ICD-10 Procedure Coding System (ICD-10-PCS) 2017 Index Addenda

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1 ICD-10 Procedure Coding System (ICD-10-PCS) 2017 Index enda Letter A Main AFX(R) Endovascular AAA System use Intraluminal Device Main Andexanet Alfa, Factor Xa Inhibitor Reversal Agent XW0 Main Angiocardiography SPY see Fluoroscopy, Heart B21 SPY system intravascular fluorescence see Monitoring, Physiological Systems 4A1 Main Revise from Aortic arch use Thoracic Aorta Aortic arch use Thoracic Aorta, Ascending/Arch Main Revise from Aortic intercostal artery use Thoracic Aorta Aortic intercostal artery use Upper Artery Main Aortoplasty see Repair, Aorta, Thoracic 02QW see Replacement, Aorta, Thoracic 02RW see Supplement, Aorta, Thoracic 02UW see Repair, Aorta, Thoracic, Descending 02QW see Repair, Aorta, Thoracic, Ascending/Arch 02QX see Replacement, Aorta, Thoracic, Descending 02RW see Replacement, Aorta, Thoracic, Ascending/Arch 02RX see Supplement, Aorta, Thoracic, Descending 02UW see Supplement, Aorta, Thoracic, Ascending/Arch 02UX Main Arterioscopy 02JY4ZZ 03JY4ZZ 04JY4ZZ see Inspection, Great Vessel 02JY see Inspection, Artery, Upper 03JY see Inspection, Artery, Lower 04JY Main Revise from Ascending aorta use Thoracic Aorta Ascending aorta use Thoracic Aorta, Ascending/Arch Main Assessment intravascular perfusion, using indocyanine green (ICG) dye see Monitoring, Physiological Systems 4A1

2 Letter B Main Base of Tongue use Pharynx Main Revise from Bone marrow transplant see Transfusion Bone marrow transplant see Transfusion, Circulatory 302 Main Revise from Bronchial artery use Thoracic Aorta Bronchial artery use Upper Artery Main Bronchus Intermedius use Main Bronchus, Right Main Bypass Aorta Revise from Thoracic 021W Thoracic Ascending/Arch 021X Descending 021W Artery Coronary Four or More Sites 0213 One Site 0210 Three Sites 0212 Two Sites 0211 Four or More Arteries 0213 One Artery 0210 Three Arteries 0212 Two Arteries 0211 Pulmonary Left 021R Right 021Q Pulmonary Trunk 021P

3 Letter C Main Ceramic on ceramic bearing surface use Synthetic Substitute, Ceramic in 0SR Main Cerebral Embolic Filtration, Dual Filter X2A5312 Main Revise from Conization, cervix see Excision, Uterus 0UB9 Conization, cervix see Excision, Cervix 0UBC Main Control postprocedural bleeding in Abdominal Wall 0W3F Ankle Region Left 0Y3L Right 0Y3K Arm Lower Left 0X3F Right 0X3D Upper Left 0X39 Right 0X38 Axilla Left 0X35 Right 0X34 Back Lower 0W3L Upper 0W3K Buttock Left 0Y31 Right 0Y30 Cavity, Cranial 0W31 Chest Wall 0W38 Elbow Region Left 0X3C Right 0X3B Extremity Lower Left 0Y3B Right 0Y39 Upper Left 0X37 Right 0X36 Face 0W32 Femoral Region Left 0Y38 Right 0Y37 Foot Left 0Y3N Right 0Y3M

4 Gastrointestinal Tract 0W3P Genitourinary Tract 0W3R Hand Left 0X3K Right 0X3J Head 0W30 Inguinal Region Left 0Y36 Right 0Y35 Jaw Lower 0W35 Upper 0W34 Knee Region Left 0Y3G Right 0Y3F Leg Lower Left 0Y3J Right 0Y3H Upper Left 0Y3D Right 0Y3C Mediastinum 0W3C Neck 0W36 Oral Cavity and Throat 0W33 Pelvic Cavity 0W3J Pericardial Cavity 0W3D Perineum Female 0W3N Male 0W3M Peritoneal Cavity 0W3G Pleural Cavity Left 0W3B Right 0W39 Respiratory Tract 0W3Q Retroperitoneum 0W3H Shoulder Region Left 0X33 Right 0X32 Wrist Region Left 0X3H Right 0X3G Main Control bleeding in Abdominal Wall 0W3F Ankle Region

