3f (Aortic) Bioprosthesis valve - Alteration ICD-10-PCS Index 12/7/20 4:12 PM12/7/20 4:12 PM 55 Left 0Y0J Right 0Y0H Left 0Y0D Right 0Y0C Left 0Y0B Right 0Y09 Left 0X07 Right 0X06 Left 080R Right 080Q Left 080P Right 080N Left 0X0F Right 0X0D Left 0X09 Right 0X08 Anti-Infective Envelope Anti-Infective Bursa and Ligament Head and Neck Restriction, Valve, Restriction,Mitral 02VG Valve, Introduction in or on of substance Lower Lower Upper Lower 0C01X Upper 0C00X Right 0H0T Left 0Y01 Right 0Y00 Bilateral 0902 Left 0901 Right 0900 Left 0X0C Right 0X0B Lower Upper Lower Upper Lower 0W05 Upper 0W04 Left 0Y0G Right 0Y0F Left 0Y0L Right 0Y0K Lower Upper Left 0X05 Right 0X04 Lower 0W0L Upper 0W0K Bilateral 0H0V Left 0H0U Lip Buttock Buttock Chest Wall 0W08 Ear Region Elbow Extremity Eyelid Face 0W02 Head 0W00 Jaw Knee Region Leg use use see see Wall 0W0F Abdominal Ankle Region Arm Axilla Back Breast nvelope nvelope E AIGISRx Antibacterial of axis ligament Alar Valvuloplasty Alfieri Stitch Alimentation Alteration F02 F08 Introduction of Transfusion see see ® Pacemaker, Dual Chamber in 0JH Pacemaker, Intraluminal Device Upper Leg Muscle, Right Muscle, Upper Leg Left Muscle, Upper Leg Right Muscle, Left Muscle, Foot Right Muscle, Upper Leg Left Muscle, Upper Leg Right Muscle, Upper Leg Left Muscle, Upper Leg Pituitary Gland Shoulder Bursa and Ligament, Right and Ligament, Shoulder Bursa Left and Ligament, Shoulder Bursa Scapula,Right Scapula, Left Multiple Array Generator, Stimulator Multiple Array Generator, Stimulator Single Array Generator, Stimulator in 02H Pacemaker Lead, Cardiac in 02H Defibrillator Lead, Cardiac Repair, Endocrine System 0GQ Repair, Endocrine System 0G9 Drainage, Reposition Transfer Excision, Adenoids 0CBQ Excision, Resection, Adenoids 0CTQ Adenoids 0C9Q Drainage, Release Endocrine System 0GB Excision, Resection, Endocrine System 0GT Excision, Upper Joints 0RB Excision, Resection, Upper Joints 0RT Upper Joints 0RQ Repair, Upper Joints 0RR Replacement, Upper Joints 0RU Supplement, Tocilizumab Anesthesia 8E0H300 No Qualifier 8E0H30Z Anesthesia 8E0H300 No Qualifier 8E0H30Z substance in or on substance in 0JH in 0JH Rechargeable in 0JH see see see see use use Breast Breast Integumentary System use use use use use use use use use see see see see Blood products Other substance see see use use use use see see see see see use use use use use use Adrenalotomy Adrenalotomy Advancement (MRI) Advisa AAA System AFX® Endovascular Adductor brevis muscle brevis Adductor hallucis muscle Adductor magnus muscle Adductor Adenohypophysis Adenoidectomy Adenoidotomy Adhesiolysis Administration Adrenalectomy Adrenalorrhaphy Acromioclavicular ligament ligament Acromioclavicular (process) Acromion Acromionectomy Acromioplasty EMRA ACT neurostimulator PC Activa neurostimulator RC Activa SC neurostimulator Activa Activities Living Assessment of Daily Treatment Activities Living of Daily Lead Steerable ACUITY™ Acupuncture ICD-10-PCS Index XXE5XN6 3 A ) Carotid Stent System System Stent X) Carotid Lower Leg Tendon, Right Tendon, Leg Lower Left Tendon, Leg Lower Nonautologous Tissue Tissue Nonautologous Substitute Joints Liner in Lower Hip Right Joint, Hip Left Joint, Lumbar Plexus Lumbar Phrenic Spleen Intraluminal Device Intraluminal Device , Right Cephalic Vein, Left Cephalic Foot Muscle, Right Muscle, Foot Left Muscle, Foot Substitute Synthetic Abdominal Sympathetic Nerve Sympathetic Abdominal Lower Esophagus, Zooplastic Tissue in Heart Tissue and Great Zooplastic Division, Tendons 0L8 Tendons 0L9 Drainage, Fragmentation, Repair, Lower Bones 0QQ Lower Repair, Bones 0QR Lower Replacement, Bones 0QU Lower Supplement, Tendons 0LQ Repair, Excision, Lower Bones 0QB Lower Excision, Bones 0QT Resection, Lower Extraction Control bleeding in Control Destruction Alteration, Alteration, Wall 0W0F Abdominal Wall 0WQF Abdominal Repair, Supplement, Wall 0WUF Abdominal Resection, Uterus 0UT9 Vessels see see see see see see use use see use use see see use use use use use use see use use use see see Abortifacient 10A07ZX Laminaria 10A07ZW of Conception 10A0 Products Vacuum 10A07Z6 see see see use use use use use see use xpanding Stent System System Expanding Stent Achillotenotomy, achillotomy achillotomy Achillotenotomy, Acoustic Thrombolysis Pulse ICD-10-PCS 2021 Acetabuloplasty Acetabuloplasty tendon Achilles Achillorrhaphy Acetabular cup Acetabular Acetabulectomy joint Acetabulofemoral Accessory phrenic nerve phrenic Accessory spleen Accessory (R Acculink Dermis Hydrated Acellular Absolute Pro Vascular (OTW) Self- Vascular Pro Absolute BC PhenoTest™ Accelerate vein cephalic Accessory nerve obturator Accessory Abortion Abrasion Heart Replacement Total AbioCor® Ablation Abdominal aorticAbdominal plexus esophagus Abdominal Abdominohysterectomy Abdominoplasty 3f (Aortic) Bioprosthesis valve valve Bioprosthesis 3f (Aortic) 07_2021_ICD-10-PCS_Index.indd 5507_2021_ICD-10-PCS_Index.indd 55 Assistance - Beam Radiation ICD-10-PCS Index Assistance — continued Auditory tube Balanoplasty Respiratory use Eustachian Tube, Right see Repair, Penis 0VQS 24-96 Consecutive Hours use Eustachian Tube, Left see Supplement, Penis 0VUS Continuous Negative Airway Auerbach's (myenteric) plexus Balloon atrial septostomy (BAS) 02163Z7 Pressure 5A09459 use Abdominal Sympathetic Nerve Balloon Pump Continuous Positive Airway Auricle Continuous, Output 5A02210 Pressure 5A09457 use External Ear, Right Intermittent, Output 5A02110 High Nasal Flow/Velocity 5A0945A use External Ear, Left Bamlanivimab Monoclonal Antibody XW0 Intermittent Negative Airway use External Ear, Bilateral Bandage, Elastic Pressure 5A0945B Auricularis muscle see Compression Intermittent Positive Airway use Head Muscle Banding Pressure 5A09458 Autograft see Occlusion No Qualifier 5A0945Z use Autologous Tissue Substitute see Restriction Continuous, Filtration 5A0920Z Autologous artery graft Banding, esophageal varices Greater than 96 Consecutive Hours use Autologous Arterial Tissue in Heart and see Occlusion, Vein, Esophageal 06L3 Continuous Negative Airway Great Vessels Banding, laparoscopic (adjustable) gastric Pressure 5A09559 use Autologous Arterial Tissue in Upper Initial procedure 0DV64CZ Continuous Positive Airway Surgical correction see Revision of device Assistance - Beam Radiation Assistance Pressure 5A09557 use Autologous Arterial Tissue in Lower in, Stomach 0DW6 High Nasal Flow/Velocity 5A0955A Arteries Bard® Composix® (E/X)(LP) mesh Intermittent Negative Airway use Autologous Arterial Tissue in Upper use Synthetic Substitute Pressure 5A0955B use Autologous Arterial Tissue in Lower Bard® Composix® Kugel® patch Intermittent Positive Airway Veins use Synthetic Substitute Pressure 5A09558 Autologous vein graft Bard® Dulex™ mesh No Qualifier 5A0955Z use Autologous Venous Tissue in Heart and use Synthetic Substitute Less than 24 Consecutive Hours Great Vessels Bard® Ventralex™ hernia patch Continuous Negative Airway use Autologous Venous Tissue in Upper use Synthetic Substitute Baricitinib XW0 Pressure 5A09359 Arteries Barium swallow Continuous Positive Airway use Autologous Venous Tissue in Lower see Fluoroscopy, Gastrointestinal System BD1 Pressure 5A09357 Arteries Baroreflex Activation Therapy® (BAT®) High Nasal Flow/Velocity 5A0935A use Autologous Venous Tissue in Upper use Stimulator Lead in Upper Arteries Intermittent Negative Airway Veins use Stimulator Generator in Subcutaneous Pressure 5A0935B use Autologous Venous Tissue in Lower Tissue and Intermittent Positive Airway Veins Barricaid® Annular Closure Device (ACD) Pressure 5A09358 Autotransfusion use Synthetic Substitute No Qualifier 5A0935Z see Transfusion Bartholin's (greater vestibular) gland Assurant (Cobalt) stent Autotransplant use Vestibular Gland use Intraluminal Device Adrenal tissue see Reposition, Endocrine Basal (internal) cerebral vein Atezolizumab Antineoplastic XW0 System 0GS use Intracranial Vein Atherectomy Kidney see Reposition, Urinary System 0TS Basal metabolic rate (BMR) see Extirpation, Heart and Great Pancreatic tissue see Reposition, see Measurement, Physiological Vessels 02C Pancreas 0FSG Systems 4A0Z see Extirpation, Upper Arteries 03C Parathyroid tissue see Reposition, Basal nuclei see Extirpation, Lower Arteries 04C Endocrine System 0GS use Basal Ganglia Atlantoaxial joint Thyroid tissue see Reposition, Endocrine Base of Tongue use Cervical Vertebral Joint System 0GS use Pharynx Atmospheric Control 6A0Z Tooth see Reattachment, Mouth and Basilar artery AtriClip LAA Exclusion System Throat 0CM use Intracranial Artery use Extraluminal Device Avulsion Basis pontis Atrioseptoplasty see Extraction use Pons see Repair, Heart and Great Vessels 02Q Axial Lumbar Interbody Fusion System Beam Radiation see Replacement, Heart and Great use Interbody Fusion Device in Lower DW03 Vessels 02R Joints Intraoperative DW033Z0 see Supplement, Heart and Great AxiaLIF® System Adrenal Gland DG02 Vessels 02U use Interbody Fusion Device in Lower Intraoperative DG023Z0 Atrioventricular node Joints Bile Ducts DF02 use Conduction Mechanism Axicabtagene Ciloeucel Intraoperative DF023Z0 Atrium dextrum cordis use Engineered Autologous Chimeric Bladder DT02 use Atrium, Right Antigen Receptor T-cell Immunotherapy Intraoperative DT023Z0 Atrium pulmonale Axillary fascia Bone use Atrium, Left use Subcutaneous Tissue and Fascia, Right Other DP0C Attain Ability® lead Upper Arm Intraoperative DP0C3Z0 use Cardiac Lead, Pacemaker in 02H use Subcutaneous Tissue and Fascia, Left Bone Marrow D700 use Cardiac Lead, Defibrillator in 02H Upper Arm Intraoperative D7003Z0 Attain StarFix® (OTW) lead Axillary nerve Brain D000 use Cardiac Lead, Pacemaker in 02H use Brachial Plexus Intraoperative D0003Z0 use Cardiac Lead, Defibrillator in 02H AZEDRA® Brain Stem D001 Audiology, diagnostic use Iobenguane I-131 Antineoplastic Intraoperative D0013Z0 see Hearing Assessment, Diagnostic Breast Audiology F13 Left DM00 see Hearing Aid Assessment, Diagnostic Intraoperative DM003Z0 Audiology F14 B Right DM01 see Vestibular Assessment, Diagnostic BAK/C® Interbody Cervical Fusion System Intraoperative DM013Z0 Audiology F15 use Interbody Fusion Device in Upper Joints Bronchus DB01 Audiometry BAL (bronchial alveolar lavage), diagnostic Intraoperative DB013Z0 see Hearing Assessment, Diagnostic see Drainage, Respiratory System 0B9 Cervix DU01 Audiology F13 Intraoperative DU013Z0 ICD-10-PCS In d ex ICD-10-PCS 58 2021 ICD-10-PCS

