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ICD-10-PCS covers aapc.indd 120/07/15 5:29 pm
Table of ContentsPreface 2List of Features 3Official Conventions and Additional ConventionsSpecific to this ICD-10-PCS Manual 4ICD-10-PCS Overview 7What is ICD-10-PCS? 7History of ICD-10-PCS 7ICD-9-CM Volume 3 Compared with ICD-10-PCS 7ICD-10-PCS Code Structure 7ICD-10-PCS System Organization 9ICD-10-PCS Design 11ICD-10-PCS Additional Characteristics 13ICD-10-PCS Applications 14Procedures in the Medical and Surgical Section –Root Operation Groups 16Coding Exercises 17-18, 20-38Procedures in the Medical and Surgical-related Sections 39Obstetrics—Section 1 39Placement—Section 2 40Administration—Section 3 41Measurement and Monitoring—Section 4 42Extracorporeal Assistance and Performance—Section 5 42Extracorporeal Therapies—Section 6 43Osteopathic—Section 7 44Other Procedures—Section 8 45Chiropractic—Section 9 45Procedures in the Ancillary Sections 47Imaging—Section B 47Nuclear Medicine—Section C 48Radiation Therapy—Section D 48Physical Rehabilitation and Diagnostic Audiology—Section F 49Mental Health—Section G 50Substance Abuse Treatment—Section H 51New Technology—Section X 51Coding Exercises 41-52ICD-10-PCS Official Guidelines for Coding and Reporting 53Anatomical Illustrations 61ICD-10-PCS Index.93ICD-10-PCS Tables.199Central Nervous System 001-00X.199Peripheral Nervous System 012-01X.208Heart and Great Vessels 021-02Y.215Upper Arteries 031-03W .226Lower Arteries 041-04W .240Upper Veins 051-05W .253Lower Veins 061-06W .263Lymphatic and Hemic Systems 072-07Y .273Eye 080-08X .281Ear, Nose, Sinus 090-09W .292ICD-10-PCS 20161 ICD-10-PCS FM.indd 1Respiratory System 0B1-0BY .303Mouth and Throat 0C0-0CX .314Gastrointestinal System 0D1-0DY.324Hepatobiliary System and Pancreas 0F1-0FY .342Endocrine System 0G2-0GW.350Skin and Breast 0H0-0HX .357Subcutaneous Tissue and Fascia 0J0-0JX .369Muscles 0K2-0KX .386Tendons 0L2-0LX .395Bursae and Ligaments 0M2-0MX.405Head and Facial Bones 0N2-0NW .419Upper Bones 0P2-0PW .431Lower Bones 0Q2-0QW.443Upper Joints 0R2-0RW .454Lower Joints 0S2-0SW .470Urinary System 0T1-0TY .484Female Reproductive System 0U1-0UY .495Male Reproductive System 0V1-0VW .506Anatomical Regions, General 0W0-0WW .515Anatomical Regions, Upper Extremities 0X0-0XX .525Anatomical Regions, Lower Extremities 0Y0-0YW .531Obstetrics 102-10Y .539Placement-Anatomical Regions 2W0-2W6.542Placement-Anatomical Orifices 2Y0-2Y5 .549Administration 302-3E1 .550Measurement and Monitoring 4A0-4B0 .564Extracorporeal Assistance and Performance 5A0-5A2 .568Extracorporeal Therapies 6A0-6A9 .569Osteopathic 7W0 .571Other Procedures 8C0-8E0 .572Chiropractic 9WB .574Imaging B00-BY4 .575Nuclear Medicine C01-CW7 .616Radiation Therapy D00-DWY.626Physical Rehabilitation and DiagnosticAudiology F00-F15 .642Mental Health GZ1-GZJ .658Substance Abuse Treatment HZ2-HZ9 .660New Technology, Cardiovascular System X2C.663New Technology, Joints XR2.664New Technology, Anatomical Regions XW0.665Appendix A: Root Operations Definitions.667Appendix B: Body Part Key.671Appendix C: Device Key.688Appendix D: Device Aggregation Table.695Appendix E: Character Meaning.697Appendix F: Substance Key.767Appendix G: Combination Clusters.768121/07/15 7:26 pm
