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ICD~10~PCS Complete Code Set Procedural Coding System Sample

Table of Contents

Preface...... 00 Mouth and Throat...... 00 Introduction...... 00 Gastrointestinal System...... 00 Hepatobiliary System and ...... 00 What is ICD-10-PCS?...... 00 Endocrine System...... 00 ICD-10-PCS Code Structure...... 00 Skin and ...... 00 ICD-10-PCS Design...... 00 Subcutaneous and ...... 00 ICD-10-PCS Additional Characteristics...... 00 Muscles...... 00 ICD-10-PCS Applications...... 00 ...... 00 Understanding Root Operations...... 00 Bursae and Ligaments...... 00 Medical and Surgical Section...... 00 Head and Facial ...... 00 Obstetrics Section...... 00 Upper Bones...... 00 Placement Section...... 00 Lower Bones...... 00 Administration Section...... 00 Upper ...... 00 Measurement and Monitoring Section...... 00 Lower Joints...... 00 Extracorporeal Assistance and Performance Section...... 00 ...... 00 Extracorporeal Therapies Section...... 00 Female Reproductive System...... 00 Osteopathic Section...... 00 Male Reproductive System...... 00 Other Procedures Section...... 00 Anatomical Regions, General...... 00 Chiropractic Section...... 00 Anatomical Regions, Upper Extremities...... 00 Imaging Section...... 00 Anatomical Regions, Lower Extremities...... 00 Nuclear Section...... 00 Obstetrics...... 00 Radiation Section...... 00 Placement- Anatomical Regions...... 00 Physical Rehabilitation and Diagnostic Placement- Anatomical Orifices...... 00 Audiology Section...... 00 Administration...... 00 Section...... 00 Measurement and Monitoring...... 00 Substance Abuse Treatment Section...... 00 Extracorporeal Assistance and Performance...... 00 ICD-10-PCS Draft Official Conventions...... 00 Extracorporeal Therapies...... 00 Osteopathic...... 00 Symbols and Conventions...... 00 Other Procedures...... 00 ICD-10-PCS Official Guidelines for Coding . Chiropractic...... 00 and Reporting...... 00 Imaging...... 00 ICD-10-PCS Index...... 00 ...... 00 ICD-10-PCS Tables...... 00 ...... 00 Central ...... 00 Physical Rehabilitation and Diagnostic Audiology...... 00 Peripheral Nervous System...... 00 Mental Health...... 00 and Great Vessels...... 00 Substance Abuse Treatment...... 00 Upper ...... 00 Appendix A: Root Operations Definitions...... 00 Lower Arteries...... Draft00 Appendix B: Body Part Key...... 00 Upper ...... 00 Lower Veins...... 00 Appendix C: Device Key and Aggregation Table...... 00 Lymphatic and Hemic Systems...... 00 Appendix D: Character Meaning...... 00 Eye...... 00 Appendix E: Combination Clusters...... 00 Ear, Nose, Sinus...... 00 ...... 00

ICD-10-CM 2014 (Draft)  Introduction

The International Classification of Diseases Tenth Revision ICD-9-CM Volume 3 Compared With Procedure Coding System (ICD -10-PCS) was created to ICD-10-PCS accompany the World Health Organization’s (WHO) ICD-10 diagnosis classification. The new procedure coding system was With ICD-10 implementation, the U.S. clinical modification of developed to replace ICD-9-CM procedure codes for reporting the ICD will not include a procedure classification based on the inpatient procedures. same principles of organization as the diagnosis classification. Instead, a separate procedure coding system has been Unlike the ICD-9-CM classification, ICD-10-PCS was designed developed to meet the rigorous and varied demands that are to enable each code to have a standard structure and be very made of coded data in the healthcare industry. This represents descriptive, and yet flexible enough to accommodate future a significant step toward building a health information needs. Information about the structure, organization, and infrastructure that functions optimally in the electronic age. application of ICD-10-PCS codes, along with reference material for coding with ICD-10-PCS, is provided in this manual. The following information highlights some of the basic differences between ICD-9-CM Volume 3 and ICD-10-PCS: This chapter contains the following parts: • What is ICD-10-PCS? ICD-9-CM Volume 3 • ICD-10-PCS Code Structure • ICD-10-PCS System Organization • Follows ICD structure (designed for diagnosis coding) • ICD-10-PCS Design • Codes available as a fixed/finite set in list form • ICD-10-PCS Additional Characteristics • Codes are numeric • ICD-10-PCS Applications • Codes are 3 through 4 digits long More specific information on coding with ICD-10-PCS is found ICD-10-PCS in chapters 2 through 4 of this manual. • Designed/developed to meet healthcare needs for a procedure code system • Codes constructed from flexible code components What is ICD-10-PCS? (values) using tables • Codes are alphanumeric ICD -10-PCS is a procedure coding system that will be used to • All codes are seven characters long collect data, determine payment, and support the electronic health record for all inpatient procedures performed in the United States. ICD-10-PCS Code Structure Undergirding ICD-10-PCS is a logical, consistent structure that History of ICD-10-PCS informs the system as a whole, down to the level of a single The World Health Organization has maintained the code. This means that the process of constructing codes in International Classification of Diseases (ICD) for recording ICD-10-PCS is also logical and consistent: individual letters and cause of death since 1893. It has updated the ICD periodically numbers, called “values,” are selected in sequence to occupy to reflect new discoveries in and changes in the seven spaces of the code, called “characters.” medical understanding of disease. The International Classification of Diseases Tenth Revision Characters (ICD-10), published in 1992, is the latest revision of the ICD. All codes in ICD-10-PCS are seven characters long. Each character The WHO authorized the National Center for Health Statistics in the seven-character code represents an aspect of the (NCHS) to develop a clinical modification of ICD-10 for use in procedure, as shown in the following diagram of characters from the United States. This version of ICD-10 is called ICD-10-CM. the main section of ICD-10-PCS, called Medical and Surgical. ICD-10-CM is intended to replace the previous U.S. clinical modification, ICD-9-CM, that has been in use since 1979. ICD-9- CM contains a procedureDraft classification; ICD-10-CM does not. The Centers for Medicare and Medicaid Services, the agency responsible for maintaining the inpatient procedure code set Section Body System Root Operation Body Part Approach Device Qualifier in the U.S., contracted with 3M Health Information Systems in Characters: 1 2 3 4 5 6 7 1993 to design and then develop a procedure classification system to replace Volume 3 of ICD-9-CM. ICD-10-PCS is the An ICD-10-PCS code is best understood as the result of a result. process rather than as an isolated, fixed quantity. The process ICD-10-PCS was initially released in 1998. It has been updated consists of assigning values from among the valid choices for annually since that time. that part of the system, according to the rules governing the construction of codes.

ICD-10-CM 2014 (Draft)  Values Character 4: Body Part One of 34 possible values can be assigned to each character The fourth character defines the body part, or specific in a code: the numbers 0 through 9 and the alphabet (except anatomical site where the procedure was performed. The body I and O, because they are easily confused with the numbers 1 system (second character) provides only a general indication and 0). A finished code looks like the example below. of the procedure site. The body part and body system values together provide a precise description of the procedure site. 02103D4 Examples of body parts are Kidney, Tonsils, and Thymus. In this This code is derived by choosing a specific value for each of example, the body part value is 5, Lower Arm and Wrist, Right. the seven characters. Based on details about the procedure When the second character is L, the value 5 when used in the performed, values for each character specifying the section, fourth character of the code represents the right lower arm and body system, root operation, body part, approach, device, and wrist . qualifier are assigned. Because the definition of each character is a function of its Character 5: Approach physical position in the code, the same value placed in a The fifth character defines the approach, or the technique different position in the code means something different. The used to reach the procedure site. Seven different approach value 0 in the first character means something different than 0 values are used in the Medical and Surgical section to define in the second character, or 0 in the third character, and so on. the approach. Examples of approaches include Open and Percutaneous Endoscopic. Code Structure: Medical and Surgical Section In the sample code below, the approach is Open and is The following pages define each character using the code represented by the value 0. 0LB50ZZ, “Excision of right lower arm and wrist tendon, open approach” as an example. This example comes from the For the complete list of approaches and their definitions, please Medical and Surgical section of ICD-10-PCS. refer to ICD-10-PCS definitions.

Character 1: Section Character 6: Device The first character in the code determines the broad procedure Depending on the procedure performed, there may or may not category, or section, where the code is found. In this example, be a device left in place at the end of the procedure. The sixth the section is Medical and Surgical. 0 is the value that character defines the device. Device values fall into four basic represents Medical and Surgical in the first character. categories: For definitions of characters used in the Medical and Surgical • Grafts and Prostheses section, please refer to the Glossary. • Implants • Simple or Mechanical Appliances The sample code looks like this so far: • Electronic Appliances In this example, there is no device used in the procedure. The Character 2: Body System value Z is used to represent No Device, as shown below. The second character defines the body system—the general physiological system or anatomical region involved. Examples Character 7: Qualifier of body systems include Lower Arteries, , and Respiratory System. In this example, the body The seventh character defines a qualifier for the code. A qualifier system is Tendons, represented by the value L. specifies an additional attribute of the procedure, if applicable. Examples of qualifiers include Diagnostic and Stereotactic. Character 3: Root Operation Qualifier choices vary depending on the previous values selected. In this example, there is no specific qualifier The third character defines the root operation, or the objective applicable to this procedure, so the value is No Qualifier, of the procedure. Some examples of root operations are represented by the letter Z. Bypass, Drainage, and Reattachment. In the sample code below, the root operationDraft is Excision. When used in the third 0LB50ZZ is the complete specification of the procedure character of the code, the value B represents Excision. “Excision of right lower arm and wrist tendon, open approach.” For the complete list of root operations and their definitions, please refer to ICD-10-PCS definitions.

Character 1 Character 2 Character 3 Character 4 Character 5 Character 6 Character 7 Section Body System Root Operation Body Part Approach Device Qualifier

Medical and Tendons Excision Lower Arm and Open No Device No Qualifier Surgical Wrist, Right 0 L B 5 0 Z Z

 ICD-10-CM 2014 (Draft) Understanding Root Operations Medical and Surgical Section Excision is coded when a portion of a body part is cut out or off using a sharp instrument. All root operations that employ cutting to accomplish the objective allow the use of any sharp Root Operations That Take Out Some or instrument, including but not limited to: All of a Body Part • Scalpel The following root operations represent procedures for taking • Wire out or otherwise eradicating some or all of a body part. These • Scissors root operations are listed below and described in detail in the • saw pages that follow. • Electrocautery tip Objective of Procedure Coding Note: and Endometrial • Excision: Cutting out/off without replacement • Resection: Cutting out/off without replacement Bone marrow and endometrial biopsies are not coded to the • Detachment: Cutting out/off without replacement root operation excision. They are coded to Extraction, with the • Destruction: Eradicating without replacement qualifier Diagnostic. • Extraction: Pulling out or off without replacement Example: Excision of Sebaceous Site of Procedure (Right Buttock) • Excision: Some of a body part ...the patient was brought in the room and placed on the table • Resection: All of a body part in jack knife, prone position and a spinal block was used for • Detachment: Extremity only, any level . She was prepped and draped in the usual sterile • Destruction: Some/all of a body part manner. A digital rectal examination was performed and we did • Extraction: Some/all of a body part not notice any communication between mass and . The Example mass was palpated and a radial transverse incision was made over the mass. • Excision: Breast • Resection: Total Using blunt and sharp dissection the top of the mass was • Detachment: above identified and shown to be a sebaceous cyst. The sebaceous cyst • Destruction: Fulguration of was freed from the surrounding tissue using blunt dissection. The • Extraction: Suction D&C entire cyst was removed. Hemostasis was obtained and the skin was closed using 5-0 Dexon interrupted sutures... Excision—Root Operation B

Definition: Cutting out or off, without replacement, a portion of a body part Explanation: The qualifier Diagnostic is used to identify

excision procedures that are biopsies Character 1 Section Character 4 Body Part Character 5 Approach Character 2 Body System Character 3 Root Operation Character 6 Device Character 7 Qualifier

Examples: Partial nephrectomy, Medical Skin Excision Buttock External No No and Device Qualifier Surgical Kidney 0 H B 8 X Z Z

Aorta

Partial removal of Draftdiseased kidney

Bladder Ureter opening

Urethra Illustration 1 ii ICD-10-CM 2014 (Draft) Coding Exercises Adrenal

Using the ICD-10-PCS tables, construct the code that accurately Kidney Cortex represents the procedure performed. Medulla Excision of malignant melanoma from skin of right ear: Inferior Renal 1. 0HB2XZZ vena cava Dorsal

Bladder Ureter

Malignant Insertion of Laparoscope

Kidney and ureter removed

30 degrees Lesion or less Marking where to be cut for an excision Illustration 2 2. with excision of endometrial from left : 0UB14ZZ Surgical instrument used in removal of kidney and ureter 3. Percutaneous needle core biopsy of right kidney: removing of Kidney and ureter 0TB03ZX Illustration 3 4. EGD with gastric biopsy: 0DB68ZX Resection is similar to Excision, except Resection includes all of 5. with of left lateral a body part, or any subdivision of a body part that has its own segment of liver: 0FB20ZZ body part value in ICD-10-PCS, while Excision includes only a 6. Excision of basal carcinoma of lower lip: 0CB1XZZ portion of a body part. 7. Open excision of tail of pancreas; 0FBG0ZZ 8. Percutaneous biopsy of right gastrocnemius muscle: Coding Note: Lymph Nodes 0KBS3ZX When an entire chain is cut out, the appropriate 9. with sigmoid polypectomy: 0DBN8ZZ root operation is Resection. When a lymph node(s) is cut out, 10. Open excision of lesion from right Achilles tendon: the root operation is Excision. 0LBN0ZZ Draft 11. Laparoscopic vertical sleeve : 0DB64Z3 Resection—Root Operation T Needle biopsy Definition: Cutting out or off, without replacement, all of a body part Explanation: N/A Examples: Total nephrectomy, total lobectomy of

