P Toe Phalangeal Joint, Right
Interphalangeal (IP) joint
G Ankle Joint, Left
See F Ankle Joint, Right Q Toe Phalangeal Joint, Left
See P Toe Phalangeal Joint,
H Tarsal Joint, Right
Right
Calcaneocuboid joint
Cuboideonavicular joint
Cuneonavicular joint
Intercuneiform joint
Subtalar (talocalcaneal) joint
Talocalcaneal (subtalar) joint
Talocalcaneonavicular joint
9 Hip Joint, Right ? 0 Open 7 Autologous Tissue Z No Qualifier
Acetabulofemoral joint Substitute
B Hip Joint, Left ? 9 Liner
See 9 Hip Joint, Right B Resurfacing Device
J Synthetic Substitute
K Nonautologous Tissue
Substitute
9 Hip Joint, Right 3 Percutaneous 7 Autologous Tissue Z No Qualifier
Acetabulofemoral joint 4 Percutaneous Endoscopic Substitute
B Hip Joint, Left J Synthetic Substitute
See 9 Hip Joint, Right K Nonautologous Tissue
Substitute
A Hip Joint, Acetabular Surface, Right ? 0 Open 9 Liner Z No Qualifier
E Hip Joint, Acetabular Surface, Left ? B Resurfacing Device
R Hip Joint, Femoral Surface, Right ?
S Hip Joint, Femoral Surface, Left ?
C Knee Joint, Right 0 Open 7 Autologous Tissue Z No Qualifier
Femoropatellar joint Substitute
Femorotibial joint J Synthetic Substitute
Lateral meniscus K Nonautologous Tissue
Medial meniscus Substitute
Patellofemoral joint
Tibiofemoral joint
D Knee Joint, Left
See C Knee Joint, Right
C Knee Joint, Right 0 Open 9 Liner C Patellar Surface
Femoropatellar joint Z No Qualifier
Femorotibial joint
Lateral meniscus
Medial meniscus
Patellofemoral joint
Tibiofemoral joint
D Knee Joint, Left
See C Knee Joint, Right
0SU Continued on next page
HAC 0SU[9,B]0BZ when reported with SDx of I26.02-I26.09, See Appendix L for Procedure Combinations
I26.92-I26.99, or I82.401-I82.4Z9 ? 0SU[9,B]09Z
HAC 0SU[A,E,R,S]0BZ when reported with SDx of I26.02-I26.09, ? 0SU[A,E,R,S]09Z
I26.92-I26.99, or I82.401-I82.4Z9
0SU–0SU

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
594 ICD-10-PCS 2019
ICD-10-PCS 2019 Lower Joints 0SU–0SU

Lower Joints
0 Medical and Surgical 0SU Continued
S Lower Joints 0SU
U Supplement Definition: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part
Explanation: The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced,
and the SUPPLEMENT procedure is performed to physically reinforce and/or augment the function of the replaced body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
C Knee Joint, Right 3 Percutaneous 7 Autologous Tissue Z No Qualifier
Femoropatellar joint 4 Percutaneous Endoscopic Substitute
Femorotibial joint J Synthetic Substitute
Lateral meniscus K Nonautologous Tissue
Medial meniscus Substitute
Patellofemoral joint
Tibiofemoral joint
D Knee Joint, Left
See C Knee Joint, Right
T Knee Joint, Femoral Surface, Right 0 Open 9 Liner Z No Qualifier
Femoropatellar joint
Patellofemoral joint
U Knee Joint, Femoral Surface, Left
See T Knee Joint, Femoral Surface, Right
V Knee Joint, Tibial Surface, Right ?
Femorotibial joint
Tibiofemoral joint
W Knee Joint, Tibial Surface, Left ?
See V Knee Joint, Tibial Surface, Right
See Appendix L for Procedure Combinations
? 0SU[V,W]09Z

0SU–0SU

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 595
 0SW–0SW Lower Joints ICD-10-PCS 2019
Lower Joints

0 Medical and Surgical

S Lower Joints 0SW
W Revision Definition: Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device
Explanation: Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as
a screw or pin
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Lumbar Vertebral Joint 0 Open 0 Drainage Device Z No Qualifier
Lumbar facet joint 3 Percutaneous 3 Infusion Device
3 Lumbosacral Joint 4 Percutaneous Endoscopic 4 Internal Fixation Device
Lumbosacral facet joint X External 7 Autologous Tissue Substitute
8 Spacer
A Interbody Fusion Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
2 Lumbar Vertebral Disc 0 Open 0 Drainage Device Z No Qualifier
4 Lumbosacral Disc 3 Percutaneous 3 Infusion Device
4 Percutaneous Endoscopic 7 Autologous Tissue Substitute
X External J Synthetic Substitute
K Nonautologous Tissue Substitute
5 Sacrococcygeal Joint 0 Open 0 Drainage Device Z No Qualifier
Sacrococcygeal symphysis 3 Percutaneous 3 Infusion Device
6 Coccygeal Joint 4 Percutaneous Endoscopic 4 Internal Fixation Device
7 Sacroiliac Joint, Right X External 7 Autologous Tissue Substitute
8 Sacroiliac Joint, Left 8 Spacer
J Synthetic Substitute
K Nonautologous Tissue Substitute
9 Hip Joint, Right 0 Open 0 Drainage Device Z No Qualifier
Acetabulofemoral joint 3 Infusion Device
B Hip Joint, Left 4 Internal Fixation Device
See 9 Hip Joint, Right 5 External Fixation Device
7 Autologous Tissue Substitute
8 Spacer
9 Liner
B Resurfacing Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
9 Hip Joint, Right 3 Percutaneous 0 Drainage Device Z No Qualifier
Acetabulofemoral joint 4 Percutaneous Endoscopic 3 Infusion Device
B Hip Joint, Left X External 4 Internal Fixation Device
See 9 Hip Joint, Right 5 External Fixation Device
7 Autologous Tissue Substitute
8 Spacer
J Synthetic Substitute
K Nonautologous Tissue Substitute
A Hip Joint, Acetabular Surface, Right 0 Open J Synthetic Substitute Z No Qualifier
E Hip Joint, Acetabular Surface, Left 3 Percutaneous
R Hip Joint, Femoral Surface, Right 4 Percutaneous Endoscopic
S Hip Joint, Femoral Surface, Left X External
T Knee Joint, Femoral Surface, Right
Femoropatellar joint
Patellofemoral joint
U Knee Joint, Femoral Surface, Left
See T Knee Joint, Femoral Surface, Right
V Knee Joint, Tibial Surface, Right
Femorotibial joint
Tibiofemoral joint
W Knee Joint, Tibial Surface, Left
See V Knee Joint, Tibial Surface, Right
C Knee Joint, Right 0 Open 0 Drainage Device Z No Qualifier
Femoropatellar joint 3 Infusion Device
Femorotibial joint 4 Internal Fixation Device
Lateral meniscus 5 External Fixation Device
Medial meniscus
Patellofemoral joint 7 Autologous Tissue Substitute
Tibiofemoral joint 8 Spacer
D Knee Joint, Left 9 Liner
See C Knee Joint, Right K Nonautologous Tissue Substitute
0SW Continued on next page
Non-OR 0SW[0,3]X[0,3,4,7,8,A,J,K]Z
Non-OR 0SW[2,4]X[0,3,7,J,K]Z
0SW–0SW

Non-OR 0SW[5,6,7,8]X[0,3,4,7,8,J,K]Z
Non-OR 0SW[9,B]X[0,3,4,5,7,8,J,K]Z
Non-OR 0SW[A,E,R,S,T,U,V,W]XJZ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
596 ICD-10-PCS 2019
ICD-10-PCS 2019 Lower Joints 0SW–0SW

Lower Joints
0 Medical and Surgical 0SW Continued
S Lower Joints 0SW
W Revision Definition: Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device
Explanation: Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as
a screw or pin
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
C Knee Joint, Right 0 Open J Synthetic Substitute C Patellar Surface
Femoropatellar joint Z No Qualifier
Femorotibial joint
Lateral meniscus
Medial meniscus
Patellofemoral joint
Tibiofemoral joint
D Knee Joint, Left
See C Knee Joint, Right
C Knee Joint, Right 3 Percutaneous 0 Drainage Device Z No Qualifier
Femoropatellar joint 4 Percutaneous Endoscopic 3 Infusion Device
Femorotibial joint X External 4 Internal Fixation Device
Lateral meniscus 5 External Fixation Device
Medial meniscus
7 Autologous Tissue Substitute
Patellofemoral joint
Tibiofemoral joint 8 Spacer
D Knee Joint, Left K Nonautologous Tissue Substitute
See C Knee Joint, Right
C Knee Joint, Right 3 Percutaneous J Synthetic Substitute C Patellar Surface
Femoropatellar joint 4 Percutaneous Endoscopic Z No Qualifier
Femorotibial joint X External
Lateral meniscus
Medial meniscus
Patellofemoral joint
Tibiofemoral joint
D Knee Joint, Left
See C Knee Joint, Right
F Ankle Joint, Right 0 Open 0 Drainage Device Z No Qualifier
Inferior tibiofibular joint 3 Percutaneous 3 Infusion Device
Talocrural joint 4 Percutaneous Endoscopic 4 Internal Fixation Device
G Ankle Joint, Left X External 5 External Fixation Device
See F Ankle Joint, Right 7 Autologous Tissue Substitute
H Tarsal Joint, Right 8 Spacer
Calcaneocuboid joint
J Synthetic Substitute
Cuboideonavicular joint
Cuneonavicular joint K Nonautologous Tissue Substitute
Intercuneiform joint
Subtalar (talocalcaneal) joint
Talocalcaneal (subtalar) joint
Talocalcaneonavicular joint
J Tarsal Joint, Left
See H Tarsal Joint, Right
K Tarsometatarsal Joint, Right
L Tarsometatarsal Joint, Left
M Metatarsal-Phalangeal Joint, Right
Metatarsophalangeal (MTP) joint
N Metatarsal-Phalangeal Joint, Left
See M Metatarsal-Phalangeal Joint, Right
P Toe Phalangeal Joint, Right
Interphalangeal (IP) joint
Q Toe Phalangeal Joint, Left
See P Toe Phalangeal Joint, Right
Non-OR 0SW[C,D]X[0,3,4,5,7,8,K]Z
Non-OR 0SW[C,D]XJ[C,Z]
Non-OR 0SW[F,G,H,J,K,L,M,N,P,Q]X[0,3,4,5,7,8,J,K]Z
0SW–0SW

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 597
This page is left intentionally blank.
ICD-10-PCS 2019 Urinary System

Urinary System
Urinary System 0T1–0TY
Character Meanings
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.

Operation–Character 3 Body Part–Character 4 Approach–Character 5 Device–Character 6 Qualifier–Character 7

1 Bypass 0 Kidney, Right 0 Open 0 Drainage Device 0 Allogeneic
2 Change 1 Kidney, Left 3 Percutaneous 2 Monitoring Device 1 Syngeneic
5 Destruction 2 Kidneys, Bilateral 4 Percutaneous Endoscopic 3 Infusion Device 2 Zooplastic
7 Dilation 3 Kidney Pelvis, Right 7 Via Natural or Artificial 7 Autologous Tissue 3 Kidney Pelvis, Right
Opening Substitute
8 Division 4 Kidney Pelvis, Left 8 Via Natural or Artificial C Extraluminal Device 4 Kidney Pelvis, Left
Opening Endoscopic
9 Drainage 5 Kidney X External D Intraluminal Device 6 Ureter, Right
B Excision 6 Ureter, Right J Synthetic Substitute 7 Ureter, Left
C Extirpation 7 Ureter, Left K Nonautologous Tissue 8 Colon
Substitute
D Extraction 8 Ureters, Bilateral L Artificial Sphincter 9 Colocutaneous
F Fragmentation 9 Ureter M Stimulator Lead A Ileum
H Insertion B Bladder Y Other Device B Bladder
J Inspection C Bladder Neck Z No Device C Ileocutaneous
L Occlusion D Urethra D Cutaneous
M Reattachment X Diagnostic
N Release Z No Qualifier
P Removal
Q Repair
R Replacement
S Reposition
T Resection
U Supplement
V Restriction
W Revision
Y Transplantation

AHA Coding Clinic for table 0T1 AHA Coding Clinic for table 0TF
2017, 3Q, 20 Creation of Indiana pouch 2015, 2Q, 7 Urinary calculi fragmentation and evacuation
2017, 3Q, 21 Augmentation cystoplasty with Indiana pouch and continent urinary 2013, 4Q, 122 Extracorporeal shock wave lithotripsy
diversion 2013, 4Q, 122 Laser lithotripsy with removal of fragments
2017, 1Q, 37 Perineal urethrostomy AHA Coding Clinic for table 0TP
2015, 3Q, 34 Redo urinary diversion surgery via left ureteral reimplantation
2017, 4Q, 111 Exchange of ureteral stent
AHA Coding Clinic for table 0T7 2016, 2Q, 27 Exchange of ureteral stents
2017, 4Q, 111 Exchange of ureteral stent
AHA Coding Clinic for table 0TQ
2016, 2Q, 27 Exchange of ureteral stents
2018, 2Q, 27 Dismembered pyeloplasty
2015, 2Q, 8 Urinary calculi fragmentation and evacuation
2017, 1Q, 37 Perineal urethrostomy
2013, 4Q, 123 Urolift® procedure
AHA Coding Clinic for table 0TR
AHA Coding Clinic for table 0T9
2017, 3Q, 20 Creation of Indiana pouch
2017, 3Q, 19 Ureteral stent placement for urinary leakage
2017, 3Q, 20 Creation of Indiana pouch AHA Coding Clinic for table 0TS
2017, 3Q, 21 Augmentation cystoplasty with Indiana pouch and continent urinary 2018, 2Q, 27 Dismembered pyeloplasty
diversion 2017, 1Q, 36 Dismembered pyeloplasty
2016, 1Q, 15 Pubovaginal sling placement
AHA Coding Clinic for table 0TB
2016, 1Q, 19 Biopsy of neobladder malignancy AHA Coding Clinic for table 0TT
2015, 3Q, 34 Excision of Mitrofanoff polyp 2014, 3Q, 16 Hand-assisted laparoscopy nephroureterectomy
2014, 2Q, 8 Ileoscopy with excision of polyp of Ileal loop urinary diversion AHA Coding Clinic for table 0TU
AHA Coding Clinic for table 0TC 2017, 3Q, 21 Augmentation cystoplasty with Indiana pouch and continent urinary
2016, 3Q, 23 Ureteral stone migrating into bladder diversion
2015, 2Q, 7 Urinary calculi fragmentation and evacuation AHA Coding Clinic for table 0TV
2015, 2Q, 8 Urinary calculi fragmentation and evacuation 2015, 2Q, 11 Cystourethroscopic Deflux® injection
2013, 4Q, 122 Laser lithotripsy with removal of fragments

ICD-10-PCS 2019 599

 Urinary System ICD-10-PCS 2019
Urinary System

Urinary System Kidney

Inferior vena cava

Aorta Medulla

Right kidney 0 Left kidney 1

Renal
pelvis 3, 4
Left ureter 7

Major
calyx

Right ureter 6
Minor Ureter 6, 7, 8, 9
Urinary bladder B calyx
Ureteral orifice 6, 7, 8, 9
Cutaway detail of normal
Bladder neck C right kidney and ureter
Urethra D Urogenital diaphragm

Bladder

Body of bladder B
Ureter 6, 7, 8, 9

Ureteral orifice 6, 7, 8, 9

Bladder neck C

Trigone B

Urethra D
Urethral sphincter D

Pubic ramus

Spongiosal muscles

600 ICD-10-PCS 2019

ICD-10-PCS 2019 Urinary System 0T1–0T2

Urinary System
0 Medical and Surgical
T Urinary System 0T1
1 Bypass Definition: Altering the route of passage of the contents of a tubular body part
Explanation: Rerouting contents of a body part to a downstream area of the normal route, to a similar route and body part, or to an abnormal
route and dissimilar body part. Includes one or more anastomoses, with or without the use of a device.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
3 Kidney Pelvis, Right 0 Open 7 Autologous Tissue Substitute 3 Kidney Pelvis, Right
Ureteropelvic junction (UPJ) 4 Percutaneous Endoscopic J Synthetic Substitute 4 Kidney Pelvis, Left
4 Kidney Pelvis, Left K Nonautologous Tissue Substitute 6 Ureter, Right
See 3 Kidney Pelvis, Right Z No Device 7 Ureter, Left
8 Colon
9 Colocutaneous
A Ileum
B Bladder
C Ileocutaneous
D Cutaneous
3 Kidney Pelvis, Right 3 Percutaneous J Synthetic Substitute D Cutaneous
Ureteropelvic junction (UPJ)
4 Kidney Pelvis, Left
See 3 Kidney Pelvis, Right
6 Ureter, Right 0 Open 7 Autologous Tissue Substitute 6 Ureter, Right
Ureteral orifice 4 Percutaneous Endoscopic J Synthetic Substitute 7 Ureter, Left
Ureterovesical orifice K Nonautologous Tissue Substitute 8 Colon
7 Ureter, Left Z No Device 9 Colocutaneous
See 6 Ureter, Right A Ileum
8 Ureters, Bilateral B Bladder
See 6 Ureter, Right
C Ileocutaneous
D Cutaneous
6 Ureter, Right 3 Percutaneous J Synthetic Substitute D Cutaneous
Ureteral orifice
Ureterovesical orifice
7 Ureter, Left
See 6 Ureter, Right
8 Ureters, Bilateral
See 6 Ureter, Right
B Bladder 0 Open 7 Autologous Tissue Substitute 9 Colocutaneous
Trigone of bladder 4 Percutaneous Endoscopic J Synthetic Substitute C Ileocutaneous
K Nonautologous Tissue Substitute D Cutaneous
Z No Device
B Bladder 3 Percutaneous J Synthetic Substitute D Cutaneous
Trigone of bladder

0 Medical and Surgical

T Urinary System 0T2
2 Change Definition: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without
cutting or puncturing the skin or a mucous membrane
Explanation: All CHANGE procedures are coded using the approach EXTERNAL
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
5 Kidney X External 0 Drainage Device Z No Qualifier
Renal calyx Y Other Device
Renal capsule
Renal cortex
Renal segment
9 Ureter
Ureteral orifice
Ureterovesical orifice
B Bladder
Trigone of bladder
D Urethra
Bulbourethral (Cowper's) gland
Cowper's (bulbourethral) gland
External urethral sphincter
Internal urethral sphincter
Membranous urethra
Penile urethra
Prostatic urethra
Non-OR All body part, approach, device, and qualifier values
0T1–0T2

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 601
 0T5–0T8 Urinary System ICD-10-PCS 2019
Urinary System

0 Medical and Surgical

T Urinary System 0T5
5 Destruction Definition: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent
Explanation: None of the body part is physically taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Kidney, Right 0 Open Z No Device Z No Qualifier
Renal calyx 3 Percutaneous
Renal capsule 4 Percutaneous Endoscopic
Renal cortex 7 Via Natural or Artificial Opening
Renal segment
8 Via Natural or Artificial Opening
1 Kidney, Left
Endoscopic
See 0 Kidney, Right
3 Kidney Pelvis, Right
Ureteropelvic junction (UPJ)
4 Kidney Pelvis, Left
See 3 Kidney Pelvis, Right
6 Ureter, Right
Ureteral orifice
Ureterovesical orifice
7 Ureter, Left
See 6 Ureter, Right
B Bladder
Trigone of bladder
C Bladder Neck
D Urethra 0 Open Z No Device Z No Qualifier
Bulbourethral (Cowper's) gland 3 Percutaneous
Cowper's (bulbourethral) gland 4 Percutaneous Endoscopic
External urethral sphincter 7 Via Natural or Artificial Opening
Internal urethral sphincter
8 Via Natural or Artificial Opening
Membranous urethra
Endoscopic
Penile urethra
Prostatic urethra X External
Non-OR 0T5D[0,3,4,7,8,X]ZZ

0 Medical and Surgical

T Urinary System 0T7
7 Dilation Definition: Expanding an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice. Accomplished by stretching a tubular body part using
intraluminal pressure or by cutting part of the orifice or wall of the tubular body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
3 Kidney Pelvis, Right 0 Open D Intraluminal Device Z No Qualifier
Ureteropelvic junction (UPJ) 3 Percutaneous Z No Device
4 Kidney Pelvis, Left 4 Percutaneous Endoscopic
See 3 Kidney Pelvis, Right 7 Via Natural or Artificial Opening
6 Ureter, Right
8 Via Natural or Artificial Opening
Ureteral orifice
Endoscopic
Ureterovesical orifice
7 Ureter, Left
See 6 Ureter, Right
8 Ureters, Bilateral
See 6 Ureter, Right
B Bladder
Trigone of bladder
C Bladder Neck
D Urethra
Bulbourethral (Cowper's) gland
Cowper's (bulbourethral) gland
External urethral sphincter
Internal urethral sphincter
Membranous urethra
Penile urethra
Prostatic urethra
Non-OR 0T7[6,7][0,3,4,7,8]DZ Non-OR 0T7[8,B,D][7,8][D,Z]Z
Non-OR 0T7[6,7][7,8]ZZ Non-OR 0T7C[0,3,4,7,8][D,Z]Z
Non-OR 0T7[8,D][0,3,4]DZ

0 Medical and Surgical

T Urinary System 0T8
8 Division Definition: Cutting into a body part, without draining fluids and/or gases from the body part, in order to separate or transect a body part
Explanation: All or a portion of the body part is separated into two or more portions
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
2 Kidneys, Bilateral 0 Open Z No Device Z No Qualifier
Renal calyx 3 Percutaneous
0T5–0T8

Renal capsule 4 Percutaneous Endoscopic

Renal cortex
Renal segment
C Bladder Neck

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
602 ICD-10-PCS 2019
ICD-10-PCS 2019 Urinary System 0T9–0T9

Urinary System
0 Medical and Surgical
T Urinary System 0T9
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Kidney, Right 0 Open 0 Drainage Device Z No Qualifier
Renal calyx 3 Percutaneous
Renal capsule 4 Percutaneous Endoscopic
Renal cortex 7 Via Natural or Artificial Opening
Renal segment
8 Via Natural or Artificial Opening
1 Kidney, Left Endoscopic
See 0 Kidney, Right
3 Kidney Pelvis, Right
Ureteropelvic junction (UPJ)
4 Kidney Pelvis, Left
See 3 Kidney Pelvis, Right
6 Ureter, Right
Ureteral orifice
Ureterovesical orifice
7 Ureter, Left
See 6 Ureter, Right
8 Ureters, Bilateral
See 6 Ureter, Right
B Bladder
Trigone of bladder
C Bladder Neck
0 Kidney, Right 0 Open Z No Device X Diagnostic
Renal calyx 3 Percutaneous Z No Qualifier
Renal capsule 4 Percutaneous Endoscopic
Renal cortex 7 Via Natural or Artificial Opening
Renal segment
8 Via Natural or Artificial Opening
1 Kidney, Left Endoscopic
See 0 Kidney, Right
3 Kidney Pelvis, Right
Ureteropelvic junction (UPJ)
4 Kidney Pelvis, Left
See 3 Kidney Pelvis, Right
6 Ureter, Right
Ureteral orifice
Ureterovesical orifice
7 Ureter, Left
See 6 Ureter, Right
8 Ureters, Bilateral
See 6 Ureter, Right
B Bladder
Trigone of bladder
C Bladder Neck
D Urethra 0 Open 0 Drainage Device Z No Qualifier
Bulbourethral (Cowper's) gland 3 Percutaneous
Cowper's (bulbourethral) gland 4 Percutaneous Endoscopic
External urethral sphincter 7 Via Natural or Artificial Opening
Internal urethral sphincter
8 Via Natural or Artificial Opening
Membranous urethra
Endoscopic
Penile urethra
Prostatic urethra X External
D Urethra 0 Open Z No Device X Diagnostic
Bulbourethral (Cowper's) gland 3 Percutaneous Z No Qualifier
Cowper's (bulbourethral) gland 4 Percutaneous Endoscopic
External urethral sphincter 7 Via Natural or Artificial Opening
Internal urethral sphincter
8 Via Natural or Artificial Opening
Membranous urethra
Endoscopic
Penile urethra
Prostatic urethra X External
Non-OR 0T9[0,1,3,4]30Z
Non-OR 0T9[6,7,8][0,3,4,7,8]0Z
Non-OR 0T9[B,C][3,4,7,8]0Z
Non-OR 0T9[0,1,3,4,6,7,8][3,4,7,8]ZX
Non-OR 0T9[0,1,3,4][3,4]ZZ
Non-OR 0T9[6,7,8]3ZZ
Non-OR 0T9[B,C][3,4,7,8]ZZ
Non-OR 0T9D30Z
Non-OR 0T9D[0,3,4,7,8,X]ZX
Non-OR 0T9D3ZZ
0T9–0T9

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 603
 0TB–0TC Urinary System ICD-10-PCS 2019
Urinary System

0 Medical and Surgical

T Urinary System 0TB
B Excision Definition: Cutting out or off, without replacement, a portion of a body part
Explanation: The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Kidney, Right 0 Open Z No Device X Diagnostic
Renal calyx 3 Percutaneous Z No Qualifier
Renal capsule 4 Percutaneous Endoscopic
Renal cortex 7 Via Natural or Artificial Opening
Renal segment
8 Via Natural or Artificial Opening
1 Kidney, Left Endoscopic
See 0 Kidney, Right
3 Kidney Pelvis, Right
Ureteropelvic junction (UPJ)
4 Kidney Pelvis, Left
See 3 Kidney Pelvis, Right
6 Ureter, Right
Ureteral orifice
Ureterovesical orifice
7 Ureter, Left
See 6 Ureter, Right
B Bladder
Trigone of bladder
C Bladder Neck
D Urethra 0 Open Z No Device X Diagnostic
Bulbourethral (Cowper's) gland 3 Percutaneous Z No Qualifier
Cowper's (bulbourethral) gland 4 Percutaneous Endoscopic
External urethral sphincter 7 Via Natural or Artificial Opening
Internal urethral sphincter
8 Via Natural or Artificial Opening
Membranous urethra
Endoscopic
Penile urethra
Prostatic urethra X External
Non-OR 0TB[0,1,3,4,6,7][3,4,7,8]ZX
Non-OR 0TBD[0,3,4,7,8,X]ZX

0 Medical and Surgical

T Urinary System 0TC
C Extirpation Definition: Taking or cutting out solid matter from a body part
Explanation: The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in
the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Kidney, Right 0 Open Z No Device Z No Qualifier
Renal calyx 3 Percutaneous
Renal capsule 4 Percutaneous Endoscopic
Renal cortex 7 Via Natural or Artificial Opening
Renal segment
8 Via Natural or Artificial Opening
1 Kidney, Left Endoscopic
See 0 Kidney, Right
3 Kidney Pelvis, Right
Ureteropelvic junction (UPJ)
4 Kidney Pelvis, Left
See 3 Kidney Pelvis, Right
6 Ureter, Right
Ureteral orifice
Ureterovesical orifice
7 Ureter, Left
See 6 Ureter, Right
B Bladder
Trigone of bladder
C Bladder Neck
D Urethra 0 Open Z No Device Z No Qualifier
Bulbourethral (Cowper's) gland 3 Percutaneous
Cowper's (bulbourethral) gland 4 Percutaneous Endoscopic
External urethral sphincter 7 Via Natural or Artificial Opening
Internal urethral sphincter
8 Via Natural or Artificial Opening
Membranous urethra
Endoscopic
Penile urethra
Prostatic urethra X External
Non-OR 0TC[B,C][7,8]ZZ
Non-OR 0TCD[7,8,X]ZZ
0TB–0TC

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
604 ICD-10-PCS 2019
ICD-10-PCS 2019 Urinary System 0TD–0TF

Urinary System
0 Medical and Surgical
T Urinary System 0TD
D Extraction Definition: Pulling or stripping out or off all or a portion of a body part by the use of force
Explanation: The qualifier DIAGNOSTIC is used to identify extraction procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Kidney, Right 0 Open Z No Device Z No Qualifier
Renal calyx 3 Percutaneous
Renal capsule 4 Percutaneous Endoscopic
Renal cortex
Renal segment
1 Kidney, Left
See 0 Kidney, Right

0 Medical and Surgical

T Urinary System 0TF
F Fragmentation Definition: Breaking solid matter in a body part into pieces
Explanation: Physical force (e.g., manual, ultrasonic) applied directly or indirectly is used to break the solid matter into pieces. The solid matter
may be an abnormal byproduct of a biological function or a foreign body. The pieces of solid matter are not taken out.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
3 Kidney Pelvis, Right 0 Open Z No Device Z No Qualifier
Ureteropelvic junction (UPJ) 3 Percutaneous
4 Kidney Pelvis, Left 4 Percutaneous Endoscopic
See 3 Kidney Pelvis, Right 7 Via Natural or Artificial Opening
6 Ureter, Right 8 Via Natural or Artificial Opening
Ureteral orifice Endoscopic
Ureterovesical orifice X External
7 Ureter, Left
See 6 Ureter, Right
B Bladder
Trigone of bladder
C Bladder Neck
D Urethra 4
Bulbourethral (Cowper's) gland
Cowper's (bulbourethral) gland
External urethral sphincter
Internal urethral sphincter
Membranous urethra
Penile urethra
Prostatic urethra
DRG Non-OR 0TF[3,4,6,7,B,C]XZZ
Non-OR 0TF[3,4][0,7,8]ZZ
Non-OR 0TF[6,7,B,C][0,3,4,7,8]ZZ
Non-OR 0TFD[0,3,4,7,8,X]ZZ
4 0TFDXZZ 0TD–0TF

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 605
 0TH–0TH Urinary System ICD-10-PCS 2019
Urinary System

0 Medical and Surgical

T Urinary System 0TH
H Insertion Definition: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically
take the place of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
5 Kidney 0 Open 2 Monitoring Device Z No Qualifier
Renal calyx 3 Percutaneous 3 Infusion Device
Renal capsule 4 Percutaneous Endoscopic Y Other Device
Renal cortex 7 Via Natural or Artificial Opening
Renal segment
8 Via Natural or Artificial Opening
Endoscopic
9 Ureter 0 Open 2 Monitoring Device Z No Qualifier
Ureteral orifice 3 Percutaneous 3 Infusion Device
Ureterovesical orifice 4 Percutaneous Endoscopic M Stimulator Lead
7 Via Natural or Artificial Opening Y Other Device
8 Via Natural or Artificial Opening
Endoscopic
B Bladder 4 0 Open 2 Monitoring Device Z No Qualifier
Trigone of bladder 3 Percutaneous 3 Infusion Device
4 Percutaneous Endoscopic L Artificial Sphincter
7 Via Natural or Artificial Opening M Stimulator Lead
8 Via Natural or Artificial Opening Y Other Device
Endoscopic
C Bladder Neck 0 Open L Artificial Sphincter Z No Qualifier
3 Percutaneous
4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
D Urethra 0 Open 2 Monitoring Device Z No Qualifier
Bulbourethral (Cowper's) gland 3 Percutaneous 3 Infusion Device
Cowper's (bulbourethral) gland 4 Percutaneous Endoscopic L Artificial Sphincter
External urethral sphincter 7 Via Natural or Artificial Opening Y Other Device
Internal urethral sphincter
8 Via Natural or Artificial Opening
Membranous urethra
Endoscopic
Penile urethra
Prostatic urethra
D Urethra X External 2 Monitoring Device Z No Qualifier
Bulbourethral (Cowper's) gland 3 Infusion Device
Cowper's (bulbourethral) gland L Artificial Sphincter
External urethral sphincter
Internal urethral sphincter
Membranous urethra
Penile urethra
Prostatic urethra
Non-OR 0TH503Z Non-OR 0THB[3,4][3,Y]Z
Non-OR 0TH5[3,4][3,Y]Z Non-OR 0THB7[2,3,Y]Z
Non-OR 0TH57[2,3,Y]Z Non-OR 0THB8[2,3]Z
Non-OR 0TH58[2,3]Z Non-OR 0THD03Z
Non-OR 0TH903Z Non-OR 0THD[3,4][3,Y]Z
Non-OR 0TH9[3,4][3,Y]Z Non-OR 0THD[7,8][2,3,Y]Z
Non-OR 0TH97[2,3,Y]Z Non-OR 0THDX3Z
Non-OR 0TH98[2,3]Z 4 0THB[0,3,4,7,8]MZ
Non-OR 0THB03Z
0TH–0TH

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
606 ICD-10-PCS 2019
ICD-10-PCS 2019 Urinary System 0TJ–0TL

Urinary System
0 Medical and Surgical
T Urinary System 0TJ
J Inspection Definition: Visually and/or manually exploring a body part
Explanation: Visual exploration may be performed with or without optical instrumentation. Manual exploration may be performed directly or
through intervening body layers.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
5 Kidney 0 Open Z No Device Z No Qualifier
Renal calyx 3 Percutaneous
Renal capsule 4 Percutaneous Endoscopic
Renal cortex 7 Via Natural or Artificial Opening
Renal segment
8 Via Natural or Artificial Opening
9 Ureter Endoscopic
Ureteral orifice
X External
Ureterovesical orifice
B Bladder
Trigone of bladder
D Urethra
Bulbourethral (Cowper's) gland
Cowper's (bulbourethral) gland
External urethral sphincter
Internal urethral sphincter
Membranous urethra
Penile urethra
Prostatic urethra
Non-OR 0TJ[5,9,D][3,4,7,8,X]ZZ
Non-OR 0TJB[3,7,8,X]ZZ

0 Medical and Surgical

T Urinary System 0TL
L Occlusion Definition: Completely closing an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
3 Kidney Pelvis, Right 0 Open C Extraluminal Device Z No Qualifier
Ureteropelvic junction (UPJ) 3 Percutaneous D Intraluminal Device
4 Kidney Pelvis, Left 4 Percutaneous Endoscopic Z No Device
See 3 Kidney Pelvis, Right
6 Ureter, Right
Ureteral orifice
Ureterovesical orifice
7 Ureter, Left
See 6 Ureter, Right
B Bladder
Trigone of bladder
C Bladder Neck
3 Kidney Pelvis, Right 7 Via Natural or Artificial Opening D Intraluminal Device Z No Qualifier
Ureteropelvic junction (UPJ) 8 Via Natural or Artificial Opening Z No Device
4 Kidney Pelvis, Left Endoscopic
See 3 Kidney Pelvis, Right
6 Ureter, Right
Ureteral orifice
Ureterovesical orifice
7 Ureter, Left
See 6 Ureter, Right
B Bladder
Trigone of bladder
C Bladder Neck
D Urethra 0 Open C Extraluminal Device Z No Qualifier
Bulbourethral (Cowper's) gland 3 Percutaneous D Intraluminal Device
Cowper's (bulbourethral) gland 4 Percutaneous Endoscopic Z No Device
External urethral sphincter X External
Internal urethral sphincter
Membranous urethra
Penile urethra
Prostatic urethra
D Urethra 7 Via Natural or Artificial Opening D Intraluminal Device Z No Qualifier
Bulbourethral (Cowper's) gland 8 Via Natural or Artificial Opening Z No Device
Cowper's (bulbourethral) gland Endoscopic
External urethral sphincter
Internal urethral sphincter
Membranous urethra
Penile urethra
Prostatic urethra
0TJ–0TL

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 607
 0TM–0TN Urinary System ICD-10-PCS 2019
Urinary System

0 Medical and Surgical

T Urinary System 0TM
M Reattachment Definition: Putting back in or on all or a portion of a separated body part to its normal location or other suitable location
Explanation: Vascular circulation and nervous pathways may or may not be reestablished
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Kidney, Right 0 Open Z No Device Z No Qualifier
Renal calyx 4 Percutaneous Endoscopic
Renal capsule
Renal cortex
Renal segment
1 Kidney, Left
See 0 Kidney, Right
2 Kidneys, Bilateral
See 0 Kidney, Right
3 Kidney Pelvis, Right
Ureteropelvic junction (UPJ)
4 Kidney Pelvis, Left
See 3 Kidney Pelvis, Right
6 Ureter, Right
Ureteral orifice
Ureterovesical orifice
7 Ureter, Left
See 6 Ureter, Right
8 Ureters, Bilateral
See 6 Ureter, Right
B Bladder
Trigone of bladder
C Bladder Neck
D Urethra
Bulbourethral (Cowper's) gland
Cowper's (bulbourethral) gland
External urethral sphincter
Internal urethral sphincter
Membranous urethra
Penile urethra
Prostatic urethra

0 Medical and Surgical

T Urinary System 0TN
N Release Definition: Freeing a body part from an abnormal physical constraint by cutting or by the use of force
Explanation: Some of the restraining tissue may be taken out but none of the body part is taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Kidney, Right 0 Open Z No Device Z No Qualifier
Renal calyx 3 Percutaneous
Renal capsule 4 Percutaneous Endoscopic
Renal cortex 7 Via Natural or Artificial Opening
Renal segment
8 Via Natural or Artificial Opening
1 Kidney, Left Endoscopic
See 0 Kidney, Right
3 Kidney Pelvis, Right
Ureteropelvic junction (UPJ)
4 Kidney Pelvis, Left
See 3 Kidney Pelvis, Right
6 Ureter, Right
Ureteral orifice
Ureterovesical orifice
7 Ureter, Left
See 6 Ureter, Right
B Bladder
Trigone of bladder
C Bladder Neck
D Urethra 0 Open Z No Device Z No Qualifier
Bulbourethral (Cowper's) gland 3 Percutaneous
Cowper's (bulbourethral) gland 4 Percutaneous Endoscopic
External urethral sphincter 7 Via Natural or Artificial Opening
Internal urethral sphincter
8 Via Natural or Artificial Opening
Membranous urethra
Endoscopic
Penile urethra
Prostatic urethra X External
0TM–0TN

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
608 ICD-10-PCS 2019
ICD-10-PCS 2019 Urinary System 0TP–0TP

Urinary System
0 Medical and Surgical
T Urinary System 0TP
P Removal Definition: Taking out or off a device from a body part
Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is
coded to the root operation CHANGE. Otherwise, the procedure for taking out the device is coded to the root operation REMOVAL.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
5 Kidney 0 Open 0 Drainage Device Z No Qualifier
Renal calyx 3 Percutaneous 2 Monitoring Device
Renal capsule 4 Percutaneous Endoscopic 3 Infusion Device
Renal cortex 7 Via Natural or Artificial Opening 7 Autologous Tissue Substitute
Renal segment
8 Via Natural or Artificial Opening C Extraluminal Device
Endoscopic D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
Y Other Device
5 Kidney X External 0 Drainage Device Z No Qualifier
Renal calyx 2 Monitoring Device
Renal capsule 3 Infusion Device
Renal cortex D Intraluminal Device
Renal segment
9 Ureter 0 Open 0 Drainage Device Z No Qualifier
Ureteral orifice 3 Percutaneous 2 Monitoring Device
Ureterovesical orifice 4 Percutaneous Endoscopic 3 Infusion Device
7 Via Natural or Artificial Opening 7 Autologous Tissue Substitute
8 Via Natural or Artificial Opening C Extraluminal Device
Endoscopic D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
M Stimulator Lead
Y Other Device
9 Ureter X External 0 Drainage Device Z No Qualifier
Ureteral orifice 2 Monitoring Device
Ureterovesical orifice 3 Infusion Device
D Intraluminal Device
M Stimulator Lead
B Bladder 4 0 Open 0 Drainage Device Z No Qualifier
Trigone of bladder 3 Percutaneous 2 Monitoring Device
4 Percutaneous Endoscopic 3 Infusion Device
7 Via Natural or Artificial Opening 7 Autologous Tissue Substitute
8 Via Natural or Artificial Opening C Extraluminal Device
Endoscopic D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
L Artificial Sphincter
M Stimulator Lead
Y Other Device
B Bladder X External 0 Drainage Device Z No Qualifier
Trigone of bladder 2 Monitoring Device
3 Infusion Device
D Intraluminal Device
L Artificial Sphincter
M Stimulator Lead
D Urethra 0 Open 0 Drainage Device Z No Qualifier
Bulbourethral (Cowper's) gland 3 Percutaneous 2 Monitoring Device
Cowper's (bulbourethral) gland 4 Percutaneous Endoscopic 3 Infusion Device
External urethral sphincter 7 Via Natural or Artificial Opening 7 Autologous Tissue Substitute
Internal urethral sphincter
8 Via Natural or Artificial Opening C Extraluminal Device
Membranous urethra
Endoscopic D Intraluminal Device
Penile urethra
Prostatic urethra J Synthetic Substitute
K Nonautologous Tissue Substitute
L Artificial Sphincter
Y Other Device
D Urethra X External 0 Drainage Device Z No Qualifier
Bulbourethral (Cowper's) gland 2 Monitoring Device
Cowper's (bulbourethral) gland 3 Infusion Device
External urethral sphincter D Intraluminal Device
Internal urethral sphincter
L Artificial Sphincter
Membranous urethra
Penile urethra
Prostatic urethra
0TP5[3,4,7]YZ Non-OR 0TP9[7,8][0,2,3,D]Z Non-OR 0TPB[7,8][0,2,3,D]Z Non-OR 0TPD[7,8][0,2,3,D,Y]Z
0TP–0TP

Non-OR
Non-OR 0TP5[7,8][0,2,3,D]Z Non-OR 0TP9X[0,2,3,D]Z Non-OR 0TPBX[0,2,3,D,L]Z Non-OR 0TPDX[0,2,3,D]Z
Non-OR 0TP5X[0,2,3,D]Z Non-OR 0TPB[3,4,7]YZ Non-OR 0TPD[3,4]YZ 4 0TPB[0,3,4,7,8]MZ
Non-OR 0TP9[3,4,7]YZ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 609
 0TQ–0TR Urinary System ICD-10-PCS 2019
Urinary System

0 Medical and Surgical

T Urinary System 0TQ
Q Repair Definition: Restoring, to the extent possible, a body part to its normal anatomic structure and function
Explanation: Used only when the method to accomplish the repair is not one of the other root operations
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Kidney, Right 0 Open Z No Device Z No Qualifier
Renal calyx 3 Percutaneous
Renal capsule 4 Percutaneous Endoscopic
Renal cortex 7 Via Natural or Artificial Opening
Renal segment
8 Via Natural or Artificial Opening
1 Kidney, Left Endoscopic
See 0 Kidney, Right
3 Kidney Pelvis, Right
Ureteropelvic junction (UPJ)
4 Kidney Pelvis, Left
See 3 Kidney Pelvis, Right
6 Ureter, Right
Ureteral orifice
Ureterovesical orifice
7 Ureter, Left
See 6 Ureter, Right
B Bladder ?
Trigone of bladder
C Bladder Neck
D Urethra 0 Open Z No Device Z No Qualifier
Bulbourethral (Cowper's) gland 3 Percutaneous
Cowper's (bulbourethral) gland 4 Percutaneous Endoscopic
External urethral sphincter 7 Via Natural or Artificial Opening
Internal urethral sphincter
8 Via Natural or Artificial Opening
Membranous urethra
Endoscopic
Penile urethra
Prostatic urethra X External
See Appendix L for Procedure Combinations
? 0TQB[0,3,4]ZZ

0 Medical and Surgical

T Urinary System 0TR
R Replacement Definition: Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part
Explanation: The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during
the REPLACEMENT procedure. A REMOVAL procedure is coded for taking out the device used in a previous replacement procedure.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
3 Kidney Pelvis, Right 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Ureteropelvic junction (UPJ) 4 Percutaneous Endoscopic J Synthetic Substitute
4 Kidney Pelvis, Left 7 Via Natural or Artificial Opening K Nonautologous Tissue Substitute
See 3 Kidney Pelvis, Right 8 Via Natural or Artificial Opening
6 Ureter, Right Endoscopic
Ureteral orifice
Ureterovesical orifice
7 Ureter, Left
See 6 Ureter, Right
B Bladder
Trigone of bladder
C Bladder Neck
D Urethra 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Bulbourethral (Cowper's) gland 4 Percutaneous Endoscopic J Synthetic Substitute
Cowper's (bulbourethral) gland 7 Via Natural or Artificial Opening K Nonautologous Tissue Substitute
External urethral sphincter 8 Via Natural or Artificial Opening
Internal urethral sphincter Endoscopic
Membranous urethra
X External
Penile urethra
Prostatic urethra
0TQ–0TR

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
610 ICD-10-PCS 2019
ICD-10-PCS 2019 Urinary System 0TS–0TT

Urinary System
0 Medical and Surgical
T Urinary System 0TS
S Reposition Definition: Moving to its normal location, or other suitable location, all or a portion of a body part
Explanation: The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning
correctly. The body part may or may not be cut out or off to be moved to the new location.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Kidney, Right 0 Open Z No Device Z No Qualifier
Renal calyx 4 Percutaneous Endoscopic
Renal capsule
Renal cortex
Renal segment
1 Kidney, Left
See 0 Kidney, Right
2 Kidneys, Bilateral
See 0 Kidney, Right
3 Kidney Pelvis, Right
Ureteropelvic junction (UPJ)
4 Kidney Pelvis, Left
See 3 Kidney Pelvis, Right
6 Ureter, Right
Ureteral orifice
Ureterovesical orifice
7 Ureter, Left
See 6 Ureter, Right
8 Ureters, Bilateral
See 6 Ureter, Right
B Bladder
Trigone of bladder
C Bladder Neck
D Urethra
Bulbourethral (Cowper's) gland
Cowper's (bulbourethral) gland
External urethral sphincter
Internal urethral sphincter
Membranous urethra
Penile urethra
Prostatic urethra

0 Medical and Surgical

T Urinary System 0TT
T Resection Definition: Cutting out or off, without replacement, all of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Kidney, Right 0 Open Z No Device Z No Qualifier
Renal calyx 4 Percutaneous Endoscopic
Renal capsule
Renal cortex
Renal segment
1 Kidney, Left
See 0 Kidney, Right
2 Kidneys, Bilateral
See 0 Kidney, Right
3 Kidney Pelvis, Right 0 Open Z No Device Z No Qualifier
Ureteropelvic junction (UPJ) 4 Percutaneous Endoscopic
4 Kidney Pelvis, Left 7 Via Natural or Artificial Opening
See 3 Kidney Pelvis, Right 8 Via Natural or Artificial Opening
6 Ureter, Right Endoscopic
Ureteral orifice
Ureterovesical orifice
7 Ureter, Left
See 6 Ureter, Right
B Bladder ?
Trigone of bladder
C Bladder Neck
D Urethra
Bulbourethral (Cowper's) gland
Cowper's (bulbourethral) gland
External urethral sphincter
Internal urethral sphincter
Membranous urethra
Penile urethra
Prostatic urethra
Non-OR 0TTD[4,7,8]ZZ See Appendix L for Procedure Combinations
0TS–0TT

Combo-only 0TTD0ZZ
? 0TTB0ZZ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 611
 0TU–0TV Urinary System ICD-10-PCS 2019
Urinary System

0 Medical and Surgical

T Urinary System 0TU
U Supplement Definition: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part
Explanation: The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced,
and the SUPPLEMENT procedure is performed to physically reinforce and/or augment the function of the replaced body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
3 Kidney Pelvis, Right 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Ureteropelvic junction (UPJ) 4 Percutaneous Endoscopic J Synthetic Substitute
4 Kidney Pelvis, Left 7 Via Natural or Artificial Opening K Nonautologous Tissue Substitute
See 3 Kidney Pelvis, Right 8 Via Natural or Artificial Opening
6 Ureter, Right Endoscopic
Ureteral orifice
Ureterovesical orifice
7 Ureter, Left
See 6 Ureter, Right
B Bladder
Trigone of bladder
C Bladder Neck
D Urethra 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Bulbourethral (Cowper's) gland 4 Percutaneous Endoscopic J Synthetic Substitute
Cowper's (bulbourethral) gland 7 Via Natural or Artificial Opening K Nonautologous Tissue Substitute
External urethral sphincter 8 Via Natural or Artificial Opening
Internal urethral sphincter Endoscopic
Membranous urethra
Penile urethra X External
Prostatic urethra

0 Medical and Surgical

T Urinary System 0TV
V Restriction Definition: Partially closing an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
3 Kidney Pelvis, Right 0 Open C Extraluminal Device Z No Qualifier
Ureteropelvic junction (UPJ) 3 Percutaneous D Intraluminal Device
4 Kidney Pelvis, Left 4 Percutaneous Endoscopic Z No Device
See 3 Kidney Pelvis, Right
6 Ureter, Right
Ureteral orifice
Ureterovesical orifice
7 Ureter, Left
See 6 Ureter, Right
B Bladder
Trigone of bladder
C Bladder Neck
3 Kidney Pelvis, Right 7 Via Natural or Artificial Opening D Intraluminal Device Z No Qualifier
Ureteropelvic junction (UPJ) 8 Via Natural or Artificial Opening Z No Device
4 Kidney Pelvis, Left Endoscopic
See 3 Kidney Pelvis, Right
6 Ureter, Right
Ureteral orifice
Ureterovesical orifice
7 Ureter, Left
See 6 Ureter, Right
B Bladder
Trigone of bladder
C Bladder Neck
D Urethra 0 Open C Extraluminal Device Z No Qualifier
Bulbourethral (Cowper's) gland 3 Percutaneous D Intraluminal Device
Cowper's (bulbourethral) gland 4 Percutaneous Endoscopic Z No Device
External urethral sphincter
Internal urethral sphincter
Membranous urethra
Penile urethra
Prostatic urethra
D Urethra 7 Via Natural or Artificial Opening D Intraluminal Device Z No Qualifier
Bulbourethral (Cowper's) gland 8 Via Natural or Artificial Opening Z No Device
Cowper's (bulbourethral) gland Endoscopic
External urethral sphincter
Internal urethral sphincter
Membranous urethra
Penile urethra
Prostatic urethra
D Urethra X External Z No Device Z No Qualifier
Bulbourethral (Cowper's) gland
Cowper's (bulbourethral) gland
0TU–0TV

External urethral sphincter

Internal urethral sphincter
Membranous urethra
Penile urethra
Prostatic urethra

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
612 ICD-10-PCS 2019
ICD-10-PCS 2019 Urinary System 0TW–0TW

Urinary System
0 Medical and Surgical
T Urinary System 0TW
W Revision Definition: Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device
Explanation: Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as
a screw or pin
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
5 Kidney 0 Open 0 Drainage Device Z No Qualifier
Renal calyx 3 Percutaneous 2 Monitoring Device
Renal capsule 4 Percutaneous Endoscopic 3 Infusion Device
Renal cortex 7 Via Natural or Artificial Opening 7 Autologous Tissue Substitute
Renal segment
8 Via Natural or Artificial Opening C Extraluminal Device
Endoscopic D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
Y Other Device
5 Kidney X External 0 Drainage Device Z No Qualifier
Renal calyx 2 Monitoring Device
Renal capsule 3 Infusion Device
Renal cortex 7 Autologous Tissue Substitute
Renal segment
C Extraluminal Device
D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
9 Ureter 0 Open 0 Drainage Device Z No Qualifier
Ureteral orifice 3 Percutaneous 2 Monitoring Device
Ureterovesical orifice 4 Percutaneous Endoscopic 3 Infusion Device
7 Via Natural or Artificial Opening 7 Autologous Tissue Substitute
8 Via Natural or Artificial Opening C Extraluminal Device
Endoscopic D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
M Stimulator Lead
Y Other Device
9 Ureter X External 0 Drainage Device Z No Qualifier
Ureteral orifice 2 Monitoring Device
Ureterovesical orifice 3 Infusion Device
7 Autologous Tissue Substitute
C Extraluminal Device
D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
M Stimulator Lead
B Bladder 0 Open 0 Drainage Device Z No Qualifier
Trigone of bladder 3 Percutaneous 2 Monitoring Device
4 Percutaneous Endoscopic 3 Infusion Device
7 Via Natural or Artificial Opening 7 Autologous Tissue Substitute
8 Via Natural or Artificial Opening C Extraluminal Device
Endoscopic D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
L Artificial Sphincter
M Stimulator Lead
Y Other Device
B Bladder X External 0 Drainage Device Z No Qualifier
Trigone of bladder 2 Monitoring Device
3 Infusion Device
7 Autologous Tissue Substitute
C Extraluminal Device
D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
L Artificial Sphincter
M Stimulator Lead
0TW Continued on next page
Non-OR 0TW5[3,4,7]YZ Non-OR 0TW9X[0,2,3,7,C,D,J,K,M]Z
Non-OR 0TW5X[0,2,3,7,C,D,J,K]Z Non-OR 0TWB[3,4,7]YZ
Non-OR 0TW9[3,4,7]YZ Non-OR 0TWBX[0,2,3,7,C,D,J,K,L,M]Z
0TW–0TW

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 613
 0TW–0TY Urinary System ICD-10-PCS 2019
Urinary System

0 Medical and Surgical 0TW Continued

T Urinary System 0TW
W Revision Definition: Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device
Explanation: Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as
a screw or pin
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
D Urethra 0 Open 0 Drainage Device Z No Qualifier
Bulbourethral (Cowper's) gland 3 Percutaneous 2 Monitoring Device
Cowper's (bulbourethral) gland 4 Percutaneous Endoscopic 3 Infusion Device
External urethral sphincter 7 Via Natural or Artificial Opening 7 Autologous Tissue Substitute
Internal urethral sphincter
8 Via Natural or Artificial Opening C Extraluminal Device
Membranous urethra
Endoscopic D Intraluminal Device
Penile urethra
Prostatic urethra J Synthetic Substitute
K Nonautologous Tissue Substitute
L Artificial Sphincter
Y Other Device
D Urethra X External 0 Drainage Device Z No Qualifier
Bulbourethral (Cowper's) gland 2 Monitoring Device
Cowper's (bulbourethral) gland 3 Infusion Device
External urethral sphincter 7 Autologous Tissue Substitute
Internal urethral sphincter
C Extraluminal Device
Membranous urethra
Penile urethra D Intraluminal Device
Prostatic urethra J Synthetic Substitute
K Nonautologous Tissue Substitute
L Artificial Sphincter
Non-OR 0TWD[3,4,7,8]YZ
Non-OR 0TWDX[0,2,3,7,C,D,J,K,L]Z

0 Medical and Surgical

T Urinary System 0TY
Y Transplantation Definition: Putting in or on all or a portion of a living body part taken from another individual or animal to physically take the place and/or
function of all or a portion of a similar body part
Explanation: The native body part may or may not be taken out, and the transplanted body part may take over all or a portion of its function
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Kidney, Right ?3 0 Open Z No Device 0 Allogeneic
Renal calyx 1 Syngeneic
Renal capsule 2 Zooplastic
Renal cortex
Renal segment
1 Kidney, Left ?3
See 0 Kidney, Right
3 0TY[0,1]0Z[0,1,2] See Appendix L for Procedure Combinations
? 0TY[0,1]0Z[0,1,2]
0TW–0TY

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
614 ICD-10-PCS 2019
ICD-10-PCS 2019 Female Reproductive System

Female Reproductive System

Female Reproductive System 0U1–0UY
Character Meanings
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.

