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ICD-10-CM 2019 The Complete Official Codebook (PDFDrive)
ICD-10-CM 2019 The Complete Official Codebook (PDFDrive)
2019
2019
The Complete Official Codebook
ICD 10 PCS
The Complete Official Codebook
ICD 10 PCS
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ICD 10 PCS
The Complete Official Codebook
Notice Anita Schmidt, BS, RHIT, AHIMA-approved
ICD-10-PCS: The Complete Official Codebook is designed to be ICD-10-CM/PCS Trainer
an accurate and authoritative source regarding coding and Ms. Schmidt has expertise in Level I adult and pediatric
every reasonable effort has been made to ensure accuracy trauma hospital coding, specializing in ICD-9-CM,
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understood that the AMA is not rendering any legal or as well as CPT code assignments for same-day surgery
other professional services or advice in this publication cases. She has conducted coding training and auditing,
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consequences that may arise from the use of this book. record training, and worked with clinical documentation
specialists to identify documentation needs and potential
areas for physician education. Most recently she has been
Our Commitment to Accuracy developing content for resource and educational products
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Copyright documentation, ICD-10-CM/PCS code and DRG
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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
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
ICD-10-PCS 2019 1
Introduction ICD-10-PCS 2019
Example:
Operation
Approach
Qualifier
Section
System
Device
Body
Body
Root
Dilation
Part
Artery
Coronary
Characters: 1 2 3 4 5 6 7 One Artery 0270
A code is derived by choosing a specific value for each of the seven Based on the first three values of the code provided in the Index, the
characters. Based on details about the procedure performed, values for corresponding table can be located. In the example above, the first
each character specifying the section, body system, root operation, three values indicate table 027 is to be referenced for code completion.
body part, approach, device, and qualifier are assigned. Because the The tables and characters are arranged first by number and then by
definition of each character is also a function of its physical position in letter for each character (tables for 00-, 01-, 02-, etc., are followed by
the code, the same letter or number placed in a different position in the those for 0B-, 0C-, 0D-, etc., followed by 0B1, 0B2, etc., followed by 0BB,
code has a different meaning. 0BC, 0BD, etc.).
The seven characters that make up a complete code have specific Note: The Tables section must be used to construct a complete and
meanings that vary for each of the 17 sections of the manual. valid code by specifying the last three or four values.
Procedures are then divided into sections that identify the general type
of procedure (e.g., Medical and Surgical, Obstetrics, Imaging). The first
Tables
character of the procedure code always specifies the section. The The Tables are composed of rows that specify the valid combinations of
second through seventh characters have the same meaning within code values. In most sections of the system, the upper portion of each
each section, but may mean different things in other sections. In all table contains a description of the first three characters of the
sections, the third character specifies the general type of procedure procedure code. In the Medical and Surgical section, for example, the
performed (e.g., Resection, Transfusion, Fluoroscopy), while the other first three characters contain the name of the section, the body system,
characters give additional information such as the body part and and the root operation performed.
approach.
For instance, the values 027 specify the section Medical and Surgical (0),
In ICD-10-PCS, the term procedure refers to the complete specification the body system Heart and Great Vessels (2) and the root operation
of the seven characters. 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
Number of Codes in ICD-10-PCS characters 4 through 7. The four columns in the table specify the last
The table structure of ICD-10-PCS permits the specification of a large four characters. In the Medical and Surgical section they are labeled
number of codes on a single page. At the time of this publication, there body part, approach, device and qualifier, respectively. Each row in the
are 78,881 codes in the 2019 ICD-10-PCS. table specifies the valid combination of values for characters 4
through 7.
2 ICD-10-PCS 2019
ICD-10-PCS 2019 Introduction
The rows of this table can be used to construct 240 unique procedure 027037Z Dilation of Coronary Artery, One Artery with Four or More
codes. For example, code 02703DZ specifies the procedure for dilation Drug-eluting Intraluminal Devices, Percutaneous
of one coronary artery using an intraluminal device via percutaneous Approach
approach (i.e., percutaneous transluminal coronary angioplasty with
stent). 02703DZ Dilation of Coronary Artery, One Artery with Intraluminal
Device, Percutaneous Approach
The valid codes shown in table 2 are constructed using the first body 02703EZ Dilation of Coronary Artery, One Artery with Two
part value in table 1 (i.e., one coronary artery), combined with all the Intraluminal Devices, Percutaneous Approach
valid approaches and devices listed in the table, and the value “No
02703FZ Dilation of Coronary Artery, One Artery with Three
Qualifier”. Intraluminal Devices, Percutaneous Approach
Table 2: Code titles for dilation of one coronary artery (0270) 02703GZ Dilation of Coronary Artery, One Artery with Four or More
Intraluminal Devices, Percutaneous Approach
027004Z Dilation of Coronary Artery, One Artery with Drug-eluting
Intraluminal Device, Open Approach 02703TZ Dilation of Coronary Artery, One Artery with Radioactive
Intraluminal Device, Percutaneous Approach
027005Z Dilation of Coronary Artery, One Artery with Two
Drug-eluting Intraluminal Devices, Open Approach 02703ZZ Dilation of Coronary Artery, One Artery, Percutaneous
Approach
027006Z Dilation of Coronary Artery, One Artery with Three
Drug-eluting Intraluminal Devices, Open Approach 027044Z Dilation of Coronary Artery, One Artery with Drug-eluting
Intraluminal Device, Percutaneous Endoscopic Approach
027007Z Dilation of Coronary Artery, One Artery with Four or More
Drug-eluting Intraluminal Devices, Open Approach 027045Z Dilation of Coronary Artery, One Artery with Two
Drug-eluting Intraluminal Devices, Percutaneous
02700DZ Dilation of Coronary Artery, One Artery with Intraluminal
Endoscopic Approach
Device, Open Approach
027046Z Dilation of Coronary Artery, One Artery with Three
02700EZ Dilation of Coronary Artery, One Artery with Two
Drug-eluting Intraluminal Devices, Percutaneous
Intraluminal Devices, Open Approach Endoscopic Approach
02700FZ Dilation of Coronary Artery, One Artery with Three
027047Z Dilation of Coronary Artery, One Artery with Four or More
Intraluminal Devices, Open Approach Drug-eluting Intraluminal Devices, Percutaneous
02700GZ Dilation of Coronary Artery, One Artery with Four or More Endoscopic Approach
Intraluminal Devices, Open Approach
02704DZ Dilation of Coronary Artery, One Artery with Intraluminal
02700TZ Dilation of Coronary Artery, One Artery with Radioactive Device, Percutaneous Endoscopic Approach
Intraluminal Device, Open Approach
02704EZ Dilation of Coronary Artery, One Artery with Two
02700ZZ Dilation of Coronary Artery, One Artery, Open Approach Intraluminal Devices, Percutaneous Endoscopic Approach
027034Z Dilation of Coronary Artery, One Artery with Drug-eluting 02704FZ Dilation of Coronary Artery, One Artery with Three
Intraluminal Device, Percutaneous Approach Intraluminal Devices, Percutaneous Endoscopic Approach
027035Z Dilation of Coronary Artery, One Artery with Two 02704GZ Dilation of Coronary Artery, One Artery with Four or More
Drug-eluting Intraluminal Devices, Percutaneous Intraluminal Devices, Percutaneous Endoscopic Approach
Approach 02704TZ Dilation of Coronary Artery, One Artery with Radioactive
027036Z Dilation of Coronary Artery, One Artery with Three Intraluminal Device, Percutaneous Endoscopic Approach
Drug-eluting Intraluminal Devices, Percutaneous 02704ZZ Dilation of Coronary Artery, One Artery, Percutaneous
Approach Endoscopic Approach
ICD-10-PCS 2019 3
Introduction ICD-10-PCS 2019
Table 3, is split into three rows; values of characters must all be selected separately and value selection must be made within the same row of
from within the same row of the table. Row 1 and 2 indicate that the the table.
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 Meanings
(character 5) and device (character 6) values are not exactly the same In each section, each character has a specific meaning, and this
for both rows. As shown in row 1, Body part value Brain (0) with Device character meaning remains constant within that section. Character
value Radioactive Element, Cesium-131 Collagen Implant (4) can only meaning tables have been provided at the beginning of each section or,
be used with approach value Open (0). In other words, code 00H034Z in the case of the Medical and Surgical section (0), at the beginning of
would be invalid as the approach value 3 is only applicable to row 2 and each body system to help the user identify the character members
the device value 4 is only applicable to row 1. It would be inappropriate available within that section. These tables have purple headers, unlike
to build a code for body part 0 if all of the values are not contained in its the official code tables that have green headers and SHOULD NOT be
own row. used to build a PCS code. Following is an excerpt of a character
meaning table.
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
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
ICD-10-PCS 2019 5
Introduction ICD-10-PCS 2019
• Alteration: Modifying the natural anatomic structure of a body • Restriction: Partially closing an orifice or lumen of a tubular body
part without affecting the function of the body part part
• Bypass: Altering the route of passage of the contents of a tubular • Revision: Correcting, to the extent possible, a portion of a
body part malfunctioning device or the position of a displaced device
• Change: Taking out or off a device from a body part and putting • Supplement: Putting in or on biological or synthetic material that
back an identical or similar device in or on the same body part physically reinforces and/or augments the function of a portion of
without cutting or puncturing the skin or a mucous membrane a body part
• Control: Stopping, or attempting to stop, postprocedural or other • Transfer: Moving, without taking out, all or a portion of a body part
acute bleeding to another location to take over the function of all or a portion of a
body part
• Creation: Putting in or on biological or synthetic material to form a
new body part that to the extent possible replicates the anatomic • Transplantation: Putting in or on all or a portion of a living body
structure or function of an absent body part 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
• Destruction: Physical eradication of all or a portion of a body part
by the direct use of energy, force, or a destructive agent The above definitions of root operations illustrate the precision of code
• Detachment: Cutting off all or a portion of the upper or lower values defined in the system. There is a clear distinction between each
extremities root operation.
• Dilation: Expanding an orifice or the lumen of a tubular body part A root operation specifies the objective of the procedure. The term
• Division: Cutting into a body part without draining fluids and/or 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)
gases from the body part in order to separate or transect a body
part 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: Taking or letting out fluids and/or gases from a body Drainage). The root operation Repair in the Medical and Surgical section
part functions as a “not elsewhere classified” option. Repair is used when the
• Excision: Cutting out or off, without replacement, a portion of a procedure performed is not one of the other specific root operations.
body part
Appendix B provides additional explanation and representative
• Extirpation: Taking or cutting out solid matter from a body part examples of the Medical and Surgical root operations. Appendix C
groups all root operations in the Medical and Surgical section into
• Extraction: Pulling or stripping out or off all or a portion of a body
subcategories and provides an example of each root operation.
part by the use of force
• Fragmentation: Breaking solid matter in a body part into pieces Body Part (Character 4)
• Fusion: Joining together portions of an articular body part The body part is specified in the fourth character. The body part
rendering the articular body part immobile indicates the specific anatomical site of the body system on which the
procedure was performed (e.g., Duodenum). Tubular body parts are
• Insertion: Putting in a nonbiological appliance that monitors, defined in ICD-10-PCS as those hollow body parts that provide a route
assists, performs, or prevents a physiological function but does of passage for solids, liquids, or gases. They include the cardiovascular
not physically take the place of a body part system and body parts such as those contained in the gastrointestinal
• Inspection: Visually and/or manually exploring a body part tract, genitourinary tract, biliary tract, and respiratory tract.
• Map: Locating the route of passage of electrical impulses and/or
locating functional areas in a body part
Approach (Character 5)
The technique used to reach the site of the procedure is specified in the
• Occlusion: Completely closing an orifice or lumen of a tubular fifth character. There are seven different approaches:
body part
• Open: Cutting through the skin or mucous membrane and any
• Reattachment: Putting back in or on all or a portion of a separated
other body layers necessary to expose the site of the procedure
body part to its normal location or other suitable location
• Percutaneous: Entry, by puncture or minor incision, of
• Release: Freeing a body part from an abnormal physical constraint instrumentation through the skin or mucous membrane and any
by cutting or by use of force
other body layers necessary to reach the site of the procedure
• Removal: Taking out or off a device from a body part
• Percutaneous Endoscopic: Entry, by puncture or minor incision, of
• Repair: Restoring, to the extent possible, a body part to its normal instrumentation through the skin or mucous membrane and any
anatomic structure and function other body layers necessary to reach and visualize the site of the
procedure
• Replacement: Putting in or on biological or synthetic material that
physically takes the place and/or function of all or a portion of a • Via Natural or Artificial Opening: Entry of instrumentation through
body part a natural or artificial external opening to reach the site of the
procedure
• Reposition: Moving to its normal location or other suitable location
all or a portion of a body part • Via Natural or Artificial Opening Endoscopic: Entry of
instrumentation through a natural or artificial external opening to
• Resection: Cutting out or off, without replacement, all of a body
reach and visualize the site of the procedure
part
6 ICD-10-PCS 2019
ICD-10-PCS 2019 Introduction
ICD-10-PCS 2019 7
Introduction ICD-10-PCS 2019
specified in the root operation is the objective of the procedure. With Example:
each complete code the underlying objective of the procedure is A complete redo of a hip replacement procedure that requires
specified by the root operation (third character), the precise part is
putting in a new prosthesis is coded to the root operation
specified by the body part (fourth character), and the method used to Replacement rather than Revision.
reach and visualize the procedure site is specified by the approach (fifth
character). While colonoscopy, sigmoidectomy, and appendectomy are The correction of complications arising from the original procedure,
included in the Index, they do not constitute root operations in the other than device complications, is coded to the procedure performed.
Tables section. The objective of colonoscopy is the visualization of the Correction of a malfunctioning or displaced device would be coded to
colon and the root operation (character 3) is Inspection. Character 4 the root operation Revision.
specifies the body part, which in this case is part of the colon. These
composite terms, like colonoscopy or appendectomy, are included as Example:
cross-reference only. The index provides the correct root operation A procedure to control hemorrhage arising from the original
reference. Examples of other types of composite terms not procedure is coded to Control rather than Revision.
representative of root operations are partial sigmoidectomy, total
hysterectomy, and partial hip replacement. Always refer to the correct Examples of Procedures Coded in the Medical
root operation in the Index and Tables section. Surgical Section
The following are examples of procedures from the Medical and
Root Operation Based on Objective of Procedure Surgical section, coded in ICD-10-PCS.
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 • Suture of skin laceration, left lower arm: 0HQEXZZ
the root operation is based on the procedure actually performed, which
Medical and Surgical section (0), body system Skin and Breast (H),
may or may not have been the intended procedure. If the intended
root operation Repair (Q), body part Skin, Left Lower Arm (E),
procedure is modified or discontinued (e.g., excision instead of
External Approach (X) No device (Z), and No qualifier (Z).
resection is performed), the root operation is determined by the
procedure actually performed. If the desired result is not attained after • Laparoscopic appendectomy: 0DTJ4ZZ
completing the procedure (i.e., the artery does not remain expanded
Medical and Surgical section (0), body system Gastrointestinal (D),
after the dilation procedure), the root operation is still determined by root operation Resection (T), body part Appendix (J), Percutaneous
the procedure actually performed.
Endoscopic approach (4), No Device (Z), and No qualifier (Z).
Examples: • Sigmoidoscopy with biopsy: 0DBN8ZX
• Dilating the urethra is coded as Dilation since the objective of the Medical and Surgical section (0), body system Gastrointestinal (D),
procedure is to dilate the urethra. If dilation of the urethra includes root operation Excision (B), body part Sigmoid Colon (N), Via
putting in an intraluminal stent, the root operation remains Natural or Artificial Opening Endoscopic approach (8), No Device (Z),
Dilation and not Insertion of the intraluminal device because the and with qualifier Diagnostic (X).
underlying objective of the procedure is dilation of the urethra. • Tracheostomy with tracheostomy tube: 0B110F4
The stent is identified by the intraluminal device value in the sixth
character of the dilation procedure code. Medical and Surgical section (0), body system Respiratory (B), root
operation Bypass (1), body part Trachea (1), Open approach (0),
• If the objective is solely to put a radioactive element in the with Tracheostomy Device (F), and qualifier Cutaneous (4).
urethra, then the procedure is coded to the root operation
Insertion, with the radioactive element identified in the sixth
character of the code. Obstetrics Section (1)
• If the objective of the procedure is to correct a malfunctioning or Character Meanings
displaced device, then the procedure is coded to the root The seven characters in the Obstetrics section have the same meaning
operation Revision. In the root operation Revision, the original as in the Medical and Surgical section.
device being revised is identified in the device character. Revision
is typically performed on mechanical appliances (e.g., pacemaker) Character Meaning
or materials used in replacement procedures (e.g., synthetic 1 Section
substitute). Typical revision procedures include adjustment of
pacemaker position and correction of malfunctioning knee 2 Body System
prosthesis. 3 Root Operation
Combination Procedures Are Coded Separately 4 Body Part
If multiple procedures as defined by distinct objectives are performed 5 Approach
during an operative episode, then multiple codes are used. For 6 Device
example, obtaining the vein graft used for coronary bypass surgery is
7 Qualifier
coded as a separate procedure from the bypass itself.
Redo of Procedures The Obstetrics section includes procedures performed on the products
The complete or partial redo of the original procedure is coded to the of conception only. Procedures on the pregnant female are coded in the
root operation that identifies the procedure performed rather than Medical and Surgical section (e.g., episiotomy). The term “products of
Revision. 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,
8 ICD-10-PCS 2019
ICD-10-PCS 2019 Introduction
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
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
12 ICD-10-PCS 2019
ICD-10-PCS 2019 Introduction
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.
Character Meaning
1 Section
2 Body System
3 Type
4 Body Part
5 Contrast
6 Qualifier
7 Qualifier
ICD-10-PCS 2019 13
Introduction ICD-10-PCS 2019
Imaging procedures include plain radiography, fluoroscopy, CT, MRI, Nuclear Medicine Section (C)
and ultrasound. Nuclear medicine procedures, including PET, uptakes,
and scans, are in the nuclear medicine section. Therapeutic radiation Character Meanings
procedure codes are in a separate radiation therapy section. The seven characters in the Nuclear Medicine section have the
following meaning:
Section (Character 1)
Imaging procedure codes have a first character value of B. Character Meaning
1 Section
Body System (Character 2) 2 Body System
In the Imaging section, the second character defines the body system,
such as Heart or Gastrointestinal System. 3 Type
4 Body Part
Type (Character 3) 5 Radionuclide
The third character defines the type of imaging procedure (e.g., MRI,
ultrasound). The following list includes all types in the Imaging section 6 Qualifier
with a definition of each type: 7 Qualifier
• Computerized Tomography (CT Scan): Computer reformatted digital Nuclear Medicine is the introduction of radioactive material into the
display of multiplanar images developed from the capture of body to create an image, to diagnose and treat pathologic conditions,
multiple exposures of external ionizing radiation or to assess metabolic functions. The Nuclear Medicine section does not
• Fluoroscopy: Single plane or bi-plane real time display of an image include the introduction of encapsulated radioactive material for the
developed from the capture of external ionizing radiation on a treatment of cancer. These procedures are included in the Radiation
fluorescent screen. The image may also be stored by either digital Therapy section.
or analog means
• Magnetic Resonance Imaging (MRI): Computer reformatted digital Section (Character 1)
display of multiplanar images developed from the capture of Nuclear Medicine procedure codes have a first character value
radiofrequency signals emitted by nuclei in a body site excited of C.
within a magnetic field
Body System (Character 2)
• Plain Radiography: Planar display of an image developed from the The second character specifies the body system on which the nuclear
capture of external ionizing radiation on photographic or medicine procedure is performed.
photoconductive plate
• Ultrasonography: Real time display of images of anatomy or flow Type (Character 3)
information developed from the capture of reflected and The third character indicates the type of nuclear medicine procedure
attenuated high frequency sound waves (e.g., planar imaging or nonimaging uptake). The following list includes
the types of nuclear medicine procedures with a definition of each type.
Body Part (Character 4)
The fourth character defines the body part with different values for • Nonimaging Nuclear Medicine Assay: Introduction of radioactive
each body system (character 2) value. materials into the body for the study of body fluids and blood
elements, by the detection of radioactive emissions
Contrast (Character 5) • Nonimaging Nuclear Medicine Probe: Introduction of radioactive
The fifth character specifies whether the contrast material used in the materials into the body for the study of distribution and fate of
imaging procedure is High Osmolar, Low Osmolar, or Other Contrast certain substances by the detection of radioactive emissions; or
when applicable. alternatively, measurement of absorption of radioactive emissions
from an external source
Qualifier (Character 6) • Nonimaging Nuclear Medicine Uptake: Introduction of radioactive
The sixth character qualifier provides further detail regarding the materials into the body for measurements of organ function, from
nature of the substance or technologies used, such as Unenhanced and the detection of radioactive emissions
Enhanced (contrast), Laser, or Intravascular Optical Coherence.