07_2021_ICD-10-PCS_Index.indd 58 12/7/20 4:12 PM Calcaneocuboid ligament - Cesium-131 Collagen Implant ICD-10-PCS Index Calcaneocuboid ligament Cardiac Rhythm Related Device Cecocolostomy use Foot Bursa and Ligament, Right Insertion of device in see Bypass, Gastrointestinal System 0D1 use Foot Bursa and Ligament, Left Abdomen 0JH8 see Drainage, Gastrointestinal System 0D9 Calcaneofibular ligament Chest 0JH6 Cecopexy use Ankle Bursa and Ligament, Right Removal of device from, Subcutaneous see Repair, Cecum 0DQH use Ankle Bursa and Ligament, Left Tissue and Fascia, Trunk 0JPT see Reposition, Cecum 0DSH Calcaneus Revision of device in, Subcutaneous Tissue Cecoplication use Tarsal, Right and Fascia, Trunk 0JWT see Restriction, Cecum 0DVH use Tarsal, Left Cardiocentesis Cecorrhaphy Cannulation see Drainage, Pericardial Cavity 0W9D see Repair, Cecum 0DQH see Bypass Cardioesophageal junction Cecostomy see Dilation use Esophagogastric Junction see Bypass, Cecum 0D1H see Drainage Cardiolysis see Drainage, Cecum 0D9H see Irrigation see Release, Heart and Great Vessels 02N Cecotomy Canthorrhaphy CardioMEMS® pressure sensor see Drainage, Cecum 0D9H see Repair, Eye 08Q use Monitoring Device, Pressure Sensor Cefiderocol Anti-infective XW0 Canthotomy in 02H Ceftazidime-Avibactam Anti- see Release, Eye 08N Cardiomyotomy infective XW0 Capitate bone see Division, Esophagogastric Ceftolozane/Tazobactam Anti- use Carpal, Right Junction 0D84 infective XW0 use Carpal, Left Cardioplegia Celiac (solar) plexus Caplacizumab XW0 see Introduction of substance in or on, use Abdominal Sympathetic Nerve Capsulectomy, lens Heart 3E08 Celiac ganglion see Excision, Eye 08B Cardiorrhaphy use Abdominal Sympathetic Nerve Capsulorrhaphy, joint see Repair, Heart and Great Vessels 02Q Celiac lymph node see Repair, Upper Joints 0RQ Cardioversion 5A2204Z use Lymphatic, Aortic see Repair, Lower Joints 0SQ Caregiver Training F0FZ Celiac trunk Cardia Caroticotympanic artery use Celiac Artery use Esophagogastric Junction use Internal Carotid Artery, Right Central axillary lymph node Cardiac contractility modulation lead use Internal Carotid Artery, Left use Lymphatic, Right Axillary use Cardiac Lead in Heart and Great Vessels Carotid (artery) sinus (baroreceptor) lead use Lymphatic, Left Axillary Cardiac event recorder use Stimulator Lead in Upper Arteries Central venous pressure use Monitoring Device Carotid glomus see Measurement, Venous 4A04 Cardiac Lead use Carotid Body, Left Centrimag® Blood Pump Defibrillator use Carotid Body, Right use Short-term External Heart Assist Atrium use Carotid Bodies, Bilateral System in Heart and Great Vessels Calcaneocuboid ligament - Cesium-131 Collagen Implant Collagen - Cesium-131 ligament Calcaneocuboid Left 02H7 Carotid sinus Cephalogram BN00ZZZ Right 02H6 use Internal Carotid Artery, Right Ceramic on ceramic bearing surface Pericardium 02HN use Internal Carotid Artery, Left use Synthetic Substitute, Ceramic in 0SR Vein, Coronary 02H4 Carotid sinus nerve Cerclage Ventricle use Glossopharyngeal Nerve see Restriction Carotid WALLSTENT® Monorail® Left 02HL Cerebral aqueduct (Sylvius) Endoprosthesis Right 02HK use Cerebral Ventricle use Intraluminal Device Insertion of device in Cerebral Embolic Filtration Carpectomy Atrium Dual Filter X2A5312 see Excision, Upper Bones 0PB Left 02H7 Extracorporeal Flow Reversal Circuit X2A see Resection, Upper Bones 0PT Right 02H6 Single Deflection Filter X2A6325 Carpometacarpal ligament Pericardium 02HN Cerebrum use Hand Bursa and Ligament, Right Vein, Coronary 02H4 use Brain use Hand Bursa and Ligament, Left Ventricle Casting Cervical esophagus Left 02HL see Immobilization use Esophagus, Upper Right 02HK CAT scan Cervical facet joint Pacemaker see Computerized Tomography (CT Scan) use Cervical Vertebral Joint Atrium Catheterization use Cervical Vertebral Joints, 2 or more Left 02H7 see Dilation Cervical ganglion Right 02H6 see Drainage use Head and Neck Sympathetic Nerve Pericardium 02HN see Insertion of device in Cervical interspinous ligament Vein, Coronary 02H4 see Irrigation use Head and Neck Bursa and Ligament Ventricle Heart see Measurement, Cardiac 4A02 Cervical intertransverse ligament Left 02HL , for infusion 06H033T use Head and Neck Bursa and Ligament Right 02HK Cauda equina Cervical ligamentum flavum Removal of device from, Heart 02PA use Lumbar Spinal Cord use Head and Neck Bursa and Ligament Revision of device in, Heart 02WA Cauterization Cervical lymph node Cardiac plexus see Destruction use Lymphatic, Right Neck use Thoracic Sympathetic Nerve see Repair use Lymphatic, Left Neck Cardiac Resynchronization Defibrillator Cavernous plexus Cervicectomy Pulse Generator use Head and Neck Sympathetic Nerve see Excision, Cervix 0UBC Abdomen 0JH8 CBMA (Concentrated Bone Marrow see Resection, Cervix 0UTC Chest 0JH6 Aspirate) Cervicothoracic facet joint Cardiac Resynchronization Pacemaker use Concentrated Bone Marrow Aspirate use Cervicothoracic Vertebral Joint Pulse Generator CBMA (Concentrated Bone Marrow Aspirate) Cesarean section Abdomen 0JH8 injection, intramuscular XK02303 see Extraction, Products of Chest 0JH6 CD24Fc Immunomodulator XW0 Conception 10D0 Cardiac resynchronization therapy (CRT) lead Cecectomy Cesium-131 Collagen Implant use Cardiac Lead, Pacemaker in 02H see Excision, Cecum 0DBH use Radioactive Element, Cesium-131 use Cardiac Lead, Defibrillator in 02H see Resection, Cecum 0DTH Collagen Implant in 00H ICD-10-PCS In d ex ICD-10-PCS 62 2021 ICD-10-PCS

07_2021_ICD-10-PCS_Index.indd 62 12/7/20 4:12 PM ICD-10-PCS Index Contact Radiation - Corpus spongiosum Contact - Corpus Radiation spongiosum Contact Radiation — continued Control, Epistaxis Control bleeding in — continued Stomach DDY17ZZ see Control bleeding in, Nasal Mucosa and Respiratory Tract 0W3Q Testis DVY17ZZ Soft Tissue 093K Retroperitoneum 0W3H Thyroid Gland DGY57ZZ Control bleeding in Shoulder Region Tibia DPYB7ZZ Abdominal Wall 0W3F Left 0X33 Tongue D9Y57ZZ Ankle Region Right 0X32 Trachea DBY07ZZ Left 0Y3L Wrist Region Ulna DPY77ZZ Right 0Y3K Left 0X3H Ureter DTY17ZZ Arm Right 0X3G Urethra DTY37ZZ Lower Conus arteriosus Uterus DUY27ZZ Left 0X3F use Ventricle, Right Whole Body DWY57ZZ Right 0X3D Conus medullaris ContaCT software (Measurement of Upper use Lumbar Spinal Cord intracranial arterial flow) 4A03X5D Left 0X39 Convalescent Plasma (Nonautologous) CONTAK RENEWAL® 3 RF (HE) CRT-D Right 0X38 see New Technology, Anatomical Regions XW1 use Cardiac Resynchronization Defibrillator Axilla Conversion Pulse Generator in 0JH Left 0X35 Cardiac rhythm 5A2204Z Contegra Pulmonary Valved Conduit Right 0X34 Back Gastrostomy to jejunostomy feeding use Zooplastic Tissue in Heart and Great device see Insertion of device in, Vessels Lower 0W3L Upper 0W3K Jejunum 0DHA CONTEPO™ Cook Biodesign® Fistula Plug(s) Buttock use Fosfomycin Anti-infective use Nonautologous Tissue Substitute Left 0Y31 Continuous Glucose Monitoring (CGM) Cook Biodesign® Hernia Graft(s) Right 0Y30 device use Nonautologous Tissue Substitute Cavity, Cranial 0W31 use Monitoring Device Cook Biodesign® Layered Graft(s) Continuous Negative Airway Pressure Chest Wall 0W38 use Nonautologous Tissue Substitute 24-96 Consecutive Hours, Elbow Region Cook Zenapro™ Layered Graft(s) Ventilation 5A09459 Left 0X3C use Nonautologous Tissue Substitute Greater than 96 Consecutive Hours, Right 0X3B Cook Zenith AAA Endovascular Graft Ventilation 5A09559 Extremity use Intraluminal Device Less than 24 Consecutive Hours, Lower Cook Zenith® Fenestrated AAA Ventilation 5A09359 Left 0Y3B Endovascular Graft Continuous Positive Airway Pressure Right 0Y39 use Intraluminal Device, Branched or 24-96 Consecutive Hours, Upper Fenestrated, One or Two Arteries in 04V Ventilation 5A09457 Left 0X37 use Intraluminal Device, Branched or Greater than 96 Consecutive Hours, Right 0X36 Fenestrated, Three or More Arteries in 04V Ventilation 5A09557 Face 0W32 Coracoacromial ligament Less than 24 Consecutive Hours, Femoral Region use Shoulder Bursa and Ligament, Right Ventilation 5A09357 Left 0Y38 use Shoulder Bursa and Ligament, Left Right 0Y37 Continuous renal replacement therapy Coracobrachialis muscle Foot (CRRT) 5A1D90Z use Upper Arm Muscle, Right Left 0Y3N Contraceptive Device use Upper Arm Muscle, Left Right 0Y3M Change device in, Uterus and Coracoclavicular ligament Gastrointestinal Tract 0W3P Cervix 0U2DXHZ use Shoulder Bursa and Ligament, Right Genitourinary Tract 0W3R use Shoulder Bursa and Ligament, Left Insertion of device in Hand Coracohumeral ligament Cervix 0UHC Left 0X3K use Shoulder Bursa and Ligament, Right Subcutaneous Tissue and Fascia Right 0X3J use Shoulder Bursa and Ligament, Left Abdomen 0JH8 Head 0W30 Coracoid process Chest 0JH6 Inguinal Region use Scapula, Right Lower Arm Left 0Y36 use Scapula, Left Left 0JHH Right 0Y35 Cordotomy Right 0JHG Jaw see Division, Central Nervous System and Lower Leg Lower 0W35 Cranial 008 Left 0JHP Upper 0W34 Core needle biopsy Right 0JHN Knee Region see Excision with qualifier Diagnostic Upper Arm Left 0Y3G CoreValve transcatheter aortic valve Left 0JHF Right 0Y3F use Zooplastic Tissue in Heart and Great Right 0JHD Leg Vessels Upper Leg Lower Cormet Hip Resurfacing System Left 0JHM Left 0Y3J use Resurfacing Device in Lower Joints Right 0JHL Right 0Y3H Corniculate cartilage Uterus 0UH9 Upper use Larynx Removal of device from Left 0Y3D CoRoent® XL Subcutaneous Tissue and Fascia Right 0Y3C use Interbody Fusion Device in Lower Lower Extremity 0JPW Mediastinum 0W3C Joints Trunk 0JPT Nasal Mucosa and Soft Tissue 093K Coronary arteriography Upper Extremity 0JPV Neck 0W36 see Plain Radiography, Heart B20 Uterus and Cervix 0UPD Oral Cavity and Throat 0W33 see Fluoroscopy, Heart B21

Corox (OTW) Bipolar Lead ICD-10-PCS In d ex Revision of device in Pelvic Cavity 0W3J use Cardiac Lead, Pacemaker in 02H Subcutaneous Tissue and Fascia Pericardial Cavity 0W3D use Cardiac Lead, Defibrillator in 02H Lower Extremity 0JWW Perineum Corpus callosum Trunk 0JWT Female 0W3N Upper Extremity 0JWV use Brain Male 0W3M Corpus cavernosum Uterus and Cervix 0UWD Peritoneal Cavity 0W3G use Penis Contractility Modulation Device Pleural Cavity Corpus spongiosum Abdomen 0JH8 Left 0W3B use Penis Chest 0JH6 Right 0W39

2021 ICD-10-PCS 67

07_2021_ICD-10-PCS_Index.indd 67 12/7/20 4:12 PM Corpus striatum - Cystourethrography ICD-10-PCS Index Corpus striatum COVID-19 Vaccine XW0 Cubital lymph node use Basal Ganglia COVID-19 Vaccine Dose 1 XW0 use Lymphatic, Right Upper Extremity Corrugator supercilii muscle COVID-19 Vaccine Dose 2 XW0 use Lymphatic, Left Upper Extremity use Facial Muscle Cowper's (bulbourethral) gland Cubital nerve Cortical strip neurostimulator lead use Urethra use Ulnar Nerve use Neurostimulator Lead in Central CPAP (continuous positive airway pressure) Cuboid bone Nervous System and Cranial Nerves see Assistance, Respiratory 5A09 use Tarsal, Right Corvia IASD® Craniectomy use Tarsal, Left use Synthetic Substitute see Excision, Head and Facial Bones 0NB Cuboideonavicular joint Costatectomy see Resection, Head and Facial Bones 0NT use Tarsal Joint, Right see Excision, Upper Bones 0PB Cranioplasty use Tarsal Joint, Left see Resection, Upper Bones 0PT see Repair, Head and Facial Bones 0NQ Culdocentesis Costectomy see Replacement, Head and Facial see Drainage, Cul-de-sac 0U9F see Excision, Upper Bones 0PB Bones 0NR Culdoplasty see Resection, Upper Bones 0PT see Supplement, Head and Facial Bones 0NU see Repair, Cul-de-sac 0UQF Costocervical trunk Craniotomy see Supplement, Cul-de-sac 0UUF use Subclavian Artery, Right see Drainage, Central Nervous System and Culdoscopy 0UJH8ZZ use Subclavian Artery, Left Cranial Nerves 009 Culdotomy Costochondrectomy see Division, Head and Facial Bones 0N8 see Drainage, Cul-de-sac 0U9F see Excision, Upper Bones 0PB see Drainage, Head and Facial Bones 0N9 Culmen see Resection, Upper Bones 0PT Creation use Cerebellum Costoclavicular ligament Perineum Cultured epidermal cell autograft use Shoulder Bursa and Ligament, Right Female 0W4N0 use Autologous Tissue Substitute use Shoulder Bursa and Ligament, Left Male 0W4M0 Cuneiform cartilage

Corpus striatum - Cystourethrography striatum Corpus Costosternoplasty Valve use Larynx see Repair, Upper Bones 0PQ Aortic 024F0 Cuneonavicular joint see Replacement, Upper Bones 0PR Mitral 024G0 use Tarsal Joint, Right see Supplement, Upper Bones 0PU Tricuspid 024J0 use Tarsal Joint, Left Costotomy Cremaster muscle Cuneonavicular ligament see Division, Upper Bones 0P8 use Perineum Muscle use Foot Bursa and Ligament, Right see Drainage, Upper Bones 0P9 Cribriform plate use Foot Bursa and Ligament, Left Costotransverse joint use Ethmoid Bone, Right Curettage use Thoracic Vertebral Joint use Ethmoid Bone, Left see Excision Costotransverse ligament Cricoid cartilage see Extraction use Rib(s) Bursa and Ligament use Trachea Cutaneous (transverse) cervical nerve Costovertebral joint Cricoidectomy use Cervical Plexus use Thoracic Vertebral Joint see Excision, Larynx 0CBS CVP (central venous pressure) Costoxiphoid ligament Cricothyroid artery see Measurement, Venous 4A04 use Sternum Bursa and Ligament use Thyroid Artery, Right Cyclodiathermy Counseling use Thyroid Artery, Left see Destruction, Eye 085 Family, for substance abuse, Other Family Cricothyroid muscle Cyclophotocoagulation use Neck Muscle, Right Counseling HZ63ZZZ see Destruction, Eye 085 use Neck Muscle, Left Group CYPHER® Stent Crisis Intervention GZ2ZZZZ 12-Step HZ43ZZZ use Intraluminal Device, Drug-eluting in CRRT (Continuous renal replacement Behavioral HZ41ZZZ Heart and Great Vessels therapy) 5A1D90Z Cognitive HZ40ZZZ Cystectomy Crural fascia Cognitive-Behavioral HZ42ZZZ see Excision, Bladder 0TBB use Subcutaneous Tissue and Fascia, Right Confrontational HZ48ZZZ see Resection, Bladder 0TTB Upper Leg Continuing Care HZ49ZZZ use Subcutaneous Tissue and Fascia, Left Cystocele repair Infectious Disease Upper Leg see Repair, Subcutaneous Tissue and Fascia, Post-Test HZ4CZZZ Crushing, nerve Pelvic Region 0JQC Pre-Test HZ4CZZZ Cranial see Destruction, Central Nervous Cystography Interpersonal HZ44ZZZ System and Cranial Nerves 005 see Plain Radiography, Urinary Motivational Enhancement HZ47ZZZ Peripheral see Destruction, Peripheral System BT0 Psychoeducation HZ46ZZZ Nervous System 015 see Fluoroscopy, Urinary System BT1 Spiritual HZ4BZZZ Cryoablation Cystolithotomy Vocational HZ45ZZZ see Destruction see Extirpation, Bladder 0TCB Individual Cryotherapy Cystopexy 12-Step HZ33ZZZ see Destruction see Repair, Bladder 0TQB Behavioral HZ31ZZZ Cryptorchidectomy see Reposition, Bladder 0TSB Cognitive HZ30ZZZ see Excision, Male Reproductive Cystoplasty Cognitive-Behavioral HZ32ZZZ System 0VB see Repair, Bladder 0TQB Confrontational HZ38ZZZ see Resection, Male Reproductive see Replacement, Bladder 0TRB Continuing Care HZ39ZZZ System 0VT see Supplement, Bladder 0TUB Infectious Disease Cryptorchiectomy Cystorrhaphy Post-Test HZ3CZZZ see Excision, Male Reproductive see Repair, Bladder 0TQB Pre-Test HZ3CZZZ System 0VB Cystoscopy 0TJB8ZZ Interpersonal HZ34ZZZ see Resection, Male Reproductive Cystostomy Motivational Enhancement HZ37ZZZ System 0VT see Bypass, Bladder 0T1B Psychoeducation HZ36ZZZ Cryptotomy Cystostomy tube Spiritual HZ3BZZZ see Division, Gastrointestinal System 0D8 use Drainage Device Vocational HZ35ZZZ see Drainage, Gastrointestinal System 0D9 Cystotomy Mental Health Services CT scan see Drainage, Bladder 0T9B Educational GZ60ZZZ see Computerized Tomography (CT Scan) Cystourethrography Other Counseling GZ63ZZZ CT sialogram see Plain Radiography, Urinary System BT0 Vocational GZ61ZZZ see Computerized Tomography (CT Scan), see Fluoroscopy, Urinary System BT1 Countershock, cardiac 5A2204Z Ear, Nose, Mouth and Throat B92 ICD-10-PCS In d ex ICD-10-PCS 68 2021 ICD-10-PCS

