Comparative Effectiveness of Tirzepatide Versus Sitagliptin in Individuals at Cardiovascular Risk (TIRZSITA-CVOT)
Conditions: Type2 Diabetes Mellitus, Atherosclerotic Cardiovascular Disease
Sponsor: Brigham and Women's Hospital

 
 
 
 
 
 
Comparative e,ectiveness of tirzepatide vs sitagliptin in individuals at 
cardiovascular risk 
 
NCT07203677 
 
22nd September 2025 
 
 

 
 
 
1.  Title Page 
Title 
Comparative effectiveness of tirzepatide vs 
sitagliptin in individuals at cardiovascular risk. 
Research question & Objectives 
The aim of this study is to assess the 
comparative effectiveness of tirzepatide vs 
sitagliptin in preventing atherosclerotic 
cardiovascular events in patients with type 2 
diabetes and atherosclerotic cardiovascular 
disease. 
Protocol version 
Version 1 
Last update date 
September 22, 2025 
Contributors 
Primary investigators contact information:  
Dr. Nils Krüger, nkruger1@bwh.harvard.edu 
Dr. Shirley Wang, swang1@bwh.harvard.edu 
Contributor names: 
Dr. Krüger implemented the study design in the 
Aetion Evidence Platform. He is responsible for 
the validity of the design and analytic choices. 
All implementation steps are recorded and the 
implementation history is archived in the 
platform.    
Study registration  
Site: ClinicalTrials.gov and Open Science 
Framework 
Identifier: NCT07203677, osf.io/zmfke 
Sponsor 
Organization: N/A 
Contact: N/A 
Conflict of interest 
Dr. Krüger has no conflict of interest.  
Dr. Wang has consulted for Cytel Incs, Exponent 
Inc, and MITRE an FFRDC for Centers for 
Medicare and Medicaid for unrelated work. 
 

2 
 
Table of contents 
1.  Title Page 
 
 
 
1 
2. Abstract 
 
 
 
4 
 
3. Amendments and updates 
 
 
 
4 
4. Rationale and background 
 
 
 
5 
5. Research question and objectives 
 
 
 
5 
Table 2.  Research questions and objectives 
 
 
 
5 
6. Research methods 
 
 
 
7 
6.1 Study design 
 
 
 
7 
6.2 Study design diagram (Figure 1). 
 
 
 
8 
6.3 Setting 
 
 
 
9 
6.3.1 Context and rationale for definition of time 0 (and other primary time anchors) for entry to the study population 
 
 
 
9 
6.3.2 Context and rationale for study inclusion criteria: 
 
 
 
9 
6.3.3 Context and rationale for study exclusion criteria 
 
 
 
9 
6.4 Variables 
 
 
 
9 
6.4.1 Context and rationale for exposure(s) of interest 
 
 
 
9 
6.4.2 Context and rationale for outcome(s) of interest 
 
 
 
9 
6.4.3 Context and rationale for follow-up 
 
 
 
10 
Table 1. Operational definitions of follow-up 
 
 
 
10 
6.4.4 Context and rationale for covariates (confounding variables and effect modifiers, e.g. risk factors, comorbidities, comedications) 
11 
Table 2. Operational definitions of covariates 
 
 
 
11 
6.5 Data analysis 
 
 
 
40 
6.5.1 Context and rationale for analysis plan 
 
 
 
40 
Table 3. Analysis specification 
 
 
 
40 
Table 4. Sensitivity analyses – rationale, strengths and limitations 
 
 
 
42 
6.6 Data sources 
 
 
 
43 
6.6.1 Context and rationale for data sources 
 
 
 
43 
Table 5. Metadata about data sources and software 
 
 
 
44 
6.7 Data management 
 
 
 
44 
6.8 Quality control 
 
 
 
46 
6.9 Study size and feasibility 
 
 
 
47 
7. Limitation of the methods 
 
 
 
47 
8. Protection of human subjects 
 
 
 
47 

3 
 
9. References 
 
 
 
47 
10. Appendices 
 
 
 
49 
1 Target Trial Framework, Operational Definitions, and Data Fitness Assessment 
 
 
 
49 
2 Code algorithms 
 
 
 
49 
3 Flowchart for cohort assembly 
 
 
 
49 
4 1st feasibility assessment 
 
 
 
49 
5 2nd feasibility assessment 
 
 
 
49 
6 Balance Assessment - PS Distribution and C-Statistic 
 
 
 
49 
7 Balance Assessment - Table 1 
 
 
 
49 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

4 
 
2. Abstract 
This is a non-randomized, non-interventional study that is part of the Randomized Controlled Trials Duplicated Using Prospective Longitudinal 
Insurance Claims: Applying Techniques of Epidemiology (RCT-DUPLICATE) initiative (www.rctduplicate.org) of the Brigham and Women's Hospital, 
Harvard Medical School. It is intended to assess the comparative effectiveness of tirzepatide vs sitagliptin as a placebo proxy, after the pivotal RCT 
SURPASS-CVOT (NCT04255433) and its emulation (NCT07088718) demonstrated non-inferiority, leaving both regulators and clinical guideline 
committees uncertain whether to approve and recommend tirzepatide for a cardiovascular indication. This comparative effectiveness target trial 
described below draws from eligibility criteria from the SURPASS-CVOT trial and its emulation. Although many features of the target trial cannot be 
directly replicated in healthcare claims, key design features, including outcomes, exposures, and inclusion/exclusion criteria, were selected to proxy 
those features from the target trial. Randomization cannot be achieved in healthcare claims data but was proxied through a statistical balancing of 
measured covariates according to standard practice.  
 
The database study will be a new-user active-comparative study, conducted using 2 national United States claims databases, where we compare the 
effect of tirzepatide vs sitagliptin in preventing atherosclerotic cardiovascular events. Clinical guidelines during the study period recommended both 
agents under investigation as second-line options for glucose lowering and were similarly costly. 
 
The study will use two data sources: Optum Clinformatics and Merative MarketScan.  
Optum: Study period between May 13, 2022 to May 31, 2025. 
MarketScan: Study period between May 13, 2022 to December 31, 2023. 
3. Amendments and updates 
 
Version date 
Version number 
Section of protocol 
Amendment or update 
Reason 
 
 
 
 
 
 
 
 
 
 
  
4. Rationale and background 
The purpose of this protocol is to specify the target trial assessing the comparative effectiveness of the dual glucose-dependent insulinotropic 
polypeptide (GIP) and glucagon-like peptide-1 receptor agonist (GLP-1-RA) tirzepatide vs the dipeptidyl peptidase-4 inhibitors (DPP4i) sitagliptin on 
atherosclerotic cardiovascular end points in patients with type 2 diabetes and atherosclerotic cardiovascular disease.   
 

5 
 
The GIP/GLP-1-RA tirzepatide became available on May 13, 2022, when it was approved to treat T2DM.1 A year later, on November 8, 2023 tirzepatide 
was approved for chronic weight management in adults with obesity or overweight who also have at least one weight-related comorbid condition, such 
as hypertension, dyslipidemia, T2DM, obstructive sleep apnea, or CVD. On December 20 2024, tirzepatide was approved to treat moderate to severe 
obstructive sleep apnea (OSA) in adults with obesity, to be used in combination with a reduced-calorie diet and increased physical activity. 
 
Sitagliptin was specifically chosen as an active comparator that could proxy for placebo because a major randomized controlled trial on cardiovascular 
outcomes demonstrated that it does not affect the cardiovascular outcomes under investigation.2 This contrasts with other DPP4i such as saxagliptin, 
which has raised concerns regarding potential increased risks of heart failure, 3–6 and linagliptin, which is commonly prescribed for patients with renal 
impairment because it does not require dose modifications based on kidney function, potentially leading to increased confounding compared to 
sitagliptin.7,8 Sodium-glucose cotransporter-2 (SGLT2) inhibitors would not be a neutral comparator, as they significantly reduce clinically important 
kidney events, kidney failure, and cardiovascular events.9–12 Sulfonylureas (SUs), though inexpensive and widely used, are a poor comparator in 
cardiovascular outcome studies due to their association with hypoglycemia, weight gain, and channeling bias, as they are often prescribed to elderly, 
lower socioeconomic status patients with higher baseline cardiovascular risk, making direct comparisons to GLP-1-RAs less reliable.13 
 
Due to the ongoing discussion about tirzepatide’s role in preventing atherosclerotic cardiovascular events, we will focus on the end points of 
myocardial infarction, stroke, coronary revascularization, and unstable angina in this study. In prior emulations of the SURPASS-CVOT and SUSTAIN-6 
trials using the same real-world data sources, design, and analytic infrastructure, results were benchmarked against those of the reference trials, 
demonstrating highly concordant results for these non-fatal atherosclerotic cardiovascular outcomes. This provided support for the ability to validly 
evaluate these outcomes in the present study. All-cause mortality will not be included as an end point in this study, as the emulation of SUSTAIN-6 
showed divergent results for mortality that were suggestive of residual confounding and informed the development of the current protocol. 
 
 
5. Research question and objectives 
Table 2.  Research questions and objectives  
 
A. Research questions and objectives 
 
Objective: 
To evaluate the comparative effect of tirzepatide vs sitagliptin at preventing myocardial 
infarction in patients with type 2 diabetes and atherosclerotic cardiovascular disease when 
following the inclusion and exclusion criteria of the SURPASS-CVOT trial. 
Hypothesis: 
We hypothesize that tirzepatide will be superior to sitagliptin at preventing myocardial 
infarction in patients with type 2 diabetes and atherosclerotic cardiovascular disease. 

6 
 
Population (mention key inclusion-exclusion 
criteria): 
Individuals aged 40 years or older with T2DM and atherosclerotic cardiovascular disease. 
Exposure: 
Tirzepatide. 
Comparator: 
Sitagliptin. 
Outcome: 
Myocardial infarction. 
Time (when follow-up begins and ends): 
1 day after cohort entry date until the first of outcome, disenrollment, end of study period, 
discontinuation (45 days grace and risk window), switch between the arms, nursing home 
admission, 365 days after cohort entry, or start of any other GLP-1-RA. 
Setting: 
The outcome will be measured from inpatient hospitalizations. 
Main measure of effect: 
Hazard ratio. 
 
 
Objective: 
To evaluate the comparative effect of tirzepatide vs sitagliptin at preventing stroke in patients 
with type 2 diabetes and atherosclerotic cardiovascular disease when following the inclusion 
and exclusion criteria of the SURPASS-CVOT trial. 
Hypothesis: 
We hypothesize that tirzepatide will be superior to sitagliptin at preventing stroke in patients 
with type 2 diabetes and atherosclerotic cardiovascular disease. 
Population (mention key inclusion-exclusion 
criteria): 
Individuals aged 40 years or older with T2DM and atherosclerotic cardiovascular disease. 
Exposure: 
Tirzepatide. 
Comparator: 
Sitagliptin. 
Outcome: 
Stroke. 
Time (when follow-up begins and ends): 
1 day after cohort entry date until the first of outcome, disenrollment, end of study period, 
discontinuation (45 days grace and risk window), switch between the arms, nursing home 
admission, 365 days after cohort entry, or start of any other GLP-1-RA. 
Setting: 
The outcome will be measured from inpatient hospitalizations. 
Main measure of effect: 
Hazard ratio. 
 
 
 
Objective: 
To evaluate the comparative effect of tirzepatide vs sitagliptin on the composite of myocardial 
infarction or stroke in patients with type 2 diabetes and atherosclerotic cardiovascular disease 
when following the inclusion and exclusion criteria of the SURPASS-CVOT trial. 
Hypothesis: 
We hypothesize that tirzepatide will be superior to sitagliptin at preventing myocardial 
infarction or stroke in patients with type 2 diabetes and atherosclerotic cardiovascular disease. 

7 
 
Population (mention key inclusion-exclusion 
criteria): 
Individuals aged 40 years or older with T2DM and atherosclerotic cardiovascular disease. 
Exposure: 
Tirzepatide. 
Comparator: 
Sitagliptin. 
Outcome: 
Composite of myocardial infarction or stroke. 
Time (when follow-up begins and ends): 
1 day after cohort entry date until the first of outcome, disenrollment, end of study period, 
discontinuation (45 days grace and risk window), switch between the arms, nursing home 
admission, 365 days after cohort entry, or start of any other GLP-1-RA. 
Setting: 
The outcome will be measured from inpatient hospitalizations. 
Main measure of effect: 
Hazard ratio. 
 
 
 
Objective: 
To evaluate the comparative effect of tirzepatide vs sitagliptin on the composite of myocardial 
infarction, stroke, coronary revascularization, or hospitalization for unstable angina in patients 
with type 2 diabetes and atherosclerotic cardiovascular disease when following the inclusion 
and exclusion criteria of the SURPASS-CVOT trial. 
Hypothesis: 
We hypothesize that tirzepatide will be superior to sitagliptin at preventing myocardial 
infarction, stroke, coronary revascularization, or hospitalization for unstable angina in patients 
with type 2 diabetes and atherosclerotic cardiovascular disease. 
Population (mention key inclusion-exclusion 
criteria): 
Individuals aged 40 years or older with T2DM and atherosclerotic cardiovascular disease. 
Exposure: 
Tirzepatide. 
Comparator: 
Sitagliptin. 
Outcome: 
Composite of myocardial infarction, stroke, coronary revascularization, or hospitalization for 
unstable angina. 
Time (when follow-up begins and ends): 
1 day after cohort entry date until the first of outcome, disenrollment, end of study period, 
discontinuation (45 days grace and risk window), switch between the arms, nursing home 
admission, 365 days after cohort entry, or start of any other GLP-1-RA. 
Setting: 
The outcome will be measured from inpatient hospitalizations. 
Main measure of effect: 
Hazard ratio. 
 
 
B. Research questions for negative controls 
Objective: 
To evaluate the effect of tirzepatide vs sitagliptin on negative control outcomes, including (1) 
hernia and (2) lumbar radiculopathy in patients with type 2 diabetes and atherosclerotic 

8 
 
cardiovascular disease when following the inclusion and exclusion criteria of the SURPASS-
CVOT trial. 
Hypothesis: 
We hypothesize that tirzepatide will not have a different effect from sitagliptin. 
Population (mention key inclusion-exclusion 
criteria): 
Individuals aged 40 years or older with T2DM and atherosclerotic cardiovascular disease. In 
addition, patients will be excluded with recent hernia or lumbar radiculopathy prior to the 
follow-up time window (30 days) when studying the negative outcome hernia or lumbar 
radiculopathy, respectively. 
Exposure: 
Tirzepatide. 
Comparator: 
Sitagliptin. 
Outcome: 
Separate analyses for hernia and lumbar radiculopathy. 
Time (when follow-up begins and ends): 
1 day after cohort entry date until the first of outcome, disenrollment, end of study period, 
discontinuation (45 days grace and risk window), switch between the arms, nursing home 
admission, 365 days after cohort entry, or start of any other GLP-1-RA. 
Setting: 
The outcome will be measured using diagnosis codes in an inpatient or outpatient setting. 
Main measure of effect: 
Hazard ratio. 
 
6. Research methods 
6.1 Study design 
Research design (e.g. cohort, case-control, etc.): New user active-comparator cohort study. 
Rationale for study design choice: The new user active-comparator design is a powerful design that may be able to address confounding by indication. 
It accomplishes this, in large part, through judicious selection of an appropriate active-comparator group.14,15 While selection of an appropriate 
comparator in the design phase is crucial, cohort studies often require additional adjustment of measurable confounders. A common method for 
adjusting for confounding is via a propensity score. 

9 
 
6.2 Study design diagram (Figure 1). 
 

10 
 
 
6.3 Setting 
6.3.1 Context and rationale for definition of time 0 (and other primary time anchors) for entry to the study population  
Time 0 in the database study was defined to emulate randomization to tirzepatide vs sitagliptin in the trial design. See appendix tables 1 and 2a for 
operational definitions and detailed code algorithms.  
6.3.2 Context and rationale for study inclusion criteria:  
Study inclusion criteria were defined to emulate the inclusion criteria for the trial . See appendix tables 1 and 2 for operational definitions and detailed 
code algorithms. A flowchart of the study cohort assembly is provided in appendix 3. 
6.3.3 Context and rationale for study exclusion criteria 
Study exclusion criteria were defined to emulate the exclusion criteria for the trial. See appendix tables 1 and 2 for operational definitions and detailed 
code algorithms. A flowchart of the study cohort assembly is provided in appendix 3.  
6.4 Variables 
6.4.1 Context and rationale for exposure(s) of interest 
The exposure and comparator were defined to emulate the agents compared for the trial, tirzepatide vs sitagliptin (active-comparator). See appendix 
tables 1 and 2 for operational definitions and detailed code algorithms.  
Algorithm to define duration of exposure effect:  
Assuming the effect of the drug lasts for 45 days after the last day’s supply, we allow a 45 days gap between the dispensation (grace period) and also 
add 45 days at the end of the last day's supply (exposure risk window).  
6.4.2 Context and rationale for outcome(s) of interest 
The outcomes for the database study were defined to emulate the outcomes of the target trial, i.e., myocardial infarction, stroke, coronary 
revascularization, or unstable angina. See appendix tables 1 and 2 for operational definitions and detailed code algorithms. PPV for myocardial 
infarction using ICD9 codes was 94%.16–18 PPV for ischemic stroke using ICD9 codes was 95%. Both of the above ICD9 codes were mapped to ICD10.19 
Control outcomes of interest include: 

11 
 
1. Hernia (excluding patients with recent outcome prior to the follow-up time window). This is a negative control outcome where no difference in 
effect is expected for tirzepatide vs sitagliptin. 
2. Lumbar radiculopathy (excluding patients with recent outcome prior to the follow-up time window). This is a negative control outcome where no 
difference in effect is expected for tirzepatide vs sitagliptin. 
6.4.3 Context and rationale for follow-up  
Both on-treatment (OT) and intention-to-treat (ITT) analyses will be conducted. Adherence in clinical practice databases is expected to be much worse 
than in the trial, therefore the OT analysis will be the primary analysis. The OT analysis targets the relative hazard of outcomes while on treatment and 
may more closely emulate the effect observed in highly adherent trial participants. Both OT and ITT analyses will be conducted with up to 1-year follow-
up. 
Table 1. Operational Definitions of follow-up 
  
  
  
follow-up start 
Day 1 
  
follow-up end1 
Select 
all that 
apply 
Specify 
Date of outcome 
Yes 
 
Date of death 
Yes 
 
End of observation in data 
Yes 
Date of disenrollment. 
Day X following index date 
 (specify day) 
Yes 
Day 365. 
End of study period 
  (specify date) 
Yes 
Different dates for different databases (Optum: 
February 28, 2025; MarketScan: December 31, 
2023). 
End of exposure  
  (specify operational details,  
e.g. stockpiling algorithm, grace 
period) 
Yes 
45 days grace window and 45 days risk window. 
Date of add to/switch from 
exposure  
  (specify algorithm) 
Yes 
Date of augmentation or switching from an 
exposure to a comparator and vice versa.  

12 
 
Other date (specify) 
Yes 
Censor upon nursing home admission or starting 
any other GLP-1-RA. 
 
1 follow-up ends at the first occurrence of any of the selected criteria that end follow-up. 
 
6.4.4 Context and rationale for covariates (confounding variables and effect modifiers, e.g. risk factors, comorbidities, comedications) 
We identified a series of covariates that were likely confounders due to being strong risk factors for the primary outcome that were associated with 
choice of treatment. These include demographics, disease severity related variables, comorbid conditions, comedications, frailty, healthcare utilization 
and markers of health seeking behaviour. 
Table 2. Operational Definitions of Covariates 
 
Characteristics 
Details 
Type of 
variable 
Assessmen
t window 
Care 
Settings¹ 
Code Type2 
Diagnosi
s 
Position3 
Applied to 
study 
populations: 
Measurement 
characteristics
/ 
validation 
Source for 
algorithm 
Demographics 
Age  
Cohort entry 
year – year of 
birth, (last 
observed 
value in the 
baseline) 
Continuous 
[0, 0] 
n/a 
n/a 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
 
  
n/a 
n/a 
Gender  
Male, Female 
(last observed 
value in the 
baseline) 
Categorical 
[0, 0] 
n/a 
n/a 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
n/a 
Race* 
White, Black, 
Other (Asian, 
Hispanic), 
Missing/Unkn
own (last 
observed 
Categorical 
[0, 0] 
n/a 
n/a 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
 
  
n/a 
n/a 

13 
 
Characteristics 
Details 
Type of 
variable 
Assessmen
t window 
Care 
Settings¹ 
Code Type2 
Diagnosi
s 
Position3 
Applied to 
study 
populations: 
Measurement 
characteristics
/ 
validation 
Source for 
algorithm 
value in the 
baseline) 
Region 
Northeast, 
Midwest/Nort
h central, 
South, West 
(last observed 
value in the 
baseline) 
Categorical 
[0, 0] 
n/a 
n/a 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
 
  
n/a 
n/a 
Lifestyle risk factors 
Smoking / 
Tobacco use 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Overweight, if 
BMI is 25.0 to 
29.9 
 
Binary 
[-730, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Class 1 (low-risk) 
obesity, if BMI is 
30.0 to 34.9 
 
Binary 
[-730, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Class 2 
(moderate-risk) 
obesity, if BMI is 
35.0 to 39.9 
 
Binary 
[-730, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Class 3 (high-
risk) obesity if 
BMI is equal to or 
greater than 40 
 
Binary 
[-730, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Unspecified 
obesity 
 
Binary 
[-730, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Diabetes complications 

14 
 
Characteristics 
Details 
Type of 
variable 
Assessmen
t window 
Care 
Settings¹ 
Code Type2 
Diagnosi
s 
Position3 
Applied to 
study 
populations: 
Measurement 
characteristics
/ 
validation 
Source for 
algorithm 
Diabetic 
retinopathy 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Diabetic 
neuropathy 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Diabetic 
nephropathy 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Diabetes with 
other ophthalmic 
complications 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Diabetes with 
peripheral 
circulatory 
disorders 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Diabetic foot 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Erectile 
dysfunction 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Hypoglycemia 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 

15 
 
Characteristics 
Details 
Type of 
variable 
Assessmen
t window 
Care 
Settings¹ 
Code Type2 
Diagnosi
s 
Position3 
Applied to 
study 
populations: 
Measurement 
characteristics
/ 
validation 
Source for 
algorithm 
Hyperglycemia/DK
A/HONK 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Skin infections 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Cardiovascular-related conditions 
Stable angina 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Unstable angina 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Hypertension 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Hypotension 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Hyperlipidemia 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Atrial fibrillation 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 

16 
 
Characteristics 
Details 
Type of 
variable 
Assessmen
t window 
Care 
Settings¹ 
Code Type2 
Diagnosi
s 
Position3 
Applied to 
study 
populations: 
Measurement 
characteristics
/ 
validation 
Source for 
algorithm 
Acute myocardial 
infarction 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Primary  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Old myocardial 
infarction 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Cardiac 
conduction 
disorder 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Previous cardiac 
procedure (CABG, 
PTCA, Stent) 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Ischemic stroke 
 
Binary 
[-365, 0] 
IP 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
PVD diagnosis or 
surgery PVD 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Other cardiac 
dysrhythmia 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Heart failure 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 

17 
 
Characteristics 
Details 
Type of 
variable 
Assessmen
t window 
Care 
Settings¹ 
Code Type2 
Diagnosi
s 
Position3 
Applied to 
study 
populations: 
Measurement 
characteristics
/ 
validation 
Source for 
algorithm 
Acute heart failure 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Microalbuminuria/
proteinuria 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Cardiomyopathy 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Valve disorders 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Valve replacement 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
TIA 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Edema 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Venous 
thromboembolism
/ Pulmonary 
embolism 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 

18 
 
Characteristics 
Details 
Type of 
variable 
Assessmen
t window 
Care 
Settings¹ 
Code Type2 
Diagnosi
s 
Position3 
Applied to 
study 
populations: 
Measurement 
characteristics
/ 
validation 
Source for 
algorithm 
Pulmonary 
hypertension 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Implantable 
cardioverter 
defibrillator 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Hyperkalemia 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Coronary 
atherosclerosis 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Cerebrovascular 
procedure 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Insertion of 
pacemakers / 
removal of cardiac 
lead 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Renal-related conditions 
CKD stage 1-2 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
CKD stage 3-4 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
n/a 
Appendix, 
Covariate – 
Algorithm 

19 
 
Characteristics 
Details 
Type of 
variable 
Assessmen
t window 
Care 
Settings¹ 
Code Type2 
Diagnosi
s 
Position3 
Applied to 
study 
populations: 
Measurement 
characteristics
/ 
validation 
Source for 
algorithm 
Reference: 
Sitagliptin 
Unspecified CKD 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Acute kidney injury 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Hypertensive 
nephropathy 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Urinary tract 
infections 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Genital infections 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Urolithiasis (kidney 
and urinary stones) 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Other comorbidities 
COPD 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 

20 
 
Characteristics 
Details 
Type of 
variable 
Assessmen
t window 
Care 
Settings¹ 
Code Type2 
Diagnosi
s 
Position3 
Applied to 
study 
populations: 
Measurement 
characteristics
/ 
validation 
Source for 
algorithm 
Asthma 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Obstructive sleep 
apnea 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Serious bacterial 
infections 
 
Binary 
[-365, 0] 
Inpatient 
ICD-10-CM 
Primary  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Pneumonia 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Liver disease 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
MASH/MASLD 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Fractures / Falls 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Osteoporosis 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 

21 
 
Characteristics 
Details 
Type of 
variable 
Assessmen
t window 
Care 
Settings¹ 
Code Type2 
Diagnosi
s 
Position3 
Applied to 
study 
populations: 
Measurement 
characteristics
/ 
validation 
Source for 
algorithm 
Osteoarthritis 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Depression 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Dementia 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Delirium or 
psychosis 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Anxiety 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Sleep disorder 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Anemia 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Influenza 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 

22 
 
Characteristics 
Details 
Type of 
variable 
Assessmen
t window 
Care 
Settings¹ 
Code Type2 
Diagnosi
s 
Position3 
Applied to 
study 
populations: 
Measurement 
characteristics
/ 
validation 
Source for 
algorithm 
COVID-19 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Hyperthyroidism 
and other thyroid 
gland disorders 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Hypothyroidism 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Nephrotic 
syndrome 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Urinary 
incontinence 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Biliary disease 
 
Binary 
[-365, 0] 
Inpatient 
ICD-10-CM 
Primary  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Pancreatitis 
 
Binary 
[-365, 0] 
Inpatient 
ICD-10-CM 
Primary  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Bowel obstruction 
 
Binary 
[-365, 0] 
Inpatient 
ICD-10-CM 
Primary  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 

23 
 
Characteristics 
Details 
Type of 
variable 
Assessmen
t window 
Care 
Settings¹ 
Code Type2 
Diagnosi
s 
Position3 
Applied to 
study 
populations: 
Measurement 
characteristics
/ 
validation 
Source for 
algorithm 
Gastroparesis 
 
Binary 
[-365, 0] 
Any 
ICD-10-CM 
Any  
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Diabetes medications 
Number of 
antidiabetic drugs 
on CED 
 
Continuous 
[0, 0] 
n/a 
generic 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Concomitant use 
or initiation of  
metformin 
 
Binary 
[0, 0] 
n/a 
generic 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Concomitant use 
or initiation of 
insulin 
 
Binary 
[0, 0] 
n/a 
generic 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Concomitant use 
or initiation of  
sulfonylureas 
 
Binary 
[0, 0] 
n/a 
generic 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Concomitant use 
or initiation of 
DPP4i except 
sitagliptin 
 
Binary 
[0, 0] 
n/a 
generic 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Concomitant use 
or initiation of 
SGLT2i 
 
Binary 
[0, 0] 
n/a 
generic 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Concomitant use 
or initiation of 
other glucose-
 
Binary 
[0, 0] 
n/a 
generic 
n/a 
Exposure: 
Tirzepatide 
n/a 
Appendix, 
Covariate – 
Algorithm 

24 
 
Characteristics 
Details 
Type of 
variable 
Assessmen
t window 
Care 
Settings¹ 
Code Type2 
Diagnosi
s 
Position3 
Applied to 
study 
populations: 
Measurement 
characteristics
/ 
validation 
Source for 
algorithm 
lowering drugs 
Reference: 
Sitagliptin 
Past use of 
metformin 
 
Binary 
[-365, -1] 
n/a 
generic 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Past use of insulin 
 
Binary 
[-365, -1] 
n/a 
generic 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Past use of 
sulfonylureas 
 
Binary 
[-365, -1] 
n/a 
generic 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Past use of DPP4i 
except sitagliptin 
 
Binary 
[-365, -1] 
n/a 
generic 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Past use of SGLT2i 
 
Binary 
[-365, -1] 
n/a 
generic 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Past use of other 
glucose-lowering 
drugs 
 
Binary 
[-365, -1] 
n/a 
generic 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Heart failure medications 
ACEi / ARB 
 
Binary 
[-365, 0] 
n/a 
generic 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 

25 
 
Characteristics 
Details 
Type of 
variable 
Assessmen
t window 
Care 
Settings¹ 
Code Type2 
Diagnosi
s 
Position3 
Applied to 
study 
populations: 
Measurement 
characteristics
/ 
validation 
Source for 
algorithm 
ARNI 
 
Binary 
[-365, 0] 
n/a 
generic 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Thiazides 
 
Binary 
[-365, 0] 
n/a 
generic 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Beta-blockers 
 
Binary 
[-365, 0] 
n/a 
generic 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Calcium channel 
blockers 
 
Binary 
[-365, 0] 
n/a 
generic 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Digoxin / Digitoxin 
 
Binary 
[-365, 0] 
n/a 
generic 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Loop diuretics 
 
Binary 
[-365, 0] 
n/a 
generic 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Other diuretics 
 
Binary 
[-365, 0] 
n/a 
generic 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Intravenous 
diuretics 
 
Binary 
[-365, 0] 
n/a 
generic 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 

26 
 
Characteristics 
Details 
Type of 
variable 
Assessmen
t window 
Care 
Settings¹ 
Code Type2 
Diagnosi
s 
Position3 
Applied to 
study 
populations: 
Measurement 
characteristics
/ 
validation 
Source for 
algorithm 
Nitrates 
 
Binary 
[-365, 0] 
n/a 
generic 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Other medications 
Anti-arrhythmics 
 
Binary 
[-365, 0] 
n/a 
generic 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Statins 
 
Binary 
[-365, 0] 
n/a 
generic 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
PCSK9 inhibitors 
and other lipid-
lowering drugs 
 
Binary 
[-365, 0] 
n/a 
generic 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Antiplatelet 
agents 
 
Binary 
[-365, 0] 
n/a 
generic 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Oral 
anticoagulants 
 
Binary 
[-365, 0] 
n/a 
generic 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
COPD/Asthma 
medication 
 
Binary 
[-365, 0] 
n/a 
generic 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
NSAIDs 
 
Binary 
[-365, 0] 
n/a 
generic 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 

27 
 
Characteristics 
Details 
Type of 
variable 
Assessmen
t window 
Care 
Settings¹ 
Code Type2 
Diagnosi
s 
Position3 
Applied to 
study 
populations: 
Measurement 
characteristics
/ 
validation 
Source for 
algorithm 
Oral 
corticosteroids 
 
Binary 
[-365, 0] 
n/a 
generic 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Osteoporosis 
agents (incl. 
bisphosphonates) 
 
Binary 
[-365, 0] 
n/a 
generic 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Opioids 
 
Binary 
[-365, 0] 
n/a 
generic 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Anti-depressants 
 
Binary 
[-365, 0] 
n/a 
generic 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Antipsychotics 
 
Binary 
[-365, 0] 
n/a 
generic 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Anxiolytics/hypnot
ics, 
benzodiazepines 
 
Binary 
[-365, 0] 
n/a 
generic 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Medication for 
dementia 
 
Binary 
[-365, 0] 
n/a 
generic 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Urinary tract 
infections 
antibiotics 
 
Binary 
[-365, 0] 
n/a 
generic 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 

28 
 
Characteristics 
Details 
Type of 
variable 
Assessmen
t window 
Care 
Settings¹ 
Code Type2 
Diagnosi
s 
Position3 
Applied to 
study 
populations: 
Measurement 
characteristics
/ 
validation 
Source for 
algorithm 
Laxatives 
 
Binary 
[-365, 0] 
n/a 
generic 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Healthcare utilization markers 
Number of distinct 
medications, 
median (iqr), mean 
(sd) 
 
 Continuous 
  
[-365, 0] 
n/a 
n/a 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Number of office 
visits, median (iqr), 
mean (sd) 
 
 Continuous 
  
[-365, 0] 
n/a 
n/a 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Number of 
endocrinologist 
visits, median (iqr), 
mean (sd) 
 
 Continuous 
  
[-365, 0] 
n/a 
n/a 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Number of 
cardiologist visits, 
median (iqr), mean 
(sd) 
 
 Continuous 
  
[-365, 0] 
n/a 
n/a 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Number of internal 
medicine/family 
medicine visits, 
median (iqr), mean 
(sd) 
 
 Continuous 
  
[-365, 0] 
n/a 
n/a 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Number of 
Electrocardiogram
s, median (iqr), 
mean (sd) 
 
 Continuous 
  
[-365, 0] 
n/a 
n/a 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 

29 
 
Characteristics 
Details 
Type of 
variable 
Assessmen
t window 
Care 
Settings¹ 
Code Type2 
Diagnosi
s 
Position3 
Applied to 
study 
populations: 
Measurement 
characteristics
/ 
validation 
Source for 
algorithm 
Number of 
Echocardiograms, 
median (iqr), mean 
(sd) 
 
 Continuous 
  
[-365, 0] 
n/a 
n/a 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Pharmacy out-of-
pocket cost, 
median (iqr), mean 
(sd) 
 
 Continuous 
  
[-365, 0] 
n/a 
n/a 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Unique brand 
medications, 
median (iqr), mean 
(sd)** 
 
 Continuous 
  
[-365, 0] 
n/a 
n/a 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Unique generic 
medications, 
median (iqr), mean 
(sd)** 
 
 Continuous 
  
[-365, 0] 
n/a 
n/a 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Ratio of unique 
brand to generic 
medications, 
median (iqr), mean 
(sd) 
 
 Continuous 
  
[-365, 0] 
n/a 
n/a 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Healthy behavior markers 
Colonoscopy / 
Sigmoidoscopy 
 
Binary 
[-365, 0] 
Any 
CPT/HCPCS 
Any 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Flu vaccine / 
Pneumococcal 
vaccine 
 
Binary 
[-365, 0] 
Any 
CPT/HCPCS 
Any 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 

30 
 
Characteristics 
Details 
Type of 
variable 
Assessmen
t window 
Care 
Settings¹ 
Code Type2 
Diagnosi
s 
Position3 
Applied to 
study 
populations: 
Measurement 
characteristics
/ 
validation 
Source for 
algorithm 
Pap smear test 
 
Binary 
[-365, 0] 
Any 
CPT/HCPCS 
Any 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
PSA test 
 
Binary 
[-365, 0] 
Any 
CPT/HCPCS 
Any 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Fecal occult blood 
test 
 
Binary 
[-365, 0] 
Any 
CPT/HCPCS 
Any 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Bone mineral 
density tests 
 
Binary 
[-365, 0] 
Any 
CPT/HCPCS 
Any 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Mammograms 
 
Binary 
[-365, 0] 
Any 
CPT/HCPCS 
Any 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Telemedicine 
 
Binary 
[-365, 0] 
Any 
CPT/HCPCS 
Any 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Laboratory and diagnostic tests 
Number of HbA1c 
tests, median (iqr), 
mean (sd) 
 
Continuous 
[-365, 0] 
Any 
CPT/HCPCS 
Any 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Number of lipid 
panels, median 
(iqr), mean (sd) 
 
Continuous 
[-365, 0] 
Any 
CPT/HCPCS 
Any 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 

31 
 
Characteristics 
Details 
Type of 
variable 
Assessmen
t window 
Care 
Settings¹ 
Code Type2 
Diagnosi
s 
Position3 
Applied to 
study 
populations: 
Measurement 
characteristics
/ 
validation 
Source for 
algorithm 
Number of 
creatinine tests, 
median (iqr), mean 
(sd) 
 
Continuous 
[-365, 0] 
Any 
CPT/HCPCS 
Any 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Number of 
natriuretic peptide 
tests, median (iqr), 
mean (sd) 
 
Continuous 
[-365, 0] 
Any 
CPT/HCPCS 
Any 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Number of urine 
tests, median (iqr), 
mean (sd) 
 
Continuous 
[-365, 0] 
Any 
CPT/HCPCS 
Any 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Lab values 
HbA1c** 
 
 Continuous 
  
[-365, 0] 
n/a 
n/a 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Glucose** 
 
 Continuous 
  
[-365, 0] 
n/a 
n/a 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Creatinine** 
 
 Continuous 
  
[-365, 0] 
n/a 
n/a 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Systolic blood 
pressure** 
 
 Continuous 
  
[-365, 0] 
n/a 
n/a 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Heart rate** 
 
 Continuous 
  
[-365, 0] 
n/a 
n/a 
n/a 
Exposure: 
Tirzepatide 
n/a 
Appendix, 
Covariate – 
Algorithm 

32 
 
Characteristics 
Details 
Type of 
variable 
Assessmen
t window 
Care 
Settings¹ 
Code Type2 
Diagnosi
s 
Position3 
Applied to 
study 
populations: 
Measurement 
characteristics
/ 
validation 
Source for 
algorithm 
Reference: 
Sitagliptin 
BMI** 
 
 Continuous 
  
[-365, 0] 
n/a 
n/a 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
eGFR** 
 
 Continuous 
  
[-365, 0] 
n/a 
n/a 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
LDL** (mg/dl; 
mean, sd) 
 
 Continuous 
  
[-365, 0] 
n/a 
n/a 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
HDL** (mg/dl; 
mean, sd) 
 
 Continuous 
  
[-365, 0] 
n/a 
n/a 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Total cholesterol** 
(mg/dl; mean, sd) 
 
 Continuous 
  
[-365, 0] 
n/a 
n/a 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Triglyceride** 
(mg/dl; mean, sd) 
 
 Continuous 
  
[-365, 0] 
n/a 
n/a 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Burden of comorbidities 
Combined 
comorbidity score 
 
Continuous 
[-365, 0] 
Any 
ICD10-CM 
Any 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Gagne et al., 
Sun et al.20,21 

33 
 
Characteristics 
Details 
Type of 
variable 
Assessmen
t window 
Care 
Settings¹ 
Code Type2 
Diagnosi
s 
Position3 
Applied to 
study 
populations: 
Measurement 
characteristics
/ 
validation 
Source for 
algorithm 
Frailty score 
 
Continuous 
[-365, 0] 
Any 
ICD10-CM 
Any 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Kim et al.22 
Baseline hospitalizations and hospital metrics 
Number of any 
hospitalization, 
median (iqr), mean 
(sd) 
 
 Continuous 
  
[-365, 0] 
n/a 
n/a 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Any hospitalization 
within prior 91 
days; n (%) 
 
 Binary 
  
[-91, 0] 
n/a 
n/a 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Any hospitalization 
within prior 92-
365 days; n (%) 
 
 Binary 
  
[-365, -92] 
n/a 
n/a 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
0, 1, >1 
hospitalizations 
(any) 
 
 Continuous 
  
[-365, 0] 
n/a 
n/a 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Hospitalization for 
heart failure 
 
 Binary 
  
[-365, 0] 
n/a 
n/a 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Emergency 
department visits 
 
 Binary 
  
[-365, 0] 
n/a 
n/a 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
Appendix, 
Covariate – 
Algorithm 
Calendar year of cohort entry 

34 
 
Characteristics 
Details 
Type of 
variable 
Assessmen
t window 
Care 
Settings¹ 
Code Type2 
Diagnosi
s 
Position3 
Applied to 
study 
populations: 
Measurement 
characteristics
/ 
validation 
Source for 
algorithm 
2022 
 
Categorical 
[0, 0] 
n/a 
n/a 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
n/a 
2023 
 
Categorical 
[0, 0] 
n/a 
n/a 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
n/a 
2024 
 
Categorical 
[0, 0] 
n/a 
n/a 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
n/a 
2025 
 
Categorical 
[0, 0] 
n/a 
n/a 
n/a 
Exposure: 
Tirzepatide 
Reference: 
Sitagliptin 
n/a 
n/a 
1 IP = inpatient, OP = outpatient, ED = emergency department, OT = other, n/a = not applicable 
2 See appendix for listing of clinical codes for each study parameter 
3 Specify whether a diagnosis code is required to be in the primary position (main reason for encounter) 
 
*Available for Optum Clinformatics and Medicare 
**Not used in the PS model 
6.5 Data analysis 
6.5.1 Context and rationale for analysis plan 
The study will use a propensity score based overlap weighting method. The propensity score will be estimated as the probability of initiating tirzepatide 
vs sitagliptin given the baseline patient characteristics using multivariable logistic regression models. As diagnostics for PS models, the study will 
evaluate distributional covariate balance using standardized differences and c-statistics post-matching. The study will estimate the hazard ratio for 
tirzepatide vs sitagliptin in preventing atherosclerotic cardiovascular events in the weighted population using a Cox proportional hazards model with 
robust standard errors. 
 

35 
 
Table 3. Analysis specification 
A. Analyses 
Hypothesis: 
Tirzepatide does not increase the risk of myocardial infarction in patients with T2DM and an established CVD 
when following the eligibility criteria of the SURPASS-CVOT trial. 
Exposure contrast: 
Tirzepatide vs sitagliptin. 
Outcome: 
Myocardial infarction. 
Analytic software:  Aetion, SAS 9.4, R.4.4.0, Python 3.13.3 
Model(s): 
(provide details or code)  
Outcome model: Cox proportional hazards 
Follow-up time * status(0) = exposure 
Confounding adjustment method  
 
Name method and provide relevant details, e.g. bivariate, multivariable, propensity score weighting (specify weighting 
algorithm ratio and caliper), propensity score weighting (specify weight formula, trimming, truncation), propensity 
score stratification (specify strata definition), other. 
 
Overlap weighting based on the propensity score.  
Missing data methods   Name method and provide relevant details, e.g. missing indicators, complete case, last value carried forward, multiple 
imputation (specify model/variables), other. 
   Assumption that if no relevant claims diagnoses/procedures are present, the condition is not present. 
Subgroup Analyses 
List all subgroups 
 
N/A. 
 
 
Hypothesis: 
Tirzepatide does not increase the risk of stroke in patients with T2DM and an established CVD when following 
the eligibility criteria of the SURPASS-CVOT trial. 
Exposure contrast: 
Tirzepatide vs sitagliptin. 
Outcome: 
Stroke. 
Analytic software:  Aetion, SAS 9.4, R.4.4.0, Python 3.13.3 
Model(s): 
(provide details or code)  
Outcome model: Cox proportional hazards 
Follow-up time * status(0) = exposure 
Confounding adjustment method  
 
Name method and provide relevant details, e.g. bivariate, multivariable, propensity score weighting (specify weighting 
algorithm ratio and caliper), propensity score weighting (specify weight formula, trimming, truncation), propensity 
score stratification (specify strata definition), other. 
 
Overlap weighting based on the propensity score.  
Missing data methods   Name method and provide relevant details, e.g. missing indicators, complete case, last value carried forward, multiple 
imputation (specify model/variables), other. 
   Assumption that if no relevant claims diagnoses/procedures are present, the condition is not present. 
Subgroup Analyses 
List all subgroups 
 
N/A. 

36 
 
 
 
Hypothesis: 
Tirzepatide does not increase the risk of a composite of myocardial infarction or stroke in patients with T2DM 
and an established CVD when following the eligibility criteria of the SURPASS-CVOT trial. 
Exposure contrast: 
Tirzepatide vs sitagliptin. 
Outcome: 
Composite of myocardial infarction or stroke. 
Analytic software:  Aetion, SAS 9.4, R.4.4.0, Python 3.13.3 
Model(s): 
(provide details or code)  
Outcome model: Cox proportional hazards 
Follow-up time * status(0) = exposure 
Confounding adjustment method  
 
Name method and provide relevant details, e.g. bivariate, multivariable, propensity score weighting (specify weighting 
algorithm ratio and caliper), propensity score weighting (specify weight formula, trimming, truncation), propensity 
score stratification (specify strata definition), other. 
 
Overlap weighting based on the propensity score.  
Missing data methods   Name method and provide relevant details, e.g. missing indicators, complete case, last value carried forward, multiple 
imputation (specify model/variables), other. 
   Assumption that if no relevant claims diagnoses/procedures are present, the condition is not present. 
Subgroup Analyses 
List all subgroups 
 
N/A. 
 
 
Hypothesis: 
Tirzepatide does not increase the risk of a composite of myocardial infarction, stroke, coronary 
revascularization, or instable angina in patients with T2DM and an established CVD when following the eligibility 
criteria of the SURPASS-CVOT trial. 
Exposure contrast: 
Tirzepatide vs sitagliptin. 
Outcome: 
Composite of myocardial infarction, stroke, coronary revascularization, or instable angina. 
Analytic software:  Aetion, SAS 9.4, R.4.4.0, Python 3.13.3 
Model(s): 
(provide details or code)  
Outcome model: Cox proportional hazards 
Follow-up time * status(0) = exposure 
Confounding adjustment method  
 
Name method and provide relevant details, e.g. bivariate, multivariable, propensity score weighting (specify weighting 
algorithm ratio and caliper), propensity score weighting (specify weight formula, trimming, truncation), propensity 
score stratification (specify strata definition), other. 
 
Overlap weighting based on the propensity score.  
Missing data methods   Name method and provide relevant details, e.g. missing indicators, complete case, last value carried forward, multiple 
imputation (specify model/variables), other. 
   Assumption that if no relevant claims diagnoses/procedures are present, the condition is not present. 
Subgroup Analyses 
List all subgroups 
 
N/A. 

37 
 
 
B. Negative Control Analyses  
Hypothesis: 
Tirzepatide vs sitagliptin has no effect on risk of negative control outcomes compared to sitagliptin. Negative 
control outcomes include (1) hernia and (2) lumbar radiculopathy. 
Exposure contrast: 
Tirzepatide vs sitagliptin. 
Outcome: 
Separate analyses for each negative control outcome, including hernia and lumbar radiculopathy  
Analytic software:  Aetion, SAS 9.4, R.4.4.0, Python 3.13.3 
Model(s): 
(provide details or code)  
Outcome model: Cox proportional hazards 
Follow-up time*status(0) = exposure 
Confounding adjustment method  
 
Name method and provide relevant details, e.g. bivariate, multivariable, propensity score weighting (specify weighting 
algorithm ratio and caliper), propensity score weighting (specify weight formula, trimming, truncation), propensity 
score stratification (specify strata definition), other. 
 
Overlap weighting based on the propensity score.  
Missing data methods   Name method and provide relevant details, e.g. missing indicators, complete case, last value carried forward, multiple 
imputation (specify model/variables), other. 
   Assumption that if no relevant claims diagnoses/procedures are present, the condition is not present. 
Subgroup Analyses 
List all subgroups 
 
N/A. 
 
 
 
Table 4. Sensitivity analyses – rationale, strengths and limitations 
 
What is being varied? How? 
Why?  
(What do you expect to 
learn?) 
Strengths of the sensitivity 
analysis compared to the 
primary 
Limitations of the sensitivity 
analysis compared to the 
primary 
Negative control 
outcomes, 
including hernia, 
lumbar 
radiculopathy 
We evaluate negative 
control outcomes of hernia 
and lumbar radiculopathy, 
where no causal effect is 
expected from tirzepatide, 
or sitagliptin. 
We will evaluate the 
potential impact of residual 
confounding on this 
outcome for which there is 
not expected to be a causal 
effect 
The evaluates the robustness 
of the interpretation of the 
primary analysis by evaluating 
the potential magnitude of 
unmeasured confounding 
This analysis assumes that the 
confounding structure is the 
same or similar for the negative 
control outcome as the 
outcome of interest 

38 
 
Accounting for the 
competing event of 
death. 
We will account for the 
competing event of death 
in our primary outcome 
model by using the Fine-
Gray method. 
To assess the impact of the 
competing event of death 
on the primary end point. 
Accounts for the fact that 
death is a competing event, 
yielding clinically relevant 
cumulative incidence 
estimates and avoiding bias 
from treating death as non-
informative censoring. 
Targets a slightly different 
estimand than Cox, may have 
lower power, and interpretation 
can be difficult if treatment also 
affects death or confounding 
affects death differently than 
the primary end point. 
As-started 
analyses 
(observational 
analogue to 
intention-to-treat) 
to address 
potential 
informative 
censoring. 
To address potential 
informative censoring. 
We will consider the first-
used medication for 365 
days without considering 
drug discontinuation or 
switching, mimicking an 
“intention-to-treat” 
approach. 
Reflects follow-up regimen of 
RCT. 
Persistence of drug use is 
shorter in clinical practice 
whereas adherence is typically 
higher in RCTs. Therefore, we 
expect the estimated effects 
will be diluted toward the null, 
underestimating the true 
treatment effect had patients 
remained on therapy. 
 
6.6 Data sources 
6.6.1 Context and rationale for data sources 
Reason for selection: The study will be conducted in 2 US health care claims databases: Optum Clinformatics (2022-2025), and Merative MarketScan 
(2022-2023). Data from the Merative MarketScan database will only be included if sufficient sample size can be accrued. 
Strengths of data source(s): Each data source contains deidentified, longitudinal, date-stamped information on patient enrollment, demographics, 
inpatient/outpatient diagnosis and procedures, admission and discharge dates, and medication dispensation. The death data is captured in the Optum 
database from inpatient discharge status, social security death master file, and deaths scraped from obituaries or other sources. The death data in 
MarketScan is captured from the social security death master file and inpatient discharge status. It is recognized that the social security death master 
file has high specificity and positive predictive value for deaths. While this data resource has under captured deaths since 2011, the capture of deaths is 
not expected to be differential between compared exposure groups. 
Limitations of data source(s): Patient healthcare encounters are only observable when they are enrolled in an insurance plan that contributes to the 
database. Patients may change insurance plans for multiple reasons. Both Optum Clinformatics and Merative MarketScan are primarily employer 
based insurance databases where patients may disenroll with job changes. In claims data, dispensing data for inpatient medication is unavailable. 
Diagnoses reflect billing practices, therefore algorithms (preferably validated) are needed for accurate phenotyping of patient conditions.  Services 
that are not covered by insurance do not appear in the data. The trial evaluated cardiovascular deaths, however we will evaluate all-cause mortality in 

39 
 
the emulation because most deaths in this cohort of patients at high cardiovascular risk will be related to cardiovascular reasons, the cause of death is 
not recorded for databases not linked to NDI, and the performance of NDI at identifying cardiovascular causes of death may be suboptimal. 23 
Data source provenance/curation:  
Information about Optum Clinformatics and Merative MarketScan can be found in data dictionaries and user guides that are provided to clients.  
 
Table 5. Metadata about data sources and software 
 
Data 1 
Data 2 
Data Source(s): 
Optum Clinformatics 
Merative MarketScan 
Study Period: 
13th May 2022 
13th May 2022 
Eligible Cohort Entry Period: 
February 28, 2025 
December 31, 2023 
Data Version (or date of last 
update): 
April 2025 
Mortality Cut Set A 
Received 2024-03-01 
Data sampling/extraction criteria: 
n/a 
n/a 
Type(s) of data: 
Administrative claims 
Administrative claims 
Data linkage: 
n/a 
n/a 
Conversion to CDM*: 
n/a 
n/a 
Software for data management: 
Aetion Evidence Platform® 
(2025) 
Aetion Evidence Platform® 
(2025) 
*CDM = Common Data Model 
 
6.7 Data management 
Tracking data: The Data Use Agreement (DUA) Custodian (Principal Investigator) and the Division Operations Manager (Winta Tekle) are responsible 
for receiving and creating a record of new data associated with the given request. The Operations Manager is responsible for all indexing and archiving 
of documents and electronic media related to data that the Division receives and will log data location, data contents, and associated DUA and 
Institutional Review Board (IRB) numbers in the Division’s centralized tracking system. 

40 
 
Handling and storage: In-scope data will be stored utilizing Mass General Brigham approved information systems – i.e., Division servers and Mass 
General Brigham network storage.  
Archiving: Data retention and any removal will be executed by the Division Operations Manager (Winta Tekle) and Data Manager (Todd MacGarvey). 
The Division follows Mass General Brigham enterprise record retention policies and follow the terms of the agreement through which the in-scope data 
was received. 
Information security: The Division follows Mass General Brigham’s Enterprise Information Security Program (EISP). The EISP helps by providing 
assurance that Mass General Brigham information and information systems are protected from unauthorized access, use, disclosure, duplication, 
modification, or destruction in order to maintain their confidentiality, integrity, and availability. To that end, the EISP policies, standards and procedures 
create an information security framework that is aligned with the recommendations of the International Organization for Standardization’s (ISO) 
publication 27001 and the National Institute of Standards and Technology’s (NIST) publication 800-53 Family of Controls and MGB regulatory and 
legal requirements (as a HIPAA covered entity). 
 
Mass General Brigham workforce members are required to complete new workforce privacy and information security training upon hire and annually 
thereafter. Refresh training is provided as appropriate. Mass General Brigham workforce members are required to review and sign a Confidentiality 
Agreement upon hire and annually thereafter. Additionally, we follow Enterprise Information Security and Privacy policies, including Managing 
Workforce Members Information Security Responsibilities Policy, which was developed to help assure that Mass General Brigham workforce members 
are competent and eligible to support the information security responsibilities associated with their role. Mass General Brigham workforce, including 
Division staff, are required to comply with Enterprise Information Security and Privacy Policies.  
 
Facilities: The research team uses a highly secure, state-of-the-art, computing facility housed at Mass General Brigham’s Corporate Data Centers in 
Needham and Marlborough, Massachusetts as well as Amazon Web Services (AWS). We maintain redundant storage for maximal data integrity and 
high-speed data access.  
The Division uses Mass General Brigham corporate provisioned servers to analyze and store data in connection with this project. There are strict 
access controls enforced by technical means to ensure that only study staff who have been approved to conduct data analyses and contracted data 
engineers are able to access data (e.g., Mass General Brigham Authentication (Active Directory) utilized; auditing, logging, and monitoring enabled; 
firewalls enabled; etc.). All Division servers used in this study are accessible to only authorized staff only through the MGB network and utilizing VPN as 
appropriate (i.e., users must be on the network and logged into VPN to access). Mass General Brigham has a network information security monitoring 
team and in-scope servers are enrolled in enterprise security tools (e.g., vulnerability scanning service, antivirus, etc.).   
The Division also uses AWS. In-scope AWS services / resources have undergone review and assessment by Mass General Brigham’s Information 
Security Risk Assessment Team/ InfoSec Risk Management Team as required and in alignment with NIST 800-30: Guide for Conducting Risk 
Assessments. In-scope AWS servers are for our exclusive use (reserved instances), are covered under our organization’s Business Associate 
Agreement with AWS. In-scope servers are housed in anonymous facilities that are not branded as AWS facilities. Physical access is strictly controlled 
both at the perimeter and at building ingress points by professional security staff utilizing video surveillance, intrusion detection systems, and other 
electronic means. 

41 
 
Security attributes and controls for the Division’s use of in-scope AWS in connection with this project include: encryption at rest and in transit (industry 
standard AES-256 encryption, SSL/TSL), anti-malware, latest OS updates and patches as well as anti-virus; multi-factor authentication (MFA), Identity 
and Access Management, including SSO; auditing and logging; principle of least privilege, including for traffic and ports (e.g., deny all default 
configurations), use of VPC enabled Step functions, etc.; separation between environments; minimum necessary (out of the box AWS roles are not 
used as they can be overly permissive); all data would reside in the US domestic regions – use only US east HIPAA compliant region; performance 
monitoring enabled and reviewed as per internal processes; passwords compliant with enterprise password policy and, as appropriate, more protective 
password requirements; etc. Our Division’s AWS use is also subject to ongoing evaluation and monitoring as well – e.g., vulnerability scanning and 
management, access review, etc.  
A data file list will be maintained in Amazon S3 and tracked through Cloudtrail and Cloudwatch. Reporting of data file availability for any file stored in an 
S3 bucket will be controlled by MGB. 
Amazon EC2, Amazon EBS, and Amazon VPC are integrated with AWS CloudTrail, a service that provides a record of actions taken by a user, role, or an 
AWS service in Amazon EC2, Amazon EBS, and Amazon VPC. CloudTrail captures all API calls for Amazon EC2, Amazon EBS, and Amazon VPC as 
events, including calls from the console and from code calls to the APIs. MGB IT/security staff have full access to CloudTrail to ensure that CloudTrail 
monitoring is available at all times. Amazon CloudWatch Events delivers a near-real-time stream of system events that describe changes in AWS 
resources. Amazon CloudTrail can log, continuously monitor, and retain account activity related to actions across the MGB AWS infrastructure. 
CloudTrail provides event history of MGB AWS account activity. This event history simplifies security analysis, resource change tracking, and 
troubleshooting and complies with requirements to ensure the data file inventory is controlled by MGB. 
Backups: Backups are created using industry recognized Cryptographic mechanisms (e.g., 256-bit AES encryption) as appropriate and required. Data 
are backed up within the MGB network from the MGB Needham data center to the MGB Marlborough data center via replication/mirroring and volume-
level snapshots. AWS Backup supports both instance-level backups as Amazon Machine Images (AMIs) and volume-level backups as separate 
snapshots based on the resource tags. AMIs allow MGB IT and security staff to create backups of all S3 and EC2 instances. 
In addition to the safeguards listed above, the Division follows enterprise privacy and information security policies and maintains internally procedures 
in connection with this project to safeguard the data in connection with this project as appropriate and required including: Physical Security and 
Environmental Controls for Electronic Information Policy; IT Access Control Standards for Users policy; Safeguarding Fax Copiers Printers Telephone 
Use and Pagers; Physical Removal and Transport of Protected Health Information and Personal Information policy, etc.  
 
6.8 Quality control 
Senior Programmers and Research Specialists perform QA/QC on raw or common data model converted data via SAS/R/Aetion software. The protocol 
will be iteratively developed and pre-specified data checks including feasibility counts and balance on baseline covariates will be conducted with 
outputs reviewed by MGB team members. Team members will review code lists to ensure fidelity to intended algorithms. 
 

42 
 
6.9 Study size and feasibility 
See appendix 4 and appendix 5 (feasibility, weighting on age, sex, comorbidity score as well as all predefined propensity score variables). Propensity 
score distribution plots with c-statistics are available in appendix 6. Table 1 showing prevalence of baseline characteristics and standardized 
differences in distribution are available in appendix 7. Additional diagnostic evaluations, including balance assessments of laboratory and clinical 
examination test results not included in the propensity score as well as assessment of heart failure-related medication after follow-up, will be 
conducted to assess potential residual confounding and divergence of treatment over time. 
 
7. Limitation of the methods 
As we are using secondary data and the data were not collected for research purposes, some important variables may not be collected or will be 
measured imperfectly. We have selected validated algorithms when possible and we have created proxies for important variables that are not directly 
captured in the data to reduce confounding by unmeasured factors.  
When comparing results from an RCT to a database study that emulates the design, we assume that the findings from the single RCT are internally 
valid. 
Although we plan to emulate the important features of each trial as closely as possible in healthcare claims, there may be some elements of the RCT 
design that are not emulable with a database study, which means that the real-world evidence obtained from the database study and trial will address 
slightly different clinical questions. For example, in routine clinical care, adherence to treatment is typically not as high as it is in an RCT with strong 
measures in place to encourage adherence to the study protocol. This means that there is more discontinuation and short-term medication use in the 
patients identified in claims databases than trial participants. 
Apparent agreement between RCT and database study results could occur if the effects of multiple factors (chance, emulation differences, bias) 
cancel each other out. 
8. Protection of human subjects 
This study has been approved by the Brigham and Women’s Hospital Institutional Review Board. 
9. References 
 
1. FDA approves Lilly’s MounjaroTM (tirzepatide) injection, the first and only GIP and GLP-1 receptor agonist for the treatment of adults with type 2 diabetes | Eli Lilly 
and Company. Accessed July 18, 2025. https://investor.lilly.com/news-releases/news-release-details/fda-approves-lillys-mounjarotm-tirzepatide-injection-first-and 
2. Green JB, Bethel MA, Armstrong PW, et al. Effect of Sitagliptin on Cardiovascular Outcomes in Type 2 Diabetes. N Engl J Med. 2015;373(3):232-242. 
doi:10.1056/NEJMoa1501352 

43 
 
3. Scirica BM, Bhatt DL, Braunwald E, et al. Saxagliptin and Cardiovascular Outcomes in Patients with Type 2 Diabetes Mellitus. N Engl J Med. 2013;369(14):1317-
1326. doi:10.1056/NEJMoa1307684 
4. Heart Failure, Saxagliptin, and Diabetes Mellitus: Observations from the SAVOR-TIMI 53 Randomized Trial. doi:10.1161/CIRCULATIONAHA.114.010389 
5. A Multicenter Observational Study of Incretin-based Drugs and Heart Failure | New England Journal of Medicine. Accessed December 2, 2024. https://www-nejm-
org.emedien.ub.uni-muenchen.de/doi/10.1056/NEJMoa1506115 
6. Risk for Hospitalized Heart Failure Among New Users of Saxagliptin, Sitagliptin, and Other Antihyperglycemic Drugs: A Retrospective Cohort Study: Annals of 
Internal Medicine: Vol 164, No 11. Accessed December 2, 2024. https://www.acpjournals.org/doi/10.7326/M15-2568 
7. Patorno E, Gopalakrishnan C, Bartels DB, Brodovicz KG, Liu J, Schneeweiss S. Preferential prescribing and utilization trends of diabetes medications among patients 
with renal impairment: Emerging role of linagliptin and other dipeptidyl peptidase 4 inhibitors. Endocrinol Diabetes Metab. 2018;1(1):e00005. doi:10.1002/edm2.5 
8. Gallwitz B. Safety and efficacy of linagliptin in type 2 diabetes patients with common renal and cardiovascular risk factors. Ther Adv Endocrinol Metab. 
2013;4(3):95-105. doi:10.1177/2042018813486165 
9. Packer M, Anker SD, Butler J, et al. Cardiovascular and Renal Outcomes with Empagliflozin in Heart Failure. N Engl J Med. 2020;383(15):1413-1424. 
doi:10.1056/NEJMoa2022190 
10. Solomon SD, McMurray JJV, Claggett B, et al. Dapagliflozin in Heart Failure with Mildly Reduced or Preserved Ejection Fraction. N Engl J Med. 2022;387(12):1089-
1098. doi:10.1056/NEJMoa2206286 
11. Anker SD, Butler J, Filippatos G, et al. Empagliflozin in Heart Failure with a Preserved Ejection Fraction. N Engl J Med. 2021;385(16):1451-1461. 
doi:10.1056/NEJMoa2107038 
12. McMurray JJV, Solomon SD, Inzucchi SE, et al. Dapagliflozin in Patients with Heart Failure and Reduced Ejection Fraction. N Engl J Med. 2019;381(21):1995-2008. 
doi:10.1056/NEJMoa1911303 
13. Mohan V, Saboo B, Khader J, et al. Position of Sulfonylureas in the Current ERA: Review of National and International Guidelines. Clin Med Insights Endocrinol 
Diabetes. 2022;15:11795514221074663. doi:10.1177/11795514221074663 
14. Schneeweiss S. A basic study design for expedited safety signal evaluation based on electronic healthcare data. Pharmacoepidemiol Drug Saf. 2010;19(8):858-868. 
doi:10.1002/pds.1926 
15. Ray WA. Evaluating medication effects outside of clinical trials: new-user designs. Am J Epidemiol. 2003;158(9):915-920. doi:10.1093/aje/kwg231 
16. Kiyota Y, Schneeweiss S, Glynn RJ, Cannuscio CC, Avorn J, Solomon DH. Accuracy of medicare claims-based diagnosis of acute myocardial infarction: estimating 
positive predictive value on the basis of review of hospital records. Am Heart J. 2004;148(1):99-104. doi:10.1016/j.ahj.2004.02.013 
17. Andrade SE, Harrold LR, Tjia J, et al. A systematic review of validated methods for identifying cerebrovascular accident or transient ischemic attack using 
administrative data. Pharmacoepidemiol Drug Saf. 2012;21 Suppl 1(Suppl 1):100-128. doi:10.1002/pds.2312 
18. Roumie CL, Mitchel E, Gideon PS, Varas-Lorenzo C, Castellsague J, Griffin MR. Validation of ICD-9 codes with a high positive predictive value for incident strokes 

44 
 
resulting in hospitalization using Medicaid health data. Pharmacoepidemiol Drug Saf. 2008;17(1):20-26. doi:10.1002/pds.1518 
19. Wahl PM, Rodgers K, Schneeweiss S, et al. Validation of claims-based diagnostic and procedure codes for cardiovascular and gastrointestinal serious adverse events 
in a commercially-insured population. Pharmacoepidemiol Drug Saf. 2010;19(6):596-603. doi:10.1002/pds.1924 
20. Gagne JJ, Glynn RJ, Avorn J, Levin R, Schneeweiss S. A combined comorbidity score predicted mortality in elderly patients better than existing scores. J Clin 
Epidemiol. 2011;64(7):749-759. doi:10.1016/j.jclinepi.2010.10.004 
21. Sun JW, Rogers JR, Her Q, et al. Adaptation and Validation of the Combined Comorbidity Score for ICD-10-CM. Med Care. 2017;55(12):1046-1051. 
doi:10.1097/MLR.0000000000000824 
22. Kim DH, Schneeweiss S, Glynn RJ, Lipsitz LA, Rockwood K, Avorn J. Measuring Frailty in Medicare Data: Development and Validation of a Claims-Based Frailty 
Index. J Gerontol A Biol Sci Med Sci. 2018;73(7):980-987. doi:10.1093/gerona/glx229 
23. Olubowale OT, Safford MM, Brown TM, et al. Comparison of Expert Adjudicated Coronary Heart Disease and Cardiovascular Disease Mortality With the National 
Death Index: Results From the REasons for Geographic And Racial Differences in Stroke (REGARDS) Study. J Am Heart Assoc. 2017;6(5):e004966. 
doi:10.1161/JAHA.116.004966 
10. Appendices 
See accompanying excel files that specify the cohort study. 
 
1 Target Trial Framework, Operational Definitions, and Data Fitness Assessment 
 
2 Code algorithms 
 
2a 
Exposure 
 
2a 
Inclusion 
 
2c 
Exclusion 
 
2d 
Outcome 
 
3 Flowchart for cohort assembly 
 
4 1st feasibility assessment 
 
5 2nd feasibility assessment 
 
6 Balance Assessment - PS Distribution and C-Statistic 
 
7 Balance Assessment - Table 1 
8 Covariate - Algorithm Sources 
 

Appendices
1
Target Trial Framework, Operational Definitions and Data Fitness Assessment
2
Code algorithms
2a Exposure
2b Inclusion
2c Exclusion
2d Outcome
3
Flowchart for cohort assembly
4
1st feasibility assessment
5
2nd feasibility assessment
6
Balance Assessment - PS Distribution and C-Statistic
7
Balance Assessment - Table 1
8
Covariate - Algorithm Sources

TIRZSITA-CVOT
OPTUM
MARKETSCAN
Notes/Questions
Color coding
Treatment assignment (time 0, 
index date)
International, double-blind, randomized, active-
controlled trial to treatment A vs B
Non-randomized initiation of treatment Tirzepatide vs Sitagliptin
(first eligible entry to study population)
Non-randomized initiation of treatment Tirzepatide vs Sitagliptin
(first eligible entry to study population)
Exposure
Tirzepatide (subcutaneously
once per week)
Code type: RX
Care setting: N/A
Diagnosis position: N/A
Washout window: [-183, -1]
Incident with respect to: Tirzepatide and sitagliptin in any formulation 
or dose
Assessment window: N/A
Source of algorithm: N/A
Measurement characteristics: N/A
Code type: RX
Care setting: N/A
Diagnosis position: N/A
Washout window: [-183, -1]
Incident with respect to: Tirzepatide and sitagliptin in any formulation 
or dose
Assessment window: N/A
Source of algorithm: N/A
Measurement characteristics: N/A
Good proxy definition
Comparator Placebo
Code type: RX
Care setting: N/A
Diagnosis position: N/A
Washout window: [-183, -1]
Incident with respect to: Tirzepatide and sitagliptin in any formulation 
or dose
Assessment window: N/A
Source of algorithm: N/A
Measurement characteristics: N/A
Code type: RX
Care setting: N/A
Diagnosis position: N/A
Washout window: [-183, -1]
Incident with respect to: Tirzepatide and sitagliptin in any formulation 
or dose
Assessment window: N/A
Source of algorithm: N/A
Measurement characteristics: N/A
Moderate proxy definition
Outcomes to be emulated
Atheroscelrotic cardiovascular events, i.e., myocardial 
infarction, stroke, coronary revasularization, unstable 
angina
Code type: DX, PX
Care setting: Inpatient for MI, stroke, unstable angina. Any for coronary 
revascularization
Diagnosis position: Primary
Washout window:
Source of algorithm: See below.
Measurement characteristics: PPV for MI using ICD9 codes was 88.4% 
and 94% 
PPV for ischemic stroke using ICD9 codes was 88% and 95% 
Both of the above ICD9 codes were mapped to ICD10, but no validation 
study was performed.
Code type: DX, PX
Care setting: Inpatient for MI, stroke, unstable angina. Any for coronary 
revascularization
Diagnosis position: Primary
Washout window:
Source of algorithm: See below.
Measurement characteristics: PPV for MI using ICD9 codes was 88.4% 
and 94% 
PPV for ischemic stroke using ICD9 codes was 88% and 95% 
Both of the above ICD9 codes were mapped to ICD10, but no validation 
study was performed.
Poorly measured in database 
Follow up start Randomization date
One day after initiation of treatment with tirzepatide or sitagliptin
One day after initiation of treatment with tirzepatide or sitagliptin
Follow up end Expected mean follow-up: 1 year
Earliest of: Outcome, end of observation in data, end of study period 
(365 days), discontinuation of study drug (45 days grace window and 
risk-window), switch to other GLP-1-RA, nursing home admission
Earliest of: Outcome, end of observation in data, end of study period 
(365 days), discontinuation of study drug (45 days grace window and 
risk-window), switch to other GLP-1-RA, nursing home admission
Causal estimand Intention-to-treat effect
On-treatment effect
On-treatment effect
Algorithm detail: Adherence in clinical practice databases is 
expected to be much worse than in the trial, therefore the on-
treatment analysis at 1 year follow-up will be the primary 
analysis.
Effect estimation Cox proportional hazards model
Cox proportional hazards regression model
Cox proportional hazards regression model
Inclusion criteria
1 Men and women aged 40 years or older
Applied before/after selection of index date: Before
Assessment window: [0, 0]
Code type: N/A
Care setting: N/A
Diagnosis position: N/A
Source of algorithm: N/A
Measurement characteristics: N/A
Applied before/after selection of index date: Before
Assessment window: [0, 0]
Code type: N/A
Care setting: N/A
Diagnosis position: N/A
Source of algorithm: N/A
Measurement characteristics: N/A
2 Type 2 diabetes mellitus
Applied before/after selection of index date: Before
Assessment window: [-365, 0]
Code type: DX
Care setting: Any
Diagnosis position: Any
Source of algorithm: PROMISE team
Measurement characteristics: N/A
Applied before/after selection of index date: Before
Assessment window: [-365, 0]
Code type: DX
Care setting: Any
Diagnosis position: Any
Source of algorithm: PROMISE team
Measurement characteristics: N/A
3 HbA1c ≥7% and ≤ 10.5%
Applied before/after selection of index date: Before
Assessment window: [-120, 0]
Code type: DX
Care setting: Any
Diagnosis position: Any
Source of algorithm: PROMISE team
Measurement characteristics: N/A
Applied before/after selection of index date: Before
Assessment window: [-120, 0]
Code type: DX
Care setting: Any
Diagnosis position: Any
Source of algorithm: PROMISE team
Measurement characteristics: N/A
Algorithm detail: Not considered in the main cohort due to 
high missingness of HbA1c measurements. A sensitivity 
analyses on a subset of the cohort with HbA1c 
measurements will be conducted in the cohort from the 
Optum database, including the last recorded value in the 
propensity score.
4 BMI ≥ 25kg/m2
Applied before/after selection of index date: Before
Assessment window: [-730, 0]
Code type: DX, LOINC
Care setting: Any
Diagnosis position: Any
Source of algorithm: Validation of obesity-related diagnosis codes in 
claims data; Validation of body mass index (BMI)-related ICD-9-CM 
and ICD-10-CM administrative diagnosis codes recorded in US claims 
data
Measurement characteristics:  N/A
Applied before/after selection of index date: Before
Assessment window: [-730, 0]
Code type: DX, LOINC
Care setting: Any
Diagnosis position: Any
Source of algorithm: Validation of obesity-related diagnosis codes in 
claims data; Validation of body mass index (BMI)-related ICD-9-CM 
and ICD-10-CM administrative diagnosis codes recorded in US claims 
data
Measurement characteristics:  N/A
Algorithm detail: If BMI measurement via LOINC code is 
below 10 or above 100 then measurent is set to missing.
5 Established atherosclerotic cardiovascular disease, either one of:
5. 1 Coronary artery disease, either one of:
5.1.1 Documented history of myocardial infarction
Applied before/after selection of index date: Before
Assessment window: [all available data, 0]
Code type: DX
Care setting: Any
Diagnosis position: Any
Source of algorithm: N/A
Measurement characteristics: N/A
Applied before/after selection of index date: Before
Assessment window: [all available data, 0]
Code type: DX
Care setting: Any
Diagnosis position: Any
Source of algorithm: N/A
Measurement characteristics: N/A

5.1.2
≥50% stenosis in ≥1 major coronary arteries 
determined by invasive angiography
Applied before/after selection of index date: Before
Assessment window: [all available data, 0]
Code type: DX
Care setting: Any
Diagnosis position: Any
Source of algorithm: N/A
Measurement characteristics: N/A
Applied before/after selection of index date: Before
Assessment window: [all available data, 0]
Code type: DX
Care setting: Any
Diagnosis position: Any
Source of algorithm: N/A
Measurement characteristics: N/A
Algorithm detail: ≥50% stenosis was proxied by ICD-10 
codes, based on the premise that most patients are coded 
only after surpassing the symptomatic threshold of 50-
70%.
5.1.3 ≥50% stenosis in 2 or more major coronary arteries
Applied before/after selection of index date: Before
Assessment window: [all available data, 0]
Code type: DX
Care setting: Any
Diagnosis position: Any
Source of algorithm: N/A
Measurement characteristics: N/A
Applied before/after selection of index date: Before
Assessment window: [all available data, 0]
Code type: DX
Care setting: Any
Diagnosis position: Any
Source of algorithm: N/A
Measurement characteristics: N/A
See 5.1.2
5.1.4
History of surgical or percutaneous coronary 
revascularization procedure
Applied before/after selection of index date: Before
Assessment window: [all available data, 0]
Code type: DX, PX
Care setting: Any
Diagnosis position: N/A
Source of algorithm: N/A
Measurement characteristics: N/A
Applied before/after selection of index date: Before
Assessment window: [all available data, 0]
Code type: DX, PX
Care setting: Any
Diagnosis position: N/A
Source of algorithm: N/A
Measurement characteristics: N/A
5.2 Cerebrovascular disease, either one of:
5.2.1 Documented history of ischemic stroke
Applied before/after selection of index date: Before
Assessment window: [all available data, 0]
Code type: DX
Care setting: Any
Diagnosis position: Any
Source of algorithm: N/A
Measurement characteristics: N/A
Applied before/after selection of index date: Before
Assessment window: [all available data, 0]
Code type: DX
Care setting: Any
Diagnosis position: Any
Source of algorithm: N/A
Measurement characteristics: N/A
5.2.2
Carotid arterial disease with ≥50% stenosis, 
documented by carotid ultrasound, MRI, or 
angiography
Applied before/after selection of index date: Before
Assessment window: [all available data, 0]
Code type: DX
Care setting: Any
Diagnosis position: Any
Source of algorithm: N/A
Measurement characteristics: N/A
Applied before/after selection of index date: Before
Assessment window: [all available data, 0]
Code type: DX
Care setting: Any
Diagnosis position: Any
Source of algorithm: N/A
Measurement characteristics: N/A
See 5.1.2
5.2.3
History of carotid stenting or surgical 
revascularization
Applied before/after selection of index date: Before
Assessment window: [all available data, 0]
Code type: DX, PX
Care setting: Any
Diagnosis position: Any
Source of algorithm: N/A
Measurement characteristics: N/A
Applied before/after selection of index date: Before
Assessment window: [all available data, 0]
Code type: DX, PX
Care setting: Any
Diagnosis position: Any
Source of algorithm: N/A
Measurement characteristics: N/A
5.3 Peripheral arterial disease, either one of:
5.3.1 Intermittent claudication and ankle-brachial index <0.9
Applied before/after selection of index date: Before
Assessment window: [-all available data, 0]
Code type: DX
Care setting: Any
Diagnosis position: Any
Source of algorithm: N/A
Measurement characteristics: N/A
Applied before/after selection of index date: Before
Assessment window: [-all available data, 0]
Code type: DX
Care setting: Any
Diagnosis position: Any
Source of algorithm: N/A
Measurement characteristics: N/A
Algorithm detail: Intermittent claudication was proxied by 
ICD-10-CM codes for peripheral vascular disease.
5.3.2
Prior nontraumatic amputation or peripheral vascular 
procedure (eg, stenting or surgical revascularization), 
due to peripheral arterial ischemia
Applied before/after selection of index date: Before
Assessment window: [all available data, 0]
Code type: DX, PX
Care setting: Any
Diagnosis position: Any
Source of algorithm: N/A
Measurement characteristics: N/A
Applied before/after selection of index date: Before
Assessment window: [all available data, 0]
Code type: DX, PX
Care setting: Any
Diagnosis position: Any
Source of algorithm: N/A
Measurement characteristics: N/A
Exclusion criteria
6 HbA1c >10.5%
Applied before/after selection of index date: Before
Assessment window: [-120, 0]
Code type: DX
Care setting: Any
Diagnosis position: Any
Source of algorithm: PROMISE team
Measurement characteristics: N/A
Applied before/after selection of index date: Before
Assessment window: [-120, 0]
Code type: DX
Care setting: Any
Diagnosis position: Any
Source of algorithm: PROMISE team
Measurement characteristics: N/A
Algorithm detail: Not considered in the main cohort due to 
high missingness of HbA1c measurements. A sensitivity 
analyses on a subset of the cohort with HbA1c 
measurements will be conducted in the cohort from the 
Optum database, including the last recorded value in the 
propensity score.
7
Planning treatment for diabetic retinopathy and/or 
macular edema
Applied before/after selection of index date: Before
Assessment window: [-365, 0]
Code type:  PX
Care setting: Any
Diagnosis position:  Any 
Source of algorithm: PROMISE team
Measurement characteristics: N/A
Applied before/after selection of index date: Before
Assessment window: [-365, 0]
Code type:  PX
Care setting: Any
Diagnosis position:  Any 
Source of algorithm: PROMISE team
Measurement characteristics: N/A
Algorithm detail: Planned treatment will be proxied by a 
history of treatment (e.g. codes for intravitreal injection of 
anti-VEGFi OR photocoagulation.)
8
Hospitalized for chronic heart failure within 2 months 
prior to screening
Applied before/after selection of index date: Before
Assessment window: [-60, 0] for HF diagnosis or HHF
Code type: DX, RX
Care setting: Inpatient
Diagnosis position: Primary
Source of algorithm: DUPLICATE team, investigator reviewed codes
Measurement characteristics: N/A
Applied before/after selection of index date: Before
Assessment window: [-60, 0] for HF diagnosis or HHF
Code type: DX, RX
Care setting: Inpatient
Diagnosis position: Primary
Source of algorithm: DUPLICATE team, investigator reviewed codes
Measurement characteristics: N/A

9
Chronic New York Heart Association Functional 
Classification IV heart failure
Can't be measured in claims. 
Can't be measured in claims. 
Algorithm detail: A proportion of patients with NYHA class 
IV will be excluded from the cohort by exclusion criterion 8.
10
Planned coronary, carotid, or peripheral artery 
revascularization
Can't be measured in claims. 
Can't be measured in claims.
11 History of chronic or acute pancreatitis
Applied before/after selection of index date: Before
Assessment window: [-183, 0]
Code type:  DX
Care setting: Any
Diagnosis position:  Any 
Source of algorithm: PROMISE team
Measurement characteristics: N/A
Applied before/after selection of index date: Before
Assessment window: [-183, 0]
Code type:  DX
Care setting: Any
Diagnosis position:  Any 
Source of algorithm: PROMISE team
Measurement characteristics: N/A
12
Known clinically significant gastric emptying 
abnormality or bariatric surgery
Applied before/after selection of index date: Before 
Assessment window: [-365, 0]
Code type:  DX,
Care setting: Inpatient
Diagnosis position: Any
Source of algorithm: PROMISE team, 
https://pubmed.ncbi.nlm.nih.gov/35857336/, Investigator reviewed 
codes
Measurement characteristics: N/A
Applied before/after selection of index date: Before 
Assessment window: [-365, 0]
Code type:  DX,
Care setting: Inpatient
Diagnosis position: Any
Source of algorithm: PROMISE team, 
https://pubmed.ncbi.nlm.nih.gov/35857336/, Investigator reviewed 
codes
Measurement characteristics: N/A
See SUMMIT
13
Liver disease (not including non-alcoholic fatty liver 
disease [NAFLD]) or ALT level ≥3X the ULN
Applied before/after selection of index date: Before
Assessment window: [-183, 0]
Code type:  DX, PX
Care setting: Any
Diagnosis position: Any 
Source of algorithm: Investigator reviewed codes
Measurement characteristics: N/A
Applied before/after selection of index date: Before
Assessment window: [-183, 0]
Code type:  DX, PX
Care setting: Any
Diagnosis position: Any 
Source of algorithm: Investigator reviewed codes
Measurement characteristics: N/A
Algorithm detail: Based on diagnostic codes rather than 
laboratory values.
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
Applied before/after selection of index date: Before
Assessment window: [-365, 0]
Code type: DX, PX
Care setting: Any
Diagnosis position: Any
Source of algorithm: PROMISE team
Measurement characteristics: N/A
Applied before/after selection of index date: Before
Assessment window: [-365, 0]
Code type: DX, PX
Care setting: Any
Diagnosis position: Any
Source of algorithm: PROMISE team
Measurement characteristics: N/A
Algorithm detail: Proxied by ICD-10-CM codes for chronic 
kidney disease stage 5 OR end-stage renal disease OR ICD-
10-CM procedure codes for dialysis.
15
Family or personal history of multiple endocrine 
neoplasia or medullary thyroid carcinoma
Applied before/after selection of index date: Before
Assessment window: [all available data, 0] 
Code type: DX
Care setting: Any
Diagnosis position: Any 
Source of algorithm: PROMISE team
Measurement characteristics: N/A
Applied before/after selection of index date: Before
Assessment window: [all available data, 0] 
Code type: DX
Care setting: Any
Diagnosis position: Any 
Source of algorithm: PROMISE team
Measurement characteristics: N/A
16 Elevated serum calcitonin level
Can't be measured in claims. 
Can't be measured in claims.
17
Cardiovascular event or intervention <60 days prior to 
screening
Applied before/after selection of index date: Before
Assessment window: [-60, 0] for all except unstable angina [-30, 0]
Code type: DX, PX
Care setting: Inpatient/ED for MI, Stroke, TIA, inpatient for procedures
Diagnosis position: Any
Source of algorithm: PROMISE team, Investigator reviewed codes 
Measurement characteristics: N/A
Applied before/after selection of index date: Before
Assessment window: [-60, 0] for all except unstable angina [-30, 0]
Code type: DX, PX
Care setting: Inpatient/ED for MI, Stroke, TIA, inpatient for procedures
Diagnosis position: Any
Source of algorithm: PROMISE team, Investigator reviewed codes 
Measurement characteristics: N/A
18
GLP-1-RA or pramlintide treatment within 3 months 
prior to Visit 1
Applied before/after selection of index date: Before
Assessment window: [-183, 0]
Code type: RX
Care setting: N/A
Diagnosis position: N/A
Source of algorithm:N/A
Measurement characteristics: n/a
Applied before/after selection of index date: Before
Assessment window: [-183, 0]
Code type: RX
Care setting: N/A
Diagnosis position: N/A
Source of algorithm:N/A
Measurement characteristics: n/a
19 Women who are pregnant or breastfeeding
Applied before/after selection of index date: Before
Assessment window: [-365, 0]
Code type: DX
Care setting: Any
Diagnosis position: Any
Source of algorithm: Pregnancy team
Measurement characteristics: N/A
Applied before/after selection of index date: Before
Assessment window: [-365, 0]
Code type: DX
Care setting: Any
Diagnosis position: Any
Source of algorithm: Pregnancy team
Measurement characteristics: N/A
Algorithm detail: Proxied by ICD-10-CM codes indicative of 
pregnancy at baseline.