Illustration 4

ICD-10-CM 2014 (Draft) iii

ICD-10-PCS 2014 3f

2014 ICD-10-PCS Index 3f - # Adductor hallucis muscle Upper use Muscle, Foot, Left Left 0Y0D[034][7JKZ]Z 3f (Aortic) Bioprosthesis valve use Zooplastic Tissue use Muscle, Foot, Right Right 0Y0C[034][7JKZ]Z in Heart and Great Vessels Adductor longus muscle Lip use Muscle, Upper Leg, Right Lower 0C01X[7JKZ]Z use Muscle, Upper Leg, Left Upper 0C00X[7JKZ]Z A Adductor magnus muscle Neck 0W06[034][7JKZ]Z use Muscle, Upper Leg, Right Nose 090K[034X][7JKZ]Z Abdominal aortic plexus use , Abdominal Perineum Sympathetic use Muscle, Upper Leg, Left Adenohypophysis use Gland, Pituitary Female 0W0N[034][7JKZ]Z Abdominal use Esophagus, Lower Male 0W0M[034][7JKZ]Z Abdominohysterectomy Adenoidectomy see Excision, Adenoids 0CBQ Shoulder Region see Excision, 0UB9 Left 0X03[034][7JKZ]Z see Resection, Uterus 0UT9 see Resection, Adenoids 0CTQ Adenoidotomy see Drainage, Adenoids 0C9Q Right 0X02[034][7JKZ]Z Subcutaneous Tissue and Fascia see Alteration, Abdominal Wall 0W0F Adhesiolysis see Release Administration Abdomen 0J08[03]ZZ see Repair, Abdominal Wall 0WQF Back 0J07[03]ZZ see Supplement, Abdominal Wall 0WUF products see Transfusion Other substance see Introduction of substance Buttock 0J09[03]ZZ Abductor hallucis muscle Chest 0J06[03]ZZ in or on use Muscle, Foot, Right Face 0J01[03]ZZ use Muscle, Foot, Left Adrenalectomy Lower Arm AbioCor® Total Replacement Heart use Synthetic see Excision, Endocrine System 0GB Left 0J0H[03]ZZ Substitute see Resection, Endocrine System 0GT Right 0J0G[03]ZZ Ablation see Destruction Adrenalorrhaphy see Repair, Endocrine System 0GQ Lower Leg Abortion Adrenalotomy see Drainage, Endocrine System 0G9 Left 0J0P[03]ZZ Products of Conception 10A0[0348]ZZ Advancement Right 0J0N[03]ZZ Abortifacient 10A07ZX see Reposition Neck Laminaria 10A07ZW see Transfer Anterior 0J04[03]ZZ Vacuum 10A07Z6 Alar ligament of axis use Bursa and Ligament, Head Posterior 0J05[03]ZZ Abrasion see Extraction and Neck Upper Arm Accessory cephalic Alimentation see Introduction of substance in or on Left 0J0F[03]ZZ use Vein, Cephalic, Right Alteration Right 0J0D[03]ZZ use Vein, Cephalic, Left Abdominal Wall 0W0F[034][7JKZ]Z Upper Leg Accessory obturator nerve use Nerve, Lumbar Plexus Ankle Region Left 0J0M[03]ZZ Accessory phrenic nerve use Nerve, Phrenic Left 0Y0L[034][7JKZ]Z Right 0J0L[03]ZZ Accessory spleen use Spleen Right 0Y0K[034][7JKZ]Z Wrist Region Acellular Hydrated Dermis use Nonautologous Arm Left 0X0H[034][7JKZ]Z Tissue Substitute Lower Right 0X0G[034][7JKZ]Z Acetabulectomy Left 0X0F[034][7JKZ]Z Alveolar process of mandible see Excision, Lower Bones 0QB Right 0X0D[034][7JKZ]Z use Mandible, Left see Resection, Lower Bones 0QT Upper use Mandible, Right Acetabulofemoral Left 0X09[034][7JKZ]Z Alveolar process of maxilla use Joint, Hip, Right Right 0X08[034][7JKZ]Z use Maxilla, Right use Joint, Hip, Left use Maxilla, Left Acetabuloplasty Left 0X05[034][7JKZ]Z Alveolectomy see Repair, Lower Bones 0QQ Right 0X04[034][7JKZ]Z see Excision, Head and Facial Bones 0NB see Replacement, Lower Bones 0QR Back see Resection, Head and Facial Bones 0NT see Supplement, Lower Bones 0QU Lower 0W0L[034][7JKZ]Z Alveoloplasty Achilles tendon Upper 0W0K[034][7JKZ]Z see Repair, Head and Facial Bones 0NQ use Tendon, Lower Leg, Left Breast see Replacement, Head and Facial Bones 0NR use Tendon, Lower Leg, Right Bilateral 0H0V[03X][7JKZ]Z see Supplement, Head and Facial Bones 0NU Achillorrhaphy see Repair, Tendons 0LQ Left 0H0U[03X][7JKZ]Z Alveolotomy Achillotenotomy, achillotomy Right 0H0T[03X][7JKZ]Z see Division, Head and Facial Bones 0N8 see Division, Tendons 0L8 Buttock see Drainage, Head and Facial Bones 0N9 see Drainage, Tendons 0L9 Left 0Y01[034][7JKZ]Z Ambulatory cardiac monitoring 4A12X45 Acromioclavicular ligament Right 0Y00[034][7JKZ]Z Amniocentesis see Drainage, Products of use Bursa and Ligament, Shoulder, Right Chest Wall 0W08[034][7JKZ]Z Conception 1090 use Bursa and Ligament, Shoulder, Left Ear Amnioinfusion see Introduction of substance in or Acromion (process) Bilateral 0902[034X][7JKZ]Z on, Products of Conception 3E0E use Scapula, Left Left 0901[034X][7JKZ]Z Amnioscopy 10J08ZZ use Scapula, Right Right 0900[034X][7JKZ]Z Amniotomy see Drainage, Products of Conception Acromionectomy Elbow Region 1090 see Excision, Upper Joints 0RB Left 0X0C[034][7JKZ]Z AMPLATZER® Muscular VSD Occluder use Synthetic see Resection, Upper Joints 0RT Right 0X0B[034][7JKZ]Z Substitute Extremity Amputation see Detachment see Repair, Upper Joints 0RQ Lower AMS 800® Urinary Control System use Artificial see Replacement, Upper Joints 0RR Left 0Y0B[034][7JKZ]Z in Urinary System see Supplement, Upper Joints 0RU Right 0Y09[034][7JKZ]Z Anal orificeuse Activa PC neurostimulator use Stimulator Generator, Upper Analog see Plain Radiography Multiple Array in 0JH Left 0X07[034][7JKZ]Z Analog see Plain Radiography Activa RC neurostimulator use Stimulator Generator, Right 0X06[034][7JKZ]Z Anastomosis see Bypass Multiple Array Rechargeable in 0JH Eyelid Anatomical snuffbox Activa SC neurostimulator use Stimulator Generator, Lower use Muscle, Lower Arm and Wrist, Left Single Array in 0JH Left 080R[03X][7JKZ]Z use Muscle, Lower Arm and Wrist, Right Activities of Daily Living Assessment F02 Right 080Q[03X][7JKZ]Z AneuRx® AAA Advantage® use Intraluminal Device Activities of Daily Living Treatment F08 Upper Angiectomy ACUITY™ Steerable Lead Left 080P[03X][7JKZ]Z see Excision, Heart and Great Vessels 02B use Cardiac Lead, Defibrillator in 02H Right 080N[03X][7JKZ]Z see Excision, Upper Arteries 03B use Cardiac Lead, Pacemaker in 02H Face 0W02[034][7JKZ]Z see Excision, Lower Arteries 04B Acupuncture Head 0W00[034][7JKZ]Z see Excision, Upper Veins 05B Breast Jaw see Excision, Lower Veins 06B Anesthesia 8E0H300 Lower 0W05[034][7JKZ]Z Angiocardiography No Qualifier 8E0H30Z Upper 0W04[034][7JKZ]Z Combined right and left heart see , Integumentary System Knee Region Heart, Right and Left B216 Anesthesia 8E0H300 Left 0Y0G[034][7JKZ]Z Left Heart see Fluoroscopy, Heart, Left B215 No Qualifier 8E0H30Z Right 0Y0F[034][7JKZ]Z Right Heart see Fluoroscopy, Heart, Right B214 Adductor brevis muscle Leg SPY see Fluoroscopy, Heart B21 use Muscle, Upper Leg, Left Lower Angiography use Muscle, Upper Leg, Right Left 0Y0J[034][7JKZ]Z see Plain Radiography, Heart B20 Right 0Y0H[034][7JKZ]Z see Fluoroscopy, Heart B21 Index 1 ICD-10-PCS 2014

Angioplasty use Ear, External, Bilateral see Fusion, Lower Joints 0SG see Dilation, Heart and Great Vessels 027 Antitragus Arthrography see Repair, Heart and Great Vessels 02Q use Ear, External, Bilateral see Plain Radiography, and Facial Bones BN0 see Replacement, Heart and Great Vessels 02R use Ear, External, Right see Plain Radiography, Non-Axial Upper Bones see Dilation, Upper Arteries 037 use Ear, External, Left BP0 see Repair, Upper Arteries 03Q Antrostomy see Drainage, Ear, Nose, Sinus 099 see Plain Radiography, Non-Axial Lower Bones see Replacement, Upper Arteries 03R Antrotomy see Drainage, Ear, Nose, Sinus 099 BQ0 see Dilation, Lower Arteries 047 Antrum of Highmore Arthrolysis see Repair, Lower Arteries 04Q use Sinus, Maxillary, Left see Release, Upper Joints 0RN see Replacement, Lower Arteries 04R use Sinus, Maxillary, Right see Release, Lower Joints 0SN see Supplement, Heart and Great Vessels 02U Aortic annulus use Valve, Aortic Arthropexy see Supplement, Upper Arteries 03U Aortic arch use Aorta, Thoracic see Repair, Upper Joints 0RQ see Supplement, Lower Arteries 04U Aortic intercostal artery use Aorta, Thoracic see Reposition, Upper Joints 0RS Angiorrhaphy see Repair, Lower Joints 0SQ see Repair, Heart and Great Vessels 02Q see Plain Radiography, Upper Arteries B30 see Reposition, Lower Joints 0SS see Repair, Upper Arteries 03Q see Fluoroscopy, Upper Arteries B31 see Repair, Lower Arteries 04Q see Plain Radiography, Lower Arteries B40 see Repair, Upper Joints 0RQ see Fluoroscopy, Lower Arteries B41 see Replacement, Upper Joints 0RR

Angioplasty - Assistance Angioplasty 02JY4ZZ Aortoplasty see Repair, Lower Joints 0SQ 03JY4ZZ see Repair, Aorta, Thoracic 02QW see Replacement, Lower Joints 0SR 04JY4ZZ see Replacement, Aorta, Thoracic 02RW see Supplement, Lower Joints 0SU Angiotripsy see Supplement, Aorta, Thoracic 02UW see Supplement, Upper Joints 0RU see Occlusion, Upper Arteries 03L see Repair, Aorta, Abdominal 04Q0 see Occlusion, Lower Arteries 04L see Replacement, Aorta, Abdominal 04R0 see Inspection, Upper Joints 0RJ Angular artery use Artery, Face see Supplement, Aorta, Abdominal 04U0 see Inspection, Lower Joints 0SJ Angular vein Apical (subclavicular) lymph node use Vein, Face, Left use Lymphatic, Axillary, Left see Drainage, Upper Joints 0R9 use Vein, Face, Right use Lymphatic, Axillary, Right see Drainage, Lower Joints 0S9 Annular ligament Apneustic center use Pons Artificial anal sphincter (AAS) use Artificial Sphincter use Bursa and Ligament, Elbow, Left in Gastrointestinal System use Bursa and Ligament, Elbow, Right see Excision, Appendix 0DBJ Artificial bowel sphincter (neosphincter) use Annuloplasty see Resection, Appendix 0DTJ Artificial Sphincter in Gastrointestinal System see Repair, Heart and Great Vessels 02Q Appendicolysis see Release, Appendix 0DNJ Artificial Sphincter see Supplement, Heart and Great Vessels 02U Appendicotomy see Drainage, Appendix 0D9J Insertion of device in Annuloplasty ring use Synthetic Substitute Application see Introduction of substance in or on Anus 0DHQ[034]LZ Anoplasty Aquapheresis 6A550Z3 Bladder 0THB[03478]LZ see Repair, Anus 0DQQ Aqueduct of Sylvius use Cerebral Bladder Neck 0THC[03478]LZ see Supplement, Anus 0DUQ Aqueous humour 0THD[03478X]LZ Anorectal junction use Rectum use Anterior Chamber, Right Removal of device from 0DJD8ZZ use Anterior Chamber, Left Anus 0DPQ[03478]LZ Ansa cervicalis use Nerve, Cervical Plexus Arachnoid mater Bladder 0TPB Antabuse therapy HZ93ZZZ use Spinal Urethra 0TPD Antebrachial fascia use Cerebral Meninges Revision of device in use Subcutaneous Tissue and Fascia, Lower Arm, Arcuate artery Anus 0DWQ[03478]LZ Left use Artery, Foot, Left Bladder 0TWB[03478X]LZ use Subcutaneous Tissue and Fascia, Lower Arm, use Artery, Foot, Right Urethra 0TWD[03478X]LZ Right Artificial urinary sphincter (AUS) use Artificial Anterior (pectoral) lymph node use , Left Sphincter in Urinary System use Lymphatic, Axillary, Right use Nipple, Right Aryepiglottic fold use Larynx use Lymphatic, Axillary, Left AROM (artificial rupture of membranes) 10907ZC Arytenoid use Larynx Anterior cerebral artery use Artery, Intracranial Arterial canal (duct) use Artery, Pulmonary, Left Arytenoid muscle Anterior cerebral vein use Vein, Intracranial Arterial tracing see Measurement, Arterial use Muscle, Neck, Left Anterior choroidal artery use Artery, Intracranial 4A03 use Muscle, Neck, Right Anterior circumflex humeral artery Arteriectomy Arytenoidectomy see Excision, Larynx 0CBS use Artery, Axillary, Left see Excision, Heart and Great Vessels 02B Arytenoidopexy see Repair, Larynx 0CQS use Artery, Axillary, Right see Excision, Upper Arteries 03B Ascending aorta use Aorta, Thoracic Anterior communicating artery use Artery, see Excision, Lower Arteries 04B Ascending palatine artery use Artery, Face Intracranial Arteriography Ascending pharyngeal artery Anterior cruciate ligament (ACL) see Plain Radiography, Heart B20 use Artery, External Carotid, Left use Bursa and Ligament, Knee, Left see Fluoroscopy, Heart B21 use Artery, External Carotid, Right use Bursa and Ligament, Knee, Right see Plain Radiography, Upper Arteries B30 Aspiration see Drainage Anterior crural nerve use Nerve, Femoral see Fluoroscopy, Upper Arteries B31 Assessment Anterior facial vein see Plain Radiography, Lower Arteries B40 Activities of daily living see Activities of Daily use Vein, Face, Left see Fluoroscopy, Lower Arteries B41 Living Assessment, Rehabilitation F02 use Vein, Face, Right Arterioplasty Hearing see Hearing Assessment, Diagnostic Anterior intercostal artery see Repair, Heart and Great Vessels 02Q Audiology F13 use Artery, Internal Mammary, Right see Replacement, Heart and Great Vessels 02R Hearing aid see Hearing Aid Assessment, use Artery, Internal Mammary, Left see Repair, Upper Arteries 03Q Diagnostic Audiology F14 Anterior interosseous nerve use Nerve, Median see Replacement, Upper Arteries 03R Motor function see Motor Function Assessment, Anterior lateral malleolar artery see Repair, Lower Arteries 04Q Rehabilitation F01 use Artery, Anterior Tibial, Right see Replacement, Lower Arteries 04R Nerve function see Motor Function Assessment, use Artery, Anterior Tibial, Left see Supplement, Upper Arteries 03U Rehabilitation F01 Anterior lingual gland use Gland, Minor Salivary see Supplement, Lower Arteries 04U Speech see Speech Assessment, Rehabilitation Anterior medial malleolar artery see Supplement, Heart and Great Vessels 02U F00 use Artery, Anterior Tibial, Right Arteriorrhaphy Vestibular see Vestibular Assessment, Diagnostic use Artery, Anterior Tibial, Left see Repair, Heart and Great Vessels 02Q Audiology F15 Anterior spinal artery see Repair, Upper Arteries 03Q Vocational see Activities of Daily Living use Artery, Vertebral, Right see Repair, Lower Arteries 04Q Treatment, Rehabilitation F08 use Artery, Vertebral, Left Arterioscopy Assistance Anterior tibial recurrent artery 02JY4ZZ Cardiac use Artery, Anterior Tibial, Right 03JY4ZZ Continuous use Artery, Anterior Tibial, Left 04JY4ZZ Balloon Pump 5A02210 Anterior ulnar recurrent artery Arthrectomy Impeller Pump 5A0221D use Artery, Ulnar, Right see Excision, Upper Joints 0RB Other Pump 5A02216 use Artery, Ulnar, Left see Resection, Upper Joints 0RT Pulsatile Compression 5A02215 Anterior vagal trunk use Nerve, Vagus see Excision, Lower Joints 0SB Intermittent Anterior vertebral muscle see Resection, Lower Joints 0ST Balloon Pump 5A02110 use Muscle, Neck, Left Impeller Pump 5A0211D use Muscle, Neck, Right see Drainage, Upper Joints 0R9 Other Pump 5A02116 Antihelix see Drainage, Lower Joints 0S9 Pulsatile Compression 5A02115 use Ear, External, Right Circulatory use Ear, External, Left see Fusion, Upper Joints 0RG Continuous Index 2 ICD-10-PCS 2014 Assurant