07_2021_ICD-10-PCS_Index.indd 68 12/7/20 4:12 PM ICD-10-PCS Index Endurant® Endovascular Stent Graft - Excision E ndurant® E ndovascular Stent - E xcision Graft Endurant® Endovascular Stent Graft Erector spinae muscle Evacuation use Intraluminal Device use Trunk Muscle, Right Hematoma see Extirpation Endurant® II AAA stent graft system use Trunk Muscle, Left Other Fluid see Drainage use Intraluminal Device ERLEADA™ Evera (XT)(S)(DR/VR) Engineered Autologous Chimeric Antigen use Apalutamide Antineoplastic use Defibrillator Generator in 0JH Receptor T-cell Immunotherapy XW0 Esketamine Hydrochloride XW097M5 Everolimus-eluting coronary stent Enlargement Esophageal artery use Intraluminal Device, Drug-eluting in see Dilation use Upper Artery Heart and Great Vessels see Repair Esophageal obturator airway (EOA) Evisceration EnRhythm use Intraluminal Device, Airway in Eyeball see Resection, Eye 08T use Pacemaker, Dual Chamber in 0JH Gastrointestinal System Eyeball with prosthetic implant see ENROUTE® Transcarotid Neuroprotection Esophageal plexus Replacement, Eye 08R System use Thoracic Sympathetic Nerve Ex-PRESS™ mini glaucoma shunt see New Technology, Cardiovascular Esophagectomy use Synthetic Substitute System X2A see Excision, Gastrointestinal System 0DB Examination Enterorrhaphy see Resection, Gastrointestinal System 0DT see Inspection see Repair, Gastrointestinal System 0DQ Esophagocoloplasty Exchange Enterra gastric neurostimulator see Repair, Gastrointestinal System 0DQ see Change device in use Stimulator Generator, Multiple Array see Supplement, Gastrointestinal Excision in 0JH System 0DU Abdominal Wall 0WBF Enucleation Esophagoenterostomy Acetabulum Eyeball see Resection, Eye 08T see Bypass, Gastrointestinal System 0D1 Left 0QB5 Eyeball with prosthetic implant see see Drainage, Gastrointestinal System 0D9 Right 0QB4 Replacement, Eye 08R Esophagoesophagostomy Adenoids 0CBQ Ependyma see Bypass, Gastrointestinal System 0D1 Ampulla of Vater 0FBC use Cerebral Ventricle see Drainage, Gastrointestinal System 0D9 Anal Sphincter 0DBR Ankle Region Epic™ Stented Tissue Valve (aortic) Esophagogastrectomy Left 0YBL use Zooplastic Tissue in Heart and Great see Excision, Gastrointestinal System 0DB Right 0YBK Vessels see Resection, Gastrointestinal Anus 0DBQ Epicel® cultured epidermal autograft System 0DT Esophagogastroduodenoscopy (EGD) Aorta use Autologous Tissue Substitute Abdominal 04B0 Epidermis 0DJ08ZZ Esophagogastroplasty Thoracic use Skin Ascending/Arch 02BX Epididymectomy see Repair, Gastrointestinal System 0DQ see Supplement, Gastrointestinal Descending 02BW see Excision, Male Reproductive System 0DU Aortic Body 0GBD System 0VB Esophagogastroscopy 0DJ68ZZ Appendix 0DBJ see Resection, Male Reproductive Esophagogastrostomy Arm System 0VT see Bypass, Gastrointestinal System 0D1 Lower Epididymoplasty see Drainage, Gastrointestinal System 0D9 Left 0XBF see Repair, Male Reproductive System 0VQ Esophagojejunoplasty Right 0XBD see Supplement, Male Reproductive see Supplement, Gastrointestinal Upper System 0VU System 0DU Left 0XB9 Epididymorrhaphy Esophagojejunostomy Right 0XB8 see Repair, Male Reproductive System 0VQ see Bypass, Gastrointestinal System 0D1 Artery Epididymotomy see Drainage, Gastrointestinal System 0D9 Anterior Tibial see Drainage, Male Reproductive Esophagomyotomy Left 04BQ System 0V9 see Division, Esophagogastric Right 04BP Epidural space, spinal Junction 0D84 Axillary use Spinal Canal Esophagoplasty Left 03B6 Epiphysiodesis see Repair, Gastrointestinal System 0DQ Right 03B5 see Insertion of device in, Upper Bones 0PH see Replacement, Esophagus 0DR5 Brachial see Repair, Upper Bones 0PQ see Supplement, Gastrointestinal Left 03B8 see Insertion of device in, Lower Bones 0QH System 0DU Right 03B7 see Repair, Lower Bones 0QQ Esophagoplication Celiac 04B1 Epiploic foramen see Restriction, Gastrointestinal Colic use Peritoneum System 0DV Left 04B7 Epiretinal Visual Prosthesis Esophagorrhaphy Middle 04B8 Left 08H105Z see Repair, Gastrointestinal System 0DQ Right 04B6 Right 08H005Z Esophagoscopy 0DJ08ZZ Common Carotid Episiorrhaphy Esophagotomy Left 03BJ see Repair, Perineum, Female 0WQN see Drainage, Gastrointestinal System 0D9 Right 03BH Episiotomy Esteem® implantable hearing system Common Iliac see Division, Perineum, Female 0W8N use Hearing Device in Ear, Nose, Sinus Left 04BD Epithalamus ESWL (extracorporeal shock wave Right 04BC use Thalamus lithotripsy) External Carotid Left 03BN Epitrochlear lymph node see Fragmentation Right 03BM use Lymphatic, Right Upper Extremity Etesevimab Monoclonal Antibody XW0 External Iliac use Lymphatic, Left Upper Extremity Ethmoidal air cell

Left 04BJ ICD-10-PCS In d ex EPS (electrophysiologic stimulation) use Ethmoid Sinus, Right Right 04BH see Measurement, Cardiac 4A02 use Ethmoid Sinus, Left Face 03BR Eptifibatide, infusion Ethmoidectomy Femoral see Introduction of Platelet Inhibitor see Excision, Ear, Nose, Sinus 09B Left 04BL ERCP (endoscopic retrograde see Resection, Ear, Nose, Sinus 09T Right 04BK cholangiopancreatography) see Excision, Head and Facial Bones 0NB Foot see Fluoroscopy, Hepatobiliary System and see Resection, Head and Facial Bones 0NT Left 04BW Pancreas BF1 Ethmoidotomy Right 04BV Erdafitinib Antineoplastic XW0DXL5 see Drainage, Ear, Nose, Sinus 099

2021 ICD-10-PCS 83

07_2021_ICD-10-PCS_Index.indd 83 12/7/20 4:12 PM ICD-10-PCS Index Gastroduodenectomy - HeartMate 3™ LVAS Gastroduodenectomy - HeartMate 3™ LVASGastroduodenectomy - HeartMate Gastroduodenectomy Glenoid ligament (labrum) Greater Omentum see Excision, Gastrointestinal System 0DB use Shoulder Joint, Right use Omentum see Resection, Gastrointestinal System 0DT use Shoulder Joint, Left Greater splanchnic nerve Gastroduodenoscopy 0DJ08ZZ Globus pallidus use Thoracic Sympathetic Nerve Gastroenteroplasty use Basal Ganglia Greater superficial petrosal nerve see Repair, Gastrointestinal System 0DQ Glomectomy use Facial Nerve see Supplement, Gastrointestinal see Excision, Endocrine System 0GB Greater trochanter System 0DU see Resection, Endocrine System 0GT use Upper Femur, Right Gastroenterostomy Glossectomy use Upper Femur, Left see Bypass, Gastrointestinal System 0D1 see Excision, Tongue 0CB7 Greater tuberosity see Drainage, Gastrointestinal System 0D9 see Resection, Tongue 0CT7 use Humeral Head, Right Gastroesophageal (GE) junction Glossoepiglottic fold use Humeral Head, Left use Esophagogastric Junction use Epiglottis Greater vestibular (Bartholin's) gland Gastrogastrostomy Glossopexy use Vestibular Gland see Bypass, Stomach 0D16 see Repair, Tongue 0CQ7 Greater wing see Drainage, Stomach 0D96 see Reposition, Tongue 0CS7 use Sphenoid Bone Gastrohepatic omentum Glossoplasty GS-5734 use Omentum see Repair, Tongue 0CQ7 use Remdesivir Anti-infective Gastrojejunostomy see Replacement, Tongue 0CR7 Guedel airway see Bypass, Stomach 0D16 see Supplement, Tongue 0CU7 use Intraluminal Device, Airway in Mouth see Drainage, Stomach 0D96 Glossorrhaphy and Throat Gastrolysis see Repair, Tongue 0CQ7 Guidance, catheter placement see Release, Stomach 0DN6 Glossotomy EKG see Measurement, Physiological Gastropexy see Drainage, Tongue 0C97 Systems 4A0 see Repair, Stomach 0DQ6 Glottis Fluoroscopy see Fluoroscopy, Veins B51 see Reposition, Stomach 0DS6 use Larynx Ultrasound see Ultrasonography, Veins B54 Gastrophrenic ligament Gluteal Artery Perforator Flap use Omentum Replacement Gastroplasty Bilateral 0HRV079 see Repair, Stomach 0DQ6 Left 0HRU079 H see Supplement, Stomach 0DU6 Right 0HRT079 Hallux Gastroplication Transfer use 1st , Right see Restriction, Stomach 0DV6 Left 0KXG use 1st Toe, Left Gastropylorectomy Right 0KXF Hamate bone see Excision, Gastrointestinal System 0DB Gluteal lymph node use Carpal, Right Gastrorrhaphy use Lymphatic, Pelvis use Carpal, Left see Repair, Stomach 0DQ6 Gluteal vein Hancock Bioprosthesis (aortic) (mitral) Gastroscopy 0DJ68ZZ use Hypogastric Vein, Right valve Gastrosplenic ligament use Hypogastric Vein, Left use Zooplastic Tissue in Heart and Great use Omentum muscle Vessels Gastrostomy use Hip Muscle, Right Hancock Bioprosthetic Valved Conduit see Bypass, Stomach 0D16 use Hip Muscle, Left use Zooplastic Tissue in Heart and Great see Drainage, Stomach 0D96 muscle Vessels Gastrotomy use Hip Muscle, Right Harvesting, stem cells see Drainage, Stomach 0D96 use Hip Muscle, Left see Pheresis, Circulatory 6A55 Gemellus muscle muscle Head of fibula use Hip Muscle, Right use Hip Muscle, Right use Fibula, Right use Hip Muscle, Left use Hip Muscle, Left use Fibula, Left Geniculate ganglion GORE EXCLUDER® AAA Endoprosthesis Hearing Aid Assessment F14Z use Facial Nerve use Intraluminal Device, Branched or Hearing Assessment F13Z Geniculate nucleus Fenestrated, One or Two Arteries in 04V Hearing Device use Thalamus use Intraluminal Device, Branched or Bone Conduction Genioglossus muscle Fenestrated, Three or More Arteries in 04V Left 09HE use Tongue, Palate, Pharynx Muscle use Intraluminal Device Right 09HD Genioplasty GORE EXCLUDER® IBE Endoprosthesis Insertion of device in see Alteration, Jaw, Lower 0W05 use Intraluminal Device, Branched or Left 0NH6 Genitofemoral nerve Fenestrated, One or Two Arteries in 04V Right 0NH5 use Lumbar Plexus GORE TAG® Thoracic Endoprosthesis Multiple Channel Cochlear Prosthesis GIAPREZA™ use Intraluminal Device Left 09HE use Synthetic Human Angiotensin II GORE® DUALMESH® Right 09HD Gilteritinib Antineoplastic XW0DXV5 use Synthetic Substitute Removal of device from, Skull 0NP0 Gingivectomy Revision of device in, Skull 0NW0 see Excision, Mouth and Throat 0CB use Upper Leg Muscle, Right Single Channel Cochlear Prosthesis Gingivoplasty use Upper Leg Muscle, Left Left 09HE see Repair, Mouth and Throat 0CQ Graft Right 09HD see Replacement, Mouth and Throat 0CR see Replacement Hearing Treatment F09Z see Supplement, Mouth and Throat 0CU see Supplement Heart Assist System Glans penis Great auricular nerve Implantable use Prepuce use Cervical Plexus Insertion of device in, Heart 02HA Glenohumeral joint Great cerebral vein Removal of device from, Heart 02PA ICD-10-PCS In d ex use Shoulder Joint, Right use Intracranial Vein Revision of device in, Heart 02WA use Shoulder Joint, Left Great(er) saphenous vein Short-term External Glenohumeral ligament use Saphenous Vein, Right Insertion of device in, Heart 02HA use Shoulder Bursa and Ligament, Right use Saphenous Vein, Left Removal of device from, Heart 02PA use Shoulder Bursa and Ligament, Left Greater alar cartilage Revision of device in, Heart 02WA Glenoid fossa (of scapula) use Nasal Mucosa and Soft Tissue HeartMate 3™ LVAS use Glenoid Cavity, Right Greater occipital nerve use Implantable Heart Assist System in use Glenoid Cavity, Left use Cervical Nerve Heart and Great Vessels