Variable_Name
Code
Code_category Code_type Notes
Exposure 
Tirzepatide
TIRZEPATIDE
RX
Generic
NDC Route of administration: SUBCUTANEOUS
Tirzepatide
0002115201
RX
NDC
Tirzepatide
0002124301
RX
NDC
Tirzepatide
0002145701
RX
NDC
Tirzepatide
0002145780
RX
NDC
Tirzepatide
0002146001
RX
NDC
Tirzepatide
0002146080
RX
NDC
Tirzepatide
0002147101
RX
NDC
Tirzepatide
0002147180
RX
NDC
Tirzepatide
0002148401
RX
NDC
Tirzepatide
0002148480
RX
NDC
Tirzepatide
0002149501
RX
NDC
Tirzepatide
0002149580
RX
NDC
Tirzepatide
0002150601
RX
NDC
Tirzepatide
0002150661
RX
NDC
Tirzepatide
0002150680
RX
NDC
Tirzepatide
0002221401
RX
NDC
Tirzepatide
0002234001
RX
NDC
Tirzepatide
0002242301
RX
NDC
Tirzepatide
0002300201
RX
NDC
Tirzepatide
MOUNJARO
RX
Brand
NDC Route of administration: SUBCUTANEOUS
Tirzepatide
ZEPBOUND
RX
Brand
NDC Route of administration: SUBCUTANEOUS
Comparator
Sitagliptin
SITAGLIPTIN 
RX
Generic
NDC Route of Administration: ORAL
Sitagliptin
0006011201
RX
NDC
Sitagliptin
0006011228
RX
NDC
Sitagliptin
0006011231
RX
NDC
Sitagliptin
0006011254
RX
NDC
Sitagliptin
0006022101
RX
NDC
Sitagliptin
0006022128
RX
NDC
Sitagliptin
0006022131
RX
NDC
Sitagliptin
0006022154
RX
NDC
Sitagliptin
0006027701
RX
NDC
Sitagliptin
0006027702
RX
NDC
Sitagliptin
0006027714
RX
NDC
Sitagliptin
0006027727
RX
NDC
Sitagliptin
0006027728
RX
NDC
Sitagliptin
0006027730
RX
NDC
Sitagliptin
0006027731
RX
NDC
Sitagliptin
0006027733
RX
NDC

Sitagliptin
0006027754
RX
NDC
Sitagliptin
0006027782
RX
NDC
Sitagliptin
0006057501
RX
NDC
Sitagliptin/metformin 
Sitagliptin
0006057502
RX
NDC
Sitagliptin/metformin 
Sitagliptin
0006057503
RX
NDC
Sitagliptin/metformin 
Sitagliptin
0006057552
RX
NDC
Sitagliptin/metformin 
Sitagliptin
0006057556
RX
NDC
Sitagliptin/metformin 
Sitagliptin
0006057561
RX
NDC
Sitagliptin/metformin 
Sitagliptin
0006057562
RX
NDC
Sitagliptin/metformin 
Sitagliptin
0006057582
RX
NDC
Sitagliptin/metformin 
Sitagliptin
0006057701
RX
NDC
Sitagliptin/metformin 
Sitagliptin
0006057702
RX
NDC
Sitagliptin/metformin 
Sitagliptin
0006057703
RX
NDC
Sitagliptin/metformin 
Sitagliptin
0006057752
RX
NDC
Sitagliptin/metformin 
Sitagliptin
0006057756
RX
NDC
Sitagliptin/metformin 
Sitagliptin
0006057761
RX
NDC
Sitagliptin/metformin 
Sitagliptin
0006057762
RX
NDC
Sitagliptin/metformin 
Sitagliptin
0006057782
RX
NDC
Sitagliptin/metformin 
Sitagliptin
0006007814
RX
NDC
Sitagliptin/metformin 
Sitagliptin
0006007828
RX
NDC
Sitagliptin/metformin 
Sitagliptin
0006007861
RX
NDC
Sitagliptin/metformin 
Sitagliptin
0006007862
RX
NDC
Sitagliptin/metformin 
Sitagliptin
0006007882
RX
NDC
Sitagliptin/metformin 
Sitagliptin
0006008014
RX
NDC
Sitagliptin/metformin 
Sitagliptin
0006008028
RX
NDC
Sitagliptin/metformin 
Sitagliptin
0006008061
RX
NDC
Sitagliptin/metformin 
Sitagliptin
0006008062
RX
NDC
Sitagliptin/metformin 
Sitagliptin
0006008082
RX
NDC
Sitagliptin/metformin 
Sitagliptin
0006008107
RX
NDC
Sitagliptin/metformin 
Sitagliptin
0006008114
RX
NDC
Sitagliptin/metformin 
Sitagliptin
0006008131
RX
NDC
Sitagliptin/metformin 
Sitagliptin
0006008154
RX
NDC
Sitagliptin/metformin 
Sitagliptin
0006008182
RX
NDC
Sitagliptin/metformin 
Sitagliptin
JANUVIA
RX
Generic
NDC Route of Administration: ORAL
Sitagliptin
SITAGLIPTIN / METFORMIN HYDROCHLORIDE 
RX
Generic
NDC Route of Administration: ORAL

Category
Variable_name
Code
Code_category Description
1 Patients > 40
2 Diagnosed with T2DM
E11.0
DX
TYPE 2 DIABETES MELLITUS WITH HYPEROSMOLARITY
2 Diagnosed with T2DM
E11.00
DX
TYPE 2 DIABETES MELLITUS WITH HYPEROSMOLARITY WITHOUT NONKETOTIC HYPERGLYCEMIC-HYPEROSMOLAR COMA (NKHHC)
2 Diagnosed with T2DM
E11.01
DX
TYPE 2 DIABETES MELLITUS WITH HYPEROSMOLARITY WITH COMA
2 Diagnosed with T2DM
E11.1
DX
TYPE 2 DIABETES MELLITUS WITH KETOACIDOSIS
2 Diagnosed with T2DM
E11.10
DX
TYPE 2 DIABETES MELLITUS WITH KETOACIDOSIS WITHOUT COMA
2 Diagnosed with T2DM
E11.11
DX
TYPE 2 DIABETES MELLITUS WITH KETOACIDOSIS WITH COMA
2 Diagnosed with T2DM
E11.2
DX
TYPE 2 DIABETES MELLITUS WITH KIDNEY COMPLICATIONS
2 Diagnosed with T2DM
E11.21
DX
TYPE 2 DIABETES MELLITUS WITH DIABETIC NEPHROPATHY
2 Diagnosed with T2DM
E11.22
DX
TYPE 2 DIABETES MELLITUS WITH DIABETIC CHRONIC KIDNEY DISEASE
2 Diagnosed with T2DM
E11.29
DX
TYPE 2 DIABETES MELLITUS WITH OTHER DIABETIC KIDNEY COMPLICATION
2 Diagnosed with T2DM
E11.3
DX
TYPE 2 DIABETES MELLITUS WITH OPHTHALMIC COMPLICATIONS
2 Diagnosed with T2DM
E11.31
DX
TYPE 2 DIABETES MELLITUS WITH UNSPECIFIED DIABETIC RETINOPATHY
2 Diagnosed with T2DM
E11.311
DX
TYPE 2 DIABETES MELLITUS WITH UNSPECIFIED DIABETIC RETINOPATHY WITH MACULAR EDEMA
2 Diagnosed with T2DM
E11.319
DX
TYPE 2 DIABETES MELLITUS WITH UNSPECIFIED DIABETIC RETINOPATHY WITHOUT MACULAR EDEMA
2 Diagnosed with T2DM
E11.32
DX
TYPE 2 DIABETES MELLITUS WITH MILD NONPROLIFERATIVE DIABETIC RETINOPATHY
2 Diagnosed with T2DM
E11.321
DX
TYPE 2 DIABETES MELLITUS WITH MILD NONPROLIFERATIVE DIABETIC RETINOPATHY WITH MACULAR EDEMA
2 Diagnosed with T2DM
E11.3211
DX
TYPE 2 DIABETES MELLITUS WITH MILD NONPROLIFERATIVE DIABETIC RETINOPATHY WITH MACULAR EDEMA, RIGHT EYE
2 Diagnosed with T2DM
E11.3212
DX
TYPE 2 DIABETES MELLITUS WITH MILD NONPROLIFERATIVE DIABETIC RETINOPATHY WITH MACULAR EDEMA, LEFT EYE
2 Diagnosed with T2DM
E11.3213
DX
TYPE 2 DIABETES MELLITUS WITH MILD NONPROLIFERATIVE DIABETIC RETINOPATHY WITH MACULAR EDEMA, BILATERAL
2 Diagnosed with T2DM
E11.3219
DX
TYPE 2 DIABETES MELLITUS WITH MILD NONPROLIFERATIVE DIABETIC RETINOPATHY WITH MACULAR EDEMA, UNSPECIFIED EYE
2 Diagnosed with T2DM
E11.329
DX
TYPE 2 DIABETES MELLITUS WITH MILD NONPROLIFERATIVE DIABETIC RETINOPATHY WITHOUT MACULAR EDEMA
2 Diagnosed with T2DM
E11.3291
DX
TYPE 2 DIABETES MELLITUS WITH MILD NONPROLIFERATIVE DIABETIC RETINOPATHY WITHOUT MACULAR EDEMA, RIGHT EYE
2 Diagnosed with T2DM
E11.3292
DX
TYPE 2 DIABETES MELLITUS WITH MILD NONPROLIFERATIVE DIABETIC RETINOPATHY WITHOUT MACULAR EDEMA, LEFT EYE
2 Diagnosed with T2DM
E11.3293
DX
TYPE 2 DIABETES MELLITUS WITH MILD NONPROLIFERATIVE DIABETIC RETINOPATHY WITHOUT MACULAR EDEMA, BILATERAL
2 Diagnosed with T2DM
E11.3299
DX
TYPE 2 DIABETES MELLITUS WITH MILD NONPROLIFERATIVE DIABETIC RETINOPATHY WITHOUT MACULAR EDEMA, UNSPECIFIED 
EYE
2 Diagnosed with T2DM
E11.33
DX
TYPE 2 DIABETES MELLITUS WITH MODERATE NONPROLIFERATIVE DIABETIC RETINOPATHY
2 Diagnosed with T2DM
E11.331
DX
TYPE 2 DIABETES MELLITUS WITH MODERATE NONPROLIFERATIVE DIABETIC RETINOPATHY WITH MACULAR EDEMA
2 Diagnosed with T2DM
E11.3311
DX
TYPE 2 DIABETES MELLITUS WITH MODERATE NONPROLIFERATIVE DIABETIC RETINOPATHY WITH MACULAR EDEMA, RIGHT EYE
2 Diagnosed with T2DM
E11.3312
DX
TYPE 2 DIABETES MELLITUS WITH MODERATE NONPROLIFERATIVE DIABETIC RETINOPATHY WITH MACULAR EDEMA, LEFT EYE
2 Diagnosed with T2DM
E11.3313
DX
TYPE 2 DIABETES MELLITUS WITH MODERATE NONPROLIFERATIVE DIABETIC RETINOPATHY WITH MACULAR EDEMA, BILATERAL
2 Diagnosed with T2DM
E11.3319
DX
TYPE 2 DIABETES MELLITUS WITH MODERATE NONPROLIFERATIVE DIABETIC RETINOPATHY WITH MACULAR EDEMA, UNSPECIFIED 
EYE
2 Diagnosed with T2DM
E11.339
DX
TYPE 2 DIABETES MELLITUS WITH MODERATE NONPROLIFERATIVE DIABETIC RETINOPATHY WITHOUT MACULAR EDEMA
2 Diagnosed with T2DM
E11.3391
DX
TYPE 2 DIABETES MELLITUS WITH MODERATE NONPROLIFERATIVE DIABETIC RETINOPATHY WITHOUT MACULAR EDEMA, RIGHT 
EYE
2 Diagnosed with T2DM
E11.3392
DX
TYPE 2 DIABETES MELLITUS WITH MODERATE NONPROLIFERATIVE DIABETIC RETINOPATHY WITHOUT MACULAR EDEMA, LEFT EYE
2 Diagnosed with T2DM
E11.3393
DX
TYPE 2 DIABETES MELLITUS WITH MODERATE NONPROLIFERATIVE DIABETIC RETINOPATHY WITHOUT MACULAR EDEMA, 
BILATERAL
2 Diagnosed with T2DM
E11.3399
DX
TYPE 2 DIABETES MELLITUS WITH MODERATE NONPROLIFERATIVE DIABETIC RETINOPATHY WITHOUT MACULAR EDEMA, 
UNSPECIFIED EYE
2 Diagnosed with T2DM
E11.34
DX
TYPE 2 DIABETES MELLITUS WITH SEVERE NONPROLIFERATIVE DIABETIC RETINOPATHY
2 Diagnosed with T2DM
E11.341
DX
TYPE 2 DIABETES MELLITUS WITH SEVERE NONPROLIFERATIVE DIABETIC RETINOPATHY WITH MACULAR EDEMA
2 Diagnosed with T2DM
E11.3411
DX
TYPE 2 DIABETES MELLITUS WITH SEVERE NONPROLIFERATIVE DIABETIC RETINOPATHY WITH MACULAR EDEMA, RIGHT EYE
2 Diagnosed with T2DM
E11.3412
DX
TYPE 2 DIABETES MELLITUS WITH SEVERE NONPROLIFERATIVE DIABETIC RETINOPATHY WITH MACULAR EDEMA, LEFT EYE
2 Diagnosed with T2DM
E11.3413
DX
TYPE 2 DIABETES MELLITUS WITH SEVERE NONPROLIFERATIVE DIABETIC RETINOPATHY WITH MACULAR EDEMA, BILATERAL
2 Diagnosed with T2DM
E11.3419
DX
TYPE 2 DIABETES MELLITUS WITH SEVERE NONPROLIFERATIVE DIABETIC RETINOPATHY WITH MACULAR EDEMA, UNSPECIFIED EYE
2 Diagnosed with T2DM
E11.349
DX
TYPE 2 DIABETES MELLITUS WITH SEVERE NONPROLIFERATIVE DIABETIC RETINOPATHY WITHOUT MACULAR EDEMA
2 Diagnosed with T2DM
E11.3491
DX
TYPE 2 DIABETES MELLITUS WITH SEVERE NONPROLIFERATIVE DIABETIC RETINOPATHY WITHOUT MACULAR EDEMA, RIGHT EYE
2 Diagnosed with T2DM
E11.3492
DX
TYPE 2 DIABETES MELLITUS WITH SEVERE NONPROLIFERATIVE DIABETIC RETINOPATHY WITHOUT MACULAR EDEMA, LEFT EYE
2 Diagnosed with T2DM
E11.3493
DX
TYPE 2 DIABETES MELLITUS WITH SEVERE NONPROLIFERATIVE DIABETIC RETINOPATHY WITHOUT MACULAR EDEMA, BILATERAL
2 Diagnosed with T2DM
E11.3499
DX
TYPE 2 DIABETES MELLITUS WITH SEVERE NONPROLIFERATIVE DIABETIC RETINOPATHY WITHOUT MACULAR EDEMA, UNSPECIFIED 
EYE

2 Diagnosed with T2DM
E11.35
DX
TYPE 2 DIABETES MELLITUS WITH PROLIFERATIVE DIABETIC RETINOPATHY
2 Diagnosed with T2DM
E11.351
DX
TYPE 2 DIABETES MELLITUS WITH PROLIFERATIVE DIABETIC RETINOPATHY WITH MACULAR EDEMA
2 Diagnosed with T2DM
E11.3511
DX
TYPE 2 DIABETES MELLITUS WITH PROLIFERATIVE DIABETIC RETINOPATHY WITH MACULAR EDEMA, RIGHT EYE
2 Diagnosed with T2DM
E11.3512
DX
TYPE 2 DIABETES MELLITUS WITH PROLIFERATIVE DIABETIC RETINOPATHY WITH MACULAR EDEMA, LEFT EYE
2 Diagnosed with T2DM
E11.3513
DX
TYPE 2 DIABETES MELLITUS WITH PROLIFERATIVE DIABETIC RETINOPATHY WITH MACULAR EDEMA, BILATERAL
2 Diagnosed with T2DM
E11.3519
DX
TYPE 2 DIABETES MELLITUS WITH PROLIFERATIVE DIABETIC RETINOPATHY WITH MACULAR EDEMA, UNSPECIFIED EYE
2 Diagnosed with T2DM
E11.352
DX
TYPE 2 DIABETES MELLITUS WITH PROLIFERATIVE DIABETIC RETINOPATHY WITH TRACTION RETINAL DETACHMENT INVOLVING 
THE MACULA
2 Diagnosed with T2DM
E11.3521
DX
TYPE 2 DIABETES MELLITUS WITH PROLIFERATIVE DIABETIC RETINOPATHY WITH TRACTION RETINAL DETACHMENT INVOLVING 
THE MACULA, RIGHT EYE
2 Diagnosed with T2DM
E11.3522
DX
TYPE 2 DIABETES MELLITUS WITH PROLIFERATIVE DIABETIC RETINOPATHY WITH TRACTION RETINAL DETACHMENT INVOLVING 
THE MACULA, LEFT EYE
2 Diagnosed with T2DM
E11.3523
DX
TYPE 2 DIABETES MELLITUS WITH PROLIFERATIVE DIABETIC RETINOPATHY WITH TRACTION RETINAL DETACHMENT INVOLVING 
THE MACULA, BILATERAL
2 Diagnosed with T2DM
E11.3529
DX
TYPE 2 DIABETES MELLITUS WITH PROLIFERATIVE DIABETIC RETINOPATHY WITH TRACTION RETINAL DETACHMENT INVOLVING 
THE MACULA, UNSPECIFIED EYE
2 Diagnosed with T2DM
E11.353
DX
TYPE 2 DIABETES MELLITUS WITH PROLIFERATIVE DIABETIC RETINOPATHY WITH TRACTION RETINAL DETACHMENT NOT 
INVOLVING THE MACULA
2 Diagnosed with T2DM
E11.3531
DX
TYPE 2 DIABETES MELLITUS WITH PROLIFERATIVE DIABETIC RETINOPATHY WITH TRACTION RETINAL DETACHMENT NOT 
INVOLVING THE MACULA, RIGHT EYE
2 Diagnosed with T2DM
E11.3532
DX
TYPE 2 DIABETES MELLITUS WITH PROLIFERATIVE DIABETIC RETINOPATHY WITH TRACTION RETINAL DETACHMENT NOT 
INVOLVING THE MACULA, LEFT EYE
2 Diagnosed with T2DM
E11.3533
DX
TYPE 2 DIABETES MELLITUS WITH PROLIFERATIVE DIABETIC RETINOPATHY WITH TRACTION RETINAL DETACHMENT NOT 
INVOLVING THE MACULA, BILATERAL
2 Diagnosed with T2DM
E11.3539
DX
TYPE 2 DIABETES MELLITUS WITH PROLIFERATIVE DIABETIC RETINOPATHY WITH TRACTION RETINAL DETACHMENT NOT 
INVOLVING THE MACULA, UNSPECIFIED EYE
2 Diagnosed with T2DM
E11.354
DX
TYPE 2 DIABETES MELLITUS WITH PROLIFERATIVE DIABETIC RETINOPATHY WITH COMBINED TRACTION RETINAL DETACHMENT 
AND RHEGMATOGENOUS RETINAL DETACHMENT
2 Diagnosed with T2DM
E11.3541
DX
TYPE 2 DIABETES MELLITUS WITH PROLIFERATIVE DIABETIC RETINOPATHY WITH COMBINED TRACTION RETINAL DETACHMENT 
AND RHEGMATOGENOUS RETINAL DETACHMENT, RIGHT EYE
2 Diagnosed with T2DM
E11.3542
DX
TYPE 2 DIABETES MELLITUS WITH PROLIFERATIVE DIABETIC RETINOPATHY WITH COMBINED TRACTION RETINAL DETACHMENT 
AND RHEGMATOGENOUS RETINAL DETACHMENT, LEFT EYE
2 Diagnosed with T2DM
E11.3543
DX
TYPE 2 DIABETES MELLITUS WITH PROLIFERATIVE DIABETIC RETINOPATHY WITH COMBINED TRACTION RETINAL DETACHMENT 
AND RHEGMATOGENOUS RETINAL DETACHMENT, BILATERAL
2 Diagnosed with T2DM
E11.3549
DX
TYPE 2 DIABETES MELLITUS WITH PROLIFERATIVE DIABETIC RETINOPATHY WITH COMBINED TRACTION RETINAL DETACHMENT 
AND RHEGMATOGENOUS RETINAL DETACHMENT, UNSPECIFIED EYE
2 Diagnosed with T2DM
E11.355
DX
TYPE 2 DIABETES MELLITUS WITH STABLE PROLIFERATIVE DIABETIC RETINOPATHY
2 Diagnosed with T2DM
E11.3551
DX
TYPE 2 DIABETES MELLITUS WITH STABLE PROLIFERATIVE DIABETIC RETINOPATHY, RIGHT EYE
2 Diagnosed with T2DM
E11.3552
DX
TYPE 2 DIABETES MELLITUS WITH STABLE PROLIFERATIVE DIABETIC RETINOPATHY, LEFT EYE
2 Diagnosed with T2DM
E11.3553
DX
TYPE 2 DIABETES MELLITUS WITH STABLE PROLIFERATIVE DIABETIC RETINOPATHY, BILATERAL
2 Diagnosed with T2DM
E11.3559
DX
TYPE 2 DIABETES MELLITUS WITH STABLE PROLIFERATIVE DIABETIC RETINOPATHY, UNSPECIFIED EYE
2 Diagnosed with T2DM
E11.359
DX
TYPE 2 DIABETES MELLITUS WITH PROLIFERATIVE DIABETIC RETINOPATHY WITHOUT MACULAR EDEMA
2 Diagnosed with T2DM
E11.3591
DX
TYPE 2 DIABETES MELLITUS WITH PROLIFERATIVE DIABETIC RETINOPATHY WITHOUT MACULAR EDEMA, RIGHT EYE
2 Diagnosed with T2DM
E11.3592
DX
TYPE 2 DIABETES MELLITUS WITH PROLIFERATIVE DIABETIC RETINOPATHY WITHOUT MACULAR EDEMA, LEFT EYE
2 Diagnosed with T2DM
E11.3593
DX
TYPE 2 DIABETES MELLITUS WITH PROLIFERATIVE DIABETIC RETINOPATHY WITHOUT MACULAR EDEMA, BILATERAL
2 Diagnosed with T2DM
E11.3599
DX
TYPE 2 DIABETES MELLITUS WITH PROLIFERATIVE DIABETIC RETINOPATHY WITHOUT MACULAR EDEMA, UNSPECIFIED EYE
2 Diagnosed with T2DM
E11.36
DX
TYPE 2 DIABETES MELLITUS WITH DIABETIC CATARACT
2 Diagnosed with T2DM
E11.37
DX
TYPE 2 DIABETES MELLITUS WITH DIABETIC MACULAR EDEMA, RESOLVED FOLLOWING TREATMENT
2 Diagnosed with T2DM
E11.37X1
DX
TYPE 2 DIABETES MELLITUS WITH DIABETIC MACULAR EDEMA, RESOLVED FOLLOWING TREATMENT, RIGHT EYE
2 Diagnosed with T2DM
E11.37X2
DX
TYPE 2 DIABETES MELLITUS WITH DIABETIC MACULAR EDEMA, RESOLVED FOLLOWING TREATMENT, LEFT EYE
2 Diagnosed with T2DM
E11.37X3
DX
TYPE 2 DIABETES MELLITUS WITH DIABETIC MACULAR EDEMA, RESOLVED FOLLOWING TREATMENT, BILATERAL
2 Diagnosed with T2DM
E11.37X9
DX
TYPE 2 DIABETES MELLITUS WITH DIABETIC MACULAR EDEMA, RESOLVED FOLLOWING TREATMENT, UNSPECIFIED EYE
2 Diagnosed with T2DM
E11.39
DX
TYPE 2 DIABETES MELLITUS WITH OTHER DIABETIC OPHTHALMIC COMPLICATION
2 Diagnosed with T2DM
E11.4
DX
TYPE 2 DIABETES MELLITUS WITH NEUROLOGICAL COMPLICATIONS
2 Diagnosed with T2DM
E11.40
DX
TYPE 2 DIABETES MELLITUS WITH DIABETIC NEUROPATHY, UNSPECIFIED
2 Diagnosed with T2DM
E11.41
DX
TYPE 2 DIABETES MELLITUS WITH DIABETIC MONONEUROPATHY
2 Diagnosed with T2DM
E11.42
DX
TYPE 2 DIABETES MELLITUS WITH DIABETIC POLYNEUROPATHY
2 Diagnosed with T2DM
E11.43
DX
TYPE 2 DIABETES MELLITUS WITH DIABETIC AUTONOMIC (POLY)NEUROPATHY
2 Diagnosed with T2DM
E11.44
DX
TYPE 2 DIABETES MELLITUS WITH DIABETIC AMYOTROPHY
2 Diagnosed with T2DM
E11.49
DX
TYPE 2 DIABETES MELLITUS WITH OTHER DIABETIC NEUROLOGICAL COMPLICATION
2 Diagnosed with T2DM
E11.5
DX
TYPE 2 DIABETES MELLITUS WITH CIRCULATORY COMPLICATIONS
2 Diagnosed with T2DM
E11.51
DX
TYPE 2 DIABETES MELLITUS WITH DIABETIC PERIPHERAL ANGIOPATHY WITHOUT GANGRENE

2 Diagnosed with T2DM
E11.52
DX
TYPE 2 DIABETES MELLITUS WITH DIABETIC PERIPHERAL ANGIOPATHY WITH GANGRENE
2 Diagnosed with T2DM
E11.59
DX
TYPE 2 DIABETES MELLITUS WITH OTHER CIRCULATORY COMPLICATIONS
2 Diagnosed with T2DM
E11.6
DX
TYPE 2 DIABETES MELLITUS WITH OTHER SPECIFIED COMPLICATIONS
2 Diagnosed with T2DM
E11.61
DX
TYPE 2 DIABETES MELLITUS WITH DIABETIC ARTHROPATHY
2 Diagnosed with T2DM
E11.610
DX
TYPE 2 DIABETES MELLITUS WITH DIABETIC NEUROPATHIC ARTHROPATHY
2 Diagnosed with T2DM
E11.618
DX
TYPE 2 DIABETES MELLITUS WITH OTHER DIABETIC ARTHROPATHY
2 Diagnosed with T2DM
E11.62
DX
TYPE 2 DIABETES MELLITUS WITH SKIN COMPLICATIONS
2 Diagnosed with T2DM
E11.620
DX
TYPE 2 DIABETES MELLITUS WITH DIABETIC DERMATITIS
2 Diagnosed with T2DM
E11.621
DX
TYPE 2 DIABETES MELLITUS WITH FOOT ULCER
2 Diagnosed with T2DM
E11.622
DX
TYPE 2 DIABETES MELLITUS WITH OTHER SKIN ULCER
2 Diagnosed with T2DM
E11.628
DX
TYPE 2 DIABETES MELLITUS WITH OTHER SKIN COMPLICATIONS
2 Diagnosed with T2DM
E11.63
DX
TYPE 2 DIABETES MELLITUS WITH ORAL COMPLICATIONS
2 Diagnosed with T2DM
E11.630
DX
TYPE 2 DIABETES MELLITUS WITH PERIODONTAL DISEASE
2 Diagnosed with T2DM
E11.638
DX
TYPE 2 DIABETES MELLITUS WITH OTHER ORAL COMPLICATIONS
2 Diagnosed with T2DM
E11.64
DX
TYPE 2 DIABETES MELLITUS WITH HYPOGLYCEMIA
2 Diagnosed with T2DM
E11.641
DX
TYPE 2 DIABETES MELLITUS WITH HYPOGLYCEMIA WITH COMA
2 Diagnosed with T2DM
E11.649
DX
TYPE 2 DIABETES MELLITUS WITH HYPOGLYCEMIA WITHOUT COMA
2 Diagnosed with T2DM
E11.65
DX
TYPE 2 DIABETES MELLITUS WITH HYPERGLYCEMIA
2 Diagnosed with T2DM
E11.69
DX
TYPE 2 DIABETES MELLITUS WITH OTHER SPECIFIED COMPLICATION
2 Diagnosed with T2DM
E11.8
DX
TYPE 2 DIABETES MELLITUS WITH UNSPECIFIED COMPLICATIONS
2 Diagnosed with T2DM
E11.9
DX
TYPE 2 DIABETES MELLITUS WITHOUT COMPLICATIONS
3 HbA1c ≥7% and ≤ 10.5%
17855-8
LOINC
3 HbA1c ≥7% and ≤ 10.5%
17856-6
LOINC
3 HbA1c ≥7% and ≤ 10.5%
41995-2
LOINC
3 HbA1c ≥7% and ≤ 10.5%
43150-2
LOINC
3 HbA1c ≥7% and ≤ 10.5%
4548-4
LOINC
3 HbA1c ≥7% and ≤ 10.5%
71875-9
LOINC
3 HbA1c ≥7% and ≤ 10.5%
74246-0
LOINC
3 HbA1c ≥7% and ≤ 10.5%
62388-4
LOINC
3 HbA1c ≥7% and ≤ 10.5%
59261-8
LOINC
3 HbA1c ≥7% and ≤ 10.5%
55454-3
LOINC
3 HbA1c ≥7% and ≤ 10.5%
4549-2
LOINC
4 BMI ≥ 25kg/m2
39156-5
LOINC
BODY MASS INDEX (BMI) [Ratio]
4 BMI ≥ 25kg/m2
Z68.25
DX
BMI 25.0-25.9, ADULT
4 BMI ≥ 25kg/m2
Z68.26
DX
BMI 26.0-26.9, ADULT
4 BMI ≥ 25kg/m2
Z68.27
DX
BMI 27.0-27.9, ADULT
4 BMI ≥ 25kg/m2
Z68.28
DX
BMI 28.0-28.9, ADULT
4 BMI ≥ 25kg/m2
Z68.29
DX
BMI 29.0-29.9, ADULT
4 BMI ≥ 25kg/m2
E66
DX
OVERWEIGHT AND OBESITY
4 BMI ≥ 25kg/m2
E66.0
DX
OBESITY DUE TO EXCESS CALORIES
4 BMI ≥ 25kg/m2
E66.01
DX
MORBID (SEVERE) OBESITY DUE TO EXCESS CALORIES
4 BMI ≥ 25kg/m2
E66.09
DX
OTHER OBESITY DUE TO EXCESS CALORIES
4 BMI ≥ 25kg/m2
E66.1
DX
DRUG-INDUCED OBESITY
4 BMI ≥ 25kg/m2
E66.2
DX
MORBID (SEVERE) OBESITY WITH ALVEOLAR HYPOVENTILATION
4 BMI ≥ 25kg/m2
E66.3
DX
OVERWEIGHT
4 BMI ≥ 25kg/m2
E66.30
DX
4 BMI ≥ 25kg/m2
E66.31
DX
4 BMI ≥ 25kg/m2
E66.32
DX
4 BMI ≥ 25kg/m2
E66.36
DX
4 BMI ≥ 25kg/m2
E66.8
DX
OTHER OBESITY
4 BMI ≥ 25kg/m2
E66.81
DX
OBESITY CLASS
4 BMI ≥ 25kg/m2
E66.811
DX
OBESITY, CLASS 1
4 BMI ≥ 25kg/m2
E66.812
DX
OBESITY, CLASS 2
4 BMI ≥ 25kg/m2
E66.813
DX
OBESITY, CLASS 3
4 BMI ≥ 25kg/m2
E66.89
DX
OTHER OBESITY NOT ELSEWHERE CLASSIFIED
4 BMI ≥ 25kg/m2
E66.9
DX
OBESITY, UNSPECIFIED
4 BMI ≥ 25kg/m2
Z68.30
DX
BODY MASS INDEX [BMI] 30.0-30.9, ADULT
4 BMI ≥ 25kg/m2
Z68.31
DX
BODY MASS INDEX [BMI] 31.0-31.9, ADULT
4 BMI ≥ 25kg/m2
Z68.32
DX
BODY MASS INDEX [BMI] 32.0-32.9, ADULT
4 BMI ≥ 25kg/m2
Z68.33
DX
BODY MASS INDEX [BMI] 33.0-33.9, ADULT
4 BMI ≥ 25kg/m2
Z68.34
DX
BODY MASS INDEX [BMI] 34.0-34.9, ADULT
4 BMI ≥ 25kg/m2
Z68.35
DX
BODY MASS INDEX [BMI] 35.0-35.9, ADULT

4 BMI ≥ 25kg/m2
Z68.36
DX
BODY MASS INDEX [BMI] 36.0-36.9, ADULT
4 BMI ≥ 25kg/m2
Z68.37
DX
BODY MASS INDEX [BMI] 37.0-37.9, ADULT
4 BMI ≥ 25kg/m2
Z68.38
DX
BODY MASS INDEX [BMI] 38.0-38.9, ADULT
4 BMI ≥ 25kg/m2
Z68.39
DX
BODY MASS INDEX [BMI] 39.0-39.9, ADULT
4 BMI ≥ 25kg/m2
Z68.4
DX
BODY MASS INDEX [BMI] 40 OR GREATER, ADULT
4 BMI ≥ 25kg/m2
Z68.41
DX
BODY MASS INDEX [BMI] 40.0-44.9, ADULT
4 BMI ≥ 25kg/m2
Z68.42
DX
BODY MASS INDEX [BMI] 45.0-49.9, ADULT
4 BMI ≥ 25kg/m2
Z68.43
DX
BODY MASS INDEX [BMI] 50.0-59.9, ADULT
4 BMI ≥ 25kg/m2
Z68.44
DX
BODY MASS INDEX [BMI] 60.0-69.9, ADULT
4 BMI ≥ 25kg/m2
Z68.45
DX
BODY MASS INDEX [BMI] 70 OR GREATER, ADULT
5 Established CV-disease
5.1 Coronary artery disease with any of 
the following:
5.1.1 Documented history of myocardial 
infarction
I21
DX
ST ELEVATION (STEMI) MYOCARDIAL INFARCTION OF OTHER SITES
5.1.1 Documented history of myocardial 
infarction
I21.0 
DX
ST ELEVATION (STEMI) MYOCARDIAL INFARCTION OF ANTERIOR WALL
5.1.1 Documented history of myocardial 
infarction
I21.01 
DX
ST ELEVATION (STEMI) MYOCARDIAL INFARCTION INVOLVING LEFT MAIN CORONARY ARTERY
5.1.1 Documented history of myocardial 
infarction
I21.02 
DX
ST ELEVATION (STEMI) MYOCARDIAL INFARCTION INVOLVING LEFT ANTERIOR DESCENDING CORONARY ARTERY
5.1.1 Documented history of myocardial 
infarction
I21.09 
DX
ST ELEVATION (STEMI) MYOCARDIAL INFARCTION INVOLVING OTHER CORONARY ARTERY OF ANTERIOR WALL
5.1.1 Documented history of myocardial 
infarction
I21.1 
DX
ST ELEVATION (STEMI) MYOCARDIAL INFARCTION OF INFERIOR WALL
5.1.1 Documented history of myocardial 
infarction
I21.11 
DX
ST ELEVATION (STEMI) MYOCARDIAL INFARCTION INVOLVING RIGHT CORONARY ARTERY
5.1.1 Documented history of myocardial 
infarction
I21.19 
DX
ST ELEVATION (STEMI) MYOCARDIAL INFARCTION INVOLVING OTHER CORONARY ARTERY OF INFERIOR WALL
5.1.1 Documented history of myocardial 
infarction
I21.2 
DX
ST ELEVATION (STEMI) MYOCARDIAL INFARCTION OF OTHER SITES
5.1.1 Documented history of myocardial 
infarction
I21.21 
DX
ST ELEVATION (STEMI) MYOCARDIAL INFARCTION INVOLVING LEFT CIRCUMFLEX CORONARY ARTERY
5.1.1 Documented history of myocardial 
infarction
I21.29 
DX
ST ELEVATION (STEMI) MYOCARDIAL INFARCTION INVOLVING OTHER SITES
5.1.1 Documented history of myocardial 
infarction
I21.3 
DX
ST ELEVATION (STEMI) MYOCARDIAL INFARCTION OF UNSPECIFIED SITE
5.1.1 Documented history of myocardial 
infarction
I21.4 
DX
NON-ST ELEVATION (NSTEMI) MYOCARDIAL INFARCTION
5.1.1 Documented history of myocardial 
infarction
I21.9 
DX
ACUTE MYOCARDIAL INFARCTION, UNSPECIFIED
5.1.1 Documented history of myocardial 
infarction
I21.A 
DX
OTHER TYPE OF MYOCARDIAL INFARCTION
5.1.1 Documented history of myocardial 
infarction
I21.A1 
DX
MYOCARDIAL INFARCTION TYPE 2
5.1.1 Documented history of myocardial 
infarction
I21.A9 
DX
OTHER MYOCARDIAL INFARCTION TYPE
5.1.1 Documented history of myocardial 
infarction
I21.B
DX
Myocardial infarction with coronary microvascular dysfunction
5.1.1 Documented history of myocardial 
infarction
I22
DX
SUBSEQUENT ST ELEVATION (STEMI) AND NON-ST ELEVATION (NSTEMI) MYOCARDIAL INFARCTION
5.1.1 Documented history of myocardial 
infarction
I22.0 
DX
SUBSEQUENT ST ELEVATION (STEMI) MYOCARDIAL INFARCTION OF ANTERIOR WALL
5.1.1 Documented history of myocardial 
infarction
I22.1 
DX
SUBSEQUENT ST ELEVATION (STEMI) MYOCARDIAL INFARCTION OF INFERIOR WALL
5.1.1 Documented history of myocardial 
infarction
I22.2 
DX
SUBSEQUENT NON-ST ELEVATION (NSTEMI) MYOCARDIAL INFARCTION
5.1.1 Documented history of myocardial 
infarction
I22.8 
DX
SUBSEQUENT ST ELEVATION (STEMI) MYOCARDIAL INFARCTION OF OTHER SITES
5.1.1 Documented history of myocardial 
infarction
I22.9 
DX
SUBSEQUENT ST ELEVATION (STEMI) MYOCARDIAL INFARCTION OF UNSPECIFIED SITE
5.1.1 Documented history of myocardial 
infarction
I23.0 
DX
HEMOPERICARDIUM AS CURRENT COMPLICATION FOLLOWING ACUTE MYOCARDIAL INFARCTION

5.1.1 Documented history of myocardial 
infarction
I23.1 
DX
ATRIAL SEPTAL DEFECT AS CURRENT COMPLICATION FOLLOWING ACUTE MYOCARDIAL INFARCTION
5.1.1 Documented history of myocardial 
infarction
I23.2 
DX
VENTRICULAR SEPTAL DEFECT AS CURRENT COMPLICATION FOLLOWING ACUTE MYOCARDIAL INFARCTION
5.1.1 Documented history of myocardial 
infarction
I23.3 
DX
RUPTURE OF CARDIAC WALL WITHOUT HEMOPERICARDIUM AS CURRENT COMPLICATION FOLLOWING ACUTE MYOCARDIAL 
INFARCTION
5.1.1 Documented history of myocardial 
infarction
I23.4 
DX
RUPTURE OF CHORDAE TENDINEAE AS CURRENT COMPLICATION FOLLOWING ACUTE MYOCARDIAL INFARCTION
5.1.1 Documented history of myocardial 
infarction
I23.5 
DX
RUPTURE OF PAPILLARY MUSCLE AS CURRENT COMPLICATION FOLLOWING ACUTE MYOCARDIAL INFARCTION
5.1.1 Documented history of myocardial 
infarction
I23.6 
DX
THROMBOSIS OF ATRIUM, AURICULAR APPENDAGE, AND VENTRICLE AS CURRENT COMPLICATIONS FOLLOWING ACUTE 
MYOCARDIAL INFARCTION
5.1.1 Documented history of myocardial 
infarction
I23.7 
DX
POSTINFARCTION ANGINA
5.1.1 Documented history of myocardial 
infarction
I23.8 
DX
OTHER CURRENT COMPLICATIONS FOLLOWING ACUTE MYOCARDIAL INFARCTION
5.1.1 Documented history of myocardial 
infarction
I25.2
DX
OLD MYOCARDIAL INFARCTION
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I20
DX
Angina pectoris
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I20.0
DX
Unstable angina
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I20.2
DX
Refractory angina pectoris
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I20.81
DX
Angina pectoris with coronary microvascular dysfunction
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I20.89
DX
Other forms of angina pectoris
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I20.1 
DX
ANGINA PECTORIS WITH DOCUMENTED SPASM
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I20.8 
DX
OTHER FORMS OF ANGINA PECTORIS
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I20.9 
DX
ANGINA PECTORIS, UNSPECIFIED
5.1.2/5.1.4 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I25.10
DX
ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITHOUT ANGINA PECTORIS 
5.1.2/5.1.5 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I25.110
DX
ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITH UNSTABLE ANGINA PECTORIS
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I25.111 
DX
ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITH ANGINA PECTORIS WITH DOCUMENTED SPASM

5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I25.118 
DX
ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITH OTHER FORMS OF ANGINA PECTORIS
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I25.119 
DX
ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITH UNSPECIFIED ANGINA PECTORIS
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I25.701 
DX
ATHEROSCLEROSIS OF CORONARY ARTERY BYPASS GRAFT(S), UNSPECIFIED, WITH ANGINA PECTORIS WITH DOCUMENTED SPASM
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I25.708 
DX
ATHEROSCLEROSIS OF CORONARY ARTERY BYPASS GRAFT(S), UNSPECIFIED, WITH OTHER FORMS OF ANGINA PECTORIS
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I25.709 
DX
ATHEROSCLEROSIS OF CORONARY ARTERY BYPASS GRAFT(S), UNSPECIFIED, WITH UNSPECIFIED ANGINA PECTORIS
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I25.711 
DX
ATHEROSCLEROSIS OF AUTOLOGOUS VEIN CORONARY ARTERY BYPASS GRAFT(S) WITH ANGINA PECTORIS WITH DOCUMENTED 
SPASM
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I25.718 
DX
ATHEROSCLEROSIS OF AUTOLOGOUS VEIN CORONARY ARTERY BYPASS GRAFT(S) WITH OTHER FORMS OF ANGINA PECTORIS
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I25.719 
DX
ATHEROSCLEROSIS OF AUTOLOGOUS VEIN CORONARY ARTERY BYPASS GRAFT(S) WITH UNSPECIFIED ANGINA PECTORIS
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I25.721 
DX
ATHEROSCLEROSIS OF AUTOLOGOUS ARTERY CORONARY ARTERY BYPASS GRAFT(S) WITH ANGINA PECTORIS WITH DOCUMENTED 
SPASM
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I25.728 
DX
ATHEROSCLEROSIS OF AUTOLOGOUS ARTERY CORONARY ARTERY BYPASS GRAFT(S) WITH OTHER FORMS OF ANGINA PECTORIS
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I25.729 
DX
ATHEROSCLEROSIS OF AUTOLOGOUS ARTERY CORONARY ARTERY BYPASS GRAFT(S) WITH UNSPECIFIED ANGINA PECTORIS
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I25.731 
DX
ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL CORONARY ARTERY BYPASS GRAFT(S) WITH ANGINA PECTORIS WITH 
DOCUMENTED SPASM
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I25.738 
DX
ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL CORONARY ARTERY BYPASS GRAFT(S) WITH OTHER FORMS OF ANGINA 
PECTORIS
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I25.739 
DX
ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL CORONARY ARTERY BYPASS GRAFT(S) WITH UNSPECIFIED ANGINA 
PECTORIS
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I25.751 
DX
ATHEROSCLEROSIS OF NATIVE CORONARY ARTERY OF TRANSPLANTED HEART WITH ANGINA PECTORIS WITH DOCUMENTED 
SPASM

5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I25.758 
DX
ATHEROSCLEROSIS OF NATIVE CORONARY ARTERY OF TRANSPLANTED HEART WITH OTHER FORMS OF ANGINA PECTORIS
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I25.759 
DX
ATHEROSCLEROSIS OF NATIVE CORONARY ARTERY OF TRANSPLANTED HEART WITH UNSPECIFIED ANGINA PECTORIS
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I25.761 
DX
ATHEROSCLEROSIS OF BYPASS GRAFT OF CORONARY ARTERY OF TRANSPLANTED HEART WITH ANGINA PECTORIS WITH 
DOCUMENTED SPASM
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I25.768 
DX
ATHEROSCLEROSIS OF BYPASS GRAFT OF CORONARY ARTERY OF TRANSPLANTED HEART WITH OTHER FORMS OF ANGINA 
PECTORIS
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I25.769 
DX
ATHEROSCLEROSIS OF BYPASS GRAFT OF CORONARY ARTERY OF TRANSPLANTED HEART WITH UNSPECIFIED ANGINA PECTORIS
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I25.791 
DX
ATHEROSCLEROSIS OF OTHER CORONARY ARTERY BYPASS GRAFT(S) WITH ANGINA PECTORIS WITH DOCUMENTED SPASM
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I25.798 
DX
ATHEROSCLEROSIS OF OTHER CORONARY ARTERY BYPASS GRAFT(S) WITH OTHER FORMS OF ANGINA PECTORIS
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I25.799 
DX
ATHEROSCLEROSIS OF OTHER CORONARY ARTERY BYPASS GRAFT(S) WITH UNSPECIFIED ANGINA PECTORIS
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I25.3 
DX
ANEURYSM OF HEART
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I25.41 
DX
CORONARY ARTERY ANEURYSM
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I25.42 
DX
CORONARY ARTERY DISSECTION
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I25.5 
DX
ISCHEMIC CARDIOMYOPATHY
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I25.6 
DX
SILENT MYOCARDIAL ISCHEMIA
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I25.810 
DX
ATHEROSCLEROSIS OF CORONARY ARTERY BYPASS GRAFT(S) WITHOUT ANGINA PECTORIS
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I25.811 
DX
ATHEROSCLEROSIS OF NATIVE CORONARY ARTERY OF TRANSPLANTED HEART WITHOUT ANGINA PECTORIS

5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I25.812 
DX
ATHEROSCLEROSIS OF BYPASS GRAFT OF CORONARY ARTERY OF TRANSPLANTED HEART WITHOUT ANGINA PECTORIS
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I25.82 
DX
CHRONIC TOTAL OCCLUSION OF CORONARY ARTERY
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I25.83 
DX
CORONARY ATHEROSCLEROSIS DUE TO LIPID RICH PLAQUE
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I25.84 
DX
CORONARY ATHEROSCLEROSIS DUE TO CALCIFIED CORONARY LESION
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I25.89 
DX
OTHER FORMS OF CHRONIC ISCHEMIC HEART DISEASE
5.1.2/5.1.3 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography/ ≥50% stenosis in 2 or 
more major coronary arteries
I25.9 
DX
CHRONIC ISCHEMIC HEART DISEASE, UNSPECIFIED
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
T82.211A 
DX
BREAKDOWN (MECHANICAL) OF CORONARY ARTERY BYPASS GRAFT, INITIAL ENCOUNTER
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
T82.212A 
DX
DISPLACEMENT OF CORONARY ARTERY BYPASS GRAFT, INITIAL ENCOUNTER
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
T82.213A
DX
LEAKAGE OF CORONARY ARTERY BYPASS GRAFT, INITIAL ENCOUNTER
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
T82.218A 
DX
OTHER MECHANICAL COMPLICATION OF CORONARY ARTERY BYPASS GRAFT, INITIAL ENCOUNTER
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0210083
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY ARTERY WITH ZOOPLASTIC TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0210088
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM RIGHT INTERNAL MAMMARY WITH ZOOPLASTIC TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0210089
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM LEFT INTERNAL MAMMARY WITH ZOOPLASTIC TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021008C 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM THORACIC ARTERY WITH ZOOPLASTIC TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021008F 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM ABDOMINAL ARTERY WITH ZOOPLASTIC TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021008W 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM AORTA WITH ZOOPLASTIC TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0210093
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0210098
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM RIGHT INTERNAL MAMMARY WITH AUTOLOGOUS VENOUS TISSUE, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0210099
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM LEFT INTERNAL MAMMARY WITH AUTOLOGOUS VENOUS TISSUE, OPEN 
APPROACH

5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021009C 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM THORACIC ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021009F 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM ABDOMINAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021009W 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM AORTA WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02100A3 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02100A8 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM RIGHT INTERNAL MAMMARY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02100A9 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM LEFT INTERNAL MAMMARY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02100AC 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM THORACIC ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02100AF 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM ABDOMINAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02100AW 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM AORTA WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02100J3 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02100J8 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM RIGHT INTERNAL MAMMARY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02100J9 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM LEFT INTERNAL MAMMARY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02100JC 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM THORACIC ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02100JF 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM ABDOMINAL ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02100JW 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM AORTA WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02100K3 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02100K8 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM RIGHT INTERNAL MAMMARY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02100K9 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM LEFT INTERNAL MAMMARY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02100KC 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM THORACIC ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02100KF 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM ABDOMINAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02100KW 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM AORTA WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH

5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02100Z3 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY ARTERY, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02100Z8 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM RIGHT INTERNAL MAMMARY, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02100Z9 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM LEFT INTERNAL MAMMARY, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02100ZC 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM THORACIC ARTERY, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02100ZF 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM ABDOMINAL ARTERY, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0210344
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY VEIN WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02103D4 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY VEIN WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0210444
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY VEIN WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0210483
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY ARTERY WITH ZOOPLASTIC TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0210488
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM RIGHT INTERNAL MAMMARY WITH ZOOPLASTIC TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0210489
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM LEFT INTERNAL MAMMARY WITH ZOOPLASTIC TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021048C 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM THORACIC ARTERY WITH ZOOPLASTIC TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021048F 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM ABDOMINAL ARTERY WITH ZOOPLASTIC TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021048W 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM AORTA WITH ZOOPLASTIC TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
210493
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0210498
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM RIGHT INTERNAL MAMMARY WITH AUTOLOGOUS VENOUS TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0210499
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM LEFT INTERNAL MAMMARY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021049C 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM THORACIC ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021049F 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM ABDOMINAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021049W 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM AORTA WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02104A3 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH

5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02104A8 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM RIGHT INTERNAL MAMMARY WITH AUTOLOGOUS ARTERIAL TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02104A9 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM LEFT INTERNAL MAMMARY WITH AUTOLOGOUS ARTERIAL TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02104AC 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM THORACIC ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02104AF 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM ABDOMINAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02104AW 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM AORTA WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02104D4 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY VEIN WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02104J3 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02104J8 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM RIGHT INTERNAL MAMMARY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02104J9 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM LEFT INTERNAL MAMMARY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02104JC 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM THORACIC ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02104JF 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM ABDOMINAL ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02104JW 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM AORTA WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02104K3 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02104K8 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM RIGHT INTERNAL MAMMARY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02104K9 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM LEFT INTERNAL MAMMARY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02104KC 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM THORACIC ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02104KF 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM ABDOMINAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02104KW 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM AORTA WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02104Z3 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02104Z8 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM RIGHT INTERNAL MAMMARY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02104Z9 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM LEFT INTERNAL MAMMARY, PERCUTANEOUS ENDOSCOPIC APPROACH

5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02104ZC 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM THORACIC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02104ZF 
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM ABDOMINAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0211083
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY ARTERY WITH ZOOPLASTIC TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0211088
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM RIGHT INTERNAL MAMMARY WITH ZOOPLASTIC TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0211089
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM LEFT INTERNAL MAMMARY WITH ZOOPLASTIC TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021108C 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM THORACIC ARTERY WITH ZOOPLASTIC TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021108F 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM ABDOMINAL ARTERY WITH ZOOPLASTIC TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021108W 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM AORTA WITH ZOOPLASTIC TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0211093
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0211098
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM RIGHT INTERNAL MAMMARY WITH AUTOLOGOUS VENOUS TISSUE, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0211099
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM LEFT INTERNAL MAMMARY WITH AUTOLOGOUS VENOUS TISSUE, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021109C 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM THORACIC ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021109F 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM ABDOMINAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021109W 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM AORTA WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02110A3 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02110A8 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM RIGHT INTERNAL MAMMARY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02110A9 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM LEFT INTERNAL MAMMARY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02110AC 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM THORACIC ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02110AF 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM ABDOMINAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02110AW 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM AORTA WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02110J3 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH

5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02110J8 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM RIGHT INTERNAL MAMMARY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02110J9 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM LEFT INTERNAL MAMMARY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02110JC 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM THORACIC ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02110JF 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM ABDOMINAL ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02110JW 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM AORTA WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02110K3 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02110K8 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM RIGHT INTERNAL MAMMARY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02110K9 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM LEFT INTERNAL MAMMARY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02110KC 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM THORACIC ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02110KF 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM ABDOMINAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02110KW 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM AORTA WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02110Z3 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY ARTERY, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02110Z8 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM RIGHT INTERNAL MAMMARY, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02110Z9 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM LEFT INTERNAL MAMMARY, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02110ZC 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM THORACIC ARTERY, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02110ZF 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM ABDOMINAL ARTERY, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0211344
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY VEIN WITH DRUG-ELUTING INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02113D4 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY VEIN WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0211444
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY VEIN WITH DRUG-ELUTING INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0211483
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY ARTERY WITH ZOOPLASTIC TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0211488
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM RIGHT INTERNAL MAMMARY WITH ZOOPLASTIC TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH

5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0211489
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM LEFT INTERNAL MAMMARY WITH ZOOPLASTIC TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021148C 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM THORACIC ARTERY WITH ZOOPLASTIC TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021148F 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM ABDOMINAL ARTERY WITH ZOOPLASTIC TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021148W 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM AORTA WITH ZOOPLASTIC TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0211493
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0211498
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM RIGHT INTERNAL MAMMARY WITH AUTOLOGOUS VENOUS TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0211499
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM LEFT INTERNAL MAMMARY WITH AUTOLOGOUS VENOUS TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021149C 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM THORACIC ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021149F 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM ABDOMINAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021149W 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM AORTA WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02114A3 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02114A8 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM RIGHT INTERNAL MAMMARY WITH AUTOLOGOUS ARTERIAL TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02114A9 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM LEFT INTERNAL MAMMARY WITH AUTOLOGOUS ARTERIAL TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02114AC 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM THORACIC ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02114AF 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM ABDOMINAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02114AW 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM AORTA WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02114D4 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY VEIN WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02114J3 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02114J8 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM RIGHT INTERNAL MAMMARY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02114J9 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM LEFT INTERNAL MAMMARY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02114JC 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM THORACIC ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH

5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02114JF 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM ABDOMINAL ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02114JW 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM AORTA WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02114K3 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02114K8 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM RIGHT INTERNAL MAMMARY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02114K9 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM LEFT INTERNAL MAMMARY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02114KC 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM THORACIC ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02114KF 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM ABDOMINAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02114KW 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM AORTA WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02114Z3 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02114Z8 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM RIGHT INTERNAL MAMMARY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02114Z9 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM LEFT INTERNAL MAMMARY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02114ZC 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM THORACIC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02114ZF 
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM ABDOMINAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
212083
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY ARTERY WITH ZOOPLASTIC TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
212088
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM RIGHT INTERNAL MAMMARY WITH ZOOPLASTIC TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
212089
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM LEFT INTERNAL MAMMARY WITH ZOOPLASTIC TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021208C 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM THORACIC ARTERY WITH ZOOPLASTIC TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021208F 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM ABDOMINAL ARTERY WITH ZOOPLASTIC TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021208W 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM AORTA WITH ZOOPLASTIC TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
212093
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
212098
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM RIGHT INTERNAL MAMMARY WITH AUTOLOGOUS VENOUS TISSUE, OPEN 
APPROACH

5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
212099
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM LEFT INTERNAL MAMMARY WITH AUTOLOGOUS VENOUS TISSUE, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021209C 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM THORACIC ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021209F 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM ABDOMINAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021209W 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM AORTA WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02120A3 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02120A8 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM RIGHT INTERNAL MAMMARY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02120A9 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM LEFT INTERNAL MAMMARY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02120AC 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM THORACIC ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02120AF 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM ABDOMINAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02120AW 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM AORTA WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02120J3 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02120J8 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM RIGHT INTERNAL MAMMARY WITH SYNTHETIC SUBSTITUTE, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02120J9 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM LEFT INTERNAL MAMMARY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02120JC 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM THORACIC ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02120JF 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM ABDOMINAL ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02120JW 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM AORTA WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02120K3 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02120K8 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM RIGHT INTERNAL MAMMARY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02120K9 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM LEFT INTERNAL MAMMARY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02120KC 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM THORACIC ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02120KF 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM ABDOMINAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN 
APPROACH

5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02120KW 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM AORTA WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02120Z3 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY ARTERY, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02120Z8 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM RIGHT INTERNAL MAMMARY, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02120Z9 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM LEFT INTERNAL MAMMARY, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02120ZC 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM THORACIC ARTERY, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02120ZF 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM ABDOMINAL ARTERY, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0212344
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY VEIN WITH DRUG-ELUTING INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02123D4 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY VEIN WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0212444
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY VEIN WITH DRUG-ELUTING INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0212483
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY ARTERY WITH ZOOPLASTIC TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0212488
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM RIGHT INTERNAL MAMMARY WITH ZOOPLASTIC TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0212489
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM LEFT INTERNAL MAMMARY WITH ZOOPLASTIC TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021248C 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM THORACIC ARTERY WITH ZOOPLASTIC TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021248F 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM ABDOMINAL ARTERY WITH ZOOPLASTIC TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021248W 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM AORTA WITH ZOOPLASTIC TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0212493
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0212498
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM RIGHT INTERNAL MAMMARY WITH AUTOLOGOUS VENOUS TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0212499
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM LEFT INTERNAL MAMMARY WITH AUTOLOGOUS VENOUS TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021249C 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM THORACIC ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021249F 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM ABDOMINAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021249W 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM AORTA WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH

5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02124A3 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02124A8 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM RIGHT INTERNAL MAMMARY WITH AUTOLOGOUS ARTERIAL TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02124A9 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM LEFT INTERNAL MAMMARY WITH AUTOLOGOUS ARTERIAL TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02124AC 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM THORACIC ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02124AF 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM ABDOMINAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02124AW 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM AORTA WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02124D4 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY VEIN WITH INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02124J3 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02124J8 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM RIGHT INTERNAL MAMMARY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02124J9 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM LEFT INTERNAL MAMMARY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02124JC 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM THORACIC ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02124JF 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM ABDOMINAL ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02124JW 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM AORTA WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02124K3 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02124K8 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM RIGHT INTERNAL MAMMARY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02124K9 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM LEFT INTERNAL MAMMARY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02124KC 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM THORACIC ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02124KF 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM ABDOMINAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02124KW 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM AORTA WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02124Z3 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02124Z8 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM RIGHT INTERNAL MAMMARY, PERCUTANEOUS ENDOSCOPIC APPROACH

5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02124Z9 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM LEFT INTERNAL MAMMARY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02124ZC 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM THORACIC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02124ZF 
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM ABDOMINAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0213083
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY ARTERY WITH ZOOPLASTIC TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0213088
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM RIGHT INTERNAL MAMMARY WITH ZOOPLASTIC TISSUE, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0213089
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM LEFT INTERNAL MAMMARY WITH ZOOPLASTIC TISSUE, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021308C 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM THORACIC ARTERY WITH ZOOPLASTIC TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021308F 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM ABDOMINAL ARTERY WITH ZOOPLASTIC TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021308W 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM AORTA WITH ZOOPLASTIC TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0213093
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0213098
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM RIGHT INTERNAL MAMMARY WITH AUTOLOGOUS VENOUS TISSUE, 
OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0213099
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM LEFT INTERNAL MAMMARY WITH AUTOLOGOUS VENOUS TISSUE, 
OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021309C 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM THORACIC ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021309F 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM ABDOMINAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021309W 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM AORTA WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02130A3 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02130A8 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM RIGHT INTERNAL MAMMARY WITH AUTOLOGOUS ARTERIAL TISSUE, 
OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02130A9 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM LEFT INTERNAL MAMMARY WITH AUTOLOGOUS ARTERIAL TISSUE, 
OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02130AC 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM THORACIC ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02130AF 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM ABDOMINAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02130AW 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM AORTA WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH

5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02130J3 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02130J8 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM RIGHT INTERNAL MAMMARY WITH SYNTHETIC SUBSTITUTE, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02130J9 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM LEFT INTERNAL MAMMARY WITH SYNTHETIC SUBSTITUTE, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02130JC 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM THORACIC ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02130JF 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM ABDOMINAL ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02130JW 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM AORTA WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02130K3 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02130K8 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM RIGHT INTERNAL MAMMARY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02130K9 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM LEFT INTERNAL MAMMARY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02130KC 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM THORACIC ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02130KF 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM ABDOMINAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02130KW 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM AORTA WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02130Z3 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY ARTERY, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02130Z8 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM RIGHT INTERNAL MAMMARY, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02130Z9 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM LEFT INTERNAL MAMMARY, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02130ZC 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM THORACIC ARTERY, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02130ZF 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM ABDOMINAL ARTERY, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0213344
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY VEIN WITH DRUG-ELUTING INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02133D4 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY VEIN WITH INTRALUMINAL DEVICE, PERCUTANEOUS 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0213444
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY VEIN WITH DRUG-ELUTING INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0213483
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY ARTERY WITH ZOOPLASTIC TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH

5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0213488
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM RIGHT INTERNAL MAMMARY WITH ZOOPLASTIC TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0213489
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM LEFT INTERNAL MAMMARY WITH ZOOPLASTIC TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021348C 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM THORACIC ARTERY WITH ZOOPLASTIC TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021348F 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM ABDOMINAL ARTERY WITH ZOOPLASTIC TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021348W 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM AORTA WITH ZOOPLASTIC TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0213493
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY ARTERY WITH AUTOLOGOUS VENOUS TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0213498
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM RIGHT INTERNAL MAMMARY WITH AUTOLOGOUS VENOUS TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0213499
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM LEFT INTERNAL MAMMARY WITH AUTOLOGOUS VENOUS TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021349C 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM THORACIC ARTERY WITH AUTOLOGOUS VENOUS TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021349F 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM ABDOMINAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021349W 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM AORTA WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02134A3 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02134A8 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM RIGHT INTERNAL MAMMARY WITH AUTOLOGOUS ARTERIAL TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02134A9 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM LEFT INTERNAL MAMMARY WITH AUTOLOGOUS ARTERIAL TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02134AC 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM THORACIC ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02134AF 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM ABDOMINAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02134AW 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM AORTA WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02134D4 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY VEIN WITH INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02134J3 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02134J8 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM RIGHT INTERNAL MAMMARY WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02134J9 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM LEFT INTERNAL MAMMARY WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH

5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02134JC 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM THORACIC ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02134JF 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM ABDOMINAL ARTERY WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02134JW 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM AORTA WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02134K3 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02134K8 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM RIGHT INTERNAL MAMMARY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02134K9 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM LEFT INTERNAL MAMMARY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02134KC 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM THORACIC ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02134KF 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM ABDOMINAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02134KW 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM AORTA WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02134Z3 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02134Z8 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM RIGHT INTERNAL MAMMARY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02134Z9 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM LEFT INTERNAL MAMMARY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02134ZC 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM THORACIC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02134ZF 
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM ABDOMINAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021K0Z5 
PX
BYPASS RIGHT VENTRICLE TO CORONARY CIRCULATION, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021K4Z5 
PX
BYPASS RIGHT VENTRICLE TO CORONARY CIRCULATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021L0Z5 
PX
BYPASS LEFT VENTRICLE TO CORONARY CIRCULATION, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
021L4Z5 
PX
BYPASS LEFT VENTRICLE TO CORONARY CIRCULATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0270046
PX
DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027004Z 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0270056
PX
DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH TWO DRUGELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH

5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027005Z 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0270066
PX
DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027006Z 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0270076
PX
DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027007Z 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02700D6 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02700DZ 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02700E6
PX
DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02700EZ 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02700F6 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02700FZ 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02700G6 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02700GZ 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02700T6 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH RADIOACTIVE INTRALUMINAL DEVICE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02700TZ 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY WITH RADIOACTIVE INTRALUMINAL DEVICE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02700Z6 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02700ZZ 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0270346
PX
DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027034Z 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0270356
PX
DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027035Z 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH

5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0270366
PX
DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027036Z 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0270376
PX
DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027037Z 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02703D6 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02703DZ 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02703E6
PX
DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02703EZ 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02703F6 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02703FZ 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02703G6 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02703GZ 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02703T6 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH RADIOACTIVE INTRALUMINAL DEVICE, PERCUTANEOUS 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02703TZ 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY WITH RADIOACTIVE INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02703Z6 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02703ZZ 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0270446
PX
DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027044Z 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0270456
PX
DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027045Z 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0270466
PX
DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH

5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027046Z 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0270476
PX
DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027047Z 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02704D6 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02704DZ 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02704E6
PX
DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02704EZ 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02704F6 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02704FZ 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02704G6 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02704GZ 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02704T6 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH RADIOACTIVE INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02704TZ 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY WITH RADIOACTIVE INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02704Z6 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02704ZZ 
PX
DILATION OF CORONARY ARTERY, ONE ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0271046
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027104Z 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0271056
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027105Z 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0271066
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027106Z 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH

5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0271076
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027107Z 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02710D6 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02710DZ 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02710E6
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02710EZ 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02710F6 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02710FZ 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02710G6 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02710GZ 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02710T6 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH RADIOACTIVE INTRALUMINAL DEVICE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02710TZ 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES WITH RADIOACTIVE INTRALUMINAL DEVICE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02710Z6 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02710ZZ 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0271346
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027134Z 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0271356
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027135Z 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0271366
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027136Z 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0271376
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH

5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027137Z 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02713D6 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02713DZ 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02713E6
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02713EZ 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02713F6 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02713FZ 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02713G6 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02713GZ 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02713T6 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH RADIOACTIVE INTRALUMINAL DEVICE, PERCUTANEOUS 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02713TZ 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES WITH RADIOACTIVE INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02713Z6 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02713ZZ 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0271446
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027144Z 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0271456
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027145Z 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0271466
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027146Z 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0271476
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027147Z 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH

5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02714D6 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02714DZ 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02714E6
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02714EZ 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02714F6 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02714FZ 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02714G6 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02714GZ 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02714T6 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH RADIOACTIVE INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02714TZ 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES WITH RADIOACTIVE INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02714Z6 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02714ZZ 
PX
DILATION OF CORONARY ARTERY, TWO ARTERIES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0272046
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027204Z 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0272056
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027205Z 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0272066
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027206Z 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0272076
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027207Z 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02720D6 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH INTRALUMINAL DEVICE, OPEN APPROACH

5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02720DZ 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02720E6
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02720EZ 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02720F6 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02720FZ 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02720G6 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02720GZ 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02720T6 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH RADIOACTIVE INTRALUMINAL DEVICE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02720TZ 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES WITH RADIOACTIVE INTRALUMINAL DEVICE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02720Z6 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02720ZZ 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0272346
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027234Z 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0272356
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027235Z 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0272366
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027236Z 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0272376
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027237Z 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02723D6 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02723DZ 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH

5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02723E6
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02723EZ 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02723F6 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02723FZ 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02723G6 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02723GZ 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02723T6 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH RADIOACTIVE INTRALUMINAL DEVICE, PERCUTANEOUS 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02723TZ 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES WITH RADIOACTIVE INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02723Z6 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02723ZZ 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0272446
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027244Z 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0272456
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027245Z 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0272466
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027246Z 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0272476
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027247Z 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02724D6 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02724DZ 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02724E6
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH

5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02724EZ 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02724F6 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02724FZ 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02724G6 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02724GZ 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02724T6 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH RADIOACTIVE INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02724TZ 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES WITH RADIOACTIVE INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02724Z6 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02724ZZ 
PX
DILATION OF CORONARY ARTERY, THREE ARTERIES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0273046
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027304Z 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0273056
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, 
OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027305Z 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0273066
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027306Z 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0273076
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL 
DEVICES, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027307Z 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02730D6 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02730DZ 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02730E6
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02730EZ 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH

5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02730F6 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02730FZ 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02730G6 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02730GZ 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02730T6 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH RADIOACTIVE INTRALUMINAL DEVICE, OPEN 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02730TZ 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH RADIOACTIVE INTRALUMINAL DEVICE, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02730Z6 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02730ZZ 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0273346
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027334Z 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0273356
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027335Z 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0273366
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027336Z 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
0273376
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL 
DEVICES, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027337Z 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02733D6 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02733DZ 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02733E6
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02733EZ 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02733F6 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH

5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02733FZ 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02733G6 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02733GZ 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02733T6 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH RADIOACTIVE INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02733TZ 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH RADIOACTIVE INTRALUMINAL DEVICE, PERCUTANEOUS 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02733Z6 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02733ZZ 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
273446
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027344Z 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
273456
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027345Z 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
273466
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027346Z 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
273476
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL 
DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
027347Z 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02734D6 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02734DZ 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02734E6
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02734EZ 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02734F6 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02734FZ 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH

5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02734G6 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02734GZ 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02734T6 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH RADIOACTIVE INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02734TZ 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH RADIOACTIVE INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02734Z6 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02734ZZ 
PX
DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02C00Z6 
PX
EXTIRPATION OF MATTER FROM CORONARY ARTERY, ONE ARTERY, BIFURCATION, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02C00ZZ 
PX
EXTIRPATION OF MATTER FROM CORONARY ARTERY, ONE ARTERY, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02C03Z6 
PX
EXTIRPATION OF MATTER FROM CORONARY ARTERY, ONE ARTERY, BIFURCATION, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02C03ZZ 
PX
EXTIRPATION OF MATTER FROM CORONARY ARTERY, ONE ARTERY, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02C04Z6 
PX
EXTIRPATION OF MATTER FROM CORONARY ARTERY, ONE ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02C04ZZ 
PX
EXTIRPATION OF MATTER FROM CORONARY ARTERY, ONE ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02C10Z6 
PX
EXTIRPATION OF MATTER FROM CORONARY ARTERY, TWO ARTERIES, BIFURCATION, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02C10ZZ 
PX
EXTIRPATION OF MATTER FROM CORONARY ARTERY, TWO ARTERIES, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02C13Z6 
PX
EXTIRPATION OF MATTER FROM CORONARY ARTERY, TWO ARTERIES, BIFURCATION, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02C13ZZ 
PX
EXTIRPATION OF MATTER FROM CORONARY ARTERY, TWO ARTERIES, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02C14Z6 
PX
EXTIRPATION OF MATTER FROM CORONARY ARTERY, TWO ARTERIES, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02C14ZZ 
PX
EXTIRPATION OF MATTER FROM CORONARY ARTERY, TWO ARTERIES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02C20Z6 
PX
EXTIRPATION OF MATTER FROM CORONARY ARTERY, THREE ARTERIES, BIFURCATION, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02C20ZZ 
PX
EXTIRPATION OF MATTER FROM CORONARY ARTERY, THREE ARTERIES, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02C23Z6 
PX
EXTIRPATION OF MATTER FROM CORONARY ARTERY, THREE ARTERIES, BIFURCATION, PERCUTANEOUS APPROACH

5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02C23ZZ 
PX
EXTIRPATION OF MATTER FROM CORONARY ARTERY, THREE ARTERIES, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02C24Z6 
PX
EXTIRPATION OF MATTER FROM CORONARY ARTERY, THREE ARTERIES, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02C24ZZ 
PX
EXTIRPATION OF MATTER FROM CORONARY ARTERY, THREE ARTERIES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02C30Z6 
PX
EXTIRPATION OF MATTER FROM CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02C30ZZ 
PX
EXTIRPATION OF MATTER FROM CORONARY ARTERY, FOUR OR MORE ARTERIES, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02C33Z6 
PX
EXTIRPATION OF MATTER FROM CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02C33ZZ 
PX
EXTIRPATION OF MATTER FROM CORONARY ARTERY, FOUR OR MORE ARTERIES, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02C34Z6 
PX
EXTIRPATION OF MATTER FROM CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02C34ZZ 
PX
EXTIRPATION OF MATTER FROM CORONARY ARTERY, FOUR OR MORE ARTERIES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02QA0ZZ 
PX
REPAIR HEART, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02QA3ZZ 
PX
REPAIR HEART, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02QA4ZZ 
PX
REPAIR HEART, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02QB0ZZ 
PX
REPAIR RIGHT HEART, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02QB3ZZ 
PX
REPAIR RIGHT HEART, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02QB4ZZ 
PX
REPAIR RIGHT HEART, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02QC0ZZ 
PX
REPAIR LEFT HEART, OPEN APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02QC3ZZ 
PX
REPAIR LEFT HEART, PERCUTANEOUS APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
02QC4ZZ 
PX
REPAIR LEFT HEART, PERCUTANEOUS ENDOSCOPIC APPROACH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
33140
PX
TRANSMYOCARDIAL LASER REVASCULARIZATION, BY THORACOTOMY; (SEPARATE PROCEDURE)
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
33141
PX
TRANSMYOCARDIAL LASER REVASCULARIZATION, BY THORACOTOMY; PERFORMED AT THE TIME OF OTHER OPEN CARDIAC 
PROCEDURE(S) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
33510
PX
CORONARY ARTERY BYPASS, VEIN ONLY; SINGLE CORONARY VENOUS GRAFT

5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
33511
PX
CORONARY ARTERY BYPASS, VEIN ONLY; 2 CORONARY VENOUS GRAFTS
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
33512
PX
CORONARY ARTERY BYPASS, VEIN ONLY; 3 CORONARY VENOUS GRAFTS
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
33513
PX
CORONARY ARTERY BYPASS, VEIN ONLY; 4 CORONARY VENOUS GRAFTS
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
33514
PX
CORONARY ARTERY BYPASS, VEIN ONLY; 5 CORONARY VENOUS GRAFTS
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
33516
PX
CORONARY ARTERY BYPASS, VEIN ONLY; 6 OR MORE CORONARY VENOUS GRAFTS
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
33517
PX
CORONARY ARTERY BYPASS, USING VENOUS GRAFT(S) AND ARTERIAL GRAFT(S); SINGLE VEIN GRAFT (LIST SEPARATELY IN 
ADDITION TO CODE FOR PRIMARY PROCEDURE)
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
33518
PX
CORONARY ARTERY BYPASS, USING VENOUS GRAFT(S) AND ARTERIAL GRAFT(S); 2 VENOUS GRAFTS (LIST SEPARATELY IN ADDITION 
TO CODE FOR PRIMARY PROCEDURE)
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
33519
PX
CORONARY ARTERY BYPASS, USING VENOUS GRAFT(S) AND ARTERIAL GRAFT(S); 3 VENOUS GRAFTS (LIST SEPARATELY IN ADDITION 
TO CODE FOR PRIMARY PROCEDURE)
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
33521
PX
CORONARY ARTERY BYPASS, USING VENOUS GRAFT(S) AND ARTERIAL GRAFT(S); 4 VENOUS GRAFTS (LIST SEPARATELY IN ADDITION 
TO CODE FOR PRIMARY PROCEDURE)
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
33522
PX
CORONARY ARTERY BYPASS, USING VENOUS GRAFT(S) AND ARTERIAL GRAFT(S); 5 VENOUS GRAFTS (LIST SEPARATELY IN ADDITION 
TO CODE FOR PRIMARY PROCEDURE)
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
33523
PX
CORONARY ARTERY BYPASS, USING VENOUS GRAFT(S) AND ARTERIAL GRAFT(S); 6 OR MORE VENOUS GRAFTS (LIST SEPARATELY IN 
ADDITION TO CODE FOR PRIMARY PROCEDURE)
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
33530
PX
REOPERATION, CORONARY ARTERY BYPASS PROCEDURE OR VALVE PROCEDURE, MORE THAN 1 MONTH AFTER ORIGINAL 
OPERATION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
33533
PX
CORONARY ARTERY BYPASS, USING ARTERIAL GRAFT(S); SINGLE ARTERIAL GRAFT
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
33534
PX
CORONARY ARTERY BYPASS, USING ARTERIAL GRAFT(S); 2 CORONARY ARTERIAL GRAFTS
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
33535
PX
CORONARY ARTERY BYPASS, USING ARTERIAL GRAFT(S); 3 CORONARY ARTERIAL GRAFTS
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
33536
PX
CORONARY ARTERY BYPASS, USING ARTERIAL GRAFT(S); 4 OR MORE CORONARY ARTERIAL GRAFTS
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
33545
PX
REPAIR OF POSTINFARCTION VENTRICULAR SEPTAL DEFECT, WITH OR WITHOUT MYOCARDIAL RESECTION
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
33572
PX
CORONARY ENDARTERECTOMY, OPEN, ANY METHOD, OF LEFT ANTERIOR DESCENDING, CIRCUMFLEX, OR RIGHT CORONARY ARTERY 
PERFORMED IN CONJUNCTION WITH CORONARY ARTERY BYPASS GRAFT PROCEDURE, EACH VESSEL (LIST SEPARATELY IN 
ADDITION TO PRIMARY PROCEDURE)
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
92920
PX
PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY; SINGLE MAJOR CORONARY ARTERY OR BRANCH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
92921
PX
PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY; EACH ADDITIONAL BRANCH OF A MAJOR CORONARY ARTERY (LIST 
SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
92924
PX
PERCUTANEOUS TRANSLUMINAL CORONARY ATHERECTOMY, WITH CORONARY ANGIOPLASTY WHEN PERFORMED; SINGLE MAJOR 
CORONARY ARTERY OR BRANCH

5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
92925
PX
PERCUTANEOUS TRANSLUMINAL CORONARY ATHERECTOMY, WITH CORONARY ANGIOPLASTY WHEN PERFORMED; EACH 
ADDITIONAL BRANCH OF A MAJOR CORONARY ARTERY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
92928
PX
PERCUTANEOUS TRANSCATHETER PLACEMENT OF INTRACORONARY STENT(S), WITH CORONARY ANGIOPLASTY WHEN 
PERFORMED; SINGLE MAJOR CORONARY ARTERY OR BRANCH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
92929
PX
PERCUTANEOUS TRANSCATHETER PLACEMENT OF INTRACORONARY STENT(S), WITH CORONARY ANGIOPLASTY WHEN 
PERFORMED; EACH ADDITIONAL BRANCH OF A MAJOR CORONARY ARTERY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY 
PROCEDURE)
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
92933
PX
PERCUTANEOUS TRANSLUMINAL CORONARY ATHERECTOMY, WITH INTRACORONARY STENT, WITH CORONARY ANGIOPLASTY 
WHEN PERFORMED; SINGLE MAJOR CORONARY ARTERY OR BRANCH
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
92934
PX
PERCUTANEOUS TRANSLUMINAL CORONARY ATHERECTOMY, WITH INTRACORONARY STENT, WITH CORONARY ANGIOPLASTY 
WHEN PERFORMED; EACH ADDITIONAL BRANCH OF A MAJOR CORONARY ARTERY (LIST SEPARATELY IN ADDITION TO CODE FOR 
PRIMARY PROCEDURE)
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
92937
PX
PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF OR THROUGH CORONARY ARTERY BYPASS GRAFT (INTERNAL 
MAMMARY, FREE ARTERIAL, VENOUS), ANY COMBINATION OF INTRACORONARY STENT, ATHERECTOMY AND ANGIOPLASTY, 
INCLUDING DISTAL PROTECTION WHEN PERFORMED; SINGLE VESSEL
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
92938
PX
PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF OR THROUGH CORONARY ARTERY BYPASS GRAFT (INTERNAL 
MAMMARY, FREE ARTERIAL, VENOUS), ANY COMBINATION OF INTRACORONARY STENT, ATHERECTOMY AND ANGIOPLASTY, 
INCLUDING DISTAL PROTECTION WHEN PERFORMED; EACH ADDITIONAL BRANCH SUBTENDED BY THE BYPASS GRAFT (LIST 
SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
92941
PX
PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF ACUTE TOTAL/SUBTOTAL OCCLUSION DURING ACUTE MYOCARDIAL 
INFARCTION, CORONARY ARTERY OR CORONARY ARTERY BYPASS GRAFT, ANY COMBINATION OF INTRACORONARY STENT, 
ATHERECTOMY AND ANGIOPLASTY, INCLUDING ASPIRATION THROMBECTOMY WHEN PERFORMED, SINGLE VESSEL
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
92943
PX
PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF CHRONIC TOTAL OCCLUSION, CORONARY ARTERY, CORONARY ARTERY 
BRANCH, OR CORONARY ARTERY BYPASS GRAFT, ANY COMBINATION OF INTRACORONARY STENT, ATHERECTOMY AND 
ANGIOPLASTY; SINGLE VESSEL
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
92944
PX
PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF CHRONIC TOTAL OCCLUSION, CORONARY ARTERY, CORONARY ARTERY 
BRANCH, OR CORONARY ARTERY BYPASS GRAFT, ANY COMBINATION OF INTRACORONARY STENT, ATHERECTOMY AND 
ANGIOPLASTY; EACH ADDITIONAL CORONARY ARTERY, CORONARY ARTERY BRANCH, OR BYPASS GRAFT (LIST SEPARATELY IN 
ADDITION TO CODE FOR PRIMARY PROCEDURE)
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
92973
PX
PERCUTANEOUS TRANSLUMINAL CORONARY THROMBECTOMY MECHANICAL (LIST SEPARATELY IN ADDITION TO CODE FOR 
PRIMARY PROCEDURE)
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
92980
PX
TRANSCATHETER PLACEMENT OF AN INTRACORONARY STENT(S), PERCUTANEOUS, WITH OR WITHOUT OTHER THERAPEUTIC 
INTERVENTION, ANY METHOD; SINGLE VESSEL
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
92981
PX
TRANSCATHETER PLACEMENT OF AN INTRACORONARY STENT(S), PERCUTANEOUS, WITH OR WITHOUT OTHER THERAPEUTIC 
INTERVENTION, ANY METHOD; EACH ADDITIONAL VESSEL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
92982
PX
PERCUTANEOUS TRANSLUMINAL CORONARY BALLOON ANGIOPLASTY; SINGLE VESSEL
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
92984
PX
PERCUTANEOUS TRANSLUMINAL CORONARY BALLOON ANGIOPLASTY; EACH ADDITIONAL VESSEL (LIST SEPARATELY IN ADDITION 
TO CODE FOR PRIMARY PROCEDURE)
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
92995
PX
PERCUTANEOUS TRANSLUMINAL CORONARY ATHERECTOMY, BY MECHANICAL OR OTHER METHOD, WITH OR WITHOUT BALLOON 
ANGIOPLASTY; SINGLE VESSEL
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
92996
PX
PERCUTANEOUS TRANSLUMINAL CORONARY ATHERECTOMY, BY MECHANICAL OR OTHER METHOD, WITH OR WITHOUT BALLOON 
ANGIOPLASTY; EACH ADDITIONAL VESSEL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
Z95.1 
DX
PRESENCE OF AORTOCORONARY BYPASS GRAFT
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
Z95.5 
DX
PRESENCE OF CORONARY ANGIOPLASTY IMPLANT AND GRAFT
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
Z98.61 
DX
CORONARY ANGIOPLASTY STATUS

5.2.1 Documented history of ischemic 
stroke
G43.609 
DX
 PERSISTENT MIGRAINE AURA WITH CEREBRAL INFARCTION, NOT INTRACTABLE, WITHOUT STATUS MIGRAINOSUS
5.2.1 Documented history of ischemic 
stroke
G43.619 
DX
 PERSISTENT MIGRAINE AURA WITH CEREBRAL INFARCTION, INTRACTABLE, WITHOUT STATUS MIGRAINOSUS
5.2.1 Documented history of ischemic 
stroke
G46.3 
DX
 BRAIN STEM STROKE SYNDROME
5.2.1 Documented history of ischemic 
stroke
G46.4 
DX
 CEREBELLAR STROKE SYNDROME
5.2.1 Documented history of ischemic 
stroke
I63.0 
DX
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF PRECEREBRAL ARTERIES
5.2.1 Documented history of ischemic 
stroke
I63.00 
DX
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF UNSPECIFIED PRECEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.01 
DX
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF VERTEBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.011 
DX
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF RIGHT VERTEBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.012 
DX
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF LEFT VERTEBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.013 
DX
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF BILATERAL VERTEBRAL ARTERIES
5.2.1 Documented history of ischemic 
stroke
I63.019 
DX
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF UNSPECIFIED VERTEBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.02 
DX
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF BASILAR ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.03 
DX
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF CAROTID ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.031 
DX
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF RIGHT CAROTID ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.032 
DX
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF LEFT CAROTID ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.033 
DX
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF BILATERAL CAROTID ARTERIES
5.2.1 Documented history of ischemic 
stroke
I63.039 
DX
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF UNSPECIFIED CAROTID ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.09 
DX
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF OTHER PRECEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.1 
DX
 CEREBRAL INFARCTION DUE TO EMBOLISM OF PRECEREBRAL ARTERIES
5.2.1 Documented history of ischemic 
stroke
I63.10 
DX
 CEREBRAL INFARCTION DUE TO EMBOLISM OF UNSPECIFIED PRECEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.11 
DX
 CEREBRAL INFARCTION DUE TO EMBOLISM OF VERTEBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.111 
DX
 CEREBRAL INFARCTION DUE TO EMBOLISM OF RIGHT VERTEBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.112 
DX
 CEREBRAL INFARCTION DUE TO EMBOLISM OF LEFT VERTEBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.113 
DX
 CEREBRAL INFARCTION DUE TO EMBOLISM OF BILATERAL VERTEBRAL ARTERIES
5.2.1 Documented history of ischemic 
stroke
I63.119 
DX
 CEREBRAL INFARCTION DUE TO EMBOLISM OF UNSPECIFIED VERTEBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.12 
DX
 CEREBRAL INFARCTION DUE TO EMBOLISM OF BASILAR ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.13 
DX
 CEREBRAL INFARCTION DUE TO EMBOLISM OF CAROTID ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.131 
DX
 CEREBRAL INFARCTION DUE TO EMBOLISM OF RIGHT CAROTID ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.132 
DX
 CEREBRAL INFARCTION DUE TO EMBOLISM OF LEFT CAROTID ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.133 
DX
 CEREBRAL INFARCTION DUE TO EMBOLISM OF BILATERAL CAROTID ARTERIES
5.2.1 Documented history of ischemic 
stroke
I63.139 
DX
 CEREBRAL INFARCTION DUE TO EMBOLISM OF UNSPECIFIED CAROTID ARTERY

