04104J8 Bypass Abdominal Aorta to Bilateral Common Iliac Arteries with Synthetic Substitute, Percutaneous Endoscopic Approach

Coding Notes

Active
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PCS Table

Section
0 Medical and Surgical
Body System
4 Lower Arteries
Operation
1 Bypass
Body Part Approach Device Qualifier
0 Abdominal Aorta
C Common Iliac Artery, Right
D Common Iliac Artery, Left
0 Open
4 Percutaneous Endoscopic
9 Autologous Venous Tissue
A Autologous Arterial Tissue
J Synthetic Substitute
K Nonautologous Tissue Substitute
Z No Device
0 Abdominal Aorta
1 Celiac Artery
2 Mesenteric Artery
3 Renal Artery, Right
4 Renal Artery, Left
5 Renal Artery, Bilateral
6 Common Iliac Artery, Right
7 Common Iliac Artery, Left
8 Common Iliac Arteries, Bilateral
9 Internal Iliac Artery, Right
B Internal Iliac Artery, Left
C Internal Iliac Arteries, Bilateral
D External Iliac Artery, Right
F External Iliac Artery, Left
G External Iliac Arteries, Bilateral
H Femoral Artery, Right
J Femoral Artery, Left
K Femoral Arteries, Bilateral
Q Lower Extremity Artery
R Lower Artery
3 Hepatic Artery
4 Splenic Artery
0 Open
4 Percutaneous Endoscopic
9 Autologous Venous Tissue
A Autologous Arterial Tissue
J Synthetic Substitute
K Nonautologous Tissue Substitute
Z No Device
3 Renal Artery, Right
4 Renal Artery, Left
5 Renal Artery, Bilateral
E Internal Iliac Artery, Right
F Internal Iliac Artery, Left
H External Iliac Artery, Right
J External Iliac Artery, Left
0 Open
4 Percutaneous Endoscopic
9 Autologous Venous Tissue
A Autologous Arterial Tissue
J Synthetic Substitute
K Nonautologous Tissue Substitute
Z No Device
9 Internal Iliac Artery, Right
B Internal Iliac Artery, Left
C Internal Iliac Arteries, Bilateral
D External Iliac Artery, Right
F External Iliac Artery, Left
G External Iliac Arteries, Bilateral
H Femoral Artery, Right
J Femoral Artery, Left
K Femoral Arteries, Bilateral
P Foot Artery
Q Lower Extremity Artery
K Femoral Artery, Right
L Femoral Artery, Left
0 Open
4 Percutaneous Endoscopic
9 Autologous Venous Tissue
A Autologous Arterial Tissue
J Synthetic Substitute
K Nonautologous Tissue Substitute
Z No Device
H Femoral Artery, Right
J Femoral Artery, Left
K Femoral Arteries, Bilateral
L Popliteal Artery
M Peroneal Artery
N Posterior Tibial Artery
P Foot Artery
Q Lower Extremity Artery
S Lower Extremity Vein
K Femoral Artery, Right
L Femoral Artery, Left
3 Percutaneous
J Synthetic Substitute
Q Lower Extremity Artery
S Lower Extremity Vein
M Popliteal Artery, Right
N Popliteal Artery, Left
0 Open
4 Percutaneous Endoscopic
9 Autologous Venous Tissue
A Autologous Arterial Tissue
J Synthetic Substitute
K Nonautologous Tissue Substitute
Z No Device
L Popliteal Artery
M Peroneal Artery
P Foot Artery
Q Lower Extremity Artery
S Lower Extremity Vein
M Popliteal Artery, Right
N Popliteal Artery, Left
3 Percutaneous
J Synthetic Substitute
Q Lower Extremity Artery
S Lower Extremity Vein
P Anterior Tibial Artery, Right
Q Anterior Tibial Artery, Left
R Posterior Tibial Artery, Right
S Posterior Tibial Artery, Left
0 Open
3 Percutaneous
4 Percutaneous Endoscopic
J Synthetic Substitute
Q Lower Extremity Artery
S Lower Extremity Vein
T Peroneal Artery, Right
U Peroneal Artery, Left
V Foot Artery, Right
W Foot Artery, Left
0 Open
4 Percutaneous Endoscopic
9 Autologous Venous Tissue
A Autologous Arterial Tissue
J Synthetic Substitute
K Nonautologous Tissue Substitute
Z No Device
P Foot Artery
Q Lower Extremity Artery
S Lower Extremity Vein
T Peroneal Artery, Right
U Peroneal Artery, Left
V Foot Artery, Right
W Foot Artery, Left
3 Percutaneous
J Synthetic Substitute
Q Lower Extremity Artery
S Lower Extremity Vein

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