5 Left 0Y3L Right 0Y3K Arm Lower Left 0X3F Right 0X3D Upper Left 0X39 Right 0X38 Axilla Left 0X35 Right 0X34 Back Lower 0W3L Upper 0W3K Buttock Left 0Y31 Right 0Y30 Cavity, Cranial 0W31 Chest Wall 0W38 Elbow Region Left 0X3C Right 0X3B Extremity Lower Left 0Y3B Right 0Y39 Upper Left 0X37 Right 0X36 Face 0W32 Femoral Region Left 0Y38 Right 0Y37 Foot Left 0Y3N Right 0Y3M Gastrointestinal Tract 0W3P Genitourinary Tract 0W3R Hand Left 0X3K Right 0X3J Head 0W30 Inguinal Region Left 0Y36

6 Right 0Y35 Jaw Lower 0W35 Upper 0W34 Knee Region Left 0Y3G Right 0Y3F Leg Lower Left 0Y3J Right 0Y3H Upper Left 0Y3D Right 0Y3C Mediastinum 0W3C Neck 0W36 Oral Cavity and Throat 0W33 Pelvic Cavity 0W3J Pericardial Cavity 0W3D Perineum Female 0W3N Male 0W3M Peritoneal Cavity 0W3G Pleural Cavity Left 0W3B Right 0W39 Respiratory Tract 0W3Q Retroperitoneum 0W3H Shoulder Region Left 0X33 Right 0X32 Wrist Region Left 0X3H Right 0X3G Main Cook Biodesign(R) Fistula Plug(s) use Nonautologous Tissue Substitute Main Cook Biodesign(R) Hernia Graft(s) use Nonautologous Tissue Substitute Main Cook Biodesign(R) Layered Graft(s) use Nonautologous Tissue Substitute Main Cook Zenapro(tm) Layered Graft(s) use Nonautologous Tissue Substitute Main Cook Zenith AAA Endovascular Graft use Intraluminal Device, Branched or Fenestrated, One or Two Arteries in 04V use Intraluminal Device, Branched or Fenestrated, Three or More Arteries in 04V use Intraluminal Device Main Creation Female 0W4N0 Male 0W4M0

7 Perineum Female 0W4N0 Male 0W4M0 Valve Aortic 024F0 Mitral 024G0 Tricuspid 024J0

8 Letter D Main Defibrotide Sodium Anticoagulant XW0 Main Defitelio use Defibrotide Sodium Anticoagulant Main Destruction Aorta Revise from Thoracic 025W Thoracic Ascending/Arch 025X Descending 025W Main Dilation Aorta Revise from Thoracic 027W Thoracic Ascending/Arch 027X Descending 027W Artery Coronary Four or More Sites 0273 One Site 0270 Three Sites 0272 Two Sites 0271 Four or More Arteries 0273 One Artery 0270 Three Arteries 0272 Two Arteries 0271

9 Letter E Main EGD (esophagogastroduodenscopy) 0DJ08ZZ Main EDWARDS INTUITY Elite valve system use Zooplastic Tissue, Rapid Deployment Technique in New Technology Main EGD (esophagogastroduodenoscopy) 0DJ08ZZ Main Endologix AFX(R) Endovascular AAA System use Intraluminal Device Main Endurant(R) II AAA stent graft system use Intraluminal Device Main Revise from Esophageal artery use Thoracic Aorta Esophageal artery use Upper Artery Main Esophagogastroduodenscopy (EGD) 0DJ08ZZ Main Esophagogastroduodenoscopy (EGD) 0DJ08ZZ Main Excision Aorta Revise from Thoracic 02BW Thoracic Ascending/Arch 02BX Descending 02BW Main EXCLUDER(R) AAA Endoprosthesis use Intraluminal Device, Branched or Fenestrated, One or Two Arteries in 04V use Intraluminal Device, Branched or Fenestrated, Three or More Arteries in 04V use Intraluminal Device Main EXCLUDER(R) IBE Endoprosthesis use Intraluminal Device, Branched or Fenestrated, One or Two Arteries in 04V Main Extirpation Aorta Revise from Thoracic 02CW Thoracic Ascending/Arch 02CX Descending 02CW Artery Coronary Four or More Sites 02C3 One Site 02C0 Three Sites 02C2 Two Sites 02C1 Four or More Arteries 02C3 One Artery 02C0 Three Arteries 02C2 Two Arteries 02C1