5.2.1 Documented history of ischemic 
stroke
I63.19 
DX
 CEREBRAL INFARCTION DUE TO EMBOLISM OF OTHER PRECEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.2 
DX
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF PRECEREBRAL ARTERIES
5.2.1 Documented history of ischemic 
stroke
I63.20 
DX
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF UNSPECIFIED PRECEREBRAL ARTERIES
5.2.1 Documented history of ischemic 
stroke
I63.21 
DX
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF VERTEBRAL ARTERIES
5.2.1 Documented history of ischemic 
stroke
I63.211 
DX
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF RIGHT VERTEBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.212 
DX
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF LEFT VERTEBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.213 
DX
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF BILATERAL VERTEBRAL ARTERIES
5.2.1 Documented history of ischemic 
stroke
I63.219 
DX
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF UNSPECIFIED VERTEBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.22 
DX
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF BASILAR ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.23 
DX
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF CAROTID ARTERIES
5.2.1 Documented history of ischemic 
stroke
I63.231 
DX
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF RIGHT CAROTID ARTERIES
5.2.1 Documented history of ischemic 
stroke
I63.232 
DX
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF LEFT CAROTID ARTERIES
5.2.1 Documented history of ischemic 
stroke
I63.233 
DX
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF BILATERAL CAROTID ARTERIES
5.2.1 Documented history of ischemic 
stroke
I63.239 
DX
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF UNSPECIFIED CAROTID ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.29 
DX
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF OTHER PRECEREBRAL ARTERIES
5.2.1 Documented history of ischemic 
stroke
I63.3 
DX
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF CEREBRAL ARTERIES
5.2.1 Documented history of ischemic 
stroke
I63.30 
DX
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF UNSPECIFIED CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.31 
DX
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF MIDDLE CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.311 
DX
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF RIGHT MIDDLE CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.312 
DX
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF LEFT MIDDLE CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.313 
DX
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF BILATERAL MIDDLE CEREBRAL ARTERIES
5.2.1 Documented history of ischemic 
stroke
I63.319 
DX
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF UNSPECIFIED MIDDLE CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.32 
DX
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF ANTERIOR CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.321 
DX
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF RIGHT ANTERIOR CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.322 
DX
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF LEFT ANTERIOR CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.323 
DX
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF BILATERAL ANTERIOR CEREBRAL ARTERIES
5.2.1 Documented history of ischemic 
stroke
I63.329 
DX
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF UNSPECIFIED ANTERIOR CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.33 
DX
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF POSTERIOR CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.331 
DX
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF RIGHT POSTERIOR CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.332 
DX
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF LEFT POSTERIOR CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.333 
DX
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF BILATERAL POSTERIOR CEREBRAL ARTERIES

5.2.1 Documented history of ischemic 
stroke
I63.339 
DX
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF UNSPECIFIED POSTERIOR CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.34 
DX
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF CEREBELLAR ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.341 
DX
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF RIGHT CEREBELLAR ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.342 
DX
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF LEFT CEREBELLAR ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.343 
DX
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF BILATERAL CEREBELLAR ARTERIES
5.2.1 Documented history of ischemic 
stroke
I63.349 
DX
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF UNSPECIFIED CEREBELLAR ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.39 
DX
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF OTHER CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.4 
DX
 CEREBRAL INFARCTION DUE TO EMBOLISM OF CEREBRAL ARTERIES
5.2.1 Documented history of ischemic 
stroke
I63.40 
DX
 CEREBRAL INFARCTION DUE TO EMBOLISM OF UNSPECIFIED CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.41 
DX
 CEREBRAL INFARCTION DUE TO EMBOLISM OF MIDDLE CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.411 
DX
 CEREBRAL INFARCTION DUE TO EMBOLISM OF RIGHT MIDDLE CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.412 
DX
 CEREBRAL INFARCTION DUE TO EMBOLISM OF LEFT MIDDLE CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.413 
DX
 CEREBRAL INFARCTION DUE TO EMBOLISM OF BILATERAL MIDDLE CEREBRAL ARTERIES
5.2.1 Documented history of ischemic 
stroke
I63.419 
DX
 CEREBRAL INFARCTION DUE TO EMBOLISM OF UNSPECIFIED MIDDLE CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.42 
DX
 CEREBRAL INFARCTION DUE TO EMBOLISM OF ANTERIOR CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.421 
DX
 CEREBRAL INFARCTION DUE TO EMBOLISM OF RIGHT ANTERIOR CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.422 
DX
 CEREBRAL INFARCTION DUE TO EMBOLISM OF LEFT ANTERIOR CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.423 
DX
 CEREBRAL INFARCTION DUE TO EMBOLISM OF BILATERAL ANTERIOR CEREBRAL ARTERIES
5.2.1 Documented history of ischemic 
stroke
I63.429 
DX
 CEREBRAL INFARCTION DUE TO EMBOLISM OF UNSPECIFIED ANTERIOR CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.43 
DX
 CEREBRAL INFARCTION DUE TO EMBOLISM OF POSTERIOR CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.431 
DX
 CEREBRAL INFARCTION DUE TO EMBOLISM OF RIGHT POSTERIOR CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.432 
DX
 CEREBRAL INFARCTION DUE TO EMBOLISM OF LEFT POSTERIOR CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.433 
DX
 CEREBRAL INFARCTION DUE TO EMBOLISM OF BILATERAL POSTERIOR CEREBRAL ARTERIES
5.2.1 Documented history of ischemic 
stroke
I63.439 
DX
 CEREBRAL INFARCTION DUE TO EMBOLISM OF UNSPECIFIED POSTERIOR CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.44 
DX
 CEREBRAL INFARCTION DUE TO EMBOLISM OF CEREBELLAR ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.441 
DX
 CEREBRAL INFARCTION DUE TO EMBOLISM OF RIGHT CEREBELLAR ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.442 
DX
 CEREBRAL INFARCTION DUE TO EMBOLISM OF LEFT CEREBELLAR ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.443 
DX
 CEREBRAL INFARCTION DUE TO EMBOLISM OF BILATERAL CEREBELLAR ARTERIES
5.2.1 Documented history of ischemic 
stroke
I63.449 
DX
 CEREBRAL INFARCTION DUE TO EMBOLISM OF UNSPECIFIED CEREBELLAR ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.49 
DX
 CEREBRAL INFARCTION DUE TO EMBOLISM OF OTHER CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.5 
DX
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF CEREBRAL ARTERIES

5.2.1 Documented history of ischemic 
stroke
I63.50 
DX
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF UNSPECIFIED CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.51 
DX
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF MIDDLE CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.511 
DX
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF RIGHT MIDDLE CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.512 
DX
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF LEFT MIDDLE CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.513 
DX
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF BILATERAL MIDDLE CEREBRAL ARTERIES
5.2.1 Documented history of ischemic 
stroke
I63.519 
DX
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF UNSPECIFIED MIDDLE CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.52 
DX
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF ANTERIOR CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.521 
DX
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF RIGHT ANTERIOR CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.522 
DX
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF LEFT ANTERIOR CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.523 
DX
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF BILATERAL ANTERIOR CEREBRAL ARTERIES
5.2.1 Documented history of ischemic 
stroke
I63.529 
DX
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF UNSPECIFIED ANTERIOR CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.53 
DX
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF POSTERIOR CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.531 
DX
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF RIGHT POSTERIOR CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.532 
DX
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF LEFT POSTERIOR CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.533 
DX
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF BILATERAL POSTERIOR CEREBRAL ARTERIES
5.2.1 Documented history of ischemic 
stroke
I63.539 
DX
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF UNSPECIFIED POSTERIOR CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.54 
DX
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF CEREBELLAR ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.541 
DX
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF RIGHT CEREBELLAR ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.542 
DX
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF LEFT CEREBELLAR ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.543 
DX
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF BILATERAL CEREBELLAR ARTERIES
5.2.1 Documented history of ischemic 
stroke
I63.549 
DX
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF UNSPECIFIED CEREBELLAR ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.59 
DX
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF OTHER CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.6 
DX
 CEREBRAL INFARCTION DUE TO CEREBRAL VENOUS THROMBOSIS, NONPYOGENIC
5.2.1 Documented history of ischemic 
stroke
I63.8 
DX
 OTHER CEREBRAL INFARCTION
5.2.1 Documented history of ischemic 
stroke
I63.81 
DX
 OTHER CEREBRAL INFARCTION DUE TO OCCLUSION OR STENOSIS OF SMALL ARTERY
5.2.1 Documented history of ischemic 
stroke
I63.89 
DX
 OTHER CEREBRAL INFARCTION
5.2.1 Documented history of ischemic 
stroke
I63.9 
DX
 CEREBRAL INFARCTION, UNSPECIFIED
5.2.1 Documented history of ischemic 
stroke
I65.0 
DX
 OCCLUSION AND STENOSIS OF VERTEBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I65.01 
DX
 OCCLUSION AND STENOSIS OF RIGHT VERTEBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I65.02 
DX
 OCCLUSION AND STENOSIS OF LEFT VERTEBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I65.03 
DX
 OCCLUSION AND STENOSIS OF BILATERAL VERTEBRAL ARTERIES

5.2.1 Documented history of ischemic 
stroke
I65.09 
DX
 OCCLUSION AND STENOSIS OF UNSPECIFIED VERTEBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I65.1 
DX
 OCCLUSION AND STENOSIS OF BASILAR ARTERY
5.2.1 Documented history of ischemic 
stroke
I65.8 
DX
 OCCLUSION AND STENOSIS OF OTHER PRECEREBRAL ARTERIES
5.2.1 Documented history of ischemic 
stroke
I65.9 
DX
 OCCLUSION AND STENOSIS OF UNSPECIFIED PRECEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I66.0 
DX
 OCCLUSION AND STENOSIS OF MIDDLE CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I66.01 
DX
 OCCLUSION AND STENOSIS OF RIGHT MIDDLE CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I66.02 
DX
 OCCLUSION AND STENOSIS OF LEFT MIDDLE CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I66.03 
DX
 OCCLUSION AND STENOSIS OF BILATERAL MIDDLE CEREBRAL ARTERIES
5.2.1 Documented history of ischemic 
stroke
I66.09 
DX
 OCCLUSION AND STENOSIS OF UNSPECIFIED MIDDLE CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I66.1 
DX
 OCCLUSION AND STENOSIS OF ANTERIOR CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I66.11 
DX
 OCCLUSION AND STENOSIS OF RIGHT ANTERIOR CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I66.12 
DX
 OCCLUSION AND STENOSIS OF LEFT ANTERIOR CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I66.13 
DX
 OCCLUSION AND STENOSIS OF BILATERAL ANTERIOR CEREBRAL ARTERIES
5.2.1 Documented history of ischemic 
stroke
I66.19 
DX
 OCCLUSION AND STENOSIS OF UNSPECIFIED ANTERIOR CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I66.2 
DX
 OCCLUSION AND STENOSIS OF POSTERIOR CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I66.21 
DX
 OCCLUSION AND STENOSIS OF RIGHT POSTERIOR CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I66.22 
DX
 OCCLUSION AND STENOSIS OF LEFT POSTERIOR CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I66.23 
DX
 OCCLUSION AND STENOSIS OF BILATERAL POSTERIOR CEREBRAL ARTERIES
5.2.1 Documented history of ischemic 
stroke
I66.29 
DX
 OCCLUSION AND STENOSIS OF UNSPECIFIED POSTERIOR CEREBRAL ARTERY
5.2.1 Documented history of ischemic 
stroke
I66.3 
DX
 OCCLUSION AND STENOSIS OF CEREBELLAR ARTERIES
5.2.1 Documented history of ischemic 
stroke
I66.8 
DX
 OCCLUSION AND STENOSIS OF OTHER CEREBRAL ARTERIES
5.2.1 Documented history of ischemic 
stroke
I66.9 
DX
 OCCLUSION AND STENOSIS OF UNSPECIFIED CEREBRAL ARTERY
5.2.2 Carotid arterial disease with ≥50% 
stenosis, documented by carotid 
ultrasound, MRI, or angiography
I63.03 
DX
Cerebral infarction due to thrombosis of carotid artery
5.2.2 Carotid arterial disease with ≥50% 
stenosis, documented by carotid 
ultrasound, MRI, or angiography
I63.031 
DX
Cerebral infarction due to thrombosis of right carotid artery
5.2.2 Carotid arterial disease with ≥50% 
stenosis, documented by carotid 
ultrasound, MRI, or angiography
I63.032
DX
Cerebral infarction due to thrombosis of left carotid artery
5.2.2 Carotid arterial disease with ≥50% 
stenosis, documented by carotid 
ultrasound, MRI, or angiography
I63.033
DX
Cerebral infarction due to thrombosis of bilateral carotid arteries
5.2.2 Carotid arterial disease with ≥50% 
stenosis, documented by carotid 
ultrasound, MRI, or angiography
I63.039
DX
Cerebral infarction due to thrombosis of unspecified carotid artery
5.2.2 Carotid arterial disease with ≥50% 
stenosis, documented by carotid 
ultrasound, MRI, or angiography
I63.13
DX
Cerebral infarction due to embolism of carotid artery

5.2.2 Carotid arterial disease with ≥50% 
stenosis, documented by carotid 
ultrasound, MRI, or angiography
I63.131
DX
Cerebral infarction due to embolism of right carotid artery
5.2.2 Carotid arterial disease with ≥50% 
stenosis, documented by carotid 
ultrasound, MRI, or angiography
I63.132
DX
Cerebral infarction due to embolism of left carotid artery
5.2.2 Carotid arterial disease with ≥50% 
stenosis, documented by carotid 
ultrasound, MRI, or angiography
I63.133
DX
Cerebral infarction due to embolism of bilateral carotid arteries
5.2.2 Carotid arterial disease with ≥50% 
stenosis, documented by carotid 
ultrasound, MRI, or angiography
I63.139
DX
Cerebral infarction due to embolism of unspecified carotid artery
5.2.2 Carotid arterial disease with ≥50% 
stenosis, documented by carotid 
ultrasound, MRI, or angiography
I63.19
DX
Cerebral infarction due to embolism of other precerebral artery
5.2.2 Carotid arterial disease with ≥50% 
stenosis, documented by carotid 
ultrasound, MRI, or angiography
I65.2 
DX
 OCCLUSION AND STENOSIS OF CAROTID ARTERY
5.2.2 Carotid arterial disease with ≥50% 
stenosis, documented by carotid 
ultrasound, MRI, or angiography
I65.21 
DX
 OCCLUSION AND STENOSIS OF RIGHT CAROTID ARTERY
5.2.2 Carotid arterial disease with ≥50% 
stenosis, documented by carotid 
ultrasound, MRI, or angiography
I65.22 
DX
 OCCLUSION AND STENOSIS OF LEFT CAROTID ARTERY
5.2.2 Carotid arterial disease with ≥50% 
stenosis, documented by carotid 
ultrasound, MRI, or angiography
I65.23 
DX
 OCCLUSION AND STENOSIS OF BILATERAL CAROTID ARTERIES
5.2.2 Carotid arterial disease with ≥50% 
stenosis, documented by carotid 
ultrasound, MRI, or angiography
I65.29 
DX
 OCCLUSION AND STENOSIS OF UNSPECIFIED CAROTID ARTERY
5.2.3 History of carotid stenting or surgical 
revascularization
031H09G 
PX
BYPASS RIGHT COMMON CAROTID ARTERY TO INTRACRANIAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
031H0AG 
PX
BYPASS RIGHT COMMON CAROTID ARTERY TO INTRACRANIAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
031H0JG 
PX
BYPASS RIGHT COMMON CAROTID ARTERY TO INTRACRANIAL ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
031H0KG 
PX
BYPASS RIGHT COMMON CAROTID ARTERY TO INTRACRANIAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
031H0ZG 
PX
BYPASS RIGHT COMMON CAROTID ARTERY TO INTRACRANIAL ARTERY, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
031J09G 
PX
BYPASS LEFT COMMON CAROTID ARTERY TO INTRACRANIAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
031J0AG 
PX
BYPASS LEFT COMMON CAROTID ARTERY TO INTRACRANIAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
031J0JG 
PX
BYPASS LEFT COMMON CAROTID ARTERY TO INTRACRANIAL ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
031J0KG 
PX
BYPASS LEFT COMMON CAROTID ARTERY TO INTRACRANIAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
031J0ZG 
PX
BYPASS LEFT COMMON CAROTID ARTERY TO INTRACRANIAL ARTERY, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G04Z 
PX
DILATION OF INTRACRANIAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G05Z 
PX
DILATION OF INTRACRANIAL ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G06Z 
PX
DILATION OF INTRACRANIAL ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G07Z 
PX
DILATION OF INTRACRANIAL ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G0DZ 
PX
DILATION OF INTRACRANIAL ARTERY WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G0EZ 
PX
DILATION OF INTRACRANIAL ARTERY WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH

5.2.3 History of carotid stenting or surgical 
revascularization
037G0FZ 
PX
DILATION OF INTRACRANIAL ARTERY WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G0GZ 
PX
DILATION OF INTRACRANIAL ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G0ZZ 
PX
DILATION OF INTRACRANIAL ARTERY, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G346 
PX
DILATION OF INTRACRANIAL ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G34Z 
PX
DILATION OF INTRACRANIAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G356 
PX
DILATION OF INTRACRANIAL ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G35Z 
PX
DILATION OF INTRACRANIAL ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G366 
PX
DILATION OF INTRACRANIAL ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G36Z 
PX
DILATION OF INTRACRANIAL ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G376 
PX
DILATION OF INTRACRANIAL ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G37Z 
PX
DILATION OF INTRACRANIAL ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G3D6 
PX
DILATION OF INTRACRANIAL ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G3DZ 
PX
DILATION OF INTRACRANIAL ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G3E6 
PX
DILATION OF INTRACRANIAL ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G3EZ 
PX
DILATION OF INTRACRANIAL ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G3F6 
PX
DILATION OF INTRACRANIAL ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G3FZ 
PX
DILATION OF INTRACRANIAL ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G3G6 
PX
DILATION OF INTRACRANIAL ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G3GZ 
PX
DILATION OF INTRACRANIAL ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G3Z6 
PX
DILATION OF INTRACRANIAL ARTERY, BIFURCATION, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G3ZZ 
PX
DILATION OF INTRACRANIAL ARTERY, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G446 
PX
DILATION OF INTRACRANIAL ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G44Z 
PX
DILATION OF INTRACRANIAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G456 
PX
DILATION OF INTRACRANIAL ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G45Z 
PX
DILATION OF INTRACRANIAL ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G466 
PX
DILATION OF INTRACRANIAL ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G46Z 
PX
DILATION OF INTRACRANIAL ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G476 
PX
DILATION OF INTRACRANIAL ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G47Z 
PX
DILATION OF INTRACRANIAL ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G4D6 
PX
DILATION OF INTRACRANIAL ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G4DZ 
PX
DILATION OF INTRACRANIAL ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH

5.2.3 History of carotid stenting or surgical 
revascularization
037G4E6 
PX
DILATION OF INTRACRANIAL ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G4EZ 
PX
DILATION OF INTRACRANIAL ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G4F6 
PX
DILATION OF INTRACRANIAL ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G4FZ 
PX
DILATION OF INTRACRANIAL ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G4G6 
PX
DILATION OF INTRACRANIAL ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G4GZ 
PX
DILATION OF INTRACRANIAL ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G4Z6 
PX
DILATION OF INTRACRANIAL ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037G4ZZ 
PX
DILATION OF INTRACRANIAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H04Z 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H05Z 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H06Z 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H07Z 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H0DZ 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H0EZ 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H0FZ 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H0GZ 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H0ZZ 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H346 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H34Z 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H356 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H35Z 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H366 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H36Z 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H376 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H37Z 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H3D6 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H3DZ 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H3E6 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H3EZ 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H3F6 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H3FZ 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH

5.2.3 History of carotid stenting or surgical 
revascularization
037H3G6 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H3GZ 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H3Z6 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY, BIFURCATION, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H3ZZ 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H446 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H44Z 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H456 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H45Z 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H466 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H46Z 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H476 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H47Z 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H4D6 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H4DZ 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H4E6 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H4EZ 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H4F6 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H4FZ 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H4G6 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H4GZ 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H4Z6 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037H4ZZ 
PX
DILATION OF RIGHT COMMON CAROTID ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J04Z 
PX
DILATION OF LEFT COMMON CAROTID ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J05Z 
PX
DILATION OF LEFT COMMON CAROTID ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J06Z 
PX
DILATION OF LEFT COMMON CAROTID ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J07Z 
PX
DILATION OF LEFT COMMON CAROTID ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J0DZ 
PX
DILATION OF LEFT COMMON CAROTID ARTERY WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J0EZ 
PX
DILATION OF LEFT COMMON CAROTID ARTERY WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J0FZ 
PX
DILATION OF LEFT COMMON CAROTID ARTERY WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J0GZ 
PX
DILATION OF LEFT COMMON CAROTID ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J0ZZ 
PX
DILATION OF LEFT COMMON CAROTID ARTERY, OPEN APPROACH

5.2.3 History of carotid stenting or surgical 
revascularization
037J346 
PX
DILATION OF LEFT COMMON CAROTID ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J34Z 
PX
DILATION OF LEFT COMMON CAROTID ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J356 
PX
DILATION OF LEFT COMMON CAROTID ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J35Z 
PX
DILATION OF LEFT COMMON CAROTID ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J366 
PX
DILATION OF LEFT COMMON CAROTID ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J36Z 
PX
DILATION OF LEFT COMMON CAROTID ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J376 
PX
DILATION OF LEFT COMMON CAROTID ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J37Z 
PX
DILATION OF LEFT COMMON CAROTID ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J3D6 
PX
DILATION OF LEFT COMMON CAROTID ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J3DZ 
PX
DILATION OF LEFT COMMON CAROTID ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J3E6 
PX
DILATION OF LEFT COMMON CAROTID ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J3EZ 
PX
DILATION OF LEFT COMMON CAROTID ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J3F6 
PX
DILATION OF LEFT COMMON CAROTID ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J3FZ 
PX
DILATION OF LEFT COMMON CAROTID ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J3G6 
PX
DILATION OF LEFT COMMON CAROTID ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J3GZ 
PX
DILATION OF LEFT COMMON CAROTID ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J3Z6 
PX
DILATION OF LEFT COMMON CAROTID ARTERY, BIFURCATION, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J3ZZ 
PX
DILATION OF LEFT COMMON CAROTID ARTERY, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J446 
PX
DILATION OF LEFT COMMON CAROTID ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J44Z 
PX
DILATION OF LEFT COMMON CAROTID ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J456 
PX
DILATION OF LEFT COMMON CAROTID ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J45Z 
PX
DILATION OF LEFT COMMON CAROTID ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J466 
PX
DILATION OF LEFT COMMON CAROTID ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J46Z 
PX
DILATION OF LEFT COMMON CAROTID ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J476 
PX
DILATION OF LEFT COMMON CAROTID ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J47Z 
PX
DILATION OF LEFT COMMON CAROTID ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J4D6 
PX
DILATION OF LEFT COMMON CAROTID ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J4DZ 
PX
DILATION OF LEFT COMMON CAROTID ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J4E6 
PX
DILATION OF LEFT COMMON CAROTID ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J4EZ 
PX
DILATION OF LEFT COMMON CAROTID ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J4F6 
PX
DILATION OF LEFT COMMON CAROTID ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH

5.2.3 History of carotid stenting or surgical 
revascularization
037J4FZ 
PX
DILATION OF LEFT COMMON CAROTID ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J4G6 
PX
DILATION OF LEFT COMMON CAROTID ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J4GZ 
PX
DILATION OF LEFT COMMON CAROTID ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J4Z6 
PX
DILATION OF LEFT COMMON CAROTID ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037J4ZZ 
PX
DILATION OF LEFT COMMON CAROTID ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K04Z 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K05Z 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K06Z 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K07Z 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K0DZ 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K0EZ 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K0FZ 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K0GZ 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K0ZZ 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K346 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K34Z 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K356 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K35Z 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K366 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K36Z 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K376 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K37Z 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K3D6 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K3DZ 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K3E6 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K3EZ 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K3F6 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K3FZ 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K3G6 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K3GZ 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K3Z6 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY, BIFURCATION, PERCUTANEOUS APPROACH

5.2.3 History of carotid stenting or surgical 
revascularization
037K3ZZ 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K446 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K44Z 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K456 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K45Z 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K466 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K46Z 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K476 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K47Z 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K4D6 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K4DZ 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K4E6 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K4EZ 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K4F6 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K4FZ 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K4G6 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K4GZ 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K4Z6 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037K4ZZ 
PX
DILATION OF RIGHT INTERNAL CAROTID ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L04Z 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L05Z 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L06Z 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L07Z 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L0DZ 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L0EZ 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L0FZ 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L0GZ 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L0ZZ 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L346 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L34Z 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L356 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH

5.2.3 History of carotid stenting or surgical 
revascularization
037L35Z 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L366 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L36Z 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L376 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L37Z 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L3D6 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L3DZ 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L3E6 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L3EZ 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L3F6 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L3FZ 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L3G6 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L3GZ 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L3Z6 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY, BIFURCATION, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L3ZZ 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L446 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L44Z 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L456 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L45Z 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L466 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L46Z 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L476 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L47Z 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L4D6 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L4DZ 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L4E6 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L4EZ 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L4F6 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L4FZ 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L4G6 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L4GZ 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH

5.2.3 History of carotid stenting or surgical 
revascularization
037L4Z6 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
037L4ZZ 
PX
DILATION OF LEFT INTERNAL CAROTID ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
03CG0Z6 
PX
EXTIRPATION OF MATTER FROM INTRACRANIAL ARTERY, BIFURCATION, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
03CG0ZZ 
PX
EXTIRPATION OF MATTER FROM INTRACRANIAL ARTERY, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
03CG3Z7 
PX
EXTIRPATION OF MATTER FROM INTRACRANIAL ARTERY USING STENT RETRIEVER, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
03CG3ZZ 
PX
EXTIRPATION OF MATTER FROM INTRACRANIAL ARTERY, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
03CG4Z6 
PX
EXTIRPATION OF MATTER FROM INTRACRANIAL ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
03CG4ZZ 
PX
EXTIRPATION OF MATTER FROM INTRACRANIAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
03CH0Z6 
PX
EXTIRPATION OF MATTER FROM RIGHT COMMON CAROTID ARTERY, BIFURCATION, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
03CH0ZZ 
PX
EXTIRPATION OF MATTER FROM RIGHT COMMON CAROTID ARTERY, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
03CH3Z6 
PX
EXTIRPATION OF MATTER FROM RIGHT COMMON CAROTID ARTERY, BIFURCATION, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
03CH3Z7 
PX
EXTIRPATION OF MATTER FROM RIGHT COMMON CAROTID ARTERY USING STENT RETRIEVER, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
03CH3ZZ 
PX
EXTIRPATION OF MATTER FROM RIGHT COMMON CAROTID ARTERY, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
03CH4Z6 
PX
EXTIRPATION OF MATTER FROM RIGHT COMMON CAROTID ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
03CH4ZZ 
PX
EXTIRPATION OF MATTER FROM RIGHT COMMON CAROTID ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
03CJ0Z6 
PX
EXTIRPATION OF MATTER FROM LEFT COMMON CAROTID ARTERY, BIFURCATION, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
03CJ0ZZ 
PX
EXTIRPATION OF MATTER FROM LEFT COMMON CAROTID ARTERY, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
03CJ3Z6 
PX
EXTIRPATION OF MATTER FROM LEFT COMMON CAROTID ARTERY, BIFURCATION, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
03CJ3Z7 
PX
EXTIRPATION OF MATTER FROM LEFT COMMON CAROTID ARTERY USING STENT RETRIEVER, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
03CJ3ZZ 
PX
EXTIRPATION OF MATTER FROM LEFT COMMON CAROTID ARTERY, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
03CJ4Z6 
PX
EXTIRPATION OF MATTER FROM LEFT COMMON CAROTID ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
03CJ4ZZ 
PX
EXTIRPATION OF MATTER FROM LEFT COMMON CAROTID ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
03CK0Z6 
PX
EXTIRPATION OF MATTER FROM RIGHT INTERNAL CAROTID ARTERY, BIFURCATION, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
03CK0ZZ 
PX
EXTIRPATION OF MATTER FROM RIGHT INTERNAL CAROTID ARTERY, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
03CK3Z6 
PX
EXTIRPATION OF MATTER FROM RIGHT INTERNAL CAROTID ARTERY, BIFURCATION, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
03CK3Z7 
PX
EXTIRPATION OF MATTER FROM RIGHT INTERNAL CAROTID ARTERY USING STENT RETRIEVER, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
03CK3ZZ 
PX
EXTIRPATION OF MATTER FROM RIGHT INTERNAL CAROTID ARTERY, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
03CK4Z6 
PX
EXTIRPATION OF MATTER FROM RIGHT INTERNAL CAROTID ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
03CK4ZZ 
PX
EXTIRPATION OF MATTER FROM RIGHT INTERNAL CAROTID ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
03CL0Z6 
PX
EXTIRPATION OF MATTER FROM LEFT INTERNAL CAROTID ARTERY, BIFURCATION, OPEN APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
03CL0ZZ 
PX
EXTIRPATION OF MATTER FROM LEFT INTERNAL CAROTID ARTERY, OPEN APPROACH

5.2.3 History of carotid stenting or surgical 
revascularization
03CL3Z6 
PX
EXTIRPATION OF MATTER FROM LEFT INTERNAL CAROTID ARTERY, BIFURCATION, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
03CL3Z7 
PX
EXTIRPATION OF MATTER FROM LEFT INTERNAL CAROTID ARTERY USING STENT RETRIEVER, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
03CL3ZZ 
PX
EXTIRPATION OF MATTER FROM LEFT INTERNAL CAROTID ARTERY, PERCUTANEOUS APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
03CL4Z6 
PX
EXTIRPATION OF MATTER FROM LEFT INTERNAL CAROTID ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
03CL4ZZ 
PX
EXTIRPATION OF MATTER FROM LEFT INTERNAL CAROTID ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.2.3 History of carotid stenting or surgical 
revascularization
T82.311A
DX
BREAKDOWN (MECHANICAL) OF CAROTID ARTERIAL GRAFT (BYPASS), INITIAL ENCOUNTER
5.2.3 History of carotid stenting or surgical 
revascularization
T82.311D
DX
BREAKDOWN (MECHANICAL) OF CAROTID ARTERIAL GRAFT (BYPASS), SUBSEQUENT ENCOUNTER
5.2.3 History of carotid stenting or surgical 
revascularization
T82.311S
DX
BREAKDOWN (MECHANICAL) OF CAROTID ARTERIAL GRAFT (BYPASS), SEQUELA
5.2.3 History of carotid stenting or surgical 
revascularization
T82.321A
DX
DISPLACEMENT OF CAROTID ARTERIAL GRAFT (BYPASS), INITIAL ENCOUNTER
5.2.3 History of carotid stenting or surgical 
revascularization
T82.321D
DX
DISPLACEMENT OF CAROTID ARTERIAL GRAFT (BYPASS), SUBSEQUENT ENCOUNTER
5.2.3 History of carotid stenting or surgical 
revascularization
T82.321S
DX
DISPLACEMENT OF CAROTID ARTERIAL GRAFT (BYPASS), SEQUELA
5.2.3 History of carotid stenting or surgical 
revascularization
T82.331A
DX
LEAKAGE OF CAROTID ARTERIAL GRAFT (BYPASS), INITIAL ENCOUNTER
5.2.3 History of carotid stenting or surgical 
revascularization
T82.331D
DX
LEAKAGE OF CAROTID ARTERIAL GRAFT (BYPASS), SUBSEQUENT ENCOUNTER
5.2.3 History of carotid stenting or surgical 
revascularization
T82.331S
DX
LEAKAGE OF CAROTID ARTERIAL GRAFT (BYPASS), SEQUELA
5.2.3 History of carotid stenting or surgical 
revascularization
T82.391A
DX
OTHER MECHANICAL COMPLICATION OF CAROTID ARTERIAL GRAFT (BYPASS), INITIAL ENCOUNTER
5.2.3 History of carotid stenting or surgical 
revascularization
T82.391D
DX
OTHER MECHANICAL COMPLICATION OF CAROTID ARTERIAL GRAFT (BYPASS), SUBSEQUENT ENCOUNTER
5.2.3 History of carotid stenting or surgical 
revascularization
T82.391S
DX
OTHER MECHANICAL COMPLICATION OF CAROTID ARTERIAL GRAFT (BYPASS), SEQUELA
5.3 Peripheral arterial disease, either one 
of:
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.211 
DX
ATHEROSCLEROSIS OF NATIVE ARTERIES OF EXTREMITIES WITH INTERMITTENT CLAUDICATION, RIGHT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.212 
DX
ATHEROSCLEROSIS OF NATIVE ARTERIES OF EXTREMITIES WITH INTERMITTENT CLAUDICATION, LEFT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.213 
DX
ATHEROSCLEROSIS OF NATIVE ARTERIES OF EXTREMITIES WITH INTERMITTENT CLAUDICATION, BILATERAL LEGS
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.218 
DX
ATHEROSCLEROSIS OF NATIVE ARTERIES OF EXTREMITIES WITH INTERMITTENT CLAUDICATION, OTHER EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.219 
DX
ATHEROSCLEROSIS OF NATIVE ARTERIES OF EXTREMITIES WITH INTERMITTENT CLAUDICATION, UNSPECIFIED EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.221 
DX
ATHEROSCLEROSIS OF NATIVE ARTERIES OF EXTREMITIES WITH REST PAIN, RIGHT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.222 
DX
ATHEROSCLEROSIS OF NATIVE ARTERIES OF EXTREMITIES WITH REST PAIN, LEFT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.223 
DX
ATHEROSCLEROSIS OF NATIVE ARTERIES OF EXTREMITIES WITH REST PAIN, BILATERAL LEGS
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.228 
DX
ATHEROSCLEROSIS OF NATIVE ARTERIES OF EXTREMITIES WITH REST PAIN, OTHER EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.229 
DX
ATHEROSCLEROSIS OF NATIVE ARTERIES OF EXTREMITIES WITH REST PAIN, UNSPECIFIED EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.231 
DX
ATHEROSCLEROSIS OF NATIVE ARTERIES OF RIGHT LEG WITH ULCERATION OF THIGH
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.232 
DX
ATHEROSCLEROSIS OF NATIVE ARTERIES OF RIGHT LEG WITH ULCERATION OF CALF
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.233 
DX
ATHEROSCLEROSIS OF NATIVE ARTERIES OF RIGHT LEG WITH ULCERATION OF ANKLE

5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.234 
DX
ATHEROSCLEROSIS OF NATIVE ARTERIES OF RIGHT LEG WITH ULCERATION OF HEEL AND MIDFOOT
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.235 
DX
ATHEROSCLEROSIS OF NATIVE ARTERIES OF RIGHT LEG WITH ULCERATION OF OTHER PART OF FOOT
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.238 
DX
ATHEROSCLEROSIS OF NATIVE ARTERIES OF RIGHT LEG WITH ULCERATION OF OTHER PART OF LOWER LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.239 
DX
ATHEROSCLEROSIS OF NATIVE ARTERIES OF RIGHT LEG WITH ULCERATION OF UNSPECIFIED SITE
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.241 
DX
ATHEROSCLEROSIS OF NATIVE ARTERIES OF LEFT LEG WITH ULCERATION OF THIGH
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.242 
DX
ATHEROSCLEROSIS OF NATIVE ARTERIES OF LEFT LEG WITH ULCERATION OF CALF
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.243 
DX
ATHEROSCLEROSIS OF NATIVE ARTERIES OF LEFT LEG WITH ULCERATION OF ANKLE
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.244 
DX
ATHEROSCLEROSIS OF NATIVE ARTERIES OF LEFT LEG WITH ULCERATION OF HEEL AND MIDFOOT
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.245 
DX
ATHEROSCLEROSIS OF NATIVE ARTERIES OF LEFT LEG WITH ULCERATION OF OTHER PART OF FOOT
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.248 
DX
ATHEROSCLEROSIS OF NATIVE ARTERIES OF LEFT LEG WITH ULCERATION OF OTHER PART OF LOWER LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.249 
DX
ATHEROSCLEROSIS OF NATIVE ARTERIES OF LEFT LEG WITH ULCERATION OF UNSPECIFIED SITE
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.25 
DX
ATHEROSCLEROSIS OF NATIVE ARTERIES OF OTHER EXTREMITIES WITH ULCERATION
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.261 
DX
ATHEROSCLEROSIS OF NATIVE ARTERIES OF EXTREMITIES WITH GANGRENE, RIGHT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.262 
DX
ATHEROSCLEROSIS OF NATIVE ARTERIES OF EXTREMITIES WITH GANGRENE, LEFT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.263 
DX
ATHEROSCLEROSIS OF NATIVE ARTERIES OF EXTREMITIES WITH GANGRENE, BILATERAL LEGS
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.268 
DX
ATHEROSCLEROSIS OF NATIVE ARTERIES OF EXTREMITIES WITH GANGRENE, OTHER EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.269 
DX
ATHEROSCLEROSIS OF NATIVE ARTERIES OF EXTREMITIES WITH GANGRENE, UNSPECIFIED EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.291 
DX
OTHER ATHEROSCLEROSIS OF NATIVE ARTERIES OF EXTREMITIES, RIGHT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.292 
DX
OTHER ATHEROSCLEROSIS OF NATIVE ARTERIES OF EXTREMITIES, LEFT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.293 
DX
OTHER ATHEROSCLEROSIS OF NATIVE ARTERIES OF EXTREMITIES, BILATERAL LEGS
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.298 
DX
OTHER ATHEROSCLEROSIS OF NATIVE ARTERIES OF EXTREMITIES, OTHER EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.299 
DX
OTHER ATHEROSCLEROSIS OF NATIVE ARTERIES OF EXTREMITIES, UNSPECIFIED EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.301 
DX
UNSPECIFIED ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES, RIGHT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.302 
DX
UNSPECIFIED ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES, LEFT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.303 
DX
UNSPECIFIED ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES, BILATERAL LEGS
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.308 
DX
UNSPECIFIED ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES, OTHER EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.309 
DX
UNSPECIFIED ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES, UNSPECIFIED EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.311 
DX
ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES WITH INTERMITTENT CLAUDICATION, RIGHT 
LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.312 
DX
ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES WITH INTERMITTENT CLAUDICATION, LEFT 
LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.313 
DX
ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES WITH INTERMITTENT CLAUDICATION, 
BILATERAL LEGS
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.318 
DX
ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES WITH INTERMITTENT CLAUDICATION, OTHER 
EXTREMITY

5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.319 
DX
ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES WITH INTERMITTENT CLAUDICATION, 
UNSPECIFIED EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.321 
DX
ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES WITH REST PAIN, RIGHT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.322 
DX
ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES WITH REST PAIN, LEFT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.323 
DX
ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES WITH REST PAIN, BILATERAL LEGS
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.328 
DX
ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES WITH REST PAIN, OTHER EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.329 
DX
ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES WITH REST PAIN, UNSPECIFIED EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.331 
DX
ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF BYPASS GRAFT(S) OF THE RIGHT LEG WITH ULCERATION OF THIGH
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.332 
DX
ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF BYPASS GRAFT(S) OF THE RIGHT LEG WITH ULCERATION OF CALF
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.333 
DX
ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF BYPASS GRAFT(S) OF THE RIGHT LEG WITH ULCERATION OF ANKLE
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.334 
DX
ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF BYPASS GRAFT(S) OF THE RIGHT LEG WITH ULCERATION OF HEEL AND MIDFOOT
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.335 
DX
ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF BYPASS GRAFT(S) OF THE RIGHT LEG WITH ULCERATION OF OTHER PART OF FOOT
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.338 
DX
ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF BYPASS GRAFT(S) OF THE RIGHT LEG WITH ULCERATION OF OTHER PART OF LOWER 
LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.339 
DX
ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF BYPASS GRAFT(S) OF THE RIGHT LEG WITH ULCERATION OF UNSPECIFIED SITE
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.341 
DX
ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF BYPASS GRAFT(S) OF THE LEFT LEG WITH ULCERATION OF THIGH
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.342 
DX
ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF BYPASS GRAFT(S) OF THE LEFT LEG WITH ULCERATION OF CALF
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.343 
DX
ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF BYPASS GRAFT(S) OF THE LEFT LEG WITH ULCERATION OF ANKLE
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.344 
DX
ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF BYPASS GRAFT(S) OF THE LEFT LEG WITH ULCERATION OF HEEL AND MIDFOOT
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.345 
DX
ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF BYPASS GRAFT(S) OF THE LEFT LEG WITH ULCERATION OF OTHER PART OF FOOT
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.348 
DX
ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF BYPASS GRAFT(S) OF THE LEFT LEG WITH ULCERATION OF OTHER PART OF LOWER 
LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.349 
DX
ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF BYPASS GRAFT(S) OF THE LEFT LEG WITH ULCERATION OF UNSPECIFIED SITE
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.35 
DX
ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF BYPASS GRAFT(S) OF OTHER EXTREMITY WITH ULCERATION
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.361 
DX
ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES WITH GANGRENE, RIGHT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.362 
DX
ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES WITH GANGRENE, LEFT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.363 
DX
ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES WITH GANGRENE, BILATERAL LEGS
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.368 
DX
ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES WITH GANGRENE, OTHER EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.369 
DX
ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES WITH GANGRENE, UNSPECIFIED EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.391 
DX
OTHER ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES, RIGHT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.392 
DX
OTHER ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES, LEFT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.393 
DX
OTHER ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES, BILATERAL LEGS
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.398 
DX
OTHER ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES, OTHER EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.399 
DX
OTHER ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES, UNSPECIFIED EXTREMITY

5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.401 
DX
UNSPECIFIED ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT(S) OF THE EXTREMITIES, RIGHT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.402 
DX
UNSPECIFIED ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT(S) OF THE EXTREMITIES, LEFT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.403 
DX
UNSPECIFIED ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT(S) OF THE EXTREMITIES, BILATERAL LEGS
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.408 
DX
UNSPECIFIED ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT(S) OF THE EXTREMITIES, OTHER EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.409 
DX
UNSPECIFIED ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT(S) OF THE EXTREMITIES, UNSPECIFIED EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.411 
DX
ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT(S) OF THE EXTREMITIES WITH INTERMITTENT CLAUDICATION, RIGHT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.412 
DX
ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT(S) OF THE EXTREMITIES WITH INTERMITTENT CLAUDICATION, LEFT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.413 
DX
ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT(S) OF THE EXTREMITIES WITH INTERMITTENT CLAUDICATION, 
BILATERAL LEGS
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.418 
DX
ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT(S) OF THE EXTREMITIES WITH INTERMITTENT CLAUDICATION, OTHER 
EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.419 
DX
ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT(S) OF THE EXTREMITIES WITH INTERMITTENT CLAUDICATION, 
UNSPECIFIED EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.421 
DX
ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT(S) OF THE EXTREMITIES WITH REST PAIN, RIGHT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.422 
DX
ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT(S) OF THE EXTREMITIES WITH REST PAIN, LEFT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.423 
DX
ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT(S) OF THE EXTREMITIES WITH REST PAIN, BILATERAL LEGS
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.428 
DX
ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT(S) OF THE EXTREMITIES WITH REST PAIN, OTHER EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.429 
DX
ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT(S) OF THE EXTREMITIES WITH REST PAIN, UNSPECIFIED EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.431 
DX
ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT(S) OF THE RIGHT LEG WITH ULCERATION OF THIGH
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.432 
DX
ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT(S) OF THE RIGHT LEG WITH ULCERATION OF CALF
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.433 
DX
ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT(S) OF THE RIGHT LEG WITH ULCERATION OF ANKLE
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.434 
DX
ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT(S) OF THE RIGHT LEG WITH ULCERATION OF HEEL AND MIDFOOT
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.435 
DX
ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT(S) OF THE RIGHT LEG WITH ULCERATION OF OTHER PART OF FOOT
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.438 
DX
ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT(S) OF THE RIGHT LEG WITH ULCERATION OF OTHER PART OF LOWER LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.439 
DX
ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT(S) OF THE RIGHT LEG WITH ULCERATION OF UNSPECIFIED SITE
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.441 
DX
ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT(S) OF THE LEFT LEG WITH ULCERATION OF THIGH
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.442 
DX
ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT(S) OF THE LEFT LEG WITH ULCERATION OF CALF
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.443 
DX
ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT(S) OF THE LEFT LEG WITH ULCERATION OF ANKLE
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.444 
DX
ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT(S) OF THE LEFT LEG WITH ULCERATION OF HEEL AND MIDFOOT
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.445 
DX
ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT(S) OF THE LEFT LEG WITH ULCERATION OF OTHER PART OF FOOT
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.448 
DX
ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT(S) OF THE LEFT LEG WITH ULCERATION OF OTHER PART OF LOWER LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.449 
DX
ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT(S) OF THE LEFT LEG WITH ULCERATION OF UNSPECIFIED SITE
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.45 
DX
ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT(S) OF OTHER EXTREMITY WITH ULCERATION
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.461 
DX
ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT(S) OF THE EXTREMITIES WITH GANGRENE, RIGHT LEG

5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.462 
DX
ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT(S) OF THE EXTREMITIES WITH GANGRENE, LEFT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.463 
DX
ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT(S) OF THE EXTREMITIES WITH GANGRENE, BILATERAL LEGS
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.468 
DX
ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT(S) OF THE EXTREMITIES WITH GANGRENE, OTHER EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.469 
DX
ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT(S) OF THE EXTREMITIES WITH GANGRENE, UNSPECIFIED EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.491 
DX
OTHER ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT(S) OF THE EXTREMITIES, RIGHT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.492 
DX
OTHER ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT(S) OF THE EXTREMITIES, LEFT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.493 
DX
OTHER ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT(S) OF THE EXTREMITIES, BILATERAL LEGS
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.498 
DX
OTHER ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT(S) OF THE EXTREMITIES, OTHER EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.499 
DX
OTHER ATHEROSCLEROSIS OF AUTOLOGOUS VEIN BYPASS GRAFT(S) OF THE EXTREMITIES, UNSPECIFIED EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.501 
DX
UNSPECIFIED ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES, RIGHT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.502 
DX
UNSPECIFIED ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES, LEFT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.503 
DX
UNSPECIFIED ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES, BILATERAL LEGS
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.508 
DX
UNSPECIFIED ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES, OTHER EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.509 
DX
UNSPECIFIED ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES, UNSPECIFIED 
EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.511 
DX
ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES WITH INTERMITTENT 
CLAUDICATION, RIGHT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.512 
DX
ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES WITH INTERMITTENT 
CLAUDICATION, LEFT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.513 
DX
ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES WITH INTERMITTENT 
CLAUDICATION, BILATERAL LEGS
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.518 
DX
ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES WITH INTERMITTENT 
CLAUDICATION, OTHER EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.519 
DX
ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES WITH INTERMITTENT 
CLAUDICATION, UNSPECIFIED EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.521 
DX
ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES WITH REST PAIN, RIGHT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.522 
DX
ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES WITH REST PAIN, LEFT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.523 
DX
ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES WITH REST PAIN, BILATERAL LEGS
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.528 
DX
ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES WITH REST PAIN, OTHER 
EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.529 
DX
ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES WITH REST PAIN, UNSPECIFIED 
EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.531 
DX
ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT(S) OF THE RIGHT LEG WITH ULCERATION OF THIGH
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.532 
DX
ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT(S) OF THE RIGHT LEG WITH ULCERATION OF CALF
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.533 
DX
ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT(S) OF THE RIGHT LEG WITH ULCERATION OF ANKLE
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.534 
DX
ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT(S) OF THE RIGHT LEG WITH ULCERATION OF HEEL AND 
MIDFOOT
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.535 
DX
ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT(S) OF THE RIGHT LEG WITH ULCERATION OF OTHER PART OF 
FOOT
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.538 
DX
ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT(S) OF THE RIGHT LEG WITH ULCERATION OF OTHER PART OF 
LOWER LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.539 
DX
ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT(S) OF THE RIGHT LEG WITH ULCERATION OF UNSPECIFIED 
SITE

5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.541 
DX
ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT(S) OF THE LEFT LEG WITH ULCERATION OF THIGH
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.542 
DX
ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT(S) OF THE LEFT LEG WITH ULCERATION OF CALF
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.543 
DX
ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT(S) OF THE LEFT LEG WITH ULCERATION OF ANKLE
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.544 
DX
ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT(S) OF THE LEFT LEG WITH ULCERATION OF HEEL AND 
MIDFOOT
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.545 
DX
ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT(S) OF THE LEFT LEG WITH ULCERATION OF OTHER PART OF 
FOOT
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.548 
DX
ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT(S) OF THE LEFT LEG WITH ULCERATION OF OTHER PART OF 
LOWER LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.549 
DX
ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT(S) OF THE LEFT LEG WITH ULCERATION OF UNSPECIFIED 
SITE
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.55 
DX
ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT(S) OF OTHER EXTREMITY WITH ULCERATION
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.561 
DX
ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES WITH GANGRENE, RIGHT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.562 
DX
ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES WITH GANGRENE, LEFT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.563 
DX
ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES WITH GANGRENE, BILATERAL LEGS
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.568 
DX
ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES WITH GANGRENE, OTHER 
EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.569 
DX
ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES WITH GANGRENE, UNSPECIFIED 
EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.591 
DX
OTHER ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES, RIGHT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.592 
DX
OTHER ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES, LEFT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.593 
DX
OTHER ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES, BILATERAL LEGS
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.598 
DX
OTHER ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES, OTHER EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.599 
DX
OTHER ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES, UNSPECIFIED EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.601 
DX
UNSPECIFIED ATHEROSCLEROSIS OF NONBIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES, RIGHT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.602 
DX
UNSPECIFIED ATHEROSCLEROSIS OF NONBIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES, LEFT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.603 
DX
UNSPECIFIED ATHEROSCLEROSIS OF NONBIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES, BILATERAL LEGS
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.608 
DX
UNSPECIFIED ATHEROSCLEROSIS OF NONBIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES, OTHER EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.609 
DX
UNSPECIFIED ATHEROSCLEROSIS OF NONBIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES, UNSPECIFIED EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.611 
DX
ATHEROSCLEROSIS OF NONBIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES WITH INTERMITTENT CLAUDICATION, RIGHT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.612 
DX
ATHEROSCLEROSIS OF NONBIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES WITH INTERMITTENT CLAUDICATION, LEFT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.613 
DX
ATHEROSCLEROSIS OF NONBIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES WITH INTERMITTENT CLAUDICATION, BILATERAL 
LEGS
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.618 
DX
ATHEROSCLEROSIS OF NONBIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES WITH INTERMITTENT CLAUDICATION, OTHER 
EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.619 
DX
ATHEROSCLEROSIS OF NONBIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES WITH INTERMITTENT CLAUDICATION, 
UNSPECIFIED EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.621 
DX
ATHEROSCLEROSIS OF NONBIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES WITH REST PAIN, RIGHT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.622 
DX
ATHEROSCLEROSIS OF NONBIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES WITH REST PAIN, LEFT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.623 
DX
ATHEROSCLEROSIS OF NONBIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES WITH REST PAIN, BILATERAL LEGS

5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.628 
DX
ATHEROSCLEROSIS OF NONBIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES WITH REST PAIN, OTHER EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.629 
DX
ATHEROSCLEROSIS OF NONBIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES WITH REST PAIN, UNSPECIFIED EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.631 
DX
ATHEROSCLEROSIS OF NONBIOLOGICAL BYPASS GRAFT(S) OF THE RIGHT LEG WITH ULCERATION OF THIGH
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.632 
DX
ATHEROSCLEROSIS OF NONBIOLOGICAL BYPASS GRAFT(S) OF THE RIGHT LEG WITH ULCERATION OF CALF
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.633 
DX
ATHEROSCLEROSIS OF NONBIOLOGICAL BYPASS GRAFT(S) OF THE RIGHT LEG WITH ULCERATION OF ANKLE
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.634 
DX
ATHEROSCLEROSIS OF NONBIOLOGICAL BYPASS GRAFT(S) OF THE RIGHT LEG WITH ULCERATION OF HEEL AND MIDFOOT
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.635 
DX
ATHEROSCLEROSIS OF NONBIOLOGICAL BYPASS GRAFT(S) OF THE RIGHT LEG WITH ULCERATION OF OTHER PART OF FOOT
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.638 
DX
ATHEROSCLEROSIS OF NONBIOLOGICAL BYPASS GRAFT(S) OF THE RIGHT LEG WITH ULCERATION OF OTHER PART OF LOWER LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.639 
DX
ATHEROSCLEROSIS OF NONBIOLOGICAL BYPASS GRAFT(S) OF THE RIGHT LEG WITH ULCERATION OF UNSPECIFIED SITE
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.641 
DX
ATHEROSCLEROSIS OF NONBIOLOGICAL BYPASS GRAFT(S) OF THE LEFT LEG WITH ULCERATION OF THIGH
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.642 
DX
ATHEROSCLEROSIS OF NONBIOLOGICAL BYPASS GRAFT(S) OF THE LEFT LEG WITH ULCERATION OF CALF
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.643 
DX
ATHEROSCLEROSIS OF NONBIOLOGICAL BYPASS GRAFT(S) OF THE LEFT LEG WITH ULCERATION OF ANKLE
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.644 
DX
ATHEROSCLEROSIS OF NONBIOLOGICAL BYPASS GRAFT(S) OF THE LEFT LEG WITH ULCERATION OF HEEL AND MIDFOOT
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.645 
DX
ATHEROSCLEROSIS OF NONBIOLOGICAL BYPASS GRAFT(S) OF THE LEFT LEG WITH ULCERATION OF OTHER PART OF FOOT
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.648 
DX
ATHEROSCLEROSIS OF NONBIOLOGICAL BYPASS GRAFT(S) OF THE LEFT LEG WITH ULCERATION OF OTHER PART OF LOWER LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.649 
DX
ATHEROSCLEROSIS OF NONBIOLOGICAL BYPASS GRAFT(S) OF THE LEFT LEG WITH ULCERATION OF UNSPECIFIED SITE
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.65 
DX
ATHEROSCLEROSIS OF NONBIOLOGICAL BYPASS GRAFT(S) OF OTHER EXTREMITY WITH ULCERATION
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.661 
DX
ATHEROSCLEROSIS OF NONBIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES WITH GANGRENE, RIGHT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.662 
DX
ATHEROSCLEROSIS OF NONBIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES WITH GANGRENE, LEFT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.663 
DX
ATHEROSCLEROSIS OF NONBIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES WITH GANGRENE, BILATERAL LEGS
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.668 
DX
ATHEROSCLEROSIS OF NONBIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES WITH GANGRENE, OTHER EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.669 
DX
ATHEROSCLEROSIS OF NONBIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES WITH GANGRENE, UNSPECIFIED EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.691 
DX
OTHER ATHEROSCLEROSIS OF NONBIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES, RIGHT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.692 
DX
OTHER ATHEROSCLEROSIS OF NONBIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES, LEFT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.693 
DX
OTHER ATHEROSCLEROSIS OF NONBIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES, BILATERAL LEGS
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.698 
DX
OTHER ATHEROSCLEROSIS OF NONBIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES, OTHER EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.699 
DX
OTHER ATHEROSCLEROSIS OF NONBIOLOGICAL BYPASS GRAFT(S) OF THE EXTREMITIES, UNSPECIFIED EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.701 
DX
UNSPECIFIED ATHEROSCLEROSIS OF OTHER TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES, RIGHT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.702 
DX
UNSPECIFIED ATHEROSCLEROSIS OF OTHER TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES, LEFT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.703 
DX
UNSPECIFIED ATHEROSCLEROSIS OF OTHER TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES, BILATERAL LEGS
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.708 
DX
UNSPECIFIED ATHEROSCLEROSIS OF OTHER TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES, OTHER EXTREMITY

5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.709 
DX
UNSPECIFIED ATHEROSCLEROSIS OF OTHER TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES, UNSPECIFIED EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.711 
DX
ATHEROSCLEROSIS OF OTHER TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES WITH INTERMITTENT CLAUDICATION, RIGHT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.712 
DX
ATHEROSCLEROSIS OF OTHER TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES WITH INTERMITTENT CLAUDICATION, LEFT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.713 
DX
ATHEROSCLEROSIS OF OTHER TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES WITH INTERMITTENT CLAUDICATION, BILATERAL 
LEGS
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.718 
DX
ATHEROSCLEROSIS OF OTHER TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES WITH INTERMITTENT CLAUDICATION, OTHER 
EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.719 
DX
ATHEROSCLEROSIS OF OTHER TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES WITH INTERMITTENT CLAUDICATION, UNSPECIFIED 
EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.721 
DX
ATHEROSCLEROSIS OF OTHER TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES WITH REST PAIN, RIGHT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.722 
DX
ATHEROSCLEROSIS OF OTHER TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES WITH REST PAIN, LEFT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.723 
DX
ATHEROSCLEROSIS OF OTHER TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES WITH REST PAIN, BILATERAL LEGS
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.728 
DX
ATHEROSCLEROSIS OF OTHER TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES WITH REST PAIN, OTHER EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.729 
DX
ATHEROSCLEROSIS OF OTHER TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES WITH REST PAIN, UNSPECIFIED EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.731 
DX
ATHEROSCLEROSIS OF OTHER TYPE OF BYPASS GRAFT(S) OF THE RIGHT LEG WITH ULCERATION OF THIGH
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.732 
DX
ATHEROSCLEROSIS OF OTHER TYPE OF BYPASS GRAFT(S) OF THE RIGHT LEG WITH ULCERATION OF CALF
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.733 
DX
ATHEROSCLEROSIS OF OTHER TYPE OF BYPASS GRAFT(S) OF THE RIGHT LEG WITH ULCERATION OF ANKLE
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.734 
DX
ATHEROSCLEROSIS OF OTHER TYPE OF BYPASS GRAFT(S) OF THE RIGHT LEG WITH ULCERATION OF HEEL AND MIDFOOT
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.735 
DX
ATHEROSCLEROSIS OF OTHER TYPE OF BYPASS GRAFT(S) OF THE RIGHT LEG WITH ULCERATION OF OTHER PART OF FOOT
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.738 
DX
ATHEROSCLEROSIS OF OTHER TYPE OF BYPASS GRAFT(S) OF THE RIGHT LEG WITH ULCERATION OF OTHER PART OF LOWER LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.739 
DX
ATHEROSCLEROSIS OF OTHER TYPE OF BYPASS GRAFT(S) OF THE RIGHT LEG WITH ULCERATION OF UNSPECIFIED SITE
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.741 
DX
ATHEROSCLEROSIS OF OTHER TYPE OF BYPASS GRAFT(S) OF THE LEFT LEG WITH ULCERATION OF THIGH
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.742 
DX
ATHEROSCLEROSIS OF OTHER TYPE OF BYPASS GRAFT(S) OF THE LEFT LEG WITH ULCERATION OF CALF
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.743 
DX
ATHEROSCLEROSIS OF OTHER TYPE OF BYPASS GRAFT(S) OF THE LEFT LEG WITH ULCERATION OF ANKLE
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.744 
DX
ATHEROSCLEROSIS OF OTHER TYPE OF BYPASS GRAFT(S) OF THE LEFT LEG WITH ULCERATION OF HEEL AND MIDFOOT
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.745 
DX
ATHEROSCLEROSIS OF OTHER TYPE OF BYPASS GRAFT(S) OF THE LEFT LEG WITH ULCERATION OF OTHER PART OF FOOT
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.748 
DX
ATHEROSCLEROSIS OF OTHER TYPE OF BYPASS GRAFT(S) OF THE LEFT LEG WITH ULCERATION OF OTHER PART OF LOWER LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.749 
DX
ATHEROSCLEROSIS OF OTHER TYPE OF BYPASS GRAFT(S) OF THE LEFT LEG WITH ULCERATION OF UNSPECIFIED SITE
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.75 
DX
ATHEROSCLEROSIS OF OTHER TYPE OF BYPASS GRAFT(S) OF OTHER EXTREMITY WITH ULCERATION
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.761 
DX
ATHEROSCLEROSIS OF OTHER TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES WITH GANGRENE, RIGHT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.762 
DX
ATHEROSCLEROSIS OF OTHER TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES WITH GANGRENE, LEFT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.763 
DX
ATHEROSCLEROSIS OF OTHER TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES WITH GANGRENE, BILATERAL LEGS
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.768 
DX
ATHEROSCLEROSIS OF OTHER TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES WITH GANGRENE, OTHER EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.769 
DX
ATHEROSCLEROSIS OF OTHER TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES WITH GANGRENE, UNSPECIFIED EXTREMITY

