04V03DJ – Restriction of Abdominal Aorta with Intraluminal Device, Temporary, Percutaneous Approach
Coding Notes
Active
Billable, valid for HIPAA-covered transactions
PCS Table
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Section
0
Medical and Surgical
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Body System
4
Lower Arteries
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Operation
V
Restriction
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| Body Part | Approach | Device | Qualifier |
|
0
Abdominal Aorta
|
0
Open
3
Percutaneous
4
Percutaneous Endoscopic
|
C
Extraluminal Device
E
Intraluminal Device, Branched or Fenestrated, One or Two Arteries
F
Intraluminal Device, Branched or Fenestrated, Three or More Arteries
Z
No Device
|
Z
No Qualifier
|
|
0
Abdominal Aorta
|
0
Open
3
Percutaneous
4
Percutaneous Endoscopic
|
D
Intraluminal Device
|
J
Temporary
Z
No Qualifier
|
|
1
Celiac Artery
2
Gastric Artery
3
Hepatic Artery
4
Splenic Artery
5
Superior Mesenteric Artery
6
Colic Artery, Right
7
Colic Artery, Left
8
Colic Artery, Middle
9
Renal Artery, Right
A
Renal Artery, Left
B
Inferior Mesenteric Artery
E
Internal Iliac Artery, Right
F
Internal Iliac Artery, Left
H
External Iliac Artery, Right
J
External Iliac Artery, Left
K
Femoral Artery, Right
L
Femoral Artery, Left
M
Popliteal Artery, Right
N
Popliteal Artery, Left
P
Anterior Tibial Artery, Right
Q
Anterior Tibial Artery, Left
R
Posterior Tibial Artery, Right
S
Posterior Tibial Artery, Left
T
Peroneal Artery, Right
U
Peroneal Artery, Left
V
Foot Artery, Right
W
Foot Artery, Left
Y
Lower Artery
|
0
Open
3
Percutaneous
4
Percutaneous Endoscopic
|
C
Extraluminal Device
D
Intraluminal Device
Z
No Device
|
Z
No Qualifier
|
|
C
Common Iliac Artery, Right
D
Common Iliac Artery, Left
|
0
Open
3
Percutaneous
4
Percutaneous Endoscopic
|
C
Extraluminal Device
D
Intraluminal Device
E
Intraluminal Device, Branched or Fenestrated, One or Two Arteries
Z
No Device
|
Z
No Qualifier
|