2021 ICD-10-PCS 99

07_2021_ICD-10-PCS_Index.indd 99 12/7/20 4:12 PM Introduction of substance in or on - Kirschner wire (K-wire) ICD-10-PCS Index Introduction of substance in or on — continued Introduction of substance in or on — continued Isavuconazole Anti-infective XW0 Spinal Canal 3E0R3GC Vein — continued Ischiatic nerve Analgesics 3E0R3NZ Radioactive Substance 3E03 use Sciatic Nerve Anesthetic Agent 3E0R3BZ Sedatives 3E03 Ischiocavernosus muscle Anti-infective 3E0R32 Serum 3E03 use Perineum Muscle Anti-inflammatory 3E0R33Z Thrombolytic 3E03 Ischiofemoral ligament Antineoplastic 3E0R30 Toxoid 3E03 use Hip Bursa and Ligament, Right Destructive Agent 3E0R3TZ Vaccine 3E03 use Hip Bursa and Ligament, Left Diagnostic Substance, Other 3E0R3KZ Vasopressor 3E03 Ischium Electrolytic Substance 3E0R37Z Water Balance Substance 3E03 use Pelvic Bone, Right Gas 3E0R Intubation use Pelvic Bone, Left Hypnotics 3E0R3NZ Airway Isolation 8E0ZXY6 Nutritional Substance 3E0R36Z see Insertion of device in, Trachea 0BH1 Isotope Administration, Whole Radioactive Substance 3E0R3HZ see Insertion of device in, Mouth and Body DWY5G Sedatives 3E0R3NZ Throat 0CHY Itrel (3)(4) neurostimulator Stem Cells see Insertion of device in, use Stimulator Generator, Single Array in 0JH Embryonic 3E0R Esophagus 0DH5 Somatic 3E0R Drainage device see Drainage Water Balance Substance 3E0R37Z Feeding Device see Insertion of device in, J Gastrointestinal System 0DH Subcutaneous Tissue 3E013GC Jakafi® Analgesics 3E013NZ INTUITY Elite valve system, EDWARDS use Zooplastic Tissue, Rapid Deployment use Ruxolitinib Anesthetic Agent 3E013BZ Jejunal artery Anti-infective 3E01 Technique in New Technology Iobenguane I-131 Antineoplastic XW0 use Superior Mesenteric Artery Anti-inflammatory 3E0133Z Jejunectomy Antineoplastic 3E0130 Iobenguane I-131, High Specific Activity (HSA) see Excision, Jejunum 0DBA Destructive Agent 3E013TZ use Iobenguane I-131 Antineoplastic see Resection, Jejunum 0DTA Diagnostic Substance, Other 3E013KZ IPPB (intermittent positive pressure Jejunocolostomy Electrolytic Substance 3E0137Z breathing) see Bypass, Gastrointestinal System 0D1 Hormone 3E013V see Assistance, Respiratory 5A09 see Drainage, Gastrointestinal System 0D9 Hypnotics 3E013NZ IRE (Irreversible Electroporation) Jejunopexy Nutritional Substance 3E0136Z see Destruction, Hepatobiliary System and see Repair, Jejunum 0DQA Radioactive Substance 3E013HZ Pancreas 0F5 see Reposition, Jejunum 0DSA Sedatives 3E013NZ Iridectomy Jejunostomy Serum 3E0134Z see Excision, Eye 08B see Bypass, Jejunum 0D1A Toxoid 3E0134Z see Resection, Eye 08T see Drainage, Jejunum 0D9A Vaccine 3E0134Z Iridoplasty Jejunotomy Water Balance Substance 3E0137Z see Repair, Eye 08Q see Drainage, Jejunum 0D9A Introduction of substance in or on - Kirschner wire (K-wire) in or on - Kirschner wire Introduction of substance Vein see Replacement, Eye 08R Joint fixation plate Central 3E04 see Supplement, Eye 08U use Internal Fixation Device in Upper Joints Analgesics 3E04 Iridotomy use Internal Fixation Device in Lower Joints Anesthetic, Intracirculatory 3E04 see Drainage, Eye 089 Joint liner (insert) Anti-infective 3E04 Irreversible Electroporation (IRE) use Liner in Lower Joints Anti-inflammatory 3E04 see Destruction, Hepatobiliary System and Joint spacer (antibiotic) Antiarrhythmic 3E04 Pancreas 0F5 use Spacer in Upper Joints Antineoplastic 3E04 Irrigation use Spacer in Lower Joints Destructive Agent 3E04 Biliary Tract, Irrigating Substance 3E1J Jugular body Diagnostic Substance, Other 3E04 Brain, Irrigating Substance 3E1Q38Z use Glomus Jugulare Electrolytic Substance 3E04 Cranial Cavity, Irrigating Jugular lymph node Hormone 3E04 Substance 3E1Q38Z use Lymphatic, Right Neck Hypnotics 3E04 Ear, Irrigating Substance 3E1B use Lymphatic, Left Neck Immunotherapeutic 3E04 Epidural Space, Irrigating Nutritional Substance 3E04 Substance 3E1S38Z Platelet Inhibitor 3E04 Eye, Irrigating Substance 3E1C K Radioactive Substance 3E04 Gastrointestinal Tract Kappa Sedatives 3E04 Lower, Irrigating Substance 3E1H use Pacemaker, Dual Chamber in 0JH Serum 3E04 Upper, Irrigating Substance 3E1G Kcentra Thrombolytic 3E04 Genitourinary Tract, Irrigating use 4-Factor Prothrombin Complex Toxoid 3E04 Substance 3E1K Concentrate Vaccine 3E04 Irrigating Substance 3C1ZX8Z Keratectomy, kerectomy Vasopressor 3E04 Joint, Irrigating Substance 3E1U see Excision, Eye 08B Water Balance Substance 3E04 Mucous Membrane, Irrigating see Resection, Eye 08T Peripheral 3E03 Substance 3E10 Keratocentesis Analgesics 3E03 Nose, Irrigating Substance 3E19 see Drainage, Eye 089 Anesthetic, Intracirculatory 3E03 Pancreatic Tract, Irrigating Substance 3E1J Keratoplasty Anti-infective 3E03 Pericardial Cavity, Irrigating see Repair, Eye 08Q Anti-inflammatory 3E03 Substance 3E1Y38Z see Replacement, Eye 08R Antiarrhythmic 3E03 Peritoneal Cavity see Supplement, Eye 08U Antineoplastic 3E03 Dialysate 3E1M39Z Keratotomy Destructive Agent 3E03 Irrigating Substance 3E1M38Z see Drainage, Eye 089 Diagnostic Substance, Other 3E03 Pleural Cavity, Irrigating see Repair, Eye 08Q Electrolytic Substance 3E03 Substance 3E1L38Z KEVZARA® Hormone 3E03 Reproductive use Sarilumab Hypnotics 3E03 Female, Irrigating Substance 3E1P Keystone Heart TriGuard 3™ CEPD (cerebral Immunotherapeutic 3E03 Male, Irrigating Substance 3E1N embolic protection device) X2A6325 Islet Cells, Pancreatic 3E03 Respiratory Tract, Irrigating Substance 3E1F Kirschner wire (K-wire) Nutritional Substance 3E03 Skin, Irrigating Substance 3E10 use Internal Fixation Device in Head and Platelet Inhibitor 3E03 Spinal Canal, Irrigating Substance 3E1R38Z Facial Bones ICD-10-PCS In d ex ICD-10-PCS 110 2021 ICD-10-PCS

07_2021_ICD-10-PCS_Index.indd 110 12/7/20 4:12 PM Left - Lysis ICD-10-PCS Index Left inferior phrenic vein Ligament of head of fibula Lobectomy — continued use , Left use Knee Bursa and Ligament, Right see Excision, Hepatobiliary System and Left inferior pulmonary vein use Knee Bursa and Ligament, Left Pancreas 0FB use Pulmonary Vein, Left Ligament of the lateral malleolus see Resection, Hepatobiliary System and Left jugular trunk use Ankle Bursa and Ligament, Right Pancreas 0FT use Thoracic Duct use Ankle Bursa and Ligament, Left see Excision, Endocrine System 0GB Left lateral ventricle Ligamentum flavum, cervical see Resection, Endocrine System 0GT use Cerebral Ventricle use Head and Neck Bursa and Ligament Lobotomy Left Ligamentum flavum, lumbar see Division, Brain 0080 use Renal Vein, Left use Lower Spine Bursa and Ligament Localization Left second lumbar vein Ligamentum flavum, thoracic see Map use Renal Vein, Left use Upper Spine Bursa and Ligament see Imaging Left subclavian trunk Ligation Locus ceruleus use Thoracic Duct see Occlusion use Pons Left Ligation, hemorrhoid Long thoracic nerve use Hemiazygos Vein see Occlusion, Lower Veins, Hemorrhoidal use Brachial Plexus Left superior pulmonary vein Plexus Loop ileostomy use Pulmonary Vein, Left Light Therapy GZJZZZZ see Bypass, Ileum 0D1B Left suprarenal vein Liner Loop recorder, implantable use Renal Vein, Left Removal of device from use Monitoring Device Left inferior phrenic vein - Lysis vein phrenic Left inferior Left Hip Lower GI series use Renal Vein, Left Left 0SPB09Z see Fluoroscopy, Colon BD14 Lengthening Right 0SP909Z Lower Respiratory Fluid Nucleic Acid-base Bone, with device see Insertion of Limb Knee Microbial Detection XXEBXQ6 Lengthening Device Left 0SPD09Z Lumbar artery Muscle, by incision see Division, Right 0SPC09Z use Abdominal Aorta Muscles 0K8 Revision of device in Lumbar facet joint Tendon, by incision see Division, Hip use Lumbar Vertebral Joint Tendons 0L8 Left 0SWB09Z Lumbar ganglion Leptomeninges, intracranial Right 0SW909Z use Lumbar Sympathetic Nerve use Cerebral Meninges Knee Lumbar lymph node Leptomeninges, spinal Left 0SWD09Z use Lymphatic, Aortic use Spinal Meninges Right 0SWC09Z Lumbar lymphatic trunk Leronlimab Monoclonal Antibody XW013K6 Supplement use Cisterna Chyli Lesser alar cartilage Hip Lumbar splanchnic nerve use Nasal Mucosa and Soft Tissue Left 0SUB09Z use Lumbar Sympathetic Nerve Lesser occipital nerve Acetabular Surface 0SUE09Z Lumbosacral facet joint use Cervical Plexus Femoral Surface 0SUS09Z use Lumbosacral Joint Lesser Omentum Right 0SU909Z Lumbosacral trunk use Omentum Acetabular Surface 0SUA09Z use Lumbar Nerve Lesser saphenous vein Femoral Surface 0SUR09Z Lumpectomy use Saphenous Vein, Right Knee see Excision use Saphenous Vein, Left Left 0SUD09 Lunate bone Lesser splanchnic nerve Femoral Surface 0SUU09Z use Carpal, Right use Thoracic Sympathetic Nerve Tibial Surface 0SUW09Z use Carpal, Left Lesser trochanter Right 0SUC09 Lunotriquetral ligament use Upper Femur, Right Femoral Surface 0SUT09Z use Hand Bursa and Ligament, Right use Upper Femur, Left Tibial Surface 0SUV09Z use Hand Bursa and Ligament, Left Lesser tuberosity Lingual artery Lymphadenectomy use Humeral Head, Right see Excision, Lymphatic and Hemic use Humeral Head, Left use External Carotid Artery, Right Systems 07B Lesser wing use External Carotid Artery, Left see Resection, Lymphatic and Hemic use Sphenoid Bone Lingual tonsil Systems 07T Leukopheresis, therapeutic use Pharynx Lymphadenotomy see Pheresis, Circulatory 6A55 Lingulectomy, lung see Drainage, Lymphatic and Hemic Levator anguli oris muscle see Excision, Lung Lingula 0BBH use Facial Muscle see Resection, Lung Lingula 0BTH Systems 079 Levator ani muscle Lisocabtagene Maraleucel Lymphangiectomy use Perineum Muscle use Lisocabtagene Maraleucel see Excision, Lymphatic and Hemic Levator labii superioris alaeque nasi muscle Immunotherapy Systems 07B use Facial Muscle Lisocabtagene Maraleucel see Resection, Lymphatic and Hemic Levator labii superioris muscle Immunotherapy XW2 Systems 07T use Facial Muscle Lithoplasty Lymphangiogram Levator palpebrae superioris muscle see Fragmentation see Plain Radiography, Lymphatic use Upper Eyelid, Right Lithotripsy System B70 use Upper Eyelid, Left see Fragmentation Lymphangioplasty Levator scapulae muscle With removal of fragments see Extirpation see Repair, Lymphatic and Hemic use Neck Muscle, Right LITT (laser interstitial thermal therapy) Systems 07Q use Neck Muscle, Left see Laser Interstitial Thermal Therapy see Supplement, Lymphatic and Hemic Levator veli palatini muscle LIVIAN™ CRT-D Systems 07U use Tongue, Palate, Pharynx Muscle use Cardiac Resynchronization Defibrillator Lymphangiorrhaphy Levatores costarum muscle Pulse Generator in 0JH see Repair, Lymphatic and Hemic use Thorax Muscle, Right Lobectomy Systems 07Q use Thorax Muscle, Left see Excision, Central Nervous System and Lymphangiotomy LifeStent® (Flexstar)(XL) Vascular Stent Cranial Nerves 00B see Drainage, Lymphatic and Hemic System see Excision, Respiratory System 0BB Systems 079 use Intraluminal Device see Resection, Respiratory System 0BT Lysis see Release ICD-10-PCS In d ex ICD-10-PCS 112 2021 ICD-10-PCS