Operation–Character 3 Body Part–Character 4 Approach–Character 5 Device–Character 6 Qualifier–Character 7

1 Bypass 0 Ovary, Right 0 Open 0 Drainage Device 0 Allogeneic
2 Change 1 Ovary, Left 3 Percutaneous 1 Radioactive Element 1 Syngeneic
5 Destruction 2 Ovaries, Bilateral 4 Percutaneous Endoscopic 3 Infusion Device 2 Zooplastic
7 Dilation 3 Ovary 7 Via Natural or Artificial 7 Autologous Tissue 5 Fallopian Tube, Right
Opening Substitute
8 Division 4 Uterine Supporting 8 Via Natural or Artificial C Extraluminal Device 6 Fallopian Tube, Left
Structure Opening Endoscopic
9 Drainage 5 Fallopian Tube, Right F Via Natural or Artificial D Intraluminal Device 9 Uterus
Opening With
Percutaneous Endoscopic
Assistance
B Excision 6 Fallopian Tube, Left X External G Intraluminal Device, L Supracervical
Pessary
C Extirpation 7 Fallopian Tubes, Bilateral H Contraceptive Device X Diagnostic
D Extraction 8 Fallopian Tube J Synthetic Substitute Z No Qualifier
F Fragmentation 9 Uterus K Nonautologous Tissue
Substitute
H Insertion B Endometrium Y Other Device
J Inspection C Cervix Z No Device
L Occlusion D Uterus and Cervix
M Reattachment F Cul-de-sac
N Release G Vagina
P Removal H Vagina and Cul-de-sac
Q Repair J Clitoris
S Reposition K Hymen
T Resection L Vestibular Gland
U Supplement M Vulva
V Restriction N Ova
W Revision
Y Transplantation

AHA Coding Clinic for table 0U5 AHA Coding Clinic for table 0UL
2015, 3Q, 31 Tubal ligation for sterilization 2018, 1Q, 23 Tubal ligation procedure
AHA Coding Clinic for table 0U9 2015, 3Q, 31 Tubal ligation for sterilization
2016, 4Q, 58 Longitudinal vaginal septum AHA Coding Clinic for table 0UQ
AHA Coding Clinic for table 0UB 2014, 4Q, 18 Obstetrical periurethral laceration
2013, 4Q, 120 Repair of clitoral obstetric laceration
2018, 1Q, 23 Tubal ligation procedure
2015, 3Q, 31 Laparoscopic partial salpingectomy for ectopic pregnancy AHA Coding Clinic for table 0US
2015, 3Q, 31 Tubal ligation for sterilization 2016, 1Q, 9 Anteversion of retroverted pregnant uterus
2014, 4Q, 16 Excision of multiple uterine fibroids AHA Coding Clinic for table 0UT
2014, 3Q, 12 Excision of skin tag from labia majora
2017, 4Q, 68 New qualifier values - Supracervical hysterectomy
AHA Coding Clinic for table 0UC 2015, 1Q, 33 Robotic-assisted laparoscopic hysterectomy converted to open procedure
2015, 3Q, 30 Removal of cervical cerclage 2013, 3Q, 28 Total hysterectomy
2013, 2Q, 38 Evacuation of clot post-partum 2013, 1Q, 24 Excision versus Resection of remaining ovarian remnant following previous
AHA Coding Clinic for table 0UH excision
2018, 1Q, 25 Intrauterine brachytherapy & placement of tandems & ovoids AHA Coding Clinic for table 0UV
2013, 2Q, 34 Placement of intrauterine device via open approach 2015, 3Q, 30 Insertion of cervical cerclage
AHA Coding Clinic for table 0UJ
2015, 1Q, 33 Robotic-assisted laparoscopic hysterectomy converted to open
procedure

ICD-10-PCS 2019 615

 Female Reproductive System ICD-10-PCS 2019
Female Reproductive System

Female Reproductive System

Endometrium B
Fundus of uterus 9

Fallopian tube 5, 6, 7, 8 Suspensory ligaments 4

Body of
Ligament of ovary 4 uterus
9
Ovary 0, 1, 2, 3

Fimbria 5, 6, 7, 8
Ova N
Uterosacral ligament 4

Cervix C
Ovary 0, 1, 2, 3
Vagina G Broad ligament 4

Female Internal/External Structures

Fallopian Ovary 0, 1, 2, 3
tube 5, 6, 7, 8

Posterior Pubis mons

Uterus cul de sac F
Clitoris J
(fundus) 9
Urethra

Cervix C Labia minora M

Bladder
Vaginal orifice G
Symphysis Labia majora M
pubis
Clitoris J Rectum
Perineum Fourchette
Anus
Urethral orifice
(meatus) Anus
Vaginal
Labia canal G
minora M
Labia
majora M

616 ICD-10-PCS 2019

ICD-10-PCS 2019 Female Reproductive System 0U1–0U2

Female Reproductive System

0 Medical and Surgical
U Female Reproductive System 0U1
1 Bypass Definition: Altering the route of passage of the contents of a tubular body part
Explanation: Rerouting contents of a body part to a downstream area of the normal route, to a similar route and body part, or to an abnormal
route and dissimilar body part. Includes one or more anastomoses, with or without the use of a device.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
5 Fallopian Tube, Right ; 0 Open 7 Autologous Tissue Substitute 5 Fallopian Tube, Right
Oviduct 4 Percutaneous Endoscopic J Synthetic Substitute 6 Fallopian Tube, Left
Salpinx K Nonautologous Tissue Substitute 9 Uterus
Uterine tube Z No Device
6 Fallopian Tube, Left ;
See 5 Fallopian Tube, Right
; All body part, approach, device, and qualifier values

0 Medical and Surgical

U Female Reproductive System 0U2
2 Change Definition: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without
cutting or puncturing the skin or a mucous membrane
Explanation: All CHANGE procedures are coded using the approach EXTERNAL
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
3 Ovary ; X External 0 Drainage Device Z No Qualifier
8 Fallopian Tube ; Y Other Device
M Vulva ;
Labia majora
Labia minora
D Uterus and Cervix ; X External 0 Drainage Device Z No Qualifier
H Contraceptive Device
Y Other Device
H Vagina and Cul-de-sac ; X External 0 Drainage Device Z No Qualifier
G Intraluminal Device, Pessary
Y Other Device
Non-OR All body part, approach, device, and qualifier values ; All body part, approach, device, and qualifier values

0U1–0U2

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 617
 0U5–0U5 Female Reproductive System ICD-10-PCS 2019
Female Reproductive System

0 Medical and Surgical

U Female Reproductive System 0U5
5 Destruction Definition: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent
Explanation: None of the body part is physically taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Ovary, Right ; 0 Open Z No Device Z No Qualifier
1 Ovary, Left ; 3 Percutaneous
2 Ovaries, Bilateral ; 4 Percutaneous Endoscopic
4 Uterine Supporting Structure ; 8 Via Natural or Artificial Opening
Broad ligament Endoscopic
Infundibulopelvic ligament
Ovarian ligament
Round ligament of uterus
5 Fallopian Tube, Right ; 0 Open Z No Device Z No Qualifier
Oviduct 3 Percutaneous
Salpinx 4 Percutaneous Endoscopic
Uterine tube 7 Via Natural or Artificial Opening
6 Fallopian Tube, Left ; 8 Via Natural or Artificial Opening
See 5 Fallopian Tube, Right Endoscopic
7 Fallopian Tubes, Bilateral 4;
9 Uterus ;
Fundus uteri
Myometrium
Perimetrium
Uterine cornu
B Endometrium ;
C Cervix ;
F Cul-de-sac ;
G Vagina ; 0 Open Z No Device Z No Qualifier
K Hymen ; 3 Percutaneous
4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
X External
J Clitoris ; 0 Open Z No Device Z No Qualifier
L Vestibular Gland ; X External
Bartholin's (greater vestibular) gland
Greater vestibular (Bartholin's) gland
Paraurethral (Skene's) gland
Skene's (paraurethral) gland
M Vulva ;
Labia majora
Labia minora
4 0U57[0,3,4,7,8]ZZ with principal or secondary diagnosis of Z30.2 ; All body part, approach, device, and qualifier values
0U5–0U5

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
618 ICD-10-PCS 2019
ICD-10-PCS 2019 Female Reproductive System 0U7–0U8

Female Reproductive System

0 Medical and Surgical
U Female Reproductive System 0U7
7 Dilation Definition: Expanding an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice. Accomplished by stretching a tubular body part using
intraluminal pressure or by cutting part of the orifice or wall of the tubular body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
5 Fallopian Tube, Right ; 0 Open D Intraluminal Device Z No Qualifier
Oviduct 3 Percutaneous Z No Device
Salpinx 4 Percutaneous Endoscopic
Uterine tube 7 Via Natural or Artificial Opening
6 Fallopian Tube, Left ; 8 Via Natural or Artificial Opening
See 5 Fallopian Tube, Right Endoscopic
7 Fallopian Tubes, Bilateral ;
9 Uterus ;
Fundus uteri
Myometrium
Perimetrium
Uterine cornu
C Cervix ;
G Vagina ;
K Hymen ; 0 Open D Intraluminal Device Z No Qualifier
3 Percutaneous Z No Device
4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
X External
Non-OR 0U7C[0,3,4,7,8][D,Z]Z ; All body part, approach, device, and qualifier values
Non-OR 0U7G[7,8][D,Z]Z

0 Medical and Surgical

U Female Reproductive System 0U8
8 Division Definition: Cutting into a body part, without draining fluids and/or gases from the body part, in order to separate or transect a body part
Explanation: All or a portion of the body part is separated into two or more portions
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Ovary, Right ; 0 Open Z No Device Z No Qualifier
1 Ovary, Left ; 3 Percutaneous
2 Ovaries, Bilateral ; 4 Percutaneous Endoscopic
4 Uterine Supporting Structure ;
Broad ligament
Infundibulopelvic ligament
Ovarian ligament
Round ligament of uterus
K Hymen ; 7 Via Natural or Artificial Opening Z No Device Z No Qualifier
8 Via Natural or Artificial Opening
Endoscopic
X External
Non-OR 0U8K[7,8,X]ZZ ; All body part, approach, device, and qualifier values
0U7–0U8

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 619
 0U9–0U9 Female Reproductive System ICD-10-PCS 2019
Female Reproductive System

0 Medical and Surgical

U Female Reproductive System 0U9
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Ovary, Right ; 0 Open 0 Drainage Device Z No Qualifier
1 Ovary, Left ; 3 Percutaneous
2 Ovaries, Bilateral ; 4 Percutaneous Endoscopic
8 Via Natural or Artificial Opening
Endoscopic
0 Ovary, Right ; 0 Open Z No Device X Diagnostic
1 Ovary, Left ; 3 Percutaneous Z No Qualifier
2 Ovaries, Bilateral ; 4 Percutaneous Endoscopic
8 Via Natural or Artificial Opening
Endoscopic
0 Ovary, Right ; X External Z No Device Z No Qualifier
1 Ovary, Left ;
2 Ovaries, Bilateral ;
4 Uterine Supporting Structure ; 0 Open 0 Drainage Device Z No Qualifier
Broad ligament 3 Percutaneous
Infundibulopelvic ligament 4 Percutaneous Endoscopic
Ovarian ligament 8 Via Natural or Artificial Opening
Round ligament of uterus Endoscopic
4 Uterine Supporting Structure ; 0 Open Z No Device X Diagnostic
Broad ligament 3 Percutaneous Z No Qualifier
Infundibulopelvic ligament 4 Percutaneous Endoscopic
Ovarian ligament 8 Via Natural or Artificial Opening
Round ligament of uterus Endoscopic
5 Fallopian Tube, Right ; 0 Open 0 Drainage Device Z No Qualifier
Oviduct 3 Percutaneous
Salpinx 4 Percutaneous Endoscopic
Uterine tube 7 Via Natural or Artificial Opening
6 Fallopian Tube, Left ; 8 Via Natural or Artificial Opening
See 5 Fallopian Tube, Right Endoscopic
7 Fallopian Tubes, Bilateral ;
9 Uterus ;
Fundus uteri
Myometrium
Perimetrium
Uterine cornu
C Cervix ;
F Cul-de-sac ;
5 Fallopian Tube, Right ; 0 Open Z No Device X Diagnostic
Oviduct 3 Percutaneous Z No Qualifier
Salpinx 4 Percutaneous Endoscopic
Uterine tube 7 Via Natural or Artificial Opening
6 Fallopian Tube, Left ; 8 Via Natural or Artificial Opening
See 5 Fallopian Tube, Right Endoscopic
7 Fallopian Tubes, Bilateral ;
9 Uterus ;
Fundus uteri
Myometrium
Perimetrium
Uterine cornu
C Cervix ;
F Cul-de-sac ;
0U9 Continued on next page
Non-OR 0U9[0,1,2][3,8]0Z Non-OR 0U9[5,6,7,9,C]30Z
Non-OR 0U9[0,1,2][3,8]ZZ Non-OR 0U9F[3,4]0Z
Non-OR 0U9[0,1,2]8ZX Non-OR 0U9[5,6,7][3,4,7,8]ZZ
Non-OR 0U94[3,8]0Z Non-OR 0U9[9,C]3ZZ
Non-OR 0U94[3,8]ZZ Non-OR 0U9F[3,4]ZZ
Non-OR 0U948ZX ; All body part, approach, device, and qualifier values
0U9–0U9

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
620 ICD-10-PCS 2019
ICD-10-PCS 2019 Female Reproductive System 0U9–0U9

Female Reproductive System

0 Medical and Surgical 0U9 Continued
U Female Reproductive System 0U9
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
G Vagina ; 0 Open 0 Drainage Device Z No Qualifier
K Hymen ; 3 Percutaneous
4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
X External
G Vagina ; 0 Open Z No Device X Diagnostic
K Hymen ; 3 Percutaneous Z No Qualifier
4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
X External
J Clitoris ; 0 Open 0 Drainage Device Z No Qualifier
L Vestibular Gland ; X External
Bartholin's (greater vestibular) gland
Greater vestibular (Bartholin's) gland
Paraurethral (Skene's) gland
Skene's (paraurethral) gland
M Vulva ;
Labia majora
Labia minora
J Clitoris ; 0 Open Z No Device X Diagnostic
L Vestibular Gland ; X External Z No Qualifier
Bartholin's (greater vestibular) gland
Greater vestibular (Bartholin's) gland
Paraurethral (Skene's) gland
Skene's (paraurethral) gland
M Vulva ;
Labia majora
Labia minora
Non-OR 0U9G30Z Non-OR 0U9L[0,X]0Z
Non-OR 0U9K[0,3,4,7,8,X]0Z Non-OR 0U9L[0,X]ZZ
Non-OR 0U9G3ZZ ; All body part, approach, device, and qualifier values
Non-OR 0U9K[0,3,4,7,8,X]ZZ

0U9–0U9

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 621
 0UB–0UB Female Reproductive System ICD-10-PCS 2019
Female Reproductive System

0 Medical and Surgical

U Female Reproductive System 0UB
B Excision Definition: Cutting out or off, without replacement, a portion of a body part
Explanation: The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Ovary, Right ; 0 Open Z No Device X Diagnostic
1 Ovary, Left ; 3 Percutaneous Z No Qualifier
2 Ovaries, Bilateral ; 4 Percutaneous Endoscopic
4 Uterine Supporting Structure ; 7 Via Natural or Artificial Opening
Broad ligament 8 Via Natural or Artificial Opening
Infundibulopelvic ligament Endoscopic
Ovarian ligament
Round ligament of uterus
5 Fallopian Tube, Right ;
Oviduct
Salpinx
Uterine tube
6 Fallopian Tube, Left ;
See 5 Fallopian Tube, Right
7 Fallopian Tubes, Bilateral ;
9 Uterus ;
Fundus uteri
Myometrium
Perimetrium
Uterine cornu
C Cervix ;
F Cul-de-sac ;
G Vagina ; 0 Open Z No Device X Diagnostic
K Hymen ; 3 Percutaneous Z No Qualifier
4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
X External
J Clitoris ; 0 Open Z No Device X Diagnostic
L Vestibular Gland ; X External Z No Qualifier
Bartholin's (greater vestibular) gland
Greater vestibular (Bartholin's) gland
Paraurethral (Skene's) gland
Skene's (paraurethral) gland
M Vulva ;
Labia majora
Labia minora
; All body part, approach, device, and qualifier values
0UB–0UB

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
622 ICD-10-PCS 2019
ICD-10-PCS 2019 Female Reproductive System 0UC–0UD

Female Reproductive System

0 Medical and Surgical
U Female Reproductive System 0UC
C Extirpation Definition: Taking or cutting out solid matter from a body part
Explanation: The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in
the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Ovary, Right ; 0 Open Z No Device Z No Qualifier
1 Ovary, Left ; 3 Percutaneous
2 Ovaries, Bilateral ; 4 Percutaneous Endoscopic
4 Uterine Supporting Structure ; 8 Via Natural or Artificial Opening
Broad ligament Endoscopic
Infundibulopelvic ligament
Ovarian ligament
Round ligament of uterus
5 Fallopian Tube, Right ; 0 Open Z No Device Z No Qualifier
Oviduct 3 Percutaneous
Salpinx 4 Percutaneous Endoscopic
Uterine tube 7 Via Natural or Artificial Opening
6 Fallopian Tube, Left ; 8 Via Natural or Artificial Opening
See 5 Fallopian Tube, Right Endoscopic
7 Fallopian Tubes, Bilateral ;
9 Uterus ;
Fundus uteri
Myometrium
Perimetrium
Uterine cornu
B Endometrium ;
C Cervix ;
F Cul-de-sac ;
G Vagina ; 0 Open Z No Device Z No Qualifier
K Hymen ; 3 Percutaneous
4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
X External
J Clitoris ; 0 Open Z No Device Z No Qualifier
L Vestibular Gland ; X External
Bartholin's (greater vestibular) gland
Greater vestibular (Bartholin's) gland
Paraurethral (Skene's) gland
Skene's (paraurethral) gland
M Vulva ;
Labia majora
Labia minora
Non-OR 0UC9[7,8]ZZ Non-OR 0UCMXZZ
Non-OR 0UCG[7,8,X]ZZ ; All body part, approach, device, and qualifier values
Non-OR 0UCK[0,3,4,7,8,X]ZZ

0 Medical and Surgical

U Female Reproductive System 0UD
D Extraction Definition: Pulling or stripping out or off all or a portion of a body part by the use of force
Explanation: The qualifier DIAGNOSTIC is used to identify extraction procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
B Endometrium ; 7 Via Natural or Artificial Opening Z No Device X Diagnostic
8 Via Natural or Artificial Opening Z No Qualifier
Endoscopic
N Ova ; 0 Open Z No Device Z No Qualifier
3 Percutaneous
4 Percutaneous Endoscopic
; All body part, approach, device, and qualifier values
0UC–0UD

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 623
 0UF–0UH Female Reproductive System ICD-10-PCS 2019
Female Reproductive System

0 Medical and Surgical

U Female Reproductive System 0UF
F Fragmentation Definition: Breaking solid matter in a body part into pieces
Explanation: Physical force (e.g., manual, ultrasonic) applied directly or indirectly is used to break the solid matter into pieces. The solid matter
may be an abnormal byproduct of a biological function or a foreign body. The pieces of solid matter are not taken out.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
5 Fallopian Tube, Right 4; 0 Open Z No Device Z No Qualifier
Oviduct 3 Percutaneous
Salpinx 4 Percutaneous Endoscopic
Uterine tube 7 Via Natural or Artificial Opening
6 Fallopian Tube, Left 4; 8 Via Natural or Artificial Opening
See 5 Fallopian Tube, Right Endoscopic
7 Fallopian Tubes, Bilateral 4; X External
9 Uterus 4;
Fundus uteri
Myometrium
Perimetrium
Uterine cornu
Non-OR 0UF[5,6,7,9]XZZ ; All body part, approach, device, and qualifier values
4 0UF[5,6,7,9]XZZ

0 Medical and Surgical

U Female Reproductive System 0UH
H Insertion Definition: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically
take the place of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
3 Ovary ; 0 Open 3 Infusion Device Z No Qualifier
3 Percutaneous Y Other Device
4 Percutaneous Endoscopic
3 Ovary ; 7 Via Natural or Artificial Opening Y Other Device Z No Qualifier
8 Via Natural or Artificial Opening
Endoscopic
8 Fallopian Tube ; 0 Open 3 Infusion Device Z No Qualifier
D Uterus and Cervix ; 3 Percutaneous Y Other Device
H Vagina and Cul-de-sac ; 4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
9 Uterus ; 0 Open H Contraceptive Device Z No Qualifier
Fundus uteri 7 Via Natural or Artificial Opening
Myometrium 8 Via Natural or Artificial Opening
Perimetrium Endoscopic
Uterine cornu
C Cervix ; 0 Open 1 Radioactive Element Z No Qualifier
3 Percutaneous
4 Percutaneous Endoscopic
C Cervix ; 7 Via Natural or Artificial Opening 1 Radioactive Element Z No Qualifier
8 Via Natural or Artificial Opening H Contraceptive Device
Endoscopic
F Cul-de-sac ; 7 Via Natural or Artificial Opening G Intraluminal Device, Pessary Z No Qualifier
8 Via Natural or Artificial Opening
Endoscopic
G Vagina ; 0 Open 1 Radioactive Element Z No Qualifier
3 Percutaneous
4 Percutaneous Endoscopic
X External
G Vagina ; 7 Via Natural or Artificial Opening 1 Radioactive Element Z No Qualifier
8 Via Natural or Artificial Opening G Intraluminal Device, Pessary
Endoscopic
Non-OR 0UH3[0,3,4][3,Y]Z Non-OR 0UH9[0,7,8]HZ
Non-OR 0UH3[7,8]YZ Non-OR 0UHC[7,8]HZ
Non-OR 0UH[8,D][0,3,4,7,8][3,Y]Z Non-OR 0UHF[7,8]GZ
Non-OR 0UHH[3,4]YZ Non-OR 0UHG[7,8]GZ
Non-OR 0UHH[7,8][3,Y]Z ; All body part, approach, device, and qualifier values
0UF–0UH

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
624 ICD-10-PCS 2019
ICD-10-PCS 2019 Female Reproductive System 0UJ–0UL

Female Reproductive System

0 Medical and Surgical
U Female Reproductive System 0UJ
J Inspection Definition: Visually and/or manually exploring a body part
Explanation: Visual exploration may be performed with or without optical instrumentation. Manual exploration may be performed directly or
through intervening body layers.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
3 Ovary ; 0 Open Z No Device Z No Qualifier
3 Percutaneous
4 Percutaneous Endoscopic
8 Via Natural or Artificial Opening
Endoscopic
X External
8 Fallopian Tube ; 0 Open Z No Device Z No Qualifier
D Uterus and Cervix ; 3 Percutaneous
H Vagina and Cul-de-sac ; 4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
X External
M Vulva ; 0 Open Z No Device Z No Qualifier
Labia majora X External
Labia minora
Non-OR 0UJ3[3,8,X]ZZ Non-OR 0UJMXZZ
Non-OR 0UJ[8,D,H][3,7,8,X]ZZ ; All body part, approach, device, and qualifier values

0 Medical and Surgical

U Female Reproductive System 0UL
L Occlusion Definition: Completely closing an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
5 Fallopian Tube, Right ; 0 Open C Extraluminal Device Z No Qualifier
Oviduct 3 Percutaneous D Intraluminal Device
Salpinx 4 Percutaneous Endoscopic Z No Device
Uterine tube
6 Fallopian Tube, Left ;
See 5 Fallopian Tube, Right
7 Fallopian Tubes, Bilateral 4;
5 Fallopian Tube, Right ; 7 Via Natural or Artificial Opening D Intraluminal Device Z No Qualifier
Oviduct 8 Via Natural or Artificial Opening Z No Device
Salpinx Endoscopic
Uterine tube
6 Fallopian Tube, Left ;
See 5 Fallopian Tube, Right
7 Fallopian Tubes, Bilateral 4;
F Cul-de-sac ; 7 Via Natural or Artificial Opening D Intraluminal Device Z No Qualifier
G Vagina ; 8 Via Natural or Artificial Opening Z No Device
Endoscopic
4 0UL7[0,3,4][C,D,Z]Z with principal or secondary diagnosis of Z30.2 ; All body part, approach, device, and qualifier values
4 0UL7[7,8][D,Z]Z with principal or secondary diagnosis of Z30.2
0UJ–0UL

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 625
 0UM–0UM Female Reproductive System ICD-10-PCS 2019
Female Reproductive System

0 Medical and Surgical

U Female Reproductive System 0UM
M Reattachment Definition: Putting back in or on all or a portion of a separated body part to its normal location or other suitable location
Explanation: Vascular circulation and nervous pathways may or may not be reestablished
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Ovary, Right ; 0 Open Z No Device Z No Qualifier
1 Ovary, Left ; 4 Percutaneous Endoscopic
2 Ovaries, Bilateral ;
4 Uterine Supporting Structure ;
Broad ligament
Infundibulopelvic ligament
Ovarian ligament
Round ligament of uterus
5 Fallopian Tube, Right ;
Oviduct
Salpinx
Uterine tube
6 Fallopian Tube, Left ;
See 5 Fallopian Tube, Right
7 Fallopian Tubes, Bilateral ;
9 Uterus ;
Fundus uteri
Myometrium
Perimetrium
Uterine cornu
C Cervix ;
F Cul-de-sac ;
G Vagina ;
J Clitoris ; X External Z No Device Z No Qualifier
M Vulva ;
Labia majora
Labia minora
K Hymen ; 0 Open Z No Device Z No Qualifier
4 Percutaneous Endoscopic
X External
; All body part, approach, device, and qualifier values
0UM–0UM

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
626 ICD-10-PCS 2019
ICD-10-PCS 2019 Female Reproductive System 0UN–0UN

Female Reproductive System

0 Medical and Surgical
U Female Reproductive System 0UN
N Release Definition: Freeing a body part from an abnormal physical constraint by cutting or by the use of force
Explanation: Some of the restraining tissue may be taken out but none of the body part is taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Ovary, Right ; 0 Open Z No Device Z No Qualifier
1 Ovary, Left ; 3 Percutaneous
2 Ovaries, Bilateral ; 4 Percutaneous Endoscopic
4 Uterine Supporting Structure ; 8 Via Natural or Artificial Opening
Broad ligament Endoscopic
Infundibulopelvic ligament
Ovarian ligament
Round ligament of uterus
5 Fallopian Tube, Right ; 0 Open Z No Device Z No Qualifier
Oviduct 3 Percutaneous
Salpinx 4 Percutaneous Endoscopic
Uterine tube 7 Via Natural or Artificial Opening
6 Fallopian Tube, Left ;
See 5 Fallopian Tube, Right 8 Via Natural or Artificial Opening
7 Fallopian Tubes, Bilateral ; Endoscopic
9 Uterus ;
Fundus uteri
Myometrium
Perimetrium
Uterine cornu
C Cervix ;
F Cul-de-sac ;
G Vagina ; 0 Open Z No Device Z No Qualifier
K Hymen ; 3 Percutaneous
4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
X External
J Clitoris ; 0 Open Z No Device Z No Qualifier
L Vestibular Gland ; X External
Bartholin's (greater vestibular) gland
Greater vestibular (Bartholin's) gland
Paraurethral (Skene's) gland
Skene's (paraurethral) gland
M Vulva ;
Labia majora
Labia minora
; All body part, approach, device, and qualifier values

0UN–0UN

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 627
 0UP–0UP Female Reproductive System ICD-10-PCS 2019
Female Reproductive System

0 Medical and Surgical

U Female Reproductive System 0UP
P Removal Definition: Taking out or off a device from a body part
Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is
coded to the root operation CHANGE. Otherwise, the procedure for taking out the device is coded to the root operation REMOVAL.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
3 Ovary ; 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous 3 Infusion Device
4 Percutaneous Endoscopic Y Other Device
3 Ovary ; 7 Via Natural or Artificial Opening Y Other Device Z No Qualifier
8 Via Natural or Artificial Opening
Endoscopic
3 Ovary ; X External 0 Drainage Device Z No Qualifier
3 Infusion Device
8 Fallopian Tube ; 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous 3 Infusion Device
4 Percutaneous Endoscopic 7 Autologous Tissue Substitute
7 Via Natural or Artificial Opening C Extraluminal Device
8 Via Natural or Artificial Opening D Intraluminal Device
Endoscopic J Synthetic Substitute
K Nonautologous Tissue Substitute
Y Other Device
8 Fallopian Tube ; X External 0 Drainage Device Z No Qualifier
3 Infusion Device
D Intraluminal Device
D Uterus and Cervix ; 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous 1 Radioactive Element
4 Percutaneous Endoscopic 3 Infusion Device
7 Via Natural or Artificial Opening 7 Autologous Tissue Substitute
8 Via Natural or Artificial Opening C Extraluminal Device
Endoscopic D Intraluminal Device
H Contraceptive Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
Y Other Device
D Uterus and Cervix ; X External 0 Drainage Device Z No Qualifier
3 Infusion Device
D Intraluminal Device
H Contraceptive Device
H Vagina and Cul-de-sac ; 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous 1 Radioactive Element
4 Percutaneous Endoscopic 3 Infusion Device
7 Via Natural or Artificial Opening 7 Autologous Tissue Substitute
8 Via Natural or Artificial Opening D Intraluminal Device
Endoscopic J Synthetic Substitute
K Nonautologous Tissue Substitute
Y Other Device
H Vagina and Cul-de-sac ; X External 0 Drainage Device Z No Qualifier
1 Radioactive Element
3 Infusion Device
D Intraluminal Device
M Vulva ; 0 Open 0 Drainage Device Z No Qualifier
Labia majora 7 Autologous Tissue Substitute
Labia minora J Synthetic Substitute
K Nonautologous Tissue Substitute
M Vulva ; X External 0 Drainage Device Z No Qualifier
Labia majora
Labia minora
Non-OR 0UP3[3,4]YZ Non-OR 0UPD[7,8][0,3,C,D,H,Y]Z
Non-OR 0UP3[7,8]YZ Non-OR 0UPDX[0,3,D,H]Z
Non-OR 0UP3X[0,3]Z Non-OR 0UPH[3,4]YZ
Non-OR 0UP8[3,4]YZ Non-OR 0UPH[7,8][0,3,D,Y]Z
Non-OR 0UP8[7,8][0,3,D,Y]Z Non-OR 0UPHX[0,1,3,D]Z
Non-OR 0UP8X[0,3,D]Z Non-OR 0UPMX0Z
Non-OR 0UPD[3,4][C,Y]Z ; All body part, approach, device, and qualifier values
0UP–0UP

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
628 ICD-10-PCS 2019
ICD-10-PCS 2019 Female Reproductive System 0UQ–0US

Female Reproductive System

0 Medical and Surgical
U Female Reproductive System 0UQ
Q Repair Definition: Restoring, to the extent possible, a body part to its normal anatomic structure and function
Explanation: Used only when the method to accomplish the repair is not one of the other root operations
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Ovary, Right ; 0 Open Z No Device Z No Qualifier
1 Ovary, Left ; 3 Percutaneous
2 Ovaries, Bilateral ; 4 Percutaneous Endoscopic
4 Uterine Supporting Structure ; 8 Via Natural or Artificial Opening
Broad ligament Endoscopic
Infundibulopelvic ligament
Ovarian ligament
Round ligament of uterus
5 Fallopian Tube, Right ; 0 Open Z No Device Z No Qualifier
Oviduct 3 Percutaneous
Salpinx 4 Percutaneous Endoscopic
Uterine tube 7 Via Natural or Artificial Opening
6 Fallopian Tube, Left ; 8 Via Natural or Artificial Opening
See 5 Fallopian Tube, Right Endoscopic
7 Fallopian Tubes, Bilateral ;
9 Uterus ;
Fundus uteri
Myometrium
Perimetrium
Uterine cornu
C Cervix ;
F Cul-de-sac ;
G Vagina ; 0 Open Z No Device Z No Qualifier
K Hymen ; 3 Percutaneous
4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
X External
J Clitoris ; 0 Open Z No Device Z No Qualifier
L Vestibular Gland ; X External
Bartholin's (greater vestibular) gland
Greater vestibular (Bartholin's) gland
Paraurethral (Skene's) gland
Skene's (paraurethral) gland
M Vulva ;
Labia majora
Labia minora
Non-OR 0UQG[7,X]ZZ Non-OR 0UQMXZZ
Non-OR 0UQKXZZ ; All body part, approach, device, and qualifier values

0 Medical and Surgical

U Female Reproductive System 0US
S Reposition Definition: Moving to its normal location, or other suitable location, all or a portion of a body part
Explanation: The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning
correctly. The body part may or may not be cut out or off to be moved to the new location.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Ovary, Right ; 0 Open Z No Device Z No Qualifier
1 Ovary, Left ; 4 Percutaneous Endoscopic
2 Ovaries, Bilateral ; 8 Via Natural or Artificial Opening
4 Uterine Supporting Structure ; Endoscopic
Broad ligament
Infundibulopelvic ligament
Ovarian ligament
Round ligament of uterus
5 Fallopian Tube, Right ;
Oviduct
Salpinx
Uterine tube
6 Fallopian Tube, Left ;
See 5 Fallopian Tube, Right
7 Fallopian Tubes, Bilateral ;
C Cervix ;
F Cul-de-sac ;
9 Uterus ; 0 Open Z No Device Z No Qualifier
Fundus uteri 4 Percutaneous Endoscopic
Myometrium 7 Via Natural or Artificial Opening
Perimetrium
0UQ–0US

8 Via Natural or Artificial Opening

Uterine cornu Endoscopic
G Vagina ; X External
Non-OR 0US9XZZ ; All body part, approach, device, and qualifier values

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 629
 0UT–0UT Female Reproductive System ICD-10-PCS 2019
Female Reproductive System

0 Medical and Surgical

U Female Reproductive System 0UT
T Resection Definition: Cutting out or off, without replacement, all of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Ovary, Right ; 0 Open Z No Device Z No Qualifier
1 Ovary, Left ; 4 Percutaneous Endoscopic
2 Ovaries, Bilateral ?; 7 Via Natural or Artificial Opening
5 Fallopian Tube, Right ; 8 Via Natural or Artificial Opening
Oviduct Endoscopic
Salpinx F Via Natural or Artificial Opening
Uterine tube With Percutaneous Endoscopic
6 Fallopian Tube, Left ; Assistance
See 5 Fallopian Tube, Right
7 Fallopian Tubes, Bilateral ?;
4 Uterine Supporting Structure ?; 0 Open Z No Device Z No Qualifier
Broad ligament 4 Percutaneous Endoscopic
Infundibulopelvic ligament 7 Via Natural or Artificial Opening
Ovarian ligament 8 Via Natural or Artificial Opening
Round ligament of uterus Endoscopic
C Cervix ?;
F Cul-de-sac ;
G Vagina ?;
9 Uterus ?; 0 Open Z No Device L Supracervical
Fundus uteri 4 Percutaneous Endoscopic Z No Qualifier
Myometrium 7 Via Natural or Artificial Opening
Perimetrium 8 Via Natural or Artificial Opening
Uterine cornu Endoscopic
F Via Natural or Artificial Opening
With Percutaneous Endoscopic
Assistance
J Clitoris ; 0 Open Z No Device Z No Qualifier
L Vestibular Gland ; X External
Bartholin's (greater vestibular)
gland
Greater vestibular (Bartholin's)
gland
Paraurethral (Skene's) gland
Skene's (paraurethral) gland
M Vulva ?;
Labia majora
Labia minora
K Hymen ; 0 Open Z No Device Z No Device
4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
X External
; All body part, approach, device, and qualifier values See Appendix L for Procedure Combinations
? 0UT[2,7]0ZZ
? 0UT[4,C][0,4,7,8]ZZ
? 0UTG0ZZ
? 0UT9[0,4,7,8,F]ZZ
? 0UTM[0,X]ZZ
0UT–0UT

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
630 ICD-10-PCS 2019
ICD-10-PCS 2019 Female Reproductive System 0UU–0UV

Female Reproductive System

0 Medical and Surgical
U Female Reproductive System 0UU
U Supplement Definition: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part
Explanation: The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced,
and the SUPPLEMENT procedure is performed to physically reinforce and/or augment the function of the replaced body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
4 Uterine Supporting Structure ; 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Broad ligament 4 Percutaneous Endoscopic J Synthetic Substitute
Infundibulopelvic ligament K Nonautologous Tissue Substitute
Ovarian ligament
Round ligament of uterus
5 Fallopian Tube, Right ; 0 Open 7 Autologous Tissue Substitute Z No Qualifier
Oviduct 4 Percutaneous Endoscopic J Synthetic Substitute
Salpinx 7 Via Natural or Artificial Opening K Nonautologous Tissue Substitute
Uterine tube 8 Via Natural or Artificial Opening
6 Fallopian Tube, Left ; Endoscopic
See 5 Fallopian Tube, Right
7 Fallopian Tubes, Bilateral ;
F Cul-de-sac ;
G Vagina ; 0 Open 7 Autologous Tissue Substitute Z No Qualifier
K Hymen ; 4 Percutaneous Endoscopic J Synthetic Substitute
7 Via Natural or Artificial Opening K Nonautologous Tissue Substitute
8 Via Natural or Artificial Opening
Endoscopic
X External
J Clitoris ; 0 Open 7 Autologous Tissue Substitute Z No Qualifier
M Vulva ; X External J Synthetic Substitute
Labia majora K Nonautologous Tissue Substitute
Labia minora
; All body part, approach, device, and qualifier values

0 Medical and Surgical

U Female Reproductive System 0UV
V Restriction Definition: Partially closing an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
C Cervix ; 0 Open C Extraluminal Device Z No Qualifier
3 Percutaneous D Intraluminal Device
4 Percutaneous Endoscopic Z No Device
C Cervix ; 7 Via Natural or Artificial Opening D Intraluminal Device Z No Qualifier
8 Via Natural or Artificial Opening Z No Device
Endoscopic
; All body part, approach, device, and qualifier values
0UU–0UV

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 631
 0UW–0UW Female Reproductive System ICD-10-PCS 2019
Female Reproductive System

0 Medical and Surgical

U Female Reproductive System 0UW
W Revision Definition: Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device
Explanation: Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as
a screw or pin
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
3 Ovary ; 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous 3 Infusion Device
4 Percutaneous Endoscopic Y Other Device
3 Ovary ; 7 Via Natural or Artificial Opening Y Other Device Z No Qualifier
8 Via Natural or Artificial Opening
Endoscopic
3 Ovary ; X External 0 Drainage Device Z No Qualifier
3 Infusion Device
8 Fallopian Tube ; 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous 3 Infusion Device
4 Percutaneous Endoscopic 7 Autologous Tissue Substitute
7 Via Natural or Artificial Opening C Extraluminal Device
8 Via Natural or Artificial Opening D Intraluminal Device
Endoscopic J Synthetic Substitute
K Nonautologous Tissue Substitute
Y Other Device
8 Fallopian Tube ; X External 0 Drainage Device Z No Qualifier
3 Infusion Device
7 Autologous Tissue Substitute
C Extraluminal Device
D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
D Uterus and Cervix ; 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous 1 Radioactive Element
4 Percutaneous Endoscopic 3 Infusion Device
7 Via Natural or Artificial Opening 7 Autologous Tissue Substitute
8 Via Natural or Artificial Opening C Extraluminal Device
Endoscopic D Intraluminal Device
H Contraceptive Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
Y Other Device
D Uterus and Cervix ; X External 0 Drainage Device Z No Qualifier
3 Infusion Device
7 Autologous Tissue Substitute
C Extraluminal Device
D Intraluminal Device
H Contraceptive Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
H Vagina and Cul-de-sac ; 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous 1 Radioactive Element
4 Percutaneous Endoscopic 3 Infusion Device
7 Via Natural or Artificial Opening 7 Autologous Tissue Substitute
8 Via Natural or Artificial Opening D Intraluminal Device
Endoscopic J Synthetic Substitute
K Nonautologous Tissue Substitute
Y Other Device
H Vagina and Cul-de-sac ; X External 0 Drainage Device Z No Qualifier
3 Infusion Device
7 Autologous Tissue Substitute
D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
M Vulva ; 0 Open 0 Drainage Device Z No Qualifier
Labia majora X External 7 Autologous Tissue Substitute
Labia minora J Synthetic Substitute
K Nonautologous Tissue Substitute
Non-OR 0UW3[3,4]YZ Non-OR 0UWDX[0,3,7,C,D,H,J,K]Z
Non-OR 0UW3[7,8]YZ Non-OR 0UWH[3,4,7,8]YZ
Non-OR 0UW3X[0,3]Z Non-OR 0UWHX[0,3,7,D,J,K]Z
0UW–0UW

Non-OR 0UW8[3,4,7,8]YZ Non-OR 0UWMX[0,7,J,K]Z

Non-OR 0UW8X[0,3,7,C,D,J,K]Z ; All body part, approach, device, and qualifier values
Non-OR 0UWD[3,4,7,8]YZ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
632 ICD-10-PCS 2019
ICD-10-PCS 2019 Female Reproductive System 0UY–0UY

Female Reproductive System

0 Medical and Surgical
U Female Reproductive System 0UY
Y Transplantation Definition: Putting in or on all or a portion of a living body part taken from another individual or animal to physically take the place and/or
function of all or a portion of a similar body part
Explanation: The native body part may or may not be taken out, and the transplanted body part may take over all or a portion of its function
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Ovary, Right ; 0 Open Z No Device 0 Allogeneic
1 Ovary, Left ; 1 Syngeneic
9 Uterus ; 2 Zooplastic
; All body part, approach, device, and qualifier values

0UY–0UY

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 633
This page is left intentionally blank.
ICD-10-PCS 2019 Male Reproductive System

Male Reproductive System

Male Reproductive System 0V1–0VX
Character Meanings
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.

Operation–Character 3 Body Part–Character 4 Approach–Character 5 Device–Character 6 Qualifier–Character 7

1 Bypass 0 Prostate 0 Open 0 Drainage Device D Urethra

2 Change 1 Seminal Vesicle, Right 3 Percutaneous 1 Radioactive Element J Epididymis, Right
5 Destruction 2 Seminal Vesicle, Left 4 Percutaneous Endoscopic 3 Infusion Device K Epididymis, Left
7 Dilation 3 Seminal Vesicles, Bilateral 7 Via Natural or Artificial 7 Autologous Tissue N Vas Deferens, Right
Opening Substitute
9 Drainage 4 Prostate and Seminal 8 Via Natural or Artificial C Extraluminal Device P Vas Deferens, Left
Vesicles Opening Endoscopic
B Excision 5 Scrotum X External D Intraluminal Device S Penis
C Extirpation 6 Tunica Vaginalis, Right J Synthetic Substitute X Diagnostic
H Insertion 7 Tunica Vaginalis, Left K Nonautologous Tissue Z No Qualifier
Substitute
J Inspection 8 Scrotum and Tunica Y Other Device
Vaginalis
L Occlusion 9 Testis, Right Z No Device
M Reattachment B Testis, Left
N Release C Testes, Bilateral
P Removal D Testis
Q Repair F Spermatic Cord, Right
R Replacement G Spermatic Cord, Left
S Reposition H Spermatic Cords, Bilateral
T Resection J Epididymis, Right
U Supplement K Epididymis, Left
W Revision L Epididymis, Bilateral
X Transfer M Epididymis and Spermatic
Cord
N Vas Deferens, Right
P Vas Deferens, Left
Q Vas Deferens, Bilateral
R Vas Deferens
S Penis
T Prepuce

AHA Coding Clinic for table 0VB

2016, 1Q, 23 Transurethral resection of ejaculatory ducts
2014, 4Q, 33 Radical prostatectomy
AHA Coding Clinic for table 0VP
2016, 2Q, 28 Removal of multi-component inflatable penile prosthesis with placement of new malleable device
AHA Coding Clinic for table 0VT
2014, 4Q, 33 Radical prostatectomy
AHA Coding Clinic for table 0VU
2016, 2Q, 28 Removal of multi-component inflatable penile prosthesis with placement of new malleable device
2015, 3Q, 25 Placement of inflatable penile prosthesis

ICD-10-PCS 2019 635

 Male Reproductive System ICD-10-PCS 2019
Male Reproductive System

Male Reproductive System

Bladder

Pubic Seminal vesicle 1, 2, 3

Vas deferens N, P, Q, R bone
Rectum
Urethra Prostate 0
Penis S
Corpus cavernosum S
Epididymis J, K, L
Glans T
Testis 9, B, C, D
Prepuce (foreskin) T Scrotum 5
Tunica vaginalis 6, 7
Urethral orifice

Penis

Bladder

Neck of bladder
Prostate 0

Corpus spongiosum S

Corpus cavernosum S

Prepuce T

Glans T

636 ICD-10-PCS 2019

ICD-10-PCS 2019 Male Reproductive System 0V1–0V5

Male Reproductive System

0 Medical and Surgical
V Male Reproductive System 0V1
1 Bypass Definition: Altering the route of passage of the contents of a tubular body part
Explanation: Rerouting contents of a body part to a downstream area of the normal route, to a similar route and body part, or to an abnormal
route and dissimilar body part. Includes one or more anastomoses, with or without the use of a device.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
N Vas Deferens, Right : 0 Open 7 Autologous Tissue Substitute J Epididymis, Right
Ductus deferens 4 Percutaneous Endoscopic J Synthetic Substitute K Epididymis, Left
Ejaculatory duct K Nonautologous Tissue Substitute N Vas Deferens, Right
P Vas Deferens, Left : Z No Device P Vas Deferens, Left
See N Vas Deferens, Right
Q Vas Deferens, Bilateral :
See N Vas Deferens, Right
: All body part, approach, device, and qualifier values

0 Medical and Surgical

V Male Reproductive System 0V2
2 Change Definition: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without
cutting or puncturing the skin or a mucous membrane
Explanation: All CHANGE procedures are coded using the approach EXTERNAL
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
4 Prostate and Seminal Vesicles : X External 0 Drainage Device Z No Qualifier
8 Scrotum and Tunica Vaginalis : Y Other Device
D Testis :
M Epididymis and Spermatic Cord :
R Vas Deferens :
Ductus deferens
Ejaculatory duct
S Penis :
Corpus cavernosum
Corpus spongiosum
Non-OR All body part, approach, device, and qualifier values : All body part, approach, device, and qualifier values

0 Medical and Surgical

V Male Reproductive System 0V5
5 Destruction Definition: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent
Explanation: None of the body part is physically taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Prostate : 0 Open Z No Device Z No Qualifier
3 Percutaneous
4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
1 Seminal Vesicle, Right : 0 Open Z No Device Z No Qualifier
2 Seminal Vesicle, Left : 3 Percutaneous
3 Seminal Vesicles, Bilateral : 4 Percutaneous Endoscopic
6 Tunica Vaginalis, Right :
7 Tunica Vaginalis, Left :
9 Testis, Right :
B Testis, Left :
C Testes, Bilateral :
5 Scrotum : 0 Open Z No Device Z No Qualifier
S Penis : 3 Percutaneous
Corpus cavernosum 4 Percutaneous Endoscopic
Corpus spongiosum X External
T Prepuce :
Foreskin
Glans penis
F Spermatic Cord, Right : 0 Open Z No Device Z No Qualifier
G Spermatic Cord, Left : 3 Percutaneous
H Spermatic Cords, Bilateral : 4 Percutaneous Endoscopic
J Epididymis, Right : 8 Via Natural or Artificial Opening
K Epididymis, Left : Endoscopic
L Epididymis, Bilateral :
N Vas Deferens, Right 4:
Ductus deferens
Ejaculatory duct
P Vas Deferens, Left 4:
See N Vas Deferens, Right
Q Vas Deferens, Bilateral 4:
See N Vas Deferens, Right
0V1–0V5

Non-OR 0V55[0,3,4,X]ZZ 4 0V5[N,P,Q][0,3,4]ZZ with principal or secondary diagnosis of Z30.2

Non-OR 0V5[N,P,Q][0,3,4,8]ZZ : All body part, approach, device, and qualifier values

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 637
 0V7–0V9 Male Reproductive System ICD-10-PCS 2019
Male Reproductive System

0 Medical and Surgical

V Male Reproductive System 0V7
7 Dilation Definition: Expanding an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice. Accomplished by stretching a tubular body part using
intraluminal pressure or by cutting part of the orifice or wall of the tubular body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
N Vas Deferens, Right : 0 Open D Intraluminal Device Z No Qualifier
Ductus deferens 3 Percutaneous Z No Device
Ejaculatory duct 4 Percutaneous Endoscopic
P Vas Deferens, Left :
See N Vas Deferens, Right
Q Vas Deferens, Bilateral :
See N Vas Deferens, Right
: All body part, approach, device, and qualifier values

0 Medical and Surgical

V Male Reproductive System 0V9
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Prostate : 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous
4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
0 Prostate : 0 Open Z No Device X Diagnostic
3 Percutaneous Z No Qualifier
4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
1 Seminal Vesicle, Right : 0 Open 0 Drainage Device Z No Qualifier
2 Seminal Vesicle, Left : 3 Percutaneous
3 Seminal Vesicles, Bilateral : 4 Percutaneous Endoscopic
6 Tunica Vaginalis, Right :
7 Tunica Vaginalis, Left :
9 Testis, Right :
B Testis, Left :
C Testes, Bilateral :
F Spermatic Cord, Right :
G Spermatic Cord, Left :
H Spermatic Cords, Bilateral :
J Epididymis, Right :
K Epididymis, Left :
L Epididymis, Bilateral :
N Vas Deferens, Right :
Ductus deferens
Ejaculatory duct
P Vas Deferens, Left :
See N Vas Deferens, Right
Q Vas Deferens, Bilateral :
See N Vas Deferens, Right
0V9 Continued on next page
Non-OR 0V90[3,4]0Z Non-OR 0V9[6,7,F,G,H,N,P,Q][0,3,4]0Z
Non-OR 0V90[3,4]Z[X,Z] Non-OR 0V9[J,K,L]30Z
Non-OR 0V90[7,8]ZX : All body part, approach, device, and qualifier values
Non-OR 0V9[1,2,3,9,B,C][3,4]0Z
0V7–0V9

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
638 ICD-10-PCS 2019
ICD-10-PCS 2019 Male Reproductive System 0V9–0V9

Male Reproductive System

0 Medical and Surgical 0V9 Continued
V Male Reproductive System 0V9
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Seminal Vesicle, Right : 0 Open Z No Device X Diagnostic
2 Seminal Vesicle, Left : 3 Percutaneous Z No Qualifier
3 Seminal Vesicles, Bilateral : 4 Percutaneous Endoscopic
6 Tunica Vaginalis, Right :
7 Tunica Vaginalis, Left :
9 Testis, Right :
B Testis, Left :
C Testes, Bilateral :
F Spermatic Cord, Right :
G Spermatic Cord, Left :
H Spermatic Cords, Bilateral :
J Epididymis, Right :
K Epididymis, Left :
L Epididymis, Bilateral :
N Vas Deferens, Right :
Ductus deferens
Ejaculatory duct
P Vas Deferens, Left :
See N Vas Deferens, Right
Q Vas Deferens, Bilateral :
See N Vas Deferens, Right
5 Scrotum : 0 Open 0 Drainage Device Z No Qualifier
S Penis : 3 Percutaneous
Corpus cavernosum 4 Percutaneous Endoscopic
Corpus spongiosum X External
T Prepuce :
Foreskin
Glans penis
5 Scrotum : 0 Open Z No Device X Diagnostic
S Penis : 3 Percutaneous Z No Qualifier
Corpus cavernosum 4 Percutaneous Endoscopic
Corpus spongiosum X External
T Prepuce :
Foreskin
Glans penis
Non-OR 0V9[1,2,3,9,B,C][3,4]Z[X,Z] Non-OR 0V9[S,T]30Z
Non-OR 0V9[6,7,F,G,H,J,K,L,N,P,Q][0,3,4]ZX Non-OR 0V95[0,3,4,X]Z[X,Z]
Non-OR 0V9[6,7,F,G,H,N,P,Q][0,3,4]ZZ Non-OR 0V9[S,T]3ZZ
Non-OR 0V9[J,K,L]3ZZ : All body part, approach, device, and qualifier values
Non-OR 0V95[0,3,4,X]0Z 0V9–0V9

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 639
 0VB–0VB Male Reproductive System ICD-10-PCS 2019
Male Reproductive System

0 Medical and Surgical

V Male Reproductive System 0VB
B Excision Definition: Cutting out or off, without replacement, a portion of a body part
Explanation: The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Prostate : 0 Open Z No Device X Diagnostic
3 Percutaneous Z No Qualifier
4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
1 Seminal Vesicle, Right : 0 Open Z No Device X Diagnostic
2 Seminal Vesicle, Left : 3 Percutaneous Z No Qualifier
3 Seminal Vesicles, Bilateral : 4 Percutaneous Endoscopic
6 Tunica Vaginalis, Right :
7 Tunica Vaginalis, Left :
9 Testis, Right :
B Testis, Left :
C Testes, Bilateral :
5 Scrotum : 0 Open Z No Device X Diagnostic
S Penis : 3 Percutaneous Z No Qualifier
Corpus cavernosum 4 Percutaneous Endoscopic
Corpus spongiosum X External
T Prepuce :
Foreskin
Glans penis
F Spermatic Cord, Right : 0 Open Z No Device X Diagnostic
G Spermatic Cord, Left : 3 Percutaneous Z No Qualifier
H Spermatic Cords, Bilateral : 4 Percutaneous Endoscopic
J Epididymis, Right : 8 Via Natural or Artificial Opening
K Epididymis, Left : Endoscopic
L Epididymis, Bilateral :
N Vas Deferens, Right 4:
Ductus deferens
Ejaculatory duct
P Vas Deferens, Left 4:
See N Vas Deferens, Right
Q Vas Deferens, Bilateral 4:
See N Vas Deferens, Right
Non-OR 0VB0[3,4,7,8]ZX Non-OR 0VB[F,G,H,J,K,L][0,3,4,8]ZX
Non-OR 0VB[1,2,3,9,B,C][3,4]ZX Non-OR 0VB[N,P,Q][0,3,4,8]Z[X,Z]
Non-OR 0VB[6,7][0,3,4]ZX 4 0VB[N,P,Q][0,3,4]ZZ with principal or secondary diagnosis of Z30.2
Non-OR 0VB5[0,3,4,X]Z[X,Z] : All body part, approach, device, and qualifier values
0VB–0VB

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
640 ICD-10-PCS 2019
ICD-10-PCS 2019 Male Reproductive System 0VC–0VC

Male Reproductive System

0 Medical and Surgical
V Male Reproductive System 0VC
C Extirpation Definition: Taking or cutting out solid matter from a body part
Explanation: The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in
the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Prostate : 0 Open Z No Device Z No Qualifier
3 Percutaneous
4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
1 Seminal Vesicle, Right : 0 Open Z No Device Z No Qualifier
2 Seminal Vesicle, Left : 3 Percutaneous
3 Seminal Vesicles, Bilateral : 4 Percutaneous Endoscopic
6 Tunica Vaginalis, Right :
7 Tunica Vaginalis, Left :
9 Testis, Right :
B Testis, Left :
C Testes, Bilateral :
F Spermatic Cord, Right :
G Spermatic Cord, Left :
H Spermatic Cords, Bilateral :
J Epididymis, Right :
K Epididymis, Left :
L Epididymis, Bilateral :
N Vas Deferens, Right :
Ductus deferens
Ejaculatory duct
P Vas Deferens, Left :
See N Vas Deferens, Right
Q Vas Deferens, Bilateral :
See N Vas Deferens, Right
5 Scrotum : 0 Open Z No Device Z No Qualifier
S Penis : 3 Percutaneous
Corpus cavernosum 4 Percutaneous Endoscopic
Corpus spongiosum X External
T Prepuce :
Foreskin
Glans penis
Non-OR 0VC[6,7,N,P,Q][0,3,4]ZZ Non-OR 0VCSXZZ
Non-OR 0VC5[0,3,4,X]ZZ : All body part, approach, device, and qualifier values

0VC–0VC

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 641
 0VH–0VL Male Reproductive System ICD-10-PCS 2019
Male Reproductive System

0 Medical and Surgical

V Male Reproductive System 0VH
H Insertion Definition: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically
take the place of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Prostate : 0 Open 1 Radioactive Element Z No Qualifier
3 Percutaneous
4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
4 Prostate and Seminal Vesicles : 0 Open 3 Infusion Device Z No Qualifier
8 Scrotum and Tunica Vaginalis : 3 Percutaneous Y Other Device
D Testis : 4 Percutaneous Endoscopic
M Epididymis and Spermatic Cord : 7 Via Natural or Artificial Opening
R Vas Deferens : 8 Via Natural or Artificial Opening
Ductus deferens Endoscopic
Ejaculatory duct
S Penis : 0 Open 3 Infusion Device Z No Qualifier
Corpus cavernosum 3 Percutaneous Y Other Device
Corpus spongiosum 4 Percutaneous Endoscopic
S Penis : 7 Via Natural or Artificial Opening Y Other Device Z No Qualifier
Corpus cavernosum 8 Via Natural or Artificial Opening
Corpus spongiosum Endoscopic
S Penis : X External 3 Infusion Device Z No Qualifier
Corpus cavernosum
Corpus spongiosum
Non-OR 0VH[4,8,D,M,R][0,3,4,7,8][3,Y]Z Non-OR 0VHSX3Z
Non-OR 0VHS[0,3,4][3,Y]Z : All body part, approach, device, and qualifier values
Non-OR 0VHS[7,8]YZ

0 Medical and Surgical

V Male Reproductive System 0VJ
J Inspection Definition: Visually and/or manually exploring a body part
Explanation: Visual exploration may be performed with or without optical instrumentation. Manual exploration may be performed directly or
through intervening body layers.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
4 Prostate and Seminal Vesicles : 0 Open Z No Device Z No Qualifier
8 Scrotum and Tunica Vaginalis : 3 Percutaneous
D Testis : 4 Percutaneous Endoscopic
M Epididymis and Spermatic Cord : X External
R Vas Deferens :
Ductus deferens
Ejaculatory duct
S Penis :
Corpus cavernosum
Corpus spongiosum
Non-OR 0VJ[4,D,M,R][3,X]ZZ : All body part, approach, device, and qualifier values
Non-OR 0VJ[8,S][0,3,4,X]ZZ

