ICD-10-PCS master list 1 Disclaimer: The information provided herein reflects Cook’s understanding of the procedure(s) and/or device(s) from sources that may include, but are not limited to, the ICD-9 and ICD-10 coding systems, commercially available coding guides, professional societies, and research conducted by independent coding and reimbursement consultants. This information should not be construed as authoritative. The entity billing Medicare and/or third-party payers is solely responsible for the accuracy of the codes assigned to the services and items in the medical record. Cook does not, and should not, have access to medical records, and therefore cannot recommend codes for specific cases. When you are making coding decisions, we encourage you to seek input from the American Hospital Association (AHA), relevant medical societies, the Centers for Medicare & Medicaid Services (CMS), your local Medicare Administrative Contractor, and other health plans to which you submit claims. Cook does not promote the off-label use of its devices. This is not an exhaustive list of codes that can and/or will be reported for procedures in which Cook devices are utilized. If you have questions about specific information in this document, or about something you do not see in this document, please do not hesitate to contact our reimbursement team. If you have any questions, please contact our reimbursement team by phone at 800.468.1379 or by e-mail at [email protected]. 2 Contents Aortic Intervention ..................................................................................................... 5 Abdominal Aortic Aneurysm ..................................................................................... 5 Fenestrated Abdominal Aortic Aneurysm ................................................................. 5 Thoracic Aortic Aneurysm ........................................................................................ 5 Endoscopy ................................................................................................................. 6 Biliary and Pancreatic............................................................................................... 6 Diagnostic Endoscopy ............................................................................................ 12 Endoscopic Dilation ................................................................................................ 15 Removal of Tumor(s), Polyp(s) or Other Lesion(s) ................................................. 16 Hemostasis and Varices Treatment ........................................................................ 19 Endoscopic Stenting .............................................................................................. 22 Enteral Feeding ...................................................................................................... 23 Endoscopic Submucosal Injections ........................................................................ 24 Transendoscopic Fine Needle Biopsy .................................................................... 25 Endobronchial Ultrasound (EBUS) Biopsy .............................................................. 28 Interventional Radiology ......................................................................................... 32 Enterocutaneous Fistula ......................................................................................... 32 Vertebroplasty ........................................................................................................ 33 Transjugular Liver and Kidney Biopsy .................................................................... 33 Paracentesis and Thoracentesis ............................................................................ 34 Uterine Fibroid Embolization .................................................................................. 35 Embolization and Occlusion ................................................................................... 35 Lead Management ................................................................................................... 53 Lead Extraction ...................................................................................................... 53 Otolaryngology and Head & Neck Surgery ............................................................ 54 Ultrasound-Guided Thyroid Biopsy ......................................................................... 54 Esophageal Dilation ............................................................................................... 54 Skull Base Surgery ................................................................................................. 54 Duraplasty .............................................................................................................. 55 Sialendoscopy ........................................................................................................ 56 Nasal Septal Perforation Repair ............................................................................. 56 Peripheral Intervention ............................................................................................ 57 3 Lower Extremity Stenting ....................................................................................... 57 Zilver PTX .............................................................................................................. 58 IVC Filters .............................................................................................................. 58 Renal Stenting........................................................................................................ 59 Reproductive Health ................................................................................................ 60 Bakri Balloon .......................................................................................................... 60 Hysteroscopy ......................................................................................................... 60 Surgery ..................................................................................................................... 62 Ventral and Incisional Hernia Repair ...................................................................... 62 Anal Fistula ............................................................................................................ 62 Rectovaginal Fistula ............................................................................................... 62 Urology ..................................................................................................................... 63 Temporary Ureteral Stent Placement and Removal ............................................... 63 Pneumatic Lithotripsy ............................................................................................. 63 4 Aortic Intervention ICD- ICD-10- 9-CM ICD-9-CM Description PCS ICD-10-PCS Description Code Code Abdominal Aortic Aneurysm 39.71 Endovascular implantation of 04V03DZ Restriction of Abdominal Aorta other graft in abdominal aorta with Intraluminal Device, Percutaneous Approach Fenestrated Abdominal Aortic Aneurysm 39.78 Endovascular implantation of 04V03DZ Restriction of Abdominal Aorta branching or fenestrated grafts with Intraluminal Device, Percutaneous Approach 047A3DZ Dilation of Left Renal Artery with Intraluminal Device, Percutaneous Approach 04793DZ Dilation of Right Renal Artery with Intraluminal Device, Percutaneous Approach Thoracic Aortic Aneurysm 39.73 Endovascular implantation of 02VW3DZ Restriction of Thoracic Aorta graft in thoracic aorta with Intraluminal Device, Percutaneous Approach 5 Endoscopy ICD- ICD-10- 9-CM ICD-9-CM Description PCS ICD-10-PCS Description Code Code Biliary and Pancreatic 51.10 Endoscopic retrograde 0FJB8ZZ Inspection of Hepatobiliary cholangiopancreatography [ERCP] Duct, Via Natural or Artificial Opening Endoscopic 0FJD8ZZ Inspection of Pancreatic Duct, Via Natural or Artificial Opening Endoscopic 51.11 Endoscopic retrograde 0FJB8ZZ Inspection of Hepatobiliary cholangiography [ERC] Duct, Via Natural or Artificial Opening Endoscopic 51.14 Other closed [endoscopic] biopsy 0FB58ZX Excision of Right Hepatic of biliary duct or sphincter of Oddi Duct, Via Natural or Artificial Opening Endoscopic, Diagnostic 0FB68ZX Excision of Left Hepatic Duct, Via Natural or Artificial Opening Endoscopic, Diagnostic 0FB88ZX Excision of Cystic Duct, Via Natural or Artificial Opening Endoscopic, Diagnostic 0FB98ZX Excision of Common Bile Duct, Via Natural or Artificial Opening Endoscopic, Diagnostic 0FBC8ZZ Excision of Ampulla of Vater, Via Natural or Artificial Opening Endoscopic, Diagnostic 51.15 Pressure measurement of 4A0C8BZ Measurement of Biliary sphincter of Oddi Pressure, Via Natural or Artificial Opening Endoscopic 51.64 Endoscopic excision or destruction 0F558ZZ Destruction of Right Hepatic of lesion of biliary ducts or Duct, Via Natural or Artificial sphincter of Oddi Opening Endoscopic 0F568ZZ Destruction of Left Hepatic Duct, Via Natural or Artificial Opening Endoscopic 6 ICD- ICD-10- 9-CM ICD-9-CM Description PCS ICD-10-PCS Description Code Code 51.64 0F588ZZ Destruction of Cystic Duct, Cont. Via Natural or Artificial Opening Endoscopic 0F598ZZ Destruction of Common Bile Duct, Via Natural or Artificial Opening Endoscopic 0F5C8ZZ Destruction of Ampulla of Vater, Via Natural or Artificial Opening Endoscopic 0FB58ZZ Excision of Right Hepatic Duct, Via Natural or Artificial Opening Endoscopic 0FB68ZZ Excision of Left Hepatic Duct, Via Natural