PrefaceThank you for your purchase! We are pleased to offer you the2016 ICD-10-PCS Complete Code Set.This manual goes beyond the basics to help you codeaccurately and efficiently. In addition to including the officialAlphabetic Index, Tables, and ICD-10-PCS Official Guidelines,we’ve crafted a select set of bonus features based on requestsfrom coders in the field as well as the recommendations of ourcore group of veteran coding educators.Our goal was to apply our unique approach to focusing on thepractical application of the codes to this procedure codingmanual. For instance, you will find an overview of the ICD-10PCS code set as well as step-by-step instructions for assigningICD-10-PCS codes, numerous examples, and practice exercises.A few of the other features you’ll benefit from page after pageinclude the following: Procedures in the Medical and Surgical-related sections,including understanding root operations for variousspecialties and types of procedures, plenty of examples,and additional coding exercises Full illustrations of body systems at the front of the bookso you don’t have to search the manual for these largecolor images of body systems Intuitive color-coded symbols and alerts identify criticalcoding and reimbursement issues quicklySee the complete List of Features to learn about everything thismanual has to offer.Rely on Our Combination of OfficialSources and ExperienceThis manual includes the official ICD-10-PCS 2016 AlphabeticIndex and Tables. We’ve also included the 2016 ICD-10-PCSOfficial Guidelines.Additionally, our dedicated team drew on their years ofexperience using coding manuals to develop this manual’s userfriendly symbols, color coding, and tabs, all designed to helpyou find the information you need quickly.Let Us Know What You ThinkOur goal for this manual is to support those involved in thebusiness side of healthcare, helping them to do their jobsand do them well. We’d appreciate your feedback, includingyour suggestions for what you’d like to see in an ICD-10-PCSresource, so we can be sure our manuals serve your needs.Thank you. Medicare Code Edits, including gender edits and editsfor limited coverage, noncovered procedures, HACassociated procedures, combination clusters, and nonOR procedures affecting MS-DRG assignment21 ICD-10-PCS FM.indd 2ICD-10-PCS 201621/07/15 7:26 pm
ICD-10-PCS 2016Anatomical IllustrationsBRAIN ANATOMYBRAIN ANATOMY615 Anatomical Illustrations.indd 6122/07/15 5:43 pm
ICD-10-PCS 2016BREAST ANATOMYBREAST ANATOMY625 Anatomical Illustrations.indd 6222/07/15 5:43 pm
ICD-10-PCS 2016ICD-10-PCS Index3f (Aortic) Bioprosthesis valve - Alteration3f (Aortic) Bioprosthesis valve useZooplastic Tissue in Heart and Great VesselsAAlteration — continuedBreastBilateral 0H0VLeft 0H0URight 0H0TButtockLeft 0Y01Right 0Y00Chest Wall 0W08EarBilateral 0902Left 0901Right 0900Elbow RegionLeft 0X0CRight 0X0BExtremityLowerLeft 0Y0BRight 0Y09UpperLeft 0X07Right 0X06EyelidLowerLeft 080RRight 080QUpperLeft 080PRight 080NFace 0W02Head 0W00JawLower 0W05Upper 0W04Knee