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ICD-10 Procedure Coding System(ICD-10-PCS)2020 Index AddendaLetterNo changeAMainRevise fromAblation see DestructionRevise toAblationMainAddsee Control bleeding inAddsee DestructionRevise fromAndexanet Alfa, Factor Xa Inhibitor Reversal Agent XW0Revise toAndexanet Alfa, Factor Xa Inhibitor Reversal Agent use Coagulation Factor Xa, InactivatedMainAddAndexxa use Coagulation Factor Xa, InactivatedMainAddAntibacterial Envelope (TYRX) (AIGISRx) use Anti-Infective EnvelopeMainAddApalutamide Antineoplastic XW0DXJ5MainAddAZEDRA(R) use Iobenguane I-131 Antineoplastic
LetterNo changeBMainRevise fromBlock, Nerve, anesthetic injection 3E0T3CZRevise toBlock, Nerve, anesthetic injection 3E0T3BZNo changeBrachytherapyMainAddMainBackAddLower DW1LBBAddUpper DW1KBBAddCranial Cavity DW10BBAddExtremityAddLower DW1YBBAddUpper DW1XBBAddGastrointestinal Tract DW1PBBAddGenitourinary Tract DW1RBBAddRespiratory Tract DW1QBBAddBrachytherapy, CivaSheet(R)Addsee Brachytherapy with qualifier Unidirectional SourceAddsee Insertion with device Radioactive ElementMainAddBreast procedures, skin only use Skin, ChestMainNo changeBypassNo changeNo changeArteryRadialRevise fromLeft 031C0Revise toLeft 031CRevise fromRight 031B0Revise toRight 031BNo changeUlnarRevise fromLeft 031A0Revise toLeft 031ARevise fromRight 03190Revise toRight 0319AddIntestineAddLarge 0D1EAddSmall 0D18
LetterNo changeCMainDeleteCerebral Embolic Filtration, Dual Filter X2A5312MainAddCaplacizumab XW0MainAddCerebral Embolic FiltrationAddDual Filter X2A5312AddSingle Deflection Filter X2A6325MainAddCivaSheet(R) use Radioactive ElementMainAddCivaSheet(R) BrachytherapyAddsee Brachytherapy with qualifier Unidirectional SourceAddsee Insertion with device Radioactive ElementMainAddCoagulation Factor Xa, Inactivated XW0MainAddCoagulation Factor Xa, (Recombinant) Inactivated use Coagulation Factor Xa, InactivatedMainAddCONTEPO(tm) use Fosfomycin Anti-infective
LetterNo changeDMainNo changeDilationNo changeArteryNo changeAnterior TibialNo changeLeft 047QAddSustained Release Drug-eluting Intraluminal Device X27Q385AddFour or More X27Q3C5AddThree X27Q3B5AddTwo X27Q395No changeAddRight 047PSustained Release Drug-eluting Intraluminal Device X27P385AddFour or More X27P3C5AddThree X27P3B5AddTwo X27P395No changeNo changeAddFemoralLeft 047LSustained Release Drug-eluting Intraluminal Device X27J385AddFour or More X27J3C5AddThree X27J3B5AddTwo X27J395No changeAddRight 047KSustained Release Drug-eluting Intraluminal Device X27H385AddFour or More X27H3C5AddThree X27H3B5AddTwo X27H395No changeNo changeAddPeronealLeft 047USustained Release Drug-eluting Intraluminal Device X27U385AddFour or More X27U3C5AddThree X27U3B5AddTwo X27U395No changeAddRight 047TSustained Release Drug-eluting Intraluminal Device X27T385AddFour or More X27T3C5AddThree X27T3B5AddTwo X27T395No changeAddPoplitealLeft DistalAddSustained Release Drug-eluting Intraluminal Device X27N385AddFour or More X27N3C5AddThree X27N3B5AddTwo X27N395AddLeft ProximalAddSustained Release Drug-eluting Intraluminal Device X27L385AddFour or More X27L3C5