Hyperbaric 5A05221 Adrenal tissue see Reposition, Endocrine System Duodenum DD02[012456]ZZ Assurant - Beam Supersaturated 5A0522C 0GS Intraoperative DD023Z0 Intermittent Kidney see Reposition, Urinary System 0TS Ear D900[012456]ZZ Hyperbaric 5A05121 Pancreatic tissue see Reposition, Pancreas 0FSG Intraoperative D9003Z0 Supersaturated 5A0512C Parathyroid tissue see Reposition, Endocrine Esophagus DD00[012456]ZZ Respiratory System 0GS Intraoperative DD003Z0 24-96 Consecutive Hours Thyroid tissue see Reposition, Endocrine System Eye D800[012456]ZZ Continuous Negative Airway Pressure 0GS Intraoperative D8003Z0 5A09459 Tooth see Reattachment, Mouth and Throat 0CM Femur DP09[012456]ZZ Continuous Positive Airway Pressure Avulsion see Extraction Intraoperative DP093Z0 5A09457 Axial Lumbar Interbody Fusion System use Interbody Fibula DP0B[012456]ZZ Intermittent Negative Airway Pressure Fusion Device in Lower Joints Intraoperative DP0B3Z0 5A0945B AxiaLIF® System use Interbody Fusion Device in DF01[012456]ZZ Intermittent Positive Airway Pressure Lower Joints Intraoperative DF013Z0 5A09458 Axillary fascia Gland No Qualifier 5A0945Z use Subcutaneous Tissue and Fascia, Upper Arm, Adrenal DG02[01256]ZZ Greater than 96 Consecutive Hours Left Intraoperative DG023Z0 Continuous Negative Airway Pressure use Subcutaneous Tissue and Fascia, Upper Arm, Parathyroid DG04[01256]ZZ 5A09559 Right Intraoperative DG043Z0 Continuous Positive Airway Pressure Axillary nerve use Nerve, Brachial Plexus Pituitary DG00[01256]ZZ 5A09557 Intraoperative DG003Z0 Intermittent Negative Airway Pressure Thyroid DG05[01256]ZZ 5A0955B B Intraoperative DG053Z0 Intermittent Positive Airway Pressure BAK/C® Interbody Cervical Fusion System use 5A09558 Interbody Fusion Device in Upper Joints Salivary D906[012456]ZZ No Qualifier 5A0955Z BAL (bronchial alveolar lavage), diagnostic see Intraoperative D9063Z0 Less than 24 Consecutive Hours Drainage, Respiratory System 0B9 Head and Neck DW01[012456]ZZ Continuous Negative Airway Pressure Balanoplasty Intraoperative DW013Z0 5A09359 see Repair, Penis 0VQS Hemibody DW04[012456]ZZ Continuous Positive Airway Pressure see Supplement, Penis 0VUS Intraoperative DW043Z0 5A09357 Balloon Pump Humerus DP06[012456]ZZ Intermittent Negative Airway Pressure Continuous, Output 5A02210 Intraoperative DP063Z0 5A0935B Intermittent, Output 5A02110 Hypopharynx D903[012456]ZZ Intermittent Positive Airway Pressure Bandage, Elastic see Compression Intraoperative D9033Z0 5A09358 Banding see Restriction Ileum DD04[012456]ZZ No Qualifier 5A0935Z Bard® Composix® (E/X)(LP) mesh use Synthetic Intraoperative DD043Z0 Assurant (Cobalt) use Intraluminal Device Substitute Jejunum DD03[012456]ZZ Bard® Composix® Kugel® patch use Synthetic Intraoperative DD033Z0 see Extirpation, Heart and Great Vessels 02C Substitute Kidney DT00[012456]ZZ see Extirpation, Upper Arteries 03C Bard® Dulex™ mesh use Synthetic Substitute Intraoperative DT003Z0 see Extirpation, Lower Arteries 04C Bard® Ventralex™ patch use Synthetic Larynx D90B[012456]ZZ Atlantoaxial joint use Joint, Cervical Vertebral Substitute Intraoperative D90B3Z0 Atmospheric Control 6A0Z[01]ZZ Barium swallow see Fluoroscopy, Gastrointestinal Liver DF00[012456]ZZ Atrioseptoplasty System BD1 Intraoperative DF003Z0 see Repair, Heart and Great Vessels 02Q Baroreflex Activation Therapy® (BAT®) Lung DB02[012456]ZZ see Replacement, Heart and Great Vessels 02R use Stimulator Lead in Upper Arteries Intraoperative DB023Z0 see Supplement, Heart and Great Vessels 02U use Cardiac Rhythm Related Device in Lymphatics Atrioventricular node use Conduction Mechanism Subcutaneous Tissue and Fascia Abdomen D706[012456]ZZ dextrum cordis use Atrium, Right Bartholin’s (greater vestibular) gland use Gland, Intraoperative D7063Z0 Atrium pulmonale use Atrium, Left Vestibular Axillary D704[012456]ZZ Attain Ability® lead Basal (internal) cerebral vein use Vein, Intracranial Intraoperative D7043Z0 use Cardiac Lead, Pacemaker in 02H Basal metabolic rate (BMR) see Measurement, Inguinal D708[012456]ZZ use Cardiac Lead, Defibrillator in 02H Physiological Systems 4A0Z Intraoperative D7083Z0 Attain StarFix® (OTW) lead Basal nuclei use Basal Ganglia Neck D703[012456]ZZ use Cardiac Lead, Defibrillator in 02H Basilar artery use Artery, Intracranial Intraoperative D7033Z0 use Cardiac Lead, Pacemaker in 02H Basis pontis use Pons Pelvis D707[012456]ZZ Audiology, diagnostic Beam Radiation Intraoperative D7073Z0 see Hearing Assessment, Diagnostic Audiology Abdomen DW03[012456]ZZ Thorax D705[012456]ZZ F13 Intraoperative DW033Z0 Intraoperative D7053Z0 see Hearing Aid Assessment, Diagnostic Adrenal Gland DG02[01256]ZZ Mandible DP03[012456]ZZ Audiology F14 Intraoperative DG023Z0 Intraoperative DP033Z0 see Vestibular Assessment, Diagnostic Audiology Bile Ducts DF02[012456]ZZ Maxilla DP02[012456]ZZ F15 Intraoperative DF023Z0 Intraoperative DP023Z0 Audiometry see Hearing Assessment, Diagnostic Bladder DT02[012456]ZZ DB06[012456]ZZ Audiology F13 Intraoperative DT023Z0 Intraoperative DB063Z0 Auditory tube Bone Mouth D904[012456]ZZ use Eustachian Tube, Right Other DP0C[012456]ZZ Intraoperative D9043Z0 use Eustachian Tube, Left Intraoperative DP0C3Z0 Nasopharynx D90D[012456]ZZ Auerbach’s (myenteric) plexus use Nerve, Abdominal Bone Marrow D700[012456]ZZ Intraoperative D90D3Z0 Sympathetic Intraoperative D7003Z0 Neck and Head DW01[012456]ZZ Auricle Brain D000[012456]ZZ Intraoperative DW013Z0 use Ear, External, Left Intraoperative D0003Z0 Nerve use Ear, External, Bilateral Brain Stem D001[012456]ZZ Peripheral D007[012456]ZZ use Ear, External, Right Intraoperative D0013Z0 Intraoperative D0073Z0 Auricularis muscle use Muscle, Head Breast Nose D901[012456]ZZ Autograft use Autologous Tissue Substitute Left DM00[012456]ZZ Intraoperative D9013Z0 Autologous artery graft Intraoperative DM003Z0 Oropharynx D90F[012456]ZZ use Autologous Arterial Tissue in Lower Arteries Right DM01[012456]ZZ Intraoperative D90F3Z0 use Autologous Arterial Tissue in Upper Veins Intraoperative DM013Z0 Ovary DU00[012456]ZZ use Autologous Arterial Tissue in Lower Veins DB01[012456]ZZ Intraoperative DU003Z0 use Autologous Arterial Tissue in Heart and Great Intraoperative DB013Z0 Palate Vessels DU01[012456]ZZ Hard D908[012456]ZZ use Autologous Arterial Tissue in Upper Arteries Intraoperative DU013Z0 Intraoperative D9083Z0 Autologous vein graft Chest DW02[012456]ZZ Soft D909[012456]ZZ use Autologous Venous Tissue in Lower Arteries Intraoperative DW023Z0 Intraoperative D9093Z0 use Autologous Venous Tissue in Upper Veins Chest Wall DB07[012456]ZZ Pancreas DF03[012456]ZZ use Autologous Venous Tissue in Lower Veins Intraoperative DB073Z0 Intraoperative DF033Z0 use Autologous Venous Tissue in Heart and Great Colon DD05[012456]ZZ Parathyroid Gland DG04[01256]ZZ Vessels Intraoperative DD053Z0 Intraoperative DG043Z0 use Autologous Venous Tissue in Upper Arteries Diaphragm DB08[012456]ZZ Pelvic Bones DP08[012456]ZZ Autotransfusion see Transfusion Intraoperative DB083Z0 Intraoperative DP083Z0 Autotransplant Pelvic Region DW06[012456]ZZ Index 3 Berlin ICD-10-PCS 2014

Intraoperative DW063Z0 Bisection see Division Bladder DT12[9B][789BCY]Z Pineal Body DG01[01256]ZZ Biventricular external heart assist system use Bone Marrow D710[9B][789BCY]Z Intraoperative DG013Z0 External Heart Assist System in Heart and Great Brain D010[9B][789BCY]Z DG00[01256]ZZ Vessels Brain Stem D011[9B][789BCY]Z Intraoperative DG003Z0 Blepharectomy Breast Pleura DB05[012456]ZZ see Excision, Eye 08B Left DM10[9B][789BCY]Z Intraoperative DB053Z0 see Resection, Eye 08T Right DM11[9B][789BCY]Z DV00[012456]ZZ Blepharoplasty Bronchus DB11[9B][789BCY]Z Intraoperative DV003Z0 see Repair, Eye 08Q Cervix DU11[9B][789BCY]Z DP07[012456]ZZ see Replacement, Eye 08R Chest DW12[9B][789BCY]Z Intraoperative DP073Z0 see Supplement, Eye 08U Chest Wall DB17[9B][789BCY]Z Berlin - Bundle Rectum DD07[012456]ZZ see Reposition, Eye 08S Colon DD15[9B][789BCY]Z Intraoperative DD073Z0 Blepharorrhaphy see Repair, Eye 08Q Diaphragm DB18[9B][789BCY]Z Rib DP05[012456]ZZ Blepharotomy see Drainage, Eye 089 Duodenum DD12[9B][789BCY]Z Intraoperative DP053Z0 Block, Nerve, anesthetic injection 3E0T3CZ Ear D910[9B][789BCY]Z Sinuses D907[012456]ZZ Blood glucose monitoring system use Monitoring Esophagus DD10[9B][789BCY]Z Intraoperative D9073Z0 Device Eye D810[9B][789BCY]Z Skin see Measurement, Arterial 4A03 Gallbladder DF11[9B][789BCY]Z Abdomen DH08[012456]ZZ BMR (basal metabolic rate) see Measurement, Gland Intraoperative DH083Z0 Physiological Systems 4A0Z Adrenal DG12[9B][789BCY]Z Arm DH04[012456]ZZ Body of femur Parathyroid DG14[9B][789BCY]Z Intraoperative DH043Z0 use Femoral Shaft, Right Pituitary DG10[9B][789BCY]Z Back DH07[012456]ZZ use Femoral Shaft, Left Thyroid DG15[9B][789BCY]Z Intraoperative DH073Z0 Body of fibula Glands, Salivary D916[9B][789BCY]Z Buttock DH09[012456]ZZ use Fibula, Right Head and Neck DW11[9B][789BCY]Z Intraoperative DH093Z0 use Fibula, Left Hypopharynx D913[9B][789BCY]Z Chest DH06[012456]ZZ Bone anchored hearing device Ileum DD14[9B][789BCY]Z Intraoperative DH063Z0 use Hearing Device, Bone Conduction in 09H Jejunum DD13[9B][789BCY]Z Face DH02[012456]ZZ use Hearing Device in Head and Facial Bones Kidney DT10[9B][789BCY]Z Intraoperative DH023Z0 Bone bank bone graft use Nonautologous Tissue Larynx D91B[9B][789BCY]Z Leg DH0B[012456]ZZ Substitute Liver DF10[9B][789BCY]Z Intraoperative DH0B3Z0 Bone Growth Stimulator Lung DB12[9B][789BCY]Z Neck DH03[012456]ZZ Insertion of device in Lymphatics Intraoperative DH033Z0 Bone Abdomen D716[9B][789BCY]Z Skull DP00[012456]ZZ Facial 0NHW[034]MZ Axillary D714[9B][789BCY]Z Intraoperative DP003Z0 Lower 0QHY[034]MZ Inguinal D718[9B][789BCY]Z D006[012456]ZZ Nasal 0NHB[034]MZ Neck D713[9B][789BCY]Z Intraoperative D0063Z0 Upper 0PHY[034]MZ Pelvis D717[9B][789BCY]Z Spleen D702[012456]ZZ Skull 0NH0 Thorax D715[9B][789BCY]Z Intraoperative D7023Z0 Removal of device from Mediastinum DB16[9B][789BCY]Z Sternum DP04[012456]ZZ Bone Mouth D914[9B][789BCY]Z Intraoperative DP043Z0 Facial 0NPW Nasopharynx D91D[9B][789BCY]Z DD01[012456]ZZ Lower 0QPY[034X]MZ Neck and Head DW11[9B][789BCY]Z Intraoperative DD013Z0 Nasal 0NPB Nerve, Peripheral D017[9B][789BCY]Z Testis DV01[012456]ZZ Upper 0PPY[034X]MZ Nose D911[9B][789BCY]Z Intraoperative DV013Z0 Skull 0NP0 Oropharynx D91F[9B][789BCY]Z Thymus D701[012456]ZZ Revision of device in Ovary DU10[9B][789BCY]Z Intraoperative D7013Z0 Bone Palate Thyroid Gland DG05[01256]ZZ Facial 0NWW[034X]MZ Hard D918[9B][789BCY]Z Intraoperative DG053Z0 Lower 0QWY[034X]MZ Soft D919[9B][789BCY]Z DP0B[012456]ZZ Nasal 0NWB[034X]MZ Pancreas DF13[9B][789BCY]Z Intraoperative DP0B3Z0 Upper 0PWY[034X]MZ Parathyroid Gland DG14[9B][789BCY]Z Tongue D905[012456]ZZ Skull 0NW0 Pelvic Region DW16[9B][789BCY]Z Intraoperative D9053Z0 Bone marrow transplant see Transfusion Pineal Body DG11[9B][789BCY]Z DB00[012456]ZZ Bone screw (interlocking)(lag)(pedicle)(recessed) Pituitary Gland DG10[9B][789BCY]Z Intraoperative DB003Z0 use Device in Head and Facial Pleura DB15[9B][789BCY]Z Ulna DP07[012456]ZZ Bones Prostate DV10[9B][789BCY]Z Intraoperative DP073Z0 use Internal Fixation Device in Upper Bones Rectum DD17[9B][789BCY]Z Ureter DT01[012456]ZZ use Internal Fixation Device in Lower Bones Sinuses D917[9B][789BCY]Z Intraoperative DT013Z0 Bony labyrinth Spinal Cord D016[9B][789BCY]Z Urethra DT03[012456]ZZ use Ear, Inner, Left Spleen D712[9B][789BCY]Z Intraoperative DT033Z0 use Ear, Inner, Right Stomach DD11[9B][789BCY]Z Uterus DU02[012456]ZZ Bony orbit Testis DV11[9B][789BCY]Z Intraoperative DU023Z0 use Orbit, Right Thymus D711[9B][789BCY]Z Whole Body DW05[012456]ZZ use Orbit, Left Thyroid Gland DG15[9B][789BCY]Z Intraoperative DW053Z0 Bony vestibule Tongue D915[9B][789BCY]Z Berlin Heart Ventricular Assist Device use use Ear, Inner, Right Trachea DB10[9B][789BCY]Z Implantable Heart Assist System in Heart and use Ear, Inner, Left Ureter DT11[9B][789BCY]Z Great Vessels Botallo’s duct use Artery, Pulmonary, Left Urethra DT13[9B][789BCY]Z Biceps brachii muscle Bovine pericardial valve use Zooplastic Tissue in Uterus DU12[9B][789BCY]Z use Muscle, Upper Arm, Right Heart and Great Vessels Brachytherapy seeds use Radioactive Element use Muscle, Upper Arm, Left Bovine graft use Zooplastic Tissue in Broad ligament use Uterine Supporting Structure Biceps femoris muscle Heart and Great Vessels Bronchial artery use Aorta, Thoracic use Muscle, Upper Leg, Right BP (blood pressure) see Measurement, Arterial 4A03 use Muscle, Upper Leg, Left Brachial (lateral) lymph node see Plain Radiography, Respiratory System BB0 Bicipital aponeurosis use Lymphatic, Axillary, Left see Fluoroscopy, Respiratory System BB1 use Subcutaneous Tissue and Fascia, Lower Arm, use Lymphatic, Axillary, Right Bronchoplasty Left Brachialis muscle see Repair, Respiratory System 0BQ use Subcutaneous Tissue and Fascia, Lower Arm, use Muscle, Upper Arm, Right see Supplement, Respiratory System 0BU Right use Muscle, Upper Arm, Left Bronchorrhaphy see Repair, Respiratory System 0BQ Bicuspid valve use Valve, Mitral Brachiocephalic artery use Artery, Innominate 0BJ08ZZ Bililite therapy see Ultraviolet Light Therapy, Skin Brachiocephalic trunk use Artery, Innominate Bronchotomy see Drainage, Respiratory System 0B9 6A80 Brachiocephalic vein BRYAN® Cervical Disc System use Synthetic Bioactive embolization coil(s) use Intraluminal use Vein, Innominate, Right Substitute Device, Bioactive in Upper Arteries use Vein, Innominate, Left Buccal gland use Buccal Mucosa Biofeedback GZC9ZZZ Brachioradialis muscle Buccinator lymph node use Lymphatic, Head Biopsy use Muscle, Lower Arm and Wrist, Right Buccinator muscle use Muscle, Facial see Drainage with qualifier Diagnostic use Muscle, Lower Arm and Wrist, Left Buckling, scleral with implant see Supplement, Eye see Excision with qualifier Diagnostic Brachytherapy 08U Bone Marrow see Extraction with qualifier Abdomen DW13[9B][789BCY]Z Bulbospongiosus muscle use Muscle, Perineum Diagnostic Adrenal Gland DG12[9B][789BCY]Z Bulbourethral (Cowper’s) gland use Urethra BiPAP see Assistance, Respiratory 5A09 Bile Ducts DF12[9B][789BCY]Z Bundle of His use Conduction Mechanism Index 4 ICD-10-PCS 2014 Bundle