0 Medical and Surgical

V Male Reproductive System 0VL
L Occlusion Definition: Completely closing an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
F Spermatic Cord, Right 4: 0 Open C Extraluminal Device Z No Qualifier
G Spermatic Cord, Left 4: 3 Percutaneous D Intraluminal Device
H Spermatic Cords, Bilateral 4: 4 Percutaneous Endoscopic Z No Device
N Vas Deferens, Right 4: 8 Via Natural or Artificial Opening
Ductus deferens Endoscopic
Ejaculatory duct
P Vas Deferens, Left 4:
See N Vas Deferens, Right
Q Vas Deferens, Bilateral 4:
See N Vas Deferens, Right
Non-OR 0VL[F,G,H][0,3,4,8][C,D,Z]Z 4 0VL[F,G,H][0,3,4][C,D,Z]Z with principal or secondary diagnosis of Z30.2
0VH–0VL

Non-OR 0VL[N,P,Q][0,3,4,8][C,Z]Z 4 0VL[N,P,Q][0,3,4][C,Z]Z with principal or secondary diagnosis of Z30.2

: All body part, approach, device, and qualifier values

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
642 ICD-10-PCS 2019
ICD-10-PCS 2019 Male Reproductive System 0VM–0VN

Male Reproductive System

0 Medical and Surgical
V Male Reproductive System 0VM
M Reattachment Definition: Putting back in or on all or a portion of a separated body part to its normal location or other suitable location
Explanation: Vascular circulation and nervous pathways may or may not be reestablished
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
5 Scrotum : X External Z No Device Z No Qualifier
S Penis :
Corpus cavernosum
Corpus spongiosum
6 Tunica Vaginalis, Right : 0 Open Z No Device Z No Qualifier
7 Tunica Vaginalis, Left : 4 Percutaneous Endoscopic
9 Testis, Right :
B Testis, Left :
C Testes, Bilateral :
F Spermatic Cord, Right :
G Spermatic Cord, Left :
H Spermatic Cords, Bilateral :
: All body part, approach, device, and qualifier values

0 Medical and Surgical

V Male Reproductive System 0VN
N Release Definition: Freeing a body part from an abnormal physical constraint by cutting or by the use of force
Explanation: Some of the restraining tissue may be taken out but none of the body part is taken out
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Prostate : 0 Open Z No Device Z No Qualifier
3 Percutaneous
4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
1 Seminal Vesicle, Right : 0 Open Z No Device Z No Qualifier
2 Seminal Vesicle, Left : 3 Percutaneous
3 Seminal Vesicles, Bilateral : 4 Percutaneous Endoscopic
6 Tunica Vaginalis, Right :
7 Tunica Vaginalis, Left :
9 Testis, Right :
B Testis, Left :
C Testes, Bilateral :
5 Scrotum : 0 Open Z No Device Z No Qualifier
S Penis : 3 Percutaneous
Corpus cavernosum 4 Percutaneous Endoscopic
Corpus spongiosum X External
T Prepuce :
Foreskin
Glans penis
F Spermatic Cord, Right : 0 Open Z No Device Z No Qualifier
G Spermatic Cord, Left : 3 Percutaneous
H Spermatic Cords, Bilateral : 4 Percutaneous Endoscopic
J Epididymis, Right : 8 Via Natural or Artificial Opening
Endoscopic
K Epididymis, Left :
L Epididymis, Bilateral :
N Vas Deferens, Right :
Ductus deferens
Ejaculatory duct
P Vas Deferens, Left :
See N Vas Deferens, Right
Q Vas Deferens, Bilateral :
See N Vas Deferens, Right
Non-OR 0VN[9,B,C][0,3,4]ZZ : All body part, approach, device, and qualifier values
Non-OR 0VNT[0,3,4,X]ZZ
0VM–0VN

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 643
 0VP–0VP Male Reproductive System ICD-10-PCS 2019
Male Reproductive System

0 Medical and Surgical

V Male Reproductive System 0VP
P Removal Definition: Taking out or off a device from a body part
Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is
coded to the root operation CHANGE. Otherwise, the procedure for taking out the device is coded to the root operation REMOVAL.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
4 Prostate and Seminal Vesicles : 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous 1 Radioactive Element
4 Percutaneous Endoscopic 3 Infusion Device
7 Via Natural or Artificial Opening 7 Autologous Tissue Substitute
8 Via Natural or Artificial Opening J Synthetic Substitute
Endoscopic K Nonautologous Tissue Substitute
Y Other Device
4 Prostate and Seminal Vesicles : X External 0 Drainage Device Z No Qualifier
1 Radioactive Element
3 Infusion Device
8 Scrotum and Tunica Vaginalis : 0 Open 0 Drainage Device Z No Qualifier
D Testis : 3 Percutaneous 3 Infusion Device
S Penis : 4 Percutaneous Endoscopic 7 Autologous Tissue Substitute
Corpus cavernosum 7 Via Natural or Artificial Opening J Synthetic Substitute
Corpus spongiosum 8 Via Natural or Artificial Opening
K Nonautologous Tissue Substitute
Endoscopic
Y Other Device
8 Scrotum and Tunica Vaginalis : X External 0 Drainage Device Z No Qualifier
D Testis : 3 Infusion Device
S Penis :
Corpus cavernosum
Corpus spongiosum
M Epididymis and Spermatic Cord : 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous 3 Infusion Device
4 Percutaneous Endoscopic 7 Autologous Tissue Substitute
7 Via Natural or Artificial Opening C Extraluminal Device
8 Via Natural or Artificial Opening J Synthetic Substitute
Endoscopic K Nonautologous Tissue Substitute
Y Other Device
M Epididymis and Spermatic Cord : X External 0 Drainage Device Z No Qualifier
3 Infusion Device
R Vas Deferens : 0 Open 0 Drainage Device Z No Qualifier
Ductus deferens 3 Percutaneous 3 Infusion Device
Ejaculatory duct 4 Percutaneous Endoscopic 7 Autologous Tissue Substitute
7 Via Natural or Artificial Opening C Extraluminal Device
8 Via Natural or Artificial Opening D Intraluminal Device
Endoscopic J Synthetic Substitute
K Nonautologous Tissue Substitute
Y Other Device
R Vas Deferens : X External 0 Drainage Device Z No Qualifier
Ductus deferens 3 Infusion Device
Ejaculatory duct D Intraluminal Device
Non-OR 0VP4[3,4]YZ Non-OR 0VPM[3,4]YZ
Non-OR 0VP4[7,8][0,3,Y]Z Non-OR 0VPM[7,8][0,3,Y]Z
Non-OR 0VP4X[0,1,3]Z Non-OR 0VPMX[0,3]Z
Non-OR 0VP8[0,3,4,7,8][0,3,7,J,K,Y]Z Non-OR 0VPR[0,3,4][0,3,7,C,J,K,Y]Z
Non-OR 0VP[D,S][3,4]YZ Non-OR 0VPR[7,8][0,3,7,C,D,J,K,Y]Z
Non-OR 0VP[D,S][7,8][0,3,Y]Z Non-OR 0VPRX[0,3,D]Z
Non-OR 0VP[8,D,S]X[0,3]Z : All body part, approach, device, and qualifier values
0VP–0VP

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
644 ICD-10-PCS 2019
ICD-10-PCS 2019 Male Reproductive System 0VQ–0VS

Male Reproductive System

0 Medical and Surgical
V Male Reproductive System 0VQ
Q Repair Definition: Restoring, to the extent possible, a body part to its normal anatomic structure and function
Explanation: Used only when the method to accomplish the repair is not one of the other root operations
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Prostate : 0 Open Z No Device Z No Qualifier
3 Percutaneous
4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
1 Seminal Vesicle, Right : 0 Open Z No Device Z No Qualifier
2 Seminal Vesicle, Left : 3 Percutaneous
3 Seminal Vesicles, Bilateral : 4 Percutaneous Endoscopic
6 Tunica Vaginalis, Right :
7 Tunica Vaginalis, Left :
9 Testis, Right :
B Testis, Left :
C Testes, Bilateral :
5 Scrotum : 0 Open Z No Device Z No Qualifier
S Penis : 3 Percutaneous
Corpus cavernosum 4 Percutaneous Endoscopic
Corpus spongiosum X External
T Prepuce :
Foreskin
Glans penis
F Spermatic Cord, Right : 0 Open Z No Device Z No Qualifier
G Spermatic Cord, Left : 3 Percutaneous
H Spermatic Cords, Bilateral : 4 Percutaneous Endoscopic
J Epididymis, Right : 8 Via Natural or Artificial Opening
K Epididymis, Left : Endoscopic
L Epididymis, Bilateral :
N Vas Deferens, Right :
Ductus deferens
Ejaculatory duct
P Vas Deferens, Left :
See N Vas Deferens, Right
Q Vas Deferens, Bilateral :
See N Vas Deferens, Right
Non-OR 0VQ[6,7][0,3,4]ZZ : All body part, approach, device, and qualifier values
Non-OR 0VQ5[0,3,4,X]ZZ

0 Medical and Surgical

V Male Reproductive System 0VR
R Replacement Definition: Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part
Explanation: The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during
the REPLACEMENT procedure. A REMOVAL procedure is coded for taking out the device used in a previous replacement procedure.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
9 Testis, Right : 0 Open J Synthetic Substitute Z No Qualifier
B Testis, Left :
C Testes, Bilateral :
: All body part, approach, device, and qualifier values

0 Medical and Surgical

V Male Reproductive System 0VS
S Reposition Definition: Moving to its normal location, or other suitable location, all or a portion of a body part
Explanation: The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning
correctly. The body part may or may not be cut out or off to be moved to the new location.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
9 Testis, Right : 0 Open Z No Device Z No Qualifier
B Testis, Left : 3 Percutaneous
C Testes, Bilateral : 4 Percutaneous Endoscopic
F Spermatic Cord, Right : 8 Via Natural or Artificial Opening
G Spermatic Cord, Left : Endoscopic
H Spermatic Cords, Bilateral :
: All body part, approach, device, and qualifier values
0VQ–0VS

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 645
 0VT–0VT Male Reproductive System ICD-10-PCS 2019
Male Reproductive System

0 Medical and Surgical

V Male Reproductive System 0VT
T Resection Definition: Cutting out or off, without replacement, all of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Prostate ?: 0 Open Z No Device Z No Qualifier
4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
1 Seminal Vesicle, Right : 0 Open Z No Device Z No Qualifier
2 Seminal Vesicle, Left : 4 Percutaneous Endoscopic
3 Seminal Vesicles, Bilateral ?:
6 Tunica Vaginalis, Right :
7 Tunica Vaginalis, Left :
9 Testis, Right :
B Testis, Left :
C Testes, Bilateral :
F Spermatic Cord, Right :
G Spermatic Cord, Left :
H Spermatic Cords, Bilateral :
J Epididymis, Right :
K Epididymis, Left :
L Epididymis, Bilateral :
N Vas Deferens, Right 4:
Ductus deferens
Ejaculatory duct
P Vas Deferens, Left 4:
See N Vas Deferens, Right
Q Vas Deferens, Bilateral 4:
See N Vas Deferens, Right
5 Scrotum : 0 Open Z No Device Z No Qualifier
S Penis : 4 Percutaneous Endoscopic
Corpus cavernosum X External
Corpus spongiosum
T Prepuce :
Foreskin
Glans penis
Non-OR 0VT[N,P,Q][0,4]ZZ See Appendix L for Procedure Combinations
Non-OR 0VT[5,T][0,4,X]ZZ ? 0VT0[0,4,7,8]ZZ
4 0VT[N,P,Q][0,4]ZZ with principal or secondary diagnosis of Z30.2 ? 0VT3[0,4]ZZ
: All body part, approach, device, and qualifier values
0VT–0VT

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
646 ICD-10-PCS 2019
ICD-10-PCS 2019 Male Reproductive System 0VU–0VU

Male Reproductive System

0 Medical and Surgical
V Male Reproductive System 0VU
U Supplement Definition: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part
Explanation: The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced,
and the SUPPLEMENT procedure is performed to physically reinforce and/or augment the function of the replaced body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Seminal Vesicle, Right : 0 Open 7 Autologous Tissue Substitute Z No Qualifier
2 Seminal Vesicle, Left : 4 Percutaneous Endoscopic J Synthetic Substitute
3 Seminal Vesicles, Bilateral : 8 Via Natural or Artificial Opening K Nonautologous Tissue Substitute
6 Tunica Vaginalis, Right : Endoscopic
7 Tunica Vaginalis, Left :
F Spermatic Cord, Right :
G Spermatic Cord, Left :
H Spermatic Cords, Bilateral :
J Epididymis, Right :
K Epididymis, Left :
L Epididymis, Bilateral :
N Vas Deferens, Right :
Ductus deferens
Ejaculatory duct
P Vas Deferens, Left :
See N Vas Deferens, Right
Q Vas Deferens, Bilateral :
See N Vas Deferens, Right
5 Scrotum : 0 Open 7 Autologous Tissue Substitute Z No Qualifier
S Penis : 4 Percutaneous Endoscopic J Synthetic Substitute
Corpus cavernosum X External K Nonautologous Tissue Substitute
Corpus spongiosum
T Prepuce :
Foreskin
Glans penis
9 Testis, Right : 0 Open 7 Autologous Tissue Substitute Z No Qualifier
B Testis, Left : J Synthetic Substitute
C Testes, Bilateral : K Nonautologous Tissue Substitute
Non-OR 0VUSX[7,J,K]Z : All body part, approach, device, and qualifier values

0VU–0VU

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 647
 0VW–0VX Male Reproductive System ICD-10-PCS 2019
Male Reproductive System

0 Medical and Surgical

V Male Reproductive System 0VW
W Revision Definition: Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device
Explanation: Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as
a screw or pin
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
4 Prostate and Seminal Vesicles : 0 Open 0 Drainage Device Z No Qualifier
8 Scrotum and Tunica Vaginalis : 3 Percutaneous 3 Infusion Device
D Testis : 4 Percutaneous Endoscopic 7 Autologous Tissue Substitute
S Penis : 7 Via Natural or Artificial Opening J Synthetic Substitute
Corpus cavernosum 8 Via Natural or Artificial Opening K Nonautologous Tissue Substitute
Corpus spongiosum Endoscopic Y Other Device
4 Prostate and Seminal Vesicles : X External 0 Drainage Device Z No Qualifier
8 Scrotum and Tunica Vaginalis : 3 Infusion Device
D Testis : 7 Autologous Tissue Substitute
S Penis : J Synthetic Substitute
Corpus cavernosum K Nonautologous Tissue Substitute
Corpus spongiosum
M Epididymis and Spermatic Cord : 0 Open 0 Drainage Device Z No Qualifier
3 Percutaneous 3 Infusion Device
4 Percutaneous Endoscopic 7 Autologous Tissue Substitute
7 Via Natural or Artificial Opening C Extraluminal Device
8 Via Natural or Artificial Opening J Synthetic Substitute
Endoscopic K Nonautologous Tissue Substitute
Y Other Device
M Epididymis and Spermatic Cord : X External 0 Drainage Device Z No Qualifier
3 Infusion Device
7 Autologous Tissue Substitute
C Extraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
R Vas Deferens : 0 Open 0 Drainage Device Z No Qualifier
Ductus deferens 3 Percutaneous 3 Infusion Device
Ejaculatory duct 4 Percutaneous Endoscopic 7 Autologous Tissue Substitute
7 Via Natural or Artificial Opening C Extraluminal Device
8 Via Natural or Artificial Opening D Intraluminal Device
Endoscopic J Synthetic Substitute
K Nonautologous Tissue Substitute
Y Other Device
R Vas Deferens : X External 0 Drainage Device Z No Qualifier
Ductus deferens 3 Infusion Device
Ejaculatory duct 7 Autologous Tissue Substitute
C Extraluminal Device
D Intraluminal Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
Non-OR 0VW[4,D,S][3,4,7,8]YZ Non-OR 0VWMX[0,3,7,C,J,K]Z
Non-OR 0VW8[0,3,4,7,8][0,3,7,J,K,Y]Z Non-OR 0VWR[0,3,4,7,8][0,3,7,C,D,J,K,Y]Z
Non-OR 0VW[4,8,D,S]X[0,3,7,J,K]Z Non-OR 0VWRX[0,3,7,C,D,J,K]Z
Non-OR 0VWM[3,4,7,8]YZ : All body part, approach, device, and qualifier values

0 Medical and Surgical

V Male Reproductive System 0VX
X Transfer Definition: Moving, without taking out, all or a portion of a body part to another location to take over the function of all or a portion of a body
part
Explanation: The body part transferred remains connected to its vascular and nervous supply
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
T Prepuce : 0 Open Z No Device D Urethra
Foreskin X External S Penis
Glans penis
: All body part, approach, device, and qualifier values
0VW–0VX

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
648 ICD-10-PCS 2019
ICD-10-PCS 2019 Anatomical Regions, General

Anatomical Regions, General

Anatomical Regions, General 0W0–0WY
Character Meanings
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.

Operation–Character 3 Body Region–Character 4 Approach–Character 5 Device–Character 6 Qualifier–Character 7

0 Alteration 0 Head 0 Open 0 Drainage Device 0 Vagina
OR
Allogeneic
1 Bypass 1 Cranial Cavity 3 Percutaneous 1 Radioactive Element 1 Penis
OR
Syngeneic
2 Change 2 Face 4 Percutaneous Endoscopic 3 Infusion Device 2 Stoma
3 Control 3 Oral Cavity and Throat 7 Via Natural or Artificial 7 Autologous Tissue 4 Cutaneous
Opening Substitute
4 Creation 4 Upper Jaw 8 Via Natural or Artificial J Synthetic Substitute 9 Pleural Cavity, Right
Opening Endoscopic
8 Division 5 Lower Jaw X External K Nonautologous Tissue B Pleural Cavity, Left
Substitute
9 Drainage 6 Neck Y Other Device G Peritoneal Cavity
B Excision 8 Chest Wall Z No Device J Pelvic Cavity
C Extirpation 9 Pleural Cavity, Right W Upper Vein
F Fragmentation B Pleural Cavity, Left X Diagnostic
H Insertion C Mediastinum Y Lower Vein
J Inspection D Pericardial Cavity Z No Qualifier
M Reattachment F Abdominal Wall
P Removal G Peritoneal Cavity
Q Repair H Retroperitoneum
U Supplement J Pelvic Cavity
W Revision K Upper Back
Y Transplantation L Lower Back
M Perineum, Male
N Perineum, Female
P Gastrointestinal Tract
Q Respiratory Tract
R Genitourinary Tract

AHA Coding Clinic for table 0W0 AHA Coding Clinic for table 0WH
2015, 1Q, 31 Bilateral browpexy 2018, 1Q, 25 Intrauterine brachytherapy & placement of tandems & ovoids
AHA Coding Clinic for table 0W1 2017, 4Q, 104 Intrauterine brachytherapy & placement of tandems & ovoids
2016, 2Q, 14 Insertion of peritoneal totally implantable venous access device
2015, 2Q, 36 Insertion of infusion device into peritoneal cavity
2015, 2Q, 36 Insertion of infusion device into peritoneal cavity
2013, 4Q, 126-127 Creation of percutaneous cutaneoperitoneal fistula
AHA Coding Clinic for table 0W3 AHA Coding Clinic for table 0WJ
2016, 4Q, 58 Longitudinal vaginal septum
2018, 1Q, 19 Argon plasma coagulation of duodenal arteriovenous malformation
2013, 2Q, 36 Insertion of ventriculoperitoneal shunt with laparoscopic assistance
2018, 1Q, 19 Control of epistaxis via silver nitrate cauterization
2017, 4Q, 57-58 Added approach values - Transorifice esophageal vein banding AHA Coding Clinic for table 0WQ
2017, 4Q, 105 Control of gastrointestinal bleeding 2017, 4Q, 106 Control of bleeding of external naris using suture
2017, 4Q, 106 Control of bleeding of external naris using suture 2017, 3Q, 8 Removal of silo and closure of gastroschisis
2017, 4Q, 106 Nasal packing for epistaxis 2016, 3Q, 3-7 Stoma creation & takedown procedures
2016, 4Q, 99-100 Root operation Control 2014, 4Q, 38 Abdominoplasty and abdominal wall plication for hernia repair
2014, 4Q, 44 Bakri balloon for control of postpartum hemorrhage 2014, 3Q, 28 Ileostomy takedown and parastomal hernia repair
2013, 3Q, 23 Control of intraoperative bleeding AHA Coding Clinic for table 0WU
AHA Coding Clinic for table 0W4 2017, 3Q, 8 First stage of gastroschisis repair with silo placement
2016, 4Q, 101 Root operation Creation 2016, 3Q, 40 Omentoplasty
AHA Coding Clinic for table 0W9 2015, 2Q, 29 Placement of Ioban™ antimicrobial drape over surgical wound
2014, 4Q, 39 Abdominal component release with placement of mesh for hernia repair
2017, 3Q, 12 Therapeutic and diagnostic paracentesis
2012, 4Q, 101 Rib resection with reconstruction of anterior chest wall
2017, 2Q, 16 Incision and drainage of floor of mouth
AHA Coding Clinic for table 0WB AHA Coding Clinic for table 0WW
2015, 2Q, 9 Revision of ventriculoperitoneal (VP) shunt
2017, 2Q, 16 Excision of floor of mouth
2016, 1Q, 21 Excision of urachal mass AHA Coding Clinic for table 0WY
2013, 4Q, 119 Excision of inclusion cyst of perineum 2016, 4Q, 112-113 Transplantation
AHA Coding Clinic for table 0WC
2017, 2Q, 16 Excision of floor of mouth

ICD-10-PCS 2019 649

 0W0–0W2 Anatomical Regions, General ICD-10-PCS 2019
Anatomical Regions, General

0 Medical and Surgical

W Anatomical Regions, General 0W0
0 Alteration Definition: Modifying the anatomic structure of a body part without affecting the function of the body part
Explanation: Principal purpose is to improve appearance
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Head 0 Open 7 Autologous Tissue Substitute Z No Qualifier
2 Face 3 Percutaneous J Synthetic Substitute
4 Upper Jaw 4 Percutaneous Endoscopic K Nonautologous Tissue Substitute
5 Lower Jaw Z No Device
6 Neck
8 Chest Wall
F Abdominal Wall
K Upper Back
L Lower Back
M Perineum, Male :
N Perineum, Female ;
: 0W0M[0,3,4][7,J,K,Z]Z
; 0W0N[0,3,4][7,J,K,Z]Z

0 Medical and Surgical

W Anatomical Regions, General 0W1
1 Bypass Definition: Altering the route of passage of the contents of a tubular body part
Explanation: Rerouting contents of a body part to a downstream area of the normal route, to a similar route and body part, or to an abnormal
route and dissimilar body part. Includes one or more anastomoses, with or without the use of a device.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Cranial Cavity 0 Open J Synthetic Substitute 9 Pleural Cavity, Right
B Pleural Cavity, Left
G Peritoneal Cavity
J Pelvic Cavity
9 Pleural Cavity, Right 0 Open J Synthetic Substitute 4 Cutaneous
B Pleural Cavity, Left 3 Percutaneous 9 Pleural Cavity, Right
G Peritoneal Cavity 4 Percutaneous Endoscopic B Pleural Cavity, Left
J Pelvic Cavity G Peritoneal Cavity
Retropubic space J Pelvic Cavity
W Upper Vein
Y Lower Vein
Non-OR 0W1[9,B][0,4]J[4,G,Y] Non-OR 0W1J[0,4]J[4,Y]
Non-OR 0W1G[0,4]J[9,B,G,J] Non-OR 0W1[9,B,J]3J4

0 Medical and Surgical

W Anatomical Regions, General 0W2
2 Change Definition: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without
cutting or puncturing the skin or a mucous membrane
Explanation: All CHANGE procedures are coded using the approach EXTERNAL
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Head X External 0 Drainage Device Z No Qualifier
1 Cranial Cavity Y Other Device
2 Face
4 Upper Jaw
5 Lower Jaw
6 Neck
8 Chest Wall
9 Pleural Cavity, Right
B Pleural Cavity, Left
C Mediastinum
Mediastinal cavity
Mediastinal space
D Pericardial Cavity
F Abdominal Wall
G Peritoneal Cavity
H Retroperitoneum
Retroperitoneal cavity
Retroperitoneal space
J Pelvic Cavity
Retropubic space
K Upper Back
L Lower Back
M Perineum, Male :
N Perineum, Female ;
0W0–0W2

Non-OR All body part, approach, device, and qualifier values : 0W2MX[0,Y]Z
; 0W2NX[0,Y]Z

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
650 ICD-10-PCS 2019
ICD-10-PCS 2019 Anatomical Regions, General 0W3–0W8

Anatomical Regions, General

0 Medical and Surgical
W Anatomical Regions, General 0W3
3 Control Definition: Stopping, or attempting to stop, postprocedural or other acute bleeding
Explanation: The site of the bleeding is coded as an anatomical region and not to a specific body part
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Head 0 Open Z No Device Z No Qualifier
1 Cranial Cavity 3 Percutaneous
2 Face 4 Percutaneous Endoscopic
4 Upper Jaw
5 Lower Jaw
6 Neck
8 Chest Wall
9 Pleural Cavity, Right
B Pleural Cavity, Left
C Mediastinum
Mediastinal cavity
Mediastinal space
D Pericardial Cavity
F Abdominal Wall
G Peritoneal Cavity
H Retroperitoneum
Retroperitoneal cavity
Retroperitoneal space
J Pelvic Cavity
Retropubic space
K Upper Back
L Lower Back
M Perineum, Male :
N Perineum, Female ;
3 Oral Cavity and Throat 0 Open Z No Device Z No Qualifier
3 Percutaneous
4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
X External
P Gastrointestinal Tract 0 Open Z No Device Z No Qualifier
Q Respiratory Tract 3 Percutaneous
R Genitourinary Tract 4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
Non-OR 0W3G0ZZ : 0W3M[0,3,4]ZZ
Non-OR 0W3P8ZZ ; 0W3N[0,3,4]ZZ

0 Medical and Surgical

W Anatomical Regions, General 0W4
4 Creation Definition: Putting in or on biological or synthetic material to form a new body part that to the extent possible replicates the anatomic
structure or function of an absent body part
Explanation: Used for gender reassignment surgery and corrective procedures in individuals with congenital anomalies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
M Perineum, Male : 0 Open 7 Autologous Tissue Substitute 0 Vagina
J Synthetic Substitute
K Nonautologous Tissue Substitute
N Perineum, Female ; 0 Open 7 Autologous Tissue Substitute 1 Penis
J Synthetic Substitute
K Nonautologous Tissue Substitute
: 0W4M0[7,J,K]0
; 0W4N0[7,J,K]1

0 Medical and Surgical

W Anatomical Regions, General 0W8
8 Division Definition: Cutting into a body part, without draining fluids and/or gases from the body part, in order to separate or transect a body part
Explanation: All or a portion of the body part is separated into two or more portions
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
N Perineum, Female ; X External Z No Device Z No Qualifier
0W3–0W8

Non-OR 0W8NXZZ ; 0W8NXZZ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 651
 0W9–0W9 Anatomical Regions, General ICD-10-PCS 2019
Anatomical Regions, General

0 Medical and Surgical

W Anatomical Regions, General 0W9
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Head 0 Open 0 Drainage Device Z No Qualifier
1 Cranial Cavity 3 Percutaneous
2 Face 4 Percutaneous Endoscopic
3 Oral Cavity and Throat
4 Upper Jaw
5 Lower Jaw
6 Neck
8 Chest Wall
9 Pleural Cavity, Right
B Pleural Cavity, Left
C Mediastinum
Mediastinal cavity
Mediastinal space
D Pericardial Cavity
F Abdominal Wall
G Peritoneal Cavity
H Retroperitoneum
Retroperitoneal cavity
Retroperitoneal space
J Pelvic Cavity
Retropubic space
K Upper Back
L Lower Back
M Perineum, Male :
N Perineum, Female ;
0 Head 0 Open Z No Device X Diagnostic
1 Cranial Cavity 3 Percutaneous Z No Qualifier
2 Face 4 Percutaneous Endoscopic
3 Oral Cavity and Throat
4 Upper Jaw
5 Lower Jaw
6 Neck
8 Chest Wall
9 Pleural Cavity, Right
B Pleural Cavity, Left
C Mediastinum
Mediastinal cavity
Mediastinal space
D Pericardial Cavity
F Abdominal Wall
G Peritoneal Cavity
H Retroperitoneum
Retroperitoneal cavity
Retroperitoneal space
J Pelvic Cavity
Retropubic space
K Upper Back
L Lower Back
M Perineum, Male :
N Perineum, Female ;
Non-OR 0W9[0,8,9,B,K,L,M]00Z : 0W9M[0,3,4]0Z
Non-OR 0W9[0,1,2,3,4,5,6,8,9,B,C,D,F,G,H,J,K,L,M,N]30Z : 0W9M[0,3,4]Z[X,Z]
Non-OR 0W9[0,1,8,D,F,G,K,L,M]40Z ; 0W9N[0,3,4]0Z
Non-OR 0W9[0,2,3,4,5,6,8,9,B,K,L,M,N]0ZX ; 0W9N[0,3]Z[X,Z]
Non-OR 0W9[0,1,2,3,4,5,6,8,9,B,C,D,G,K,L,M,N]3ZX ; 0W9N4ZZ
Non-OR 0W9[0,1,2,3,4,5,6,8,9,B,C,D,K,L,M,N]4ZX
Non-OR 0W9[0,8,9,B,K,L,M]0ZZ
Non-OR 0W9[0,1,2,3,4,5,6,8,9,B,C,D,F,G,H,J,K,L,M,N]3ZZ
Non-OR 0W9[0,1,8,D,F,G,K,L,M]4ZZ
0W9–0W9

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
652 ICD-10-PCS 2019
ICD-10-PCS 2019 Anatomical Regions, General 0WB–0WC

Anatomical Regions, General

0 Medical and Surgical
W Anatomical Regions, General 0WB
B Excision Definition: Cutting out or off, without replacement, a portion of a body part
Explanation: The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Head 0 Open Z No Device X Diagnostic
2 Face 3 Percutaneous Z No Qualifier
3 Oral Cavity and Throat 4 Percutaneous Endoscopic
4 Upper Jaw X External
5 Lower Jaw
8 Chest Wall
K Upper Back
L Lower Back
M Perineum, Male :
N Perineum, Female ;
6 Neck 0 Open Z No Device X Diagnostic
F Abdominal Wall 3 Percutaneous Z No Qualifier
4 Percutaneous Endoscopic
6 Neck X External Z No Device 2 Stoma
F Abdominal Wall X Diagnostic
Z No Qualifier
C Mediastinum 0 Open Z No Device X Diagnostic
Mediastinal cavity 3 Percutaneous Z No Qualifier
Mediastinal space 4 Percutaneous Endoscopic
H Retroperitoneum
Retroperitoneal cavity
Retroperitoneal space
Non-OR 0WB[0,2,4,5,8,K,L,M][0,3,4,X]ZX : 0WBM[0,3,4,X]Z[X,Z]
Non-OR 0WB6[0,3,4]ZX ; 0WBN[0,3,4,X]Z[X,Z]
Non-OR 0WB6XZX
Non-OR 0WB[C,H][3,4]ZX

0 Medical and Surgical

W Anatomical Regions, General 0WC
C Extirpation Definition: Taking or cutting out solid matter from a body part
Explanation: The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in
the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Cranial Cavity 0 Open Z No Device Z No Qualifier
3 Oral Cavity and Throat 3 Percutaneous
9 Pleural Cavity, Right 4 Percutaneous Endoscopic
B Pleural Cavity, Left X External
C Mediastinum
Mediastinal cavity
Mediastinal space
D Pericardial Cavity
G Peritoneal Cavity
H Retroperitoneum
Retroperitoneal cavity
Retroperitoneal space
J Pelvic Cavity
Retropubic space
P Gastrointestinal Tract 0 Open Z No Device Z No Qualifier
Q Respiratory Tract 3 Percutaneous
R Genitourinary Tract 4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
X External
Non-OR 0WC[1,3]XZZ
Non-OR 0WC[9,B][0,3,4,X]ZZ
Non-OR 0WC[C,D,G,H,J]XZZ
Non-OR 0WC[P,R][7,8,X]ZZ
Non-OR 0WCQ[0,3,4,X]ZZ
0WB–0WC

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 653
 0WF–0WH Anatomical Regions, General ICD-10-PCS 2019
Anatomical Regions, General

0 Medical and Surgical

W Anatomical Regions, General 0WF
F Fragmentation Definition: Breaking solid matter in a body part into pieces
Explanation: Physical force (e.g., manual, ultrasonic) applied directly or indirectly is used to break the solid matter into pieces. The solid matter
may be an abnormal byproduct of a biological function or a foreign body. The pieces of solid matter are not taken out.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
1 Cranial Cavity 4 0 Open Z No Device Z No Qualifier
3 Oral Cavity and Throat 4 3 Percutaneous
9 Pleural Cavity, Right 4 4 Percutaneous Endoscopic
B Pleural Cavity, Left 4 X External
C Mediastinum 4
Mediastinal cavity
Mediastinal space
D Pericardial Cavity
G Peritoneal Cavity 4
J Pelvic Cavity 4
Retropubic space
P Gastrointestinal Tract 4 0 Open Z No Device Z No Qualifier
Q Respiratory Tract 4 3 Percutaneous
R Genitourinary Tract 4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
X External
DRG Non-OR 0WFRXZZ 4 0WF[1,3,9,B,C,G,J]XZZ
Non-OR 0WF[1,3,9,B,C,G]XZZ 4 0WF[P,Q]XZZ
Non-OR 0WFJ[0,3,4,X]ZZ
Non-OR 0WFP[0,3,4,7,8,X]ZZ
Non-OR 0WFQXZZ
Non-OR 0WFR[0,3,4,7,8]ZZ

0 Medical and Surgical

W Anatomical Regions, General 0WH
H Insertion Definition: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically
take the place of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Head 0 Open 1 Radioactive Element Z No Qualifier
1 Cranial Cavity 3 Percutaneous 3 Infusion Device
2 Face 4 Percutaneous Endoscopic Y Other Device
3 Oral Cavity and Throat
4 Upper Jaw
5 Lower Jaw
6 Neck
8 Chest Wall
9 Pleural Cavity, Right
B Pleural Cavity, Left
C Mediastinum
Mediastinal cavity
Mediastinal space
D Pericardial Cavity
F Abdominal Wall
G Peritoneal Cavity
H Retroperitoneum
Retroperitoneal cavity
Retroperitoneal space
J Pelvic Cavity
Retropubic space
K Upper Back
L Lower Back
M Perineum, Male
N Perineum, Female ;
P Gastrointestinal Tract 0 Open 1 Radioactive Element Z No Qualifier
Q Respiratory Tract 3 Percutaneous 3 Infusion Device
R Genitourinary Tract 4 Percutaneous Endoscopic Y Other Device
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
DRG Non-OR 0WH[0,2,4,5,6,K,L,M][0,3,4][3,Y]Z Non-OR 0WHP[3,4,7,8][3,Y]Z
0WF–0WH

Non-OR 0WH1[0,3,4]3Z Non-OR 0WHQ[0,7,8][3,Y]Z

Non-OR 0WH[8,9,B][0,3,4][3,Y]Z Non-OR 0WHR[0,3,4,7,8][3,Y]Z
Non-OR 0WHP0YZ ; 0WHN[0,3,4][3,Y]Z

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
654 ICD-10-PCS 2019
ICD-10-PCS 2019 Anatomical Regions, General 0WJ–0WM

Anatomical Regions, General

0 Medical and Surgical
W Anatomical Regions, General 0WJ
J Inspection Definition: Visually and/or manually exploring a body part
Explanation: Visual exploration may be performed with or without optical instrumentation. Manual exploration may be performed directly or
through intervening body layers.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Head 0 Open Z No Device Z No Qualifier
2 Face 3 Percutaneous
3 Oral Cavity and Throat 4 Percutaneous Endoscopic
4 Upper Jaw X External
5 Lower Jaw
6 Neck
8 Chest Wall
F Abdominal Wall
K Upper Back
L Lower Back
M Perineum, Male :
N Perineum, Female ;
1 Cranial Cavity 0 Open Z No Device Z No Qualifier
9 Pleural Cavity, Right 3 Percutaneous
B Pleural Cavity, Left 4 Percutaneous Endoscopic
C Mediastinum
Mediastinal cavity
Mediastinal space
D Pericardial Cavity
G Peritoneal Cavity
H Retroperitoneum
Retroperitoneal cavity
Retroperitoneal space
J Pelvic Cavity
Retropubic space
P Gastrointestinal Tract 0 Open Z No Device Z No Qualifier
Q Respiratory Tract 3 Percutaneous
R Genitourinary Tract 4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
DRG Non-OR 0WJ[0,2,4,5,K,L]0ZZ : 0WJM[0,3,4,X]ZZ
DRG Non-OR 0WJM[0,4]ZZ ; 0WJN[0,3,4,X]ZZ
Non-OR 0WJ30ZZ
Non-OR 0WJ[0,2,3,4,5,6,8,F,K,L,M,N][3,X]ZZ
Non-OR 0WJ[0,2,3,4,5,K,L]4ZZ
Non-OR 0WJD0ZZ
Non-OR 0WJ[1,9,B,C,D,G,H,J]3ZZ
Non-OR 0WJ[P,Q,R][3,7,8]ZZ

0 Medical and Surgical

W Anatomical Regions, General 0WM
M Reattachment Definition: Putting back in or on all or a portion of a separated body part to its normal location or other suitable location
Explanation: Vascular circulation and nervous pathways may or may not be reestablished
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
2 Face 0 Open Z No Device Z No Qualifier
4 Upper Jaw
5 Lower Jaw
6 Neck
8 Chest Wall
F Abdominal Wall
K Upper Back
L Lower Back
M Perineum, Male :
N Perineum, Female ;
: 0WMM0ZZ
; 0WMN0ZZ
0WJ–0WM

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 655
 0WP–0WP Anatomical Regions, General ICD-10-PCS 2019
Anatomical Regions, General

0 Medical and Surgical

W Anatomical Regions, General 0WP
P Removal Definition: Taking out or off a device from a body part
Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is
coded to the root operation CHANGE. Otherwise, the procedure for taking out the device is coded to the root operation REMOVAL.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Head 0 Open 0 Drainage Device Z No Qualifier
2 Face 3 Percutaneous 1 Radioactive Element
4 Upper Jaw 4 Percutaneous Endoscopic 3 Infusion Device
5 Lower Jaw X External 7 Autologous Tissue Substitute
6 Neck J Synthetic Substitute
8 Chest Wall K Nonautologous Tissue Substitute
C Mediastinum Y Other Device
Mediastinal cavity
Mediastinal space
F Abdominal Wall
K Upper Back
L Lower Back
M Perineum, Male :
N Perineum, Female ;
1 Cranial Cavity 0 Open 0 Drainage Device Z No Qualifier
9 Pleural Cavity, Right 3 Percutaneous 1 Radioactive Element
B Pleural Cavity, Left 4 Percutaneous Endoscopic 3 Infusion Device
G Peritoneal Cavity J Synthetic Substitute
J Pelvic Cavity Y Other Device
Retropubic space
1 Cranial Cavity X External 0 Drainage Device Z No Qualifier
9 Pleural Cavity, Right 1 Radioactive Element
B Pleural Cavity, Left 3 Infusion Device
G Peritoneal Cavity
J Pelvic Cavity
Retropubic space
D Pericardial Cavity 0 Open 0 Drainage Device Z No Qualifier
H Retroperitoneum 3 Percutaneous 1 Radioactive Element
Retroperitoneal cavity 4 Percutaneous Endoscopic 3 Infusion Device
Retroperitoneal space Y Other Device
D Pericardial Cavity X External 0 Drainage Device Z No Qualifier
H Retroperitoneum 1 Radioactive Element
Retroperitoneal cavity 3 Infusion Device
Retroperitoneal space
P Gastrointestinal Tract 0 Open 1 Radioactive Element Z No Qualifier
Q Respiratory Tract 3 Percutaneous 3 Infusion Device
R Genitourinary Tract 4 Percutaneous Endoscopic Y Other Device
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
X External
Non-OR 0WP[0,2,4,5,6,8][0,3,4,X][0,1,3,7,J,K,Y]Z : 0WPM[0,3,4,X][0,1,3,7,J,K,Y]Z
Non-OR 0WP[C,F]X[0,1,3,7,J,K,Y]Z ; 0WPN[0,3,4,X][0,1,3,7,J,K,Y]Z
Non-OR 0WP[K,L][0,3,4,X][0,1,3,7,J,K,Y]Z
Non-OR 0WPM[0,3,4][0,1,3,J,Y]Z
Non-OR 0WPMX[0,1,3,Y]Z
Non-OR 0WPNX[0,1,3,7,J,K,Y]Z
Non-OR 0WP1[0,3,4]3Z
Non-OR 0WP[9,B,J][0,3,4][0,1,3,J,Y]Z
Non-OR 0WP[1,9,B,G,J]X[0,1,3]Z
Non-OR 0WP[D,H]X[0,1,3]Z
Non-OR 0WPP[3,4,7,8,X][1,3,Y]Z
Non-OR 0WPQ73Z
Non-OR 0WPQ8[3,Y]Z
Non-OR 0WPQ[0,X][1,3,Y]Z
Non-OR 0WPR[0,3,4,7,8,X][1,3,Y]Z
0WP–0WP

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
656 ICD-10-PCS 2019
ICD-10-PCS 2019 Anatomical Regions, General 0WQ–0WU

Anatomical Regions, General

0 Medical and Surgical
W Anatomical Regions, General 0WQ
Q Repair Definition: Restoring, to the extent possible, a body part to its normal anatomic structure and function
Explanation: Used only when the method to accomplish the repair is not one of the other root operations
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Head 0 Open Z No Device Z No Qualifier
2 Face 3 Percutaneous
3 Oral Cavity and Throat 4 Percutaneous Endoscopic
4 Upper Jaw X External
5 Lower Jaw
8 Chest Wall
K Upper Back
L Lower Back
M Perineum, Male :
N Perineum, Female ;
6 Neck 0 Open Z No Device Z No Qualifier
F Abdominal Wall 3 Percutaneous
4 Percutaneous Endoscopic
6 Neck X External Z No Device 2 Stoma
F Abdominal Wall ? Z No Qualifier
C Mediastinum 0 Open Z No Device Z No Qualifier
Mediastinal cavity 3 Percutaneous
Mediastinal space 4 Percutaneous Endoscopic
Non-OR 0WQNXZZ See Appendix L for Procedure Combinations
: 0WQM[0,3,4,X]ZZ ? 0WQFXZ[2,Z]
; 0WQN[0,3,4,X]ZZ

0 Medical and Surgical

W Anatomical Regions, General 0WU
U Supplement Definition: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part
Explanation: The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced,
and the SUPPLEMENT procedure is performed to physically reinforce and/or augment the function of the replaced body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Head 0 Open 7 Autologous Tissue Substitute Z No Qualifier
2 Face 4 Percutaneous Endoscopic J Synthetic Substitute
4 Upper Jaw K Nonautologous Tissue Substitute
5 Lower Jaw
6 Neck
8 Chest Wall
C Mediastinum
Mediastinal cavity
Mediastinal space
F Abdominal Wall
K Upper Back
L Lower Back
M Perineum, Male :
N Perineum, Female ;
: 0WUM[0,4][7,J,K]Z
; 0WUN[0,4][7,J,K]Z
0WQ–0WU

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 657
 0WW–0WY Anatomical Regions, General ICD-10-PCS 2019
Anatomical Regions, General

0 Medical and Surgical

W Anatomical Regions, General 0WW
W Revision Definition: Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device
Explanation: Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as
a screw or pin
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Head 0 Open 0 Drainage Device Z No Qualifier
2 Face 3 Percutaneous 1 Radioactive Element
4 Upper Jaw 4 Percutaneous Endoscopic 3 Infusion Device
5 Lower Jaw X External 7 Autologous Tissue Substitute
6 Neck J Synthetic Substitute
8 Chest Wall K Nonautologous Tissue Substitute
C Mediastinum Y Other Device
Mediastinal cavity
Mediastinal space
F Abdominal Wall
K Upper Back
L Lower Back
M Perineum, Male :
N Perineum, Female ;
1 Cranial Cavity 0 Open 0 Drainage Device Z No Qualifier
9 Pleural Cavity, Right 3 Percutaneous 1 Radioactive Element
B Pleural Cavity, Left 4 Percutaneous Endoscopic 3 Infusion Device
G Peritoneal Cavity X External J Synthetic Substitute
J Pelvic Cavity Y Other Device
Retropubic space
D Pericardial Cavity 0 Open 0 Drainage Device Z No Qualifier
H Retroperitoneum 3 Percutaneous 1 Radioactive Element
Retroperitoneal cavity 4 Percutaneous Endoscopic 3 Infusion Device
Retroperitoneal space X External Y Other Device
P Gastrointestinal Tract 0 Open 1 Radioactive Element Z No Qualifier
Q Respiratory Tract 3 Percutaneous 3 Infusion Device
R Genitourinary Tract 4 Percutaneous Endoscopic Y Other Device
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
X External
DRG Non-OR 0WW[0,2,4,5,6,K,L][0,3,4][0,1,3,7,J,K,Y]Z : 0WWM[0,3,4,X][0,1,3,7,K,Y]Z
DRG Non-OR 0WWM[0,3,4][0,1,3,J,Y]Z ; 0WWN[0,3,4,X][0,1,3,7,K,Y]Z
Non-OR 0WW[0,2,4,5,6,C,F,K,L,M,N]X[0,1,3,7,J,K,Y]Z
Non-OR 0WW8[0,3,4,X][0,1,3,7,J,K,Y]Z
Non-OR 0WW[1,G,J]X[0,1,3,J,Y]Z
Non-OR 0WW[9,B][0,3,4,X][0,1,3,J,Y]Z
Non-OR 0WW[D,H]X[0,1,3,Y]Z
Non-OR 0WWP[3,4,7,8,X][1,3,Y]Z
Non-OR 0WWQ[0,X][1,3,Y]Z
Non-OR 0WWR[0,3,4,7,8,X][1,3,Y]Z

0 Medical and Surgical

W Anatomical Regions, General 0WY
Y Transplantation Definition: Putting in or on all or a portion of a living body part taken from another individual or animal to physically take the place and/or
function of all or a portion of a similar body part
Explanation: The native body part may or may not be taken out, and the transplanted body part may take over all or a portion of its function
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
2 Face 0 Open Z No Device 0 Allogeneic
1 Syngeneic
0WW–0WY

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
658 ICD-10-PCS 2019
ICD-10-PCS 2019 Anatomical Regions, Upper Extremities

Anatomical Regions, Upper Extremities

Anatomical Regions, Upper Extremities 0X0–0XY
Character Meanings
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.

Operation–Character 3 Body Part–Character 4 Approach–Character 5 Device–Character 6 Qualifier–Character 7

0 Alteration 0 Forequarter, Right 0 Open 0 Drainage Device 0 Complete
OR
Allogeneic
2 Change 1 Forequarter, Left 3 Percutaneous 1 Radioactive Element 1 High
OR
Syngeneic
3 Control 2 Shoulder Region, Right 4 Percutaneous Endoscopic 3 Infusion Device 2 Mid
6 Detachment 3 Shoulder Region, Left X External 7 Autologous Tissue Substitute 3 Low
9 Drainage 4 Axilla, Right J Synthetic Substitute 4 Complete 1st Ray
B Excision 5 Axilla, Left K Nonautologous Tissue 5 Complete 2nd Ray
Substitute
H Insertion 6 Upper Extremity, Right Y Other Device 6 Complete 3rd Ray
J Inspection 7 Upper Extremity, Left Z No Device 7 Complete 4th Ray
M Reattachment 8 Upper Arm, Right 8 Complete 5th Ray
P Removal 9 Upper Arm, Left 9 Partial 1st Ray
Q Repair B Elbow Region, Right B Partial 2nd Ray
R Replacement C Elbow Region, Left C Partial 3rd Ray
U Supplement D Lower Arm, Right D Partial 4th Ray
W Revision F Lower Arm, Left F Partial 5th Ray
X Transfer G Wrist Region, Right L Thumb, Right
Y Transplantation H Wrist Region, Left M Thumb, Left
J Hand, Right N Toe, Right
K Hand, Left P Toe, Left
L Thumb, Right X Diagnostic
M Thumb, Left Z No Qualifier
N Index Finger, Right
P Index Finger, Left
Q Middle Finger, Right
R Middle Finger, Left
S Ring Finger, Right
T Ring Finger, Left
V Little Finger, Right
W Little Finger, Left

AHA Coding Clinic for table 0X3 AHA Coding Clinic for table 0XH
2016, 4Q, 99 Root operation Control 2017, 2Q, 20 Exchange of intramedullary antibiotic impregnated spacer
2015, 1Q, 35 Evacuation of hematoma for control of postprocedural bleeding
AHA Coding Clinic for table 0XP
2013, 3Q, 23 Control of intraoperative bleeding
2017, 2Q, 20 Exchange of intramedullary antibiotic impregnated spacer
AHA Coding Clinic for table 0X6 AHA Coding Clinic for table 0XY
2017, 2Q, 3-4 Qualifiers for the root operation detachment
2016, 4Q, 112-113 Transplantation
2017, 2Q, 18 Removal of polydactyl digits
2017, 1Q, 52 Further distal phalangeal amputation
2016, 3Q, 33 Traumatic amputation of fingers with further revision amputation

ICD-10-PCS 2019 659

 Anatomical Regions, Upper Extremities ICD-10-PCS 2019
Anatomical Regions, Upper Extremities

Detachment Qualifier Descriptions

Qualifier Definition Upper Arm Lower Arm
1 High: Amputation at the proximal portion of the shaft of the: Humerus Radius/Ulna
2 Mid: Amputation at the middle portion of the shaft of the: Humerus Radius/Ulna
3 Low: Amputation at the distal portion of the shaft of the: Humerus Radius/Ulna

Qualifier Definition Hand

0 Complete 1st through 5th Rays Through carpo-metacarpal joint, Wrist
Ray: digit of hand or foot with corresponding metacarpus or metatarsus
4 Complete 1st Ray Through carpo-metacarpal joint, Thumb
5 Complete 2nd Ray Through carpo-metacarpal joint, Index Finger
6 Complete 3rd Ray Through carpo-metacarpal joint, Middle Finger
7 Complete 4th Ray Through carpo-metacarpal joint, Ring Finger
8 Complete 5th Ray Through carpo-metacarpal joint, Little Finger
9 Partial 1st Ray Anywhere along shaft or head of metacarpal bone, Thumb
B Partial 2nd Ray Anywhere along shaft or head of metacarpal bone, Index Finger
C Partial 3rd Ray Anywhere along shaft or head of metacarpal bone, Middle Finger
D Partial 4th Ray Anywhere along shaft or head of metacarpal bone, Ring Finger
F Partial 5th Ray Anywhere along shaft or head of metacarpal bone, Little Finger

Qualifier Definition Thumb/Finger

0 Complete At the metacarpophalangeal joint
1 High Anywhere along the proximal phalanx
2 Mid Through the proximal interphalangeal joint or anywhere along the middle phalanx
3 Low Through the distal interphalangeal joint or anywhere along the distal phalanx

660 ICD-10-PCS 2019

ICD-10-PCS 2019 Anatomical Regions, Upper Extremities 0X0–0X3

Anatomical Regions, Upper Extremities

0 Medical and Surgical
X Anatomical Regions, Upper Extremities 0X0
0 Alteration Definition: Modifying the anatomic structure of a body part without affecting the function of the body part
Explanation: Principal purpose is to improve appearance
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
2 Shoulder Region, Right 0 Open 7 Autologous Tissue Substitute Z No Qualifier
3 Shoulder Region, Left 3 Percutaneous J Synthetic Substitute
4 Axilla, Right 4 Percutaneous Endoscopic K Nonautologous Tissue Substitute
5 Axilla, Left Z No Device
6 Upper Extremity, Right
7 Upper Extremity, Left
8 Upper Arm, Right
9 Upper Arm, Left
B Elbow Region, Right
C Elbow Region, Left
D Lower Arm, Right
F Lower Arm, Left
G Wrist Region, Right
H Wrist Region, Left

0 Medical and Surgical

X Anatomical Regions, Upper Extremities 0X2
2 Change Definition: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without
cutting or puncturing the skin or a mucous membrane
Explanation: All CHANGE procedures are coded using the approach EXTERNAL
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
6 Upper Extremity, Right X External 0 Drainage Device Z No Qualifier
7 Upper Extremity, Left Y Other Device
Non-OR All body part, approach, device, and qualifier values

0 Medical and Surgical

X Anatomical Regions, Upper Extremities 0X3
3 Control Definition: Stopping, or attempting to stop, postprocedural or other acute bleeding
Explanation: The site of the bleeding is coded as an anatomical region and not to a specific body part
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
2 Shoulder Region, Right 0 Open Z No Device Z No Qualifier
3 Shoulder Region, Left 3 Percutaneous
4 Axilla, Right 4 Percutaneous Endoscopic
5 Axilla, Left
6 Upper Extremity, Right
7 Upper Extremity, Left
8 Upper Arm, Right
9 Upper Arm, Left
B Elbow Region, Right
C Elbow Region, Left
D Lower Arm, Right
F Lower Arm, Left
G Wrist Region, Right
H Wrist Region, Left
J Hand, Right
K Hand, Left
0X0–0X3

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 661
 0X6–0X6 Anatomical Regions, Upper Extremities ICD-10-PCS 2019
Anatomical Regions, Upper Extremities

0 Medical and Surgical

X Anatomical Regions, Upper Extremities 0X6
6 Detachment Definition: Cutting off all or a portion of the upper or lower extremities
Explanation: The body part value is the site of the detachment, with a qualifier if applicable to further specify the level where the extremity was
detached
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Forequarter, Right 0 Open Z No Device Z No Qualifier
1 Forequarter, Left
2 Shoulder Region, Right
3 Shoulder Region, Left
B Elbow Region, Right
C Elbow Region, Left
8 Upper Arm, Right 0 Open Z No Device 1 High
9 Upper Arm, Left 2 Mid
D Lower Arm, Right 3 Low
F Lower Arm, Left
J Hand, Right 0 Open Z No Device 0 Complete
K Hand, Left 4 Complete 1st Ray
5 Complete 2nd Ray
6 Complete 3rd Ray
7 Complete 4th Ray
8 Complete 5th Ray
9 Partial 1st Ray
B Partial 2nd Ray
C Partial 3rd Ray
D Partial 4th Ray
F Partial 5th Ray
L Thumb, Right 0 Open Z No Device 0 Complete
M Thumb, Left 1 High
N Index Finger, Right 2 Mid
P Index Finger, Left 3 Low
Q Middle Finger, Right
R Middle Finger, Left
S Ring Finger, Right
T Ring Finger, Left
V Little Finger, Right
W Little Finger, Left
0X6–0X6

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
662 ICD-10-PCS 2019
ICD-10-PCS 2019 Anatomical Regions, Upper Extremities 0X9–0XB

Anatomical Regions, Upper Extremities

0 Medical and Surgical
X Anatomical Regions, Upper Extremities 0X9
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
2 Shoulder Region, Right 0 Open 0 Drainage Device Z No Qualifier
3 Shoulder Region, Left 3 Percutaneous
4 Axilla, Right 4 Percutaneous Endoscopic
5 Axilla, Left
6 Upper Extremity, Right
7 Upper Extremity, Left
8 Upper Arm, Right
9 Upper Arm, Left
B Elbow Region, Right
C Elbow Region, Left
D Lower Arm, Right
F Lower Arm, Left
G Wrist Region, Right
H Wrist Region, Left
J Hand, Right
K Hand, Left
2 Shoulder Region, Right 0 Open Z No Device X Diagnostic
3 Shoulder Region, Left 3 Percutaneous Z No Qualifier
4 Axilla, Right 4 Percutaneous Endoscopic
5 Axilla, Left
6 Upper Extremity, Right
7 Upper Extremity, Left
8 Upper Arm, Right
9 Upper Arm, Left
B Elbow Region, Right
C Elbow Region, Left
D Lower Arm, Right
F Lower Arm, Left
G Wrist Region, Right
H Wrist Region, Left
J Hand, Right
K Hand, Left
Non-OR All body part, approach, device, and qualifier values

0 Medical and Surgical

X Anatomical Regions, Upper Extremities 0XB
B Excision Definition: Cutting out or off, without replacement, a portion of a body part
Explanation: The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
2 Shoulder Region, Right 0 Open Z No Device X Diagnostic
3 Shoulder Region, Left 3 Percutaneous Z No Qualifier
4 Axilla, Right 4 Percutaneous Endoscopic
5 Axilla, Left
6 Upper Extremity, Right
7 Upper Extremity, Left
8 Upper Arm, Right
9 Upper Arm, Left
B Elbow Region, Right
C Elbow Region, Left
D Lower Arm, Right
F Lower Arm, Left
G Wrist Region, Right
H Wrist Region, Left
J Hand, Right
K Hand, Left
Non-OR 0XB[2,3,4,5,6,7,8,9,B,C,D,F,G,H,J,K][0,3,4]ZX
0X9–0XB