AddThree X27L3B5AddTwo X27L395AddAddSustained Release Drug-eluting Intraluminal Device X27M385AddFour or More X27M3C5AddThree X27M3B5AddTwo X27M395AddRight ProximalAddSustained Release Drug-eluting Intraluminal Device X27K385AddFour or More X27K3C5AddThree X27K3B5AddTwo X27K395No changeNo changeAddPosterior TibialLeft 047SSustained Release Drug-eluting Intraluminal Device X27S385AddFour or More X27S3C5AddThree X27S3B5AddTwo X27S395No changeAddMainRight DistalRight 047RSustained Release Drug-eluting Intraluminal Device X27R385AddFour or More X27R3C5AddThree X27R3B5AddTwo X27R395AddDismembered pyeloplasty see Repair, Kidney Pelvis
LetterNo changeEMainAddECMO, intraoperative see Performance, Circulatory 5A15AMainAddEllipsys(R) vascular access systemAddRadial Artery, Left 031C3ZFAddRadial Artery, Right 031B3ZFAddUlnar Artery, Left 031A3ZFAddUlnar Artery, Right 03193ZFMainAddEluvia(tm) Drug-Eluting Vascular Stent SystemAdduse Intraluminal Device, Sustained Release Drug-eluting in New TechnologyAdduse Intraluminal Device, Sustained Release Drug-eluting, Two in New TechnologyAdduse Intraluminal Device, Sustained Release Drug-eluting, Three in New TechnologyAdduse Intraluminal Device, Sustained Release Drug-eluting, Four or More in New TechnologyMainAddELZONRIS(tm) use Tagraxofusp-erzs AntineoplasticMainAddEndoAVF procedureMainAddRadial Artery, Left 031C3ZFAddRadial Artery, Right 031B3ZFAddUlnar Artery, Left 031A3ZFAddUlnar Artery, Right 03193ZFAddEndovascular fistula creationAddRadial Artery, Left 031C3ZFAddRadial Artery, Right 031B3ZFAddUlnar Artery, Left 031A3ZFAddUlnar Artery, Right 03193ZFMainAddErdafitinib Antineoplastic XW0DXL5MainAddERLEADA(tm) use Apalutamide AntineoplasticMainNo changeExtirpationAddMainJawAddLower 0WC5AddUpper 0WC4No changeAddExtractionBreastAddBilateral 0HDV0ZZAddLeft 0HDU0ZZAddRight 0HDT0ZZAddSupernumerary 0HDY0ZZ
LetterNo changeFMainRevise fromFactor Xa Inhibitor Reversal Agent, Andexanet Alfa use Andexanet Alfa, Factor Xa InhibitorReversal AgentRevise toFactor Xa Inhibitor Reversal Agent, Andexanet Alfa use Coagulation Factor Xa, InactivatedMainAddFGS (fluorescence-guided surgery) see Fluorescence Guided ProcedureMainAddFlow Diverter embolization device use Intraluminal Device, Flow Diverter in 03VMainAddFluorescence Guided ProcedureAddExtremityAddLower 8E0YAddUpper 8E0XAddHead and Neck Region 8E09AddAminolevulinic Acid 8E090EMAddNo Qualifier 8E090EZAddTrunk Region 8E0WMainAddFluorescent Pyrazine, Kidney XT25XE5MainAddFosfomycin Anti-infective XW0MainAddFosfomycin injection use Fosfomycin Anti-infective
LetterNo changeGMainAddGilteritinib Antineoplastic XW0DXV5
LetterNo changeHMainAddHIPEC (hyperthermic intraperitoneal chemotherapy) 3E0M30YMainAddHyperthermic intraperitoneal chemotherapy (HIPEC) 3E0M30Y