Bundle of Kent use Conduction Mechanism Cystic 0F18[04][DZ][3456789B] Right 0513[04][79AJKZ]Y Bundle - Bypass Bunionectomy see Excision, Lower Bones 0QB Hepatic Internal Jugular Left 0F16[04][DZ][3456789B] Left 051N[04][79AJKZ]Y see Excision, Bursae and Ligaments 0MB Right 0F15[04][DZ][3456789B] Right 051M[04][79AJKZ]Y see Resection, Bursae and Ligaments 0MT Lacrimal Intracranial 051L[04][79AJKZ]Y Bursocentesis see Drainage, Bursae and Ligaments Left 081Y[03][JKZ]3 Lesser Saphenous 0M9 Right 081X[03][JKZ]3 Left 061S[04][79AJKZ]Y Bursography Pancreatic 0F1D[04][DZ][3BC] Right 061R[04][79AJKZ]Y see Plain Radiography, Non-Axial Upper Bones Accessory 0F1F[04][DZ][3BC] Portal 0618 BP0 Duodenum 0D19 Renal see Plain Radiography, Non-Axial Lower Bones Ear Left 061B[04][79AJKZ]Y BQ0 Left 091E0[7JKZ]0 Right 0619[04][79AJKZ]Y Bursotomy Right 091D0[7JKZ]0 Splenic 0611[04][79AJKZ][9BY] see Division, Bursae and Ligaments 0M8 Esophagus 0D15 Subclavian see Drainage, Bursae and Ligaments 0M9 Lower 0D13 Left 0516[04][79AJKZ]Y BVS 5000 Ventricular Assist Device use External Heart Middle 0D12 Right 0515[04][79AJKZ]Y Assist System in Heart and Great Vessels Upper 0D11 Superior Mesenteric 0615[04][79AJKZ]Y Bypass Vertebral Anterior Chamber Left 0U16[04][7JKZ][569] Left 051S[04][79AJKZ]Y Left 08133[JKZ]4 Right 0U15[04][7JKZ][569] Right 051R[04][79AJKZ]Y Right 08123[JKZ]4 Gallbladder 0F14[04][DZ][3456789B] Vena Cava Aorta Ileum 0D1B Inferior 0610[04][79AJKZ][56Y] Abdominal 0410[04][9AJKZ][0123456789BCD Jejunum 0D1A Superior 021V[04][9AJKZ][PQR] FGHJKQR] Kidney Pelvis Ventricle Thoracic 021W[04][9AJKZ][BDPQR] Left 0T14 Left 021L Artery Right 0T13 Right 021K Axillary Pancreas 0F1G[04][DZ][3BC] Bypass, cardiopulmonary 5A1221Z Left 03160[9AJKZ][0123456789BCDFJK] Pelvic Cavity 0W1J Right 03150[9AJKZ][0123456789BCDFJK] Peritoneal Cavity 0W1G Brachial Left 03180[9AJKZ][14DF] Left 0W1B Right 03170[9AJKZ][03DF] Right 0W19 Common Carotid Spinal Canal 001U[03][7JK][4679] Left 031J0[9AJKZ][GK] Stomach 0D16 Right 031H0[9AJKZ][GJ] Trachea 0B11 Common Iliac Ureter Left 041D[04][9AJKZ][0123456789BCDFG Left 0T17 HJKQR] Right 0T16 Right 041C[04][9AJKZ][0123456789BCDFG Ureters, Bilateral 0T18 HJKQR] Vas Deferens Coronary Bilateral 0V1Q[04][7JKZ][JKNP] Four or More Sites 0213 Left 0V1P[04][7JKZ][JKNP] One Site 0210 Right 0V1N[04][7JKZ][JKNP] Three Sites 0212 Vein Two Sites 0211 Axillary External Carotid Left 0518[04][79AJKZ]Y Left 031N0[9AJKZ]K Right 0517[04][79AJKZ]Y Right 031M0[9AJKZ]J Azygos 0510[04][79AJKZ]Y External Iliac Basilic Left 041J[04][9AJKZ][9BCDFGHJKPQ] Left 051C[04][79AJKZ]Y Right 041H[04][9AJKZ][9BCDFGHJKPQ] Right 051B[04][79AJKZ]Y Femoral Brachial Left 041L[04][9AJKZ][HJKLMNPQS] Left 051A[04][79AJKZ]Y Right 041K[04][9AJKZ][HJKLMNPQS] Right 0519[04][79AJKZ]Y Innominate 03120[9AJKZ][0123456789BCDFJK] Cephalic Internal Carotid Left 051F[04][79AJKZ]Y Left 031L0[9AJKZ]K Right 051D[04][79AJKZ]Y Right 031K0[9AJKZ]J Colic 0617[04][79AJKZ]Y Internal Iliac Common Iliac Left 041F[04][9AJKZ][9BCDFGHJKPQ] Left 061D[04][79AJKZ]Y Right 041E[04][9AJKZ][9BCDFGHJKPQ] Right 061C[04][79AJKZ]Y Intracranial 031G0[9AJKZ]G Esophageal 0613[04][79AJKZ]Y Popliteal External Iliac Left 041N[04][9AJKZ][LMPQS] Left 061G[04][79AJKZ]Y Right 041M[04][9AJKZ][LMPQS] Right 061F[04][79AJKZ]Y Radial External Jugular Left 031C0[9AJKZ][4F] Left 051Q[04][79AJKZ]Y Right 031B0[9AJKZ][3F] Right 051P[04][79AJKZ]Y Splenic 0414[04][9AJKZ][345] Face Subclavian Left 051V[04][79AJKZ]Y Left 03140[9AJKZ][0123456789BCDFJKMN] Right 051T[04][79AJKZ]Y Right 03130[9AJKZ][0123456789BCDFJKMN] Femoral Temporal Left 061N[04][79AJKZ]Y Left 031T0[9AJKZ]G Right 061M[04][79AJKZ]Y Right 031S0[9AJKZ]G Foot Ulnar Left 061V[04][79AJKZ]Y Left 031A0[9AJKZ][4F] Right 061T[04][79AJKZ]Y Right 03190[9AJKZ][3F] Gastric 0612[04][79AJKZ]Y Atrium Greater Saphenous Left 0217[04][9AJKZ][PQR] Left 061Q[04][79AJKZ]Y Right 0216 Right 061P[04][79AJKZ]Y Bladder 0T1B Hand Cavity, Cranial 0W110J[9BGJ] Left 051H[04][79AJKZ]Y Cecum 0D1H Right 051G[04][79AJKZ]Y Cerebral Ventricle 0016[03][7JK][012345678B] Hemiazygos 0511[04][79AJKZ]Y Colon Hepatic 0614[04][79AJKZ]Y Ascending 0D1K Hypogastric Descending 0D1M Left 061J[04][79AJKZ]Y Sigmoid 0D1N Right 061H[04][79AJKZ]Y Transverse 0D1L Inferior Mesenteric 0616[04][79AJKZ]Y Duct Innominate Common Bile 0F19[04][DZ][3456789B] Left 0514[04][79AJKZ]Y Index 5

ICD-10-PCS Tables 001-005 Central Nervous System 001-00X 0 Medical and Surgical 0 Central Nervous System 1 Bypass: Altering the route of passage of the contents of a tubular body part Body Part Approach Device Qualifier Character 4 Character 5 Character 6 Character 7 6 Cerebral Ventricle 0 Open 7 Autologous Tissue Substitute 0 Nasopharynx 3 Percutaneous J Synthetic Substitute 1 Mastoid Sinus K Nonautologous Tissue 2 Atrium Substitute 3 Blood Vessel 4 Pleural Cavity 5 Intestine 6 Peritoneal Cavity 7 Urinary Tract 8 Bone Marrow B Cerebral Cisterns U Spinal Canal 0 Open 7 Autologous Tissue Substitute 4 Pleural Cavity 3 Percutaneous J Synthetic Substitute 6 Peritoneal Cavity K Nonautologous Tissue 7 Urinary Tract Substitute 9 Fallopian Tube

0 Medical and Surgical 0 Central Nervous System 2 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 or puncturing the skin or a mucous membrane Body Part Approach Device Qualifier Character 4 Character 5 Character 6 Character 7 0 Brain X External 0 Drainage Device Z No Qualifier E Cranial Nerve Y Other Device U Spinal Canal 002[0,E,U]X [0,Y]Z

0 Medical and Surgical 0 Central Nervous System 5 Destruction: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent Body Part Approach Device Qualifier Character 4 Character 5 Character 6 Character 7 0 Brain 0 Open Z No Device Z No Qualifier 1 Cerebral Meninges 3 Percutaneous 2 Dura Mater 4 Percutaneous Endoscopic 6 Cerebral Ventricle 7 Cerebral Hemisphere 8 Basal Ganglia 9 A Hypothalamus B Pons C Cerebellum D Medulla Oblongata F Olfactory Nerve G Optic Nerve H Oculomotor Nerve J Trochlear Nerve K Trigeminal Nerve DRAFT L Abducens Nerve M Facial Nerve N Acoustic Nerve P Glossopharyngeal Nerve Q Vagus Nerve R Accessory Nerve S Hypoglossal Nerve T Spinal Meninges W Cervical Spinal Cord X Thoracic Spinal Cord Y Lumbar Spinal Cord 005[F,G,H,J,K,L,M,N,P,Q,R,S][0,3,4]ZZ

Limited Coverage Noncovered HAC associated procedure Combination Cluster DRG Non-OR Non-OR Revised Text in Orange Male Female ervous S ystem N ervous Central 1 008-009 ICD-10-PCS 2014 (Draft)

0 Medical and Surgical 0 Central Nervous System 8 Division: Cutting into a body part, without draining fluids and/or gases from the body part, in order to separate or transect a body part

Body Part Approach Device Qualifier 008-009 Character 4 Character 5 Character 6 Character 7 0 Brain 0 Open Z No Device Z No Qualifier 7 Cerebral Hemisphere 3 Percutaneous 8 Basal Ganglia 4 Percutaneous Endoscopic F Olfactory Nerve G Optic Nerve H Oculomotor Nerve J Trochlear Nerve K Trigeminal Nerve L Abducens Nerve M Facial Nerve N Acoustic Nerve P Glossopharyngeal Nerve Q Vagus Nerve R Accessory Nerve S Hypoglossal Nerve W Cervical Spinal Cord X Thoracic Spinal Cord Y Lumbar Spinal Cord

0 Medical and Surgical 0 Central Nervous System 9 Drainage: Taking or letting out fluids and/or gases from a body part

Body Part Approach Device Qualifier Character 4 Character 5 Character 6 Character 7 0 Brain 0 Open 0 Drainage Device Z No Qualifier 1 Cerebral Meninges 3 Percutaneous 2 Dura Mater 4 Percutaneous Endoscopic 3 Epidural Space 4 Subdural Space 5 Subarachnoid Space 6 Cerebral Ventricle 7 Cerebral Hemisphere 8 Basal Ganglia 9 Thalamus A Hypothalamus B Pons C Cerebellum D Medulla Oblongata F Olfactory Nerve G Optic Nerve H Oculomotor Nerve J Trochlear Nerve K Trigeminal Nerve L Abducens Nerve M Facial Nerve N Acoustic Nerve P Glossopharyngeal Nerve Q Vagus Nerve DRAFT R Accessory Nerve S Hypoglossal Nerve T Spinal Meninges U Spinal Canal W Cervical Spinal Cord X Thoracic Spinal Cord Y Lumbar Spinal Cord 009[1,2,4,5,U][3,4]0Z