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 663
 0XH–0XJ Anatomical Regions, Upper Extremities ICD-10-PCS 2019
Anatomical Regions, Upper Extremities

0 Medical and Surgical

X Anatomical Regions, Upper Extremities 0XH
H Insertion Definition: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically
take the place of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
2 Shoulder Region, Right 0 Open 1 Radioactive Element Z No Qualifier
3 Shoulder Region, Left 3 Percutaneous 3 Infusion Device
4 Axilla, Right 4 Percutaneous Endoscopic Y Other Device
5 Axilla, Left
6 Upper Extremity, Right
7 Upper Extremity, Left
8 Upper Arm, Right
9 Upper Arm, Left
B Elbow Region, Right
C Elbow Region, Left
D Lower Arm, Right
F Lower Arm, Left
G Wrist Region, Right
H Wrist Region, Left
J Hand, Right
K Hand, Left
DRG Non-OR 0XH[2,3,4,5,6,7,8,9,B,C,D,F,G,H,J,K][0,3,4][3,Y]Z

0 Medical and Surgical

X Anatomical Regions, Upper Extremities 0XJ
J Inspection Definition: Visually and/or manually exploring a body part
Explanation: Visual exploration may be performed with or without optical instrumentation. Manual exploration may be performed directly or
through intervening body layers.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
2 Shoulder Region, Right 0 Open Z No Device Z No Qualifier
3 Shoulder Region, Left 3 Percutaneous
4 Axilla, Right 4 Percutaneous Endoscopic
5 Axilla, Left X External
6 Upper Extremity, Right
7 Upper Extremity, Left
8 Upper Arm, Right
9 Upper Arm, Left
B Elbow Region, Right
C Elbow Region, Left
D Lower Arm, Right
F Lower Arm, Left
G Wrist Region, Right
H Wrist Region, Left
J Hand, Right
K Hand, Left
DRG Non-OR 0XJ[2,3,4,5,6,7,8,9,B,C,D,F,G,H,J,K]0ZZ
Non-OR 0XJ[2,3,4,5,6,7,8,9,B,C,D,F,G,H][3,4,X]ZZ
Non-OR 0XJ[J,K][3,X]ZZ
0XH–0XJ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
664 ICD-10-PCS 2019
ICD-10-PCS 2019 Anatomical Regions, Upper Extremities 0XM–0XP

Anatomical Regions, Upper Extremities

0 Medical and Surgical
X Anatomical Regions, Upper Extremities 0XM
M Reattachment Definition: Putting back in or on all or a portion of a separated body part to its normal location or other suitable location
Explanation: Vascular circulation and nervous pathways may or may not be reestablished
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Forequarter, Right 0 Open Z No Device Z No Qualifier
1 Forequarter, Left
2 Shoulder Region, Right
3 Shoulder Region, Left
4 Axilla, Right
5 Axilla, Left
6 Upper Extremity, Right
7 Upper Extremity, Left
8 Upper Arm, Right
9 Upper Arm, Left
B Elbow Region, Right
C Elbow Region, Left
D Lower Arm, Right
F Lower Arm, Left
G Wrist Region, Right
H Wrist Region, Left
J Hand, Right
K Hand, Left
L Thumb, Right
M Thumb, Left
N Index Finger, Right
P Index Finger, Left
Q Middle Finger, Right
R Middle Finger, Left
S Ring Finger, Right
T Ring Finger, Left
V Little Finger, Right
W Little Finger, Left

0 Medical and Surgical

X Anatomical Regions, Upper Extremities 0XP
P Removal Definition: Taking out or off a device from a body part
Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is
coded to the root operation CHANGE. Otherwise, the procedure for taking out the device is coded to the root operation REMOVAL.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
6 Upper Extremity, Right 0 Open 0 Drainage Device Z No Qualifier
7 Upper Extremity, Left 3 Percutaneous 1 Radioactive Element
4 Percutaneous Endoscopic 3 Infusion Device
X External 7 Autologous Tissue Substitute
J Synthetic Substitute
K Nonautologous Tissue Substitute
Y Other Device
Non-OR All body part, approach, device, and qualifier values
0XM–0XP

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 665
 0XQ–0XR Anatomical Regions, Upper Extremities ICD-10-PCS 2019
Anatomical Regions, Upper Extremities

0 Medical and Surgical

X Anatomical Regions, Upper Extremities 0XQ
Q Repair Definition: Restoring, to the extent possible, a body part to its normal anatomic structure and function
Explanation: Used only when the method to accomplish the repair is not one of the other root operations
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
2 Shoulder Region, Right 0 Open Z No Device Z No Qualifier
3 Shoulder Region, Left 3 Percutaneous
4 Axilla, Right 4 Percutaneous Endoscopic
5 Axilla, Left X External
6 Upper Extremity, Right
7 Upper Extremity, Left
8 Upper Arm, Right
9 Upper Arm, Left
B Elbow Region, Right
C Elbow Region, Left
D Lower Arm, Right
F Lower Arm, Left
G Wrist Region, Right
H Wrist Region, Left
J Hand, Right
K Hand, Left
L Thumb, Right
M Thumb, Left
N Index Finger, Right
P Index Finger, Left
Q Middle Finger, Right
R Middle Finger, Left
S Ring Finger, Right
T Ring Finger, Left
V Little Finger, Right
W Little Finger, Left

0 Medical and Surgical

X Anatomical Regions, Upper Extremities 0XR
R Replacement Definition: Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part
Explanation: The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during
the REPLACEMENT procedure. A REMOVAL procedure is coded for taking out the device used in a previous replacement procedure.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
L Thumb, Right 0 Open 7 Autologous Tissue Substitute N Toe, Right
M Thumb, Left 4 Percutaneous Endoscopic P Toe, Left
0XQ–0XR

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
666 ICD-10-PCS 2019
ICD-10-PCS 2019 Anatomical Regions, Upper Extremities 0XU–0XY

Anatomical Regions, Upper Extremities

0 Medical and Surgical
X Anatomical Regions, Upper Extremities 0XU
U Supplement Definition: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part
Explanation: The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced,
and the SUPPLEMENT procedure is performed to physically reinforce and/or augment the function of the replaced body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
2 Shoulder Region, Right 0 Open 7 Autologous Tissue Substitute Z No Qualifier
3 Shoulder Region, Left 4 Percutaneous Endoscopic J Synthetic Substitute
4 Axilla, Right K Nonautologous Tissue Substitute
5 Axilla, Left
6 Upper Extremity, Right
7 Upper Extremity, Left
8 Upper Arm, Right
9 Upper Arm, Left
B Elbow Region, Right
C Elbow Region, Left
D Lower Arm, Right
F Lower Arm, Left
G Wrist Region, Right
H Wrist Region, Left
J Hand, Right
K Hand, Left
L Thumb, Right
M Thumb, Left
N Index Finger, Right
P Index Finger, Left
Q Middle Finger, Right
R Middle Finger, Left
S Ring Finger, Right
T Ring Finger, Left
V Little Finger, Right
W Little Finger, Left

0 Medical and Surgical

X Anatomical Regions, Upper Extremities 0XW
W Revision Definition: Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device
Explanation: Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as
a screw or pin
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
6 Upper Extremity, Right 0 Open 0 Drainage Device Z No Qualifier
7 Upper Extremity, Left 3 Percutaneous 3 Infusion Device
4 Percutaneous Endoscopic 7 Autologous Tissue Substitute
X External J Synthetic Substitute
K Nonautologous Tissue Substitute
Y Other Device
DRG Non-OR 0XW[6,7][0,3,4][0,3,7,J,K,Y]Z
Non-OR 0XW[6,7]X[0,3,7,J,K,Y]Z

0 Medical and Surgical

X Anatomical Regions, Upper Extremities 0XX
X Transfer Definition: Moving, without taking out, all or a portion of a body part to another location to take over the function of all or a portion of a body
part
Explanation: The body part transferred remains connected to its vascular and nervous supply
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
N Index Finger, Right 0 Open Z No Device L Thumb, Right
P Index Finger, Left 0 Open Z No Device M Thumb, Left

0 Medical and Surgical

X Anatomical Regions, Upper Extremities 0XY
Y Transplantation Definition: Putting in or on all or a portion of a living body part taken from another individual or animal to physically take the place and/or
function of all or a portion of a similar body part
Explanation: The native body part may or may not be taken out, and the transplanted body part may take over all or a portion of its function
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
J Hand, Right 0 Open Z No Device 0 Allogeneic
K Hand, Left 1 Syngeneic
0XU–0XY

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 667
ICD-10-PCS 2019 Anatomical Regions, Lower Extremities

Anatomical Regions, Lower Extremities

Anatomical Regions, Lower Extremities 0Y0–0YW
Character Meanings
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.

Operation–Character 3 Body Part–Character 4 Approach–Character 5 Device–Character 6 Qualifier–Character 7

0 Alteration 0 Buttock, Right 0 Open 0 Drainage Device 0 Complete
2 Change 1 Buttock, Left 3 Percutaneous 1 Radioactive Element 1 High
3 Control 2 Hindquarter, Right 4 Percutaneous Endoscopic 3 Infusion Device 2 Mid
6 Detachment 3 Hindquarter, Left X External 7 Autologous Tissue 3 Low
Substitute
9 Drainage 4 Hindquarter, Bilateral J Synthetic Substitute 4 Complete 1st Ray
B Excision 5 Inguinal Region, Right K Nonautologous Tissue 5 Complete 2nd Ray
Substitute
H Insertion 6 Inguinal Region, Left Y Other Device 6 Complete 3rd Ray
J Inspection 7 Femoral Region, Right Z No Device 7 Complete 4th Ray
M Reattachment 8 Femoral Region, Left 8 Complete 5th Ray
P Removal 9 Lower Extremity, Right 9 Partial 1st Ray
Q Repair A Inguinal Region, Bilateral B Partial 2nd Ray
U Supplement B Lower Extremity, Left C Partial 3rd Ray
W Revision C Upper Leg, Right D Partial 4th Ray
D Upper Leg, Left F Partial 5th Ray
E Femoral Region, Bilateral X Diagnostic
F Knee Region, Right Z No Qualifier
G Knee Region, Left
H Lower Leg, Right
J Lower Leg, Left
K Ankle Region, Right
L Ankle Region, Left
M Foot, Right
N Foot, Left
P 1st Toe, Right
Q 1st Toe, Left
R 2nd Toe, Right
S 2nd Toe, Left
T 3rd Toe, Right
U 3rd Toe, Left
V 4th Toe, Right
W 4th Toe, Left
X 5th Toe, Right
Y 5th Toe, Left

AHA Coding Clinic for table 0Y3

2016, 4Q, 99 Root operation Control
2013, 3Q, 23 Control of intraoperative bleeding
AHA Coding Clinic for table 0Y6
2017, 2Q, 3-4 Qualifiers for the root operation detachment
2017, 1Q, 22 Chopart amputation of foot
2015, 2Q, 28 Partial amputation of hallux at interphalangeal Joint
2015, 1Q, 28 Mid-foot amputation
AHA Coding Clinic for table 0Y9
2015, 1Q, 22 Incision and drainage of abscess of femoropopliteal bypass site
2015, 1Q, 22 Incision and drainage of groin abscess

ICD-10-PCS 2019 669

 Anatomical Regions, Lower Extremities ICD-10-PCS 2019
Anatomical Regions, Lower Extremities

Detachment Qualifier Descriptions

Qualifier Definition Upper Leg Lower Leg
1 High: Amputation at the proximal portion of the shaft of the: Femur Tibia/Fibula
2 Mid: Amputation at the middle portion of the shaft of the: Femur Tibia/Fibula
3 Low: Amputation at the distal portion of the shaft of the: Femur Tibia/Fibula

Qualifier Definition Foot

0 Complete 1st through 5th Rays Through tarso-metatarsal Joint, Ankle
Ray: digit of hand or foot with corresponding metacarpus or metatarsus
4 Complete 1st Ray Through tarso-metatarsal joint, Great Toe
5 Complete 2nd Ray Through tarso-metatarsal joint, 2nd Toe
6 Complete 3rd Ray Through tarso-metatarsal joint, 3rd Toe
7 Complete 4th Ray Through tarso-metatarsal joint, 4th Toe
8 Complete 5th Ray Through tarso-metatarsal joint, Little Toe
9 Partial 1st Ray Anywhere along shaft or head of metatarsal bone, Great Toe
B Partial 2nd Ray Anywhere along shaft or head of metatarsal bone, 2nd Toe
C Partial 3rd Ray Anywhere along shaft or head of metatarsal bone, 3rd Toe
D Partial 4th Ray Anywhere along shaft or head of metatarsal bone, 4th Toe
F Partial 5th Ray Anywhere along shaft or head of metatarsal bone, Little Toe

Qualifier Definition Toe

0 Complete At the metatarsal-phalangeal joint
1 High Anywhere along the proximal phalanx
2 Mid Through the proximal interphalangeal joint or anywhere along the middle phalanx
3 Low Through the distal interphalangeal joint or anywhere along the distal phalanx

670 ICD-10-PCS 2019

ICD-10-PCS 2019 Anatomical Regions, Lower Extremities 0Y0–0Y3

Anatomical Regions, Lower Extremities

0 Medical and Surgical
Y Anatomical Regions, Lower Extremities 0Y0
0 Alteration Definition: Modifying the anatomic structure of a body part without affecting the function of the body part
Explanation: Principal purpose is to improve appearance
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Buttock, Right 0 Open 7 Autologous Tissue Substitute Z No Qualifier
1 Buttock, Left 3 Percutaneous J Synthetic Substitute
9 Lower Extremity, Right 4 Percutaneous Endoscopic K Nonautologous Tissue Substitute
B Lower Extremity, Left Z No Device
C Upper Leg, Right
D Upper Leg, Left
F Knee Region, Right
G Knee Region, Left
H Lower Leg, Right
J Lower Leg, Left
K Ankle Region, Right
L Ankle Region, Left

0 Medical and Surgical

Y Anatomical Regions, Lower Extremities 0Y2
2 Change Definition: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without
cutting or puncturing the skin or a mucous membrane
Explanation: All CHANGE procedures are coded using the approach EXTERNAL
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
9 Lower Extremity, Right X External 0 Drainage Device Z No Qualifier
B Lower Extremity, Left Y Other Device
Non-OR All body part, approach, device, and qualifier values

0 Medical and Surgical

Y Anatomical Regions, Lower Extremities 0Y3
3 Control Definition: Stopping, or attempting to stop, postprocedural or other acute bleeding
Explanation: The site of the bleeding is coded as an anatomical region and not to a specific body part
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Buttock, Right 0 Open Z No Device Z No Qualifier
1 Buttock, Left 3 Percutaneous
5 Inguinal Region, Right 4 Percutaneous Endoscopic
Inguinal canal
Inguinal triangle
6 Inguinal Region, Left
See 5 Inguinal Region, Right
7 Femoral Region, Right
8 Femoral Region, Left
9 Lower Extremity, Right
B Lower Extremity, Left
C Upper Leg, Right
D Upper Leg, Left
F Knee Region, Right
G Knee Region, Left
H Lower Leg, Right
J Lower Leg, Left
K Ankle Region, Right
L Ankle Region, Left
M Foot, Right
N Foot, Left
0Y0–0Y3

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 671
 0Y6–0Y6 Anatomical Regions, Lower Extremities ICD-10-PCS 2019
Anatomical Regions, Lower Extremities

0 Medical and Surgical

Y Anatomical Regions, Lower Extremities 0Y6
6 Detachment Definition: Cutting off all or a portion of the upper or lower extremities
Explanation: The body part value is the site of the detachment, with a qualifier if applicable to further specify the level where the extremity was
detached
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
2 Hindquarter, Right 0 Open Z No Device Z No Qualifier
3 Hindquarter, Left
4 Hindquarter, Bilateral
7 Femoral Region, Right
8 Femoral Region, Left
F Knee Region, Right
G Knee Region, Left
C Upper Leg, Right 0 Open Z No Device 1 High
D Upper Leg, Left 2 Mid
H Lower Leg, Right 3 Low
J Lower Leg, Left
M Foot, Right 0 Open Z No Device 0 Complete
N Foot, Left 4 Complete 1st Ray
5 Complete 2nd Ray
6 Complete 3rd Ray
7 Complete 4th Ray
8 Complete 5th Ray
9 Partial 1st Ray
B Partial 2nd Ray
C Partial 3rd Ray
D Partial 4th Ray
F Partial 5th Ray
P 1st Toe, Right 0 Open Z No Device 0 Complete
Hallux 1 High
Q 1st Toe, Left 2 Mid
See 1st Toe, Right 3 Low
R 2nd Toe, Right
S 2nd Toe, Left
T 3rd Toe, Right
U 3rd Toe, Left
V 4th Toe, Right
W 4th Toe, Left
X 5th Toe, Right
Y 5th Toe, Left
0Y6–0Y6

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
672 ICD-10-PCS 2019
ICD-10-PCS 2019 Anatomical Regions, Lower Extremities 0Y9–0Y9

Anatomical Regions, Lower Extremities

0 Medical and Surgical
Y Anatomical Regions, Lower Extremities 0Y9
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Buttock, Right 0 Open 0 Drainage Device Z No Qualifier
1 Buttock, Left 3 Percutaneous
5 Inguinal Region, Right 4 Percutaneous Endoscopic
Inguinal canal
Inguinal triangle
6 Inguinal Region, Left
See 5 Inguinal Region, Right
7 Femoral Region, Right
8 Femoral Region, Left
9 Lower Extremity, Right
B Lower Extremity, Left
C Upper Leg, Right
D Upper Leg, Left
F Knee Region, Right
G Knee Region, Left
H Lower Leg, Right
J Lower Leg, Left
K Ankle Region, Right
L Ankle Region, Left
M Foot, Right
N Foot, Left
0 Buttock, Right 0 Open Z No Device X Diagnostic
1 Buttock, Left 3 Percutaneous Z No Qualifier
5 Inguinal Region, Right 4 Percutaneous Endoscopic
Inguinal canal
Inguinal triangle
6 Inguinal Region, Left
See 5 Inguinal Region, Right
7 Femoral Region, Right
8 Femoral Region, Left
9 Lower Extremity, Right
B Lower Extremity, Left
C Upper Leg, Right
D Upper Leg, Left
F Knee Region, Right
G Knee Region, Left
H Lower Leg, Right
J Lower Leg, Left
K Ankle Region, Right
L Ankle Region, Left
M Foot, Right
N Foot, Left
Non-OR 0Y9[0,1,7,8,9,B,C,D,F,G,H,J,K,L,M,N][0,3,4]0Z
Non-OR 0Y9[5,6]30Z
Non-OR 0Y9[0,1,7,8,9,B,C,D,F,G,H,J,K,L,M,N][0,3,4]Z[X,Z]
Non-OR 0Y9[5,6]3ZZ
0Y9–0Y9

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 673
 0YB–0YH Anatomical Regions, Lower Extremities ICD-10-PCS 2019
Anatomical Regions, Lower Extremities

0 Medical and Surgical

Y Anatomical Regions, Lower Extremities 0YB
B Excision Definition: Cutting out or off, without replacement, a portion of a body part
Explanation: The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Buttock, Right 0 Open Z No Device X Diagnostic
1 Buttock, Left 3 Percutaneous Z No Qualifier
5 Inguinal Region, Right 4 Percutaneous Endoscopic
Inguinal canal
Inguinal triangle
6 Inguinal Region, Left
See 5 Inguinal Region, Right
7 Femoral Region, Right
8 Femoral Region, Left
9 Lower Extremity, Right
B Lower Extremity, Left
C Upper Leg, Right
D Upper Leg, Left
F Knee Region, Right
G Knee Region, Left
H Lower Leg, Right
J Lower Leg, Left
K Ankle Region, Right
L Ankle Region, Left
M Foot, Right
N Foot, Left
Non-OR 0YB[0,1,9,B,C,D,F,G,H,J,K,L,M,N][0,3,4]ZX

0 Medical and Surgical

Y Anatomical Regions, Lower Extremities 0YH
H Insertion Definition: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically
take the place of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Buttock, Right 0 Open 1 Radioactive Element Z No Qualifier
1 Buttock, Left 3 Percutaneous 3 Infusion Device
5 Inguinal Region, Right 4 Percutaneous Endoscopic Y Other Device
Inguinal canal
Inguinal triangle
6 Inguinal Region, Left
See 5 Inguinal Region, Right
7 Femoral Region, Right
8 Femoral Region, Left
9 Lower Extremity, Right
B Lower Extremity, Left
C Upper Leg, Right
D Upper Leg, Left
F Knee Region, Right
G Knee Region, Left
H Lower Leg, Right
J Lower Leg, Left
K Ankle Region, Right
L Ankle Region, Left
M Foot, Right
N Foot, Left
DRG Non-OR 0YH[0,1,5,6,7,8,9,B,C,D,F,G,H,J,K,L,M,N][0,3,4][3,Y]Z
0YB–0YH

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
674 ICD-10-PCS 2019
ICD-10-PCS 2019 Anatomical Regions, Lower Extremities 0YJ–0YJ

Anatomical Regions, Lower Extremities

0 Medical and Surgical
Y Anatomical Regions, Lower Extremities 0YJ
J Inspection Definition: Visually and/or manually exploring a body part
Explanation: Visual exploration may be performed with or without optical instrumentation. Manual exploration may be performed directly or
through intervening body layers.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Buttock, Right 0 Open Z No Device Z No Qualifier
1 Buttock, Left 3 Percutaneous
5 Inguinal Region, Right 4 Percutaneous Endoscopic
Inguinal canal X External
Inguinal triangle
6 Inguinal Region, Left
See 5 Inguinal Region, Right
7 Femoral Region, Right
8 Femoral Region, Left
9 Lower Extremity, Right
A Inguinal Region, Bilateral
See 5 Inguinal Region, Right
B Lower Extremity, Left
C Upper Leg, Right
D Upper Leg, Left
E Femoral Region, Bilateral
F Knee Region, Right
G Knee Region, Left
H Lower Leg, Right
J Lower Leg, Left
K Ankle Region, Right
L Ankle Region, Left
M Foot, Right
N Foot, Left
DRG Non-OR 0YJ[0,1,8,9,B,C,D,E,F,G,H,J,K,L,M,N]0ZZ
Non-OR 0YJ[0,1,9,B,C,D,F,G,H,J,K,L,M,N][3,4,X]ZZ
Non-OR 0YJ[5,6,7,8,A,E][3,X]ZZ

0YJ–0YJ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 675
 0YM–0YP Anatomical Regions, Lower Extremities ICD-10-PCS 2019
Anatomical Regions, Lower Extremities

0 Medical and Surgical

Y Anatomical Regions, Lower Extremities 0YM
M Reattachment Definition: Putting back in or on all or a portion of a separated body part to its normal location or other suitable location
Explanation: Vascular circulation and nervous pathways may or may not be reestablished
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Buttock, Right 0 Open Z No Device Z No Qualifier
1 Buttock, Left
2 Hindquarter, Right
3 Hindquarter, Left
4 Hindquarter, Bilateral
5 Inguinal Region, Right
Inguinal canal
Inguinal triangle
6 Inguinal Region, Left
See 5 Inguinal Region, Right
7 Femoral Region, Right
8 Femoral Region, Left
9 Lower Extremity, Right
B Lower Extremity, Left
C Upper Leg, Right
D Upper Leg, Left
F Knee Region, Right
G Knee Region, Left
H Lower Leg, Right
J Lower Leg, Left
K Ankle Region, Right
L Ankle Region, Left
M Foot, Right
N Foot, Left
P 1st Toe, Right
Hallux
Q 1st Toe, Left
See 1st Toe, Right
R 2nd Toe, Right
S 2nd Toe, Left
T 3rd Toe, Right
U 3rd Toe, Left
V 4th Toe, Right
W 4th Toe, Left
X 5th Toe, Right
Y 5th Toe, Left

0 Medical and Surgical

Y Anatomical Regions, Lower Extremities 0YP
P Removal Definition: Taking out or off a device from a body part
Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is
coded to the root operation CHANGE. Otherwise, the procedure for taking out the device is coded to the root operation REMOVAL.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
9 Lower Extremity, Right 0 Open 0 Drainage Device Z No Qualifier
B Lower Extremity, Left 3 Percutaneous 1 Radioactive Element
4 Percutaneous Endoscopic 3 Infusion Device
X External 7 Autologous Tissue Substitute
J Synthetic Substitute
K Nonautologous Tissue Substitute
Y Other Device
Non-OR All body part, approach, device, and qualifier values
0YM–0YP

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
676 ICD-10-PCS 2019
ICD-10-PCS 2019 Anatomical Regions, Lower Extremities 0YQ–0YQ

Anatomical Regions, Lower Extremities

0 Medical and Surgical
Y Anatomical Regions, Lower Extremities 0YQ
Q Repair Definition: Restoring, to the extent possible, a body part to its normal anatomic structure and function
Explanation: Used only when the method to accomplish the repair is not one of the other root operations
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Buttock, Right 0 Open Z No Device Z No Qualifier
1 Buttock, Left 3 Percutaneous
5 Inguinal Region, Right 4 Percutaneous Endoscopic
Inguinal canal X External
Inguinal triangle
6 Inguinal Region, Left
See 5 Inguinal Region, Right
7 Femoral Region, Right
8 Femoral Region, Left
9 Lower Extremity, Right
A Inguinal Region, Bilateral
See 5 Inguinal Region, Right
B Lower Extremity, Left
C Upper Leg, Right
D Upper Leg, Left
E Femoral Region, Bilateral
F Knee Region, Right
G Knee Region, Left
H Lower Leg, Right
J Lower Leg, Left
K Ankle Region, Right
L Ankle Region, Left
M Foot, Right
N Foot, Left
P 1st Toe, Right
Hallux
Q 1st Toe, Left
See 1st Toe, Right
R 2nd Toe, Right
S 2nd Toe, Left
T 3rd Toe, Right
U 3rd Toe, Left
V 4th Toe, Right
W 4th Toe, Left
X 5th Toe, Right
Y 5th Toe, Left
Non-OR 0YQ[5,6,7,8,A,E]XZZ

0YQ–0YQ

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 677
 0YU–0YW Anatomical Regions, Lower Extremities ICD-10-PCS 2019
Anatomical Regions, Lower Extremities

0 Medical and Surgical

Y Anatomical Regions, Lower Extremities 0YU
U Supplement Definition: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part
Explanation: The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced,
and the SUPPLEMENT procedure is performed to physically reinforce and/or augment the function of the replaced body part.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Buttock, Right 0 Open 7 Autologous Tissue Substitute Z No Qualifier
1 Buttock, Left 4 Percutaneous Endoscopic J Synthetic Substitute
5 Inguinal Region, Right K Nonautologous Tissue Substitute
Inguinal canal
Inguinal triangle
6 Inguinal Region, Left
See 5 Inguinal Region, Right
7 Femoral Region, Right
8 Femoral Region, Left
9 Lower Extremity, Right
A Inguinal Region, Bilateral
See 5 Inguinal Region, Right
B Lower Extremity, Left
C Upper Leg, Right
D Upper Leg, Left
E Femoral Region, Bilateral
F Knee Region, Right
G Knee Region, Left
H Lower Leg, Right
J Lower Leg, Left
K Ankle Region, Right
L Ankle Region, Left
M Foot, Right
N Foot, Left
P 1st Toe, Right
Hallux
Q 1st Toe, Left
See 1st Toe, Right
R 2nd Toe, Right
S 2nd Toe, Left
T 3rd Toe, Right
U 3rd Toe, Left
V 4th Toe, Right
W 4th Toe, Left
X 5th Toe, Right
Y 5th Toe, Left

0 Medical and Surgical

Y Anatomical Regions, Lower Extremities 0YW
W Revision Definition: Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device
Explanation: Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as
a screw or pin
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
9 Lower Extremity, Right 0 Open 0 Drainage Device Z No Qualifier
B Lower Extremity, Left 3 Percutaneous 3 Infusion Device
4 Percutaneous Endoscopic 7 Autologous Tissue Substitute
X External J Synthetic Substitute
K Nonautologous Tissue Substitute
Y Other Device
DRG Non-OR 0YW[9,B][0,3,4][0,3,7,J,K,Y]Z
Non-OR 0YW[9,B]X[0,3,7,J,K,Y]Z
0YU–0YW

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
678 ICD-10-PCS 2019
ICD-10-PCS 2019 Obstetrics

Obstetrics
Obstetrics 102–10Y
Character Meanings
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.

0: Pregnancy
Operation–Character 3 Body Part–Character 4 Approach–Character 5 Device–Character 6 Qualifier–Character 7
2 Change 0 Products of Conception 0 Open 3 Monitoring Electrode 0 High
9 Drainage 1 Products of Conception, 3 Percutaneous Y Other Device 1 Low
Retained
A Abortion 2 Products of Conception, 4 Percutaneous Endoscopic Z No Device 2 Extraperitoneal
Ectopic
D Extraction 7 Via Natural or Artificial 3 Low Forceps
Opening
E Delivery 8 Via Natural or Artificial 4 Mid Forceps
Opening Endoscopic
H Insertion X External 5 High Forceps
J Inspection 6 Vacuum
P Removal 7 Internal Version
Q Repair 8 Other
S Reposition 9 Fetal Blood
OR
Manual
T Resection A Fetal Cerebrospinal Fluid
Y Transplantation B Fetal Fluid, Other
C Amniotic Fluid, Therapeutic
D Fluid, Other
E Nervous System
F Cardiovascular System
G Lymphatics & Hemic
H Eye
J Ear, Nose & Sinus
K Respiratory System
L Mouth & Throat
M Gastrointestinal System
N Hepatobiliary & Pancreas
P Endocrine System
Q Skin
R Musculoskeletal System
S Urinary System
T Female Reproductive
System
U Amniotic Fluid, Diagnostic
V Male Reproductive System
W Laminaria
X Abortifacient
Y Other Body System
Z No Qualifier

AHA Coding Clinic for table 109

2014, 3Q, 12 Fetoscopic laser photocoagulation and laser microseptostomy for twin-twin transfusion syndrome
2014, 2Q, 9 Pitocin administration to augment labor
AHA Coding Clinic for table 10D
2018, 2Q, 17 High transverse cesarean section
2016, 1Q, 9 Vaginal delivery assisted by vacuum and low forceps extraction
2014, 4Q, 43 Cesarean delivery assisted by vacuum extraction
2014, 4Q, 43 Vacuum dilation and curettage for blighted ovum
AHA Coding Clinic for table 10E
2017, 3Q, 5 Delivery of placenta
2016, 2Q, 34 Assisted vaginal delivery
2014, 4Q, 17 RH (D) alloimmunization (sensitization)
2014, 2Q, 9 Pitocin administration to augment labor
AHA Coding Clinic for table 10H
2013, 2Q, 36 Intrauterine pressure monitor
AHA Coding Clinic for table 10Q
2014, 3Q, 12 Fetoscopic laser photocoagulation and laser microseptostomy for twin-twin transfusion syndrome
AHA Coding Clinic for table 10T
2015, 3Q, 31 Laparoscopic partial salpingectomy for ectopic pregnancy

ICD-10-PCS 2019 679

 102–10D Obstetrics ICD-10-PCS 2019
Obstetrics

1 Obstetrics
0 Pregnancy 102
2 Change Definition: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without
cutting or puncturing the skin or a mucous membrane
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Products of Conception ; 7 Via Natural or Artificial Opening 3 Monitoring Electrode Z No Qualifier
Y Other Device
Non-OR All body part, approach, device, and qualifier values ; All body part, approach, device, and qualifier values

1 Obstetrics
0 Pregnancy 109
9 Drainage Definition: Taking or letting out fluids and/or gases from a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Products of Conception ; 0 Open Z No Device 9 Fetal Blood
3 Percutaneous A Fetal Cerebrospinal Fluid
4 Percutaneous Endoscopic B Fetal Fluid, Other
7 Via Natural or Artificial Opening C Amniotic Fluid, Therapeutic
8 Via Natural or Artificial Opening D Fluid, Other
Endoscopic U Amniotic Fluid, Diagnostic
Non-OR All body part, approach, device, and qualifier values ; All body part, approach, device, and qualifier values

1 Obstetrics
0 Pregnancy 10A
A Abortion Definition: Artificially terminating a pregnancy
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Products of Conception ; 0 Open Z No Device Z No Qualifier
3 Percutaneous
4 Percutaneous Endoscopic
8 Via Natural or Artificial Opening
Endoscopic
0 Products of Conception ; 7 Via Natural or Artificial Opening Z No Device 6 Vacuum
W Laminaria
X Abortifacient
Z No Qualifier
DRG Non-OR 10A07Z6 ; All body part, approach, device, and qualifier values
Non-OR 10A07Z[W,X]

1 Obstetrics
0 Pregnancy 10D
D Extraction Definition: Pulling or stripping out or off all or a portion of a body part by the use of force
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Products of Conception ; 0 Open Z No Device 0 High
1 Low
2 Extraperitoneal
0 Products of Conception ; 7 Via Natural or Artificial Opening Z No Device 3 Low Forceps
4 Mid Forceps
5 High Forceps
6 Vacuum
7 Internal Version
8 Other
1 Products of Conception, Retained; 7 Via Natural or Artificial Opening Z No Device 9 Manual
8 Via Natural or Artificial Opening Z No Qualifier
Endoscopic
2 Products of Conception, Ectopic ; 7 Via Natural or Artificial Opening Z No Device Z No Qualifier
8 Via Natural or Artificial Opening
Endoscopic
DRG Non-OR 10D07Z[3,4,5,6,7,8] ; All body part, approach, device, and qualifier values
102–10D

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
680 ICD-10-PCS 2019
ICD-10-PCS 2019 Obstetrics 10E–10Q

Obstetrics
1 Obstetrics
0 Pregnancy 10E
E Delivery Definition: Assisting the passage of the products of conception from the genital canal
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Products of Conception ; X External Z No Device Z No Qualifier
DRG Non-OR 10E0XZZ ; All body part, approach, device, and qualifier values

1 Obstetrics
0 Pregnancy 10H
H Insertion Definition: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically
take the place of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Products of Conception ; 0 Open 3 Monitoring Electrode Z No Qualifier
7 Via Natural or Artificial Opening Y Other Device
Non-OR 10H07[3,Y]Z ; All body part, approach, device, and qualifier values

1 Obstetrics
0 Pregnancy 10J
J Inspection Definition: Visually and/or manually exploring a body part
Explanation: Visual exploration may be performed with or without optical instrumentation. Manual exploration may be performed directly or
through intervening body layers.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Products of Conception ; 0 Open Z No Device Z No Qualifier
1 Products of Conception, ; 3 Percutaneous
Retained 4 Percutaneous Endoscopic
2 Products of Conception, Ectopic ; 7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
X External
Non-OR All body part, approach, device, and qualifier values ; All body part, approach, device, and qualifier values

1 Obstetrics
0 Pregnancy 10P
P Removal Definition: Taking out or off a device from a body part, region or orifice
Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is
coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Products of Conception ; 0 Open 3 Monitoring Electrode Z No Qualifier
7 Via Natural or Artificial Opening Y Other Device
; All body part, approach, device, and qualifier values

1 Obstetrics
0 Pregnancy 10Q
Q Repair Definition: Restoring, to the extent possible, a body part to its normal anatomic structure and function
Explanation: Used only when the method to accomplish the repair is not one of the other root operations
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Products of Conception ; 0 Open Y Other Device E Nervous System
3 Percutaneous Z No Device F Cardiovascular System
4 Percutaneous Endoscopic G Lymphatics and Hemic
7 Via Natural or Artificial Opening H Eye
8 Via Natural or Artificial Opening J Ear, Nose and Sinus
Endoscopic K Respiratory System
L Mouth and Throat
M Gastrointestinal System
N Hepatobiliary and Pancreas
P Endocrine System
Q Skin
R Musculoskeletal System
S Urinary System
T Female Reproductive System
V Male Reproductive System
10E–10Q

Y Other Body System

; All body part, approach, device, and qualifier values

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
ICD-10-PCS 2019 681
 10S–10Y Obstetrics ICD-10-PCS 2019
Obstetrics

1 Obstetrics
0 Pregnancy 10S
S Reposition Definition: Moving to its normal location, or other suitable location, all or a portion of a body part
Explanation: The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning
correctly. The body part may or may not be cut out or off to be moved to the new location.
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Products of Conception ; 7 Via Natural or Artificial Opening Z No Device Z No Qualifier
X External
2 Products of Conception, Ectopic ; 0 Open Z No Device Z No Qualifier
3 Percutaneous
4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
DRG Non-OR 10S07ZZ ; All body part, approach, device, and qualifier values
Non-OR 10S0XZZ

1 Obstetrics
0 Pregnancy 10T
T Resection Definition: Cutting out or off, without replacement, all of a body part
Explanation: None
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
2 Products of Conception, Ectopic ; 0 Open Z No Device Z No Qualifier
3 Percutaneous
4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
; All body part, approach, device, and qualifier values

1 Obstetrics
0 Pregnancy 10Y
Y Transplantation Definition: Putting in or on all or a portion of a living body part taken from another individual or animal to physically take the place and/or
function of all or a portion of a similar body part
Explanation: The native body part may or may not be taken out, and the transplanted body part may take over all or a portion of its function
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Products of Conception ; 3 Percutaneous Z No Device E Nervous System
4 Percutaneous Endoscopic F Cardiovascular System
7 Via Natural or Artificial Opening G Lymphatics and Hemic
H Eye
J Ear, Nose and Sinus
K Respiratory System
L Mouth and Throat
M Gastrointestinal System
N Hepatobiliary and Pancreas
P Endocrine System
Q Skin
R Musculoskeletal System
S Urinary System
T Female Reproductive System
V Male Reproductive System
Y Other Body System
; All body part, approach, device, and qualifier values
10S–10Y

3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
682 ICD-10-PCS 2019
ICD-10-PCS 2019 Placement

Placement
Placement 2W0–2Y5
Character Meanings
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.

W: Anatomical Regions
Operation–Character 3 Body Region–Character 4 Approach–Character 5 Device–Character 6 Qualifier–Character 7
0 Change 0 Head X External 0 Traction Apparatus Z No Qualifier
1 Compression 1 Face 1 Splint
2 Dressing 2 Neck 2 Cast
3 Immobilization 3 Abdominal Wall 3 Brace
4 Packing 4 Chest Wall 4 Bandage
5 Removal 5 Back 5 Packing Material
6 Traction 6 Inguinal Region, Right 6 Pressure Dressing
7 Inguinal Region, Left 7 Intermittent Pressure
Device
8 Upper Extremity, Right 9 Wire
9 Upper Extremity, Left Y Other Device
A Upper Arm, Right Z No Device
B Upper Arm, Left
C Lower Arm, Right
D Lower Arm, Left
E Hand, Right
F Hand, Left
G Thumb, Right
H Thumb, Left
J Finger, Right
K Finger, Left
L Lower Extremity, Right
M Lower Extremity, Left
N Upper Leg, Right
P Upper Leg, Left
Q Lower Leg, Right
R Lower Leg, Left
S Foot, Right
T Foot, Left
U Toe, Right
V Toe, Left

Y: Anatomical Orifices
Operation–Character 3 Body Orifice–Character 4 Approach–Character 5 Device–Character 6 Qualifier–Character 7
0 Change 0 Mouth and Pharynx X External 5 Packing Material Z No Qualifier
4 Packing 1 Nasal
5 Removal 2 Ear
3 Anorectal
4 Female Genital Tract
5 Urethra

AHA Coding Clinic for table 2W6

2015, 2Q, 35 Application of tongs to reduce and stabilize cervical fracture
2013, 2Q, 39 Application of cervical tongs for reduction of cervical fracture
AHA Coding Clinic for table 2Y4
2017, 4Q, 106 Nasal packing for epistaxis

ICD-10-PCS 2019 683

 2W0–2W0 Placement ICD-10-PCS 2019
Placement

2 Placement
W Anatomical Regions 2W0
0 Change Definition: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without
cutting or puncturing the skin or a mucous membrane
Body Region Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Head X External 0 Traction Apparatus Z No Qualifier
2 Neck 1 Splint
3 Abdominal Wall 2 Cast
4 Chest Wall 3 Brace
5 Back 4 Bandage
6 Inguinal Region, Right 5 Packing Material
7 Inguinal Region, Left 6 Pressure Dressing
8 Upper Extremity, Right 7 Intermittent Pressure Device
9 Upper Extremity, Left Y Other Device
A Upper Arm, Right
B Upper Arm, Left
C Lower Arm, Right
D Lower Arm, Left
E Hand, Right
F Hand, Left
G Thumb, Right
H Thumb, Left
J Finger, Right
K Finger, Left
L Lower Extremity, Right
M Lower Extremity, Left
N Upper Leg, Right
P Upper Leg, Left
Q Lower Leg, Right
R Lower Leg, Left
S Foot, Right
T Foot, Left
U Toe, Right
V Toe, Left
1 Face X External 0 Traction Apparatus Z No Qualifier
1 Splint
2 Cast
3 Brace
4 Bandage
5 Packing Material
6 Pressure Dressing
7 Intermittent Pressure Device
9 Wire
Y Other Device
2W0–2W0

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
684 ICD-10-PCS 2019
ICD-10-PCS 2019 Placement 2W1–2W2

Placement
2 Placement
W Anatomical Regions 2W1
1 Compression Definition: Putting pressure on a body region
Body Region Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Head X External 6 Pressure Dressing Z No Qualifier
1 Face 7 Intermittent Pressure Device
2 Neck
3 Abdominal Wall
4 Chest Wall
5 Back
6 Inguinal Region, Right
7 Inguinal Region, Left
8 Upper Extremity, Right
9 Upper Extremity, Left
A Upper Arm, Right
B Upper Arm, Left
C Lower Arm, Right
D Lower Arm, Left
E Hand, Right
F Hand, Left
G Thumb, Right
H Thumb, Left
J Finger, Right
K Finger, Left
L Lower Extremity, Right
M Lower Extremity, Left
N Upper Leg, Right
P Upper Leg, Left
Q Lower Leg, Right
R Lower Leg, Left
S Foot, Right
T Foot, Left
U Toe, Right
V Toe, Left

2 Placement
W Anatomical Regions 2W2
2 Dressing Definition: Putting material on a body region for protection
Body Region Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Head X External 4 Bandage Z No Qualifier
1 Face
2 Neck
3 Abdominal Wall
4 Chest Wall
5 Back
6 Inguinal Region, Right
7 Inguinal Region, Left
8 Upper Extremity, Right
9 Upper Extremity, Left
A Upper Arm, Right
B Upper Arm, Left
C Lower Arm, Right
D Lower Arm, Left
E Hand, Right
F Hand, Left
G Thumb, Right
H Thumb, Left
J Finger, Right
K Finger, Left
L Lower Extremity, Right
M Lower Extremity, Left
N Upper Leg, Right
P Upper Leg, Left
Q Lower Leg, Right
R Lower Leg, Left
S Foot, Right
T Foot, Left
U Toe, Right
V Toe, Left
2W1–2W2

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
ICD-10-PCS 2019 685
 2W3–2W4 Placement ICD-10-PCS 2019
Placement

2 Placement
W Anatomical Regions 2W3
3 Immobilization Definition: Limiting or preventing motion of a body region
Body Region Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Head X External 1 Splint Z No Qualifier
2 Neck 2 Cast
3 Abdominal Wall 3 Brace
4 Chest Wall Y Other Device
5 Back
6 Inguinal Region, Right
7 Inguinal Region, Left
8 Upper Extremity, Right
9 Upper Extremity, Left
A Upper Arm, Right
B Upper Arm, Left
C Lower Arm, Right
D Lower Arm, Left
E Hand, Right
F Hand, Left
G Thumb, Right
H Thumb, Left
J Finger, Right
K Finger, Left
L Lower Extremity, Right
M Lower Extremity, Left
N Upper Leg, Right
P Upper Leg, Left
Q Lower Leg, Right
R Lower Leg, Left
S Foot, Right
T Foot, Left
U Toe, Right
V Toe, Left
1 Face X External 1 Splint Z No Qualifier
2 Cast
3 Brace
9 Wire
Y Other Device

2 Placement
W Anatomical Regions 2W4
4 Packing Definition: Putting material in a body region or orifice
Body Region Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Head X External 5 Packing Material Z No Qualifier
1 Face
2 Neck
3 Abdominal Wall
4 Chest Wall
5 Back
6 Inguinal Region, Right
7 Inguinal Region, Left
8 Upper Extremity, Right
9 Upper Extremity, Left
A Upper Arm, Right
B Upper Arm, Left
C Lower Arm, Right
D Lower Arm, Left
E Hand, Right
F Hand, Left
G Thumb, Right
H Thumb, Left
J Finger, Right
K Finger, Left
L Lower Extremity, Right
M Lower Extremity, Left
N Upper Leg, Right
P Upper Leg, Left
Q Lower Leg, Right
2W3–2W4

R Lower Leg, Left

S Foot, Right
T Foot, Left
U Toe, Right
V Toe, Left

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
686 ICD-10-PCS 2019
ICD-10-PCS 2019 Placement 2W5–2W5

Placement
2 Placement
W Anatomical Regions 2W5
5 Removal Definition: Taking out or off a device from a body part
Body Region Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Head X External 0 Traction Apparatus Z No Qualifier
2 Neck 1 Splint
3 Abdominal Wall 2 Cast
4 Chest Wall 3 Brace
5 Back 4 Bandage
6 Inguinal Region, Right 5 Packing Material
7 Inguinal Region, Left 6 Pressure Dressing
8 Upper Extremity, Right 7 Intermittent Pressure Device
9 Upper Extremity, Left Y Other Device
A Upper Arm, Right
B Upper Arm, Left
C Lower Arm, Right
D Lower Arm, Left
E Hand, Right
F Hand, Left
G Thumb, Right
H Thumb, Left
J Finger, Right
K Finger, Left
L Lower Extremity, Right
M Lower Extremity, Left
N Upper Leg, Right
P Upper Leg, Left
Q Lower Leg, Right
R Lower Leg, Left
S Foot, Right
T Foot, Left
U Toe, Right
V Toe, Left
1 Face X External 0 Traction Apparatus Z No Qualifier
1 Splint
2 Cast
3 Brace
4 Bandage
5 Packing Material
6 Pressure Dressing
7 Intermittent Pressure Device
9 Wire
Y Other Device
2W5–2W5

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
ICD-10-PCS 2019 687
 2W6–2Y5 Placement ICD-10-PCS 2019
Placement

2 Placement
W Anatomical Regions 2W6
6 Traction Definition: Exerting a pulling force on a body region in a distal direction
Body Region Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Head X External 0 Traction Apparatus Z No Qualifier
1 Face Z No Device
2 Neck
3 Abdominal Wall
4 Chest Wall
5 Back
6 Inguinal Region, Right
7 Inguinal Region, Left
8 Upper Extremity, Right
9 Upper Extremity, Left
A Upper Arm, Right
B Upper Arm, Left
C Lower Arm, Right
D Lower Arm, Left
E Hand, Right
F Hand, Left
G Thumb, Right
H Thumb, Left
J Finger, Right
K Finger, Left
L Lower Extremity, Right
M Lower Extremity, Left
N Upper Leg, Right
P Upper Leg, Left
Q Lower Leg, Right
R Lower Leg, Left
S Foot, Right
T Foot, Left
U Toe, Right
V Toe, Left

2 Placement
Y Anatomical Orifices 2Y0
0 Change Definition: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without
cutting or puncturing the skin or a mucous membrane
Body Region Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Mouth and Pharynx X External 5 Packing Material Z No Qualifier
1 Nasal
2 Ear
3 Anorectal
4 Female Genital Tract ;
5 Urethra
; 2Y04X5Z

2 Placement
Y Anatomical Orifices 2Y4
4 Packing Definition: Putting material in a body region or orifice
Body Region Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Mouth and Pharynx X External 5 Packing Material Z No Qualifier
1 Nasal
2 Ear
3 Anorectal
4 Female Genital Tract ;
5 Urethra
; 2Y44X5Z

2 Placement
Y Anatomical Orifices 2Y5
5 Removal Definition: Taking out or off a device from a body part
Body Region Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Mouth and Pharynx X External 5 Packing Material Z No Qualifier
1 Nasal
2 Ear
3 Anorectal
2W6–2Y5

4 Female Genital Tract ;

5 Urethra
; 2Y54X5Z

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
688 ICD-10-PCS 2019
ICD-10-PCS 2019
Administration 302–3E1
Character Meanings
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.
0: Circulatory
Operation–Character 3
2 Transfusion
C: Indwelling Device
Operation–Character 3
1 Irrigation
ICD-10-PCS 2019
Body System/Region –
Character 4
3 Peripheral Vein
4 Central Vein
5 Peripheral Artery
6 Central Artery
7 Products of Conception,
Circulatory
8 Vein
Body System/Region –
Character 4
Z None
Approach–Character 5
0 Open
3 Percutaneous
7 Via Natural or Artificial
Opening
Approach–Character 5
X External
Administration
Administration
Substance–Character 6 Qualifier–Character 7
A Stem Cells, Embryonic 0 Autologous
B 4-Factor Prothrombin 1 Nonautologous
Complex Concentrate
G Bone Marrow 2 Allogeneic, Related
H Whole Blood 3 Allogeneic, Unrelated
J Serum Albumin 4 Allogeneic, Unspecified
K Frozen Plasma Z No Qualifier
L Fresh Plasma
M Plasma Cryoprecipitate
N Red Blood Cells
P Frozen Red Cells
Q White Cells
R Platelets
S Globulin
T Fibrinogen
V Antihemophilic Factors
W Factor IX
X Stem Cells, Cord Blood
Y Stem Cells, Hematopoietic
Substance–Character 6 Qualifier–Character 7
8 Irrigating Substance Z No Qualifier
Continued on next page
689
 Administration ICD-10-PCS 2019
Administration

E: Physiological Systems and Anatomical Regions Administration Character Meanings Continued

Operation–Character 3 Body System/Region–
Character 4
0 Introduction 0 Skin and Mucous
Membranes
1 Irrigation 1 Subcutaneous Tissue
2 Muscle
3 Peripheral Vein
4 Central Vein
5 Peripheral Artery
6 Central Artery
7 Coronary Artery
8 Heart
9 Nose
A Bone Marrow
B Ear
C Eye
D Mouth and Pharynx
E Products of Conception
F Respiratory Tract
G Upper GI
H Lower GI
J Biliary and Pancreatic Tract
K Genitourinary Tract
L Pleural Cavity
M Peritoneal Cavity
N Male Reproductive
P Female Reproductive
Q Cranial Cavity and Brain
R Spinal Canal
S Epidural Space
T Peripheral Nerves and Plexi
U Joints
V Bones
W Lymphatics
X Cranial Nerves
Y Pericardial Cavity
Approach–Character 5
0 Open
3 Percutaneous
4 Percutaneous Endoscopic
7 Via Natural or Artificial
Opening
8 Via Natural or Artificial
Opening Endoscopic
X External
Substance–Character 6
0 Antineoplastic
1 Thrombolytic
2 Anti-infective
3 Anti-inflammatory
4 Serum, Toxoid and Vaccine
5 Adhesion Barrier
6 Nutritional Substance
7 Electrolytic and Water
Balance Substance
8 Irrigating Substance
9 Dialysate
A Stem Cells, Embryonic
B Anesthetic Agent
E Stem Cells, Somatic
F Intracirculatory Anesthetic D Nitric Oxide
G Other Therapeutic Substance F Other Gas
H Radioactive Substance
K Other Diagnostic Substance H Human B-type Natriuretic
L Sperm
M Pigment
N Analgesics, Hypnotics,
Sedatives
P Platelet Inhibitor
Q Fertilized Ovum
R Antiarrhythmic
S Gas
T Destructive Agent
U Pancreatic Islet Cells
V Hormone
W Immunotherapeutic
X Vasopressor
Qualifier–Character 7
0 Autologous
OR
Influenza Vaccine
1 Nonautologous
2 High-dose Interleukin-2
3 Low-dose Interleukin-2
4 Liquid Brachytherapy
Radioisotope
5 Other Antineoplastic
6 Recombinant Human-activated
Protein C
7 Other Thrombolytic
8
Oxazolidinones
9
Other Anti-infective
A
Anti-infective Envelope
B
Recombinant Bone
Morphogenetic Protein
C Other Substance
G Insulin
Peptide
J Other Hormone
K Immunostimulator
L Immunosuppressive
M Monoclonal Antibody
N Blood Brain Barrier Disruption
P Clofarabine
Q Glucarpidase
X Diagnostic
Z No Qualifier

AHA Coding Clinic for table 302 AHA Coding Clinic for table 3E1
2016, 4Q, 113 Bone marrow and stem cell transfusion (Transplantation) 2017, 3Q, 14 Bronchoscopy with suctioning and washings for removal of mucus
plug
AHA Coding Clinic for table 3E0
2018, 1Q, 8 Placement of bone morphogenetic protein & spinal fusion surgery
2017, 2Q, 14 Infusion of tPA into pleural cavity
2017, 1Q, 37 Injection of glue into enteric fistula tract
2016, 4Q, 113-114 Substances applied to cranial cavity and brain
2016, 3Q, 29 Closure of bilateral alveolar clefts
2016, 1Q, 20 Metatarsophalangeal joint resection arthroplasty
2015, 3Q, 24 Esophagogastroduodenoscopy with epinephrine injection for control of
bleeding
2015, 3Q, 29 Placement of adhesion barrier
2015, 2Q, 29 Insertion of nasogastric tube for drainage and feeding
2015, 2Q, 31 Thoracoscopic talc pleurodesis
2015, 1Q, 31 Intrathecal chemotherapy
2015, 1Q, 38 Chemoembolization of the hepatic artery
2014, 4Q, 16 Administration of RH (D) immunoglobulin
2014, 4Q, 17 RH (D) alloimmunization (sensitization)
2014, 4Q, 19 Ultrasound accelerated thrombolysis
2014, 4Q, 34 Resection of brain malignancy with implantation of chemotherapeutic wafer
2014, 4Q, 38 Placement of saline and seprafilm solution into abdominal cavity
2014, 3Q, 26 Coil embolization of gastroduodenal artery with chemoembolization of
hepatic artery
2014, 2Q, 8 Medical induction of labor with Cervidil tampon insertion
2014, 2Q, 10 Prophylactic Neulasta injection for infection prevention
2013, 4Q, 124 Administration of tPA for stroke treatment prior to transfer
2013, 1Q, 27 Injection of sclerosing agent into an esophageal varix

690 ICD-10-PCS 2019

ICD-10-PCS 2019 Administration 302–3C1

Administration
3 Administration
0 Circulatory 302
2 Transfusion Definition: Putting in blood or blood products
Body System/Region Approach Substance Qualifier
Character 4 Character 5 Character 6 Character 7
3 Peripheral Vein 4 0 Open A Stem Cells, Embryonic Z No Qualifier
4 Central Vein 4 3 Percutaneous
3 Peripheral Vein 4 0 Open G Bone Marrow 0 Autologous
4 Central Vein 4 3 Percutaneous X Stem Cells, Cord Blood 2 Allogeneic, Related
Y Stem Cells, Hematopoietic 3 Allogeneic, Unrelated
4 Allogeneic, Unspecified
3 Peripheral Vein 0 Open H Whole Blood 0 Autologous
4 Central Vein 3 Percutaneous J Serum Albumin 1 Nonautologous
K Frozen Plasma
L Fresh Plasma
M Plasma Cryoprecipitate
N Red Blood Cells
P Frozen Red Cells
Q White Cells
R Platelets
S Globulin
T Fibrinogen
V Antihemophilic Factors
W Factor IX
5 Peripheral Artery 4 0 Open G Bone Marrow 0 Autologous
6 Central Artery 4 3 Percutaneous H Whole Blood 1 Nonautologous
J Serum Albumin
K Frozen Plasma
L Fresh Plasma
M Plasma Cryoprecipitate
N Red Blood Cells
P Frozen Red Cells
Q White Cells
R Platelets
S Globulin
T Fibrinogen
V Antihemophilic Factors
W Factor IX
X Stem Cells, Cord Blood
Y Stem Cells, Hematopoietic
7 Products of Conception, ; 3 Percutaneous H Whole Blood 1 Nonautologous
Circulatory 7 Via Natural or Artificial Opening J Serum Albumin
K Frozen Plasma
L Fresh Plasma
M Plasma Cryoprecipitate
N Red Blood Cells
P Frozen Red Cells
Q White Cells
R Platelets
S Globulin
T Fibrinogen
V Antihemophilic Factors
W Factor IX
8 Vein 0 Open B 4-Factor Prothrombin Complex 1 Nonautologous
3 Percutaneous Concentrate
Valid OR 302[3,4]0AZ
Valid OR 302[3,4]0[G,X,Y][0,2,3,4]
Valid OR 302[3,4]3[G,X,Y][2,3,4]
Valid OR 302[5,6]0[G,X,Y][0,1]
DRG-Non-OR 302[3,4]3AZ
DRG-Non-OR 302[3,4]3[G,X,Y]0
DRG-Non-OR 302[5,6]3[G,X,Y][0,1]
4 302[3,4][0,3]AZ Only when reported with PDx or SDx of C91.00, C92.00, C92.10, C92.11, C92.40, C92.50, C92.60, C92.A0, C93.00, C94.00, C95.00
4 302[3,4][0,3][G,Y]0 Only when reported with PDx or SDx of C91.00, C92.00, C92.10, C92.11, C92.40, C92.50, C92.60, C92.A0, C93.00, C94.00, C95.00
4 302[3,4][0,3][G,Y][2,3,4]
4 302[5,6][0,3][G,Y]0 Only when reported with PDx or SDx of C91.00, C92.00, C92.10, C92.11, C92.40, C92.50, C92.60, C92.A0, C93.00, C94.00, C95.00
4 302[5,6][0,3][G,Y]1 Only when reported with PDx or SDx of C90.00 or C90.01
; 3027[3,7][H,J,K,L,M,N,P,Q,R,S,T,V,W]1