LetterNo changeIMainAddIMI/REL use Imipenem-cilastatin-relebactam m Anti-infective XW0MainAddInfection, Whole Blood Nucleic Acid-base Microbial Detection, Measurement XXE5XM5MainNo changeInsertion of device inNo changeAddArteryCoronaryAddFour or More Arteries 02H3AddOne Artery 02H0AddThree Arteries 02H2AddTwo Arteries 02H1MainAddIobenguane I-131 Antineoplastic XW0MainAddIobenguane I-131, High Specific Activity (HSA) use Iobenguane I-131 AntineoplasticMainNo changeIrrigationRevise fromJoint, Irrigating Substance 3E1U38ZRevise toJoint, Irrigating Substance 3E1U
LetterNo changeJMainAddJakafi(R) use Ruxolitinib
LetterNo changeKMainAddKeystone Heart TriGuard 3(tm) CEPD (cerebral embolic protection device) X2A6325
LetterNo changeMMainAddMagnetic-guided radiofrequency endovascular fistulaMainAddRadial Artery, Left 031C3ZFAddRadial Artery, Right 031B3ZFAddUlnar Artery, Left 031A3ZFAddUlnar Artery, Right 03193ZFNo changeAddMeasurementInfection, Whole Blood Nucleic Acid-base Microbial Detection XXE5XM5MainAddMeropenem-vaborbactam Anti-infective XW0MainNo changeMonitoringAddKidney, Fluorescent Pyrazine XT25XE5No changeLymphaticRevise fromFlow 4A16Revise toFlowAddIndocyanine Green Dye 4A16AddNo Qualifier 4A16
LetterNo changeNMainNo changeNew TechnologyDeleteAndexanet Alfa, Factor Xa Inhibitor Reversal Agent XW0DeleteCerebral Embolic Filtration, Dual Filter X2A5312AddApalutamide Antineoplastic XW0DXJ5AddCaplacizumab XW0AddCerebral Embolic FiltrationAddDual Filter X2A5312AddSingle Deflection Filter X2A6325AddCoagulation Factor Xa, Inactivated XW0AddDilationAddAddAnterior TibialLeftAddSustained Release Drug-eluting Intraluminal Device X27Q385AddFour or More X27Q3C5AddThree X27Q3B5AddTwo X27Q395AddRightAddSustained Release Drug-eluting Intraluminal Device X27P385AddFour or More X27P3C5AddThree X27P3B5AddTwo X27P395AddFemoralAddLeftAddSustained Release Drug-eluting Intraluminal Device X27J385AddFour or More X27J3C5AddThree X27J3B5AddTwo X27J395AddRightAddSustained Release Drug-eluting Intraluminal Device X27H385AddFour or More X27H3C5AddThree X27H3B5AddTwo X27H395AddAddPeronealLeftAddSustained Release Drug-eluting Intraluminal Device X27U385AddFour or More X27U3C5AddThree X27U3B5AddTwo X27U395AddRightAddSustained Release Drug-eluting Intraluminal Device X27T385AddFour or More X27T3C5AddThree X27T3B5AddTwo X27T395AddPopliteal
AddLeft DistalAddSustained Release Drug-eluting Intraluminal Device X27N385AddFour or More X27N3C5AddThree X27N3B5AddTwo X27N395AddLeft ProximalAddSustained Release Drug-eluting Intraluminal Device X27L385AddFour or More X27L3C5AddThree X27L3B5AddTwo X27L395AddRight DistalAddSustained Release Drug-eluting Intraluminal Device X27M385AddFour or More X27M3C5AddThree X27M3B5AddTwo X27M395AddRight ProximalAddSustained Release Drug-eluting Intraluminal Device X27K385AddFour or More X27K3C5AddThree X27K3B5AddTwo X27K395AddAddPosterior TibialLeftAddSustained Release Drug-eluting Intraluminal Device X27S385AddFour or More X27S3C5AddThree X27S3B5AddTwo X27S395AddRightAddSustained Release Drug-eluting Intraluminal Device X27R385AddFour or More X27R3C5AddThree X27R3B5AddTwo X27R395AddErdafitinib Antineoplastic XW0DXL5AddFosfomycin Anti-infective XW0AddGilteritinib Antineoplastic XW0DXV5AddImipenem-cilastatin-relebactam Anti-infective XW0AddIobenguane I-131 Antineoplastic XW0AddKidney, Fluorescent Pyrazine XT25XE5AddMeasurement, Infection, Whole Blood Nucleic Acid-base Microbial Detection XXE5XM5AddMeropenem-vaborbactam Anti-infective XW0AddRuxolitinib XW0DXT5AddTagraxofusp-erzs Antineoplastic XW0AddVenetoclax Antineoplastic XW0DXR5