Limited Coverage Noncovered HAC associated procedure Combination Cluster DRG Non-OR Non-OR Revised Text in Orange Male Female ervous S ystem N ervous Central 2 ICD-10-PCS 2014 (Draft) 009-00B 009-00B 0 Medical and Surgical 0 Central Nervous System 9 Drainage: Taking or letting out fluids and/or gases from a body part Body Part Approach Device Qualifier Character 4 Character 5 Character 6 Character 7 0 Brain 0 Open Z No Device X Diagnostic 1 Cerebral Meninges 3 Percutaneous Z No Qualifier 2 Dura Mater 4 Percutaneous Endoscopic 3 Epidural Space 4 Subdural Space 5 Subarachnoid Space 6 Cerebral Ventricle 7 Cerebral Hemisphere 8 Basal Ganglia 9 Thalamus A Hypothalamus B Pons C Cerebellum D Medulla Oblongata F Olfactory Nerve G Optic Nerve H Oculomotor Nerve J Trochlear Nerve K Trigeminal Nerve L Abducens Nerve M Facial Nerve N Acoustic Nerve P Glossopharyngeal Nerve Q Vagus Nerve R Accessory Nerve S Hypoglossal Nerve T Spinal Meninges U Spinal Canal W Cervical Spinal Cord X Thoracic Spinal Cord Y Lumbar Spinal Cord 009[0,1,2,3,4,5,6,7,8,9,A,B,C,D,F,G,H,J,K,L,M,N,P,Q,R,S,U][3,4]Z [X,Z]

0 Medical and Surgical 0 Central Nervous System B Excision: Cutting out or off, without replacement, a portion of a body part Body Part Approach Device Qualifier Character 4 Character 5 Character 6 Character 7 0 Brain 0 Open Z No Device X Diagnostic 1 Cerebral Meninges 3 Percutaneous Z No Qualifier 2 Dura Mater 4 Percutaneous Endoscopic 6 Cerebral Ventricle 7 Cerebral Hemisphere 8 Basal Ganglia 9 Thalamus A Hypothalamus B Pons C Cerebellum D Medulla Oblongata F Olfactory Nerve G Optic Nerve H Oculomotor Nerve J Trochlear Nerve K Trigeminal Nerve DRAFT L Abducens Nerve M Facial Nerve N Acoustic Nerve P Glossopharyngeal Nerve Q Vagus Nerve R Accessory Nerve S Hypoglossal Nerve T Spinal Meninges W Cervical Spinal Cord X Thoracic Spinal Cord Y Lumbar Spinal Cord 00B[0,1,2,6,7,8,9,A,B,C,D,F,G,H,J,K,L,M,N,P,Q,R,S][3,4]Z X

Limited Coverage Noncovered HAC associated procedure Combination Cluster DRG Non-OR Non-OR Revised Text in Orange Male Female ervous S ystem N ervous Central 3 00C-00D ICD-10-PCS 2014 (Draft)

0 Medical and Surgical 0 Central Nervous System C Extirpation: Taking or cutting out solid matter from a body part

Body Part Approach Device Qualifier

00C-00D Character 4 Character 5 Character 6 Character 7 0 Brain 0 Open Z No Device Z No Qualifier 1 Cerebral Meninges 3 Percutaneous 2 Dura Mater 4 Percutaneous Endoscopic 3 Epidural Space 4 Subdural Space 5 Subarachnoid Space 6 Cerebral Ventricle 7 Cerebral Hemisphere 8 Basal Ganglia 9 Thalamus A Hypothalamus B Pons C Cerebellum D Medulla Oblongata F Olfactory Nerve G Optic Nerve H Oculomotor Nerve J Trochlear Nerve K Trigeminal Nerve L Abducens Nerve M Facial Nerve N Acoustic Nerve P Glossopharyngeal Nerve Q Vagus Nerve R Accessory Nerve S Hypoglossal Nerve T Spinal Meninges W Cervical Spinal Cord X Thoracic Spinal Cord Y Lumbar Spinal Cord

0 Medical and Surgical 0 Central Nervous System D Extraction: Pulling or stripping out or off all or a portion of a body part by the use of force

Body Part Approach Device Qualifier Character 4 Character 5 Character 6 Character 7 1 Cerebral Meninges 0 Open Z No Device Z No Qualifier 2 Dura Mater 3 Percutaneous F Olfactory Nerve 4 Percutaneous Endoscopic G Optic Nerve H Oculomotor Nerve J Trochlear Nerve K Trigeminal Nerve L Abducens Nerve M Facial Nerve N Acoustic Nerve P Glossopharyngeal Nerve Q Vagus Nerve DRAFT R Accessory Nerve S Hypoglossal Nerve T Spinal Meninges

Limited Coverage Noncovered HAC associated procedure Combination Cluster DRG Non-OR Non-OR Revised Text in Orange Male Female ervous S ystem N ervous Central 4 ICD-10-PCS 2014 (Draft) 00F-00K 00F-00K 0 Medical and Surgical 0 Central Nervous System F Fragmentation: Breaking solid matter in a body part into pieces

Body Part Approach Device Qualifier Character 4 Character 5 Character 6 Character 7 3 Epidural Space 0 Open Z No Device Z No Qualifier 4 Subdural Space 3 Percutaneous 5 Subarachnoid Space 4 Percutaneous Endoscopic 6 Cerebral Ventricle X External U Spinal Canal 00F[3,4,5,6]XZZ 00F[3,4,5,6]XZZ

0 Medical and Surgical 0 Central Nervous System H Insertion: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part

Body Part Approach Device Qualifier Character 4 Character 5 Character 6 Character 7 0 Brain 0 Open 2 Monitoring Device Z No Qualifier 6 Cerebral Ventricle 3 Percutaneous 3 Infusion Device E Cranial Nerve 4 Percutaneous Endoscopic M Neurostimulator Lead U Spinal Canal V Spinal Cord 00H[U,V][0,3,4]3Z 00H[0,6,E,U,V][0,3,4]MZ

0 Medical and Surgical 0 Central Nervous System J Inspection: Visually and/or manually exploring a body part

Body Part Approach Device Qualifier Character 4 Character 5 Character 6 Character 7 0 Brain 0 Open Z No Device Z No Qualifier E Cranial Nerve 3 Percutaneous U Spinal Canal 4 Percutaneous Endoscopic V Spinal Cord

0 Medical and Surgical 0 Central Nervous System K Map: Locating the route of passage of electrical impulses and/or locating functional areas in a body part

Body Part Approach Device Qualifier Character 4 Character 5 Character 6 Character 7 0 Brain 0 Open Z No Device Z No Qualifier 7 Cerebral Hemisphere 3 Percutaneous 8 Basal Ganglia 4 Percutaneous Endoscopic 9 Thalamus A Hypothalamus B Pons C Cerebellum D Medulla Oblongata DRAFT

Limited Coverage Noncovered HAC associated procedure Combination Cluster DRG Non-OR Non-OR Revised Text in Orange Male Female ervous S ystem N ervous Central 5 00N-00P ICD-10-PCS 2014 (Draft)

0 Medical and Surgical 0 Central Nervous System

-00P N Release: Freeing a body part from an abnormal physical constraint by cutting or by the use of force

Body Part Approach Device Qualifier

N 00 Character 4 Character 5 Character 6 Character 7 0 Brain 0 Open Z No Device Z No Qualifier 1 Cerebral Meninges 3 Percutaneous 2 Dura Mater 4 Percutaneous Endoscopic 6 Cerebral Ventricle 7 Cerebral Hemisphere 8 Basal Ganglia 9 Thalamus A Hypothalamus B Pons C Cerebellum D Medulla Oblongata F Olfactory Nerve G Optic Nerve H Oculomotor Nerve J Trochlear Nerve K Trigeminal Nerve L Abducens Nerve M Facial Nerve N Acoustic Nerve P Glossopharyngeal Nerve Q Vagus Nerve R Accessory Nerve S Hypoglossal Nerve T Spinal Meninges W Cervical Spinal Cord X Thoracic Spinal Cord Y Lumbar Spinal Cord

0 Medical and Surgical 0 Central Nervous System P Removal: Taking out or off a device from a body part

Body Part Approach Device Qualifier Character 4 Character 5 Character 6 Character 7 0 Brain X External 0 Drainage Device Z No Qualifier 6 Cerebral Ventricle 2 Monitoring Device E Cranial Nerve 3 Infusion Device U Spinal Canal M Neurostimulator Lead V Spinal Cord 0 Brain 0 Open 0 Drainage Device Z No Qualifier V Spinal Cord 3 Percutaneous 2 Monitoring Device 4 Percutaneous Endoscopic 3 Infusion Device 7 Autologous Tissue Substitute J Synthetic Substitute K Nonautologous Tissue Substitute M Neurostimulator Lead 6 Cerebral Ventricle 0 Open 0 Drainage Device Z No Qualifier U Spinal Canal 3 Percutaneous 2 Monitoring Device 4 Percutaneous Endoscopic 3 Infusion Device DRAFTJ Synthetic Substitute M Neurostimulator Lead E Cranial Nerve 0 Open 0 Drainage Device Z No Qualifier 3 Percutaneous 2 Monitoring Device 4 Percutaneous Endoscopic 3 Infusion Device 7 Autologous Tissue Substitute M Neurostimulator Lead 00P[0,U,V]X[0,2,3,M]Z 00P6X[0,3]Z 00PEX[0,2,3]Z

Limited Coverage Noncovered HAC associated procedure Combination Cluster DRG Non-OR Non-OR Revised Text in Orange Male Female ervous S ystem N ervous Central 6 ICD-10-PCS 2014 (Draft) 00Q-00S 00Q-00 S 0 Medical and Surgical 0 Central Nervous System Q Repair: Restoring, to the extent possible, a body part to its normal anatomic structure and function

Body Part Approach Device Qualifier Character 4 Character 5 Character 6 Character 7 0 Brain 0 Open Z No Device Z No Qualifier 1 Cerebral Meninges 3 Percutaneous 2 Dura Mater 4 Percutaneous Endoscopic 6 Cerebral Ventricle 7 Cerebral Hemisphere 8 Basal Ganglia 9 Thalamus A Hypothalamus B Pons C Cerebellum D Medulla Oblongata F Olfactory Nerve G Optic Nerve H Oculomotor Nerve J Trochlear Nerve K Trigeminal Nerve L Abducens Nerve M Facial Nerve N Acoustic Nerve P Glossopharyngeal Nerve Q Vagus Nerve R Accessory Nerve S Hypoglossal Nerve T Spinal Meninges W Cervical Spinal Cord X Thoracic Spinal Cord Y Lumbar Spinal Cord

0 Medical and Surgical 0 Central Nervous System S Reposition: Moving to its normal location, or other suitable location, all or a portion of a body part

Body Part Approach Device Qualifier Character 4 Character 5 Character 6 Character 7 F Olfactory Nerve 0 Open Z No Device Z No Qualifier G Optic Nerve 3 Percutaneous H Oculomotor Nerve 4 Percutaneous Endoscopic J Trochlear Nerve K Trigeminal Nerve L Abducens Nerve M Facial Nerve N Acoustic Nerve P Glossopharyngeal Nerve Q Vagus Nerve R Accessory Nerve S Hypoglossal Nerve W Cervical Spinal Cord X Thoracic Spinal Cord Y Lumbar Spinal CordDRAFT

Limited Coverage Noncovered HAC associated procedure Combination Cluster DRG Non-OR Non-OR Revised Text in Orange Male Female ervous S ystem N ervous Central 7 00T-00W ICD-10-PCS 2014 (Draft)

0 Medical and Surgical 0 Central Nervous System T Resection: Cutting out or off, without replacement, all of a body part -00W Body Part Approach Device Qualifier

T 00 Character 4 Character 5 Character 6 Character 7 7 Cerebral Hemisphere 0 Open Z No Device Z No Qualifier 3 Percutaneous 4 Percutaneous Endoscopic

0 Medical and Surgical 0 Central Nervous System U Supplement: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part

Body Part Approach Device Qualifier Character 4 Character 5 Character 6 Character 7 1 Cerebral Meninges 0 Open 7 Autologous Tissue Substitute Z No Qualifier 2 Dura Mater 3 Percutaneous J Synthetic Substitute T Spinal Meninges 4 Percutaneous Endoscopic K Nonautologous Tissue Substitute F Olfactory Nerve 0 Open 7 Autologous Tissue Substitute Z No Qualifier G Optic Nerve 3 Percutaneous H Oculomotor Nerve 4 Percutaneous Endoscopic J Trochlear Nerve K Trigeminal Nerve L Abducens Nerve M Facial Nerve N Acoustic Nerve P Glossopharyngeal Nerve Q Vagus Nerve R Accessory Nerve S Hypoglossal Nerve

0 Medical and Surgical 0 Central Nervous System W Revision: Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device

Body Part Approach Device Qualifier Character 4 Character 5 Character 6 Character 7 0 Brain 0 Open 0 Drainage Device Z No Qualifier V Spinal Cord 3 Percutaneous 2 Monitoring Device 4 Percutaneous Endoscopic 3 Infusion Device X External 7 Autologous Tissue Substitute J Synthetic Substitute K Nonautologous Tissue Substitute M Neurostimulator Lead 6 Cerebral Ventricle 0 Open 0 Drainage Device Z No Qualifier U Spinal Canal 3 Percutaneous 2 Monitoring Device 4 Percutaneous Endoscopic 3 Infusion Device X External J Synthetic Substitute M Neurostimulator Lead E Cranial Nerve 0 Open 0 Drainage Device Z No Qualifier DRAFT3 Percutaneous 2 Monitoring Device 4 Percutaneous Endoscopic 3 Infusion Device X External 7 Autologous Tissue Substitute M Neurostimulator Lead 00W[0,V]X [0,2,3,7,J,K,M]Z 00W[6,U]X [0,2,3,J,M]Z 00WE X [0,2,3,7,M]Z

Limited Coverage Noncovered HAC associated procedure Combination Cluster DRG Non-OR Non-OR Revised Text in Orange Male Female ervous S ystem N ervous Central 8 ICD-10-PCS 2014 (Draft) 00X-00X 00X-00X 0 Medical and Surgical 0 Central Nervous System X Transfer: Moving, without taking out, all or a portion of a body part to another location to take over the function of all or a portion of a body part

Body Part Approach Device Qualifier Character 4 Character 5 Character 6 Character 7 F Olfactory Nerve 0 Open Z No Device F Olfactory Nerve G Optic Nerve 4 Percutaneous Endoscopic G Optic Nerve H Oculomotor Nerve H Oculomotor Nerve J Trochlear Nerve J Trochlear Nerve K Trigeminal Nerve K Trigeminal Nerve L Abducens Nerve L Abducens Nerve M Facial Nerve M Facial Nerve N Acoustic Nerve N Acoustic Nerve P Glossopharyngeal Nerve P Glossopharyngeal Nerve Q Vagus Nerve Q Vagus Nerve R Accessory Nerve R Accessory Nerve S Hypoglossal Nerve S Hypoglossal Nerve

DRAFT

Limited Coverage Noncovered HAC associated procedure Combination Cluster DRG Non-OR Non-OR Revised Text in Orange Male Female ervous S ystem N ervous Central 9 02H-02H ICD-10-PCS 2014 (Draft)

Heart and Great Vessels 021-02Y 0 Medical and Surgical 2 Heart and Great Vessels H Insertion: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically 02H-02H take the place of a body part