5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.791 
DX
OTHER ATHEROSCLEROSIS OF OTHER TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES, RIGHT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.792 
DX
OTHER ATHEROSCLEROSIS OF OTHER TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES, LEFT LEG
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.793 
DX
OTHER ATHEROSCLEROSIS OF OTHER TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES, BILATERAL LEGS
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.798 
DX
OTHER ATHEROSCLEROSIS OF OTHER TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES, OTHER EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.799 
DX
OTHER ATHEROSCLEROSIS OF OTHER TYPE OF BYPASS GRAFT(S) OF THE EXTREMITIES, UNSPECIFIED EXTREMITY
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I70.92 
DX
CHRONIC TOTAL OCCLUSION OF ARTERY OF THE EXTREMITIES
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I73.89 
DX
OTHER SPECIFIED PERIPHERAL VASCULAR DISEASES
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
I73.9 
DX
PERIPHERAL VASCULAR DISEASE, UNSPECIFIED
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0410096 
PX
BYPASS ABDOMINAL AORTA TO RIGHT COMMON ILIAC ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0410097 
PX
BYPASS ABDOMINAL AORTA TO LEFT COMMON ILIAC ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0410098 
PX
BYPASS ABDOMINAL AORTA TO BILATERAL COMMON ILIAC ARTERIES WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0410099 
PX
BYPASS ABDOMINAL AORTA TO RIGHT INTERNAL ILIAC ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041009B 
PX
BYPASS ABDOMINAL AORTA TO LEFT INTERNAL ILIAC ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041009C 
PX
BYPASS ABDOMINAL AORTA TO BILATERAL INTERNAL ILIAC ARTERIES WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041009D 
PX
BYPASS ABDOMINAL AORTA TO RIGHT EXTERNAL ILIAC ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041009F 
PX
BYPASS ABDOMINAL AORTA TO LEFT EXTERNAL ILIAC ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041009G 
PX
BYPASS ABDOMINAL AORTA TO BILATERAL EXTERNAL ILIAC ARTERIES WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041009H 
PX
BYPASS ABDOMINAL AORTA TO RIGHT FEMORAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041009J 
PX
BYPASS ABDOMINAL AORTA TO LEFT FEMORAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041009K 
PX
BYPASS ABDOMINAL AORTA TO BILATERAL FEMORAL ARTERIES WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041009Q 
PX
BYPASS ABDOMINAL AORTA TO LOWER EXTREMITY ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041009R 
PX
BYPASS ABDOMINAL AORTA TO LOWER ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100A6 
PX
BYPASS ABDOMINAL AORTA TO RIGHT COMMON ILIAC ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100A7 
PX
BYPASS ABDOMINAL AORTA TO LEFT COMMON ILIAC ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100A8 
PX
BYPASS ABDOMINAL AORTA TO BILATERAL COMMON ILIAC ARTERIES WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100A9 
PX
BYPASS ABDOMINAL AORTA TO RIGHT INTERNAL ILIAC ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100AB 
PX
BYPASS ABDOMINAL AORTA TO LEFT INTERNAL ILIAC ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100AC 
PX
BYPASS ABDOMINAL AORTA TO BILATERAL INTERNAL ILIAC ARTERIES WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100AD 
PX
BYPASS ABDOMINAL AORTA TO RIGHT EXTERNAL ILIAC ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100AF 
PX
BYPASS ABDOMINAL AORTA TO LEFT EXTERNAL ILIAC ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100AG 
PX
BYPASS ABDOMINAL AORTA TO BILATERAL EXTERNAL ILIAC ARTERIES WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100AH 
PX
BYPASS ABDOMINAL AORTA TO RIGHT FEMORAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100AJ 
PX
BYPASS ABDOMINAL AORTA TO LEFT FEMORAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100AK 
PX
BYPASS ABDOMINAL AORTA TO BILATERAL FEMORAL ARTERIES WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100AQ 
PX
BYPASS ABDOMINAL AORTA TO LOWER EXTREMITY ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100AR 
PX
BYPASS ABDOMINAL AORTA TO LOWER ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100J6 
PX
BYPASS ABDOMINAL AORTA TO RIGHT COMMON ILIAC ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100J7 
PX
BYPASS ABDOMINAL AORTA TO LEFT COMMON ILIAC ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100J8 
PX
BYPASS ABDOMINAL AORTA TO BILATERAL COMMON ILIAC ARTERIES WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100J9 
PX
BYPASS ABDOMINAL AORTA TO RIGHT INTERNAL ILIAC ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100JB 
PX
BYPASS ABDOMINAL AORTA TO LEFT INTERNAL ILIAC ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100JC 
PX
BYPASS ABDOMINAL AORTA TO BILATERAL INTERNAL ILIAC ARTERIES WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100JD 
PX
BYPASS ABDOMINAL AORTA TO RIGHT EXTERNAL ILIAC ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100JF 
PX
BYPASS ABDOMINAL AORTA TO LEFT EXTERNAL ILIAC ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100JG 
PX
BYPASS ABDOMINAL AORTA TO BILATERAL EXTERNAL ILIAC ARTERIES WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100JH 
PX
BYPASS ABDOMINAL AORTA TO RIGHT FEMORAL ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100JJ 
PX
BYPASS ABDOMINAL AORTA TO LEFT FEMORAL ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100JK 
PX
BYPASS ABDOMINAL AORTA TO BILATERAL FEMORAL ARTERIES WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100JQ 
PX
BYPASS ABDOMINAL AORTA TO LOWER EXTREMITY ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100JR 
PX
BYPASS ABDOMINAL AORTA TO LOWER ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100K6 
PX
BYPASS ABDOMINAL AORTA TO RIGHT COMMON ILIAC ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100K7 
PX
BYPASS ABDOMINAL AORTA TO LEFT COMMON ILIAC ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100K8 
PX
BYPASS ABDOMINAL AORTA TO BILATERAL COMMON ILIAC ARTERIES WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN 
APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100K9 
PX
BYPASS ABDOMINAL AORTA TO RIGHT INTERNAL ILIAC ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100KB 
PX
BYPASS ABDOMINAL AORTA TO LEFT INTERNAL ILIAC ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100KC 
PX
BYPASS ABDOMINAL AORTA TO BILATERAL INTERNAL ILIAC ARTERIES WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100KD 
PX
BYPASS ABDOMINAL AORTA TO RIGHT EXTERNAL ILIAC ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100KF 
PX
BYPASS ABDOMINAL AORTA TO LEFT EXTERNAL ILIAC ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100KG 
PX
BYPASS ABDOMINAL AORTA TO BILATERAL EXTERNAL ILIAC ARTERIES WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100KH 
PX
BYPASS ABDOMINAL AORTA TO RIGHT FEMORAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100KJ 
PX
BYPASS ABDOMINAL AORTA TO LEFT FEMORAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100KK 
PX
BYPASS ABDOMINAL AORTA TO BILATERAL FEMORAL ARTERIES WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100KQ 
PX
BYPASS ABDOMINAL AORTA TO LOWER EXTREMITY ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100KR 
PX
BYPASS ABDOMINAL AORTA TO LOWER ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100Z6 
PX
BYPASS ABDOMINAL AORTA TO RIGHT COMMON ILIAC ARTERY, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100Z7 
PX
BYPASS ABDOMINAL AORTA TO LEFT COMMON ILIAC ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100Z8 
PX
BYPASS ABDOMINAL AORTA TO BILATERAL COMMON ILIAC ARTERIES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100Z9 
PX
BYPASS ABDOMINAL AORTA TO RIGHT INTERNAL ILIAC ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100ZB 
PX
BYPASS ABDOMINAL AORTA TO LEFT INTERNAL ILIAC ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100ZC 
PX
BYPASS ABDOMINAL AORTA TO BILATERAL INTERNAL ILIAC ARTERIES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100ZD 
PX
BYPASS ABDOMINAL AORTA TO RIGHT EXTERNAL ILIAC ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100ZF 
PX
BYPASS ABDOMINAL AORTA TO LEFT EXTERNAL ILIAC ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100ZG 
PX
BYPASS ABDOMINAL AORTA TO BILATERAL EXTERNAL ILIAC ARTERIES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100ZH 
PX
BYPASS ABDOMINAL AORTA TO RIGHT FEMORAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100ZJ 
PX
BYPASS ABDOMINAL AORTA TO LEFT FEMORAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100ZK 
PX
BYPASS ABDOMINAL AORTA TO BILATERAL FEMORAL ARTERIES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100ZQ 
PX
BYPASS ABDOMINAL AORTA TO LOWER EXTREMITY ARTERY, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04100ZR 
PX
BYPASS ABDOMINAL AORTA TO LOWER ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0410496 
PX
BYPASS ABDOMINAL AORTA TO RIGHT COMMON ILIAC ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0410497 
PX
BYPASS ABDOMINAL AORTA TO LEFT COMMON ILIAC ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0410498 
PX
BYPASS ABDOMINAL AORTA TO BILATERAL COMMON ILIAC ARTERIES WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0410499 
PX
BYPASS ABDOMINAL AORTA TO RIGHT INTERNAL ILIAC ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041049B 
PX
BYPASS ABDOMINAL AORTA TO LEFT INTERNAL ILIAC ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041049C 
PX
BYPASS ABDOMINAL AORTA TO BILATERAL INTERNAL ILIAC ARTERIES WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041049D 
PX
BYPASS ABDOMINAL AORTA TO RIGHT EXTERNAL ILIAC ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041049F 
PX
BYPASS ABDOMINAL AORTA TO LEFT EXTERNAL ILIAC ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041049G 
PX
BYPASS ABDOMINAL AORTA TO BILATERAL EXTERNAL ILIAC ARTERIES WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041049H 
PX
BYPASS ABDOMINAL AORTA TO RIGHT FEMORAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041049J 
PX
BYPASS ABDOMINAL AORTA TO LEFT FEMORAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041049K 
PX
BYPASS ABDOMINAL AORTA TO BILATERAL FEMORAL ARTERIES WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041049Q 
PX
BYPASS ABDOMINAL AORTA TO LOWER EXTREMITY ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041049R 
PX
BYPASS ABDOMINAL AORTA TO LOWER ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104A6 
PX
BYPASS ABDOMINAL AORTA TO RIGHT COMMON ILIAC ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104A7 
PX
BYPASS ABDOMINAL AORTA TO LEFT COMMON ILIAC ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104A8 
PX
BYPASS ABDOMINAL AORTA TO BILATERAL COMMON ILIAC ARTERIES WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104A9 
PX
BYPASS ABDOMINAL AORTA TO RIGHT INTERNAL ILIAC ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104AB 
PX
BYPASS ABDOMINAL AORTA TO LEFT INTERNAL ILIAC ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104AC 
PX
BYPASS ABDOMINAL AORTA TO BILATERAL INTERNAL ILIAC ARTERIES WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104AD 
PX
BYPASS ABDOMINAL AORTA TO RIGHT EXTERNAL ILIAC ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104AF 
PX
BYPASS ABDOMINAL AORTA TO LEFT EXTERNAL ILIAC ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104AG 
PX
BYPASS ABDOMINAL AORTA TO BILATERAL EXTERNAL ILIAC ARTERIES WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104AH 
PX
BYPASS ABDOMINAL AORTA TO RIGHT FEMORAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104AJ 
PX
BYPASS ABDOMINAL AORTA TO LEFT FEMORAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104AK 
PX
BYPASS ABDOMINAL AORTA TO BILATERAL FEMORAL ARTERIES WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104AQ 
PX
BYPASS ABDOMINAL AORTA TO LOWER EXTREMITY ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104AR 
PX
BYPASS ABDOMINAL AORTA TO LOWER ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104J6 
PX
BYPASS ABDOMINAL AORTA TO RIGHT COMMON ILIAC ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104J7 
PX
BYPASS ABDOMINAL AORTA TO LEFT COMMON ILIAC ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104J8 
PX
BYPASS ABDOMINAL AORTA TO BILATERAL COMMON ILIAC ARTERIES WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104J9 
PX
BYPASS ABDOMINAL AORTA TO RIGHT INTERNAL ILIAC ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104JB 
PX
BYPASS ABDOMINAL AORTA TO LEFT INTERNAL ILIAC ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104JC 
PX
BYPASS ABDOMINAL AORTA TO BILATERAL INTERNAL ILIAC ARTERIES WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104JD 
PX
BYPASS ABDOMINAL AORTA TO RIGHT EXTERNAL ILIAC ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104JF 
PX
BYPASS ABDOMINAL AORTA TO LEFT EXTERNAL ILIAC ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104JG 
PX
BYPASS ABDOMINAL AORTA TO BILATERAL EXTERNAL ILIAC ARTERIES WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104JH 
PX
BYPASS ABDOMINAL AORTA TO RIGHT FEMORAL ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104JJ 
PX
BYPASS ABDOMINAL AORTA TO LEFT FEMORAL ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104JK 
PX
BYPASS ABDOMINAL AORTA TO BILATERAL FEMORAL ARTERIES WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104JQ 
PX
BYPASS ABDOMINAL AORTA TO LOWER EXTREMITY ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104JR 
PX
BYPASS ABDOMINAL AORTA TO LOWER ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104K6 
PX
BYPASS ABDOMINAL AORTA TO RIGHT COMMON ILIAC ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104K7 
PX
BYPASS ABDOMINAL AORTA TO LEFT COMMON ILIAC ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104K8 
PX
BYPASS ABDOMINAL AORTA TO BILATERAL COMMON ILIAC ARTERIES WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104K9 
PX
BYPASS ABDOMINAL AORTA TO RIGHT INTERNAL ILIAC ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104KB 
PX
BYPASS ABDOMINAL AORTA TO LEFT INTERNAL ILIAC ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104KC 
PX
BYPASS ABDOMINAL AORTA TO BILATERAL INTERNAL ILIAC ARTERIES WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104KD 
PX
BYPASS ABDOMINAL AORTA TO RIGHT EXTERNAL ILIAC ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104KF 
PX
BYPASS ABDOMINAL AORTA TO LEFT EXTERNAL ILIAC ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104KG 
PX
BYPASS ABDOMINAL AORTA TO BILATERAL EXTERNAL ILIAC ARTERIES WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104KH 
PX
BYPASS ABDOMINAL AORTA TO RIGHT FEMORAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104KJ 
PX
BYPASS ABDOMINAL AORTA TO LEFT FEMORAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104KK 
PX
BYPASS ABDOMINAL AORTA TO BILATERAL FEMORAL ARTERIES WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104KQ 
PX
BYPASS ABDOMINAL AORTA TO LOWER EXTREMITY ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104KR 
PX
BYPASS ABDOMINAL AORTA TO LOWER ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104Z6 
PX
BYPASS ABDOMINAL AORTA TO RIGHT COMMON ILIAC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104Z7 
PX
BYPASS ABDOMINAL AORTA TO LEFT COMMON ILIAC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104Z8 
PX
BYPASS ABDOMINAL AORTA TO BILATERAL COMMON ILIAC ARTERIES, PERCUTANEOUS ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104Z9 
PX
BYPASS ABDOMINAL AORTA TO RIGHT INTERNAL ILIAC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104ZB 
PX
BYPASS ABDOMINAL AORTA TO LEFT INTERNAL ILIAC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104ZC 
PX
BYPASS ABDOMINAL AORTA TO BILATERAL INTERNAL ILIAC ARTERIES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104ZD 
PX
BYPASS ABDOMINAL AORTA TO RIGHT EXTERNAL ILIAC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104ZF 
PX
BYPASS ABDOMINAL AORTA TO LEFT EXTERNAL ILIAC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104ZG 
PX
BYPASS ABDOMINAL AORTA TO BILATERAL EXTERNAL ILIAC ARTERIES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104ZH 
PX
BYPASS ABDOMINAL AORTA TO RIGHT FEMORAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104ZJ 
PX
BYPASS ABDOMINAL AORTA TO LEFT FEMORAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104ZK 
PX
BYPASS ABDOMINAL AORTA TO BILATERAL FEMORAL ARTERIES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104ZQ 
PX
BYPASS ABDOMINAL AORTA TO LOWER EXTREMITY ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04104ZR 
PX
BYPASS ABDOMINAL AORTA TO LOWER ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041C09H 
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041C09J 
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041C09K 
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041C0AH 
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041C0AJ 
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041C0AK 
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041C0JH 
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041C0JJ 
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041C0JK 
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041C0KH 
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041C0KJ 
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041C0KK 
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041C0ZH 
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO RIGHT FEMORAL ARTERY, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041C0ZJ 
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO LEFT FEMORAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041C0ZK 
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041C49H 
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041C49J 
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041C49K 
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041C4AH 
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041C4AJ 
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041C4AK 
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH AUTOLOGOUS ARTERIAL TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041C4JH 
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041C4JJ 
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041C4JK 
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041C4KH 
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041C4KJ 
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041C4KK 
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041C4ZH 
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO RIGHT FEMORAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041C4ZJ 
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO LEFT FEMORAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041C4ZK 
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041D09H 
PX
BYPASS LEFT COMMON ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041D09J 
PX
BYPASS LEFT COMMON ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041D09K 
PX
BYPASS LEFT COMMON ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041D0AH 
PX
BYPASS LEFT COMMON ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041D0AJ 
PX
BYPASS LEFT COMMON ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041D0AK 
PX
BYPASS LEFT COMMON ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041D0JH 
PX
BYPASS LEFT COMMON ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041D0JJ 
PX
BYPASS LEFT COMMON ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041D0JK 
PX
BYPASS LEFT COMMON ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041D0KH 
PX
BYPASS LEFT COMMON ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041D0KJ 
PX
BYPASS LEFT COMMON ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041D0KK 
PX
BYPASS LEFT COMMON ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041D0ZH 
PX
BYPASS LEFT COMMON ILIAC ARTERY TO RIGHT FEMORAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041D0ZJ 
PX
BYPASS LEFT COMMON ILIAC ARTERY TO LEFT FEMORAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041D0ZK 
PX
BYPASS LEFT COMMON ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041D49H 
PX
BYPASS LEFT COMMON ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041D49J 
PX
BYPASS LEFT COMMON ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041D49K 
PX
BYPASS LEFT COMMON ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041D4AH 
PX
BYPASS LEFT COMMON ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041D4AJ 
PX
BYPASS LEFT COMMON ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041D4AK 
PX
BYPASS LEFT COMMON ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041D4JH 
PX
BYPASS LEFT COMMON ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041D4JJ 
PX
BYPASS LEFT COMMON ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041D4JK 
PX
BYPASS LEFT COMMON ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041D4KH 
PX
BYPASS LEFT COMMON ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041D4KJ 
PX
BYPASS LEFT COMMON ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041D4KK 
PX
BYPASS LEFT COMMON ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041D4ZH 
PX
BYPASS LEFT COMMON ILIAC ARTERY TO RIGHT FEMORAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041D4ZJ 
PX
BYPASS LEFT COMMON ILIAC ARTERY TO LEFT FEMORAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041D4ZK 
PX
BYPASS LEFT COMMON ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041E09H 
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041E09J 
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041E09K 
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041E0AH 
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041E0AJ 
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041E0AK 
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041E0JH 
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041E0JJ 
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041E0JK 
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041E0KH 
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041E0KJ 
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041E0KK 
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041E0ZH 
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041E0ZJ 
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041E0ZK 
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041E49H 
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041E49J 
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041E49K 
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041E4AH 
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041E4AJ 
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041E4AK 
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH AUTOLOGOUS ARTERIAL TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041E4JH 
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041E4JJ 
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041E4JK 
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041E4KH 
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041E4KJ 
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041E4KK 
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041E4ZH 
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041E4ZJ 
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041E4ZK 
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041F09H 
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041F09J 
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041F09K 
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041F0AH 
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041F0AJ 
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041F0AK 
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041F0JH 
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041F0JJ 
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041F0JK 
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041F0KH 
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041F0KJ 
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041F0KK 
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041F0ZH 
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041F0ZJ 
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041F0ZK 
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041F49H 
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041F49J 
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041F49K 
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041F4AH 
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041F4AJ 
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041F4AK 
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041F4JH 
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041F4JJ 
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041F4JK 
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041F4KH 
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041F4KJ 
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041F4KK 
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041F4ZH 
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041F4ZJ 
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041F4ZK 
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041H09H 
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041H09J 
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041H09K 
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH AUTOLOGOUS VENOUS TISSUE, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041H0AH 
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041H0AJ 
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041H0AK 
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041H0JH 
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041H0JJ 
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041H0JK 
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041H0KH 
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041H0KJ 
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041H0KK 
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041H0ZH 
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041H0ZJ 
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041H0ZK 
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041H49H 
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041H49J 
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041H49K 
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041H4AH 
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041H4AJ 
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041H4AK 
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH AUTOLOGOUS ARTERIAL TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041H4JH 
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041H4JJ 
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041H4JK 
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041H4KH 
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041H4KJ 
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041H4KK 
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041H4ZH 
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041H4ZJ 
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041H4ZK 
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041J09H 
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041J09J 
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041J09K 
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041J0AH 
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041J0AJ 
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041J0AK 
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041J0JH 
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041J0JJ 
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041J0JK 
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041J0KH 
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041J0KJ 
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041J0KK 
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041J0ZH 
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041J0ZJ 
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041J0ZK 
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041J49H 
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041J49J 
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041J49K 
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041J4AH 
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041J4AJ 
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041J4AK 
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH AUTOLOGOUS ARTERIAL TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041J4JH 
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041J4JJ 
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041J4JK 
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041J4KH 
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041J4KJ 
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041J4KK 
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041J4ZH 
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041J4ZJ 
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041J4ZK 
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K09H 
PX
BYPASS RIGHT FEMORAL ARTERY TO RIGHT FEMORAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K09J 
PX
BYPASS RIGHT FEMORAL ARTERY TO LEFT FEMORAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K09K 
PX
BYPASS RIGHT FEMORAL ARTERY TO BILATERAL FEMORAL ARTERIES WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K09L 
PX
BYPASS RIGHT FEMORAL ARTERY TO POPLITEAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K09M 
PX
BYPASS RIGHT FEMORAL ARTERY TO PERONEAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K09N 
PX
BYPASS RIGHT FEMORAL ARTERY TO POSTERIOR TIBIAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K09P 
PX
BYPASS RIGHT FEMORAL ARTERY TO FOOT ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K09Q 
PX
BYPASS RIGHT FEMORAL ARTERY TO LOWER EXTREMITY ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K09S 
PX
BYPASS RIGHT FEMORAL ARTERY TO LOWER EXTREMITY VEIN WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K0AH 
PX
BYPASS RIGHT FEMORAL ARTERY TO RIGHT FEMORAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K0AJ 
PX
BYPASS RIGHT FEMORAL ARTERY TO LEFT FEMORAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K0AK 
PX
BYPASS RIGHT FEMORAL ARTERY TO BILATERAL FEMORAL ARTERIES WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K0AL 
PX
BYPASS RIGHT FEMORAL ARTERY TO POPLITEAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K0AM 
PX
BYPASS RIGHT FEMORAL ARTERY TO PERONEAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K0AN 
PX
BYPASS RIGHT FEMORAL ARTERY TO POSTERIOR TIBIAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K0AP 
PX
BYPASS RIGHT FEMORAL ARTERY TO FOOT ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K0AQ 
PX
BYPASS RIGHT FEMORAL ARTERY TO LOWER EXTREMITY ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K0AS 
PX
BYPASS RIGHT FEMORAL ARTERY TO LOWER EXTREMITY VEIN WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K0JH 
PX
BYPASS RIGHT FEMORAL ARTERY TO RIGHT FEMORAL ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K0JJ 
PX
BYPASS RIGHT FEMORAL ARTERY TO LEFT FEMORAL ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K0JK 
PX
BYPASS RIGHT FEMORAL ARTERY TO BILATERAL FEMORAL ARTERIES WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K0JL 
PX
BYPASS RIGHT FEMORAL ARTERY TO POPLITEAL ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K0JM 
PX
BYPASS RIGHT FEMORAL ARTERY TO PERONEAL ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K0JN 
PX
BYPASS RIGHT FEMORAL ARTERY TO POSTERIOR TIBIAL ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K0JP 
PX
BYPASS RIGHT FEMORAL ARTERY TO FOOT ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K0JQ 
PX
BYPASS RIGHT FEMORAL ARTERY TO LOWER EXTREMITY ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K0JS 
PX
BYPASS RIGHT FEMORAL ARTERY TO LOWER EXTREMITY VEIN WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K0KH 
PX
BYPASS RIGHT FEMORAL ARTERY TO RIGHT FEMORAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K0KJ 
PX
BYPASS RIGHT FEMORAL ARTERY TO LEFT FEMORAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K0KK 
PX
BYPASS RIGHT FEMORAL ARTERY TO BILATERAL FEMORAL ARTERIES WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K0KL 
PX
BYPASS RIGHT FEMORAL ARTERY TO POPLITEAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K0KM 
PX
BYPASS RIGHT FEMORAL ARTERY TO PERONEAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K0KN 
PX
BYPASS RIGHT FEMORAL ARTERY TO POSTERIOR TIBIAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K0KP 
PX
BYPASS RIGHT FEMORAL ARTERY TO FOOT ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K0KQ 
PX
BYPASS RIGHT FEMORAL ARTERY TO LOWER EXTREMITY ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K0KS 
PX
BYPASS RIGHT FEMORAL ARTERY TO LOWER EXTREMITY VEIN WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K0ZH 
PX
BYPASS RIGHT FEMORAL ARTERY TO RIGHT FEMORAL ARTERY, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K0ZJ 
PX
BYPASS RIGHT FEMORAL ARTERY TO LEFT FEMORAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K0ZK 
PX
BYPASS RIGHT FEMORAL ARTERY TO BILATERAL FEMORAL ARTERIES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K0ZL 
PX
BYPASS RIGHT FEMORAL ARTERY TO POPLITEAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K0ZM 
PX
BYPASS RIGHT FEMORAL ARTERY TO PERONEAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K0ZN 
PX
BYPASS RIGHT FEMORAL ARTERY TO POSTERIOR TIBIAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K0ZP 
PX
BYPASS RIGHT FEMORAL ARTERY TO FOOT ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K0ZQ 
PX
BYPASS RIGHT FEMORAL ARTERY TO LOWER EXTREMITY ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K0ZS 
PX
BYPASS RIGHT FEMORAL ARTERY TO LOWER EXTREMITY VEIN, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K49H 
PX
BYPASS RIGHT FEMORAL ARTERY TO RIGHT FEMORAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K49J 
PX
BYPASS RIGHT FEMORAL ARTERY TO LEFT FEMORAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K49K 
PX
BYPASS RIGHT FEMORAL ARTERY TO BILATERAL FEMORAL ARTERIES WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K49L 
PX
BYPASS RIGHT FEMORAL ARTERY TO POPLITEAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K49M 
PX
BYPASS RIGHT FEMORAL ARTERY TO PERONEAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K49N 
PX
BYPASS RIGHT FEMORAL ARTERY TO POSTERIOR TIBIAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K49P 
PX
BYPASS RIGHT FEMORAL ARTERY TO FOOT ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K49Q 
PX
BYPASS RIGHT FEMORAL ARTERY TO LOWER EXTREMITY ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K49S 
PX
BYPASS RIGHT FEMORAL ARTERY TO LOWER EXTREMITY VEIN WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K4AH 
PX
BYPASS RIGHT FEMORAL ARTERY TO RIGHT FEMORAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K4AJ 
PX
BYPASS RIGHT FEMORAL ARTERY TO LEFT FEMORAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K4AK 
PX
BYPASS RIGHT FEMORAL ARTERY TO BILATERAL FEMORAL ARTERIES WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K4AL 
PX
BYPASS RIGHT FEMORAL ARTERY TO POPLITEAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K4AM 
PX
BYPASS RIGHT FEMORAL ARTERY TO PERONEAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K4AN 
PX
BYPASS RIGHT FEMORAL ARTERY TO POSTERIOR TIBIAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K4AP 
PX
BYPASS RIGHT FEMORAL ARTERY TO FOOT ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K4AQ 
PX
BYPASS RIGHT FEMORAL ARTERY TO LOWER EXTREMITY ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K4AS 
PX
BYPASS RIGHT FEMORAL ARTERY TO LOWER EXTREMITY VEIN WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K4JH 
PX
BYPASS RIGHT FEMORAL ARTERY TO RIGHT FEMORAL ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K4JJ 
PX
BYPASS RIGHT FEMORAL ARTERY TO LEFT FEMORAL ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K4JK 
PX
BYPASS RIGHT FEMORAL ARTERY TO BILATERAL FEMORAL ARTERIES WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K4JL 
PX
BYPASS RIGHT FEMORAL ARTERY TO POPLITEAL ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K4JM 
PX
BYPASS RIGHT FEMORAL ARTERY TO PERONEAL ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K4JN 
PX
BYPASS RIGHT FEMORAL ARTERY TO POSTERIOR TIBIAL ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K4JP 
PX
BYPASS RIGHT FEMORAL ARTERY TO FOOT ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K4JQ 
PX
BYPASS RIGHT FEMORAL ARTERY TO LOWER EXTREMITY ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K4JS 
PX
BYPASS RIGHT FEMORAL ARTERY TO LOWER EXTREMITY VEIN WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K4KH 
PX
BYPASS RIGHT FEMORAL ARTERY TO RIGHT FEMORAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K4KJ 
PX
BYPASS RIGHT FEMORAL ARTERY TO LEFT FEMORAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K4KK 
PX
BYPASS RIGHT FEMORAL ARTERY TO BILATERAL FEMORAL ARTERIES WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K4KL 
PX
BYPASS RIGHT FEMORAL ARTERY TO POPLITEAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K4KM 
PX
BYPASS RIGHT FEMORAL ARTERY TO PERONEAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K4KN 
PX
BYPASS RIGHT FEMORAL ARTERY TO POSTERIOR TIBIAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K4KP 
PX
BYPASS RIGHT FEMORAL ARTERY TO FOOT ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K4KQ 
PX
BYPASS RIGHT FEMORAL ARTERY TO LOWER EXTREMITY ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K4KS 
PX
BYPASS RIGHT FEMORAL ARTERY TO LOWER EXTREMITY VEIN WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K4ZH 
PX
BYPASS RIGHT FEMORAL ARTERY TO RIGHT FEMORAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K4ZJ 
PX
BYPASS RIGHT FEMORAL ARTERY TO LEFT FEMORAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K4ZK 
PX
BYPASS RIGHT FEMORAL ARTERY TO BILATERAL FEMORAL ARTERIES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K4ZL 
PX
BYPASS RIGHT FEMORAL ARTERY TO POPLITEAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K4ZM 
PX
BYPASS RIGHT FEMORAL ARTERY TO PERONEAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K4ZN 
PX
BYPASS RIGHT FEMORAL ARTERY TO POSTERIOR TIBIAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K4ZP 
PX
BYPASS RIGHT FEMORAL ARTERY TO FOOT ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K4ZQ 
PX
BYPASS RIGHT FEMORAL ARTERY TO LOWER EXTREMITY ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041K4ZS 
PX
BYPASS RIGHT FEMORAL ARTERY TO LOWER EXTREMITY VEIN, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L09H 
PX
BYPASS LEFT FEMORAL ARTERY TO RIGHT FEMORAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L09J 
PX
BYPASS LEFT FEMORAL ARTERY TO LEFT FEMORAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L09K 
PX
BYPASS LEFT FEMORAL ARTERY TO BILATERAL FEMORAL ARTERIES WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L09L 
PX
BYPASS LEFT FEMORAL ARTERY TO POPLITEAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L09M 
PX
BYPASS LEFT FEMORAL ARTERY TO PERONEAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L09N 
PX
BYPASS LEFT FEMORAL ARTERY TO POSTERIOR TIBIAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L09P 
PX
BYPASS LEFT FEMORAL ARTERY TO FOOT ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L09Q 
PX
BYPASS LEFT FEMORAL ARTERY TO LOWER EXTREMITY ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L09S 
PX
BYPASS LEFT FEMORAL ARTERY TO LOWER EXTREMITY VEIN WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L0AH 
PX
BYPASS LEFT FEMORAL ARTERY TO RIGHT FEMORAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L0AJ 
PX
BYPASS LEFT FEMORAL ARTERY TO LEFT FEMORAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L0AK 
PX
BYPASS LEFT FEMORAL ARTERY TO BILATERAL FEMORAL ARTERIES WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L0AL 
PX
BYPASS LEFT FEMORAL ARTERY TO POPLITEAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L0AM 
PX
BYPASS LEFT FEMORAL ARTERY TO PERONEAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L0AN 
PX
BYPASS LEFT FEMORAL ARTERY TO POSTERIOR TIBIAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L0AP 
PX
BYPASS LEFT FEMORAL ARTERY TO FOOT ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L0AQ 
PX
BYPASS LEFT FEMORAL ARTERY TO LOWER EXTREMITY ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L0AS 
PX
BYPASS LEFT FEMORAL ARTERY TO LOWER EXTREMITY VEIN WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L0JH 
PX
BYPASS LEFT FEMORAL ARTERY TO RIGHT FEMORAL ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L0JJ 
PX
BYPASS LEFT FEMORAL ARTERY TO LEFT FEMORAL ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L0JK 
PX
BYPASS LEFT FEMORAL ARTERY TO BILATERAL FEMORAL ARTERIES WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L0JL 
PX
BYPASS LEFT FEMORAL ARTERY TO POPLITEAL ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L0JM 
PX
BYPASS LEFT FEMORAL ARTERY TO PERONEAL ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L0JN 
PX
BYPASS LEFT FEMORAL ARTERY TO POSTERIOR TIBIAL ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L0JP 
PX
BYPASS LEFT FEMORAL ARTERY TO FOOT ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L0JQ 
PX
BYPASS LEFT FEMORAL ARTERY TO LOWER EXTREMITY ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L0JS 
PX
BYPASS LEFT FEMORAL ARTERY TO LOWER EXTREMITY VEIN WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L0KH 
PX
BYPASS LEFT FEMORAL ARTERY TO RIGHT FEMORAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L0KJ 
PX
BYPASS LEFT FEMORAL ARTERY TO LEFT FEMORAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L0KK 
PX
BYPASS LEFT FEMORAL ARTERY TO BILATERAL FEMORAL ARTERIES WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L0KL 
PX
BYPASS LEFT FEMORAL ARTERY TO POPLITEAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L0KM 
PX
BYPASS LEFT FEMORAL ARTERY TO PERONEAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L0KN 
PX
BYPASS LEFT FEMORAL ARTERY TO POSTERIOR TIBIAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L0KP 
PX
BYPASS LEFT FEMORAL ARTERY TO FOOT ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L0KQ 
PX
BYPASS LEFT FEMORAL ARTERY TO LOWER EXTREMITY ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L0KS 
PX
BYPASS LEFT FEMORAL ARTERY TO LOWER EXTREMITY VEIN WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L0ZH 
PX
BYPASS LEFT FEMORAL ARTERY TO RIGHT FEMORAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L0ZJ 
PX
BYPASS LEFT FEMORAL ARTERY TO LEFT FEMORAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L0ZK 
PX
BYPASS LEFT FEMORAL ARTERY TO BILATERAL FEMORAL ARTERIES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L0ZL 
PX
BYPASS LEFT FEMORAL ARTERY TO POPLITEAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L0ZM 
PX
BYPASS LEFT FEMORAL ARTERY TO PERONEAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L0ZN 
PX
BYPASS LEFT FEMORAL ARTERY TO POSTERIOR TIBIAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L0ZP 
PX
BYPASS LEFT FEMORAL ARTERY TO FOOT ARTERY, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L0ZQ 
PX
BYPASS LEFT FEMORAL ARTERY TO LOWER EXTREMITY ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L0ZS 
PX
BYPASS LEFT FEMORAL ARTERY TO LOWER EXTREMITY VEIN, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L49H 
PX
BYPASS LEFT FEMORAL ARTERY TO RIGHT FEMORAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L49J 
PX
BYPASS LEFT FEMORAL ARTERY TO LEFT FEMORAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L49K 
PX
BYPASS LEFT FEMORAL ARTERY TO BILATERAL FEMORAL ARTERIES WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L49L 
PX
BYPASS LEFT FEMORAL ARTERY TO POPLITEAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L49M 
PX
BYPASS LEFT FEMORAL ARTERY TO PERONEAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L49N 
PX
BYPASS LEFT FEMORAL ARTERY TO POSTERIOR TIBIAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L49P 
PX
BYPASS LEFT FEMORAL ARTERY TO FOOT ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L49Q 
PX
BYPASS LEFT FEMORAL ARTERY TO LOWER EXTREMITY ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L49S 
PX
BYPASS LEFT FEMORAL ARTERY TO LOWER EXTREMITY VEIN WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L4AH 
PX
BYPASS LEFT FEMORAL ARTERY TO RIGHT FEMORAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L4AJ 
PX
BYPASS LEFT FEMORAL ARTERY TO LEFT FEMORAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L4AK 
PX
BYPASS LEFT FEMORAL ARTERY TO BILATERAL FEMORAL ARTERIES WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L4AL 
PX
BYPASS LEFT FEMORAL ARTERY TO POPLITEAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L4AM 
PX
BYPASS LEFT FEMORAL ARTERY TO PERONEAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L4AN 
PX
BYPASS LEFT FEMORAL ARTERY TO POSTERIOR TIBIAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L4AP 
PX
BYPASS LEFT FEMORAL ARTERY TO FOOT ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L4AQ 
PX
BYPASS LEFT FEMORAL ARTERY TO LOWER EXTREMITY ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L4AS 
PX
BYPASS LEFT FEMORAL ARTERY TO LOWER EXTREMITY VEIN WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L4JH 
PX
BYPASS LEFT FEMORAL ARTERY TO RIGHT FEMORAL ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L4JJ 
PX
BYPASS LEFT FEMORAL ARTERY TO LEFT FEMORAL ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L4JK 
PX
BYPASS LEFT FEMORAL ARTERY TO BILATERAL FEMORAL ARTERIES WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L4JL 
PX
BYPASS LEFT FEMORAL ARTERY TO POPLITEAL ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L4JM 
PX
BYPASS LEFT FEMORAL ARTERY TO PERONEAL ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L4JN 
PX
BYPASS LEFT FEMORAL ARTERY TO POSTERIOR TIBIAL ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L4JP 
PX
BYPASS LEFT FEMORAL ARTERY TO FOOT ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L4JQ 
PX
BYPASS LEFT FEMORAL ARTERY TO LOWER EXTREMITY ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L4JS 
PX
BYPASS LEFT FEMORAL ARTERY TO LOWER EXTREMITY VEIN WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L4KH 
PX
BYPASS LEFT FEMORAL ARTERY TO RIGHT FEMORAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L4KJ 
PX
BYPASS LEFT FEMORAL ARTERY TO LEFT FEMORAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L4KK 
PX
BYPASS LEFT FEMORAL ARTERY TO BILATERAL FEMORAL ARTERIES WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L4KL 
PX
BYPASS LEFT FEMORAL ARTERY TO POPLITEAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L4KM 
PX
BYPASS LEFT FEMORAL ARTERY TO PERONEAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L4KN 
PX
BYPASS LEFT FEMORAL ARTERY TO POSTERIOR TIBIAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L4KP 
PX
BYPASS LEFT FEMORAL ARTERY TO FOOT ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L4KQ 
PX
BYPASS LEFT FEMORAL ARTERY TO LOWER EXTREMITY ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L4KS 
PX
BYPASS LEFT FEMORAL ARTERY TO LOWER EXTREMITY VEIN WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L4ZH 
PX
BYPASS LEFT FEMORAL ARTERY TO RIGHT FEMORAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L4ZJ 
PX
BYPASS LEFT FEMORAL ARTERY TO LEFT FEMORAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L4ZK 
PX
BYPASS LEFT FEMORAL ARTERY TO BILATERAL FEMORAL ARTERIES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L4ZL 
PX
BYPASS LEFT FEMORAL ARTERY TO POPLITEAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L4ZM 
PX
BYPASS LEFT FEMORAL ARTERY TO PERONEAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L4ZN 
PX
BYPASS LEFT FEMORAL ARTERY TO POSTERIOR TIBIAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L4ZP 
PX
BYPASS LEFT FEMORAL ARTERY TO FOOT ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L4ZQ 
PX
BYPASS LEFT FEMORAL ARTERY TO LOWER EXTREMITY ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041L4ZS 
PX
BYPASS LEFT FEMORAL ARTERY TO LOWER EXTREMITY VEIN, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M09L 
PX
BYPASS RIGHT POPLITEAL ARTERY TO POPLITEAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M09M 
PX
BYPASS RIGHT POPLITEAL ARTERY TO PERONEAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M09P 
PX
BYPASS RIGHT POPLITEAL ARTERY TO FOOT ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M09Q 
PX
BYPASS RIGHT POPLITEAL ARTERY TO LOWER EXTREMITY ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M09S 
PX
BYPASS RIGHT POPLITEAL ARTERY TO LOWER EXTREMITY VEIN WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M0AL 
PX
BYPASS RIGHT POPLITEAL ARTERY TO POPLITEAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M0AM 
PX
BYPASS RIGHT POPLITEAL ARTERY TO PERONEAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M0AP 
PX
BYPASS RIGHT POPLITEAL ARTERY TO FOOT ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M0AQ 
PX
BYPASS RIGHT POPLITEAL ARTERY TO LOWER EXTREMITY ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M0AS 
PX
BYPASS RIGHT POPLITEAL ARTERY TO LOWER EXTREMITY VEIN WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M0JL 
PX
BYPASS RIGHT POPLITEAL ARTERY TO POPLITEAL ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M0JM 
PX
BYPASS RIGHT POPLITEAL ARTERY TO PERONEAL ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M0JP 
PX
BYPASS RIGHT POPLITEAL ARTERY TO FOOT ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M0JQ 
PX
BYPASS RIGHT POPLITEAL ARTERY TO LOWER EXTREMITY ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M0JS 
PX
BYPASS RIGHT POPLITEAL ARTERY TO LOWER EXTREMITY VEIN WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M0KL 
PX
BYPASS RIGHT POPLITEAL ARTERY TO POPLITEAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M0KM 
PX
BYPASS RIGHT POPLITEAL ARTERY TO PERONEAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M0KP 
PX
BYPASS RIGHT POPLITEAL ARTERY TO FOOT ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M0KQ 
PX
BYPASS RIGHT POPLITEAL ARTERY TO LOWER EXTREMITY ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M0KS 
PX
BYPASS RIGHT POPLITEAL ARTERY TO LOWER EXTREMITY VEIN WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M0ZL 
PX
BYPASS RIGHT POPLITEAL ARTERY TO POPLITEAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M0ZM 
PX
BYPASS RIGHT POPLITEAL ARTERY TO PERONEAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M0ZP 
PX
BYPASS RIGHT POPLITEAL ARTERY TO FOOT ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M0ZQ 
PX
BYPASS RIGHT POPLITEAL ARTERY TO LOWER EXTREMITY ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M0ZS 
PX
BYPASS RIGHT POPLITEAL ARTERY TO LOWER EXTREMITY VEIN, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M49L 
PX
BYPASS RIGHT POPLITEAL ARTERY TO POPLITEAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M49M 
PX
BYPASS RIGHT POPLITEAL ARTERY TO PERONEAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M49P 
PX
BYPASS RIGHT POPLITEAL ARTERY TO FOOT ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M49Q 
PX
BYPASS RIGHT POPLITEAL ARTERY TO LOWER EXTREMITY ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M49S 
PX
BYPASS RIGHT POPLITEAL ARTERY TO LOWER EXTREMITY VEIN WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M4AL 
PX
BYPASS RIGHT POPLITEAL ARTERY TO POPLITEAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M4AM 
PX
BYPASS RIGHT POPLITEAL ARTERY TO PERONEAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M4AP 
PX
BYPASS RIGHT POPLITEAL ARTERY TO FOOT ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M4AQ 
PX
BYPASS RIGHT POPLITEAL ARTERY TO LOWER EXTREMITY ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M4AS 
PX
BYPASS RIGHT POPLITEAL ARTERY TO LOWER EXTREMITY VEIN WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M4JL 
PX
BYPASS RIGHT POPLITEAL ARTERY TO POPLITEAL ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M4JM 
PX
BYPASS RIGHT POPLITEAL ARTERY TO PERONEAL ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M4JP 
PX
BYPASS RIGHT POPLITEAL ARTERY TO FOOT ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M4JQ 
PX
BYPASS RIGHT POPLITEAL ARTERY TO LOWER EXTREMITY ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M4JS 
PX
BYPASS RIGHT POPLITEAL ARTERY TO LOWER EXTREMITY VEIN WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M4KL 
PX
BYPASS RIGHT POPLITEAL ARTERY TO POPLITEAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M4KM 
PX
BYPASS RIGHT POPLITEAL ARTERY TO PERONEAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M4KP 
PX
BYPASS RIGHT POPLITEAL ARTERY TO FOOT ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M4KQ 
PX
BYPASS RIGHT POPLITEAL ARTERY TO LOWER EXTREMITY ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M4KS 
PX
BYPASS RIGHT POPLITEAL ARTERY TO LOWER EXTREMITY VEIN WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M4ZL 
PX
BYPASS RIGHT POPLITEAL ARTERY TO POPLITEAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M4ZM 
PX
BYPASS RIGHT POPLITEAL ARTERY TO PERONEAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M4ZP 
PX
BYPASS RIGHT POPLITEAL ARTERY TO FOOT ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M4ZQ 
PX
BYPASS RIGHT POPLITEAL ARTERY TO LOWER EXTREMITY ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041M4ZS 
PX
BYPASS RIGHT POPLITEAL ARTERY TO LOWER EXTREMITY VEIN, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N09L 
PX
BYPASS LEFT POPLITEAL ARTERY TO POPLITEAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N09M 
PX
BYPASS LEFT POPLITEAL ARTERY TO PERONEAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N09P 
PX
BYPASS LEFT POPLITEAL ARTERY TO FOOT ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N09Q 
PX
BYPASS LEFT POPLITEAL ARTERY TO LOWER EXTREMITY ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N09S 
PX
BYPASS LEFT POPLITEAL ARTERY TO LOWER EXTREMITY VEIN WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N0AL 
PX
BYPASS LEFT POPLITEAL ARTERY TO POPLITEAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N0AM 
PX
BYPASS LEFT POPLITEAL ARTERY TO PERONEAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N0AP 
PX
BYPASS LEFT POPLITEAL ARTERY TO FOOT ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N0AQ 
PX
BYPASS LEFT POPLITEAL ARTERY TO LOWER EXTREMITY ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N0AS 
PX
BYPASS LEFT POPLITEAL ARTERY TO LOWER EXTREMITY VEIN WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N0JL 
PX
BYPASS LEFT POPLITEAL ARTERY TO POPLITEAL ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N0JM 
PX
BYPASS LEFT POPLITEAL ARTERY TO PERONEAL ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N0JP 
PX
BYPASS LEFT POPLITEAL ARTERY TO FOOT ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N0JQ 
PX
BYPASS LEFT POPLITEAL ARTERY TO LOWER EXTREMITY ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N0JS 
PX
BYPASS LEFT POPLITEAL ARTERY TO LOWER EXTREMITY VEIN WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N0KL 
PX
BYPASS LEFT POPLITEAL ARTERY TO POPLITEAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N0KM 
PX
BYPASS LEFT POPLITEAL ARTERY TO PERONEAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N0KP 
PX
BYPASS LEFT POPLITEAL ARTERY TO FOOT ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N0KQ 
PX
BYPASS LEFT POPLITEAL ARTERY TO LOWER EXTREMITY ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N0KS 
PX
BYPASS LEFT POPLITEAL ARTERY TO LOWER EXTREMITY VEIN WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N0ZL 
PX
BYPASS LEFT POPLITEAL ARTERY TO POPLITEAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N0ZM 
PX
BYPASS LEFT POPLITEAL ARTERY TO PERONEAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N0ZP 
PX
BYPASS LEFT POPLITEAL ARTERY TO FOOT ARTERY, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N0ZQ 
PX
BYPASS LEFT POPLITEAL ARTERY TO LOWER EXTREMITY ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N0ZS 
PX
BYPASS LEFT POPLITEAL ARTERY TO LOWER EXTREMITY VEIN, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N49L 
PX
BYPASS LEFT POPLITEAL ARTERY TO POPLITEAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N49M 
PX
BYPASS LEFT POPLITEAL ARTERY TO PERONEAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N49P 
PX
BYPASS LEFT POPLITEAL ARTERY TO FOOT ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N49Q 
PX
BYPASS LEFT POPLITEAL ARTERY TO LOWER EXTREMITY ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N49S 
PX
BYPASS LEFT POPLITEAL ARTERY TO LOWER EXTREMITY VEIN WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N4AL 
PX
BYPASS LEFT POPLITEAL ARTERY TO POPLITEAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N4AM 
PX
BYPASS LEFT POPLITEAL ARTERY TO PERONEAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N4AP 
PX
BYPASS LEFT POPLITEAL ARTERY TO FOOT ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N4AQ 
PX
BYPASS LEFT POPLITEAL ARTERY TO LOWER EXTREMITY ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N4AS 
PX
BYPASS LEFT POPLITEAL ARTERY TO LOWER EXTREMITY VEIN WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N4JL 
PX
BYPASS LEFT POPLITEAL ARTERY TO POPLITEAL ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N4JM 
PX
BYPASS LEFT POPLITEAL ARTERY TO PERONEAL ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N4JP 
PX
BYPASS LEFT POPLITEAL ARTERY TO FOOT ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N4JQ 
PX
BYPASS LEFT POPLITEAL ARTERY TO LOWER EXTREMITY ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N4JS 
PX
BYPASS LEFT POPLITEAL ARTERY TO LOWER EXTREMITY VEIN WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N4KL 
PX
BYPASS LEFT POPLITEAL ARTERY TO POPLITEAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N4KM 
PX
BYPASS LEFT POPLITEAL ARTERY TO PERONEAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N4KP 
PX
BYPASS LEFT POPLITEAL ARTERY TO FOOT ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N4KQ 
PX
BYPASS LEFT POPLITEAL ARTERY TO LOWER EXTREMITY ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N4KS 
PX
BYPASS LEFT POPLITEAL ARTERY TO LOWER EXTREMITY VEIN WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N4ZL 
PX
BYPASS LEFT POPLITEAL ARTERY TO POPLITEAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N4ZM 
PX
BYPASS LEFT POPLITEAL ARTERY TO PERONEAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N4ZP 
PX
BYPASS LEFT POPLITEAL ARTERY TO FOOT ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N4ZQ 
PX
BYPASS LEFT POPLITEAL ARTERY TO LOWER EXTREMITY ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
041N4ZS 
PX
BYPASS LEFT POPLITEAL ARTERY TO LOWER EXTREMITY VEIN, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0470046 
PX
DILATION OF ABDOMINAL AORTA, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047004Z 
PX
DILATION OF ABDOMINAL AORTA WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0470056 
PX
DILATION OF ABDOMINAL AORTA, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047005Z 
PX
DILATION OF ABDOMINAL AORTA WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0470066 
PX
DILATION OF ABDOMINAL AORTA, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047006Z 
PX
DILATION OF ABDOMINAL AORTA WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0470076 
PX
DILATION OF ABDOMINAL AORTA, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047007Z 
PX
DILATION OF ABDOMINAL AORTA WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04700D6 
PX
DILATION OF ABDOMINAL AORTA, BIFURCATION, WITH INTRALUMINAL DEVICE, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04700DZ 
PX
DILATION OF ABDOMINAL AORTA WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04700E6 
PX
DILATION OF ABDOMINAL AORTA, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04700EZ 
PX
DILATION OF ABDOMINAL AORTA WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04700F6 
PX
DILATION OF ABDOMINAL AORTA, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04700FZ 
PX
DILATION OF ABDOMINAL AORTA WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04700G6 
PX
DILATION OF ABDOMINAL AORTA, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04700GZ 
PX
DILATION OF ABDOMINAL AORTA WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04700Z6 
PX
DILATION OF ABDOMINAL AORTA, BIFURCATION, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04700ZZ 
PX
DILATION OF ABDOMINAL AORTA, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0470346 
PX
DILATION OF ABDOMINAL AORTA, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047034Z 
PX
DILATION OF ABDOMINAL AORTA WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0470356 
PX
DILATION OF ABDOMINAL AORTA, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047035Z 
PX
DILATION OF ABDOMINAL AORTA WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0470366 
PX
DILATION OF ABDOMINAL AORTA, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047036Z 
PX
DILATION OF ABDOMINAL AORTA WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0470376 
PX
DILATION OF ABDOMINAL AORTA, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047037Z 
PX
DILATION OF ABDOMINAL AORTA WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04703D6 
PX
DILATION OF ABDOMINAL AORTA, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04703DZ 
PX
DILATION OF ABDOMINAL AORTA WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04703E6 
PX
DILATION OF ABDOMINAL AORTA, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04703EZ 
PX
DILATION OF ABDOMINAL AORTA WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04703F6 
PX
DILATION OF ABDOMINAL AORTA, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04703FZ 
PX
DILATION OF ABDOMINAL AORTA WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04703G6 
PX
DILATION OF ABDOMINAL AORTA, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04703GZ 
PX
DILATION OF ABDOMINAL AORTA WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04703Z6 
PX
DILATION OF ABDOMINAL AORTA, BIFURCATION, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04703ZZ 
PX
DILATION OF ABDOMINAL AORTA, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0470446 
PX
DILATION OF ABDOMINAL AORTA, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047044Z 
PX
DILATION OF ABDOMINAL AORTA WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0470456 
PX
DILATION OF ABDOMINAL AORTA, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047045Z 
PX
DILATION OF ABDOMINAL AORTA WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0470466 
PX
DILATION OF ABDOMINAL AORTA, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047046Z 
PX
DILATION OF ABDOMINAL AORTA WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0470476 
PX
DILATION OF ABDOMINAL AORTA, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047047Z 
PX
DILATION OF ABDOMINAL AORTA WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04704D6 
PX
DILATION OF ABDOMINAL AORTA, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04704DZ 
PX
DILATION OF ABDOMINAL AORTA WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04704E6 
PX
DILATION OF ABDOMINAL AORTA, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04704EZ 
PX
DILATION OF ABDOMINAL AORTA WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04704F6 
PX
DILATION OF ABDOMINAL AORTA, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04704FZ 
PX
DILATION OF ABDOMINAL AORTA WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04704G6 
PX
DILATION OF ABDOMINAL AORTA, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04704GZ 
PX
DILATION OF ABDOMINAL AORTA WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04704Z6 
PX
DILATION OF ABDOMINAL AORTA, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04704ZZ 
PX
DILATION OF ABDOMINAL AORTA, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C046 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C04Z 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C056 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C05Z 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C066 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C06Z 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C076 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C07Z 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C0D6 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C0DZ 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C0E6 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C0EZ 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C0F6 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C0FZ 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C0G6 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C0GZ 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C0Z6 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY, BIFURCATION, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C0ZZ 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C346 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C34Z 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C356 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C35Z 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C366 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C36Z 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C376 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C37Z 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C3D6 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C3DZ 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C3E6 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C3EZ 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C3F6 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C3FZ 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C3G6 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C3GZ 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C3Z6 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY, BIFURCATION, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C3ZZ 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C446 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C44Z 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C456 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C45Z 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C466 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C46Z 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C476 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C47Z 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C4D6 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C4DZ 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C4E6 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C4EZ 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C4F6 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C4FZ 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C4G6 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C4GZ 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C4Z6 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047C4ZZ 
PX
DILATION OF RIGHT COMMON ILIAC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D046 
PX
DILATION OF LEFT COMMON ILIAC ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D04Z 
PX
DILATION OF LEFT COMMON ILIAC ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D056 
PX
DILATION OF LEFT COMMON ILIAC ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D05Z 
PX
DILATION OF LEFT COMMON ILIAC ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D066 
PX
DILATION OF LEFT COMMON ILIAC ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D06Z 
PX
DILATION OF LEFT COMMON ILIAC ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D076 
PX
DILATION OF LEFT COMMON ILIAC ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D07Z 
PX
DILATION OF LEFT COMMON ILIAC ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D0D6 
PX
DILATION OF LEFT COMMON ILIAC ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D0DZ 
PX
DILATION OF LEFT COMMON ILIAC ARTERY WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D0E6 
PX
DILATION OF LEFT COMMON ILIAC ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D0EZ 
PX
DILATION OF LEFT COMMON ILIAC ARTERY WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D0F6 
PX
DILATION OF LEFT COMMON ILIAC ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D0FZ 
PX
DILATION OF LEFT COMMON ILIAC ARTERY WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D0G6 
PX
DILATION OF LEFT COMMON ILIAC ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D0GZ 
PX
DILATION OF LEFT COMMON ILIAC ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D0Z6 
PX
DILATION OF LEFT COMMON ILIAC ARTERY, BIFURCATION, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D0ZZ 
PX
DILATION OF LEFT COMMON ILIAC ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D346 
PX
DILATION OF LEFT COMMON ILIAC ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D34Z 
PX
DILATION OF LEFT COMMON ILIAC ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D356 
PX
DILATION OF LEFT COMMON ILIAC ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D35Z 
PX
DILATION OF LEFT COMMON ILIAC ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D366 
PX
DILATION OF LEFT COMMON ILIAC ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D36Z 
PX
DILATION OF LEFT COMMON ILIAC ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D376 
PX
DILATION OF LEFT COMMON ILIAC ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D37Z 
PX
DILATION OF LEFT COMMON ILIAC ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D3D6 
PX
DILATION OF LEFT COMMON ILIAC ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D3DZ 
PX
DILATION OF LEFT COMMON ILIAC ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D3E6 
PX
DILATION OF LEFT COMMON ILIAC ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D3EZ 
PX
DILATION OF LEFT COMMON ILIAC ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D3F6 
PX
DILATION OF LEFT COMMON ILIAC ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D3FZ 
PX
DILATION OF LEFT COMMON ILIAC ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D3G6 
PX
DILATION OF LEFT COMMON ILIAC ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D3GZ 
PX
DILATION OF LEFT COMMON ILIAC ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D3Z6 
PX
DILATION OF LEFT COMMON ILIAC ARTERY, BIFURCATION, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D3ZZ 
PX
DILATION OF LEFT COMMON ILIAC ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D446 
PX
DILATION OF LEFT COMMON ILIAC ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D44Z 
PX
DILATION OF LEFT COMMON ILIAC ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D456 
PX
DILATION OF LEFT COMMON ILIAC ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D45Z 
PX
DILATION OF LEFT COMMON ILIAC ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D466 
PX
DILATION OF LEFT COMMON ILIAC ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D46Z 
PX
DILATION OF LEFT COMMON ILIAC ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D476 
PX
DILATION OF LEFT COMMON ILIAC ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D47Z 
PX
DILATION OF LEFT COMMON ILIAC ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D4D6 
PX
DILATION OF LEFT COMMON ILIAC ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D4DZ 
PX
DILATION OF LEFT COMMON ILIAC ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D4E6 
PX
DILATION OF LEFT COMMON ILIAC ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D4EZ 
PX
DILATION OF LEFT COMMON ILIAC ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D4F6 
PX
DILATION OF LEFT COMMON ILIAC ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D4FZ 
PX
DILATION OF LEFT COMMON ILIAC ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D4G6 
PX
DILATION OF LEFT COMMON ILIAC ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D4GZ 
PX
DILATION OF LEFT COMMON ILIAC ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D4Z6 
PX
DILATION OF LEFT COMMON ILIAC ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047D4ZZ 
PX
DILATION OF LEFT COMMON ILIAC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E046 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E04Z 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E056 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E05Z 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E066 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E06Z 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E076 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E07Z 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E0D6 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E0DZ 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E0E6 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E0EZ 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E0F6 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E0FZ 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E0G6 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E0GZ 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E0Z6 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY, BIFURCATION, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E0ZZ 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E346 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E34Z 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E356 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E35Z 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E366 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E36Z 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E376 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E37Z 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E3D6 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E3DZ 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E3E6 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E3EZ 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E3F6 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E3FZ 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E3G6 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E3GZ 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E3Z6 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY, BIFURCATION, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E3ZZ 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E446 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E44Z 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E456 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E45Z 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E466 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E46Z 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E476 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E47Z 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E4D6 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E4DZ 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E4E6 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E4EZ 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E4F6 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E4FZ 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E4G6 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E4GZ 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E4Z6 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047E4ZZ 
PX
DILATION OF RIGHT INTERNAL ILIAC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F046 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F04Z 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F056 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F05Z 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F066 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F06Z 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F076 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F07Z 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F0D6 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F0DZ 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F0E6 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F0EZ 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F0F6 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F0FZ 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F0G6 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F0GZ 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F0Z6 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY, BIFURCATION, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F0ZZ 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F346 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F34Z 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F356 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F35Z 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F366 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F36Z 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F376 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F37Z 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F3D6 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F3DZ 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F3E6 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F3EZ 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F3F6 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F3FZ 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F3G6 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F3GZ 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F3Z6 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY, BIFURCATION, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F3ZZ 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F446 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F44Z 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F456 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F45Z 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F466 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F46Z 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F476 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F47Z 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F4D6 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F4DZ 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F4E6 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F4EZ 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F4F6 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F4FZ 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F4G6 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F4GZ 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F4Z6 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047F4ZZ 
PX
DILATION OF LEFT INTERNAL ILIAC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H046 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H04Z 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H056 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H05Z 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H066 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H06Z 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H076 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H07Z 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H0D6 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H0DZ 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H0E6 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H0EZ 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H0F6 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H0FZ 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H0G6 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H0GZ 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H0Z6 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY, BIFURCATION, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H0ZZ 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H346 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H34Z 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H356 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H35Z 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H366 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H36Z 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H376 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H37Z 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H3D6 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H3DZ 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H3E6 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H3EZ 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H3F6 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H3FZ 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H3G6 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H3GZ 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H3Z6 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY, BIFURCATION, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H3ZZ 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H446 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H44Z 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H456 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H45Z 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H466 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H46Z 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H476 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H47Z 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H4D6 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H4DZ 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H4E6 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H4EZ 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H4F6 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H4FZ 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H4G6 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H4GZ 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H4Z6 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047H4ZZ 
PX
DILATION OF RIGHT EXTERNAL ILIAC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J046 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J04Z 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J056 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J05Z 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J066 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J06Z 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J076 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J07Z 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J0D6 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J0DZ 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J0E6 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J0EZ 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J0F6 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J0FZ 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J0G6 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J0GZ 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J0Z6 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY, BIFURCATION, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J0ZZ 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J346 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J34Z 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J356 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J35Z 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J366 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J36Z 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J376 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J37Z 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J3D6 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J3DZ 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J3E6 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J3EZ 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J3F6 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J3FZ 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J3G6 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J3GZ 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J3Z6 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY, BIFURCATION, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J3ZZ 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J446 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J44Z 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J456 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J45Z 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J466 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J46Z 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J476 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J47Z 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J4D6 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J4DZ 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J4E6 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J4EZ 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J4F6 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J4FZ 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J4G6 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J4GZ 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J4Z6 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047J4ZZ 
PX
DILATION OF LEFT EXTERNAL ILIAC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K041 
PX
DILATION OF RIGHT FEMORAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, USING DRUG-COATED BALLOON, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K046 
PX
DILATION OF RIGHT FEMORAL ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K04Z 
PX
DILATION OF RIGHT FEMORAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K056 
PX
DILATION OF RIGHT FEMORAL ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K05Z 
PX
DILATION OF RIGHT FEMORAL ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K066 
PX
DILATION OF RIGHT FEMORAL ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K06Z 
PX
DILATION OF RIGHT FEMORAL ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K076 
PX
DILATION OF RIGHT FEMORAL ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K07Z 
PX
DILATION OF RIGHT FEMORAL ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K0D1 
PX
DILATION OF RIGHT FEMORAL ARTERY WITH INTRALUMINAL DEVICE, USING DRUG-COATED BALLOON, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K0D6 
PX
DILATION OF RIGHT FEMORAL ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K0DZ 
PX
DILATION OF RIGHT FEMORAL ARTERY WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K0E6 
PX
DILATION OF RIGHT FEMORAL ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K0EZ 
PX
DILATION OF RIGHT FEMORAL ARTERY WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K0F6 
PX
DILATION OF RIGHT FEMORAL ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K0FZ 
PX
DILATION OF RIGHT FEMORAL ARTERY WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K0G6 
PX
DILATION OF RIGHT FEMORAL ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K0GZ 
PX
DILATION OF RIGHT FEMORAL ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K0Z1 
PX
DILATION OF RIGHT FEMORAL ARTERY USING DRUG-COATED BALLOON, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K0Z6 
PX
DILATION OF RIGHT FEMORAL ARTERY, BIFURCATION, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K0ZZ 
PX
DILATION OF RIGHT FEMORAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K341 
PX
DILATION OF RIGHT FEMORAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, USING DRUG-COATED BALLOON, 
PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K346 
PX
DILATION OF RIGHT FEMORAL ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K34Z 
PX
DILATION OF RIGHT FEMORAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K356 
PX
DILATION OF RIGHT FEMORAL ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K35Z 
PX
DILATION OF RIGHT FEMORAL ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K366 
PX
DILATION OF RIGHT FEMORAL ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K36Z 
PX
DILATION OF RIGHT FEMORAL ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K376 
PX
DILATION OF RIGHT FEMORAL ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K37Z 
PX
DILATION OF RIGHT FEMORAL ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K3D1 
PX
DILATION OF RIGHT FEMORAL ARTERY WITH INTRALUMINAL DEVICE, USING DRUG-COATED BALLOON, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K3D6 
PX
DILATION OF RIGHT FEMORAL ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K3DZ 
PX
DILATION OF RIGHT FEMORAL ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K3E6 
PX
DILATION OF RIGHT FEMORAL ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K3EZ 
PX
DILATION OF RIGHT FEMORAL ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K3F6 
PX
DILATION OF RIGHT FEMORAL ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K3FZ 
PX
DILATION OF RIGHT FEMORAL ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K3G6 
PX
DILATION OF RIGHT FEMORAL ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K3GZ 
PX
DILATION OF RIGHT FEMORAL ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K3Z1 
PX
DILATION OF RIGHT FEMORAL ARTERY USING DRUG-COATED BALLOON, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K3Z6 
PX
DILATION OF RIGHT FEMORAL ARTERY, BIFURCATION, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K3ZZ 
PX
DILATION OF RIGHT FEMORAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K441 
PX
DILATION OF RIGHT FEMORAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, USING DRUG-COATED BALLOON, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K446 
PX
DILATION OF RIGHT FEMORAL ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K44Z 
PX
DILATION OF RIGHT FEMORAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K456 
PX
DILATION OF RIGHT FEMORAL ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K45Z 
PX
DILATION OF RIGHT FEMORAL ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K466 
PX
DILATION OF RIGHT FEMORAL ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K46Z 
PX
DILATION OF RIGHT FEMORAL ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K476 
PX
DILATION OF RIGHT FEMORAL ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K47Z 
PX
DILATION OF RIGHT FEMORAL ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K4D1 
PX
DILATION OF RIGHT FEMORAL ARTERY WITH INTRALUMINAL DEVICE, USING DRUG-COATED BALLOON, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K4D6 
PX
DILATION OF RIGHT FEMORAL ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K4DZ 
PX
DILATION OF RIGHT FEMORAL ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K4E6 
PX
DILATION OF RIGHT FEMORAL ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K4EZ 
PX
DILATION OF RIGHT FEMORAL ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K4F6 
PX
DILATION OF RIGHT FEMORAL ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K4FZ 
PX
DILATION OF RIGHT FEMORAL ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K4G6 
PX
DILATION OF RIGHT FEMORAL ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K4GZ 
PX
DILATION OF RIGHT FEMORAL ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K4Z1 
PX
DILATION OF RIGHT FEMORAL ARTERY USING DRUG-COATED BALLOON, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K4Z6 
PX
DILATION OF RIGHT FEMORAL ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047K4ZZ 
PX
DILATION OF RIGHT FEMORAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L041 
PX
DILATION OF LEFT FEMORAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, USING DRUG-COATED BALLOON, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L046 
PX
DILATION OF LEFT FEMORAL ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L04Z 
PX
DILATION OF LEFT FEMORAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L056 
PX
DILATION OF LEFT FEMORAL ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L05Z 
PX
DILATION OF LEFT FEMORAL ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L066 
PX
DILATION OF LEFT FEMORAL ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L06Z 
PX
DILATION OF LEFT FEMORAL ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L076 
PX
DILATION OF LEFT FEMORAL ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L07Z 
PX
DILATION OF LEFT FEMORAL ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L0D1 
PX
DILATION OF LEFT FEMORAL ARTERY WITH INTRALUMINAL DEVICE, USING DRUG-COATED BALLOON, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L0D6 
PX
DILATION OF LEFT FEMORAL ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L0DZ 
PX
DILATION OF LEFT FEMORAL ARTERY WITH INTRALUMINAL DEVICE, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L0E6 
PX
DILATION OF LEFT FEMORAL ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L0EZ 
PX
DILATION OF LEFT FEMORAL ARTERY WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L0F6 
PX
DILATION OF LEFT FEMORAL ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L0FZ 
PX
DILATION OF LEFT FEMORAL ARTERY WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L0G6 
PX
DILATION OF LEFT FEMORAL ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L0GZ 
PX
DILATION OF LEFT FEMORAL ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L0Z1 
PX
DILATION OF LEFT FEMORAL ARTERY USING DRUG-COATED BALLOON, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L0Z6 
PX
DILATION OF LEFT FEMORAL ARTERY, BIFURCATION, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L0ZZ 
PX
DILATION OF LEFT FEMORAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L341 
PX
DILATION OF LEFT FEMORAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, USING DRUG-COATED BALLOON, 
PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L346 
PX
DILATION OF LEFT FEMORAL ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L34Z 
PX
DILATION OF LEFT FEMORAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L356 
PX
DILATION OF LEFT FEMORAL ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L35Z 
PX
DILATION OF LEFT FEMORAL ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L366 
PX
DILATION OF LEFT FEMORAL ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L36Z 
PX
DILATION OF LEFT FEMORAL ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L376 
PX
DILATION OF LEFT FEMORAL ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L37Z 
PX
DILATION OF LEFT FEMORAL ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L3D1 
PX
DILATION OF LEFT FEMORAL ARTERY WITH INTRALUMINAL DEVICE, USING DRUG-COATED BALLOON, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L3D6 
PX
DILATION OF LEFT FEMORAL ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L3DZ 
PX
DILATION OF LEFT FEMORAL ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L3E6 
PX
DILATION OF LEFT FEMORAL ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L3EZ 
PX
DILATION OF LEFT FEMORAL ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L3F6 
PX
DILATION OF LEFT FEMORAL ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L3FZ 
PX
DILATION OF LEFT FEMORAL ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L3G6 
PX
DILATION OF LEFT FEMORAL ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L3GZ 
PX
DILATION OF LEFT FEMORAL ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L3Z1 
PX
DILATION OF LEFT FEMORAL ARTERY USING DRUG-COATED BALLOON, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L3Z6 
PX
DILATION OF LEFT FEMORAL ARTERY, BIFURCATION, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L3ZZ 
PX
DILATION OF LEFT FEMORAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L441 
PX
DILATION OF LEFT FEMORAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, USING DRUG-COATED BALLOON, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L446 
PX
DILATION OF LEFT FEMORAL ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L44Z 
PX
DILATION OF LEFT FEMORAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L456 
PX
DILATION OF LEFT FEMORAL ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L45Z 
PX
DILATION OF LEFT FEMORAL ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L466 
PX
DILATION OF LEFT FEMORAL ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L46Z 
PX
DILATION OF LEFT FEMORAL ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L476 
PX
DILATION OF LEFT FEMORAL ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L47Z 
PX
DILATION OF LEFT FEMORAL ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L4D1 
PX
DILATION OF LEFT FEMORAL ARTERY WITH INTRALUMINAL DEVICE, USING DRUG-COATED BALLOON, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L4D6 
PX
DILATION OF LEFT FEMORAL ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L4DZ 
PX
DILATION OF LEFT FEMORAL ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L4E6 
PX
DILATION OF LEFT FEMORAL ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L4EZ 
PX
DILATION OF LEFT FEMORAL ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L4F6 
PX
DILATION OF LEFT FEMORAL ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L4FZ 
PX
DILATION OF LEFT FEMORAL ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L4G6 
PX
DILATION OF LEFT FEMORAL ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L4GZ 
PX
DILATION OF LEFT FEMORAL ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L4Z1 
PX
DILATION OF LEFT FEMORAL ARTERY USING DRUG-COATED BALLOON, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L4Z6 
PX
DILATION OF LEFT FEMORAL ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047L4ZZ 
PX
DILATION OF LEFT FEMORAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M041 
PX
DILATION OF RIGHT POPLITEAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, USING DRUG-COATED BALLOON, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M046 
PX
DILATION OF RIGHT POPLITEAL ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M04Z 
PX
DILATION OF RIGHT POPLITEAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M056 
PX
DILATION OF RIGHT POPLITEAL ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M05Z 
PX
DILATION OF RIGHT POPLITEAL ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M066 
PX
DILATION OF RIGHT POPLITEAL ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M06Z 
PX
DILATION OF RIGHT POPLITEAL ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M076 
PX
DILATION OF RIGHT POPLITEAL ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M07Z 
PX
DILATION OF RIGHT POPLITEAL ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M0D1 
PX
DILATION OF RIGHT POPLITEAL ARTERY WITH INTRALUMINAL DEVICE, USING DRUG-COATED BALLOON, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M0D6 
PX
DILATION OF RIGHT POPLITEAL ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M0DZ 
PX
DILATION OF RIGHT POPLITEAL ARTERY WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M0E6 
PX
DILATION OF RIGHT POPLITEAL ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M0EZ 
PX
DILATION OF RIGHT POPLITEAL ARTERY WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M0F6 
PX
DILATION OF RIGHT POPLITEAL ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M0FZ 
PX
DILATION OF RIGHT POPLITEAL ARTERY WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M0G6 
PX
DILATION OF RIGHT POPLITEAL ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M0GZ 
PX
DILATION OF RIGHT POPLITEAL ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M0Z1 
PX
DILATION OF RIGHT POPLITEAL ARTERY USING DRUG-COATED BALLOON, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M0Z6 
PX
DILATION OF RIGHT POPLITEAL ARTERY, BIFURCATION, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M0ZZ 
PX
DILATION OF RIGHT POPLITEAL ARTERY, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M341 
PX
DILATION OF RIGHT POPLITEAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, USING DRUG-COATED BALLOON, 
PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M346 
PX
DILATION OF RIGHT POPLITEAL ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M34Z 
PX
DILATION OF RIGHT POPLITEAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M356 
PX
DILATION OF RIGHT POPLITEAL ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M35Z 
PX
DILATION OF RIGHT POPLITEAL ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M366 
PX
DILATION OF RIGHT POPLITEAL ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M36Z 
PX
DILATION OF RIGHT POPLITEAL ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M376 
PX
DILATION OF RIGHT POPLITEAL ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M37Z 
PX
DILATION OF RIGHT POPLITEAL ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M3D1 
PX
DILATION OF RIGHT POPLITEAL ARTERY WITH INTRALUMINAL DEVICE, USING DRUG-COATED BALLOON, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M3D6 
PX
DILATION OF RIGHT POPLITEAL ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M3DZ 
PX
DILATION OF RIGHT POPLITEAL ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M3E6 
PX
DILATION OF RIGHT POPLITEAL ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M3EZ 
PX
DILATION OF RIGHT POPLITEAL ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M3F6 
PX
DILATION OF RIGHT POPLITEAL ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M3FZ 
PX
DILATION OF RIGHT POPLITEAL ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M3G6 
PX
DILATION OF RIGHT POPLITEAL ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M3GZ 
PX
DILATION OF RIGHT POPLITEAL ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M3Z1 
PX
DILATION OF RIGHT POPLITEAL ARTERY USING DRUG-COATED BALLOON, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M3Z6 
PX
DILATION OF RIGHT POPLITEAL ARTERY, BIFURCATION, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M3ZZ 
PX
DILATION OF RIGHT POPLITEAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M441 
PX
DILATION OF RIGHT POPLITEAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, USING DRUG-COATED BALLOON, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M446 
PX
DILATION OF RIGHT POPLITEAL ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M44Z 
PX
DILATION OF RIGHT POPLITEAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M456 
PX
DILATION OF RIGHT POPLITEAL ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M45Z 
PX
DILATION OF RIGHT POPLITEAL ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M466 
PX
DILATION OF RIGHT POPLITEAL ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M46Z 
PX
DILATION OF RIGHT POPLITEAL ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M476 
PX
DILATION OF RIGHT POPLITEAL ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M47Z 
PX
DILATION OF RIGHT POPLITEAL ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M4D1 
PX
DILATION OF RIGHT POPLITEAL ARTERY WITH INTRALUMINAL DEVICE, USING DRUG-COATED BALLOON, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M4D6 
PX
DILATION OF RIGHT POPLITEAL ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M4DZ 
PX
DILATION OF RIGHT POPLITEAL ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M4E6 
PX
DILATION OF RIGHT POPLITEAL ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M4EZ 
PX
DILATION OF RIGHT POPLITEAL ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M4F6 
PX
DILATION OF RIGHT POPLITEAL ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M4FZ 
PX
DILATION OF RIGHT POPLITEAL ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M4G6 
PX
DILATION OF RIGHT POPLITEAL ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M4GZ 
PX
DILATION OF RIGHT POPLITEAL ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M4Z1 
PX
DILATION OF RIGHT POPLITEAL ARTERY USING DRUG-COATED BALLOON, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M4Z6 
PX
DILATION OF RIGHT POPLITEAL ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047M4ZZ 
PX
DILATION OF RIGHT POPLITEAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N041 
PX
DILATION OF LEFT POPLITEAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, USING DRUG-COATED BALLOON, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N046 
PX
DILATION OF LEFT POPLITEAL ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N04Z 
PX
DILATION OF LEFT POPLITEAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N056 
PX
DILATION OF LEFT POPLITEAL ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N05Z 
PX
DILATION OF LEFT POPLITEAL ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N066 
PX
DILATION OF LEFT POPLITEAL ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N06Z 
PX
DILATION OF LEFT POPLITEAL ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N076 
PX
DILATION OF LEFT POPLITEAL ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N07Z 
PX
DILATION OF LEFT POPLITEAL ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N0D1 
PX
DILATION OF LEFT POPLITEAL ARTERY WITH INTRALUMINAL DEVICE, USING DRUG-COATED BALLOON, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N0D6 
PX
DILATION OF LEFT POPLITEAL ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N0DZ 
PX
DILATION OF LEFT POPLITEAL ARTERY WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N0E6 
PX
DILATION OF LEFT POPLITEAL ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N0EZ 
PX
DILATION OF LEFT POPLITEAL ARTERY WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N0F6 
PX
DILATION OF LEFT POPLITEAL ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N0FZ 
PX
DILATION OF LEFT POPLITEAL ARTERY WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N0G6 
PX
DILATION OF LEFT POPLITEAL ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N0GZ 
PX
DILATION OF LEFT POPLITEAL ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N0Z1 
PX
DILATION OF LEFT POPLITEAL ARTERY USING DRUG-COATED BALLOON, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N0Z6 
PX
DILATION OF LEFT POPLITEAL ARTERY, BIFURCATION, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N0ZZ 
PX
DILATION OF LEFT POPLITEAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N341 
PX
DILATION OF LEFT POPLITEAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, USING DRUG-COATED BALLOON, 
PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N346 
PX
DILATION OF LEFT POPLITEAL ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N34Z 
PX
DILATION OF LEFT POPLITEAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N356 
PX
DILATION OF LEFT POPLITEAL ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N35Z 
PX
DILATION OF LEFT POPLITEAL ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N366 
PX
DILATION OF LEFT POPLITEAL ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N36Z 
PX
DILATION OF LEFT POPLITEAL ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N376 
PX
DILATION OF LEFT POPLITEAL ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N37Z 
PX
DILATION OF LEFT POPLITEAL ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N3D1 
PX
DILATION OF LEFT POPLITEAL ARTERY WITH INTRALUMINAL DEVICE, USING DRUG-COATED BALLOON, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N3D6 
PX
DILATION OF LEFT POPLITEAL ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N3DZ 
PX
DILATION OF LEFT POPLITEAL ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N3E6 
PX
DILATION OF LEFT POPLITEAL ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N3EZ 
PX
DILATION OF LEFT POPLITEAL ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N3F6 
PX
DILATION OF LEFT POPLITEAL ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N3FZ 
PX
DILATION OF LEFT POPLITEAL ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N3G6 
PX
DILATION OF LEFT POPLITEAL ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N3GZ 
PX
DILATION OF LEFT POPLITEAL ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N3Z1 
PX
DILATION OF LEFT POPLITEAL ARTERY USING DRUG-COATED BALLOON, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N3Z6 
PX
DILATION OF LEFT POPLITEAL ARTERY, BIFURCATION, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N3ZZ 
PX
DILATION OF LEFT POPLITEAL ARTERY, PERCUTANEOUS APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N441 
PX
DILATION OF LEFT POPLITEAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, USING DRUG-COATED BALLOON, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N446 
PX
DILATION OF LEFT POPLITEAL ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N44Z 
PX
DILATION OF LEFT POPLITEAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N456 
PX
DILATION OF LEFT POPLITEAL ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N45Z 
PX
DILATION OF LEFT POPLITEAL ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N466 
PX
DILATION OF LEFT POPLITEAL ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N46Z 
PX
DILATION OF LEFT POPLITEAL ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N476 
PX
DILATION OF LEFT POPLITEAL ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N47Z 
PX
DILATION OF LEFT POPLITEAL ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N4D1 
PX
DILATION OF LEFT POPLITEAL ARTERY WITH INTRALUMINAL DEVICE, USING DRUG-COATED BALLOON, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N4D6 
PX
DILATION OF LEFT POPLITEAL ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N4DZ 
PX
DILATION OF LEFT POPLITEAL ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N4E6 
PX
DILATION OF LEFT POPLITEAL ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N4EZ 
PX
DILATION OF LEFT POPLITEAL ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N4F6 
PX
DILATION OF LEFT POPLITEAL ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N4FZ 
PX
DILATION OF LEFT POPLITEAL ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N4G6 
PX
DILATION OF LEFT POPLITEAL ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N4GZ 
PX
DILATION OF LEFT POPLITEAL ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N4Z1 
PX
DILATION OF LEFT POPLITEAL ARTERY USING DRUG-COATED BALLOON, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N4Z6 
PX
DILATION OF LEFT POPLITEAL ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047N4ZZ 
PX
DILATION OF LEFT POPLITEAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P046 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P04Z 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P056 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P05Z 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P066 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P06Z 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P076 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P07Z 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P0D6 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P0DZ 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P0E6 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P0EZ 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P0F6 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P0FZ 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P0G6 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P0GZ 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P0Z6 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY, BIFURCATION, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P0ZZ 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P346 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P34Z 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P356 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P35Z 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P366 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P36Z 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P376 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P37Z 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P3D6 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P3DZ 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P3E6 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P3EZ 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P3F6 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P3FZ 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P3G6 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P3GZ 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P3Z6 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY, BIFURCATION, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P3ZZ 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P446 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P44Z 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P456 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P45Z 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P466 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P46Z 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P476 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P47Z 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P4D6 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P4DZ 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P4E6 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P4EZ 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P4F6 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P4FZ 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P4G6 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P4GZ 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P4Z6 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047P4ZZ 
PX
DILATION OF RIGHT ANTERIOR TIBIAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q046 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q04Z 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q056 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q05Z 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q066 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q06Z 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q076 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q07Z 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q0D6 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q0DZ 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q0E6 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q0EZ 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q0F6 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q0FZ 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q0G6 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q0GZ 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q0Z6 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY, BIFURCATION, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q0ZZ 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q346 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q34Z 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q356 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q35Z 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q366 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q36Z 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q376 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q37Z 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q3D6 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q3DZ 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q3E6 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q3EZ 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q3F6 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q3FZ 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q3G6 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q3GZ 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q3Z6 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY, BIFURCATION, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q3ZZ 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q446 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q44Z 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q456 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q45Z 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q466 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q46Z 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q476 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q47Z 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q4D6 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q4DZ 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q4E6 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q4EZ 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q4F6 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q4FZ 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q4G6 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q4GZ 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q4Z6 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Q4ZZ 
PX
DILATION OF LEFT ANTERIOR TIBIAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R046 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R04Z 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R056 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R05Z 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R066 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R06Z 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R076 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R07Z 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R0D6 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R0DZ 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R0E6 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R0EZ 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R0F6 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R0FZ 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R0G6 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R0GZ 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R0Z6 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY, BIFURCATION, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R0ZZ 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R346 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R34Z 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R356 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R35Z 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R366 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R36Z 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R376 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R37Z 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R3D6 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R3DZ 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R3E6 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R3EZ 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R3F6 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R3FZ 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R3G6 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R3GZ 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R3Z6 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY, BIFURCATION, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R3ZZ 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R446 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R44Z 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R456 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R45Z 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R466 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R46Z 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R476 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R47Z 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R4D6 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R4DZ 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R4E6 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R4EZ 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R4F6 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R4FZ 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R4G6 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R4GZ 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R4Z6 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047R4ZZ 
PX
DILATION OF RIGHT POSTERIOR TIBIAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S046 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S04Z 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S056 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S05Z 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S066 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S06Z 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S076 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S07Z 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S0D6 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S0DZ 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S0E6 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S0EZ 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S0F6 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S0FZ 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S0G6 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S0GZ 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S0Z6 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY, BIFURCATION, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S0ZZ 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S346 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S34Z 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S356 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S35Z 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S366 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S36Z 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S376 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S37Z 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S3D6 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S3DZ 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S3E6 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S3EZ 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S3F6 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S3FZ 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S3G6 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S3GZ 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S3Z6 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY, BIFURCATION, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S3ZZ 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S446 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S44Z 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S456 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S45Z 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S466 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S46Z 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S476 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S47Z 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S4D6 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S4DZ 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S4E6 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S4EZ 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S4F6 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S4FZ 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S4G6 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S4GZ 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S4Z6 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047S4ZZ 
PX
DILATION OF LEFT POSTERIOR TIBIAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T046 
PX
DILATION OF RIGHT PERONEAL ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T04Z 
PX
DILATION OF RIGHT PERONEAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T056 
PX
DILATION OF RIGHT PERONEAL ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T05Z 
PX
DILATION OF RIGHT PERONEAL ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T066 
PX
DILATION OF RIGHT PERONEAL ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T06Z 
PX
DILATION OF RIGHT PERONEAL ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T076 
PX
DILATION OF RIGHT PERONEAL ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T07Z 
PX
DILATION OF RIGHT PERONEAL ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T0D6 
PX
DILATION OF RIGHT PERONEAL ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T0DZ 
PX
DILATION OF RIGHT PERONEAL ARTERY WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T0E6 
PX
DILATION OF RIGHT PERONEAL ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T0EZ 
PX
DILATION OF RIGHT PERONEAL ARTERY WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T0F6 
PX
DILATION OF RIGHT PERONEAL ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T0FZ 
PX
DILATION OF RIGHT PERONEAL ARTERY WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T0G6 
PX
DILATION OF RIGHT PERONEAL ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T0GZ 
PX
DILATION OF RIGHT PERONEAL ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T0Z6 
PX
DILATION OF RIGHT PERONEAL ARTERY, BIFURCATION, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T0ZZ 
PX
DILATION OF RIGHT PERONEAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T346 
PX
DILATION OF RIGHT PERONEAL ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T34Z 
PX
DILATION OF RIGHT PERONEAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T356 
PX
DILATION OF RIGHT PERONEAL ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T35Z 
PX
DILATION OF RIGHT PERONEAL ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T366 
PX
DILATION OF RIGHT PERONEAL ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T36Z 
PX
DILATION OF RIGHT PERONEAL ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T376 
PX
DILATION OF RIGHT PERONEAL ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T37Z 
PX
DILATION OF RIGHT PERONEAL ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T3D6 
PX
DILATION OF RIGHT PERONEAL ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T3DZ 
PX
DILATION OF RIGHT PERONEAL ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T3E6 
PX
DILATION OF RIGHT PERONEAL ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T3EZ 
PX
DILATION OF RIGHT PERONEAL ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T3F6 
PX
DILATION OF RIGHT PERONEAL ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T3FZ 
PX
DILATION OF RIGHT PERONEAL ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T3G6 
PX
DILATION OF RIGHT PERONEAL ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T3GZ 
PX
DILATION OF RIGHT PERONEAL ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T3Z6 
PX
DILATION OF RIGHT PERONEAL ARTERY, BIFURCATION, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T3ZZ 
PX
DILATION OF RIGHT PERONEAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T446 
PX
DILATION OF RIGHT PERONEAL ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T44Z 
PX
DILATION OF RIGHT PERONEAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T456 
PX
DILATION OF RIGHT PERONEAL ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T45Z 
PX
DILATION OF RIGHT PERONEAL ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T466 
PX
DILATION OF RIGHT PERONEAL ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T46Z 
PX
DILATION OF RIGHT PERONEAL ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T476 
PX
DILATION OF RIGHT PERONEAL ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T47Z 
PX
DILATION OF RIGHT PERONEAL ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T4D6 
PX
DILATION OF RIGHT PERONEAL ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T4DZ 
PX
DILATION OF RIGHT PERONEAL ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T4E6 
PX
DILATION OF RIGHT PERONEAL ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T4EZ 
PX
DILATION OF RIGHT PERONEAL ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T4F6 
PX
DILATION OF RIGHT PERONEAL ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T4FZ 
PX
DILATION OF RIGHT PERONEAL ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T4G6 
PX
DILATION OF RIGHT PERONEAL ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T4GZ 
PX
DILATION OF RIGHT PERONEAL ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T4Z6 
PX
DILATION OF RIGHT PERONEAL ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047T4ZZ 
PX
DILATION OF RIGHT PERONEAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U046 
PX
DILATION OF LEFT PERONEAL ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U04Z 
PX
DILATION OF LEFT PERONEAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U056 
PX
DILATION OF LEFT PERONEAL ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U05Z 
PX
DILATION OF LEFT PERONEAL ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U066 
PX
DILATION OF LEFT PERONEAL ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U06Z 
PX
DILATION OF LEFT PERONEAL ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U076 
PX
DILATION OF LEFT PERONEAL ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U07Z 
PX
DILATION OF LEFT PERONEAL ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U0D6 
PX
DILATION OF LEFT PERONEAL ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U0DZ 
PX
DILATION OF LEFT PERONEAL ARTERY WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U0E6 
PX
DILATION OF LEFT PERONEAL ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U0EZ 
PX
DILATION OF LEFT PERONEAL ARTERY WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U0F6 
PX
DILATION OF LEFT PERONEAL ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U0FZ 
PX
DILATION OF LEFT PERONEAL ARTERY WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U0G6 
PX
DILATION OF LEFT PERONEAL ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U0GZ 
PX
DILATION OF LEFT PERONEAL ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U0Z6 
PX
DILATION OF LEFT PERONEAL ARTERY, BIFURCATION, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U0ZZ 
PX
DILATION OF LEFT PERONEAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U346 
PX
DILATION OF LEFT PERONEAL ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U34Z 
PX
DILATION OF LEFT PERONEAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U356 
PX
DILATION OF LEFT PERONEAL ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U35Z 
PX
DILATION OF LEFT PERONEAL ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U366 
PX
DILATION OF LEFT PERONEAL ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U36Z 
PX
DILATION OF LEFT PERONEAL ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U376 
PX
DILATION OF LEFT PERONEAL ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U37Z 
PX
DILATION OF LEFT PERONEAL ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U3D6 
PX
DILATION OF LEFT PERONEAL ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U3DZ 
PX
DILATION OF LEFT PERONEAL ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U3E6 
PX
DILATION OF LEFT PERONEAL ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U3EZ 
PX
DILATION OF LEFT PERONEAL ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U3F6 
PX
DILATION OF LEFT PERONEAL ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U3FZ 
PX
DILATION OF LEFT PERONEAL ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U3G6 
PX
DILATION OF LEFT PERONEAL ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U3GZ 
PX
DILATION OF LEFT PERONEAL ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U3Z6 
PX
DILATION OF LEFT PERONEAL ARTERY, BIFURCATION, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U3ZZ 
PX
DILATION OF LEFT PERONEAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U446 
PX
DILATION OF LEFT PERONEAL ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U44Z 
PX
DILATION OF LEFT PERONEAL ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U456 
PX
DILATION OF LEFT PERONEAL ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U45Z 
PX
DILATION OF LEFT PERONEAL ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U466 
PX
DILATION OF LEFT PERONEAL ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U46Z 
PX
DILATION OF LEFT PERONEAL ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U476 
PX
DILATION OF LEFT PERONEAL ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U47Z 
PX
DILATION OF LEFT PERONEAL ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U4D6 
PX
DILATION OF LEFT PERONEAL ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U4DZ 
PX
DILATION OF LEFT PERONEAL ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U4E6 
PX
DILATION OF LEFT PERONEAL ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U4EZ 
PX
DILATION OF LEFT PERONEAL ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U4F6 
PX
DILATION OF LEFT PERONEAL ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U4FZ 
PX
DILATION OF LEFT PERONEAL ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U4G6 
PX
DILATION OF LEFT PERONEAL ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U4GZ 
PX
DILATION OF LEFT PERONEAL ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U4Z6 
PX
DILATION OF LEFT PERONEAL ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047U4ZZ 
PX
DILATION OF LEFT PERONEAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V046 
PX
DILATION OF RIGHT FOOT ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V04Z 
PX
DILATION OF RIGHT FOOT ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V056 
PX
DILATION OF RIGHT FOOT ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V05Z 
PX
DILATION OF RIGHT FOOT ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V066 
PX
DILATION OF RIGHT FOOT ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V06Z 
PX
DILATION OF RIGHT FOOT ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V076 
PX
DILATION OF RIGHT FOOT ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V07Z 
PX
DILATION OF RIGHT FOOT ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V0D6 
PX
DILATION OF RIGHT FOOT ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V0DZ 
PX
DILATION OF RIGHT FOOT ARTERY WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V0E6 
PX
DILATION OF RIGHT FOOT ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V0EZ 
PX
DILATION OF RIGHT FOOT ARTERY WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V0F6 
PX
DILATION OF RIGHT FOOT ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V0FZ 
PX
DILATION OF RIGHT FOOT ARTERY WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V0G6 
PX
DILATION OF RIGHT FOOT ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V0GZ 
PX
DILATION OF RIGHT FOOT ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V0Z6 
PX
DILATION OF RIGHT FOOT ARTERY, BIFURCATION, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V0ZZ 
PX
DILATION OF RIGHT FOOT ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V346 
PX
DILATION OF RIGHT FOOT ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V34Z 
PX
DILATION OF RIGHT FOOT ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V356 
PX
DILATION OF RIGHT FOOT ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V35Z 
PX
DILATION OF RIGHT FOOT ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V366 
PX
DILATION OF RIGHT FOOT ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V36Z 
PX
DILATION OF RIGHT FOOT ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V376 
PX
DILATION OF RIGHT FOOT ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V37Z 
PX
DILATION OF RIGHT FOOT ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V3D6 
PX
DILATION OF RIGHT FOOT ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V3DZ 
PX
DILATION OF RIGHT FOOT ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V3E6 
PX
DILATION OF RIGHT FOOT ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V3EZ 
PX
DILATION OF RIGHT FOOT ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V3F6 
PX
DILATION OF RIGHT FOOT ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V3FZ 
PX
DILATION OF RIGHT FOOT ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V3G6 
PX
DILATION OF RIGHT FOOT ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V3GZ 
PX
DILATION OF RIGHT FOOT ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V3Z6 
PX
DILATION OF RIGHT FOOT ARTERY, BIFURCATION, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V3ZZ 
PX
DILATION OF RIGHT FOOT ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V446 
PX
DILATION OF RIGHT FOOT ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V44Z 
PX
DILATION OF RIGHT FOOT ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V456 
PX
DILATION OF RIGHT FOOT ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V45Z 
PX
DILATION OF RIGHT FOOT ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V466 
PX
DILATION OF RIGHT FOOT ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V46Z 
PX
DILATION OF RIGHT FOOT ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V476 
PX
DILATION OF RIGHT FOOT ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V47Z 
PX
DILATION OF RIGHT FOOT ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V4D6 
PX
DILATION OF RIGHT FOOT ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V4DZ 
PX
DILATION OF RIGHT FOOT ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V4E6 
PX
DILATION OF RIGHT FOOT ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V4EZ 
PX
DILATION OF RIGHT FOOT ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V4F6 
PX
DILATION OF RIGHT FOOT ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V4FZ 
PX
DILATION OF RIGHT FOOT ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V4G6 
PX
DILATION OF RIGHT FOOT ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V4GZ 
PX
DILATION OF RIGHT FOOT ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V4Z6 
PX
DILATION OF RIGHT FOOT ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047V4ZZ 
PX
DILATION OF RIGHT FOOT ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W046 
PX
DILATION OF LEFT FOOT ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W04Z 
PX
DILATION OF LEFT FOOT ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W056 
PX
DILATION OF LEFT FOOT ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W05Z 
PX
DILATION OF LEFT FOOT ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W066 
PX
DILATION OF LEFT FOOT ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W06Z 
PX
DILATION OF LEFT FOOT ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W076 
PX
DILATION OF LEFT FOOT ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W07Z 
PX
DILATION OF LEFT FOOT ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W0D6 
PX
DILATION OF LEFT FOOT ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W0DZ 
PX
DILATION OF LEFT FOOT ARTERY WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W0E6 
PX
DILATION OF LEFT FOOT ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W0EZ 
PX
DILATION OF LEFT FOOT ARTERY WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W0F6 
PX
DILATION OF LEFT FOOT ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W0FZ 
PX
DILATION OF LEFT FOOT ARTERY WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W0G6 
PX
DILATION OF LEFT FOOT ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W0GZ 
PX
DILATION OF LEFT FOOT ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W0Z6 
PX
DILATION OF LEFT FOOT ARTERY, BIFURCATION, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W0ZZ 
PX
DILATION OF LEFT FOOT ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W346 
PX
DILATION OF LEFT FOOT ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W34Z 
PX
DILATION OF LEFT FOOT ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W356 
PX
DILATION OF LEFT FOOT ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W35Z 
PX
DILATION OF LEFT FOOT ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W366 
PX
DILATION OF LEFT FOOT ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W36Z 
PX
DILATION OF LEFT FOOT ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W376 
PX
DILATION OF LEFT FOOT ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W37Z 
PX
DILATION OF LEFT FOOT ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W3D6 
PX
DILATION OF LEFT FOOT ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W3DZ 
PX
DILATION OF LEFT FOOT ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W3E6 
PX
DILATION OF LEFT FOOT ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W3EZ 
PX
DILATION OF LEFT FOOT ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W3F6 
PX
DILATION OF LEFT FOOT ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W3FZ 
PX
DILATION OF LEFT FOOT ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W3G6 
PX
DILATION OF LEFT FOOT ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W3GZ 
PX
DILATION OF LEFT FOOT ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W3Z6 
PX
DILATION OF LEFT FOOT ARTERY, BIFURCATION, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W3ZZ 
PX
DILATION OF LEFT FOOT ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W446 
PX
DILATION OF LEFT FOOT ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W44Z 
PX
DILATION OF LEFT FOOT ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W456 
PX
DILATION OF LEFT FOOT ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W45Z 
PX
DILATION OF LEFT FOOT ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W466 
PX
DILATION OF LEFT FOOT ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W46Z 
PX
DILATION OF LEFT FOOT ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W476 
PX
DILATION OF LEFT FOOT ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W47Z 
PX
DILATION OF LEFT FOOT ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W4D6 
PX
DILATION OF LEFT FOOT ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W4DZ 
PX
DILATION OF LEFT FOOT ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W4E6 
PX
DILATION OF LEFT FOOT ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W4EZ 
PX
DILATION OF LEFT FOOT ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W4F6 
PX
DILATION OF LEFT FOOT ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W4FZ 
PX
DILATION OF LEFT FOOT ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W4G6 
PX
DILATION OF LEFT FOOT ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W4GZ 
PX
DILATION OF LEFT FOOT ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W4Z6 
PX
DILATION OF LEFT FOOT ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047W4ZZ 
PX
DILATION OF LEFT FOOT ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y046 
PX
DILATION OF LOWER ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y04Z 
PX
DILATION OF LOWER ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y056 
PX
DILATION OF LOWER ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y05Z 
PX
DILATION OF LOWER ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y066 
PX
DILATION OF LOWER ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y06Z 
PX
DILATION OF LOWER ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y076 
PX
DILATION OF LOWER ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y07Z 
PX
DILATION OF LOWER ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y0D6 
PX
DILATION OF LOWER ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y0DZ 
PX
DILATION OF LOWER ARTERY WITH INTRALUMINAL DEVICE, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y0E6 
PX
DILATION OF LOWER ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y0EZ 
PX
DILATION OF LOWER ARTERY WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y0F6 
PX
DILATION OF LOWER ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y0FZ 
PX
DILATION OF LOWER ARTERY WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y0G6 
PX
DILATION OF LOWER ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y0GZ 
PX
DILATION OF LOWER ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y0Z6 
PX
DILATION OF LOWER ARTERY, BIFURCATION, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y0ZZ 
PX
DILATION OF LOWER ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y346 
PX
DILATION OF LOWER ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y34Z 
PX
DILATION OF LOWER ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y356 
PX
DILATION OF LOWER ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y35Z 
PX
DILATION OF LOWER ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y366 
PX
DILATION OF LOWER ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y36Z 
PX
DILATION OF LOWER ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y376 
PX
DILATION OF LOWER ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y37Z 
PX
DILATION OF LOWER ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y3D6 
PX
DILATION OF LOWER ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y3DZ 
PX
DILATION OF LOWER ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y3E6 
PX
DILATION OF LOWER ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y3EZ 
PX
DILATION OF LOWER ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y3F6 
PX
DILATION OF LOWER ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y3FZ 
PX
DILATION OF LOWER ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y3G6 
PX
DILATION OF LOWER ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y3GZ 
PX
DILATION OF LOWER ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y3Z6 
PX
DILATION OF LOWER ARTERY, BIFURCATION, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y3ZZ 
PX
DILATION OF LOWER ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y446 
PX
DILATION OF LOWER ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y44Z 
PX
DILATION OF LOWER ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y456 
PX
DILATION OF LOWER ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y45Z 
PX
DILATION OF LOWER ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y466 
PX
DILATION OF LOWER ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y46Z 
PX
DILATION OF LOWER ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y476 
PX
DILATION OF LOWER ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y47Z 
PX
DILATION OF LOWER ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y4D6 
PX
DILATION OF LOWER ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y4DZ 
PX
DILATION OF LOWER ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y4E6 
PX
DILATION OF LOWER ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y4EZ 
PX
DILATION OF LOWER ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y4F6 
PX
DILATION OF LOWER ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y4FZ 
PX
DILATION OF LOWER ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y4G6 
PX
DILATION OF LOWER ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y4GZ 
PX
DILATION OF LOWER ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y4Z6 
PX
DILATION OF LOWER ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
047Y4ZZ 
PX
DILATION OF LOWER ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CK0Z6 
PX
EXTIRPATION OF MATTER FROM RIGHT FEMORAL ARTERY, BIFURCATION, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CK0ZZ 
PX
EXTIRPATION OF MATTER FROM RIGHT FEMORAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CK3Z6 
PX
EXTIRPATION OF MATTER FROM RIGHT FEMORAL ARTERY, BIFURCATION, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CK3ZZ 
PX
EXTIRPATION OF MATTER FROM RIGHT FEMORAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CK4Z6 
PX
EXTIRPATION OF MATTER FROM RIGHT FEMORAL ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CK4ZZ 
PX
EXTIRPATION OF MATTER FROM RIGHT FEMORAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CL0Z6 
PX
EXTIRPATION OF MATTER FROM LEFT FEMORAL ARTERY, BIFURCATION, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CL0ZZ 
PX
EXTIRPATION OF MATTER FROM LEFT FEMORAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CL3Z6 
PX
EXTIRPATION OF MATTER FROM LEFT FEMORAL ARTERY, BIFURCATION, PERCUTANEOUS APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CL3ZZ 
PX
EXTIRPATION OF MATTER FROM LEFT FEMORAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CL4Z6 
PX
EXTIRPATION OF MATTER FROM LEFT FEMORAL ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CL4ZZ 
PX
EXTIRPATION OF MATTER FROM LEFT FEMORAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CM0Z6 
PX
EXTIRPATION OF MATTER FROM RIGHT POPLITEAL ARTERY, BIFURCATION, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CM0ZZ 
PX
EXTIRPATION OF MATTER FROM RIGHT POPLITEAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CM3Z6 
PX
EXTIRPATION OF MATTER FROM RIGHT POPLITEAL ARTERY, BIFURCATION, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CM3ZZ 
PX
EXTIRPATION OF MATTER FROM RIGHT POPLITEAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CM4Z6 
PX
EXTIRPATION OF MATTER FROM RIGHT POPLITEAL ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CM4ZZ 
PX
EXTIRPATION OF MATTER FROM RIGHT POPLITEAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CN0Z6 
PX
EXTIRPATION OF MATTER FROM LEFT POPLITEAL ARTERY, BIFURCATION, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CN0ZZ 
PX
EXTIRPATION OF MATTER FROM LEFT POPLITEAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CN3Z6 
PX
EXTIRPATION OF MATTER FROM LEFT POPLITEAL ARTERY, BIFURCATION, PERCUTANEOUS APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CN3ZZ 
PX
EXTIRPATION OF MATTER FROM LEFT POPLITEAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CN4Z6 
PX
EXTIRPATION OF MATTER FROM LEFT POPLITEAL ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CN4ZZ 
PX
EXTIRPATION OF MATTER FROM LEFT POPLITEAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CP0Z6 
PX
EXTIRPATION OF MATTER FROM RIGHT ANTERIOR TIBIAL ARTERY, BIFURCATION, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CP0ZZ 
PX
EXTIRPATION OF MATTER FROM RIGHT ANTERIOR TIBIAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CP3Z6 
PX
EXTIRPATION OF MATTER FROM RIGHT ANTERIOR TIBIAL ARTERY, BIFURCATION, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CP3ZZ 
PX
EXTIRPATION OF MATTER FROM RIGHT ANTERIOR TIBIAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CP4Z6 
PX
EXTIRPATION OF MATTER FROM RIGHT ANTERIOR TIBIAL ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CP4ZZ 
PX
EXTIRPATION OF MATTER FROM RIGHT ANTERIOR TIBIAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CQ0Z6 
PX
EXTIRPATION OF MATTER FROM LEFT ANTERIOR TIBIAL ARTERY, BIFURCATION, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CQ0ZZ 
PX
EXTIRPATION OF MATTER FROM LEFT ANTERIOR TIBIAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CQ3Z6 
PX
EXTIRPATION OF MATTER FROM LEFT ANTERIOR TIBIAL ARTERY, BIFURCATION, PERCUTANEOUS APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CQ3ZZ 
PX
EXTIRPATION OF MATTER FROM LEFT ANTERIOR TIBIAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CQ4Z6 
PX
EXTIRPATION OF MATTER FROM LEFT ANTERIOR TIBIAL ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CQ4ZZ 
PX
EXTIRPATION OF MATTER FROM LEFT ANTERIOR TIBIAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CR0Z6 
PX
EXTIRPATION OF MATTER FROM RIGHT POSTERIOR TIBIAL ARTERY, BIFURCATION, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CR0ZZ 
PX
EXTIRPATION OF MATTER FROM RIGHT POSTERIOR TIBIAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CR3Z6 
PX
EXTIRPATION OF MATTER FROM RIGHT POSTERIOR TIBIAL ARTERY, BIFURCATION, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CR3ZZ 
PX
EXTIRPATION OF MATTER FROM RIGHT POSTERIOR TIBIAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CR4Z6 
PX
EXTIRPATION OF MATTER FROM RIGHT POSTERIOR TIBIAL ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CR4ZZ 
PX
EXTIRPATION OF MATTER FROM RIGHT POSTERIOR TIBIAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CS0Z6 
PX
EXTIRPATION OF MATTER FROM LEFT POSTERIOR TIBIAL ARTERY, BIFURCATION, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CS0ZZ 
PX
EXTIRPATION OF MATTER FROM LEFT POSTERIOR TIBIAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CS3Z6 
PX
EXTIRPATION OF MATTER FROM LEFT POSTERIOR TIBIAL ARTERY, BIFURCATION, PERCUTANEOUS APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CS3ZZ 
PX
EXTIRPATION OF MATTER FROM LEFT POSTERIOR TIBIAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CS4Z6 
PX
EXTIRPATION OF MATTER FROM LEFT POSTERIOR TIBIAL ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CS4ZZ 
PX
EXTIRPATION OF MATTER FROM LEFT POSTERIOR TIBIAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CT0Z6 
PX
EXTIRPATION OF MATTER FROM RIGHT PERONEAL ARTERY, BIFURCATION, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CT0ZZ 
PX
EXTIRPATION OF MATTER FROM RIGHT PERONEAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CT3Z6 
PX
EXTIRPATION OF MATTER FROM RIGHT PERONEAL ARTERY, BIFURCATION, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CT3ZZ 
PX
EXTIRPATION OF MATTER FROM RIGHT PERONEAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CT4Z6 
PX
EXTIRPATION OF MATTER FROM RIGHT PERONEAL ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CT4ZZ 
PX
EXTIRPATION OF MATTER FROM RIGHT PERONEAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CU0Z6 
PX
EXTIRPATION OF MATTER FROM LEFT PERONEAL ARTERY, BIFURCATION, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CU0ZZ 
PX
EXTIRPATION OF MATTER FROM LEFT PERONEAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CU3Z6 
PX
EXTIRPATION OF MATTER FROM LEFT PERONEAL ARTERY, BIFURCATION, PERCUTANEOUS APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CU3ZZ 
PX
EXTIRPATION OF MATTER FROM LEFT PERONEAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CU4Z6 
PX
EXTIRPATION OF MATTER FROM LEFT PERONEAL ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CU4ZZ 
PX
EXTIRPATION OF MATTER FROM LEFT PERONEAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CV0Z6 
PX
EXTIRPATION OF MATTER FROM RIGHT FOOT ARTERY, BIFURCATION, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CV0ZZ 
PX
EXTIRPATION OF MATTER FROM RIGHT FOOT ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CV3Z6 
PX
EXTIRPATION OF MATTER FROM RIGHT FOOT ARTERY, BIFURCATION, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CV3ZZ 
PX
EXTIRPATION OF MATTER FROM RIGHT FOOT ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CV4Z6 
PX
EXTIRPATION OF MATTER FROM RIGHT FOOT ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CV4ZZ 
PX
EXTIRPATION OF MATTER FROM RIGHT FOOT ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CW0Z6 
PX
EXTIRPATION OF MATTER FROM LEFT FOOT ARTERY, BIFURCATION, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CW0ZZ 
PX
EXTIRPATION OF MATTER FROM LEFT FOOT ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CW3Z6 
PX
EXTIRPATION OF MATTER FROM LEFT FOOT ARTERY, BIFURCATION, PERCUTANEOUS APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CW3ZZ 
PX
EXTIRPATION OF MATTER FROM LEFT FOOT ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CW4Z6 
PX
EXTIRPATION OF MATTER FROM LEFT FOOT ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CW4ZZ 
PX
EXTIRPATION OF MATTER FROM LEFT FOOT ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CY0Z6 
PX
EXTIRPATION OF MATTER FROM LOWER ARTERY, BIFURCATION, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CY0ZZ 
PX
EXTIRPATION OF MATTER FROM LOWER ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CY3Z6 
PX
EXTIRPATION OF MATTER FROM LOWER ARTERY, BIFURCATION, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CY3ZZ 
PX
EXTIRPATION OF MATTER FROM LOWER ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CY4Z6 
PX
EXTIRPATION OF MATTER FROM LOWER ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04CY4ZZ 
PX
EXTIRPATION OF MATTER FROM LOWER ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04FC3Z0 
PX
FRAGMENTATION OF RIGHT COMMON ILIAC ARTERY, PERCUTANEOUS APPROACH, ULTRASONIC
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04FC3ZZ 
PX
FRAGMENTATION OF RIGHT COMMON ILIAC ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04FD3Z0 
PX
FRAGMENTATION OF LEFT COMMON ILIAC ARTERY, PERCUTANEOUS APPROACH, ULTRASONIC