07_2021_ICD-10-PCS_Index.indd 112 12/7/20 4:12 PM ICD-10-PCS Index Neurorrhaphy - New Technology N Neurorrhaphy New Technology New Technology — continued eurorrhaphy - N see Repair, Central Nervous System and Apalutamide Antineoplastic XW0DXJ5 Dilation — continued Cranial Nerves 00Q Atezolizumab Antineoplastic XW0 Two X27N395 see Repair, Peripheral Nervous Bamlanivimab Monoclonal Antibody XW0 Left Proximal System 01Q Baricitinib XW0 Sustained Release Drug-eluting Neurostimulator Generator Bezlotoxumab Monoclonal Antibody XW0 Intraluminal Device X27L385 Insertion of device in, Skull 0NH00NZ Blinatumomab Antineoplastic Four or More X27L3C5 Removal of device from, Skull 0NP00NZ Immunotherapy XW0 Three X27L3B5 Revision of device in, Skull 0NW00NZ Brexanolone XW0 Two X27L395 Neurostimulator generator, multiple Brexucabtagene Autoleucel Right Distal channel Immunotherapy XW2 Sustained Release Drug-eluting use Stimulator Generator, Multiple Array Caplacizumab XW0 Intraluminal Device X27M385 ew Technology in 0JH CD24Fc Immunomodulator XW0 Four or More X27M3C5 Neurostimulator generator, multiple Cefiderocol Anti-infective XW0 Three X27M3B5 channel rechargeable Ceftazidime-Avibactam Anti-infective XW0 Two X27M395 use Stimulator Generator, Multiple Array Ceftolozane/Tazobactam Anti- Right Proximal Rechargeable in 0JH infective XW0 Sustained Release Drug-eluting Neurostimulator generator, single channel Cerebral Embolic Filtration Intraluminal Device X27K385 use Stimulator Generator, Single Array Dual Filter X2A5312 Four or More X27K3C5 in 0JH Extracorporeal Flow Reversal Circuit X2A Three X27K3B5 Neurostimulator generator, single channel Single Deflection Filter X2A6325 Two X27K395 rechargeable Coagulation Factor Xa, Inactivated XW0 Posterior Tibial use Stimulator Generator, Single Array Concentrated Bone Marrow Left Rechargeable in 0JH Aspirate XK02303 Sustained Release Drug-eluting Neurostimulator Lead COVID-19 Vaccine XW0 Intraluminal Device X27S385 Insertion of device in COVID-19 Vaccine Dose 1 XW0 Four or More X27S3C5 Brain 00H0 COVID-19 Vaccine Dose 2 XW0 Three X27S3B5 Cerebral Ventricle 00H6 Cytarabine and Daunorubicin Liposome Two X27S395 Nerve Antineoplastic XW0 Right Cranial 00HE Defibrotide Sodium Anticoagulant XW0 Sustained Release Drug-eluting Peripheral 01HY Destruction, Prostate, Robotic Waterjet Intraluminal Device X27R385 Spinal Canal 00HU Four or More X27R3C5 Spinal Cord 00HV Ablation XV508A4 Dilation Three X27R3B5 Vein Two X27R395 Azygos 05H0 Anterior Tibial Left Durvalumab Antineoplastic XW0 Innominate Eculizumab XW0 Left 05H4 Sustained Release Drug-eluting Intraluminal Device X27Q385 Eladocagene exuparvovec XW0Q316 Right 05H3 Endothelial Damage Inhibitor XY0VX83 Removal of device from Four or More X27Q3C5 Three X27Q3B5 Engineered Autologous Chimeric Antigen Brain 00P0 Receptor T-cell Immunotherapy XW0 Cerebral Ventricle 00P6 Two X27Q395 Right Erdafitinib Antineoplastic XW0DXL5 Nerve Esketamine Hydrochloride XW097M5 Cranial 00PE Sustained Release Drug-eluting Intraluminal Device X27P385 Etesevimab Monoclonal Antibody XW0 Peripheral 01PY Fosfomycin Anti-infective XW0 Spinal Canal 00PU Four or More X27P3C5 Three X27P3B5 Fusion Spinal Cord 00PV Cervical Vertebral Vein Two X27P395 2 or more Azygos 05P0 Femoral Nanotextured Surface XRG2092 Innominate Left Radiolucent Porous XRG20F3 Left 05P4 Sustained Release Drug-eluting Interbody Fusion Device Right 05P3 Intraluminal Device X27J385 Nanotextured Surface XRG1092 Revision of device in Four or More X27J3C5 Radiolucent Porous XRG10F3 Brain 00W0 Three X27J3B5 Cervicothoracic Vertebral Cerebral Ventricle 00W6 Two X27J395 Nerve Right Nanotextured Surface XRG4092 Cranial 00WE Sustained Release Drug-eluting Radiolucent Porous XRG40F3 Peripheral 01WY Intraluminal Device X27H385 Lumbar Vertebral Spinal Canal 00WU Four or More X27H3C5 2 or more Spinal Cord 00WV Three X27H3B5 Nanotextured Surface XRGC092 Vein Two X27H395 Radiolucent Porous XRGC0F3 Azygos 05W0 Peroneal Interbody Fusion Device Innominate Left Nanotextured Surface XRGB092 Left 05W4 Sustained Release Drug-eluting Radiolucent Porous XRGB0F3 Right 05W3 Intraluminal Device X27U385 Lumbosacral Neurotomy Four or More X27U3C5 Nanotextured Surface XRGD092 see Division, Central Nervous System and Three X27U3B5 Radiolucent Porous XRGD0F3 Cranial Nerves 008 Two X27U395 Occipital-cervical see Division, Peripheral Nervous Right Nanotextured Surface XRG0092 Radiolucent Porous XRG00F3 System 018 Sustained Release Drug-eluting Thoracic Vertebral Neurotripsy Intraluminal Device X27T385 2 to 7 see Destruction, Central Nervous System Four or More X27T3C5 ICD-10-PCS In d ex Nanotextured Surface XRG7092 and Cranial Nerves 005 Three X27T3B5 Radiolucent Porous XRG70F3 see Destruction, Peripheral Nervous Two X27T395 8 or more System 015 Popliteal Nanotextured Surface XRG8092 Neutralization plate Left Distal Radiolucent Porous XRG80F3 use Internal Fixation Device in Head and Sustained Release Drug-eluting Interbody Fusion Device Facial Bones Intraluminal Device X27N385 Nanotextured Surface XRG6092 use Internal Fixation Device in Upper Bones Four or More X27N3C5 Radiolucent Porous XRG60F3 use Internal Fixation Device in Lower Bones Three X27N3B5

2021 ICD-10-PCS 117

07_2021_ICD-10-PCS_Index.indd 117 12/7/20 4:12 PM Etesevimab Monoclonal - Occlusion ICD-10-PCS Index Etesevimab Monoclonal — continued Nonimaging Nuclear Medicine Assay Obturator nerve Fusion — continued — continued use Lumbar Plexus Thoracolumbar Vertebral Lymphatics and Hematologic Obturator vein Nanotextured Surface XRGA092 System C76YYZZ use Hypogastric Vein, Right Radiolucent Porous XRGA0F3 Ureters, Kidneys and Bladder CT63 use Hypogastric Vein, Left Gilteritinib Antineoplastic XW0DXV5 Urinary System CT6YYZZ Obtuse margin Idarucizumab, Dabigatran Reversal Nonimaging Nuclear Medicine Probe use Heart, Left Agent XW0 Abdomen CW50 Occipital artery Imipenem-cilastatin-relebactam Anti- Abdomen and Chest CW54 use External Carotid Artery, Right infective XW0 Abdomen and Pelvis CW51 use External Carotid Artery, Left Intraoperative Knee Replacement Brain C050 Occipital lobe Sensor XR2 Central Nervous System C05YYZZ use Cerebral Hemisphere Iobenguane I-131 Antineoplastic XW0 Chest CW53 Occipital lymph node Isavuconazole Anti-infective XW0 Chest and Abdomen CW54 use Lymphatic, Right Neck Kidney, Fluorescent Pyrazine XT25XE5 Chest and Neck CW56 use Lymphatic, Left Neck Lefamulin Anti-infective XW0 Extremity Occipitofrontalis muscle Leronlimab Monoclonal Antibody Lower CP5PZZZ use Facial Muscle XW013K6 Upper CP5NZZZ Occlusion Lisocabtagene Maraleucel Head and Neck CW5B Ampulla of Vater 0FLC Immunotherapy XW2 Heart C25YYZZ Anus 0DLQ Lower Respiratory Fluid Nucleic Acid-base Right and Left C256 Aorta Microbial Detection XXEBXQ6 Lymphatics Abdominal 04L0 Meropenem-vaborbactam Anti- Head C75J tesevimab Monoclonal - Occlusion tesevimab Thoracic, Descending 02LW3DJ

E infective XW0 Head and Neck C755 Mineral-based Topical Hemostatic Lower Extremity C75P Artery Agent XW0 Neck C75K Anterior Tibial Nerinitide XW0 Pelvic C75D Left 04LQ Omadacycline Anti-infective XW0 Trunk C75M Right 04LP Orbital Atherectomy Technology X2C Upper Chest C75L Axillary Other New Technology Monoclonal Upper Extremity C75N Left 03L6 Antibody XW0 Lymphatics and Hematologic Right 03L5 Other New Technology Therapeutic System C75YYZZ Brachial Substance XW0 Musculoskeletal System, Other CP5YYZZ Left 03L8 Plasma, Convalescent (Nonautologous) XW1 Neck and Chest CW56 Right 03L7 Plazomicin Anti-infective XW0 Neck and Head CW5B Celiac 04L1 Positive Blood Culture Fluorescence Pelvic Region CW5J Colic Hybridization for Organism Pelvis and Abdomen CW51 Left 04L7 Identification, Concentration and Spine CP55ZZZ Middle 04L8 Susceptibility XXE5XN6 Nonimaging Nuclear Medicine Uptake Right 04L6 REGN-COV2 Monoclonal Antibody XW0 Endocrine System CG4YYZZ Common Carotid Remdesivir Anti-infective XW0 Gland, Thyroid CG42 Left 03LJ Replacement Nostril Right 03LH Skin Substitute, Porcine Liver use Nasal Mucosa and Soft Tissue Common Iliac Derived XHRPXL2 Novacor Left Ventricular Assist Device Left 04LD Zooplastic Tissue, Rapid Deployment use Implantable Heart Assist System in Right 04LC Technique X2RF Heart and Great Vessels External Carotid Reposition Novation® Ceramic AHS® (Articulation Hip Left 03LN Cervical, Magnetically Controlled Growth System) Right 03LM Rod(s) XNS3 use Synthetic Substitute, Ceramic in 0SR External Iliac Lumbar, Magnetically Controlled Growth Nuclear medicine Left 04LJ Rod(s) XNS0 see Planar Nuclear Medicine Imaging Right 04LH Thoracic, Magnetically Controlled see Tomographic (Tomo) Nuclear Medicine Face 03LR Growth Rod(s) XNS4 Imaging Femoral Ruxolitinib XW0DXT5 see Positron Emission Tomographic (PET) Left 04LL Sarilumab XW0 Imaging Right 04LK Supplement see Nonimaging Nuclear Medicine Uptake Foot Lumbar, Mechanically Expandable see Nonimaging Nuclear Medicine Probe Left 04LW (Paired) Synthetic Substitute XNU0356 see Nonimaging Nuclear Medicine Assay Right 04LV Thoracic, Mechanically Expandable see Systemic Nuclear Medicine Therapy Gastric 04L2 (Paired) Synthetic Substitute XNU4356 Nuclear scintigraphy Hand Synthetic Human Angiotensin II XW0 see Nuclear Medicine Left 03LF Tagraxofusp-erzs Antineoplastic XW0 Nutrition, concentrated substances Right 03LD Tocilizumab XW0 Enteral infusion 3E0G36Z Hepatic 04L3 Uridine Triacetate XW0DX82 Parenteral (peripheral) infusion see Inferior Mesenteric 04LB Venetoclax Antineoplastic XW0DXR5 Introduction of Nutritional Substance Innominate 03L2 Whole Blood Nucleic Acid-base Microbial NUZYRA™ Internal Carotid Detection XXE5XM5 use Omadacycline Anti-infective Ninth cranial nerve Left 03LL use Glossopharyngeal Nerve Right 03LK NIRS (Near Infrared Spectroscopy) O Internal Iliac see Physiological Systems and Anatomical Left 04LF Obliteration Right 04LE Regions 8E0 see Destruction Nitinol framed polymer mesh Internal Mammary Obturator artery Left 03L1 use Synthetic Substitute use Internal Iliac Artery, Right Non-tunneled central venous catheter Right 03L0 use Internal Iliac Artery, Left Intracranial 03LG use Infusion Device Obturator lymph node Nonimaging Nuclear Medicine Assay Lower 04LY use Lymphatic, Pelvis Peroneal Bladder, Kidneys and Ureters CT63 Obturator muscle Blood C763 Left 04LU use Hip Muscle, Right Kidneys, Ureters and Bladder CT63 Right 04LT use Hip Muscle, Left ICD-10-PCS In d ex ICD-10-PCS 118 2021 ICD-10-PCS

07_2021_ICD-10-PCS_Index.indd 118 12/7/20 4:12 PM Odontoid process - Other Imaging ICD-10-PCS Index Odontoid process Opponensplasty Ostectomy use Cervical Vertebra Tendon replacement see Replacement, see Excision, Head and Facial Bones 0NB Olecranon bursa Tendons 0LR see Resection, Head and Facial Bones 0NT use Elbow Bursa and Ligament, Right Tendon transfer see Transfer, Tendons 0LX see Excision, Upper Bones 0PB use Elbow Bursa and Ligament, Left Optic chiasma see Resection, Upper Bones 0PT Olecranon process use Optic Nerve see Excision, Lower Bones 0QB use Ulna, Right Optic disc see Resection, Lower Bones 0QT use Ulna, Left use Retina, Right Osteoclasis Olfactory bulb use Retina, Left see Division, Head and Facial Bones 0N8 use Olfactory Nerve Optic foramen see Division, Upper Bones 0P8 Olumiant® use Baricitinib use Sphenoid Bone see Division, Lower Bones 0Q8 Omadacycline Anti-infective XW0 Optical coherence tomography, Osteolysis Omentectomy, omentumectomy intravascular see Release, Head and Facial Bones 0NN see Excision, Gastrointestinal System 0DB see Computerized Tomography (CT Scan) see Release, Upper Bones 0PN see Resection, Gastrointestinal System 0DT Optimizer™ III implantable pulse generator see Release, Lower Bones 0QN Omentofixation use Contractility Modulation Device in 0JH Osteopathic Treatment see Repair, Gastrointestinal System 0DQ Orbicularis oculi muscle Abdomen 7W09X Omentoplasty use Upper Eyelid, Right Cervical 7W01X see Repair, Gastrointestinal System 0DQ use Upper Eyelid, Left Extremity see Replacement, Gastrointestinal Orbicularis oris muscle Lower 7W06X System 0DR use Facial Muscle Upper 7W07X see Supplement, Gastrointestinal