RegionLeft 0Y0GRight 0Y0FLegLowerLeft 0Y0JRight 0Y0HUpperLeft 0Y0DRight 0Y0CLipLower 0C01XUpper 0C00XNeck 0W06Nose 090KPerineumFemale 0W0NMale 0W0MShoulder RegionLeft 0X03Right 0X02Subcutaneous Tissue and FasciaAbdomen 0J08Back 0J07Buttock 0J09Chest 0J06Face 0J01Lower ArmLeft 0J0HRight 0J0GLower LegLeft 0J0PRight 0J0NNeckAnterior 0J04Posterior 0J05Upper ArmLeft 0J0FRight 0J0DUpper LegLeft 0J0MRight 0J0LICD-10-PCS IndexAbdominal aortic plexus use AbdominalSympathetic NerveAbdominal esophagus use Esophagus, LowerAbdominohysterectomysee Resection, Uterus 0UT9see Resection, Cervix 0UTCAbdominoplastysee Alteration, Abdominal Wall 0W0Fsee Repair, Abdominal Wall 0WQFsee Supplement, Abdominal Wall 0WUFAbductor hallucis muscleuse Foot Muscle, Rightuse Foot Muscle, LeftAbioCor(R) Total Replacement Heart useSynthetic SubstituteAblation see DestructionAbortionProducts of Conception 10A0Abortifacient 10A07ZXLaminaria 10A07ZWVacuum 10A07Z6Abrasion see ExtractionAbsolute Pro Vascular (OTW) SelfExpanding Stent System use IntraluminalDeviceAccessory cephalic veinuse Cephalic Vein, Rightuse Cephalic Vein, LeftAccessory obturator nerve use LumbarPlexusAccessory phrenic nerve use Phrenic NerveAccessory spleen use SpleenAcculink (RX) Carotid Stent System useIntraluminal DeviceAcellular Hydrated Dermis useNonautologous Tissue SubstituteAcetabular cup use Liner in Lower JointsAcetabulectomysee Excision, Lower Bones 0QBsee Resection, Lower Bones 0QTAcetabulofemoral jointuse Hip Joint, Rightuse Hip Joint, LeftAcetabuloplastysee Repair, Lower Bones 0QQsee Replacement, Lower Bones 0QRsee Supplement, Lower Bones 0QUAchilles tendonuse Lower Leg Tendon, Rightuse Lower Leg Tendon, LeftAchillorrhaphy see Repair, Tendons 0LQAchillotenotomy, achillotomysee Division, Tendons 0L8see Drainage, Tendons 0L9Acromioclavicular ligamentuse Shoulder Bursa and Ligament, Rightuse Shoulder Bursa and Ligament, LeftAcromion (process)use Scapula, Rightuse Scapula, LeftAcromionectomysee Excision, Upper Joints 0RBsee Resection, Upper Joints 0RTAcromioplastysee Repair, Upper Joints 0RQsee Replacement, Upper Joints 0RRsee Supplement, Upper Joints 0RUActiva PC neurostimulator use StimulatorGenerator, Multiple Array in 0JHActiva RC neurostimulator use StimulatorGenerator, Multiple Array Rechargeablein 0JHActiva SC neurostimulator use StimulatorGenerator, Single Array in 0JHActivities of Daily Living Assessment F02Activities of Daily Living Treatment F08ACUITY(tm) Steerable Leaduse Cardiac Lead, Pacemaker in 02Huse Cardiac Lead, Defibrillator in 02HAcupunctureBreastAnesthesia 8E0H300No Qualifier 8E0H30ZIntegumentary SystemAnesthesia 8E0H300No Qualifier 8E0H30ZAdductor brevis muscleuse Upper Leg Muscle, Rightuse Upper Leg Muscle, LeftAdductor hallucis muscleuse Foot Muscle, Rightuse Foot Muscle, LeftAdductor longus muscleuse Upper Leg Muscle, Rightuse Upper Leg Muscle, LeftAdductor magnus muscleuse Upper Leg Muscle, Rightuse Upper Leg Muscle, LeftAdenohypophysis use Pituitary GlandAdenoidectomysee Excision, Adenoids 0CBQsee Resection, Adenoids 0CTQAdenoidotomy see Drainage, Adenoids 0C9QAdhesiolysis see ReleaseAdministrationBlood products see