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ICD-10-PCS Code Lookup

PCS Tables

031

0 Medical and Surgical
3 Upper Arteries
1 Bypass: Altering the route of passage of the contents of a tubular body part
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
Body System (Character 4)
2 Innominate Artery
Approach (Character 5)
0 Open
Substance (Character 6)
9 Autologous Venous Tissue
A Autologous Arterial Tissue
J Synthetic Substitute
K Nonautologous Tissue Substitute
Z No Device
Qualifier (Character 7)
0 Upper Arm Artery, Right
1 Upper Arm Artery, Left
2 Upper Arm Artery, Bilateral
3 Lower Arm Artery, Right
4 Lower Arm Artery, Left
5 Lower Arm Artery, Bilateral
6 Upper Leg Artery, Right
7 Upper Leg Artery, Left
8 Upper Leg Artery, Bilateral
9 Lower Leg Artery, Right
B Lower Leg Artery, Left
C Lower Leg Artery, Bilateral
D Upper Arm Vein
F Lower Arm Vein
J Extracranial Artery, Right
K Extracranial Artery, Left
W Lower Extremity Vein
Body System (Character 4)
3 Subclavian Artery, Right
4 Subclavian Artery, Left
Approach (Character 5)
0 Open
Substance (Character 6)
9 Autologous Venous Tissue
A Autologous Arterial Tissue
J Synthetic Substitute
K Nonautologous Tissue Substitute
Z No Device
Qualifier (Character 7)
0 Upper Arm Artery, Right
1 Upper Arm Artery, Left
2 Upper Arm Artery, Bilateral
3 Lower Arm Artery, Right
4 Lower Arm Artery, Left
5 Lower Arm Artery, Bilateral
6 Upper Leg Artery, Right
7 Upper Leg Artery, Left
8 Upper Leg Artery, Bilateral
9 Lower Leg Artery, Right
B Lower Leg Artery, Left
C Lower Leg Artery, Bilateral
D Upper Arm Vein
F Lower Arm Vein
J Extracranial Artery, Right
K Extracranial Artery, Left
M Pulmonary Artery, Right
N Pulmonary Artery, Left
W Lower Extremity Vein
Body System (Character 4)
5 Axillary Artery, Right
6 Axillary Artery, Left
Approach (Character 5)
0 Open
Substance (Character 6)
9 Autologous Venous Tissue
A Autologous Arterial Tissue
J Synthetic Substitute
K Nonautologous Tissue Substitute
Z No Device
Qualifier (Character 7)
0 Upper Arm Artery, Right
1 Upper Arm Artery, Left
2 Upper Arm Artery, Bilateral
3 Lower Arm Artery, Right
4 Lower Arm Artery, Left
5 Lower Arm Artery, Bilateral
6 Upper Leg Artery, Right
7 Upper Leg Artery, Left
8 Upper Leg Artery, Bilateral
9 Lower Leg Artery, Right
B Lower Leg Artery, Left
C Lower Leg Artery, Bilateral
D Upper Arm Vein
F Lower Arm Vein
J Extracranial Artery, Right
K Extracranial Artery, Left
T Abdominal Artery
V Superior Vena Cava
W Lower Extremity Vein
Body System (Character 4)
7 Brachial Artery, Right
Approach (Character 5)
0 Open
Substance (Character 6)
9 Autologous Venous Tissue
A Autologous Arterial Tissue
J Synthetic Substitute
K Nonautologous Tissue Substitute
Z No Device
Qualifier (Character 7)
0 Upper Arm Artery, Right
3 Lower Arm Artery, Right
D Upper Arm Vein
F Lower Arm Vein
V Superior Vena Cava
W Lower Extremity Vein
Body System (Character 4)
8 Brachial Artery, Left
Approach (Character 5)
0 Open
Substance (Character 6)
9 Autologous Venous Tissue
A Autologous Arterial Tissue
J Synthetic Substitute
K Nonautologous Tissue Substitute
Z No Device
Qualifier (Character 7)
1 Upper Arm Artery, Left
4 Lower Arm Artery, Left
D Upper Arm Vein
F Lower Arm Vein
V Superior Vena Cava
W Lower Extremity Vein
Body System (Character 4)
9 Ulnar Artery, Right
B Radial Artery, Right
Approach (Character 5)
0 Open
Substance (Character 6)
9 Autologous Venous Tissue
A Autologous Arterial Tissue
J Synthetic Substitute
K Nonautologous Tissue Substitute
Z No Device
Qualifier (Character 7)
3 Lower Arm Artery, Right
F Lower Arm Vein
Body System (Character 4)
9 Ulnar Artery, Right
B Radial Artery, Right
Approach (Character 5)
3 Percutaneous
Substance (Character 6)
Z No Device
Qualifier (Character 7)
F Lower Arm Vein
Body System (Character 4)
A Ulnar Artery, Left
C Radial Artery, Left
Approach (Character 5)
0 Open
Substance (Character 6)
9 Autologous Venous Tissue
A Autologous Arterial Tissue
J Synthetic Substitute
K Nonautologous Tissue Substitute
Z No Device
Qualifier (Character 7)
4 Lower Arm Artery, Left
F Lower Arm Vein
Body System (Character 4)
A Ulnar Artery, Left
C Radial Artery, Left
Approach (Character 5)
3 Percutaneous
Substance (Character 6)
Z No Device
Qualifier (Character 7)
F Lower Arm Vein
Body System (Character 4)
G Intracranial Artery
S Temporal Artery, Right
T Temporal Artery, Left
Approach (Character 5)
0 Open
Substance (Character 6)
9 Autologous Venous Tissue
A Autologous Arterial Tissue
J Synthetic Substitute
K Nonautologous Tissue Substitute
Z No Device
Qualifier (Character 7)
G Intracranial Artery
Body System (Character 4)
H Common Carotid Artery, Right
J Common Carotid Artery, Left
Approach (Character 5)
0 Open
Substance (Character 6)
9 Autologous Venous Tissue
A Autologous Arterial Tissue
J Synthetic Substitute
K Nonautologous Tissue Substitute
Z No Device
Qualifier (Character 7)
G Intracranial Artery
J Extracranial Artery, Right
K Extracranial Artery, Left
Y Upper Artery
Body System (Character 4)
K Internal Carotid Artery, Right
L Internal Carotid Artery, Left
M External Carotid Artery, Right
N External Carotid Artery, Left
Approach (Character 5)
0 Open
Substance (Character 6)
9 Autologous Venous Tissue
A Autologous Arterial Tissue
J Synthetic Substitute
K Nonautologous Tissue Substitute
Z No Device
Qualifier (Character 7)
J Extracranial Artery, Right
K Extracranial Artery, Left