021X4KQ Bypass Thoracic Aorta, Ascending/Arch to Right Pulmonary Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

Coding Notes

Active
Billable, valid for HIPAA-covered transactions

PCS Table

Section
0 Medical and Surgical
Body System
2 Heart and Great Vessels
Operation
1 Bypass
Body Part Approach Device Qualifier
0 Coronary Artery, One Artery
1 Coronary Artery, Two Arteries
2 Coronary Artery, Three Arteries
3 Coronary Artery, Four or More Arteries
0 Open
8 Zooplastic Tissue
9 Autologous Venous Tissue
A Autologous Arterial Tissue
J Synthetic Substitute
K Nonautologous Tissue Substitute
3 Coronary Artery
8 Internal Mammary, Right
9 Internal Mammary, Left
C Thoracic Artery
F Abdominal Artery
W Aorta
0 Coronary Artery, One Artery
1 Coronary Artery, Two Arteries
2 Coronary Artery, Three Arteries
3 Coronary Artery, Four or More Arteries
0 Open
Z No Device
3 Coronary Artery
8 Internal Mammary, Right
9 Internal Mammary, Left
C Thoracic Artery
F Abdominal Artery
0 Coronary Artery, One Artery
1 Coronary Artery, Two Arteries
2 Coronary Artery, Three Arteries
3 Coronary Artery, Four or More Arteries
3 Percutaneous
4 Intraluminal Device, Drug-eluting
D Intraluminal Device
4 Coronary Vein
0 Coronary Artery, One Artery
1 Coronary Artery, Two Arteries
2 Coronary Artery, Three Arteries
3 Coronary Artery, Four or More Arteries
4 Percutaneous Endoscopic
4 Intraluminal Device, Drug-eluting
D Intraluminal Device
4 Coronary Vein
0 Coronary Artery, One Artery
1 Coronary Artery, Two Arteries
2 Coronary Artery, Three Arteries
3 Coronary Artery, Four or More Arteries
4 Percutaneous Endoscopic
8 Zooplastic Tissue
9 Autologous Venous Tissue
A Autologous Arterial Tissue
J Synthetic Substitute
K Nonautologous Tissue Substitute
3 Coronary Artery
8 Internal Mammary, Right
9 Internal Mammary, Left
C Thoracic Artery
F Abdominal Artery
W Aorta
0 Coronary Artery, One Artery
1 Coronary Artery, Two Arteries
2 Coronary Artery, Three Arteries
3 Coronary Artery, Four or More Arteries
4 Percutaneous Endoscopic
Z No Device
3 Coronary Artery
8 Internal Mammary, Right
9 Internal Mammary, Left
C Thoracic Artery
F Abdominal Artery
6 Atrium, Right
0 Open
4 Percutaneous Endoscopic
8 Zooplastic Tissue
9 Autologous Venous Tissue
A Autologous Arterial Tissue
J Synthetic Substitute
K Nonautologous Tissue Substitute
P Pulmonary Trunk
Q Pulmonary Artery, Right
R Pulmonary Artery, Left
6 Atrium, Right
0 Open
4 Percutaneous Endoscopic
Z No Device
7 Atrium, Left
P Pulmonary Trunk
Q Pulmonary Artery, Right
R Pulmonary Artery, Left
6 Atrium, Right
3 Percutaneous
Z No Device
7 Atrium, Left
7 Atrium, Left
0 Open
4 Percutaneous Endoscopic
8 Zooplastic Tissue
9 Autologous Venous Tissue
A Autologous Arterial Tissue
J Synthetic Substitute
K Nonautologous Tissue Substitute
Z No Device
P Pulmonary Trunk
Q Pulmonary Artery, Right
R Pulmonary Artery, Left
S Pulmonary Vein, Right
T Pulmonary Vein, Left
U Pulmonary Vein, Confluence
7 Atrium, Left
3 Percutaneous
J Synthetic Substitute
6 Atrium, Right
K Ventricle, Right
L Ventricle, Left
0 Open
4 Percutaneous Endoscopic
8 Zooplastic Tissue
9 Autologous Venous Tissue
A Autologous Arterial Tissue
J Synthetic Substitute
K Nonautologous Tissue Substitute
P Pulmonary Trunk
Q Pulmonary Artery, Right
R Pulmonary Artery, Left
K Ventricle, Right
L Ventricle, Left
0 Open
4 Percutaneous Endoscopic
Z No Device
5 Coronary Circulation
8 Internal Mammary, Right
9 Internal Mammary, Left
C Thoracic Artery
F Abdominal Artery
P Pulmonary Trunk
Q Pulmonary Artery, Right
R Pulmonary Artery, Left
W Aorta
P Pulmonary Trunk
Q Pulmonary Artery, Right
R Pulmonary Artery, Left
0 Open
4 Percutaneous Endoscopic
8 Zooplastic Tissue
9 Autologous Venous Tissue
A Autologous Arterial Tissue
J Synthetic Substitute
K Nonautologous Tissue Substitute
Z No Device
A Innominate Artery
B Subclavian
D Carotid
V Superior Vena Cava
0 Open
4 Percutaneous Endoscopic
8 Zooplastic Tissue
9 Autologous Venous Tissue
A Autologous Arterial Tissue
J Synthetic Substitute
K Nonautologous Tissue Substitute
Z No Device
P Pulmonary Trunk
Q Pulmonary Artery, Right
R Pulmonary Artery, Left
S Pulmonary Vein, Right
T Pulmonary Vein, Left
U Pulmonary Vein, Confluence
W Thoracic Aorta, Descending
0 Open
8 Zooplastic Tissue
9 Autologous Venous Tissue
A Autologous Arterial Tissue
J Synthetic Substitute
K Nonautologous Tissue Substitute
A Innominate Artery
B Subclavian
D Carotid
F Abdominal Artery
G Axillary Artery
H Brachial Artery
P Pulmonary Trunk
Q Pulmonary Artery, Right
R Pulmonary Artery, Left
V Lower Extremity Artery
W Thoracic Aorta, Descending
0 Open
Z No Device
A Innominate Artery
B Subclavian
D Carotid
P Pulmonary Trunk
Q Pulmonary Artery, Right
R Pulmonary Artery, Left
W Thoracic Aorta, Descending
4 Percutaneous Endoscopic
8 Zooplastic Tissue
9 Autologous Venous Tissue
A Autologous Arterial Tissue
J Synthetic Substitute
K Nonautologous Tissue Substitute
Z No Device
A Innominate Artery
B Subclavian
D Carotid
P Pulmonary Trunk
Q Pulmonary Artery, Right
R Pulmonary Artery, Left
X Thoracic Aorta, Ascending/Arch
0 Open
4 Percutaneous Endoscopic
8 Zooplastic Tissue
9 Autologous Venous Tissue
A Autologous Arterial Tissue
J Synthetic Substitute
K Nonautologous Tissue Substitute
Z No Device
A Innominate Artery
B Subclavian
D Carotid
P Pulmonary Trunk
Q Pulmonary Artery, Right
R Pulmonary Artery, Left

GEM Conversion to ICD-9 PCS


MDC / MS-DRG Reference


Sibling Codes