• Planar Nuclear Medicine Imaging: Introduction of radioactive
Qualifier (Character 7) materials into the body for single-plane display of images
The seventh character is a qualifier that may be used to specify certain developed from the capture of radioactive emissions
procedural circumstances, the method by which the procedure was • Positron Emission Tomography (PET) Imaging: Introduction of
performed, or technologies utilized, such as Intraoperative, radioactive materials into the body for three dimensional display
Intravascular, or Transesophageal. 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
14 ICD-10-PCS 2019
ICD-10-PCS 2019 Introduction
ICD-10-PCS 2019 15
Introduction ICD-10-PCS 2019
16 ICD-10-PCS 2019
ICD-10-PCS 2019 Introduction
• Hypnosis: Induction of a state of heightened suggestibility by • Family Counseling: The application of psychological methods that
auditory, visual, and tactile techniques to elicit an emotional or includes one or more family members to treat an individual with
behavioral response addictive behavior
• Narcosynthesis: Administration of intravenous barbiturates in • Medication Management: Monitoring and adjusting the use of
order to release suppressed or repressed thoughts replacement medications for the treatment of addiction
• Group Psychotherapy: Treatment of two or more individuals with a • Pharmacotherapy: The use of replacement medications for the
mental health disorder by behavioral, cognitive, psychoanalytic, treatment of addiction
psychodynamic, or psychophysiological means to improve
functioning or well-being Qualifier (Character 4)
• Light Therapy: Application of specialized light treatments to The fourth character further specifies the procedure type. These
improve functioning or well-being 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
Qualifier (Character 4) value 3, Other Family Counseling, whereas the remainder Root Type
The fourth character is a qualifier to indicate that counseling was
procedures include multiple possible values.
educational or vocational or to indicate type of test or method of
therapy.
Qualifier (Character 5, 6 and 7)
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.
The fifth, sixth, and seventh characters are not specified and always
have the value None.
New Technology Section (X)
Substance Abuse Treatment Section (H)
General Information
Character Meanings Section X New Technology is a section added to ICD-10-PCS beginning
The seven characters in the Substance Abuse Treatment section have October 1, 2015. The new section provides a place for codes that
the following meaning: uniquely identify procedures requested via the New Technology
Application Process or that capture other new technologies not
Character Meaning currently classified in ICD-10-PCS.
1 Section
Section X does not introduce any new coding concepts or unusual
2 Body System guidelines for correct coding. In fact, Section X codes maintain
3 Type 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
4 Qualifier
sections of ICD-10-PCS. For example, the codes for the infusion of
5 Qualifier ceftazidime-avibactam, use the same root operation (Introduction) and
6 Qualifier body part values (Central Vein and Peripheral Vein) in section X as the
infusion codes in section 3 Administration, which are their closest
7 Qualifier
counterparts in the other sections of ICD-10-PCS.
ICD-10-PCS 2019 17
Introduction ICD-10-PCS 2019
18 ICD-10-PCS 2019
ICD-10-PCS 2019 Introduction
The Substance Definitions table is the reverse look-up of the substance Appendix L: Procedure Combination Tables
key, relating all substance categories, the sixth- or seventh character The procedure combination tables provided in this resource illustrate
values, to all trade name or synonyms that may be classified to that certain procedure combinations that must occur in order to assign a
particular character. specific MS-DRG.
ICD-10-PCS 2019 19
ICD-10-PCS Index and Tabular Format
The ICD-10-PCS: The Complete Official Code Set is based on the official See Reference
version of the International Classification of Diseases, 10th Revision, The second type of term in the index uses common procedure names,
Procedure Classification System, issued by the U.S. Department of such as “appendectomy” or “fundoplication.” These common terms are
Health and Human Services, Centers for Medicare and Medicaid listed as main terms with a “see” reference noting the PCS root
Services. This book is consistent with the content of the government’s operations that are possible valid code tables based on the objective of
version of ICD-10-PCS and follows their official format. the procedure.
Examples:
Index
The Alphabetic Index can be used to locate the appropriate table Tendonectomy
containing all the information necessary to construct a procedure code, see Excision, Tendons 0LB
however, the PCS tables should always be consulted to find the most see Resection, Tendons 0LT
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 Use Reference
tables to complete the code. 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.
Main Terms The purpose of these references is to act as an additional reference to
The Alphabetic Index reflects the structure of the tables. Therefore, the the terms located in the Appendix Keys. The term provided is the Body
index is organized as an alphabetic listing. The index: Part value or Device value to be selected when constructing a
procedure code using the code tables. This type of index reference is
• Is based on the value of the third character not intended to direct the user to another term in the index, but to
provide guidance regarding character value selection. Therefore, “use”
• Contains common procedure terms
references generally do not refer to specific valid code tables.
• Lists anatomic sites
Examples:
• Uses device terms
CoAxia NeuroFlo catheter
The main terms in the Alphabetic Index are root operations, root use Intraluminal Device
procedure types, or common procedure names. In addition, anatomic Epitrochlear lymph node
sites from the Body Part Key and device terms from the Device Key have use Lymphatic, Right Upper Extremity
been added for ease of use. use Lymphatic, Left Upper Extremity
SynCardia Total Artificial Heart
Examples: use Synthetic Substitute
Resection (root operation)
Fluoroscopy (root type) Code Tables
Prostatectomy (common procedure name) ICD-10-PCS contains 17 sections of Code Tables organized by general
type of procedure. The first three characters of a procedure code define
Brachial artery (body part)
each table. The tables consist of columns providing the possible last
Bard® Dulex™ mesh (device) four characters of codes and rows providing valid values for each
character. Within a PCS table, valid codes include all combinations of
The index provides at least the first three or four values of the code, and choices in characters 4 through 7 contained in the same row of the
some entries may provide complete valid codes. However, the user table. All seven characters must be specified to form a valid code.
should always consult the appropriate table to verify that the most
appropriate valid code has been selected. 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:
22 ICD-10-PCS 2019
ICD-10-PCS Additional Features
Use of Official Sources The valid fourth character values (Body Part) that may be selected for
The ICD-10-PCS: The Complete Official Code Set contains the official U.S. this specific circumstance are as follows:
Department of Health and Human Services, Tenth Revision, Procedure 3 Epidural Space, Intracranial
Classification System, effective for the current year.
4 Subdural Space, Intracranial
Color-coding, symbol, and other annotations in this manual that 5 Subarachnoid Space, Intracranial
identify coding and reimbursement issues are derived from various
official federal government sources, including Medicare Code Editor 6 Cerebral Ventricle
(MCE), version 35, ICD-10 MS-DRG Definitions Manual Files, version 35, The fragmentation of matter in the spinal canal, Body Part value U, is
and the Federal Register, volume 83, number 88, May 7, 2018 (“Hospital not included in the noncovered procedure code edits.
Inpatient Prospective Payment Systems for Acute Care Hospitals and
the Long Term Care Hospital Prospective Payment System and Color-Coding/Symbols
Proposed Policy Changes and Fiscal Year 2019 Rates; Proposed Rule”).
For the most current files related to IPPS, please refer to the following: New and Revised Text
To highlight changes to the PCS tables for the current year, the new and
https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ revised text is provided in green font.
AcuteInpatientPPS/IPPS-Regulations-and-Notices.html.
Medicare Code Edits
Medicare administrative contractors (MACs) and many payers use
Table Notations Medicare code edits to check the coding accuracy on claims. The coding
Many tables in ICD-10-PCS contain color or symbol annotations that edits in this manual are only those directly related to ICD-10-PCS codes
may aid in code selection, provide clinical or coding information, or and are used for acute care hospital inpatient admissions.
alert the coder to reimbursement issues affected by the PCS code
assignment. These annotations are most often displayed on or next to a The PCS related Medicare code edits are listed below:
character 4 value. Some character 4 values may have more than one
annotation. • 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
4 Noncovered Procedure
Bracketed Code Notation Medicare does not cover all procedures. However, some
The use of bracketed codes is an efficient convention to provide all valid
noncovered procedures, due to the presence of certain diagnoses,
character value alternatives for a specific set of circumstances. The
are reimbursed.
character values in the brackets correspond to the valid values for the
character in the position the bracket appears. 3 Limited Coverage
For certain procedures whose medical complexity and serious
Examples:
nature incur extraordinary associated costs, Medicare limits
In the annotation box for Table 00F the Noncovered Procedure edit (NC) coverage to a portion of the cost. The limited coverage edit
applies to codes represented in the bracketed code 00F[3,4,5,6]XZZ. indicates the type of limited coverage.
ICD-10-PCS 2019 23
ICD-10-PCS Additional Features ICD-10-PCS 2019
24 ICD-10-PCS 2019
ICD-10-PCS Official Guidelines for Coding and
Reporting 2019
Narrative changes appear in bold text. 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
The Centers for Medicare and Medicaid Services (CMS) and the National in an axis of classification differs as needed.
Center for Health Statistics (NCHS), two departments within the U.S.
Federal Government’s Department of Health and Human Services Example: Where the fifth axis of classification specifies the approach,
(DHHS) provide the following guidelines for coding and reporting using seven different approach values are currently used to specify the
the International Classification of Diseases, 10th Revision, Procedure approach.
Coding System (ICD-10-PCS). These guidelines should be used as a
companion document to the official version of the ICD-10-PCS as A3. The valid values for an axis of classification can be added to as
published on the CMS website. The ICD-10-PCS is a procedure needed.
classification published by the United States for classifying procedures
performed in hospital inpatient health care settings. Example: If a significantly distinct type of device is used in a new
procedure, a new device value can be added to the system.
These guidelines have been approved by the four organizations that
make up the Cooperating Parties for the ICD-10-PCS: the American A4. As with words in their context, the meaning of any single value is a
Hospital Association (AHA), the American Health Information combination of its axis of classification and any preceding values on
Management Association (AHIMA), CMS, and NCHS. which it may be dependent.
These guidelines are a set of rules that have been developed to Example: The meaning of a body part value in the Medical and Surgical
accompany and complement the official conventions and instructions section is always dependent on the body system value. The body part
provided within the ICD-10-PCS itself. The instructions and conventions value 0 in the Central Nervous body system specifies Brain and the body
of the classification take precedence over guidelines. These guidelines part value 0 in the Peripheral Nervous body system specifies Cervical
are based on the coding and sequencing instructions in the Tables, Plexus.
Index and Definitions of ICD-10-PCS, but provide additional instruction.
A5. As the system is expanded to become increasingly detailed, over
Adherence to these guidelines when assigning ICD-10-PCS procedure
codes is required under the Health Insurance Portability and time more values will depend on preceding values for their meaning.
Accountability Act (HIPAA). The procedure codes have been adopted Example: In the Lower Joints body system, the device value 3 in the root
under HIPAA for hospital inpatient healthcare settings. A joint effort
operation Insertion specifies Infusion Device and the device value 3 in
between the healthcare provider and the coder is essential to achieve
the root operation Replacement specifies Ceramic Synthetic Substitute.
complete and accurate documentation, code assignment, and
reporting of diagnoses and procedures. These guidelines have been A6. The purpose of the alphabetic index is to locate the appropriate
developed to assist both the healthcare provider and the coder in table that contains all information necessary to construct a procedure
identifying those procedures that are to be reported. The importance of code. The PCS Tables should always be consulted to find the most
consistent, complete documentation in the medical record cannot be appropriate valid code.
overemphasized. Without such documentation accurate coding cannot
be achieved. 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.
Conventions
A1. ICD-10-PCS codes are composed of seven characters. Each A8. All seven characters must be specified to be a valid code. If the
character is an axis of classification that specifies information about the documentation is incomplete for coding purposes, the physician should
procedure performed. Within a defined code range, a character be queried for the necessary information.
specifies the same type of information in that axis of classification.
A9. Within a PCS table, valid codes include all combinations of choices
Example: The fifth axis of classification specifies the approach in in characters 4 through 7 contained in the same row of the table. In the
sections 0 through 4 and 7 through 9 of the system. example below, 0JHT3VZ is a valid code, and 0JHW3VZ is not a valid
code.
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 Device Qualifier
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
T Subcutaneous Tissue and Fascia, Trunk 0 Open 1 Radioactive Element Z No Qualifier
3 Percutaneous 3 Infusion Device
V Infusion Pump
ICD-10-PCS 2019 25
ICD-10-PCS Official Guidelines for Coding and Reporting 2019 ICD-10-PCS 2019
A10. “And,” when used in a code description, means “and/or,“ except including anastomosis of a tubular body part, are also not coded
when used to describe a combination of multiple body parts for separately.
which separate values exist for each body part (e.g., Skin and
Subcutaneous Tissue used as a qualifier, where there are separate Examples: Resection of a joint as part of a joint replacement procedure
body part values for “Skin” and “Subcutaneous Tissue”). is included in the root operation definition of Replacement and is not
coded separately.
Example: Lower Arm and Wrist Muscle means lower arm and/or wrist
muscle. Laparotomy performed to reach the site of an open liver biopsy is not
coded separately. In a resection of sigmoid colon with anastomosis of
A11. Many of the terms used to construct PCS codes are defined within descending colon to rectum, the anastomosis is not coded separately.
the system. It is the coder’s responsibility to determine what the
documentation in the medical record equates to in the PCS definitions. Multiple procedures
The physician is not expected to use the terms used in PCS code B3.2. During the same operative episode, multiple procedures are
descriptions, nor is the coder required to query the physician when the coded if:
correlation between the documentation and the defined PCS terms is
clear. a. The same root operation is performed on different body
parts as defined by distinct values of the body part character.
Example: When the physician documents “partial resection” the coder
Examples: Diagnostic excision of liver and pancreas are coded
can independently correlate “partial resection” to the root operation
Excision without querying the physician for clarification. separately.
Excision of lesion in the ascending colon and excision of
lesion in the transverse colon are coded separately.
Medical and Surgical Section Guidelines b. The same root operation is repeated in multiple body parts,
(section 0) 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
B2. Body System gracilis muscle are both included in the upper leg muscle
General guidelines body part value, and multiple procedures are coded.
B2.1a. The procedure codes in the general anatomical regions body Extraction of multiple toenails are coded separately.
systems can be used when the procedure is performed on an c. Multiple root operations with distinct objectives are
anatomical region rather than a specific body part (e.g., root operations performed on the same body part.
Control and Detachment, Drainage of a body cavity) or on the rare
occasion when no information is available to support assignment of a Example: Destruction of sigmoid lesion and bypass of
code to a specific body part. sigmoid colon are coded separately.
d. The intended root operation is attempted using one
Examples: Control of postoperative hemorrhage is coded to the root approach, but is converted to a different approach.
operation Control found in the general anatomical regions body
Example: Laparoscopic cholecystectomy converted to an
systems.
open cholecystectomy is coded as percutaneous endoscopic
Chest tube drainage of the pleural cavity is coded to the root operation Inspection and open Resection.
Drainage found in the general anatomical regions body systems. Suture Discontinued or incomplete procedures
repair of the abdominal wall is coded to the root operation Repair in the
general anatomical regions body system. B3.3. If the intended procedure is discontinued or otherwise not
completed, code the procedure to the root operation performed. If a
B2.1b. Where the general body part values “upper” and “lower” are procedure is discontinued before any other root operation is
provided as an option in the Upper Arteries, Lower Arteries, Upper performed, code the root operation Inspection of the body part or
Veins, Lower Veins, Muscles and Tendons body systems, “upper” or anatomical region inspected.
“lower “specifies body parts located above or below the diaphragm
respectively. Example: A planned aortic valve replacement procedure is discontinued
after the initial thoracotomy and before any incision is made in the
Example: Vein body parts above the diaphragm are found in the Upper heart muscle, when the patient becomes hemodynamically unstable.
Veins body system; vein body parts below the diaphragm are found in This procedure is coded as an open Inspection of the mediastinum.
the Lower Veins body system.
Biopsy procedures
B3.4a. Biopsy procedures are coded using the root operations Excision,
B3. Root Operation Extraction, or Drainage and the qualifier Diagnostic.
General guidelines Examples: Fine needle aspiration biopsy of fluid in the lung is coded to
B3.1a. In order to determine the appropriate root operation, the full the root operation Drainage with the qualifier Diagnostic.
definition of the root operation as contained in the PCS Tables must be
applied. Biopsy of bone marrow is coded to the root operation Extraction with
the qualifier Diagnostic.
B3.1b. Components of a procedure specified in the root operation
definition and explanation are not coded separately. Procedural steps Lymph node sampling for biopsy is coded to the root operation Excision
necessary to reach the operative site and close the operative site, with the qualifier Diagnostic.
26 ICD-10-PCS 2019
ICD-10-PCS 2019 ICD-10-PCS Official Guidelines for Coding and Reporting 2019
Biopsy followed by more definitive treatment Example: Left upper lung lobectomy is coded to Resection of Upper
B3.4b. If a diagnostic Excision, Extraction, or Drainage procedure Lung Lobe, Left rather than Excision of Lung, Left.
(biopsy) is followed by a more definitive procedure, such as
Destruction, Excision or Resection at the same procedure site, both the Excision for graft
biopsy and the more definitive treatment are coded. 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
Example: Biopsy of breast followed by partial mastectomy at the same coded.
procedure site, both the biopsy and the partial mastectomy procedure
are coded. Example: Coronary bypass with excision of saphenous vein graft,
excision of saphenous vein is coded separately.
Overlapping body layers
B3.5. If the root operations Excision, Repair or Inspection are Fusion procedures of the spine
performed on overlapping layers of the musculoskeletal system, the B3.10a. The body part coded for a spinal vertebral joint(s) rendered
body part specifying the deepest layer is coded. 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
Example: Excisional debridement that includes skin and subcutaneous vertebral joint and for multiple vertebral joints at each spinal level.
tissue and muscle is coded to the muscle body part.
Example: Body part values specify Lumbar Vertebral Joint, Lumbar
Bypass procedures Vertebral Joints, 2 or More and Lumbosacral Vertebral Joint.
B3.6a. Bypass procedures are coded by identifying the body part
B3.10b. If multiple vertebral joints are fused, a separate procedure is
bypassed “from” and the body part bypassed “to.” The fourth character
coded for each vertebral joint that uses a different device and/or
body part specifies the body part bypassed from, and the qualifier
qualifier.
specifies the body part bypassed to.
Example: Fusion of lumbar vertebral joint, posterior approach, anterior
Example: Bypass from stomach to jejunum, stomach is the body part
column and fusion of lumbar vertebral joint, posterior approach,
and jejunum is the qualifier.
posterior column are coded separately.
B3.6b. Coronary artery bypass procedures are coded differently than
B3.10c. Combinations of devices and materials are often used on a
other bypass procedures as described in the previous guideline. Rather
vertebral joint to render the joint immobile. When combinations of
than identifying the body part bypassed from, the body part identifies
devices are used on the same vertebral joint, the device value coded for
the number of coronary arteries bypassed to, and the qualifier specifies
the procedure is as follows:
the vessel bypassed from.
• If an interbody fusion device is used to render the joint immobile
Example: Aortocoronary artery bypass of the left anterior descending
(alone or containing other material like bone graft), the procedure
coronary artery and the obtuse marginal coronary artery is classified in
is coded with the device value Interbody Fusion Device
the body part axis of classification as two coronary arteries, and the
qualifier specifies the aorta as the body part bypassed from. • If bone graft is the only device used to render the joint immobile,
the procedure is coded with the device value Nonautologous
B3.6c. If multiple coronary arteries are bypassed, a separate procedure Tissue Substitute or Autologous Tissue Substitute
is coded for each coronary artery that uses a different device and/or
qualifier. • If a mixture of autologous and nonautologous bone graft (with or
without biological or synthetic extenders or binders) is used to
Example: Aortocoronary artery bypass and internal mammary coronary render the joint immobile, code the procedure with the device
artery bypass are coded separately. value Autologous Tissue Substitute
Examples: Fusion of a vertebral joint using a cage style interbody fusion
Control vs. more definitive root operations device containing morsellized bone graft is coded to the device
B3.7. The root operation Control is defined as, “Stopping, or attempting Interbody Fusion Device.
to stop, postprocedural or other acute bleeding.” If an attempt to stop
postprocedural or other acute bleeding is initially unsuccessful, and to Fusion of a vertebral joint using a bone dowel interbody fusion device
stop the bleeding requires performing a more definitive root operation, made of cadaver bone and packed with a mixture of local morsellized
such as Bypass, Detachment, Excision, Extraction, Reposition, bone and demineralized bone matrix is coded to the device Interbody
Replacement, or Resection, then the more definitive root operation is Fusion Device.
coded instead of Control.
Fusion of a vertebral joint using both autologous bone graft and bone
Example: Resection of spleen to stop bleeding is coded to Resection bank bone graft is coded to the device Autologous Tissue Substitute.
instead of Control.