LetterNo changePMainNo changePanniculectomyMainDeletesee Excision, Abdominal Wall 0WBFAddsee Excision, Subcutaneous Tissue and Fascia, Abdomen 0JB8No changeNo changePerformanceCirculatoryDeleteCentral Membrane 5A1522FDeletePeripheral Veno-arterial Membrane 5A1522GDeletePeripheral Veno-venous Membrane 5A1522HAddContinuousAddCentral Membrane 5A1522FAddPeripheral Veno-arterial Membrane 5A1522GAddPeripheral Veno-venous Membrane 5A1522HAddIntraoperativeAddCentral Membrane 5A15A2FAddPeripheral Veno-arterial Membrane 5A15A2GAddPeripheral Veno-venous Membrane 5A15A2HMainDeletePipeline(tm) Embolization device (PED) use Intraluminal DeviceMainAddPipeline(tm) (Flex) embolization device use Intraluminal Device, Flow Diverter in 03VMainAddPRECICE intramedullary limb lengthening systemMainAdduse Internal Fixation Device, Intramedullary Limb Lengthening in 0PHAdduse Internal Fixation Device, Intramedullary Limb Lengthening in 0QHAddPyeloplasty, dismembered see Repair, Kidney Pelvis
LetterNo changeRMainDeleteReveal (DX)(XT) use Monitoring DeviceMainAddRECELL(R) cell suspension autograft see Replacement, Skin and Breast 0HRMainAddReveal (LINQ)(DX)(XT) use Monitoring DeviceMainAddRuxolitinib XW0DXT5
LetterNo changeSMainAddS-ICD(tm) lead use Subcutaneous Defibrillator Lead in Subcutaneous Tissue and FasciaMainAddSAVAL below-the-knee (BTK) drug-eluting stent systemAdduse Intraluminal Device, Sustained Release Drug-eluting in New TechnologyAdduse Intraluminal Device, Sustained Release Drug-eluting, Two in New TechnologyAdduse Intraluminal Device, Sustained Release Drug-eluting, Three in New TechnologyAdduse Intraluminal Device, Sustained Release Drug-eluting, Four or More in New TechnologyMainAddSPY PINPOINT fluorescence imaging system see Monitoring, Physiological Systems 4A1MainAddSubcutaneous Defibrillator LeadAddInsertion of device in, Subcutaneous Tissue and Fascia, Chest 0JH6AddRemoval of device from, Subcutaneous Tissue and Fascia, Trunk 0JPTAddRevision of device in, Subcutaneous Tissue and Fascia, Trunk 0JWTMainAddSubmandibular space use Subcutaneous Tissue and Fascia, FaceMainNo changeSupplementNo changeAddArteryCoronaryAddFour or More Arteries 02U3AddOne Artery 02U0AddThree Arteries 02U2AddTwo Arteries 02U1AddSinusAddAccessory 09UPAddEthmoidAddLeft 09UVAddRight 09UUAddFrontalAddLeft 09UTAddRight 09USAddMastoidAddLeft 09UCAddRight 09UBAddMaxillaryAddLeft 09URAddRight 09UQAddSphenoidAddLeft 09UXAddRight 09UWMainAddSurpass Streamline(tm) Flow Diverter use Intraluminal Device, Flow Diverter in 03VMainAddSustained Release Drug-eluting Intraluminal DeviceAddAddDilationAnterior TibialAddLeft X27Q385AddRight X27P385AddAddFemoralLeft X27J385