Odontoid process - Other Imaging process Odontoid Orbital Atherectomy Technology X2C Head 7W00X System 0DU Orbital fascia Lumbar 7W03X Omentorrhaphy use Subcutaneous Tissue and Fascia, Face Pelvis 7W05X see Repair, Gastrointestinal System 0DQ Orbital portion of ethmoid bone Rib Cage 7W08X Omentotomy use Orbit, Right Sacrum 7W04X see Drainage, Gastrointestinal System 0D9 use Orbit, Left Thoracic 7W02X Omnilink Elite Vascular Balloon Orbital portion of frontal bone Osteopexy Expandable Stent System use Orbit, Right see Repair, Head and Facial Bones 0NQ use Intraluminal Device use Orbit, Left see Reposition, Head and Facial Bones 0NS Onychectomy Orbital portion of lacrimal bone see Repair, Upper Bones 0PQ see Excision, Skin and Breast 0HB use Orbit, Right see Reposition, Upper Bones 0PS see Resection, Skin and Breast 0HT use Orbit, Left see Repair, Lower Bones 0QQ Onychoplasty Orbital portion of maxilla see Reposition, Lower Bones 0QS see Repair, Skin and Breast 0HQ use Orbit, Right Osteoplasty see Replacement, Skin and Breast 0HR use Orbit, Left see Repair, Head and Facial Bones 0NQ Onychotomy Orbital portion of palatine bone see Replacement, Head and Facial see Drainage, Skin and Breast 0H9 use Orbit, Right Bones 0NR Oophorectomy use Orbit, Left see Supplement, Head and Facial see Excision, Female Reproductive Orbital portion of sphenoid bone Bones 0NU System 0UB use Orbit, Right see Repair, Upper Bones 0PQ see Resection, Female Reproductive use Orbit, Left see Replacement, Upper Bones 0PR System 0UT Orbital portion of zygomatic bone see Supplement, Upper Bones 0PU Oophoropexy use Orbit, Right see Repair, Lower Bones 0QQ see Repair, Female Reproductive use Orbit, Left see Replacement, Lower Bones 0QR System 0UQ Orchectomy, orchidectomy, orchiectomy see Supplement, Lower Bones 0QU see Reposition, Female Reproductive see Excision, Male Reproductive Osteorrhaphy System 0US System 0VB see Repair, Head and Facial Bones 0NQ Oophoroplasty see Resection, Male Reproductive see Repair, Upper Bones 0PQ see Repair, Female Reproductive System 0UQ System 0VT see Repair, Lower Bones 0QQ see Supplement, Female Reproductive Orchidoplasty, orchioplasty Osteotomy, ostotomy System 0UU see Repair, Male Reproductive see Division, Head and Facial Bones 0N8 Oophororrhaphy System 0VQ see Drainage, Head and Facial Bones 0N9 see Repair, Female Reproductive see Replacement, Male Reproductive see Division, Upper Bones 0P8 System 0UQ System 0VR see Drainage, Upper Bones 0P9 Oophorostomy see Supplement, Male Reproductive see Division, Lower Bones 0Q8 see Drainage, Female Reproductive System 0VU see Drainage, Lower Bones 0Q9 System 0U9 Orchidorrhaphy, orchiorrhaphy Other Imaging Oophorotomy see Repair, Male Reproductive System 0VQ Bile Duct, Indocyanine Green Dye, see Division, Female Reproductive Orchidotomy, orchiotomy, orchotomy Intraoperative BF50200 System 0U8 see Drainage, Male Reproductive Bile Duct and Gallbladder, Indocyanine see Drainage, Female Reproductive System 0V9 Green Dye, Intraoperative BF53200 System 0U9 Orchiopexy Extremity Oophorrhaphy see Repair, Male Reproductive System 0VQ Lower BW5CZ1Z see Repair, Female Reproductive see Reposition, Male Reproductive Upper BW5JZ1Z System 0UQ System 0VS Gallbladder, Indocyanine Green Dye, Open Pivot (mechanical) valve Oropharyngeal airway (OPA) Intraoperative BF52200 use Synthetic Substitute use Intraluminal Device, Airway in Mouth Gallbladder and Bile Duct, Indocyanine Open Pivot Aortic Valve Graft (AVG) and Throat Green Dye, Intraoperative BF53200 use Synthetic Substitute Oropharynx Head and Neck BW59Z1Z Ophthalmic artery use Pharynx Hepatobiliary System, All, Indocyanine use Intracranial Artery Ossiculectomy Green Dye, Intraoperative BF5C200 Ophthalmic nerve see Excision, Ear, Nose, Sinus 09B Liver, Indocyanine Green Dye, use Trigeminal Nerve see Resection, Ear, Nose, Sinus 09T Intraoperative BF55200 Ophthalmic vein Ossiculotomy Liver and Spleen, Indocyanine Green Dye, use Intracranial Vein see Drainage, Ear, Nose, Sinus 099 Intraoperative BF56200 Neck and Head BW59Z1Z ICD-10-PCS In d ex ICD-10-PCS 120 2021 ICD-10-PCS

07_2021_ICD-10-PCS_Index.indd 120 12/7/20 4:12 PM ICD-10-PCS Index Other Imaging - Parasternal lymph node Other Imaging - Parasternal Imaging Other lymph node Other Imaging — continued Pacemaker — continued Palatine gland Pancreas, Indocyanine Green Dye, Intracardiac — continued use Buccal Mucosa Intraoperative BF57200 Atrium Palatine tonsil Spleen and Liver, Indocyanine Green Dye, Left 02H7 use Tonsils Intraoperative BF56200 Right 02H6 Palatine uvula Trunk BW52Z1Z Vein, Coronary 02H4 use Uvula Other New Technology Monoclonal Ventricle Palatoglossal muscle Antibody XW0 Left 02HL use Tongue, Palate, Pharynx Muscle Other New Technology Therapeutic Right 02HK Palatopharyngeal muscle Substance XW0 Removal of device from, Heart 02PA use Tongue, Palate, Pharynx Muscle Otic ganglion Revision of device in, Heart 02WA Palatoplasty use Head and Neck Sympathetic Nerve Single Chamber see Repair, Mouth and Throat 0CQ OTL-101 Abdomen 0JH8 see Replacement, Mouth and Throat 0CR use Hematopoietic Stem/Progenitor Cells, Chest 0JH6 see Supplement, Mouth and Throat 0CU Genetically Modified Single Chamber Rate Responsive Palatorrhaphy Otoplasty Abdomen 0JH8 see Repair, Mouth and Throat 0CQ see Repair, Ear, Nose, Sinus 09Q Chest 0JH6 Palmar (volar) digital vein see Replacement, Ear, Nose, Sinus 09R Packing use Hand Vein, Right see Supplement, Ear, Nose, Sinus 09U Abdominal Wall 2W43X5Z Otoscopy use Hand Vein, Left Anorectal 2Y43X5Z Palmar (volar) metacarpal vein see Inspection, Ear, Nose, Sinus 09J Arm Oval window use Hand Vein, Right Lower use Hand Vein, Left use Middle Ear, Right Left 2W4DX5Z use Middle Ear, Left Palmar cutaneous nerve Right 2W4CX5Z use Median Nerve Ovarian artery Upper use Abdominal Aorta use Radial Nerve Left 2W4BX5Z Ovarian ligament Palmar fascia (aponeurosis) Right 2W4AX5Z use Uterine Supporting Structure use Subcutaneous Tissue and Fascia, Right Back 2W45X5Z Ovariectomy Hand see Excision, Female Reproductive Chest Wall 2W44X5Z use Subcutaneous Tissue and Fascia, Left System 0UB Ear 2Y42X5Z Hand see Resection, Female Reproductive Extremity Palmar interosseous muscle System 0UT Lower use Hand Muscle, Right Ovariocentesis Left 2W4MX5Z use Hand Muscle, Left Right 2W4LX5Z see Drainage, Female Reproductive Palmar ulnocarpal ligament Upper System 0U9 use Wrist Bursa and Ligament, Right Left 2W49X5Z Ovariopexy use Wrist Bursa and Ligament, Left Right 2W48X5Z see Repair, Female Reproductive Palmaris longus muscle Face 2W41X5Z System 0UQ use Lower Arm and Wrist Muscle, Right Finger see Reposition, Female Reproductive use Lower Arm and Wrist Muscle, Left Left 2W4KX5Z System 0US Pancreatectomy Right 2W4JX5Z Ovariotomy see Excision, Pancreas 0FBG Foot see Division, Female Reproductive see Resection, Pancreas 0FTG Left 2W4TX5Z System 0U8 Pancreatic artery see Drainage, Female Reproductive Right 2W4SX5Z use Splenic Artery System 0U9 Genital Tract, Female 2Y44X5Z Pancreatic plexus Ovatio™ CRT-D Hand use Abdominal Sympathetic Nerve use Cardiac Resynchronization Defibrillator Left 2W4FX5Z Pulse Generator in 0JH Right 2W4EX5Z Pancreatic vein Oversewing Head 2W40X5Z use Splenic Vein Gastrointestinal ulcer see Repair, Inguinal Region Pancreaticoduodenostomy Gastrointestinal System 0DQ Left 2W47X5Z see Bypass, Hepatobiliary System and Pleural bleb see Repair, Respiratory Right 2W46X5Z Pancreas 0F1 System 0BQ Leg Pancreaticosplenic lymph node Oviduct Lower use Lymphatic, Aortic use Fallopian Tube, Right Left 2W4RX5Z Pancreatogram, endoscopic retrograde use Fallopian Tube, Left Right 2W4QX5Z see Fluoroscopy, Pancreatic Duct BF18 Oximetry, Fetal pulse 10H073Z Upper Pancreatolithotomy OXINIUM Left 2W4PX5Z see Extirpation, Pancreas 0FCG use Synthetic Substitute, Oxidized Right 2W4NX5Z Pancreatotomy Zirconium on Polyethylene in 0SR Mouth and Pharynx 2Y40X5Z see Division, Pancreas 0F8G Oxygenation Nasal 2Y41X5Z see Drainage, Pancreas 0F9G Extracorporeal membrane (ECMO) see Neck 2W42X5Z Panniculectomy Performance, Circulatory 5A15 Thumb see Excision, Skin, Abdomen 0HB7 Hyperbaric see Assistance, Left 2W4HX5Z see Excision, Subcutaneous Tissue and Circulatory 5A05 Right 2W4GX5Z Fascia, Abdomen 0JB8 Supersaturated see Assistance, Toe Paraaortic lymph node Circulatory 5A05 Left 2W4VX5Z use Lymphatic, Aortic Right 2W4UX5Z Paracentesis

Urethra 2Y45X5Z Eye see Drainage, Eye 089 ICD-10-PCS In d ex P Paclitaxel-eluting coronary stent Peritoneal Cavity see Drainage, Peritoneal use Intraluminal Device, Drug-eluting in Cavity 0W9G Pacemaker Heart and Great Vessels Tympanum see Drainage, Ear, Nose, Dual Chamber Paclitaxel-eluting peripheral stent Sinus 099 Abdomen 0JH8 use Intraluminal Device, Drug-eluting in Pararectal lymph node Chest 0JH6 Upper Arteries use Lymphatic, Mesenteric Intracardiac use Intraluminal Device, Drug-eluting in Parasternal lymph node Insertion of device in Lower Arteries use Lymphatic, Thorax

2021 ICD-10-PCS 121

07_2021_ICD-10-PCS_Index.indd 121 12/7/20 4:12 PM Plaque Radiation - Proctoperineorrhaphy ICD-10-PCS Index Plaque Radiation — continued Popliteal ligament Posterior spinal artery Tibia DPYBFZZ use Knee Bursa and Ligament, Right use Vertebral Artery, Right Tongue D9Y5FZZ use Knee Bursa and Ligament, Left use Vertebral Artery, Left Trachea DBY0FZZ Popliteal lymph node Posterior tibial recurrent artery Ulna DPY7FZZ use Lymphatic, Right Lower Extremity use Anterior Tibial Artery, Right Ureter DTY1FZZ use Lymphatic, Left Lower Extremity use Anterior Tibial Artery, Left Urethra DTY3FZZ Popliteal vein Posterior ulnar recurrent artery Uterus DUY2FZZ use Femoral Vein, Right use Ulnar Artery, Right Whole Body DWY5FZZ use Femoral Vein, Left use Ulnar Artery, Left Plasma, Convalescent (Nonautologous) XW1 Posterior vagal trunk Plasmapheresis, therapeutic use Lower Leg Muscle, Right use Vagus Nerve see Pheresis, Physiological Systems 6A5 use Lower Leg Muscle, Left PPN (peripheral parenteral nutrition) Plateletpheresis, therapeutic Porcine (bioprosthetic) valve see Introduction of Nutritional Substance see Pheresis, Physiological Systems 6A5 use Zooplastic Tissue in Heart and Great Preauricular lymph node Platysma muscle Vessels use Lymphatic, Head use Neck Muscle, Right Positive Blood Culture Fluorescence Precava use Neck Muscle, Left Hybridization for Organism use Superior Vena Cava Plazomicin Anti-infective XW0 Identification, Concentration and PRECICE intramedullary limb lengthening Pleurectomy Susceptibility XXE5XN6 system see Excision, Respiratory System 0BB Positive end expiratory pressure use Internal Fixation Device, Intramedullary see Resection, Respiratory System 0BT see Performance, Respiratory 5A19 Limb Lengthening in 0PH Pleurocentesis Positron Emission Tomographic (PET) use Internal Fixation Device, Intramedullary see Drainage, Anatomical Regions, Imaging Limb Lengthening in 0QH General 0W9 Brain C030 Prepatellar bursa Pleurodesis, pleurosclerosis Bronchi and Lungs CB32 use Knee Bursa and Ligament, Right Chemical injection see Introduction of Central Nervous System C03YYZZ use Knee Bursa and Ligament, Left

Plaque Radiation - Proctoperineorrhaphy substance in or on, Pleural Cavity 3E0L Heart C23YYZZ Preputiotomy Surgical see Destruction, Respiratory Lungs and Bronchi CB32 see Drainage, Male Reproductive System 0B5 Myocardium C23G System 0V9 Pleurolysis Respiratory System CB3YYZZ Pressure support ventilation see Release, Respiratory System 0BN Whole Body CW3NYZZ see Performance, Respiratory 5A19 Pleuroscopy 0BJQ4ZZ Positron emission tomography PRESTIGE® Cervical Disc Pleurotomy see Positron Emission Tomographic (PET) use Synthetic Substitute see Drainage, Respiratory System 0B9 Imaging Pretracheal fascia Plica semilunaris Postauricular (mastoid) lymph node use Subcutaneous Tissue and Fascia, Right use Conjunctiva, Right use Lymphatic, Right Neck Neck use Conjunctiva, Left use Lymphatic, Left Neck use Subcutaneous Tissue and Fascia, Left Plication Postcava Neck see Restriction use Inferior Vena Cava Prevertebral fascia Pneumectomy Posterior (subscapular) lymph node use Subcutaneous Tissue and Fascia, Right see Excision, Respiratory System 0BB use Lymphatic, Right Axillary Neck see Resection, Respiratory System 0BT use Lymphatic, Left Axillary use Subcutaneous Tissue and Fascia, Left Pneumocentesis Posterior auricular artery Neck see Drainage, Respiratory System 0B9 use External Carotid Artery, Right PrimeAdvanced neurostimulator Pneumogastric nerve use External Carotid Artery, Left (SureScan)(MRI Safe) use Vagus Nerve Posterior auricular nerve use Stimulator Generator, Multiple Array Pneumolysis use Facial Nerve in 0JH see Release, Respiratory System 0BN Posterior auricular vein Princeps pollicis artery Pneumonectomy use External Jugular Vein, Right use Hand Artery, Right see Resection, Respiratory System 0BT use External Jugular Vein, Left use Hand Artery, Left Pneumonolysis Posterior cerebral artery Probing, duct see Release, Respiratory System 0BN use Intracranial Artery Diagnostic see Inspection Pneumonopexy Posterior chamber Dilation see Dilation see Repair, Respiratory System 0BQ use Eye, Right PROCEED™ Ventral Patch see Reposition, Respiratory System 0BS use Eye, Left use Synthetic Substitute Pneumonorrhaphy Posterior circumflex humeral artery Procerus muscle see Repair, Respiratory System 0BQ use Axillary Artery, Right use Facial Muscle Pneumonotomy use Axillary Artery, Left Proctectomy see Drainage, Respiratory System 0B9 Posterior communicating artery see Excision, Rectum 0DBP Pneumotaxic center use Intracranial Artery see Resection, Rectum 0DTP use Pons Posterior cruciate ligament (PCL) Proctoclysis Pneumotomy use Knee Bursa and Ligament, Right see Introduction of substance in or on, see Drainage, Respiratory System 0B9 use Knee Bursa and Ligament, Left Gastrointestinal Tract, Lower 3E0H Pollicization Posterior facial (retromandibular) vein Proctocolectomy see Transfer, Anatomical Regions, Upper use Face Vein, Right see Excision, Gastrointestinal System 0DB Extremities 0XX use Face Vein, Left see Resection, Gastrointestinal System 0DT Polyethylene socket Posterior femoral cutaneous nerve Proctocolpoplasty use Synthetic Substitute, Polyethylene in 0SR use see Repair, Gastrointestinal System 0DQ Polymethylmethacrylate (PMMA) Posterior inferior cerebellar artery (PICA) see Supplement, Gastrointestinal use Synthetic Substitute use Intracranial Artery System 0DU Polypectomy, gastrointestinal Posterior interosseous nerve Proctoperineoplasty see Excision, Gastrointestinal System 0DB use Radial Nerve see Repair, Gastrointestinal System 0DQ Polypropylene mesh Posterior labial nerve see Supplement, Gastrointestinal use Synthetic Substitute use Pudendal Nerve System 0DU Polysomnogram 4A1ZXQZ Posterior scrotal nerve Proctoperineorrhaphy Pontine tegmentum use Pudendal Nerve see Repair, Gastrointestinal System 0DQ use Pons ICD-10-PCS In d ex ICD-10-PCS 126 2021 ICD-10-PCS