TransfusionOther substance see Introduction ofsubstance in or onAdrenalectomysee Excision, Endocrine System 0GBsee Resection, Endocrine System 0GTAdrenalorrhaphy see Repair, EndocrineSystem 0GQAdrenalotomy see Drainage, EndocrineSystem 0G9Advancementsee Repositionsee TransferAdvisa (MRI) use Pacemaker, Dual Chamberin 0JHAIGISRx Antibacterial Envelope use AntiInfective EnvelopeAlar ligament of axis use Head and NeckBursa and LigamentAlimentation see Introduction of substancein or onAlterationAbdominal Wall 0W0FAnkle RegionLeft 0Y0LRight 0Y0KArmLowerLeft 0X0FRight 0X0DUpperLeft 0X09Right 0X08AxillaLeft 0X05Right 0X04BackLower 0W0LUpper 0W0K3f (Aortic) Bioprosthesis valve - Alteration3936 ICD-10-PCS 2016 Index.indd 9320/07/15 6:03 pm
ICD-10-PCS IndexICD-10-PCS 2016ICD-10-PCS IndexAlteration - ArteriographyAlteration - ArteriographyAlteration — continuedWrist RegionLeft 0X0HRight 0X0GAlveolar process of mandibleuse Mandible, Rightuse Mandible, LeftAlveolar process of maxillause Maxilla, Rightuse Maxilla, LeftAlveolectomysee Excision, Head and Facial Bones 0NBsee Resection, Head and Facial Bones 0NTAlveoloplastysee Repair, Head and Facial Bones 0NQsee Replacement, Head and Facial Bones0NRsee Supplement, Head and Facial Bones0NUAlveolotomysee Division, Head and Facial Bones 0N8see Drainage, Head and Facial Bones 0N9Ambulatory cardiac monitoring 4A12X45Amniocentesis see Drainage, Products ofConception 1090Amnioinfusion see Introduction of substancein or on, Products of Conception 3E0EAmnioscopy 10J08ZZAmniotomy see Drainage, Products ofConception 1090AMPLATZER(R) Muscular VSD Occluder useSynthetic SubstituteAmputation see DetachmentAMS 800(R) Urinary Control System useArtificial Sphincter in Urinary SystemAnal orifice use AnusAnalog radiography see Plain RadiographyAnalog radiology see Plain RadiographyAnastomosis see BypassAnatomical snuffboxuse Lower Arm and Wrist Muscle, Rightuse Lower Arm and Wrist Muscle, LeftAneuRx(R) AAA Advantage(R) useIntraluminal DeviceAngiectomysee Excision, Heart and Great Vessels 02Bsee Excision, Upper Arteries 03Bsee Excision, Lower Arteries 04Bsee Excision, Upper Veins 05Bsee Excision, Lower Veins 06BAngiocardiographyCombined right and left heart seeFluoroscopy, Heart, Right and Left B216Left Heart see Fluoroscopy, Heart, Left B215Right Heart see Fluoroscopy, Heart, RightB214SPY see Fluoroscopy, Heart B21Angiographysee Plain Radiography, Heart B20see Fluoroscopy, Heart B21Angioplastysee Dilation, Heart and Great Vessels 027see Repair, Heart and Great Vessels 02Qsee Replacement, Heart and Great Vessels02Rsee Supplement, Heart and Great Vessels02Usee Dilation, Upper Arteries 037see Repair, Upper Arteries 03Qsee Replacement, Upper Arteries 03Rsee Supplement, Upper Arteries 03Usee Dilation, Lower Arteries 047see Repair, Lower Arteries 04Qsee Replacement, Lower Arteries 04Rsee Supplement, Lower Arteries 04UAngiorrhaphysee Repair, Heart and Great Vessels 02QAngiorrhaphy — continuedsee Repair, Upper Arteries 03Qsee Repair, Lower Arteries 04QAngioscopy02JY4ZZ03JY4ZZ04JY4ZZAngiotripsysee Occlusion, Upper Arteries 03Lsee Occlusion, Lower Arteries 04LAngular artery use Face ArteryAngular