Inspection procedures
Excision vs. Resection B3.11a. Inspection of a body part(s) performed in order to achieve the
B3.8. PCS contains specific body parts for anatomical subdivisions of a objective of a procedure is not coded separately.
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 Example: Fiberoptic bronchoscopy performed for irrigation of bronchus,
the body part is cut out or off, rather than coding Excision of a less only the irrigation procedure is coded.
specific body part.
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
ICD-10-PCS 2019 27
ICD-10-PCS Official Guidelines for Coding and Reporting 2019 ICD-10-PCS 2019
inspected, the body part that specifies the entire area inspected is Transplantation vs. Administration
coded. B3.16. Putting in a mature and functioning living body part taken from
another individual or animal is coded to the root operation
Examples: Cystoureteroscopy with inspection of bladder and ureters is
Transplantation. Putting in autologous or nonautologous cells is coded
coded to the ureter body part value.
to the Administration section.
Exploratory laparotomy with general inspection of abdominal contents
Example: Putting in autologous or nonautologous bone marrow,
is coded to the peritoneal cavity body part value.
pancreatic islet cells or stem cells is coded to the Administration
B3.11c. When both an Inspection procedure and another procedure section.
are performed on the same body part during the same episode, if the
Inspection procedure is performed using a different approach than the
Transfer procedures using multiple tissue layers
other procedure, the Inspection procedure is coded separately. B3.17. The root operation Transfer contains qualifiers that can be
used to specify when a transfer flap is composed of more than one
Example: Endoscopic Inspection of the duodenum is coded separately tissue layer, such as a musculocutaneous flap. For procedures
when open Excision of the duodenum is performed during the same involving transfer of multiple tissue layers including skin,
procedural episode. subcutaneous tissue, fascia or muscle, the procedure is coded to
the body part value that describes the deepest tissue layer in the
Occlusion vs. Restriction for vessel embolization procedures flap, and the qualifier can be used to describe the other tissue
B3.12. If the objective of an embolization procedure is to completely layer(s) in the transfer flap.
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 Example: A musculocutaneous flap transfer is coded to the
operation Restriction is coded. appropriate body part value in the body system Muscles, and the
qualifier is used to describe the additional tissue layer(s) in the
Examples: Tumor embolization is coded to the root operation Occlusion, transfer flap.
because the objective of the procedure is to cut off the blood supply to
the vessel. B4. Body Part
Embolization of a cerebral aneurysm is coded to the root operation General guidelines
Restriction, because the objective of the procedure is not to close off
B4.1a. If a procedure is performed on a portion of a body part that does
the vessel entirely, but to narrow the lumen of the vessel at the site of
the aneurysm where it is abnormally wide. not have a separate body part value, code the body part value
corresponding to the whole body part.
Release procedures
Example: A procedure performed on the alveolar process of the
B3.13. In the root operation Release, the body part value coded is the mandible is coded to the mandible body part.
body part being freed and not the tissue being manipulated or cut to
free the 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
Example: Lysis of intestinal adhesions is coded to the specific intestine specified, then the procedure is coded to the body part named. This
body part value. guideline applies only when a more specific body part value is not
available.
Release vs. Division
B3.14. If the sole objective of the procedure is freeing a body part Examples: A procedure site identified as perirenal is coded to the kidney
without cutting the body part, the root operation is Release. If the sole body part when the site of the procedure is not further specified.
objective of the procedure is separating or transecting a body part, the
root operation is Division. A procedure site described in the documentation as peri-urethral, and
the documentation also indicates that it is the vulvar tissue and not the
Examples: Freeing a nerve root from surrounding scar tissue to relieve urethral tissue that is the site of the procedure, then the procedure is
pain is coded to the root operation Release. coded to the vulva body part.
Severing a nerve root to relieve pain is coded to the root operation B4.1c. If a procedure is performed on a continuous section of a tubular
Division. body part, code the body part value corresponding to the furthest
anatomical site from the point of entry.
Reposition for fracture treatment
Example: A procedure performed on a continuous section of artery from
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 femoral artery to the external iliac artery with the point of entry at
the femoral artery is coded to the external iliac body part.
the Reposition procedure is not coded separately. Treatment of a
nondisplaced fracture is coded to the procedure performed.
Branches of body parts
Examples: Casting of a nondisplaced fracture is coded to the root B4.2. Where a specific branch of a body part does not have its own
operation Immobilization in the Placement section. 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
Putting a pin in a nondisplaced fracture is coded to the root operation cardiovascular body systems, if a general body part is available in the
Insertion. 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.
28 ICD-10-PCS 2019
ICD-10-PCS 2019 ICD-10-PCS Official Guidelines for Coding and Reporting 2019
Examples: A procedure performed on the mandibular branch of the Fingers and toes
trigeminal nerve is coded to the trigeminal nerve body part value. 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
Occlusion of the bronchial artery is coded to the body part value Upper
part value for the hand. If a body system does not contain a separate
Artery in the body system Upper Arteries, and not to the body part
body part value for toes, procedures performed on the toes are coded
value Thoracic Aorta, Descending in the body system Heart and Great
to the body part value for the foot.
Vessels.
Example: Excision of finger muscle is coded to one of the hand muscle
Bilateral body part values body part values in the Muscles body system.
B4.3. Bilateral body part values are available for a limited number of
body parts. If the identical procedure is performed on contralateral Upper and lower intestinal tract
body parts, and a bilateral body part value exists for that body part, a B4.8. In the Gastrointestinal body system, the general body part values
single procedure is coded using the bilateral body part value. If no Upper Intestinal Tract and Lower Intestinal Tract are provided as an
bilateral body part value exists, each procedure is coded separately option for the root operations Change, Inspection, Removal and
using the appropriate body part value. Revision. Upper Intestinal Tract includes the portion of the
gastrointestinal tract from the esophagus down to and including the
Examples: The identical procedure performed on both fallopian tubes is
duodenum, and Lower Intestinal Tract includes the portion of the
coded once using the body part value Fallopian Tube, Bilateral.
gastrointestinal tract from the jejunum down to and including the
The identical procedure performed on both knee joints is coded twice rectum and anus.
using the body part values Knee Joint, Right and Knee Joint, Left.
Example: In the root operation Change table, change of a device in the
jejunum is coded using the body part Lower Intestinal Tract.
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 B5. Approach
specifying multiple arteries is used when the same procedure is
performed, including the same device and qualifier values. Open approach with percutaneous endoscopic assistance
B5.2. Procedures performed using the open approach with
Examples: Angioplasty of two distinct coronary arteries with placement percutaneous endoscopic assistance are coded to the approach Open.
of two stents is coded as Dilation of Coronary Artery, Two Arteries with
Two Intraluminal Devices. Example: Laparoscopic-assisted sigmoidectomy is coded to the
approach Open.
Angioplasty of two distinct coronary arteries, one with stent placed and
one without, is coded separately as Dilation of Coronary Artery, One External approach
Artery with Intraluminal Device, and Dilation of Coronary Artery, One B5.3a. Procedures performed within an orifice on structures that are
Artery with no device. visible without the aid of any instrumentation are coded to the
approach External.
Tendons, ligaments, bursae and fascia near a joint
B4.5. Procedures performed on tendons, ligaments, bursae and fascia Example: Resection of tonsils is coded to the approach External.
supporting a joint are coded to the body part in the respective body
system that is the focus of the procedure. Procedures performed on B5.3b. Procedures performed indirectly by the application of external
joint structures themselves are coded to the body part in the joint body force through the intervening body layers are coded to the approach
systems. External.
Examples: Repair of the anterior cruciate ligament of the knee is coded Example: Closed reduction of fracture is coded to the approach External.
to the knee bursa and ligament body part in the bursae and ligaments
body system. Percutaneous procedure via device
B5.4. Procedures performed percutaneously via a device placed for the
Knee arthroscopy with shaving of articular cartilage is coded to the procedure are coded to the approach Percutaneous.
knee joint body part in the Lower Joints body system.
Example: Fragmentation of kidney stone performed via percutaneous
Skin, subcutaneous tissue and fascia overlying a joint nephrostomy is coded to the approach Percutaneous.
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:
B6. Device
General guidelines
• Shoulder is coded to Upper Arm
B6.1a. A device is coded only if a device remains after the procedure is
• Elbow is coded to Lower Arm completed. If no device remains, the device value No Device is coded. In
• Wrist is coded to Lower Arm limited root operations, the classification provides the qualifier values
Temporary and Intraoperative, for specific procedures involving
• Hip is coded to Upper Leg clinically significant devices, where the purpose of the device is to be
• Knee is coded to Lower Leg utilized for a brief duration during the procedure or current inpatient
stay. If a device that is intended to remain after the procedure is
• Ankle is coded to Foot completed requires removal before the end of the operative
episode in which it was inserted (for example, the device size is
ICD-10-PCS 2019 29
ICD-10-PCS Official Guidelines for Coding and Reporting 2019 ICD-10-PCS 2019
inadequate or a complication occurs), both the insertion and in the code title, and do not require any additional codes from other
removal of the device should be coded. sections of ICD-10-PCS. When section X contains a code title which
describes a specific new technology procedure, only that X code is
B6.1b. Materials such as sutures, ligatures, radiological markers and reported for the procedure. There is no need to report a broader, non-
temporary post-operative wound drains are considered integral to the specific code in another section of ICD-10-PCS.
performance of a procedure and are not coded as devices.
Example: XW04321 Introduction of Ceftazidime-Avibactam Anti-
B6.1c. Procedures performed on a device only and not on a body part infective into Central Vein, Percutaneous Approach, New Technology
are specified in the root operations Change, Irrigation, Removal and Group 1, can be coded to indicate that Ceftazidime-Avibactam Anti-
Revision, and are coded to the procedure performed. 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
Example: Irrigation of percutaneous nephrostomy tube is coded to the addition to this code.
root operation Irrigation of indwelling device in the Administration
section.
Drainage device
Selection of Principal Procedure
The following instructions should be applied in the selection of
B6.2. A separate procedure to put in a drainage device is coded to the principal procedure and clarification on the importance of the relation
root operation Drainage with the device value Drainage Device. to the principal diagnosis when more than one procedure is performed:
30 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
use Elbow Bursa and Ligament, Left see Replacement, Aorta, Abdominal, 04R0 see Reposition, Lower Joints, 0SS
use Elbow Bursa and Ligament, Right see Replacement, Aorta, Thoracic, Ascending/Arch, see Reposition, Upper Joints, 0RS
Annuloplasty 02RX Arthroplasty
see Repair, Heart and Great Vessels, 02Q see Replacement, Aorta, Thoracic, Descending, 02RW see Repair, Lower Joints, 0SQ
see Supplement, Heart and Great Vessels, 02U see Supplement, Aorta, Abdominal, 04U0 see Repair, Upper Joints, 0RQ
Annuloplasty ring use Synthetic Substitute see Supplement, Aorta, Thoracic, Ascending/Arch, see Replacement, Lower Joints, 0SR
Anoplasty 02UX see Replacement, Upper Joints, 0RR
see Repair, Anus, 0DQQ see Supplement, Aorta, Thoracic, Descending, 02UW see Supplement, Lower Joints, 0SU
see Supplement, Anus, 0DUQ Apical (subclavicular) lymph node see Supplement, Upper Joints, 0RU
Anorectal junction use Rectum use Lymphatic, Left Axillary Arthroplasty, radial head
Anoscopy, 0DJD8ZZ use Lymphatic, Right Axillary see Replacement, Radius, Left, 0PRJ
Ansa cervicalis use Cervical Plexus Apneustic center use Pons see Replacement, Radius, Right, 0PRH
Antabuse therapy, HZ93ZZZ Appendectomy Arthroscopy
Antebrachial fascia see Excision, Appendix, 0DBJ see Inspection, Lower Joints, 0SJ
use Subcutaneous Tissue and Fascia, Left Lower Arm see Resection, Appendix, 0DTJ see Inspection, Upper Joints, 0RJ
use Subcutaneous Tissue and Fascia, Right Lower Arm Appendicolysis see Release, Appendix, 0DNJ Arthrotomy
Anterior cerebral artery use Intracranial Artery Appendicotomy see Drainage, Appendix, 0D9J see Drainage, Lower Joints, 0S9
Anterior cerebral vein use Intracranial Vein Application see Introduction of substance in or on see Drainage, Upper Joints, 0R9
Anterior choroidal artery use Intracranial Artery Aquablation therapy, prostate, XV508A4 Articulating Spacer (Antibiotic) use Articulating Spacer
Anterior circumflex humeral artery Aquapheresis, 6A550Z3 in Lower Joints
use Axillary Artery, Left Aqueduct of Sylvius use Cerebral Ventricle Artificial anal sphincter (AAS) use Artificial Sphincter in
use Axillary Artery, Right Aqueous humour Gastrointestinal System
Anterior communicating artery use Intracranial Artery use Anterior Chamber, Left Artificial bowel sphincter (neosphincter) use Artificial
Anterior cruciate ligament (ACL) use Anterior Chamber, Right Sphincter in Gastrointestinal System
use Knee Bursa and Ligament, Left Arachnoid mater, intracranial use Cerebral Meninges Artificial Sphincter
use Knee Bursa and Ligament, Right Arachnoid mater, spinal use Spinal Meninges Insertion of device in
Anterior crural nerve use Femoral Nerve Arcuate artery Anus, 0DHQ
Anterior facial vein use Foot Artery, Left Bladder, 0THB
use Face Vein, Left use Foot Artery, Right Bladder Neck, 0THC
use Face Vein, Right Areola Urethra, 0THD
Anterior intercostal artery use Nipple, Left Removal of device from
use Internal Mammary Artery, Left use Nipple, Right Anus, 0DPQ
use Internal Mammary Artery, Right AROM (artificial rupture of membranes), 10907ZC Bladder, 0TPB
Anterior interosseous nerve use Median Nerve Arterial canal (duct) use Pulmonary Artery, Left Urethra, 0TPD
Anterior lateral malleolar artery Arterial pulse tracing see Measurement, Arterial, 4A03 Revision of device in
use Anterior Tibial Artery, Left Arteriectomy Anus, 0DWQ
use Anterior Tibial Artery, Right see Excision, Heart and Great Vessels, 02B Bladder, 0TWB
Anterior lingual gland use Minor Salivary Gland see Excision, Lower Arteries, 04B Urethra, 0TWD
Anterior (pectoral) lymph node see Excision, Upper Arteries, 03B Artificial urinary sphincter (AUS) use Artificial Sphincter
use Lymphatic, Left Axillary in Urinary System
Aryepiglottic fold use Larynx
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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-
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
2 Subterms under main terms may continue to next column or page 109
Right ovarian vein ICD-10-PCS 2019
Right ovarian vein use Inferior Vena Cava Scalene muscle — continued Shock Wave Therapy, Musculoskeletal, 6A93
Index
Right second lumbar vein use Inferior Vena Cava use Neck Muscle, Right Short gastric artery use Splenic Artery
Right subclavian trunk use Lymphatic, Right Neck Scan Shortening
Right subcostal vein use Azygos Vein Computerized Tomography (CT) see Computerized see Excision
Right superior pulmonary vein use Pulmonary Vein, Tomography (CT Scan) see Repair
Right Radioisotope see Planar Nuclear Medicine Imaging see Reposition
Right suprarenal vein use Inferior Vena Cava Scaphoid bone Shunt creation see Bypass
Right testicular vein use Inferior Vena Cava use Carpal, Left Sialoadenectomy
Rima glottidis use Larynx use Carpal, Right Complete see Resection, Mouth and Throat, 0CT
Risorius muscle use Facial Muscle Scapholunate ligament Partial see Excision, Mouth and Throat, 0CB
RNS System lead use Neurostimulator Lead in Central use Hand Bursa and Ligament, Left Sialodochoplasty
Nervous System and Cranial Nerves use Hand Bursa and Ligament, Right see Repair, Mouth and Throat, 0CQ
RNS system neurostimulator generator use Neurostim- Scaphotrapezium ligament see Replacement, Mouth and Throat, 0CR
ulator Generator in Head and Facial Bones use Hand Bursa and Ligament, Left see Supplement, Mouth and Throat, 0CU
Robotic Assisted Procedure use Hand Bursa and Ligament, Right Sialoectomy
Extremity Scapulectomy see Excision, Mouth and Throat, 0CB
Lower, 8E0Y see Excision, Upper Bones, 0PB see Resection, Mouth and Throat, 0CT
Upper, 8E0X see Resection, Upper Bones, 0PT Sialography see Plain Radiography, Ear, Nose, Mouth and
Head and Neck Region, 8E09 Scapulopexy Throat, B90
Trunk Region, 8E0W see Repair, Upper Bones, 0PQ Sialolithotomy see Extirpation, Mouth and Throat, 0CC
Robotic Waterjet Ablation, Destruction, Prostate, see Reposition, Upper Bones, 0PS Sigmoid artery use Inferior Mesenteric Artery
XV508A4 Scarpa's (vestibular) ganglion use Acoustic Nerve Sigmoid flexure use Sigmoid Colon
Rotation of fetal head Sclerectomy see Excision, Eye, 08B Sigmoid vein use Inferior Mesenteric Vein
Forceps, 10S07ZZ Sclerotherapy, mechanical see Destruction Sigmoidectomy
Manual, 10S0XZZ Sclerotherapy, via injection of sclerosing agent see see Excision, Gastrointestinal System, 0DB
Round ligament of uterus use Uterine Supporting Introduction, Destructive Agent see Resection, Gastrointestinal System, 0DT
Structure Sclerotomy see Drainage, Eye, 089 Sigmoidorrhaphy see Repair, Gastrointestinal System,
Round window Scrotectomy 0DQ
use Inner Ear, Left see Excision, Male Reproductive System, 0VB Sigmoidoscopy, 0DJD8ZZ
use Inner Ear, Right see Resection, Male Reproductive System, 0VT Sigmoidotomy see Drainage, Gastrointestinal System,
Roux-en-Y operation Scrotoplasty 0D9
see Bypass, Gastrointestinal System, 0D1 see Repair, Male Reproductive System, 0VQ Single lead pacemaker (atrium) (ventricle) use Pace-
see Bypass, Hepatobiliary System and Pancreas, 0F1 see Supplement, Male Reproductive System, 0VU maker, Single Chamber in, 0JH
Rupture Scrotorrhaphy see Repair, Male Reproductive System, Single lead rate responsive pacemaker (atrium)
Adhesions see Release 0VQ (ventricle) use Pacemaker, Single Chamber Rate
Fluid collection see Drainage Scrototomy see Drainage, Male Reproductive System, 0V9 Responsive in, 0JH
Sebaceous gland use Skin Sinoatrial node use Conduction Mechanism
S Second cranial nerve use Optic Nerve
Section, cesarean see Extraction, Pregnancy, 10D
Sinogram
Abdominal Wall see Fluoroscopy, Abdomen and
Secura (DR) (VR) use Defibrillator Generator in, 0JH Pelvis, BW11
Sacral ganglion use Sacral Sympathetic Nerve Chest Wall see Plain Radiography, Chest, BW03
Sacral lymph node use Lymphatic, Pelvis Sella turcica use Sphenoid Bone
Semicircular canal Retroperitoneum see Fluoroscopy, Abdomen and
Sacral nerve modulation (SNM) lead use Stimulator Pelvis, BW11
Lead in Urinary System use Inner Ear, Left
use Inner Ear, Right Sinus venosus use Atrium, Right
Sacral neuromodulation lead use Stimulator Lead in Sinusectomy
Urinary System Semimembranosus muscle
use Upper Leg Muscle, Left see Excision, Ear, Nose, Sinus, 09B
Sacral splanchnic nerve use Sacral Sympathetic Nerve
use Upper Leg Muscle, Right see Resection, Ear, Nose, Sinus, 09T
Sacrectomy see Excision, Lower Bones, 0QB
Semitendinosus muscle Sinusoscopy, 09JY4ZZ
Sacrococcygeal ligament use Lower Spine Bursa and
Ligament use Upper Leg Muscle, Left Sinusotomy see Drainage, Ear, Nose, Sinus, 099
Sacrococcygeal symphysis use Sacrococcygeal Joint use Upper Leg Muscle, Right Sirolimus-eluting coronary stent use Intraluminal De-
Seprafilm use Adhesion Barrier vice, Drug-eluting in Heart and Great Vessels
Sacroiliac ligament use Lower Spine Bursa and LIgament
Septal cartilage use Nasal Septum Sixth cranial nerve use Abducens Nerve
Sacrospinous ligament use Lower Spine Bursa and Liga-
ment Septectomy Size reduction, breast see Excision, Skin and Breast, 0HB
Sacrotuberous ligament use Lower Spine Bursa and see Excision, Ear, Nose, Sinus, 09B SJM Biocor® Stented Valve System use Zooplastic Tissue
Ligament see Excision, Heart and Great Vessels, 02B in Heart and Great Vessels
Salpingectomy see Resection, Ear, Nose, Sinus, 09T Skene's (paraurethral) gland use Vestibular Gland
see Excision, Female Reproductive System, 0UB see Resection, Heart and Great Vessels, 02T Skin Substitute, Porcine Liver Derived, Replacement,
Septoplasty XHRPXL2
see Resection, Female Reproductive System, 0UT
see Repair, Ear, Nose, Sinus, 09Q Sling
Salpingolysis see Release, Female Reproductive System,
see Repair, Heart and Great Vessels, 02Q Fascial, orbicularis muscle (mouth) see Supplement,
0UN
see Replacement, Ear, Nose, Sinus, 09R Muscle, Facial, 0KU1
Salpingopexy
see Replacement, Heart and Great Vessels, 02R Levator muscle, for urethral suspension see Reposi-
see Repair, Female Reproductive System, 0UQ tion, Bladder Neck, 0TSC
see Reposition, Female Reproductive System, 0US see Reposition, Ear, Nose, Sinus, 09S
see Supplement, Ear, Nose, Sinus, 09U Pubococcygeal, for urethral suspension see Reposi-
Salpingopharyngeus muscle use Tongue, Palate, Phar- tion, Bladder Neck, 0TSC
ynx Muscle see Supplement, Heart and Great Vessels, 02U
Septostomy, balloon atrial, 02163Z7 Rectum see Reposition, Rectum, 0DSP
Salpingoplasty Small bowel series see Fluoroscopy, Bowel, Small, BD13
see Repair, Female Reproductive System, 0UQ Septotomy see Drainage, Ear, Nose, Sinus, 099
Sequestrectomy, bone see Extirpation Small saphenous vein
see Supplement, Female Reproductive System, 0UU use Saphenous Vein, Left
Salpingorrhaphy see Repair, Female Reproductive Sys- Serratus anterior muscle
use Thorax Muscle, Left use Saphenous Vein, Right
tem, 0UQ
use Thorax Muscle, Right Snaring, polyp, colon see Excision, Gastrointestinal Sys-
Right ovarian vein — Spacer
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
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
112 2 Subterms under main terms may continue to next column or page
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
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
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
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
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
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.