10 Letter F Main Factor Xa Inhibitor Reversal Agent, Andexanet Alfa use Andexanet Alfa, Factor Xa Inhibitor Reversal Agent Main Fasciotomy see Release Main Filum terminale use Spinal Meninges Main Fusion Cervical Vertebral 0RG1 2 or more 0RG2 Interbody Fusion Device, Nanotextured Surface XRG2092 Interbody Fusion Device, Nanotextured Surface XRG1092 Cervicothoracic Vertebral 0RG4 Interbody Fusion Device, Nanotextured Surface XRG4092 Lumbar Vertebral 0SG0 2 or more 0SG1 Interbody Fusion Device, Nanotextured Surface XRGC092 Interbody Fusion Device, Nanotextured Surface XRGB092 Lumbosacral 0SG3 Interbody Fusion Device, Nanotextured Surface XRGD092 Occipital-cervical 0RG0 Interbody Fusion Device, Nanotextured Surface XRG0092 Thoracic Vertebral 0RG6 2 to 7 0RG7 Interbody Fusion Device, Nanotextured Surface XRG or more 0RG8 Interbody Fusion Device, Nanotextured Surface XRG8092 Interbody Fusion Device, Nanotextured Surface XRG6092 Thoracolumbar Vertebral 0RGA Interbody Fusion Device, Nanotextured Surface XRGA092

11 Letter G Main GORE EXCLUDER(R) AAA Endoprosthesis use Intraluminal Device, Branched or Fenestrated, One or Two Arteries in 04V use Intraluminal Device, Branched or Fenestrated, Three or More Arteries in 04V use Intraluminal Device Main GORE EXCLUDER(R) IBE Endoprosthesis use Intraluminal Device, Branched or Fenestrated, One or Two Arteries in 04V Main GORE TAG(R) Thoracic Endoprosthesis use Intraluminal Device

12 Letter H Main Hematopoietic cell transplant (HCT) see Transfusion, Circulatory 302

13 Letter I Main Insertion of device in Aorta Revise from Thoracic 02HW Thoracic Ascending/Arch 02HX Descending 02HW Main Interbody Fusion Device, Nanotextured Surface Cervical Vertebral XRG or more XRG2092 Cervicothoracic Vertebral XRG4092 Lumbar Vertebral XRGB092 2 or more XRGC092 Lumbosacral XRGD092 Occipital-cervical XRG0092 Thoracic Vertebral XRG to 7 XRG or more XRG8092 Thoracolumbar Vertebral XRGA092 Main Intermediate bronchus use Main Bronchus, Right Main Internal carotid artery, intracranial portion use Intracranial Artery Main Intravascular fluorescence angiography (IFA) see Monitoring, Physiological Systems 4A1 Main Introduction of substance in or on Revise from Brain 3E0Q3GC Brain 3E0Q Revise from Analgesics 3E0Q3NZ Analgesics 3E0Q Revise from Anesthetic, Local 3E0Q3BZ Anesthetic, Local 3E0Q Revise from Anti-infective 3E0Q32 Anti-infective 3E0Q Revise from Anti-inflammatory 3E0Q33Z Anti-inflammatory 3E0Q Revise from Destructive Agent 3E0Q3TZ Destructive Agent 3E0Q Revise from Diagnostic Substance, Other 3E0Q3KZ Diagnostic Substance, Other 3E0Q Revise from Electrolytic Substance 3E0Q37Z Electrolytic Substance 3E0Q Revise from Hypnotics 3E0Q3NZ Hypnotics 3E0Q Revise from Nutritional Substance 3E0Q36Z Nutritional Substance 3E0Q Revise from Radioactive Substance 3E0Q3HZ Radioactive Substance 3E0Q

14 Revise from Sedatives 3E0Q3NZ Sedatives 3E0Q Revise from Water Balance Substance 3E0Q37Z Water Balance Substance 3E0Q Revise from Cranial Cavity 3E0Q3GC Cranial Cavity 3E0Q Revise from Analgesics 3E0Q3NZ Analgesics 3E0Q Revise from Anesthetic, Local 3E0Q3BZ Anesthetic, Local 3E0Q Revise from Anti-infective 3E0Q32 Anti-infective 3E0Q Revise from Anti-inflammatory 3E0Q33Z Anti-inflammatory 3E0Q Revise from Destructive Agent 3E0Q3TZ Destructive Agent 3E0Q Revise from Diagnostic Substance, Other 3E0Q3KZ Diagnostic Substance, Other 3E0Q Revise from Electrolytic Substance 3E0Q37Z Electrolytic Substance 3E0Q Revise from Hypnotics 3E0Q3NZ Hypnotics 3E0Q Revise from Nutritional Substance 3E0Q36Z Nutritional Substance 3E0Q Revise from Radioactive Substance 3E0Q3HZ Radioactive Substance 3E0Q Revise from Sedatives 3E0Q3NZ Sedatives 3E0Q Revise from Water Balance Substance 3E0Q37Z Water Balance Substance 3E0Q Main INTUITY Elite valve system, EDWARDS use Zooplastic Tissue, Rapid Deployment Technique in New Technology