veinuse Face Vein, Rightuse Face Vein, LeftAnnular ligamentuse Elbow Bursa and Ligament, Rightuse Elbow Bursa and Ligament, LeftAnnuloplastysee Repair, Heart and Great Vessels 02Qsee Supplement, Heart and Great Vessels02UAnnuloplasty ring use Synthetic SubstituteAnoplastysee Repair, Anus 0DQQsee Supplement, Anus 0DUQAnorectal junction use RectumAnoscopy 0DJD8ZZAnsa cervicalis use Cervical PlexusAntabuse therapy HZ93ZZZAntebrachial fasciause Subcutaneous Tissue and Fascia, RightLower Armuse Subcutaneous Tissue and Fascia, LeftLower ArmAnterior (pectoral) lymph nodeuse Lymphatic, Right Axillaryuse Lymphatic, Left AxillaryAnterior cerebral artery use IntracranialArteryAnterior cerebral vein use Intracranial VeinAnterior choroidal artery use IntracranialArteryAnterior circumflex humeral arteryuse Axillary Artery, Rightuse Axillary Artery, LeftAnterior communicating artery useIntracranial ArteryAnterior cruciate ligament (ACL)use Knee Bursa and Ligament, Rightuse Knee Bursa and Ligament, LeftAnterior crural nerve use Femoral NerveAnterior facial veinuse Face Vein, Rightuse Face Vein, LeftAnterior intercostal arteryuse Internal Mammary Artery, Rightuse Internal Mammary Artery, LeftAnterior interosseous nerve use MedianNerveAnterior lateral malleolar arteryuse Anterior Tibial Artery, Rightuse Anterior Tibial Artery, LeftAnterior lingual gland use Minor SalivaryGlandAnterior medial malleolar arteryuse Anterior Tibial Artery, Rightuse Anterior Tibial Artery, LeftAnterior spinal arteryuse Vertebral Artery, Rightuse Vertebral Artery, LeftAnterior tibial recurrent arteryuse Anterior Tibial Artery, Rightuse Anterior Tibial Artery, LeftAnterior ulnar recurrent arteryuse Ulnar Artery, Rightuse Ulnar Artery, LeftAnterior vagal trunk use Vagus NerveAnterior vertebral muscleuse Neck Muscle, Rightuse Neck Muscle, LeftAntihelixuse External Ear, Rightuse External Ear, Leftuse External Ear, BilateralAntimicrobial envelope use Anti-InfectiveEnvelopeAntitragususe External Ear, Rightuse External Ear, Leftuse External Ear, BilateralAntrostomy see Drainage, Ear, Nose, Sinus099Antrotomy see Drainage, Ear, Nose, Sinus 099Antrum of Highmoreuse Maxillary Sinus, Rightuse Maxillary Sinus, LeftAortic annulus use Aortic ValveAortic arch use Thoracic AortaAortic intercostal artery use Thoracic AortaAortographysee Plain Radiography, Upper Arteries B30see Fluoroscopy, Upper Arteries B31see Plain Radiography, Lower Arteries B40see Fluoroscopy, Lower Arteries B41Aortoplastysee Repair, Aorta, Thoracic 02QWsee Replacement, Aorta, Thoracic 02RWsee Supplement, Aorta, Thoracic 02UWsee Repair, Aorta, Abdominal 04Q0see Replacement, Aorta, Abdominal 04R0see Supplement, Aorta, Abdominal 04U0Apical (subclavicular) lymph nodeuse Lymphatic, Right Axillaryuse Lymphatic, Left AxillaryApneustic center use PonsAppendectomysee Excision, Appendix 0DBJsee Resection, Appendix 0DTJAppendicolysis see Release, Appendix 0DNJAppendicotomy see Drainage, Appendix0D9JApplication see Introduction of substance inor onAquapheresis 6A550Z3Aqueduct of Sylvius use Cerebral VentricleAqueous humouruse Anterior Chamber, Rightuse Anterior Chamber, LeftArachnoid