4A1BXSH – Monitoring of Gastrointestinal Vascular Perfusion using Indocyanine Green Dye, External Approach
Coding Notes
					
					Active				
			
					
					Billable, valid for HIPAA-covered transactions				
			PCS Table
| 
					 Section 
					4
					Measurement and Monitoring
				 | 
			|||
| 
					 Body System 
					A
					Physiological Systems
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			|||
| 
					 Operation 
					1
					Monitoring
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			|||
| Body System | Approach | Function / Device | Qualifier | 
| 
				 
					0
					Central Nervous
				 
			 | 
					
				 
					0
					Open
				 
			 | 
					
				 
					2
					Conductivity
				 
			
				
					B
					Pressure
				 
			 | 
					
				 
					Z
					No Qualifier
				 
			 | 
				
| 
				 
					0
					Central Nervous
				 
			 | 
					
				 
					0
					Open
				 
			 | 
					
				 
					4
					Electrical Activity
				 
			 | 
					
				 
					G
					Intraoperative
				 
			
				
					Z
					No Qualifier
				 
			 | 
				
| 
				 
					0
					Central Nervous
				 
			 | 
					
				 
					3
					Percutaneous
				 
			
				
					7
					Via Natural or Artificial Opening
				 
			
				
					8
					Via Natural or Artificial Opening Endoscopic
				 
			 | 
					
				 
					4
					Electrical Activity
				 
			 | 
					
				 
					G
					Intraoperative
				 
			
				
					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
				 
			 | 
					
				 
					Z
					No Qualifier
				 
			 | 
				
| 
				 
					0
					Central Nervous
				 
			 | 
					
				 
					X
					External
				 
			 | 
					
				 
					4
					Electrical Activity
				 
			 | 
					
				 
					G
					Intraoperative
				 
			
				
					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
				 
			 | 
					
				 
					G
					Intraoperative
				 
			
				
					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
				 
			 | 
					
				 
					Z
					No Qualifier
				 
			 | 
				
| 
				 
					2
					Cardiac
				 
			 | 
					
				 
					X
					External
				 
			 | 
					
				 
					4
					Electrical Activity
				 
			 | 
					
				 
					5
					Ambulatory
				 
			
				
					Z
					No Qualifier
				 
			 | 
				
| 
				 
					2
					Cardiac
				 
			 | 
					
				 
					X
					External
				 
			 | 
					
				 
					9
					Output
				 
			
				
					C
					Rate
				 
			
				
					F
					Rhythm
				 
			
				
					H
					Sound
				 
			 | 
					
				 
					Z
					No Qualifier
				 
			 | 
				
| 
				 
					2
					Cardiac
				 
			 | 
					
				 
					X
					External
				 
			 | 
					
				 
					M
					Total Activity
				 
			 | 
					
				 
					4
					Stress
				 
			 | 
				
| 
				 
					2
					Cardiac
				 
			 | 
					
				 
					X
					External
				 
			 | 
					
				 
					S
					Vascular Perfusion
				 
			 | 
					
				 
					H
					Indocyanine Green Dye
				 
			 | 
				
| 
				 
					3
					Arterial
				 
			 | 
					
				 
					0
					Open
				 
			
				
					3
					Percutaneous
				 
			 | 
					
				 
					5
					Flow
				 
			
				
					B
					Pressure
				 
			
				
					J
					Pulse
				 
			 | 
					
				 
					1
					Peripheral
				 
			
				
					3
					Pulmonary
				 
			
				
					C
					Coronary
				 
			 | 
				
| 
				 
					3
					Arterial
				 
			 | 
					
				 
					0
					Open
				 
			
				
					3
					Percutaneous
				 
			 | 
					
				 
					H
					Sound
				 
			
				
					R
					Saturation
				 
			 | 
					
				 
					1
					Peripheral
				 
			 | 
				
| 
				 
					3
					Arterial
				 
			 | 
					
				 
					X
					External
				 
			 | 
					
				 
					5
					Flow
				 
			
				
					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
				 
			 | 
					
				 
					0
					Central
				 
			
				
					2
					Portal
				 
			
				
					3
					Pulmonary
				 
			 | 
				
| 
				 
					4
					Venous
				 
			 | 
					
				 
					X
					External
				 
			 | 
					
				 
					5
					Flow
				 
			
				
					B
					Pressure
				 
			
				
					J
					Pulse
				 
			 | 
					
				 
					1
					Peripheral
				 
			 | 
				
| 
				 
					6
					Lymphatic
				 
			 | 
					
				 
					0
					Open
				 
			
				
					3
					Percutaneous
				 
			
				
					7
					Via Natural or Artificial Opening
				 
			
				
					8
					Via Natural or Artificial Opening Endoscopic
				 
			 | 
					
				 
					5
					Flow
				 
			 | 
					
				 
					H
					Indocyanine Green Dye
				 
			
				
					Z
					No Qualifier
				 
			 | 
				
| 
				 
					6
					Lymphatic
				 
			 | 
					
				 
					0
					Open
				 
			
				
					3
					Percutaneous
				 
			
				
					7
					Via Natural or Artificial Opening
				 
			
				
					8
					Via Natural or Artificial Opening Endoscopic
				 
			 | 
					
				 
					B
					Pressure
				 
			 | 
					
				 
					Z
					No Qualifier
				 
			 | 
				
| 
				 
					9
					Respiratory
				 
			 | 
					
				 
					7
					Via Natural or Artificial Opening
				 
			
				
					X
					External
				 
			 | 
					
				 
					1
					Capacity
				 
			
				
					5
					Flow
				 
			
				
					C
					Rate
				 
			
				
					D
					Resistance
				 
			
				
					L
					Volume
				 
			 | 
					
				 
					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
				 
			 | 
				
| 
				 
					B
					Gastrointestinal
				 
			 | 
					
				 
					X
					External
				 
			 | 
					
				 
					S
					Vascular Perfusion
				 
			 | 
					
				 
					H
					Indocyanine Green Dye
				 
			 | 
				
| 
				 
					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
				 
			 | 
				
| 
				 
					G
					Skin and Breast
				 
			 | 
					
				 
					X
					External
				 
			 | 
					
				 
					S
					Vascular Perfusion
				 
			 | 
					
				 
					H
					Indocyanine Green Dye
				 
			 | 
				
| 
				 
					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
				 
			 | 
					
				 
					K
					Temperature
				 
			 | 
					
				 
					Z
					No Qualifier
				 
			 | 
				
| 
				 
					Z
					None
				 
			 | 
					
				 
					X
					External
				 
			 | 
					
				 
					K
					Temperature
				 
			
				
					Q
					Sleep
				 
			 | 
					
				 
					Z
					No Qualifier
				 
			 |