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04FD3ZZ 
PX
FRAGMENTATION OF LEFT COMMON ILIAC ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04FE3Z0 
PX
FRAGMENTATION OF RIGHT INTERNAL ILIAC ARTERY, PERCUTANEOUS APPROACH, ULTRASONIC
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04FE3ZZ 
PX
FRAGMENTATION OF RIGHT INTERNAL ILIAC ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04FF3Z0 
PX
FRAGMENTATION OF LEFT INTERNAL ILIAC ARTERY, PERCUTANEOUS APPROACH, ULTRASONIC
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04FF3ZZ 
PX
FRAGMENTATION OF LEFT INTERNAL ILIAC ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04FH3Z0 
PX
FRAGMENTATION OF RIGHT EXTERNAL ILIAC ARTERY, PERCUTANEOUS APPROACH, ULTRASONIC
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04FH3ZZ 
PX
FRAGMENTATION OF RIGHT EXTERNAL ILIAC ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04FJ3Z0 
PX
FRAGMENTATION OF LEFT EXTERNAL ILIAC ARTERY, PERCUTANEOUS APPROACH, ULTRASONIC
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04FJ3ZZ 
PX
FRAGMENTATION OF LEFT EXTERNAL ILIAC ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04FK3Z0 
PX
FRAGMENTATION OF RIGHT FEMORAL ARTERY, PERCUTANEOUS APPROACH, ULTRASONIC
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04FK3ZZ 
PX
FRAGMENTATION OF RIGHT FEMORAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04FL3Z0 
PX
FRAGMENTATION OF LEFT FEMORAL ARTERY, PERCUTANEOUS APPROACH, ULTRASONIC

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04FL3ZZ 
PX
FRAGMENTATION OF LEFT FEMORAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04FM3Z0 
PX
FRAGMENTATION OF RIGHT POPLITEAL ARTERY, PERCUTANEOUS APPROACH, ULTRASONIC
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04FM3ZZ 
PX
FRAGMENTATION OF RIGHT POPLITEAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04FN3Z0 
PX
FRAGMENTATION OF LEFT POPLITEAL ARTERY, PERCUTANEOUS APPROACH, ULTRASONIC
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04FN3ZZ 
PX
FRAGMENTATION OF LEFT POPLITEAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04FP3Z0 
PX
FRAGMENTATION OF RIGHT ANTERIOR TIBIAL ARTERY, PERCUTANEOUS APPROACH, ULTRASONIC
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04FP3ZZ 
PX
FRAGMENTATION OF RIGHT ANTERIOR TIBIAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04FQ3Z0 
PX
FRAGMENTATION OF LEFT ANTERIOR TIBIAL ARTERY, PERCUTANEOUS APPROACH, ULTRASONIC
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04FQ3ZZ 
PX
FRAGMENTATION OF LEFT ANTERIOR TIBIAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04FR3Z0 
PX
FRAGMENTATION OF RIGHT POSTERIOR TIBIAL ARTERY, PERCUTANEOUS APPROACH, ULTRASONIC
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04FR3ZZ 
PX
FRAGMENTATION OF RIGHT POSTERIOR TIBIAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04FS3Z0 
PX
FRAGMENTATION OF LEFT POSTERIOR TIBIAL ARTERY, PERCUTANEOUS APPROACH, ULTRASONIC

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04FS3ZZ 
PX
FRAGMENTATION OF LEFT POSTERIOR TIBIAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04FT3Z0 
PX
FRAGMENTATION OF RIGHT PERONEAL ARTERY, PERCUTANEOUS APPROACH, ULTRASONIC
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04FT3ZZ 
PX
FRAGMENTATION OF RIGHT PERONEAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04FU3Z0 
PX
FRAGMENTATION OF LEFT PERONEAL ARTERY, PERCUTANEOUS APPROACH, ULTRASONIC
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04FU3ZZ 
PX
FRAGMENTATION OF LEFT PERONEAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04FY3Z0 
PX
FRAGMENTATION OF LOWER ARTERY, PERCUTANEOUS APPROACH, ULTRASONIC
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04FY3ZZ 
PX
FRAGMENTATION OF LOWER ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HC0DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO RIGHT COMMON ILIAC ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HC3DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO RIGHT COMMON ILIAC ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HC4DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO RIGHT COMMON ILIAC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HD0DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO LEFT COMMON ILIAC ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HD3DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO LEFT COMMON ILIAC ARTERY, PERCUTANEOUS APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HD4DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO LEFT COMMON ILIAC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HE0DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO RIGHT INTERNAL ILIAC ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HE3DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO RIGHT INTERNAL ILIAC ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HE4DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO RIGHT INTERNAL ILIAC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HF0DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO LEFT INTERNAL ILIAC ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HF3DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO LEFT INTERNAL ILIAC ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HF4DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO LEFT INTERNAL ILIAC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HH0DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO RIGHT EXTERNAL ILIAC ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HH3DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO RIGHT EXTERNAL ILIAC ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HH4DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO RIGHT EXTERNAL ILIAC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HJ0DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO LEFT EXTERNAL ILIAC ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HJ3DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO LEFT EXTERNAL ILIAC ARTERY, PERCUTANEOUS APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HJ4DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO LEFT EXTERNAL ILIAC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HK0DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO RIGHT FEMORAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HK3DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO RIGHT FEMORAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HK4DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO RIGHT FEMORAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HL0DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO LEFT FEMORAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HL3DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO LEFT FEMORAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HL4DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO LEFT FEMORAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HM0DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO RIGHT POPLITEAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HM3DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO RIGHT POPLITEAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HM4DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO RIGHT POPLITEAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HN0DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO LEFT POPLITEAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HN3DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO LEFT POPLITEAL ARTERY, PERCUTANEOUS APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HN4DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO LEFT POPLITEAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HP0DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO RIGHT ANTERIOR TIBIAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HP3DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO RIGHT ANTERIOR TIBIAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HP4DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO RIGHT ANTERIOR TIBIAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HQ0DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO LEFT ANTERIOR TIBIAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HQ3DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO LEFT ANTERIOR TIBIAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HQ4DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO LEFT ANTERIOR TIBIAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HR0DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO RIGHT POSTERIOR TIBIAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HR3DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO RIGHT POSTERIOR TIBIAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HR4DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO RIGHT POSTERIOR TIBIAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HS0DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO LEFT POSTERIOR TIBIAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HS3DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO LEFT POSTERIOR TIBIAL ARTERY, PERCUTANEOUS APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HS4DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO LEFT POSTERIOR TIBIAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HT0DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO RIGHT PERONEAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HT3DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO RIGHT PERONEAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HT4DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO RIGHT PERONEAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HU0DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO LEFT PERONEAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HU3DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO LEFT PERONEAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HU4DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO LEFT PERONEAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HV0DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO RIGHT FOOT ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HV3DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO RIGHT FOOT ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HV4DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO RIGHT FOOT ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HW0DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO LEFT FOOT ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HW3DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO LEFT FOOT ARTERY, PERCUTANEOUS APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HW4DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO LEFT FOOT ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HY02Z 
PX
INSERTION OF MONITORING DEVICE INTO LOWER ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HY0DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO LOWER ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HY3DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO LOWER ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HY42Z 
PX
INSERTION OF MONITORING DEVICE INTO LOWER ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04HY4DZ 
PX
INSERTION OF INTRALUMINAL DEVICE INTO LOWER ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NC0ZZ 
PX
RELEASE RIGHT COMMON ILIAC ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NC3ZZ 
PX
RELEASE RIGHT COMMON ILIAC ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NC4ZZ 
PX
RELEASE RIGHT COMMON ILIAC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04ND0ZZ 
PX
RELEASE LEFT COMMON ILIAC ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04ND3ZZ 
PX
RELEASE LEFT COMMON ILIAC ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04ND4ZZ 
PX
RELEASE LEFT COMMON ILIAC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NE0ZZ 
PX
RELEASE RIGHT INTERNAL ILIAC ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NE3ZZ 
PX
RELEASE RIGHT INTERNAL ILIAC ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NE4ZZ 
PX
RELEASE RIGHT INTERNAL ILIAC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NF0ZZ 
PX
RELEASE LEFT INTERNAL ILIAC ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NF3ZZ 
PX
RELEASE LEFT INTERNAL ILIAC ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NF4ZZ 
PX
RELEASE LEFT INTERNAL ILIAC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NH0ZZ 
PX
RELEASE RIGHT EXTERNAL ILIAC ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NH3ZZ 
PX
RELEASE RIGHT EXTERNAL ILIAC ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NH4ZZ 
PX
RELEASE RIGHT EXTERNAL ILIAC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NJ0ZZ 
PX
RELEASE LEFT EXTERNAL ILIAC ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NJ3ZZ 
PX
RELEASE LEFT EXTERNAL ILIAC ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NJ4ZZ 
PX
RELEASE LEFT EXTERNAL ILIAC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NK0ZZ 
PX
RELEASE RIGHT FEMORAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NK3ZZ 
PX
RELEASE RIGHT FEMORAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NK4ZZ 
PX
RELEASE RIGHT FEMORAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NL0ZZ 
PX
RELEASE LEFT FEMORAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NL3ZZ 
PX
RELEASE LEFT FEMORAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NL4ZZ 
PX
RELEASE LEFT FEMORAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NM0ZZ 
PX
RELEASE RIGHT POPLITEAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NM3ZZ 
PX
RELEASE RIGHT POPLITEAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NM4ZZ 
PX
RELEASE RIGHT POPLITEAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NN0ZZ 
PX
RELEASE LEFT POPLITEAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NN3ZZ 
PX
RELEASE LEFT POPLITEAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NN4ZZ 
PX
RELEASE LEFT POPLITEAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NP0ZZ 
PX
RELEASE RIGHT ANTERIOR TIBIAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NP3ZZ 
PX
RELEASE RIGHT ANTERIOR TIBIAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NP4ZZ 
PX
RELEASE RIGHT ANTERIOR TIBIAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NQ0ZZ 
PX
RELEASE LEFT ANTERIOR TIBIAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NQ3ZZ 
PX
RELEASE LEFT ANTERIOR TIBIAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NQ4ZZ 
PX
RELEASE LEFT ANTERIOR TIBIAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NR0ZZ 
PX
RELEASE RIGHT POSTERIOR TIBIAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NR3ZZ 
PX
RELEASE RIGHT POSTERIOR TIBIAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NR4ZZ 
PX
RELEASE RIGHT POSTERIOR TIBIAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NS0ZZ 
PX
RELEASE LEFT POSTERIOR TIBIAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NS3ZZ 
PX
RELEASE LEFT POSTERIOR TIBIAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NS4ZZ 
PX
RELEASE LEFT POSTERIOR TIBIAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NT0ZZ 
PX
RELEASE RIGHT PERONEAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NT3ZZ 
PX
RELEASE RIGHT PERONEAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NT4ZZ 
PX
RELEASE RIGHT PERONEAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NU0ZZ 
PX
RELEASE LEFT PERONEAL ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NU3ZZ 
PX
RELEASE LEFT PERONEAL ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NU4ZZ 
PX
RELEASE LEFT PERONEAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NV0ZZ 
PX
RELEASE RIGHT FOOT ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NV3ZZ 
PX
RELEASE RIGHT FOOT ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NV4ZZ 
PX
RELEASE RIGHT FOOT ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NW0ZZ 
PX
RELEASE LEFT FOOT ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NW3ZZ 
PX
RELEASE LEFT FOOT ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NW4ZZ 
PX
RELEASE LEFT FOOT ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NY0ZZ 
PX
RELEASE LOWER ARTERY, OPEN APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NY3ZZ 
PX
RELEASE LOWER ARTERY, PERCUTANEOUS APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
04NY4ZZ 
PX
RELEASE LOWER ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
T82.310A 
DX
BREAKDOWN (MECHANICAL) OF AORTIC (BIFURCATION) GRAFT (REPLACEMENT), INITIAL ENCOUNTER
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
T82.310D 
DX
BREAKDOWN (MECHANICAL) OF AORTIC (BIFURCATION) GRAFT (REPLACEMENT), SUBSEQUENT ENCOUNTER
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
T82.310S 
DX
BREAKDOWN (MECHANICAL) OF AORTIC (BIFURCATION) GRAFT (REPLACEMENT), SEQUELA
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
T82.312A 
DX
BREAKDOWN (MECHANICAL) OF FEMORAL ARTERIAL GRAFT (BYPASS), INITIAL ENCOUNTER
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
T82.312D 
DX
BREAKDOWN (MECHANICAL) OF FEMORAL ARTERIAL GRAFT (BYPASS), SUBSEQUENT ENCOUNTER
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
T82.312S 
DX
BREAKDOWN (MECHANICAL) OF FEMORAL ARTERIAL GRAFT (BYPASS), SEQUELA
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
T82.320A 
DX
DISPLACEMENT OF AORTIC (BIFURCATION) GRAFT (REPLACEMENT), INITIAL ENCOUNTER
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
T82.320D 
DX
DISPLACEMENT OF AORTIC (BIFURCATION) GRAFT (REPLACEMENT), SUBSEQUENT ENCOUNTER
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
T82.320S 
DX
DISPLACEMENT OF AORTIC (BIFURCATION) GRAFT (REPLACEMENT), SEQUELA

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
T82.322A 
DX
DISPLACEMENT OF FEMORAL ARTERIAL GRAFT (BYPASS), INITIAL ENCOUNTER
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
T82.322D 
DX
DISPLACEMENT OF FEMORAL ARTERIAL GRAFT (BYPASS), SUBSEQUENT ENCOUNTER
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
T82.322S 
DX
DISPLACEMENT OF FEMORAL ARTERIAL GRAFT (BYPASS), SEQUELA
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
T82.330A 
DX
LEAKAGE OF AORTIC (BIFURCATION) GRAFT (REPLACEMENT), INITIAL ENCOUNTER
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
T82.330D 
DX
LEAKAGE OF AORTIC (BIFURCATION) GRAFT (REPLACEMENT), SUBSEQUENT ENCOUNTER
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
T82.330S 
DX
LEAKAGE OF AORTIC (BIFURCATION) GRAFT (REPLACEMENT), SEQUELA
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
T82.332A 
DX
LEAKAGE OF FEMORAL ARTERIAL GRAFT (BYPASS), INITIAL ENCOUNTER
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
T82.332D 
DX
LEAKAGE OF FEMORAL ARTERIAL GRAFT (BYPASS), SUBSEQUENT ENCOUNTER
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
T82.332S 
DX
LEAKAGE OF FEMORAL ARTERIAL GRAFT (BYPASS), SEQUELA
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
T82.390A 
DX
OTHER MECHANICAL COMPLICATION OF AORTIC (BIFURCATION) GRAFT (REPLACEMENT), INITIAL ENCOUNTER
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
T82.390D 
DX
OTHER MECHANICAL COMPLICATION OF AORTIC (BIFURCATION) GRAFT (REPLACEMENT), SUBSEQUENT ENCOUNTER
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
T82.390S 
DX
OTHER MECHANICAL COMPLICATION OF AORTIC (BIFURCATION) GRAFT (REPLACEMENT), SEQUELA

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
T82.392A 
DX
OTHER MECHANICAL COMPLICATION OF FEMORAL ARTERIAL GRAFT (BYPASS), INITIAL ENCOUNTER
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
T82.392D 
DX
OTHER MECHANICAL COMPLICATION OF FEMORAL ARTERIAL GRAFT (BYPASS), SUBSEQUENT ENCOUNTER
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
T82.392S 
DX
OTHER MECHANICAL COMPLICATION OF FEMORAL ARTERIAL GRAFT (BYPASS), SEQUELA
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
T82.856A 
DX
STENOSIS OF PERIPHERAL VASCULAR STENT, INITIAL ENCOUNTER
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
T82.856D 
DX
STENOSIS OF PERIPHERAL VASCULAR STENT, SUBSEQUENT ENCOUNTER
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
T82.856S 
DX
STENOSIS OF PERIPHERAL VASCULAR STENT, SEQUELA
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
Z98.62 
DX
PERIPHERAL VASCULAR ANGIOPLASTY STATUS
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35256 
PX
REPAIR BLOOD VESSEL WITH VEIN GRAFT; LOWER EXTREMITY
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35286 
PX
REPAIR BLOOD VESSEL WITH GRAFT OTHER THAN VEIN; LOWER EXTREMITY
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35351 
PX
THROMBOENDARTERECTOMY, INCLUDING PATCH GRAFT, IF PERFORMED; ILIAC
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35355 
PX
THROMBOENDARTERECTOMY, INCLUDING PATCH GRAFT, IF PERFORMED; ILIOFEMORAL
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35361 
PX
THROMBOENDARTERECTOMY, INCLUDING PATCH GRAFT, IF PERFORMED; COMBINED AORTOILIAC

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35363 
PX
THROMBOENDARTERECTOMY, INCLUDING PATCH GRAFT, IF PERFORMED; COMBINED AORTOILIOFEMORAL
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35371 
PX
THROMBOENDARTERECTOMY, INCLUDING PATCH GRAFT, IF PERFORMED; COMMON FEMORAL
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35372 
PX
THROMBOENDARTERECTOMY, INCLUDING PATCH GRAFT, IF PERFORMED; DEEP (PROFUNDA) FEMORAL
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35381 
PX
THROMBOENDARTERECTOMY, WITH OR WITHOUT PATCH GRAFT; FEMORAL AND/OR POPLITEAL, AND/OR TIBIOPERONEAL
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35454 
PX
TRANSLUMINAL BALLOON ANGIOPLASTY, OPEN; ILIAC
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35456 
PX
TRANSLUMINAL BALLOON ANGIOPLASTY, OPEN; FEMORAL-POPLITEAL
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35459 
PX
TRANSLUMINAL BALLOON ANGIOPLASTY, OPEN; TIBIOPERONEAL TRUNK AND BRANCHES
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35470 
PX
TRANSLUMINAL BALLOON ANGIOPLASTY, PERCUTANEOUS; TIBIOPERONEAL TRUNK OR BRANCHES, EACH VESSEL
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35473 
PX
TRANSLUMINAL BALLOON ANGIOPLASTY, PERCUTANEOUS; ILIAC
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35474 
PX
TRANSLUMINAL BALLOON ANGIOPLASTY, PERCUTANEOUS; FEMORAL-POPLITEAL
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35482 
PX
TRANSLUMINAL PERIPHERAL ATHERECTOMY, OPEN; ILIAC
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35483 
PX
TRANSLUMINAL PERIPHERAL ATHERECTOMY, OPEN; FEMORAL-POPLITEAL

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35485 
PX
TRANSLUMINAL PERIPHERAL ATHERECTOMY, OPEN; TIBIOPERONEAL TRUNK AND BRANCHES
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35492 
PX
TRANSLUMINAL PERIPHERAL ATHERECTOMY, PERCUTANEOUS; ILIAC
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35493 
PX
TRANSLUMINAL PERIPHERAL ATHERECTOMY, PERCUTANEOUS; FEMORAL-POPLITEAL
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35495 
PX
TRANSLUMINAL PERIPHERAL ATHERECTOMY, PERCUTANEOUS; TIBIOPERONEAL TRUNK AND BRANCHES
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35521 
PX
BYPASS GRAFT, WITH VEIN; AXILLARY-FEMORAL
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35533 
PX
BYPASS GRAFT, WITH VEIN; AXILLARY-FEMORAL-FEMORAL
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35541 
PX
BYPASS GRAFT, WITH VEIN; AORTOILIAC OR BI-ILIAC
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35546 
PX
BYPASS GRAFT, WITH VEIN; AORTOFEMORAL OR BIFEMORAL
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35548 
PX
BYPASS GRAFT, WITH VEIN; AORTOILIOFEMORAL, UNILATERAL
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35549 
PX
BYPASS GRAFT, WITH VEIN; AORTOILIOFEMORAL, BILATERAL
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35551 
PX
BYPASS GRAFT, WITH VEIN; AORTOFEMORAL-POPLITEAL
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35556 
PX
BYPASS GRAFT, WITH VEIN; FEMORAL-POPLITEAL

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35558 
PX
BYPASS GRAFT, WITH VEIN; FEMORAL-FEMORAL
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35563 
PX
BYPASS GRAFT, WITH VEIN; ILIOILIAC
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35565 
PX
BYPASS GRAFT, WITH VEIN; ILIOFEMORAL
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35566 
PX
BYPASS GRAFT, WITH VEIN; FEMORAL-ANTERIOR TIBIAL, POSTERIOR TIBIAL, PERONEAL ARTERY OR OTHER DISTAL VESSELS
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35570 
PX
BYPASS GRAFT, WITH VEIN; TIBIAL-TIBIAL, PERONEAL-TIBIAL, OR TIBIAL/PERONEAL TRUNK-TIBIAL
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35571 
PX
BYPASS GRAFT, WITH VEIN; POPLITEAL-TIBIAL, -PERONEAL ARTERY OR OTHER DISTAL VESSELS
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35582 
PX
IN-SITU VEIN BYPASS; AORTOFEMORAL-POPLITEAL (ONLY FEMORAL-POPLITEAL PORTION IN-SITU)
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35583 
PX
IN-SITU VEIN BYPASS; FEMORAL-POPLITEAL
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35585 
PX
IN-SITU VEIN BYPASS; FEMORAL-ANTERIOR TIBIAL, POSTERIOR TIBIAL, OR PERONEAL ARTERY
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35587 
PX
IN-SITU VEIN BYPASS; POPLITEAL-TIBIAL, PERONEAL
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35621 
PX
BYPASS GRAFT, WITH OTHER THAN VEIN; AXILLARY-FEMORAL
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35623 
PX
BYPASS GRAFT, WITH OTHER THAN VEIN; AXILLARY-POPLITEAL OR -TIBIAL

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35637 
PX
BYPASS GRAFT, WITH OTHER THAN VEIN; AORTOILIAC
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35638 
PX
BYPASS GRAFT, WITH OTHER THAN VEIN; AORTOBI-ILIAC
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35641 
PX
BYPASS GRAFT, WITH OTHER THAN VEIN; AORTOILIAC OR BI-ILIAC
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35646 
PX
BYPASS GRAFT, WITH OTHER THAN VEIN; AORTOBIFEMORAL
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35647 
PX
BYPASS GRAFT, WITH OTHER THAN VEIN; AORTOFEMORAL
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35650 
PX
BYPASS GRAFT, WITH OTHER THAN VEIN; AXILLARY-AXILLARY
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35651 
PX
BYPASS GRAFT, WITH OTHER THAN VEIN; AORTOFEMORAL-POPLITEAL
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35654 
PX
BYPASS GRAFT, WITH OTHER THAN VEIN; AXILLARY-FEMORAL-FEMORAL
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35656 
PX
BYPASS GRAFT, WITH OTHER THAN VEIN; FEMORAL-POPLITEAL
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35661 
PX
BYPASS GRAFT, WITH OTHER THAN VEIN; FEMORAL-FEMORAL
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35663 
PX
BYPASS GRAFT, WITH OTHER THAN VEIN; ILIOILIAC
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35666 
PX
BYPASS GRAFT, WITH OTHER THAN VEIN; FEMORAL-ANTERIOR TIBIAL, POSTERIOR TIBIAL, OR PERONEAL ARTERY

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35671 
PX
BYPASS GRAFT, WITH OTHER THAN VEIN; POPLITEAL-TIBIAL OR -PERONEAL ARTERY
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35681 
PX
BYPASS GRAFT; COMPOSITE, PROSTHETIC AND VEIN (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35682 
PX
BYPASS GRAFT; AUTOGENOUS COMPOSITE, 2 SEGMENTS OF VEINS FROM 2 LOCATIONS (LIST SEPARATELY IN ADDITION TO CODE 
FOR PRIMARY PROCEDURE)
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35683 
PX
BYPASS GRAFT; AUTOGENOUS COMPOSITE, 3 OR MORE SEGMENTS OF VEIN FROM 2 OR MORE LOCATIONS (LIST SEPARATELY IN 
ADDITION TO CODE FOR PRIMARY PROCEDURE)
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
35879 
PX
REVISION, LOWER EXTREMITY ARTERIAL BYPASS, WITHOUT THROMBECTOMY, OPEN; WITH VEIN PATCH ANGIOPLASTY
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
37207 
PX
TRANSCATHETER PLACEMENT OF AN INTRAVASCULAR STENT(S) (EXCEPT CORONARY, CAROTID, VERTEBRAL, ILIAC AND LOWER 
EXTREMITY ARTERIES), OPEN; INITIAL VESSEL / TRANSCATHETER PLACEMENT OF AN INTRAVASCULAR STENT(S) (NON-CORONARY 
VESSEL), OPEN; INITIAL VESSEL / TRANSCATHETER PLACEMENT OF AN INTRAVASCULAR STENT(S), (NON-CORONARY VESSEL), 
OPEN; INITIAL VESSEL
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
37208 
PX
TRANSCATHETER PLACEMENT OF AN INTRAVASCULAR STENT(S) (EXCEPT CORONARY, CAROTID, VERTEBRAL, ILIAC AND LOWER 
EXTREMITY ARTERIES), OPEN; EACH ADDITIONAL VESSEL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) / 
TRANSCATHETER PLACEMENT OF AN INTRAVASCULAR STENT(S) (NON-CORONARY VESSEL), OPEN; EACH ADDITIONAL VESSEL (LIST 
SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) / TRANSCATHETER PLACEMENT OF AN INTRAVASCULAR STENT(S), 
(NON-CORONARY VESSEL), OPEN; EACH ADDITIONAL VESSEL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
37220 
PX
REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC ARTERY, UNILATERAL, INITIAL VESSEL; WITH 
TRANSLUMINAL ANGIOPLASTY
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
37221 
PX
REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC ARTERY, UNILATERAL, INITIAL VESSEL; WITH 
TRANSLUMINAL STENT PLACEMENT(S), INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL, WHEN PERFORMED
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
37222 
PX
REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC ARTERY, EACH ADDITIONAL IPSILATERAL ILIAC VESSEL; 
WITH TRANSLUMINAL ANGIOPLASTY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
37223 
PX
REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC ARTERY, EACH ADDITIONAL IPSILATERAL ILIAC VESSEL; 
WITH TRANSLUMINAL STENT PLACEMENT(S), INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL, WHEN PERFORMED (LIST 
SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
37224 
PX
REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL, POPLITEAL ARTERY(S), UNILATERAL; WITH 
TRANSLUMINAL ANGIOPLASTY

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
37225 
PX
REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL, POPLITEAL ARTERY(S), UNILATERAL; WITH 
ATHERECTOMY, INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL, WHEN PERFORMED
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
37226 
PX
REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL, POPLITEAL ARTERY(S), UNILATERAL; WITH 
TRANSLUMINAL STENT PLACEMENT(S), INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL, WHEN PERFORMED
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
37227 
PX
REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL, POPLITEAL ARTERY(S), UNILATERAL; WITH 
TRANSLUMINAL STENT PLACEMENT(S) AND ATHERECTOMY, INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL, WHEN 
PERFORMED
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
37228 
PX
REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL, PERONEAL ARTERY, UNILATERAL, INITIAL VESSEL; 
WITH TRANSLUMINAL ANGIOPLASTY
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
37229 
PX
REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL, PERONEAL ARTERY, UNILATERAL, INITIAL VESSEL; 
WITH ATHERECTOMY, INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL, WHEN PERFORMED
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
37230 
PX
REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL, PERONEAL ARTERY, UNILATERAL, INITIAL VESSEL; 
WITH TRANSLUMINAL STENT PLACEMENT(S), INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL, WHEN PERFORMED
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
37231 
PX
REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL, PERONEAL ARTERY, UNILATERAL, INITIAL VESSEL; 
WITH TRANSLUMINAL STENT PLACEMENT(S) AND ATHERECTOMY, INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL, WHEN 
PERFORMED
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
37232 
PX
REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL/PERONEAL ARTERY, UNILATERAL, EACH ADDITIONAL 
VESSEL; WITH TRANSLUMINAL ANGIOPLASTY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
37233 
PX
REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL/PERONEAL ARTERY, UNILATERAL, EACH ADDITIONAL 
VESSEL; WITH ATHERECTOMY, INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL, WHEN PERFORMED (LIST SEPARATELY IN 
ADDITION TO CODE FOR PRIMARY PROCEDURE)
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
37234 
PX
REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL/PERONEAL ARTERY, UNILATERAL, EACH ADDITIONAL 
VESSEL; WITH TRANSLUMINAL STENT PLACEMENT(S), INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL, WHEN PERFORMED 
(LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
37235 
PX
REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL/PERONEAL ARTERY, UNILATERAL, EACH ADDITIONAL 
VESSEL; WITH TRANSLUMINAL STENT PLACEMENT(S) AND ATHERECTOMY, INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL, 
WHEN PERFORMED (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
Z89.43
DX
Acquired absence of foot

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
Z89.431
DX
Acquired absence of right foot
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
Z89.432
DX
Acquired absence of left foot
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
Z89.439
DX
Acquired absence of unspecified foot
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
Z89.44
DX
Acquired absence of ankle
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
Z89.441
DX
Acquired absence of right ankle
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
Z89.442
DX
Acquired absence of left ankle
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
Z89.449
DX
Acquired absence of unspecified ankle
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
Z89.5
DX
Acquired absence of leg below knee
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
Z89.51
DX
Acquired absence of leg below knee
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
Z89.511
DX
Acquired absence of right leg below knee
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
Z89.512
DX
Acquired absence of left leg below knee
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
Z89.519
DX
Acquired absence of unspecified leg below knee

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
Z89.52
DX
Acquired absence of knee
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
Z89.521
DX
Acquired absence of right knee
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
Z89.522
DX
Acquired absence of left knee
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
Z89.529
DX
Acquired absence of unspecified knee
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
Z89.6
DX
Acquired absence of leg above knee
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
Z89.61
DX
Acquired absence of leg above knee
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
Z89.611
DX
Acquired absence of right leg above knee
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
Z89.612
DX
Acquired absence of left leg above knee
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
Z89.619
DX
Acquired absence of unspecified leg above knee
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
Z89.62
DX
Acquired absence of hip
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
Z89.621
DX
Acquired absence of right hip joint
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
Z89.622
DX
Acquired absence of left hip joint

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
Z89.629
DX
Acquired absence of unspecified hip joint
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
Z89.9
DX
Acquired absence of limb, unspecified
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0Y670ZZ
PX
Detachment at Right Femoral Region, Open Approach
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0Y680ZZ
PX
Detachment at Left Femoral Region, Open Approach
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0Y6C0Z1
PX
Detachment at Right Upper Leg, High, Open Approach
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0Y6C0Z2
PX
Detachment at Right Upper Leg, Mid, Open Approach
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0Y6C0Z3
PX
Detachment at Right Upper Leg, Low, Open Approach
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0Y6D0Z1
PX
Detachment at Left Upper Leg, High, Open Approach
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0Y6D0Z2
PX
Detachment at Left Upper Leg, Mid, Open Approach
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0Y6D0Z3
PX
Detachment at Left Upper Leg, Low, Open Approach
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0Y6F0ZZ
PX
Detachment at Right Knee Region, Open Approach
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0Y6G0ZZ
PX
Detachment at Left Knee Region, Open Approach

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0Y6H0Z1
PX
Detachment at Right Lower Leg, High, Open Approach
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0Y6H0Z2
PX
Detachment at Right Lower Leg, Mid, Open Approach
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0Y6H0Z3
PX
Detachment at Right Lower Leg, Low, Open Approach
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0Y6J0Z1
PX
Detachment at Left Lower Leg, High, Open Approach
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0Y6J0Z2
PX
Detachment at Left Lower Leg, Mid, Open Approach
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0Y6J0Z3
PX
Detachment at Left Lower Leg, Low, Open Approach
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0Y6M0Z0
PX
Detachment at Right Foot, Complete, Open Approach
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0Y6M0Z4
PX
Detachment at Right Foot, Complete 1st Ray, Open Approach
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0Y6M0Z5
PX
Detachment at Right Foot, Complete 2nd Ray, Open Approach
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0Y6M0Z6
PX
Detachment at Right Foot, Complete 3rd Ray, Open Approach
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0Y6M0Z7
PX
Detachment at Right Foot, Complete 4th Ray, Open Approach
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0Y6M0Z8
PX
Detachment at Right Foot, Complete 5th Ray, Open Approach

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0Y6M0Z9
PX
Detachment at Right Foot, Partial 1st Ray, Open Approach
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0Y6M0ZB
PX
Detachment at Right Foot, Partial 2nd Ray, Open Approach
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0Y6M0ZC
PX
Detachment at Right Foot, Partial 3rd Ray, Open Approach
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0Y6M0ZD
PX
Detachment at Right Foot, Partial 4th Ray, Open Approach
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0Y6M0ZF
PX
Detachment at Right Foot, Partial 5th Ray, Open Approach
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0Y6N0Z0
PX
Detachment at Left Foot, Complete, Open Approach
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0Y6N0Z4
PX
Detachment at Left Foot, Complete 1st Ray, Open Approach
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0Y6N0Z5
PX
Detachment at Left Foot, Complete 2nd Ray, Open Approach
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0Y6N0Z6
PX
Detachment at Left Foot, Complete 3rd Ray, Open Approach
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0Y6N0Z7
PX
Detachment at Left Foot, Complete 4th Ray, Open Approach
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0Y6N0Z8
PX
Detachment at Left Foot, Complete 5th Ray, Open Approach
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0Y6N0Z9
PX
Detachment at Left Foot, Partial 1st Ray, Open Approach

5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0Y6N0ZB
PX
Detachment at Left Foot, Partial 2nd Ray, Open Approach
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0Y6N0ZC
PX
Detachment at Left Foot, Partial 3rd Ray, Open Approach
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0Y6N0ZD
PX
Detachment at Left Foot, Partial 4th Ray, Open Approach
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
0Y6N0ZF
PX
Detachment at Left Foot, Partial 5th Ray, Open Approach
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
27598
PX
Amputate lower leg at knee
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
27880
PX
Amputation of lower leg
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
27881
PX
Amputation of lower leg
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
27882
PX
Amputation of lower leg
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
27888
PX
Amputation of foot at ankle
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical 
revascularization), due to peripheral 
arterial ischemia
27889
PX
Amputation of foot at ankle

Category
Variable_name
Variable_subtype Code
Code_category Description
Code_type
6 HbA1c >10.5%
17855-8
LOINC
6 HbA1c >10.5%
17856-6
LOINC
6 HbA1c >10.5%
41995-2
LOINC
6 HbA1c >10.5%
43150-2
LOINC
6 HbA1c >10.5%
4548-4
LOINC
6 HbA1c >10.5%
71875-9
LOINC
6 HbA1c >10.5%
74246-0
LOINC
6 HbA1c >10.5%
62388-4
LOINC
6 HbA1c >10.5%
59261-8
LOINC
6 HbA1c >10.5%
55454-3
LOINC
6 HbA1c >10.5%
4549-2
LOINC
7 Planning treatment for diabetic retinopathy and/or macular edema
67028
PX
Anti-VEGFi (component 2)
CPT/HCPCS
7 Planning treatment for diabetic retinopathy and/or macular edema
67028
PX
Photocoagulation (component 3)
CPT/HCPCS
7 Planning treatment for diabetic retinopathy and/or macular edema
67220
PX
Photocoagulation (component 3)
CPT/HCPCS
7 Planning treatment for diabetic retinopathy and/or macular edema
67228
PX
Photocoagulation (component 3)
CPT/HCPCS
8 Hospitalized for chronic heart failure within 2 months prior to screening
I09.81
DX
RHEUMATIC HEART FAILURE
ICD-10-CM
8 Hospitalized for chronic heart failure within 2 months prior to screening
I11.0
DX
HYPERTENSIVE HEART DISEASE WITH HEART FAILURE
ICD-10-CM
8 Hospitalized for chronic heart failure within 2 months prior to screening
I13.0
DX
HYPERTENSIVE HEART AND CHRONIC KIDNEY DISEASE WITH HEART FAILURE 
AND STAGE 1 THROUGH STAGE 4 CHRONIC KIDNEY DISEASE, OR UNSPECIFIED 
CHRONIC KIDNEY DISEASE
ICD-10-CM
8 Hospitalized for chronic heart failure within 2 months prior to screening
I13.2
DX
HYPERTENSIVE HEART AND CHRONIC KIDNEY DISEASE WITH HEART FAILURE 
AND WITH STAGE 5 CHRONIC KIDNEY DISEASE, OR END STAGE RENAL DISEASE
ICD-10-CM
8 Hospitalized for chronic heart failure within 2 months prior to screening
I50
DX
HEART FAILURE
ICD-10-CM
8 Hospitalized for chronic heart failure within 2 months prior to screening
I50.1
DX
LEFT VENTRICULAR FAILURE, UNSPECIFIED
ICD-10-CM
8 Hospitalized for chronic heart failure within 2 months prior to screening
I50.2
DX
SYSTOLIC (CONGESTIVE) HEART FAILURE
ICD-10-CM
8 Hospitalized for chronic heart failure within 2 months prior to screening
I50.20
DX
UNSPECIFIED SYSTOLIC (CONGESTIVE) HEART FAILURE
ICD-10-CM
8 Hospitalized for chronic heart failure within 2 months prior to screening
I50.21
DX
ACUTE SYSTOLIC (CONGESTIVE) HEART FAILURE
ICD-10-CM
8 Hospitalized for chronic heart failure within 2 months prior to screening
I50.22
DX
CHRONIC SYSTOLIC (CONGESTIVE) HEART FAILURE
ICD-10-CM
8 Hospitalized for chronic heart failure within 2 months prior to screening
I50.23
DX
ACUTE ON CHRONIC SYSTOLIC (CONGESTIVE) HEART FAILURE
ICD-10-CM
8 Hospitalized for chronic heart failure within 2 months prior to screening
I50.3
DX
DIASTOLIC (CONGESTIVE) HEART FAILURE
ICD-10-CM
8 Hospitalized for chronic heart failure within 2 months prior to screening
I50.30
DX
UNSPECIFIED DIASTOLIC (CONGESTIVE) HEART FAILURE
ICD-10-CM
8 Hospitalized for chronic heart failure within 2 months prior to screening
I50.31
DX
ACUTE DIASTOLIC (CONGESTIVE) HEART FAILURE
ICD-10-CM
8 Hospitalized for chronic heart failure within 2 months prior to screening
I50.32
DX
CHRONIC DIASTOLIC (CONGESTIVE) HEART FAILURE
ICD-10-CM
8 Hospitalized for chronic heart failure within 2 months prior to screening
I50.33
DX
ACUTE ON CHRONIC DIASTOLIC (CONGESTIVE) HEART FAILURE
ICD-10-CM
8 Hospitalized for chronic heart failure within 2 months prior to screening
I50.4
DX
COMBINED SYSTOLIC (CONGESTIVE) AND DIASTOLIC (CONGESTIVE) HEART 
FAILURE
ICD-10-CM
8 Hospitalized for chronic heart failure within 2 months prior to screening
I50.40
DX
UNSPECIFIED COMBINED SYSTOLIC (CONGESTIVE) AND DIASTOLIC 
(CONGESTIVE) HEART FAILURE
ICD-10-CM
8 Hospitalized for chronic heart failure within 2 months prior to screening
I50.41
DX
ACUTE COMBINED SYSTOLIC (CONGESTIVE) AND DIASTOLIC (CONGESTIVE) 
HEART FAILURE
ICD-10-CM
8 Hospitalized for chronic heart failure within 2 months prior to screening
I50.42
DX
CHRONIC COMBINED SYSTOLIC (CONGESTIVE) AND DIASTOLIC (CONGESTIVE) 
HEART FAILURE
ICD-10-CM
8 Hospitalized for chronic heart failure within 2 months prior to screening
I50.43
DX
ACUTE ON CHRONIC COMBINED SYSTOLIC (CONGESTIVE) AND DIASTOLIC 
(CONGESTIVE) HEART FAILURE
ICD-10-CM
8 Hospitalized for chronic heart failure within 2 months prior to screening
I50.8
DX
OTHER HEART FAILURE
ICD-10-CM
8 Hospitalized for chronic heart failure within 2 months prior to screening
I50.810
DX
RIGHT HEART FAILURE, UNSPECIFIED
ICD-10-CM
8 Hospitalized for chronic heart failure within 2 months prior to screening
I50.811
DX
ACUTE RIGHT HEART FAILURE
ICD-10-CM
8 Hospitalized for chronic heart failure within 2 months prior to screening
I50.812
DX
CHRONIC RIGHT HEART FAILURE
ICD-10-CM
8 Hospitalized for chronic heart failure within 2 months prior to screening
I50.813
DX
ACUTE ON CHRONIC RIGHT HEART FAILURE
ICD-10-CM
8 Hospitalized for chronic heart failure within 2 months prior to screening
I50.814
DX
RIGHT HEART FAILURE DUE TO LEFT HEART FAILURE
ICD-10-CM
8 Hospitalized for chronic heart failure within 2 months prior to screening
I50.82
DX
BIVENTRICULAR HEART FAILURE
ICD-10-CM
8 Hospitalized for chronic heart failure within 2 months prior to screening
I50.83
DX
HIGH OUTPUT HEART FAILURE
ICD-10-CM
8 Hospitalized for chronic heart failure within 2 months prior to screening
I50.84
DX
END STAGE HEART FAILURE
ICD-10-CM
8 Hospitalized for chronic heart failure within 2 months prior to screening
I50.89
DX
OTHER HEART FAILURE
ICD-10-CM
8 Hospitalized for chronic heart failure within 2 months prior to screening
I50.9
DX
HEART FAILURE, UNSPECIFIED
ICD-10-CM
11 History of chronic or acute pancreatitis
B25.2
DX
CYTOMEGALOVIRAL PANCREATITIS
ICD-10-CM
11 History of chronic or acute pancreatitis
K85.0
DX
IDIOPATHIC ACUTE PANCREATITIS
ICD-10-CM
11 History of chronic or acute pancreatitis
K85.00
DX
IDIOPATHIC ACUTE PANCREATITIS WITHOUT NECROSIS OR INFECTION
ICD-10-CM
11 History of chronic or acute pancreatitis
K85.01
DX
IDIOPATHIC ACUTE PANCREATITIS WITH UNINFECTED NECROSIS
ICD-10-CM
11 History of chronic or acute pancreatitis
K85.02
DX
IDIOPATHIC ACUTE PANCREATITIS WITH INFECTED NECROSIS
ICD-10-CM
11 History of chronic or acute pancreatitis
K85.1
DX
BILIARY ACUTE PANCREATITIS
ICD-10-CM
11 History of chronic or acute pancreatitis
K85.10
DX
BILIARY ACUTE PANCREATITIS WITHOUT NECROSIS OR INFECTION
ICD-10-CM
11 History of chronic or acute pancreatitis
K85.11
DX
BILIARY ACUTE PANCREATITIS WITH UNINFECTED NECROSIS
ICD-10-CM
11 History of chronic or acute pancreatitis
K85.12
DX
BILIARY ACUTE PANCREATITIS WITH INFECTED NECROSIS
ICD-10-CM
11 History of chronic or acute pancreatitis
K85.2
DX
ALCOHOL INDUCED ACUTE PANCREATITIS
ICD-10-CM

11 History of chronic or acute pancreatitis
K85.20
DX
ALCOHOL INDUCED ACUTE PANCREATITIS WITHOUT NECROSIS OR INFECTION
ICD-10-CM
11 History of chronic or acute pancreatitis
K85.21
DX
ALCOHOL INDUCED ACUTE PANCREATITIS WITH UNINFECTED NECROSIS
ICD-10-CM
11 History of chronic or acute pancreatitis
K85.22
DX
ALCOHOL INDUCED ACUTE PANCREATITIS WITH INFECTED NECROSIS
ICD-10-CM
11 History of chronic or acute pancreatitis
K85.3
DX
DRUG INDUCED ACUTE PANCREATITIS
ICD-10-CM
11 History of chronic or acute pancreatitis
K85.30
DX
DRUG INDUCED ACUTE PANCREATITIS WITHOUT NECROSIS OR INFECTION
ICD-10-CM
11 History of chronic or acute pancreatitis
K85.31
DX
DRUG INDUCED ACUTE PANCREATITIS WITH UNINFECTED NECROSIS
ICD-10-CM
11 History of chronic or acute pancreatitis
K85.32
DX
DRUG INDUCED ACUTE PANCREATITIS WITH INFECTED NECROSIS
ICD-10-CM
11 History of chronic or acute pancreatitis
K85.8
DX
OTHER ACUTE PANCREATITIS
ICD-10-CM
11 History of chronic or acute pancreatitis
K85.80
DX
OTHER ACUTE PANCREATITIS WITHOUT NECROSIS OR INFECTION
ICD-10-CM
11 History of chronic or acute pancreatitis
K85.81
DX
OTHER ACUTE PANCREATITIS WITH UNINFECTED NECROSIS
ICD-10-CM
11 History of chronic or acute pancreatitis
K85.82
DX
OTHER ACUTE PANCREATITIS WITH INFECTED NECROSIS
ICD-10-CM
11 History of chronic or acute pancreatitis
K85.9
DX
ACUTE PANCREATITIS, UNSPECIFIED
ICD-10-CM
11 History of chronic or acute pancreatitis
K85.90
DX
ACUTE PANCREATITIS WITHOUT NECROSIS OR INFECTION, UNSPECIFIED
ICD-10-CM
11 History of chronic or acute pancreatitis
K85.91
DX
ACUTE PANCREATITIS WITH UNINFECTED NECROSIS, UNSPECIFIED
ICD-10-CM
11 History of chronic or acute pancreatitis
K85.92
DX
ACUTE PANCREATITIS WITH INFECTED NECROSIS, UNSPECIFIED
ICD-10-CM
11 History of chronic or acute pancreatitis
K86.0
DX
ALCOHOL-INDUCED CHRONIC PANCREATITIS
ICD-10-CM
11 History of chronic or acute pancreatitis
K86.1
DX
OTHER CHRONIC PANCREATITIS
ICD-10-CM
11 History of chronic or acute pancreatitis
K86.2
DX
CYST OF PANCREAS
ICD-10-CM
11 History of chronic or acute pancreatitis
K86.3
DX
PSEUDOCYST OF PANCREAS
ICD-10-CM
11 History of chronic or acute pancreatitis
K86.8
DX
OTHER SPECIFIED DISEASES OF PANCREAS
ICD-10-CM
11 History of chronic or acute pancreatitis
K86.81
DX
EXOCRINE PANCREATIC INSUFFICIENCY
ICD-10-CM
11 History of chronic or acute pancreatitis
K86.89
DX
OTHER SPECIFIED DISEASES OF PANCREAS
ICD-10-CM
11 History of chronic or acute pancreatitis
K86.9
DX
DISEASE OF PANCREAS, UNSPECIFIED
ICD-10-CM
12 Known clinically significant gastric emptying abnormality or bariatric surgery
K31.84
DX
GASTROPARESIS
ICD-10-CM
12 Known clinically significant gastric emptying abnormality or bariatric surgery
K31.1
DX
Adult hypertrophic pyloric stenosis
ICD-10-CM
12 Known clinically significant gastric emptying abnormality or bariatric surgery
K31.2
DX
Hourglass stricture and stenosis of stomach
ICD-10-CM
12 Known clinically significant gastric emptying abnormality or bariatric surgery
K31.5
DX
Obstruction of duodenum
ICD-10-CM
12 Known clinically significant gastric emptying abnormality or bariatric surgery
BUTORPHAN
OL TARTRATE
RX
Generic
12 Known clinically significant gastric emptying abnormality or bariatric surgery
DIHYDROCOD
EINE 
BITARTRATE
RX
Generic
12 Known clinically significant gastric emptying abnormality or bariatric surgery
FENTANYL
RX
Generic
12 Known clinically significant gastric emptying abnormality or bariatric surgery
FENTANYL 
CITRATE
RX
Generic
12 Known clinically significant gastric emptying abnormality or bariatric surgery
FENTANYL 
CITRATE/DRO
PERIDOL
RX
Generic
12 Known clinically significant gastric emptying abnormality or bariatric surgery
FENTANYL 
HCL
RX
Generic
12 Known clinically significant gastric emptying abnormality or bariatric surgery
HYDROMORP
HONE HCL
RX
Generic
12 Known clinically significant gastric emptying abnormality or bariatric surgery
LEVORPHANO
L TARTRATE
RX
Generic
12 Known clinically significant gastric emptying abnormality or bariatric surgery
MEPERIDINE 
HCL
RX
Generic
12 Known clinically significant gastric emptying abnormality or bariatric surgery
MEPERIDINE 
HCL/ATROPIN
E SULFATE
RX
Generic
12 Known clinically significant gastric emptying abnormality or bariatric surgery
MEPERIDINE 
HCL/PROMET
HAZINE HCL
RX
Generic
12 Known clinically significant gastric emptying abnormality or bariatric surgery
METHADONE 
HCL
RX
Generic
12 Known clinically significant gastric emptying abnormality or bariatric surgery
MORPHINE 
SULFATE
RX
Generic
12 Known clinically significant gastric emptying abnormality or bariatric surgery
OPIUM 
TINCTURE
RX
Generic
12 Known clinically significant gastric emptying abnormality or bariatric surgery
OXYMORPHO
NE HCL
RX
Generic
12 Known clinically significant gastric emptying abnormality or bariatric surgery
PENTAZOCIN
E 
HCL/NALOXO
NE HCL
RX
Generic

12 Known clinically significant gastric emptying abnormality or bariatric surgery
PENTAZOCIN
E LACTATE
RX
Generic
12 Known clinically significant gastric emptying abnormality or bariatric surgery
TAPENTADOL 
HCL
RX
Generic
12 Known clinically significant gastric emptying abnormality or bariatric surgery
ACETAMINOP
HEN WITH 
CODEINE 
PHOSPHATE
RX
Generic
12 Known clinically significant gastric emptying abnormality or bariatric surgery
BUTALBITAL/
ACETAMINOP
HEN/CAFFEIN
E/CODEINE 
PHOSPHATE
RX
Generic
12 Known clinically significant gastric emptying abnormality or bariatric surgery
CODEINE 
PHOSPHATE
RX
Generic
12 Known clinically significant gastric emptying abnormality or bariatric surgery
CODEINE 
PHOSPHATE/
BUTALBITAL/
ASPIRIN/CAFF
EINE
RX
Generic
12 Known clinically significant gastric emptying abnormality or bariatric surgery
CODEINE 
SULFATE
RX
Generic
12 Known clinically significant gastric emptying abnormality or bariatric surgery
CODEINE/ASP
IRIN/SALICYL
AMIDE/ACET
AMINOPHEN/
CAFFEINE
RX
Generic
12 Known clinically significant gastric emptying abnormality or bariatric surgery
HYDROCODO
NE 
BITARTRATE
RX
Generic
12 Known clinically significant gastric emptying abnormality or bariatric surgery
OXYCODONE 
HCL
RX
Generic
12 Known clinically significant gastric emptying abnormality or bariatric surgery
OXYCODONE 
HCL/ACETAMI
NOPHEN
RX
Generic
12 Known clinically significant gastric emptying abnormality or bariatric surgery
OXYCODONE 
HCL/ASPIRIN
RX
Generic
12 Known clinically significant gastric emptying abnormality or bariatric surgery
OXYCODONE 
HCL/OXYCOD
ONE 
TEREPHTHAL
ATE/ASPIRIN
RX
Generic
12 Known clinically significant gastric emptying abnormality or bariatric surgery
OXYCODONE 
MYRISTATE
RX
Generic
12 Known clinically significant gastric emptying abnormality or bariatric surgery
OXYCODONE/
ASPIRIN
RX
Generic
12 Known clinically significant gastric emptying abnormality or bariatric surgery
Z98.84 DX
BARIATRIC SURGERY STATUS
ICD-10-CM
12 Known clinically significant gastric emptying abnormality or bariatric surgery
K95.01 DX
INFECTION DUE TO GASTRIC BAND PROCEDURE
ICD-10-CM
12 Known clinically significant gastric emptying abnormality or bariatric surgery
K95.09 DX
OTHER COMPLICATIONS OF GASTRIC BAND PROCEDURE
ICD-10-CM
12 Known clinically significant gastric emptying abnormality or bariatric surgery
K95.81 DX
INFECTION DUE TO OTHER BARIATRIC PROCEDURE
ICD-10-CM
12 Known clinically significant gastric emptying abnormality or bariatric surgery
K95.89 DX
OTHER COMPLICATIONS OF OTHER BARIATRIC PROCEDURE
ICD-10-CM
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0DB60ZZ PX
EXCISION OF STOMACH, OPEN APPROACH
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0DB63ZZ PX
EXCISION OF STOMACH, PERCUTANEOUS APPROACH
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0DB67ZZ PX
EXCISION OF STOMACH, VIA NATURAL OR ARTIFICIAL OPENING
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D1607A PX
BYPASS STOMACH TO JEJUNUM WITH AUTOLOGOUS TISSUE SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D1607B PX
BYPASS STOMACH TO ILEUM WITH AUTOLOGOUS TISSUE SUBSTITUTE, OPEN 
APPROACH
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D1607L PX
BYPASS STOMACH TO TRANSVERSE COLON WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D160JA PX
BYPASS STOMACH TO JEJUNUM WITH SYNTHETIC SUBSTITUTE, OPEN 
APPROACH
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D160JB PX
BYPASS STOMACH TO ILEUM WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D160JL PX
BYPASS STOMACH TO TRANSVERSE COLON WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D160KA PX
BYPASS STOMACH TO JEJUNUM WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS

12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D160KB PX
BYPASS STOMACH TO ILEUM WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D160KL PX
BYPASS STOMACH TO TRANSVERSE COLON WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D160ZA PX
BYPASS STOMACH TO JEJUNUM, OPEN APPROACH
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D160ZB PX
BYPASS STOMACH TO ILEUM, OPEN APPROACH
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D160ZL PX
BYPASS STOMACH TO TRANSVERSE COLON, OPEN APPROACH
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D1687A PX
BYPASS STOMACH TO JEJUNUM WITH AUTOLOGOUS TISSUE SUBSTITUTE, VIA 
NATURAL OR ARTIFICIAL OPENING ENDOSCOPIC
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D1687B PX
BYPASS STOMACH TO ILEUM WITH AUTOLOGOUS TISSUE SUBSTITUTE, VIA 
NATURAL OR ARTIFICIAL OPENING ENDOSCOPIC
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D1687L PX
BYPASS STOMACH TO TRANSVERSE COLON WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, VIA NATURAL OR ARTIFICIAL OPENING ENDOSCOPIC
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D168JA PX
BYPASS STOMACH TO JEJUNUM WITH SYNTHETIC SUBSTITUTE, VIA NATURAL 
OR ARTIFICIAL OPENING ENDOSCOPIC
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D168JB PX
BYPASS STOMACH TO ILEUM WITH SYNTHETIC SUBSTITUTE, VIA NATURAL OR 
ARTIFICIAL OPENING ENDOSCOPIC
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D168JL PX
BYPASS STOMACH TO TRANSVERSE COLON WITH SYNTHETIC SUBSTITUTE, VIA 
NATURAL OR ARTIFICIAL OPENING ENDOSCOPIC
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D168KA PX
BYPASS STOMACH TO JEJUNUM WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
VIA NATURAL OR ARTIFICIAL OPENING ENDOSCOPIC
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D168KB PX
BYPASS STOMACH TO ILEUM WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, VIA 
NATURAL OR ARTIFICIAL OPENING ENDOSCOPIC
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D168KL PX
BYPASS STOMACH TO TRANSVERSE COLON WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, VIA NATURAL OR ARTIFICIAL OPENING ENDOSCOPIC
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D168ZA PX
BYPASS STOMACH TO JEJUNUM, VIA NATURAL OR ARTIFICIAL OPENING 
ENDOSCOPIC
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D168ZB PX
BYPASS STOMACH TO ILEUM, VIA NATURAL OR ARTIFICIAL OPENING 
ENDOSCOPIC
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D168ZL PX
BYPASS STOMACH TO TRANSVERSE COLON, VIA NATURAL OR ARTIFICIAL 
OPENING ENDOSCOPIC
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D16479 PX
BYPASS STOMACH TO DUODENUM WITH AUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D1647A PX
BYPASS STOMACH TO JEJUNUM WITH AUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D1647B PX
BYPASS STOMACH TO ILEUM WITH AUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D1647L PX
BYPASS STOMACH TO TRANSVERSE COLON WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D164J9 PX
BYPASS STOMACH TO DUODENUM WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D164JA PX
BYPASS STOMACH TO JEJUNUM WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D164JB PX
BYPASS STOMACH TO ILEUM WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D164JL PX
BYPASS STOMACH TO TRANSVERSE COLON WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D164K9 PX
BYPASS STOMACH TO DUODENUM WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D164KA PX
BYPASS STOMACH TO JEJUNUM WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D164KB PX
BYPASS STOMACH TO ILEUM WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D164KL PX
BYPASS STOMACH TO TRANSVERSE COLON WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D164Z9 PX
BYPASS STOMACH TO DUODENUM, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D164ZA PX
BYPASS STOMACH TO JEJUNUM, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D164ZB PX
BYPASS STOMACH TO ILEUM, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D164ZL PX
BYPASS STOMACH TO TRANSVERSE COLON, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D16079 PX
BYPASS STOMACH TO DUODENUM WITH AUTOLOGOUS TISSUE SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D160J9 PX
BYPASS STOMACH TO DUODENUM WITH SYNTHETIC SUBSTITUTE, OPEN 
APPROACH
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D160K9 PX
BYPASS STOMACH TO DUODENUM WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D160Z9 PX
BYPASS STOMACH TO DUODENUM, OPEN APPROACH
ICD-10-PCS

12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D16879 PX
BYPASS STOMACH TO DUODENUM WITH AUTOLOGOUS TISSUE SUBSTITUTE, 
VIA NATURAL OR ARTIFICIAL OPENING ENDOSCOPIC
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D168J9 PX
BYPASS STOMACH TO DUODENUM WITH SYNTHETIC SUBSTITUTE, VIA 
NATURAL OR ARTIFICIAL OPENING ENDOSCOPIC
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D168K9 PX
BYPASS STOMACH TO DUODENUM WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, VIA NATURAL OR ARTIFICIAL OPENING ENDOSCOPIC
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0D168Z9 PX
BYPASS STOMACH TO DUODENUM, VIA NATURAL OR ARTIFICIAL OPENING 
ENDOSCOPIC
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
0DQ64ZZ PX
REPAIR STOMACH, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
43770 PX
LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE: PLACEMENT OF 
ADJUSTABLE GASTRIC BAND
CPT/HCPCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
43644 PX
LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE WITH GASTRIC 
BYPASS AND ROUX-EN-Y GASTROENTEROSTOMY (ROUX LIMB 150 CM OR LESS)
CPT/HCPCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
43645 PX
LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE WITH GASTRIC BYPASS AND 
SMALL INTESTINE RECONSTRUCTION TO LIMIT ABSORPTION
CPT/HCPCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
43842 PX
GASTRIC RESTRICTIVE PROCEDURE, WITHOUT GASTRIC BYPASS, FOR MORBID 
OBESITY, VERTICAL BANDED GASTROPLASTY
CPT/HCPCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
43843 PX
OTHER GASTRIC RESTRICTIVE PROCEDURES, WITHOUT GASTRIC BYPASS, AND 
OTHER THAN VERTICAL BANDED GASTROPLASTY
CPT/HCPCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
43844 PX
LAPAROSCOPIC GASTRIC RESTRICTIVE PROCEDURE WITH GASTRIC BYPASS 
AND ROUX EN Y GASTROENTEROSTOMY
CPT/HCPCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
43845 PX
GASTRIC RESTRICTIVE PROCEDURE WITH PARTIAL GASTRECTOMY, PYLORUS-
PRESERVING DUODENOILEOSTOMY AND ILEOLIEOSTOMY TO LIMIT 
ABSORPTION (BPD)
CPT/HCPCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
43846 PX
GASTRIC RESTRICTIVE PROCEDURE, WITH GASTRIC BYPASS, FOR MORBID 
OBESITY; WITH SHORT LIMB (LESS THAN 100 CM) ROUX-EN-Y 
GASTROENTEROSTOMY
CPT/HCPCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
43847 PX
GASTRIC RESTRICTIVE PROCEDURE, WITH SMALL INTESTINE RECONSTRUCTION 
TO LIMIT ABSORPTION; WITH LONG LIMB (>150 CM) ROUX-EN-Y
CPT/HCPCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
43659 PX
GASTRECTOMY, TOTAL; WITH ROUX-EN-Y RECONSTRUCTION; MINI-GASTRIC 
BYPASS
CPT/HCPCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
S2082 PX
LAPAROSCOPY, SURGICAL; GASTRIC RESTRICTIVE PROCEDURE, ADJUSTABLE 
GASTRIC BAND INCLUDES PLACEMENT OF SUBCUTANEOUS PORT
CPT/HCPCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
S2085 PX
LAPAROSCOPIC GASTRIC BYPASS
CPT/HCPCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
43775 PX
LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE; LONGITUDINAL 
GASTRECTOMY (E.G., SLEEVE GASTRECTOMY)
CPT/HCPCS
12 Known clinically significant gastric emptying abnormality or bariatric surgery
43848 PX
REVISION RYGB
CPT/HCPCS
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULC22
DX
MALIGNANT NEOPLASM OF LIVER AND INTRAHEPATIC BILE DUCTS
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULC22.0
DX
LIVER CELL CARCINOMA (HEPATOCELLULAR CARCINOMA, HEPATOMA)
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULC22.1
DX
INTRAHEPATIC BILE DUCT CARCINOMA (CHOLANGIOCARCINOMA)
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULC22.2
DX
HEPATOBLASTOMA
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULC22.3
DX
ANGIOSARCOMA OF LIVER (KUPFFER CELL SARCOMA)
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULC22.4
DX
OTHER SARCOMAS OF LIVER
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULC22.7
DX
OTHER SPECIFIED CARCINOMAS OF LIVER
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULC22.8
DX
MALIGNANT NEOPLASM OF LIVER, PRIMARY, UNSPECIFIED AS TO TYPE
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULC22.9
DX
MALIGNANT NEOPLASM OF LIVER, NOT SPECIFIED AS PRIMARY OR SECONDARY ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK76.7
DX
HEPATORENAL SYNDROME
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULZ94.4
DX
LIVER TRANSPLANT STATUS
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULZ48.23
DX
ENCOUNTER FOR AFTERCARE FOLLOWING LIVER TRANSPLANT
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULT86.40
DX
UNSPECIFIED COMPLICATION OF LIVER TRANSPLANT
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULT86.41
DX
LIVER TRANSPLANT REJECTION
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULT86.42
DX
LIVER TRANSPLANT FAILURE
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULT86.43
DX
LIVER TRANSPLANT INFECTION
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULT86.49
DX
OTHER COMPLICATIONS OF LIVER TRANSPLANT
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the UL0FY00Z0
PX
TRANSPLANTATION OF LIVER, ALLOGENEIC, OPEN APPROACH
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the UL0FY00Z1
PX
TRANSPLANTATION OF LIVER, SYNGENEIC, OPEN APPROACH
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the UL0FY00Z2
PX
TRANSPLANTATION OF LIVER, ZOOPLASTIC, OPEN APPROACH
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the UL47135
PX
LIVER TRANSPLANTATION PROCEDURES
CPT/HCPCS
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULE83.00
DX
DISORDER OF COPPER METABOLISM, UNSPECIFIED
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULE83.01
DX
WILSON'S DISEASE
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULE83.09
DX
OTHER DISORDERS OF COPPER METABOLISM
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULI82.0
DX
BUDD-CHIARI SYNDROME
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULR18.0
DX
MALIGNANT ASCITES
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK70.2
DX
ALCOHOLIC FIBROSIS AND SCLEROSIS OF LIVER
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK70.3
DX
ALCOHOLIC CIRRHOSIS OF LIVER
ICD-10-CM

13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK70.30
DX
ALCOHOLIC CIRRHOSIS OF LIVER WITHOUT ASCITES
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK70.31
DX
ALCOHOLIC CIRRHOSIS OF LIVER WITH ASCITES
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK70.4
DX
ALCOHOLIC HEPATIC FAILURE
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK70.40
DX
ALCOHOLIC HEPATIC FAILURE WITHOUT COMA
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK70.41
DX
ALCOHOLIC HEPATIC FAILURE WITH COMA
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK71
DX
TOXIC LIVER DISEASE INCLUDES DRUG-INDUCED IDIOSYNCRATIC OR TOXIC 
LIVER DISEASE
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK71.0
DX
TOXIC LIVER DISEASE WITH CHOLESTASIS
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK71.1
DX
TOXIC LIVER DISEASE WITH HEPATIC NECROSIS
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK71.10
DX
TOXIC LIVER DISEASE WITH HEPATIC NECROSIS, WITHOUT COMA
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK71.11
DX
TOXIC LIVER DISEASE WITH HEPATIC NECROSIS, WITH COMA
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK71.2
DX
TOXIC LIVER DISEASE WITH ACUTE HEPATITIS
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK71.3
DX
TOXIC LIVER DISEASE WITH CHRONIC PERSISTENT HEPATITIS
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK71.4
DX
TOXIC LIVER DISEASE WITH CHRONIC LOBULAR HEPATITIS
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK71.5
DX
TOXIC LIVER DISEASE WITH CHRONIC ACTIVE HEPATITIS
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK71.50
DX
TOXIC LIVER DISEASE WITH CHRONIC ACTIVE HEPATITIS WITHOUT ASCITES
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK71.51
DX
TOXIC LIVER DISEASE WITH CHRONIC ACTIVE HEPATITIS WITH ASCITES
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK71.6
DX
TOXIC LIVER DISEASE WITH HEPATITIS, NOT ELSEWHERE CLASSIFIED
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK71.7
DX
TOXIC LIVER DISEASE WITH FIBROSIS AND CIRRHOSIS OF LIVER
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK71.8
DX
TOXIC LIVER DISEASE WITH OTHER DISORDERS OF LIVER
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK71.9
DX
TOXIC LIVER DISEASE, UNSPECIFIED
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK72
DX
HEPATIC FAILURE, NOT ELSEWHERE CLASSIFIED
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK72.0
DX
ACUTE AND SUBACUTE HEPATIC FAILURE
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK72.00
DX
ACUTE AND SUBACUTE HEPATIC FAILURE WITHOUT COMA
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK72.01
DX
ACUTE AND SUBACUTE HEPATIC FAILURE WITH COMA
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK72.1
DX
CHRONIC HEPATIC FAILURE
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK72.10
DX
CHRONIC HEPATIC FAILURE WITHOUT COMA
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK72.11
DX
CHRONIC HEPATIC FAILURE WITH COMA
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK72.9
DX
HEPATIC FAILURE, UNSPECIFIED
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK72.90
DX
HEPATIC FAILURE, UNSPECIFIED WITHOUT COMA
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK72.91
DX
HEPATIC FAILURE, UNSPECIFIED WITH COMA
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK73
DX
CHRONIC HEPATITIS, NOT ELSEWHERE CLASSIFIED
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK73.0
DX
CHRONIC PERSISTENT HEPATITIS, NOT ELSEWHERE CLASSIFIED
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK73.1
DX
CHRONIC LOBULAR HEPATITIS, NOT ELSEWHERE CLASSIFIED
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK73.2
DX
CHRONIC ACTIVE HEPATITIS, NOT ELSEWHERE CLASSIFIED
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK73.8
DX
OTHER CHRONIC HEPATITIS, NOT ELSEWHERE CLASSIFIED
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK73.9
DX
CHRONIC HEPATITIS, UNSPECIFIED
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK74
DX
FIBROSIS AND CIRRHOSIS OF LIVER
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK74.0
DX
HEPATIC FIBROSIS
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK74.02
DX
HEPATIC FIBROSIS, ADVANCED FIBROSIS
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK74.1
DX
HEPATIC SCLEROSIS
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK74.2
DX
HEPATIC FIBROSIS WITH HEPATIC SCLEROSIS
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK74.3
DX
PRIMARY BILIARY CIRRHOSIS
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK74.4
DX
SECONDARY BILIARY CIRRHOSIS
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK74.5
DX
BILIARY CIRRHOSIS, UNSPECIFIED
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK74.6
DX
OTHER AND UNSPECIFIED CIRRHOSIS OF LIVER
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK74.60
DX
UNSPECIFIED CIRRHOSIS OF LIVER
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK74.69
DX
OTHER CIRRHOSIS OF LIVER
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK75.2
DX
NONSPECIFIC REACTIVE HEPATITIS
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK75.3
DX
GRANULOMATOUS HEPATITIS, NOT ELSEWHERE CLASSIFIED
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK75.4
DX
AUTOIMMUNE HEPATITIS
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK76.1
DX
CHRONIC PASSIVE CONGESTION OF LIVER (CARDIAC CIRRHOSIS OR SCLEROSIS)
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK76.2
DX
CENTRAL HEMORRHAGIC NECROSIS OF LIVER
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK76.3
DX
INFARCTION OF LIVER
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK76.4
DX
PELIOSIS HEPATIS (HEPATIC ANGIOMATOSIS)
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK76.5
DX
HEPATIC VENO-OCCLUSIVE DISEASE
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK76.7
DX
HEPATORENAL SYNDROME
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK76.81
DX
HEPATOPULMONARY SYNDROME
ICD-10-CM
13 Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULK76.82
DX
HEPATIC ENCEPHALOPATHY
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
N18.5
DX
CHRONIC KIDNEY DISEASE, STAGE 5
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
N18.6
DX
END STAGE RENAL DISEASE
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
I12.0
DX
HYPERTENSIVE CHRONIC KIDNEY DISEASE WITH STAGE 5 CHRONIC KIDNEY 
DISEASE OR END STAGE RENAL DISEASE
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
I13.2
DX
HYPERTENSIVE HEART AND CHRONIC KIDNEY DISEASE WITH HEART FAILURE 
AND WITH STAGE 5 CHRONIC KIDNEY DISEASE, OR END STAGE RENAL DISEASE
ICD-10-CM

14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
Z49
DX
ENCOUNTER FOR CARE INVOLVING RENAL DIALYSIS
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
Z49.0
DX
PREPARATORY CARE FOR RENAL DIALYSIS
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
Z49.3
DX
ENCOUNTER FOR ADEQUACY TESTING FOR DIALYSIS
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
Z49.31
DX
ENCOUNTER FOR ADEQUACY TESTING FOR HEMODIALYSIS
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
Z49.32
DX
ENCOUNTER FOR ADEQUACY TESTING FOR PERITONEAL DIALYSIS
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
Z49.01
DX
ENCOUNTER FOR FITTING AND ADJUSTMENT OF EXTRACORPOREAL DIALYSIS 
CATHETER
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
Z49.02
DX
ENCOUNTER FOR FITTING AND ADJUSTMENT OF PERITONEAL DIALYSIS 
CATHETER
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
Z91.15
DX
PATIENT'S NONCOMPLIANCE WITH RENAL DIALYSIS
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
Z99.2
DX
DEPENDENCE ON RENAL DIALYSIS
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
R88.0
DX
CLOUDY (HEMODIALYSIS) (PERITONEAL) DIALYSIS EFFLUENT
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T82.41
DX
BREAKDOWN (MECHANICAL) OF VASCULAR DIALYSIS CATHETER
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T82.41XA
DX
BREAKDOWN (MECHANICAL) OF VASCULAR DIALYSIS CATHETER, INITIAL 
ENCOUNTER
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T82.41XD
DX
BREAKDOWN (MECHANICAL) OF VASCULAR DIALYSIS CATHETER, SUBSEQUENT 
ENCOUNTER
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T82.41XS
DX
BREAKDOWN (MECHANICAL) OF VASCULAR DIALYSIS CATHETER, SEQUELA
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T82.42
DX
DISPLACEMENT OF VASCULAR DIALYSIS CATHETER
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T82.42XA
DX
DISPLACEMENT OF VASCULAR DIALYSIS CATHETER, INITIAL ENCOUNTER
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T82.42XD
DX
DISPLACEMENT OF VASCULAR DIALYSIS CATHETER, SUBSEQUENT ENCOUNTER ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T82.42XS
DX
DISPLACEMENT OF VASCULAR DIALYSIS CATHETER, SEQUELA
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T82.43
DX
LEAKAGE OF VASCULAR DIALYSIS CATHETER
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T82.43XA
DX
LEAKAGE OF VASCULAR DIALYSIS CATHETER, INITIAL ENCOUNTER
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T82.43XD
DX
LEAKAGE OF VASCULAR DIALYSIS CATHETER, SUBSEQUENT ENCOUNTER
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T82.43XS
DX
LEAKAGE OF VASCULAR DIALYSIS CATHETER, SEQUELA
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T82.49
DX
OTHER COMPLICATION OF VASCULAR DIALYSIS CATHETER
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T82.49XA
DX
OTHER COMPLICATION OF VASCULAR DIALYSIS CATHETER, INITIAL ENCOUNTER ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T82.49XD
DX
OTHER COMPLICATION OF VASCULAR DIALYSIS CATHETER, SUBSEQUENT 
ENCOUNTER
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T82.49XS
DX
OTHER COMPLICATION OF VASCULAR DIALYSIS CATHETER, SEQUELA
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T85.611
DX
BREAKDOWN (MECHANICAL) OF INTRAPERITONEAL DIALYSIS CATHETER
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T85.611A
DX
BREAKDOWN (MECHANICAL) OF INTRAPERITONEAL DIALYSIS CATHETER, 
INITIAL ENCOUNTER
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T85.611D
DX
BREAKDOWN (MECHANICAL) OF INTRAPERITONEAL DIALYSIS CATHETER, 
SUBSEQUENT ENCOUNTER
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T85.611S
DX
BREAKDOWN (MECHANICAL) OF INTRAPERITONEAL DIALYSIS CATHETER, 
SEQUELA
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T85.621
DX
DISPLACEMENT OF INTRAPERITONEAL DIALYSIS CATHETER
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T85.621A
DX
DISPLACEMENT OF INTRAPERITONEAL DIALYSIS CATHETER, INITIAL 
ENCOUNTER
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T85.621D
DX
DISPLACEMENT OF INTRAPERITONEAL DIALYSIS CATHETER, SUBSEQUENT 
ENCOUNTER
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T85.621S
DX
DISPLACEMENT OF INTRAPERITONEAL DIALYSIS CATHETER, SEQUELA
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T85.631
DX
LEAKAGE OF INTRAPERITONEAL DIALYSIS CATHETER
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T85.631A
DX
LEAKAGE OF INTRAPERITONEAL DIALYSIS CATHETER, INITIAL ENCOUNTER
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T85.631D
DX
LEAKAGE OF INTRAPERITONEAL DIALYSIS CATHETER, SUBSEQUENT 
ENCOUNTER
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T85.631S
DX
LEAKAGE OF INTRAPER
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T85.691
DX
OTHER MECHANICAL COMPLICATION OF INTRAPERITONEAL DIALYSIS 
CATHETER
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T85.691A
DX
OTHER MECHANICAL COMPLICATION OF INTRAPERITONEAL DIALYSIS 
CATHETER, INITIAL ENCOUNTER
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T85.691D
DX
OTHER MECHANICAL COMPLICATION OF INTRAPERITONEAL DIALYSIS 
CATHETER, SUBSEQUENT ENCOUNTER
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T85.691S
DX
OTHER MECHANICAL COMPLICATION OF INTRAPERITONEAL DIALYSIS 
CATHETER, SEQUELA
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T85.71
DX
INFECTION AND INFLAMMATORY REACTION DUE TO PERITONEAL DIALYSIS 
CATHETER
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T85.71XA
DX
INFECTION AND INFLAMMATORY REACTION DUE TO PERITONEAL DIALYSIS 
CATHETER, INITIAL ENCOUNTER
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T85.71XD
DX
INFECTION AND INFLAMMATORY REACTION DUE TO PERITONEAL DIALYSIS 
CATHETER, SUBSEQUENT ENCOUNTER
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T85.71XS
DX
INFECTION AND INFLAMMATORY REACTION DUE TO PERITONEAL DIALYSIS 
CATHETER, SEQUELA
ICD-10-CM

14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
Y84.1
DX
KIDNEY DIALYSIS AS THE CAUSE OF ABNORMAL REACTION OF THE PATIENT, OR 
OF LATER COMPLICATION, WITHOUT MENTION OF MISADVENTURE AT THE TIME 
OF THE PROCEDURE
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
Z94.0
DX
KIDNEY TRANSPLANT STATUS
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T86.1
DX
COMPLICATIONS OF KIDNEY TRANSPLANT
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T86.10
DX
UNSPECIFIED COMPLICATION OF KIDNEY TRANSPLANT
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T86.11
DX
KIDNEY TRANSPLANT REJECTION
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T86.12
DX
KIDNEY TRANSPLANT FAILURE
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T86.13
DX
KIDNEY TRANSPLANT INFECTION
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
T86.19
DX
OTHER COMPLICATION OF KIDNEY TRANSPLANT
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
Z48.22
DX
ENCOUNTER FOR AFTERCARE FOLLOWING KIDNEY TRANSPLANT
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
5A1D70Z
PX
PERFORMANCE OF URINARY FILTRATION, INTERMITTENT, LESS THAN 6 HOURS 
PER DAY
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
5A1D80Z
PX
PERFORMANCE OF URINARY FILTRATION, PROLONGED INTERMITTENT, 6-18 
HOURS PER DAY
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
5A1D90Z
PX
PERFORMANCE OF URINARY FILTRATION, CONTINUOUS, GREATER THAN 18 
HOURS PER DAY
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
5A1D00Z
PX
PERFORMANCE OF URINARY FILTRATION, SINGLE
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
5A1D60Z
PX
PERFORMANCE OF URINARY FILTRATION, MULTIPLE
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
3E1M39Z
PX
IRRIGATION OF PERITONEAL CAVITY USING DIALYSATE, PERCUTANEOUS 
APPROACH
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
0TY00Z0
PX
TRANSPLANTATION OF RIGHT KIDNEY, ALLOGENEIC, OPEN APPROACH
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
0TY00Z1
PX
TRANSPLANTATION OF RIGHT KIDNEY, SYNGENEIC, OPEN APPROACH
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
0TY00Z2
PX
TRANSPLANTATION OF RIGHT KIDNEY, ZOOPLASTIC, OPEN APPROACH
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
0TY10Z0
PX
TRANSPLANTATION OF LEFT KIDNEY, ALLOGENEIC, OPEN APPROACH
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
0TY10Z1
PX
TRANSPLANTATION OF LEFT KIDNEY, SYNGENEIC, OPEN APPROACH
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
0TY10Z2
PX
TRANSPLANTATION OF LEFT KIDNEY, ZOOPLASTIC, OPEN APPROACH
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
0TS00ZZ
PX
REPOSITION RIGHT KIDNEY, OPEN APPROACH
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
0TS10ZZ
PX
REPOSITION LEFT KIDNEY, OPEN APPROACH
ICD-10-CM
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
90989
PX
DIALYSIS TRAINING, PATIENT, INCLUDING HELPER WHERE APPLICABLE, ANY 
MODE, COMPLETED COURSE
CPT/HCPCS
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
90993
PX
DIALYSIS TRAINING, PATIENT, INCLUDING HELPER WHERE APPLICABLE, ANY 
MODE, COURSE NOT COMPLETED, PER TRAINING SESSION
CPT/HCPCS
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
90999
PX
UNLISTED DIALYSIS PROCEDURE, INPATIENT OR OUTPATIENT
CPT/HCPCS
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
99512
PX
HOME VISIT FOR HEMODIALYSIS
CPT/HCPCS
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
99559
PX
HOME INFUSION OF PERITONEAL DIALYSIS, PER DIEM / HOME INFUSION OF 
PERITONEAL DIALYSIS, PER VISIT
CPT/HCPCS
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
90925
PX
END STAGE RENAL DISEASE (ESRD) RELATED SERVICES (LESS THAN FULL 
MONTH), PER DAY; FOR PATIENTS TWENTY YEARS OF AGE AND OVER / END-
STAGE RENAL DISEASE (ESRD) RELATED SERVICES (LESS THAN FULL MONTH), 
PER DAY; FOR PATIENTS TWENTY YEARS OF AGE AND OLDER / END-STAGE 
RENAL DISEASE (ESRD) RELATED SERVICES (LESS THAN FULL MONTH), PER 
DAY; FOR PATIENTS TWENTY YEARS OF AGE AND OVER
CPT/HCPCS
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
50360
PX
RENAL ALLOTRANSPLANTATION, IMPLANTATION OF GRAFT; WITHOUT 
RECIPIENT NEPHRECTOMY
CPT/HCPCS
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
50365
PX
RENAL ALLOTRANSPLANTATION, IMPLANTATION OF GRAFT; WITH RECIPIENT 
NEPHRECTOMY
CPT/HCPCS
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
50370
PX
REMOVAL OF TRANSPLANTED RENAL ALLOGRAFT
CPT/HCPCS
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
50380
PX
RENAL AUTOTRANSPLANTATION, REIMPLANTATION OF KIDNEY
CPT/HCPCS
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
G0257
PX
UNSCHEDULED OR EMERGENCY DIALYSIS TREATMENT FOR AN ESRD PATIENT 
IN A HOSPITAL OUTPATIENT DEPARTMENT THAT IS NOT CERTIFIED AS AN 
ESRD FACILITY
CPT/HCPCS
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
G0319
PX
END STAGE RENAL DISEASE (ESRD) RELATED SERVICES DURING THE COURSE 
OF TREATMENT, FOR PATIENTS 20 YEARS OF AGE AND OVER; WITH 1 FACE-TO-
FACE PHYSICIAN VISIT PER MONTH / END STAGE RENAL DISEASE (ESRD) 
RELATED SERVICES DURING THE COURSE OF TREATMENT, FOR PATIENTS 20 
YEARS OF AGE AND OVER; WITH 1 FACE-TO-FACE PHYSICIAN VISIT PER MONTH
CPT/HCPCS
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
G0326
PX
END STAGE RENAL DISEASE (ESRD) RELATED SERVICES FOR HOME DIALYSIS 
(LESS THAN FULL MONTH), PER DAY; FOR PATIENTS BETWEEN TWELVE AND 
NINETEEN YEARS OF AGE / END STAGE RENAL DISEASE (ESRD) RELATED 
SERVICES LESS THAN FULL MONTH, PER DAY; FOR PATIENTS BETWEEN 
TWELVE AND NINETEEN YEARS OF AGE
CPT/HCPCS
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
S9335
PX
HOME THERAPY, HEMODIALYSIS; ADMINISTRATIVE SERVICES, PROFESSIONAL 
PHARMACY SERVICES, CARE COORDINATION, AND ALL NECESSARY SUPPLIES 
AND EQUIPMENT (DRUGS AND NURSING SERVICES CODED SEPARATELY), PER 
DIEM
CPT/HCPCS

14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
90920
PX
END STAGE RENAL DISEASE (ESRD) RELATED SERVICES PER FULL MONTH; FOR 
PATIENTS BETWEEN TWELVE AND NINETEEN YEARS OF AGE TO INCLUDE 
MONITORING FOR THE ADEQUACY OF NUTRITION, ASSESSMENT OF GROWTH 
AND DEVELOPMENT, AND COUNSELING OF PARENTS / END-STAGE RENAL 
DISEASE (ESRD) RELATED SERVICES PER FULL MONTH; FOR PATIENTS 
BETWEEN TWELVE AND NINETEEN YEARS OF AGE TO INCLUDE MONITORING 
FOR THE ADEQUACY OF NUTRITION, ASSESSMENT OF GROWTH AND 
DEVELOPMENT, AND COUNSELING OF PARENTS
CPT/HCPCS
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
90921
PX
END STAGE RENAL DISEASE (ESRD) RELATED SERVICES PER FULL MONTH; FOR 
PATIENTS TWENTY YEARS OF AGE AND OVER / END-STAGE RENAL DISEASE 
(ESRD) RELATED SERVICES PER FULL MONTH; FOR PATIENTS TWENTY YEARS 
OF AGE AND OLDER / END-STAGE RENAL DISEASE (ESRD) RELATED SERVICES 
PER FULL MONTH; FOR PATIENTS TWENTY YEARS OF AGE AND OVER
CPT/HCPCS
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
90924
PX
END STAGE RENAL DISEASE (ESRD) RELATED SERVICES (LESS THAN FULL 
MONTH), PER DAY; FOR PATIENTS BETWEEN TWELVE AND NINETEEN YEARS OF 
AGE / END-STAGE RENAL DISEASE (ESRD) RELATED SERVICES (LESS THAN 
FULL MONTH), PER DAY; FOR PATIENTS BETWEEN TWELVE AND NINETEEN 
YEARS OF AGE
CPT/HCPCS
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
90925
PX
END STAGE RENAL DISEASE (ESRD) RELATED SERVICES (LESS THAN FULL 
MONTH), PER DAY; FOR PATIENTS TWENTY YEARS OF AGE AND OVER / END-
STAGE RENAL DISEASE (ESRD) RELATED SERVICES (LESS THAN FULL MONTH), 
PER DAY; FOR PATIENTS TWENTY YEARS OF AGE AND OLDER / END-STAGE 
RENAL DISEASE (ESRD) RELATED SERVICES (LESS THAN FULL MONTH), PER 
DAY; FOR PATIENTS TWENTY YEARS OF AGE AND OVER
CPT/HCPCS
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
90935
PX
HEMODIALYSIS PROCEDURE WITH SINGLE EVALUATION BY A PHYSICIAN OR 
OTHER QUALIFIED HEALTH CARE PROFESSIONAL
CPT/HCPCS
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
90937
PX
HEMODIALYSIS PROCEDURE REQUIRING REPEATED EVALUATION(S) WITH OR 
WITHOUT SUBSTANTIAL REVISION OF DIALYSIS PRESCRIPTION
CPT/HCPCS
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
90939
PX
HEMODIALYSIS ACCESS FLOW STUDY TO DETERMINE BLOOD FLOW IN GRAFTS 
AND ARTERIOVENOUS FISTULAE BY AN INDICATOR DILUTION METHOD, HOOK-
UP; TRANSCUTANEOUS MEASUREMENT AND DISCONNECTION
CPT/HCPCS
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
90940
PX
HEMODIALYSIS ACCESS FLOW STUDY TO DETERMINE BLOOD FLOW IN GRAFTS 
AND ARTERIOVENOUS FISTULAE BY AN INDICATOR METHOD
CPT/HCPCS
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
90945
PX
DIALYSIS PROCEDURE OTHER THAN HEMODIALYSIS (EG, PERITONEAL DIALYSIS, 
HEMOFILTRATION, OR OTHER CONTINUOUS RENAL REPLACEMENT THERAPIES), 
WITH SINGLE EVALUATION BY A PHYSICIAN OR OTHER QUALIFIED HEALTH 
CARE PROFESSIONAL
CPT/HCPCS
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
90947
PX
DIALYSIS PROCEDURE OTHER THAN HEMODIALYSIS (EG, PERITONEAL DIALYSIS, 
HEMOFILTRATION, OR OTHER CONTINUOUS RENAL REPLACEMENT THERAPIES) 
REQUIRING REPEATED EVALUATIONS BY A PHYSICIAN OR OTHER QUALIFIED 
HEALTH CARE PROFESSIONAL, WITH OR WITHOUT SUBSTANTIAL REVISION OF 
DIALYSIS PRESCRIPTION
CPT/HCPCS
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
90957
PX
END-STAGE RENAL DISEASE (ESRD) RELATED SERVICES MONTHLY, FOR 
PATIENTS 12-19 YEARS OF AGE TO INCLUDE MONITORING FOR THE ADEQUACY 
OF NUTRITION, ASSESSMENT OF GROWTH AND DEVELOPMENT, AND 
COUNSELING OF PARENTS; WITH 4 OR MORE FACE-TO-FACE VISITS BY A 
PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL PER MONTH
CPT/HCPCS
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
90958
PX
END-STAGE RENAL DISEASE (ESRD) RELATED SERVICES MONTHLY, FOR 
PATIENTS 12-19 YEARS OF AGE TO INCLUDE MONITORING FOR THE ADEQUACY 
OF NUTRITION, ASSESSMENT OF GROWTH AND DEVELOPMENT, AND 
COUNSELING OF PARENTS; WITH 2-3 FACE-TO-FACE VISITS BY A PHYSICIAN OR 
OTHER QUALIFIED HEALTH CARE PROFESSIONAL PER MONTH
CPT/HCPCS
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
90959
PX
END-STAGE RENAL DISEASE (ESRD) RELATED SERVICES MONTHLY, FOR 
PATIENTS 12-19 YEARS OF AGE TO INCLUDE MONITORING FOR THE ADEQUACY 
OF NUTRITION, ASSESSMENT OF GROWTH AND DEVELOPMENT, AND 
COUNSELING OF PARENTS; WITH 1 FACE-TO-FACE VISIT BY A PHYSICIAN OR 
OTHER QUALIFIED HEALTH CARE PROFESSIONAL PER MONTH
CPT/HCPCS
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
90960
PX
END-STAGE RENAL DISEASE (ESRD) RELATED SERVICES MONTHLY, FOR 
PATIENTS 20 YEARS OF AGE AND OLDER; WITH 4 OR MORE FACE-TO-FACE 
VISITS BY A PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL 
PER MONTH
CPT/HCPCS
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
90961
PX
END-STAGE RENAL DISEASE (ESRD) RELATED SERVICES MONTHLY, FOR 
PATIENTS 20 YEARS OF AGE AND OLDER; WITH 2-3 FACE-TO-FACE VISITS BY A 
PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL PER MONTH
CPT/HCPCS