mater, intracranial use CerebralMeningesArachnoid mater, spinal use Spinal MeningesArcuate arteryuse Foot Artery, Rightuse Foot Artery, LeftAreolause Nipple, Rightuse Nipple, LeftAROM (artificial rupture of membranes)10907ZCArterial canal (duct) use Pulmonary Artery,LeftArterial pulse tracing see Measurement,Arterial 4A03Arteriectomysee Excision, Heart and Great Vessels 02Bsee Excision, Upper Arteries 03Bsee Excision, Lower Arteries 04BArteriographysee Plain Radiography, Heart B20see Fluoroscopy, Heart B21see Plain Radiography, Upper Arteries B30see Fluoroscopy, Upper Arteries B31see Plain Radiography, Lower Arteries B40see Fluoroscopy, Lower Arteries B41946 ICD-10-PCS 2016 Index.indd 9420/07/15 6:03 pm
001-002ICD-10-PCS TablesCentral Nervous System 001-00X0 Medical and Surgical0 Central Nervous System1 Bypass: Altering the route of passage of the contents of a tubular body partBody PartCharacter 4ApproachCharacter 5DeviceCharacter 6QualifierCharacter 76 Cerebral Ventricle0 Open3 Percutaneous7 Autologous Tissue SubstituteJ Synthetic SubstituteK Nonautologous TissueSubstitute012345678BNasopharynxMastoid SinusAtriumBlood VesselPleural CavityIntestinePeritoneal CavityUrinary TractBone MarrowCerebral CisternsU Spinal Canal0 Open3 Percutaneous7 Autologous Tissue SubstituteJ Synthetic SubstituteK Nonautologous TissueSubstitute4679Pleural CavityPeritoneal CavityUrinary TractFallopian Tube0 Medical and Surgical0 Central Nervous System2 Change: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without cutting orpuncturing the skin or a mucous membraneBody PartCharacter 40 BrainE Cranial NerveU Spinal CanalApproachCharacter 5DeviceCharacter 6X ExternalQualifierCharacter 70 Drainage DeviceY Other DeviceZ No Qualifier002[0,E,U]X [0,Y]ZNoncoveredHAC associated procedureNon-OR-Not affecting MS-DRG AssignmentICD-10-PCS 20167 Tables final 013014-2 1 001-09W.indd 199Combination ClusterRevised Text in OrangeCentral Nervous System 001-00XLimited CoverageNon-OR-Affecting MS-DRG AssignmentMaleFemale19921/07/15 6:46 pm
012-015012-015Peripheral Nervous System 012-01XPeripheral Nervous System 012-01X0 Medical and Surgical1 Peripheral Nervous System2 Change: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without cutting orpuncturing the skin or a mucous membraneBody PartCharacter 4Y Peripheral NerveApproachCharacter 5DeviceCharacter 6X ExternalQualifierCharacter 70 Drainage DeviceY Other DeviceZ No Qualifier012YX[0,Y]Z0 Medical and Surgical1 Peripheral Nervous System5 Destruction: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agentBody PartCharacter 4012345689ABCDFGHKLMNPQRCervical PlexusCervical NervePhrenic NerveBrachial PlexusUlnar NerveMedian NerveRadial NerveThoracic NerveLumbar PlexusLumbosacral PlexusLumbar NervePudendal NerveFemoral NerveSciatic NerveTibial NervePeroneal NerveHead and Neck Sympathetic NerveThoracic Sympathetic NerveAbdominal Sympathetic NerveLumbar Sympathetic NerveSacral Sympathetic NerveSacral PlexusSacral NerveApproachCharacter 5DeviceCharacter 60 Open3 Percutaneous4 Percutaneous EndoscopicQualifierCharacter 7Z No DeviceZ No QualifierPeripheral Nervous System 5[1,8,B,R]3ZZLimited CoverageNoncoveredHAC associated procedureNon-OR-Not affecting MS-DRG Assignment2087 Tables final 013014-2 1 001-09W.indd 208Combination ClusterRevised Text in OrangeNon-OR-Affecting MS-DRG AssignmentMaleFemaleICD-10-PCS 201621/07/15 6:46 pm