07_2021_ICD-10-PCS_Index.indd 126 12/7/20 4:12 PM Reconstruction - Release ICD-10-PCS Index Reconstruction Release Release — continued see Repair Acetabulum Artery — continued see Replacement Left 0QN5 Left 04NU see Supplement Right 0QN4 Right 04NT Rectectomy Adenoids 0CNQ Popliteal see Excision, Rectum 0DBP Ampulla of Vater 0FNC Left 04NN see Resection, Rectum 0DTP Anal Sphincter 0DNR Right 04NM Rectocele repair Anterior Chamber Posterior Tibial see Repair, Subcutaneous Tissue and Fascia, Left 08N33ZZ Left 04NS Pelvic Region 0JQC Right 08N23ZZ Right 04NR Rectopexy Anus 0DNQ Pulmonary see Repair, Gastrointestinal System 0DQ Aorta Left 02NR see Reposition, Gastrointestinal System 0DS Abdominal 04N0 Right 02NQ Rectoplasty Thoracic Pulmonary Trunk 02NP see Repair, Gastrointestinal System 0DQ Ascending/Arch 02NX Radial

Reconstruction - Release see Supplement, Gastrointestinal Descending 02NW Left 03NC System 0DU Aortic Body 0GND Right 03NB Rectorrhaphy Appendix 0DNJ Renal see Repair, Gastrointestinal System 0DQ Artery Left 04NA Rectoscopy 0DJD8ZZ Anterior Tibial Right 04N9 Rectosigmoid junction Left 04NQ Splenic 04N4 use Sigmoid Colon Right 04NP Subclavian Rectosigmoidectomy Axillary Left 03N4 see Excision, Gastrointestinal System 0DB Left 03N6 Right 03N3 see Resection, Gastrointestinal System 0DT Right 03N5 Superior Mesenteric 04N5 Rectostomy Brachial Temporal see Drainage, Rectum 0D9P Left 03N8 Left 03NT Rectotomy Right 03N7 Right 03NS see Drainage, Rectum 0D9P Celiac 04N1 Thyroid Rectus abdominis muscle Colic Left 03NV use Abdomen Muscle, Right Left 04N7 Right 03NU use Abdomen Muscle, Left Middle 04N8 Ulnar Right 04N6 Left 03NA use Upper Leg Muscle, Right Common Carotid Right 03N9 use Upper Leg Muscle, Left Left 03NJ Upper 03NY Recurrent laryngeal nerve Right 03NH Vertebral use Vagus Nerve Common Iliac Left 03NQ Reduction Left 04ND Right 03NP Dislocation see Reposition Right 04NC Atrium Fracture see Reposition Coronary Left 02N7 Intussusception, intestinal see Reposition, Four or More Arteries 02N3 Right 02N6 Gastrointestinal System 0DS One Artery 02N0 Auditory Ossicle Mammoplasty see Excision, Skin and Three Arteries 02N2 Left 09NA Breast 0HB Two Arteries 02N1 Right 09N9 Prolapse see Reposition External Carotid Basal Ganglia 00N8 Torsion see Reposition Left 03NN Bladder 0TNB Volvulus, gastrointestinal see Reposition, Right 03NM Bladder Neck 0TNC Gastrointestinal System 0DS External Iliac Bone Refusion Left 04NJ Ethmoid see Fusion Left 0NNG REGN-COV2 Monoclonal Antibody XW0 Right 04NH Face 03NR Right 0NNF Rehabilitation Frontal 0NN1 see Speech Assessment, Rehabilitation F00 Femoral Hyoid 0NNX see Motor Function Assessment, Left 04NL Lacrimal Rehabilitation F01 Right 04NK Left 0NNJ see Activities of Daily Living Assessment, Foot Right 0NNH Rehabilitation F02 Left 04NW Nasal 0NNB see Speech Treatment, Rehabilitation F06 Right 04NV Occipital 0NN7 see Motor Treatment, Rehabilitation F07 Gastric 04N2 Palatine see Activities of Daily Living Treatment, Hand Left 0NNL Rehabilitation F08 Left 03NF Right 0NNK see Hearing Treatment, Rehabilitation F09 Right 03ND see Cochlear Implant Treatment, Hepatic 04N3 Parietal Rehabilitation F0B Inferior Mesenteric 04NB Left 0NN4 see Vestibular Treatment, Innominate 03N2 Right 0NN3 Rehabilitation F0C Internal Carotid Pelvic see Device Fitting, Rehabilitation F0D Left 03NL Left 0QN3 see Caregiver Training, Rehabilitation F0F Right 03NK Right 0QN2 Reimplantation Internal Iliac Sphenoid 0NNC see Reattachment Left 04NF Temporal see Reposition Right 04NE Left 0NN6 see Transfer Internal Mammary Right 0NN5 Reinforcement Left 03N1 Zygomatic see Repair Right 03N0 Left 0NNN see Supplement Intracranial 03NG Right 0NNM Relaxation, scar tissue Lower 04NY Brain 00N0 see Release Peroneal Breast Bilateral 0HNV ICD-10-PCS In d ex ICD-10-PCS 130 2021 ICD-10-PCS

07_2021_ICD-10-PCS_Index.indd 130 12/7/20 4:12 PM Release - Removal of device from ICD-10-PCS Index Release — continued Release — continued Removal — continued Valve Vein — continued Toe Aortic 02NF Superior Mesenteric 06N5 Left 2W5VX Mitral 02NG Upper 05NY Right 2W5UX Pulmonary 02NH Vertebral Urethra 2Y55X5Z Tricuspid 02NJ Left 05NS Removal of device from Vas Deferens Right 05NR Abdominal Wall 0WPF Bilateral 0VNQ Vena Cava Acetabulum Left 0VNP Inferior 06N0 Left 0QP5 Right 0VNN Superior 02NV Right 0QP4 Vein Ventricle Anal Sphincter 0DPR Axillary Left 02NL Anus 0DPQ Left 05N8 Right 02NK Artery Right 05N7 Vertebra Lower 04PY Cervical 0PN3 Azygos 05N0 Upper 03PY Lumbar 0QN0 Basilic Back Thoracic 0PN4 Left 05NC Vesicle Lower 0WPL Right 05NB Bilateral 0VN3 Upper 0WPK Brachial Left 0VN2 Bladder 0TPB Left 05NA Right 0VN1 Bone Right 05N9 Facial 0NPW

Release - Removal of device from of device Release - Removal Vitreous Cephalic Left 08N53ZZ Lower 0QPY Left 05NF Right 08N43ZZ Nasal 0NPB Right 05ND Vocal Cord Pelvic Colic 06N7 Left 0CNV Left 0QP3 Common Iliac Right 0CNT Right 0QP2 Left 06ND Vulva 0UNM Upper 0PPY Right 06NC Relocation Bone Marrow 07PT Coronary 02N4 see Reposition Brain 00P0 Esophageal 06N3 Remdesivir Anti-infective XW0 Breast External Iliac Removal Left 0HPU Left 06NG Abdominal Wall 2W53X Right 0HPT Right 06NF Anorectal 2Y53X5Z Bursa and Ligament External Jugular Arm Lower 0MPY Left 05NQ Lower Upper 0MPX Right 05NP Left 2W5DX Carpal Face Right 2W5CX Left 0PPN Left 05NV Upper Right 0PPM Right 05NT Left 2W5BX Cavity, Cranial 0WP1 Femoral Right 2W5AX Cerebral Ventricle 00P6 Left 06NN Back 2W55X Chest Wall 0WP8 Right 06NM Chest Wall 2W54X Cisterna Chyli 07PL Foot Ear 2Y52X5Z Clavicle Extremity Left 06NV Left 0PPB Lower Right 06NT Right 0PP9 Left 2W5MX Gastric 06N2 Right 2W5LX Coccyx 0QPS Hand Upper Diaphragm 0BPT Left 05NH Left 2W59X Disc Right 05NG Right 2W58X Cervical Vertebral 0RP3 Hemiazygos 05N1 Face 2W51X Cervicothoracic Vertebral 0RP5 Hepatic 06N4 Finger Lumbar Vertebral 0SP2 Hypogastric Left 2W5KX Lumbosacral 0SP4 Left 06NJ Right 2W5JX Thoracic Vertebral 0RP9 Right 06NH Foot Thoracolumbar Vertebral 0RPB Inferior Mesenteric 06N6 Left 2W5TX Duct Innominate Right 2W5SX Hepatobiliary 0FPB Left 05N4 Genital Tract, Female 2Y54X5Z Pancreatic 0FPD Right 05N3 Hand Ear Internal Jugular Left 2W5FX Inner Left 05NN Right 2W5EX Left 09PE Right 05NM Head 2W50X Right 09PD Intracranial 05NL Inguinal Region Left 09PJ Lower 06NY Left 2W57X Right 09PH Portal 06N8 Right 2W56X Epididymis and Spermatic Cord 0VPM Pulmonary Leg Esophagus 0DP5 Left 02NT Lower Extremity Right 02NS Left 2W5RX Lower Renal Right 2W5QX Left 0YPB Left 06NB Upper Right 0YP9 Right 06N9 Left 2W5PX Upper Saphenous Right 2W5NX Left 0XP7 Left 06NQ Mouth and Pharynx 2Y50X5Z Right 0XP6 Nasal 2Y51X5Z Right 06NP Eye Neck 2W52X Splenic 06N1 Left 08P1 Thumb Subclavian Left 2W5HX Right 08P0 Left 05N6 Right 2W5GX Face 0WP2 Right 05N5 Fallopian Tube 0UP8 ICD-10-PCS In d ex ICD-10-PCS 134 2021 ICD-10-PCS

07_2021_ICD-10-PCS_Index.indd 134 12/7/20 4:12 PM ICD-10-PCS Index Rhytidectomy - Seprafilm Rhytidectomy - Seprafilm Rhytidectomy SAVAL below-the-knee (BTK) drug-eluting see Alteration, Face 0W02 S stent system — continued Right use Intraluminal Device, Sustained Release S-ICD™ lead use Azygos Vein Drug-eluting, Four or More in New use Subcutaneous Defibrillator Lead in Technology Right atrioventricular valve Subcutaneous Tissue and Fascia use Tricuspid Valve Scalene muscle Sacral ganglion use Neck Muscle, Right Right auricular appendix use Sacral Sympathetic Nerve use Atrium, Right use Neck Muscle, Left Sacral lymph node Scan Right colic vein use Lymphatic, Pelvis Computerized Tomography (CT) see use Colic Vein Sacral nerve modulation (SNM) lead Computerized Tomography (CT Scan) Right coronary sulcus use Stimulator Lead in Urinary System Radioisotope see Planar Nuclear Medicine use Heart, Right Sacral neuromodulation lead Imaging Right gastric artery use Stimulator Lead in Urinary System Scaphoid bone use Gastric Artery Sacral splanchnic nerve use Carpal, Right Right gastroepiploic vein use Sacral Sympathetic Nerve use Carpal, Left use Superior Mesenteric Vein Sacrectomy Scapholunate ligament Right inferior phrenic vein see Excision, Lower Bones 0QB use Wrist Bursa and Ligament, Right use Inferior Vena Cava Sacrococcygeal ligament Right inferior pulmonary vein use Lower Spine Bursa and Ligament use Wrist Bursa and Ligament, Left use Pulmonary Vein, Right Sacrococcygeal symphysis Scaphotrapezium ligament use Hand Bursa and Ligament, Right Right jugular trunk use Sacrococcygeal Joint use Hand Bursa and Ligament, Left use Lymphatic, Right Neck Sacroiliac ligament Scapulectomy Right lateral ventricle use Lower Spine Bursa and Ligament see Excision, Upper Bones 0PB use Cerebral Ventricle Sacrospinous ligament see Resection, Upper Bones 0PT Right lymphatic duct use Lower Spine Bursa and Ligament Scapulopexy use Lymphatic, Right Neck Sacrotuberous ligament see Repair, Upper Bones 0PQ Right ovarian vein use Lower Spine Bursa and Ligament Salpingectomy see Reposition, Upper Bones 0PS use Inferior Vena Cava Scarpa's (vestibular) ganglion Right second lumbar vein see Excision, Female Reproductive System 0UB use Acoustic Nerve use Inferior Vena Cava Sclerectomy Right subclavian trunk see Resection, Female Reproductive System 0UT see Excision, Eye 08B use Lymphatic, Right Neck Sclerotherapy, mechanical Right subcostal vein Salpingolysis see Release, Female Reproductive see Destruction use Azygos Vein Sclerotherapy, via injection of sclerosing Right superior pulmonary vein System 0UN Salpingopexy agent use Pulmonary Vein, Right see Repair, Female Reproductive see Introduction, Destructive Agent Right suprarenal vein System 0UQ Sclerotomy use Inferior Vena Cava see Reposition, Female Reproductive see Drainage, Eye 089 Right testicular vein System 0US Scrotectomy use Inferior Vena Cava Salpingopharyngeus muscle see Excision, Male Reproductive Rima glottidis use Tongue, Palate, Pharynx Muscle System 0VB use Larynx Salpingoplasty see Resection, Male Reproductive Risorius muscle see Repair, Female Reproductive System 0VT use Facial Muscle System 0UQ Scrotoplasty RNS System lead see Supplement, Female Reproductive see Repair, Male Reproductive use Neurostimulator Lead in Central System 0UU System 0VQ Nervous System and Cranial Nerves Salpingorrhaphy see Supplement, Male Reproductive RNS system neurostimulator generator see Repair, Female Reproductive System 0VU use Neurostimulator Generator in Head System 0UQ Scrotorrhaphy and Facial Bones Salpingoscopy 0UJ88ZZ see Repair, Male Reproductive System 0VQ Robotic Assisted Procedure Salpingostomy Scrototomy Extremity see Drainage, Female Reproductive see Drainage, Male Reproductive Lower 8E0Y System 0U9 System 0V9 Upper 8E0X Salpingotomy Sebaceous gland Head and Neck Region 8E09 see Drainage, Female Reproductive use Skin Trunk Region 8E0W System 0U9 Second cranial nerve Robotic Waterjet Ablation, Destruction, Salpinx use Optic Nerve Prostate XV508A4 use Fallopian Tube, Right Section, cesarean Rotation of fetal head use Fallopian Tube, Left see Extraction, Pregnancy 10D Forceps 10S07ZZ Saphenous nerve Secura (DR) (VR) Manual 10S0XZZ use Femoral Nerve use Defibrillator Generator in 0JH Round ligament of uterus SAPIEN transcatheter aortic valve Sella turcica use Uterine Supporting Structure use Zooplastic Tissue in Heart and Great use Sphenoid Bone Round window Vessels Semicircular canal use Inner Ear, Right Sarilumab XW0 use Inner Ear, Right use Inner Ear, Left use Inner Ear, Left Roux-en-Y operation use Upper Leg Muscle, Right see Bypass, Gastrointestinal System 0D1 use Upper Leg Muscle, Left use Upper Leg Muscle, Right ICD-10-PCS In d ex see Bypass, Hepatobiliary System and SAVAL below-the-knee (BTK) drug-eluting use Upper Leg Muscle, Left Pancreas 0F1 stent system Rupture use Intraluminal Device, Sustained Release use Upper Leg Muscle, Right Drug-eluting in New Technology Adhesions see Release use Upper Leg Muscle, Left use Intraluminal Device, Sustained Release Fluid collection see Drainage Sentinel ™ Cerebral Protection System Drug-eluting, Two in New Technology Ruxolitinib XW0DXT5 (CPS) X2A5312 use Intraluminal Device, Sustained Release Seprafilm Drug-eluting, Three in New Technology use Adhesion Barrier

