03160ZB – Bypass Left Axillary Artery to Left Lower Leg Artery, Open Approach
Coding Notes
					
					Active				
			
					
					Billable, valid for HIPAA-covered transactions				
			PCS Table
| Section0
					Medical and Surgical | |||
| Body System3
					Upper Arteries | |||
| Operation1
					Bypass | |||
| Body Part | Approach | Device | Qualifier | 
| 
					2
					Innominate Artery
				 | 
					0
					Open
				 | 
					9
					Autologous Venous Tissue
				 
					A
					Autologous Arterial Tissue
				 
					J
					Synthetic Substitute
				 
					K
					Nonautologous Tissue Substitute
				 
					Z
					No Device
				 | 
					0
					Upper Arm Artery, Right
				 
					1
					Upper Arm Artery, Left
				 
					2
					Upper Arm Artery, Bilateral
				 
					3
					Lower Arm Artery, Right
				 
					4
					Lower Arm Artery, Left
				 
					5
					Lower Arm Artery, Bilateral
				 
					6
					Upper Leg Artery, Right
				 
					7
					Upper Leg Artery, Left
				 
					8
					Upper Leg Artery, Bilateral
				 
					9
					Lower Leg Artery, Right
				 
					B
					Lower Leg Artery, Left
				 
					C
					Lower Leg Artery, Bilateral
				 
					D
					Upper Arm Vein
				 
					F
					Lower Arm Vein
				 
					J
					Extracranial Artery, Right
				 
					K
					Extracranial Artery, Left
				 
					W
					Lower Extremity Vein
				 | 
| 
					3
					Subclavian Artery, Right
				 
					4
					Subclavian Artery, Left
				 | 
					0
					Open
				 | 
					9
					Autologous Venous Tissue
				 
					A
					Autologous Arterial Tissue
				 
					J
					Synthetic Substitute
				 
					K
					Nonautologous Tissue Substitute
				 
					Z
					No Device
				 | 
					0
					Upper Arm Artery, Right
				 
					1
					Upper Arm Artery, Left
				 
					2
					Upper Arm Artery, Bilateral
				 
					3
					Lower Arm Artery, Right
				 
					4
					Lower Arm Artery, Left
				 
					5
					Lower Arm Artery, Bilateral
				 
					6
					Upper Leg Artery, Right
				 
					7
					Upper Leg Artery, Left
				 
					8
					Upper Leg Artery, Bilateral
				 
					9
					Lower Leg Artery, Right
				 
					B
					Lower Leg Artery, Left
				 
					C
					Lower Leg Artery, Bilateral
				 
					D
					Upper Arm Vein
				 
					F
					Lower Arm Vein
				 
					J
					Extracranial Artery, Right
				 
					K
					Extracranial Artery, Left
				 
					M
					Pulmonary Artery, Right
				 
					N
					Pulmonary Artery, Left
				 
					W
					Lower Extremity Vein
				 | 
| 
					5
					Axillary Artery, Right
				 
					6
					Axillary Artery, Left
				 | 
					0
					Open
				 | 
					9
					Autologous Venous Tissue
				 
					A
					Autologous Arterial Tissue
				 
					J
					Synthetic Substitute
				 
					K
					Nonautologous Tissue Substitute
				 
					Z
					No Device
				 | 
					0
					Upper Arm Artery, Right
				 
					1
					Upper Arm Artery, Left
				 
					2
					Upper Arm Artery, Bilateral
				 
					3
					Lower Arm Artery, Right
				 
					4
					Lower Arm Artery, Left
				 
					5
					Lower Arm Artery, Bilateral
				 
					6
					Upper Leg Artery, Right
				 
					7
					Upper Leg Artery, Left
				 
					8
					Upper Leg Artery, Bilateral
				 
					9
					Lower Leg Artery, Right
				 
					B
					Lower Leg Artery, Left
				 
					C
					Lower Leg Artery, Bilateral
				 
					D
					Upper Arm Vein
				 
					F
					Lower Arm Vein
				 
					J
					Extracranial Artery, Right
				 
					K
					Extracranial Artery, Left
				 
					T
					Abdominal Artery
				 
					V
					Superior Vena Cava
				 
					W
					Lower Extremity Vein
				 | 
| 
					7
					Brachial Artery, Right
				 | 
					0
					Open
				 | 
					9
					Autologous Venous Tissue
				 
