04V04F6 Restriction of Abdominal Aorta, Bifurcation, with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Percutaneous Endoscopic Approach

Coding Notes

Removed
Non-billable / Non-specific, not valid for HIPAA-covered transactions

PCS Table

Section
0 Medical and Surgical
Body System
4 Lower Arteries
Operation
V Restriction
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

GEM Conversion to ICD-9 PCS


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