3 Administration
C Indwelling Device 3C1
1 Irrigation Definition: Putting in or on a cleansing substance
Body System/Region Approach Substance Qualifier
Character 4 Character 5 Character 6 Character 7
Z None X External 8 Irrigating Substance Z No Qualifier
302–3C1

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
ICD-10-PCS 2019 691
 3E0–3E0 Administration ICD-10-PCS 2019
Administration

3 Administration
E Physiological Systems and Anatomical Regions 3E0
0 Introduction Definition: Putting in or on a therapeutic, diagnostic, nutritional, physiological, or prophylactic substance except blood or blood products
Body System/Region Approach Substance Qualifier
Character 4 Character 5 Character 6 Character 7
0 Skin and Mucous Membranes X External 0 Antineoplastic 5 Other Antineoplastic
M Monoclonal Antibody
0 Skin and Mucous Membranes X External 2 Anti-infective 8 Oxazolidinones
9 Other Anti-infective
0 Skin and Mucous Membranes X External 3 Anti-inflammatory Z No Qualifier
4 Serum, Toxoid and Vaccine
B Anesthetic Agent
K Other Diagnostic Substance
M Pigment
N Analgesics, Hypnotics, Sedatives
T Destructive Agent
0 Skin and Mucous Membranes X External G Other Therapeutic Substance C Other Substance
1 Subcutaneous Tissue 0 Open 2 Anti-infective A Anti-Infective Envelope
1 Subcutaneous Tissue 3 Percutaneous 0 Antineoplastic 5 Other Antineoplastic
M Monoclonal Antibody
1 Subcutaneous Tissue 3 Percutaneous 2 Anti-infective 8 Oxazolidinones
9 Other Anti-infective
A Anti-Infective Envelope
1 Subcutaneous Tissue 3 Percutaneous 3 Anti-inflammatory Z No Qualifier
6 Nutritional Substance
7 Electrolytic and Water Balance
Substance
B Anesthetic Agent
H Radioactive Substance
K Other Diagnostic Substance
N Analgesics, Hypnotics, Sedatives
T Destructive Agent
1 Subcutaneous Tissue 3 Percutaneous 4 Serum, Toxoid and Vaccine 0 Influenza Vaccine
Z No Qualifier
1 Subcutaneous Tissue 3 Percutaneous G Other Therapeutic Substance C Other Substance
1 Subcutaneous Tissue 3 Percutaneous V Hormone G Insulin
J Other Hormone
2 Muscle 3 Percutaneous 0 Antineoplastic 5 Other Antineoplastic
M Monoclonal Antibody
2 Muscle 3 Percutaneous 2 Anti-infective 8 Oxazolidinones
9 Other Anti-infective
2 Muscle 3 Percutaneous 3 Anti-inflammatory Z No Qualifier
6 Nutritional Substance
7 Electrolytic and Water Balance
Substance
B Anesthetic Agent
H Radioactive Substance
K Other Diagnostic Substance
N Analgesics, Hypnotics, Sedatives
T Destructive Agent
2 Muscle 3 Percutaneous 4 Serum, Toxoid and Vaccine 0 Influenza Vaccine
Z No Qualifier
2 Muscle 3 Percutaneous G Other Therapeutic Substance C Other Substance
3 Peripheral Vein 0 Open 0 Antineoplastic 2 High-dose Interleukin-2
3 Low-dose Interleukin-2
5 Other Antineoplastic
M Monoclonal Antibody
P Clofarabine
3 Peripheral Vein 0 Open 1 Thrombolytic 6 Recombinant Human- activated
Protein C
7 Other Thrombolytic
3 Peripheral Vein 0 Open 2 Anti-infective 8 Oxazolidinones
9 Other Anti-infective
3E0 Continued on next page
DRG Non-OR 3E03002
DRG Non-OR 3E03017
3E0–3E0

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
692 ICD-10-PCS 2019
ICD-10-PCS 2019 Administration 3E0–3E0

Administration
3 Administration 3E0 Continued
E Physiological Systems and Anatomical Regions 3E0
0 Introduction Definition: Putting in or on a therapeutic, diagnostic, nutritional, physiological, or prophylactic substance except blood or blood products
Body System/Region Approach Substance Qualifier
Character 4 Character 5 Character 6 Character 7
3 Peripheral Vein 0 Open 3 Anti-inflammatory Z No Qualifier
4 Serum, Toxoid and Vaccine
6 Nutritional Substance
7 Electrolytic and Water Balance
Substance
F Intracirculatory Anesthetic
H Radioactive Substance
K Other Diagnostic Substance
N Analgesics, Hypnotics, Sedatives
P Platelet Inhibitor
R Antiarrhythmic
T Destructive Agent
X Vasopressor
3 Peripheral Vein 0 Open G Other Therapeutic Substance C Other Substance
N Blood Brain Barrier Disruption
3 Peripheral Vein 0 Open U Pancreatic Islet Cells 0 Autologous
1 Nonautologous
3 Peripheral Vein 0 Open V Hormone G Insulin
H Human B-type Natriuretic Peptide
J Other Hormone
3 Peripheral Vein 0 Open W Immunotherapeutic K Immunostimulator
L Immunosuppressive
3 Peripheral Vein 3 Percutaneous 0 Antineoplastic 2 High-dose Interleukin-2
3 Low-dose Interleukin-2
5 Other Antineoplastic
M Monoclonal Antibody
P Clofarabine
3 Peripheral Vein 3 Percutaneous 1 Thrombolytic 6 Recombinant Human- activated
Protein C
7 Other Thrombolytic
3 Peripheral Vein 3 Percutaneous 2 Anti-infective 8 Oxazolidinones
9 Other Anti-infective
3 Peripheral Vein 3 Percutaneous 3 Anti-inflammatory Z No Qualifier
4 Serum, Toxoid and Vaccine
6 Nutritional Substance
7 Electrolytic and Water Balance
Substance
F Intracirculatory Anesthetic
H Radioactive Substance
K Other Diagnostic Substance
N Analgesics, Hypnotics, Sedatives
P Platelet Inhibitor
R Antiarrhythmic
T Destructive Agent
X Vasopressor
3 Peripheral Vein 3 Percutaneous G Other Therapeutic Substance C Other Substance
N Blood Brain Barrier Disruption
Q Glucarpidase
3 Peripheral Vein 3 Percutaneous U Pancreatic Islet Cells 0 Autologous
1 Nonautologous
3 Peripheral Vein 3 Percutaneous V Hormone G Insulin
H Human B-type Natriuretic Peptide
J Other Hormone
3 Peripheral Vein 3 Percutaneous W Immunotherapeutic K Immunostimulator
L Immunosuppressive
4 Central Vein 0 Open 0 Antineoplastic 2 High-dose Interleukin-2
3 Low-dose Interleukin-2
5 Other Antineoplastic
M Monoclonal Antibody
P Clofarabine
3E0 Continued on next page
Valid OR 3E030TZ DRG Non-OR 3E03317
DRG Non-OR 3E030U[0,1] DRG Non-OR 3E033U[0,1]
DRG Non-OR 3E03302 DRG Non-OR 3E04002
3E0–3E0

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
ICD-10-PCS 2019 693
 3E0–3E0 Administration ICD-10-PCS 2019
Administration

3 Administration 3E0 Continued

E Physiological Systems and Anatomical Regions 3E0
0 Introduction Definition: Putting in or on a therapeutic, diagnostic, nutritional, physiological, or prophylactic substance except blood or blood products
Body System/Region Approach Substance Qualifier
Character 4 Character 5 Character 6 Character 7
4 Central Vein 0 Open 1 Thrombolytic 6 Recombinant Human- activated
Protein C
7 Other Thrombolytic
4 Central Vein 0 Open 2 Anti-infective 8 Oxazolidinones
9 Other Anti-infective
4 Central Vein 0 Open 3 Anti-inflammatory Z No Qualifier
4 Serum, Toxoid and Vaccine
6 Nutritional Substance
7 Electrolytic and Water Balance
Substance
F Intracirculatory Anesthetic
H Radioactive Substance
K Other Diagnostic Substance
N Analgesics, Hypnotics, Sedatives
P Platelet Inhibitor
R Antiarrhythmic
T Destructive Agent
X Vasopressor
4 Central Vein 0 Open G Other Therapeutic Substance C Other Substance
N Blood Brain Barrier Disruption
4 Central Vein 0 Open V Hormone G Insulin
H Human B-type Natriuretic Peptide
J Other Hormone
4 Central Vein 0 Open W Immunotherapeutic K Immunostimulator
L Immunosuppressive
4 Central Vein 3 Percutaneous 0 Antineoplastic 2 High-dose Interleukin-2
3 Low-dose Interleukin-2
5 Other Antineoplastic
M Monoclonal Antibody
P Clofarabine
4 Central Vein 3 Percutaneous 1 Thrombolytic 6 Recombinant Human- activated
Protein C
7 Other Thrombolytic
4 Central Vein 3 Percutaneous 2 Anti-infective 8 Oxazolidinones
9 Other Anti-infective
4 Central Vein 3 Percutaneous 3 Anti-inflammatory Z No Qualifier
4 Serum, Toxoid and Vaccine
6 Nutritional Substance
7 Electrolytic and Water Balance
Substance
F Intracirculatory Anesthetic
H Radioactive Substance
K Other Diagnostic Substance
N Analgesics, Hypnotics, Sedatives
P Platelet Inhibitor
R Antiarrhythmic
T Destructive Agent
X Vasopressor
4 Central Vein 3 Percutaneous G Other Therapeutic Substance C Other Substance
N Blood Brain Barrier Disruption
Q Glucarpidase
4 Central Vein 3 Percutaneous V Hormone G Insulin
H Human B-type Natriuretic Peptide
J Other Hormone
4 Central Vein 3 Percutaneous W Immunotherapeutic K Immunostimulator
L Immunosuppressive
5 Peripheral Artery 0 Open 0 Antineoplastic 2 High-dose Interleukin-2
6 Central Artery 3 Percutaneous 3 Low-dose Interleukin-2
5 Other Antineoplastic
M Monoclonal Antibody
P Clofarabine
3E0 Continued on next page
Valid OR 3E040TZ DRG Non-OR 3E04317
DRG Non-OR 3E04017 DRG Non-OR 3E0[5,6][0,3]02
3E0–3E0

DRG Non-OR 3E04302

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
694 ICD-10-PCS 2019
ICD-10-PCS 2019 Administration 3E0–3E0

Administration
3 Administration 3E0 Continued
E Physiological Systems and Anatomical Regions 3E0
0 Introduction Definition: Putting in or on a therapeutic, diagnostic, nutritional, physiological, or prophylactic substance except blood or blood products
Body System/Region Approach Substance Qualifier
Character 4 Character 5 Character 6 Character 7
5 Peripheral Artery 0 Open 1 Thrombolytic 6 Recombinant Human- activated
6 Central Artery 3 Percutaneous Protein C
7 Other Thrombolytic
5 Peripheral Artery 0 Open 2 Anti-infective 8 Oxazolidinones
6 Central Artery 3 Percutaneous 9 Other Anti-infective
5 Peripheral Artery 0 Open 3 Anti-inflammatory Z No Qualifier
6 Central Artery 3 Percutaneous 4 Serum, Toxoid and Vaccine
6 Nutritional Substance
7 Electrolytic and Water Balance
Substance
F Intracirculatory Anesthetic
H Radioactive Substance
K Other Diagnostic Substance
N Analgesics, Hypnotics, Sedatives
P Platelet Inhibitor
R Antiarrhythmic
T Destructive Agent
X Vasopressor
5 Peripheral Artery 0 Open G Other Therapeutic Substance C Other Substance
6 Central Artery 3 Percutaneous N Blood Brain Barrier Disruption
5 Peripheral Artery 0 Open V Hormone G Insulin
6 Central Artery 3 Percutaneous H Human B-type Natriuretic Peptide
J Other Hormone
5 Peripheral Artery 0 Open W Immunotherapeutic K Immunostimulator
6 Central Artery 3 Percutaneous L Immunosuppressive
7 Coronary Artery 0 Open 1 Thrombolytic 6 Recombinant Human- activated
8 Heart 3 Percutaneous Protein C
7 Other Thrombolytic
7 Coronary Artery 0 Open G Other Therapeutic Substance C Other Substance
8 Heart 3 Percutaneous
7 Coronary Artery 0 Open K Other Diagnostic Substance Z No Qualifier
8 Heart 3 Percutaneous P Platelet Inhibitor
7 Coronary Artery 4 Percutaneous Endoscopic G Other Therapeutic Substance C Other Substance
8 Heart
9 Nose 3 Percutaneous 0 Antineoplastic 5 Other Antineoplastic
7 Via Natural or Artificial Opening M Monoclonal Antibody
X External
9 Nose 3 Percutaneous 2 Anti-infective 8 Oxazolidinones
7 Via Natural or Artificial Opening 9 Other Anti-infective
X External
9 Nose 3 Percutaneous 3 Anti-inflammatory Z No Qualifier
7 Via Natural or Artificial Opening 4 Serum, Toxoid and Vaccine
X External B Anesthetic Agent
H Radioactive Substance
K Other Diagnostic Substance
N Analgesics, Hypnotics, Sedatives
T Destructive Agent
9 Nose 3 Percutaneous G Other Therapeutic Substance C Other Substance
7 Via Natural or Artificial Opening
X External
A Bone Marrow 3 Percutaneous 0 Antineoplastic 5 Other Antineoplastic
M Monoclonal Antibody
A Bone Marrow 3 Percutaneous G Other Therapeutic Substance C Other Substance
B Ear 3 Percutaneous 0 Antineoplastic 4 Liquid Brachytherapy Radioisotope
7 Via Natural or Artificial Opening 5 Other Antineoplastic
X External M Monoclonal Antibody
B Ear 3 Percutaneous 2 Anti-infective 8 Oxazolidinones
7 Via Natural or Artificial Opening 9 Other Anti-infective
X External
3E0 Continued on next page
DRG Non-OR 3E0[5,6][0,3]17
DRG Non-OR 3E08[0,3]17
3E0–3E0

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
ICD-10-PCS 2019 695
 3E0–3E0 Administration ICD-10-PCS 2019
Administration

3 Administration 3E0 Continued

E Physiological Systems and Anatomical Regions 3E0
0 Introduction Definition: Putting in or on a therapeutic, diagnostic, nutritional, physiological, or prophylactic substance except blood or blood products
Body System/Region Approach Substance Qualifier
Character 4 Character 5 Character 6 Character 7
B Ear 3 Percutaneous 3 Anti-inflammatory Z No Qualifier
7 Via Natural or Artificial Opening B Anesthetic Agent
X External H Radioactive Substance
K Other Diagnostic Substance
N Analgesics, Hypnotics, Sedatives
T Destructive Agent
B Ear 3 Percutaneous G Other Therapeutic Substance C Other Substance
7 Via Natural or Artificial Opening
X External
C Eye 3 Percutaneous 0 Antineoplastic 4 Liquid Brachytherapy Radioisotope
7 Via Natural or Artificial Opening 5 Other Antineoplastic
X External M Monoclonal Antibody
C Eye 3 Percutaneous 2 Anti-infective 8 Oxazolidinones
7 Via Natural or Artificial Opening 9 Other Anti-infective
X External
C Eye 3 Percutaneous 3 Anti-inflammatory Z No Qualifier
7 Via Natural or Artificial Opening B Anesthetic Agent
X External H Radioactive Substance
K Other Diagnostic Substance
M Pigment
N Analgesics, Hypnotics, Sedatives
T Destructive Agent
C Eye 3 Percutaneous G Other Therapeutic Substance C Other Substance
7 Via Natural or Artificial Opening
X External
C Eye 3 Percutaneous S Gas F Other Gas
7 Via Natural or Artificial Opening
X External
D Mouth and Pharynx 3 Percutaneous 0 Antineoplastic 4 Liquid Brachytherapy Radioisotope
7 Via Natural or Artificial Opening 5 Other Antineoplastic
X External M Monoclonal Antibody
D Mouth and Pharynx 3 Percutaneous 2 Anti-infective 8 Oxazolidinones
7 Via Natural or Artificial Opening 9 Other Anti-infective
X External
D Mouth and Pharynx 3 Percutaneous 3 Anti-inflammatory Z No Qualifier
7 Via Natural or Artificial Opening 4 Serum, Toxoid and Vaccine
X External 6 Nutritional Substance
7 Electrolytic and Water Balance
Substance
B Anesthetic Agent
H Radioactive Substance
K Other Diagnostic Substance
N Analgesics, Hypnotics, Sedatives
R Antiarrhythmic
T Destructive Agent
D Mouth and Pharynx 3 Percutaneous G Other Therapeutic Substance C Other Substance
7 Via Natural or Artificial Opening
X External
E Products of Conception ; 3 Percutaneous 0 Antineoplastic 4 Liquid Brachytherapy Radioisotope
G Upper GI 7 Via Natural or Artificial Opening 5 Other Antineoplastic
H Lower GI 8 Via Natural or Artificial Opening M Monoclonal Antibody
K Genitourinary Tract Endoscopic
N Male Reproductive :
E Products of Conception ; 3 Percutaneous 2 Anti-infective 8 Oxazolidinones
G Upper GI 7 Via Natural or Artificial Opening 9 Other Anti-infective
H Lower GI 8 Via Natural or Artificial Opening
K Genitourinary Tract Endoscopic
N Male Reproductive :
3E0 Continued on next page
: All approach, substance, and qualifier values for body system/region (character 4) with this icon
; All approach, substance, and qualifier values for body system/region (character 4) with this icon
3E0–3E0

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
696 ICD-10-PCS 2019
ICD-10-PCS 2019
3 Administration
E Physiological Systems and Anatomical Regions
0 Introduction Definition: Putting in or on a therapeutic, diagnostic, nutritional, physiological, or prophylactic substance except blood or blood products
Body System/Region
Character 4
E Products of Conception
G Upper GI
H Lower GI
K Genitourinary Tract
N Male Reproductive
E Products of Conception
G Upper GI
H Lower GI
K Genitourinary Tract
N Male Reproductive
E Products of Conception
G Upper GI
H Lower GI
K Genitourinary Tract
N Male Reproductive
E Products of Conception
G Upper GI
H Lower GI
K Genitourinary Tract
N Male Reproductive
F Respiratory Tract
F Respiratory Tract
F Respiratory Tract
F Respiratory Tract
F Respiratory Tract
F Respiratory Tract
J Biliary and Pancreatic Tract
: All approach, substance, and qualifier values for body system/region (character 4) with this icon
; All approach, substance, and qualifier values for body system/region (character 4) with this icon
3 Limited Coverage 4 Noncovered
ICD-10-PCS 2019
Administration 3E0–3E0
Administration
3E0 Continued
3E0
Approach Substance Qualifier
Character 5 Character 6 Character 7
; 3 Percutaneous 3 Anti-inflammatory Z No Qualifier
7 Via Natural or Artificial Opening 6 Nutritional Substance
8 Via Natural or Artificial Opening 7 Electrolytic and Water Balance
Endoscopic Substance
: B Anesthetic Agent
H Radioactive Substance
K Other Diagnostic Substance
N Analgesics, Hypnotics, Sedatives
T Destructive Agent
; 3 Percutaneous G Other Therapeutic Substance C Other Substance
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
:
; 3 Percutaneous S Gas F Other Gas
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
:
; 4 Percutaneous Endoscopic G Other Therapeutic Substance C Other Substance
:
3 Percutaneous 0 Antineoplastic 4 Liquid Brachytherapy Radioisotope
7 Via Natural or Artificial Opening 5 Other Antineoplastic
8 Via Natural or Artificial Opening M Monoclonal Antibody
Endoscopic
3 Percutaneous 2 Anti-infective 8 Oxazolidinones
7 Via Natural or Artificial Opening 9 Other Anti-infective
8 Via Natural or Artificial Opening
Endoscopic
3 Percutaneous 3 Anti-inflammatory Z No Qualifier
7 Via Natural or Artificial Opening 6 Nutritional Substance
8 Via Natural or Artificial Opening 7 Electrolytic and Water Balance
Endoscopic Substance
B Anesthetic Agent
H Radioactive Substance
K Other Diagnostic Substance
N Analgesics, Hypnotics, Sedatives
T Destructive Agent
3 Percutaneous G Other Therapeutic Substance C Other Substance
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
3 Percutaneous S Gas D Nitric Oxide
7 Via Natural or Artificial Opening F Other Gas
8 Via Natural or Artificial Opening
Endoscopic
4 Percutaneous Endoscopic G Other Therapeutic Substance C Other Substance
3 Percutaneous 0 Antineoplastic 4 Liquid Brachytherapy Radioisotope
7 Via Natural or Artificial Opening 5 Other Antineoplastic
8 Via Natural or Artificial Opening M Monoclonal Antibody
Endoscopic
3E0 Continued on next page
3E0–3E0
? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
697
 3E0–3E0 Administration ICD-10-PCS 2019
Administration

3 Administration 3E0 Continued

E Physiological Systems and Anatomical Regions 3E0
0 Introduction Definition: Putting in or on a therapeutic, diagnostic, nutritional, physiological, or prophylactic substance except blood or blood products
Body System/Region Approach Substance Qualifier
Character 4 Character 5 Character 6 Character 7
J Biliary and Pancreatic Tract 3 Percutaneous 2 Anti-infective 8 Oxazolidinones
7 Via Natural or Artificial Opening 9 Other Anti-infective
8 Via Natural or Artificial Opening
Endoscopic
J Biliary and Pancreatic Tract 3 Percutaneous 3 Anti-inflammatory Z No Qualifier
7 Via Natural or Artificial Opening 6 Nutritional Substance
8 Via Natural or Artificial Opening 7 Electrolytic and Water Balance
Endoscopic Substance
B Anesthetic Agent
H Radioactive Substance
K Other Diagnostic Substance
N Analgesics, Hypnotics, Sedatives
T Destructive Agent
J Biliary and Pancreatic Tract 3 Percutaneous G Other Therapeutic Substance C Other Substance
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
J Biliary and Pancreatic Tract 3 Percutaneous S Gas F Other Gas
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
J Biliary and Pancreatic Tract 3 Percutaneous U Pancreatic Islet Cells 0 Autologous
7 Via Natural or Artificial Opening 1 Nonautologous
8 Via Natural or Artificial Opening
Endoscopic
J Biliary and Pancreatic Tract 4 Percutaneous Endoscopic G Other Therapeutic Substance C Other Substance
L Pleural Cavity 0 Open 5 Adhesion Barrier Z No Qualifier
M Peritoneal Cavity
L Pleural Cavity 3 Percutaneous 0 Antineoplastic 4 Liquid Brachytherapy Radioisotope
M Peritoneal Cavity 5 Other Antineoplastic
M Monoclonal Antibody
L Pleural Cavity 3 Percutaneous 2 Anti-infective 8 Oxazolidinones
M Peritoneal Cavity 9 Other Anti-infective
L Pleural Cavity 3 Percutaneous 3 Anti-inflammatory Z No Qualifier
M Peritoneal Cavity 5 Adhesion Barrier
6 Nutritional Substance
7 Electrolytic and Water Balance
Substance
B Anesthetic Agent
H Radioactive Substance
K Other Diagnostic Substance
N Analgesics, Hypnotics, Sedatives
T Destructive Agent
L Pleural Cavity 3 Percutaneous G Other Therapeutic Substance C Other Substance
M Peritoneal Cavity
L Pleural Cavity 3 Percutaneous S Gas F Other Gas
M Peritoneal Cavity
L Pleural Cavity 4 Percutaneous Endoscopic 5 Adhesion Barrier Z No Qualifier
M Peritoneal Cavity
L Pleural Cavity 4 Percutaneous Endoscopic G Other Therapeutic Substance C Other Substance
M Peritoneal Cavity
L Pleural Cavity 7 Via Natural or Artificial Opening 0 Antineoplastic 4 Liquid Brachytherapy Radioisotope
M Peritoneal Cavity 5 Other Antineoplastic
M Monoclonal Antibody
L Pleural Cavity 7 Via Natural or Artificial Opening S Gas F Other Gas
M Peritoneal Cavity
P Female Reproductive ; 0 Open 5 Adhesion Barrier Z No Qualifier
P Female Reproductive ; 3 Percutaneous 0 Antineoplastic 4 Liquid Brachytherapy Radioisotope
5 Other Antineoplastic
M Monoclonal Antibody
P Female Reproductive ; 3 Percutaneous 2 Anti-infective 8 Oxazolidinones
9 Other Anti-infective
3E0 Continued on next page
3E0–3E0

DRG Non-OR 3E0J[3,7,8]U[0,1]

; All approach, substance, and qualifier values for body system/region (character 4) with this icon

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
698 ICD-10-PCS 2019
ICD-10-PCS 2019 Administration 3E0–3E0

3 Administration
E Physiological Systems and Anatomical Regions
0 Introduction Definition: Putting in or on a therapeutic, diagnostic, nutritional, physiological, or prophylactic substance except blood or blood products
Body System/Region
Character 4
P Female Reproductive
P Female Reproductive
P Female Reproductive
P Female Reproductive
P Female Reproductive
P Female Reproductive
P Female Reproductive
P Female Reproductive
P Female Reproductive
P Female Reproductive
P Female Reproductive
P Female Reproductive
P Female Reproductive
P Female Reproductive
P Female Reproductive
P Female Reproductive
P Female Reproductive
Q Cranial Cavity and Brain
Q Cranial Cavity and Brain
Valid OR 3E0P3Q[0,1]
Administration
3E0 Continued
3E0
Approach Substance Qualifier
Character 5 Character 6 Character 7
; 3 Percutaneous 3 Anti-inflammatory Z No Qualifier
5 Adhesion Barrier
6 Nutritional Substance
7 Electrolytic and Water Balance
Substance
B Anesthetic Agent
H Radioactive Substance
K Other Diagnostic Substance
L Sperm
N Analgesics, Hypnotics, Sedatives
T Destructive Agent
V Hormone
; 3 Percutaneous G Other Therapeutic Substance C Other Substance
; 3 Percutaneous Q Fertilized Ovum 0 Autologous
1 Nonautologous
; 3 Percutaneous S Gas F Other Gas
; 4 Percutaneous Endoscopic 5 Adhesion Barrier Z No Qualifier
; 4 Percutaneous Endoscopic G Other Therapeutic Substance C Other Substance
; 7 Via Natural or Artificial Opening 0 Antineoplastic 4 Liquid Brachytherapy Radioisotope
5 Other Antineoplastic
M Monoclonal Antibody
; 7 Via Natural or Artificial Opening 2 Anti-infective 8 Oxazolidinones
9 Other Anti-infective
; 7 Via Natural or Artificial Opening 3 Anti-inflammatory Z No Qualifier
6 Nutritional Substance
7 Electrolytic and Water Balance
Substance
B Anesthetic Agent
H Radioactive Substance
K Other Diagnostic Substance
L Sperm
N Analgesics, Hypnotics, Sedatives
T Destructive Agent
V Hormone
; 7 Via Natural or Artificial Opening G Other Therapeutic Substance C Other Substance
; 7 Via Natural or Artificial Opening Q Fertilized Ovum 0 Autologous
1 Nonautologous
; 7 Via Natural or Artificial Opening S Gas F Other Gas
; 8 Via Natural or Artificial Opening 0 Antineoplastic 4 Liquid Brachytherapy Radioisotope
Endoscopic 5 Other Antineoplastic
M Monoclonal Antibody
; 8 Via Natural or Artificial Opening 2 Anti-infective 8 Oxazolidinones
Endoscopic 9 Other Anit-infection
; 8 Via Natural or Artificial Opening 3 Anti-inflammatory Z No Qualifier
Endoscopic 6 Nutritional Substance
7 Electrolytic and Water Balance
Substance
B Anesthetic Agent
H Radioactive Substance
K Other Diagnostic Substance
N Analgesics, Hypnotics, Sedative
T Destructive Agent
; 8 Via Natural or Artificial Opening G Other Therapeutic Substance C Other Substance
Endoscopic
; 8 Via Natural or Artificial Opening S Gas F Other Gas
Endoscopic
0 Open 0 Antineoplastic 4 Liquid Brachytherapy Radioisotope
3 Percutaneous 5 Other Antineoplastic
M Monoclonal Antibody
0 Open 2 Anti-infective 8 Oxazolidinones
3 Percutaneous 9 Other Anti-infective
3E0 Continued on next page
3E0–3E0

Valid OR 3E0P7Q[0,1]
DRG Non-OR 3E0Q[0,3]05
; All approach, substance, and qualifier values for body system/region (character 4) with this icon

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
ICD-10-PCS 2019 699
 3E0–3E0 Administration ICD-10-PCS 2019
Administration

3 Administration 3E0 Continued

E Physiological Systems and Anatomical Regions 3E0
0 Introduction Definition: Putting in or on a therapeutic, diagnostic, nutritional, physiological, or prophylactic substance except blood or blood products
Body System/Region Approach Substance Qualifier
Character 4 Character 5 Character 6 Character 7
Q Cranial Cavity and Brain 0 Open 3 Anti-inflammatory Z No Qualifier
3 Percutaneous 6 Nutritional Substance
7 Electrolytic and Water Balance
Substance
A Stem Cells, Embryonic
B Anesthetic Agent
H Radioactive Substance
K Other Diagnostic Substance
N Analgesics, Hypnotics, Sedatives
T Destructive Agent
Q Cranial Cavity and Brain 0 Open E Stem Cells, Somatic 0 Autologous
3 Percutaneous 1 Nonautologous

Q Cranial Cavity and Brain 0 Open G Other Therapeutic Substance C Other Substance
3 Percutaneous
Q Cranial Cavity and Brain 0 Open S Gas F Other Gas
3 Percutaneous
Q Cranial Cavity and Brain 7 Via Natural or Artificial Opening 0 Antineoplastic 4 Liquid Brachytherapy Radioisotope
5 Other Antineoplastic
M Monoclonal Antibody
Q Cranial Cavity and Brain 7 Via Natural or Artificial Opening S Gas F Other Gas
R Spinal Canal 0 Open A Stem Cells, Embryonic Z No Qualifier
R Spinal Canal 0 Open E Stem Cells, Somatic 0 Autologous
1 Nonautologous
R Spinal Canal 3 Percutaneous 0 Antineoplastic 2 High-dose Interleukin-2
3 Low-dose Interleukin-2
4 Liquid Brachytherapy Radioisotope
5 Other Antineoplastic
M Monoclonal Antibody
R Spinal Canal 3 Percutaneous 2 Anti-infective 8 Oxazolidinones
9 Other Anti-infective
R Spinal Canal 3 Percutaneous 3 Anti-inflammatory Z No Qualifier
6 Nutritional Substance
7 Electrolytic and Water Balance
Substance
A Stem Cells, Embryonic
B Anesthetic Agent
H Radioactive Substance
K Other Diagnostic Substance
N Analgesics, Hypnotics, Sedatives
T Destructive Agent
R Spinal Canal 3 Percutaneous E Stem Cells, Somatic 0 Autologous
1 Nonautologous
R Spinal Canal 3 Percutaneous G Other Therapeutic Substance C Other Substance
R Spinal Canal 3 Percutaneous S Gas F Other Gas
R Spinal Canal 7 Via Natural or Artificial Opening S Gas F Other Gas
S Epidural Space 3 Percutaneous 0 Antineoplastic 2 High-dose Interleukin-2
3 Low-dose Interleukin-2
4 Liquid Brachytherapy Radioisotope
5 Other Antineoplastic
M Monoclonal Antibody
S Epidural Space 3 Percutaneous 2 Anti-infective 8 Oxazolidinones
9 Other Anti-infective
S Epidural Space 3 Percutaneous 3 Anti-inflammatory Z No Qualifier
6 Nutritional Substance
7 Electrolytic and Water Balance
Substance
B Anesthetic Agent
H Radioactive Substance
K Other Diagnostic Substance
N Analgesics, Hypnotics, Sedatives
T Destructive Agent
3E0 Continued on next page
DRG Non-OR 3E0Q705
3E0–3E0

DRG Non-OR 3E0R302

DRG Non-OR 3E0S302

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
700 ICD-10-PCS 2019
ICD-10-PCS 2019 Administration 3E0–3E0

Administration
3 Administration 3E0 Continued
E Physiological Systems and Anatomical Regions 3E0
0 Introduction Definition: Putting in or on a therapeutic, diagnostic, nutritional, physiological, or prophylactic substance except blood or blood products
Body System/Region Approach Substance Qualifier
Character 4 Character 5 Character 6 Character 7
S Epidural Space 3 Percutaneous G Other Therapeutic Substance C Other Substance
S Epidural Space 3 Percutaneous S Gas F Other Gas
S Epidural Space 7 Via Natural or Artificial Opening S Gas F Other Gas
T Peripheral Nerves and Plexi 3 Percutaneous 3 Anti-inflammatory Z No Qualifier
X Cranial Nerves B Anesthetic Agent
T Destructive Agent
T Peripheral Nerves and Plexi 3 Percutaneous G Other Therapeutic Substance C Other Substance
X Cranial Nerves
U Joints 0 Open 2 Anti-infective 8 Oxazolidinones
9 Other Anti-infective
U Joints 0 Open G Other Therapeutic Substance B Recombinant Bone Morphogenetic
Protein
U Joints 3 Percutaneous 0 Antineoplastic 4 Liquid Brachytherapy Radioisotope
5 Other Antineoplastic
M Monoclonal Antibody
U Joints 3 Percutaneous 2 Anti-infective 8 Oxazolidinones
9 Other Anti-infective
U Joints 3 Percutaneous 3 Anti-inflammatory Z No Qualifier
6 Nutritional Substance
7 Electrolytic and Water Balance
Substance
B Anesthetic Agent
H Radioactive Substance
K Other Diagnostic Substance
N Analgesics, Hypnotics, Sedatives
T Destructive Agent
U Joints 3 Percutaneous G Other Therapeutic Substance B Recombinant Bone Morphogenetic
Protein
C Other Substance
U Joints 3 Percutaneous S Gas F Other Gas
U Joints 4 Percutaneous Endoscopic G Other Therapeutic Substance C Other Substance
V Bones 0 Open G Other Therapeutic Substance B Recombinant Bone Morphogenetic
Protein
V Bones 3 Percutaneous 0 Antineoplastic 5 Other Antineoplastic
M Monoclonal Antibody
V Bones 3 Percutaneous 2 Anti-infective 8 Oxazolidinones
9 Other Anti-infective
V Bones 3 Percutaneous 3 Anti-inflammatory Z No Qualifier
6 Nutritional Substance
7 Electrolytic and Water Balance
Substance
B Anesthetic Agent
H Radioactive Substance
K Other Diagnostic Substance
N Analgesics, Hypnotics, Sedatives
T Destructive Agent
V Bones 3 Percutaneous G Other Therapeutic Substance B Recombinant Bone Morphogenetic
Protein
C Other Substance
W Lymphatics 3 Percutaneous 0 Antineoplastic 5 Other Antineoplastic
M Monoclonal Antibody
W Lymphatics 3 Percutaneous 2 Anti-infective 8 Oxazolidinones
9 Other Anti-infective
W Lymphatics 3 Percutaneous 3 Anti-inflammatory Z No Qualifier
6 Nutritional Substance
7 Electrolytic and Water Balance
Substance
B Anesthetic Agent
H Radioactive Substance
K Other Diagnostic Substance
N Analgesics, Hypnotics, Sedatives
T Destructive Agent
3E0 Continued on next page
3E0–3E0

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
ICD-10-PCS 2019 701
 3E0–3E1 Administration ICD-10-PCS 2019
Administration

3 Administration 3E0 Continued

E Physiological Systems and Anatomical Regions 3E0
0 Introduction Definition: Putting in or on a therapeutic, diagnostic, nutritional, physiological, or prophylactic substance except blood or blood products
Body System/Region Approach Substance Qualifier
Character 4 Character 5 Character 6 Character 7
W Lymphatics 3 Percutaneous G Other Therapeutic Substance C Other Substance
Y Pericardial Cavity 3 Percutaneous 0 Antineoplastic 4 Liquid Brachytherapy Radioisotope
5 Other Antineoplastic
M Monoclonal Antibody
Y Pericardial Cavity 3 Percutaneous 2 Anti-infective 8 Oxazolidinones
9 Other Anti-infective
Y Pericardial Cavity 3 Percutaneous 3 Anti-inflammatory Z No Qualifier
6 Nutritional Substance
7 Electrolytic and Water Balance
Substance
B Anesthetic Agent
H Radioactive Substance
K Other Diagnostic Substance
N Analgesics, Hypnotics, Sedatives
T Destructive Agent
Y Pericardial Cavity 3 Percutaneous G Other Therapeutic Substance C Other Substance
Y Pericardial Cavity 3 Percutaneous S Gas F Other Gas
Y Pericardial Cavity 4 Percutaneous Endoscopic G Other Therapeutic Substance C Other Substance
Y Pericardial Cavity 7 Via Natural or Artificial Opening 0 Antineoplastic 4 Liquid Brachytherapy Radioisotope
5 Other Antineoplastic
M Monoclonal Antibody
Y Pericardial Cavity 7 Via Natural or Artificial Opening S Gas F Other Gas

3E0
3 Administration
E Physiological Systems and Anatomical Regions 3E1
1 Irrigation Definition: Putting in or on a cleansing substance
Body System/Region Approach Substance Qualifier
Character 4 Character 5 Character 6 Character 7
0 Skin and Mucous Membranes 3 Percutaneous 8 Irrigating Substance X Diagnostic
C Eye X External Z No Qualifier
9 Nose 3 Percutaneous 8 Irrigating Substance X Diagnostic
B Ear 7 Via Natural or Artificial Opening Z No Qualifier
F Respiratory Tract 8 Via Natural or Artificial Opening
G Upper GI Endoscopic
H Lower GI
J Biliary and Pancreatic Tract
K Genitourinary Tract
N Male Reproductive :
P Female Reproductive ;
L Pleural Cavity 3 Percutaneous 8 Irrigating Substance X Diagnostic
Q Cranial Cavity and Brain Z No Qualifier
R Spinal Canal
S Epidural Space
U Joints
Y Pericardial Cavity
M Peritoneal Cavity 3 Percutaneous 8 Irrigating Substance X Diagnostic
Z No Qualifier
M Peritoneal Cavity 3 Percutaneous 9 Dialysate Z No Qualifier
: 3E1N[3,7,8]8[X,Z]
; 3E1P[3,7,8]8[X,Z]
3E0–3E1

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
702 ICD-10-PCS 2019
ICD-10-PCS 2019 Measurement and Monitoring

Measurement and Monitoring

Measurement and Monitoring 4A0–4B0
Character Meanings
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.

A: Physiological Systems
Operation–Character 3 Body System–Character 4 Approach–Character 5 Function/Device–Character 6 Qualifier–Character 7
0 Measurement 0 Central Nervous 0 Open 0 Acuity 0 Central
1 Monitoring 1 Peripheral Nervous 3 Percutaneous 1 Capacity 1 Peripheral
2 Cardiac 4 Percutaneous Endoscopic 2 Conductivity 2 Portal
3 Arterial 7 Via Natural or Artificial 3 Contractility 3 Pulmonary
Opening
4 Venous 8 Via Natural or Artificial 4 Electrical Activity 4 Stress
Opening Endoscopic
5 Circulatory X External 5 Flow 5 Ambulatory
6 Lymphatic 6 Metabolism 6 Right Heart
7 Visual 7 Mobility 7 Left Heart
8 Olfactory 8 Motility 8 Bilateral
9 Respiratory 9 Output 9 Sensory
B Gastrointestinal B Pressure A Guidance
C Biliary C Rate B Motor
D Urinary D Resistance C Coronary
F Musculoskeletal F Rhythm D Intracranial
G Skin and Breast G Secretion F Other Thoracic
H Products of Conception, H Sound G Intraoperative
Cardiac
J Products of Conception, J Pulse H Indocyanine Green Dye
Nervous
Z None K Temperature Z No Qualifier
L Volume
M Total Activity
N Sampling and Pressure
P Action Currents
Q Sleep
R Saturation
S Vascular Perfusion

B: Physiological Devices
Operation–Character 3 Body System–Character 4 Approach–Character 5 Function/Device–Character 6 Qualifier–Character 7
0 Measurement 0 Central Nervous X External S Pacemaker Z No Qualifier
1 Peripheral Nervous T Defibrillator
2 Cardiac V Stimulator
9 Respiratory
F Musculoskeletal

AHA Coding Clinic for table 4A0

2018, 1Q, 12 Percutaneous balloon valvuloplasty & cardiac catheterization with ventriculogram
2016, 3Q, 37 Fractional flow reserve
2015, 3Q, 29 Approach value for esophageal electrophysiology study
AHA Coding Clinic for table 4A1
2016, 4Q, 114 Fluorescence vascular angiography
2016, 2Q, 29 Decompressive craniectomy with cryopreservation and storage of bone flap
2016, 2Q, 33 Monitoring of arterial pressure & pulse
2015, 3Q, 35 Swan Ganz catheterization
2015, 2Q, 14 Intraoperative EMG monitoring via endotracheal tube
2015, 1Q, 26 Intraoperative monitoring using Sentio MMG®
2014, 4Q, 28 Removal and replacement of displaced growing rods

ICD-10-PCS 2019 703

 4A0–4A0 Measurement and Monitoring ICD-10-PCS 2019
Measurement and Monitoring

4 Measurement and Monitoring

A Physiological Systems 4A0
0 Measurement Definition: Determining the level of a physiological or physical function at a point in time
Body System Approach Function/Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Central Nervous 0 Open 2 Conductivity Z No Qualifier
4 Electrical Activity
B Pressure
0 Central Nervous 3 Percutaneous 4 Electrical Activity Z No Qualifier
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
0 Central Nervous 3 Percutaneous B Pressure D Intracranial
7 Via Natural or Artificial Opening K Temperature
8 Via Natural or Artificial Opening R Saturation
Endoscopic
0 Central Nervous X External 2 Conductivity Z No Qualifier
4 Electrical Activity
1 Peripheral Nervous 0 Open 2 Conductivity 9 Sensory
3 Percutaneous B Motor
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
X External
1 Peripheral Nervous 0 Open 4 Electrical Activity Z No Qualifier
3 Percutaneous
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
X External
2 Cardiac 0 Open 4 Electrical Activity Z No Qualifier
3 Percutaneous 9 Output
7 Via Natural or Artificial Opening C Rate
8 Via Natural or Artificial Opening F Rhythm
Endoscopic H Sound
P Action Currents
2 Cardiac 0 Open N Sampling and Pressure 6 Right Heart
3 Percutaneous 7 Left Heart
7 Via Natural or Artificial Opening 8 Bilateral
8 Via Natural or Artificial Opening
Endoscopic
2 Cardiac X External 4 Electrical Activity A Guidance
Z No Qualifier
2 Cardiac X External 9 Output Z No Qualifier
C Rate
F Rhythm
H Sound
P Action Currents
2 Cardiac X External M Total Activity 4 Stress
3 Arterial 0 Open 5 Flow 1 Peripheral
3 Percutaneous J Pulse 3 Pulmonary
C Coronary
3 Arterial 0 Open B Pressure 1 Peripheral
3 Percutaneous 3 Pulmonary
C Coronary
F Other Thoracic
3 Arterial 0 Open H Sound 1 Peripheral
3 Percutaneous R Saturation
3 Arterial X External 5 Flow 1 Peripheral
B Pressure
H Sound
J Pulse
R Saturation
4A0 Continued on next page
DRG Non-OR 4A02[3,7,8]FZ
DRG Non-OR 4A02[0,3,7,8]N[6,7,8]
4A0–4A0

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
704 ICD-10-PCS 2019
ICD-10-PCS 2019 Measurement and Monitoring 4A0–4A0

Measurement and Monitoring

4 Measurement and Monitoring 4A0 Continued
A Physiological Systems 4A0
0 Measurement Definition: Determining the level of a physiological or physical function at a point in time
Body System Approach Function/Device Qualifier
Character 4 Character 5 Character 6 Character 7
4 Venous 0 Open 5 Flow 0 Central
3 Percutaneous B Pressure 1 Peripheral
J Pulse 2 Portal
3 Pulmonary
4 Venous 0 Open R Saturation 1 Peripheral
3 Percutaneous
4 Venous X External 5 Flow 1 Peripheral
B Pressure
J Pulse
R Saturation
5 Circulatory X External L Volume Z No Qualifier
6 Lymphatic 0 Open 5 Flow Z No Qualifier
3 Percutaneous B Pressure
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
7 Visual X External 0 Acuity Z No Qualifier
7 Mobility
B Pressure
8 Olfactory X External 0 Acuity Z No Qualifier
9 Respiratory 7 Via Natural or Artificial Opening 1 Capacity Z No Qualifier
8 Via Natural or Artificial Opening 5 Flow
Endoscopic C Rate
X External D Resistance
L Volume
M Total Activity
B Gastrointestinal 7 Via Natural or Artificial Opening 8 Motility Z No Qualifier
8 Via Natural or Artificial Opening B Pressure
Endoscopic G Secretion
C Biliary 3 Percutaneous 5 Flow Z No Qualifier
4 Percutaneous Endoscopic B Pressure
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
D Urinary 7 Via Natural or Artificial Opening 3 Contractility Z No Qualifier
8 Via Natural or Artificial Opening 5 Flow
Endoscopic B Pressure
D Resistance
L Volume
F Musculoskeletal 3 Percutaneous 3 Contractility Z No Qualifier
X External
H Products of Conception, ; 7 Via Natural or Artificial Opening 4 Electrical Activity Z No Qualifier
Cardiac 8 Via Natural or Artificial Opening C Rate
Endoscopic F Rhythm
X External H Sound
J Products of Conception, ; 7 Via Natural or Artificial Opening 2 Conductivity Z No Qualifier
Nervous 8 Via Natural or Artificial Opening 4 Electrical Activity
Endoscopic B Pressure
X External
Z None 7 Via Natural or Artificial Opening 6 Metabolism Z No Qualifier
K Temperature
Z None X External 6 Metabolism Z No Qualifier
K Temperature
Q Sleep
Valid OR 4A060[5,B]Z ; 4A0H[7,8,X][4,C,F,H]Z
Valid OR 4A0C4[5,B]Z ; 4A0J[7,8,X][2,4,B]Z
4A0–4A0

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
ICD-10-PCS 2019 705
 4A1–4A1 Measurement and Monitoring ICD-10-PCS 2019
Measurement and Monitoring

4 Measurement and Monitoring

A Physiological Systems 4A1
1 Monitoring Definition: Determining the level of a physiological or physical function repetitively over a period of time
Body System Approach Function/Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Central Nervous 0 Open 2 Conductivity Z No Qualifier
B Pressure
0 Central Nervous 0 Open 4 Electrical Activity G Intraoperative
Z No Qualifier
0 Central Nervous 3 Percutaneous 4 Electrical Activity G Intraoperative
7 Via Natural or Artificial Opening Z No Qualifier
8 Via Natural or Artificial Opening
Endoscopic
0 Central Nervous 3 Percutaneous B Pressure D Intracranial
7 Via Natural or Artificial Opening K Temperature
8 Via Natural or Artificial Opening R Saturation
Endoscopic
0 Central Nervous X External 2 Conductivity Z No Qualifier
0 Central Nervous X External 4 Electrical Activity G Intraoperative
Z No Qualifier
1 Peripheral Nervous 0 Open 2 Conductivity 9 Sensory
3 Percutaneous B Motor
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
X External
1 Peripheral Nervous 0 Open 4 Electrical Activity G Intraoperative
3 Percutaneous Z No Qualifier
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
X External
2 Cardiac 0 Open 4 Electrical Activity Z No Qualifier
3 Percutaneous 9 Output
7 Via Natural or Artificial Opening C Rate
8 Via Natural or Artificial Opening F Rhythm
Endoscopic H Sound
2 Cardiac X External 4 Electrical Activity 5 Ambulatory
Z No Qualifier
2 Cardiac X External 9 Output Z No Qualifier
C Rate
F Rhythm
H Sound
2 Cardiac X External M Total Activity 4 Stress
2 Cardiac X External S Vascular Perfusion H Indocyanine Green Dye
3 Arterial 0 Open 5 Flow 1 Peripheral
3 Percutaneous B Pressure 3 Pulmonary
J Pulse C Coronary
3 Arterial 0 Open H Sound 1 Peripheral
3 Percutaneous R Saturation
3 Arterial X External 5 Flow 1 Peripheral
B Pressure
H Sound
J Pulse
R Saturation
4 Venous 0 Open 5 Flow 0 Central
3 Percutaneous B Pressure 1 Peripheral
J Pulse 2 Portal
3 Pulmonary
4 Venous 0 Open R Saturation 0 Central
3 Percutaneous 2 Portal
3 Pulmonary
4 Venous X External 5 Flow 1 Peripheral
B Pressure
J Pulse
6 Lymphatic 0 Open 5 Flow Z No Qualifier
3 Percutaneous B Pressure
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
4A1–4A1

4A1 Continued on next page

Valid OR 4A160[5,B]Z

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
706 ICD-10-PCS 2019
ICD-10-PCS 2019 Measurement and Monitoring 4A1–4B0

Measurement and Monitoring

4 Measurement and Monitoring 4A1 Continued
A Physiological Systems 4A1
1 Monitoring Definition: Determining the level of a physiological or physical function repetitively over a period of time
Body System Approach Function/Device Qualifier
Character 4 Character 5 Character 6 Character 7
9 Respiratory 7 Via Natural or Artificial Opening 1 Capacity Z No Qualifier
X External 5 Flow
C Rate
D Resistance
L Volume
B Gastrointestinal 7 Via Natural or Artificial Opening 8 Motility Z No Qualifier
8 Via Natural or Artificial Opening B Pressure
Endoscopic G Secretion
B Gastrointestinal X External S Vascular Perfusion H Indocyanine Green Dye
D Urinary 7 Via Natural or Artificial Opening 3 Contractility Z No Qualifier
8 Via Natural or Artificial Opening 5 Flow
Endoscopic B Pressure
D Resistance
L Volume
G Skin and Breast X External S Vascular Perfusion H Indocyanine Green Dye
H Products of Conception, ; 7 Via Natural or Artificial Opening 4 Electrical Activity Z No Qualifier
Cardiac 8 Via Natural or Artificial Opening C Rate
Endoscopic F Rhythm
X External H Sound
J Products of Conception, ; 7 Via Natural or Artificial Opening 2 Conductivity Z No Qualifier
Nervous 8 Via Natural or Artificial Opening 4 Electrical Activity
Endoscopic B Pressure
X External
Z None 7 Via Natural or Artificial Opening K Temperature Z No Qualifier
Z None X External K Temperature Z No Qualifier
Q Sleep
; 4A1H[7,8,X][4,C,F,H]Z
; 4A1J[7,8,X][2,4,B]Z

4 Measurement and Monitoring

B Physiological Devices 4B0
0 Measurement Definition: Determining the level of a physiological or physical function at a point in time
Body System Approach Function/Device Qualifier
Character 4 Character 5 Character 6 Character 7
0 Central Nervous X External V Stimulator Z No Qualifier
1 Peripheral Nervous
F Musculoskeletal
2 Cardiac X External S Pacemaker Z No Qualifier
T Defibrillator
9 Respiratory X External S Pacemaker Z No Qualifier
4A1–4B0

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
ICD-10-PCS 2019 707
This page is left intentionally blank.
ICD-10-PCS 2019 Extracorporeal or Systemic Assistance and Performance

Extracorporeal or Systemic Assistance and Performance

Extracorporeal or Systemic Assistance and Performance 5A0–5A2
Character Meanings
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.

A: Physiological Systems
Operation–Character 3 Body System–Character 4 Duration–Character 5 Function–Character 6 Qualifier–Character 7
0 Assistance 2 Cardiac 0 Single 0 Filtration 0 Balloon Pump
1 Performance 5 Circulatory 1 Intermittent 1 Output 1 Hyperbaric
2 Restoration 9 Respiratory 2 Continuous 2 Oxygenation 2 Manual
C Biliary 3 Less than 24 Consecutive 3 Pacing 4 Nonmechanical
Hours
D Urinary 4 24-96 Consecutive Hours 4 Rhythm 5 Pulsatile Compression
5 Greater than 96 5 Ventilation 6 Other Pump
Consecutive Hours
6 Multiple 7 Continuous Positive Airway
Pressure
7 Intermittent, Less than 6 8 Intermittent Positive
Hours per Day Airway Pressure
8 Prolonged Intermittent, 9 Continuous Negative
6-18 hours per Day Airway Pressure
9 Continuous, Greater than B Intermittent Negative
18 hours per Day Airway Pressure
C Supersaturated
D Impeller Pump
F Membrane, Central
G Membrane, Peripheral
Veno-arterial
H Membrane, Peripheral
Veno-venous
Z No Qualifier

AHA Coding Clinic for table 5A0

2018, 2Q, 3-5 Intra-aortic balloon pump
2017, 4Q, 43-44 Insertion of external heart assist devices
2017, 3Q, 18 Intra-aortic balloon pump removal
2017, 1Q, 10-11 External heart assist device
2017, 1Q, 29 Newborn resuscitation using positive pressure ventilation
2017, 1Q, 29 Newborn noninvasive ventilation
2016, 4Q, 137-139 Heart assist device systems
2014, 4Q, 9 Mechanical ventilation
2014, 3Q, 19 Ablation of ventricular tachycardia with Impella® support
2013, 3Q, 18 Heart transplant surgery
AHA Coding Clinic for table 5A1
2018, 1Q, 13 Mechanical ventilation using patient’s equipment
2017, 4Q, 71-73 Hemodialysis and renal replacement therapy
2017, 3Q, 7 Senning procedure (arterial switch)
2017, 1Q, 19 Norwood Sano procedure
2016, 1Q, 27 Aortocoronary bypass graft utilizing Y-graft
2016, 1Q, 28 Extracorporeal liver assist device
2016, 1Q, 29 Duration of hemodialysis
2015, 4Q, 22-24 Congenital heart corrective procedures
2014, 4Q, 3-10 Mechanical ventilation
2014, 4Q, 11-15 Sequencing of mechanical ventilation with other procedures
2014, 3Q, 16 Repair of Tetralogy of Fallot
2014, 3Q, 20 MAZE procedure performed with coronary artery bypass graft
2014, 1Q, 10 Repair of thoracic aortic aneurysm & coronary artery bypass graft
2013, 3Q, 18 Heart transplant surgery

ICD-10-PCS 2019 709

 5A0–5A2 Extracorporeal or Systemic Assistance and Performance ICD-10-PCS 2019
Extracorporeal or Systemic Assistance and Performance

5 Extracorporeal or Systemic Assistance and Performance

A Physiological Systems 5A0
0 Assistance Definition: Taking over a portion of a physiological function by extracorporeal means
Body System Duration Function Qualifier
Character 4 Character 5 Character 6 Character 7
2 Cardiac 1 Intermittent 1 Output 0 Balloon Pump
2 Continuous 5 Pulsatile Compression
6 Other Pump
D Impeller Pump
5 Circulatory 1 Intermittent 2 Oxygenation 1 Hyperbaric
2 Continuous C Supersaturated
9 Respiratory 2 Continuous 0 Filtration Z No Qualifier
9 Respiratory 3 Less than 24 Consecutive Hours 5 Ventilation 7 Continuous Positive Airway
4 24-96 Consecutive Hours Pressure
5 Greater than 96 Consecutive Hours 8 Intermittent Positive Airway
Pressure
9 Continuous Negative Airway
Pressure
B Intermittent Negative Airway
Pressure
Z No Qualifier
Valid OR 5A02[1,2]1[0,6,D]

5 Extracorporeal or Systemic Assistance and Performance

A Physiological Systems 5A1
1 Performance Definition: Completely taking over a physiological function by extracorporeal means
Body System Duration Function Qualifier
Character 4 Character 5 Character 6 Character 7
2 Cardiac 0 Single 1 Output 2 Manual
2 Cardiac 1 Intermittent 3 Pacing Z No Qualifier
2 Cardiac 2 Continuous 1 Output Z No Qualifier
3 Pacing
5 Circulatory 2 Continuous 2 Oxygenation F Membrane, Central
G Membrane, Peripheral Veno-arterial
H Membrane, Peripheral Veno-venous
9 Respiratory 0 Single 5 Ventilation 4 Nonmechanical
9 Respiratory 3 Less than 24 Consecutive Hours 5 Ventilation Z No Qualifier
4 24-96 Consecutive Hours
5 Greater than 96 Consecutive Hours
C Biliary 0 Single 0 Filtration Z No Qualifier
6 Multiple
D Urinary 7 Intermittent, Less than 6 Hours per 0 Filtration Z No Qualifier
day
8 Prolonged Intermittent, 6-18 Hours
per day
9 Continuous, Greater than 18 Hours
per day
Valid OR 5A1522[F,G,H]
DRG Non-OR 5A19[3,4,5]5Z
Note: For code 5A1955Z, length of stay must be > 4 consecutive days.