2021 ICD-10-PCS 153

07_2021_ICD-10-PCS_Index.indd 153 12/7/20 4:12 PM ICD-10-PCS Index Tibioperoneal trunk - Traction Tibioperoneal trunk - Traction Tibioperoneal trunk Tomographic (Tomo) Nuclear Medicine Tonsillotomy use Popliteal Artery, Right Imaging see Drainage, Mouth and Throat 0C9 use Popliteal Artery, Left Abdomen CW20 Total Anomalous Pulmonary Venous Tisagenlecleucel Abdomen and Chest CW24 Return (TAPVR) repair use Engineered Autologous Chimeric Abdomen and Pelvis CW21 see Bypass, Atrium, Left 0217 Antigen Receptor T-cell Immunotherapy Anatomical Regions, Multiple CW2YYZZ see Bypass, Vena Cava, Superior 021V Tissue bank graft Bladder, Kidneys and Ureters CT23 Total artificial (replacement) heart use Nonautologous Tissue Substitute Brain C020 use Synthetic Substitute Tissue Expander Breast CH2YYZZ Total parenteral nutrition (TPN) Insertion of device in Bilateral CH22 see Introduction of Nutritional Substance Breast Left CH21 Trachectomy Bilateral 0HHV Right CH20 see Excision, Trachea 0BB1 Left 0HHU Bronchi and Lungs CB22 see Resection, Trachea 0BT1 Right 0HHT Central Nervous System C02YYZZ Trachelectomy Nipple Cerebrospinal Fluid C025 see Excision, Cervix 0UBC Left 0HHX Chest CW23 see Resection, Cervix 0UTC Right 0HHW Chest and Abdomen CW24 Trachelopexy Subcutaneous Tissue and Fascia Chest and Neck CW26 see Repair, Cervix 0UQC Abdomen 0JH8 Digestive System CD2YYZZ see Reposition, Cervix 0USC Back 0JH7 Endocrine System CG2YYZZ Tracheloplasty Buttock 0JH9 Extremity see Repair, Cervix 0UQC Chest 0JH6 Lower CW2D Trachelorrhaphy Face 0JH1 Bilateral CP2F see Repair, Cervix 0UQC Foot Left CP2D Trachelotomy Left 0JHR Right CP2C see Drainage, Cervix 0U9C Right 0JHQ Upper CW2M Tracheobronchial lymph node Hand Bilateral CP2B use Lymphatic, Thorax Left 0JHK Left CP29 Tracheoesophageal fistulization 0B110D6 Right 0JHJ Right CP28 Tracheolysis Lower Arm Gallbladder CF24 see Release, Respiratory System 0BN Gastrointestinal Tract CD27 Left 0JHH Tracheoplasty Gland, Parathyroid CG21 Right 0JHG see Repair, Respiratory System 0BQ Head and Neck CW2B Lower Leg see Supplement, Respiratory System 0BU Heart C22YYZZ Left 0JHP Tracheorrhaphy Right and Left C226 Right 0JHN see Repair, Respiratory System 0BQ Hepatobiliary System and Neck Tracheoscopy 0BJ18ZZ Pancreas CF2YYZZ Left 0JH5 Kidneys, Ureters and Bladder CT23 Tracheostomy Right 0JH4 Liver CF25 see Bypass, Respiratory System 0B1 Pelvic Region 0JHC Liver and Spleen CF26 Tracheostomy Device Perineum 0JHB Lungs and Bronchi CB22 Bypass, Trachea 0B11 Scalp 0JH0 Lymphatics and Hematologic Change device in, Trachea 0B21XFZ Upper Arm System C72YYZZ Removal of device from, Trachea 0BP1 Left 0JHF Musculoskeletal System, Other CP2YYZZ Revision of device in, Trachea 0BW1 Right 0JHD Myocardium C22G Tracheostomy tube Upper Leg Neck and Chest CW26 use Tracheostomy Device in Respiratory Left 0JHM Neck and Head CW2B System Right 0JHL Pancreas and Hepatobiliary Tracheotomy Removal of device from System CF2YYZZ see Drainage, Respiratory System 0B9 Breast Pelvic Region CW2J Traction Left 0HPU Pelvis CP26 Abdominal Wall 2W63X Right 0HPT Pelvis and Abdomen CW21 Arm Subcutaneous Tissue and Fascia Pelvis and Spine CP27 Lower Head and Neck 0JPS Respiratory System CB2YYZZ Left 2W6DX Lower Extremity 0JPW Skin CH2YYZZ Right 2W6CX Trunk 0JPT Skull CP21 Upper Upper Extremity 0JPV Skull and Cervical Spine CP23 Left 2W6BX Revision of device in Spine Right 2W6AX Breast Cervical CP22 Back 2W65X Left 0HWU Cervical and Skull CP23 Chest Wall 2W64X Right 0HWT Lumbar CP2H Extremity Subcutaneous Tissue and Fascia Thoracic CP2G Lower Head and Neck 0JWS Thoracolumbar CP2J Left 2W6MX Lower Extremity 0JWW Spine and Pelvis CP27 Right 2W6LX Trunk 0JWT Spleen C722 Upper Upper Extremity 0JWV Spleen and Liver CF26 Left 2W69X Tissue expander (inflatable)(injectable) Subcutaneous Tissue CH2YYZZ Right 2W68X use Tissue Expander in Skin and Breast Thorax CP24 Face 2W61X use Tissue Expander in Subcutaneous Ureters, Kidneys and Bladder CT23 Finger

Tissue and Fascia Urinary System CT2YYZZ Left 2W6KX ICD-10-PCS In d ex Tissue Plasminogen Activator (tPA)(r-tPA) Tomography, computerized Right 2W6JX use Other Thrombolytic see Computerized Tomography (CT Scan) Foot Titanium Sternal Fixation System (TSFS) Tongue, base of Left 2W6TX use Internal Fixation Device, Rigid Plate use Pharynx Right 2W6SX in 0PH Tonometry 4A07XBZ Hand use Internal Fixation Device, Rigid Plate Tonsillectomy Left 2W6FX in 0PS see Excision, Mouth and Throat 0CB Right 2W6EX Tocilizumab XW0 see Resection, Mouth and Throat 0CT Head 2W60X

2021 ICD-10-PCS 165

07_2021_ICD-10-PCS_Index.indd 165 12/7/20 4:12 PM Vaginoplasty - Viva (XT)(S) ICD-10-PCS Index Vaginoplasty Vasography Vermiform appendix see Repair, Vagina 0UQG see Plain Radiography, Male Reproductive use Appendix see Supplement, Vagina 0UUG System BV0 Vermilion border Vaginorrhaphy see Fluoroscopy, Male Reproductive use Upper Lip see Repair, Vagina 0UQG System BV1 use Lower Lip Vaginoscopy 0UJH8ZZ Vasoligation Versa Vaginotomy see Occlusion, Male Reproductive use Pacemaker, Dual Chamber in 0JH see Drainage, Female Reproductive System 0VL Version, obstetric System 0U9 Vasorrhaphy External 10S0XZZ Vagotomy see Repair, Male Reproductive System 0VQ Internal 10S07ZZ see Division, Nerve, Vagus 008Q Vasostomy Vertebral arch Valiant Thoracic Stent Graft see Bypass, Male Reproductive System 0V1 use Cervical Vertebra use Intraluminal Device Vasotomy use Thoracic Vertebra Valvotomy, valvulotomy Drainage see Drainage, Male Reproductive use Lumbar Vertebra see Division, Heart and Great Vessels 028 System 0V9 Vertebral body see Release, Heart and Great Vessels 02N With ligation see Occlusion, Male use Cervical Vertebra Reproductive System 0VL Vaginoplasty - Viva (XT)(S)Viva - Vaginoplasty Valvuloplasty use Thoracic Vertebra Vasovasostomy see Repair, Heart and Great Vessels 02Q use Lumbar Vertebra see Repair, Male Reproductive System 0VQ see Replacement, Heart and Great Vertebral canal Vastus intermedius muscle Vessels 02R use Spinal Canal use Upper Leg Muscle, Right see Supplement, Heart and Great Vertebral foramen use Upper Leg Muscle, Left Vessels 02U use Cervical Vertebra Valvuloplasty, Alfieri Stitch use Upper Leg Muscle, Right use Thoracic Vertebra see Restriction, Valve, Mitral 02VG use Lumbar Vertebra Vascular Access Device use Upper Leg Muscle, Left muscle Vertebral lamina Totally Implantable use Cervical Vertebra Insertion of device in use Upper Leg Muscle, Right use Upper Leg Muscle, Left use Thoracic Vertebra Abdomen 0JH8 use Lumbar Vertebra Chest 0JH6 VCG (vectorcardiogram) Vertebral pedicle Lower Arm see Measurement, Cardiac 4A02 use Cervical Vertebra Left 0JHH Vectra® Vascular Access Graft use Thoracic Vertebra Right 0JHG use Vascular Access Device, Tunneled in use Lumbar Vertebra Lower Leg Subcutaneous Tissue and Fascia Vesical vein Left 0JHP Veklury use Remdesivir Anti-infective use Hypogastric Vein, Right Right 0JHN Venclexta® use Hypogastric Vein, Left Upper Arm use Venetoclax Antineoplastic Left 0JHF Venectomy Vesicotomy Right 0JHD see Excision, Upper Veins 05B see Drainage, Urinary System 0T9 Upper Leg see Excision, Lower Veins 06B Vesiculectomy Left 0JHM Venetoclax Antineoplastic XW0DXR5 see Excision, Male Reproductive Right 0JHL Venography System 0VB see Plain Radiography, Veins B50 Removal of device from see Resection, Male Reproductive see Fluoroscopy, Veins B51 Lower Extremity 0JPW System 0VT Venorrhaphy Trunk 0JPT Vesiculogram, seminal see Repair, Upper Veins 05Q Upper Extremity 0JPV see Plain Radiography, Male Reproductive see Repair, Lower Veins 06Q Revision of device in System BV0 Venotripsy Lower Extremity 0JWW Vesiculotomy see Occlusion, Upper Veins 05L Trunk 0JWT see Drainage, Male Reproductive see Occlusion, Lower Veins 06L Upper Extremity 0JWV System 0V9 Ventricular fold Vestibular (Scarpa's) ganglion Tunneled use Larynx Insertion of device in use Acoustic Nerve Ventriculoatriostomy Vestibular Assessment F15Z Abdomen 0JH8 see Bypass, Central Nervous System and Chest 0JH6 Vestibular nerve Cranial Nerves 001 use Acoustic Nerve Lower Arm Ventriculocisternostomy Vestibular Treatment F0C Left 0JHH see Bypass, Central Nervous System and Vestibulocochlear nerve Right 0JHG Cranial Nerves 001 use Acoustic Nerve Lower Leg Ventriculogram, cardiac Left 0JHP Combined left and right heart see VH-IVUS (virtual histology intravascular Right 0JHN Fluoroscopy, Heart, Right and Left B216 ultrasound) Upper Arm Left ventricle see Fluoroscopy, Heart, see Ultrasonography, Heart B24 Left 0JHF Left B215 Virchow's (supraclavicular) lymph node Right 0JHD Right ventricle see Fluoroscopy, Heart, use Lymphatic, Right Neck Upper Leg Right B214 use Lymphatic, Left Neck Left 0JHM Ventriculopuncture, through previously Virtuoso (II) (DR) (VR) Right 0JHL implanted catheter 8C01X6J use Defibrillator Generator in 0JH Removal of device from Ventriculoscopy 00J04ZZ Vistogard® Lower Extremity 0JPW Ventriculostomy use Uridine Triacetate Trunk 0JPT External drainage see Drainage, Cerebral Vitrectomy Upper Extremity 0JPV Ventricle 0096 see Excision, Eye 08B Revision of device in Internal shunt see Bypass, Cerebral see Resection, Eye 08T Lower Extremity 0JWW Ventricle 0016 Vitreous body Trunk 0JWT Ventriculovenostomy use Vitreous, Right Upper Extremity 0JWV see Bypass, Cerebral Ventricle 0016 use Vitreous, Left Vasectomy Ventrio™ Hernia Patch Viva (XT)(S) see Excision, Male Reproductive use Synthetic Substitute use Cardiac Resynchronization Defibrillator System 0VB VEP (visual evoked potential) 4A07X0Z Pulse Generator in 0JH ICD-10-PCS In d e x ICD-10-PCS 170 2021 ICD-10-PCS