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
Fourth ventricle 6
Hypothalamus A
Cerebellum C
Pons B
Spinal cord V
Medulla oblongata D
Cranial Nerves
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
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
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 Central Nervous System and Cranial Nerves 009–009
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 New/Revised in GREEN
ICD-10-PCS 2019 131
009–009 Central Nervous System and Cranial Nerves ICD-10-PCS 2019
Central Nervous System and Cranial Nerves
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 Central Nervous System and Cranial Nerves 00B–00B
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 133
00C–00C Central Nervous System and Cranial Nerves ICD-10-PCS 2019
Central Nervous System and Cranial Nerves
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
134 ICD-10-PCS 2019
ICD-10-PCS 2019 Central Nervous System and Cranial Nerves 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
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 Central Nervous System and Cranial Nerves 00N–00N
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 137
00P–00P Central Nervous System and Cranial Nerves ICD-10-PCS 2019
Central Nervous System and Cranial Nerves
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 Central Nervous System and Cranial Nerves 00Q–00Q
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 139
00R–00R Central Nervous System and Cranial Nerves ICD-10-PCS 2019
Central Nervous System and Cranial Nerves
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
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
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
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
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
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
Palmar branch 4
Deep branch 4
Superficial
branch 4
Ulnar 4
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
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 ICD-10-PCS 2019
Peripheral Nervous System
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
148 ICD-10-PCS 2019
ICD-10-PCS 2019 Peripheral Nervous System 019–019
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 149
019–019 Peripheral Nervous System ICD-10-PCS 2019
Peripheral Nervous System
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
150 ICD-10-PCS 2019
ICD-10-PCS 2019 Peripheral Nervous System 01B–01B
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 151
01C–01C Peripheral Nervous System ICD-10-PCS 2019
Peripheral Nervous System
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
152 ICD-10-PCS 2019
ICD-10-PCS 2019 Peripheral Nervous System 01D–01D
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 153
01H–01J Peripheral Nervous System ICD-10-PCS 2019
Peripheral Nervous System
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 Peripheral Nervous System 01N–01N
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 155
01P–01P Peripheral Nervous System ICD-10-PCS 2019
Peripheral Nervous System
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 Peripheral Nervous System 01Q–01Q
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 157
01R–01R Peripheral Nervous System ICD-10-PCS 2019
Peripheral Nervous System
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
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
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
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
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
Coronary Arteries
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
Upper Arteries
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.
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
Upper Arteries
Upper Arteries
Middle temporal S, T
Transverse facial S, T
Superficial temporal S, T
Axillary 5, 6
Brachial 7, 8
Radial B, C
Ulnar 9, A
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
188 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 ICD-10-PCS 2019
Upper Arteries
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
190 ICD-10-PCS 2019
ICD-10-PCS 2019 Upper Arteries 037–037
Upper Arteries
0 Medical and Surgical
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
0 Internal Mammary Artery, 6 Axillary Artery, Left 0 Open 4 Intraluminal Device, 6 Bifurcation
Right See 5 Axillary Artery, Right 3 Percutaneous Drug-eluting Z No Qualifier
Anterior intercostal artery 7 Brachial Artery, Right 4 Percutaneous Endoscopic 5 Intraluminal Device, Drug-
Internal thoracic artery Inferior ulnar collateral artery eluting, Two
Musculophrenic artery Profunda brachii 6 Intraluminal Device, Drug-
Pericardiophrenic artery Superior ulnar collateral artery eluting, Three
Superior epigastric artery 8 Brachial Artery, Left 7 Intraluminal Device, Drug-
1 Internal Mammary Artery, See 7 Brachial Artery, Right eluting, Four or More
Left 9 Ulnar Artery, Right E Intraluminal Device, Two
See 0 Internal Mammary Artery, Anterior ulnar recurrent artery F Intraluminal Device, Three
Right Common interosseous artery G Intraluminal Device, Four
2 Innominate Artery Posterior ulnar recurrent artery or More
Brachiocephalic artery A Ulnar Artery, Left
Brachiocephalic trunk See 9 Ulnar Artery, Right
3 Subclavian Artery, Right B Radial Artery, Right
Costocervical trunk Radial recurrent artery
Dorsal scapular artery C Radial Artery, Left
Internal thoracic artery See B Radial Artery, Right
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, 6 Axillary Artery, Left 0 Open D Intraluminal Device 1 Drug-Coated Balloon
Right See 5 Axillary Artery, Right 3 Percutaneous Z No Device 6 Bifurcation
Anterior intercostal artery 7 Brachial Artery, Right 4 Percutaneous Endoscopic Z No Qualifier
Internal thoracic artery Inferior ulnar collateral artery
Musculophrenic artery Profunda brachii
Pericardiophrenic artery Superior ulnar collateral artery
Superior epigastric artery 8 Brachial Artery, Left
1 Internal Mammary Artery, See 7 Brachial Artery, Right
Left 9 Ulnar Artery, Right
See 0 Internal Mammary Artery, Anterior ulnar recurrent artery
Right Common interosseous artery
2 Innominate Artery Posterior ulnar recurrent artery
Brachiocephalic artery A Ulnar Artery, Left
Brachiocephalic trunk See 9 Ulnar Artery, Right
3 Subclavian Artery, Right B Radial Artery, Right
Costocervical trunk Radial recurrent artery
Dorsal scapular artery C Radial Artery, Left
Internal thoracic artery See B Radial Artery, Right
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
037 Continued on next page
037–037
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 191
037–037 Upper Arteries ICD-10-PCS 2019
Upper Arteries
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 Upper Arteries 039–039
Upper Arteries
0 Medical and Surgical
3 Upper Arteries 039
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 Internal Mammary Artery, H Common Carotid Artery, 0 Open 0 Drainage Device Z No Qualifier
Right Right 3 Percutaneous
Anterior intercostal artery J Common Carotid Artery, Left 4 Percutaneous Endoscopic
Internal thoracic artery K Internal Carotid Artery, Right
Musculophrenic artery Caroticotympanic artery
Pericardiophrenic artery Carotid sinus
Superior epigastric artery L Internal Carotid Artery, Left
1 Internal Mammary Artery, See K Internal Carotid Artery,
Left Right
See 0 Internal Mammary Artery, M External Carotid Artery, Right
Right above Ascending pharyngeal artery
2 Innominate Artery Internal maxillary artery
Brachiocephalic artery Lingual artery
Brachiocephalic trunk Maxillary artery
3 Subclavian Artery, Right Occipital artery
Costocervical trunk Posterior auricular artery
Dorsal scapular artery Superior thyroid artery
Internal thoracic artery N External Carotid Artery, Left
4 Subclavian Artery, Left See M External Carotid Artery,
See 3 Subclavian Artery, Right Right
5 Axillary Artery, Right P Vertebral Artery, Right
Anterior circumflex humeral Anterior spinal artery
artery Posterior spinal artery
Lateral thoracic artery Q Vertebral Artery, Left
Posterior circumflex humeral See P Vertebral Artery, Right
artery R Face Artery
Subscapular artery Angular artery
Superior thoracic artery Ascending palatine artery
Thoracoacromial artery External maxillary artery
6 Axillary Artery, Left Facial artery
See 5 Axillary Artery, Right Inferior labial artery
7 Brachial Artery, Right Submental artery
Inferior ulnar collateral artery Superior labial artery
Profunda brachii S Temporal Artery, Right
Superior ulnar collateral artery Middle temporal artery
8 Brachial Artery, Left Superficial temporal artery
See 7 Brachial Artery, Right Transverse facial artery
9 Ulnar Artery, Right T Temporal Artery, Left
Anterior ulnar recurrent artery See S Temporal Artery, Right
Common interosseous artery U Thyroid Artery, Right
Posterior ulnar recurrent artery Cricothyroid artery
A Ulnar Artery, Left Hyoid artery
See 9 Ulnar Artery, Right Sternocleidomastoid artery
B Radial Artery, Right Superior laryngeal artery
Radial recurrent artery Superior thyroid artery
C Radial Artery, Left Thyrocervical trunk
See B Radial Artery, Right V Thyroid Artery, Left
D Hand Artery, Right See U Thyroid Artery, Right
Deep palmar arch Y Upper Artery
Princeps pollicis artery Aortic intercostal artery
Radialis indicis Bronchial artery
Superficial palmar arch Esophageal artery
F Hand Artery, Left Subcostal artery
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)
039 Continued on next page
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
039–039
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 193
039–039 Upper Arteries ICD-10-PCS 2019
Upper Arteries
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
194 ICD-10-PCS 2019
ICD-10-PCS 2019 Upper Arteries 03B–03B
Upper Arteries
0 Medical and Surgical
3 Upper Arteries 03B
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 Internal Mammary Artery, H Common Carotid Artery, 0 Open Z No Device X Diagnostic
Right Right 3 Percutaneous Z No Qualifier
Anterior intercostal artery J Common Carotid Artery, Left 4 Percutaneous Endoscopic
Internal thoracic artery K Internal Carotid Artery, Right
Musculophrenic artery Caroticotympanic artery
Pericardiophrenic artery Carotid sinus
Superior epigastric artery L Internal Carotid Artery, Left
1 Internal Mammary Artery, See K Internal Carotid Artery,
Left Right
See 0 Internal Mammary M External Carotid Artery, Right
Artery, Right Ascending pharyngeal artery
2 Innominate Artery Internal maxillary artery
Brachiocephalic artery Lingual artery
Brachiocephalic trunk Maxillary artery
3 Subclavian Artery, Right Occipital artery
Costocervical trunk Posterior auricular artery
Dorsal scapular artery Superior thyroid artery
Internal thoracic artery N External Carotid Artery, Left
4 Subclavian Artery, Left See M External Carotid Artery,
See 3 Subclavian Artery, Right Right
5 Axillary Artery, Right P Vertebral Artery, Right
Anterior circumflex humeral Anterior spinal artery
artery Posterior spinal artery
Lateral thoracic artery Q Vertebral Artery, Left
Posterior circumflex humeral See P Vertebral Artery, Right
artery R Face Artery
Subscapular artery Angular artery
Superior thoracic artery Ascending palatine artery
Thoracoacromial artery External maxillary artery
6 Axillary Artery, Left Facial artery
See 5 Axillary Artery, Right Inferior labial artery
7 Brachial Artery, Right Submental artery
Inferior ulnar collateral artery Superior labial artery
Profunda brachii S Temporal Artery, Right
Superior ulnar collateral artery Middle temporal artery
8 Brachial Artery, Left Superficial temporal artery
See 7 Brachial Artery, Right Transverse facial artery
9 Ulnar Artery, Right T Temporal Artery, Left
Anterior ulnar recurrent artery See S Temporal Artery, Right
Common interosseous artery U Thyroid Artery, Right
Posterior ulnar recurrent Cricothyroid artery
artery Hyoid artery
A Ulnar Artery, Left Sternocleidomastoid artery
See 9 Ulnar Artery, Right Superior laryngeal artery
B Radial Artery, Right Superior thyroid artery
Radial recurrent artery Thyrocervical trunk
C Radial Artery, Left V Thyroid Artery, Left
See B Radial Artery, Right See U Thyroid Artery, Right
D Hand Artery, Right Y Upper Artery
Deep palmar arch Aortic intercostal artery
Princeps pollicis artery Bronchial artery
Radialis indicis Esophageal artery
Superficial palmar arch Subcostal artery
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)
03B–03B
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 195
03C–03C Upper Arteries ICD-10-PCS 2019
Upper Arteries
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
196 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 ICD-10-PCS 2019
Upper Arteries
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 New/Revised in GREEN
198 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
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 Upper Arteries 03N–03N
Upper Arteries
0 Medical and Surgical
3 Upper Arteries 03N
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 Internal Mammary Artery, H Common Carotid Artery, 0 Open Z No Device Z No Qualifier
Right Right 3 Percutaneous
Anterior intercostal artery J Common Carotid Artery, Left 4 Percutaneous Endoscopic
Internal thoracic artery K Internal Carotid Artery, Right
Musculophrenic artery Caroticotympanic artery
Pericardiophrenic artery Carotid sinus
Superior epigastric artery L Internal Carotid Artery, Left
1 Internal Mammary Artery, See K Internal Carotid Artery,
Left Right
See 0 Internal Mammary M External Carotid Artery, Right
Artery, Right Ascending pharyngeal artery
2 Innominate Artery Internal maxillary artery
Brachiocephalic artery Lingual artery
Brachiocephalic trunk Maxillary artery
3 Subclavian Artery, Right Occipital artery
Costocervical trunk Posterior auricular artery
Dorsal scapular artery Superior thyroid artery
Internal thoracic artery N External Carotid Artery, Left
4 Subclavian Artery, Left See M External Carotid Artery,
See 3 Subclavian Artery, Right Right
5 Axillary Artery, Right P Vertebral Artery, Right
Anterior circumflex humeral Anterior spinal artery
artery Posterior spinal artery
Lateral thoracic artery Q Vertebral Artery, Left
Posterior circumflex humeral See P Vertebral Artery, Right
artery R Face Artery
Subscapular artery Angular artery
Superior thoracic artery Ascending palatine artery
Thoracoacromial artery External maxillary artery
6 Axillary Artery, Left Facial artery
See 5 Axillary Artery, Right Inferior labial artery
7 Brachial Artery, Right Submental artery
Inferior ulnar collateral artery Superior labial artery
Profunda brachii S Temporal Artery, Right
Superior ulnar collateral artery Middle temporal artery
8 Brachial Artery, Left Superficial temporal artery
See 7 Brachial Artery, Right Transverse facial artery
9 Ulnar Artery, Right T Temporal Artery, Left
Anterior ulnar recurrent artery See S Temporal Artery, Right
Common interosseous artery U Thyroid Artery, Right
Posterior ulnar recurrent Cricothyroid artery
artery Hyoid artery
A Ulnar Artery, Left Sternocleidomastoid artery
See 9 Ulnar Artery, Right Superior laryngeal artery
B Radial Artery, Right Superior thyroid artery
Radial recurrent artery Thyrocervical trunk
C Radial Artery, Left V Thyroid Artery, Left
See B Radial Artery, Right See U Thyroid Artery, Right
D Hand Artery, Right Y Upper Artery
Deep palmar arch Aortic intercostal artery
Princeps pollicis artery Bronchial artery
Radialis indicis Esophageal artery
Superficial palmar arch Subcostal artery
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)
03N–03N
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 201
03P–03P Upper Arteries ICD-10-PCS 2019
Upper Arteries
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 Upper Arteries 03Q–03Q
Upper Arteries
0 Medical and Surgical
3 Upper Arteries 03Q
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 Internal Mammary Artery, H Common Carotid Artery, 0 Open Z No Device Z No Qualifier
Right Right 3 Percutaneous
Anterior intercostal artery J Common Carotid Artery, Left 4 Percutaneous Endoscopic
Internal thoracic artery K Internal Carotid Artery, Right
Musculophrenic artery Caroticotympanic artery
Pericardiophrenic artery Carotid sinus
Superior epigastric artery L Internal Carotid Artery, Left
1 Internal Mammary Artery, See K Internal Carotid Artery,
Left Right
See 0 Internal Mammary M External Carotid Artery, Right
Artery, Right Ascending pharyngeal artery
2 Innominate Artery Internal maxillary artery
Brachiocephalic artery Lingual artery
Brachiocephalic trunk Maxillary artery
3 Subclavian Artery, Right Occipital artery
Costocervical trunk Posterior auricular artery
Dorsal scapular artery Superior thyroid artery
Internal thoracic artery N External Carotid Artery, Left
4 Subclavian Artery, Left See M External Carotid Artery,
See 3 Subclavian Artery, Right Right
5 Axillary Artery, Right P Vertebral Artery, Right
Anterior circumflex humeral Anterior spinal artery
artery Posterior spinal artery
Lateral thoracic artery Q Vertebral Artery, Left
Posterior circumflex humeral See P Vertebral Artery, Right
artery R Face Artery
Subscapular artery Angular artery
Superior thoracic artery Ascending palatine artery
Thoracoacromial artery External maxillary artery
6 Axillary Artery, Left Facial artery
See 5 Axillary Artery, Right Inferior labial artery
7 Brachial Artery, Right Submental artery
Inferior ulnar collateral artery Superior labial artery
Profunda brachii S Temporal Artery, Right
Superior ulnar collateral artery Middle temporal artery
8 Brachial Artery, Left Superficial temporal artery
See 7 Brachial Artery, Right Transverse facial artery
9 Ulnar Artery, Right T Temporal Artery, Left
Anterior ulnar recurrent artery See S Temporal Artery, Right
Common interosseous artery U Thyroid Artery, Right
Posterior ulnar recurrent Cricothyroid artery
artery Hyoid artery
A Ulnar Artery, Left Sternocleidomastoid artery
See 9 Ulnar Artery, Right Superior laryngeal artery
B Radial Artery, Right Superior thyroid artery
Radial recurrent artery Thyrocervical trunk
C Radial Artery, Left V Thyroid Artery, Left
See B Radial Artery, Right See U Thyroid Artery, Right
D Hand Artery, Right Y Upper Artery
Deep palmar arch Aortic intercostal artery
Princeps pollicis artery Bronchial artery
Radialis indicis Esophageal artery
Superficial palmar arch Subcostal artery
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)
03Q–03Q
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 203
03R–03R Upper Arteries ICD-10-PCS 2019
Upper Arteries
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
204 ICD-10-PCS 2019
ICD-10-PCS 2019 Upper Arteries 03S–03S
Upper Arteries
0 Medical and Surgical
3 Upper Arteries 03S
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 Internal Mammary Artery, H Common Carotid Artery, 0 Open Z No Device Z No Qualifier
Right Right 3 Percutaneous
Anterior intercostal artery J Common Carotid Artery, Left 4 Percutaneous Endoscopic
Internal thoracic artery K Internal Carotid Artery, Right
Musculophrenic artery Caroticotympanic artery
Pericardiophrenic artery Carotid sinus
Superior epigastric artery L Internal Carotid Artery, Left
1 Internal Mammary Artery, See K Internal Carotid Artery,
Left Right
See 0 Internal Mammary M External Carotid Artery, Right
Artery, Right Ascending pharyngeal artery
2 Innominate Artery Internal maxillary artery
Brachiocephalic artery Lingual artery
Brachiocephalic trunk Maxillary artery
3 Subclavian Artery, Right Occipital artery
Costocervical trunk Posterior auricular artery
Dorsal scapular artery Superior thyroid artery
Internal thoracic artery N External Carotid Artery, Left
4 Subclavian Artery, Left See M External Carotid Artery,
See 3 Subclavian Artery, Right Right
5 Axillary Artery, Right P Vertebral Artery, Right
Anterior circumflex humeral Anterior spinal artery
artery Posterior spinal artery
Lateral thoracic artery Q Vertebral Artery, Left
Posterior circumflex humeral See P Vertebral Artery, Right
artery R Face Artery
Subscapular artery Angular artery
Superior thoracic artery Ascending palatine artery
Thoracoacromial artery External maxillary artery
6 Axillary Artery, Left Facial artery
See 5 Axillary Artery, Right Inferior labial artery
7 Brachial Artery, Right Submental artery
Inferior ulnar collateral artery Superior labial artery
Profunda brachii S Temporal Artery, Right
Superior ulnar collateral artery Middle temporal artery
8 Brachial Artery, Left Superficial temporal artery
See 7 Brachial Artery, Right Transverse facial artery
9 Ulnar Artery, Right T Temporal Artery, Left
Anterior ulnar recurrent artery See S Temporal Artery, Right
Common interosseous artery U Thyroid Artery, Right
Posterior ulnar recurrent Cricothyroid artery
artery Hyoid artery
A Ulnar Artery, Left Sternocleidomastoid artery
See 9 Ulnar Artery, Right Superior laryngeal artery
B Radial Artery, Right Superior thyroid artery
Radial recurrent artery Thyrocervical trunk
C Radial Artery, Left V Thyroid Artery, Left
See B Radial Artery, Right See U Thyroid Artery, Right
D Hand Artery, Right Y Upper Artery
Deep palmar arch Aortic intercostal artery
Princeps pollicis artery Bronchial artery
Radialis indicis Esophageal artery
Superficial palmar arch Subcostal artery
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)
03S–03S
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 205
03U–03U Upper Arteries ICD-10-PCS 2019
Upper Arteries
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
206 ICD-10-PCS 2019
ICD-10-PCS 2019 Upper Arteries 03V–03V
Upper Arteries
0 Medical and Surgical
3 Upper Arteries 03V
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 Internal Mammary Artery, Right B Radial Artery, Right 0 Open C Extraluminal Device Z No Qualifier
Anterior intercostal artery Radial recurrent artery 3 Percutaneous D Intraluminal Device
Internal thoracic artery C Radial Artery, Left 4 Percutaneous Z No Device
Musculophrenic artery See B Radial Artery, Right Endoscopic
Pericardiophrenic artery D Hand Artery, Right
Superior epigastric artery Deep palmar arch
1 Internal Mammary Artery, Left Princeps pollicis artery
See 0 Internal Mammary Artery, Radialis indicis
Right 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 artery S Temporal Artery, Right
Lateral thoracic artery Middle temporal artery
Posterior circumflex humeral artery Superficial temporal artery
Subscapular artery Transverse facial artery
Superior thoracic artery T Temporal Artery, Left
Thoracoacromial artery See S Temporal Artery, Right
6 Axillary Artery, Left U Thyroid Artery, Right
See 5 Axillary Artery, Right Cricothyroid artery
7 Brachial Artery, Right Hyoid artery
Inferior ulnar collateral artery Sternocleidomastoid artery
Profunda brachii Superior laryngeal artery
Superior ulnar collateral artery Superior thyroid artery
8 Brachial Artery, Left Thyrocervical trunk
See 7 Brachial Artery, Right V Thyroid Artery, Left
9 Ulnar Artery, Right See U Thyroid Artery, Right
Anterior ulnar recurrent artery Y Upper Artery
Common interosseous artery Aortic intercostal artery
Posterior ulnar recurrent artery Bronchial artery
A Ulnar Artery, Left Esophageal artery
See 9 Ulnar Artery, Right 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, Right 3 Percutaneous Bioactive
Anterior choroidal artery M External Carotid Artery, Right 4 Percutaneous C Extraluminal Device
Anterior communicating artery Ascending pharyngeal artery Endoscopic D Intraluminal Device
Basilar artery Internal maxillary artery Z No Device
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 artery See M External Carotid Artery, Right
Posterior inferior cerebellar artery P Vertebral Artery, Right
(PICA) Anterior spinal artery
H Common Carotid Artery, Right Posterior spinal artery
J Common Carotid Artery, Left Q Vertebral Artery, Left
K Internal Carotid Artery, Right See P Vertebral Artery, Right
Caroticotympanic artery
Carotid sinus
03V–03V
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 207
03W–03W Upper Arteries ICD-10-PCS 2019
Upper Arteries
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.