5 Extracorporeal or Systemic Assistance and Performance

A Physiological Systems 5A2
2 Restoration Definition: Returning, or attempting to return, a physiological function to its original state by extracorporeal means.
Body System Duration Function Qualifier
Character 4 Character 5 Character 6 Character 7
2 Cardiac 0 Single 4 Rhythm Z No Qualifier
5A0–5A2

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
710 ICD-10-PCS 2019
ICD-10-PCS 2019 Extracorporeal or Systemic Therapies

Extracorporeal or Systemic Therapies

Extracorporeal or Systemic Therapies 6A0–6AB
Character Meanings
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.

A: Physiological Systems
Operation–Character 3
0 Atmospheric Control
1 Decompression
2 Electromagnetic Therapy
3 Hyperthermia
4 Hypothermia
5 Pheresis
6 Phototherapy
7 Ultrasound Therapy
8 Ultraviolet Light Therapy
9 Shock Wave Therapy
B Perfusion
Body System–Character 4
0 Skin
1 Urinary
2 Central Nervous
3 Musculoskeletal
5 Circulatory
B Respiratory System
F Hepatobiliary System and
Pancreas
T Urinary System
Z None
Duration–Character 5 Qualifier–Character 6 Qualifier–Character 7
0 Single B Donor Organ 0 Erythrocytes
1 Multiple Z No Qualifier 1 Leukocytes
2 Platelets
3 Plasma
4 Head and Neck Vessels
5 Heart
6 Peripheral Vessels
7 Other Vessels
T Stem Cells, Cord Blood
V Stem Cells, Hematopoietic
Z No Qualifier

AHA Coding Clinic for table 6A7

2014, 4Q, 19 Ultrasound accelerated thrombolysis
AHA Coding Clinic for table 6AB
2016, 4Q, 115 Donor organ perfusion

ICD-10-PCS 2019 711

 6A0–6A7 Extracorporeal or Systemic Therapies ICD-10-PCS 2019
Extracorporeal or Systemic Therapies

6 Extracorporeal or Systemic Therapies

A Physiological Systems 6A0
0 Atmospheric Control Definition: Extracorporeal control of atmospheric pressure and composition
Body System Duration Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
Z None 0 Single Z No Qualifier Z No Qualifier
1 Multiple

6 Extracorporeal or Systemic Therapies

A Physiological Systems 6A1
1 Decompression Definition: Extracorporeal elimination of undissolved gas from body fluids
Body System Duration Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
5 Circulatory 0 Single Z No Qualifier Z No Qualifier
1 Multiple

6 Extracorporeal or Systemic Therapies

A Physiological Systems 6A2
2 Electromagnetic Therapy Definition: Extracorporeal treatment by electromagnetic rays
Body System Duration Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
1 Urinary 0 Single Z No Qualifier Z No Qualifier
2 Central Nervous 1 Multiple

6 Extracorporeal or Systemic Therapies

A Physiological Systems 6A3
3 Hyperthermia Definition: Extracorporeal raising of body temperature
Body System Duration Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
Z None 0 Single Z No Qualifier Z No Qualifier
1 Multiple

6 Extracorporeal or Systemic Therapies

A Physiological Systems 6A4
4 Hypothermia Definition: Extracorporeal lowering of body temperature
Body System Duration Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
Z None 0 Single Z No Qualifier Z No Qualifier
1 Multiple

6 Extracorporeal or Systemic Therapies

A Physiological Systems 6A5
5 Pheresis Definition: Extracorporeal separation of blood products
Body System Duration Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
5 Circulatory 0 Single Z No Qualifier 0 Erythrocytes
1 Multiple 1 Leukocytes
2 Platelets
3 Plasma
T Stem Cells, Cord Blood
V Stem Cells, Hematopoietic

6 Extracorporeal or Systemic Therapies

A Physiological Systems 6A6
6 Phototherapy Definition: Extracorporeal treatment by light rays
Body System Duration Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Skin 0 Single Z No Qualifier Z No Qualifier
5 Circulatory 1 Multiple

6 Extracorporeal or Systemic Therapies

A Physiological Systems 6A7
7 Ultrasound Therapy Definition: Extracorporeal treatment by ultrasound
Body System Duration Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
5 Circulatory 0 Single Z No Qualifier 4 Head and Neck Vessels
6A0–6A7

1 Multiple 5 Heart
6 Peripheral Vessels
7 Other Vessels
Z No Qualifier

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
712 ICD-10-PCS 2019
ICD-10-PCS 2019 Extracorporeal or Systemic Therapies 6A8–6AB

Extracorporeal or Systemic Therapies

6 Extracorporeal or Systemic Therapies
A Physiological Systems 6A8
8 Ultraviolet Light Therapy Definition: Extracorporeal treatment by ultraviolet light
Body System Duration Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Skin 0 Single Z No Qualifier Z No Qualifier
1 Multiple

6 Extracorporeal or Systemic Therapies

A Physiological Systems 6A9
9 Shock Wave Therapy Definition: Extracorporeal treatment by shock waves
Body System Duration Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
3 Musculoskeletal 0 Single Z No Qualifier Z No Qualifier
1 Multiple

6 Extracorporeal or Systemic Therapies

A Physiological Systems 6AB
B Perfusion Definition: Extracorporeal treatment by diffusion of therapeutic fluid
Body System Duration Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
5 Circulatory 0 Single B Donor Organ Z No Qualifier
B Respiratory System
F Hepatobiliary System and Pancreas
T Urinary System

6A8–6AB

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
ICD-10-PCS 2019 713
This page is left intentionally blank.
ICD-10-PCS 2019 Osteopathic

Osteopathic
Osteopathic 7W0
Character Meanings
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.

W: Anatomical Regions
Operation–Character 3 Body Region–Character 4 Approach–Character 5 Method–Character 6 Qualifier–Character 7
0 Treatment 0 Head X External 0 Articulatory-Raising Z None

1 Cervical 1 Fascial Release

2 Thoracic 2 General Mobilization
3 Lumbar 3 High Velocity-Low
Amplitude
4 Sacrum 4 Indirect
5 Pelvis 5 Low Velocity-High
Amplitude
6 Lower Extremities 6 Lymphatic Pump
7 Upper Extremities 7 Muscle Energy-Isometric
8 Rib Cage 8 Muscle Energy-Isotonic
9 Abdomen 9 Other Method

ICD-10-PCS 2019 715

 7W0–7W0 Osteopathic ICD-10-PCS 2019
Osteopathic

7 Osteopathic
W Anatomical Regions 7W0
0 Treatment Definition: Manual treatment to eliminate or alleviate somatic dysfunction and related disorders
Body Region Approach Method Qualifier
Character 4 Character 5 Character 6 Character 7
0 Head X External 0 Articulatory-Raising Z None
1 Cervical 1 Fascial Release
2 Thoracic 2 General Mobilization
3 Lumbar 3 High Velocity-Low Amplitude
4 Sacrum 4 Indirect
5 Pelvis 5 Low Velocity-High Amplitude
6 Lower Extremities 6 Lymphatic Pump
7 Upper Extremities 7 Muscle Energy-Isometric
8 Rib Cage 8 Muscle Energy-Isotonic
9 Abdomen 9 Other Method
7W0–7W0

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
716 ICD-10-PCS 2019
ICD-10-PCS 2019
Other Procedures 8C0–8E0
Character Meanings
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.
C: Indwelling Devices
Operation–Character 3 Body Region–Character 4
0 Other procedures 1 Nervous System
2 Circulatory System
E: Physiological Systems and Anatomical Regions
Operation–Character 3 Body Region–Character 4
0 Other Procedures 1 Nervous System
2 Circulatory System
9 Head and Neck Region
H Integumentary System and
Breast
K Musculoskeletal System
U Female Reproductive
System
V Male Reproductive System
W Trunk Region
X Upper Extremity
Y Lower Extremity
Z None
AHA Coding Clinic for table 8E0
2015, 1Q, 33 Robotic-assisted laparoscopic hysterectomy converted to open procedure
2014, 4Q, 33 Radical prostatectomy
ICD-10-PCS 2019
Other Procedures
Other Procedures
Approach–Character 5 Method–Character 6 Qualifier–Character 7
X External 6 Collection J Cerebrospinal Fluid
K Blood
L Other Fluid
Approach–Character 5 Method–Character 6 Qualifier–Character 7
0 Open 0 Acupuncture 0 Anesthesia
3 Percutaneous 1 Therapeutic Massage 1 In Vitro Fertilization
4 Percutaneous Endoscopic 6 Collection 2 Breast Milk
7 Via Natural or Artificial B Computer Assisted 3 Sperm
Opening Procedure
8 Via Natural or Artificial C Robotic Assisted Procedure 4 Yoga Therapy
Opening Endoscopic
X External D Near Infrared Spectroscopy 5 Meditation
Y Other Method 6 Isolation
7 Examination
8 Suture Removal
9 Piercing
C Prostate
D Rectum
F With Fluoroscopy
G With Computerized
Tomography
H With Magnetic Resonance
Imaging
Z No Qualifier
717
 8C0–8E0 Other Procedures ICD-10-PCS 2019
Other Procedures

8 Other Procedures
C Indwelling Device 8C0
0 Other Procedures Definition: Methodologies which attempt to remediate or cure a disorder or disease
Body Region Approach Method Qualifier
Character 4 Character 5 Character 6 Character 7
1 Nervous System X External 6 Collection J Cerebrospinal Fluid
L Other Fluid
2 Circulatory System X External 6 Collection K Blood
L Other Fluid

8 Other Procedures
E Physiological Systems and Anatomical Regions 8E0
0 Other Procedures Definition: Methodologies which attempt to remediate or cure a disorder or disease
Body Region Approach Method Qualifier
Character 4 Character 5 Character 6 Character 7
1 Nervous System X External Y Other Method 7 Examination
U Female Reproductive System ;
2 Circulatory System 3 Percutaneous D Near Infrared Spectroscopy Z No Qualifier
9 Head and Neck Region 0 Open C Robotic Assisted Procedure Z No Qualifier
W Trunk Region 3 Percutaneous
4 Percutaneous Endoscopic
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
9 Head and Neck Region X External B Computer Assisted Procedure F With Fluoroscopy
W Trunk Region G With Computerized Tomography
H With Magnetic Resonance Imaging
Z No Qualifier
9 Head and Neck Region X External C Robotic Assisted Procedure Z No Qualifier
W Trunk Region
9 Head and Neck Region X External Y Other Method 8 Suture Removal
W Trunk Region
H Integumentary System and Breast 3 Percutaneous 0 Acupuncture 0 Anesthesia
Z No Qualifier
H Integumentary System and ; X External 6 Collection 2 Breast Milk
Breast
H Integumentary System and Breast X External Y Other Method 9 Piercing
K Musculoskeletal System X External 1 Therapeutic Massage Z No Qualifier
K Musculoskeletal System X External Y Other Method 7 Examination
V Male Reproductive System : X External 1 Therapeutic Massage C Prostate
D Rectum
V Male Reproductive System : X External 6 Collection 3 Sperm
X Upper Extremity 0 Open C Robotic Assisted Procedure Z No Qualifier
Y Lower Extremity 3 Percutaneous
4 Percutaneous Endoscopic
X Upper Extremity X External B Computer Assisted Procedure F With Fluoroscopy
Y Lower Extremity G With Computerized Tomography
H With Magnetic Resonance Imaging
Z No Qualifier
X Upper Extremity X External C Robotic Assisted Procedure Z No Qualifier
Y Lower Extremity
X Upper Extremity X External Y Other Method 8 Suture Removal
Y Lower Extremity
Z None X External Y Other Method 1 In Vitro Fertilization
4 Yoga Therapy
5 Meditation
6 Isolation
: 8E0VX1C
: 8E0VX63
; 8E0UXY7
; 8E0HX62
8C0–8E0

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
718 ICD-10-PCS 2019
ICD-10-PCS 2019 Chiropractic

Chiropractic
Chiropractic 9WB
Character Meanings
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.

W: Anatomical Regions
Operation–Character 3
B Manipulation
Body Region–Character 4 Approach–Character 5 Method–Character 6 Qualifier–Character 7
0 Head X External B Non-Manual Z None
1 Cervical C Indirect Visceral
2 Thoracic D Extra-Articular
3 Lumbar F Direct Visceral
4 Sacrum G Long Lever Specific Contact
5 Pelvis H Short Lever Specific
Contact
6 Lower Extremities J Long and Short Lever
Specific Contact
7 Upper Extremities K Mechanically Assisted
8 Rib Cage L Other Method
9 Abdomen

ICD-10-PCS 2019 719

 9WB–9WB Chiropractic ICD-10-PCS 2019
Chiropractic

9 Chiropractic
W Anatomical Regions 9WB
B Manipulation Definition: Manual procedure that involves a directed thrust to move a joint past the physiological range of motion, without exceeding the
anatomical limit
Body Region Approach Method Qualifier
Character 4 Character 5 Character 6 Character 7
0 Head X External B Non-Manual Z None
1 Cervical C Indirect Visceral
2 Thoracic D Extra-Articular
3 Lumbar F Direct Visceral
4 Sacrum G Long Lever Specific Contact
5 Pelvis H Short Lever Specific Contact
6 Lower Extremities J Long and Short Lever Specific
7 Upper Extremities Contact
8 Rib Cage K Mechanically Assisted
9 Abdomen L Other Method
9WB–9WB

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
720 ICD-10-PCS 2019
ICD-10-PCS 2019 Imaging

Imaging
Imaging B00–BY4
Character Meanings
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.

Body System– Type– Body Part– Contrast– Qualifier– Qualifier–

Character 2 Character 3 Character 4 Character 5 Character 6 Character 7
0 Central Nervous System 0 Plain Radiography See next page 0 High Osmolar 0 Unenhanced and 0 Intraoperative
Enhanced
2 Heart 1 Fluoroscopy 1 Low Osmolar 1 Laser 1 Densitometry
3 Upper Arteries 2 Computerized Y Other Contrast 2 Intravascular Optical 3 Intravascular
Tomography (CT Scan) Coherence
4 Lower Arteries 3 Magnetic Resonance Z None Z None 4 Transesophageal
Imaging (MRI)
5 Veins 4 Ultrasonography A Guidance
7 Lymphatic System Z None
8 Eye
9 Ear, Nose, Mouth and Throat
B Respiratory System
D Gastrointestinal System
F Hepatobiliary System and
Pancreas
G Endocrine System
H Skin, Subcutaneous Tissue and
Breast
L Connective Tissue
N Skull and Facial Bones
P Non-Axial Upper Bones
Q Non-Axial Lower Bones
R Axial Skeleton, Except Skull
and Facial Bones
T Urinary System
U Female Reproductive System
V Male Reproductive System
W Anatomical Regions

Y Fetus and Obstetrical

Continued on next page

ICD-10-PCS 2019 721

 Imaging
Imaging
Body Part—Character 4 Meanings
Body System–Character 2
0 Central Nervous System
2 Heart
3 Upper Arteries
4 Lower Arteries
5 Veins
7 Lymphatic System
8 Eye
9 Ear, Nose, Mouth and Throat
B Respiratory System
722
ICD-10-PCS 2019
Continued from previous page
Body Part– Character 4
0 Brain 9 Sella Turcica/Pituitary Gland
7 Cisterna B Spinal Cord
8 Cerebral Ventricle(s) C Acoustic Nerves
0 Coronary Artery, Single 7 Internal Mammary Bypass Graft, Right
1 Coronary Arteries, Multiple 8 Internal Mammary Bypass Graft, Left
2 Coronary Artery Bypass Graft, Single B Heart with Aorta
3 Coronary Artery Bypass Grafts, Multiple C Pericardium
4 Heart, Right D Pediatric Heart
5 Heart, Left F Bypass Graft, Other
6 Heart, Right and Left
0 Thoracic Aorta G Vertebral Arteries, Bilateral
1 Brachiocephalic-Subclavian Artery, Right H Upper Extremity Arteries, Right
2 Subclavian Artery, Left J Upper Extremity Arteries, Left
3 Common Carotid Artery, Right K Upper Extremity Arteries, Bilateral
4 Common Carotid Artery, Left L Intercostal and Bronchial Arteries
5 Common Carotid Arteries, Bilateral M Spinal Arteries
6 Internal Carotid Artery, Right N Upper Arteries, Other
7 Internal Carotid Artery, Left P Thoraco-Abdominal Aorta
8 Internal Carotid Arteries, Bilateral Q Cervico-Cerebral Arch
9 External Carotid Artery, Right R Intracranial Arteries
B External Carotid Artery, Left S Pulmonary Artery, Right
C External Carotid Arteries, Bilateral T Pulmonary Artery, Left
D Vertebral Artery, Right U Pulmonary Trunk
F Vertebral Artery, Left V Ophthalmic Arteries
0 Abdominal Aorta C Pelvic Arteries
1 Celiac Artery D Aorta and Bilateral Lower Extremity Arteries
2 Hepatic Artery F Lower Extremity Arteries, Right
3 Splenic Arteries G Lower Extremity Arteries, Left
4 Superior Mesenteric Artery H Lower Extremity Arteries, Bilateral
5 Inferior Mesenteric Artery J Lower Arteries, Other
6 Renal Artery, Right K Celiac and Mesenteric Arteries
7 Renal Artery, Left L Femoral Artery
8 Renal Arteries, Bilateral M Renal Artery Transplant
9 Lumbar Arteries N Penile Arteries
B Intra-Abdominal Arteries, Other
0 Epidural Veins G Pelvic (Iliac) Veins, Left
1 Cerebral and Cerebellar Veins H Pelvic (Iliac) Veins, Bilateral
2 Intracranial Sinuses J Renal Vein, Right
3 Jugular Veins, Right K Renal Vein, Left
4 Jugular Veins, Left L Renal Veins, Bilateral
5 Jugular Veins, Bilateral M Upper Extremity Veins, Right
6 Subclavian Vein, Right N Upper Extremity Veins, Left
7 Subclavian Vein, Left P Upper Extremity Veins, Bilateral
8 Superior Vena Cava Q Pulmonary Vein, Right
9 Inferior Vena Cava R Pulmonary Vein, Left
B Lower Extremity Veins, Right S Pulmonary Veins, Bilateral
C Lower Extremity Veins, Left T Portal and Splanchnic Veins
D Lower Extremity Veins, Bilateral V Veins, Other
F Pelvic (Iliac) Veins, Right W Dialysis Shunt/Fistula
0 Abdominal/Retroperitoneal Lymphatics, Unilateral 7 Upper Extremity Lymphatics, Bilateral
1 Abdominal/Retroperitoneal Lymphatics, Bilateral 8 Lower Extremity Lymphatics, Right
4 Lymphatics, Head and Neck 9 Lower Extremity Lymphatics, Left
5 Upper Extremity Lymphatics, Right B Lower Extremity Lymphatics, Bilateral
6 Upper Extremity Lymphatics, Left C Lymphatics, Pelvic
0 Lacrimal Duct, Right 4 Optic Foramina, Left
1 Lacrimal Duct, Left 5 Eye, Right
2 Lacrimal Ducts, Bilateral 6 Eye, Left
3 Optic Foramina, Right 7 Eyes, Bilateral
0 Ear B Salivary Gland, Right
2 Paranasal Sinuses C Salivary Gland, Left
4 Parotid Gland, Right D Salivary Glands, Bilateral
5 Parotid Gland, Left F Nasopharynx/Oropharynx
6 Parotid Glands, Bilateral G Pharynx and Epiglottis
7 Submandibular Gland, Right H Mastoids
8 Submandibular Gland, Left J Larynx
9 Submandibular Glands, Bilateral
2 Lung, Right 9 Tracheobronchial Trees, Bilateral
3 Lung, Left B Pleura
4 Lungs, Bilateral C Mediastinum
6 Diaphragm D Upper Airways
7 Tracheobronchial Tree, Right F Trachea/Airways
8 Tracheobronchial Tree, Left G Lung Apices
Continued on next page
ICD-10-PCS 2019
ICD-10-PCS 2019 Imaging

Imaging
Continued from previous page
Body System–Character 2 Body Part– Character 4
D Gastrointestinal System 1 Esophagus 7 Gastrointestinal Tract
2 Stomach 8 Appendix
3 Small Bowel 9 Duodenum
4 Colon B Mouth/Oropharynx
5 Upper GI C Rectum
6 Upper GI and Small Bowel
F Hepatobiliary System and Pancreas 0 Bile Ducts 5 Liver
1 Biliary and Pancreatic Ducts 6 Liver and Spleen
2 Gallbladder 7 Pancreas
3 Gallbladder and Bile Ducts 8 Pancreatic Ducts
4 Gallbladder, Bile Ducts and Pancreatic Ducts C Hepatobiliary System, All
G Endocrine System 0 Adrenal Gland, Right 3 Parathyroid Glands
1 Adrenal Gland, Left 4 Thyroid Gland
2 Adrenal Glands, Bilateral
H Skin, Subcutaneous Tissue and Breast 0 Breast, Right 9 Abdominal Wall
1 Breast, Left B Chest Wall
2 Breasts, Bilateral C Head and Neck
3 Single Mammary Duct, Right D Subcutaneous Tissue, Head/Neck
4 Single Mammary Duct, Left F Subcutaneous Tissue, Upper Extremity
5 Multiple Mammary Ducts, Right G Subcutaneous Tissue, Thorax
6 Multiple Mammary Ducts, Left H Subcutaneous Tissue, Abdomen and Pelvis
7 Extremity, Upper J Subcutaneous Tissue, Lower Extremity
8 Extremity, Lower
L Connective Tissue 0 Connective Tissue, Upper Extremity 2 Tendons, Upper Extremity
1 Connective Tissue, Lower Extremity 3 Tendons, Lower Extremity
N Skull and Facial Bones 0 Skull 9 Temporomandibular Joints, Bilateral
1 Orbit, Right B Zygomatic Arch, Right
2 Orbit, Left C Zygomatic Arch, Left
3 Orbits, Bilateral D Zygomatic Arches, Bilateral
4 Nasal Bones F Temporal Bones
5 Facial Bones G Tooth, Single
6 Mandible H Teeth, Multiple
7 Temporomandibular Joint, Right J Teeth, All
8 Temporomandibular Joint, Left
P Non-Axial Upper Bones 0 Sternoclavicular Joint, Right H Elbow, Left
1 Sternoclavicular Joint, Left J Forearm, Right
2 Sternoclavicular Joints, Bilateral K Forearm, Left
3 Acromioclavicular Joints, Bilateral L Wrist, Right
4 Clavicle, Right M Wrist, Left
5 Clavicle, Left N Hand, Right
6 Scapula, Right P Hand, Left
7 Scapula, Left Q Hands and Wrists, Bilateral
8 Shoulder, Right R Finger(s), Right
9 Shoulder, Left S Finger(s), Left
A Humerus, Right T Upper Extremity, Right
B Humerus, Left U Upper Extremity, Left
C Hand/Finger Joint, Right V Upper Extremities, Bilateral
D Hand/Finger Joint, Left W Thorax
E Upper Arm, Right X Ribs, Right
F Upper Arm, Left Y Ribs, Left
G Elbow, Right
Q Non-Axial Lower Bones 0 Hip, Right H Ankle, Left
1 Hip, Left J Calcaneus, Right
2 Hips, Bilateral K Calcaneus, Left
3 Femur, Right L Foot, Right
4 Femur, Left M Foot, Left
7 Knee, Right P Toe(s), Right
8 Knee, Left Q Toe(s), Left
9 Knees, Bilateral R Lower Extremity, Right
B Tibia/Fibula, Right S Lower Extremity, Left
C Tibia/Fibula, Left V Patella, Right
D Lower Leg, Right W Patella, Left
F Lower Leg, Left X Foot/Toe Joint, Right
G Ankle, Right Y Foot/Toe Joint, Left
R Axial Skeleton, Except Skull and Facial Bones 0 Cervical Spine 8 Thoracolumbar Joint
1 Cervical Disc(s) 9 Lumbar Spine
2 Thoracic Disc(s) B Lumbosacral Joint
3 Lumbar Disc(s) C Pelvis
4 Cervical Facet Joint(s) D Sacroiliac Joints
5 Thoracic Facet Joint(s) F Sacrum and Coccyx
6 Lumbar Facet Joint(s) G Whole Spine
7 Thoracic Spine H Sternum
Continued on next page

ICD-10-PCS 2019 723

 Imaging ICD-10-PCS 2019
Imaging

Continued from previous page

Body System–Character 2 Body Part– Character 4
T Urinary System 0 Bladder 8 Ureters, Bilateral
1 Kidney, Right 9 Kidney Transplant
2 Kidney, Left B Bladder and Urethra
3 Kidneys, Bilateral C Ileal Diversion Loop
4 Kidneys, Ureters and Bladder D Kidney, Ureter and Bladder, Right
5 Urethra F Kidney, Ureter and Bladder, Left
6 Ureter, Right G Ileal Loop, Ureters and Kidneys
7 Ureter, Left J Kidneys and Bladder
U Female Reproductive System 0 Fallopian Tube, Right 6 Uterus
1 Fallopian Tube, Left 8 Uterus and Fallopian Tubes
2 Fallopian Tubes, Bilateral 9 Vagina
3 Ovary, Right B Pregnant Uterus
4 Ovary, Left C Uterus and Ovaries
5 Ovaries, Bilateral
V Male Reproductive System 0 Corpora Cavernosa 6 Testicle, Left
1 Epididymis, Right 7 Testicles, Bilateral
2 Epididymis, Left 8 Vasa Vasorum
3 Prostate 9 Prostate and Seminal Vesicles
4 Scrotum B Penis
5 Testicle, Right
W Anatomical Regions 0 Abdomen F Neck
1 Abdomen and Pelvis G Pelvic Region
3 Chest H Retroperitoneum
4 Chest and Abdomen J Upper Extremity
5 Chest, Abdomen and Pelvis K Whole Body
8 Head L Whole Skeleton
9 Head and Neck M Whole Body, Infant
B Long Bones, All P Brachial Plexus
C Lower Extremity
Y Fetus and Obstetrical 0 Fetal Head 8 Placenta
1 Fetal Heart 9 First Trimester, Single Fetus
2 Fetal Thorax B First Trimester, Multiple Gestation
3 Fetal Abdomen C Second Trimester, Single Fetus
4 Fetal Spine D Second Trimester, Multiple Gestation
5 Fetal Extremities F Third Trimester, Single Fetus
6 Whole Fetus G Third Trimester, Multiple Gestation
7 Fetal Umbilical Cord

AHA Coding Clinic for table B21

2018, 1Q, 12 Percutaneous balloon valvuloplasty & cardiac catheterization with ventriculogram
2016, 3Q, 36 Type of contrast medium for angiography (high osmolar, low osmolar, and other)
AHA Coding Clinic for table B41
2015, 3Q, 9 Aborted endovascular stenting of superficial femoral artery
AHA Coding Clinic for table B51
2015, 4Q, 30 Vascular access devices
AHA Coding Clinic for table BF4
2014, 3Q, 15 Drainage of pancreatic pseudocyst

724 ICD-10-PCS 2019

ICD-10-PCS 2019 Imaging B00–B04

Imaging
B Imaging
0 Central Nervous System B00
0 Plain Radiography Definition: Planar display of an image developed from the capture of external ionizing radiation on photographic or photoconductive plate
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
B Spinal Cord 0 High Osmolar Z None Z None
1 Low Osmolar
Y Other Contrast
Z None

B Imaging
0 Central Nervous System B01
1 Fluoroscopy Definition: Single plane or bi-plane real time display of an image developed from the capture of external ionizing radioation on a fluorescent
screen. The image may also be stored by either digital or analog means.
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
B Spinal Cord 0 High Osmolar Z None Z None
1 Low Osmolar
Y Other Contrast
Z None

B Imaging
0 Central Nervous System B02
2 Computerized Tomography (CT Scan) Definition: Computer reformatted digital display of multiplanar images developed from the capture of multiple
exposures of external ionizing radiation
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Brain 0 High Osmolar 0 Unenhanced and Enhanced Z None
7 Cisterna 1 Low Osmolar Z None
8 Cerebral Ventricle(s) Y Other Contrast
9 Sella Turcica/Pituitary Gland
B Spinal Cord
0 Brain Z None Z None Z None
7 Cisterna
8 Cerebral Ventricle(s)
9 Sella Turcica/Pituitary Gland
B Spinal Cord

B Imaging
0 Central Nervous System B03
3 Magnetic Resonance Imaging (MRI) Definition: Computer reformatted digital display of multiplanar images developed from the capture of radio-frequency
signals emitted by nuclei in a body site excited within a magnetic field
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Brain Y Other Contrast 0 Unenhanced and Enhanced Z None
9 Sella Turcica/Pituitary Gland Z None
B Spinal Cord
C Acoustic Nerves
0 Brain Z None Z None Z None
9 Sella Turcica/Pituitary Gland
B Spinal Cord
C Acoustic Nerves

B Imaging
0 Central Nervous System B04
4 Ultrasonography Definition: Real time display of images of anatomy or flow information developed from the capture of relected and attenuated high
frequency sound waves
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Brain Z None Z None Z None
B Spinal Cord
B00–B04

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
ICD-10-PCS 2019 725
 B20–B22 Imaging ICD-10-PCS 2019
Imaging

B Imaging
2 Heart B20
0 Plain Radiography Definition: Planar display of an image developed from the capture of external ionizing radiation on photographic or photoconductive plate
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Coronary Artery, Single 0 High Osmolar Z None Z None
1 Coronary Arteries, Multiple 1 Low Osmolar
2 Coronary Artery Bypass Graft, Y Other Contrast
Single
3 Coronary Artery Bypass Grafts,
Multiple
4 Heart, Right
5 Heart, Left
6 Heart, Right and Left
7 Internal Mammary Bypass Graft,
Right
8 Internal Mammary Bypass Graft,
Left
F Bypass Graft, Other
DRG Non-OR All body part, contrast, and qualifier values

B Imaging
2 Heart B21
1 Fluoroscopy Definition: Single plane or bi-plane real time display of an image developed from the capture of external ionizing radioation on a fluorescent
screen. The image may also be stored by either digital or analog means.
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Coronary Artery, Single 0 High Osmolar 1 Laser 0 Intraoperative
1 Coronary Arteries, Multiple 1 Low Osmolar
2 Coronary Artery Bypass Graft, Y Other Contrast
Single
3 Coronary Artery Bypass Grafts,
Multiple
0 Coronary Artery, Single 0 High Osmolar Z None Z None
1 Coronary Arteries, Multiple 1 Low Osmolar
2 Coronary Artery Bypass Graft, Y Other Contrast
Single
3 Coronary Artery Bypass Grafts,
Multiple
4 Heart, Right 0 High Osmolar Z None Z None
5 Heart, Left 1 Low Osmolar
6 Heart, Right and Left Y Other Contrast
7 Internal Mammary Bypass Graft,
Right
8 Internal Mammary Bypass Graft,
Left
F Bypass Graft, Other
DRG Non-OR All body part, contrast, and qualifier values

B Imaging
2 Heart B22
2 Computerized Tomography (CT Scan) Definition: Computer reformatted digital display of multiplanar images developed from the capture of multiple
exposures of external ionizing radiation
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
1 Coronary Arteries, Multiple 0 High Osmolar 0 Unenhanced and Enhanced Z None
3 Coronary Artery Bypass Grafts, 1 Low Osmolar Z None
Multiple Y Other Contrast
6 Heart, Right and Left
1 Coronary Arteries, Multiple Z None 2 Intravascular Optical Coherence Z None
3 Coronary Artery Bypass Grafts, Z None
Multiple
6 Heart, Right and Left
B20–B22

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
726 ICD-10-PCS 2019
ICD-10-PCS 2019 Imaging B23–B30

Imaging
B Imaging
2 Heart B23
3 Magnetic Resonance Imaging (MRI) Definition: Computer reformatted digital display of multiplanar images developed from the capture of radio-frequency
signals emitted by nuclei in a body site excited within a magnetic field
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
1 Coronary Arteries, Multiple Y Other Contrast 0 Unenhanced and Enhanced Z None
3 Coronary Artery Bypass Grafts, Z None
Multiple
6 Heart, Right and Left
1 Coronary Arteries, Multiple Z None Z None Z None
3 Coronary Artery Bypass Grafts,
Multiple
6 Heart, Right and Left

B Imaging
2 Heart B24
4 Ultrasonography Definition: Real time display of images of anatomy or flow information developed from the capture of relected and attenuated high
frequency sound waves
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Coronary Artery, Single Y Other Contrast Z None Z None
1 Coronary Arteries, Multiple
4 Heart, Right
5 Heart, Left
6 Heart, Right and Left
B Heart with Aorta
C Pericardium
D Pediatric Heart
0 Coronary Artery, Single Z None Z None 3 Intravascular
1 Coronary Arteries, Multiple 4 Transesophageal
4 Heart, Right Z None
5 Heart, Left
6 Heart, Right and Left
B Heart with Aorta
C Pericardium
D Pediatric Heart

B Imaging
3 Upper Arteries B30
0 Plain Radiography Definition: Planar display of an image developed from the capture of external ionizing radiation on photographic or photoconductive plate
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Thoracic Aorta 0 High Osmolar Z None Z None
1 Brachiocephalic-Subclavian Artery, 1 Low Osmolar
Right Y Other Contrast
2 Subclavian Artery, Left Z None
3 Common Carotid Artery, Right
4 Common Carotid Artery, Left
5 Common Carotid Arteries, Bilateral
6 Internal Carotid Artery, Right
7 Internal Carotid Artery, Left
8 Internal Carotid Arteries, Bilateral
9 External Carotid Artery, Right
B External Carotid Artery, Left
C External Carotid Arteries, Bilateral
D Vertebral Artery, Right
F Vertebral Artery, Left
G Vertebral Arteries, Bilateral
H Upper Extremity Arteries, Right
J Upper Extremity Arteries, Left
K Upper Extremity Arteries, Bilateral
L Intercostal and Bronchial Arteries
M Spinal Arteries
N Upper Arteries, Other
P Thoraco-Abdominal Aorta
Q Cervico-Cerebral Arch
R Intracranial Arteries
S Pulmonary Artery, Right
T Pulmonary Artery, Left
B23–B30

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
ICD-10-PCS 2019 727
 B31–B31 Imaging ICD-10-PCS 2019
Imaging

B Imaging
3 Upper Arteries B31
1 Fluoroscopy Definition: Single plane or bi-plane real time display of an image developed from the capture of external ionizing radiation on a fluorescent
screen. The image may also be stored by either digital or analog means.
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Thoracic Aorta 0 High Osmolar 1 Laser 0 Intraoperative
1 Brachiocephalic-Subclavian Artery, 1 Low Osmolar
Right Y Other Contrast
2 Subclavian Artery, Left
3 Common Carotid Artery, Right
4 Common Carotid Artery, Left
5 Common Carotid Arteries, Bilateral
6 Internal Carotid Artery, Right
7 Internal Carotid Artery, Left
8 Internal Carotid Arteries, Bilateral
9 External Carotid Artery, Right
B External Carotid Artery, Left
C External Carotid Arteries, Bilateral
D Vertebral Artery, Right
F Vertebral Artery, Left
G Vertebral Arteries, Bilateral
H Upper Extremity Arteries, Right
J Upper Extremity Arteries, Left
K Upper Extremity Arteries, Bilateral
L Intercostal and Bronchial Arteries
M Spinal Arteries
N Upper Arteries, Other
P Thoraco-Abdominal Aorta
Q Cervico-Cerebral Arch
R Intracranial Arteries
S Pulmonary Artery, Right
T Pulmonary Artery, Left
U Pulmonary Trunk
0 Thoracic Aorta 0 High Osmolar Z None Z None
1 Brachiocephalic-Subclavian Artery, 1 Low Osmolar
Right Y Other Contrast
2 Subclavian Artery, Left
3 Common Carotid Artery, Right
4 Common Carotid Artery, Left
5 Common Carotid Arteries, Bilateral
6 Internal Carotid Artery, Right
7 Internal Carotid Artery, Left
8 Internal Carotid Arteries, Bilateral
9 External Carotid Artery, Right
B External Carotid Artery, Left
C External Carotid Arteries, Bilateral
D Vertebral Artery, Right
F Vertebral Artery, Left
G Vertebral Arteries, Bilateral
H Upper Extremity Arteries, Right
J Upper Extremity Arteries, Left
K Upper Extremity Arteries, Bilateral
L Intercostal and Bronchial Arteries
M Spinal Arteries
N Upper Arteries, Other
P Thoraco-Abdominal Aorta
Q Cervico-Cerebral Arch
R Intracranial Arteries
S Pulmonary Artery, Right
T Pulmonary Artery, Left
U Pulmonary Trunk
B31 Continued on next page
B31–B31

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
728 ICD-10-PCS 2019
ICD-10-PCS 2019 Imaging B31–B32

Imaging
B Imaging B31 Continued
3 Upper Arteries B31
1 Fluoroscopy Definition: Single plane or bi-plane real time display of an image developed from the capture of external ionizing radiation on a fluorescent
screen. The image may also be stored by either digital or analog means.
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Thoracic Aorta Z None Z None Z None
1 Brachiocephalic-Subclavian Artery,
Right
2 Subclavian Artery, Left
3 Common Carotid Artery, Right
4 Common Carotid Artery, Left
5 Common Carotid Arteries, Bilateral
6 Internal Carotid Artery, Right
7 Internal Carotid Artery, Left
8 Internal Carotid Arteries, Bilateral
9 External Carotid Artery, Right
B External Carotid Artery, Left
C External Carotid Arteries, Bilateral
D Vertebral Artery, Right
F Vertebral Artery, Left
G Vertebral Arteries, Bilateral
H Upper Extremity Arteries, Right
J Upper Extremity Arteries, Left
K Upper Extremity Arteries, Bilateral
L Intercostal and Bronchial Arteries
M Spinal Arteries
N Upper Arteries, Other
P Thoraco-Abdominal Aorta
Q Cervico-Cerebral Arch
R Intracranial Arteries
S Pulmonary Artery, Right
T Pulmonary Artery, Left
U Pulmonary Trunk

B Imaging
3 Upper Arteries B32
2 Computerized Tomography (CT Scan) Definition: Computer reformatted digital display of multiplanar images developed from the capture of multiple
exposures of external ionizing radiation
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Thoracic Aorta 0 High Osmolar Z None Z None
5 Common Carotid Arteries, Bilateral 1 Low Osmolar
8 Internal Carotid Arteries, Bilateral Y Other Contrast
G Vertebral Arteries, Bilateral
R Intracranial Arteries
S Pulmonary Artery, Right
T Pulmonary Artery, Left
0 Thoracic Aorta Z None 2 Intravascular Optical Coherence Z None
5 Common Carotid Arteries, Bilateral Z None
8 Internal Carotid Arteries, Bilateral
G Vertebral Arteries, Bilateral
R Intracranial Arteries
S Pulmonary Artery, Right
T Pulmonary Artery, Left
B31–B32

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
ICD-10-PCS 2019 729
 B33–B40 Imaging ICD-10-PCS 2019
Imaging

B Imaging
3 Upper Arteries B33
3 Magnetic Resonance Imaging (MRI) Definition: Computer reformatted digital display of multiplanar images developed from the capture of radio-frequency
signals emitted by nuclei in a body site excited within a magnetic field
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Thoracic Aorta Y Other Contrast 0 Unenhanced and Enhanced Z None
5 Common Carotid Arteries, Bilateral Z None
8 Internal Carotid Arteries, Bilateral
G Vertebral Arteries, Bilateral
H Upper Extremity Arteries, Right
J Upper Extremity Arteries, Left
K Upper Extremity Arteries, Bilateral
M Spinal Arteries
Q Cervico-Cerebral Arch
R Intracranial Arteries
0 Thoracic Aorta Z None Z None Z None
5 Common Carotid Arteries, Bilateral
8 Internal Carotid Arteries, Bilateral
G Vertebral Arteries, Bilateral
H Upper Extremity Arteries, Right
J Upper Extremity Arteries, Left
K Upper Extremity Arteries, Bilateral
M Spinal Arteries
Q Cervico-Cerebral Arch
R Intracranial Arteries

B Imaging
3 Upper Arteries B34
4 Ultrasonography Definition: Real time display of images of anatomy or flow information developed from the capture of relected and attenuated high frequency
sound waves
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Thoracic Aorta Z None Z None 3 Intravascular
1 Brachiocephalic-Subclavian Artery, Z None
Right
2 Subclavian Artery, Left
3 Common Carotid Artery, Right
4 Common Carotid Artery, Left
5 Common Carotid Arteries, Bilateral
6 Internal Carotid Artery, Right
7 Internal Carotid Artery, Left
8 Internal Carotid Arteries, Bilateral
H Upper Extremity Arteries, Right
J Upper Extremity Arteries, Left
K Upper Extremity Arteries, Bilateral
R Intracranial Arteries
S Pulmonary Artery, Right
T Pulmonary Artery, Left
V Ophthalmic Arteries

B Imaging
4 Lower Arteries B40
0 Plain Radiography Definition: Planar display of an image developed from the capture of external ionizing radiation on photographic or photoconductive plate
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Abdominal Aorta 0 High Osmolar Z None Z None
2 Hepatic Artery 1 Low Osmolar
3 Splenic Arteries Y Other Contrast
4 Superior Mesenteric Artery
5 Inferior Mesenteric Artery
6 Renal Artery, Right
7 Renal Artery, Left
8 Renal Arteries, Bilateral
9 Lumbar Arteries
B Intra-Abdominal Arteries, Other
C Pelvic Arteries
D Aorta and Bilateral Lower Extremity
Arteries
F Lower Extremity Arteries, Right
G Lower Extremity Arteries, Left
B33–B40

J Lower Arteries, Other

M Renal Artery Transplant

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
730 ICD-10-PCS 2019
ICD-10-PCS 2019 Imaging B41–B41

Imaging
B Imaging
4 Lower Arteries B41
1 Fluoroscopy Definition: Single plane or bi-plane real time display of an image developed from the capture of external ionizing radiation on a fluorescent
screen. The image may also be stored by either digital or analog means.
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Abdominal Aorta 0 High Osmolar 1 Laser 0 Intraoperative
2 Hepatic Artery 1 Low Osmolar
3 Splenic Arteries Y Other Contrast
4 Superior Mesenteric Artery
5 Inferior Mesenteric Artery
6 Renal Artery, Right
7 Renal Artery, Left
8 Renal Arteries, Bilateral
9 Lumbar Arteries
B Intra-Abdominal Arteries, Other
C Pelvic Arteries
D Aorta and Bilateral Lower Extremity
Arteries
F Lower Extremity Arteries, Right
G Lower Extremity Arteries, Left
J Lower Arteries, Other
0 Abdominal Aorta 0 High Osmolar Z None Z None
2 Hepatic Artery 1 Low Osmolar
3 Splenic Arteries Y Other Contrast
4 Superior Mesenteric Artery
5 Inferior Mesenteric Artery
6 Renal Artery, Right
7 Renal Artery, Left
8 Renal Arteries, Bilateral
9 Lumbar Arteries
B Intra-Abdominal Arteries, Other
C Pelvic Arteries
D Aorta and Bilateral Lower Extremity
Arteries
F Lower Extremity Arteries, Right
G Lower Extremity Arteries, Left
J Lower Arteries, Other
0 Abdominal Aorta Z None Z None Z None
2 Hepatic Artery
3 Splenic Arteries
4 Superior Mesenteric Artery
5 Inferior Mesenteric Artery
6 Renal Artery, Right
7 Renal Artery, Left
8 Renal Arteries, Bilateral
9 Lumbar Arteries
B Intra-Abdominal Arteries, Other
C Pelvic Arteries
D Aorta and Bilateral Lower Extremity
Arteries
F Lower Extremity Arteries, Right
G Lower Extremity Arteries, Left
J Lower Arteries, Other
B41–B41

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
ICD-10-PCS 2019 731
 B42–B44 Imaging ICD-10-PCS 2019
Imaging

B Imaging
4 Lower Arteries B42
2 Computerized Tomography (CT Scan) Definition: Computer reformatted digital display of multiplanar images developed from the capture of multiple
exposures of external ionizing radiation
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Abdominal Aorta 0 High Osmolar Z None Z None
1 Celiac Artery 1 Low Osmolar
4 Superior Mesenteric Artery Y Other Contrast
8 Renal Arteries, Bilateral
C Pelvic Arteries
F Lower Extremity Arteries, Right
G Lower Extremity Arteries, Left
H Lower Extremity Arteries, Bilateral
M Renal Artery Transplant
0 Abdominal Aorta Z None 2 Intravascular Optical Coherence Z None
1 Celiac Artery Z None
4 Superior Mesenteric Artery
8 Renal Arteries, Bilateral
C Pelvic Arteries
F Lower Extremity Arteries, Right
G Lower Extremity Arteries, Left
H Lower Extremity Arteries, Bilateral
M Renal Artery Transplant

B Imaging
4 Lower Arteries B43
3 Magnetic Resonance Imaging (MRI) Definition: Computer reformatted digital display of multiplanar images developed from the capture of radio-frequency
signals emitted by nuclei in a body site excited within a magnetic field
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Abdominal Aorta Y Other Contrast 0 Unenhanced and Enhanced Z None
1 Celiac Artery Z None
4 Superior Mesenteric Artery
8 Renal Arteries, Bilateral
C Pelvic Arteries
F Lower Extremity Arteries, Right
G Lower Extremity Arteries, Left
H Lower Extremity Arteries, Bilateral
0 Abdominal Aorta Z None Z None Z None
1 Celiac Artery
4 Superior Mesenteric Artery
8 Renal Arteries, Bilateral
C Pelvic Arteries
F Lower Extremity Arteries, Right
G Lower Extremity Arteries, Left
H Lower Extremity Arteries, Bilateral

B Imaging
4 Lower Arteries B44
4 Ultrasonography Definition: Real time display of images of anatomy or flow information developed from the capture of relected and attenuated high
frequency sound waves
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Abdominal Aorta Z None Z None 3 Intravascular
4 Superior Mesenteric Artery Z None
5 Inferior Mesenteric Artery
6 Renal Artery, Right
7 Renal Artery, Left
8 Renal Arteries, Bilateral
B Intra-Abdominal Arteries, Other
F Lower Extremity Arteries, Right
G Lower Extremity Arteries, Left
H Lower Extremity Arteries, Bilateral
K Celiac and Mesenteric Arteries
L Femoral Artery
N Penile Arteries
B42–B44

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
732 ICD-10-PCS 2019
ICD-10-PCS 2019 Imaging B50–B51

Imaging
B Imaging
5 Veins B50
0 Plain Radiography Definition: Planar display of an image developed from the capture of external ionizing radiation on photographic or photoconductive plate
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Epidural Veins 0 High Osmolar Z None Z None
1 Cerebral and Cerebellar Veins 1 Low Osmolar
2 Intracranial Sinuses Y Other Contrast
3 Jugular Veins, Right
4 Jugular Veins, Left
5 Jugular Veins, Bilateral
6 Subclavian Vein, Right
7 Subclavian Vein, Left
8 Superior Vena Cava
9 Inferior Vena Cava
B Lower Extremity Veins, Right
C Lower Extremity Veins, Left
D Lower Extremity Veins, Bilateral
F Pelvic (Iliac) Veins, Right
G Pelvic (Iliac) Veins, Left
H Pelvic (Iliac) Veins, Bilateral
J Renal Vein, Right
K Renal Vein, Left
L Renal Veins, Bilateral
M Upper Extremity Veins, Right
N Upper Extremity Veins, Left
P Upper Extremity Veins, Bilateral
Q Pulmonary Vein, Right
R Pulmonary Vein, Left
S Pulmonary Veins, Bilateral
T Portal and Splanchnic Veins
V Veins, Other
W Dialysis Shunt/Fistula

B Imaging
5 Veins B51
1 Fluoroscopy Definition: Single plane or bi-plane real time display of an image developed from the capture of external ionizing radioation on a fluorescent
screen. The image may also be stored by either digital or analog means.
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Epidural Veins 0 High Osmolar Z None A Guidance
1 Cerebral and Cerebellar Veins 1 Low Osmolar Z None
2 Intracranial Sinuses Y Other Contrast
3 Jugular Veins, Right Z None
4 Jugular Veins, Left
5 Jugular Veins, Bilateral
6 Subclavian Vein, Right
7 Subclavian Vein, Left
8 Superior Vena Cava
9 Inferior Vena Cava
B Lower Extremity Veins, Right
C Lower Extremity Veins, Left
D Lower Extremity Veins, Bilateral
F Pelvic (Iliac) Veins, Right
G Pelvic (Iliac) Veins, Left
H Pelvic (Iliac) Veins, Bilateral
J Renal Vein, Right
K Renal Vein, Left
L Renal Veins, Bilateral
M Upper Extremity Veins, Right
N Upper Extremity Veins, Left
P Upper Extremity Veins, Bilateral
Q Pulmonary Vein, Right
R Pulmonary Vein, Left
S Pulmonary Veins, Bilateral
T Portal and Splanchnic Veins
V Veins, Other
W Dialysis Shunt/Fistula
B50–B51

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
ICD-10-PCS 2019 733
 B52–B53 Imaging ICD-10-PCS 2019
Imaging

B Imaging
5 Veins B52
2 Computerized Tomography (CT Scan) Definition: Computer reformatted digital display of multiplanar images developed from the capture of multiple
exposures of external ionizing radiation
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
2 Intracranial Sinuses 0 High Osmolar 0 Unenhanced and Enhanced Z None
8 Superior Vena Cava 1 Low Osmolar Z None
9 Inferior Vena Cava Y Other Contrast
F Pelvic (Iliac) Veins, Right
G Pelvic (Iliac) Veins, Left
H Pelvic (Iliac) Veins, Bilateral
J Renal Vein, Right
K Renal Vein, Left
L Renal Veins, Bilateral
Q Pulmonary Vein, Right
R Pulmonary Vein, Left
S Pulmonary Veins, Bilateral
T Portal and Splanchnic Veins
2 Intracranial Sinuses Z None 2 Intravascular Optical Coherence Z None
8 Superior Vena Cava Z None
9 Inferior Vena Cava
F Pelvic (Iliac) Veins, Right
G Pelvic (Iliac) Veins, Left
H Pelvic (Iliac) Veins, Bilateral
J Renal Vein, Right
K Renal Vein, Left
L Renal Veins, Bilateral
Q Pulmonary Vein, Right
R Pulmonary Vein, Left
S Pulmonary Veins, Bilateral
T Portal and Splanchnic Veins

B Imaging
5 Veins B53
3 Magnetic Resonance Imaging (MRI) Definition: Computer reformatted digital display of multiplanar images developed from the capture of radio-frequency
signals emitted by nuclei in a body site excited within a magnetic field
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
1 Cerebral and Cerebellar Veins Y Other Contrast 0 Unenhanced and Enhanced Z None
2 Intracranial Sinuses Z None
5 Jugular Veins, Bilateral
8 Superior Vena Cava
9 Inferior Vena Cava
B Lower Extremity Veins, Right
C Lower Extremity Veins, Left
D Lower Extremity Veins, Bilateral
H Pelvic (Iliac) Veins, Bilateral
L Renal Veins, Bilateral
M Upper Extremity Veins, Right
N Upper Extremity Veins, Left
P Upper Extremity Veins, Bilateral
S Pulmonary Veins, Bilateral
T Portal and Splanchnic Veins
V Veins, Other
1 Cerebral and Cerebellar Veins Z None Z None Z None
2 Intracranial Sinuses
5 Jugular Veins, Bilateral
8 Superior Vena Cava
9 Inferior Vena Cava
B Lower Extremity Veins, Right
C Lower Extremity Veins, Left
D Lower Extremity Veins, Bilateral
H Pelvic (Iliac) Veins, Bilateral
L Renal Veins, Bilateral
M Upper Extremity Veins, Right
N Upper Extremity Veins, Left
P Upper Extremity Veins, Bilateral
S Pulmonary Veins, Bilateral
T Portal and Splanchnic Veins
V Veins, Other
B52–B53

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
734 ICD-10-PCS 2019
ICD-10-PCS 2019 Imaging B54–B82

Imaging
B Imaging
5 Veins B54
4 Ultrasonography Definition: Real time display of images of anatomy or flow information developed from the capture of relected and attenuated high
frequency sound waves
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
3 Jugular Veins, Right Z None Z None 3 Intravascular
4 Jugular Veins, Left A Guidance
6 Subclavian Vein, Right Z None
7 Subclavian Vein, Left
8 Superior Vena Cava
9 Inferior Vena Cava
B Lower Extremity Veins, Right
C Lower Extremity Veins, Left
D Lower Extremity Veins, Bilateral
J Renal Vein, Right
K Renal Vein, Left
L Renal Veins, Bilateral
M Upper Extremity Veins, Right
N Upper Extremity Veins, Left
P Upper Extremity Veins, Bilateral
T Portal and Splanchnic Veins

B Imaging
7 Lymphatic System B70
0 Plain Radiography Definition: Planar display of an image developed from the capture of external ionizing radiation on photographic or photoconductive plate
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Abdominal/Retroperitoneal 0 High Osmolar Z None Z None
Lymphatics, Unilateral 1 Low Osmolar
1 Abdominal/Retroperitoneal Y Other Contrast
Lymphatics, Bilateral
4 Lymphatics, Head and Neck
5 Upper Extremity Lymphatics, Right
6 Upper Extremity Lymphatics, Left
7 Upper Extremity Lymphatics,
Bilateral
8 Lower Extremity Lymphatics, Right
9 Lower Extremity Lymphatics, Left
B Lower Extremity Lymphatics,
Bilateral
C Lymphatics, Pelvic

B Imaging
8 Eye B80
0 Plain Radiography Definition: Planar display of an image developed from the capture of external ionizing radiation on photographic or photoconductive plate
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Lacrimal Duct, Right 0 High Osmolar Z None Z None
1 Lacrimal Duct, Left 1 Low Osmolar
2 Lacrimal Ducts, Bilateral Y Other Contrast
3 Optic Foramina, Right Z None Z None Z None
4 Optic Foramina, Left
5 Eye, Right
6 Eye, Left
7 Eyes, Bilateral

B Imaging
8 Eye B82
2 Computerized Tomography (CT Scan) Definition: Computer reformatted digital display of multiplanar images developed from the capture of multiple
exposures of external ionizing radiation
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
5 Eye, Right 0 High Osmolar 0 Unenhanced and Enhanced Z None
6 Eye, Left 1 Low Osmolar Z None
7 Eyes, Bilateral Y Other Contrast
5 Eye, Right Z None Z None Z None
6 Eye, Left
7 Eyes, Bilateral
B54–B82

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
ICD-10-PCS 2019 735
 B83–B92 Imaging ICD-10-PCS 2019
Imaging

B Imaging
8 Eye B83
3 Magnetic Resonance Imaging (MRI) Definition: Computer reformatted digital display of multiplanar images developed from the capture of radio-frequency
signals emitted by nuclei in a body site excited within a magnetic field
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
5 Eye, Right Y Other Contrast 0 Unenhanced and Enhanced Z None
6 Eye, Left Z None
7 Eyes, Bilateral
5 Eye, Right Z None Z None Z None
6 Eye, Left
7 Eyes, Bilateral

B Imaging
8 Eye B84
4 Ultrasonography Definition: Real time display of images of anatomy or flow information developed from the capture of relected and attenuated high
frequency sound waves
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
5 Eye, Right Z None Z None Z None
6 Eye, Left
7 Eyes, Bilateral