Body Part Approach Device Qualifier Character 4 Character 5 Character 6 Character 7 4 Coronary Vein 0 Open 0 Monitoring Device, Pressure Z No Qualifier 6 Atrium, Right 3 Percutaneous Sensor 7 Atrium, Left 4 Percutaneous Endoscopic 2 Monitoring Device K Ventricle, Right 3 Infusion Device L Ventricle, Left D Intraluminal Device J Cardiac Lead, Pacemaker K Cardiac Lead, Defibrillator M Cardiac Lead A Heart 0 Open Q Implantable Heart Assist Z No Qualifier 3 Percutaneous System 4 Percutaneous Endoscopic A Heart 0 Open R External Heart Assist System S Biventricular 3 Percutaneous Z No Qualifier 4 Percutaneous Endoscopic N Pericardium 0 Open 0 Monitoring Device, Pressure Z No Qualifier 3 Percutaneous Sensor 4 Percutaneous Endoscopic 2 Monitoring Device J Cardiac Lead, Pacemaker K Cardiac Lead, Defibrillator M Cardiac Lead P Pulmonary Trunk 0 Open 0 Monitoring Device, Pressure Z No Qualifier Q , Right 3 Percutaneous Sensor R Pulmonary Artery, Left 4 Percutaneous Endoscopic 2 Monitoring Device S Pulmonary Vein, Right 3 Infusion Device T Pulmonary Vein, Left D Intraluminal Device V Superior Vena Cava W Thoracic Aorta 02HA [0,3,4]Q Z 02H[4,6,7,L][0,3,4][K,J,M]Z 02H[4,N][0,3,4][J,K,M]Z 02H[6,7][0,3,4][K,M,J]Z 02HA[0,3,4]R[S,Z] 02HK[0,3,4][0,2,K,J,M]Z 02H[4,6,7,K,L][3,0,4][J,K,M]Z when reported with secondary diagnosis from K68.11, T81.4XXA, T82.6XXA, or T82.7XXA 02HN[3,0,4][J,K,M]Z when reported with secondary diagnosis from K68.11, T81.4XXA, T82.6XXA, or T82.7XXA 02H[6,7,K,L,4][3,0,4][J,M]Z 02H[P,Q,R][0,3,4][0,2,3]Z 02H[S,T,V][0,3,4]3Z 02HW[0,3,4][0,3]Z DRAFT

V essels Great Great

Limited Coverage Noncovered HAC associated procedure Combination Cluster DRG Non-OR Non-OR Revised Text in Orange Male Female Heart an d Heart 10 Appendix A: Root Operations Definitions

0 -Medical and Surgical 0 Alteration Definition: Modifying the anatomic structure of a body part without affecting the function of the body part Explanation: Principal purpose is to improve appearance Includes/Examples: Face lift, breast augmentation 1 Bypass Definition: Altering the route of passage of the contents of a tubular body part Explanation: Rerouting contents of a body part to a downstream area of the normal route, to a similar route and body part, or to an abnormal route and dissimilar body part. Includes one or more anastomoses, with or without the use of a device Includes/Examples: Coronary artery bypass, formation 2 Change Definition: 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 or puncturing the skin or a mucous membrane Explanation: All CHANGE procedures are coded using the approach EXTERNAL Includes/Examples: Urinary change, tube change 3 Control Definition: Stopping, or attempting to stop, postprocedural bleeding Explanation: The site of the bleeding is coded as an anatomical region and not to a specific body part Includes/Examples: Control of post-prostatectomy hemorrhage, control of post-tonsillectomy hemorrhage 4 Creation Definition: Making a new genital structure that does not take over the function of a body part Explanation: Used only for sex change operations Includes/Examples: Creation of in a male, creation of penis in a female 5 Destruction Definition: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent Explanation: None of the body part is physically taken out Includes/Examples: Fulguration of rectal , cautery of skin lesion 6 Detachment Definition: Cutting off all or a portion of the upper or lower extremities Explanation: The body part value is the site of the detachment, with a qualifier if applicable to further specify the level where the extremity was detached Includes/Examples: Below knee amputation, disarticulation of shoulder 7 Dilation Definition: Expanding an orifice or the lumen of a tubular body part Explanation: The orifice can be a natural orifice or an artificially created orifice. Accomplished by stretching a tubular body part using intraluminal pressure or by cutting part of the orifice or wall of the tubular body part Includes/Examples: Percutaneous transluminal angioplasty, 8 Division Definition: Cutting into a body part, without draining fluids and/or gases from the body part, in order to separate or transect a body part Explanation: All or a portion of the body part is separated into two or more portions Includes/Examples: Spinal cordotomy, 9 Drainage Definition: Taking or letting out fluids and/or gases from a body part Explanation: The qualifier diagnostic is used to identify drainage procedures that are biopsies Includes/Examples: , incision and drainage B Excision Definition: Cutting out or off, without replacement, a portion of a body part Explanation: The qualifier diagnostic is used to identify excision procedures that are biopsies Includes/Examples: Partial nephrectomy, Root A: Appendix C Extirpation Definition: Taking or cutting out solid matter from a body part Explanation: The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces Includes/Examples: Thrombectomy, choledocholithotomy D Extraction Definition:Draft Pulling or stripping out or off all or a portion of a body part by the use of force Explanation: The qualifier diagnostic is used to identify extraction procedures that are biopsies

Includes/Examples: , O F Fragmentation Definition: Breaking solid matter in a body part into pieces pe Explanation: Physical force (e.g., manual, ultrasonic) applied directly or indirectly is used to break the solid matter into pieces. The ra solid matter may be an abnormal byproduct of a biological function or a foreign body. The pieces of solid matter are not taken out tions Includes/Examples: Extracorporeal shockwave lithotripsy, transurethral lithotripsy

G Fusion Definition: Joining together portions of an articular body part rendering the articular body part immobile D

Explanation: The body part is joined together by fixation device, bone graft, or other means efinitions Includes/Examples: , ankle arthrodesis

 ICD-10-PCS 2014 Appendix A: Root Operations Definitions

H Insertion Definition: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part Explanation: None Includes/Examples: Insertion of radioactive implant, insertion of central venous catheter J Inspection Definition: Visually and/or manually exploring a body part Explanation: Visual exploration may be performed with or without optical instrumentation. Manual exploration may be performed directly or through intervening body layers Includes/Examples: Diagnostic arthroscopy, K Map Definition: Locating the route of passage of electrical impulses and/or locating functional areas in a body part Explanation: Applicable only to the cardiac conduction mechanism and the central nervous system Includes/Examples: Cardiac mapping, cortical mapping L Occlusion Definition: Completely closing an orifice or the lumen of a tubular body part Explanation: The orifice can be a natural orifice or an artificially created orifice Includes/Examples: Fallopian tube ligation, ligation of inferior vena cava M Reattachment Definition: Putting back in or on all or a portion of a separated body part to its normal location or other suitable location Explanation: Vascular circulation and nervous pathways may or may not be reestablished Includes/Examples: Reattachment of hand, reattachment of avulsed kidney N Release Definition: Freeing a body part from an abnormal physical constraint by cutting or by the use of force Explanation: Some of the restraining tissue may be taken out but none of the body part is taken out Includes/Examples: Adhesiolysis, carpal tunnel release P Removal Definition: Taking out or off a device from a body part Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL Includes/Examples: Drainage tube removal, cardiac pacemaker removal Q Repair Definition: Restoring, to the extent possible, a body part to its normal anatomic structure and function Explanation: Used only when the method to accomplish the repair is not one of the other root operations Includes/Examples: Colostomy takedown, suture of laceration R Replacement Definition: Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part Explanation: The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during the Replacement procedure. A Removal procedure is coded for taking out the device used in a previous replacement procedure Includes/Examples: Total , bone graft, free skin graft S Reposition Definition: Moving to its normal location, or other suitable location, all or a portion of a body part Explanation: The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning correctly. The body part may or may not be cut out or off to be moved to the new location Includes/Examples: Reposition of undescended testicle, fracture reduction T Resection Definition: Cutting out or off, without replacement, all of a body part Explanation: None Includes/Examples: Total nephrectomy, total lobectomy of lung

V Restriction Definition: Partially closing an orifice or the lumen of a tubular body part Explanation: The orifice can be a natural orifice or an artificially created orifice Includes/Examples: Esophagogastric fundoplication, cervical cerclage W Revision Definition: Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of efinitions Explanation: D Draftthe device such as a screw or pin Includes/Examples: Adjustment of position of pacemaker lead, recementing of hip U Supplement Definition: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part tions Explanation: The biological material is non-living, or is living and from the same individual. The body part may have been ra previously replaced, and the Supplement procedure is performed to physically reinforce and/or augment the function of the pe

O replaced body part Includes/Examples: Herniorrhaphy using mesh, free nerve graft, mitral valve ring annuloplasty, put a new acetabular liner in a previous hip replacement

Appendix A: Root  Appendix A: Root Operations Definitions ICD-10-PCS 2014

X Transfer Definition: Moving, without taking out, all or a portion of a body part to another location to take over the function of all or a portion of a body part Explanation: The body part transferred remains connected to its vascular and nervous supply Includes/Examples: Tendon transfer, skin pedicle flap transfer Y Transplantation Definition: Putting in or on all or a portion of a living body part taken from another individual or animal to physically take the place and/or function of all or a portion of a similar body part Explanation: The native body part may or may not be taken out, and the transplanted body part may take over all or a portion of its function Includes/Examples: Kidney transplant, heart transplant

1 Obstetrics A Abortion Definition: Artificially terminating a pregnancy E Delivery Definition: Assisting the passage of the products of conception from the genital canal

2 Placement 0 Change Definition: 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 or puncturing the skin or a mucous membrane 1 Compression Definition: Putting pressure on a body region 2 Dressing Definition: Putting material on a body region for protection 3 Immobilization Definition: Limiting or preventing motion of a body region 4 Packing Definition: Putting material in a body region or orifice 5 Removal Definition: Taking out or off a device from a body part 6 Traction Definition: Exerting a pulling force on a body region in a distal direction

3 - Administration 0 Introduction Definition: Putting in or on a therapeutic, diagnostic, nutritional, physiological, or prophylactic substance except blood or blood products 1 Irrigation Definition: Putting in or on a cleansing substance 2 Transfusion Definition: Putting in blood or blood products

4 - Measurement and Monitoring 0 Measurement Definition: Determining the level of a physiological or physical function at a point in time 1 Monitoring Definition: Determining the level of a physiological or physical function repetitively over a period of time

5 - Extracorporeal Assistance and Performance Root A: Appendix 0 Assistance Definition: Taking over a portion of a physiological function by extracorporeal means 1 Performance Definition: Completely taking over a physiological function by extracorporeal means 2 Restoration Definition:Draft Returning, or attempting to return, a physiological function to its original state by extracorporeal means. O pe ra tions tions D efinitions

 ICD-10-PCS 2014 Appendix A: Root Operations Definitions

6 - Extracorporeal Therapies 0 Atmospheric Definition: Extracorporeal control of atmospheric pressure and composition Control 1 Decompression Definition: Extracorporeal elimination of undissolved gas from body fluids 2 Electromagnetic Definition: Extracorporeal treatment by electromagnetic rays Therapy 3 Hyperthermia Definition: Extracorporeal raising of body temperature 4 Hypothermia Definition: Extracorporeal lowering of body temperature 5 Pheresis Definition: Extracorporeal separation of blood products 6 Phototherapy Definition: Extracorporeal treatment by light rays 7 Definition: Extracorporeal treatment by ultrasound Therapy 8 Ultraviolet Light Definition: Extracorporeal treatment by ultraviolet light Therapy 9 Shock Wave Definition: Extracorporeal treatment by shock waves Therapy

7 - Osteopathic 0 Treatment Definition: Manual treatment to eliminate or alleviate somatic dysfunction and related disorders

8 - Other Procedures 0 Other Definition: Methodologies which attempt to remediate or cure a disorder or disease Procedures

9 - Chiropractic B Manipulation Definition: Manual procedure that involves a directed thrust to move a joint past the physiological range of motion, without exceeding the anatomical limit efinitions D Draft tions ra pe O

Appendix A: Root 

Appendix C: Device Key and Aggregation Table

Device Term Pcs Description Device Term Pcs Description 3f (Aortic) Bioprosthesis Zooplastic Tissue in Heart and Great Autologous vein graft Autologous Venous Tissue in Vessels and Great Vessels AbioCor® Total Synthetic Substitute Autologous Venous Tissue in Lower Replacement Heart Arteries Acellular Hydrated Dermis Nonautologous Tissue Substitute Autologous Venous Tissue in Lower Activa PC neurostimulator Stimulator Generator, Multiple Array Veins for Insertion in Subcutaneous Tissue Autologous Venous Tissue in Upper and Fascia Arteries Activa RC neurostimulator Stimulator Generator, Multiple Autologous Venous Tissue in Upper Veins Array Rechargeable for Insertion in Axial Lumbar Interbody Interbody Fusion Device in Lower Subcutaneous Tissue and Fascia Fusion System Joints Activa SC neurostimulator Stimulator Generator, Single Array AxiaLIF® System Interbody Fusion Device in Lower Joints for Insertion in Subcutaneous Tissue ® and Fascia BAK/C Interbody Interbody Fusion Device in Upper Cervical Fusion System Joints ™ ACUITY Steerable Lead Cardiac Lead, Defibrillator for ® ® Insertion in Heart and Great Vessels Bard Composix Synthetic Substitute (E/X)(LP) mesh Cardiac Lead, Pacemaker for ® ® ® Insertion in Heart and Great Vessels Bard Composix Kugel Synthetic Substitute patch ® AMPLATZER Muscular Synthetic Substitute ® ™ VSD Occluder Bard Dulex mesh Synthetic Substitute ® ™ AMS 800® Urinary Control Artificial Sphincter in Urinary System Bard Ventralex hernia patch Synthetic Substitute System Baroreflex Activation Cardiac Rhythm Related Device in ® ® AneuRx® AAA Advantage® Intraluminal Device Therapy (BAT ) Subcutaneous Tissue and Fascia Annuloplasty ring Synthetic Substitute Stimulator Lead in Upper Arteries Artificial anal sphincter Artificial Sphincter in Gastrointestinal Berlin Heart Ventricular Implantable Heart Assist System in (AAS) System Assist Device Heart and Great Vessels Artificial bowel sphincter Artificial Sphincter in Gastrointestinal Bioactive embolization Intraluminal Device, Bioactive in (neosphincter) System coil(s) Upper Arteries Artificial urinary sphincter Artificial Sphincter in Urinary System Biventricular external External Heart Assist System in (AUS) heart assist system Heart and Great Vessels Assurant (Cobalt) stent Intraluminal Device Blood glucose monitoring Monitoring Device system Attain Ability® lead Cardiac Lead, Defibrillator for Insertion in Heart and Great Vessels Bone anchored hearing Hearing Device in Head and Facial device Bones Cardiac Lead, Pacemaker for Insertion in Heart and Great Vessels Hearing Device, Bone Conduction for Insertion in Ear, Nose, Sinus Attain StarFix® (OTW) Cardiac Lead, Defibrillator for lead Insertion in Heart and Great Vessels Bone bank bone graft Nonautologous Tissue Substitute Cardiac Lead, Pacemaker for Bone screw (interlocking)( Internal Fixation Device in Head and Insertion in Heart and Great Vessels lag)(pedicle)(recessed) Facial Bones Autograft Autologous Tissue Substitute Internal Fixation Device in Lower ble Bones Autologous artery graft Autologous Arterial Tissue in Heart Ta and Great Vessels Internal Fixation Device in Upper Bones Autologous Arterial Tissue in Lower tion Arteries Bovine pericardial valve Zooplastic Tissue in Heart and Great a Vessels Autologous Arterial Tissue in Lower Veins Bovine pericardium graft Zooplastic Tissue in Heart and Great Vessels Autologous Arterial Tissue in Upper DraftBrachytherapy seeds Radioactive Element Arteries ® Autologous Arterial Tissue in Upper BRYAN Cervical Disc Synthetic Substitute nd Aggreg System a Veins BVS 5000 Ventricular External Heart Assist System in Assist Device Heart and Great Vessels e Key Cardiac contractility Cardiac Lead in Heart and Great c modulation lead Vessels evi Cardiac event recorder Monitoring Device D