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
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
Lower Arteries
Lower Arteries
Femoral K, L
Popliteal M, N
Anterior tibial P, Q
Peroneal T, U
Posterior tibial R, S
Arcuate V, W
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 ICD-10-PCS 2019
Lower Arteries
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
214 ICD-10-PCS 2019
ICD-10-PCS 2019 Lower Arteries 047–047
Lower Arteries
0 Medical and Surgical
4 Lower Arteries 047
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 Abdominal Aorta F Internal Iliac Artery, Left 0 Open 4 Intraluminal Device, 1 Drug-Coated Balloon
Inferior phrenic artery See E Internal Iliac Artery, Right 3 Percutaneous Drug-eluting 6 Bifurcation
Lumbar artery H External Iliac Artery, Right 4 Percutaneous Endoscopic D Intraluminal Device Z No Qualifier
Median sacral artery Deep circumflex iliac artery Z No Device
Middle suprarenal artery Inferior epigastric artery
Ovarian artery J External Iliac Artery, Left
Testicular artery See H External Iliac Artery, Right
1 Celiac Artery K Femoral Artery, Right
Celiac trunk Circumflex iliac artery
2 Gastric Artery Deep femoral artery
Left gastric artery Descending genicular artery
Right gastric artery External pudendal artery
3 Hepatic Artery Superficial epigastric artery
Common hepatic artery L Femoral Artery, Left
Gastroduodenal artery See K Femoral Artery, Right
Hepatic artery proper M Popliteal Artery, Right
4 Splenic Artery Inferior genicular artery
Left gastroepiploic artery Middle genicular artery
Pancreatic artery Superior genicular artery
Short gastric artery Sural artery
5 Superior Mesenteric Artery N Popliteal Artery, Left
Ileal artery See M Popliteal Artery, Right
Ileocolic artery P Anterior Tibial Artery, Right
Inferior pancreaticoduodenal Anterior lateral malleolar
artery artery
Jejunal artery Anterior medial malleolar
6 Colic Artery, Right artery
7 Colic Artery, Left Anterior tibial recurrent artery
8 Colic Artery, Middle Dorsalis pedis artery
9 Renal Artery, Right Posterior tibial recurrent artery
Inferior suprarenal artery Q Anterior Tibial Artery, Left
Renal segmental artery See P Anterior Tibial Artery,
A Renal Artery, Left Right
See 9 Renal Artery, Right R Posterior Tibial Artery, Right
B Inferior Mesenteric Artery S Posterior Tibial Artery, Left
Sigmoid artery T Peroneal Artery, Right
Superior rectal artery Fibular artery
C Common Iliac Artery, Right U Peroneal Artery, Left
D Common Iliac Artery, Left See T Peroneal Artery, Right
E Internal Iliac Artery, Right V Foot Artery, Right
Deferential artery Arcuate artery
Hypogastric artery Dorsal metatarsal artery
Iliolumbar artery Lateral plantar artery
Inferior gluteal artery Lateral tarsal artery
Inferior vesical artery Medial plantar artery
Internal pudendal artery W Foot Artery, Left
Lateral sacral artery See V Foot Artery, Right
Middle rectal artery Y Lower Artery
Obturator artery Umbilical artery
Superior gluteal artery
Umbilical artery
Uterine artery
Vaginal artery
047 Continued on next page
047–047
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 215
047–047 Lower Arteries ICD-10-PCS 2019
Lower Arteries
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
216 ICD-10-PCS 2019
ICD-10-PCS 2019 Lower Arteries 049–049
Lower Arteries
0 Medical and Surgical
4 Lower Arteries 049
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 Abdominal Aorta F Internal Iliac Artery, Left 0 Open 0 Drainage Device Z No Qualifier
Inferior phrenic artery See E Internal Iliac Artery, Right 3 Percutaneous
Lumbar artery H External Iliac Artery, Right 4 Percutaneous Endoscopic
Median sacral artery Deep circumflex iliac artery
Middle suprarenal artery Inferior epigastric artery
Ovarian artery J External Iliac Artery, Left
Testicular artery See H External Iliac Artery, Right
1 Celiac Artery K Femoral Artery, Right
Celiac trunk Circumflex iliac artery
2 Gastric Artery Deep femoral artery
Left gastric artery Descending genicular artery
Right gastric artery External pudendal artery
3 Hepatic Artery Superficial epigastric artery
Common hepatic artery L Femoral Artery, Left
Gastroduodenal artery See K Femoral Artery, Right
Hepatic artery proper M Popliteal Artery, Right
4 Splenic Artery Inferior genicular artery
Left gastroepiploic artery Middle genicular artery
Pancreatic artery Superior genicular artery
Short gastric artery Sural artery
5 Superior Mesenteric Artery N Popliteal Artery, Left
Ileal artery See M Popliteal Artery, Right
Ileocolic artery P Anterior Tibial Artery, Right
Inferior pancreaticoduodenal Anterior lateral malleolar
artery artery
Jejunal artery Anterior medial malleolar
6 Colic Artery, Right artery
7 Colic Artery, Left Anterior tibial recurrent artery
8 Colic Artery, Middle Dorsalis pedis artery
9 Renal Artery, Right Posterior tibial recurrent artery
Inferior suprarenal artery Q Anterior Tibial Artery, Left
Renal segmental artery See P Anterior Tibial Artery,
A Renal Artery, Left Right
See 9 Renal Artery, Right R Posterior Tibial Artery, Right
B Inferior Mesenteric Artery S Posterior Tibial Artery, Left
Sigmoid artery T Peroneal Artery, Right
Superior rectal artery Fibular artery
C Common Iliac Artery, Right U Peroneal Artery, Left
D Common Iliac Artery, Left See T Peroneal Artery, Right
E Internal Iliac Artery, Right V Foot Artery, Right
Deferential artery Arcuate artery
Hypogastric artery Dorsal metatarsal artery
Iliolumbar artery Lateral plantar artery
Inferior gluteal artery Lateral tarsal artery
Inferior vesical artery Medial plantar artery
Internal pudendal artery W Foot Artery, Left
Lateral sacral artery See V Foot Artery, Right
Middle rectal artery Y Lower Artery
Obturator artery Umbilical artery
Superior gluteal artery
Umbilical artery
Uterine artery
Vaginal artery
049 Continued on next page
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
049–049
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 217
049–049 Lower Arteries ICD-10-PCS 2019
Lower Arteries
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 Lower Arteries 04B–04B
Lower Arteries
0 Medical and Surgical
4 Lower Arteries 04B
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 Abdominal Aorta F Internal Iliac Artery, Left 0 Open Z No Device X Diagnostic
Inferior phrenic artery See E Internal Iliac Artery, Right 3 Percutaneous Z No Qualifier
Lumbar artery H External Iliac Artery, Right 4 Percutaneous Endoscopic
Median sacral artery Deep circumflex iliac artery
Middle suprarenal artery Inferior epigastric artery
Ovarian artery J External Iliac Artery, Left
Testicular artery See H External Iliac Artery, Right
1 Celiac Artery K Femoral Artery, Right
Celiac trunk Circumflex iliac artery
2 Gastric Artery Deep femoral artery
Left gastric artery Descending genicular artery
Right gastric artery External pudendal artery
3 Hepatic Artery Superficial epigastric artery
Common hepatic artery L Femoral Artery, Left
Gastroduodenal artery See K Femoral Artery, Right
Hepatic artery proper M Popliteal Artery, Right
4 Splenic Artery Inferior genicular artery
Left gastroepiploic artery Middle genicular artery
Pancreatic artery Superior genicular artery
Short gastric artery Sural artery
5 Superior Mesenteric Artery N Popliteal Artery, Left
Ileal artery See M Popliteal Artery, Right
Ileocolic artery P Anterior Tibial Artery, Right
Inferior pancreaticoduodenal Anterior lateral malleolar
artery artery
Jejunal artery Anterior medial malleolar
6 Colic Artery, Right artery
7 Colic Artery, Left Anterior tibial recurrent artery
8 Colic Artery, Middle Dorsalis pedis artery
9 Renal Artery, Right Posterior tibial recurrent artery
Inferior suprarenal artery Q Anterior Tibial Artery, Left
Renal segmental artery See P Anterior Tibial Artery,
A Renal Artery, Left Right
See 9 Renal Artery, Right R Posterior Tibial Artery, Right
B Inferior Mesenteric Artery S Posterior Tibial Artery, Left
Sigmoid artery T Peroneal Artery, Right
Superior rectal artery Fibular artery
C Common Iliac Artery, Right U Peroneal Artery, Left
D Common Iliac Artery, Left See T Peroneal Artery, Right
E Internal Iliac Artery, Right V Foot Artery, Right
Deferential artery Arcuate artery
Hypogastric artery Dorsal metatarsal artery
Iliolumbar artery Lateral plantar artery
Inferior gluteal artery Lateral tarsal artery
Inferior vesical artery Medial plantar artery
Internal pudendal artery W Foot Artery, Left
Lateral sacral artery See V Foot Artery, Right
Middle rectal artery Y Lower Artery
Obturator artery Umbilical artery
Superior gluteal artery
Umbilical artery
Uterine artery
Vaginal artery
04B–04B
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 219
04C–04C Lower Arteries ICD-10-PCS 2019
Lower Arteries
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
220 ICD-10-PCS 2019
ICD-10-PCS 2019 Lower Arteries 04H–04H
Lower Arteries
0 Medical and Surgical
4 Lower Arteries 04H
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 Abdominal Aorta 0 Open 2 Monitoring Device Z No Qualifier
Inferior phrenic artery 3 Percutaneous 3 Infusion Device
Lumbar artery 4 Percutaneous Endoscopic D Intraluminal Device
Median sacral artery
Middle suprarenal artery
Ovarian artery
Testicular artery
1 Celiac Artery F Internal Iliac Artery, Left 0 Open 3 Infusion Device Z No Qualifier
Celiac trunk See E Internal Iliac Artery, Right 3 Percutaneous D Intraluminal Device
2 Gastric Artery H External Iliac Artery, Right 4 Percutaneous Endoscopic
Left gastric artery Deep circumflex iliac artery
Right gastric artery Inferior epigastric artery
3 Hepatic Artery J External Iliac Artery, Left
Common hepatic artery See H External Iliac Artery, Right
Gastroduodenal artery K Femoral Artery, Right
Hepatic artery proper Circumflex iliac artery
4 Splenic Artery Deep femoral artery
Left gastroepiploic artery Descending genicular artery
Pancreatic artery External pudendal artery
Short gastric artery Superficial epigastric artery
5 Superior Mesenteric Artery L Femoral Artery, Left
Ileal artery See K Femoral Artery, Right
Ileocolic artery M Popliteal Artery, Right
Inferior pancreaticoduodenal Inferior genicular artery
artery Middle genicular artery
Jejunal artery Superior genicular artery
6 Colic Artery, Right Sural artery
7 Colic Artery, Left N Popliteal Artery, Left
8 Colic Artery, Middle See M Popliteal Artery, Right
9 Renal Artery, Right P Anterior Tibial Artery, Right
Inferior suprarenal artery Anterior lateral malleolar artery
Renal segmental artery Anterior medial malleolar artery
A Renal Artery, Left Anterior tibial recurrent artery
See 9 Renal Artery, Right Dorsalis pedis artery
B Inferior Mesenteric Artery Posterior tibial recurrent artery
Sigmoid artery Q Anterior Tibial Artery, Left
Superior rectal artery See P Anterior Tibial Artery,
C Common Iliac Artery, Right Right
D Common Iliac Artery, Left R Posterior Tibial Artery, Right
E Internal Iliac Artery, Right S Posterior Tibial Artery, Left
Deferential artery T Peroneal Artery, Right
Hypogastric artery Fibular artery
Iliolumbar artery U Peroneal Artery, Left
Inferior gluteal artery See T Peroneal Artery, Right
Inferior vesical artery V Foot Artery, Right
Internal pudendal artery Arcuate artery
Lateral sacral artery Dorsal metatarsal artery
Middle rectal artery Lateral plantar artery
Obturator artery Lateral tarsal artery
Superior gluteal artery Medial plantar artery
Umbilical artery W Foot Artery, Left
Uterine artery See V Foot Artery, Right
Vaginal artery
Y Lower Artery 0 Open 2 Monitoring Device Z No Qualifier
Umbilical artery 3 Percutaneous 3 Infusion Device
4 Percutaneous Endoscopic D Intraluminal Device
Y Other Device
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
04H–04H
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 221
04J–04L Lower Arteries ICD-10-PCS 2019
Lower Arteries
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 Lower Arteries 04L–04L
Lower Arteries
0 Medical and Surgical 04L Continued
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
1 Celiac Artery K Femoral Artery, Right 0 Open C Extraluminal Device Z No Qualifier
Celiac trunk Circumflex iliac artery 3 Percutaneous D Intraluminal Device
2 Gastric Artery Deep femoral artery 4 Percutaneous Endoscopic Z No Device
Left gastric artery Descending genicular artery
Right gastric artery External pudendal artery
3 Hepatic Artery Superficial epigastric artery
Common hepatic artery L Femoral Artery, Left
Gastroduodenal artery See K Femoral Artery, Right
Hepatic artery proper M Popliteal Artery, Right
4 Splenic Artery Inferior genicular artery
Left gastroepiploic artery Middle genicular artery
Pancreatic artery Superior genicular artery
Short gastric artery Sural artery
5 Superior Mesenteric Artery N Popliteal Artery, Left
Ileal artery See M Popliteal Artery, Right
Ileocolic artery P Anterior Tibial Artery, Right
Inferior pancreaticoduodenal Anterior lateral malleolar
artery artery
Jejunal artery Anterior medial malleolar
6 Colic Artery, Right artery
7 Colic Artery, Left Anterior tibial recurrent artery
8 Colic Artery, Middle Dorsalis pedis artery
Posterior tibial recurrent artery
9 Renal Artery, Right
Inferior suprarenal artery Q Anterior Tibial Artery, Left
Renal segmental artery See P Anterior Tibial Artery,
Right
A Renal Artery, Left
See 9 Renal Artery, Right R Posterior Tibial Artery, Right
B Inferior Mesenteric Artery S Posterior Tibial Artery, Left
Sigmoid artery T Peroneal Artery, Right
Superior rectal artery Fibular artery
C Common Iliac Artery, Right U Peroneal Artery, Left
D Common Iliac Artery, Left See T Peroneal Artery, Right
H External Iliac Artery, Right V Foot Artery, Right
Deep circumflex iliac artery Arcuate artery
Inferior epigastric artery Dorsal metatarsal artery
Lateral plantar artery
J External Iliac Artery, Left
Lateral tarsal artery
See H External Iliac Artery, Right
Medial plantar artery
W Foot Artery, Left
See V Foot Artery, Right
Y Lower Artery
Umbilical artery
E Internal Iliac Artery, Right 0 Open C Extraluminal Device T Uterine Artery, Right ;
Deferential artery 3 Percutaneous D Intraluminal Device Z No Qualifier
Hypogastric artery 4 Percutaneous Endoscopic Z No Device
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 0 Open C Extraluminal Device U Uterine Artery, Left ;
Deferential artery 3 Percutaneous D Intraluminal Device Z No Qualifier
Hypogastric artery 4 Percutaneous Endoscopic Z No Device
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
04L–04L
; 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 New/Revised in GREEN
ICD-10-PCS 2019 223
04N–04N Lower Arteries ICD-10-PCS 2019
Lower Arteries
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
224 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 ICD-10-PCS 2019
Lower Arteries
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
226 ICD-10-PCS 2019
ICD-10-PCS 2019 Lower Arteries 04R–04R
Lower Arteries
0 Medical and Surgical
4 Lower Arteries 04R
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 Abdominal Aorta F Internal Iliac Artery, Left 0 Open 7 Autologous Tissue Z No Qualifier
Inferior phrenic artery See E Internal Iliac Artery, Right 4 Percutaneous Endoscopic Substitute
Lumbar artery H External Iliac Artery, Right J Synthetic Substitute
Median sacral artery Deep circumflex iliac artery K Nonautologous Tissue
Middle suprarenal artery Inferior epigastric artery Substitute
Ovarian artery J External Iliac Artery, Left
Testicular artery See H External Iliac Artery, Right
1 Celiac Artery K Femoral Artery, Right
Celiac trunk Circumflex iliac artery
2 Gastric Artery Deep femoral artery
Left gastric artery Descending genicular artery
Right gastric artery External pudendal artery
3 Hepatic Artery Superficial epigastric artery
Common hepatic artery L Femoral Artery, Left
Gastroduodenal artery See K Femoral Artery, Right
Hepatic artery proper M Popliteal Artery, Right
4 Splenic Artery Inferior genicular artery
Left gastroepiploic artery Middle genicular artery
Pancreatic artery Superior genicular artery
Short gastric artery Sural artery
5 Superior Mesenteric Artery N Popliteal Artery, Left
Ileal artery See M Popliteal Artery, Right
Ileocolic artery P Anterior Tibial Artery, Right
Inferior pancreaticoduodenal Anterior lateral malleolar
artery artery
Jejunal artery Anterior medial malleolar
6 Colic Artery, Right artery
7 Colic Artery, Left Anterior tibial recurrent artery
8 Colic Artery, Middle Dorsalis pedis artery
9 Renal Artery, Right Posterior tibial recurrent artery
Inferior suprarenal artery Q Anterior Tibial Artery, Left
Renal segmental artery See P Anterior Tibial Artery,
A Renal Artery, Left Right
See 9 Renal Artery, Right R Posterior Tibial Artery, Right
B Inferior Mesenteric Artery S Posterior Tibial Artery, Left
Sigmoid artery T Peroneal Artery, Right
Superior rectal artery Fibular artery
C Common Iliac Artery, Right U Peroneal Artery, Left
D Common Iliac Artery, Left See T Peroneal Artery, Right
E Internal Iliac Artery, Right V Foot Artery, Right
Deferential artery Arcuate artery
Hypogastric artery Dorsal metatarsal artery
Iliolumbar artery Lateral plantar artery
Inferior gluteal artery Lateral tarsal artery
Inferior vesical artery Medial plantar artery
Internal pudendal artery W Foot Artery, Left
Lateral sacral artery See V Foot Artery, Right
Middle rectal artery Y Lower Artery
Obturator artery Umbilical artery
Superior gluteal artery
Umbilical artery
Uterine artery
Vaginal artery
04R–04R
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 227
04S–04S Lower Arteries ICD-10-PCS 2019
Lower Arteries
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
228 ICD-10-PCS 2019
ICD-10-PCS 2019 Lower Arteries 04U–04U
Lower Arteries
0 Medical and Surgical
4 Lower Arteries 04U
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 Abdominal Aorta F Internal Iliac Artery, Left 0 Open 7 Autologous Tissue Z No Qualifier
Inferior phrenic artery See E Internal Iliac Artery, Right 3 Percutaneous Substitute
Lumbar artery H External Iliac Artery, Right 4 Percutaneous Endoscopic J Synthetic Substitute
Median sacral artery Deep circumflex iliac artery K Nonautologous Tissue
Middle suprarenal artery Inferior epigastric artery Substitute
Ovarian artery J External Iliac Artery, Left
Testicular artery See H External Iliac Artery, Right
1 Celiac Artery K Femoral Artery, Right
Celiac trunk Circumflex iliac artery
2 Gastric Artery Deep femoral artery
Left gastric artery Descending genicular artery
Right gastric artery External pudendal artery
3 Hepatic Artery Superficial epigastric artery
Common hepatic artery L Femoral Artery, Left
Gastroduodenal artery See K Femoral Artery, Right
Hepatic artery proper M Popliteal Artery, Right
4 Splenic Artery Inferior genicular artery
Left gastroepiploic artery Middle genicular artery
Pancreatic artery Superior genicular artery
Short gastric artery Sural artery
5 Superior Mesenteric Artery N Popliteal Artery, Left
Ileal artery See M Popliteal Artery, Right
Ileocolic artery P Anterior Tibial Artery, Right
Inferior pancreaticoduodenal Anterior lateral malleolar
artery artery
Jejunal artery Anterior medial malleolar
6 Colic Artery, Right artery
7 Colic Artery, Left Anterior tibial recurrent artery
8 Colic Artery, Middle Dorsalis pedis artery
9 Renal Artery, Right Posterior tibial recurrent artery
Inferior suprarenal artery Q Anterior Tibial Artery, Left
Renal segmental artery See P Anterior Tibial Artery,
A Renal Artery, Left Right
See 9 Renal Artery, Right R Posterior Tibial Artery, Right
B Inferior Mesenteric Artery S Posterior Tibial Artery, Left
Sigmoid artery T Peroneal Artery, Right
Superior rectal artery Fibular artery
C Common Iliac Artery, Right U Peroneal Artery, Left
D Common Iliac Artery, Left See T Peroneal Artery, Right
E Internal Iliac Artery, Right V Foot Artery, Right
Deferential artery Arcuate artery
Hypogastric artery Dorsal metatarsal artery
Iliolumbar artery Lateral plantar artery
Inferior gluteal artery Lateral tarsal artery
Inferior vesical artery Medial plantar artery
Internal pudendal artery W Foot Artery, Left
Lateral sacral artery See V Foot Artery, Right
Middle rectal artery Y Lower Artery
Obturator artery Umbilical artery
Superior gluteal artery
Umbilical artery
Uterine artery
Vaginal artery
04U–04U
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 229
04V–04V Lower Arteries ICD-10-PCS 2019
Lower Arteries
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
230 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.