14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
90962
PX
END-STAGE RENAL DISEASE (ESRD) RELATED SERVICES MONTHLY, FOR 
PATIENTS 20 YEARS OF AGE AND OLDER; WITH 1 FACE-TO-FACE VISIT BY A 
PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL PER MONTH
CPT/HCPCS
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
90965
PX
END-STAGE RENAL DISEASE (ESRD) RELATED SERVICES FOR HOME DIALYSIS 
PER FULL MONTH, FOR PATIENTS 12-19 YEARS OF AGE TO INCLUDE 
MONITORING FOR THE ADEQUACY OF NUTRITION, ASSESSMENT OF GROWTH 
AND DEVELOPMENT, AND COUNSELING OF PARENTS
CPT/HCPCS
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
90966
PX
END-STAGE RENAL DISEASE (ESRD) RELATED SERVICES FOR HOME DIALYSIS 
PER FULL MONTH, FOR PATIENTS 20 YEARS OF AGE AND OLDER
CPT/HCPCS
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
90969
PX
END-STAGE RENAL DISEASE (ESRD) RELATED SERVICES FOR DIALYSIS LESS 
THAN A FULL MONTH OF SERVICE, PER DAY; FOR PATIENTS 12-19 YEARS OF 
AGE
CPT/HCPCS
14 eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
90970
PX
END-STAGE RENAL DISEASE (ESRD) RELATED SERVICES FOR DIALYSIS LESS 
THAN A FULL MONTH OF SERVICE, PER DAY; FOR PATIENTS 20 YEARS OF AGE 
AND OLDER
CPT/HCPCS
15 Family or personal history of multiple endocrine neoplasia or medullary thyroid carcinoma
E31.22
DX
MULTIPLE ENDOCRINE NEOPLASIA [MEN] TYPE IIA
ICD-10-CM
15 Family or personal history of multiple endocrine neoplasia or medullary thyroid carcinoma
E31.23
DX
MULTIPLE ENDOCRINE NEOPLASIA [MEN] TYPE IIB
ICD-10-CM
15 Family or personal history of multiple endocrine neoplasia or medullary thyroid carcinoma
C73
DX
MALIGNANT NEOPLASM OF THYROID GLAND
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
G43.609
DX
PERSISTENT MIGRAINE AURA WITH CEREBRAL INFARCTION, NOT INTRACTABLE, 
WITHOUT STATUS MIGRAINOSUS
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
G43.619
DX
PERSISTENT MIGRAINE AURA WITH CEREBRAL INFARCTION, INTRACTABLE, 
WITHOUT STATUS MIGRAINOSUS
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
G45.0
DX
VERTEBRO-BASILAR ARTERY SYNDROME
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
G45.1
DX
CAROTID ARTERY SYNDROME (HEMISPHERIC)
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
G45.2
DX
MULTIPLE AND BILATERAL PRECEREBRAL ARTERY SYNDROMES
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
G45.8
DX
OTHER TRANSIENT CEREBRAL ISCHEMIC ATTACKS AND RELATED SYNDROMES
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
G45.9
DX
TRANSIENT CEREBRAL ISCHEMIC ATTACK, UNSPECIFIED
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
G46.0
DX
MIDDLE CEREBRAL ARTERY SYNDROME
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
G46.1
DX
ANTERIOR CEREBRAL ARTERY SYNDROME
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
G46.2
DX
POSTERIOR CEREBRAL ARTERY SYNDROME
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
G46.3
DX
BRAIN STEM STROKE SYNDROME
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
G46.4
DX
CEREBELLAR STROKE SYNDROME
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I21
DX
ACUTE MYOCARDIAL INFARCTION
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I21.0
DX
ST ELEVATION (STEMI) MYOCARDIAL INFARCTION OF ANTERIOR WALL
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I21.01
DX
ST ELEVATION (STEMI) MYOCARDIAL INFARCTION INVOLVING LEFT MAIN 
CORONARY ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I21.02
DX
ST ELEVATION (STEMI) MYOCARDIAL INFARCTION INVOLVING LEFT ANTERIOR 
DESCENDING CORONARY ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I21.09
DX
ST ELEVATION (STEMI) MYOCARDIAL INFARCTION INVOLVING OTHER CORONARY 
ARTERY OF ANTERIOR WALL
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I21.1
DX
ST ELEVATION (STEMI) MYOCARDIAL INFARCTION OF INFERIOR WALL
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I21.11
DX
ST ELEVATION (STEMI) MYOCARDIAL INFARCTION INVOLVING RIGHT CORONARY 
ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I21.19
DX
ST ELEVATION (STEMI) MYOCARDIAL INFARCTION INVOLVING OTHER CORONARY 
ARTERY OF INFERIOR WALL
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I21.2
DX
ST ELEVATION (STEMI) MYOCARDIAL INFARCTION OF OTHER SITES
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I21.21
DX
ST ELEVATION (STEMI) MYOCARDIAL INFARCTION INVOLVING LEFT CIRCUMFLEX 
CORONARY ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I21.29
DX
ST ELEVATION (STEMI) MYOCARDIAL INFARCTION INVOLVING OTHER SITES
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I21.3
DX
ST ELEVATION (STEMI) MYOCARDIAL INFARCTION OF UNSPECIFIED SITE
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I21.4
DX
NON-ST ELEVATION (NSTEMI) MYOCARDIAL INFARCTION
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I21.9
DX
ACUTE MYOCARDIAL INFARCTION, UNSPECIFIED
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I21.A
DX
OTHER TYPE OF MYOCARDIAL INFARCTION
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I21.A1
DX
MYOCARDIAL INFARCTION TYPE 2
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I21.A9
DX
OTHER MYOCARDIAL INFARCTION TYPE
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I22
DX
SUBSEQUENT ST ELEVATION (STEMI) AND NON-ST ELEVATION (NSTEMI) 
MYOCARDIAL INFARCTION
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I22.0
DX
SUBSEQUENT ST ELEVATION (STEMI) MYOCARDIAL INFARCTION OF ANTERIOR 
WALL
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I22.1
DX
SUBSEQUENT ST ELEVATION (STEMI) MYOCARDIAL INFARCTION OF INFERIOR 
WALL
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I22.2
DX
SUBSEQUENT NON-ST ELEVATION (NSTEMI) MYOCARDIAL INFARCTION
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I22.8
DX
SUBSEQUENT ST ELEVATION (STEMI) MYOCARDIAL INFARCTION OF OTHER 
SITES
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I22.9
DX
SUBSEQUENT ST ELEVATION (STEMI) MYOCARDIAL INFARCTION OF 
UNSPECIFIED SITE
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I60
DX
NONTRAUMATIC SUBARACHNOID HEMORRHAGE
ICD-10-CM

17 Cardiovascular event or intervention <60 days prior to screening
I60.0
DX
NONTRAUMATIC SUBARACHNOID HEMORRHAGE FROM CAROTID SIPHON AND 
BIFURCATION
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I60.00
DX
NONTRAUMATIC SUBARACHNOID HEMORRHAGE FROM UNSPECIFIED CAROTID 
SIPHON AND BIFURCATION
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I60.01
DX
NONTRAUMATIC SUBARACHNOID HEMORRHAGE FROM RIGHT CAROTID SIPHON 
AND BIFURCATION
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I60.02
DX
NONTRAUMATIC SUBARACHNOID HEMORRHAGE FROM LEFT CAROTID SIPHON 
AND BIFURCATION
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I60.1
DX
NONTRAUMATIC SUBARACHNOID HEMORRHAGE FROM MIDDLE CEREBRAL 
ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I60.10
DX
NONTRAUMATIC SUBARACHNOID HEMORRHAGE FROM UNSPECIFIED MIDDLE 
CEREBRAL ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I60.11
DX
NONTRAUMATIC SUBARACHNOID HEMORRHAGE FROM RIGHT MIDDLE 
CEREBRAL ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I60.12
DX
NONTRAUMATIC SUBARACHNOID HEMORRHAGE FROM LEFT MIDDLE CEREBRAL 
ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I60.2
DX
NONTRAUMATIC SUBARACHNOID HEMORRHAGE FROM ANTERIOR 
COMMUNICATING ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I60.3
DX
NONTRAUMATIC SUBARACHNOID HEMORRHAGE FROM POSTERIOR 
COMMUNICATING ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I60.30
DX
NONTRAUMATIC SUBARACHNOID HEMORRHAGE FROM UNSPECIFIED 
POSTERIOR COMMUNICATING ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I60.31
DX
NONTRAUMATIC SUBARACHNOID HEMORRHAGE FROM RIGHT POSTERIOR 
COMMUNICATING ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I60.32
DX
NONTRAUMATIC SUBARACHNOID HEMORRHAGE FROM LEFT POSTERIOR 
COMMUNICATING ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I60.4
DX
NONTRAUMATIC SUBARACHNOID HEMORRHAGE FROM BASILAR ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I60.5
DX
NONTRAUMATIC SUBARACHNOID HEMORRHAGE FROM VERTEBRAL ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I60.50
DX
NONTRAUMATIC SUBARACHNOID HEMORRHAGE FROM UNSPECIFIED 
VERTEBRAL ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I60.51
DX
NONTRAUMATIC SUBARACHNOID HEMORRHAGE FROM RIGHT VERTEBRAL 
ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I60.52
DX
NONTRAUMATIC SUBARACHNOID HEMORRHAGE FROM LEFT VERTEBRAL 
ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I60.6
DX
NONTRAUMATIC SUBARACHNOID HEMORRHAGE FROM OTHER INTRACRANIAL 
ARTERIES
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I60.7
DX
NONTRAUMATIC SUBARACHNOID HEMORRHAGE FROM UNSPECIFIED 
INTRACRANIAL ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I60.8
DX
OTHER NONTRAUMATIC SUBARACHNOID HEMORRHAGE
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I60.9
DX
NONTRAUMATIC SUBARACHNOID HEMORRHAGE, UNSPECIFIED
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I61
DX
NONTRAUMATIC INTRACEREBRAL HEMORRHAGE
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I61.0
DX
NONTRAUMATIC INTRACEREBRAL HEMORRHAGE IN HEMISPHERE, 
SUBCORTICAL
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I61.1
DX
NONTRAUMATIC INTRACEREBRAL HEMORRHAGE IN HEMISPHERE, CORTICAL
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I61.2
DX
NONTRAUMATIC INTRACEREBRAL HEMORRHAGE IN HEMISPHERE, UNSPECIFIED ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I61.3
DX
NONTRAUMATIC INTRACEREBRAL HEMORRHAGE IN BRAIN STEM
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I61.4
DX
NONTRAUMATIC INTRACEREBRAL HEMORRHAGE IN CEREBELLUM
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I61.5
DX
NONTRAUMATIC INTRACEREBRAL HEMORRHAGE, INTRAVENTRICULAR
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I61.6
DX
NONTRAUMATIC INTRACEREBRAL HEMORRHAGE, MULTIPLE LOCALIZED
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I61.8
DX
OTHER NONTRAUMATIC INTRACEREBRAL HEMORRHAGE
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I61.9
DX
NONTRAUMATIC INTRACEREBRAL HEMORRHAGE, UNSPECIFIED
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63
DX
CEREBRAL INFARCTION
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.0
DX
CEREBRAL INFARCTION DUE TO THROMBOSIS OF PRECEREBRAL ARTERIES
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.01
DX
CEREBRAL INFARCTION DUE TO THROMBOSIS OF VERTEBRAL ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.011
DX
CEREBRAL INFARCTION DUE TO THROMBOSIS OF RIGHT VERTEBRAL ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.012
DX
CEREBRAL INFARCTION DUE TO THROMBOSIS OF LEFT VERTEBRAL ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.013
DX
CEREBRAL INFARCTION DUE TO THROMBOSIS OF BILATERAL VERTEBRAL 
ARTERIES
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.019
DX
CEREBRAL INFARCTION DUE TO THROMBOSIS OF UNSPECIFIED VERTEBRAL 
ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.02
DX
CEREBRAL INFARCTION DUE TO THROMBOSIS OF BASILAR ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.03
DX
CEREBRAL INFARCTION DUE TO THROMBOSIS OF CAROTID ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.031
DX
CEREBRAL INFARCTION DUE TO THROMBOSIS OF RIGHT CAROTID ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.032
DX
CEREBRAL INFARCTION DUE TO THROMBOSIS OF LEFT CAROTID ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.033
DX
CEREBRAL INFARCTION DUE TO THROMBOSIS OF BILATERAL CAROTID 
ARTERIES
ICD-10-CM

17 Cardiovascular event or intervention <60 days prior to screening
I63.039
DX
CEREBRAL INFARCTION DUE TO THROMBOSIS OF UNSPECIFIED CAROTID 
ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.09
DX
CEREBRAL INFARCTION DUE TO THROMBOSIS OF OTHER PRECEREBRAL ARTERY ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.1
DX
CEREBRAL INFARCTION DUE TO EMBOLISM OF PRECEREBRAL ARTERIES
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.10
DX
CEREBRAL INFARCTION DUE TO EMBOLISM OF UNSPECIFIED PRECEREBRAL 
ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.11
DX
CEREBRAL INFARCTION DUE TO EMBOLISM OF VERTEBRAL ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.111
DX
CEREBRAL INFARCTION DUE TO EMBOLISM OF RIGHT VERTEBRAL ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.112
DX
CEREBRAL INFARCTION DUE TO EMBOLISM OF LEFT VERTEBRAL ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.113
DX
CEREBRAL INFARCTION DUE TO EMBOLISM OF BILATERAL VERTEBRAL 
ARTERIES
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.119
DX
CEREBRAL INFARCTION DUE TO EMBOLISM OF UNSPECIFIED VERTEBRAL 
ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.12
DX
CEREBRAL INFARCTION DUE TO EMBOLISM OF BASILAR ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.13
DX
CEREBRAL INFARCTION DUE TO EMBOLISM OF CAROTID ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.131
DX
CEREBRAL INFARCTION DUE TO EMBOLISM OF RIGHT CAROTID ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.132
DX
CEREBRAL INFARCTION DUE TO EMBOLISM OF LEFT CAROTID ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.133
DX
CEREBRAL INFARCTION DUE TO EMBOLISM OF BILATERAL CAROTID ARTERIES
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.139
DX
CEREBRAL INFARCTION DUE TO EMBOLISM OF UNSPECIFIED CAROTID ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.19
DX
CEREBRAL INFARCTION DUE TO EMBOLISM OF OTHER PRECEREBRAL ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.2
DX
CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF 
PRECEREBRAL ARTERIES
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.20
DX
CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF 
UNSPECIFIED PRECEREBRAL ARTERIES
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.21
DX
CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF 
VERTEBRAL ARTERIES
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.211
DX
CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF 
RIGHT VERTEBRAL ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.212
DX
CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF 
LEFT VERTEBRAL ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.213
DX
CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF 
BILATERAL VERTEBRAL ARTERIES
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.219
DX
CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF 
UNSPECIFIED VERTEBRAL ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.22
DX
CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF 
BASILAR ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.23
DX
CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF 
CAROTID ARTERIES
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.231
DX
CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF 
RIGHT CAROTID ARTERIES
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.232
DX
CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF 
LEFT CAROTID ARTERIES
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.233
DX
CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF 
BILATERAL CAROTID ARTERIES
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.239
DX
CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF 
UNSPECIFIED CAROTID ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.29
DX
CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF 
OTHER PRECEREBRAL ARTERIES
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.3
DX
CEREBRAL INFARCTION DUE TO THROMBOSIS OF CEREBRAL ARTERIES
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.30
DX
CEREBRAL INFARCTION DUE TO THROMBOSIS OF UNSPECIFIED CEREBRAL 
ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.31
DX
CEREBRAL INFARCTION DUE TO THROMBOSIS OF MIDDLE CEREBRAL ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.311
DX
CEREBRAL INFARCTION DUE TO THROMBOSIS OF RIGHT MIDDLE CEREBRAL 
ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.312
DX
CEREBRAL INFARCTION DUE TO THROMBOSIS OF LEFT MIDDLE CEREBRAL 
ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.313
DX
CEREBRAL INFARCTION DUE TO THROMBOSIS OF BILATERAL MIDDLE CEREBRAL 
ARTERIES
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.319
DX
CEREBRAL INFARCTION DUE TO THROMBOSIS OF UNSPECIFIED MIDDLE 
CEREBRAL ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.32
DX
CEREBRAL INFARCTION DUE TO THROMBOSIS OF ANTERIOR CEREBRAL ARTERY ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.321
DX
CEREBRAL INFARCTION DUE TO THROMBOSIS OF RIGHT ANTERIOR CEREBRAL 
ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.322
DX
CEREBRAL INFARCTION DUE TO THROMBOSIS OF LEFT ANTERIOR CEREBRAL 
ARTERY
ICD-10-CM

17 Cardiovascular event or intervention <60 days prior to screening
I63.323
DX
CEREBRAL INFARCTION DUE TO THROMBOSIS OF BILATERAL ANTERIOR 
CEREBRAL ARTERIES
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.329
DX
CEREBRAL INFARCTION DUE TO THROMBOSIS OF UNSPECIFIED ANTERIOR 
CEREBRAL ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.33
DX
CEREBRAL INFARCTION DUE TO THROMBOSIS OF POSTERIOR CEREBRAL 
ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.331
DX
CEREBRAL INFARCTION DUE TO THROMBOSIS OF RIGHT POSTERIOR CEREBRAL 
ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.332
DX
CEREBRAL INFARCTION DUE TO THROMBOSIS OF LEFT POSTERIOR CEREBRAL 
ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.333
DX
CEREBRAL INFARCTION DUE TO THROMBOSIS OF BILATERAL POSTERIOR 
CEREBRAL ARTERIES
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.339
DX
CEREBRAL INFARCTION DUE TO THROMBOSIS OF UNSPECIFIED POSTERIOR 
CEREBRAL ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.34
DX
CEREBRAL INFARCTION DUE TO THROMBOSIS OF CEREBELLAR ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.341
DX
CEREBRAL INFARCTION DUE TO THROMBOSIS OF RIGHT CEREBELLAR ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.342
DX
CEREBRAL INFARCTION DUE TO THROMBOSIS OF LEFT CEREBELLAR ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.343
DX
CEREBRAL INFARCTION DUE TO THROMBOSIS OF BILATERAL CEREBELLAR 
ARTERIES
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.349
DX
CEREBRAL INFARCTION DUE TO THROMBOSIS OF UNSPECIFIED CEREBELLAR 
ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.39
DX
CEREBRAL INFARCTION DUE TO THROMBOSIS OF OTHER CEREBRAL ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.4
DX
CEREBRAL INFARCTION DUE TO EMBOLISM OF CEREBRAL ARTERIES
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.40
DX
CEREBRAL INFARCTION DUE TO EMBOLISM OF UNSPECIFIED CEREBRAL ARTERY ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.41
DX
CEREBRAL INFARCTION DUE TO EMBOLISM OF MIDDLE CEREBRAL ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.411
DX
CEREBRAL INFARCTION DUE TO EMBOLISM OF RIGHT MIDDLE CEREBRAL 
ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.412
DX
CEREBRAL INFARCTION DUE TO EMBOLISM OF LEFT MIDDLE CEREBRAL ARTERY ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.413
DX
CEREBRAL INFARCTION DUE TO EMBOLISM OF BILATERAL MIDDLE CEREBRAL 
ARTERIES
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.419
DX
CEREBRAL INFARCTION DUE TO EMBOLISM OF UNSPECIFIED MIDDLE CEREBRAL 
ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.42
DX
CEREBRAL INFARCTION DUE TO EMBOLISM OF ANTERIOR CEREBRAL ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.421
DX
CEREBRAL INFARCTION DUE TO EMBOLISM OF RIGHT ANTERIOR CEREBRAL 
ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.422
DX
CEREBRAL INFARCTION DUE TO EMBOLISM OF LEFT ANTERIOR CEREBRAL 
ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.423
DX
CEREBRAL INFARCTION DUE TO EMBOLISM OF BILATERAL ANTERIOR CEREBRAL 
ARTERIES
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.429
DX
CEREBRAL INFARCTION DUE TO EMBOLISM OF UNSPECIFIED ANTERIOR 
CEREBRAL ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.43
DX
CEREBRAL INFARCTION DUE TO EMBOLISM OF POSTERIOR CEREBRAL ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.431
DX
CEREBRAL INFARCTION DUE TO EMBOLISM OF RIGHT POSTERIOR CEREBRAL 
ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.432
DX
CEREBRAL INFARCTION DUE TO EMBOLISM OF LEFT POSTERIOR CEREBRAL 
ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.433
DX
CEREBRAL INFARCTION DUE TO EMBOLISM OF BILATERAL POSTERIOR 
CEREBRAL ARTERIES
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.439
DX
CEREBRAL INFARCTION DUE TO EMBOLISM OF UNSPECIFIED POSTERIOR 
CEREBRAL ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.44
DX
CEREBRAL INFARCTION DUE TO EMBOLISM OF CEREBELLAR ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.441
DX
CEREBRAL INFARCTION DUE TO EMBOLISM OF RIGHT CEREBELLAR ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.442
DX
CEREBRAL INFARCTION DUE TO EMBOLISM OF LEFT CEREBELLAR ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.443
DX
CEREBRAL INFARCTION DUE TO EMBOLISM OF BILATERAL CEREBELLAR 
ARTERIES
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.449
DX
CEREBRAL INFARCTION DUE TO EMBOLISM OF UNSPECIFIED CEREBELLAR 
ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.49
DX
CEREBRAL INFARCTION DUE TO EMBOLISM OF OTHER CEREBRAL ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.5
DX
CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF 
CEREBRAL ARTERIES
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.50
DX
CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF 
UNSPECIFIED CEREBRAL ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.51
DX
CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF 
MIDDLE CEREBRAL ARTERY
ICD-10-CM