Appendix C: 22 Appendix C: Device Key and Aggregation Table ICD-10-PCS 2014

Device Term Pcs Description Device Term Pcs Description Cardiac resynchronization Cardiac Lead, Defibrillator for Corox (OTW) Bipolar Cardiac Lead, Defibrillator for therapy (CRT) lead Insertion in Heart and Great Vessels Lead Insertion in Heart and Great Vessels Cardiac Lead, Pacemaker for Cardiac Lead, Pacemaker for Insertion in Heart and Great Vessels Insertion in Heart and Great Vessels CardioMEMS® pressure Monitoring Device, Pressure Sensor Cortical strip Neurostimulator Lead in Central sensor for Insertion in Heart and Great neurostimulator lead Nervous System Vessels Cultured epidermal cell Autologous Tissue Substitute Carotid (artery) sinus Stimulator Lead in Upper Arteries autograft (baroreceptor) lead CYPHER® Stent Intraluminal Device, Drug-eluting in Carotid WALLSTENT® Intraluminal Device Heart and Great Vessels ® Monorail Endoprosthesis Cystostomy tube Drainage Device ® Centrimag Blood Pump Intraluminal Device DBS lead Neurostimulator Lead in Central Clamp and rod internal Internal Fixation Device in Lower Nervous System fixation system (CRIF) Bones DeBakey Left Ventricular Implantable Heart Assist System in Internal Fixation Device in Upper Bones Assist Device Heart and Great Vessels CoAxia NeuroFlo catheter Intraluminal Device Deep brain Neurostimulator Lead in Central Cobalt/chromium head Synthetic Substitute, Metal on neurostimulator lead Nervous System and polyethylene socket Polyethylene for Replacement in Delta frame external Device, Hybrid for Lower Joints fixator Insertion in Lower Bones Cobalt/chromium head Synthetic Substitute, Metal for External Fixation Device, Hybrid for and socket Replacement in Lower Joints Insertion in Upper Bones Cochlear implant Hearing Device, Multiple Channel External Fixation Device, Hybrid for (CI), multiple channel Cochlear Prosthesis for Insertion in Reposition in Lower Bones (electrode) Ear, Nose, Sinus External Fixation Device, Hybrid for Cochlear implant (CI), Hearing Device, Single Channel Reposition in Upper Bones single channel (electrode) Cochlear Prosthesis for Insertion in Delta III Reverse shoulder Synthetic Substitute, Reverse Ball Ear, Nose, Sinus prosthesis and Socket for Replacement in COGNIS® CRT-D Cardiac Resynchronization Upper Joints Defibrillator Pulse Generator for Diaphragmatic pacemaker Stimulator Generator in Insertion in Subcutaneous Tissue generator Subcutaneous Tissue and Fascia and Fascia Direct Lateral Interbody Interbody Fusion Device in Lower ® Colonic Z-Stent Intraluminal Device Fusion (DLIF) device Joints Complete (SE) stent Intraluminal Device Driver stent (RX) (OTW) Intraluminal Device Concerto II CRT-D Cardiac Resynchronization DuraHeart Left Ventricular Implantable Heart Assist System in Defibrillator Pulse Generator for Assist System Heart and Great Vessels Insertion in Subcutaneous Tissue ® and Fascia Durata Defibrillation Cardiac Lead, Defibrillator for Lead Insertion in Heart and Great Vessels ® CONSERVE PLUS Total Resurfacing Device in Lower Joints ® Resurfacing Hip System Dynesys Dynamic Spinal Stabilization Device, Pedicle- Stabilization System Based for Insertion in Lower Joints Consulta CRT-D Cardiac Resynchronization Defibrillator Pulse Generator for Spinal Stabilization Device, Pedicle- Based for Insertion in Upper Joints

Insertion in Subcutaneous Tissue C: Appendix and Fascia E-Luminexx™ Intraluminal Device Consulta CRT-P Cardiac Resynchronization (Biliary)(Vascular) Stent Pacemaker Pulse Generator for Electrical bone growth Bone Growth Stimulator in Head and Insertion in Subcutaneous Tissue stimulator (EBGS) Facial Bones and Fascia Bone Growth Stimulator in Lower ® CONTAK RENEWAL 3 Cardiac Resynchronization Bones D RF (HE) CRT-D Defibrillator Pulse Generator for Bone Growth Stimulator in Upper evi

Insertion in Subcutaneous Tissue Bones c Draftand Fascia Electrical muscle Stimulator Lead in Muscles Key e Contegra Pulmonary Zooplastic Tissue in Heart and Great stimulation (EMS) lead Valved Conduit Vessels

Electronic muscle Stimulator Lead in Muscles a

Continuous Glucose Monitoring Device stimulator lead Aggreg nd Monitoring (CGM) device Embolization coil(s) Intraluminal Device CoreValve transcatheter Zooplastic Tissue in Heart and Great Endeavor® (III)(IV) (Sprint) Intraluminal Device, Drug-eluting in aortic valve Vessels Zotarolimus-eluting Heart and Great Vessels Cormet Resurfacing Device in Lower Joints Coronary Stent System

System EndoSure® sensor Monitoring Device, Pressure Sensor for a CoRoent® XL Interbody Fusion Device in Lower Joints Insertion in Heart and Great Vessels tion Ta ble

23 ICD-10-PCS 2014 Appendix C: Device Key and Aggregation Table

Device Term Pcs Description Device Term Pcs Description ENDOTAK RELIANCE® Cardiac Lead, Defibrillator for Fusion screw (compressio Internal Fixation Device in Lower (G) Defibrillation Lead Insertion in Heart and Great Vessels n)(lag)(locking) Joints Endotracheal tube Intraluminal Device, Endotracheal Internal Fixation Device in Upper (cuffed)(double-lumen) Airway in Respiratory System Joints Endurant® Endovascular Intraluminal Device Gastric electrical Stimulator Lead in Gastrointestinal Stent Graft stimulation (GES) lead System EnRhythm Pacemaker, Dual Chamber for Gastric pacemaker lead Stimulator Lead in Gastrointestinal Insertion in Subcutaneous Tissue System and Fascia GORE® DUALMESH® Synthetic Substitute Enterra gastric Stimulator Generator, Multiple Array Guedel airway Intraluminal Device, Airway in Mouth neurostimulator for Insertion in Subcutaneous Tissue and Throat and Fascia Hancock Bioprosthesis Zooplastic Tissue in Heart and Great ™ Epic Stented Tissue Zooplastic Tissue in Heart and Great (aortic) (mitral) valve Vessels Valve (aortic) Vessels Hancock Bioprosthetic Zooplastic Tissue in Heart and Great ® Epicel cultured epidermal Autologous Tissue Substitute Valved Conduit Vessels autograft HeartMate II® Left Implantable Heart Assist System in Epiretinal visual Epiretinal Visual Prosthesis in Eye Ventricular Assist Device Heart and Great Vessels prosthesis (LVAD) Esophageal obturator Intraluminal Device, Airway in HeartMate XVE® Left Implantable Heart Assist System in airway (EOA) Gastrointestinal System Ventricular Assist Device Heart and Great Vessels Esteem® implantable Hearing Device in Ear, Nose, Sinus (LVAD) hearing system Hip (joint) liner Liner in Lower Joints Everolimus-eluting Intraluminal Device, Drug-eluting in Holter valve ventricular Synthetic Substitute coronary stent Heart and Great Vessels shunt ™ Ex-PRESS mini Synthetic Substitute Ilizarov external fixator External Fixation Device, Ring for glaucoma shunt Insertion in Lower Bones ® Express (LD) Intraluminal Device External Fixation Device, Ring for Premounted Stent System Insertion in Upper Bones ® Express Biliary SD Intraluminal Device External Fixation Device, Ring for ® Monorail Premounted Reposition in Lower Bones Stent System External Fixation Device, Ring for ® Express SD Renal Intraluminal Device Reposition in Upper Bones Monorail® Premounted Stent System Ilizarov-Vecklich device External Fixation Device, Limb Lengthening for Insertion in Lower External fixator External Fixation Device in Head and Bones Facial Bones External Fixation Device, Limb External Fixation Device in Lower Lengthening for Insertion in Upper Bones Bones External Fixation Device in Lower Impella® (2.5)(5.0)(LD) Intraluminal Device Joints cardiac assist device External Fixation Device in Upper Implantable cardioverter- Defibrillator Generator for Insertion in Bones defibrillator (ICD) Subcutaneous Tissue and Fascia External Fixation Device in Upper Implantable drug infusion Infusion Device, Pump in ble Joints pump (anti-spasmodic)(ch Subcutaneous Tissue and Fascia Ta EXtreme Lateral Interbody Interbody Fusion Device in Lower emotherapy)() Fusion (XLIF) device Joints Implantable glucose Monitoring Device tion Facet replacement spinal Spinal Stabilization Device, Facet monitoring device a stabilization device Replacement for Insertion in Lower Implantable hemodynamic Monitoring Device, Hemodynamic Joints monitor (IHM) for Insertion in Subcutaneous Tissue Spinal Stabilization Device, Facet and Fascia DraftReplacement for Insertion in Upper Implantable hemodynamic Monitoring Device, Hemodynamic Joints monitoring system (IHMS) for Insertion in Subcutaneous Tissue nd Aggreg FLAIR® Endovascular Intraluminal Device and Fascia a Stent Graft Implantable Miniature Synthetic Substitute, Intraocular Flexible Composite Mesh Synthetic Substitute Telescope™ (IMT) Telescope for Replacement in Eye e Key Foley catheter Drainage Device Implanted Device, Reservoir in c Formula™ Balloon-Expandable Intraluminal Device (venous)(access) port Subcutaneous Tissue and Fascia evi Renal Stent System InDura, intrathecal Infusion Device D Freestyle (Stentless) Zooplastic Tissue in Heart and Great catheter (1P) (spinal) Aortic Root Bioprosthesis Vessels

Appendix C: 24 Appendix C: Device Key and Aggregation Table ICD-10-PCS 2014

Device Term Pcs Description Device Term Pcs Description Injection reservoir, port Vascular Access Device, Reservoir in LifeStent® (Flexstar)(XL) Intraluminal Device Subcutaneous Tissue and Fascia Vascular Stent System Injection reservoir, pump Infusion Device, Pump in LIVIAN™ CRT-D Cardiac Resynchronization Subcutaneous Tissue and Fascia Defibrillator Pulse Generator for Interbody fusion (spine) Interbody Fusion Device in Lower Insertion in Subcutaneous Tissue cage Joints and Fascia Interbody Fusion Device in Upper Loop recorder, Monitoring Device Joints implantable Interspinous process Spinal Stabilization Device, Mark IV Breathing Stimulator Generator in spinal stabilization device Interspinous Process for Insertion in Pacemaker System Subcutaneous Tissue and Fascia Lower Joints Maximo II DR (VR) Defibrillator Generator for Insertion in Spinal Stabilization Device, Subcutaneous Tissue and Fascia Interspinous Process for Insertion in Maximo II DR CRT-D Cardiac Resynchronization Upper Joints Defibrillator Pulse Generator for InterStim® Therapy lead Neurostimulator Lead in Peripheral Insertion in Subcutaneous Tissue Nervous System and Fascia ® InterStim® Therapy Stimulator Generator, Single Array Melody transcatheter Zooplastic Tissue in Heart and Great neurostimulator for Insertion in Subcutaneous Tissue pulmonary valve Vessels and Fascia Micro-Driver stent (RX) Intraluminal Device Intramedullary (IM) rod Internal Fixation Device, (OTW) (nail) Intramedullary in Lower Bones MicroMed HeartAssist Implantable Heart Assist System in Internal Fixation Device, Heart and Great Vessels Intramedullary in Upper Bones Micrus CERECYTE Intraluminal Device, Bioactive in Intramedullary skeletal Internal Fixation Device, microcoil Upper Arteries kinetic distractor (ISKD) Intramedullary in Lower Bones MitraClip valve repair Synthetic Substitute Internal Fixation Device, system Intramedullary in Upper Bones Mitroflow® Aortic Zooplastic Tissue in Heart and Great Intrauterine device (IUD) Contraceptive Device in Female Pericardial Heart Valve Vessels Reproductive System Nasopharyngeal airway Intraluminal Device, Airway in Ear, Itrel (3)(4) neurostimulator Stimulator Generator, Single Array (NPA) Nose, Sinus for Insertion in Subcutaneous Tissue Neuromuscular electrical Stimulator Lead in Muscles and Fascia stimulation (NEMS) lead Joint fixation plate Internal Fixation Device in Lower Neurostimulator Stimulator Generator, Multiple Array Joints generator, multiple for Insertion in Subcutaneous Tissue Internal Fixation Device in Upper channel and Fascia Joints Neurostimulator Stimulator Generator, Multiple Joint liner (insert) Liner in Lower Joints generator, multiple Array Rechargeable for Insertion in channel rechargeable Subcutaneous Tissue and Fascia Joint spacer (antibiotic) Spacer in Lower Joints Neurostimulator Stimulator Generator, Single Array Spacer in Upper Joints generator, single channel for Insertion in Subcutaneous Tissue Kappa Pacemaker, Dual Chamber for and Fascia Insertion in Subcutaneous Tissue Neurostimulator Stimulator Generator, Single Array Appendix C: C: Appendix and Fascia generator, single channel Rechargeable for Insertion in Kinetra® neurostimulator Stimulator Generator, Multiple Array rechargeable Subcutaneous Tissue and Fascia for Insertion in Subcutaneous Tissue Neutralization plate Internal Fixation Device in Head and and Fascia Facial Bones Kirschner wire (K-wire) Internal Fixation Device in Head and Internal Fixation Device in Lower Facial Bones

Bones D

Internal Fixation Device in Lower Bones Internal Fixation Device in Upper evi Internal Fixation Device in Lower Joints

Bones c DraftInternal Fixation Device in Upper Bones Nitinol framed polymer Synthetic Substitute Key e Internal Fixation Device in Upper Joints mesh