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
Upper Veins
Superficial temporal L
Vertebral R, S
Internal jugular M, N
Subclavian 5, 6 External jugular P, Q
Innominate 3, 4
Radial 9, A
Ulnar 9, A
Digital G, H
Upper Veins
0 Medical and Surgical
5 Upper Veins 051
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 Azygos Vein H Hand Vein, Left 0 Open 7 Autologous Tissue Y Upper Vein
Right ascending lumbar vein See G Hand Vein, Right 4 Percutaneous Endoscopic Substitute
Right subcostal vein L Intracranial Vein 9 Autologous Venous Tissue
1 Hemiazygos Vein Anterior cerebral vein A Autologous Arterial Tissue
Left ascending lumbar vein Basal (internal) cerebral vein J Synthetic Substitute
Left subcostal vein Dural venous sinus K Nonautologous Tissue
3 Innominate Vein, Right Great cerebral vein Substitute
Brachiocephalic vein Inferior cerebellar vein
Z No Device
Inferior thyroid vein Inferior cerebral vein
4 Innominate Vein, Left Internal (basal) cerebral vein
See 3 Innominate Vein, Right Middle cerebral vein
5 Subclavian Vein, Right Ophthalmic vein
Superior cerebellar vein
6 Subclavian Vein, Left
Superior cerebral vein
7 Axillary Vein, Right
M Internal Jugular Vein, Right
8 Axillary Vein, Left
N Internal Jugular Vein, Left
9 Brachial Vein, Right
P External Jugular Vein, Right
Radial vein
Posterior auricular vein
Ulnar vein
Q External Jugular Vein, Left
A Brachial Vein, Left
See P External Jugular Vein,
See 9 Brachial Vein, Right
Right
B Basilic Vein, Right
R Vertebral Vein, Right
Median antebrachial vein
Deep cervical vein
Median cubital vein
Suboccipital venous plexus
C Basilic Vein, Left
S Vertebral Vein, Left
See B Basilic Vein, Right
See R Vertebral Vein, Right
D Cephalic Vein, Right
T Face Vein, Right
Accessory cephalic vein
Angular vein
F Cephalic Vein, Left Anterior facial vein
See D Cephalic Vein, Right Common facial vein
G Hand Vein, Right Deep facial vein
Dorsal metacarpal vein Frontal vein
Palmar (volar) digital vein Posterior facial
Palmar (volar) metacarpal vein (retromandibular) vein
Superficial palmar venous arch Supraorbital vein
Volar (palmar) digital vein V Face Vein, Left
Volar (palmar) metacarpal vein See T Face Vein, Right
051–051
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 235
055–055 Upper Veins ICD-10-PCS 2019
Upper Veins
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
236 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 ICD-10-PCS 2019
Upper Veins
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
238 ICD-10-PCS 2019
ICD-10-PCS 2019 Upper Veins 05B–05B
Upper Veins
0 Medical and Surgical
5 Upper Veins 05B
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 Azygos Vein H Hand Vein, Left 0 Open Z No Device X Diagnostic
Right ascending lumbar vein See G Hand Vein, Right 3 Percutaneous Z No Qualifier
Right subcostal vein L Intracranial Vein 4 Percutaneous Endoscopic
1 Hemiazygos Vein Anterior cerebral vein
Left ascending lumbar vein Basal (internal) cerebral vein
Left subcostal vein Dural venous sinus
3 Innominate Vein, Right Great cerebral vein
Brachiocephalic vein Inferior cerebellar vein
Inferior thyroid vein Inferior cerebral vein
4 Innominate Vein, Left Internal (basal) cerebral vein
See 3 Innominate Vein, Right Middle cerebral vein
5 Subclavian Vein, Right Ophthalmic vein
Superior cerebellar vein
6 Subclavian Vein, Left
Superior cerebral vein
7 Axillary Vein, Right
M Internal Jugular Vein, Right
8 Axillary Vein, Left
N Internal Jugular Vein, Left
9 Brachial Vein, Right
P External Jugular Vein, Right
Radial vein
Posterior auricular vein
Ulnar vein
Q External Jugular Vein, Left
A Brachial Vein, Left
See P External Jugular Vein,
See 9 Brachial Vein, Right
Right
B Basilic Vein, Right
R Vertebral Vein, Right
Median antebrachial vein
Deep cervical vein
Median cubital vein
Suboccipital venous plexus
C Basilic Vein, Left
S Vertebral Vein, Left
See B Basilic Vein, Right
See R Vertebral Vein, Right
D Cephalic Vein, Right
T Face Vein, Right
Accessory cephalic vein
Angular vein
F Cephalic Vein, Left Anterior facial vein
See D Cephalic Vein, Right Common facial vein
G Hand Vein, Right Deep facial vein
Dorsal metacarpal vein Frontal vein
Palmar (volar) digital vein Posterior facial
Palmar (volar) metacarpal vein (retromandibular) vein
Superficial palmar venous arch Supraorbital vein
Volar (palmar) digital vein V Face Vein, Left
Volar (palmar) metacarpal vein See T Face Vein, Right
Y Upper Vein
05B–05B
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 239
05C–05D Upper Veins ICD-10-PCS 2019
Upper Veins
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
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 ICD-10-PCS 2019
Upper Veins
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
242 ICD-10-PCS 2019
ICD-10-PCS 2019 Upper Veins 05N–05N
Upper Veins
0 Medical and Surgical
5 Upper Veins 05N
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 Azygos Vein H Hand Vein, Left 0 Open Z No Device Z No Qualifier
Right ascending lumbar vein See G Hand Vein, Right 3 Percutaneous
Right subcostal vein L Intracranial Vein 4 Percutaneous Endoscopic
1 Hemiazygos Vein Anterior cerebral vein
Left ascending lumbar vein Basal (internal) cerebral vein
Left subcostal vein Dural venous sinus
3 Innominate Vein, Right Great cerebral vein
Brachiocephalic vein Inferior cerebellar vein
Inferior thyroid vein Inferior cerebral vein
4 Innominate Vein, Left Internal (basal) cerebral vein
See 3 Innominate Vein, Right Middle cerebral vein
5 Subclavian Vein, Right Ophthalmic vein
Superior cerebellar vein
6 Subclavian Vein, Left
Superior cerebral vein
7 Axillary Vein, Right
M Internal Jugular Vein, Right
8 Axillary Vein, Left
N Internal Jugular Vein, Left
9 Brachial Vein, Right
P External Jugular Vein, Right
Radial vein
Posterior auricular vein
Ulnar vein
Q External Jugular Vein, Left
A Brachial Vein, Left
See P External Jugular Vein,
See 9 Brachial Vein, Right
Right
B Basilic Vein, Right
R Vertebral Vein, Right
Median antebrachial vein
Deep cervical vein
Median cubital vein
Suboccipital venous plexus
C Basilic Vein, Left
S Vertebral Vein, Left
See B Basilic Vein, Right
See R Vertebral Vein, Right
D Cephalic Vein, Right
T Face Vein, Right
Accessory cephalic vein
Angular vein
F Cephalic Vein, Left Anterior facial vein
See D Cephalic Vein, Right Common facial vein
G Hand Vein, Right Deep facial vein
Dorsal metacarpal vein Frontal vein
Palmar (volar) digital vein Posterior facial
Palmar (volar) metacarpal vein (retromandibular) vein
Superficial palmar venous arch Supraorbital vein
Volar (palmar) digital vein V Face Vein, Left
Volar (palmar) metacarpal vein See T Face Vein, Right
Y Upper Vein
05N–05N
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 243
05P–05P Upper Veins ICD-10-PCS 2019
Upper Veins
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 Upper Veins 05Q–05Q
Upper Veins
0 Medical and Surgical
5 Upper Veins 05Q
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 Azygos Vein H Hand Vein, Left 0 Open Z No Device Z No Qualifier
Right ascending lumbar vein See G Hand Vein, Right 3 Percutaneous
Right subcostal vein L Intracranial Vein 4 Percutaneous Endoscopic
1 Hemiazygos Vein Anterior cerebral vein
Left ascending lumbar vein Basal (internal) cerebral vein
Left subcostal vein Dural venous sinus
3 Innominate Vein, Right Great cerebral vein
Brachiocephalic vein Inferior cerebellar vein
Inferior thyroid vein Inferior cerebral vein
4 Innominate Vein, Left Internal (basal) cerebral vein
See 3 Innominate Vein, Right Middle cerebral vein
5 Subclavian Vein, Right Ophthalmic vein
Superior cerebellar vein
6 Subclavian Vein, Left
Superior cerebral vein
7 Axillary Vein, Right
M Internal Jugular Vein, Right
8 Axillary Vein, Left
N Internal Jugular Vein, Left
9 Brachial Vein, Right
P External Jugular Vein, Right
Radial vein
Posterior auricular vein
Ulnar vein
Q External Jugular Vein, Left
A Brachial Vein, Left
See P External Jugular Vein,
See 9 Brachial Vein, Right
Right
B Basilic Vein, Right
R Vertebral Vein, Right
Median antebrachial vein
Deep cervical vein
Median cubital vein
Suboccipital venous plexus
C Basilic Vein, Left
S Vertebral Vein, Left
See B Basilic Vein, Right
See R Vertebral Vein, Right
D Cephalic Vein, Right
T Face Vein, Right
Accessory cephalic vein
Angular vein
F Cephalic Vein, Left Anterior facial vein
See D Cephalic Vein, Right Common facial vein
G Hand Vein, Right Deep facial vein
Dorsal metacarpal vein Frontal vein
Palmar (volar) digital vein Posterior facial
Palmar (volar) metacarpal vein (retromandibular) vein
Superficial palmar venous arch Supraorbital vein
Volar (palmar) digital vein V Face Vein, Left
Volar (palmar) metacarpal vein See T Face Vein, Right
Y Upper Vein
05Q–05Q
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 245
05R–05R Upper Veins ICD-10-PCS 2019
Upper Veins
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
246 ICD-10-PCS 2019
ICD-10-PCS 2019 Upper Veins 05S–05S
Upper Veins
0 Medical and Surgical
5 Upper Veins 05S
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 Azygos Vein H Hand Vein, Left 0 Open Z No Device Z No Qualifier
Right ascending lumbar vein See G Hand Vein, Right 3 Percutaneous
Right subcostal vein L Intracranial Vein 4 Percutaneous Endoscopic
1 Hemiazygos Vein Anterior cerebral vein
Left ascending lumbar vein Basal (internal) cerebral vein
Left subcostal vein Dural venous sinus
3 Innominate Vein, Right Great cerebral vein
Brachiocephalic vein Inferior cerebellar vein
Inferior thyroid vein Inferior cerebral vein
4 Innominate Vein, Left Internal (basal) cerebral vein
See 3 Innominate Vein, Right Middle cerebral vein
5 Subclavian Vein, Right Ophthalmic vein
Superior cerebellar vein
6 Subclavian Vein, Left
Superior cerebral vein
7 Axillary Vein, Right
M Internal Jugular Vein, Right
8 Axillary Vein, Left
N Internal Jugular Vein, Left
9 Brachial Vein, Right
P External Jugular Vein, Right
Radial vein
Posterior auricular vein
Ulnar vein
Q External Jugular Vein, Left
A Brachial Vein, Left
See P External Jugular Vein,
See 9 Brachial Vein, Right
Right
B Basilic Vein, Right
R Vertebral Vein, Right
Median antebrachial vein
Deep cervical vein
Median cubital vein
Suboccipital venous plexus
C Basilic Vein, Left
S Vertebral Vein, Left
See B Basilic Vein, Right
See R Vertebral Vein, Right
D Cephalic Vein, Right
T Face Vein, Right
Accessory cephalic vein
Angular vein
F Cephalic Vein, Left Anterior facial vein
See D Cephalic Vein, Right Common facial vein
G Hand Vein, Right Deep facial vein
Dorsal metacarpal vein Frontal vein
Palmar (volar) digital vein Posterior facial
Palmar (volar) metacarpal vein (retromandibular) vein
Superficial palmar venous arch Supraorbital vein
Volar (palmar) digital vein V Face Vein, Left
Volar (palmar) metacarpal vein See T Face Vein, Right
Y Upper Vein
05S–05S
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 247
05U–05U Upper Veins ICD-10-PCS 2019
Upper Veins
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
248 ICD-10-PCS 2019
ICD-10-PCS 2019 Upper Veins 05V–05V
Upper Veins
0 Medical and Surgical
5 Upper Veins 05V
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 Azygos Vein H Hand Vein, Left 0 Open C Extraluminal Device Z No Qualifier
Right ascending lumbar vein See G Hand Vein, Right 3 Percutaneous D Intraluminal Device
Right subcostal vein L Intracranial Vein 4 Percutaneous Endoscopic Z No Device
1 Hemiazygos Vein Anterior cerebral vein
Left ascending lumbar vein Basal (internal) cerebral vein
Left subcostal vein Dural venous sinus
3 Innominate Vein, Right Great cerebral vein
Brachiocephalic vein Inferior cerebellar vein
Inferior thyroid vein Inferior cerebral vein
4 Innominate Vein, Left Internal (basal) cerebral vein
See 3 Innominate Vein, Right Middle cerebral vein
5 Subclavian Vein, Right Ophthalmic vein
Superior cerebellar vein
6 Subclavian Vein, Left
Superior cerebral vein
7 Axillary Vein, Right
M Internal Jugular Vein, Right
8 Axillary Vein, Left
N Internal Jugular Vein, Left
9 Brachial Vein, Right
P External Jugular Vein, Right
Radial vein
Posterior auricular vein
Ulnar vein
Q External Jugular Vein, Left
A Brachial Vein, Left
See P External Jugular Vein,
See 9 Brachial Vein, Right
Right
B Basilic Vein, Right
R Vertebral Vein, Right
Median antebrachial vein
Deep cervical vein
Median cubital vein
Suboccipital venous plexus
C Basilic Vein, Left
S Vertebral Vein, Left
See B Basilic Vein, Right
See R Vertebral Vein, Right
D Cephalic Vein, Right
T Face Vein, Right
Accessory cephalic vein
Angular vein
F Cephalic Vein, Left Anterior facial vein
See D Cephalic Vein, Right Common facial vein
G Hand Vein, Right Deep facial vein
Dorsal metacarpal vein Frontal vein
Palmar (volar) digital vein Posterior facial
Palmar (volar) metacarpal vein (retromandibular) vein
Superficial palmar venous arch Supraorbital vein
Volar (palmar) digital vein V Face Vein, Left
Volar (palmar) metacarpal vein See T Face Vein, Right
Y Upper Vein
05V–05V
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 249
05W–05W Upper Veins ICD-10-PCS 2019
Upper Veins
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.