021Heart and Great Vessels 021-02Y021Heart and Great Vessels 021-02Y0 Medical and Surgical2 Heart and Great Vessels1 Bypass: Altering the route of passage of the contents of a tubular body partBody PartCharacter 4ApproachCharacter 5DeviceCharacter 60123Coronary Artery, One SiteCoronary Artery, Two SitesCoronary Artery, Three SitesCoronary Artery, Four or MoreSites0 Open9AJK0123Coronary Artery, One SiteCoronary Artery, Two SitesCoronary Artery, Three SitesCoronary Artery, Four or MoreSites0 Open0123Coronary Artery, One SiteCoronary Artery, Two SitesCoronary Artery, Three SitesCoronary Artery, Four or MoreSites0123QualifierCharacter 7389CFWCoronary ArteryInternal Mammary, RightInternal Mammary, LeftThoracic ArteryAbdominal ArteryAortaZ No Device389CFCoronary ArteryInternal Mammary, RightInternal Mammary, LeftThoracic ArteryAbdominal Artery3 Percutaneous4 Intraluminal Device, DrugelutingD Intraluminal Device4 Coronary VeinCoronary Artery, One SiteCoronary Artery, Two SitesCoronary Artery, Three SitesCoronary Artery, Four or MoreSites4 Percutaneous Endoscopic4 Intraluminal Device, DrugelutingD Intraluminal Device4 Coronary Vein0123Coronary Artery, One SiteCoronary Artery, Two SitesCoronary Artery, Three SitesCoronary Artery, Four or MoreSites4 Percutaneous Endoscopic9AJK389CFWCoronary ArteryInternal Mammary, RightInternal Mammary, LeftThoracic ArteryAbdominal ArteryAorta0123Coronary Artery, One SiteCoronary Artery, Two SitesCoronary Artery, Three SitesCoronary Artery, Four or MoreSites4 Percutaneous EndoscopicZ No Device389CFCoronary ArteryInternal Mammary, RightInternal Mammary, LeftThoracic ArteryAbdominal Artery6 Atrium, Right0 Open4 Percutaneous Endoscopic9AJKP Pulmonary TrunkQ Pulmonary Artery, RightR Pulmonary Artery, Left6 Atrium, Right0 Open4 Percutaneous EndoscopicZ No Device7PQR7 Atrium, LeftV Superior Vena Cava0 Open4 Percutaneous Endoscopic9AJKAutologous Venous TissueAutologous Arterial TissueSynthetic SubstituteNonautologous TissueSubstituteZ No DeviceP Pulmonary TrunkQ Pulmonary Artery, RightR Pulmonary Artery, LeftK Ventricle, RightL Ventricle, Left0 Open4 Percutaneous Endoscopic9AJKP Pulmonary TrunkQ Pulmonary Artery, RightR Pulmonary Artery, LeftAutologous Venous TissueAutologous Arterial TissueSynthetic SubstituteNonautologous TissueSubstituteAutologous Venous TissueAutologous Arterial TissueSynthetic SubstituteNonautologous Tissue SubstituteAutologous Venous TissueAutologous Arterial TissueSynthetic SubstituteNonautologous Tissue Substitute021 continued on next pageLimited CoverageNoncoveredHAC associated procedureNon-OR-Not affecting MS-DRG AssignmentICD-10-PCS 20167 Tables final 013014-2 1 001-09W.indd 215Combination ClusterRevised Text in OrangeNon-OR-Affecting MS-DRG AssignmentMaleFemaleHeart and Great Vessels 021-02YAutologous Venous TissueAutologous Arterial TissueSynthetic SubstituteNonautologous Tissue SubstituteAtrium, LeftPulmonary TrunkPulmonary Artery, RightPulmonary Artery, Left21521/07/15 6:46 pm