Knee (implant) insert Liner in Lower Joints Non-tunneled central Infusion Device a Kuntscher nail Internal Fixation Device, venous catheter Aggreg nd Intramedullary in Lower Bones Novacor Left Ventricular Implantable Heart Assist System in Internal Fixation Device, Assist Device Heart and Great Vessels Intramedullary in Upper Bones Novation® Ceramic AHS® Synthetic Substitute, Ceramic for LAP-BAND® adjustable Extraluminal Device (Articulation Hip System) Replacement in Lower Joints

gastric banding system a tion tion Ta ble

25 ICD-10-PCS 2014 Appendix C: Device Key and Aggregation Table

Device Term Pcs Description Device Term Pcs Description Optimizer™ III implantable Contractility Modulation Device for Protecta XT CRT-D Cardiac Resynchronization pulse generator Insertion in Subcutaneous Tissue Defibrillator Pulse Generator for and Fascia Insertion in Subcutaneous Tissue Oropharyngeal airway Intraluminal Device, Airway in Mouth and Fascia (OPA) and Throat Protecta XT DR (XT VR) Defibrillator Generator for Insertion in Ovatio™ CRT-D Cardiac Resynchronization Subcutaneous Tissue and Fascia Defibrillator Pulse Generator for Protégé® RX Carotid Intraluminal Device Insertion in Subcutaneous Tissue Stent System and Fascia Pump reservoir Infusion Device, Pump in Oxidized zirconium Synthetic Substitute, Ceramic on Subcutaneous Tissue and Fascia ceramic hip bearing Polyethylene for Replacement in REALIZE® Adjustable Extraluminal Device surface Lower Joints Gastric Band Paclitaxel-eluting coronary Intraluminal Device, Drug-eluting in Rebound HRD® (Hernia Synthetic Substitute stent Heart and Great Vessels Repair Device) Paclitaxel-eluting Intraluminal Device, Drug-eluting in RestoreAdvanced Stimulator Generator, Multiple peripheral stent Lower Arteries neurostimulator Array Rechargeable for Insertion in Intraluminal Device, Drug-eluting in Subcutaneous Tissue and Fascia Upper Arteries RestoreSensor Stimulator Generator, Multiple Partially absorbable mesh Synthetic Substitute neurostimulator Array Rechargeable for Insertion in Pedicle-based dynamic Spinal Stabilization Device, Pedicle- Subcutaneous Tissue and Fascia stabilization device Based for Insertion in Lower Joints RestoreUltra Stimulator Generator, Multiple Spinal Stabilization Device, Pedicle- neurostimulator Array Rechargeable for Insertion in Based for Insertion in Upper Joints Subcutaneous Tissue and Fascia Percutaneous endoscopic Feeding Device in Gastrointestinal Reveal (DX)(XT) Monitoring Device gastrojejunostomy (PEG/ System Reverse® Shoulder Synthetic Substitute, Reverse Ball J) tube Prosthesis and Socket for Replacement in Percutaneous endoscopic Feeding Device in Gastrointestinal Upper Joints gastrostomy (PEG) tube System Revo MRI™ SureScan® Pacemaker, Dual Chamber for Percutaneous Drainage Device pacemaker Insertion in Subcutaneous Tissue nephrostomy catheter and Fascia ® Peripherally inserted Infusion Device Rheos System device Cardiac Rhythm Related Device in central catheter (PICC) Subcutaneous Tissue and Fascia ® ring Intraluminal Device, Pessary in Rheos System lead Stimulator Lead in Upper Arteries Female Reproductive System RNS System lead Neurostimulator Lead in Central Phrenic nerve stimulator Stimulator Generator in Nervous System generator Subcutaneous Tissue and Fascia RNS system Neurostimulator Generator in Head Phrenic nerve stimulator Diaphragmatic Pacemaker Lead in neurostimulator generator and Facial Bones lead Respiratory System Sacral nerve modulation Stimulator Lead in Urinary System PHYSIOMESH™ Flexible Synthetic Substitute (SNM) lead Composite Mesh Sacral neuromodulation lead Stimulator Lead in Urinary System Pipeline™ Embolization Intraluminal Device SAPIEN transcatheter Zooplastic Tissue in Heart and Great device (PED) aortic valve Vessels Polyethylene socket Synthetic Substitute, Polyethylene for Secura (DR) (VR) Defibrillator Generator for Insertion in ble Replacement in Lower Joints Subcutaneous Tissue and Fascia Ta Polymethylmethacrylate Synthetic Substitute Sheffield hybrid external External Fixation Device, Hybrid for (PMMA) fixator Insertion in Lower Bones tion Polypropylene mesh Synthetic Substitute External Fixation Device, Hybrid for a Porcine (bioprosthetic) Zooplastic Tissue in Heart and Great Insertion in Upper Bones valve Vessels External Fixation Device, Hybrid for PRESTIGE® Cervical Disc Synthetic Substitute Reposition in Lower Bones DraftExternal Fixation Device, Hybrid for PrimeAdvanced Stimulator Generator, Multiple Array neurostimulator for Insertion in Subcutaneous Tissue Reposition in Upper Bones nd Aggreg

a and Fascia Sheffield ring external External Fixation Device, Ring for PROCEED™ Ventral Patch Synthetic Substitute fixator Insertion in Lower Bones Prodisc-C Synthetic Substitute External Fixation Device, Ring for e Key Insertion in Upper Bones c Prodisc-L Synthetic Substitute External Fixation Device, Ring for evi PROLENE Polypropylene Synthetic Substitute Reposition in Lower Bones D Hernia System (PHS) External Fixation Device, Ring for Reposition in Upper Bones

Appendix C: 26 Appendix C: Device Key and Aggregation Table ICD-10-PCS 2014

Device Term Pcs Description Device Term Pcs Description Single lead pacemaker Pacemaker, Single Chamber for Tissue Expander in Subcutaneous (atrium)(ventricle) Insertion in Subcutaneous Tissue Tissue and Fascia and Fascia Titanium Sternal Fixation Internal Fixation Device, Rigid Plate Single lead rate Pacemaker, Single Chamber System (TSFS) for Insertion in Upper Bones responsive pacemaker Rate Responsive for Insertion in Internal Fixation Device, Rigid Plate (atrium)(ventricle) Subcutaneous Tissue and Fascia for Reposition in Upper Bones Sirolimus-eluting coronary Intraluminal Device, Drug-eluting in Total artificial Synthetic Substitute stent Heart and Great Vessels (replacement) heart ® SJM Biocor Stented Zooplastic Tissue in Heart and Great Tracheostomy tube Tracheostomy Device in Respiratory Valve System Vessels System ® Soletra neurostimulator Stimulator Generator, Single Array Trifecta™ Valve (aortic) Zooplastic Tissue in Heart and Great for Insertion in Subcutaneous Tissue Vessels and Fascia Tunneled central venous Vascular Access Device in Spinal cord Neurostimulator Lead in Central catheter Subcutaneous Tissue and Fascia neurostimulator lead Nervous System Tunneled spinal Infusion Device ™ Spiration IBV Valve Intraluminal Device, Endobronchial (intrathecal) catheter System Valve in Respiratory System Two lead pacemaker Pacemaker, Dual Chamber for Stent (angioplasty)(embo Intraluminal Device Insertion in Subcutaneous Tissue lization) and Fascia Stented tissue valve Zooplastic Tissue in Heart and Great Ultraflex™ Precision Intraluminal Device Vessels Colonic Stent System Stratos LV Cardiac Resynchronization ULTRAPRO Hernia Synthetic Substitute Pacemaker Pulse Generator for System (UHS) Insertion in Subcutaneous Tissue and Fascia ULTRAPRO Partially Synthetic Substitute Absorbable Lightweight Subcutaneous injection Vascular Access Device, Reservoir in Mesh reservoir, port Subcutaneous Tissue and Fascia ULTRAPRO Plug Synthetic Substitute Subcutaneous injection Infusion Device, Pump in reservoir, pump Subcutaneous Tissue and Fascia Ultrasonic osteogenic Bone Growth Stimulator in Head and stimulator Facial Bones Subdermal progesterone Contraceptive Device in implant Subcutaneous Tissue and Fascia Bone Growth Stimulator in Lower Bones SynCardia Total Artificial Synthetic Substitute Heart Bone Growth Stimulator in Upper Bones Synchra CRT-P Cardiac Resynchronization Pacemaker Pulse Generator for Ultrasound bone healing Bone Growth Stimulator in Head and Insertion in Subcutaneous Tissue system Facial Bones and Fascia Bone Growth Stimulator in Lower Talent® Converter Intraluminal Device Bones Talent® Occluder Intraluminal Device Bone Growth Stimulator in Upper Bones Talent® Stent Graft Intraluminal Device (abdominal)(thoracic) Uniplanar external fixator External Fixation Device, Monoplanar for Insertion in Lower Bones ® TandemHeart System External Heart Assist System in C: Appendix Heart and Great Vessels External Fixation Device, Monoplanar for Insertion in Upper Bones TAXUS® Liberté® Intraluminal Device, Drug-eluting in Paclitaxel-eluting Heart and Great Vessels External Fixation Device, Monoplanar Coronary Stent System for Reposition in Lower Bones Therapeutic occlusion Intraluminal Device External Fixation Device, Monoplanar for Reposition in Upper Bones coil(s) D evi Thoracostomy tube Drainage Device Urinary incontinence Stimulator Lead in Urinary System stimulator lead Thoratec IVAD Implantable Heart Assist System in c e Key Key e (Implantable VentricularDraft Heart and Great Vessels Vaginal pessary Intraluminal Device, Pessary in Assist Device) Female Reproductive System Valiant Thoracic Stent Intraluminal Device Thoratec Paracorporeal External Heart Assist System in a Ventricular Assist Device Heart and Great Vessels Graft Aggreg nd ® TigerPaw® system for Extraluminal Device Vectra Vascular Access Vascular Access Device in closure of left atrial Graft Subcutaneous Tissue and Fascia appendage Ventrio™ Hernia Patch Synthetic Substitute Tissue bank graft Nonautologous Tissue Substitute Versa Pacemaker, Dual Chamber for

Tissue expander Tissue Expander in Skin and Breast Insertion in Subcutaneous Tissue a tion tion (inflatable)(injectable) and Fascia Ta ble

27 ICD-10-PCS 2014 Appendix C: Device Key and Aggregation Table

Device Term Pcs Description Device Term Pcs Description Virtuoso (II) (DR) (VR) Defibrillator Generator for Insertion in Zenith Flex® AAA Intraluminal Device Subcutaneous Tissue and Fascia Endovascular Graft WALLSTENT® Intraluminal Device Zenith TX2® TAA Intraluminal Device Endoprosthesis Endovascular Graft X-STOP® Spacer Spinal Stabilization Device, Zenith® Renu™ AAA Intraluminal Device Interspinous Process for Insertion in Ancillary Graft Lower Joints Zilver® PTX® (paclitaxel) Intraluminal Device, Drug-eluting in Spinal Stabilization Device, Drug-Eluting Peripheral Lower Arteries Interspinous Process for Insertion in Stent Intraluminal Device, Drug-eluting in Upper Joints Upper Arteries Xenograft Zooplastic Tissue in Heart and Great Zimmer® NexGen® LPS Synthetic Substitute Vessels Mobile Bearing Knee XIENCE V Everolimus Intraluminal Device, Drug-eluting in Zimmer® NexGen® LPS- Synthetic Substitute Eluting Coronary Stent Heart and Great Vessels Flex Mobile Knee System Zotarolimus-eluting Intraluminal Device, Drug-eluting in ® XLIF System Interbody Fusion Device in Lower coronary stent Heart and Great Vessels Joints

Device Aggregation Table

Specific Device For Operation In Body System General Device Autologous Arterial Tissue All applicable Heart and Great Vessels Lower 7 Autologous Tissue Substitute Arteries Lower Veins Upper Arteries Upper Veins Autologous Venous Tissue All applicable Heart and Great Vessels Lower 7 Autologous Tissue Substitute Arteries Lower Veins Upper Arteries Upper Veins Cardiac Lead, Defibrillator Insertion Heart and Great Vessels M Cardiac Lead Cardiac Lead, Pacemaker Insertion Heart and Great Vessels M Cardiac Lead Cardiac Resynchronization Insertion Subcutaneous Tissue and Fascia P Cardiac Rhythm Related Device Defibrillator Pulse Generator Cardiac Resynchronization Insertion Subcutaneous Tissue and Fascia P Cardiac Rhythm Related Device Pacemaker Pulse Generator Contractility Modulation Device Insertion Subcutaneous Tissue and Fascia P Cardiac Rhythm Related Device Defibrillator Generator Insertion Subcutaneous Tissue and Fascia P Cardiac Rhythm Related Device Epiretinal Visual Prosthesis All applicable Eye J Synthetic Substitute External Fixation Device, Hybrid Insertion Lower Bones Upper Bones 5 External Fixation Device External Fixation Device, Hybrid Reposition Lower Bones Upper Bones 5 External Fixation Device ble External Fixation Device, Limb Insertion Lower Bones Upper Bones 5 External Fixation Device

Ta Lengthening External Fixation Device, Insertion Lower Bones Upper Bones 5 External Fixation Device

tion Monoplanar a External Fixation Device, Reposition Lower Bones Upper Bones 5 External Fixation Device Monoplanar External Fixation Device,Draft Ring Insertion Lower Bones Upper Bones 5 External Fixation Device External Fixation Device, Ring Reposition Lower Bones Upper Bones 5 External Fixation Device

nd Aggreg Hearing Device, Bone Conduction Insertion Ear, Nose, Sinus S Hearing Device a Hearing Device, Multiple Channel Insertion Ear, Nose, Sinus S Hearing Device Cochlear Prosthesis e Key Hearing Device, Single Channel Insertion Ear, Nose, Sinus S Hearing Device c Cochlear Prosthesis evi Internal Fixation Device, All applicable Lower Bones Upper Bones 4 Internal Fixation Device D Intramedullary

Appendix C: 28 Appendix C: Device Key and Aggregation Table ICD-10-PCS 2014

Specific Device For Operation In Body System General Device Internal Fixation Device, Rigid Plate Insertion Upper Bones 4 Internal Fixation Device Internal Fixation Device, Rigid Plate Reposition Upper Bones 4 Internal Fixation Device Intraluminal Device, Pessary All applicable Female Reproductive System D Intraluminal Device Intraluminal Device, Airway All applicable Ear, Nose, Sinus Gastrointestinal D Intraluminal Device System Mouth and Throat Intraluminal Device, Bioactive All applicable Upper Arteries D Intraluminal Device Intraluminal Device, Drug-eluting All applicable Heart and Great Vessels Lower D Intraluminal Device Arteries Upper Arteries Intraluminal Device, Endobronchial All applicable Respiratory System D Intraluminal Device Valve Intraluminal Device, Endotracheal All applicable Respiratory System D Intraluminal Device Airway Intraluminal Device, Radioactive All applicable Heart and Great Vessels D Intraluminal Device Monitoring Device, Hemodynamic Insertion Subcutaneous Tissue and Fascia 2 Monitoring Device Monitoring Device, Pressure Sensor Insertion Heart and Great Vessels 2 Monitoring Device Pacemaker, Dual Chamber Insertion Subcutaneous Tissue and Fascia P Cardiac Rhythm Related Device Pacemaker, Single Chamber Insertion Subcutaneous Tissue and Fascia P Cardiac Rhythm Related Device Pacemaker, Single Chamber Rate Insertion Subcutaneous Tissue and Fascia P Cardiac Rhythm Related Device Responsive Spinal Stabilization Device, Facet Insertion Lower Joints Upper Joints 4 Internal Fixation Device Replacement Spinal Stabilization Device, Insertion Lower Joints Upper Joints 4 Internal Fixation Device Interspinous Process Spinal Stabilization Device, Insertion Lower Joints Upper Joints 4 Internal Fixation Device Pedicle-Based Stimulator Generator, Multiple Array Insertion Subcutaneous Tissue and Fascia M Stimulator Generator Stimulator Generator, Multiple Array Insertion Subcutaneous Tissue and Fascia M Stimulator Generator Rechargeable Stimulator Generator, Single Array Insertion Subcutaneous Tissue and Fascia M Stimulator Generator Stimulator Generator, Single Array Insertion Subcutaneous Tissue and Fascia M Stimulator Generator Rechargeable Synthetic Substitute, Ceramic Replacement Lower Joints J Synthetic Substitute Synthetic Substitute, Ceramic on Replacement Lower Joints J Synthetic Substitute Polyethylene Synthetic Substitute, Intraocular Replacement Eye J Synthetic Substitute Telescope Synthetic Substitute, Metal Replacement Lower Joints Synthetic Substitute

J C: Appendix Synthetic Substitute, Metal on Replacement Lower Joints J Synthetic Substitute Polyethylene Synthetic Substitute, Polyethylene Replacement Lower Joints J Synthetic Substitute Synthetic Substitute, Reverse Ball Replacement Upper Joints J Synthetic Substitute and Socket D evi c Draft Key e a nd Aggreg nd a tion tion Ta ble

29