Lower Veins
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
Greater saphenous P, Q
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
Lower Veins
0 Medical and Surgical
6 Lower Veins 061
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 Inferior Vena Cava 0 Open 7 Autologous Tissue 5 Superior Mesenteric Vein
Postcava 4 Percutaneous Endoscopic Substitute 6 Inferior Mesenteric Vein
Right inferior phrenic vein 9 Autologous Venous Tissue P Pulmonary Trunk
Right ovarian vein A Autologous Arterial Tissue Q Pulmonary Artery, Right
Right second lumbar vein J Synthetic Substitute R Pulmonary Artery, Left
Right suprarenal vein
K Nonautologous Tissue Y Lower Vein
Right testicular vein
Substitute
Z No Device
1 Splenic Vein 0 Open 7 Autologous Tissue 9 Renal Vein, Right
Left gastroepiploic vein 4 Percutaneous Endoscopic Substitute B Renal Vein, Left
Pancreatic vein 9 Autologous Venous Tissue Y Lower Vein
A Autologous Arterial Tissue
J Synthetic Substitute
K Nonautologous Tissue
Substitute
Z No Device
2 Gastric Vein J Hypogastric Vein, Left 0 Open 7 Autologous Tissue Y Lower Vein
3 Esophageal Vein See H Hypogastric Vein, Right 4 Percutaneous Endoscopic Substitute
4 Hepatic Vein M Femoral Vein, Right 9 Autologous Venous Tissue
5 Superior Mesenteric Vein Deep femoral (profunda A Autologous Arterial Tissue
Right gastroepiploic vein femoris) vein J Synthetic Substitute
6 Inferior Mesenteric Vein Popliteal vein K Nonautologous Tissue
Sigmoid vein Profunda femoris (deep Substitute
Superior rectal vein femoral) vein
Z No Device
7 Colic Vein N Femoral Vein, Left
Ileocolic vein See M Femoral Vein, Right
Left colic vein P Saphenous Vein, Right
Middle colic vein External pudendal vein
Right colic vein Great(er) saphenous vein
9 Renal Vein, Right Lesser saphenous vein
B Renal Vein, Left Small saphenous vein
Left inferior phrenic vein Superficial circumflex iliac vein
Left ovarian vein Superficial epigastric vein
Left second lumbar vein Q Saphenous Vein, Left
Left suprarenal vein See P Saphenous Vein, Right
Left testicular vein T Foot Vein, Right
C Common Iliac Vein, Right Common digital vein
D Common Iliac Vein, Left Dorsal metatarsal vein
F External Iliac Vein, Right Dorsal venous arch
Plantar digital vein
G External Iliac Vein, Left Plantar metatarsal vein
H Hypogastric Vein, Right Plantar venous arch
Gluteal vein V Foot Vein, Left
Internal iliac vein See T Foot Vein, Right
Internal pudendal vein
Lateral sacral vein
Middle hemorrhoidal vein
Obturator vein
Uterine vein
Vaginal vein
Vesical vein
8 Portal Vein 0 Open 7 Autologous Tissue 9 Renal Vein, Right
Hepatic portal vein 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
8 Portal Vein 3 Percutaneous J Synthetic Substitute 4 Hepatic Vein
Hepatic portal vein Y Lower Vein
8 Portal Vein 4 Percutaneous Endoscopic 7 Autologous Tissue 9 Renal Vein, Right
Hepatic portal vein Substitute B Renal Vein, Left
9 Autologous Venous Tissue Y Lower Vein
A Autologous Arterial Tissue
K Nonautologous Tissue
Substitute
Z No Device
8 Portal Vein 4 Percutaneous Endoscopic J Synthetic Substitute 4 Hepatic Vein
Hepatic portal vein 9 Renal Vein, Right
061–061
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 253
065–065 Lower Veins ICD-10-PCS 2019
Lower Veins
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
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
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
Lower Veins
0 Medical and Surgical 069 Continued
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 Z No Device X Diagnostic
Postcava Gluteal vein 3 Percutaneous Z No Qualifier
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
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 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 ICD-10-PCS 2019
Lower Veins
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
258 ICD-10-PCS 2019
ICD-10-PCS 2019 Lower Veins 06C–06D
Lower Veins
0 Medical and Surgical
6 Lower Veins 06C
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 Inferior Vena Cava H Hypogastric Vein, Right 0 Open Z No 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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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.
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
Inferior rectus
Inferior oblique
Lacrimal System
Medial angle
Lacrimal ducts X, Y
Lacrimal canaliculi X, Y
Left eye
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
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
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
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
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
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
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
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
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
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
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
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ICD-10-PCS 2019 Ear, Nose, Sinus
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
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
Nasal Turbinates
Mid frontal cutaway view Side view schematic
Frontal sinus S, T
Eye Orbit
Ethmoid air cells
(sinus) U, V Superior turbinate L
Inferior turbinate L
Middle turbinate L
Sphenoid sinus W, X
Hard
Inferior turbinate L 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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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.
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 K
R. main Trachea 1
bronchus 3
R. upper lobe
bronchus 4
Tracheobronchial tree 0
R. lower lobe
bronchus 6
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
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
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
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
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
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
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
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
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
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
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
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
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)
Salivary Glands
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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.
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
Gastrointestinal System
Upper Intestinal Tract (0) and Lower Intestinal Tract (D)
Upper 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
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
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
Inferior rectal
Ascending Descending valve P
colon K colon M
Levator ani
muscle
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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ICD-10-PCS 2019 Hepatobiliary System and Pancreas
Liver
Portal vein
Pancreas
Pancreatic
duct
(of Wirsung) D
Superior
Duodenum mesenteric
artery
and vein
R. hepatic duct 5
L. hepatic duct 6
Gallbladder 4
Cystic duct 8
Pancreatic duct D
Ampulla of Vater (sphincter) C
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
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
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
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
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
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
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
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
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
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
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
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.
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
Fat and
Left adrenal (suprarenal) retroperitoneal
gland 2 wall
Renal pelvis
Ureter
Left kidney
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
Posterior view
Epiglottis
Pharynx
Superior parathyroid
glands L, M
Inferior parathyroid
glands N, P
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
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
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
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
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
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
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
Integumentary Anatomy
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
Hyponchium
Breast
Nipple W, X
Lobules T,U,V
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
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
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
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
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
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
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
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
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 ICD-10-PCS 2019
Skin and Breast
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
422 ICD-10-PCS 2019
ICD-10-PCS 2019 Skin and Breast 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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 ICD-10-PCS 2019
Subcutaneous Tissue and Fascia
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
442 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.
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
Muscles
Frontalis 0 Temporalis 0
Orbicularis oculi 1
Pectoralis major H, J
Latissimus dorsi F, G
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
Muscles
0 Medical and Surgical
K Muscles 0K2
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 Muscle X External 0 Drainage Device Z No Qualifier
Y Lower Muscle Y Other Device
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
ICD-10-PCS 2019 445
0K8–0K8 Muscles ICD-10-PCS 2019
Muscles
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
446 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
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
448 ICD-10-PCS 2019
ICD-10-PCS 2019 Muscles 0KB–0KB
Muscles
0 Medical and Surgical
K Muscles 0KB
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 Muscle 7 Upper Arm Muscle, Right M Perineum Muscle 0 Open Z No Device X Diagnostic
Auricularis muscle Biceps brachii muscle Bulbospongiosus muscle 3 Percutaneous Z No Qualifier
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 Gracilis muscle
C Hand Muscle, Right Pectineus muscle
Risorius muscle Hypothenar muscle
Zygomaticus muscle Quadriceps (femoris)
Palmar interosseous
2 Neck Muscle, Right Rectus femoris muscle
muscle Sartorius muscle
Anterior vertebral muscle Thenar muscle
Arytenoid muscle Semimembranosus
D Hand Muscle, Left muscle
Cricothyroid muscle See C Hand Muscle, Right
Infrahyoid muscle Semitendinosus muscle
F Trunk Muscle, Right Vastus intermedius muscle
Levator scapulae muscle
Coccygeus muscle Vastus lateralis muscle
Platysma muscle
Erector spinae muscle Vastus medialis muscle
Scalene muscle
Interspinalis muscle R Upper Leg Muscle, Left
Splenius cervicis muscle
Sternocleidomastoid
Intertransversarius muscle See Q Upper Leg Muscle,
Latissimus dorsi muscle Right
muscle
Quadratus lumborum S Lower Leg Muscle, Right
Suprahyoid muscle
muscle Extensor digitorum longus
Thyroarytenoid muscle
Rhomboid major muscle muscle
3 Neck Muscle, Left Rhomboid minor muscle
See 2 Neck Muscle, Right Extensor hallucis longus
Serratus posterior muscle muscle
4 Tongue, Palate, Pharynx Transversospinalis muscle Fibularis brevis muscle
Muscle Trapezius muscle Fibularis longus muscle
Chondroglossus muscle G Trunk Muscle, Left Flexor digitorum longus
Genioglossus muscle See F Trunk Muscle, Right muscle
Hyoglossus muscle Flexor hallucis longus
H Thorax Muscle, Right
Inferior longitudinal muscle
Intercostal muscle
muscle Gastrocnemius muscle
Levatores costarum
Levator veli palatini Peroneus brevis muscle
muscle
muscle Peroneus longus muscle
Pectoralis major muscle
Palatoglossal muscle Popliteus muscle
Pectoralis minor muscle
Palatopharyngeal muscle Soleus muscle
Serratus anterior muscle
Pharyngeal constrictor Tibialis anterior muscle
Subclavius muscle
muscle Tibialis posterior muscle
Subcostal muscle
Salpingopharyngeus T Lower Leg Muscle, Left
Transverse thoracis muscle
muscle See S Lower Leg Muscle,
Styloglossus muscle J Thorax Muscle, Left
Stylopharyngeus muscle See H Thorax Muscle, Right Right
K Abdomen Muscle, Right V Foot Muscle, Right
Superior longitudinal Abductor hallucis muscle
muscle External oblique muscle
Internal oblique muscle Adductor hallucis muscle
Tensor veli palatini muscle Extensor digitorum brevis
5 Shoulder Muscle, Right Pyramidalis muscle
Rectus abdominis muscle muscle
Deltoid muscle Extensor hallucis brevis
Infraspinatus muscle Transversus abdominis
muscle muscle
Subscapularis muscle Flexor digitorum brevis
Supraspinatus muscle L Abdomen Muscle, Left
See K Abdomen Muscle, muscle
Teres major muscle Flexor hallucis brevis
Teres minor muscle Right
muscle
0KB–0KB
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 449
0KC–0KC Muscles ICD-10-PCS 2019
Muscles
Right muscle
Quadratus plantae muscle
W Foot Muscle, Left
See V Foot Muscle, Right
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
450 ICD-10-PCS 2019
ICD-10-PCS 2019 Muscles 0KD–0KD
Muscles
0 Medical and Surgical
K Muscles 0KD
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 Muscle 7 Upper Arm Muscle, Right M Perineum Muscle 0 Open Z No Device Z No Qualifier
Auricularis muscle Biceps brachii muscle Bulbospongiosus muscle
Masseter muscle Brachialis muscle Cremaster muscle
Pterygoid muscle Coracobrachialis muscle Deep transverse perineal
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
muscle P Hip Muscle, Left
Levator labii superioris See N Hip Muscle, Right
muscle Pronator teres muscle
Mentalis muscle B Lower Arm and Wrist Q Upper Leg Muscle, Right
Nasalis muscle Muscle, Left Adductor brevis muscle
Occipitofrontalis muscle See 9 Lower Arm and Wrist Adductor longus muscle
Orbicularis oris muscle Muscle, Right Adductor magnus muscle
Procerus muscle C Hand Muscle, Right Biceps femoris muscle
Risorius muscle Hypothenar muscle Gracilis muscle
Zygomaticus muscle Palmar interosseous Pectineus muscle
2 Neck Muscle, Right muscle Quadriceps (femoris)
Anterior vertebral muscle Thenar muscle Rectus femoris muscle
Arytenoid muscle D Hand Muscle, Left Sartorius muscle
Cricothyroid muscle See C Hand Muscle, Right Semimembranosus
Infrahyoid muscle F Trunk Muscle, Right muscle
Levator scapulae muscle Coccygeus muscle Semitendinosus muscle
Platysma muscle Erector spinae muscle Vastus intermedius muscle
Scalene muscle Interspinalis muscle Vastus lateralis muscle
Splenius cervicis muscle Intertransversarius muscle Vastus medialis muscle
Sternocleidomastoid Latissimus dorsi muscle R Upper Leg Muscle, Left
muscle Quadratus lumborum See Q Upper Leg Muscle,
Suprahyoid muscle muscle Right
Thyroarytenoid muscle Rhomboid major muscle S Lower Leg Muscle, Right
3 Neck Muscle, Left Rhomboid minor muscle Extensor digitorum longus
See 2 Neck Muscle, Right Serratus posterior muscle muscle
4 Tongue, Palate, Pharynx Transversospinalis muscle Extensor hallucis longus
Muscle Trapezius muscle muscle
Chondroglossus muscle G Trunk Muscle, Left Fibularis brevis muscle
Genioglossus muscle See F Trunk Muscle, Right Fibularis longus muscle
Hyoglossus muscle H Thorax Muscle, Right Flexor digitorum longus
Inferior longitudinal Intercostal muscle muscle
muscle Levatores costarum Flexor hallucis longus
Levator veli palatini muscle muscle
muscle Pectoralis major muscle Gastrocnemius muscle
Palatoglossal muscle Pectoralis minor muscle Peroneus brevis muscle
Palatopharyngeal muscle Serratus anterior muscle Peroneus longus muscle
Pharyngeal constrictor Subclavius muscle Popliteus muscle
muscle Subcostal muscle Soleus muscle
Salpingopharyngeus Transverse thoracis muscle Tibialis anterior muscle
muscle Tibialis posterior muscle
Styloglossus muscle J Thorax Muscle, Left
Stylopharyngeus muscle See H Thorax Muscle, Right T Lower Leg Muscle, Left
Superior longitudinal K Abdomen Muscle, Right See S Lower Leg Muscle,
muscle External oblique muscle Right
Tensor veli palatini muscle Internal oblique muscle V Foot Muscle, Right
5 Shoulder Muscle, Right Pyramidalis muscle Abductor hallucis muscle
Deltoid muscle Rectus abdominis muscle Adductor hallucis muscle
Infraspinatus muscle Transversus abdominis Extensor digitorum brevis
Subscapularis muscle muscle muscle
Supraspinatus muscle L Abdomen Muscle, Left Extensor hallucis brevis
Teres major muscle See K Abdomen Muscle, muscle
Teres minor muscle Right Flexor digitorum brevis
6 Shoulder Muscle, Left muscle
See 5 Shoulder Muscle, Flexor hallucis brevis
0KD–0KD
Right muscle
Quadratus plantae muscle
W Foot Muscle, Left
See V Foot Muscle, Right
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 451
0KH–0KJ Muscles ICD-10-PCS 2019
Muscles
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 Muscles 0KM–0KM
Muscles
0 Medical and Surgical
K Muscles 0KM
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 Muscle 7 Upper Arm Muscle, Right M Perineum Muscle 0 Open Z No Device Z No Qualifier
Auricularis muscle Biceps brachii muscle Bulbospongiosus muscle 4 Percutaneous
Masseter muscle Brachialis muscle Cremaster muscle Endoscopic
Pterygoid muscle Coracobrachialis muscle Deep transverse perineal
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 F Trunk Muscle, Right Semitendinosus muscle
Levator scapulae muscle Coccygeus muscle Vastus intermedius muscle
Platysma muscle Erector spinae muscle Vastus lateralis muscle
Scalene muscle Interspinalis muscle Vastus medialis muscle
Splenius cervicis muscle Intertransversarius muscle R Upper Leg Muscle, Left
Sternocleidomastoid Latissimus dorsi muscle See Q Upper Leg Muscle,
muscle Quadratus lumborum Right
Suprahyoid muscle muscle S Lower Leg Muscle, Right
Thyroarytenoid muscle Rhomboid major muscle Extensor digitorum longus
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 H Thorax Muscle, Right muscle
Inferior longitudinal Intercostal muscle Flexor hallucis longus
muscle Levatores costarum muscle
Levator veli palatini muscle Gastrocnemius muscle
muscle Pectoralis major muscle Peroneus brevis muscle
Palatoglossal muscle Pectoralis minor muscle Peroneus longus muscle
Palatopharyngeal muscle Serratus anterior muscle Popliteus muscle
Pharyngeal constrictor Subclavius muscle Soleus muscle
muscle Subcostal muscle Tibialis anterior muscle
Salpingopharyngeus Transverse thoracis muscle Tibialis posterior 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
Rectus abdominis muscle
Deltoid muscle muscle
Transversus abdominis
Infraspinatus muscle Extensor hallucis brevis
muscle
Subscapularis muscle muscle
Supraspinatus muscle L Abdomen Muscle, Left
See K Abdomen Muscle, Flexor digitorum brevis
Teres major muscle muscle
Teres minor muscle Right
Flexor hallucis brevis
0KM–0KM
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 453
0KN–0KN Muscles ICD-10-PCS 2019
Muscles
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
454 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 ICD-10-PCS 2019
Muscles
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
456 ICD-10-PCS 2019
ICD-10-PCS 2019 Muscles 0KR–0KR
Muscles
0 Medical and Surgical
K Muscles 0KR
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 Muscle 7 Upper Arm Muscle, Right M Perineum Muscle 0 Open 7 Autologous Tissue Z No Qualifier
Auricularis muscle Biceps brachii muscle Bulbospongiosus muscle 4 Percutaneous Substitute
Masseter muscle Brachialis muscle Cremaster muscle Endoscopic J Synthetic
Pterygoid muscle Coracobrachialis muscle Deep transverse perineal Substitute
Splenius capitis muscle Triceps brachii muscle muscle K Nonautologous
Temporalis muscle 8 Upper Arm Muscle, Left Ischiocavernosus muscle Tissue Substitute
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 F Trunk Muscle, Right Semitendinosus muscle
Levator scapulae muscle Coccygeus muscle Vastus intermedius muscle
Platysma muscle Erector spinae muscle Vastus lateralis muscle
Scalene muscle Interspinalis muscle Vastus medialis muscle
Splenius cervicis muscle Intertransversarius muscle R Upper Leg Muscle, Left
Sternocleidomastoid Latissimus dorsi muscle See Q Upper Leg Muscle,
muscle Quadratus lumborum Right
Suprahyoid muscle muscle S Lower Leg Muscle, Right
Thyroarytenoid muscle Rhomboid major muscle Extensor digitorum longus
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 H Thorax Muscle, Right muscle
Inferior longitudinal Intercostal muscle Flexor hallucis longus
muscle Levatores costarum muscle
Levator veli palatini muscle Gastrocnemius muscle
muscle Pectoralis major muscle Peroneus brevis muscle
Palatoglossal muscle Pectoralis minor muscle Peroneus longus muscle
Palatopharyngeal muscle Serratus anterior muscle Popliteus muscle
Pharyngeal constrictor Subclavius muscle Soleus muscle
muscle Subcostal muscle Tibialis anterior muscle
Salpingopharyngeus Transverse thoracis muscle Tibialis posterior 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
Rectus abdominis muscle
Deltoid muscle muscle
Transversus abdominis
Infraspinatus muscle Extensor hallucis brevis
muscle
Subscapularis muscle muscle
Supraspinatus muscle L Abdomen Muscle, Left
See K Abdomen Muscle, Flexor digitorum brevis
Teres major muscle muscle
Teres minor muscle Right
0KR–0KR
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 457
0KS–0KS Muscles ICD-10-PCS 2019
Muscles
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
458 ICD-10-PCS 2019
ICD-10-PCS 2019 Muscles 0KT–0KT
Muscles
0 Medical and Surgical
K Muscles 0KT
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 Muscle 7 Upper Arm Muscle, Right M Perineum Muscle 0 Open Z No Device Z No Qualifier
Auricularis muscle Biceps brachii muscle Bulbospongiosus muscle 4 Percutaneous
Masseter muscle Brachialis muscle Cremaster muscle Endoscopic
Pterygoid muscle Coracobrachialis muscle Deep transverse perineal
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 muscle
Cricothyroid muscle See C Hand Muscle, Right Semitendinosus muscle
Infrahyoid muscle F Trunk Muscle, Right Vastus intermedius muscle
Levator scapulae muscle Coccygeus muscle Vastus lateralis muscle
Platysma muscle Erector spinae muscle Vastus medialis muscle
Scalene muscle Interspinalis muscle R Upper Leg Muscle, Left
Splenius cervicis muscle Intertransversarius muscle See Q Upper Leg Muscle,
Sternocleidomastoid Latissimus dorsi muscle Right
muscle Quadratus lumborum S Lower Leg Muscle, Right
Suprahyoid muscle muscle Extensor digitorum longus
Thyroarytenoid muscle Rhomboid major muscle muscle
3 Neck Muscle, Left Rhomboid minor muscle Extensor hallucis longus
See 2 Neck Muscle, Right Serratus posterior muscle muscle
4 Tongue, Palate, Pharynx Transversospinalis muscle Fibularis brevis muscle
Muscle Trapezius muscle Fibularis longus muscle
Chondroglossus muscle G Trunk Muscle, Left Flexor digitorum longus
Genioglossus muscle See F Trunk Muscle, Right muscle
Hyoglossus muscle H Thorax Muscle, Right ? Flexor hallucis longus
Inferior longitudinal Intercostal muscle muscle
muscle Levatores costarum Gastrocnemius muscle
Levator veli palatini muscle muscle Peroneus brevis muscle
Palatoglossal muscle Pectoralis major muscle Peroneus longus muscle
Palatopharyngeal muscle Pectoralis minor muscle Popliteus muscle
Pharyngeal constrictor Serratus anterior muscle Soleus muscle
muscle Subclavius muscle Tibialis anterior muscle
Salpingopharyngeus Subcostal muscle Tibialis posterior muscle
muscle Transverse thoracis muscle T Lower Leg Muscle, Left
Styloglossus muscle See S Lower Leg Muscle,
J Thorax Muscle, Left ?