031031Upper Arteries 031-03WUpper Arteries 031-03W0 Medical and Surgical3 Upper Arteries1 Bypass: Altering the route of passage of the contents of a tubular body partUpper Arteries 031-03WBody PartCharacter 42 Innominate Artery5 Axillary Artery, Right6 Axillary Artery, LeftApproachCharacter 50 OpenZDeviceCharacter 6Autologous Venous TissueAutologous Arterial TissueSynthetic SubstituteNonautologous TissueSubstituteNo Device9AJK3 Subclavian Artery, Right4 Subclavian Artery, Left0 Open9AJKZAutologous Venous TissueAutologous Arterial TissueSynthetic SubstituteNonautologous Tissue SubstituteNo Device7 Brachial Artery, Right0 Open8 Brachial Artery, Left0 Open9AJKZ9AJK9 Ulnar Artery, RightB Radial Artery, Right0 OpenA Ulnar Artery, LeftC Radial Artery, Left0 OpenZ9AJKZ9AJKZAutologous Venous TissueAutologous Arterial TissueSynthetic SubstituteNonautologous Tissue SubstituteNo DeviceAutologous Venous TissueAutologous Arterial TissueSynthetic SubstituteNonautologous TissueSubstituteNo DeviceAutologous Venous TissueAutologous Arterial TissueSynthetic SubstituteNonautologous Tissue SubstituteNo DeviceAutologous Venous TissueAutologous Arterial TissueSynthetic SubstituteNonautologous Tissue SubstituteNo DeviceG Intracranial ArteryS Temporal Artery, RightT Temporal Artery, Left0 Open9AJKZAutologous Venous TissueAutologous Arterial TissueSynthetic SubstituteNonautologous Tissue SubstituteNo ierCharacter 7Upper Arm Artery, RightUpper Arm Artery, LeftUpper Arm Artery, BilateralLower Arm Artery, RightLower Arm Artery, LeftLower Arm Artery, BilateralUpper Leg Artery, RightUpper Leg Artery, LeftUpper Leg Artery, BilateralLower Leg Artery, RightLower Leg Artery, LeftLower Leg Artery, BilateralUpper Arm VeinLower Arm VeinExtracranial Artery, RightExtracranial Artery, LeftUpper Arm Artery, RightUpper Arm Artery, LeftUpper Arm Artery, BilateralLower Arm Artery, RightLower Arm Artery, LeftLower Arm Artery, BilateralUpper Leg Artery, RightUpper Leg Artery, LeftUpper Leg Artery, BilateralLower Leg Artery, RightLower Leg Artery, LeftLower Leg Artery, BilateralUpper Arm VeinLower Arm VeinExtracranial Artery, RightExtracranial Artery, LeftPulmonary Artery, RightPulmonary Artery, LeftUpper Arm Artery, RightLower Arm Artery, RightUpper Arm VeinLower Arm Vein14DFUpper Arm Artery, LeftLower Arm Artery, LeftUpper Arm VeinLower Arm Vein3 Lower Arm Artery, RightF Lower Arm Vein4 Lower Arm Artery, LeftF Lower Arm VeinG Intracranial Artery031 continued on next pageLimited CoverageNoncoveredHAC associated procedureNon-OR-Not affecting MS-DRG Assignment2267 Tables final 013014-2 1 001-09W.indd 226Combination ClusterRevised Text in OrangeNon-OR-Affecting MS-DRG AssignmentMaleFemaleICD-10-PCS 201621/07/15 6:46 pm
Appendix A: Root Operations Def
This manual includes the official ICD-10-PCS 2016 Alphabetic Index and Tables We've also included the 2016 ICD-10-PCS Official Guidelines Additionally, our dedicated team drew on their years of experience using coding manuals to develop this manual's user friendly symbols, color coding, and tabs, all designed to help