B Imaging
9 Ear, Nose, Mouth and Throat B90
0 Plain Radiography Definition: Planar display of an image developed from the capture of external ionizing radiation on photographic or photoconductive plate
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
2 Paranasal Sinuses Z None Z None Z None
F Nasopharynx/Oropharynx
H Mastoids
4 Parotid Gland, Right 0 High Osmolar Z None Z None
5 Parotid Gland, Left 1 Low Osmolar
6 Parotid Glands, Bilateral Y Other Contrast
7 Submandibular Gland, Right
8 Submandibular Gland, Left
9 Submandibular Glands, Bilateral
B Salivary Gland, Right
C Salivary Gland, Left
D Salivary Glands, Bilateral

B Imaging
9 Ear, Nose, Mouth and Throat B91
1 Fluoroscopy Definition: Single plane or bi-plane real time display of an image developed from the capture of external ionizing radioation on a fluorescent
screen. The image may also be stored by either digital or analog means.
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
G Pharynx and Epiglottis Y Other Contrast Z None Z None
J Larynx Z None

B Imaging
9 Ear, Nose, Mouth and Throat B92
2 Computerized Tomography (CT Scan) Definition: Computer reformatted digital display of multiplanar images developed from the capture of multiple
exposures of external ionizing radiation
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Ear 0 High Osmolar 0 Unenhanced and Enhanced Z None
2 Paranasal Sinuses 1 Low Osmolar Z None
6 Parotid Glands, Bilateral Y Other Contrast
9 Submandibular Glands, Bilateral
D Salivary Glands, Bilateral
F Nasopharynx/Oropharynx
J Larynx
0 Ear Z None Z None Z None
2 Paranasal Sinuses
6 Parotid Glands, Bilateral
9 Submandibular Glands, Bilateral
D Salivary Glands, Bilateral
B83–B92

F Nasopharynx/Oropharynx
J Larynx

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
736 ICD-10-PCS 2019
ICD-10-PCS 2019 Imaging B93–BB2

Imaging
B Imaging
9 Ear, Nose, Mouth and Throat B93
3 Magnetic Resonance Imaging (MRI) Definition: Computer reformatted digital display of multiplanar images developed from the capture of radio-frequency
signals emitted by nuclei in a body site excited within a magnetic field
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Ear Y Other Contrast 0 Unenhanced and Enhanced Z None
2 Paranasal Sinuses Z None
6 Parotid Glands, Bilateral
9 Submandibular Glands, Bilateral
D Salivary Glands, Bilateral
F Nasopharynx/Oropharynx
J Larynx
0 Ear Z None Z None Z None
2 Paranasal Sinuses
6 Parotid Glands, Bilateral
9 Submandibular Glands, Bilateral
D Salivary Glands, Bilateral
F Nasopharynx/Oropharynx
J Larynx

B Imaging
B Respiratory System BB0
0 Plain Radiography Definition: Planar display of an image developed from the capture of external ionizing radiation on photographic or photoconductive plate
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
7 Tracheobronchial Tree, Right Y Other Contrast Z None Z None
8 Tracheobronchial Tree, Left
9 Tracheobronchial Trees, Bilateral
D Upper Airways Z None Z None Z None

B Imaging
B Respiratory System BB1
1 Fluoroscopy Definition: Single plane or bi-plane real time display of an image developed from the capture of external ionizing radioation on a fluorescent
screen. The image may also be stored by either digital or analog means.
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
2 Lung, Right Z None Z None Z None
3 Lung, Left
4 Lungs, Bilateral
6 Diaphragm
C Mediastinum
D Upper Airways
7 Tracheobronchial Tree, Right Y Other Contrast Z None Z None
8 Tracheobronchial Tree, Left
9 Tracheobronchial Trees, Bilateral

B Imaging
B Respiratory System BB2
2 Computerized Tomography (CT Scan) Definition: Computer reformatted digital display of multiplanar images developed from the capture of multiple
exposures of external ionizing radiation
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
4 Lungs, Bilateral 0 High Osmolar 0 Unenhanced and Enhanced Z None
7 Tracheobronchial Tree, Right 1 Low Osmolar Z None
8 Tracheobronchial Tree, Left Y Other Contrast
9 Tracheobronchial Trees, Bilateral
F Trachea/Airways
4 Lungs, Bilateral Z None Z None Z None
7 Tracheobronchial Tree, Right
8 Tracheobronchial Tree, Left
9 Tracheobronchial Trees, Bilateral
F Trachea/Airways
B93–BB2

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
ICD-10-PCS 2019 737
 BB3–BF0 Imaging ICD-10-PCS 2019
Imaging

B Imaging
B Respiratory System BB3
3 Magnetic Resonance Imaging (MRI) Definition: Computer reformatted digital display of multiplanar images developed from the capture of radio-frequency
signals emitted by nuclei in a body site excited within a magnetic field
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
G Lung Apices Y Other Contrast 0 Unenhanced and Enhanced Z None
Z None
G Lung Apices Z None Z None Z None

B Imaging
B Respiratory System BB4
4 Ultrasonography Definition: Real time display of images of anatomy or flow information developed from the capture of relected and attenuated high
frequency sound waves
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
B Pleura Z None Z None Z None
C Mediastinum

B Imaging
D Gastrointestinal System BD1
1 Fluoroscopy Definition: Single plane or bi-plane real time display of an image developed from the capture of external ionizing radioation on a fluorescent
screen. The image may also be stored by either digital or analog means.
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
1 Esophagus Y Other Contrast Z None Z None
2 Stomach Z None
3 Small Bowel
4 Colon
5 Upper GI
6 Upper GI and Small Bowel
9 Duodenum
B Mouth/Oropharynx

B Imaging
D Gastrointestinal System BD2
2 Computerized Tomography (CT Scan) Definition: Computer reformatted digital display of multiplanar images developed from the capture of multiple
exposures of external ionizing radiation
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
4 Colon 0 High Osmolar 0 Unenhanced and Enhanced Z None
1 Low Osmolar Z None
Y Other Contrast
4 Colon Z None Z None Z None

B Imaging
D Gastrointestinal System BD4
4 Ultrasonography Definition: Real time display of images of anatomy or flow information developed from the capture of relected and attenuated high
frequency sound waves
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
1 Esophagus Z None Z None Z None
2 Stomach
7 Gastrointestinal Tract
8 Appendix
9 Duodenum
C Rectum

B Imaging
F Hepatobiliary System and Pancreas BF0
0 Plain Radiography Definition: Planar display of an image developed from the capture of external ionizing radiation on photographic or photoconductive plate
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Bile Ducts 0 High Osmolar Z None Z None
3 Gallbladder and Bile Ducts 1 Low Osmolar
C Hepatobiliary System, All Y Other Contrast
BB3–BF0

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
738 ICD-10-PCS 2019
ICD-10-PCS 2019 Imaging BF1–BG2

Imaging
B Imaging
F Hepatobiliary System and Pancreas BF1
1 Fluoroscopy Definition: Single plane or bi-plane real time display of an image developed from the capture of external ionizing radioation on a fluorescent
screen. The image may also be stored by either digital or analog means.
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Bile Ducts 0 High Osmolar Z None Z None
1 Biliary and Pancreatic Ducts 1 Low Osmolar
2 Gallbladder Y Other Contrast
3 Gallbladder and Bile Ducts
4 Gallbladder, Bile Ducts and
Pancreatic Ducts
8 Pancreatic Ducts

B Imaging
F Hepatobiliary System and Pancreas BF2
2 Computerized Tomography (CT Scan) Definition: Computer reformatted digital display of multiplanar images developed from the capture of multiple
exposures of external ionizing radiation
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
5 Liver 0 High Osmolar 0 Unenhanced and Enhanced Z None
6 Liver and Spleen 1 Low Osmolar Z None
7 Pancreas Y Other Contrast
C Hepatobiliary System, All
5 Liver Z None Z None Z None
6 Liver and Spleen
7 Pancreas
C Hepatobiliary System, All

B Imaging
F Hepatobiliary System and Pancreas BF3
3 Magnetic Resonance Imaging (MRI) Definition: Computer reformatted digital display of multiplanar images developed from the capture of radio-frequency
signals emitted by nuclei in a body site excited within a magnetic field
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
5 Liver Y Other Contrast 0 Unenhanced and Enhanced Z None
6 Liver and Spleen Z None
7 Pancreas
5 Liver Z None Z None Z None
6 Liver and Spleen
7 Pancreas

B Imaging
F Hepatobiliary System and Pancreas BF4
4 Ultrasonography Definition: Real time display of images of anatomy or flow information developed from the capture of relected and attenuated high
frequency sound waves
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Bile Ducts Z None Z None Z None
2 Gallbladder
3 Gallbladder and Bile Ducts
5 Liver
6 Liver and Spleen
7 Pancreas
C Hepatobiliary System, All

B Imaging
G Endocrine System BG2
2 Computerized Tomography (CT Scan) Definition: Computer reformatted digital display of multiplanar images developed from the capture of multiple
exposures of external ionizing radiation
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
2 Adrenal Glands, Bilateral 0 High Osmolar 0 Unenhanced and Enhanced Z None
3 Parathyroid Glands 1 Low Osmolar Z None
4 Thyroid Gland Y Other Contrast
2 Adrenal Glands, Bilateral Z None Z None Z None
3 Parathyroid Glands
4 Thyroid Gland
BF1–BG2

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
ICD-10-PCS 2019 739
 BG3–BH3 Imaging ICD-10-PCS 2019
Imaging

B Imaging
G Endocrine System BG3
3 Magnetic Resonance Imaging (MRI) Definition: Computer reformatted digital display of multiplanar images developed from the capture of radio-frequency
signals emitted by nuclei in a body site excited within a magnetic field
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
2 Adrenal Glands, Bilateral Y Other Contrast 0 Unenhanced and Enhanced Z None
3 Parathyroid Glands Z None
4 Thyroid Gland
2 Adrenal Glands, Bilateral Z None Z None Z None
3 Parathyroid Glands
4 Thyroid Gland

B Imaging
G Endocrine System BG4
4 Ultrasonography Definition: Real time display of images of anatomy or flow information developed from the capture of relected and attenuated high
frequency sound waves
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Adrenal Gland, Right Z None Z None Z None
1 Adrenal Gland, Left
2 Adrenal Glands, Bilateral
3 Parathyroid Glands
4 Thyroid Gland

B Imaging
H Skin, Subcutaneous Tissue and Breast BH0
0 Plain Radiography Definition: Planar display of an image developed from the capture of external ionizing radiation on photographic or photoconductive plate
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Breast, Right Z None Z None Z None
1 Breast, Left
2 Breasts, Bilateral
3 Single Mammary Duct, Right 0 High Osmolar Z None Z None
4 Single Mammary Duct, Left 1 Low Osmolar
5 Multiple Mammary Ducts, Right Y Other Contrast
6 Multiple Mammary Ducts, Left Z None

B Imaging
H Skin, Subcutaneous Tissue and Breast BH3
3 Magnetic Resonance Imaging (MRI) Definition: Computer reformatted digital display of multiplanar images developed from the capture of radio-frequency
signals emitted by nuclei in a body site excited within a magnetic field
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Breast, Right Y Other Contrast 0 Unenhanced and Enhanced Z None
1 Breast, Left Z None
2 Breasts, Bilateral
D Subcutaneous Tissue, Head/Neck
F Subcutaneous Tissue, Upper
Extremity
G Subcutaneous Tissue, Thorax
H Subcutaneous Tissue, Abdomen
and Pelvis
J Subcutaneous Tissue, Lower
Extremity
0 Breast, Right Z None Z None Z None
1 Breast, Left
2 Breasts, Bilateral
D Subcutaneous Tissue, Head/Neck
F Subcutaneous Tissue, Upper
Extremity
G Subcutaneous Tissue, Thorax
H Subcutaneous Tissue, Abdomen
and Pelvis
J Subcutaneous Tissue, Lower
Extremity
BG3–BH3

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
740 ICD-10-PCS 2019
ICD-10-PCS 2019 Imaging BH4–BN0

Imaging
B Imaging
H Skin, Subcutaneous Tissue and Breast BH4
4 Ultrasonography Definition: Real time display of images of anatomy or flow information developed from the capture of relected and attenuated high
frequency sound waves
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Breast, Right Z None Z None Z None
1 Breast, Left
2 Breasts, Bilateral
7 Extremity, Upper
8 Extremity, Lower
9 Abdominal Wall
B Chest Wall
C Head and Neck

B Imaging
L Connective Tissue BL3
3 Magnetic Resonance Imaging (MRI) Definition: Computer reformatted digital display of multiplanar images developed from the capture of radio-frequency
signals emitted by nuclei in a body site excited within a magnetic field
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Connective Tissue, Upper Extremity Y Other Contrast 0 Unenhanced and Enhanced Z None
1 Connective Tissue, Lower Extremity Z None
2 Tendons, Upper Extremity
3 Tendons, Lower Extremity
0 Connective Tissue, Upper Extremity Z None Z None Z None
1 Connective Tissue, Lower Extremity
2 Tendons, Upper Extremity
3 Tendons, Lower Extremity

B Imaging
L Connective Tissue BL4
4 Ultrasonography Definition: Real time display of images of anatomy or flow information developed from the capture of relected and attenuated high
frequency sound waves
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Connective Tissue, Upper Extremity Z None Z None Z None
1 Connective Tissue, Lower Extremity
2 Tendons, Upper Extremity
3 Tendons, Lower Extremity

B Imaging
N Skull and Facial Bones BN0
0 Plain Radiography Definition: Planar display of an image developed from the capture of external ionizing radiation on photographic or photoconductive plate
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Skull Z None Z None Z None
1 Orbit, Right
2 Orbit, Left
3 Orbits, Bilateral
4 Nasal Bones
5 Facial Bones
6 Mandible
B Zygomatic Arch, Right
C Zygomatic Arch, Left
D Zygomatic Arches, Bilateral
G Tooth, Single
H Teeth, Multiple
J Teeth, All
7 Temporomandibular Joint, Right 0 High Osmolar Z None Z None
8 Temporomandibular Joint, Left 1 Low Osmolar
9 Temporomandibular Joints, Y Other Contrast
Bilateral Z None
BH4–BN0

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
ICD-10-PCS 2019 741
 BN1–BP0 Imaging ICD-10-PCS 2019
Imaging

B Imaging
N Skull and Facial Bones BN1
1 Fluoroscopy Definition: Single plane or bi-plane real time display of an image developed from the capture of external ionizing radioation on a fluorescent
screen. The image may also be stored by either digital or analog means.
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
7 Temporomandibular Joint, Right 0 High Osmolar Z None Z None
8 Temporomandibular Joint, Left 1 Low Osmolar
9 Temporomandibular Joints, Y Other Contrast
Bilateral Z None

B Imaging
N Skull and Facial Bones BN2
2 Computerized Tomography (CT Scan) Definition: Computer reformatted digital display of multiplanar images developed from the capture of multiple
exposures of external ionizing radiation
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Skull 0 High Osmolar Z None Z None
3 Orbits, Bilateral 1 Low Osmolar
5 Facial Bones Y Other Contrast
6 Mandible Z None
9 Temporomandibular Joints,
Bilateral
F Temporal Bones

B Imaging
N Skull and Facial Bones BN3
3 Magnetic Resonance Imaging (MRI) Definition: Computer reformatted digital display of multiplanar images developed from the capture of radio-frequency
signals emitted by nuclei in a body site excited within a magnetic field
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
9 Temporomandibular Joints, Y Other Contrast Z None Z None
Bilateral Z None

B Imaging
P Non-Axial Upper Bones BP0
0 Plain Radiography Definition: Planar display of an image developed from the capture of external ionizing radiation on photographic or photoconductive plate
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Sternoclavicular Joint, Right Z None Z None Z None
1 Sternoclavicular Joint, Left
2 Sternoclavicular Joints, Bilateral
3 Acromioclavicular Joints, Bilateral
4 Clavicle, Right
5 Clavicle, Left
6 Scapula, Right
7 Scapula, Left
A Humerus, Right
B Humerus, Left
E Upper Arm, Right
F Upper Arm, Left
J Forearm, Right
K Forearm, Left
N Hand, Right
P Hand, Left
R Finger(s), Right
S Finger(s), Left
X Ribs, Right
Y Ribs, Left
8 Shoulder, Right 0 High Osmolar Z None Z None
9 Shoulder, Left 1 Low Osmolar
C Hand/Finger Joint, Right Y Other Contrast
D Hand/Finger Joint, Left Z None
G Elbow, Right
H Elbow, Left
L Wrist, Right
M Wrist, Left
BN1–BP0

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
742 ICD-10-PCS 2019
ICD-10-PCS 2019 Imaging BP1–BP2

Imaging
B Imaging
P Non-Axial Upper Bones BP1
1 Fluoroscopy Definition: Single plane or bi-plane real time display of an image developed from the capture of external ionizing radioation on a fluorescent
screen. The image may also be stored by either digital or analog means.
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Sternoclavicular Joint, Right Z None Z None Z None
1 Sternoclavicular Joint, Left
2 Sternoclavicular Joints, Bilateral
3 Acromioclavicular Joints, Bilateral
4 Clavicle, Right
5 Clavicle, Left
6 Scapula, Right
7 Scapula, Left
A Humerus, Right
B Humerus, Left
E Upper Arm, Right
F Upper Arm, Left
J Forearm, Right
K Forearm, Left
N Hand, Right
P Hand, Left
R Finger(s), Right
S Finger(s), Left
X Ribs, Right
Y Ribs, Left
8 Shoulder, Right 0 High Osmolar Z None Z None
9 Shoulder, Left 1 Low Osmolar
L Wrist, Right Y Other Contrast
M Wrist, Left Z None
C Hand/Finger Joint, Right 0 High Osmolar Z None Z None
D Hand/Finger Joint, Left 1 Low Osmolar
G Elbow, Right Y Other Contrast
H Elbow, Left

B Imaging
P Non-Axial Upper Bones BP2
2 Computerized Tomography (CT Scan) Definition: Computer reformatted digital display of multiplanar images developed from the capture of multiple
exposures of external ionizing radiation
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Sternoclavicular Joint, Right 0 High Osmolar Z None Z None
1 Sternoclavicular Joint, Left 1 Low Osmolar
W Thorax Y Other Contrast
2 Sternoclavicular Joints, Bilateral 0 High Osmolar Z None Z None
3 Acromioclavicular Joints, Bilateral 1 Low Osmolar
4 Clavicle, Right Y Other Contrast
5 Clavicle, Left Z None
6 Scapula, Right
7 Scapula, Left
8 Shoulder, Right
9 Shoulder, Left
A Humerus, Right
B Humerus, Left
E Upper Arm, Right
F Upper Arm, Left
G Elbow, Right
H Elbow, Left
J Forearm, Right
K Forearm, Left
L Wrist, Right
M Wrist, Left
N Hand, Right
P Hand, Left
Q Hands and Wrists, Bilateral
R Finger(s), Right
S Finger(s), Left
T Upper Extremity, Right
U Upper Extremity, Left
V Upper Extremities, Bilateral
X Ribs, Right
BP1–BP2

Y Ribs, Left
C Hand/Finger Joint, Right Z None Z None Z None
D Hand/Finger Joint, Left

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
ICD-10-PCS 2019 743
 BP3–BQ0 Imaging ICD-10-PCS 2019
Imaging

B Imaging
P Non-Axial Upper Bones BP3
3 Magnetic Resonance Imaging (MRI) Definition: Computer reformatted digital display of multiplanar images developed from the capture of radio-frequency
signals emitted by nuclei in a body site excited within a magnetic field
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
8 Shoulder, Right Y Other Contrast 0 Unenhanced and Enhanced Z None
9 Shoulder, Left Z None
C Hand/Finger Joint, Right
D Hand/Finger Joint, Left
E Upper Arm, Right
F Upper Arm, Left
G Elbow, Right
H Elbow, Left
J Forearm, Right
K Forearm, Left
L Wrist, Right
M Wrist, Left
8 Shoulder, Right Z None Z None Z None
9 Shoulder, Left
C Hand/Finger Joint, Right
D Hand/Finger Joint, Left
E Upper Arm, Right
F Upper Arm, Left
G Elbow, Right
H Elbow, Left
J Forearm, Right
K Forearm, Left
L Wrist, Right
M Wrist, Left

B Imaging
P Non-Axial Upper Bones BP4
4 Ultrasonography Definition: Real time display of images of anatomy or flow information developed from the capture of relected and attenuated high
frequency sound waves
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
8 Shoulder, Right Z None Z None 1 Densitometry
9 Shoulder, Left Z None
G Elbow, Right
H Elbow, Left
L Wrist, Right
M Wrist, Left
N Hand, Right
P Hand, Left

B Imaging
Q Non-Axial Lower Bones BQ0
0 Plain Radiography Definition: Planar display of an image developed from the capture of external ionizing radiation on photographic or photoconductive plate
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Hip, Right 0 High Osmolar Z None Z None
1 Hip, Left 1 Low Osmolar
Y Other Contrast
0 Hip, Right Z None Z None 1 Densitometry
1 Hip, Left Z None
3 Femur, Right Z None Z None 1 Densitometry
4 Femur, Left Z None
7 Knee, Right 0 High Osmolar Z None Z None
8 Knee, Left 1 Low Osmolar
G Ankle, Right Y Other Contrast
H Ankle, Left Z None
D Lower Leg, Right Z None Z None Z None
F Lower Leg, Left
J Calcaneus, Right
K Calcaneus, Left
L Foot, Right
M Foot, Left
P Toe(s), Right
Q Toe(s), Left
V Patella, Right
BP3–BQ0

W Patella, Left
X Foot/Toe Joint, Right 0 High Osmolar Z None Z None
Y Foot/Toe Joint, Left 1 Low Osmolar
Y Other Contrast

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
744 ICD-10-PCS 2019
ICD-10-PCS 2019 Imaging BQ1–BQ2

Imaging
B Imaging
Q Non-Axial Lower Bones BQ1
1 Fluoroscopy Definition: Single plane or bi-plane real time display of an image developed from the capture of external ionizing radioation on a fluorescent
screen. The image may also be stored by either digital or analog means.
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Hip, Right 0 High Osmolar Z None Z None
1 Hip, Left 1 Low Osmolar
7 Knee, Right Y Other Contrast
8 Knee, Left Z None
G Ankle, Right
H Ankle, Left
X Foot/Toe Joint, Right
Y Foot/Toe Joint, Left
3 Femur, Right Z None Z None Z None
4 Femur, Left
D Lower Leg, Right
F Lower Leg, Left
J Calcaneus, Right
K Calcaneus, Left
L Foot, Right
M Foot, Left
P Toe(s), Right
Q Toe(s), Left
V Patella, Right
W Patella, Left

B Imaging
Q Non-Axial Lower Bones BQ2
2 Computerized Tomography (CT Scan) Definition: Computer reformatted digital display of multiplanar images developed from the capture of multiple
exposures of external ionizing radiation
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Hip, Right 0 High Osmolar Z None Z None
1 Hip, Left 1 Low Osmolar
3 Femur, Right Y Other Contrast
4 Femur, Left Z None
7 Knee, Right
8 Knee, Left
D Lower Leg, Right
F Lower Leg, Left
G Ankle, Right
H Ankle, Left
J Calcaneus, Right
K Calcaneus, Left
L Foot, Right
M Foot, Left
P Toe(s), Right
Q Toe(s), Left
R Lower Extremity, Right
S Lower Extremity, Left
V Patella, Right
W Patella, Left
X Foot/Toe Joint, Right
Y Foot/Toe Joint, Left
B Tibia/Fibula, Right 0 High Osmolar Z None Z None
C Tibia/Fibula, Left 1 Low Osmolar
Y Other Contrast
BQ1–BQ2

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
ICD-10-PCS 2019 745
 BQ3–BQ4 Imaging ICD-10-PCS 2019
Imaging

B Imaging
Q Non-Axial Lower Bones BQ3
3 Magnetic Resonance Imaging (MRI) Definition: Computer reformatted digital display of multiplanar images developed from the capture of radio-frequency
signals emitted by nuclei in a body site excited within a magnetic field
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Hip, Right Y Other Contrast 0 Unenhanced and Enhanced Z None
1 Hip, Left Z None
3 Femur, Right
4 Femur, Left
7 Knee, Right
8 Knee, Left
D Lower Leg, Right
F Lower Leg, Left
G Ankle, Right
H Ankle, Left
J Calcaneus, Right
K Calcaneus, Left
L Foot, Right
M Foot, Left
P Toe(s), Right
Q Toe(s), Left
V Patella, Right
W Patella, Left
0 Hip, Right Z None Z None Z None
1 Hip, Left
3 Femur, Right
4 Femur, Left
7 Knee, Right
8 Knee, Left
D Lower Leg, Right
F Lower Leg, Left
G Ankle, Right
H Ankle, Left
J Calcaneus, Right
K Calcaneus, Left
L Foot, Right
M Foot, Left
P Toe(s), Right
Q Toe(s), Left
V Patella, Right
W Patella, Left

B Imaging
Q Non-Axial Lower Bones BQ4
4 Ultrasonography Definition: Real time display of images of anatomy or flow information developed from the capture of relected and attenuated high
frequency sound waves
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Hip, Right Z None Z None Z None
1 Hip, Left
2 Hips, Bilateral
7 Knee, Right
8 Knee, Left
9 Knees, Bilateral
BQ3–BQ4

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
746 ICD-10-PCS 2019
ICD-10-PCS 2019 Imaging BR0–BR2

Imaging
B Imaging
R Axial Skeleton, Except Skull and Facial Bones BR0
0 Plain Radiography Definition: Planar display of an image developed from the capture of external ionizing radiation on photographic or photoconductive plate
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Cervical Spine Z None Z None 1 Densitometry
7 Thoracic Spine Z None
9 Lumbar Spine
G Whole Spine
1 Cervical Disc(s) 0 High Osmolar Z None Z None
2 Thoracic Disc(s) 1 Low Osmolar
3 Lumbar Disc(s) Y Other Contrast
4 Cervical Facet Joint(s) Z None
5 Thoracic Facet Joint(s)
6 Lumbar Facet Joint(s)
D Sacroiliac Joints
8 Thoracolumbar Joint Z None Z None Z None
B Lumbosacral Joint
C Pelvis
F Sacrum and Coccyx
H Sternum

B Imaging
R Axial Skeleton, Except Skull and Facial Bones BR1
1 Fluoroscopy Definition: Single plane or bi-plane real time display of an image developed from the capture of external ionizing radioation on a fluorescent
screen. The image may also be stored by either digital or analog means.
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Cervical Spine 0 High Osmolar Z None Z None
1 Cervical Disc(s) 1 Low Osmolar
2 Thoracic Disc(s) Y Other Contrast
3 Lumbar Disc(s) Z None
4 Cervical Facet Joint(s)
5 Thoracic Facet Joint(s)
6 Lumbar Facet Joint(s)
7 Thoracic Spine
8 Thoracolumbar Joint
9 Lumbar Spine
B Lumbosacral Joint
C Pelvis
D Sacroiliac Joints
F Sacrum and Coccyx
G Whole Spine
H Sternum

B Imaging
R Axial Skeleton, Except Skull and Facial Bones BR2
2 Computerized Tomography (CT Scan) Definition: Computer reformatted digital display of multiplanar images developed from the capture of multiple
exposures of external ionizing radiation
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Cervical Spine 0 High Osmolar Z None Z None
7 Thoracic Spine 1 Low Osmolar
9 Lumbar Spine Y Other Contrast
C Pelvis Z None
D Sacroiliac Joints
F Sacrum and Coccyx
BR0–BR2

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
ICD-10-PCS 2019 747
 BR3–BT1 Imaging ICD-10-PCS 2019
Imaging

B Imaging
R Axial Skeleton, Except Skull and Facial Bones BR3
3 Magnetic Resonance Imaging (MRI) Definition: Computer reformatted digital display of multiplanar images developed from the capture of radio-frequency
signals emitted by nuclei in a body site excited within a magnetic field
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Cervical Spine Y Other Contrast 0 Unenhanced and Enhanced Z None
1 Cervical Disc(s) Z None
2 Thoracic Disc(s)
3 Lumbar Disc(s)
7 Thoracic Spine
9 Lumbar Spine
C Pelvis
F Sacrum and Coccyx
0 Cervical Spine Z None Z None Z None
1 Cervical Disc(s)
2 Thoracic Disc(s)
3 Lumbar Disc(s)
7 Thoracic Spine
9 Lumbar Spine
C Pelvis
F Sacrum and Coccyx

B Imaging
R Axial Skeleton, Except Skull and Facial Bones BR4
4 Ultrasonography Definition: Real time display of images of anatomy or flow information developed from the capture of relected and attenuated high
frequency sound waves
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Cervical Spine Z None Z None Z None
7 Thoracic Spine
9 Lumbar Spine
F Sacrum and Coccyx

B Imaging
T Urinary System BT0
0 Plain Radiography Definition: Planar display of an image developed from the capture of external ionizing radiation on photographic or photoconductive plate
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Bladder 0 High Osmolar Z None Z None
1 Kidney, Right 1 Low Osmolar
2 Kidney, Left Y Other Contrast
3 Kidneys, Bilateral Z None
4 Kidneys, Ureters and Bladder
5 Urethra
6 Ureter, Right
7 Ureter, Left
8 Ureters, Bilateral
B Bladder and Urethra
C Ileal Diversion Loop

B Imaging
T Urinary System BT1
1 Fluoroscopy Definition: Single plane or bi-plane real time display of an image developed from the capture of external ionizing radioation on a fluorescent
screen. The image may also be stored by either digital or analog means.
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Bladder 0 High Osmolar Z None Z None
1 Kidney, Right 1 Low Osmolar
2 Kidney, Left Y Other Contrast
3 Kidneys, Bilateral Z None
4 Kidneys, Ureters and Bladder
5 Urethra
6 Ureter, Right
7 Ureter, Left
B Bladder and Urethra
C Ileal Diversion Loop
D Kidney, Ureter and Bladder, Right
F Kidney, Ureter and Bladder, Left
G Ileal Loop, Ureters and Kidneys
BR3–BT1

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
748 ICD-10-PCS 2019
ICD-10-PCS 2019 Imaging BT2–BU0

Imaging
B Imaging
T Urinary System BT2
2 Computerized Tomography (CT Scan) Definition: Computer reformatted digital display of multiplanar images developed from the capture of multiple
exposures of external ionizing radiation
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Bladder 0 High Osmolar 0 Unenhanced and Enhanced Z None
1 Kidney, Right 1 Low Osmolar Z None
2 Kidney, Left Y Other Contrast
3 Kidneys, Bilateral
9 Kidney Transplant
0 Bladder Z None Z None Z None
1 Kidney, Right
2 Kidney, Left
3 Kidneys, Bilateral
9 Kidney Transplant

B Imaging
T Urinary System BT3
3 Magnetic Resonance Imaging (MRI) Definition: Computer reformatted digital display of multiplanar images developed from the capture of radio-frequency
signals emitted by nuclei in a body site excited within a magnetic field
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Bladder Y Other Contrast 0 Unenhanced and Enhanced Z None
1 Kidney, Right Z None
2 Kidney, Left
3 Kidneys, Bilateral
9 Kidney Transplant
0 Bladder Z None Z None Z None
1 Kidney, Right
2 Kidney, Left
3 Kidneys, Bilateral
9 Kidney Transplant

B Imaging
T Urinary System BT4
4 Ultrasonography Definition: Real time display of images of anatomy or flow information developed from the capture of relected and attenuated high
frequency sound waves
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Bladder Z None Z None Z None
1 Kidney, Right
2 Kidney, Left
3 Kidneys, Bilateral
5 Urethra
6 Ureter, Right
7 Ureter, Left
8 Ureters, Bilateral
9 Kidney Transplant
J Kidneys and Bladder

B Imaging
U Female Reproductive System BU0
0 Plain Radiography Definition: Planar display of an image developed from the capture of external ionizing radiation on photographic or photoconductive plate
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Fallopian Tube, Right ; 0 High Osmolar Z None Z None
1 Fallopian Tube, Left ; 1 Low Osmolar
2 Fallopian Tubes, Bilateral ; Y Other Contrast
6 Uterus ;
8 Uterus and Fallopian Tubes ;
9 Vagina ;
; All body part, contrast, and qualifier values
BT2–BU0

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
ICD-10-PCS 2019 749
 BU1–BV0 Imaging ICD-10-PCS 2019
Imaging

B Imaging
U Female Reproductive System BU1
1 Fluoroscopy Definition: Single plane or bi-plane real time display of an image developed from the capture of external ionizing radioation on a fluorescent
screen. The image may also be stored by either digital or analog means.
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Fallopian Tube, Right ; 0 High Osmolar Z None Z None
1 Fallopian Tube, Left ; 1 Low Osmolar
2 Fallopian Tubes, Bilateral ; Y Other Contrast
6 Uterus ; Z None
8 Uterus and Fallopian Tubes ;
9 Vagina ;
; All body part, contrast, and qualifier values

B Imaging
U Female Reproductive System BU3
3 Magnetic Resonance Imaging (MRI) Definition: Computer reformatted digital display of multiplanar images developed from the capture of radio-frequency
signals emitted by nuclei in a body site excited within a magnetic field
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
3 Ovary, Right ; Y Other Contrast 0 Unenhanced and Enhanced Z None
4 Ovary, Left ; Z None
5 Ovaries, Bilateral ;
6 Uterus ;
9 Vagina ;
B Pregnant Uterus ;
C Uterus and Ovaries ;
3 Ovary, Right ; Z None Z None Z None
4 Ovary, Left ;
5 Ovaries, Bilateral ;
6 Uterus ;
9 Vagina ;
B Pregnant Uterus ;
C Uterus and Ovaries ;
; All body part, contrast, and qualifier values

B Imaging
U Female Reproductive System BU4
4 Ultrasonography Definition: Real time display of images of anatomy or flow information developed from the capture of relected and attenuated high
frequency sound waves
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Fallopian Tube, Right ; Y Other Contrast Z None Z None
1 Fallopian Tube, Left ; Z None
2 Fallopian Tubes, Bilateral ;
3 Ovary, Right ;
4 Ovary, Left ;
5 Ovaries, Bilateral ;
6 Uterus ;
C Uterus and Ovaries ;
; All body part, contrast, and qualifier values

B Imaging
V Male Reproductive System BV0
0 Plain Radiography Definition: Planar display of an image developed from the capture of external ionizing radiation on photographic or photoconductive plate
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Corpora Cavernosa : 0 High Osmolar Z None Z None
1 Epididymis, Right : 1 Low Osmolar
2 Epididymis, Left : Y Other Contrast
3 Prostate :
5 Testicle, Right :
6 Testicle, Left :
8 Vasa Vasorum :
: All body part, contrast, and qualifier values
BU1–BV0

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
750 ICD-10-PCS 2019
ICD-10-PCS 2019 Imaging BV1–BW0

Imaging
B Imaging
V Male Reproductive System BV1
1 Fluoroscopy Definition: Single plane or bi-plane real time display of an image developed from the capture of external ionizing radioation on a fluorescent
screen. The image may also be stored by either digital or analog means.
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Corpora Cavernosa : 0 High Osmolar Z None Z None
8 Vasa Vasorum : 1 Low Osmolar
Y Other Contrast
Z None
: All body part, contrast, and qualifier values

B Imaging
V Male Reproductive System BV2
2 Computerized Tomography (CT Scan) Definition: Computer reformatted digital display of multiplanar images developed from the capture of multiple
exposures of external ionizing radiation
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
3 Prostate : 0 High Osmolar 0 Unenhanced and Enhanced Z None
1 Low Osmolar Z None
Y Other Contrast
3 Prostate : Z None Z None Z None
: BV23[0,Y][0,Z]Z : BV23ZZZ
: BV2310Z

B Imaging
V Male Reproductive System BV3
3 Magnetic Resonance Imaging (MRI) Definition: Computer reformatted digital display of multiplanar images developed from the capture of radio-frequency
signals emitted by nuclei in a body site excited within a magnetic field
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Corpora Cavernosa : Y Other Contrast 0 Unenhanced and Enhanced Z None
3 Prostate : Z None
4 Scrotum :
5 Testicle, Right :
6 Testicle, Left :
7 Testicles, Bilateral :
0 Corpora Cavernosa : Z None Z None Z None
3 Prostate :
4 Scrotum :
5 Testicle, Right :
6 Testicle, Left :
7 Testicles, Bilateral :
: All body part, contrast, and qualifier values

B Imaging
V Male Reproductive System BV4
4 Ultrasonography Definition: Real time display of images of anatomy or flow information developed from the capture of relected and attenuated high
frequency sound waves
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
4 Scrotum : Z None Z None Z None
9 Prostate and Seminal Vesicles :
B Penis :
: All body part, contrast, and qualifier values

B Imaging
W Anatomical Regions BW0
0 Plain Radiography Definition: Planar display of an image developed from the capture of external ionizing radiation on photographic or photoconductive plate
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Abdomen Z None Z None Z None
1 Abdomen and Pelvis
3 Chest
B Long Bones, All
C Lower Extremity
J Upper Extremity
BV1–BW0

K Whole Body
L Whole Skeleton
M Whole Body, Infant

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
ICD-10-PCS 2019 751
 BW1–BW4 Imaging ICD-10-PCS 2019
Imaging

B Imaging
W Anatomical Regions BW1
1 Fluoroscopy Definition: Single plane or bi-plane real time display of an image developed from the capture of external ionizing radioation on a fluorescent
screen. The image may also be stored by either digital or analog means.
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
1 Abdomen and Pelvis 0 High Osmolar Z None Z None
9 Head and Neck 1 Low Osmolar
C Lower Extremity Y Other Contrast
J Upper Extremity Z None

B Imaging
W Anatomical Regions BW2
2 Computerized Tomography (CT Scan) Definition: Computer reformatted digital display of multiplanar images developed from the capture of multiple
exposures of external ionizing radiation
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Abdomen 0 High Osmolar 0 Unenhanced and Enhanced Z None
1 Abdomen and Pelvis 1 Low Osmolar Z None
4 Chest and Abdomen Y Other Contrast
5 Chest, Abdomen and Pelvis
8 Head
9 Head and Neck
F Neck
G Pelvic Region
0 Abdomen Z None Z None Z None
1 Abdomen and Pelvis
4 Chest and Abdomen
5 Chest, Abdomen and Pelvis
8 Head
9 Head and Neck
F Neck
G Pelvic Region

B Imaging
W Anatomical Regions BW3
3 Magnetic Resonance Imaging (MRI) Definition: Computer reformatted digital display of multiplanar images developed from the capture of radio-frequency
signals emitted by nuclei in a body site excited within a magnetic field
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Abdomen Y Other Contrast 0 Unenhanced and Enhanced Z None
8 Head Z None
F Neck
G Pelvic Region
H Retroperitoneum
P Brachial Plexus
0 Abdomen Z None Z None Z None
8 Head
F Neck
G Pelvic Region
H Retroperitoneum
P Brachial Plexus
3 Chest Y Other Contrast 0 Unenhanced and Enhanced Z None
Z None

B Imaging
W Anatomical Regions BW4
4 Ultrasonography Definition: Real time display of images of anatomy or flow information developed from the capture of relected and attenuated high
frequency sound waves
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Abdomen Z None Z None Z None
1 Abdomen and Pelvis
F Neck
G Pelvic Region
BW1–BW4

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
752 ICD-10-PCS 2019
ICD-10-PCS 2019 Imaging BY3–BY4

Imaging
B Imaging
Y Fetus and Obstetrical BY3
3 Magnetic Resonance Imaging (MRI) Definition: Computer reformatted digital display of multiplanar images developed from the capture of radio-frequency
signals emitted by nuclei in a body site excited within a magnetic field
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Fetal Head ; Y Other Contrast 0 Unenhanced and Enhanced Z None
1 Fetal Heart ; Z None
2 Fetal Thorax ;
3 Fetal Abdomen ;
4 Fetal Spine ;
5 Fetal Extremities ;
6 Whole Fetus ;
0 Fetal Head ; Z None Z None Z None
1 Fetal Heart ;
2 Fetal Thorax ;
3 Fetal Abdomen ;
4 Fetal Spine ;
5 Fetal Extremities ;
6 Whole Fetus ;
; BY3[0,1,2,3,5,6]Y[0,Z]Z
; BY34YZZ
; BY3[0,1,2,3,4,5,6]ZZZ

B Imaging
Y Fetus and Obstetrical BY4
4 Ultrasonography Definition: Real time display of images of anatomy or flow information developed from the capture of relected and attenuated high
frequency sound waves
Body Part Contrast Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
7 Fetal Umbilical Cord ; Z None Z None Z None
8 Placenta ;
9 First Trimester, Single Fetus ;
B First Trimester, Multiple ;
Gestation
C Second Trimester, Single Fetus ;
D Second Trimester, Multiple ;
Gestation
F Third Trimester, Single Fetus ;
G Third Trimester, Multiple ;
Gestation
; All body part, contrast, and qualifier values
BY3–BY4

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
ICD-10-PCS 2019 753
This page is left intentionally blank.
ICD-10-PCS 2019 Nuclear Medicine

Nuclear Medicine
Nuclear Medicine C01–CW7
Character Meanings
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.

Body System– Type– Body Part– Radionuclide– Qualifier– Qualifier–

Character 2 Character 3 Character 4 Character 5 Character 6 Character 7
0 Central Nervous System 1 Planar Nuclear Medicine See below 1 Technetium 99m (Tc- Z None Z None
Imaging 99m)
2 Heart 2 Tomographic (Tomo) 7 Cobalt 58 (Co-58)
Nuclear Medicine
Imaging
5 Veins 3 Positron Emission 8 Samarium 153
Tomographic (PET) (Sm-153)
Imaging
7 Lymphatic and 4 Nonimaging Nuclear 9 Krypton (Kr-81m)
Hematologic System Medicine Uptake
8 Eye 5 Nonimaging Nuclear B Carbon 11 (C-11)
Medicine Probe
9 Ear, Nose, Mouth and 6 Nonimaging Nuclear C Cobalt 57 (Co-57)
Throat Medicine Assay
B Respiratory System 7 Systemic Nuclear D Indium 111 (In-111)
Medicine Therapy
D Gastrointestinal System F Iodine 123 (I-123)
F Hepatobiliary System and G Iodine 131 (I-131)
Pancreas
G Endocrine System H Iodine 125 (I-125)
H Skin, Subcutaneous K Fluorine 18 (F-18)
Tissue and Breast
P Musculoskeletal System L Gallium 67 (Ga-67)
T Urinary System M Oxygen 15 (O-15)
V Male Reproductive N Phosphorus 32 (P-32)
System
W Anatomical Regions P Strontium 89 (Sr-89)
Q Rubidium 82 (Rb-82)
R Nitrogen 13 (N-13)
S Thallium 201 (Tl-201)
T Xenon 127 (Xe-127)
V Xenon 133 (Xe-133)
W Chromium (Cr-51)
Y Other Radionuclide
Z None

Body Part—Character 4 Meanings

Body System– Character 2 Body Part– Character 4
0 Central Nervous System 0 Brain
5 Cerebrospinal Fluid
Y Central Nervous System
2 Heart 6 Heart, Right and Left
G Myocardium
Y Heart
5 Veins B Lower Extremity Veins, Right
C Lower Extremity Veins, Left
D Lower Extremity Veins, Bilateral
N Upper Extremity Veins, Right
P Upper Extremity Veins, Left
Q Upper Extremity Veins, Bilateral
R Central Veins
Y Veins
Continued on next page

ICD-10-PCS 2019 755

 Nuclear Medicine
Nuclear Medicine
Body System– Character 2
7 Lymphatic and Hematologic System
8 Eye
9 Ear, Nose, Mouth and Throat
B Respiratory System
D Gastrointestinal System
F Hepatobiliary System and Pancreas
G Endocrine System
H Skin, Subcutaneous Tissue and Breast
P Musculoskeletal System
T Urinary System
V Male Reproductive System
W Anatomical Regions
756
ICD-10-PCS 2019
Continued from previous page
Body Part– Character 4
0 Bone Marrow
2 Spleen
3 Blood
5 Lymphatics, Head and Neck
D Lymphatics, Pelvic
J Lymphatics, Head
K Lymphatics, Neck
L Lymphatics, Upper Chest
M Lymphatics, Trunk
N Lymphatics, Upper Extremity
P Lymphatics, Lower Extremity
Y Lymphatic and Hematologic System
9 Lacrimal Ducts, Bilateral
Y Eye
B Salivary Glands, Bilateral
Y Ear, Nose, Mouth and Throat
2 Lungs and Bronchi
Y Respiratory System
5 Upper Gastrointestinal Tract
7 Gastrointestinal Tract
Y Digestive System
4 Gallbladder
5 Liver
6 Liver and Spleen
C Hepatobiliary System, All
Y Hepatobiliary System and Pancreas
1 Parathyroid Glands
2 Thyroid Gland
4 Adrenal Glands, Bilateral
Y Endocrine System
0 Breast, Right
1 Breast, Left
2 Breasts, Bilateral
Y Skin, Subcutaneous Tissue and Breast
1 Skull
2 Cervical Spine
3 Skull and Cervical Spine
4 Thorax
5 Spine
6 Pelvis
7 Spine and Pelvis
8 Upper Extremity, Right
9 Upper Extremity, Left
B Upper Extremities, Bilateral
C Lower Extremity, Right
D Lower Extremity, Left
F Lower Extremities, Bilateral
G Thoracic Spine
H Lumbar Spine
J Thoracolumbar Spine
N Upper Extremities
P Lower Extremities
Y Musculoskeletal System, Other
Z Musculoskeletal System, All
3 Kidneys, Ureters and Bladder
H Bladder and Ureters
Y Urinary System
9 Testicles, Bilateral
Y Male Reproductive System
0 Abdomen
1 Abdomen and Pelvis
3 Chest
4 Chest and Abdomen
6 Chest and Neck
B Head and Neck
D Lower Extremity
G Thyroid
J Pelvic Region
M Upper Extremity
N Whole Body
Y Anatomical Regions, Multiple
Z Anatomical Region, Other
ICD-10-PCS 2019
ICD-10-PCS 2019 Nuclear Medicine C01–C21

Nuclear Medicine
C Nuclear Medicine
0 Central Nervous System C01
1 Planar Nuclear Medicine Imaging Definition: Introduction of radioactive materials into the body for single plane display of images developed from the
capture of radioactive emissions
Body Part Radionuclide Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Brain 1 Technetium 99m (Tc-99m) Z None Z None
Y Other Radionuclide
5 Cerebrospinal Fluid D Indium 111 (In-111) Z None Z None
Y Other Radionuclide
Y Central Nervous System Y Other Radionuclide Z None Z None

C Nuclear Medicine
0 Central Nervous System C02
2 Tomographic (Tomo) Nuclear Medicine Imaging Definition: Introduction of radioactive materials into the body for three dimensional display of images
developed from the capture of radioactive emissions
Body Part Radionuclide Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Brain 1 Technetium 99m (Tc-99m) Z None Z None
F Iodine 123 (I-123)
S Thallium 201 (Tl-201)
Y Other Radionuclide
5 Cerebrospinal Fluid D Indium 111 (In-111) Z None Z None
Y Other Radionuclide
Y Central Nervous System Y Other Radionuclide Z None Z None

C Nuclear Medicine
0 Central Nervous System C03
3 Positron Emission Tomographic (PET) Imaging Definition: Introduction of radioactive materials into the body for three dimensional display of images
developed from the simultaneous capture, 180 degrees apart, of radioactive emissions
Body Part Radionuclide Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Brain B Carbon 11 (C-11) Z None Z None
K Fluorine 18 (F-18)
M Oxygen 15 (O-15)
Y Other Radionuclide
Y Central Nervous System Y Other Radionuclide Z None Z None

C Nuclear Medicine
0 Central Nervous System C05
5 Nonimaging Nuclear Medicine Probe Definition: Introduction of radioactive materials into the body for the study of distribution and fate of certain
substances by the detection of radioactive emissions; or, alternatively, measurement of absorption of radioactive
emissions from an external source
Body Part Radionuclide Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Brain V Xenon 133 (Xe-133) Z None Z None
Y Other Radionuclide
Y Central Nervous System Y Other Radionuclide Z None Z None

C Nuclear Medicine
2 Heart C21
1 Planar Nuclear Medicine Imaging Definition: Introduction of radioactive materials into the body for single plane display of images developed from the
capture of radioactive emissions
Body Part Radionuclide Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
6 Heart, Right and Left 1 Technetium 99m (Tc-99m) Z None Z None
Y Other Radionuclide
G Myocardium 1 Technetium 99m (Tc-99m) Z None Z None
D Indium 111 (In-111)
S Thallium 201 (Tl-201)
Y Other Radionuclide
Z None
Y Heart Y Other Radionuclide Z None Z None
C01–C21

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
ICD-10-PCS 2019 757
 C22–C51 Nuclear Medicine ICD-10-PCS 2019
Nuclear Medicine

C Nuclear Medicine
2 Heart C22
2 Tomographic (Tomo) Nuclear Medicine Imaging Definition: Introduction of radioactive materials into the body for three dimensional display of images
developed from the capture of radioactive emissions
Body Part Radionuclide Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
6 Heart, Right and Left 1 Technetium 99m (Tc-99m) Z None Z None
Y Other Radionuclide
G Myocardium 1 Technetium 99m (Tc-99m) Z None Z None
D Indium 111 (In-111)
K Fluorine 18 (F-18)
S Thallium 201 (Tl-201)
Y Other Radionuclide
Z None
Y Heart Y Other Radionuclide Z None Z None

C Nuclear Medicine
2 Heart C23
3 Positron Emission Tomographic (PET) Imaging Definition: Introduction of radioactive materials into the body for three dimensional display of images
developed from the simultaneous capture, 180 degrees apart, of radioactive emissions
Body Part Radionuclide Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
G Myocardium K Fluorine 18 (F-18) Z None Z None
M Oxygen 15 (O-15)
Q Rubidium 82 (Rb-82)
R Nitrogen 13 (N-13)
Y Other Radionuclide
Y Heart Y Other Radionuclide Z None Z None

C Nuclear Medicine
2 Heart C25
5 Nonimaging Nuclear Medicine Probe Definition: Introduction of radioactive materials into the body for the study of distribution and fate of certain
substances by the detection of radioactive emissions; or, alternatively, measurement of absorption of radioactive
emissions from an external source
Body Part Radionuclide Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
6 Heart, Right and Left 1 Technetium 99m (Tc-99m) Z None Z None
Y Other Radionuclide
Y Heart Y Other Radionuclide Z None Z None

C Nuclear Medicine
5 Veins C51
1 Planar Nuclear Medicine Imaging Definition: Introduction of radioactive materials into the body for single plane display of images developed from the
capture of radioactive emissions
Body Part Radionuclide Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
B Lower Extremity Veins, Right 1 Technetium 99m (Tc-99m) Z None Z None
C Lower Extremity Veins, Left Y Other Radionuclide
D Lower Extremity Veins, Bilateral
N Upper Extremity Veins, Right
P Upper Extremity Veins, Left
Q Upper Extremity Veins, Bilateral
R Central Veins
Y Veins Y Other Radionuclide Z None Z None
C22–C51

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
758 ICD-10-PCS 2019
ICD-10-PCS 2019 Nuclear Medicine C71–C76

Nuclear Medicine
C Nuclear Medicine
7 Lymphatic and Hematologic System C71
1 Planar Nuclear Medicine Imaging Definition: Introduction of radioactive materials into the body for single plane display of images developed from the
capture of radioactive emissions
Body Part Radionuclide Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Bone Marrow 1 Technetium 99m (Tc-99m) Z None Z None
D Indium 111 (In-111)
Y Other Radionuclide
2 Spleen 1 Technetium 99m (Tc-99m) Z None Z None
5 Lymphatics, Head and Neck Y Other Radionuclide
D Lymphatics, Pelvic
J Lymphatics, Head
K Lymphatics, Neck
L Lymphatics, Upper Chest
M Lymphatics, Trunk
N Lymphatics, Upper Extremity
P Lymphatics, Lower Extremity
3 Blood D Indium 111 (In-111) Z None Z None
Y Other Radionuclide
Y Lymphatic and Hematologic System Y Other Radionuclide Z None Z None

C Nuclear Medicine
7 Lymphatic and Hematologic System C72
2 Tomographic (Tomo) Nuclear Medicine Imaging Definition: Introduction of radioactive materials into the body for three dimensional display of images
developed from the capture of radioactive emissions
Body Part Radionuclide Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
2 Spleen 1 Technetium 99m (Tc-99m) Z None Z None
Y Other Radionuclide
Y Lymphatic and Hematologic System Y Other Radionuclide Z None Z None

C Nuclear Medicine
7 Lymphatic and Hematologic System C75
5 Nonimaging Nuclear Medicine Probe Definition: Introduction of radioactive materials into the body for the study of distribution and fate of certain
substances by the detection of radioactive emissions; or, alternatively, measurement of absorption of radioactive
emissions from an external source
Body Part Radionuclide Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
5 Lymphatics, Head and Neck 1 Technetium 99m (Tc-99m) Z None Z None
D Lymphatics, Pelvic Y Other Radionuclide
J Lymphatics, Head
K Lymphatics, Neck
L Lymphatics, Upper Chest
M Lymphatics, Trunk
N Lymphatics, Upper Extremity
P Lymphatics, Lower Extremity
Y Lymphatic and Hematologic System Y Other Radionuclide Z None Z None

C Nuclear Medicine
7 Lymphatic and Hematologic System C76
6 Nonimaging Nuclear Medicine Assay Definition: Introduction of radioactive materials into the body for the study of body fluids and blood elements, by the
detection of radioactive emissions
Body Part Radionuclide Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
3 Blood 1 Technetium 99m (Tc-99m) Z None Z None
7 Cobalt 58 (Co-58)
C Cobalt 57 (Co-57)
D Indium 111 (In-111)
H Iodine 125 (I-125)
W Chromium (Cr-51)
Y Other Radionuclide
Y Lymphatic and Hematologic System Y Other Radionuclide Z None Z None
C71–C76

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
ICD-10-PCS 2019 759
 C81–CD1 Nuclear Medicine ICD-10-PCS 2019
Nuclear Medicine

C Nuclear Medicine
8 Eye C81
1 Planar Nuclear Medicine Imaging Definition: Introduction of radioactive materials into the body for single plane display of images developed from the
capture of radioactive emissions
Body Part Radionuclide Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
9 Lacrimal Ducts, Bilateral 1 Technetium 99m (Tc-99m) Z None Z None
Y Other Radionuclide
Y Eye Y Other Radionuclide Z None Z None

C Nuclear Medicine
9 Ear, Nose, Mouth and Throat C91
1 Planar Nuclear Medicine Imaging Definition: Introduction of radioactive materials into the body for single plane display of images developed from the
capture of radioactive emissions
Body Part Radionuclide Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
B Salivary Glands, Bilateral 1 Technetium 99m (Tc-99m) Z None Z None
Y Other Radionuclide
Y Ear, Nose, Mouth and Throat Y Other Radionuclide Z None Z None

C Nuclear Medicine
B Respiratory System CB1
1 Planar Nuclear Medicine Imaging Definition: Introduction of radioactive materials into the body for single plane display of images developed from the
capture of radioactive emissions
Body Part Radionuclide Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
2 Lungs and Bronchi 1 Technetium 99m (Tc-99m) Z None Z None
9 Krypton (Kr-81m)
T Xenon 127 (Xe-127)
V Xenon 133 (Xe-133)
Y Other Radionuclide
Y Respiratory System Y Other Radionuclide Z None Z None

C Nuclear Medicine
B Respiratory System CB2
2 Tomographic (Tomo) Nuclear Medicine Imaging Definition: Introduction of radioactive materials into the body for three dimensional display of images
developed from the capture of radioactive emissions
Body Part Radionuclide Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
2 Lungs and Bronchi 1 Technetium 99m (Tc-99m) Z None Z None
9 Krypton (Kr-81m)
Y Other Radionuclide
Y Respiratory System Y Other Radionuclide Z None Z None

C Nuclear Medicine
B Respiratory System CB3
3 Positron Emission Tomographic (PET) Imaging Definition: Introduction of radioactive materials into the body for three dimensional display of images
developed from the simultaneous capture, 180 degrees apart, of radioactive emissions
Body Part Radionuclide Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
2 Lungs and Bronchi K Fluorine 18 (F-18) Z None Z None
Y Other Radionuclide
Y Respiratory System Y Other Radionuclide Z None Z None

C Nuclear Medicine
D Gastrointestinal System CD1
1 Planar Nuclear Medicine Imaging Definition: Introduction of radioactive materials into the body for single plane display of images developed from the
capture of radioactive emissions
Body Part Radionuclide Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
5 Upper Gastrointestinal Tract 1 Technetium 99m (Tc-99m) Z None Z None
7 Gastrointestinal Tract D Indium 111 (In-111)
Y Other Radionuclide
Y Digestive System Y Other Radionuclide Z None Z None
C81–CD1

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
760 ICD-10-PCS 2019
ICD-10-PCS 2019 Nuclear Medicine CD2–CG2