					A
					Autologous Arterial Tissue
				 
					J
					Synthetic Substitute
				 
					K
					Nonautologous Tissue Substitute
				 
					Z
					No Device
				 | 
					0
					Upper Arm Artery, Right
				 
					3
					Lower Arm Artery, Right
				 
					D
					Upper Arm Vein
				 
					F
					Lower Arm Vein
				 
					V
					Superior Vena Cava
				 
					W
					Lower Extremity Vein
				 | 
| 
					7
					Brachial Artery, Right
				 | 
					3
					Percutaneous
				 | 
					Z
					No Device
				 | 
					F
					Lower Arm Vein
				 | 
| 
					8
					Brachial Artery, Left
				 | 
					0
					Open
				 | 
					9
					Autologous Venous Tissue
				 
					A
					Autologous Arterial Tissue
				 
					J
					Synthetic Substitute
				 
					K
					Nonautologous Tissue Substitute
				 
					Z
					No Device
				 | 
					1
					Upper Arm Artery, Left
				 
					4
					Lower Arm Artery, Left
				 
					D
					Upper Arm Vein
				 
					F
					Lower Arm Vein
				 
					V
					Superior Vena Cava
				 
					W
					Lower Extremity Vein
				 | 
| 
					8
					Brachial Artery, Left
				 | 
					3
					Percutaneous
				 | 
					Z
					No Device
				 | 
					F
					Lower Arm Vein
				 | 
| 
					9
					Ulnar Artery, Right
				 
					B
					Radial Artery, Right
				 | 
					0
					Open
				 | 
					9
					Autologous Venous Tissue
				 
					A
					Autologous Arterial Tissue
				 
					J
					Synthetic Substitute
				 
					K
					Nonautologous Tissue Substitute
				 
					Z
					No Device
				 | 
					3
					Lower Arm Artery, Right
				 
					F
					Lower Arm Vein
				 | 
| 
					9
					Ulnar Artery, Right
				 
					B
					Radial Artery, Right
				 | 
					3
					Percutaneous
				 | 
					Z
					No Device
				 | 
					F
					Lower Arm Vein
				 | 
| 
					A
					Ulnar Artery, Left
				 
					C
					Radial Artery, Left
				 | 
					0
					Open
				 | 
					9
					Autologous Venous Tissue
				 
					A
					Autologous Arterial Tissue
				 
					J
					Synthetic Substitute
				 
					K
					Nonautologous Tissue Substitute
				 
					Z
					No Device
				 | 
					4
					Lower Arm Artery, Left
				 
					F
					Lower Arm Vein
				 | 
| 
					A
					Ulnar Artery, Left
				 
					C
					Radial Artery, Left
				 | 
					3
					Percutaneous
				 | 
					Z
					No Device
				 | 
					F
					Lower Arm Vein
				 | 
| 
					G
					Intracranial Artery
				 
					S
					Temporal Artery, Right
				 
					T
					Temporal Artery, Left
				 | 
					0
					Open
				 | 
					9
					Autologous Venous Tissue
				 
					A
					Autologous Arterial Tissue
				 
					J
					Synthetic Substitute
				 
					K
					Nonautologous Tissue Substitute
				 
					Z
					No Device
				 | 
					G
					Intracranial Artery
				 | 
| 
					H
					Common Carotid Artery, Right
				 
					J
					Common Carotid Artery, Left
				 | 
					0
					Open
				 | 
					9
					Autologous Venous Tissue
				 
					A
					Autologous Arterial Tissue
				 
					J
					Synthetic Substitute
				 
					K
					Nonautologous Tissue Substitute
				 
					Z
					No Device
				 | 
					G
					Intracranial Artery
				 
					J
					Extracranial Artery, Right
				 
					K
					Extracranial Artery, Left
				 
					Y
					Upper Artery
				 | 
| 
					K
					Internal Carotid Artery, Right
				 
					L
					Internal Carotid Artery, Left
				 
					M
					External Carotid Artery, Right
				 
					N
					External Carotid Artery, Left
				 | 
					0
					Open
				 | 
					9
					Autologous Venous Tissue
				 
					A
					Autologous Arterial Tissue
				 
					J
					Synthetic Substitute
				 
					K
					Nonautologous Tissue Substitute
				 
					Z
					No Device
				 | 
					J
					Extracranial Artery, Right
				 
					K
					Extracranial Artery, Left
				 | 
GEM Conversion to ICD-9 PCS
								Fs: 10000
								–
								
									Other (peripheral) vascular shunt or bypass