15 Letter L Main Laminectomy see Release, Central Nervous System 00N see Release, Peripheral Nervous System 01N Main Revise from Levator ani muscle Levator ani muscle use Perineum Muscle use Trunk Muscle, Right use Trunk Muscle, Left

16 Letter M Main MAGEC(R) Spinal Bracing and Distraction System use Magnetically Controlled Growth Rod(s) in New Technology Main Magnetically Controlled Growth Rod(s) Cervical XNS3 Lumbar XNS0 Thoracic XNS4 Main Medtronic Endurant(R) II AAA stent graft system use Intraluminal Device Main Revise from Meniscectomy, knee see Excision, Lower Joints 0SB Meniscectomy, knee see Excision, Joint, Knee, Right 0SBC see Excision, Joint, Knee, Left 0SBD Main Metal on metal bearing surface use Synthetic Substitute, Metal in 0SR Main MIRODERM(tm) Biologic Wound Matrix use Skin Substitute, Porcine Liver Derived in New Technology Main Monitoring Cardiac Vascular Perfusion, Indocyanine Green Dye 4A12XSH Gastrointestinal Vascular Perfusion, Indocyanine Green Dye 4A1BXSH Skin and Breast, Vascular Perfusion, Indocyanine Green Dye 4A1GXSH

17 Letter N Main nanolock(tm) interbody fusion device use Interbody Fusion Device, Nanotextured Surface in New Technology Main Neurostimulator Lead Insertion of device in Vein Azygos 05H0 Innominate Left 05H4 Right 05H3 Removal of device from Vein Azygos 05P0 Innominate Left 05P4 Right 05P3 Revision of device in Vein Azygos 05W0 Innominate Left 05W4 Right 05W3 Main New Technology Andexanet Alfa, Factor Xa Inhibitor Reversal Agent XW0 Cerebral Embolic Filtration, Dual Filter X2A5312 Defibrotide Sodium Anticoagulant XW0 Fusion Cervical Vertebral 2 or more, Interbody Fusion Device, Nanotextured Surface XRG2092 Interbody Fusion Device, Nanotextured Surface XRG1092 Cervicothoracic Vertebral, Interbody Fusion Device, Nanotextured Surface XRG4092 Lumbar Vertebral 2 or more, Interbody Fusion Device, Nanotextured Surface XRGC092 Interbody Fusion Device, Nanotextured Surface XRGB092 Lumbosacral, Interbody Fusion Device, Nanotextured Surface XRGD092 Occipital-cervical, Interbody Fusion Device, Nanotextured Surface XRG0092 Thoracic Vertebral 2 to 7, Interbody Fusion Device, Nanotextured Surface XRG or more, Interbody Fusion Device, Nanotextured Surface XRG8092 Interbody Fusion Device, Nanotextured Surface XRG6092 Thoracolumbar Vertebral, Interbody Fusion Device, Nanotextured Surface XRGA092 Replacement Skin Substitute, Porcine Liver Derived XHRPXL2 Zooplastic Tissue, Rapid Deployment Technique X2RF Reposition

18 Cervical, Magnetically Controlled Growth Rod(s) XNS3 Lumbar, Magnetically Controlled Growth Rod(s) XNS0 Thoracic, Magnetically Controlled Growth Rod(s) XNS4 Uridine Triacetate XW0DX82

19 Letter O Main Occlusion Valve, Pulmonary 02LH Main Revise from Ophthalmic artery Ophthalmic artery use Intracranial Artery use Internal Carotid Artery, Right use Internal Carotid Artery, Left Main Ossicular chain use Auditory Ossicle, Right use Auditory Ossicle, Left

20 Letter P Main Pacemaker Intracardiac Insertion of device in Atrium Left 02H7 Right 02H6 Vein, Coronary 02H4 Ventricle Left 02HL Right 02HK Removal of device from, Heart 02PA Revision of device in, Heart 02WA Main Perceval sutureless valve use Zooplastic Tissue, Rapid Deployment Technique in New Technology Main Perfusion, donor organ Heart 6AB50BZ Kidney(s) 6ABT0BZ Liver 6ABF0BZ Lung(s) 6ABB0BZ