17 Cardiovascular event or intervention <60 days prior to screening
I63.511
DX
CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF 
RIGHT MIDDLE CEREBRAL ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.512
DX
CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF 
LEFT MIDDLE CEREBRAL ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.513
DX
CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF 
BILATERAL MIDDLE CEREBRAL ARTERIES
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.519
DX
CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF 
UNSPECIFIED MIDDLE CEREBRAL ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.52
DX
CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF 
ANTERIOR CEREBRAL ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.521
DX
CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF 
RIGHT ANTERIOR CEREBRAL ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.522
DX
CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF 
LEFT ANTERIOR CEREBRAL ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.523
DX
CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF 
BILATERAL ANTERIOR CEREBRAL ARTERIES
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.529
DX
CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF 
UNSPECIFIED ANTERIOR CEREBRAL ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.53
DX
CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF 
POSTERIOR CEREBRAL ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.531
DX
CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF 
RIGHT POSTERIOR CEREBRAL ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.532
DX
CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF 
LEFT POSTERIOR CEREBRAL ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.533
DX
CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF 
BILATERAL POSTERIOR CEREBRAL ARTERIES
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.539
DX
CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF 
UNSPECIFIED POSTERIOR CEREBRAL ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.54
DX
CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF 
CEREBELLAR ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.541
DX
CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF 
RIGHT CEREBELLAR ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.542
DX
CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF 
LEFT CEREBELLAR ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.543
DX
CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF 
BILATERAL CEREBELLAR ARTERIES
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.549
DX
CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF 
UNSPECIFIED CEREBELLAR ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.59
DX
CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF 
OTHER CEREBRAL ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.6
DX
CEREBRAL INFARCTION DUE TO CEREBRAL VENOUS THROMBOSIS, 
NONPYOGENIC
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.8
DX
OTHER CEREBRAL INFARCTION
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.81
DX
OTHER CEREBRAL INFARCTION DUE TO OCCLUSION OR STENOSIS OF SMALL 
ARTERY
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.89
DX
OTHER CEREBRAL INFARCTION
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I63.9
DX
CEREBRAL INFARCTION, UNSPECIFIED
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
T82.211A
DX
BREAKDOWN (MECHANICAL) OF CORONARY ARTERY BYPASS GRAFT, INITIAL 
ENCOUNTER
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
T82.212A
DX
DISPLACEMENT OF CORONARY ARTERY BYPASS GRAFT, INITIAL ENCOUNTER
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
T82.213A
DX
LEAKAGE OF CORONARY ARTERY BYPASS GRAFT, INITIAL ENCOUNTER
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
T82.218A
DX
OTHER MECHANICAL COMPLICATION OF CORONARY ARTERY BYPASS GRAFT, 
INITIAL ENCOUNTER
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
T86.30
DX
UNSPECIFIED COMPLICATION OF HEART-LUNG TRANSPLANT
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
T86.31
DX
HEART-LUNG TRANSPLANT REJECTION
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
T86.32
DX
HEART-LUNG TRANSPLANT FAILURE
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
T86.33
DX
HEART-LUNG TRANSPLANT INFECTION
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
T86.39
DX
OTHER COMPLICATIONS OF HEART-LUNG TRANSPLANT
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
Z48.280
DX
ENCOUNTER FOR AFTERCARE FOLLOWING HEART-LUNG TRANSPLANT
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
Z94.3
DX
HEART AND LUNGS TRANSPLANT STATUS
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
Z95.1
DX
PRESENCE OF AORTOCORONARY BYPASS GRAFT
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
0210083
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY ARTERY WITH 
ZOOPLASTIC TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0210088
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM RIGHT INTERNAL MAMMARY 
WITH ZOOPLASTIC TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0210089
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM LEFT INTERNAL MAMMARY 
WITH ZOOPLASTIC TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021008C
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM THORACIC ARTERY WITH 
ZOOPLASTIC TISSUE, OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
021008F
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM ABDOMINAL ARTERY WITH 
ZOOPLASTIC TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021008W
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM AORTA WITH ZOOPLASTIC 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0210093
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0210098
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM RIGHT INTERNAL MAMMARY 
WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0210099
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM LEFT INTERNAL MAMMARY 
WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021009C
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM THORACIC ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021009F
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM ABDOMINAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021009W
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM AORTA WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02100A3
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02100A8
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM RIGHT INTERNAL MAMMARY 
WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02100A9
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM LEFT INTERNAL MAMMARY 
WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02100AC
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM THORACIC ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02100AF
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM ABDOMINAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02100AW
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM AORTA WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02100J3
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02100J8
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM RIGHT INTERNAL MAMMARY 
WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02100J9
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM LEFT INTERNAL MAMMARY 
WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02100JC
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM THORACIC ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02100JF
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM ABDOMINAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02100JW
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM AORTA WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02100K3
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02100K8
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM RIGHT INTERNAL MAMMARY 
WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02100K9
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM LEFT INTERNAL MAMMARY 
WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02100KC
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM THORACIC ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02100KF
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM ABDOMINAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02100KW
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM AORTA WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02100Z3
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02100Z8
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM RIGHT INTERNAL MAMMARY, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02100Z9
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM LEFT INTERNAL MAMMARY, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02100ZC
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM THORACIC ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02100ZF
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM ABDOMINAL ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0210344
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY VEIN WITH DRUG-
ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02103D4
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY VEIN WITH 
INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0210444
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY VEIN WITH DRUG-
ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
0210483
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY ARTERY WITH 
ZOOPLASTIC TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0210488
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM RIGHT INTERNAL MAMMARY 
WITH ZOOPLASTIC TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0210489
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM LEFT INTERNAL MAMMARY 
WITH ZOOPLASTIC TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021048C
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM THORACIC ARTERY WITH 
ZOOPLASTIC TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021048F
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM ABDOMINAL ARTERY WITH 
ZOOPLASTIC TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021048W
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM AORTA WITH ZOOPLASTIC 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0210493
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0210498
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM RIGHT INTERNAL MAMMARY 
WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0210499
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM LEFT INTERNAL MAMMARY 
WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021049C
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM THORACIC ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021049F
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM ABDOMINAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021049W
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM AORTA WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02104A3
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02104A8
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM RIGHT INTERNAL MAMMARY 
WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02104A9
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM LEFT INTERNAL MAMMARY 
WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02104AC
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM THORACIC ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02104AF
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM ABDOMINAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02104AW
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM AORTA WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02104D4
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY VEIN WITH 
INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02104J3
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY ARTERY WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02104J8
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM RIGHT INTERNAL MAMMARY 
WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02104J9
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM LEFT INTERNAL MAMMARY 
WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02104JC
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM THORACIC ARTERY WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02104JF
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM ABDOMINAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02104JW
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM AORTA WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02104K3
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02104K8
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM RIGHT INTERNAL MAMMARY 
WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02104K9
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM LEFT INTERNAL MAMMARY 
WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02104KC
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM THORACIC ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
02104KF
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM ABDOMINAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02104KW
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM AORTA WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02104Z3
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY ARTERY, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02104Z8
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM RIGHT INTERNAL MAMMARY, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02104Z9
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM LEFT INTERNAL MAMMARY, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02104ZC
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM THORACIC ARTERY, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02104ZF
PX
BYPASS CORONARY ARTERY, ONE ARTERY FROM ABDOMINAL ARTERY, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0211083
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY ARTERY WITH 
ZOOPLASTIC TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0211088
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM RIGHT INTERNAL 
MAMMARY WITH ZOOPLASTIC TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0211089
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM LEFT INTERNAL MAMMARY 
WITH ZOOPLASTIC TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021108C
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM THORACIC ARTERY WITH 
ZOOPLASTIC TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021108F
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM ABDOMINAL ARTERY WITH 
ZOOPLASTIC TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021108W
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM AORTA WITH ZOOPLASTIC 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0211093
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0211098
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM RIGHT INTERNAL 
MAMMARY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0211099
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM LEFT INTERNAL MAMMARY 
WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021109C
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM THORACIC ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021109F
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM ABDOMINAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021109W
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM AORTA WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02110A3
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02110A8
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM RIGHT INTERNAL 
MAMMARY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02110A9
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM LEFT INTERNAL MAMMARY 
WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02110AC
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM THORACIC ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02110AF
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM ABDOMINAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02110AW
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM AORTA WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02110J3
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02110J8
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM RIGHT INTERNAL 
MAMMARY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02110J9
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM LEFT INTERNAL MAMMARY 
WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02110JC
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM THORACIC ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02110JF
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM ABDOMINAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02110JW
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM AORTA WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02110K3
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02110K8
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM RIGHT INTERNAL 
MAMMARY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
02110K9
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM LEFT INTERNAL MAMMARY 
WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02110KC
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM THORACIC ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02110KF
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM ABDOMINAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02110KW
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM AORTA WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02110Z3
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02110Z8
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM RIGHT INTERNAL 
MAMMARY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02110Z9
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM LEFT INTERNAL MAMMARY, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02110ZC
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM THORACIC ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02110ZF
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM ABDOMINAL ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0211344
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY VEIN WITH 
DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02113D4
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY VEIN WITH 
INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0211444
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY VEIN WITH 
DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0211483
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY ARTERY WITH 
ZOOPLASTIC TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0211488
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM RIGHT INTERNAL 
MAMMARY WITH ZOOPLASTIC TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0211489
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM LEFT INTERNAL MAMMARY 
WITH ZOOPLASTIC TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021148C
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM THORACIC ARTERY WITH 
ZOOPLASTIC TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021148F
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM ABDOMINAL ARTERY WITH 
ZOOPLASTIC TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021148W
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM AORTA WITH ZOOPLASTIC 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0211493
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0211498
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM RIGHT INTERNAL 
MAMMARY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0211499
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM LEFT INTERNAL MAMMARY 
WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021149C
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM THORACIC ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021149F
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM ABDOMINAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021149W
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM AORTA WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02114A3
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02114A8
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM RIGHT INTERNAL 
MAMMARY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02114A9
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM LEFT INTERNAL MAMMARY 
WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02114AC
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM THORACIC ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02114AF
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM ABDOMINAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
02114AW
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM AORTA WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02114D4
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY VEIN WITH 
INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02114J3
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY ARTERY WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02114J8
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM RIGHT INTERNAL 
MAMMARY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02114J9
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM LEFT INTERNAL MAMMARY 
WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02114JC
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM THORACIC ARTERY WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02114JF
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM ABDOMINAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02114JW
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM AORTA WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02114K3
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02114K8
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM RIGHT INTERNAL 
MAMMARY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02114K9
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM LEFT INTERNAL MAMMARY 
WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02114KC
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM THORACIC ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02114KF
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM ABDOMINAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02114KW
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM AORTA WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02114Z3
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY ARTERY, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02114Z8
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM RIGHT INTERNAL 
MAMMARY, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02114Z9
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM LEFT INTERNAL MAMMARY, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02114ZC
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM THORACIC ARTERY, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02114ZF
PX
BYPASS CORONARY ARTERY, TWO ARTERIES FROM ABDOMINAL ARTERY, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0212083
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY ARTERY WITH 
ZOOPLASTIC TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0212088
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM RIGHT INTERNAL 
MAMMARY WITH ZOOPLASTIC TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0212089
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM LEFT INTERNAL 
MAMMARY WITH ZOOPLASTIC TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021208C
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM THORACIC ARTERY WITH 
ZOOPLASTIC TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021208F
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM ABDOMINAL ARTERY 
WITH ZOOPLASTIC TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021208W
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM AORTA WITH 
ZOOPLASTIC TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0212093
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0212098
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM RIGHT INTERNAL 
MAMMARY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0212099
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM LEFT INTERNAL 
MAMMARY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021209C
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM THORACIC ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021209F
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM ABDOMINAL ARTERY 
WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
021209W
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM AORTA WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02120A3
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02120A8
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM RIGHT INTERNAL 
MAMMARY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02120A9
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM LEFT INTERNAL 
MAMMARY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02120AC
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM THORACIC ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02120AF
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM ABDOMINAL ARTERY 
WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02120AW
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM AORTA WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02120J3
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02120J8
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM RIGHT INTERNAL 
MAMMARY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02120J9
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM LEFT INTERNAL 
MAMMARY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02120JC
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM THORACIC ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02120JF
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM ABDOMINAL ARTERY 
WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02120JW
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM AORTA WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02120K3
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02120K8
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM RIGHT INTERNAL 
MAMMARY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02120K9
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM LEFT INTERNAL 
MAMMARY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02120KC
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM THORACIC ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02120KF
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM ABDOMINAL ARTERY 
WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02120KW
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM AORTA WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02120Z3
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY ARTERY, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02120Z8
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM RIGHT INTERNAL 
MAMMARY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02120Z9
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM LEFT INTERNAL 
MAMMARY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02120ZC
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM THORACIC ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02120ZF
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM ABDOMINAL ARTERY, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0212344
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY VEIN WITH 
DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02123D4
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY VEIN WITH 
INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0212444
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY VEIN WITH 
DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0212483
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY ARTERY WITH 
ZOOPLASTIC TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0212488
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM RIGHT INTERNAL 
MAMMARY WITH ZOOPLASTIC TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0212489
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM LEFT INTERNAL 
MAMMARY WITH ZOOPLASTIC TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021248C
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM THORACIC ARTERY WITH 
ZOOPLASTIC TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021248F
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM ABDOMINAL ARTERY 
WITH ZOOPLASTIC TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021248W
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM AORTA WITH 
ZOOPLASTIC TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
0212493
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0212498
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM RIGHT INTERNAL 
MAMMARY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0212499
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM LEFT INTERNAL 
MAMMARY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021249C
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM THORACIC ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021249F
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM ABDOMINAL ARTERY 
WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021249W
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM AORTA WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02124A3
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02124A8
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM RIGHT INTERNAL 
MAMMARY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02124A9
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM LEFT INTERNAL 
MAMMARY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02124AC
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM THORACIC ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02124AF
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM ABDOMINAL ARTERY 
WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02124AW
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM AORTA WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02124D4
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY VEIN WITH 
INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02124J3
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY ARTERY WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02124J8
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM RIGHT INTERNAL 
MAMMARY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02124J9
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM LEFT INTERNAL 
MAMMARY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02124JC
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM THORACIC ARTERY WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02124JF
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM ABDOMINAL ARTERY 
WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02124JW
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM AORTA WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02124K3
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02124K8
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM RIGHT INTERNAL 
MAMMARY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02124K9
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM LEFT INTERNAL 
MAMMARY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02124KC
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM THORACIC ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02124KF
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM ABDOMINAL ARTERY 
WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02124KW
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM AORTA WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
02124Z3
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY ARTERY, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02124Z8
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM RIGHT INTERNAL 
MAMMARY, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02124Z9
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM LEFT INTERNAL 
MAMMARY, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02124ZC
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM THORACIC ARTERY, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02124ZF
PX
BYPASS CORONARY ARTERY, THREE ARTERIES FROM ABDOMINAL ARTERY, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0213083
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY 
ARTERY WITH ZOOPLASTIC TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0213088
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM RIGHT INTERNAL 
MAMMARY WITH ZOOPLASTIC TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0213089
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM LEFT INTERNAL 
MAMMARY WITH ZOOPLASTIC TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021308C
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM THORACIC 
ARTERY WITH ZOOPLASTIC TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021308F
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM ABDOMINAL 
ARTERY WITH ZOOPLASTIC TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021308W
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM AORTA WITH 
ZOOPLASTIC TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0213093
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY 
ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0213098
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM RIGHT INTERNAL 
MAMMARY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0213099
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM LEFT INTERNAL 
MAMMARY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021309C
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM THORACIC 
ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021309F
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM ABDOMINAL 
ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021309W
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM AORTA WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02130A3
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY 
ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02130A8
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM RIGHT INTERNAL 
MAMMARY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02130A9
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM LEFT INTERNAL 
MAMMARY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02130AC
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM THORACIC 
ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02130AF
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM ABDOMINAL 
ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02130AW
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM AORTA WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02130J3
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY 
ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02130J8
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM RIGHT INTERNAL 
MAMMARY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02130J9
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM LEFT INTERNAL 
MAMMARY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02130JC
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM THORACIC 
ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02130JF
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM ABDOMINAL 
ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02130JW
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM AORTA WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02130K3
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY 
ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02130K8
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM RIGHT INTERNAL 
MAMMARY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
02130K9
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM LEFT INTERNAL 
MAMMARY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02130KC
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM THORACIC 
ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02130KF
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM ABDOMINAL 
ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02130KW
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM AORTA WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02130Z3
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY 
ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02130Z8
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM RIGHT INTERNAL 
MAMMARY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02130Z9
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM LEFT INTERNAL 
MAMMARY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02130ZC
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM THORACIC 
ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02130ZF
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM ABDOMINAL 
ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0213344
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY VEIN 
WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02133D4
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY VEIN 
WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0213444
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY VEIN 
WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0213483
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY 
ARTERY WITH ZOOPLASTIC TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0213488
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM RIGHT INTERNAL 
MAMMARY WITH ZOOPLASTIC TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0213489
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM LEFT INTERNAL 
MAMMARY WITH ZOOPLASTIC TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021348C
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM THORACIC 
ARTERY WITH ZOOPLASTIC TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021348F
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM ABDOMINAL 
ARTERY WITH ZOOPLASTIC TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021348W
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM AORTA WITH 
ZOOPLASTIC TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0213493
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY 
ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0213498
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM RIGHT INTERNAL 
MAMMARY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0213499
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM LEFT INTERNAL 
MAMMARY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021349C
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM THORACIC 
ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021349F
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM ABDOMINAL 
ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021349W
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM AORTA WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02134A3
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY 
ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02134A8
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM RIGHT INTERNAL 
MAMMARY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
02134A9
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM LEFT INTERNAL 
MAMMARY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02134AC
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM THORACIC 
ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02134AF
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM ABDOMINAL 
ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02134AW
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM AORTA WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02134D4
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY VEIN 
WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02134J3
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY 
ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02134J8
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM RIGHT INTERNAL 
MAMMARY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02134J9
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM LEFT INTERNAL 
MAMMARY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02134JC
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM THORACIC 
ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02134JF
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM ABDOMINAL 
ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02134JW
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM AORTA WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02134K3
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY 
ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02134K8
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM RIGHT INTERNAL 
MAMMARY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02134K9
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM LEFT INTERNAL 
MAMMARY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02134KC
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM THORACIC 
ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02134KF
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM ABDOMINAL 
ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02134KW
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM AORTA WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02134Z3
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY 
ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02134Z8
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM RIGHT INTERNAL 
MAMMARY, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02134Z9
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM LEFT INTERNAL 
MAMMARY, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02134ZC
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM THORACIC 
ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02134ZF
PX
BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM ABDOMINAL 
ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021608P
PX
BYPASS RIGHT ATRIUM TO PULMONARY TRUNK WITH ZOOPLASTIC TISSUE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021608Q
PX
BYPASS RIGHT ATRIUM TO RIGHT PULMONARY ARTERY WITH ZOOPLASTIC 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021608R
PX
BYPASS RIGHT ATRIUM TO LEFT PULMONARY ARTERY WITH ZOOPLASTIC 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021609P
PX
BYPASS RIGHT ATRIUM TO PULMONARY TRUNK WITH AUTOLOGOUS VENOUS 
TISSUE, OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
021609Q
PX
BYPASS RIGHT ATRIUM TO RIGHT PULMONARY ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021609R
PX
BYPASS RIGHT ATRIUM TO LEFT PULMONARY ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02160AP
PX
BYPASS RIGHT ATRIUM TO PULMONARY TRUNK WITH AUTOLOGOUS ARTERIAL 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02160AQ
PX
BYPASS RIGHT ATRIUM TO RIGHT PULMONARY ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02160AR
PX
BYPASS RIGHT ATRIUM TO LEFT PULMONARY ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02160JP
PX
BYPASS RIGHT ATRIUM TO PULMONARY TRUNK WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02160JQ
PX
BYPASS RIGHT ATRIUM TO RIGHT PULMONARY ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02160JR
PX
BYPASS RIGHT ATRIUM TO LEFT PULMONARY ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02160KP
PX
BYPASS RIGHT ATRIUM TO PULMONARY TRUNK WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02160KQ
PX
BYPASS RIGHT ATRIUM TO RIGHT PULMONARY ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02160KR
PX
BYPASS RIGHT ATRIUM TO LEFT PULMONARY ARTERY WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02160ZP
PX
BYPASS RIGHT ATRIUM TO PULMONARY TRUNK, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02160ZQ
PX
BYPASS RIGHT ATRIUM TO RIGHT PULMONARY ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02160ZR
PX
BYPASS RIGHT ATRIUM TO LEFT PULMONARY ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02163Z7
PX
BYPASS RIGHT ATRIUM TO LEFT ATRIUM, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021648P
PX
BYPASS RIGHT ATRIUM TO PULMONARY TRUNK WITH ZOOPLASTIC TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021648Q
PX
BYPASS RIGHT ATRIUM TO RIGHT PULMONARY ARTERY WITH ZOOPLASTIC 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021648R
PX
BYPASS RIGHT ATRIUM TO LEFT PULMONARY ARTERY WITH ZOOPLASTIC 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021649P
PX
BYPASS RIGHT ATRIUM TO PULMONARY TRUNK WITH AUTOLOGOUS VENOUS 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021649Q
PX
BYPASS RIGHT ATRIUM TO RIGHT PULMONARY ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021649R
PX
BYPASS RIGHT ATRIUM TO LEFT PULMONARY ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02164AP
PX
BYPASS RIGHT ATRIUM TO PULMONARY TRUNK WITH AUTOLOGOUS ARTERIAL 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02164AQ
PX
BYPASS RIGHT ATRIUM TO RIGHT PULMONARY ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02164AR
PX
BYPASS RIGHT ATRIUM TO LEFT PULMONARY ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02164JP
PX
BYPASS RIGHT ATRIUM TO PULMONARY TRUNK WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02164JQ
PX
BYPASS RIGHT ATRIUM TO RIGHT PULMONARY ARTERY WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02164JR
PX
BYPASS RIGHT ATRIUM TO LEFT PULMONARY ARTERY WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02164KP
PX
BYPASS RIGHT ATRIUM TO PULMONARY TRUNK WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02164KQ
PX
BYPASS RIGHT ATRIUM TO RIGHT PULMONARY ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02164KR
PX
BYPASS RIGHT ATRIUM TO LEFT PULMONARY ARTERY WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02164ZP
PX
BYPASS RIGHT ATRIUM TO PULMONARY TRUNK, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02164ZQ
PX
BYPASS RIGHT ATRIUM TO RIGHT PULMONARY ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02164ZR
PX
BYPASS RIGHT ATRIUM TO LEFT PULMONARY ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021708S
PX
BYPASS LEFT ATRIUM TO RIGHT PULMONARY VEIN WITH ZOOPLASTIC TISSUE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021708T
PX
BYPASS LEFT ATRIUM TO LEFT PULMONARY VEIN WITH ZOOPLASTIC TISSUE, 
OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
021708U
PX
BYPASS LEFT ATRIUM TO PULMONARY VEIN CONFLUENCE WITH ZOOPLASTIC 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021709S
PX
BYPASS LEFT ATRIUM TO RIGHT PULMONARY VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021709T
PX
BYPASS LEFT ATRIUM TO LEFT PULMONARY VEIN WITH AUTOLOGOUS VENOUS 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021709U
PX
BYPASS LEFT ATRIUM TO PULMONARY VEIN CONFLUENCE WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02170AS
PX
BYPASS LEFT ATRIUM TO RIGHT PULMONARY VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02170AT
PX
BYPASS LEFT ATRIUM TO LEFT PULMONARY VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02170AU
PX
BYPASS LEFT ATRIUM TO PULMONARY VEIN CONFLUENCE WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02170JS
PX
BYPASS LEFT ATRIUM TO RIGHT PULMONARY VEIN WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02170JT
PX
BYPASS LEFT ATRIUM TO LEFT PULMONARY VEIN WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02170JU
PX
BYPASS LEFT ATRIUM TO PULMONARY VEIN CONFLUENCE WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02170KS
PX
BYPASS LEFT ATRIUM TO RIGHT PULMONARY VEIN WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02170KT
PX
BYPASS LEFT ATRIUM TO LEFT PULMONARY VEIN WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02170KU
PX
BYPASS LEFT ATRIUM TO PULMONARY VEIN CONFLUENCE WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02170ZS
PX
BYPASS LEFT ATRIUM TO RIGHT PULMONARY VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02170ZT
PX
BYPASS LEFT ATRIUM TO LEFT PULMONARY VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02170ZU
PX
BYPASS LEFT ATRIUM TO PULMONARY VEIN CONFLUENCE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021748S
PX
BYPASS LEFT ATRIUM TO RIGHT PULMONARY VEIN WITH ZOOPLASTIC TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021748T
PX
BYPASS LEFT ATRIUM TO LEFT PULMONARY VEIN WITH ZOOPLASTIC TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021748U
PX
BYPASS LEFT ATRIUM TO PULMONARY VEIN CONFLUENCE WITH ZOOPLASTIC 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021749S
PX
BYPASS LEFT ATRIUM TO RIGHT PULMONARY VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021749T
PX
BYPASS LEFT ATRIUM TO LEFT PULMONARY VEIN WITH AUTOLOGOUS VENOUS 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021749U
PX
BYPASS LEFT ATRIUM TO PULMONARY VEIN CONFLUENCE WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02174AS
PX
BYPASS LEFT ATRIUM TO RIGHT PULMONARY VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02174AT
PX
BYPASS LEFT ATRIUM TO LEFT PULMONARY VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02174AU
PX
BYPASS LEFT ATRIUM TO PULMONARY VEIN CONFLUENCE WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02174JS
PX
BYPASS LEFT ATRIUM TO RIGHT PULMONARY VEIN WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02174JT
PX
BYPASS LEFT ATRIUM TO LEFT PULMONARY VEIN WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02174JU
PX
BYPASS LEFT ATRIUM TO PULMONARY VEIN CONFLUENCE WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02174KS
PX
BYPASS LEFT ATRIUM TO RIGHT PULMONARY VEIN WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02174KT
PX
BYPASS LEFT ATRIUM TO LEFT PULMONARY VEIN WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02174KU
PX
BYPASS LEFT ATRIUM TO PULMONARY VEIN CONFLUENCE WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02174ZS
PX
BYPASS LEFT ATRIUM TO RIGHT PULMONARY VEIN, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02174ZT
PX
BYPASS LEFT ATRIUM TO LEFT PULMONARY VEIN, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02174ZU
PX
BYPASS LEFT ATRIUM TO PULMONARY VEIN CONFLUENCE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K08P
PX
BYPASS RIGHT VENTRICLE TO PULMONARY TRUNK WITH ZOOPLASTIC TISSUE, 
OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
021K08Q
PX
BYPASS RIGHT VENTRICLE TO RIGHT PULMONARY ARTERY WITH ZOOPLASTIC 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K08R
PX
BYPASS RIGHT VENTRICLE TO LEFT PULMONARY ARTERY WITH ZOOPLASTIC 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K09P
PX
BYPASS RIGHT VENTRICLE TO PULMONARY TRUNK WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K09Q
PX
BYPASS RIGHT VENTRICLE TO RIGHT PULMONARY ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K09R
PX
BYPASS RIGHT VENTRICLE TO LEFT PULMONARY ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K0AP
PX
BYPASS RIGHT VENTRICLE TO PULMONARY TRUNK WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K0AQ
PX
BYPASS RIGHT VENTRICLE TO RIGHT PULMONARY ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K0AR
PX
BYPASS RIGHT VENTRICLE TO LEFT PULMONARY ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K0JP
PX
BYPASS RIGHT VENTRICLE TO PULMONARY TRUNK WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K0JQ
PX
BYPASS RIGHT VENTRICLE TO RIGHT PULMONARY ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K0JR
PX
BYPASS RIGHT VENTRICLE TO LEFT PULMONARY ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K0KP
PX
BYPASS RIGHT VENTRICLE TO PULMONARY TRUNK WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K0KQ
PX
BYPASS RIGHT VENTRICLE TO RIGHT PULMONARY ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K0KR
PX
BYPASS RIGHT VENTRICLE TO LEFT PULMONARY ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K0Z5
PX
BYPASS RIGHT VENTRICLE TO CORONARY CIRCULATION, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K0Z8
PX
BYPASS RIGHT VENTRICLE TO RIGHT INTERNAL MAMMARY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K0Z9
PX
BYPASS RIGHT VENTRICLE TO LEFT INTERNAL MAMMARY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K0ZC
PX
BYPASS RIGHT VENTRICLE TO THORACIC ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K0ZF
PX
BYPASS RIGHT VENTRICLE TO ABDOMINAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K0ZP
PX
BYPASS RIGHT VENTRICLE TO PULMONARY TRUNK, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K0ZQ
PX
BYPASS RIGHT VENTRICLE TO RIGHT PULMONARY ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K0ZR
PX
BYPASS RIGHT VENTRICLE TO LEFT PULMONARY ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K0ZW
PX
BYPASS RIGHT VENTRICLE TO AORTA, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K48P
PX
BYPASS RIGHT VENTRICLE TO PULMONARY TRUNK WITH ZOOPLASTIC TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K48Q
PX
BYPASS RIGHT VENTRICLE TO RIGHT PULMONARY ARTERY WITH ZOOPLASTIC 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K48R
PX
BYPASS RIGHT VENTRICLE TO LEFT PULMONARY ARTERY WITH ZOOPLASTIC 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K49P
PX
BYPASS RIGHT VENTRICLE TO PULMONARY TRUNK WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K49Q
PX
BYPASS RIGHT VENTRICLE TO RIGHT PULMONARY ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K49R
PX
BYPASS RIGHT VENTRICLE TO LEFT PULMONARY ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K4AP
PX
BYPASS RIGHT VENTRICLE TO PULMONARY TRUNK WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K4AQ
PX
BYPASS RIGHT VENTRICLE TO RIGHT PULMONARY ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K4AR
PX
BYPASS RIGHT VENTRICLE TO LEFT PULMONARY ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K4JP
PX
BYPASS RIGHT VENTRICLE TO PULMONARY TRUNK WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K4JQ
PX
BYPASS RIGHT VENTRICLE TO RIGHT PULMONARY ARTERY WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K4JR
PX
BYPASS RIGHT VENTRICLE TO LEFT PULMONARY ARTERY WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K4KP
PX
BYPASS RIGHT VENTRICLE TO PULMONARY TRUNK WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K4KQ
PX
BYPASS RIGHT VENTRICLE TO RIGHT PULMONARY ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K4KR
PX
BYPASS RIGHT VENTRICLE TO LEFT PULMONARY ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
021K4Z5
PX
BYPASS RIGHT VENTRICLE TO CORONARY CIRCULATION, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K4Z8
PX
BYPASS RIGHT VENTRICLE TO RIGHT INTERNAL MAMMARY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K4Z9
PX
BYPASS RIGHT VENTRICLE TO LEFT INTERNAL MAMMARY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K4ZC
PX
BYPASS RIGHT VENTRICLE TO THORACIC ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K4ZF
PX
BYPASS RIGHT VENTRICLE TO ABDOMINAL ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K4ZP
PX
BYPASS RIGHT VENTRICLE TO PULMONARY TRUNK, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K4ZQ
PX
BYPASS RIGHT VENTRICLE TO RIGHT PULMONARY ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K4ZR
PX
BYPASS RIGHT VENTRICLE TO LEFT PULMONARY ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021K4ZW
PX
BYPASS RIGHT VENTRICLE TO AORTA, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L08P
PX
BYPASS LEFT VENTRICLE TO PULMONARY TRUNK WITH ZOOPLASTIC TISSUE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L08Q
PX
BYPASS LEFT VENTRICLE TO RIGHT PULMONARY ARTERY WITH ZOOPLASTIC 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L08R
PX
BYPASS LEFT VENTRICLE TO LEFT PULMONARY ARTERY WITH ZOOPLASTIC 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L09P
PX
BYPASS LEFT VENTRICLE TO PULMONARY TRUNK WITH AUTOLOGOUS VENOUS 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L09Q
PX
BYPASS LEFT VENTRICLE TO RIGHT PULMONARY ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L09R
PX
BYPASS LEFT VENTRICLE TO LEFT PULMONARY ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L0AP
PX
BYPASS LEFT VENTRICLE TO PULMONARY TRUNK WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L0AQ
PX
BYPASS LEFT VENTRICLE TO RIGHT PULMONARY ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L0AR
PX
BYPASS LEFT VENTRICLE TO LEFT PULMONARY ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L0JP
PX
BYPASS LEFT VENTRICLE TO PULMONARY TRUNK WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L0JQ
PX
BYPASS LEFT VENTRICLE TO RIGHT PULMONARY ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L0JR
PX
BYPASS LEFT VENTRICLE TO LEFT PULMONARY ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L0KP
PX
BYPASS LEFT VENTRICLE TO PULMONARY TRUNK WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L0KQ
PX
BYPASS LEFT VENTRICLE TO RIGHT PULMONARY ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L0KR
PX
BYPASS LEFT VENTRICLE TO LEFT PULMONARY ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L0Z5
PX
BYPASS LEFT VENTRICLE TO CORONARY CIRCULATION, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L0Z8
PX
BYPASS LEFT VENTRICLE TO RIGHT INTERNAL MAMMARY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L0Z9
PX
BYPASS LEFT VENTRICLE TO LEFT INTERNAL MAMMARY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L0ZC
PX
BYPASS LEFT VENTRICLE TO THORACIC ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L0ZF
PX
BYPASS LEFT VENTRICLE TO ABDOMINAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L0ZP
PX
BYPASS LEFT VENTRICLE TO PULMONARY TRUNK, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L0ZQ
PX
BYPASS LEFT VENTRICLE TO RIGHT PULMONARY ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L0ZR
PX
BYPASS LEFT VENTRICLE TO LEFT PULMONARY ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L0ZW
PX
BYPASS LEFT VENTRICLE TO AORTA, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L48P
PX
BYPASS LEFT VENTRICLE TO PULMONARY TRUNK WITH ZOOPLASTIC TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L48Q
PX
BYPASS LEFT VENTRICLE TO RIGHT PULMONARY ARTERY WITH ZOOPLASTIC 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L48R
PX
BYPASS LEFT VENTRICLE TO LEFT PULMONARY ARTERY WITH ZOOPLASTIC 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L49P
PX
BYPASS LEFT VENTRICLE TO PULMONARY TRUNK WITH AUTOLOGOUS VENOUS 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L49Q
PX
BYPASS LEFT VENTRICLE TO RIGHT PULMONARY ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L49R
PX
BYPASS LEFT VENTRICLE TO LEFT PULMONARY ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
021L4AP
PX
BYPASS LEFT VENTRICLE TO PULMONARY TRUNK WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L4AQ
PX
BYPASS LEFT VENTRICLE TO RIGHT PULMONARY ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L4AR
PX
BYPASS LEFT VENTRICLE TO LEFT PULMONARY ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L4JP
PX
BYPASS LEFT VENTRICLE TO PULMONARY TRUNK WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L4JQ
PX
BYPASS LEFT VENTRICLE TO RIGHT PULMONARY ARTERY WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L4JR
PX
BYPASS LEFT VENTRICLE TO LEFT PULMONARY ARTERY WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L4KP
PX
BYPASS LEFT VENTRICLE TO PULMONARY TRUNK WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L4KQ
PX
BYPASS LEFT VENTRICLE TO RIGHT PULMONARY ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L4KR
PX
BYPASS LEFT VENTRICLE TO LEFT PULMONARY ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L4Z5
PX
BYPASS LEFT VENTRICLE TO CORONARY CIRCULATION, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L4Z8
PX
BYPASS LEFT VENTRICLE TO RIGHT INTERNAL MAMMARY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L4Z9
PX
BYPASS LEFT VENTRICLE TO LEFT INTERNAL MAMMARY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L4ZC
PX
BYPASS LEFT VENTRICLE TO THORACIC ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L4ZF
PX
BYPASS LEFT VENTRICLE TO ABDOMINAL ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L4ZP
PX
BYPASS LEFT VENTRICLE TO PULMONARY TRUNK, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L4ZQ
PX
BYPASS LEFT VENTRICLE TO RIGHT PULMONARY ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L4ZR
PX
BYPASS LEFT VENTRICLE TO LEFT PULMONARY ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021L4ZW
PX
BYPASS LEFT VENTRICLE TO AORTA, PERCUTANEOUS ENDOSCOPIC APPROACH ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021V08S
PX
BYPASS SUPERIOR VENA CAVA TO RIGHT PULMONARY VEIN WITH ZOOPLASTIC 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021V08T
PX
BYPASS SUPERIOR VENA CAVA TO LEFT PULMONARY VEIN WITH ZOOPLASTIC 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021V08U
PX
BYPASS SUPERIOR VENA CAVA TO PULMONARY VEIN CONFLUENCE WITH 
ZOOPLASTIC TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021V09S
PX
BYPASS SUPERIOR VENA CAVA TO RIGHT PULMONARY VEIN WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021V09T
PX
BYPASS SUPERIOR VENA CAVA TO LEFT PULMONARY VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021V09U
PX
BYPASS SUPERIOR VENA CAVA TO PULMONARY VEIN CONFLUENCE WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021V0AS
PX
BYPASS SUPERIOR VENA CAVA TO RIGHT PULMONARY VEIN WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021V0AT
PX
BYPASS SUPERIOR VENA CAVA TO LEFT PULMONARY VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021V0AU
PX
BYPASS SUPERIOR VENA CAVA TO PULMONARY VEIN CONFLUENCE WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021V0JS
PX
BYPASS SUPERIOR VENA CAVA TO RIGHT PULMONARY VEIN WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021V0JT
PX
BYPASS SUPERIOR VENA CAVA TO LEFT PULMONARY VEIN WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021V0JU
PX
BYPASS SUPERIOR VENA CAVA TO PULMONARY VEIN CONFLUENCE WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021V0KS
PX
BYPASS SUPERIOR VENA CAVA TO RIGHT PULMONARY VEIN WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021V0KT
PX
BYPASS SUPERIOR VENA CAVA TO LEFT PULMONARY VEIN WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021V0KU
PX
BYPASS SUPERIOR VENA CAVA TO PULMONARY VEIN CONFLUENCE WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
021V0ZS
PX
BYPASS SUPERIOR VENA CAVA TO RIGHT PULMONARY VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021V0ZT
PX
BYPASS SUPERIOR VENA CAVA TO LEFT PULMONARY VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021V0ZU
PX
BYPASS SUPERIOR VENA CAVA TO PULMONARY VEIN CONFLUENCE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021V48S
PX
BYPASS SUPERIOR VENA CAVA TO RIGHT PULMONARY VEIN WITH ZOOPLASTIC 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021V48T
PX
BYPASS SUPERIOR VENA CAVA TO LEFT PULMONARY VEIN WITH ZOOPLASTIC 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021V48U
PX
BYPASS SUPERIOR VENA CAVA TO PULMONARY VEIN CONFLUENCE WITH 
ZOOPLASTIC TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021V49S
PX
BYPASS SUPERIOR VENA CAVA TO RIGHT PULMONARY VEIN WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021V49T
PX
BYPASS SUPERIOR VENA CAVA TO LEFT PULMONARY VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021V49U
PX
BYPASS SUPERIOR VENA CAVA TO PULMONARY VEIN CONFLUENCE WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021V4AS
PX
BYPASS SUPERIOR VENA CAVA TO RIGHT PULMONARY VEIN WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021V4AT
PX
BYPASS SUPERIOR VENA CAVA TO LEFT PULMONARY VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021V4AU
PX
BYPASS SUPERIOR VENA CAVA TO PULMONARY VEIN CONFLUENCE WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021V4JS
PX
BYPASS SUPERIOR VENA CAVA TO RIGHT PULMONARY VEIN WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021V4JT
PX
BYPASS SUPERIOR VENA CAVA TO LEFT PULMONARY VEIN WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021V4JU
PX
BYPASS SUPERIOR VENA CAVA TO PULMONARY VEIN CONFLUENCE WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021V4KS
PX
BYPASS SUPERIOR VENA CAVA TO RIGHT PULMONARY VEIN WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
021V4KT
PX
BYPASS SUPERIOR VENA CAVA TO LEFT PULMONARY VEIN WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
024F07J
PX
CREATION OF AORTIC VALVE FROM TRUNCAL VALVE USING AUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
024F08J
PX
CREATION OF AORTIC VALVE FROM TRUNCAL VALVE USING ZOOPLASTIC 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
024F0JJ
PX
CREATION OF AORTIC VALVE FROM TRUNCAL VALVE USING SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
024F0KJ
PX
CREATION OF AORTIC VALVE FROM TRUNCAL VALVE USING NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
024G0J2
PX
CREATION OF MITRAL VALVE FROM COMMON ATRIOVENTRICULAR VALVE USING 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
024J0J2
PX
CREATION OF TRICUSPID VALVE FROM COMMON ATRIOVENTRICULAR VALVE 
USING SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02560ZZ
PX
DESTRUCTION OF RIGHT ATRIUM, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02563ZZ
PX
DESTRUCTION OF RIGHT ATRIUM, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02564ZZ
PX
DESTRUCTION OF RIGHT ATRIUM, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02570ZK
PX
DESTRUCTION OF LEFT ATRIAL APPENDAGE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02570ZZ
PX
DESTRUCTION OF LEFT ATRIUM, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02573ZK
PX
DESTRUCTION OF LEFT ATRIAL APPENDAGE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02573ZZ
PX
DESTRUCTION OF LEFT ATRIUM, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02574ZK
PX
DESTRUCTION OF LEFT ATRIAL APPENDAGE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02574ZZ
PX
DESTRUCTION OF LEFT ATRIUM, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
025K0ZZ
PX
DESTRUCTION OF RIGHT VENTRICLE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
025K3ZZ
PX
DESTRUCTION OF RIGHT VENTRICLE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
025K4ZZ
PX
DESTRUCTION OF RIGHT VENTRICLE, PERCUTANEOUS ENDOSCOPIC APPROACH ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
025L0ZZ
PX
DESTRUCTION OF LEFT VENTRICLE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
025L3ZZ
PX
DESTRUCTION OF LEFT VENTRICLE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
025L4ZZ
PX
DESTRUCTION OF LEFT VENTRICLE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
027F04Z
PX
DILATION OF AORTIC VALVE WITH DRUG-ELUTING INTRALUMINAL DEVICE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
027F0DZ
PX
DILATION OF AORTIC VALVE WITH INTRALUMINAL DEVICE, OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
027F0ZZ
PX
DILATION OF AORTIC VALVE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
027F3ZZ
PX
DILATION OF AORTIC VALVE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
027F4ZZ
PX
DILATION OF AORTIC VALVE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
027G04Z
PX
DILATION OF MITRAL VALVE WITH DRUG-ELUTING INTRALUMINAL DEVICE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
027G0DZ
PX
DILATION OF MITRAL VALVE WITH INTRALUMINAL DEVICE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
027G0ZZ
PX
DILATION OF MITRAL VALVE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
027G3ZZ
PX
DILATION OF MITRAL VALVE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
027G4ZZ
PX
DILATION OF MITRAL VALVE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
027H04Z
PX
DILATION OF PULMONARY VALVE WITH DRUG-ELUTING INTRALUMINAL DEVICE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
027H0DZ
PX
DILATION OF PULMONARY VALVE WITH INTRALUMINAL DEVICE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
027H0ZZ
PX
DILATION OF PULMONARY VALVE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
027H3ZZ
PX
DILATION OF PULMONARY VALVE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
027H4ZZ
PX
DILATION OF PULMONARY VALVE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
027J04Z
PX
DILATION OF TRICUSPID VALVE WITH DRUG-ELUTING INTRALUMINAL DEVICE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
027J0DZ
PX
DILATION OF TRICUSPID VALVE WITH INTRALUMINAL DEVICE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
027J0ZZ
PX
DILATION OF TRICUSPID VALVE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
027J3ZZ
PX
DILATION OF TRICUSPID VALVE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
027J4ZZ
PX
DILATION OF TRICUSPID VALVE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02890ZZ
PX
DIVISION OF CHORDAE TENDINEAE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02893ZZ
PX
DIVISION OF CHORDAE TENDINEAE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02894ZZ
PX
DIVISION OF CHORDAE TENDINEAE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
028D0ZZ
PX
DIVISION OF PAPILLARY MUSCLE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
028D3ZZ
PX
DIVISION OF PAPILLARY MUSCLE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
028D4ZZ
PX
DIVISION OF PAPILLARY MUSCLE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02B50ZZ
PX
EXCISION OF ATRIAL SEPTUM, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02B53ZZ
PX
EXCISION OF ATRIAL SEPTUM, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02B54ZZ
PX
EXCISION OF ATRIAL SEPTUM, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02B60ZZ
PX
EXCISION OF RIGHT ATRIUM, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02B63ZZ
PX
EXCISION OF RIGHT ATRIUM, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02B64ZZ
PX
EXCISION OF RIGHT ATRIUM, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02B70ZK
PX
EXCISION OF LEFT ATRIAL APPENDAGE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02B70ZZ
PX
EXCISION OF LEFT ATRIUM, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02B73ZK
PX
EXCISION OF LEFT ATRIAL APPENDAGE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02B73ZZ
PX
EXCISION OF LEFT ATRIUM, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02B74ZK
PX
EXCISION OF LEFT ATRIAL APPENDAGE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02B74ZZ
PX
EXCISION OF LEFT ATRIUM, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02BK0ZZ
PX
EXCISION OF RIGHT VENTRICLE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02BK3ZZ
PX
EXCISION OF RIGHT VENTRICLE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02BK4ZZ
PX
EXCISION OF RIGHT VENTRICLE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02BL0ZZ
PX
EXCISION OF LEFT VENTRICLE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02BL3ZZ
PX
EXCISION OF LEFT VENTRICLE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02BL4ZZ
PX
EXCISION OF LEFT VENTRICLE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02BN0ZZ
PX
EXCISION OF PERICARDIUM, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02BN3ZZ
PX
EXCISION OF PERICARDIUM, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02BN4ZZ
PX
EXCISION OF PERICARDIUM, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02BP0ZZ
PX
EXCISION OF PULMONARY TRUNK, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02BP4ZZ
PX
EXCISION OF PULMONARY TRUNK, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02BQ0ZZ
PX
EXCISION OF RIGHT PULMONARY ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02BQ4ZZ
PX
EXCISION OF RIGHT PULMONARY ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02BR0ZZ
PX
EXCISION OF LEFT PULMONARY ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02BR4ZZ
PX
EXCISION OF LEFT PULMONARY ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02BS0ZZ
PX
EXCISION OF RIGHT PULMONARY VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02BS4ZZ
PX
EXCISION OF RIGHT PULMONARY VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02BT0ZZ
PX
EXCISION OF LEFT PULMONARY VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02BT4ZZ
PX
EXCISION OF LEFT PULMONARY VEIN, PERCUTANEOUS ENDOSCOPIC APPROACH ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02BV0ZZ
PX
EXCISION OF SUPERIOR VENA CAVA, OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
02BV4ZZ
PX
EXCISION OF SUPERIOR VENA CAVA, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02BW0ZZ
PX
EXCISION OF THORACIC AORTA, DESCENDING, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02BW4ZZ
PX
EXCISION OF THORACIC AORTA, DESCENDING, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02BX0ZZ
PX
EXCISION OF THORACIC AORTA, ASCENDING/ARCH, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02BX4ZZ
PX
EXCISION OF THORACIC AORTA, ASCENDING/ARCH, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02C60ZZ
PX
EXTIRPATION OF MATTER FROM RIGHT ATRIUM, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02C63ZZ
PX
EXTIRPATION OF MATTER FROM RIGHT ATRIUM, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02C64ZZ
PX
EXTIRPATION OF MATTER FROM RIGHT ATRIUM, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02C70ZZ
PX
EXTIRPATION OF MATTER FROM LEFT ATRIUM, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02C73ZZ
PX
EXTIRPATION OF MATTER FROM LEFT ATRIUM, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02C74ZZ
PX
EXTIRPATION OF MATTER FROM LEFT ATRIUM, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02C80ZZ
PX
EXTIRPATION OF MATTER FROM CONDUCTION MECHANISM, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02C83ZZ
PX
EXTIRPATION OF MATTER FROM CONDUCTION MECHANISM, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02C84ZZ
PX
EXTIRPATION OF MATTER FROM CONDUCTION MECHANISM, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02C90ZZ
PX
EXTIRPATION OF MATTER FROM CHORDAE TENDINEAE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02C93ZZ
PX
EXTIRPATION OF MATTER FROM CHORDAE TENDINEAE, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02C94ZZ
PX
EXTIRPATION OF MATTER FROM CHORDAE TENDINEAE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02CK0ZZ
PX
EXTIRPATION OF MATTER FROM RIGHT VENTRICLE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02CK3ZZ
PX
EXTIRPATION OF MATTER FROM RIGHT VENTRICLE, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02CK4ZZ
PX
EXTIRPATION OF MATTER FROM RIGHT VENTRICLE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02CL0ZZ
PX
EXTIRPATION OF MATTER FROM LEFT VENTRICLE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02CL3ZZ
PX
EXTIRPATION OF MATTER FROM LEFT VENTRICLE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02CL4ZZ
PX
EXTIRPATION OF MATTER FROM LEFT VENTRICLE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02CN0ZZ
PX
EXTIRPATION OF MATTER FROM PERICARDIUM, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02CN3ZZ
PX
EXTIRPATION OF MATTER FROM PERICARDIUM, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02CN4ZZ
PX
EXTIRPATION OF MATTER FROM PERICARDIUM, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02CP3ZZ
PX
EXTIRPATION OF MATTER FROM PULMONARY TRUNK, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02CQ3ZZ
PX
EXTIRPATION OF MATTER FROM RIGHT PULMONARY ARTERY, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02CR3ZZ
PX
EXTIRPATION OF MATTER FROM LEFT PULMONARY ARTERY, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02CS3ZZ
PX
EXTIRPATION OF MATTER FROM RIGHT PULMONARY VEIN, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02CT3ZZ
PX
EXTIRPATION OF MATTER FROM LEFT PULMONARY VEIN, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02CV3ZZ
PX
EXTIRPATION OF MATTER FROM SUPERIOR VENA CAVA, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02CW3ZZ
PX
EXTIRPATION OF MATTER FROM THORACIC AORTA, DESCENDING, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02CX3ZZ
PX
EXTIRPATION OF MATTER FROM THORACIC AORTA, ASCENDING/ARCH, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02H40YZ
PX
INSERTION OF OTHER DEVICE INTO CORONARY VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02H43YZ
PX
INSERTION OF OTHER DEVICE INTO CORONARY VEIN, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02H44YZ
PX
INSERTION OF OTHER DEVICE INTO CORONARY VEIN, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02H60YZ
PX
INSERTION OF OTHER DEVICE INTO RIGHT ATRIUM, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02H63YZ
PX
INSERTION OF OTHER DEVICE INTO RIGHT ATRIUM, PERCUTANEOUS APPROACH ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02H64YZ
PX
INSERTION OF OTHER DEVICE INTO RIGHT ATRIUM, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02H70YZ
PX
INSERTION OF OTHER DEVICE INTO LEFT ATRIUM, OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
02H73YZ
PX
INSERTION OF OTHER DEVICE INTO LEFT ATRIUM, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02H74YZ
PX
INSERTION OF OTHER DEVICE INTO LEFT ATRIUM, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02HA0QZ
PX
INSERTION OF IMPLANTABLE HEART ASSIST SYSTEM INTO HEART, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02HA0RJ
PX
INSERTION OF SHORT-TERM EXTERNAL HEART ASSIST SYSTEM INTO HEART, 
INTRAOPERATIVE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02HA0RS
PX
INSERTION OF BIVENTRICULAR SHORT-TERM EXTERNAL HEART ASSIST 
SYSTEM INTO HEART, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02HA0RZ
PX
INSERTION OF SHORT-TERM EXTERNAL HEART ASSIST SYSTEM INTO HEART, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02HA0YZ
PX
INSERTION OF OTHER DEVICE INTO HEART, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02HA3QZ
PX
INSERTION OF IMPLANTABLE HEART ASSIST SYSTEM INTO HEART, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02HA3RJ
PX
INSERTION OF SHORT-TERM EXTERNAL HEART ASSIST SYSTEM INTO HEART, 
INTRAOPERATIVE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02HA3RS
PX
INSERTION OF BIVENTRICULAR SHORT-TERM EXTERNAL HEART ASSIST 
SYSTEM INTO HEART, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02HA3RZ
PX
INSERTION OF SHORT-TERM EXTERNAL HEART ASSIST SYSTEM INTO HEART, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02HA3YZ
PX
INSERTION OF OTHER DEVICE INTO HEART, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02HA4QZ
PX
INSERTION OF IMPLANTABLE HEART ASSIST SYSTEM INTO HEART, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02HA4RJ
PX
INSERTION OF SHORT-TERM EXTERNAL HEART ASSIST SYSTEM INTO HEART, 
INTRAOPERATIVE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02HA4RS
PX
INSERTION OF BIVENTRICULAR SHORT-TERM EXTERNAL HEART ASSIST 
SYSTEM INTO HEART, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02HA4RZ
PX
INSERTION OF SHORT-TERM EXTERNAL HEART ASSIST SYSTEM INTO HEART, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02HA4YZ
PX
INSERTION OF OTHER DEVICE INTO HEART, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02HK0YZ
PX
INSERTION OF OTHER DEVICE INTO RIGHT VENTRICLE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02HK3YZ
PX
INSERTION OF OTHER DEVICE INTO RIGHT VENTRICLE, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02HK4YZ
PX
INSERTION OF OTHER DEVICE INTO RIGHT VENTRICLE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02HL0YZ
PX
INSERTION OF OTHER DEVICE INTO LEFT VENTRICLE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02HL3YZ
PX
INSERTION OF OTHER DEVICE INTO LEFT VENTRICLE, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02HL4YZ
PX
INSERTION OF OTHER DEVICE INTO LEFT VENTRICLE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02HN0YZ
PX
INSERTION OF OTHER DEVICE INTO PERICARDIUM, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02HN3YZ
PX
INSERTION OF OTHER DEVICE INTO PERICARDIUM, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02HN4YZ
PX
INSERTION OF OTHER DEVICE INTO PERICARDIUM, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02L70ZK
PX
OCCLUSION OF LEFT ATRIAL APPENDAGE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02L73ZK
PX
OCCLUSION OF LEFT ATRIAL APPENDAGE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02L74ZK
PX
OCCLUSION OF LEFT ATRIAL APPENDAGE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02LH0CZ
PX
OCCLUSION OF PULMONARY VALVE WITH EXTRALUMINAL DEVICE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02LH0DZ
PX
OCCLUSION OF PULMONARY VALVE WITH INTRALUMINAL DEVICE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02LH0ZZ
PX
OCCLUSION OF PULMONARY VALVE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02LH3CZ
PX
OCCLUSION OF PULMONARY VALVE WITH EXTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02LH3DZ
PX
OCCLUSION OF PULMONARY VALVE WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02LH3ZZ
PX
OCCLUSION OF PULMONARY VALVE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02LH4CZ
PX
OCCLUSION OF PULMONARY VALVE WITH EXTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02LH4DZ
PX
OCCLUSION OF PULMONARY VALVE WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02LH4ZZ
PX
OCCLUSION OF PULMONARY VALVE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02LS3DZ
PX
OCCLUSION OF RIGHT PULMONARY VEIN WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
02LS3ZZ
PX
OCCLUSION OF RIGHT PULMONARY VEIN, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02LT3DZ
PX
OCCLUSION OF LEFT PULMONARY VEIN WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02LT3ZZ
PX
OCCLUSION OF LEFT PULMONARY VEIN, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02N00ZZ
PX
RELEASE CORONARY ARTERY, ONE ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02N03ZZ
PX
RELEASE CORONARY ARTERY, ONE ARTERY, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02N04ZZ
PX
RELEASE CORONARY ARTERY, ONE ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02N10ZZ
PX
RELEASE CORONARY ARTERY, TWO ARTERIES, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02N13ZZ
PX
RELEASE CORONARY ARTERY, TWO ARTERIES, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02N14ZZ
PX
RELEASE CORONARY ARTERY, TWO ARTERIES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02N20ZZ
PX
RELEASE CORONARY ARTERY, THREE ARTERIES, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02N23ZZ
PX
RELEASE CORONARY ARTERY, THREE ARTERIES, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02N24ZZ
PX
RELEASE CORONARY ARTERY, THREE ARTERIES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02N30ZZ
PX
RELEASE CORONARY ARTERY, FOUR OR MORE ARTERIES, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02N33ZZ
PX
RELEASE CORONARY ARTERY, FOUR OR MORE ARTERIES, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02N34ZZ
PX
RELEASE CORONARY ARTERY, FOUR OR MORE ARTERIES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02N60ZZ
PX
RELEASE RIGHT ATRIUM, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02N63ZZ
PX
RELEASE RIGHT ATRIUM, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02N64ZZ
PX
RELEASE RIGHT ATRIUM, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02N70ZZ
PX
RELEASE LEFT ATRIUM, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02N73ZZ
PX
RELEASE LEFT ATRIUM, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02N74ZZ
PX
RELEASE LEFT ATRIUM, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02NF0ZZ
PX
RELEASE AORTIC VALVE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02NF3ZZ
PX
RELEASE AORTIC VALVE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02NF4ZZ
PX
RELEASE AORTIC VALVE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02NG0ZZ
PX
RELEASE MITRAL VALVE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02NG3ZZ
PX
RELEASE MITRAL VALVE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02NG4ZZ
PX
RELEASE MITRAL VALVE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02NH0ZZ
PX
RELEASE PULMONARY VALVE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02NH3ZZ
PX
RELEASE PULMONARY VALVE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02NH4ZZ
PX
RELEASE PULMONARY VALVE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02NJ0ZZ
PX
RELEASE TRICUSPID VALVE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02NJ3ZZ
PX
RELEASE TRICUSPID VALVE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02NJ4ZZ
PX
RELEASE TRICUSPID VALVE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02NK0ZZ
PX
RELEASE RIGHT VENTRICLE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02NK3ZZ
PX
RELEASE RIGHT VENTRICLE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02NK4ZZ
PX
RELEASE RIGHT VENTRICLE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02NL0ZZ
PX
RELEASE LEFT VENTRICLE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02NL3ZZ
PX
RELEASE LEFT VENTRICLE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02NL4ZZ
PX
RELEASE LEFT VENTRICLE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02NN0ZZ
PX
RELEASE PERICARDIUM, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02NN3ZZ
PX
RELEASE PERICARDIUM, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02NN4ZZ
PX
RELEASE PERICARDIUM, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02PA0JZ
PX
REMOVAL OF SYNTHETIC SUBSTITUTE FROM HEART, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02PA0QZ
PX
REMOVAL OF IMPLANTABLE HEART ASSIST SYSTEM FROM HEART, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02PA0RS
PX
REMOVAL OF BIVENTRICULAR SHORT-TERM EXTERNAL HEART ASSIST SYSTEM 
FROM HEART, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02PA0RZ
PX
REMOVAL OF SHORT-TERM EXTERNAL HEART ASSIST SYSTEM FROM HEART, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02PA0YZ
PX
REMOVAL OF OTHER DEVICE FROM HEART, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02PA3QZ
PX
REMOVAL OF IMPLANTABLE HEART ASSIST SYSTEM FROM HEART, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02PA3RZ
PX
REMOVAL OF SHORT-TERM EXTERNAL HEART ASSIST SYSTEM FROM HEART, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02PA4QZ
PX
REMOVAL OF IMPLANTABLE HEART ASSIST SYSTEM FROM HEART, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02PA4RS
PX
REMOVAL OF BIVENTRICULAR SHORT-TERM EXTERNAL HEART ASSIST SYSTEM 
FROM HEART, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02PA4RZ
PX
REMOVAL OF SHORT-TERM EXTERNAL HEART ASSIST SYSTEM FROM HEART, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
02PA4YZ
PX
REMOVAL OF OTHER DEVICE FROM HEART, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02Q00ZZ
PX
REPAIR CORONARY ARTERY, ONE ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02Q03ZZ
PX
REPAIR CORONARY ARTERY, ONE ARTERY, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02Q04ZZ
PX
REPAIR CORONARY ARTERY, ONE ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02Q40ZZ
PX
REPAIR CORONARY VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02Q43ZZ
PX
REPAIR CORONARY VEIN, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02Q44ZZ
PX
REPAIR CORONARY VEIN, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02Q50ZZ
PX
REPAIR ATRIAL SEPTUM, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02Q53ZZ
PX
REPAIR ATRIAL SEPTUM, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02Q54ZZ
PX
REPAIR ATRIAL SEPTUM, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02Q90ZZ
PX
REPAIR CHORDAE TENDINEAE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02Q93ZZ
PX
REPAIR CHORDAE TENDINEAE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02Q94ZZ
PX
REPAIR CHORDAE TENDINEAE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02QA0ZZ
PX
REPAIR HEART, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02QA3ZZ
PX
REPAIR HEART, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02QA4ZZ
PX
REPAIR HEART, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02QB0ZZ
PX
REPAIR RIGHT HEART, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02QB3ZZ
PX
REPAIR RIGHT HEART, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02QB4ZZ
PX
REPAIR RIGHT HEART, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02QC0ZZ
PX
REPAIR LEFT HEART, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02QC3ZZ
PX
REPAIR LEFT HEART, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02QC4ZZ
PX
REPAIR LEFT HEART, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02QD0ZZ
PX
REPAIR PAPILLARY MUSCLE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02QD3ZZ
PX
REPAIR PAPILLARY MUSCLE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02QD4ZZ
PX
REPAIR PAPILLARY MUSCLE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02QF0ZJ
PX
REPAIR AORTIC VALVE CREATED FROM TRUNCAL VALVE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02QF0ZZ
PX
REPAIR AORTIC VALVE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02QF3ZJ
PX
REPAIR AORTIC VALVE CREATED FROM TRUNCAL VALVE, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02QF3ZZ
PX
REPAIR AORTIC VALVE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02QF4ZJ
PX
REPAIR AORTIC VALVE CREATED FROM TRUNCAL VALVE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02QF4ZZ
PX
REPAIR AORTIC VALVE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02QG0ZE
PX
REPAIR MITRAL VALVE CREATED FROM LEFT ATRIOVENTRICULAR VALVE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02QG0ZZ
PX
REPAIR MITRAL VALVE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02QG3ZE
PX
REPAIR MITRAL VALVE CREATED FROM LEFT ATRIOVENTRICULAR VALVE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02QG3ZZ
PX
REPAIR MITRAL VALVE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02QG4ZE
PX
REPAIR MITRAL VALVE CREATED FROM LEFT ATRIOVENTRICULAR VALVE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02QG4ZZ
PX
REPAIR MITRAL VALVE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02QH0ZZ
PX
REPAIR PULMONARY VALVE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02QH3ZZ
PX
REPAIR PULMONARY VALVE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02QH4ZZ
PX
REPAIR PULMONARY VALVE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02QJ0ZG
PX
REPAIR TRICUSPID VALVE CREATED FROM RIGHT ATRIOVENTRICULAR VALVE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02QJ0ZZ
PX
REPAIR TRICUSPID VALVE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02QJ3ZG
PX
REPAIR TRICUSPID VALVE CREATED FROM RIGHT ATRIOVENTRICULAR VALVE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02QJ3ZZ
PX
REPAIR TRICUSPID VALVE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02QJ4ZG
PX
REPAIR TRICUSPID VALVE CREATED FROM RIGHT ATRIOVENTRICULAR VALVE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02QJ4ZZ
PX
REPAIR TRICUSPID VALVE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02QM0ZZ
PX
REPAIR VENTRICULAR SEPTUM, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02QM3ZZ
PX
REPAIR VENTRICULAR SEPTUM, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02QM4ZZ
PX
REPAIR VENTRICULAR SEPTUM, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02QN0ZZ
PX
REPAIR PERICARDIUM, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02QN3ZZ
PX
REPAIR PERICARDIUM, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02QN4ZZ
PX
REPAIR PERICARDIUM, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RF07Z
PX
REPLACEMENT OF AORTIC VALVE WITH AUTOLOGOUS TISSUE SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RF08Z
PX
REPLACEMENT OF AORTIC VALVE WITH ZOOPLASTIC TISSUE, OPEN APPROACH ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RF0JZ
PX
REPLACEMENT OF AORTIC VALVE WITH SYNTHETIC SUBSTITUTE, OPEN 
APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
02RF0KZ
PX
REPLACEMENT OF AORTIC VALVE WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RF37H
PX
REPLACEMENT OF AORTIC VALVE WITH AUTOLOGOUS TISSUE SUBSTITUTE, 
TRANSAPICAL, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RF37Z
PX
REPLACEMENT OF AORTIC VALVE WITH AUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RF38H
PX
REPLACEMENT OF AORTIC VALVE WITH ZOOPLASTIC TISSUE, TRANSAPICAL, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RF38Z
PX
REPLACEMENT OF AORTIC VALVE WITH ZOOPLASTIC TISSUE, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RF3JH
PX
REPLACEMENT OF AORTIC VALVE WITH SYNTHETIC SUBSTITUTE, 
TRANSAPICAL, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RF3JZ
PX
REPLACEMENT OF AORTIC VALVE WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RF3KH
PX
REPLACEMENT OF AORTIC VALVE WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, TRANSAPICAL, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RF3KZ
PX
REPLACEMENT OF AORTIC VALVE WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RF47Z
PX
REPLACEMENT OF AORTIC VALVE WITH AUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RF48Z
PX
REPLACEMENT OF AORTIC VALVE WITH ZOOPLASTIC TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RF4JZ
PX
REPLACEMENT OF AORTIC VALVE WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RF4KZ
PX
REPLACEMENT OF AORTIC VALVE WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RG07Z
PX
REPLACEMENT OF MITRAL VALVE WITH AUTOLOGOUS TISSUE SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RG08Z
PX
REPLACEMENT OF MITRAL VALVE WITH ZOOPLASTIC TISSUE, OPEN APPROACH ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RG0JZ
PX
REPLACEMENT OF MITRAL VALVE WITH SYNTHETIC SUBSTITUTE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RG0KZ
PX
REPLACEMENT OF MITRAL VALVE WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RG37H
PX
REPLACEMENT OF MITRAL VALVE WITH AUTOLOGOUS TISSUE SUBSTITUTE, 
TRANSAPICAL, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RG37Z
PX
REPLACEMENT OF MITRAL VALVE WITH AUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RG38H
PX
REPLACEMENT OF MITRAL VALVE WITH ZOOPLASTIC TISSUE, TRANSAPICAL, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RG38Z
PX
REPLACEMENT OF MITRAL VALVE WITH ZOOPLASTIC TISSUE, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RG3JH
PX
REPLACEMENT OF MITRAL VALVE WITH SYNTHETIC SUBSTITUTE, 
TRANSAPICAL, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RG3JZ
PX
REPLACEMENT OF MITRAL VALVE WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RG3KH
PX
REPLACEMENT OF MITRAL VALVE WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, TRANSAPICAL, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RG3KZ
PX
REPLACEMENT OF MITRAL VALVE WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RG47Z
PX
REPLACEMENT OF MITRAL VALVE WITH AUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RG48Z
PX
REPLACEMENT OF MITRAL VALVE WITH ZOOPLASTIC TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RG4JZ
PX
REPLACEMENT OF MITRAL VALVE WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RG4KZ
PX
REPLACEMENT OF MITRAL VALVE WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RH07Z
PX
REPLACEMENT OF PULMONARY VALVE WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RH08Z
PX
REPLACEMENT OF PULMONARY VALVE WITH ZOOPLASTIC TISSUE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RH0JZ
PX
REPLACEMENT OF PULMONARY VALVE WITH SYNTHETIC SUBSTITUTE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RH0KZ
PX
REPLACEMENT OF PULMONARY VALVE WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RH37H
PX
REPLACEMENT OF PULMONARY VALVE WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, TRANSAPICAL, PERCUTANEOUS APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
02RH37Z
PX
REPLACEMENT OF PULMONARY VALVE WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RH38H
PX
REPLACEMENT OF PULMONARY VALVE WITH ZOOPLASTIC TISSUE, 
TRANSAPICAL, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RH38Z
PX
REPLACEMENT OF PULMONARY VALVE WITH ZOOPLASTIC TISSUE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RH3JH
PX
REPLACEMENT OF PULMONARY VALVE WITH SYNTHETIC SUBSTITUTE, 
TRANSAPICAL, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RH3JZ
PX
REPLACEMENT OF PULMONARY VALVE WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RH3KH
PX
REPLACEMENT OF PULMONARY VALVE WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, TRANSAPICAL, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RH3KZ
PX
REPLACEMENT OF PULMONARY VALVE WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RH47Z
PX
REPLACEMENT OF PULMONARY VALVE WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RH48Z
PX
REPLACEMENT OF PULMONARY VALVE WITH ZOOPLASTIC TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RH4JZ
PX
REPLACEMENT OF PULMONARY VALVE WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RH4KZ
PX
REPLACEMENT OF PULMONARY VALVE WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RJ07Z
PX
REPLACEMENT OF TRICUSPID VALVE WITH AUTOLOGOUS TISSUE SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RJ08Z
PX
REPLACEMENT OF TRICUSPID VALVE WITH ZOOPLASTIC TISSUE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RJ0JZ
PX
REPLACEMENT OF TRICUSPID VALVE WITH SYNTHETIC SUBSTITUTE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RJ0KZ
PX
REPLACEMENT OF TRICUSPID VALVE WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RJ37H
PX
REPLACEMENT OF TRICUSPID VALVE WITH AUTOLOGOUS TISSUE SUBSTITUTE, 
TRANSAPICAL, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RJ37Z
PX
REPLACEMENT OF TRICUSPID VALVE WITH AUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RJ38H
PX
REPLACEMENT OF TRICUSPID VALVE WITH ZOOPLASTIC TISSUE, TRANSAPICAL, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RJ38Z
PX
REPLACEMENT OF TRICUSPID VALVE WITH ZOOPLASTIC TISSUE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RJ3JH
PX
REPLACEMENT OF TRICUSPID VALVE WITH SYNTHETIC SUBSTITUTE, 
TRANSAPICAL, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RJ3JZ
PX
REPLACEMENT OF TRICUSPID VALVE WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RJ3KH
PX
REPLACEMENT OF TRICUSPID VALVE WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, TRANSAPICAL, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RJ3KZ
PX
REPLACEMENT OF TRICUSPID VALVE WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RJ47Z
PX
REPLACEMENT OF TRICUSPID VALVE WITH AUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RJ48Z
PX
REPLACEMENT OF TRICUSPID VALVE WITH ZOOPLASTIC TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RJ4JZ
PX
REPLACEMENT OF TRICUSPID VALVE WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RJ4KZ
PX
REPLACEMENT OF TRICUSPID VALVE WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RK0JZ
PX
REPLACEMENT OF RIGHT VENTRICLE WITH SYNTHETIC SUBSTITUTE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RL0JZ
PX
REPLACEMENT OF LEFT VENTRICLE WITH SYNTHETIC SUBSTITUTE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RM07Z
PX
REPLACEMENT OF VENTRICULAR SEPTUM WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RM0JZ
PX
REPLACEMENT OF VENTRICULAR SEPTUM WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RM0KZ
PX
REPLACEMENT OF VENTRICULAR SEPTUM WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RM47Z
PX
REPLACEMENT OF VENTRICULAR SEPTUM WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RM4JZ
PX
REPLACEMENT OF VENTRICULAR SEPTUM WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
02RM4KZ
PX
REPLACEMENT OF VENTRICULAR SEPTUM WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RP07Z
PX
REPLACEMENT OF PULMONARY TRUNK WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RP08Z
PX
REPLACEMENT OF PULMONARY TRUNK WITH ZOOPLASTIC TISSUE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RP0JZ
PX
REPLACEMENT OF PULMONARY TRUNK WITH SYNTHETIC SUBSTITUTE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RP0KZ
PX
REPLACEMENT OF PULMONARY TRUNK WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RP47Z
PX
REPLACEMENT OF PULMONARY TRUNK WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RP48Z
PX
REPLACEMENT OF PULMONARY TRUNK WITH ZOOPLASTIC TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RP4JZ
PX
REPLACEMENT OF PULMONARY TRUNK WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RP4KZ
PX
REPLACEMENT OF PULMONARY TRUNK WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RQ07Z
PX
REPLACEMENT OF RIGHT PULMONARY ARTERY WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RQ08Z
PX
REPLACEMENT OF RIGHT PULMONARY ARTERY WITH ZOOPLASTIC TISSUE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RQ0JZ
PX
REPLACEMENT OF RIGHT PULMONARY ARTERY WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RQ0KZ
PX
REPLACEMENT OF RIGHT PULMONARY ARTERY WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RQ47Z
PX
REPLACEMENT OF RIGHT PULMONARY ARTERY WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RQ48Z
PX
REPLACEMENT OF RIGHT PULMONARY ARTERY WITH ZOOPLASTIC TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RQ4JZ
PX
REPLACEMENT OF RIGHT PULMONARY ARTERY WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RQ4KZ
PX
REPLACEMENT OF RIGHT PULMONARY ARTERY WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RR07Z
PX
REPLACEMENT OF LEFT PULMONARY ARTERY WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RR08Z
PX
REPLACEMENT OF LEFT PULMONARY ARTERY WITH ZOOPLASTIC TISSUE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RR0JZ
PX
REPLACEMENT OF LEFT PULMONARY ARTERY WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RR0KZ
PX
REPLACEMENT OF LEFT PULMONARY ARTERY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RR47Z
PX
REPLACEMENT OF LEFT PULMONARY ARTERY WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RR48Z
PX
REPLACEMENT OF LEFT PULMONARY ARTERY WITH ZOOPLASTIC TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RR4JZ
PX
REPLACEMENT OF LEFT PULMONARY ARTERY WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RR4KZ
PX
REPLACEMENT OF LEFT PULMONARY ARTERY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RS07Z
PX
REPLACEMENT OF RIGHT PULMONARY VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RS08Z
PX
REPLACEMENT OF RIGHT PULMONARY VEIN WITH ZOOPLASTIC TISSUE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RS0JZ
PX
REPLACEMENT OF RIGHT PULMONARY VEIN WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RS0KZ
PX
REPLACEMENT OF RIGHT PULMONARY VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RS47Z
PX
REPLACEMENT OF RIGHT PULMONARY VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RS48Z
PX
REPLACEMENT OF RIGHT PULMONARY VEIN WITH ZOOPLASTIC TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RS4JZ
PX
REPLACEMENT OF RIGHT PULMONARY VEIN WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RS4KZ
PX
REPLACEMENT OF RIGHT PULMONARY VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RT07Z
PX
REPLACEMENT OF LEFT PULMONARY VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
02RT08Z
PX
REPLACEMENT OF LEFT PULMONARY VEIN WITH ZOOPLASTIC TISSUE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RT0JZ
PX
REPLACEMENT OF LEFT PULMONARY VEIN WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RT0KZ
PX
REPLACEMENT OF LEFT PULMONARY VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RT47Z
PX
REPLACEMENT OF LEFT PULMONARY VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RT48Z
PX
REPLACEMENT OF LEFT PULMONARY VEIN WITH ZOOPLASTIC TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RT4JZ
PX
REPLACEMENT OF LEFT PULMONARY VEIN WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02RT4KZ
PX
REPLACEMENT OF LEFT PULMONARY VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02S00ZZ
PX
REPOSITION CORONARY ARTERY, ONE ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02S10ZZ
PX
REPOSITION CORONARY ARTERY, TWO ARTERIES, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02SP0ZZ
PX
REPOSITION PULMONARY TRUNK, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02SW0ZZ
PX
REPOSITION THORACIC AORTA, DESCENDING, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02SX0ZZ
PX
REPOSITION THORACIC AORTA, ASCENDING/ARCH, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02T80ZZ
PX
RESECTION OF CONDUCTION MECHANISM, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02TN0ZZ
PX
RESECTION OF PERICARDIUM, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02TN3ZZ
PX
RESECTION OF PERICARDIUM, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02TN4ZZ
PX
RESECTION OF PERICARDIUM, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02U507Z
PX
SUPPLEMENT ATRIAL SEPTUM WITH AUTOLOGOUS TISSUE SUBSTITUTE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02U508Z
PX
SUPPLEMENT ATRIAL SEPTUM WITH ZOOPLASTIC TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02U50JZ
PX
SUPPLEMENT ATRIAL SEPTUM WITH SYNTHETIC SUBSTITUTE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02U50KZ
PX
SUPPLEMENT ATRIAL SEPTUM WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02U537Z
PX
SUPPLEMENT ATRIAL SEPTUM WITH AUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02U538Z
PX
SUPPLEMENT ATRIAL SEPTUM WITH ZOOPLASTIC TISSUE, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02U53JZ
PX
SUPPLEMENT ATRIAL SEPTUM WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02U53KZ
PX
SUPPLEMENT ATRIAL SEPTUM WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02U547Z
PX
SUPPLEMENT ATRIAL SEPTUM WITH AUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02U548Z
PX
SUPPLEMENT ATRIAL SEPTUM WITH ZOOPLASTIC TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02U54JZ
PX
SUPPLEMENT ATRIAL SEPTUM WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02U54KZ
PX
SUPPLEMENT ATRIAL SEPTUM WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02UA0JZ
PX
SUPPLEMENT HEART WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02UA3JZ
PX
SUPPLEMENT HEART WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02UA4JZ
PX
SUPPLEMENT HEART WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02UG3JZ
PX
SUPPLEMENT MITRAL VALVE WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02UM07Z
PX
SUPPLEMENT VENTRICULAR SEPTUM WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02UM0JZ
PX
SUPPLEMENT VENTRICULAR SEPTUM WITH SYNTHETIC SUBSTITUTE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02UM0KZ
PX
SUPPLEMENT VENTRICULAR SEPTUM WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02UM37Z
PX
SUPPLEMENT VENTRICULAR SEPTUM WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02UM38Z
PX
SUPPLEMENT VENTRICULAR SEPTUM WITH ZOOPLASTIC TISSUE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02UM3JZ
PX
SUPPLEMENT VENTRICULAR SEPTUM WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02UM3KZ
PX
SUPPLEMENT VENTRICULAR SEPTUM WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02UM47Z
PX
SUPPLEMENT VENTRICULAR SEPTUM WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
02UM48Z
PX
SUPPLEMENT VENTRICULAR SEPTUM WITH ZOOPLASTIC TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02UM4JZ
PX
SUPPLEMENT VENTRICULAR SEPTUM WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02UM4KZ
PX
SUPPLEMENT VENTRICULAR SEPTUM WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02UW3JZ
PX
SUPPLEMENT THORACIC AORTA, DESCENDING WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02UW4JZ
PX
SUPPLEMENT THORACIC AORTA, DESCENDING WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02UX3JZ
PX
SUPPLEMENT THORACIC AORTA, ASCENDING/ARCH WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02UX4JZ
PX
SUPPLEMENT THORACIC AORTA, ASCENDING/ARCH WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VG0ZZ
PX
RESTRICTION OF MITRAL VALVE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VG3ZZ
PX
RESTRICTION OF MITRAL VALVE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VG4ZZ
PX
RESTRICTION OF MITRAL VALVE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VP0DZ
PX
RESTRICTION OF PULMONARY TRUNK WITH INTRALUMINAL DEVICE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VP0ZZ
PX
RESTRICTION OF PULMONARY TRUNK, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VP3DZ
PX
RESTRICTION OF PULMONARY TRUNK WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VP3ZZ
PX
RESTRICTION OF PULMONARY TRUNK, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VP4DZ
PX
RESTRICTION OF PULMONARY TRUNK WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VP4ZZ
PX
RESTRICTION OF PULMONARY TRUNK, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VQ0DZ
PX
RESTRICTION OF RIGHT PULMONARY ARTERY WITH INTRALUMINAL DEVICE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VQ0ZZ
PX
RESTRICTION OF RIGHT PULMONARY ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VQ3DZ
PX
RESTRICTION OF RIGHT PULMONARY ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VQ3ZZ
PX
RESTRICTION OF RIGHT PULMONARY ARTERY, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VQ4DZ
PX
RESTRICTION OF RIGHT PULMONARY ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VQ4ZZ
PX
RESTRICTION OF RIGHT PULMONARY ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VR0DT
PX
RESTRICTION OF DUCTUS ARTERIOSUS WITH INTRALUMINAL DEVICE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VR0DZ
PX
RESTRICTION OF LEFT PULMONARY ARTERY WITH INTRALUMINAL DEVICE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VR0ZT
PX
RESTRICTION OF DUCTUS ARTERIOSUS, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VR0ZZ
PX
RESTRICTION OF LEFT PULMONARY ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VR3DT
PX
RESTRICTION OF DUCTUS ARTERIOSUS WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VR3DZ
PX
RESTRICTION OF LEFT PULMONARY ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VR3ZT
PX
RESTRICTION OF DUCTUS ARTERIOSUS, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VR3ZZ
PX
RESTRICTION OF LEFT PULMONARY ARTERY, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VR4DT
PX
RESTRICTION OF DUCTUS ARTERIOSUS WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VR4DZ
PX
RESTRICTION OF LEFT PULMONARY ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VR4ZT
PX
RESTRICTION OF DUCTUS ARTERIOSUS, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VR4ZZ
PX
RESTRICTION OF LEFT PULMONARY ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VS0DZ
PX
RESTRICTION OF RIGHT PULMONARY VEIN WITH INTRALUMINAL DEVICE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VS0ZZ
PX
RESTRICTION OF RIGHT PULMONARY VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VS3DZ
PX
RESTRICTION OF RIGHT PULMONARY VEIN WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VS3ZZ
PX
RESTRICTION OF RIGHT PULMONARY VEIN, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VS4DZ
PX
RESTRICTION OF RIGHT PULMONARY VEIN WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VS4ZZ
PX
RESTRICTION OF RIGHT PULMONARY VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VT0DZ
PX
RESTRICTION OF LEFT PULMONARY VEIN WITH INTRALUMINAL DEVICE, OPEN 
APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
02VT0ZZ
PX
RESTRICTION OF LEFT PULMONARY VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VT3DZ
PX
RESTRICTION OF LEFT PULMONARY VEIN WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VT3ZZ
PX
RESTRICTION OF LEFT PULMONARY VEIN, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VT4DZ
PX
RESTRICTION OF LEFT PULMONARY VEIN WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VT4ZZ
PX
RESTRICTION OF LEFT PULMONARY VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VW0DZ
PX
RESTRICTION OF THORACIC AORTA, DESCENDING WITH INTRALUMINAL DEVICE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VW0ZZ
PX
RESTRICTION OF THORACIC AORTA, DESCENDING, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VW3DZ
PX
RESTRICTION OF THORACIC AORTA, DESCENDING WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VW4DZ
PX
RESTRICTION OF THORACIC AORTA, DESCENDING WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VW4ZZ
PX
RESTRICTION OF THORACIC AORTA, DESCENDING, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VX0DZ
PX
RESTRICTION OF THORACIC AORTA, ASCENDING/ARCH WITH INTRALUMINAL 
DEVICE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VX0ZZ
PX
RESTRICTION OF THORACIC AORTA, ASCENDING/ARCH, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VX3DZ
PX
RESTRICTION OF THORACIC AORTA, ASCENDING/ARCH WITH INTRALUMINAL 
DEVICE, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VX4DZ
PX
RESTRICTION OF THORACIC AORTA, ASCENDING/ARCH WITH INTRALUMINAL 
DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02VX4ZZ
PX
RESTRICTION OF THORACIC AORTA, ASCENDING/ARCH, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02W50JZ
PX
REVISION OF SYNTHETIC SUBSTITUTE IN ATRIAL SEPTUM, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02W54JZ
PX
REVISION OF SYNTHETIC SUBSTITUTE IN ATRIAL SEPTUM, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WA0JZ
PX
REVISION OF SYNTHETIC SUBSTITUTE IN HEART, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WA0QZ
PX
REVISION OF IMPLANTABLE HEART ASSIST SYSTEM IN HEART, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WA0RS
PX
REVISION OF BIVENTRICULAR SHORT-TERM EXTERNAL HEART ASSIST SYSTEM 
IN HEART, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WA0RZ
PX
REVISION OF SHORT-TERM EXTERNAL HEART ASSIST SYSTEM IN HEART, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WA0YZ
PX
REVISION OF OTHER DEVICE IN HEART, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WA3QZ
PX
REVISION OF IMPLANTABLE HEART ASSIST SYSTEM IN HEART, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WA3RS
PX
REVISION OF BIVENTRICULAR SHORT-TERM EXTERNAL HEART ASSIST SYSTEM 
IN HEART, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WA3RZ
PX
REVISION OF SHORT-TERM EXTERNAL HEART ASSIST SYSTEM IN HEART, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WA3YZ
PX
REVISION OF OTHER DEVICE IN HEART, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WA4QZ
PX
REVISION OF IMPLANTABLE HEART ASSIST SYSTEM IN HEART, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WA4RS
PX
REVISION OF BIVENTRICULAR SHORT-TERM EXTERNAL HEART ASSIST SYSTEM 
IN HEART, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WA4RZ
PX
REVISION OF SHORT-TERM EXTERNAL HEART ASSIST SYSTEM IN HEART, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WA4YZ
PX
REVISION OF OTHER DEVICE IN HEART, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WF07Z
PX
REVISION OF AUTOLOGOUS TISSUE SUBSTITUTE IN AORTIC VALVE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WF08Z
PX
REVISION OF ZOOPLASTIC TISSUE IN AORTIC VALVE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WF0JZ
PX
REVISION OF SYNTHETIC SUBSTITUTE IN AORTIC VALVE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WF0KZ
PX
REVISION OF NONAUTOLOGOUS TISSUE SUBSTITUTE IN AORTIC VALVE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WF37Z
PX
REVISION OF AUTOLOGOUS TISSUE SUBSTITUTE IN AORTIC VALVE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WF38Z
PX
REVISION OF ZOOPLASTIC TISSUE IN AORTIC VALVE, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WF3JZ
PX
REVISION OF SYNTHETIC SUBSTITUTE IN AORTIC VALVE, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WF3KZ
PX
REVISION OF NONAUTOLOGOUS TISSUE SUBSTITUTE IN AORTIC VALVE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WF47Z
PX
REVISION OF AUTOLOGOUS TISSUE SUBSTITUTE IN AORTIC VALVE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
02WF48Z
PX
REVISION OF ZOOPLASTIC TISSUE IN AORTIC VALVE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WF4JZ
PX
REVISION OF SYNTHETIC SUBSTITUTE IN AORTIC VALVE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WF4KZ
PX
REVISION OF NONAUTOLOGOUS TISSUE SUBSTITUTE IN AORTIC VALVE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WG07Z
PX
REVISION OF AUTOLOGOUS TISSUE SUBSTITUTE IN MITRAL VALVE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WG08Z
PX
REVISION OF ZOOPLASTIC TISSUE IN MITRAL VALVE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WG0JZ
PX
REVISION OF SYNTHETIC SUBSTITUTE IN MITRAL VALVE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WG0KZ
PX
REVISION OF NONAUTOLOGOUS TISSUE SUBSTITUTE IN MITRAL VALVE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WG37Z
PX
REVISION OF AUTOLOGOUS TISSUE SUBSTITUTE IN MITRAL VALVE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WG38Z
PX
REVISION OF ZOOPLASTIC TISSUE IN MITRAL VALVE, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WG3JZ
PX
REVISION OF SYNTHETIC SUBSTITUTE IN MITRAL VALVE, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WG3KZ
PX
REVISION OF NONAUTOLOGOUS TISSUE SUBSTITUTE IN MITRAL VALVE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WG47Z
PX
REVISION OF AUTOLOGOUS TISSUE SUBSTITUTE IN MITRAL VALVE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WG48Z
PX
REVISION OF ZOOPLASTIC TISSUE IN MITRAL VALVE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WG4JZ
PX
REVISION OF SYNTHETIC SUBSTITUTE IN MITRAL VALVE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WG4KZ
PX
REVISION OF NONAUTOLOGOUS TISSUE SUBSTITUTE IN MITRAL VALVE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WH07Z
PX
REVISION OF AUTOLOGOUS TISSUE SUBSTITUTE IN PULMONARY VALVE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WH08Z
PX
REVISION OF ZOOPLASTIC TISSUE IN PULMONARY VALVE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WH0JZ
PX
REVISION OF SYNTHETIC SUBSTITUTE IN PULMONARY VALVE, OPEN APPROACH ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WH0KZ
PX
REVISION OF NONAUTOLOGOUS TISSUE SUBSTITUTE IN PULMONARY VALVE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WH37Z
PX
REVISION OF AUTOLOGOUS TISSUE SUBSTITUTE IN PULMONARY VALVE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WH38Z
PX
REVISION OF ZOOPLASTIC TISSUE IN PULMONARY VALVE, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WH3JZ
PX
REVISION OF SYNTHETIC SUBSTITUTE IN PULMONARY VALVE, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WH3KZ
PX
REVISION OF NONAUTOLOGOUS TISSUE SUBSTITUTE IN PULMONARY VALVE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WH47Z
PX
REVISION OF AUTOLOGOUS TISSUE SUBSTITUTE IN PULMONARY VALVE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WH48Z
PX
REVISION OF ZOOPLASTIC TISSUE IN PULMONARY VALVE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WH4JZ
PX
REVISION OF SYNTHETIC SUBSTITUTE IN PULMONARY VALVE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WH4KZ
PX
REVISION OF NONAUTOLOGOUS TISSUE SUBSTITUTE IN PULMONARY VALVE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WJ07Z
PX
REVISION OF AUTOLOGOUS TISSUE SUBSTITUTE IN TRICUSPID VALVE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WJ08Z
PX
REVISION OF ZOOPLASTIC TISSUE IN TRICUSPID VALVE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WJ0JZ
PX
REVISION OF SYNTHETIC SUBSTITUTE IN TRICUSPID VALVE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WJ0KZ
PX
REVISION OF NONAUTOLOGOUS TISSUE SUBSTITUTE IN TRICUSPID VALVE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WJ37Z
PX
REVISION OF AUTOLOGOUS TISSUE SUBSTITUTE IN TRICUSPID VALVE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WJ38Z
PX
REVISION OF ZOOPLASTIC TISSUE IN TRICUSPID VALVE, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WJ3JZ
PX
REVISION OF SYNTHETIC SUBSTITUTE IN TRICUSPID VALVE, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WJ3KZ
PX
REVISION OF NONAUTOLOGOUS TISSUE SUBSTITUTE IN TRICUSPID VALVE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WJ47Z
PX
REVISION OF AUTOLOGOUS TISSUE SUBSTITUTE IN TRICUSPID VALVE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WJ48Z
PX
REVISION OF ZOOPLASTIC TISSUE IN TRICUSPID VALVE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
02WJ4JZ
PX
REVISION OF SYNTHETIC SUBSTITUTE IN TRICUSPID VALVE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WJ4KZ
PX
REVISION OF NONAUTOLOGOUS TISSUE SUBSTITUTE IN TRICUSPID VALVE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WM0JZ
PX
REVISION OF SYNTHETIC SUBSTITUTE IN VENTRICULAR SEPTUM, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
02WM4JZ
PX
REVISION OF SYNTHETIC SUBSTITUTE IN VENTRICULAR SEPTUM, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031209B
PX
BYPASS INNOMINATE ARTERY TO LEFT LOWER LEG ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031209C
PX
BYPASS INNOMINATE ARTERY TO BILATERAL LOWER LEG ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031209D
PX
BYPASS INNOMINATE ARTERY TO UPPER ARM VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031209F
PX
BYPASS INNOMINATE ARTERY TO LOWER ARM VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031209J
PX
BYPASS INNOMINATE ARTERY TO RIGHT EXTRACRANIAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031209K
PX
BYPASS INNOMINATE ARTERY TO LEFT EXTRACRANIAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120A0
PX
BYPASS INNOMINATE ARTERY TO RIGHT UPPER ARM ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120A1
PX
BYPASS INNOMINATE ARTERY TO LEFT UPPER ARM ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120A2
PX
BYPASS INNOMINATE ARTERY TO BILATERAL UPPER ARM ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120A3
PX
BYPASS INNOMINATE ARTERY TO RIGHT LOWER ARM ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120A4
PX
BYPASS INNOMINATE ARTERY TO LEFT LOWER ARM ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120A5
PX
BYPASS INNOMINATE ARTERY TO BILATERAL LOWER ARM ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120A6
PX
BYPASS INNOMINATE ARTERY TO RIGHT UPPER LEG ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120A7
PX
BYPASS INNOMINATE ARTERY TO LEFT UPPER LEG ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120A8
PX
BYPASS INNOMINATE ARTERY TO BILATERAL UPPER LEG ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120A9
PX
BYPASS INNOMINATE ARTERY TO RIGHT LOWER LEG ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120AB
PX
BYPASS INNOMINATE ARTERY TO LEFT LOWER LEG ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120AC
PX
BYPASS INNOMINATE ARTERY TO BILATERAL LOWER LEG ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120AD
PX
BYPASS INNOMINATE ARTERY TO UPPER ARM VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120AF
PX
BYPASS INNOMINATE ARTERY TO LOWER ARM VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120AJ
PX
BYPASS INNOMINATE ARTERY TO RIGHT EXTRACRANIAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120AK
PX
BYPASS INNOMINATE ARTERY TO LEFT EXTRACRANIAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120J0
PX
BYPASS INNOMINATE ARTERY TO RIGHT UPPER ARM ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120J1
PX
BYPASS INNOMINATE ARTERY TO LEFT UPPER ARM ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120J2
PX
BYPASS INNOMINATE ARTERY TO BILATERAL UPPER ARM ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120J3
PX
BYPASS INNOMINATE ARTERY TO RIGHT LOWER ARM ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120J4
PX
BYPASS INNOMINATE ARTERY TO LEFT LOWER ARM ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120J5
PX
BYPASS INNOMINATE ARTERY TO BILATERAL LOWER ARM ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120J6
PX
BYPASS INNOMINATE ARTERY TO RIGHT UPPER LEG ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120J7
PX
BYPASS INNOMINATE ARTERY TO LEFT UPPER LEG ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
03120J8
PX
BYPASS INNOMINATE ARTERY TO BILATERAL UPPER LEG ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120J9
PX
BYPASS INNOMINATE ARTERY TO RIGHT LOWER LEG ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120JB
PX
BYPASS INNOMINATE ARTERY TO LEFT LOWER LEG ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120JC
PX
BYPASS INNOMINATE ARTERY TO BILATERAL LOWER LEG ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120JD
PX
BYPASS INNOMINATE ARTERY TO UPPER ARM VEIN WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120JF
PX
BYPASS INNOMINATE ARTERY TO LOWER ARM VEIN WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120JJ
PX
BYPASS INNOMINATE ARTERY TO RIGHT EXTRACRANIAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120JK
PX
BYPASS INNOMINATE ARTERY TO LEFT EXTRACRANIAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120K0
PX
BYPASS INNOMINATE ARTERY TO RIGHT UPPER ARM ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120K1
PX
BYPASS INNOMINATE ARTERY TO LEFT UPPER ARM ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120K2
PX
BYPASS INNOMINATE ARTERY TO BILATERAL UPPER ARM ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120K3
PX
BYPASS INNOMINATE ARTERY TO RIGHT LOWER ARM ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120K4
PX
BYPASS INNOMINATE ARTERY TO LEFT LOWER ARM ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120K5
PX
BYPASS INNOMINATE ARTERY TO BILATERAL LOWER ARM ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120K6
PX
BYPASS INNOMINATE ARTERY TO RIGHT UPPER LEG ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120K7
PX
BYPASS INNOMINATE ARTERY TO LEFT UPPER LEG ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120K8
PX
BYPASS INNOMINATE ARTERY TO BILATERAL UPPER LEG ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120K9
PX
BYPASS INNOMINATE ARTERY TO RIGHT LOWER LEG ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120KB
PX
BYPASS INNOMINATE ARTERY TO LEFT LOWER LEG ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120KC
PX
BYPASS INNOMINATE ARTERY TO BILATERAL LOWER LEG ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120KD
PX
BYPASS INNOMINATE ARTERY TO UPPER ARM VEIN WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120KF
PX
BYPASS INNOMINATE ARTERY TO LOWER ARM VEIN WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120KJ
PX
BYPASS INNOMINATE ARTERY TO RIGHT EXTRACRANIAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120KK
PX
BYPASS INNOMINATE ARTERY TO LEFT EXTRACRANIAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120Z0
PX
BYPASS INNOMINATE ARTERY TO RIGHT UPPER ARM ARTERY, OPEN APPROACH ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120Z1
PX
BYPASS INNOMINATE ARTERY TO LEFT UPPER ARM ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120Z2
PX
BYPASS INNOMINATE ARTERY TO BILATERAL UPPER ARM ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120Z3
PX
BYPASS INNOMINATE ARTERY TO RIGHT LOWER ARM ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120Z4
PX
BYPASS INNOMINATE ARTERY TO LEFT LOWER ARM ARTERY, OPEN APPROACH ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120Z5
PX
BYPASS INNOMINATE ARTERY TO BILATERAL LOWER ARM ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120Z6
PX
BYPASS INNOMINATE ARTERY TO RIGHT UPPER LEG ARTERY, OPEN APPROACH ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120Z7
PX
BYPASS INNOMINATE ARTERY TO LEFT UPPER LEG ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120Z8
PX
BYPASS INNOMINATE ARTERY TO BILATERAL UPPER LEG ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120Z9
PX
BYPASS INNOMINATE ARTERY TO RIGHT LOWER LEG ARTERY, OPEN APPROACH ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
03120ZB
PX
BYPASS INNOMINATE ARTERY TO LEFT LOWER LEG ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120ZC
PX
BYPASS INNOMINATE ARTERY TO BILATERAL LOWER LEG ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120ZD
PX
BYPASS INNOMINATE ARTERY TO UPPER ARM VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120ZF
PX
BYPASS INNOMINATE ARTERY TO LOWER ARM VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120ZJ
PX
BYPASS INNOMINATE ARTERY TO RIGHT EXTRACRANIAL ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03120ZK
PX
BYPASS INNOMINATE ARTERY TO LEFT EXTRACRANIAL ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031309B
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO LEFT LOWER LEG ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031309C
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO BILATERAL LOWER LEG ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031309D
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO UPPER ARM VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031309F
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO LOWER ARM VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031309J
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO RIGHT EXTRACRANIAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031309K
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO LEFT EXTRACRANIAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130A0
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO RIGHT UPPER ARM ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130A1
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO LEFT UPPER ARM ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130A2
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO BILATERAL UPPER ARM ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130A3
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO RIGHT LOWER ARM ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130A4
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO LEFT LOWER ARM ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130A5
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO BILATERAL LOWER ARM ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130A6
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO RIGHT UPPER LEG ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130A7
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO LEFT UPPER LEG ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130A8
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO BILATERAL UPPER LEG ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130A9
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO RIGHT LOWER LEG ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130AB
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO LEFT LOWER LEG ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130AC
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO BILATERAL LOWER LEG ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130AD
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO UPPER ARM VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130AF
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO LOWER ARM VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130AJ
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO RIGHT EXTRACRANIAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130AK
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO LEFT EXTRACRANIAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130J0
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO RIGHT UPPER ARM ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130J1
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO LEFT UPPER ARM ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130J2
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO BILATERAL UPPER ARM ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130J3
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO RIGHT LOWER ARM ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130J4
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO LEFT LOWER ARM ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130J5
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO BILATERAL LOWER ARM ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130J6
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO RIGHT UPPER LEG ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
03130J7
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO LEFT UPPER LEG ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130J8
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO BILATERAL UPPER LEG ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130J9
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO RIGHT LOWER LEG ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130JB
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO LEFT LOWER LEG ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130JC
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO BILATERAL LOWER LEG ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130JD
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO UPPER ARM VEIN WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130JF
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO LOWER ARM VEIN WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130JJ
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO RIGHT EXTRACRANIAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130JK
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO LEFT EXTRACRANIAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130K0
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO RIGHT UPPER ARM ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130K1
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO LEFT UPPER ARM ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130K2
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO BILATERAL UPPER ARM ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130K3
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO RIGHT LOWER ARM ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130K4
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO LEFT LOWER ARM ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130K5
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO BILATERAL LOWER ARM ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130K6
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO RIGHT UPPER LEG ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130K7
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO LEFT UPPER LEG ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130K8
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO BILATERAL UPPER LEG ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130K9
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO RIGHT LOWER LEG ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130KB
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO LEFT LOWER LEG ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130KC
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO BILATERAL LOWER LEG ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130KD
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO UPPER ARM VEIN WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130KF
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO LOWER ARM VEIN WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130KJ
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO RIGHT EXTRACRANIAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130KK
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO LEFT EXTRACRANIAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130Z0
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO RIGHT UPPER ARM ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130Z1
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO LEFT UPPER ARM ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130Z2
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO BILATERAL UPPER ARM ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130Z3
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO RIGHT LOWER ARM ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130Z4
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO LEFT LOWER ARM ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130Z5
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO BILATERAL LOWER ARM ARTERY, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130Z6
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO RIGHT UPPER LEG ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130Z7
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO LEFT UPPER LEG ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130Z8
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO BILATERAL UPPER LEG ARTERY, OPEN 
APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
03130Z9
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO RIGHT LOWER LEG ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130ZB
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO LEFT LOWER LEG ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130ZC
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO BILATERAL LOWER LEG ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130ZD
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO UPPER ARM VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130ZF
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO LOWER ARM VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130ZJ
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO RIGHT EXTRACRANIAL ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03130ZK
PX
BYPASS RIGHT SUBCLAVIAN ARTERY TO LEFT EXTRACRANIAL ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031409B
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO LEFT LOWER LEG ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031409C
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO BILATERAL LOWER LEG ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031409D
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO UPPER ARM VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031409F
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO LOWER ARM VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031409J
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO RIGHT EXTRACRANIAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031409K
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO LEFT EXTRACRANIAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140A0
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO RIGHT UPPER ARM ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140A1
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO LEFT UPPER ARM ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140A2
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO BILATERAL UPPER ARM ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140A3
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO RIGHT LOWER ARM ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140A4
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO LEFT LOWER ARM ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140A5
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO BILATERAL LOWER ARM ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140A6
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO RIGHT UPPER LEG ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140A7
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO LEFT UPPER LEG ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140A8
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO BILATERAL UPPER LEG ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140A9
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO RIGHT LOWER LEG ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140AB
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO LEFT LOWER LEG ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140AC
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO BILATERAL LOWER LEG ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140AD
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO UPPER ARM VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140AF
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO LOWER ARM VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140AJ
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO RIGHT EXTRACRANIAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140AK
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO LEFT EXTRACRANIAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140J0
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO RIGHT UPPER ARM ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140J1
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO LEFT UPPER ARM ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140J2
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO BILATERAL UPPER ARM ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140J3
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO RIGHT LOWER ARM ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140J4
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO LEFT LOWER ARM ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140J5
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO BILATERAL LOWER ARM ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
03140J6
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO RIGHT UPPER LEG ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140J7
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO LEFT UPPER LEG ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140J8
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO BILATERAL UPPER LEG ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140J9
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO RIGHT LOWER LEG ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140JB
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO LEFT LOWER LEG ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140JC
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO BILATERAL LOWER LEG ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140JD
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO UPPER ARM VEIN WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140JF
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO LOWER ARM VEIN WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140JJ
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO RIGHT EXTRACRANIAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140JK
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO LEFT EXTRACRANIAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140K0
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO RIGHT UPPER ARM ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140K1
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO LEFT UPPER ARM ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140K2
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO BILATERAL UPPER ARM ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140K3
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO RIGHT LOWER ARM ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140K4
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO LEFT LOWER ARM ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140K5
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO BILATERAL LOWER ARM ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140K6
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO RIGHT UPPER LEG ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140K7
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO LEFT UPPER LEG ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140K8
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO BILATERAL UPPER LEG ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140K9
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO RIGHT LOWER LEG ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140KB
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO LEFT LOWER LEG ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140KC
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO BILATERAL LOWER LEG ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140KD
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO UPPER ARM VEIN WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140KF
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO LOWER ARM VEIN WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140KJ
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO RIGHT EXTRACRANIAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140KK
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO LEFT EXTRACRANIAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140Z0
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO RIGHT UPPER ARM ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140Z1
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO LEFT UPPER ARM ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140Z2
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO BILATERAL UPPER ARM ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140Z3
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO RIGHT LOWER ARM ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140Z4
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO LEFT LOWER ARM ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140Z5
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO BILATERAL LOWER ARM ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140Z6
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO RIGHT UPPER LEG ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140Z7
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO LEFT UPPER LEG ARTERY, OPEN 
APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
03140Z8
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO BILATERAL UPPER LEG ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140Z9