Stylopharyngeus muscle Right
See H Thorax Muscle, Right
Superior longitudinal V Foot Muscle, Right
muscle K Abdomen Muscle, Right
External oblique muscle Abductor hallucis muscle
Tensor veli palatini muscle Adductor hallucis muscle
Internal oblique muscle
5 Shoulder Muscle, Right Extensor digitorum brevis
Pyramidalis muscle
Deltoid muscle muscle
Rectus abdominis muscle
Infraspinatus muscle Extensor hallucis brevis
Transversus abdominis
Subscapularis muscle muscle
muscle
Supraspinatus muscle Flexor digitorum brevis
Teres major muscle L Abdomen Muscle, Left
See K Abdomen Muscle, muscle
Teres minor muscle Flexor hallucis brevis
Right
6 Shoulder Muscle, Left muscle
See 5 Shoulder Muscle, Quadratus plantae muscle
0KT–0KT
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 459
0KU–0KU Muscles ICD-10-PCS 2019
Muscles
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
460 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 ICD-10-PCS 2019
Muscles
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
462 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
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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.
Foot Tendons
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
Tendons
Tendons of Wrist and Hand
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
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
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
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
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
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
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
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
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
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
Shoulder Ligaments
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
Tibia
Posterior 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
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 Bursae and Ligaments 0M8–0M8
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 483
0M9–0M9 Bursae and Ligaments ICD-10-PCS 2019
Bursae and Ligaments
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 New/Revised in GREEN
484 ICD-10-PCS 2019
ICD-10-PCS 2019 Bursae and Ligaments 0M9–0M9
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 New/Revised in GREEN
ICD-10-PCS 2019 485
0MB–0MB Bursae and Ligaments ICD-10-PCS 2019
Bursae and Ligaments
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 New/Revised in GREEN
486 ICD-10-PCS 2019
ICD-10-PCS 2019 Bursae and Ligaments 0MC–0MC
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 487
0MD–0MD Bursae and Ligaments ICD-10-PCS 2019
Bursae and Ligaments
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
488 ICD-10-PCS 2019
ICD-10-PCS 2019 Bursae and Ligaments 0MH–0MJ
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 ICD-10-PCS 2019
Bursae and Ligaments
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
490 ICD-10-PCS 2019
ICD-10-PCS 2019 Bursae and Ligaments 0MN–0MN
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 New/Revised in GREEN
ICD-10-PCS 2019 491
0MP–0MP Bursae and Ligaments ICD-10-PCS 2019
Bursae and Ligaments
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 Bursae and Ligaments 0MQ–0MQ
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 493
0MR–0MR Bursae and Ligaments ICD-10-PCS 2019
Bursae and Ligaments
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
494 ICD-10-PCS 2019
ICD-10-PCS 2019 Bursae and Ligaments 0MS–0MS
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 495
0MT–0MT Bursae and Ligaments ICD-10-PCS 2019
Bursae and Ligaments
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
496 ICD-10-PCS 2019
ICD-10-PCS 2019 Bursae and Ligaments 0MU–0MU
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 497
0MW–0MW Bursae and Ligaments ICD-10-PCS 2019
Bursae and Ligaments
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 Bursae and Ligaments 0MX–0MX
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 499
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ICD-10-PCS 2019 Head and Facial Bones
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
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
Skull Bones
Frontal 1
Parietal 3, 4
Middle fossa
Posterior fossa
Occipital
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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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.
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
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
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
Hand
Distal
phalanx T, V
Middle
Phalanges phalanx T, V
(digits) T, V
Proximal
phalanx T, V
Distal phalanx
(thumb) R, S
Carpals M, N
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
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
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
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
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 Upper Bones 0PP–0PP
Upper Bones
0 Medical and Surgical
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
0 Sternum 4 Thoracic Vertebra 0 Open 4 Internal Fixation Device Z No Qualifier
Manubrium Spinous process 3 Percutaneous 7 Autologous Tissue
Suprasternal notch Transverse process 4 Percutaneous Endoscopic Substitute
Xiphoid process Vertebral arch J Synthetic Substitute
1 Ribs, 1 to 2 Vertebral body K Nonautologous Tissue
2 Ribs, 3 or More Vertebral foramen Substitute
3 Cervical Vertebra Vertebral lamina
Dens Vertebral pedicle
Odontoid process 5 Scapula, Right
Spinous process Acromion (process)
Transverse foramen Coracoid process
Transverse process 6 Scapula, Left
Vertebral arch See 5 Scapula, Right
Vertebral body 7 Glenoid Cavity, Right
Vertebral foramen Glenoid fossa (of scapula)
Vertebral lamina 8 Glenoid Cavity, Left
Vertebral pedicle See 7 Glenoid Cavity, Right
9 Clavicle, Right
B Clavicle, Left
0 Sternum 4 Thoracic Vertebra X External 4 Internal Fixation Device Z No Qualifier
Manubrium Spinous process
Suprasternal notch Transverse process
Xiphoid process Vertebral arch
1 Ribs, 1 to 2 Vertebral body
2 Ribs, 3 or More Vertebral foramen
3 Cervical Vertebra Vertebral lamina
Dens Vertebral pedicle
Odontoid process 5 Scapula, Right
Spinous process Acromion (process)
Transverse foramen Coracoid process
Transverse process 6 Scapula, Left
Vertebral arch See 5 Scapula, Right
Vertebral body 7 Glenoid Cavity, Right
Vertebral foramen Glenoid fossa (of scapula)
Vertebral lamina 8 Glenoid Cavity, Left
Vertebral pedicle See 7 Glenoid Cavity, Right
9 Clavicle, Right
B Clavicle, Left
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 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
0PP Continued on next page
Non-OR 0PP[0,1,2,3,4,5,6,7,8,9,B]X4Z
0PP–0PP
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 533
0PP–0PP Upper Bones ICD-10-PCS 2019
Upper Bones
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
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
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
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
Lower Bones
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.
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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.
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
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
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
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 Upper Joints 0R9–0R9
Upper Joints
0 Medical and Surgical
R Upper Joints 0R9
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 Occipital-cervical Joint L Elbow Joint, Right 0 Open 0 Drainage Device Z No Qualifier
1 Cervical Vertebral Joint Distal humerus, involving 3 Percutaneous
Atlantoaxial joint joint 4 Percutaneous Endoscopic
Cervical facet joint Humeroradial joint
3 Cervical Vertebral Disc Humeroulnar joint
4 Cervicothoracic Vertebral Proximal radioulnar joint
Joint M Elbow Joint, Left
Cervicothoracic facet joint See L Elbow Joint, Right
5 Cervicothoracic Vertebral N Wrist Joint, Right
Disc Distal radioulnar joint
6 Thoracic Vertebral Joint Radiocarpal joint
Costotransverse joint P Wrist Joint, Left
Costovertebral joint See N Wrist Joint, Right
Thoracic facet joint Q Carpal Joint, Right
9 Thoracic Vertebral Disc Intercarpal joint
A Thoracolumbar Vertebral Midcarpal joint
Joint R Carpal Joint, Left
Thoracolumbar facet joint See Q Carpal Joint, Right
B Thoracolumbar Vertebral S Carpometacarpal Joint,
Disc Right
C Temporomandibular Joint, T Carpometacarpal Joint, Left
Right U Metacarpophalangeal Joint,
D Temporomandibular Joint, Right
Left V Metacarpophalangeal Joint,
E Sternoclavicular Joint, Right Left
F Sternoclavicular Joint, Left W Finger Phalangeal Joint,
G Acromioclavicular Joint, Right
Right Interphalangeal (IP) joint
H Acromioclavicular Joint, Left X Finger Phalangeal Joint, Left
J Shoulder Joint, Right See W Finger Phalangeal Joint,
Glenohumeral joint Right
Glenoid ligament (labrum)
K Shoulder Joint, Left
See J Shoulder Joint, Right
0 Occipital-cervical Joint L Elbow Joint, Right 0 Open Z No Device X Diagnostic
1 Cervical Vertebral Joint Distal humerus, involving 3 Percutaneous Z No Qualifier
Atlantoaxial joint joint 4 Percutaneous Endoscopic
Cervical facet joint Humeroradial joint
3 Cervical Vertebral Disc Humeroulnar joint
4 Cervicothoracic Vertebral Proximal radioulnar joint
Joint M Elbow Joint, Left
Cervicothoracic facet joint See L Elbow Joint, Right
5 Cervicothoracic Vertebral N Wrist Joint, Right
Disc Distal radioulnar joint
6 Thoracic Vertebral Joint Radiocarpal joint
Costotransverse joint P Wrist Joint, Left
Costovertebral joint See N Wrist Joint, Right
Thoracic facet joint Q Carpal Joint, Right
9 Thoracic Vertebral Disc Intercarpal joint
A Thoracolumbar Vertebral Midcarpal joint
Joint R Carpal Joint, Left
Thoracolumbar facet joint See Q Carpal Joint, Right
B Thoracolumbar Vertebral S Carpometacarpal Joint,
Disc Right
C Temporomandibular Joint, T Carpometacarpal Joint, Left
Right U Metacarpophalangeal Joint,
D Temporomandibular Joint, Right
Left V Metacarpophalangeal Joint,
E Sternoclavicular Joint, Right Left
F Sternoclavicular Joint, Left W Finger Phalangeal Joint,
G Acromioclavicular Joint, Right
Right Interphalangeal (IP) joint
H Acromioclavicular Joint, Left X Finger Phalangeal Joint, Left
J Shoulder Joint, Right See W Finger Phalangeal Joint,
Glenohumeral joint Right
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
0R9–0R9
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 New/Revised in GREEN
ICD-10-PCS 2019 563
0RB–0RB Upper Joints ICD-10-PCS 2019
Upper Joints
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
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
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
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
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
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
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
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.
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
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
Knee Joint
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
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
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 ICD-10-PCS 2019
Lower Joints
3 Limited Coverage 4 Noncovered ? Combination Member HAC associated procedure Combination Only DRG Non-OR Non-OR New/Revised in GREEN
582 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
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
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
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
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 Lower Joints 0SP–0SP
Lower Joints
0 Medical and Surgical
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
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 7 Autologous Tissue Substitute
8 Spacer
A Interbody Fusion Device
J Synthetic Substitute
K Nonautologous Tissue Substitute
0 Lumbar Vertebral Joint X External 0 Drainage Device Z No Qualifier
Lumbar facet joint 3 Infusion Device
3 Lumbosacral Joint 4 Internal Fixation Device
Lumbosacral facet joint
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
J Synthetic Substitute
K Nonautologous Tissue Substitute
2 Lumbar Vertebral Disc X External 0 Drainage Device Z No Qualifier
4 Lumbosacral Disc 3 Infusion Device
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 7 Autologous Tissue Substitute
8 Sacroiliac Joint, Left 8 Spacer
J Synthetic Substitute
K Nonautologous Tissue Substitute
5 Sacrococcygeal Joint X External 0 Drainage Device Z No Qualifier
Sacrococcygeal symphysis 3 Infusion Device
6 Coccygeal Joint 4 Internal Fixation Device
7 Sacroiliac Joint, Right
8 Sacroiliac Joint, Left
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
E Articulating Spacer
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 ? 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
9 Hip Joint, Right X External 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
0SP Continued on next page
Non-OR 0SP[0,3][0,3,4]8Z See Appendix L for Procedure Combinations
Non-OR 0SP[0,3]3[0,3]Z Combo-only 0SP[9,B]08Z
Non-OR 0SP[0,3]X[0,3,4]Z Combo-only 0SP[9,B]48Z
Non-OR 0SP[2,4]3[0,3]Z ? 0SP[9,B]0[9,B,J]Z
Non-OR 0SP[2,4]X[0,3]Z ? 0SP[9,B]4JZ
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
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 587
0SP–0SP Lower Joints ICD-10-PCS 2019
Lower Joints
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
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
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
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
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
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.
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
Endometrium B
Fundus of uterus 9
Fimbria 5, 6, 7, 8
Ova N
Uterosacral ligament 4
Cervix C
Ovary 0, 1, 2, 3
Vagina G Broad ligament 4
Fallopian Ovary 0, 1, 2, 3
tube 5, 6, 7, 8
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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ICD-10-PCS 2019 Male Reproductive System
Bladder
Penis
Bladder
Neck of bladder
Prostate 0
Corpus spongiosum S
Corpus cavernosum S
Prepuce T
Glans T
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
Administration
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 Body System/Region – Approach–Character 5 Substance–Character 6 Qualifier–Character 7
Character 4
2 Transfusion 3 Peripheral Vein 0 Open A Stem Cells, Embryonic 0 Autologous
4 Central Vein 3 Percutaneous B 4-Factor Prothrombin 1 Nonautologous
Complex Concentrate
5 Peripheral Artery 7 Via Natural or Artificial G Bone Marrow 2 Allogeneic, Related
Opening
6 Central Artery H Whole Blood 3 Allogeneic, Unrelated
7 Products of Conception, J Serum Albumin 4 Allogeneic, Unspecified
Circulatory
8 Vein 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
C: Indwelling Device
Operation–Character 3 Body System/Region – Approach–Character 5 Substance–Character 6 Qualifier–Character 7
Character 4
1 Irrigation Z None X External 8 Irrigating Substance 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
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 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 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 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
E Products of Conception ; 3 Percutaneous 3 Anti-inflammatory Z No Qualifier
G Upper GI 7 Via Natural or Artificial Opening 6 Nutritional Substance
H Lower GI 8 Via Natural or Artificial Opening 7 Electrolytic and Water Balance
K Genitourinary Tract Endoscopic Substance
N Male Reproductive : B Anesthetic Agent
H Radioactive Substance
K Other Diagnostic Substance
N Analgesics, Hypnotics, Sedatives
T Destructive Agent
E Products of Conception ; 3 Percutaneous G Other Therapeutic Substance C Other Substance
G Upper GI 7 Via Natural or Artificial Opening
H Lower GI 8 Via Natural or Artificial Opening
K Genitourinary Tract Endoscopic
N Male Reproductive :
E Products of Conception ; 3 Percutaneous S Gas F Other Gas
G Upper GI 7 Via Natural or Artificial Opening
H Lower GI 8 Via Natural or Artificial Opening
K Genitourinary Tract Endoscopic
N Male Reproductive :
E Products of Conception ; 4 Percutaneous Endoscopic G Other Therapeutic Substance C Other Substance
G Upper GI
H Lower GI
K Genitourinary Tract
N Male Reproductive :
F Respiratory Tract 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
F Respiratory 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
F Respiratory 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
F Respiratory Tract 3 Percutaneous G Other Therapeutic Substance C Other Substance
7 Via Natural or Artificial Opening
8 Via Natural or Artificial Opening
Endoscopic
F Respiratory Tract 3 Percutaneous S Gas D Nitric Oxide
7 Via Natural or Artificial Opening F Other Gas
8 Via Natural or Artificial Opening
Endoscopic
F Respiratory Tract 4 Percutaneous Endoscopic G Other Therapeutic Substance C Other Substance
J Biliary and Pancreatic Tract 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
: 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
ICD-10-PCS 2019 697
3E0–3E0 Administration ICD-10-PCS 2019
Administration
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
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
P Female Reproductive ; 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
P Female Reproductive ; 3 Percutaneous G Other Therapeutic Substance C Other Substance
P Female Reproductive ; 3 Percutaneous Q Fertilized Ovum 0 Autologous
1 Nonautologous
P Female Reproductive ; 3 Percutaneous S Gas F Other Gas
P Female Reproductive ; 4 Percutaneous Endoscopic 5 Adhesion Barrier Z No Qualifier
P Female Reproductive ; 4 Percutaneous Endoscopic G Other Therapeutic Substance C Other Substance
P Female Reproductive ; 7 Via Natural or Artificial Opening 0 Antineoplastic 4 Liquid Brachytherapy Radioisotope
5 Other Antineoplastic
M Monoclonal Antibody
P Female Reproductive ; 7 Via Natural or Artificial Opening 2 Anti-infective 8 Oxazolidinones
9 Other Anti-infective
P Female Reproductive ; 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
P Female Reproductive ; 7 Via Natural or Artificial Opening G Other Therapeutic Substance C Other Substance
P Female Reproductive ; 7 Via Natural or Artificial Opening Q Fertilized Ovum 0 Autologous
1 Nonautologous
P Female Reproductive ; 7 Via Natural or Artificial Opening S Gas F Other Gas
P Female Reproductive ; 8 Via Natural or Artificial Opening 0 Antineoplastic 4 Liquid Brachytherapy Radioisotope
Endoscopic 5 Other Antineoplastic
M Monoclonal Antibody
P Female Reproductive ; 8 Via Natural or Artificial Opening 2 Anti-infective 8 Oxazolidinones
Endoscopic 9 Other Anit-infection
P Female Reproductive ; 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
P Female Reproductive ; 8 Via Natural or Artificial Opening G Other Therapeutic Substance C Other Substance
Endoscopic
P Female Reproductive ; 8 Via Natural or Artificial Opening S Gas F Other Gas
Endoscopic
Q Cranial Cavity and Brain 0 Open 0 Antineoplastic 4 Liquid Brachytherapy Radioisotope
3 Percutaneous 5 Other Antineoplastic
M Monoclonal Antibody
Q Cranial Cavity and Brain 0 Open 2 Anti-infective 8 Oxazolidinones
3 Percutaneous 9 Other Anti-infective
3E0 Continued on next page
Valid OR 3E0P3Q[0,1]
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
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
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
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
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
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
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
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
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
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
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
A: Physiological Systems
Operation–Character 3 Body System–Character 4 Duration–Character 5 Qualifier–Character 6 Qualifier–Character 7
0 Atmospheric Control 0 Skin 0 Single B Donor Organ 0 Erythrocytes
1 Decompression 1 Urinary 1 Multiple Z No Qualifier 1 Leukocytes
2 Electromagnetic Therapy 2 Central Nervous 2 Platelets
3 Hyperthermia 3 Musculoskeletal 3 Plasma
4 Hypothermia 5 Circulatory 4 Head and Neck Vessels
5 Pheresis B Respiratory System 5 Heart
6 Phototherapy F Hepatobiliary System and 6 Peripheral Vessels
Pancreas
7 Ultrasound Therapy T Urinary System 7 Other Vessels
8 Ultraviolet Light Therapy Z None T Stem Cells, Cord Blood
9 Shock Wave Therapy V Stem Cells, Hematopoietic
B Perfusion Z No Qualifier
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
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
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
Other Procedures
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 Approach–Character 5 Method–Character 6 Qualifier–Character 7
0 Other procedures 1 Nervous System X External 6 Collection J Cerebrospinal Fluid
2 Circulatory System K Blood
L Other Fluid
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 Body Region–Character 4 Approach–Character 5 Method–Character 6 Qualifier–Character 7
B Manipulation 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
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.
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
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
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
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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.
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
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
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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.
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
0: Rehabilitation
Type– Body System/Region– Type Qualifier– Equipment – Qualifier–
Character 3 Character 4 Character 5 Character 6 Character 7
0 Speech Assessment 0 Neurological System - Head See next page 1 Audiometer Z None
and Neck
1 Motor and/or Nerve 1 Neurological System - 2 Sound Field / Booth
Function Assessment Upper Back / Upper
Extremity
2 Activities of Daily Living 2 Neurological System - Lower 4 Electroacoustic Immitance/
Assessment Back / Lower Extremity Acoustic Reflex
9 Hearing Treatment 6
Circulatory System - Lower 9 Cochlear Implant
Back / Lower Extremity
B Cochlear Implant Treatment 7 Circulatory System - Whole B Physical Agents
Body
C Vestibular Treatment 8 Respiratory System - Head C Mechanical
and Neck
D Device Fitting 9 Respiratory System - Upper D Electrotherapeutic
Back / Upper Extremity
F Caregiver Training B Respiratory System - Lower E Orthosis
Back / Lower Extremity
C Respiratory System - Whole F Assistive, Adaptive,
Body Supportive or Protective
D Integumentary System - G Aerobic Endurance and
Head and Neck Conditioning
F Integumentary System - H Mechanical or
Upper Back / Upper Electromechanical
Extremity
G Integumentary System - J Somatosensory
Lower Back / Lower
Extremity
H Integumentary System - K Audiovisual
Whole Body
J Musculoskeletal System - L Assistive Listening
Head and Neck
K Musculoskeletal System - M Augmentative / Alternative
Upper Back / Upper Communication
Extremity
L Musculoskeletal System - N Biosensory Feedback
Lower Back / Lower
Extremity
M Musculoskeletal System - P Computer
Whole Body
N Genitourinary System Q Speech Analysis
Z None S Voice Analysis
T Aerodynamic Function
U Prosthesis
V Speech Prosthesis
W Swallowing
X Cerumen Management
Y Other Equipment
Z None
1: Diagnostic Audiology
Type Qualifier—Character 5 Meanings
Type–Character 3 Type Qualifier–Character 5
3 Hearing Assessment 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
4 Hearing Aid Assessment 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
5 Vestibular Assessment 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