4A0C45Z – Measurement of Biliary Flow, Percutaneous Endoscopic Approach

Coding Notes

Active

Billable, valid for HIPAA-covered transactions

PCS Table

Section 4 Measurement and Monitoring
Body System A Physiological Systems
Operation 0 Measurement
Body System	Approach	Function / Device	Qualifier
0 Central Nervous	0 Open	2 Conductivity 4 Electrical Activity B Pressure	Z No Qualifier
0 Central Nervous	3 Percutaneous 7 Via Natural or Artificial Opening 8 Via Natural or Artificial Opening Endoscopic	4 Electrical Activity	Z No Qualifier
0 Central Nervous	3 Percutaneous 7 Via Natural or Artificial Opening 8 Via Natural or Artificial Opening Endoscopic	B Pressure K Temperature R Saturation	D Intracranial
0 Central Nervous	X External	2 Conductivity 4 Electrical Activity	Z No Qualifier
1 Peripheral Nervous	0 Open 3 Percutaneous 7 Via Natural or Artificial Opening 8 Via Natural or Artificial Opening Endoscopic X External	2 Conductivity	9 Sensory B Motor
1 Peripheral Nervous	0 Open 3 Percutaneous 7 Via Natural or Artificial Opening 8 Via Natural or Artificial Opening Endoscopic X External	4 Electrical Activity	Z No Qualifier
2 Cardiac	0 Open 3 Percutaneous 7 Via Natural or Artificial Opening 8 Via Natural or Artificial Opening Endoscopic	4 Electrical Activity 9 Output C Rate F Rhythm H Sound P Action Currents	Z No Qualifier
2 Cardiac	0 Open 3 Percutaneous 7 Via Natural or Artificial Opening 8 Via Natural or Artificial Opening Endoscopic	N Sampling and Pressure	6 Right Heart 7 Left Heart 8 Bilateral
2 Cardiac	X External	4 Electrical Activity	A Guidance Z No Qualifier
2 Cardiac	X External	9 Output C Rate F Rhythm H Sound P Action Currents	Z No Qualifier
2 Cardiac	X External	M Total Activity	4 Stress
3 Arterial	0 Open 3 Percutaneous	5 Flow J Pulse	1 Peripheral 3 Pulmonary C Coronary
3 Arterial	0 Open 3 Percutaneous	B Pressure	1 Peripheral 3 Pulmonary C Coronary F Other Thoracic
3 Arterial	0 Open 3 Percutaneous	H Sound R Saturation	1 Peripheral
3 Arterial	X External	5 Flow	1 Peripheral D Intracranial
3 Arterial	X External	B Pressure H Sound J Pulse R Saturation	1 Peripheral
4 Venous	0 Open 3 Percutaneous	5 Flow B Pressure J Pulse	0 Central 1 Peripheral 2 Portal 3 Pulmonary
4 Venous	0 Open 3 Percutaneous	R Saturation	1 Peripheral
4 Venous	4 Percutaneous Endoscopic	B Pressure	2 Portal
4 Venous	X External	5 Flow B Pressure J Pulse R Saturation	1 Peripheral
5 Circulatory	X External	L Volume	Z No Qualifier
6 Lymphatic	0 Open 3 Percutaneous 7 Via Natural or Artificial Opening 8 Via Natural or Artificial Opening Endoscopic	5 Flow B Pressure	Z No Qualifier
7 Visual	X External	0 Acuity 7 Mobility B Pressure	Z No Qualifier
8 Olfactory	X External	0 Acuity	Z No Qualifier
9 Respiratory	7 Via Natural or Artificial Opening 8 Via Natural or Artificial Opening Endoscopic X External	1 Capacity 5 Flow C Rate D Resistance L Volume M Total Activity	Z No Qualifier
B Gastrointestinal	7 Via Natural or Artificial Opening 8 Via Natural or Artificial Opening Endoscopic	8 Motility B Pressure G Secretion	Z No Qualifier
C Biliary	3 Percutaneous 4 Percutaneous Endoscopic 7 Via Natural or Artificial Opening 8 Via Natural or Artificial Opening Endoscopic	5 Flow B Pressure	Z No Qualifier
D Urinary	7 Via Natural or Artificial Opening 8 Via Natural or Artificial Opening Endoscopic	3 Contractility 5 Flow B Pressure D Resistance L Volume	Z No Qualifier
F Musculoskeletal	3 Percutaneous	3 Contractility	Z No Qualifier
F Musculoskeletal	3 Percutaneous	B Pressure	E Compartment
F Musculoskeletal	X External	3 Contractility	Z No Qualifier
H Products of Conception, Cardiac	7 Via Natural or Artificial Opening 8 Via Natural or Artificial Opening Endoscopic X External	4 Electrical Activity C Rate F Rhythm H Sound	Z No Qualifier
J Products of Conception, Nervous	7 Via Natural or Artificial Opening 8 Via Natural or Artificial Opening Endoscopic X External	2 Conductivity 4 Electrical Activity B Pressure	Z No Qualifier
Z None	7 Via Natural or Artificial Opening	6 Metabolism K Temperature	Z No Qualifier
Z None	X External	6 Metabolism K Temperature Q Sleep	Z No Qualifier