AddAddRight X27H385PeronealAddLeft X27U385AddRight X27T385AddPoplitealAddLeft Distal X27N385AddLeft Proximal X27L385AddRight Distal X27M385AddRight Proximal X27K385AddPosterior TibialAddLeft X27S385AddRight X27R385AddAddFour or MoreAnterior TibialAddLeft X27Q3C5AddRight X27P3C5AddFemoralAddLeft X27J3C5AddRight X27H3C5AddPeronealAddLeft X27U3C5AddRight X27T3C5AddPoplitealAddLeft Distal X27N3C5AddLeft Proximal X27L3C5AddRight Distal X27M3C5AddRight Proximal X27K3C5AddPosterior TibialAddLeft X27S3C5AddRight X27R3C5AddAddThreeAnterior TibialAddLeft X27Q3B5AddRight X27P3B5AddFemoralAddLeft X27J3B5AddRight X27H3B5AddPeronealAddLeft X27U3B5AddRight X27T3B5AddPoplitealAddLeft Distal X27N3B5AddLeft Proximal X27L3B5AddRight Distal X27M3B5AddRight Proximal X27K3B5
AddPosterior TibialAddLeft X27S3B5AddRight X27R3B5AddAddTwoAnterior TibialAddLeft X27Q395AddRight X27P395AddFemoralAddLeft X27J395AddRight X27H395AddPeronealAddLeft X27U395AddRight X27T395AddPoplitealAddLeft Distal X27N395AddLeft Proximal X27L395AddRight Distal X27M395AddRight Proximal X27K395AddPosterior TibialAddLeft X27S395AddRight X27R395
LetterNo changeTMainAddTagraxofusp-erzs Antineoplastic XW0MainAddTibioperoneal trunkAdduse Popliteal Artery, RightAdduse Popliteal Artery, LeftMainAddTransdermal Glomerular Filtration Rate (GFR) Measurement System XT25XE5MainNo tihemophilic Factors 3026DeleteBloodDeletePlatelets 3026DeleteRed Cells 3026DeleteFrozen 3026DeleteWhite Cells 3026DeleteWhole 3026DeleteBone Marrow 3026DeleteFactor IX 3026DeleteFibrinogen 3026DeleteGlobulin 3026DeletePlasmaDeleteFresh 3026DeleteFrozen 3026DeletePlasma Cryoprecipitate 3026DeleteSerum Albumin 3026DeleteStem CellsDeleteCord Blood 3026DeleteHematopoietic 3026DeletePeripheralDeleteAntihemophilic Factors 3025DeleteBloodDeletePlatelets 3025DeleteRed Cells 3025DeleteFrozen 3025DeleteWhite Cells 3025DeleteWhole 3025DeleteBone Marrow 3025DeleteFactor IX 3025DeleteFibrinogen 3025DeleteGlobulin 3025DeletePlasmaDeleteFresh 3025DeleteFrozen 3025DeletePlasma Cryoprecipitate 3025DeleteSerum Albumin 3025
DeleteStem CellsDeleteCord Blood 3025DeleteHematopoietic 3025No changeNo changeNo changeAddNo changeNo changeVeinCentralStem CellsT-cell Depleted Hematopoietic 3024PeripheralStem CellsAddT-cell Depleted Hematopoietic 3023MainAddTriGuard 3(tm) CEPD (cerebral embolic protection device) X2A6325MainAddTYRX Antibacterial Envelope use Anti-Infective Envelope
LetterNo changeVMainAddVabomere(tm) use Meropenem-vaborbactam Anti-infectiveMainAddVenclexta(R) use Venetoclax AntineoplasticMainAddVenetoclax Antineoplastic XW0DXR5
LetterNo changeWMainAddWavelinQ EndoAVF systemAddRadial Artery, Left 031C3ZFAddRadial Artery, Right 031B3ZFAddUlnar Artery, Left 031A3ZFAddUlnar Artery, Right 03193ZF
LetterNo changeXMainAddXOSPATA(R) use Gilteritinib Antineoplastic
ICD-10 Procedure Coding System (ICD-10-PCS) 2020 Index Addenda Letter No change A Main Revise from Ablation see Destruction Revise to Ablation Add see Control bleeding in Add see Destruction Main Revise from Andexanet Alfa, Factor Xa Inhibitor Reversal Agent XW0 Revise to Andexanet Alfa, Factor Xa Inhibitor Reversal Agent use Coagulation Factor Xa, Inactivated