Nuclear Medicine
C Nuclear Medicine
D Gastrointestinal System CD2
2 Tomographic (Tomo) Nuclear Medicine Imaging Definition: Introduction of radioactive materials into the body for three dimensional display of images
developed from the capture of radioactive emissions
Body Part Radionuclide Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
7 Gastrointestinal Tract 1 Technetium 99m (Tc-99m) Z None Z None
D Indium 111 (In-111)
Y Other Radionuclide
Y Digestive System Y Other Radionuclide Z None Z None

C Nuclear Medicine
F Hepatobiliary System and Pancreas CF1
1 Planar Nuclear Medicine Imaging Definition: Introduction of radioactive materials into the body for single plane display of images developed from the
capture of radioactive emissions
Body Part Radionuclide Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
4 Gallbladder 1 Technetium 99m (Tc-99m) Z None Z None
5 Liver Y Other Radionuclide
6 Liver and Spleen
C Hepatobiliary System, All
Y Hepatobiliary System and Pancreas Y Other Radionuclide Z None Z None

C Nuclear Medicine
F Hepatobiliary System and Pancreas CF2
2 Tomographic (Tomo) Nuclear Medicine Imaging Definition: Introduction of radioactive materials into the body for three dimensional display of images
developed from the capture of radioactive emissions
Body Part Radionuclide Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
4 Gallbladder 1 Technetium 99m (Tc-99m) Z None Z None
5 Liver Y Other Radionuclide
6 Liver and Spleen
Y Hepatobiliary System and Pancreas Y Other Radionuclide Z None Z None

C Nuclear Medicine
G Endocrine System CG1
1 Planar Nuclear Medicine Imaging Definition: Introduction of radioactive materials into the body for single plane display of images developed from the
capture of radioactive emissions
Body Part Radionuclide Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
1 Parathyroid Glands 1 Technetium 99m (Tc-99m) Z None Z None
S Thallium 201 (Tl-201)
Y Other Radionuclide
2 Thyroid Gland 1 Technetium 99m (Tc-99m) Z None Z None
F Iodine 123 (I-123)
G Iodine 131 (I-131)
Y Other Radionuclide
4 Adrenal Glands, Bilateral G Iodine 131 (I-131) Z None Z None
Y Other Radionuclide
Y Endocrine System Y Other Radionuclide Z None Z None

C Nuclear Medicine
G Endocrine System CG2
2 Tomographic (Tomo) Nuclear Medicine Imaging Definition: Introduction of radioactive materials into the body for three dimensional display of images
developed from the capture of radioactive emissions
Body Part Radionuclide Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
1 Parathyroid Glands 1 Technetium 99m (Tc-99m) Z None Z None
S Thallium 201 (Tl-201)
Y Other Radionuclide
Y Endocrine System Y Other Radionuclide Z None Z None
CD2–CG2

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
ICD-10-PCS 2019 761
 CG4–CP1 Nuclear Medicine ICD-10-PCS 2019
Nuclear Medicine

C Nuclear Medicine
G Endocrine System CG4
4 Nonimaging Nuclear Medicine Uptake Definition: Introduction of radioactive materials into the body for measurements of organ function, from the
detection of radioactive emmissions
Body Part Radionuclide Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
2 Thyroid Gland 1 Technetium 99m (Tc-99m) Z None Z None
F Iodine 123 (I-123)
G Iodine 131 (I-131)
Y Other Radionuclide
Y Endocrine System Y Other Radionuclide Z None Z None

C Nuclear Medicine
H Skin, Subcutaneous Tissue and Breast CH1
1 Planar Nuclear Medicine Imaging Definition: Introduction of radioactive materials into the body for single plane display of images developed from the
capture of radioactive emissions
Body Part Radionuclide Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Breast, Right 1 Technetium 99m (Tc-99m) Z None Z None
1 Breast, Left S Thallium 201 (Tl-201)
2 Breasts, Bilateral Y Other Radionuclide
Y Skin, Subcutaneous Tissue and Y Other Radionuclide Z None Z None
Breast

C Nuclear Medicine
H Skin, Subcutaneous Tissue and Breast CH2
2 Tomographic (Tomo) Nuclear Medicine Imaging Definition: Introduction of radioactive materials into the body for three dimensional display of images
developed from the capture of radioactive emissions
Body Part Radionuclide Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Breast, Right 1 Technetium 99m (Tc-99m) Z None Z None
1 Breast, Left S Thallium 201 (Tl-201)
2 Breasts, Bilateral Y Other Radionuclide
Y Skin, Subcutaneous Tissue and Y Other Radionuclide Z None Z None
Breast

C Nuclear Medicine
P Musculoskeletal System CP1
1 Planar Nuclear Medicine Imaging Definition: Introduction of radioactive materials into the body for single plane display of images developed from the
capture of radioactive emissions
Body Part Radionuclide Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
1 Skull 1 Technetium 99m (Tc-99m) Z None Z None
4 Thorax Y Other Radionuclide
5 Spine
6 Pelvis
7 Spine and Pelvis
8 Upper Extremity, Right
9 Upper Extremity, Left
B Upper Extremities, Bilateral
C Lower Extremity, Right
D Lower Extremity, Left
F Lower Extremities, Bilateral
Z Musculoskeletal System, All
Y Musculoskeletal System, Other Y Other Radionuclide Z None Z None
CG4–CP1

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
762 ICD-10-PCS 2019
ICD-10-PCS 2019 Nuclear Medicine CP2–CT6

Nuclear Medicine
C Nuclear Medicine
P Musculoskeletal System CP2
2 Tomographic (Tomo) Nuclear Medicine Imaging Definition: Introduction of radioactive materials into the body for three dimensional display of images
developed from the capture of radioactive emissions
Body Part Radionuclide Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
1 Skull 1 Technetium 99m (Tc-99m) Z None Z None
2 Cervical Spine Y Other Radionuclide
3 Skull and Cervical Spine
4 Thorax
6 Pelvis
7 Spine and Pelvis
8 Upper Extremity, Right
9 Upper Extremity, Left
B Upper Extremities, Bilateral
C Lower Extremity, Right
D Lower Extremity, Left
F Lower Extremities, Bilateral
G Thoracic Spine
H Lumbar Spine
J Thoracolumbar Spine
Y Musculoskeletal System, Other Y Other Radionuclide Z None Z None

C Nuclear Medicine
P Musculoskeletal System CP5
5 Nonimaging Nuclear Medicine Probe Definition: Introduction of radioactive materials into the body for the study of distribution and fate of certain
substances by the detection of radioactive emissions; or, alternatively, measurement of absorption of radioactive
emissions from an external source
Body Part Radionuclide Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
5 Spine Z None Z None Z None
N Upper Extremities
P Lower Extremities
Y Musculoskeletal System, Other Y Other Radionuclide Z None Z None

C Nuclear Medicine
T Urinary System CT1
1 Planar Nuclear Medicine Imaging Definition: Introduction of radioactive materials into the body for single plane display of images developed from the
capture of radioactive emissions
Body Part Radionuclide Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
3 Kidneys, Ureters and Bladder 1 Technetium 99m (Tc-99m) Z None Z None
F Iodine 123 (I-123)
G Iodine 131 (I-131)
Y Other Radionuclide
H Bladder and Ureters 1 Technetium 99m (Tc-99m) Z None Z None
Y Other Radionuclide
Y Urinary System Y Other Radionuclide Z None Z None

C Nuclear Medicine
T Urinary System CT2
2 Tomographic (Tomo) Nuclear Medicine Imaging Definition: Introduction of radioactive materials into the body for three dimensional display of images
developed from the capture of radioactive emissions
Body Part Radionuclide Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
3 Kidneys, Ureters and Bladder 1 Technetium 99m (Tc-99m) Z None Z None
Y Other Radionuclide
Y Urinary System Y Other Radionuclide Z None Z None

C Nuclear Medicine
T Urinary System CT6
6 Nonimaging Nuclear Medicine Assay Definition: Introduction of radioactive materials into the body for the study of body fluids and blood elements, by the
detection of radioactive emissions
Body Part Radionuclide Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
3 Kidneys, Ureters and Bladder 1 Technetium 99m (Tc-99m) Z None Z None
F Iodine 123 (I-123)
G Iodine 131 (I-131)
CP2–CT6

H Iodine 125 (I-125)

Y Other Radionuclide
Y Urinary System Y Other Radionuclide Z None Z None

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
ICD-10-PCS 2019 763
 CV1–CW3 Nuclear Medicine ICD-10-PCS 2019
Nuclear Medicine

C Nuclear Medicine
V Male Reproductive System CV1
1 Planar Nuclear Medicine Imaging Definition: Introduction of radioactive materials into the body for single plane display of images developed from the
capture of radioactive emissions
Body Part Radionuclide Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
9 Testicles, Bilateral : 1 Technetium 99m (Tc-99m) Z None Z None
Y Other Radionuclide
Y Male Reproductive System : Y Other Radionuclide Z None Z None
: All body part, radionuclide, and qualifier values

C Nuclear Medicine
W Anatomical Regions CW1
1 Planar Nuclear Medicine Imaging Definition: Introduction of radioactive materials into the body for single plane display of images developed from the
capture of radioactive emissions
Body Part Radionuclide Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Abdomen 1 Technetium 99m (Tc-99m) Z None Z None
1 Abdomen and Pelvis D Indium 111 (In-111)
4 Chest and Abdomen F Iodine 123 (I-123)
6 Chest and Neck G Iodine 131 (I-131)
B Head and Neck L Gallium 67 (Ga-67)
D Lower Extremity S Thallium 201 (Tl-201)
J Pelvic Region Y Other Radionuclide
M Upper Extremity
N Whole Body
3 Chest 1 Technetium 99m (Tc-99m) Z None Z None
D Indium 111 (In-111)
F Iodine 123 (I-123)
G Iodine 131 (I-131)
K Fluorine 18 (F-18)
L Gallium 67 (Ga-67)
S Thallium 201 (Tl-201)
Y Other Radionuclide
Y Anatomical Regions, Multiple Y Other Radionuclide Z None Z None
Z Anatomical Region, Other Z None Z None Z None

C Nuclear Medicine
W Anatomical Regions CW2
2 Tomographic (Tomo) Nuclear Medicine Imaging Definition: Introduction of radioactive materials into the body for three dimensional display of images
developed from the capture of radioactive emissions
Body Part Radionuclide Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Abdomen 1 Technetium 99m (Tc-99m) Z None Z None
1 Abdomen and Pelvis D Indium 111 (In-111)
3 Chest F Iodine 123 (I-123)
4 Chest and Abdomen G Iodine 131 (I-131)
6 Chest and Neck K Fluorine 18 (F-18)
B Head and Neck L Gallium 67 (Ga-67)
D Lower Extremity S Thallium 201 (Tl-201)
J Pelvic Region Y Other Radionuclide
M Upper Extremity
Y Anatomical Regions, Multiple Y Other Radionuclide Z None Z None

C Nuclear Medicine
W Anatomical Regions CW3
3 Positron Emission Tomographic (PET) Imaging Definition: Introduction of radioactive materials into the body for three dimensional display of images
developed from the simultaneous capture, 180 degrees apart, of radioactive emissions
Body Part Radionuclide Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
N Whole Body Y Other Radionuclide Z None Z None
CV1–CW3

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
764 ICD-10-PCS 2019
ICD-10-PCS 2019 Nuclear Medicine CW5–CW7

Nuclear Medicine
C Nuclear Medicine
W Anatomical Regions CW5
5 Nonimaging Nuclear Medicine Probe Definition: Introduction of radioactive materials into the body for the study of distribution and fate of certain
substances by the detection of radioactive emissions; or, alternatively, measurement of absorption of radioactive
emissions from an external source
Body Part Radionuclide Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Abdomen 1 Technetium 99m (Tc-99m) Z None Z None
1 Abdomen and Pelvis D Indium 111 (In-111)
3 Chest Y Other Radionuclide
4 Chest and Abdomen
6 Chest and Neck
B Head and Neck
D Lower Extremity
J Pelvic Region
M Upper Extremity

C Nuclear Medicine
W Anatomical Regions CW7
7 Systemic Nuclear Medicine Therapy Definition: Introduction of unsealed radioactive materials into the body for treatment
Body Part Radionuclide Qualifier Qualifier
Character 4 Character 5 Character 6 Character 7
0 Abdomen N Phosphorus 32 (P-32) Z None Z None
3 Chest Y Other Radionuclide
G Thyroid G Iodine 131 (I-131) Z None Z None
Y Other Radionuclide
N Whole Body 8 Samarium 153 (Sm-153) Z None Z None
G Iodine 131 (I-131)
N Phosphorus 32 (P-32)
P Strontium 89 (Sr-89)
Y Other Radionuclide
Y Anatomical Regions, Multiple Y Other Radionuclide Z None Z None

CW5–CW7

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
ICD-10-PCS 2019 765
This page is left intentionally blank.
ICD-10-PCS 2019 Radiation Therapy

Radiation Therapy
Radiation Therapy D00–DWY
Character Meanings
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.

Body System– Modality– Treatment Site– Modality Qualifier– Isotope– Qualifier–

Character 2 Character 3 Character 4 Character 5 Character 6 Character 7
0 Central and Peripheral 0 Beam Radiation See next page 0 Photons <1 MeV 7 Cesium 137 (Cs-137) 0 Intraoperative
Nervous System
7 Lymphatic and 1 Brachytherapy 1 Photons 1 - 10 MeV 8 Iridium 192 (Ir-192) Z None
Hematologic System
8 Eye 2 Stereotactic 2 Photons >10 MeV 9 Iodine 125 (I-125)
Radiosurgery
9 Ear, Nose, Mouth and Y Other Radiation 3 Electrons B Palladium 103 (Pd-103)
Throat
B Respiratory System 4 Heavy Particles (Protons, C Californium 252 (Cf-252)
Ions)
D Gastrointestinal System 5 Neutrons D Iodine 131 (I-131)
F Hepatobiliary System 6 Neutron Capture F Phosphorus 32 (P-32)
and Pancreas
G Endocrine System 7 Contact Radiation G Strontium 89 (Sr-89)
H Skin 8 Hyperthermia H Strontium 90 (Sr-90)
M Breast 9 High Dose Rate (HDR) Y Other Isotope
P Musculoskeletal B Low Dose Rate (LDR) Z None
System
T Urinary System C Intraoperative Radiation
Therapy (IORT)
U Female Reproductive D Stereotactic Other Photon
System Radiosurgery
V Male Reproductive F Plaque Radiation
System
W Anatomical Regions G Isotope Administration
H Stereotactic Particulate
Radiosurgery
J Stereotactic Gamma
Beam Radiosurgery
K Laser Interstitial Thermal
Therapy

ICD-10-PCS 2019 767

 Radiation Therapy ICD-10-PCS 2019
Radiation Therapy

Treatment Site—Character 4 Meanings

Body System– Character 2 Treatment Site– Character 4
0 Central and Peripheral Nervous System 0 Brain
1 Brain Stem
6 Spinal Cord
7 Peripheral Nerve
7 Lymphatic and Hematologic System 0 Bone Marrow 5 Lymphatics, Thorax
1 Thymus 6 Lymphatics, Abdomen
2 Spleen 7 Lymphatics, Pelvis
3 Lymphatics, Neck 8 Lymphatics, Inguinal
4 Lymphatics, Axillary
8 Eye 0 Eye
9 Ear, Nose, Mouth and Throat 0 Ear 8 Hard Palate
1 Nose 9 Soft Palate
3 Hypopharynx B Larynx
4 Mouth C Pharynx
5 Tongue D Nasopharynx
6 Salivary Glands F Oropharynx
7 Sinuses
B Respiratory System 0 Trachea 6 Mediastinum
1 Bronchus 7 Chest Wall
2 Lung 8 Diaphragm
5 Pleura
D Gastrointestinal System 0 Esophagus 4 Ileum
1 Stomach 5 Colon
2 Duodenum 7 Rectum
3 Jejunum 8 Anus
F Hepatobiliary System and Pancreas 0 Liver 2 Bile Ducts
1 Gallbladder 3 Pancreas
G Endocrine System 0 Pituitary Gland 4 Parathyroid Glands
1 Pineal Body 5 Thyroid
2 Adrenal Glands
H Skin 2 Skin, Face 7 Skin, Back
3 Skin, Neck 8 Skin, Abdomen
4 Skin, Arm 9 Skin, Buttock
5 Skin, Hand B Skin, Leg
6 Skin, Chest C Skin, Foot
M Breast 0 Breast, Left
1 Breast, Right
P Musculoskeletal System 0 Skull 7 Radius/Ulna
2 Maxilla 8 Pelvic Bones
3 Mandible 9 Femur
4 Sternum B Tibia/Fibula
5 Rib(s) C Other Bone
6 Humerus
T Urinary System 0 Kidney 2 Bladder
1 Ureter 3 Urethra
U Female Reproductive System 0 Ovary
1 Cervix
2 Uterus
V Male Reproductive System 0 Prostate
1 Testis
W Anatomical Regions 1 Head and Neck 4 Hemibody
2 Chest 5 Whole Body
3 Abdomen 6 Pelvic Region

AHA Coding Clinic for table DU1

2017, 4Q, 104 Intrauterine brachytherapy & placement of tandems & ovoids

768 ICD-10-PCS 2019

ICD-10-PCS 2019 Radiation Therapy D00–D0Y

Radiation Therapy
D Radiation Therapy
0 Central and Peripheral Nervous System D00
0 Beam Radiation
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Brain 0 Photons <1 MeV Z None Z None
1 Brain Stem 1 Photons 1- 10 MeV
6 Spinal Cord 2 Photons >10 MeV
7 Peripheral Nerve 4 Heavy Particles (Protons, Ions)
5 Neutrons
6 Neutron Capture
0 Brain 3 Electrons Z None 0 Intraoperative
1 Brain Stem Z None
6 Spinal Cord
7 Peripheral Nerve

D Radiation Therapy
0 Central and Peripheral Nervous System D01
1 Brachytherapy
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Brain 9 High Dose Rate (HDR) 7 Cesium 137 (Cs-137) Z None
1 Brain Stem B Low Dose Rate (LDR) 8 Iridium 192 (Ir-192)
6 Spinal Cord 9 Iodine 125 (I-125)
7 Peripheral Nerve B Palladium 103 (Pd-103)
C Californium 252 (Cf-252)
Y Other Isotope

D Radiation Therapy
0 Central and Peripheral Nervous System D02
2 Stereotactic Radiosurgery
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Brain D Stereotactic Other Photon Z None Z None
1 Brain Stem Radiosurgery
6 Spinal Cord H Stereotactic Particulate
7 Peripheral Nerve Radiosurgery
J Stereotactic Gamma Beam
Radiosurgery
DRG Non-OR All treatment site, modality, isotope, and qualifier values

D Radiation Therapy
0 Central and Peripheral Nervous System D0Y
Y Other Radiation
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Brain 7 Contact Radiation Z None Z None
1 Brain Stem 8 Hyperthermia
6 Spinal Cord F Plaque Radiation
7 Peripheral Nerve K Laser Interstitial Thermal Therapy
Valid OR D0Y[0,1,6,7]KZZ
D00–D0Y

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
ICD-10-PCS 2019 769
 D70–D7Y Radiation Therapy ICD-10-PCS 2019
Radiation Therapy

D Radiation Therapy
7 Lymphatic and Hematologic System D70
0 Beam Radiation
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Bone Marrow 0 Photons <1 MeV Z None Z None
1 Thymus 1 Photons 1- 10 MeV
2 Spleen 2 Photons >10 MeV
3 Lymphatics, Neck 4 Heavy Particles (Protons, Ions)
4 Lymphatics, Axillary 5 Neutrons
5 Lymphatics, Thorax 6 Neutron Capture
6 Lymphatics, Abdomen
7 Lymphatics, Pelvis
8 Lymphatics, Inguinal
0 Bone Marrow 3 Electrons Z None 0 Intraoperative
1 Thymus Z None
2 Spleen
3 Lymphatics, Neck
4 Lymphatics, Axillary
5 Lymphatics, Thorax
6 Lymphatics, Abdomen
7 Lymphatics, Pelvis
8 Lymphatics, Inguinal

D Radiation Therapy
7 Lymphatic and Hematologic System D71
1 Brachytherapy
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Bone Marrow 9 High Dose Rate (HDR) 7 Cesium 137 (Cs-137) Z None
1 Thymus B Low Dose Rate (LDR) 8 Iridium 192 (Ir-192)
2 Spleen 9 Iodine 125 (I-125)
3 Lymphatics, Neck B Palladium 103 (Pd-103)
4 Lymphatics, Axillary C Californium 252 (Cf-252)
5 Lymphatics, Thorax Y Other Isotope
6 Lymphatics, Abdomen
7 Lymphatics, Pelvis
8 Lymphatics, Inguinal

D Radiation Therapy
7 Lymphatic and Hematologic System D72
2 Stereotactic Radiosurgery
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Bone Marrow D Stereotactic Other Photon Z None Z None
1 Thymus Radiosurgery
2 Spleen H Stereotactic Particulate
3 Lymphatics, Neck Radiosurgery
4 Lymphatics, Axillary J Stereotactic Gamma Beam
5 Lymphatics, Thorax Radiosurgery
6 Lymphatics, Abdomen
7 Lymphatics, Pelvis
8 Lymphatics, Inguinal
DRG Non-OR All treatment site, modality, isotope, and qualifier values

D Radiation Therapy
7 Lymphatic and Hematologic System D7Y
Y Other Radiation
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Bone Marrow 8 Hyperthermia Z None Z None
1 Thymus F Plaque Radiation
2 Spleen
3 Lymphatics, Neck
4 Lymphatics, Axillary
5 Lymphatics, Thorax
6 Lymphatics, Abdomen
7 Lymphatics, Pelvis
8 Lymphatics, Inguinal
D70–D7Y

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
770 ICD-10-PCS 2019
ICD-10-PCS 2019 Radiation Therapy D80–D8Y

Radiation Therapy
D Radiation Therapy
8 Eye D80
0 Beam Radiation
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Eye 0 Photons <1 MeV Z None Z None
1 Photons 1- 10 MeV
2 Photons >10 MeV
4 Heavy Particles (Protons, Ions)
5 Neutrons
6 Neutron Capture
0 Eye 3 Electrons Z None 0 Intraoperative
Z None

D Radiation Therapy
8 Eye D81
1 Brachytherapy
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Eye 9 High Dose Rate (HDR) 7 Cesium 137 (Cs-137) Z None
B Low Dose Rate (LDR) 8 Iridium 192 (Ir-192)
9 Iodine 125 (I-125)
B Palladium 103 (Pd-103)
C Californium 252 (Cf-252)
Y Other Isotope

D Radiation Therapy
8 Eye D82
2 Stereotactic Radiosurgery
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Eye D Stereotactic Other Photon Z None Z None
Radiosurgery
H Stereotactic Particulate
Radiosurgery
J Stereotactic Gamma Beam
Radiosurgery
DRG Non-OR All treatment site, modality, isotope, and qualifier values

D Radiation Therapy
8 Eye D8Y
Y Other Radiation
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Eye 7 Contact Radiation Z None Z None
8 Hyperthermia
F Plaque Radiation
D80–D8Y

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
ICD-10-PCS 2019 771
 D90–D92 Radiation Therapy ICD-10-PCS 2019
Radiation Therapy

D Radiation Therapy
9 Ear, Nose, Mouth and Throat D90
0 Beam Radiation
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Ear 0 Photons <1 MeV Z None Z None
1 Nose 1 Photons 1- 10 MeV
3 Hypopharynx 2 Photons >10 MeV
4 Mouth 4 Heavy Particles (Protons, Ions)
5 Tongue 5 Neutrons
6 Salivary Glands 6 Neutron Capture
7 Sinuses
8 Hard Palate
9 Soft Palate
B Larynx
D Nasopharynx
F Oropharynx
0 Ear 3 Electrons Z None 0 Intraoperative
1 Nose Z None
3 Hypopharynx
4 Mouth
5 Tongue
6 Salivary Glands
7 Sinuses
8 Hard Palate
9 Soft Palate
B Larynx
D Nasopharynx
F Oropharynx

D Radiation Therapy
9 Ear, Nose, Mouth and Throat D91
1 Brachytherapy
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Ear 9 High Dose Rate (HDR) 7 Cesium 137 (Cs-137) Z None
1 Nose B Low Dose Rate (LDR) 8 Iridium 192 (Ir-192)
3 Hypopharynx 9 Iodine 125 (I-125)
4 Mouth B Palladium 103 (Pd-103)
5 Tongue C Californium 252 (Cf-252)
6 Salivary Glands Y Other Isotope
7 Sinuses
8 Hard Palate
9 Soft Palate
B Larynx
D Nasopharynx
F Oropharynx

D Radiation Therapy
9 Ear, Nose, Mouth and Throat D92
2 Stereotactic Radiosurgery
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Ear D Stereotactic Other Photon Z None Z None
1 Nose Radiosurgery
4 Mouth H Stereotactic Particulate
5 Tongue Radiosurgery
6 Salivary Glands J Stereotactic Gamma Beam
7 Sinuses Radiosurgery
8 Hard Palate
9 Soft Palate
B Larynx
C Pharynx
D Nasopharynx
DRG Non-OR All treatment site, modality, isotope, and qualifier values
D90–D92

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
772 ICD-10-PCS 2019
ICD-10-PCS 2019 Radiation Therapy D9Y–DB2

Radiation Therapy
D Radiation Therapy
9 Ear, Nose, Mouth and Throat D9Y
Y Other Radiation
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Ear 7 Contact Radiation Z None Z None
1 Nose 8 Hyperthermia
5 Tongue F Plaque Radiation
6 Salivary Glands
7 Sinuses
8 Hard Palate
9 Soft Palate
3 Hypopharynx 7 Contact Radiation Z None Z None
F Oropharynx 8 Hyperthermia
4 Mouth 7 Contact Radiation Z None Z None
B Larynx 8 Hyperthermia
D Nasopharynx C Intraoperative Radiation Therapy
(IORT)
F Plaque Radiation
C Pharynx C Intraoperative Radiation Therapy Z None Z None
(IORT)
F Plaque Radiation

D Radiation Therapy
B Respiratory System DB0
0 Beam Radiation
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Trachea 0 Photons <1 MeV Z None Z None
1 Bronchus 1 Photons 1- 10 MeV
2 Lung 2 Photons >10 MeV
5 Pleura 4 Heavy Particles (Protons, Ions)
6 Mediastinum 5 Neutrons
7 Chest Wall 6 Neutron Capture
8 Diaphragm
0 Trachea 3 Electrons Z None 0 Intraoperative
1 Bronchus Z None
2 Lung
5 Pleura
6 Mediastinum
7 Chest Wall
8 Diaphragm

D Radiation Therapy
B Respiratory System DB1
1 Brachytherapy
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Trachea 9 High Dose Rate (HDR) 7 Cesium 137 (Cs-137) Z None
1 Bronchus B Low Dose Rate (LDR) 8 Iridium 192 (Ir-192)
2 Lung 9 Iodine 125 (I-125)
5 Pleura B Palladium 103 (Pd-103)
6 Mediastinum C Californium 252 (Cf-252)
7 Chest Wall Y Other Isotope
8 Diaphragm

D Radiation Therapy
B Respiratory System DB2
2 Stereotactic Radiosurgery
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Trachea D Stereotactic Other Photon Z None Z None
1 Bronchus Radiosurgery
2 Lung H Stereotactic Particulate
5 Pleura Radiosurgery
6 Mediastinum J Stereotactic Gamma Beam
7 Chest Wall Radiosurgery
8 Diaphragm
D9Y–DB2

DRG Non-OR All treatment site, modality, isotope, and qualifier values

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
ICD-10-PCS 2019 773
 DBY–DD2 Radiation Therapy ICD-10-PCS 2019
Radiation Therapy

D Radiation Therapy
B Respiratory System DBY
Y Other Radiation
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Trachea 7 Contact Radiation Z None Z None
1 Bronchus 8 Hyperthermia
2 Lung F Plaque Radiation
5 Pleura K Laser Interstitial Thermal Therapy
6 Mediastinum
7 Chest Wall
8 Diaphragm
Valid OR DBY[0,1,2,5,6,7,8]KZZ

D Radiation Therapy
D Gastrointestinal System DD0
0 Beam Radiation
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Esophagus 0 Photons <1 MeV Z None Z None
1 Stomach 1 Photons 1- 10 MeV
2 Duodenum 2 Photons >10 MeV
3 Jejunum 4 Heavy Particles (Protons, Ions)
4 Ileum 5 Neutrons
5 Colon 6 Neutron Capture
7 Rectum
0 Esophagus 3 Electrons Z None 0 Intraoperative
1 Stomach Z None
2 Duodenum
3 Jejunum
4 Ileum
5 Colon
7 Rectum

D Radiation Therapy
D Gastrointestinal System DD1
1 Brachytherapy
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Esophagus 9 High Dose Rate (HDR) 7 Cesium 137 (Cs-137) Z None
1 Stomach B Low Dose Rate (LDR) 8 Iridium 192 (Ir-192)
2 Duodenum 9 Iodine 125 (I-125)
3 Jejunum B Palladium 103 (Pd-103)
4 Ileum C Californium 252 (Cf-252)
5 Colon Y Other Isotope
7 Rectum

D Radiation Therapy
D Gastrointestinal System DD2
2 Stereotactic Radiosurgery
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Esophagus D Stereotactic Other Photon Z None Z None
1 Stomach Radiosurgery
2 Duodenum H Stereotactic Particulate
3 Jejunum Radiosurgery
4 Ileum J Stereotactic Gamma Beam
5 Colon Radiosurgery
7 Rectum
DRG Non-OR All treatment site, modality, isotope, and qualifier values
DBY–DD2

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
774 ICD-10-PCS 2019
ICD-10-PCS 2019 Radiation Therapy DDY–DF2

Radiation Therapy
D Radiation therapy
D Gastrointestinal System DDY
Y Other Radiation
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Esophagus 7 Contact Radiation Z None Z None
8 Hyperthermia
F Plaque Radiation
K Laser Interstitial Thermal Therapy
1 Stomach 7 Contact Radiation Z None Z None
2 Duodenum 8 Hyperthermia
3 Jejunum C Intraoperative Radiation Therapy
4 Ileum (IORT)
5 Colon F Plaque Radiation
7 Rectum K Laser Interstitial Thermal Therapy
8 Anus C Intraoperative Radiation Therapy Z None Z None
(IORT)
F Plaque Radiation
K Laser Interstitial Thermal Therapy
Valid OR DDY0KZZ
Valid OR DDY[1,2,3,4,5,7]KZZ
Valid OR DDY8KZZ

D Radiation Therapy
F Hepatobiliary System and Pancreas DF0
0 Beam Radiation
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Liver 0 Photons <1 MeV Z None Z None
1 Gallbladder 1 Photons 1- 10 MeV
2 Bile Ducts 2 Photons >10 MeV
3 Pancreas 4 Heavy Particles (Protons, Ions)
5 Neutrons
6 Neutron Capture
0 Liver 3 Electrons Z None 0 Intraoperative
1 Gallbladder Z None
2 Bile Ducts
3 Pancreas

D Radiation Therapy
F Hepatobiliary System and Pancreas DF1
1 Brachytherapy
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Liver 9 High Dose Rate (HDR) 7 Cesium 137 (Cs-137) Z None
1 Gallbladder B Low Dose Rate (LDR) 8 Iridium 192 (Ir-192)
2 Bile Ducts 9 Iodine 125 (I-125)
3 Pancreas B Palladium 103 (Pd-103)
C Californium 252 (Cf-252)
Y Other Isotope

D Radiation Therapy
F Hepatobiliary System and Pancreas DF2
2 Stereotactic Radiosurgery
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Liver D Stereotactic Other Photon Z None Z None
1 Gallbladder Radiosurgery
2 Bile Ducts H Stereotactic Particulate
3 Pancreas Radiosurgery
J Stereotactic Gamma Beam
Radiosurgery
DRG Non-OR All treatment site, modality, isotope, and qualifier values
DDY–DF2

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
ICD-10-PCS 2019 775
 DFY–DGY Radiation Therapy ICD-10-PCS 2019
Radiation Therapy

D Radiation Therapy
F Hepatobiliary System and Pancreas DFY
Y Other Radiation
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Liver 7 Contact Radiation Z None Z None
1 Gallbladder 8 Hyperthermia
2 Bile Ducts C Intraoperative Radiation Therapy
3 Pancreas (IORT)
F Plaque Radiation
K Laser Interstitial Thermal Therapy
Valid OR DFY[0,1,2,3]KZZ

D Radiation Therapy
G Endocrine System DG0
0 Beam Radiation
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Pituitary Gland 0 Photons <1 MeV Z None Z None
1 Pineal Body 1 Photons 1- 10 MeV
2 Adrenal Glands 2 Photons >10 MeV
4 Parathyroid Glands 5 Neutrons
5 Thyroid 6 Neutron Capture
0 Pituitary Gland 3 Electrons Z None 0 Intraoperative
1 Pineal Body Z None
2 Adrenal Glands
4 Parathyroid Glands
5 Thyroid

D Radiation Therapy
G Endocrine System DG1
1 Brachytherapy
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Pituitary Gland 9 High Dose Rate (HDR) 7 Cesium 137 (Cs-137) Z None
1 Pineal Body B Low Dose Rate (LDR) 8 Iridium 192 (Ir-192)
2 Adrenal Glands 9 Iodine 125 (I-125)
4 Parathyroid Glands B Palladium 103 (Pd-103)
5 Thyroid C Californium 252 (Cf-252)
Y Other Isotope

D Radiation Therapy
G Endocrine System DG2
2 Stereotactic Radiosurgery
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Pituitary Gland D Stereotactic Other Photon Z None Z None
1 Pineal Body Radiosurgery
2 Adrenal Glands H Stereotactic Particulate
4 Parathyroid Glands Radiosurgery
5 Thyroid J Stereotactic Gamma Beam
Radiosurgery
DRG Non-OR All treatment site, modality, isotope, and qualifier values

D Radiation therapy
G Endocrine System DGY
Y Other Radiation
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Pituitary Gland 7 Contact Radiation Z None Z None
1 Pineal Body 8 Hyperthermia
2 Adrenal Glands F Plaque Radiation
4 Parathyroid Glands K Laser Interstitial Thermal Therapy
5 Thyroid
Valid OR DGY[0,1,2,4,5]KZZ
DFY–DGY

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
776 ICD-10-PCS 2019
ICD-10-PCS 2019 Radiation Therapy DH0–DM1

Radiation Therapy
D Radiation Therapy
H Skin DH0
0 Beam Radiation
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
2 Skin, Face 0 Photons <1 MeV Z None Z None
3 Skin, Neck 1 Photons 1- 10 MeV
4 Skin, Arm 2 Photons >10 MeV
6 Skin, Chest 4 Heavy Particles (Protons, Ions)
7 Skin, Back 5 Neutrons
8 Skin, Abdomen 6 Neutron Capture
9 Skin, Buttock
B Skin, Leg
2 Skin, Face 3 Electrons Z None 0 Intraoperative
3 Skin, Neck Z None
4 Skin, Arm
6 Skin, Chest
7 Skin, Back
8 Skin, Abdomen
9 Skin, Buttock
B Skin, Leg

D Radiation Therapy
H Skin DHY
Y Other Radiation
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
2 Skin, Face 7 Contact Radiation Z None Z None
3 Skin, Neck 8 Hyperthermia
4 Skin, Arm F Plaque Radiation
6 Skin, Chest
7 Skin, Back
8 Skin, Abdomen
9 Skin, Buttock
B Skin, Leg
5 Skin, Hand F Plaque Radiation Z None Z None
C Skin, Foot

D Radiation Therapy
M Breast DM0
0 Beam Radiation
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Breast, Left 0 Photons <1 MeV Z None Z None
1 Breast, Right 1 Photons 1- 10 MeV
2 Photons >10 MeV
4 Heavy Particles (Protons, Ions)
5 Neutrons
6 Neutron Capture
0 Breast, Left 3 Electrons Z None 0 Intraoperative
1 Breast, Right Z None

D Radiation Therapy
M Breast DM1
1 Brachytherapy
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Breast, Left 9 High Dose Rate (HDR) 7 Cesium 137 (Cs-137) Z None
1 Breast, Right B Low Dose Rate (LDR) 8 Iridium 192 (Ir-192)
9 Iodine 125 (I-125)
B Palladium 103 (Pd-103)
C Californium 252 (Cf-252)
Y Other Isotope
DH0–DM1

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
ICD-10-PCS 2019 777
 DM2–DPY Radiation Therapy ICD-10-PCS 2019
Radiation Therapy

D Radiation Therapy
M Breast DM2
2 Stereotactic Radiosurgery
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Breast, Left D Stereotactic Other Photon Z None Z None
1 Breast, Right Radiosurgery
H Stereotactic Particulate
Radiosurgery
J Stereotactic Gamma Beam
Radiosurgery
DRG Non-OR All treatment site, modality, isotope, and qualifier values

D Radiation Therapy
M Breast DMY
Y Other Radiation
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Breast, Left 7 Contact Radiation Z None Z None
1 Breast, Right 8 Hyperthermia
F Plaque Radiation
K Laser Interstitial Thermal Therapy
Valid OR DMY[0,1]KZZ

D Radiation Therapy
P Musculoskeletal System DP0
0 Beam Radiation
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Skull 0 Photons <1 MeV Z None Z None
2 Maxilla 1 Photons 1- 10 MeV
3 Mandible 2 Photons >10 MeV
4 Sternum 4 Heavy Particles (Protons, Ions)
5 Rib(s) 5 Neutrons
6 Humerus 6 Neutron Capture
7 Radius/Ulna
8 Pelvic Bones
9 Femur
B Tibia/Fibula
C Other Bone
0 Skull 3 Electrons Z None 0 Intraoperative
2 Maxilla Z None
3 Mandible
4 Sternum
5 Rib(s)
6 Humerus
7 Radius/Ulna
8 Pelvic Bones
9 Femur
B Tibia/Fibula
C Other Bone

D Radiation Therapy
P Musculoskeletal System DPY
Y Other Radiation
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Skull 7 Contact Radiation Z None Z None
2 Maxilla 8 Hyperthermia
3 Mandible F Plaque Radiation
4 Sternum
5 Rib(s)
6 Humerus
7 Radius/Ulna
8 Pelvic Bones
9 Femur
B Tibia/Fibula
C Other Bone
DM2–DPY

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
778 ICD-10-PCS 2019
ICD-10-PCS 2019 Radiation Therapy DT0–DU0

Radiation Therapy
D Radiation Therapy
T Urinary System DT0
0 Beam Radiation
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Kidney 0 Photons <1 MeV Z None Z None
1 Ureter 1 Photons 1- 10 MeV
2 Bladder 2 Photons >10 MeV
3 Urethra 4 Heavy Particles (Protons, Ions)
5 Neutrons
6 Neutron Capture
0 Kidney 3 Electrons Z None 0 Intraoperative
1 Ureter Z None
2 Bladder
3 Urethra

D Radiation Therapy
T Urinary System DT1
1 Brachytherapy
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Kidney 9 High Dose Rate (HDR) 7 Cesium 137 (Cs-137) Z None
1 Ureter B Low Dose Rate (LDR) 8 Iridium 192 (Ir-192)
2 Bladder 9 Iodine 125 (I-125)
3 Urethra B Palladium 103 (Pd-103)
C Californium 252 (Cf-252)
Y Other Isotope

D Radiation Therapy
T Urinary System DT2
2 Stereotactic Radiosurgery
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Kidney D Stereotactic Other Photon Z None Z None
1 Ureter Radiosurgery
2 Bladder H Stereotactic Particulate
3 Urethra Radiosurgery
J Stereotactic Gamma Beam
Radiosurgery
DRG Non-OR All treatment site, modality, isotope, and qualifier values

D Radiation Therapy
T Urinary System DTY
Y Other Radiation
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Kidney 7 Contact Radiation Z None Z None
1 Ureter 8 Hyperthermia
2 Bladder C Intraoperative Radiation Therapy
3 Urethra (IORT)
F Plaque Radiation

D Radiation Therapy
U Female Reproductive System DU0
0 Beam Radiation
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Ovary ; 0 Photons <1 MeV Z None Z None
1 Cervix ; 1 Photons 1- 10 MeV
2 Uterus ; 2 Photons >10 MeV
4 Heavy Particles (Protons, Ions)
5 Neutrons
6 Neutron Capture
0 Ovary ; 3 Electrons Z None 0 Intraoperative
1 Cervix ; Z None
2 Uterus ;
; All treatment site, modality, isotope, and qualifier values
DT0–DU0

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
ICD-10-PCS 2019 779
 DU1–DV1 Radiation Therapy ICD-10-PCS 2019
Radiation Therapy

D Radiation Therapy
U Female Reproductive System DU1
1 Brachytherapy
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Ovary ; 9 High Dose Rate (HDR) 7 Cesium 137 (Cs-137) Z None
1 Cervix ; B Low Dose Rate (LDR) 8 Iridium 192 (Ir-192)
2 Uterus ; 9 Iodine 125 (I-125)
B Palladium 103 (Pd-103)
C Californium 252 (Cf-252)
Y Other Isotope
; All treatment site, modality, isotope, and qualifier values

D Radiation Therapy
U Female Reproductive System DU2
2 Stereotactic Radiosurgery
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Ovary ; D Stereotactic Other Photon Z None Z None
1 Cervix ; Radiosurgery
2 Uterus ; H Stereotactic Particulate
Radiosurgery
J Stereotactic Gamma Beam
Radiosurgery
DRG Non-OR All treatment site, modality, isotope, and qualifier values
; All treatment site, modality, isotope, and qualifier values

D Radiation Therapy
U Female Reproductive System DUY
Y Other Radiation
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Ovary ; 7 Contact Radiation Z None Z None
1 Cervix ; 8 Hyperthermia
2 Uterus ; C Intraoperative Radiation Therapy
(IORT)
F Plaque Radiation
; All treatment site, modality, isotope, and qualifier values

D Radiation Therapy
V Male Reproductive System DV0
0 Beam Radiation
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Prostate : 0 Photons <1 MeV Z None Z None
1 Testis : 1 Photons 1- 10 MeV
2 Photons >10 MeV
4 Heavy Particles (Protons, Ions)
5 Neutrons
6 Neutron Capture
0 Prostate : 3 Electrons Z None 0 Intraoperative
1 Testis : Z None
: All treatment site, modality, isotope, and qualifier values

D Radiation Therapy
V Male Reproductive System DV1
1 Brachytherapy
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Prostate : 9 High Dose Rate (HDR) 7 Cesium 137 (Cs-137) Z None
1 Testis : B Low Dose Rate (LDR) 8 Iridium 192 (Ir-192)
9 Iodine 125 (I-125)
B Palladium 103 (Pd-103)
C Californium 252 (Cf-252)
Y Other Isotope
: All treatment site, modality, isotope, and qualifier values
DU1–DV1

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
780 ICD-10-PCS 2019
ICD-10-PCS 2019 Radiation Therapy DV2–DW1

Radiation Therapy
D Radiation Therapy
V Male Reproductive System DV2
2 Stereotactic Radiosurgery
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Prostate : D Stereotactic Other Photon Z None Z None
1 Testis : Radiosurgery
H Stereotactic Particulate
Radiosurgery
J Stereotactic Gamma Beam
Radiosurgery
DRG Non-OR All treatment site, modality, isotope, and qualifier values
: All treatment site, modality, isotope, and qualifier values

D Radiation Therapy
V Male Reproductive System DVY
Y Other Radiation
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
0 Prostate : 7 Contact Radiation Z None Z None
8 Hyperthermia
C Intraoperative Radiation Therapy
(IORT)
F Plaque Radiation
K Laser Interstitial Thermal Therapy
1 Testis : 7 Contact Radiation Z None Z None
8 Hyperthermia
F Plaque Radiation
Valid OR DVY0KZZ
: All treatment site, modality, isotope, and qualifier values

D Radiation Therapy
W Anatomical Regions DW0
0 Beam Radiation
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
1 Head and Neck 0 Photons <1 MeV Z None Z None
2 Chest 1 Photons 1- 10 MeV
3 Abdomen 2 Photons >10 MeV
4 Hemibody 4 Heavy Particles (Protons, Ions)
5 Whole Body 5 Neutrons
6 Pelvic Region 6 Neutron Capture
1 Head and Neck 3 Electrons Z None 0 Intraoperative
2 Chest Z None
3 Abdomen
4 Hemibody
5 Whole Body
6 Pelvic Region

D Radiation Therapy
W Anatomical Regions DW1
1 Brachytherapy
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
1 Head and Neck 9 High Dose Rate (HDR) 7 Cesium 137 (Cs-137) Z None
2 Chest B Low Dose Rate (LDR) 8 Iridium 192 (Ir-192)
3 Abdomen 9 Iodine 125 (I-125)
6 Pelvic Region B Palladium 103 (Pd-103)
C Californium 252 (Cf-252)
Y Other Isotope
DV2–DW1

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
ICD-10-PCS 2019 781
 DW2–DWY Radiation Therapy ICD-10-PCS 2019
Radiation Therapy

D Radiation Therapy
W Anatomical Regions DW2
2 Stereotactic Radiosurgery
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
1 Head and Neck D Stereotactic Other Photon Z None Z None
2 Chest Radiosurgery
3 Abdomen H Stereotactic Particulate
6 Pelvic Region Radiosurgery
J Stereotactic Gamma Beam
Radiosurgery
DRG Non-OR All treatment site, modality, isotope, and qualifier values

D Radiation Therapy
W Anatomical Regions DWY
Y Other Radiation
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
1 Head and Neck 7 Contact Radiation Z None Z None
2 Chest 8 Hyperthermia
3 Abdomen F Plaque Radiation
4 Hemibody
6 Pelvic Region
5 Whole Body 7 Contact Radiation Z None Z None
8 Hyperthermia
F Plaque Radiation
5 Whole Body G Isotope Administration D Iodine 131 (I-131) Z None
F Phosphorus 32 (P-32)
G Strontium 89 (Sr-89)
H Strontium 90 (Sr-90)
Y Other Isotope
DW2–DWY

3 Limited Coverage 4 Noncovered ? Combination Member HAC Valid OR Combination Only DRG Non-OR New/Revised in GREEN
782 ICD-10-PCS 2019
ICD-10-PCS 2019
Physical Rehabilitation and Diagnostic Audiology F00–F15
Character Meanings
This Character Meaning table is provided as a guide to assist the user in the identification of character members that may be found in this section of code
tables. It SHOULD NOT be used to build a PCS code.
0: Rehabilitation
Type–
Character 3
0 Speech Assessment
1 Motor and/or Nerve
Function Assessment
2 Activities of Daily Living
Assessment
6 Speech Treatment
7 Motor Treatment
8 Activities of Daily Living
Treatment
9 Hearing Treatment
B Cochlear Implant Treatment 7 Circulatory System - Whole
C Vestibular Treatment
D Device Fitting
F Caregiver Training
ICD-10-PCS 2019
Body System/Region–
Character 4
0 Neurological System - Head See next page
and Neck
1 Neurological System -
Upper Back / Upper
Extremity
2 Neurological System - Lower
Back / Lower Extremity
3 Neurological System -
Whole Body
4 Circulatory System - Head
and Neck
5 Circulatory System - Upper
Back / Upper Extremity
6
Circulatory System - Lower
Back / Lower Extremity
Body
8 Respiratory System - Head
and Neck
9 Respiratory System - Upper
Back / Upper Extremity
B Respiratory System - Lower
Back / Lower Extremity
C Respiratory System - Whole
Body
D Integumentary System -
Head and Neck
F Integumentary System -
Upper Back / Upper
Extremity
G Integumentary System -
Lower Back / Lower
Extremity
H Integumentary System -
Whole Body
J Musculoskeletal System -
Head and Neck
K Musculoskeletal System -
Upper Back / Upper
Extremity
L Musculoskeletal System -
Lower Back / Lower
Extremity
M Musculoskeletal System -
Whole Body
N Genitourinary System
Z None
Physical Rehabilitation and Diagnostic Audiology
Physical Rehabilitation and Diagnostic Audiology
Type Qualifier– Equipment – Qualifier–
Character 5 Character 6 Character 7
1 Audiometer Z None
2 Sound Field / Booth
4 Electroacoustic Immitance/
Acoustic Reflex
5 Hearing Aid Selection /
Fitting / Test
7 Electrophysiologic
8 Vestibular / Balance
9 Cochlear Implant
B Physical Agents
C Mechanical
D Electrotherapeutic
E Orthosis
F Assistive, Adaptive,
Supportive or Protective
G Aerobic Endurance and
Conditioning
H Mechanical or
Electromechanical
J Somatosensory
K Audiovisual
L Assistive Listening
M Augmentative / Alternative
Communication
N Biosensory Feedback
P Computer
Q Speech Analysis
S Voice Analysis
T Aerodynamic Function
U Prosthesis
V Speech Prosthesis
W Swallowing
X Cerumen Management
Y Other Equipment
Z None
Continued on next page
783
 Physical Rehabilitation and Diagnostic Audiology
Physical Rehabilitation and Diagnostic Audiology
0: Rehabilitation
Type Qualifier—Character 5 Meanings
Type–Character 3
0 Speech Assessment
1 Motor and/or Nerve Function Assessment
2 Activities of Daily Living Assessment
6 Speech Treatment
7 Motor Treatment
8 Activities of Daily Living Treatment
9 Hearing Treatment
B Cochlear Implant Treatment
C Vestibular Treatment
D Device Fitting
F Caregiver Training
784
ICD-10-PCS 2019
Continued from previous page
Type Qualifier–Character 5
0 Filtered Speech J Instrumental Swallowing and Oral Function
1 Speech Threshold K Orofacial Myofunctional
2 Speech/Word Recognition L Augmentative/Alternative Communication System
3 Staggered Spondaic Word M Voice Prosthetic
4 Sensorineural Acuity Level N Non-invasive Instrumental Status
5 Synthetic Sentence Identification P Oral Peripheral Mechanism
6 Speech and/or Language Screening Q Performance Intensity Phonetically Balanced
7 Nonspoken Language Speech Discrimination
8 Receptive/Expressive Language R Brief Tone Stimuli
9 Articulation/Phonology S Distorted Speech
B Motor Speech T Dichotic Stimuli
C Aphasia V Temporal Ordering of Stimuli
D Fluency W Masking Patterns
F Voice X Other Specified Central Auditory Processing
G Communicative/Cognitive Integration Skills
H Bedside Swallowing and Oral Function
0 Muscle Performance 7 Facial Nerve Function
1 Integumentary Integrity 9 Somatosensory Evoked Potentials
2 Visual Motor Integration B Bed Mobility
3 Coordination/Dexterity C Transfer
4 Motor Function D Gait and/or Balance
5 Range of Motion and Joint Integrity F Wheelchair Mobility
6 Sensory Awareness/Processing/Integrity G Reflex Integrity
0 Bathing/Showering 9 Cranial Nerve Integrity
1 Dressing B Environmental, Home and Work Barriers
2 Feeding/Eating C Ergonomics and Body Mechanics
3 Grooming/Personal Hygiene D Neuromotor Development
4 Home Management F Pain
5 Perceptual Processing G Ventilation, Respiration and Circulation
6 Psychosocial Skills H Vocational Activities and Functional Community or
7 Aerobic Capacity and Endurance Work Reintegration Skills
8 Anthropometric Characteristics
0 Nonspoken Language 6 Communicative/Cognitive Integration Skills
1 Speech-Language Pathology and Related Disorders 7 Fluency
Counseling 8 Motor Speech
2 Speech-Language Pathology and Related Disorders 9 Orofacial Myofunctional
Prevention B Receptive/Expressive Language
3 Aphasia C Voice
4 Articulation/Phonology D Swallowing Dysfunction
5 Aural Rehabilitation
0 Range of Motion and Joint Mobility 5 Bed Mobility
1 Muscle Performance 6 Therapeutic Exercise
2 Coordination/Dexterity 7 Manual Therapy Techniques
3 Motor Function 8 Transfer Training
4 Wheelchair Mobility 9 Gait Training/Functional Ambulation
0 Bathing/Showering Techniques 5 Wound Management
1 Dressing Techniques 6 Psychosocial Skills
2 Grooming/Personal Hygiene 7 Vocational Activities and Functional Community or
3 Feeding/Eating Work Reintegration Skills
4 Home Management
0 Hearing and Related Disorders Counseling
1 Hearing and Related Disorders Prevention
2 Auditory Processing
3 Cerumen Management
0 Cochlear Implant Rehabilitation
0 Vestibular 2 Visual Motor Integration
1 Perceptual Processing 3 Postural Control
0 Tinnitus Masker 5 Assistive Listening Device
1 Monaural Hearing Aid 6 Dynamic Orthosis
2 Binaural Hearing Aid 7 Static Orthosis
3 Augmentative/Alternative Communication System 8 Prosthesis
4 Voice Prosthetic 9 Assistive, Adaptive, Supportive or Protective Devices
0 Bathing/Showering Technique B Vocational Activities and Functional Community or
1 Dressing Work Reintegration Skills
2 Feeding and Eating C Gait Training/Functional Ambulation
3 Grooming/Personal Hygiene D Application, Proper Use and Care of Assistive,
4 Bed Mobility Adaptive, Supportive or Protective Devices
5 Transfer F Application, Proper Use and Care of Orthoses
6 Wheelchair Mobility G Application, Proper Use and Care of Prosthesis
7 Therapeutic Exercise H Home Management
8 Airway Clearance Techniques J Communication Skills
9 Wound Management
ICD-10-PCS 2019
ICD-10-PCS 2019
1: Diagnostic Audiology
Type–
Character 3
3 Hearing Assessment
4 Hearing Aid Assessment
5 Vestibular Assessment
1: Diagnostic Audiology
Type Qualifier—Character 5 Meanings
Type–Character 3
3 Hearing Assessment
4 Hearing Aid Assessment
5 Vestibular Assessment
ICD-10-PCS 2019
Physical Rehabilitation and Diagnostic Audiology
Physical Rehabilitation and Diagnostic Audiology
Body System/Region– Type Qualifier– Equipment– Qualifer–
Character 4 Character 5 Character 6 Character 7
Z None See below 0 Occupational Hearing Z None
1 Audiometer
2 Sound Field / Booth
3 Tympanometer
4 Electroacoustic Immitance /
Acoustic Reflex
5 Hearing Aid Selection /
Fitting / Test
6 Otoacoustic Emission (OAE)
7 Electrophysiologic
8 Vestibular / Balance
9 Cochlear Implant
K Audiovisual
L Assistive Listening
P Computer
Y Other Equipment
Z None
Type Qualifier–Character 5
0 Hearing Screening
1 Pure Tone Audiometry, Air
2 Pure Tone Audiometry, Air and Bone
3 Bekesy Audiometry
4 Conditioned Play Audiometry
5 Select Picture Audiometry
6 Visual Reinforcement Audiometry
7 Alternate Binaural or Monaural Loudness Balance
8 Tone Decay
9 Short Increment Sensitivity Index
B Stenger
C Pure Tone Stenger
D Tympanometry
F Eustachian Tube Function
G Acoustic Reflex Patterns
H Acoustic Reflex Threshold
J Acoustic Reflex Decay
K Electrocochleography
L Auditory Evoked Potentials
M Evoked Otoacoustic Emissions, Screening
N Evoked Otoacoustic Emissions, Diagnostic
P Aural Rehabilitation Status
Q Auditory Processing
0 Cochlear Implant
1 Ear Canal Probe Microphone
2 Monaural Hearing Aid
3 Binaural Hearing Aid
4 Assistive Listening System/Device Selection
5 Sensory Aids
6 Binaural Electroacoustic Hearing Aid Check
7 Ear Protector Attentuation
8 Monaural Electroacoustic Hearing Aid Check
0 Bithermal, Bionaural Caloric Irrigation
1 Bithermal, Monaural Caloric Irrigation
2 Unithermal Binaural Screen
3 Oscillating Tracking
4 Sinusoidal Vertical Axis Rotational
5 Dix-Hallpike Dynamic
6 Computerized Dynamic Posturography
7 Tinnitus Masker
785
 F00–F00 Physical Rehabilitation and Diagnostic Audiology ICD-10-PCS 2019
Physical Rehabilitation and Diagnostic Audiology

F Physical Rehabilitation and Diagnostic Audiology

0 Rehabilitation F00
0 Speech Assessment Definition: Measurement of speech and related functions
Body System/Region Type Qualifier Equipment Qualifier
Character 4 Character 5 Character 6 Character 7
3 Neurological System - Whole Body G Communicative/Cognitive K Audiovisual Z None
Integration Skills M Augmentative / Alternative
Communication
P Computer
Y Other Equipment
Z None
Z None 0 Filtered Speech 1 Audiometer Z None
3 Staggered Spondaic Word 2 Sound Field / Booth
Q Performance Intensity Phonetically K Audiovisual
Balanced Speech Discrimination Z None
R Brief Tone Stimuli
S Distorted Speech
T Dichotic Stimuli
V Temporal Ordering of Stimuli