21 Letter R Main Release Aorta Revise from Thoracic 02NW Thoracic Ascending/Arch 02NX Descending 02NW Main Removal of device from Joint Hip Left 0SPB Acetabular Surface 0SPE Femoral Surface 0SPS Right 0SP9 Acetabular Surface 0SPA Femoral Surface 0SPR Knee Left 0SPD Femoral Surface 0SPU Tibial Surface 0SPW Right 0SPC Femoral Surface 0SPT Tibial Surface 0SPV Vein Azygos 05P0 Innominate Left 05P4 Right 05P3 Main Reopening, operative site Revise from Control of bleeding see Control postprocedural bleeding in Control of bleeding see Control bleeding in Main Repair Aorta Revise from Thoracic 02QW Thoracic Ascending/Arch 02QX Descending 02QW Artery Coronary Four or More Sites 02Q3 One Site 02Q0 Three Sites 02Q2 Two Sites 02Q1 Four or More Arteries 02Q3 One Artery 02Q0

22 Three Arteries 02Q2 Two Arteries 02Q1 Main Replacement Aorta Revise from Thoracic 02RW Thoracic Ascending/Arch 02RX Descending 02RW Skin Substitute, Porcine Liver Derived XHRPXL2 Zooplastic Tissue, Rapid Deployment Technique X2RF Main Reposition Aorta Revise from Thoracic 02SW0ZZ Thoracic Ascending/Arch 02SX0ZZ Descending 02SW0ZZ Artery Coronary One Artery 02S00ZZ Two Arteries 02S10ZZ Vertebra Cervical 0PS3 Magnetically Controlled Growth Rod(s) XNS3 Lumbar 0QS0 Magnetically Controlled Growth Rod(s) XNS0 Thoracic 0PS4 Magnetically Controlled Growth Rod(s) XNS4 Main Restriction Aorta Abdominal 04V0 Intraluminal Device, Branched or Fenestrated 04V0 Revise from Thoracic 02VW Thoracic Ascending/Arch, Intraluminal Device, Branched or Fenestrated 02VX Descending, Intraluminal Device, Branched or Fenestrated 02VW Artery Common Iliac Left 04VD Right 04VC Left, Intraluminal Device, Branched or Fenestrated 04VD Right, Intraluminal Device, Branched or Fenestrated 04VC Main Revision of device in Joint Hip Left 0SWB

23 Acetabular Surface 0SWE Femoral Surface 0SWS Right 0SW9 Acetabular Surface 0SWA Femoral Surface 0SWR Knee Left 0SWD Femoral Surface 0SWU Tibial Surface 0SWW Right 0SWC Femoral Surface 0SWT Tibial Surface 0SWV Vein Azygos 05W0 Innominate Left 05W4 Right 05W3

24 Letter S Main Skin Substitute, Porcine Liver Derived, Replacement XHRPXL2 Main Spinal growth rods, magnetically controlled use Magnetically Controlled Growth Rod(s) in New Technology Main SPY system intravascular fluorescence angiography see Monitoring, Physiological Systems 4A1 Main Stem cell transplant see Transfusion, Circulatory 302 Main Revise from Subcostal artery use Thoracic Aorta Subcostal artery use Upper Artery Main Supplement Aorta Revise from Thoracic 02UW Thoracic Ascending/Arch 02UX Descending 02UW Main Sutureless valve, Perceval use Zooplastic Tissue, Rapid Deployment Technique in New Technology

25 Letter T Main Tongue, base of use Pharynx Main Total Anomalous Pulmonary Venous Return (TAPVR) repair see Bypass, Atrium, Left 0217 see Bypass, Vena Cava, Superior 021V Main Transplant see Transplantation Main Transplantation Bone marrow see Transfusion, Circulatory 302 Face 0WY20Z Hand Left 0XYK0Z Right 0XYJ0Z Hematopoietic cell see Transfusion, Circulatory 302 Stem cell see Transfusion, Circulatory 302

26 Letter U Main Uridine Triacetate XW0DX82

27 Letter V Main Vistogard(R) use Uridine Triacetate

28 Letter Z Main Zenith AAA Endovascular Graft use Intraluminal Device, Branched or Fenestrated, One or Two Arteries in 04V use Intraluminal Device, Branched or Fenestrated, Three or More Arteries in 04V use Intraluminal Device Main Zooplastic Tissue, Rapid Deployment Technique, Replacement X2RF

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