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO RIGHT LOWER LEG ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140ZB
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO LEFT LOWER LEG ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140ZC
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO BILATERAL LOWER LEG ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140ZD
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO UPPER ARM VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140ZF
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO LOWER ARM VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140ZJ
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO RIGHT EXTRACRANIAL ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03140ZK
PX
BYPASS LEFT SUBCLAVIAN ARTERY TO LEFT EXTRACRANIAL ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031509B
PX
BYPASS RIGHT AXILLARY ARTERY TO LEFT LOWER LEG ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031509C
PX
BYPASS RIGHT AXILLARY ARTERY TO BILATERAL LOWER LEG ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031509D
PX
BYPASS RIGHT AXILLARY ARTERY TO UPPER ARM VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031509F
PX
BYPASS RIGHT AXILLARY ARTERY TO LOWER ARM VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031509J
PX
BYPASS RIGHT AXILLARY ARTERY TO RIGHT EXTRACRANIAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031509K
PX
BYPASS RIGHT AXILLARY ARTERY TO LEFT EXTRACRANIAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150A0
PX
BYPASS RIGHT AXILLARY ARTERY TO RIGHT UPPER ARM ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150A1
PX
BYPASS RIGHT AXILLARY ARTERY TO LEFT UPPER ARM ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150A2
PX
BYPASS RIGHT AXILLARY ARTERY TO BILATERAL UPPER ARM ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150A3
PX
BYPASS RIGHT AXILLARY ARTERY TO RIGHT LOWER ARM ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150A4
PX
BYPASS RIGHT AXILLARY ARTERY TO LEFT LOWER ARM ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150A5
PX
BYPASS RIGHT AXILLARY ARTERY TO BILATERAL LOWER ARM ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150A6
PX
BYPASS RIGHT AXILLARY ARTERY TO RIGHT UPPER LEG ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150A7
PX
BYPASS RIGHT AXILLARY ARTERY TO LEFT UPPER LEG ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150A8
PX
BYPASS RIGHT AXILLARY ARTERY TO BILATERAL UPPER LEG ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150A9
PX
BYPASS RIGHT AXILLARY ARTERY TO RIGHT LOWER LEG ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150AB
PX
BYPASS RIGHT AXILLARY ARTERY TO LEFT LOWER LEG ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150AC
PX
BYPASS RIGHT AXILLARY ARTERY TO BILATERAL LOWER LEG ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150AD
PX
BYPASS RIGHT AXILLARY ARTERY TO UPPER ARM VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150AF
PX
BYPASS RIGHT AXILLARY ARTERY TO LOWER ARM VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150AJ
PX
BYPASS RIGHT AXILLARY ARTERY TO RIGHT EXTRACRANIAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150AK
PX
BYPASS RIGHT AXILLARY ARTERY TO LEFT EXTRACRANIAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150J0
PX
BYPASS RIGHT AXILLARY ARTERY TO RIGHT UPPER ARM ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150J1
PX
BYPASS RIGHT AXILLARY ARTERY TO LEFT UPPER ARM ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150J2
PX
BYPASS RIGHT AXILLARY ARTERY TO BILATERAL UPPER ARM ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150J3
PX
BYPASS RIGHT AXILLARY ARTERY TO RIGHT LOWER ARM ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150J4
PX
BYPASS RIGHT AXILLARY ARTERY TO LEFT LOWER ARM ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
03150J5
PX
BYPASS RIGHT AXILLARY ARTERY TO BILATERAL LOWER ARM ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150J6
PX
BYPASS RIGHT AXILLARY ARTERY TO RIGHT UPPER LEG ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150J7
PX
BYPASS RIGHT AXILLARY ARTERY TO LEFT UPPER LEG ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150J8
PX
BYPASS RIGHT AXILLARY ARTERY TO BILATERAL UPPER LEG ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150J9
PX
BYPASS RIGHT AXILLARY ARTERY TO RIGHT LOWER LEG ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150JB
PX
BYPASS RIGHT AXILLARY ARTERY TO LEFT LOWER LEG ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150JC
PX
BYPASS RIGHT AXILLARY ARTERY TO BILATERAL LOWER LEG ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150JD
PX
BYPASS RIGHT AXILLARY ARTERY TO UPPER ARM VEIN WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150JF
PX
BYPASS RIGHT AXILLARY ARTERY TO LOWER ARM VEIN WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150JJ
PX
BYPASS RIGHT AXILLARY ARTERY TO RIGHT EXTRACRANIAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150JK
PX
BYPASS RIGHT AXILLARY ARTERY TO LEFT EXTRACRANIAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150K0
PX
BYPASS RIGHT AXILLARY ARTERY TO RIGHT UPPER ARM ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150K1
PX
BYPASS RIGHT AXILLARY ARTERY TO LEFT UPPER ARM ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150K2
PX
BYPASS RIGHT AXILLARY ARTERY TO BILATERAL UPPER ARM ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150K3
PX
BYPASS RIGHT AXILLARY ARTERY TO RIGHT LOWER ARM ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150K4
PX
BYPASS RIGHT AXILLARY ARTERY TO LEFT LOWER ARM ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150K5
PX
BYPASS RIGHT AXILLARY ARTERY TO BILATERAL LOWER ARM ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150K6
PX
BYPASS RIGHT AXILLARY ARTERY TO RIGHT UPPER LEG ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150K7
PX
BYPASS RIGHT AXILLARY ARTERY TO LEFT UPPER LEG ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150K8
PX
BYPASS RIGHT AXILLARY ARTERY TO BILATERAL UPPER LEG ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150K9
PX
BYPASS RIGHT AXILLARY ARTERY TO RIGHT LOWER LEG ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150KB
PX
BYPASS RIGHT AXILLARY ARTERY TO LEFT LOWER LEG ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150KC
PX
BYPASS RIGHT AXILLARY ARTERY TO BILATERAL LOWER LEG ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150KD
PX
BYPASS RIGHT AXILLARY ARTERY TO UPPER ARM VEIN WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150KF
PX
BYPASS RIGHT AXILLARY ARTERY TO LOWER ARM VEIN WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150KJ
PX
BYPASS RIGHT AXILLARY ARTERY TO RIGHT EXTRACRANIAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150KK
PX
BYPASS RIGHT AXILLARY ARTERY TO LEFT EXTRACRANIAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150Z0
PX
BYPASS RIGHT AXILLARY ARTERY TO RIGHT UPPER ARM ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150Z1
PX
BYPASS RIGHT AXILLARY ARTERY TO LEFT UPPER ARM ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150Z2
PX
BYPASS RIGHT AXILLARY ARTERY TO BILATERAL UPPER ARM ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150Z3
PX
BYPASS RIGHT AXILLARY ARTERY TO RIGHT LOWER ARM ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150Z4
PX
BYPASS RIGHT AXILLARY ARTERY TO LEFT LOWER ARM ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150Z5
PX
BYPASS RIGHT AXILLARY ARTERY TO BILATERAL LOWER ARM ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150Z6
PX
BYPASS RIGHT AXILLARY ARTERY TO RIGHT UPPER LEG ARTERY, OPEN 
APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
03150Z7
PX
BYPASS RIGHT AXILLARY ARTERY TO LEFT UPPER LEG ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150Z8
PX
BYPASS RIGHT AXILLARY ARTERY TO BILATERAL UPPER LEG ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150Z9
PX
BYPASS RIGHT AXILLARY ARTERY TO RIGHT LOWER LEG ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150ZB
PX
BYPASS RIGHT AXILLARY ARTERY TO LEFT LOWER LEG ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150ZC
PX
BYPASS RIGHT AXILLARY ARTERY TO BILATERAL LOWER LEG ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150ZD
PX
BYPASS RIGHT AXILLARY ARTERY TO UPPER ARM VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150ZF
PX
BYPASS RIGHT AXILLARY ARTERY TO LOWER ARM VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150ZJ
PX
BYPASS RIGHT AXILLARY ARTERY TO RIGHT EXTRACRANIAL ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03150ZK
PX
BYPASS RIGHT AXILLARY ARTERY TO LEFT EXTRACRANIAL ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031609B
PX
BYPASS LEFT AXILLARY ARTERY TO LEFT LOWER LEG ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031609C
PX
BYPASS LEFT AXILLARY ARTERY TO BILATERAL LOWER LEG ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031609D
PX
BYPASS LEFT AXILLARY ARTERY TO UPPER ARM VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031609F
PX
BYPASS LEFT AXILLARY ARTERY TO LOWER ARM VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031609J
PX
BYPASS LEFT AXILLARY ARTERY TO RIGHT EXTRACRANIAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031609K
PX
BYPASS LEFT AXILLARY ARTERY TO LEFT EXTRACRANIAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160A0
PX
BYPASS LEFT AXILLARY ARTERY TO RIGHT UPPER ARM ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160A1
PX
BYPASS LEFT AXILLARY ARTERY TO LEFT UPPER ARM ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160A2
PX
BYPASS LEFT AXILLARY ARTERY TO BILATERAL UPPER ARM ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160A3
PX
BYPASS LEFT AXILLARY ARTERY TO RIGHT LOWER ARM ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160A4
PX
BYPASS LEFT AXILLARY ARTERY TO LEFT LOWER ARM ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160A5
PX
BYPASS LEFT AXILLARY ARTERY TO BILATERAL LOWER ARM ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160A6
PX
BYPASS LEFT AXILLARY ARTERY TO RIGHT UPPER LEG ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160A7
PX
BYPASS LEFT AXILLARY ARTERY TO LEFT UPPER LEG ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160A8
PX
BYPASS LEFT AXILLARY ARTERY TO BILATERAL UPPER LEG ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160A9
PX
BYPASS LEFT AXILLARY ARTERY TO RIGHT LOWER LEG ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160AB
PX
BYPASS LEFT AXILLARY ARTERY TO LEFT LOWER LEG ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160AC
PX
BYPASS LEFT AXILLARY ARTERY TO BILATERAL LOWER LEG ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160AD
PX
BYPASS LEFT AXILLARY ARTERY TO UPPER ARM VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160AF
PX
BYPASS LEFT AXILLARY ARTERY TO LOWER ARM VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160AJ
PX
BYPASS LEFT AXILLARY ARTERY TO RIGHT EXTRACRANIAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160AK
PX
BYPASS LEFT AXILLARY ARTERY TO LEFT EXTRACRANIAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160J0
PX
BYPASS LEFT AXILLARY ARTERY TO RIGHT UPPER ARM ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160J1
PX
BYPASS LEFT AXILLARY ARTERY TO LEFT UPPER ARM ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160J2
PX
BYPASS LEFT AXILLARY ARTERY TO BILATERAL UPPER ARM ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160J3
PX
BYPASS LEFT AXILLARY ARTERY TO RIGHT LOWER ARM ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
03160J4
PX
BYPASS LEFT AXILLARY ARTERY TO LEFT LOWER ARM ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160J5
PX
BYPASS LEFT AXILLARY ARTERY TO BILATERAL LOWER ARM ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160J6
PX
BYPASS LEFT AXILLARY ARTERY TO RIGHT UPPER LEG ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160J7
PX
BYPASS LEFT AXILLARY ARTERY TO LEFT UPPER LEG ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160J8
PX
BYPASS LEFT AXILLARY ARTERY TO BILATERAL UPPER LEG ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160J9
PX
BYPASS LEFT AXILLARY ARTERY TO RIGHT LOWER LEG ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160JB
PX
BYPASS LEFT AXILLARY ARTERY TO LEFT LOWER LEG ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160JC
PX
BYPASS LEFT AXILLARY ARTERY TO BILATERAL LOWER LEG ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160JD
PX
BYPASS LEFT AXILLARY ARTERY TO UPPER ARM VEIN WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160JF
PX
BYPASS LEFT AXILLARY ARTERY TO LOWER ARM VEIN WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160JJ
PX
BYPASS LEFT AXILLARY ARTERY TO RIGHT EXTRACRANIAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160JK
PX
BYPASS LEFT AXILLARY ARTERY TO LEFT EXTRACRANIAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160K0
PX
BYPASS LEFT AXILLARY ARTERY TO RIGHT UPPER ARM ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160K1
PX
BYPASS LEFT AXILLARY ARTERY TO LEFT UPPER ARM ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160K2
PX
BYPASS LEFT AXILLARY ARTERY TO BILATERAL UPPER ARM ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160K3
PX
BYPASS LEFT AXILLARY ARTERY TO RIGHT LOWER ARM ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160K4
PX
BYPASS LEFT AXILLARY ARTERY TO LEFT LOWER ARM ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160K5
PX
BYPASS LEFT AXILLARY ARTERY TO BILATERAL LOWER ARM ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160K6
PX
BYPASS LEFT AXILLARY ARTERY TO RIGHT UPPER LEG ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160K7
PX
BYPASS LEFT AXILLARY ARTERY TO LEFT UPPER LEG ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160K8
PX
BYPASS LEFT AXILLARY ARTERY TO BILATERAL UPPER LEG ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160K9
PX
BYPASS LEFT AXILLARY ARTERY TO RIGHT LOWER LEG ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160KB
PX
BYPASS LEFT AXILLARY ARTERY TO LEFT LOWER LEG ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160KC
PX
BYPASS LEFT AXILLARY ARTERY TO BILATERAL LOWER LEG ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160KD
PX
BYPASS LEFT AXILLARY ARTERY TO UPPER ARM VEIN WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160KF
PX
BYPASS LEFT AXILLARY ARTERY TO LOWER ARM VEIN WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160KJ
PX
BYPASS LEFT AXILLARY ARTERY TO RIGHT EXTRACRANIAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160KK
PX
BYPASS LEFT AXILLARY ARTERY TO LEFT EXTRACRANIAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160Z0
PX
BYPASS LEFT AXILLARY ARTERY TO RIGHT UPPER ARM ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160Z1
PX
BYPASS LEFT AXILLARY ARTERY TO LEFT UPPER ARM ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160Z2
PX
BYPASS LEFT AXILLARY ARTERY TO BILATERAL UPPER ARM ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160Z3
PX
BYPASS LEFT AXILLARY ARTERY TO RIGHT LOWER ARM ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160Z4
PX
BYPASS LEFT AXILLARY ARTERY TO LEFT LOWER ARM ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160Z5
PX
BYPASS LEFT AXILLARY ARTERY TO BILATERAL LOWER ARM ARTERY, OPEN 
APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
03160Z6
PX
BYPASS LEFT AXILLARY ARTERY TO RIGHT UPPER LEG ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160Z7
PX
BYPASS LEFT AXILLARY ARTERY TO LEFT UPPER LEG ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160Z8
PX
BYPASS LEFT AXILLARY ARTERY TO BILATERAL UPPER LEG ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160Z9
PX
BYPASS LEFT AXILLARY ARTERY TO RIGHT LOWER LEG ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160ZB
PX
BYPASS LEFT AXILLARY ARTERY TO LEFT LOWER LEG ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160ZC
PX
BYPASS LEFT AXILLARY ARTERY TO BILATERAL LOWER LEG ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160ZD
PX
BYPASS LEFT AXILLARY ARTERY TO UPPER ARM VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160ZF
PX
BYPASS LEFT AXILLARY ARTERY TO LOWER ARM VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160ZJ
PX
BYPASS LEFT AXILLARY ARTERY TO RIGHT EXTRACRANIAL ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03160ZK
PX
BYPASS LEFT AXILLARY ARTERY TO LEFT EXTRACRANIAL ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031709D
PX
BYPASS RIGHT BRACHIAL ARTERY TO UPPER ARM VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031709F
PX
BYPASS RIGHT BRACHIAL ARTERY TO LOWER ARM VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03170A0
PX
BYPASS RIGHT BRACHIAL ARTERY TO RIGHT UPPER ARM ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03170A3
PX
BYPASS RIGHT BRACHIAL ARTERY TO RIGHT LOWER ARM ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03170AD
PX
BYPASS RIGHT BRACHIAL ARTERY TO UPPER ARM VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03170AF
PX
BYPASS RIGHT BRACHIAL ARTERY TO LOWER ARM VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03170J0
PX
BYPASS RIGHT BRACHIAL ARTERY TO RIGHT UPPER ARM ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03170J3
PX
BYPASS RIGHT BRACHIAL ARTERY TO RIGHT LOWER ARM ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03170JD
PX
BYPASS RIGHT BRACHIAL ARTERY TO UPPER ARM VEIN WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03170JF
PX
BYPASS RIGHT BRACHIAL ARTERY TO LOWER ARM VEIN WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03170K0
PX
BYPASS RIGHT BRACHIAL ARTERY TO RIGHT UPPER ARM ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03170K3
PX
BYPASS RIGHT BRACHIAL ARTERY TO RIGHT LOWER ARM ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03170KD
PX
BYPASS RIGHT BRACHIAL ARTERY TO UPPER ARM VEIN WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03170KF
PX
BYPASS RIGHT BRACHIAL ARTERY TO LOWER ARM VEIN WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03170Z0
PX
BYPASS RIGHT BRACHIAL ARTERY TO RIGHT UPPER ARM ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03170Z3
PX
BYPASS RIGHT BRACHIAL ARTERY TO RIGHT LOWER ARM ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03170ZD
PX
BYPASS RIGHT BRACHIAL ARTERY TO UPPER ARM VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03170ZF
PX
BYPASS RIGHT BRACHIAL ARTERY TO LOWER ARM VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031809D
PX
BYPASS LEFT BRACHIAL ARTERY TO UPPER ARM VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031809F
PX
BYPASS LEFT BRACHIAL ARTERY TO LOWER ARM VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03180A1
PX
BYPASS LEFT BRACHIAL ARTERY TO LEFT UPPER ARM ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03180A4
PX
BYPASS LEFT BRACHIAL ARTERY TO LEFT LOWER ARM ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03180AD
PX
BYPASS LEFT BRACHIAL ARTERY TO UPPER ARM VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03180AF
PX
BYPASS LEFT BRACHIAL ARTERY TO LOWER ARM VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03180J1
PX
BYPASS LEFT BRACHIAL ARTERY TO LEFT UPPER ARM ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03180J4
PX
BYPASS LEFT BRACHIAL ARTERY TO LEFT LOWER ARM ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
03180JD
PX
BYPASS LEFT BRACHIAL ARTERY TO UPPER ARM VEIN WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03180JF
PX
BYPASS LEFT BRACHIAL ARTERY TO LOWER ARM VEIN WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03180K1
PX
BYPASS LEFT BRACHIAL ARTERY TO LEFT UPPER ARM ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03180K4
PX
BYPASS LEFT BRACHIAL ARTERY TO LEFT LOWER ARM ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03180KD
PX
BYPASS LEFT BRACHIAL ARTERY TO UPPER ARM VEIN WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03180KF
PX
BYPASS LEFT BRACHIAL ARTERY TO LOWER ARM VEIN WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03180Z1
PX
BYPASS LEFT BRACHIAL ARTERY TO LEFT UPPER ARM ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03180Z4
PX
BYPASS LEFT BRACHIAL ARTERY TO LEFT LOWER ARM ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03180ZD
PX
BYPASS LEFT BRACHIAL ARTERY TO UPPER ARM VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03180ZF
PX
BYPASS LEFT BRACHIAL ARTERY TO LOWER ARM VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031909F
PX
BYPASS RIGHT ULNAR ARTERY TO LOWER ARM VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03190A3
PX
BYPASS RIGHT ULNAR ARTERY TO RIGHT LOWER ARM ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03190AF
PX
BYPASS RIGHT ULNAR ARTERY TO LOWER ARM VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03190J3
PX
BYPASS RIGHT ULNAR ARTERY TO RIGHT LOWER ARM ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03190JF
PX
BYPASS RIGHT ULNAR ARTERY TO LOWER ARM VEIN WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03190K3
PX
BYPASS RIGHT ULNAR ARTERY TO RIGHT LOWER ARM ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03190KF
PX
BYPASS RIGHT ULNAR ARTERY TO LOWER ARM VEIN WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03190Z3
PX
BYPASS RIGHT ULNAR ARTERY TO RIGHT LOWER ARM ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03190ZF
PX
BYPASS RIGHT ULNAR ARTERY TO LOWER ARM VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031A094
PX
BYPASS LEFT ULNAR ARTERY TO LEFT LOWER ARM ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031A09F
PX
BYPASS LEFT ULNAR ARTERY TO LOWER ARM VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031A0A4
PX
BYPASS LEFT ULNAR ARTERY TO LEFT LOWER ARM ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031A0AF
PX
BYPASS LEFT ULNAR ARTERY TO LOWER ARM VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031A0J4
PX
BYPASS LEFT ULNAR ARTERY TO LEFT LOWER ARM ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031A0JF
PX
BYPASS LEFT ULNAR ARTERY TO LOWER ARM VEIN WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031A0K4
PX
BYPASS LEFT ULNAR ARTERY TO LEFT LOWER ARM ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031A0KF
PX
BYPASS LEFT ULNAR ARTERY TO LOWER ARM VEIN WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031A0Z4
PX
BYPASS LEFT ULNAR ARTERY TO LEFT LOWER ARM ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031A0ZF
PX
BYPASS LEFT ULNAR ARTERY TO LOWER ARM VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031B093
PX
BYPASS RIGHT RADIAL ARTERY TO RIGHT LOWER ARM ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031B09F
PX
BYPASS RIGHT RADIAL ARTERY TO LOWER ARM VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031B0A3
PX
BYPASS RIGHT RADIAL ARTERY TO RIGHT LOWER ARM ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031B0AF
PX
BYPASS RIGHT RADIAL ARTERY TO LOWER ARM VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031B0J3
PX
BYPASS RIGHT RADIAL ARTERY TO RIGHT LOWER ARM ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031B0JF
PX
BYPASS RIGHT RADIAL ARTERY TO LOWER ARM VEIN WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031B0K3
PX
BYPASS RIGHT RADIAL ARTERY TO RIGHT LOWER ARM ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
031B0KF
PX
BYPASS RIGHT RADIAL ARTERY TO LOWER ARM VEIN WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031B0Z3
PX
BYPASS RIGHT RADIAL ARTERY TO RIGHT LOWER ARM ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031B0ZF
PX
BYPASS RIGHT RADIAL ARTERY TO LOWER ARM VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031C094
PX
BYPASS LEFT RADIAL ARTERY TO LEFT LOWER ARM ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031C09F
PX
BYPASS LEFT RADIAL ARTERY TO LOWER ARM VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031C0A4
PX
BYPASS LEFT RADIAL ARTERY TO LEFT LOWER ARM ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031C0AF
PX
BYPASS LEFT RADIAL ARTERY TO LOWER ARM VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031C0J4
PX
BYPASS LEFT RADIAL ARTERY TO LEFT LOWER ARM ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031C0JF
PX
BYPASS LEFT RADIAL ARTERY TO LOWER ARM VEIN WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031C0K4
PX
BYPASS LEFT RADIAL ARTERY TO LEFT LOWER ARM ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031C0KF
PX
BYPASS LEFT RADIAL ARTERY TO LOWER ARM VEIN WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031C0Z4
PX
BYPASS LEFT RADIAL ARTERY TO LEFT LOWER ARM ARTERY, OPEN APPROACH ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031C0ZF
PX
BYPASS LEFT RADIAL ARTERY TO LOWER ARM VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031G09G
PX
BYPASS INTRACRANIAL ARTERY TO INTRACRANIAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031G0AG
PX
BYPASS INTRACRANIAL ARTERY TO INTRACRANIAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031G0JG
PX
BYPASS INTRACRANIAL ARTERY TO INTRACRANIAL ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031G0KG
PX
BYPASS INTRACRANIAL ARTERY TO INTRACRANIAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031G0ZG
PX
BYPASS INTRACRANIAL ARTERY TO INTRACRANIAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031H09J
PX
BYPASS RIGHT COMMON CAROTID ARTERY TO RIGHT EXTRACRANIAL ARTERY 
WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031H0AJ
PX
BYPASS RIGHT COMMON CAROTID ARTERY TO RIGHT EXTRACRANIAL ARTERY 
WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031H0JJ
PX
BYPASS RIGHT COMMON CAROTID ARTERY TO RIGHT EXTRACRANIAL ARTERY 
WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031H0KJ
PX
BYPASS RIGHT COMMON CAROTID ARTERY TO RIGHT EXTRACRANIAL ARTERY 
WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031H0ZJ
PX
BYPASS RIGHT COMMON CAROTID ARTERY TO RIGHT EXTRACRANIAL ARTERY, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031J09K
PX
BYPASS LEFT COMMON CAROTID ARTERY TO LEFT EXTRACRANIAL ARTERY 
WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031J0AK
PX
BYPASS LEFT COMMON CAROTID ARTERY TO LEFT EXTRACRANIAL ARTERY 
WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031J0JK
PX
BYPASS LEFT COMMON CAROTID ARTERY TO LEFT EXTRACRANIAL ARTERY 
WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031J0KK
PX
BYPASS LEFT COMMON CAROTID ARTERY TO LEFT EXTRACRANIAL ARTERY 
WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031J0ZK
PX
BYPASS LEFT COMMON CAROTID ARTERY TO LEFT EXTRACRANIAL ARTERY, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031K09J
PX
BYPASS RIGHT INTERNAL CAROTID ARTERY TO RIGHT EXTRACRANIAL ARTERY 
WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031K0AJ
PX
BYPASS RIGHT INTERNAL CAROTID ARTERY TO RIGHT EXTRACRANIAL ARTERY 
WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031K0JJ
PX
BYPASS RIGHT INTERNAL CAROTID ARTERY TO RIGHT EXTRACRANIAL ARTERY 
WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031K0KJ
PX
BYPASS RIGHT INTERNAL CAROTID ARTERY TO RIGHT EXTRACRANIAL ARTERY 
WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031K0ZJ
PX
BYPASS RIGHT INTERNAL CAROTID ARTERY TO RIGHT EXTRACRANIAL ARTERY, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031L09K
PX
BYPASS LEFT INTERNAL CAROTID ARTERY TO LEFT EXTRACRANIAL ARTERY 
WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031L0AK
PX
BYPASS LEFT INTERNAL CAROTID ARTERY TO LEFT EXTRACRANIAL ARTERY 
WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
031L0JK
PX
BYPASS LEFT INTERNAL CAROTID ARTERY TO LEFT EXTRACRANIAL ARTERY 
WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031L0KK
PX
BYPASS LEFT INTERNAL CAROTID ARTERY TO LEFT EXTRACRANIAL ARTERY 
WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031L0ZK
PX
BYPASS LEFT INTERNAL CAROTID ARTERY TO LEFT EXTRACRANIAL ARTERY, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031M09J
PX
BYPASS RIGHT EXTERNAL CAROTID ARTERY TO RIGHT EXTRACRANIAL ARTERY 
WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031M0AJ
PX
BYPASS RIGHT EXTERNAL CAROTID ARTERY TO RIGHT EXTRACRANIAL ARTERY 
WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031M0JJ
PX
BYPASS RIGHT EXTERNAL CAROTID ARTERY TO RIGHT EXTRACRANIAL ARTERY 
WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031M0KJ
PX
BYPASS RIGHT EXTERNAL CAROTID ARTERY TO RIGHT EXTRACRANIAL ARTERY 
WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031M0ZJ
PX
BYPASS RIGHT EXTERNAL CAROTID ARTERY TO RIGHT EXTRACRANIAL ARTERY, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031N09K
PX
BYPASS LEFT EXTERNAL CAROTID ARTERY TO LEFT EXTRACRANIAL ARTERY 
WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031N0AK
PX
BYPASS LEFT EXTERNAL CAROTID ARTERY TO LEFT EXTRACRANIAL ARTERY 
WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031N0JK
PX
BYPASS LEFT EXTERNAL CAROTID ARTERY TO LEFT EXTRACRANIAL ARTERY 
WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031N0KK
PX
BYPASS LEFT EXTERNAL CAROTID ARTERY TO LEFT EXTRACRANIAL ARTERY 
WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
031N0ZK
PX
BYPASS LEFT EXTERNAL CAROTID ARTERY TO LEFT EXTRACRANIAL ARTERY, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03B00ZZ
PX
EXCISION OF RIGHT INTERNAL MAMMARY ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03B04ZZ
PX
EXCISION OF RIGHT INTERNAL MAMMARY ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03B10ZZ
PX
EXCISION OF LEFT INTERNAL MAMMARY ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03B14ZZ
PX
EXCISION OF LEFT INTERNAL MAMMARY ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03B20ZZ
PX
EXCISION OF INNOMINATE ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03B24ZZ
PX
EXCISION OF INNOMINATE ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03B30ZZ
PX
EXCISION OF RIGHT SUBCLAVIAN ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03B34ZZ
PX
EXCISION OF RIGHT SUBCLAVIAN ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03B40ZZ
PX
EXCISION OF LEFT SUBCLAVIAN ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03B44ZZ
PX
EXCISION OF LEFT SUBCLAVIAN ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03C23ZZ
PX
EXTIRPATION OF MATTER FROM INNOMINATE ARTERY, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03C33ZZ
PX
EXTIRPATION OF MATTER FROM RIGHT SUBCLAVIAN ARTERY, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03C43ZZ
PX
EXTIRPATION OF MATTER FROM LEFT SUBCLAVIAN ARTERY, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03L23ZZ
PX
OCCLUSION OF INNOMINATE ARTERY, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03L33ZZ
PX
OCCLUSION OF RIGHT SUBCLAVIAN ARTERY, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03L43ZZ
PX
OCCLUSION OF LEFT SUBCLAVIAN ARTERY, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03LH3ZZ
PX
OCCLUSION OF RIGHT COMMON CAROTID ARTERY, PERCUTANEOUS APPROACH ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03LJ3ZZ
PX
OCCLUSION OF LEFT COMMON CAROTID ARTERY, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03LK3ZZ
PX
OCCLUSION OF RIGHT INTERNAL CAROTID ARTERY, PERCUTANEOUS APPROACH ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03LL3ZZ
PX
OCCLUSION OF LEFT INTERNAL CAROTID ARTERY, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03LM3ZZ
PX
OCCLUSION OF RIGHT EXTERNAL CAROTID ARTERY, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03LN3ZZ
PX
OCCLUSION OF LEFT EXTERNAL CAROTID ARTERY, PERCUTANEOUS APPROACH ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03R147Z
PX
REPLACEMENT OF LEFT INTERNAL MAMMARY ARTERY WITH AUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03R14JZ
PX
REPLACEMENT OF LEFT INTERNAL MAMMARY ARTERY WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03R14KZ
PX
REPLACEMENT OF LEFT INTERNAL MAMMARY ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
03R207Z
PX
REPLACEMENT OF INNOMINATE ARTERY WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03R20JZ
PX
REPLACEMENT OF INNOMINATE ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03R20KZ
PX
REPLACEMENT OF INNOMINATE ARTERY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03R247Z
PX
REPLACEMENT OF INNOMINATE ARTERY WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03R24JZ
PX
REPLACEMENT OF INNOMINATE ARTERY WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03R24KZ
PX
REPLACEMENT OF INNOMINATE ARTERY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03R307Z
PX
REPLACEMENT OF RIGHT SUBCLAVIAN ARTERY WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03R30JZ
PX
REPLACEMENT OF RIGHT SUBCLAVIAN ARTERY WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03R30KZ
PX
REPLACEMENT OF RIGHT SUBCLAVIAN ARTERY WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03R347Z
PX
REPLACEMENT OF RIGHT SUBCLAVIAN ARTERY WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03R34JZ
PX
REPLACEMENT OF RIGHT SUBCLAVIAN ARTERY WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03R34KZ
PX
REPLACEMENT OF RIGHT SUBCLAVIAN ARTERY WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03R407Z
PX
REPLACEMENT OF LEFT SUBCLAVIAN ARTERY WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03R40JZ
PX
REPLACEMENT OF LEFT SUBCLAVIAN ARTERY WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03R40KZ
PX
REPLACEMENT OF LEFT SUBCLAVIAN ARTERY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03R447Z
PX
REPLACEMENT OF LEFT SUBCLAVIAN ARTERY WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03R44JZ
PX
REPLACEMENT OF LEFT SUBCLAVIAN ARTERY WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03R44KZ
PX
REPLACEMENT OF LEFT SUBCLAVIAN ARTERY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03V00ZZ
PX
RESTRICTION OF RIGHT INTERNAL MAMMARY ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03V04ZZ
PX
RESTRICTION OF RIGHT INTERNAL MAMMARY ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03V10ZZ
PX
RESTRICTION OF LEFT INTERNAL MAMMARY ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03V14ZZ
PX
RESTRICTION OF LEFT INTERNAL MAMMARY ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03V20DZ
PX
RESTRICTION OF INNOMINATE ARTERY WITH INTRALUMINAL DEVICE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03V20ZZ
PX
RESTRICTION OF INNOMINATE ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03V23DZ
PX
RESTRICTION OF INNOMINATE ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03V23ZZ
PX
RESTRICTION OF INNOMINATE ARTERY, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03V24DZ
PX
RESTRICTION OF INNOMINATE ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03V24ZZ
PX
RESTRICTION OF INNOMINATE ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03V30DZ
PX
RESTRICTION OF RIGHT SUBCLAVIAN ARTERY WITH INTRALUMINAL DEVICE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03V30ZZ
PX
RESTRICTION OF RIGHT SUBCLAVIAN ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03V33DZ
PX
RESTRICTION OF RIGHT SUBCLAVIAN ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03V33ZZ
PX
RESTRICTION OF RIGHT SUBCLAVIAN ARTERY, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03V34DZ
PX
RESTRICTION OF RIGHT SUBCLAVIAN ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03V34ZZ
PX
RESTRICTION OF RIGHT SUBCLAVIAN ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03V40DZ
PX
RESTRICTION OF LEFT SUBCLAVIAN ARTERY WITH INTRALUMINAL DEVICE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03V40ZZ
PX
RESTRICTION OF LEFT SUBCLAVIAN ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03V43DZ
PX
RESTRICTION OF LEFT SUBCLAVIAN ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03V43ZZ
PX
RESTRICTION OF LEFT SUBCLAVIAN ARTERY, PERCUTANEOUS APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
03V44DZ
PX
RESTRICTION OF LEFT SUBCLAVIAN ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03V44ZZ
PX
RESTRICTION OF LEFT SUBCLAVIAN ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03V50ZZ
PX
RESTRICTION OF RIGHT AXILLARY ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03V54ZZ
PX
RESTRICTION OF RIGHT AXILLARY ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03V60ZZ
PX
RESTRICTION OF LEFT AXILLARY ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03V64ZZ
PX
RESTRICTION OF LEFT AXILLARY ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03V70ZZ
PX
RESTRICTION OF RIGHT BRACHIAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03V74ZZ
PX
RESTRICTION OF RIGHT BRACHIAL ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03V80ZZ
PX
RESTRICTION OF LEFT BRACHIAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03V84ZZ
PX
RESTRICTION OF LEFT BRACHIAL ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03V90ZZ
PX
RESTRICTION OF RIGHT ULNAR ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03V94ZZ
PX
RESTRICTION OF RIGHT ULNAR ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VA0ZZ
PX
RESTRICTION OF LEFT ULNAR ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VA4ZZ
PX
RESTRICTION OF LEFT ULNAR ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VB0ZZ
PX
RESTRICTION OF RIGHT RADIAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VB4ZZ
PX
RESTRICTION OF RIGHT RADIAL ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VC0ZZ
PX
RESTRICTION OF LEFT RADIAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VC4ZZ
PX
RESTRICTION OF LEFT RADIAL ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VD0ZZ
PX
RESTRICTION OF RIGHT HAND ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VD4ZZ
PX
RESTRICTION OF RIGHT HAND ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VF0ZZ
PX
RESTRICTION OF LEFT HAND ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VF4ZZ
PX
RESTRICTION OF LEFT HAND ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VG0ZZ
PX
RESTRICTION OF INTRACRANIAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VG4ZZ
PX
RESTRICTION OF INTRACRANIAL ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VH0ZZ
PX
RESTRICTION OF RIGHT COMMON CAROTID ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VH4ZZ
PX
RESTRICTION OF RIGHT COMMON CAROTID ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VJ0ZZ
PX
RESTRICTION OF LEFT COMMON CAROTID ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VJ3ZZ
PX
RESTRICTION OF LEFT COMMON CAROTID ARTERY, PERCUTANEOUS APPROACH ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VJ4ZZ
PX
RESTRICTION OF LEFT COMMON CAROTID ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VK0ZZ
PX
RESTRICTION OF RIGHT INTERNAL CAROTID ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VK3ZZ
PX
RESTRICTION OF RIGHT INTERNAL CAROTID ARTERY, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VK4ZZ
PX
RESTRICTION OF RIGHT INTERNAL CAROTID ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VL0ZZ
PX
RESTRICTION OF LEFT INTERNAL CAROTID ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VL3ZZ
PX
RESTRICTION OF LEFT INTERNAL CAROTID ARTERY, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VL4ZZ
PX
RESTRICTION OF LEFT INTERNAL CAROTID ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VM0ZZ
PX
RESTRICTION OF RIGHT EXTERNAL CAROTID ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VM3ZZ
PX
RESTRICTION OF RIGHT EXTERNAL CAROTID ARTERY, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VM4ZZ
PX
RESTRICTION OF RIGHT EXTERNAL CAROTID ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VN0ZZ
PX
RESTRICTION OF LEFT EXTERNAL CAROTID ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VN3ZZ
PX
RESTRICTION OF LEFT EXTERNAL CAROTID ARTERY, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VN4ZZ
PX
RESTRICTION OF LEFT EXTERNAL CAROTID ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VP0ZZ
PX
RESTRICTION OF RIGHT VERTEBRAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VP4ZZ
PX
RESTRICTION OF RIGHT VERTEBRAL ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
03VQ0ZZ
PX
RESTRICTION OF LEFT VERTEBRAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VQ4ZZ
PX
RESTRICTION OF LEFT VERTEBRAL ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VR0ZZ
PX
RESTRICTION OF FACE ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VR4ZZ
PX
RESTRICTION OF FACE ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VS0ZZ
PX
RESTRICTION OF RIGHT TEMPORAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VS4ZZ
PX
RESTRICTION OF RIGHT TEMPORAL ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VT0ZZ
PX
RESTRICTION OF LEFT TEMPORAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VT4ZZ
PX
RESTRICTION OF LEFT TEMPORAL ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VU0ZZ
PX
RESTRICTION OF RIGHT THYROID ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VU4ZZ
PX
RESTRICTION OF RIGHT THYROID ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VV0ZZ
PX
RESTRICTION OF LEFT THYROID ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VV4ZZ
PX
RESTRICTION OF LEFT THYROID ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VY0ZZ
PX
RESTRICTION OF UPPER ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
03VY4ZZ
PX
RESTRICTION OF UPPER ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041009B
PX
BYPASS ABDOMINAL AORTA TO LEFT INTERNAL ILIAC ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041009C
PX
BYPASS ABDOMINAL AORTA TO BILATERAL INTERNAL ILIAC ARTERIES WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041009D
PX
BYPASS ABDOMINAL AORTA TO RIGHT EXTERNAL ILIAC ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041009F
PX
BYPASS ABDOMINAL AORTA TO LEFT EXTERNAL ILIAC ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041009G
PX
BYPASS ABDOMINAL AORTA TO BILATERAL EXTERNAL ILIAC ARTERIES WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041009H
PX
BYPASS ABDOMINAL AORTA TO RIGHT FEMORAL ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041009J
PX
BYPASS ABDOMINAL AORTA TO LEFT FEMORAL ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041009K
PX
BYPASS ABDOMINAL AORTA TO BILATERAL FEMORAL ARTERIES WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041009Q
PX
BYPASS ABDOMINAL AORTA TO LOWER EXTREMITY ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041009R
PX
BYPASS ABDOMINAL AORTA TO LOWER ARTERY WITH AUTOLOGOUS VENOUS 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100A6
PX
BYPASS ABDOMINAL AORTA TO RIGHT COMMON ILIAC ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100A7
PX
BYPASS ABDOMINAL AORTA TO LEFT COMMON ILIAC ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100A8
PX
BYPASS ABDOMINAL AORTA TO BILATERAL COMMON ILIAC ARTERIES WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100A9
PX
BYPASS ABDOMINAL AORTA TO RIGHT INTERNAL ILIAC ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100AB
PX
BYPASS ABDOMINAL AORTA TO LEFT INTERNAL ILIAC ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100AC
PX
BYPASS ABDOMINAL AORTA TO BILATERAL INTERNAL ILIAC ARTERIES WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100AD
PX
BYPASS ABDOMINAL AORTA TO RIGHT EXTERNAL ILIAC ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100AF
PX
BYPASS ABDOMINAL AORTA TO LEFT EXTERNAL ILIAC ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100AG
PX
BYPASS ABDOMINAL AORTA TO BILATERAL EXTERNAL ILIAC ARTERIES WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100AH
PX
BYPASS ABDOMINAL AORTA TO RIGHT FEMORAL ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100AJ
PX
BYPASS ABDOMINAL AORTA TO LEFT FEMORAL ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100AK
PX
BYPASS ABDOMINAL AORTA TO BILATERAL FEMORAL ARTERIES WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100AQ
PX
BYPASS ABDOMINAL AORTA TO LOWER EXTREMITY ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100AR
PX
BYPASS ABDOMINAL AORTA TO LOWER ARTERY WITH AUTOLOGOUS ARTERIAL 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100J6
PX
BYPASS ABDOMINAL AORTA TO RIGHT COMMON ILIAC ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
04100J7
PX
BYPASS ABDOMINAL AORTA TO LEFT COMMON ILIAC ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100J8
PX
BYPASS ABDOMINAL AORTA TO BILATERAL COMMON ILIAC ARTERIES WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100J9
PX
BYPASS ABDOMINAL AORTA TO RIGHT INTERNAL ILIAC ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100JB
PX
BYPASS ABDOMINAL AORTA TO LEFT INTERNAL ILIAC ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100JC
PX
BYPASS ABDOMINAL AORTA TO BILATERAL INTERNAL ILIAC ARTERIES WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100JD
PX
BYPASS ABDOMINAL AORTA TO RIGHT EXTERNAL ILIAC ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100JF
PX
BYPASS ABDOMINAL AORTA TO LEFT EXTERNAL ILIAC ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100JG
PX
BYPASS ABDOMINAL AORTA TO BILATERAL EXTERNAL ILIAC ARTERIES WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100JH
PX
BYPASS ABDOMINAL AORTA TO RIGHT FEMORAL ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100JJ
PX
BYPASS ABDOMINAL AORTA TO LEFT FEMORAL ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100JK
PX
BYPASS ABDOMINAL AORTA TO BILATERAL FEMORAL ARTERIES WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100JQ
PX
BYPASS ABDOMINAL AORTA TO LOWER EXTREMITY ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100JR
PX
BYPASS ABDOMINAL AORTA TO LOWER ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100K6
PX
BYPASS ABDOMINAL AORTA TO RIGHT COMMON ILIAC ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100K7
PX
BYPASS ABDOMINAL AORTA TO LEFT COMMON ILIAC ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100K8
PX
BYPASS ABDOMINAL AORTA TO BILATERAL COMMON ILIAC ARTERIES WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100K9
PX
BYPASS ABDOMINAL AORTA TO RIGHT INTERNAL ILIAC ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100KB
PX
BYPASS ABDOMINAL AORTA TO LEFT INTERNAL ILIAC ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100KC
PX
BYPASS ABDOMINAL AORTA TO BILATERAL INTERNAL ILIAC ARTERIES WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100KD
PX
BYPASS ABDOMINAL AORTA TO RIGHT EXTERNAL ILIAC ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100KF
PX
BYPASS ABDOMINAL AORTA TO LEFT EXTERNAL ILIAC ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100KG
PX
BYPASS ABDOMINAL AORTA TO BILATERAL EXTERNAL ILIAC ARTERIES WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100KH
PX
BYPASS ABDOMINAL AORTA TO RIGHT FEMORAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100KJ
PX
BYPASS ABDOMINAL AORTA TO LEFT FEMORAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100KK
PX
BYPASS ABDOMINAL AORTA TO BILATERAL FEMORAL ARTERIES WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100KQ
PX
BYPASS ABDOMINAL AORTA TO LOWER EXTREMITY ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100KR
PX
BYPASS ABDOMINAL AORTA TO LOWER ARTERY WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100Z6
PX
BYPASS ABDOMINAL AORTA TO RIGHT COMMON ILIAC ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100Z7
PX
BYPASS ABDOMINAL AORTA TO LEFT COMMON ILIAC ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100Z8
PX
BYPASS ABDOMINAL AORTA TO BILATERAL COMMON ILIAC ARTERIES, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100Z9
PX
BYPASS ABDOMINAL AORTA TO RIGHT INTERNAL ILIAC ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100ZB
PX
BYPASS ABDOMINAL AORTA TO LEFT INTERNAL ILIAC ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100ZC
PX
BYPASS ABDOMINAL AORTA TO BILATERAL INTERNAL ILIAC ARTERIES, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100ZD
PX
BYPASS ABDOMINAL AORTA TO RIGHT EXTERNAL ILIAC ARTERY, OPEN 
APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
04100ZF
PX
BYPASS ABDOMINAL AORTA TO LEFT EXTERNAL ILIAC ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100ZG
PX
BYPASS ABDOMINAL AORTA TO BILATERAL EXTERNAL ILIAC ARTERIES, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100ZH
PX
BYPASS ABDOMINAL AORTA TO RIGHT FEMORAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100ZJ
PX
BYPASS ABDOMINAL AORTA TO LEFT FEMORAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100ZK
PX
BYPASS ABDOMINAL AORTA TO BILATERAL FEMORAL ARTERIES, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100ZQ
PX
BYPASS ABDOMINAL AORTA TO LOWER EXTREMITY ARTERY, OPEN APPROACH ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04100ZR
PX
BYPASS ABDOMINAL AORTA TO LOWER ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041049B
PX
BYPASS ABDOMINAL AORTA TO LEFT INTERNAL ILIAC ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041049C
PX
BYPASS ABDOMINAL AORTA TO BILATERAL INTERNAL ILIAC ARTERIES WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041049D
PX
BYPASS ABDOMINAL AORTA TO RIGHT EXTERNAL ILIAC ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041049F
PX
BYPASS ABDOMINAL AORTA TO LEFT EXTERNAL ILIAC ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041049G
PX
BYPASS ABDOMINAL AORTA TO BILATERAL EXTERNAL ILIAC ARTERIES WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041049H
PX
BYPASS ABDOMINAL AORTA TO RIGHT FEMORAL ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041049J
PX
BYPASS ABDOMINAL AORTA TO LEFT FEMORAL ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041049K
PX
BYPASS ABDOMINAL AORTA TO BILATERAL FEMORAL ARTERIES WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041049Q
PX
BYPASS ABDOMINAL AORTA TO LOWER EXTREMITY ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041049R
PX
BYPASS ABDOMINAL AORTA TO LOWER ARTERY WITH AUTOLOGOUS VENOUS 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104A6
PX
BYPASS ABDOMINAL AORTA TO RIGHT COMMON ILIAC ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104A7
PX
BYPASS ABDOMINAL AORTA TO LEFT COMMON ILIAC ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104A8
PX
BYPASS ABDOMINAL AORTA TO BILATERAL COMMON ILIAC ARTERIES WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104A9
PX
BYPASS ABDOMINAL AORTA TO RIGHT INTERNAL ILIAC ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104AB
PX
BYPASS ABDOMINAL AORTA TO LEFT INTERNAL ILIAC ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104AC
PX
BYPASS ABDOMINAL AORTA TO BILATERAL INTERNAL ILIAC ARTERIES WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104AD
PX
BYPASS ABDOMINAL AORTA TO RIGHT EXTERNAL ILIAC ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104AF
PX
BYPASS ABDOMINAL AORTA TO LEFT EXTERNAL ILIAC ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104AG
PX
BYPASS ABDOMINAL AORTA TO BILATERAL EXTERNAL ILIAC ARTERIES WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104AH
PX
BYPASS ABDOMINAL AORTA TO RIGHT FEMORAL ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104AJ
PX
BYPASS ABDOMINAL AORTA TO LEFT FEMORAL ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104AK
PX
BYPASS ABDOMINAL AORTA TO BILATERAL FEMORAL ARTERIES WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104AQ
PX
BYPASS ABDOMINAL AORTA TO LOWER EXTREMITY ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104AR
PX
BYPASS ABDOMINAL AORTA TO LOWER ARTERY WITH AUTOLOGOUS ARTERIAL 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104J6
PX
BYPASS ABDOMINAL AORTA TO RIGHT COMMON ILIAC ARTERY WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104J7
PX
BYPASS ABDOMINAL AORTA TO LEFT COMMON ILIAC ARTERY WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104J8
PX
BYPASS ABDOMINAL AORTA TO BILATERAL COMMON ILIAC ARTERIES WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104J9
PX
BYPASS ABDOMINAL AORTA TO RIGHT INTERNAL ILIAC ARTERY WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104JB
PX
BYPASS ABDOMINAL AORTA TO LEFT INTERNAL ILIAC ARTERY WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
04104JC
PX
BYPASS ABDOMINAL AORTA TO BILATERAL INTERNAL ILIAC ARTERIES WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104JD
PX
BYPASS ABDOMINAL AORTA TO RIGHT EXTERNAL ILIAC ARTERY WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104JF
PX
BYPASS ABDOMINAL AORTA TO LEFT EXTERNAL ILIAC ARTERY WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104JG
PX
BYPASS ABDOMINAL AORTA TO BILATERAL EXTERNAL ILIAC ARTERIES WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104JH
PX
BYPASS ABDOMINAL AORTA TO RIGHT FEMORAL ARTERY WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104JJ
PX
BYPASS ABDOMINAL AORTA TO LEFT FEMORAL ARTERY WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104JK
PX
BYPASS ABDOMINAL AORTA TO BILATERAL FEMORAL ARTERIES WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104JQ
PX
BYPASS ABDOMINAL AORTA TO LOWER EXTREMITY ARTERY WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104JR
PX
BYPASS ABDOMINAL AORTA TO LOWER ARTERY WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104K6
PX
BYPASS ABDOMINAL AORTA TO RIGHT COMMON ILIAC ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104K7
PX
BYPASS ABDOMINAL AORTA TO LEFT COMMON ILIAC ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104K8
PX
BYPASS ABDOMINAL AORTA TO BILATERAL COMMON ILIAC ARTERIES WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104K9
PX
BYPASS ABDOMINAL AORTA TO RIGHT INTERNAL ILIAC ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104KB
PX
BYPASS ABDOMINAL AORTA TO LEFT INTERNAL ILIAC ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104KC
PX
BYPASS ABDOMINAL AORTA TO BILATERAL INTERNAL ILIAC ARTERIES WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104KD
PX
BYPASS ABDOMINAL AORTA TO RIGHT EXTERNAL ILIAC ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104KF
PX
BYPASS ABDOMINAL AORTA TO LEFT EXTERNAL ILIAC ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104KG
PX
BYPASS ABDOMINAL AORTA TO BILATERAL EXTERNAL ILIAC ARTERIES WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104KH
PX
BYPASS ABDOMINAL AORTA TO RIGHT FEMORAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104KJ
PX
BYPASS ABDOMINAL AORTA TO LEFT FEMORAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104KK
PX
BYPASS ABDOMINAL AORTA TO BILATERAL FEMORAL ARTERIES WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104KQ
PX
BYPASS ABDOMINAL AORTA TO LOWER EXTREMITY ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104KR
PX
BYPASS ABDOMINAL AORTA TO LOWER ARTERY WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104Z6
PX
BYPASS ABDOMINAL AORTA TO RIGHT COMMON ILIAC ARTERY, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104Z7
PX
BYPASS ABDOMINAL AORTA TO LEFT COMMON ILIAC ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104Z8
PX
BYPASS ABDOMINAL AORTA TO BILATERAL COMMON ILIAC ARTERIES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104Z9
PX
BYPASS ABDOMINAL AORTA TO RIGHT INTERNAL ILIAC ARTERY, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104ZB
PX
BYPASS ABDOMINAL AORTA TO LEFT INTERNAL ILIAC ARTERY, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
04104ZC
PX
BYPASS ABDOMINAL AORTA TO BILATERAL INTERNAL ILIAC ARTERIES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104ZD
PX
BYPASS ABDOMINAL AORTA TO RIGHT EXTERNAL ILIAC ARTERY, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104ZF
PX
BYPASS ABDOMINAL AORTA TO LEFT EXTERNAL ILIAC ARTERY, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104ZG
PX
BYPASS ABDOMINAL AORTA TO BILATERAL EXTERNAL ILIAC ARTERIES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104ZH
PX
BYPASS ABDOMINAL AORTA TO RIGHT FEMORAL ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104ZJ
PX
BYPASS ABDOMINAL AORTA TO LEFT FEMORAL ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104ZK
PX
BYPASS ABDOMINAL AORTA TO BILATERAL FEMORAL ARTERIES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104ZQ
PX
BYPASS ABDOMINAL AORTA TO LOWER EXTREMITY ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04104ZR
PX
BYPASS ABDOMINAL AORTA TO LOWER ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041C09H
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041C09J
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041C09K
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES 
WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041C0AH
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041C0AJ
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041C0AK
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES 
WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041C0JH
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041C0JJ
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041C0JK
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES 
WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041C0KH
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041C0KJ
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041C0KK
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES 
WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041C0ZH
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO RIGHT FEMORAL ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041C0ZJ
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO LEFT FEMORAL ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041C0ZK
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041C49H
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041C49J
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041C49K
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES 
WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041C4AH
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041C4AJ
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041C4AK
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES 
WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041C4JH
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041C4JJ
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041C4JK
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES 
WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
041C4KH
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041C4KJ
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041C4KK
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES 
WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041C4ZH
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO RIGHT FEMORAL ARTERY, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041C4ZJ
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO LEFT FEMORAL ARTERY, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041C4ZK
PX
BYPASS RIGHT COMMON ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041D09H
PX
BYPASS LEFT COMMON ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041D09J
PX
BYPASS LEFT COMMON ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041D09K
PX
BYPASS LEFT COMMON ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041D0AH
PX
BYPASS LEFT COMMON ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041D0AJ
PX
BYPASS LEFT COMMON ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041D0AK
PX
BYPASS LEFT COMMON ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041D0JH
PX
BYPASS LEFT COMMON ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041D0JJ
PX
BYPASS LEFT COMMON ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041D0JK
PX
BYPASS LEFT COMMON ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041D0KH
PX
BYPASS LEFT COMMON ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041D0KJ
PX
BYPASS LEFT COMMON ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041D0KK
PX
BYPASS LEFT COMMON ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041D0ZH
PX
BYPASS LEFT COMMON ILIAC ARTERY TO RIGHT FEMORAL ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041D0ZJ
PX
BYPASS LEFT COMMON ILIAC ARTERY TO LEFT FEMORAL ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041D0ZK
PX
BYPASS LEFT COMMON ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041D49H
PX
BYPASS LEFT COMMON ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041D49J
PX
BYPASS LEFT COMMON ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041D49K
PX
BYPASS LEFT COMMON ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041D4AH
PX
BYPASS LEFT COMMON ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041D4AJ
PX
BYPASS LEFT COMMON ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041D4AK
PX
BYPASS LEFT COMMON ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041D4JH
PX
BYPASS LEFT COMMON ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041D4JJ
PX
BYPASS LEFT COMMON ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041D4JK
PX
BYPASS LEFT COMMON ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041D4KH
PX
BYPASS LEFT COMMON ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
041D4KJ
PX
BYPASS LEFT COMMON ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041D4KK
PX
BYPASS LEFT COMMON ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041D4ZH
PX
BYPASS LEFT COMMON ILIAC ARTERY TO RIGHT FEMORAL ARTERY, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041D4ZJ
PX
BYPASS LEFT COMMON ILIAC ARTERY TO LEFT FEMORAL ARTERY, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041D4ZK
PX
BYPASS LEFT COMMON ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041E09H
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041E09J
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041E09K
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES 
WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041E0AH
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041E0AJ
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041E0AK
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES 
WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041E0JH
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041E0JJ
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041E0JK
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES 
WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041E0KH
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041E0KJ
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041E0KK
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES 
WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041E0ZH
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041E0ZJ
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041E0ZK
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041E49H
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041E49J
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041E49K
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES 
WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041E4AH
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041E4AJ
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041E4AK
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES 
WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041E4JH
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041E4JJ
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041E4JK
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES 
WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041E4KH
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041E4KJ
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
041E4KK
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES 
WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041E4ZH
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041E4ZJ
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041E4ZK
PX
BYPASS RIGHT INTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041F09H
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041F09J
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041F09K
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES 
WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041F0AH
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041F0AJ
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041F0AK
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES 
WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041F0JH
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041F0JJ
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041F0JK
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES 
WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041F0KH
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041F0KJ
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041F0KK
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES 
WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041F0ZH
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041F0ZJ
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041F0ZK
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041F49H
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041F49J
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041F49K
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES 
WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041F4AH
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041F4AJ
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041F4AK
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES 
WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041F4JH
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041F4JJ
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041F4JK
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES 
WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041F4KH
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041F4KJ
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041F4KK
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES 
WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
041F4ZH
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041F4ZJ
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041F4ZK
PX
BYPASS LEFT INTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041H09H
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041H09J
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041H09K
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES 
WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041H0AH
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041H0AJ
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041H0AK
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES 
WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041H0JH
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041H0JJ
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041H0JK
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES 
WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041H0KH
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041H0KJ
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041H0KK
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES 
WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041H0ZH
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041H0ZJ
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041H0ZK
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041H49H
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041H49J
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041H49K
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES 
WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041H4AH
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041H4AJ
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041H4AK
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES 
WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041H4JH
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041H4JJ
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041H4JK
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES 
WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041H4KH
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041H4KJ
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041H4KK
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES 
WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041H4ZH
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041H4ZJ
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
041H4ZK
PX
BYPASS RIGHT EXTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041J09H
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041J09J
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041J09K
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES 
WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041J0AH
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041J0AJ
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041J0AK
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES 
WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041J0JH
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041J0JJ
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041J0JK
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES 
WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041J0KH
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041J0KJ
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041J0KK
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES 
WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041J0ZH
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041J0ZJ
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041J0ZK
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041J49H
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041J49J
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041J49K
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES 
WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041J4AH
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041J4AJ
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041J4AK
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES 
WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041J4JH
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041J4JJ
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041J4JK
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES 
WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041J4KH
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041J4KJ
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041J4KK
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES 
WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041J4ZH
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO RIGHT FEMORAL ARTERY, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041J4ZJ
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO LEFT FEMORAL ARTERY, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041J4ZK
PX
BYPASS LEFT EXTERNAL ILIAC ARTERY TO BILATERAL FEMORAL ARTERIES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K09H
PX
BYPASS RIGHT FEMORAL ARTERY TO RIGHT FEMORAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
041K09J
PX
BYPASS RIGHT FEMORAL ARTERY TO LEFT FEMORAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K09K
PX
BYPASS RIGHT FEMORAL ARTERY TO BILATERAL FEMORAL ARTERIES WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K09L
PX
BYPASS RIGHT FEMORAL ARTERY TO POPLITEAL ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K09M
PX
BYPASS RIGHT FEMORAL ARTERY TO PERONEAL ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K09N
PX
BYPASS RIGHT FEMORAL ARTERY TO POSTERIOR TIBIAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K09P
PX
BYPASS RIGHT FEMORAL ARTERY TO FOOT ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K09Q
PX
BYPASS RIGHT FEMORAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K09S
PX
BYPASS RIGHT FEMORAL ARTERY TO LOWER EXTREMITY VEIN WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K0AH
PX
BYPASS RIGHT FEMORAL ARTERY TO RIGHT FEMORAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K0AJ
PX
BYPASS RIGHT FEMORAL ARTERY TO LEFT FEMORAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K0AK
PX
BYPASS RIGHT FEMORAL ARTERY TO BILATERAL FEMORAL ARTERIES WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K0AL
PX
BYPASS RIGHT FEMORAL ARTERY TO POPLITEAL ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K0AM
PX
BYPASS RIGHT FEMORAL ARTERY TO PERONEAL ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K0AN
PX
BYPASS RIGHT FEMORAL ARTERY TO POSTERIOR TIBIAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K0AP
PX
BYPASS RIGHT FEMORAL ARTERY TO FOOT ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K0AQ
PX
BYPASS RIGHT FEMORAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K0AS
PX
BYPASS RIGHT FEMORAL ARTERY TO LOWER EXTREMITY VEIN WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K0JH
PX
BYPASS RIGHT FEMORAL ARTERY TO RIGHT FEMORAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K0JJ
PX
BYPASS RIGHT FEMORAL ARTERY TO LEFT FEMORAL ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K0JK
PX
BYPASS RIGHT FEMORAL ARTERY TO BILATERAL FEMORAL ARTERIES WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K0JL
PX
BYPASS RIGHT FEMORAL ARTERY TO POPLITEAL ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K0JM
PX
BYPASS RIGHT FEMORAL ARTERY TO PERONEAL ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K0JN
PX
BYPASS RIGHT FEMORAL ARTERY TO POSTERIOR TIBIAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K0JP
PX
BYPASS RIGHT FEMORAL ARTERY TO FOOT ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K0JQ
PX
BYPASS RIGHT FEMORAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K0JS
PX
BYPASS RIGHT FEMORAL ARTERY TO LOWER EXTREMITY VEIN WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K0KH
PX
BYPASS RIGHT FEMORAL ARTERY TO RIGHT FEMORAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K0KJ
PX
BYPASS RIGHT FEMORAL ARTERY TO LEFT FEMORAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K0KK
PX
BYPASS RIGHT FEMORAL ARTERY TO BILATERAL FEMORAL ARTERIES WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K0KL
PX
BYPASS RIGHT FEMORAL ARTERY TO POPLITEAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K0KM
PX
BYPASS RIGHT FEMORAL ARTERY TO PERONEAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K0KN
PX
BYPASS RIGHT FEMORAL ARTERY TO POSTERIOR TIBIAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K0KP
PX
BYPASS RIGHT FEMORAL ARTERY TO FOOT ARTERY WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K0KQ
PX
BYPASS RIGHT FEMORAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
041K0KS
PX
BYPASS RIGHT FEMORAL ARTERY TO LOWER EXTREMITY VEIN WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K0ZH
PX
BYPASS RIGHT FEMORAL ARTERY TO RIGHT FEMORAL ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K0ZJ
PX
BYPASS RIGHT FEMORAL ARTERY TO LEFT FEMORAL ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K0ZK
PX
BYPASS RIGHT FEMORAL ARTERY TO BILATERAL FEMORAL ARTERIES, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K0ZL
PX
BYPASS RIGHT FEMORAL ARTERY TO POPLITEAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K0ZM
PX
BYPASS RIGHT FEMORAL ARTERY TO PERONEAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K0ZN
PX
BYPASS RIGHT FEMORAL ARTERY TO POSTERIOR TIBIAL ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K0ZP
PX
BYPASS RIGHT FEMORAL ARTERY TO FOOT ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K0ZQ
PX
BYPASS RIGHT FEMORAL ARTERY TO LOWER EXTREMITY ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K0ZS
PX
BYPASS RIGHT FEMORAL ARTERY TO LOWER EXTREMITY VEIN, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K49H
PX
BYPASS RIGHT FEMORAL ARTERY TO RIGHT FEMORAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K49J
PX
BYPASS RIGHT FEMORAL ARTERY TO LEFT FEMORAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K49K
PX
BYPASS RIGHT FEMORAL ARTERY TO BILATERAL FEMORAL ARTERIES WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K49L
PX
BYPASS RIGHT FEMORAL ARTERY TO POPLITEAL ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K49M
PX
BYPASS RIGHT FEMORAL ARTERY TO PERONEAL ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K49N
PX
BYPASS RIGHT FEMORAL ARTERY TO POSTERIOR TIBIAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K49P
PX
BYPASS RIGHT FEMORAL ARTERY TO FOOT ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K49Q
PX
BYPASS RIGHT FEMORAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K49S
PX
BYPASS RIGHT FEMORAL ARTERY TO LOWER EXTREMITY VEIN WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K4AH
PX
BYPASS RIGHT FEMORAL ARTERY TO RIGHT FEMORAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K4AJ
PX
BYPASS RIGHT FEMORAL ARTERY TO LEFT FEMORAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K4AK
PX
BYPASS RIGHT FEMORAL ARTERY TO BILATERAL FEMORAL ARTERIES WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K4AL
PX
BYPASS RIGHT FEMORAL ARTERY TO POPLITEAL ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K4AM
PX
BYPASS RIGHT FEMORAL ARTERY TO PERONEAL ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K4AN
PX
BYPASS RIGHT FEMORAL ARTERY TO POSTERIOR TIBIAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K4AP
PX
BYPASS RIGHT FEMORAL ARTERY TO FOOT ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K4AQ
PX
BYPASS RIGHT FEMORAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K4AS
PX
BYPASS RIGHT FEMORAL ARTERY TO LOWER EXTREMITY VEIN WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K4JH
PX
BYPASS RIGHT FEMORAL ARTERY TO RIGHT FEMORAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K4JJ
PX
BYPASS RIGHT FEMORAL ARTERY TO LEFT FEMORAL ARTERY WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K4JK
PX
BYPASS RIGHT FEMORAL ARTERY TO BILATERAL FEMORAL ARTERIES WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K4JL
PX
BYPASS RIGHT FEMORAL ARTERY TO POPLITEAL ARTERY WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K4JM
PX
BYPASS RIGHT FEMORAL ARTERY TO PERONEAL ARTERY WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K4JN
PX
BYPASS RIGHT FEMORAL ARTERY TO POSTERIOR TIBIAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K4JP
PX
BYPASS RIGHT FEMORAL ARTERY TO FOOT ARTERY WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K4JQ
PX
BYPASS RIGHT FEMORAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
041K4JS
PX
BYPASS RIGHT FEMORAL ARTERY TO LOWER EXTREMITY VEIN WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K4KH
PX
BYPASS RIGHT FEMORAL ARTERY TO RIGHT FEMORAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K4KJ
PX
BYPASS RIGHT FEMORAL ARTERY TO LEFT FEMORAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K4KK
PX
BYPASS RIGHT FEMORAL ARTERY TO BILATERAL FEMORAL ARTERIES WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K4KL
PX
BYPASS RIGHT FEMORAL ARTERY TO POPLITEAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K4KM
PX
BYPASS RIGHT FEMORAL ARTERY TO PERONEAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K4KN
PX
BYPASS RIGHT FEMORAL ARTERY TO POSTERIOR TIBIAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K4KP
PX
BYPASS RIGHT FEMORAL ARTERY TO FOOT ARTERY WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K4KQ
PX
BYPASS RIGHT FEMORAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K4KS
PX
BYPASS RIGHT FEMORAL ARTERY TO LOWER EXTREMITY VEIN WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K4ZH
PX
BYPASS RIGHT FEMORAL ARTERY TO RIGHT FEMORAL ARTERY, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K4ZJ
PX
BYPASS RIGHT FEMORAL ARTERY TO LEFT FEMORAL ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K4ZK
PX
BYPASS RIGHT FEMORAL ARTERY TO BILATERAL FEMORAL ARTERIES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K4ZL
PX
BYPASS RIGHT FEMORAL ARTERY TO POPLITEAL ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K4ZM
PX
BYPASS RIGHT FEMORAL ARTERY TO PERONEAL ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K4ZN
PX
BYPASS RIGHT FEMORAL ARTERY TO POSTERIOR TIBIAL ARTERY, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K4ZP
PX
BYPASS RIGHT FEMORAL ARTERY TO FOOT ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K4ZQ
PX
BYPASS RIGHT FEMORAL ARTERY TO LOWER EXTREMITY ARTERY, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041K4ZS
PX
BYPASS RIGHT FEMORAL ARTERY TO LOWER EXTREMITY VEIN, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L09H
PX
BYPASS LEFT FEMORAL ARTERY TO RIGHT FEMORAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L09J
PX
BYPASS LEFT FEMORAL ARTERY TO LEFT FEMORAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L09K
PX
BYPASS LEFT FEMORAL ARTERY TO BILATERAL FEMORAL ARTERIES WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L09L
PX
BYPASS LEFT FEMORAL ARTERY TO POPLITEAL ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L09M
PX
BYPASS LEFT FEMORAL ARTERY TO PERONEAL ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L09N
PX
BYPASS LEFT FEMORAL ARTERY TO POSTERIOR TIBIAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L09P
PX
BYPASS LEFT FEMORAL ARTERY TO FOOT ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L09Q
PX
BYPASS LEFT FEMORAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L09S
PX
BYPASS LEFT FEMORAL ARTERY TO LOWER EXTREMITY VEIN WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L0AH
PX
BYPASS LEFT FEMORAL ARTERY TO RIGHT FEMORAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L0AJ
PX
BYPASS LEFT FEMORAL ARTERY TO LEFT FEMORAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
041L0AK
PX
BYPASS LEFT FEMORAL ARTERY TO BILATERAL FEMORAL ARTERIES WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L0AL
PX
BYPASS LEFT FEMORAL ARTERY TO POPLITEAL ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L0AM
PX
BYPASS LEFT FEMORAL ARTERY TO PERONEAL ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L0AN
PX
BYPASS LEFT FEMORAL ARTERY TO POSTERIOR TIBIAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L0AP
PX
BYPASS LEFT FEMORAL ARTERY TO FOOT ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L0AQ
PX
BYPASS LEFT FEMORAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L0AS
PX
BYPASS LEFT FEMORAL ARTERY TO LOWER EXTREMITY VEIN WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L0JH
PX
BYPASS LEFT FEMORAL ARTERY TO RIGHT FEMORAL ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L0JJ
PX
BYPASS LEFT FEMORAL ARTERY TO LEFT FEMORAL ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L0JK
PX
BYPASS LEFT FEMORAL ARTERY TO BILATERAL FEMORAL ARTERIES WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L0JL
PX
BYPASS LEFT FEMORAL ARTERY TO POPLITEAL ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L0JM
PX
BYPASS LEFT FEMORAL ARTERY TO PERONEAL ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L0JN
PX
BYPASS LEFT FEMORAL ARTERY TO POSTERIOR TIBIAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L0JP
PX
BYPASS LEFT FEMORAL ARTERY TO FOOT ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L0JQ
PX
BYPASS LEFT FEMORAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L0JS
PX
BYPASS LEFT FEMORAL ARTERY TO LOWER EXTREMITY VEIN WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L0KH
PX
BYPASS LEFT FEMORAL ARTERY TO RIGHT FEMORAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L0KJ
PX
BYPASS LEFT FEMORAL ARTERY TO LEFT FEMORAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L0KK
PX
BYPASS LEFT FEMORAL ARTERY TO BILATERAL FEMORAL ARTERIES WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L0KL
PX
BYPASS LEFT FEMORAL ARTERY TO POPLITEAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L0KM
PX
BYPASS LEFT FEMORAL ARTERY TO PERONEAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L0KN
PX
BYPASS LEFT FEMORAL ARTERY TO POSTERIOR TIBIAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L0KP
PX
BYPASS LEFT FEMORAL ARTERY TO FOOT ARTERY WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L0KQ
PX
BYPASS LEFT FEMORAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L0KS
PX
BYPASS LEFT FEMORAL ARTERY TO LOWER EXTREMITY VEIN WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L0ZH
PX
BYPASS LEFT FEMORAL ARTERY TO RIGHT FEMORAL ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L0ZJ
PX
BYPASS LEFT FEMORAL ARTERY TO LEFT FEMORAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L0ZK
PX
BYPASS LEFT FEMORAL ARTERY TO BILATERAL FEMORAL ARTERIES, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L0ZL
PX
BYPASS LEFT FEMORAL ARTERY TO POPLITEAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L0ZM
PX
BYPASS LEFT FEMORAL ARTERY TO PERONEAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L0ZN
PX
BYPASS LEFT FEMORAL ARTERY TO POSTERIOR TIBIAL ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L0ZP
PX
BYPASS LEFT FEMORAL ARTERY TO FOOT ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L0ZQ
PX
BYPASS LEFT FEMORAL ARTERY TO LOWER EXTREMITY ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L0ZS
PX
BYPASS LEFT FEMORAL ARTERY TO LOWER EXTREMITY VEIN, OPEN APPROACH ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L49H
PX
BYPASS LEFT FEMORAL ARTERY TO RIGHT FEMORAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L49J
PX
BYPASS LEFT FEMORAL ARTERY TO LEFT FEMORAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
041L49K
PX
BYPASS LEFT FEMORAL ARTERY TO BILATERAL FEMORAL ARTERIES WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L49L
PX
BYPASS LEFT FEMORAL ARTERY TO POPLITEAL ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L49M
PX
BYPASS LEFT FEMORAL ARTERY TO PERONEAL ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L49N
PX
BYPASS LEFT FEMORAL ARTERY TO POSTERIOR TIBIAL ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L49P
PX
BYPASS LEFT FEMORAL ARTERY TO FOOT ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L49Q
PX
BYPASS LEFT FEMORAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L49S
PX
BYPASS LEFT FEMORAL ARTERY TO LOWER EXTREMITY VEIN WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L4AH
PX
BYPASS LEFT FEMORAL ARTERY TO RIGHT FEMORAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L4AJ
PX
BYPASS LEFT FEMORAL ARTERY TO LEFT FEMORAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L4AK
PX
BYPASS LEFT FEMORAL ARTERY TO BILATERAL FEMORAL ARTERIES WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L4AL
PX
BYPASS LEFT FEMORAL ARTERY TO POPLITEAL ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L4AM
PX
BYPASS LEFT FEMORAL ARTERY TO PERONEAL ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L4AN
PX
BYPASS LEFT FEMORAL ARTERY TO POSTERIOR TIBIAL ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L4AP
PX
BYPASS LEFT FEMORAL ARTERY TO FOOT ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L4AQ
PX
BYPASS LEFT FEMORAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L4AS
PX
BYPASS LEFT FEMORAL ARTERY TO LOWER EXTREMITY VEIN WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L4JH
PX
BYPASS LEFT FEMORAL ARTERY TO RIGHT FEMORAL ARTERY WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L4JJ
PX
BYPASS LEFT FEMORAL ARTERY TO LEFT FEMORAL ARTERY WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L4JK
PX
BYPASS LEFT FEMORAL ARTERY TO BILATERAL FEMORAL ARTERIES WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L4JL
PX
BYPASS LEFT FEMORAL ARTERY TO POPLITEAL ARTERY WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L4JM
PX
BYPASS LEFT FEMORAL ARTERY TO PERONEAL ARTERY WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L4JN
PX
BYPASS LEFT FEMORAL ARTERY TO POSTERIOR TIBIAL ARTERY WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L4JP
PX
BYPASS LEFT FEMORAL ARTERY TO FOOT ARTERY WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L4JQ
PX
BYPASS LEFT FEMORAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L4JS
PX
BYPASS LEFT FEMORAL ARTERY TO LOWER EXTREMITY VEIN WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L4KH
PX
BYPASS LEFT FEMORAL ARTERY TO RIGHT FEMORAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L4KJ
PX
BYPASS LEFT FEMORAL ARTERY TO LEFT FEMORAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L4KK
PX
BYPASS LEFT FEMORAL ARTERY TO BILATERAL FEMORAL ARTERIES WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L4KL
PX
BYPASS LEFT FEMORAL ARTERY TO POPLITEAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L4KM
PX
BYPASS LEFT FEMORAL ARTERY TO PERONEAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L4KN
PX
BYPASS LEFT FEMORAL ARTERY TO POSTERIOR TIBIAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
041L4KP
PX
BYPASS LEFT FEMORAL ARTERY TO FOOT ARTERY WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L4KQ
PX
BYPASS LEFT FEMORAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L4KS
PX
BYPASS LEFT FEMORAL ARTERY TO LOWER EXTREMITY VEIN WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L4ZH
PX
BYPASS LEFT FEMORAL ARTERY TO RIGHT FEMORAL ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L4ZJ
PX
BYPASS LEFT FEMORAL ARTERY TO LEFT FEMORAL ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L4ZK
PX
BYPASS LEFT FEMORAL ARTERY TO BILATERAL FEMORAL ARTERIES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L4ZL
PX
BYPASS LEFT FEMORAL ARTERY TO POPLITEAL ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L4ZM
PX
BYPASS LEFT FEMORAL ARTERY TO PERONEAL ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L4ZN
PX
BYPASS LEFT FEMORAL ARTERY TO POSTERIOR TIBIAL ARTERY, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L4ZP
PX
BYPASS LEFT FEMORAL ARTERY TO FOOT ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L4ZQ
PX
BYPASS LEFT FEMORAL ARTERY TO LOWER EXTREMITY ARTERY, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041L4ZS
PX
BYPASS LEFT FEMORAL ARTERY TO LOWER EXTREMITY VEIN, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M09L
PX
BYPASS RIGHT POPLITEAL ARTERY TO POPLITEAL ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M09M
PX
BYPASS RIGHT POPLITEAL ARTERY TO PERONEAL ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M09P
PX
BYPASS RIGHT POPLITEAL ARTERY TO FOOT ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M09Q
PX
BYPASS RIGHT POPLITEAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M09S
PX
BYPASS RIGHT POPLITEAL ARTERY TO LOWER EXTREMITY VEIN WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M0AL
PX
BYPASS RIGHT POPLITEAL ARTERY TO POPLITEAL ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M0AM
PX
BYPASS RIGHT POPLITEAL ARTERY TO PERONEAL ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M0AP
PX
BYPASS RIGHT POPLITEAL ARTERY TO FOOT ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M0AQ
PX
BYPASS RIGHT POPLITEAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M0AS
PX
BYPASS RIGHT POPLITEAL ARTERY TO LOWER EXTREMITY VEIN WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M0JL
PX
BYPASS RIGHT POPLITEAL ARTERY TO POPLITEAL ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M0JM
PX
BYPASS RIGHT POPLITEAL ARTERY TO PERONEAL ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M0JP
PX
BYPASS RIGHT POPLITEAL ARTERY TO FOOT ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M0JQ
PX
BYPASS RIGHT POPLITEAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M0JS
PX
BYPASS RIGHT POPLITEAL ARTERY TO LOWER EXTREMITY VEIN WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M0KL
PX
BYPASS RIGHT POPLITEAL ARTERY TO POPLITEAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M0KM
PX
BYPASS RIGHT POPLITEAL ARTERY TO PERONEAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M0KP
PX
BYPASS RIGHT POPLITEAL ARTERY TO FOOT ARTERY WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M0KQ
PX
BYPASS RIGHT POPLITEAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M0KS
PX
BYPASS RIGHT POPLITEAL ARTERY TO LOWER EXTREMITY VEIN WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M0ZL
PX
BYPASS RIGHT POPLITEAL ARTERY TO POPLITEAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M0ZM
PX
BYPASS RIGHT POPLITEAL ARTERY TO PERONEAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M0ZP
PX
BYPASS RIGHT POPLITEAL ARTERY TO FOOT ARTERY, OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
041M0ZQ
PX
BYPASS RIGHT POPLITEAL ARTERY TO LOWER EXTREMITY ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M0ZS
PX
BYPASS RIGHT POPLITEAL ARTERY TO LOWER EXTREMITY VEIN, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M49L
PX
BYPASS RIGHT POPLITEAL ARTERY TO POPLITEAL ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M49M
PX
BYPASS RIGHT POPLITEAL ARTERY TO PERONEAL ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M49P
PX
BYPASS RIGHT POPLITEAL ARTERY TO FOOT ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M49Q
PX
BYPASS RIGHT POPLITEAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M49S
PX
BYPASS RIGHT POPLITEAL ARTERY TO LOWER EXTREMITY VEIN WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M4AL
PX
BYPASS RIGHT POPLITEAL ARTERY TO POPLITEAL ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M4AM
PX
BYPASS RIGHT POPLITEAL ARTERY TO PERONEAL ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M4AP
PX
BYPASS RIGHT POPLITEAL ARTERY TO FOOT ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M4AQ
PX
BYPASS RIGHT POPLITEAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M4AS
PX
BYPASS RIGHT POPLITEAL ARTERY TO LOWER EXTREMITY VEIN WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M4JL
PX
BYPASS RIGHT POPLITEAL ARTERY TO POPLITEAL ARTERY WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M4JM
PX
BYPASS RIGHT POPLITEAL ARTERY TO PERONEAL ARTERY WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M4JP
PX
BYPASS RIGHT POPLITEAL ARTERY TO FOOT ARTERY WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M4JQ
PX
BYPASS RIGHT POPLITEAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M4JS
PX
BYPASS RIGHT POPLITEAL ARTERY TO LOWER EXTREMITY VEIN WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M4KL
PX
BYPASS RIGHT POPLITEAL ARTERY TO POPLITEAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M4KM
PX
BYPASS RIGHT POPLITEAL ARTERY TO PERONEAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M4KP
PX
BYPASS RIGHT POPLITEAL ARTERY TO FOOT ARTERY WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M4KQ
PX
BYPASS RIGHT POPLITEAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M4KS
PX
BYPASS RIGHT POPLITEAL ARTERY TO LOWER EXTREMITY VEIN WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M4ZL
PX
BYPASS RIGHT POPLITEAL ARTERY TO POPLITEAL ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M4ZM
PX
BYPASS RIGHT POPLITEAL ARTERY TO PERONEAL ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M4ZP
PX
BYPASS RIGHT POPLITEAL ARTERY TO FOOT ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M4ZQ
PX
BYPASS RIGHT POPLITEAL ARTERY TO LOWER EXTREMITY ARTERY, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041M4ZS
PX
BYPASS RIGHT POPLITEAL ARTERY TO LOWER EXTREMITY VEIN, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N09L
PX
BYPASS LEFT POPLITEAL ARTERY TO POPLITEAL ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N09M
PX
BYPASS LEFT POPLITEAL ARTERY TO PERONEAL ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N09P
PX
BYPASS LEFT POPLITEAL ARTERY TO FOOT ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N09Q
PX
BYPASS LEFT POPLITEAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N09S
PX
BYPASS LEFT POPLITEAL ARTERY TO LOWER EXTREMITY VEIN WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
041N0AL
PX
BYPASS LEFT POPLITEAL ARTERY TO POPLITEAL ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N0AM
PX
BYPASS LEFT POPLITEAL ARTERY TO PERONEAL ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N0AP
PX
BYPASS LEFT POPLITEAL ARTERY TO FOOT ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N0AQ
PX
BYPASS LEFT POPLITEAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N0AS
PX
BYPASS LEFT POPLITEAL ARTERY TO LOWER EXTREMITY VEIN WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N0JL
PX
BYPASS LEFT POPLITEAL ARTERY TO POPLITEAL ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N0JM
PX
BYPASS LEFT POPLITEAL ARTERY TO PERONEAL ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N0JP
PX
BYPASS LEFT POPLITEAL ARTERY TO FOOT ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N0JQ
PX
BYPASS LEFT POPLITEAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N0JS
PX
BYPASS LEFT POPLITEAL ARTERY TO LOWER EXTREMITY VEIN WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N0KL
PX
BYPASS LEFT POPLITEAL ARTERY TO POPLITEAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N0KM
PX
BYPASS LEFT POPLITEAL ARTERY TO PERONEAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N0KP
PX
BYPASS LEFT POPLITEAL ARTERY TO FOOT ARTERY WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N0KQ
PX
BYPASS LEFT POPLITEAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N0KS
PX
BYPASS LEFT POPLITEAL ARTERY TO LOWER EXTREMITY VEIN WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N0ZL
PX
BYPASS LEFT POPLITEAL ARTERY TO POPLITEAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N0ZM
PX
BYPASS LEFT POPLITEAL ARTERY TO PERONEAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N0ZP
PX
BYPASS LEFT POPLITEAL ARTERY TO FOOT ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N0ZQ
PX
BYPASS LEFT POPLITEAL ARTERY TO LOWER EXTREMITY ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N0ZS
PX
BYPASS LEFT POPLITEAL ARTERY TO LOWER EXTREMITY VEIN, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N49L
PX
BYPASS LEFT POPLITEAL ARTERY TO POPLITEAL ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N49M
PX
BYPASS LEFT POPLITEAL ARTERY TO PERONEAL ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N49P
PX
BYPASS LEFT POPLITEAL ARTERY TO FOOT ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N49Q
PX
BYPASS LEFT POPLITEAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N49S
PX
BYPASS LEFT POPLITEAL ARTERY TO LOWER EXTREMITY VEIN WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N4AL
PX
BYPASS LEFT POPLITEAL ARTERY TO POPLITEAL ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N4AM
PX
BYPASS LEFT POPLITEAL ARTERY TO PERONEAL ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N4AP
PX
BYPASS LEFT POPLITEAL ARTERY TO FOOT ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N4AQ
PX
BYPASS LEFT POPLITEAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N4AS
PX
BYPASS LEFT POPLITEAL ARTERY TO LOWER EXTREMITY VEIN WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N4JL
PX
BYPASS LEFT POPLITEAL ARTERY TO POPLITEAL ARTERY WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N4JM
PX
BYPASS LEFT POPLITEAL ARTERY TO PERONEAL ARTERY WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N4JP
PX
BYPASS LEFT POPLITEAL ARTERY TO FOOT ARTERY WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N4JQ
PX
BYPASS LEFT POPLITEAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N4JS
PX
BYPASS LEFT POPLITEAL ARTERY TO LOWER EXTREMITY VEIN WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
041N4KL
PX
BYPASS LEFT POPLITEAL ARTERY TO POPLITEAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N4KM
PX
BYPASS LEFT POPLITEAL ARTERY TO PERONEAL ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N4KP
PX
BYPASS LEFT POPLITEAL ARTERY TO FOOT ARTERY WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N4KQ
PX
BYPASS LEFT POPLITEAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N4KS
PX
BYPASS LEFT POPLITEAL ARTERY TO LOWER EXTREMITY VEIN WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N4ZL
PX
BYPASS LEFT POPLITEAL ARTERY TO POPLITEAL ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N4ZM
PX
BYPASS LEFT POPLITEAL ARTERY TO PERONEAL ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N4ZP
PX
BYPASS LEFT POPLITEAL ARTERY TO FOOT ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N4ZQ
PX
BYPASS LEFT POPLITEAL ARTERY TO LOWER EXTREMITY ARTERY, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041N4ZS
PX
BYPASS LEFT POPLITEAL ARTERY TO LOWER EXTREMITY VEIN, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041T09P
PX
BYPASS RIGHT PERONEAL ARTERY TO FOOT ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041T09Q
PX
BYPASS RIGHT PERONEAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041T09S
PX
BYPASS RIGHT PERONEAL ARTERY TO LOWER EXTREMITY VEIN WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041T0AP
PX
BYPASS RIGHT PERONEAL ARTERY TO FOOT ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041T0AQ
PX
BYPASS RIGHT PERONEAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041T0AS
PX
BYPASS RIGHT PERONEAL ARTERY TO LOWER EXTREMITY VEIN WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041T0JP
PX
BYPASS RIGHT PERONEAL ARTERY TO FOOT ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041T0JQ
PX
BYPASS RIGHT PERONEAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041T0JS
PX
BYPASS RIGHT PERONEAL ARTERY TO LOWER EXTREMITY VEIN WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041T0KP
PX
BYPASS RIGHT PERONEAL ARTERY TO FOOT ARTERY WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041T0KQ
PX
BYPASS RIGHT PERONEAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041T0KS
PX
BYPASS RIGHT PERONEAL ARTERY TO LOWER EXTREMITY VEIN WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041T0ZP
PX
BYPASS RIGHT PERONEAL ARTERY TO FOOT ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041T0ZQ
PX
BYPASS RIGHT PERONEAL ARTERY TO LOWER EXTREMITY ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041T0ZS
PX
BYPASS RIGHT PERONEAL ARTERY TO LOWER EXTREMITY VEIN, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041T49P
PX
BYPASS RIGHT PERONEAL ARTERY TO FOOT ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041T49Q
PX
BYPASS RIGHT PERONEAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041T49S
PX
BYPASS RIGHT PERONEAL ARTERY TO LOWER EXTREMITY VEIN WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041T4AP
PX
BYPASS RIGHT PERONEAL ARTERY TO FOOT ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041T4AQ
PX
BYPASS RIGHT PERONEAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041T4AS
PX
BYPASS RIGHT PERONEAL ARTERY TO LOWER EXTREMITY VEIN WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041T4JP
PX
BYPASS RIGHT PERONEAL ARTERY TO FOOT ARTERY WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041T4JQ
PX
BYPASS RIGHT PERONEAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
041T4JS
PX
BYPASS RIGHT PERONEAL ARTERY TO LOWER EXTREMITY VEIN WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041T4KP
PX
BYPASS RIGHT PERONEAL ARTERY TO FOOT ARTERY WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041T4KQ
PX
BYPASS RIGHT PERONEAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041T4KS
PX
BYPASS RIGHT PERONEAL ARTERY TO LOWER EXTREMITY VEIN WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041T4ZP
PX
BYPASS RIGHT PERONEAL ARTERY TO FOOT ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041T4ZQ
PX
BYPASS RIGHT PERONEAL ARTERY TO LOWER EXTREMITY ARTERY, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041T4ZS
PX
BYPASS RIGHT PERONEAL ARTERY TO LOWER EXTREMITY VEIN, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041U09P
PX
BYPASS LEFT PERONEAL ARTERY TO FOOT ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041U09Q
PX
BYPASS LEFT PERONEAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041U09S
PX
BYPASS LEFT PERONEAL ARTERY TO LOWER EXTREMITY VEIN WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041U0AP
PX
BYPASS LEFT PERONEAL ARTERY TO FOOT ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041U0AQ
PX
BYPASS LEFT PERONEAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041U0AS
PX
BYPASS LEFT PERONEAL ARTERY TO LOWER EXTREMITY VEIN WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041U0JP
PX
BYPASS LEFT PERONEAL ARTERY TO FOOT ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041U0JQ
PX
BYPASS LEFT PERONEAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041U0JS
PX
BYPASS LEFT PERONEAL ARTERY TO LOWER EXTREMITY VEIN WITH 
SYNTHETIC SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041U0KP
PX
BYPASS LEFT PERONEAL ARTERY TO FOOT ARTERY WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041U0KQ
PX
BYPASS LEFT PERONEAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041U0KS
PX
BYPASS LEFT PERONEAL ARTERY TO LOWER EXTREMITY VEIN WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041U0ZP
PX
BYPASS LEFT PERONEAL ARTERY TO FOOT ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041U0ZQ
PX
BYPASS LEFT PERONEAL ARTERY TO LOWER EXTREMITY ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041U0ZS
PX
BYPASS LEFT PERONEAL ARTERY TO LOWER EXTREMITY VEIN, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041U49P
PX
BYPASS LEFT PERONEAL ARTERY TO FOOT ARTERY WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041U49Q
PX
BYPASS LEFT PERONEAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041U49S
PX
BYPASS LEFT PERONEAL ARTERY TO LOWER EXTREMITY VEIN WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041U4AP
PX
BYPASS LEFT PERONEAL ARTERY TO FOOT ARTERY WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041U4AQ
PX
BYPASS LEFT PERONEAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041U4AS
PX
BYPASS LEFT PERONEAL ARTERY TO LOWER EXTREMITY VEIN WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041U4JP
PX
BYPASS LEFT PERONEAL ARTERY TO FOOT ARTERY WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041U4JQ
PX
BYPASS LEFT PERONEAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041U4JS
PX
BYPASS LEFT PERONEAL ARTERY TO LOWER EXTREMITY VEIN WITH 
SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041U4KP
PX
BYPASS LEFT PERONEAL ARTERY TO FOOT ARTERY WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041U4KQ
PX
BYPASS LEFT PERONEAL ARTERY TO LOWER EXTREMITY ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
041U4KS
PX
BYPASS LEFT PERONEAL ARTERY TO LOWER EXTREMITY VEIN WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041U4ZP
PX
BYPASS LEFT PERONEAL ARTERY TO FOOT ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041U4ZQ
PX
BYPASS LEFT PERONEAL ARTERY TO LOWER EXTREMITY ARTERY, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041U4ZS
PX
BYPASS LEFT PERONEAL ARTERY TO LOWER EXTREMITY VEIN, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041V09P
PX
BYPASS RIGHT FOOT ARTERY TO FOOT ARTERY WITH AUTOLOGOUS VENOUS 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041V09Q
PX
BYPASS RIGHT FOOT ARTERY TO LOWER EXTREMITY ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041V09S
PX
BYPASS RIGHT FOOT ARTERY TO LOWER EXTREMITY VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041V0AP
PX
BYPASS RIGHT FOOT ARTERY TO FOOT ARTERY WITH AUTOLOGOUS ARTERIAL 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041V0AQ
PX
BYPASS RIGHT FOOT ARTERY TO LOWER EXTREMITY ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041V0AS
PX
BYPASS RIGHT FOOT ARTERY TO LOWER EXTREMITY VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041V0JP
PX
BYPASS RIGHT FOOT ARTERY TO FOOT ARTERY WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041V0JQ
PX
BYPASS RIGHT FOOT ARTERY TO LOWER EXTREMITY ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041V0JS
PX
BYPASS RIGHT FOOT ARTERY TO LOWER EXTREMITY VEIN WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041V0KP
PX
BYPASS RIGHT FOOT ARTERY TO FOOT ARTERY WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041V0KQ
PX
BYPASS RIGHT FOOT ARTERY TO LOWER EXTREMITY ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041V0KS
PX
BYPASS RIGHT FOOT ARTERY TO LOWER EXTREMITY VEIN WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041V0ZP
PX
BYPASS RIGHT FOOT ARTERY TO FOOT ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041V0ZQ
PX
BYPASS RIGHT FOOT ARTERY TO LOWER EXTREMITY ARTERY, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041V0ZS
PX
BYPASS RIGHT FOOT ARTERY TO LOWER EXTREMITY VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041V49P
PX
BYPASS RIGHT FOOT ARTERY TO FOOT ARTERY WITH AUTOLOGOUS VENOUS 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041V49Q
PX
BYPASS RIGHT FOOT ARTERY TO LOWER EXTREMITY ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041V49S
PX
BYPASS RIGHT FOOT ARTERY TO LOWER EXTREMITY VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041V4AP
PX
BYPASS RIGHT FOOT ARTERY TO FOOT ARTERY WITH AUTOLOGOUS ARTERIAL 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041V4AQ
PX
BYPASS RIGHT FOOT ARTERY TO LOWER EXTREMITY ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041V4AS
PX
BYPASS RIGHT FOOT ARTERY TO LOWER EXTREMITY VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041V4JP
PX
BYPASS RIGHT FOOT ARTERY TO FOOT ARTERY WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041V4JQ
PX
BYPASS RIGHT FOOT ARTERY TO LOWER EXTREMITY ARTERY WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041V4JS
PX
BYPASS RIGHT FOOT ARTERY TO LOWER EXTREMITY VEIN WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041V4KP
PX
BYPASS RIGHT FOOT ARTERY TO FOOT ARTERY WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041V4KQ
PX
BYPASS RIGHT FOOT ARTERY TO LOWER EXTREMITY ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041V4KS
PX
BYPASS RIGHT FOOT ARTERY TO LOWER EXTREMITY VEIN WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041V4ZP
PX
BYPASS RIGHT FOOT ARTERY TO FOOT ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041V4ZQ
PX
BYPASS RIGHT FOOT ARTERY TO LOWER EXTREMITY ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041V4ZS
PX
BYPASS RIGHT FOOT ARTERY TO LOWER EXTREMITY VEIN, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
041W09P
PX
BYPASS LEFT FOOT ARTERY TO FOOT ARTERY WITH AUTOLOGOUS VENOUS 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041W09Q
PX
BYPASS LEFT FOOT ARTERY TO LOWER EXTREMITY ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041W09S
PX
BYPASS LEFT FOOT ARTERY TO LOWER EXTREMITY VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041W0AP
PX
BYPASS LEFT FOOT ARTERY TO FOOT ARTERY WITH AUTOLOGOUS ARTERIAL 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041W0AQ
PX
BYPASS LEFT FOOT ARTERY TO LOWER EXTREMITY ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041W0AS
PX
BYPASS LEFT FOOT ARTERY TO LOWER EXTREMITY VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041W0JP
PX
BYPASS LEFT FOOT ARTERY TO FOOT ARTERY WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041W0JQ
PX
BYPASS LEFT FOOT ARTERY TO LOWER EXTREMITY ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041W0JS
PX
BYPASS LEFT FOOT ARTERY TO LOWER EXTREMITY VEIN WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041W0KP
PX
BYPASS LEFT FOOT ARTERY TO FOOT ARTERY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041W0KQ
PX
BYPASS LEFT FOOT ARTERY TO LOWER EXTREMITY ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041W0KS
PX
BYPASS LEFT FOOT ARTERY TO LOWER EXTREMITY VEIN WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041W0ZP
PX
BYPASS LEFT FOOT ARTERY TO FOOT ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041W0ZQ
PX
BYPASS LEFT FOOT ARTERY TO LOWER EXTREMITY ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041W0ZS
PX
BYPASS LEFT FOOT ARTERY TO LOWER EXTREMITY VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041W49P
PX
BYPASS LEFT FOOT ARTERY TO FOOT ARTERY WITH AUTOLOGOUS VENOUS 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041W49Q
PX
BYPASS LEFT FOOT ARTERY TO LOWER EXTREMITY ARTERY WITH 
AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041W49S
PX
BYPASS LEFT FOOT ARTERY TO LOWER EXTREMITY VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041W4AP
PX
BYPASS LEFT FOOT ARTERY TO FOOT ARTERY WITH AUTOLOGOUS ARTERIAL 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041W4AQ
PX
BYPASS LEFT FOOT ARTERY TO LOWER EXTREMITY ARTERY WITH 
AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041W4AS
PX
BYPASS LEFT FOOT ARTERY TO LOWER EXTREMITY VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041W4JP
PX
BYPASS LEFT FOOT ARTERY TO FOOT ARTERY WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041W4JQ
PX
BYPASS LEFT FOOT ARTERY TO LOWER EXTREMITY ARTERY WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041W4JS
PX
BYPASS LEFT FOOT ARTERY TO LOWER EXTREMITY VEIN WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041W4KP
PX
BYPASS LEFT FOOT ARTERY TO FOOT ARTERY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041W4KQ
PX
BYPASS LEFT FOOT ARTERY TO LOWER EXTREMITY ARTERY WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041W4KS
PX
BYPASS LEFT FOOT ARTERY TO LOWER EXTREMITY VEIN WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041W4ZP
PX
BYPASS LEFT FOOT ARTERY TO FOOT ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041W4ZQ
PX
BYPASS LEFT FOOT ARTERY TO LOWER EXTREMITY ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
041W4ZS
PX
BYPASS LEFT FOOT ARTERY TO LOWER EXTREMITY VEIN, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04500ZZ
PX
DESTRUCTION OF ABDOMINAL AORTA, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04503ZZ
PX
DESTRUCTION OF ABDOMINAL AORTA, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04504ZZ
PX
DESTRUCTION OF ABDOMINAL AORTA, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04B00ZZ
PX
EXCISION OF ABDOMINAL AORTA, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04B03ZZ
PX
EXCISION OF ABDOMINAL AORTA, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04B04ZZ
PX
EXCISION OF ABDOMINAL AORTA, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04B10ZZ
PX
EXCISION OF CELIAC ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04B14ZZ
PX
EXCISION OF CELIAC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
04B20ZZ
PX
EXCISION OF GASTRIC ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04B24ZZ
PX
EXCISION OF GASTRIC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04B30ZZ
PX
EXCISION OF HEPATIC ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04B34ZZ
PX
EXCISION OF HEPATIC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04B40ZZ
PX
EXCISION OF SPLENIC ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04B44ZZ
PX
EXCISION OF SPLENIC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04B50ZZ
PX
EXCISION OF SUPERIOR MESENTERIC ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04B54ZZ
PX
EXCISION OF SUPERIOR MESENTERIC ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04B60ZZ
PX
EXCISION OF RIGHT COLIC ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04B64ZZ
PX
EXCISION OF RIGHT COLIC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04B70ZZ
PX
EXCISION OF LEFT COLIC ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04B74ZZ
PX
EXCISION OF LEFT COLIC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04B80ZZ
PX
EXCISION OF MIDDLE COLIC ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04B84ZZ
PX
EXCISION OF MIDDLE COLIC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04B90ZZ
PX
EXCISION OF RIGHT RENAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04B94ZZ
PX
EXCISION OF RIGHT RENAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BA0ZZ
PX
EXCISION OF LEFT RENAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BA4ZZ
PX
EXCISION OF LEFT RENAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BB0ZZ
PX
EXCISION OF INFERIOR MESENTERIC ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BB4ZZ
PX
EXCISION OF INFERIOR MESENTERIC ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BC0ZZ
PX
EXCISION OF RIGHT COMMON ILIAC ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BC4ZZ
PX
EXCISION OF RIGHT COMMON ILIAC ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BD0ZZ
PX
EXCISION OF LEFT COMMON ILIAC ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BD4ZZ
PX
EXCISION OF LEFT COMMON ILIAC ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BE0ZZ
PX
EXCISION OF RIGHT INTERNAL ILIAC ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BE4ZZ
PX
EXCISION OF RIGHT INTERNAL ILIAC ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BF0ZZ
PX
EXCISION OF LEFT INTERNAL ILIAC ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BF4ZZ
PX
EXCISION OF LEFT INTERNAL ILIAC ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BH0ZZ
PX
EXCISION OF RIGHT EXTERNAL ILIAC ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BH4ZZ
PX
EXCISION OF RIGHT EXTERNAL ILIAC ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BJ0ZZ
PX
EXCISION OF LEFT EXTERNAL ILIAC ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BJ4ZZ
PX
EXCISION OF LEFT EXTERNAL ILIAC ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BK0ZZ
PX
EXCISION OF RIGHT FEMORAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BK4ZZ
PX
EXCISION OF RIGHT FEMORAL ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BL0ZZ
PX
EXCISION OF LEFT FEMORAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BL4ZZ
PX
EXCISION OF LEFT FEMORAL ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BM0ZZ
PX
EXCISION OF RIGHT POPLITEAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BM4ZZ
PX
EXCISION OF RIGHT POPLITEAL ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BN0ZZ
PX
EXCISION OF LEFT POPLITEAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BN4ZZ
PX
EXCISION OF LEFT POPLITEAL ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BP0ZZ
PX
EXCISION OF RIGHT ANTERIOR TIBIAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BP4ZZ
PX
EXCISION OF RIGHT ANTERIOR TIBIAL ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BQ0ZZ
PX
EXCISION OF LEFT ANTERIOR TIBIAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BQ4ZZ
PX
EXCISION OF LEFT ANTERIOR TIBIAL ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BR0ZZ
PX
EXCISION OF RIGHT POSTERIOR TIBIAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BR4ZZ
PX
EXCISION OF RIGHT POSTERIOR TIBIAL ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BS0ZZ
PX
EXCISION OF LEFT POSTERIOR TIBIAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BS4ZZ
PX
EXCISION OF LEFT POSTERIOR TIBIAL ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BT0ZZ
PX
EXCISION OF RIGHT PERONEAL ARTERY, OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
04BT4ZZ
PX
EXCISION OF RIGHT PERONEAL ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BU0ZZ
PX
EXCISION OF LEFT PERONEAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BU4ZZ
PX
EXCISION OF LEFT PERONEAL ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BV0ZZ
PX
EXCISION OF RIGHT FOOT ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BV4ZZ
PX
EXCISION OF RIGHT FOOT ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BW0ZZ
PX
EXCISION OF LEFT FOOT ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BW4ZZ
PX
EXCISION OF LEFT FOOT ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BY0ZZ
PX
EXCISION OF LOWER ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04BY4ZZ
PX
EXCISION OF LOWER ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04C03ZZ
PX
EXTIRPATION OF MATTER FROM ABDOMINAL AORTA, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04CC3ZZ
PX
EXTIRPATION OF MATTER FROM RIGHT COMMON ILIAC ARTERY, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04CD3ZZ
PX
EXTIRPATION OF MATTER FROM LEFT COMMON ILIAC ARTERY, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04CE3ZZ
PX
EXTIRPATION OF MATTER FROM RIGHT INTERNAL ILIAC ARTERY, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04CF3ZZ
PX
EXTIRPATION OF MATTER FROM LEFT INTERNAL ILIAC ARTERY, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04CH3ZZ
PX
EXTIRPATION OF MATTER FROM RIGHT EXTERNAL ILIAC ARTERY, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04CJ3ZZ
PX
EXTIRPATION OF MATTER FROM LEFT EXTERNAL ILIAC ARTERY, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04CK3ZZ
PX
EXTIRPATION OF MATTER FROM RIGHT FEMORAL ARTERY, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04CL3ZZ
PX
EXTIRPATION OF MATTER FROM LEFT FEMORAL ARTERY, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04L03ZZ
PX
OCCLUSION OF ABDOMINAL AORTA, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LC0DZ
PX
OCCLUSION OF RIGHT COMMON ILIAC ARTERY WITH INTRALUMINAL DEVICE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LC3DZ
PX
OCCLUSION OF RIGHT COMMON ILIAC ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LC3ZZ
PX
OCCLUSION OF RIGHT COMMON ILIAC ARTERY, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LC4DZ
PX
OCCLUSION OF RIGHT COMMON ILIAC ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LD0DZ
PX
OCCLUSION OF LEFT COMMON ILIAC ARTERY WITH INTRALUMINAL DEVICE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LD3DZ
PX
OCCLUSION OF LEFT COMMON ILIAC ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LD3ZZ
PX
OCCLUSION OF LEFT COMMON ILIAC ARTERY, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LD4DZ
PX
OCCLUSION OF LEFT COMMON ILIAC ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LE0DZ
PX
OCCLUSION OF RIGHT INTERNAL ILIAC ARTERY WITH INTRALUMINAL DEVICE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LE3DZ
PX
OCCLUSION OF RIGHT INTERNAL ILIAC ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LE3ZZ
PX
OCCLUSION OF RIGHT INTERNAL ILIAC ARTERY, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LE4DZ
PX
OCCLUSION OF RIGHT INTERNAL ILIAC ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LF0DZ
PX
OCCLUSION OF LEFT INTERNAL ILIAC ARTERY WITH INTRALUMINAL DEVICE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LF3DZ
PX
OCCLUSION OF LEFT INTERNAL ILIAC ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LF3ZZ
PX
OCCLUSION OF LEFT INTERNAL ILIAC ARTERY, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LF4DZ
PX
OCCLUSION OF LEFT INTERNAL ILIAC ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LH0DZ
PX
OCCLUSION OF RIGHT EXTERNAL ILIAC ARTERY WITH INTRALUMINAL DEVICE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LH3DZ
PX
OCCLUSION OF RIGHT EXTERNAL ILIAC ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LH3ZZ
PX
OCCLUSION OF RIGHT EXTERNAL ILIAC ARTERY, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LH4DZ
PX
OCCLUSION OF RIGHT EXTERNAL ILIAC ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LJ0DZ
PX
OCCLUSION OF LEFT EXTERNAL ILIAC ARTERY WITH INTRALUMINAL DEVICE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LJ3DZ
PX
OCCLUSION OF LEFT EXTERNAL ILIAC ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
04LJ3ZZ
PX
OCCLUSION OF LEFT EXTERNAL ILIAC ARTERY, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LJ4DZ
PX
OCCLUSION OF LEFT EXTERNAL ILIAC ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LK0CZ
PX
OCCLUSION OF RIGHT FEMORAL ARTERY WITH EXTRALUMINAL DEVICE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LK0DZ
PX
OCCLUSION OF RIGHT FEMORAL ARTERY WITH INTRALUMINAL DEVICE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LK0ZZ
PX
OCCLUSION OF RIGHT FEMORAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LK3CZ
PX
OCCLUSION OF RIGHT FEMORAL ARTERY WITH EXTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LK3DZ
PX
OCCLUSION OF RIGHT FEMORAL ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LK3ZZ
PX
OCCLUSION OF RIGHT FEMORAL ARTERY, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LK4CZ
PX
OCCLUSION OF RIGHT FEMORAL ARTERY WITH EXTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LK4DZ
PX
OCCLUSION OF RIGHT FEMORAL ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LK4ZZ
PX
OCCLUSION OF RIGHT FEMORAL ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LL0CZ
PX
OCCLUSION OF LEFT FEMORAL ARTERY WITH EXTRALUMINAL DEVICE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LL0DZ
PX
OCCLUSION OF LEFT FEMORAL ARTERY WITH INTRALUMINAL DEVICE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LL0ZZ
PX
OCCLUSION OF LEFT FEMORAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LL3CZ
PX
OCCLUSION OF LEFT FEMORAL ARTERY WITH EXTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LL3DZ
PX
OCCLUSION OF LEFT FEMORAL ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LL3ZZ
PX
OCCLUSION OF LEFT FEMORAL ARTERY, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LL4CZ
PX
OCCLUSION OF LEFT FEMORAL ARTERY WITH EXTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LL4DZ
PX
OCCLUSION OF LEFT FEMORAL ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LL4ZZ
PX
OCCLUSION OF LEFT FEMORAL ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LM0CZ
PX
OCCLUSION OF RIGHT POPLITEAL ARTERY WITH EXTRALUMINAL DEVICE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LM0DZ
PX
OCCLUSION OF RIGHT POPLITEAL ARTERY WITH INTRALUMINAL DEVICE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LM0ZZ
PX
OCCLUSION OF RIGHT POPLITEAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LM3CZ
PX
OCCLUSION OF RIGHT POPLITEAL ARTERY WITH EXTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LM3DZ
PX
OCCLUSION OF RIGHT POPLITEAL ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LM3ZZ
PX
OCCLUSION OF RIGHT POPLITEAL ARTERY, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LM4CZ
PX
OCCLUSION OF RIGHT POPLITEAL ARTERY WITH EXTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LM4DZ
PX
OCCLUSION OF RIGHT POPLITEAL ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LM4ZZ
PX
OCCLUSION OF RIGHT POPLITEAL ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LN0CZ
PX
OCCLUSION OF LEFT POPLITEAL ARTERY WITH EXTRALUMINAL DEVICE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LN0DZ
PX
OCCLUSION OF LEFT POPLITEAL ARTERY WITH INTRALUMINAL DEVICE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LN0ZZ
PX
OCCLUSION OF LEFT POPLITEAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LN3CZ
PX
OCCLUSION OF LEFT POPLITEAL ARTERY WITH EXTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LN3DZ
PX
OCCLUSION OF LEFT POPLITEAL ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LN3ZZ
PX
OCCLUSION OF LEFT POPLITEAL ARTERY, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LN4CZ
PX
OCCLUSION OF LEFT POPLITEAL ARTERY WITH EXTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LN4DZ
PX
OCCLUSION OF LEFT POPLITEAL ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LN4ZZ
PX
OCCLUSION OF LEFT POPLITEAL ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LP0CZ
PX
OCCLUSION OF RIGHT ANTERIOR TIBIAL ARTERY WITH EXTRALUMINAL DEVICE, 
OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
04LP0DZ
PX
OCCLUSION OF RIGHT ANTERIOR TIBIAL ARTERY WITH INTRALUMINAL DEVICE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LP0ZZ
PX
OCCLUSION OF RIGHT ANTERIOR TIBIAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LP3CZ
PX
OCCLUSION OF RIGHT ANTERIOR TIBIAL ARTERY WITH EXTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LP3DZ
PX
OCCLUSION OF RIGHT ANTERIOR TIBIAL ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LP3ZZ
PX
OCCLUSION OF RIGHT ANTERIOR TIBIAL ARTERY, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LP4CZ
PX
OCCLUSION OF RIGHT ANTERIOR TIBIAL ARTERY WITH EXTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LP4DZ
PX
OCCLUSION OF RIGHT ANTERIOR TIBIAL ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LP4ZZ
PX
OCCLUSION OF RIGHT ANTERIOR TIBIAL ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LQ0CZ
PX
OCCLUSION OF LEFT ANTERIOR TIBIAL ARTERY WITH EXTRALUMINAL DEVICE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LQ0DZ
PX
OCCLUSION OF LEFT ANTERIOR TIBIAL ARTERY WITH INTRALUMINAL DEVICE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LQ0ZZ
PX
OCCLUSION OF LEFT ANTERIOR TIBIAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LQ3CZ
PX
OCCLUSION OF LEFT ANTERIOR TIBIAL ARTERY WITH EXTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LQ3DZ
PX
OCCLUSION OF LEFT ANTERIOR TIBIAL ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LQ3ZZ
PX
OCCLUSION OF LEFT ANTERIOR TIBIAL ARTERY, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LQ4CZ
PX
OCCLUSION OF LEFT ANTERIOR TIBIAL ARTERY WITH EXTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LQ4DZ
PX
OCCLUSION OF LEFT ANTERIOR TIBIAL ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LQ4ZZ
PX
OCCLUSION OF LEFT ANTERIOR TIBIAL ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LR0CZ
PX
OCCLUSION OF RIGHT POSTERIOR TIBIAL ARTERY WITH EXTRALUMINAL DEVICE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LR0DZ
PX
OCCLUSION OF RIGHT POSTERIOR TIBIAL ARTERY WITH INTRALUMINAL DEVICE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LR0ZZ
PX
OCCLUSION OF RIGHT POSTERIOR TIBIAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LR3CZ
PX
OCCLUSION OF RIGHT POSTERIOR TIBIAL ARTERY WITH EXTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LR3DZ
PX
OCCLUSION OF RIGHT POSTERIOR TIBIAL ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LR3ZZ
PX
OCCLUSION OF RIGHT POSTERIOR TIBIAL ARTERY, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LR4CZ
PX
OCCLUSION OF RIGHT POSTERIOR TIBIAL ARTERY WITH EXTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LR4DZ
PX
OCCLUSION OF RIGHT POSTERIOR TIBIAL ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LR4ZZ
PX
OCCLUSION OF RIGHT POSTERIOR TIBIAL ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LS0CZ
PX
OCCLUSION OF LEFT POSTERIOR TIBIAL ARTERY WITH EXTRALUMINAL DEVICE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LS0DZ
PX
OCCLUSION OF LEFT POSTERIOR TIBIAL ARTERY WITH INTRALUMINAL DEVICE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LS0ZZ
PX
OCCLUSION OF LEFT POSTERIOR TIBIAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LS3CZ
PX
OCCLUSION OF LEFT POSTERIOR TIBIAL ARTERY WITH EXTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LS3DZ
PX
OCCLUSION OF LEFT POSTERIOR TIBIAL ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LS3ZZ
PX
OCCLUSION OF LEFT POSTERIOR TIBIAL ARTERY, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LS4CZ
PX
OCCLUSION OF LEFT POSTERIOR TIBIAL ARTERY WITH EXTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LS4DZ
PX
OCCLUSION OF LEFT POSTERIOR TIBIAL ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LS4ZZ
PX
OCCLUSION OF LEFT POSTERIOR TIBIAL ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LT0CZ
PX
OCCLUSION OF RIGHT PERONEAL ARTERY WITH EXTRALUMINAL DEVICE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LT0DZ
PX
OCCLUSION OF RIGHT PERONEAL ARTERY WITH INTRALUMINAL DEVICE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LT0ZZ
PX
OCCLUSION OF RIGHT PERONEAL ARTERY, OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
04LT3CZ
PX
OCCLUSION OF RIGHT PERONEAL ARTERY WITH EXTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LT3DZ
PX
OCCLUSION OF RIGHT PERONEAL ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LT3ZZ
PX
OCCLUSION OF RIGHT PERONEAL ARTERY, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LT4CZ
PX
OCCLUSION OF RIGHT PERONEAL ARTERY WITH EXTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LT4DZ
PX
OCCLUSION OF RIGHT PERONEAL ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LT4ZZ
PX
OCCLUSION OF RIGHT PERONEAL ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LU0CZ
PX
OCCLUSION OF LEFT PERONEAL ARTERY WITH EXTRALUMINAL DEVICE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LU0DZ
PX
OCCLUSION OF LEFT PERONEAL ARTERY WITH INTRALUMINAL DEVICE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LU0ZZ
PX
OCCLUSION OF LEFT PERONEAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LU3CZ
PX
OCCLUSION OF LEFT PERONEAL ARTERY WITH EXTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LU3DZ
PX
OCCLUSION OF LEFT PERONEAL ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LU3ZZ
PX
OCCLUSION OF LEFT PERONEAL ARTERY, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LU4CZ
PX
OCCLUSION OF LEFT PERONEAL ARTERY WITH EXTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LU4DZ
PX
OCCLUSION OF LEFT PERONEAL ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LU4ZZ
PX
OCCLUSION OF LEFT PERONEAL ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LV0CZ
PX
OCCLUSION OF RIGHT FOOT ARTERY WITH EXTRALUMINAL DEVICE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LV0DZ
PX
OCCLUSION OF RIGHT FOOT ARTERY WITH INTRALUMINAL DEVICE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LV0ZZ
PX
OCCLUSION OF RIGHT FOOT ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LV3CZ
PX
OCCLUSION OF RIGHT FOOT ARTERY WITH EXTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LV3DZ
PX
OCCLUSION OF RIGHT FOOT ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LV3ZZ
PX
OCCLUSION OF RIGHT FOOT ARTERY, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LV4CZ
PX
OCCLUSION OF RIGHT FOOT ARTERY WITH EXTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LV4DZ
PX
OCCLUSION OF RIGHT FOOT ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LV4ZZ
PX
OCCLUSION OF RIGHT FOOT ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LW0CZ
PX
OCCLUSION OF LEFT FOOT ARTERY WITH EXTRALUMINAL DEVICE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LW0DZ
PX
OCCLUSION OF LEFT FOOT ARTERY WITH INTRALUMINAL DEVICE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LW0ZZ
PX
OCCLUSION OF LEFT FOOT ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LW3CZ
PX
OCCLUSION OF LEFT FOOT ARTERY WITH EXTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LW3DZ
PX
OCCLUSION OF LEFT FOOT ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LW3ZZ
PX
OCCLUSION OF LEFT FOOT ARTERY, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LW4CZ
PX
OCCLUSION OF LEFT FOOT ARTERY WITH EXTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LW4DZ
PX
OCCLUSION OF LEFT FOOT ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04LW4ZZ
PX
OCCLUSION OF LEFT FOOT ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04R007Z
PX
REPLACEMENT OF ABDOMINAL AORTA WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04R00JZ
PX
REPLACEMENT OF ABDOMINAL AORTA WITH SYNTHETIC SUBSTITUTE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04R00KZ
PX
REPLACEMENT OF ABDOMINAL AORTA WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04R047Z
PX
REPLACEMENT OF ABDOMINAL AORTA WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04R04JZ
PX
REPLACEMENT OF ABDOMINAL AORTA WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
04R04KZ
PX
REPLACEMENT OF ABDOMINAL AORTA WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RK07Z
PX
REPLACEMENT OF RIGHT FEMORAL ARTERY WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RK0JZ
PX
REPLACEMENT OF RIGHT FEMORAL ARTERY WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RK0KZ
PX
REPLACEMENT OF RIGHT FEMORAL ARTERY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RK47Z
PX
REPLACEMENT OF RIGHT FEMORAL ARTERY WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RK4JZ
PX
REPLACEMENT OF RIGHT FEMORAL ARTERY WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RL07Z
PX
REPLACEMENT OF LEFT FEMORAL ARTERY WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RL0JZ
PX
REPLACEMENT OF LEFT FEMORAL ARTERY WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RL0KZ
PX
REPLACEMENT OF LEFT FEMORAL ARTERY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RL47Z
PX
REPLACEMENT OF LEFT FEMORAL ARTERY WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RL4JZ
PX
REPLACEMENT OF LEFT FEMORAL ARTERY WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RL4KZ
PX
REPLACEMENT OF LEFT FEMORAL ARTERY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RM07Z
PX
REPLACEMENT OF RIGHT POPLITEAL ARTERY WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RM0JZ
PX
REPLACEMENT OF RIGHT POPLITEAL ARTERY WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RM0KZ
PX
REPLACEMENT OF RIGHT POPLITEAL ARTERY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RM47Z
PX
REPLACEMENT OF RIGHT POPLITEAL ARTERY WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RM4JZ
PX
REPLACEMENT OF RIGHT POPLITEAL ARTERY WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RM4KZ
PX
REPLACEMENT OF RIGHT POPLITEAL ARTERY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RN07Z
PX
REPLACEMENT OF LEFT POPLITEAL ARTERY WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RN0JZ
PX
REPLACEMENT OF LEFT POPLITEAL ARTERY WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RN0KZ
PX
REPLACEMENT OF LEFT POPLITEAL ARTERY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RN47Z
PX
REPLACEMENT OF LEFT POPLITEAL ARTERY WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RN4JZ
PX
REPLACEMENT OF LEFT POPLITEAL ARTERY WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RN4KZ
PX
REPLACEMENT OF LEFT POPLITEAL ARTERY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RP07Z
PX
REPLACEMENT OF RIGHT ANTERIOR TIBIAL ARTERY WITH AUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RP0JZ
PX
REPLACEMENT OF RIGHT ANTERIOR TIBIAL ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RP0KZ
PX
REPLACEMENT OF RIGHT ANTERIOR TIBIAL ARTERY WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RP47Z
PX
REPLACEMENT OF RIGHT ANTERIOR TIBIAL ARTERY WITH AUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RP4JZ
PX
REPLACEMENT OF RIGHT ANTERIOR TIBIAL ARTERY WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RP4KZ
PX
REPLACEMENT OF RIGHT ANTERIOR TIBIAL ARTERY WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RQ07Z
PX
REPLACEMENT OF LEFT ANTERIOR TIBIAL ARTERY WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RQ0JZ
PX
REPLACEMENT OF LEFT ANTERIOR TIBIAL ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RQ0KZ
PX
REPLACEMENT OF LEFT ANTERIOR TIBIAL ARTERY WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RQ47Z
PX
REPLACEMENT OF LEFT ANTERIOR TIBIAL ARTERY WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
04RQ4JZ
PX
REPLACEMENT OF LEFT ANTERIOR TIBIAL ARTERY WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RQ4KZ
PX
REPLACEMENT OF LEFT ANTERIOR TIBIAL ARTERY WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RR07Z
PX
REPLACEMENT OF RIGHT POSTERIOR TIBIAL ARTERY WITH AUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RR0JZ
PX
REPLACEMENT OF RIGHT POSTERIOR TIBIAL ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RR0KZ
PX
REPLACEMENT OF RIGHT POSTERIOR TIBIAL ARTERY WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RR47Z
PX
REPLACEMENT OF RIGHT POSTERIOR TIBIAL ARTERY WITH AUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RR4JZ
PX
REPLACEMENT OF RIGHT POSTERIOR TIBIAL ARTERY WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RR4KZ
PX
REPLACEMENT OF RIGHT POSTERIOR TIBIAL ARTERY WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RS07Z
PX
REPLACEMENT OF LEFT POSTERIOR TIBIAL ARTERY WITH AUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RS0JZ
PX
REPLACEMENT OF LEFT POSTERIOR TIBIAL ARTERY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RS0KZ
PX
REPLACEMENT OF LEFT POSTERIOR TIBIAL ARTERY WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RS47Z
PX
REPLACEMENT OF LEFT POSTERIOR TIBIAL ARTERY WITH AUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RS4JZ
PX
REPLACEMENT OF LEFT POSTERIOR TIBIAL ARTERY WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RS4KZ
PX
REPLACEMENT OF LEFT POSTERIOR TIBIAL ARTERY WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RT07Z
PX
REPLACEMENT OF RIGHT PERONEAL ARTERY WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RT0JZ
PX
REPLACEMENT OF RIGHT PERONEAL ARTERY WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RT0KZ
PX
REPLACEMENT OF RIGHT PERONEAL ARTERY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RT47Z
PX
REPLACEMENT OF RIGHT PERONEAL ARTERY WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RT4JZ
PX
REPLACEMENT OF RIGHT PERONEAL ARTERY WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RT4KZ
PX
REPLACEMENT OF RIGHT PERONEAL ARTERY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RU07Z
PX
REPLACEMENT OF LEFT PERONEAL ARTERY WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RU0JZ
PX
REPLACEMENT OF LEFT PERONEAL ARTERY WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RU0KZ
PX
REPLACEMENT OF LEFT PERONEAL ARTERY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RU47Z
PX
REPLACEMENT OF LEFT PERONEAL ARTERY WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RU4JZ
PX
REPLACEMENT OF LEFT PERONEAL ARTERY WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RU4KZ
PX
REPLACEMENT OF LEFT PERONEAL ARTERY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RV07Z
PX
REPLACEMENT OF RIGHT FOOT ARTERY WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RV0JZ
PX
REPLACEMENT OF RIGHT FOOT ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RV0KZ
PX
REPLACEMENT OF RIGHT FOOT ARTERY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RV47Z
PX
REPLACEMENT OF RIGHT FOOT ARTERY WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RV4JZ
PX
REPLACEMENT OF RIGHT FOOT ARTERY WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RV4KZ
PX
REPLACEMENT OF RIGHT FOOT ARTERY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RW07Z
PX
REPLACEMENT OF LEFT FOOT ARTERY WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RW0JZ
PX
REPLACEMENT OF LEFT FOOT ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN 
APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
04RW0KZ
PX
REPLACEMENT OF LEFT FOOT ARTERY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RW47Z
PX
REPLACEMENT OF LEFT FOOT ARTERY WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RW4JZ
PX
REPLACEMENT OF LEFT FOOT ARTERY WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RW4KZ
PX
REPLACEMENT OF LEFT FOOT ARTERY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RY07Z
PX
REPLACEMENT OF LOWER ARTERY WITH AUTOLOGOUS TISSUE SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RY0JZ
PX
REPLACEMENT OF LOWER ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RY0KZ
PX
REPLACEMENT OF LOWER ARTERY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RY47Z
PX
REPLACEMENT OF LOWER ARTERY WITH AUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RY4JZ
PX
REPLACEMENT OF LOWER ARTERY WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04RY4KZ
PX
REPLACEMENT OF LOWER ARTERY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04V00ZZ
PX
RESTRICTION OF ABDOMINAL AORTA, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04V03ZZ
PX
RESTRICTION OF ABDOMINAL AORTA, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04V04ZZ
PX
RESTRICTION OF ABDOMINAL AORTA, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04V10ZZ
PX
RESTRICTION OF CELIAC ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04V14ZZ
PX
RESTRICTION OF CELIAC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04V20ZZ
PX
RESTRICTION OF GASTRIC ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04V24ZZ
PX
RESTRICTION OF GASTRIC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04V30ZZ
PX
RESTRICTION OF HEPATIC ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04V34ZZ
PX
RESTRICTION OF HEPATIC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04V40ZZ
PX
RESTRICTION OF SPLENIC ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04V44ZZ
PX
RESTRICTION OF SPLENIC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04V50ZZ
PX
RESTRICTION OF SUPERIOR MESENTERIC ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04V54ZZ
PX
RESTRICTION OF SUPERIOR MESENTERIC ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04V60ZZ
PX
RESTRICTION OF RIGHT COLIC ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04V64ZZ
PX
RESTRICTION OF RIGHT COLIC ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04V70ZZ
PX
RESTRICTION OF LEFT COLIC ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04V74ZZ
PX
RESTRICTION OF LEFT COLIC ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04V80ZZ
PX
RESTRICTION OF MIDDLE COLIC ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04V84ZZ
PX
RESTRICTION OF MIDDLE COLIC ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04V90ZZ
PX
RESTRICTION OF RIGHT RENAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04V94ZZ
PX
RESTRICTION OF RIGHT RENAL ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VA0ZZ
PX
RESTRICTION OF LEFT RENAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VA4ZZ
PX
RESTRICTION OF LEFT RENAL ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VB0ZZ
PX
RESTRICTION OF INFERIOR MESENTERIC ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VB4ZZ
PX
RESTRICTION OF INFERIOR MESENTERIC ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VC0DZ
PX
RESTRICTION OF RIGHT COMMON ILIAC ARTERY WITH INTRALUMINAL DEVICE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VC0EZ
PX
RESTRICTION OF RIGHT COMMON ILIAC ARTERY WITH BRANCHED OR 
FENESTRATED INTRALUMINAL DEVICE, ONE OR TWO ARTERIES, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VC0ZZ
PX
RESTRICTION OF RIGHT COMMON ILIAC ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VC3DZ
PX
RESTRICTION OF RIGHT COMMON ILIAC ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VC3EZ
PX
RESTRICTION OF RIGHT COMMON ILIAC ARTERY WITH BRANCHED OR 
FENESTRATED INTRALUMINAL DEVICE, ONE OR TWO ARTERIES, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VC3ZZ
PX
RESTRICTION OF RIGHT COMMON ILIAC ARTERY, PERCUTANEOUS APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
04VC4DZ
PX
RESTRICTION OF RIGHT COMMON ILIAC ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VC4EZ
PX
RESTRICTION OF RIGHT COMMON ILIAC ARTERY WITH BRANCHED OR 
FENESTRATED INTRALUMINAL DEVICE, ONE OR TWO ARTERIES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VC4ZZ
PX
RESTRICTION OF RIGHT COMMON ILIAC ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VD0DZ
PX
RESTRICTION OF LEFT COMMON ILIAC ARTERY WITH INTRALUMINAL DEVICE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VD0EZ
PX
RESTRICTION OF LEFT COMMON ILIAC ARTERY WITH BRANCHED OR 
FENESTRATED INTRALUMINAL DEVICE, ONE OR TWO ARTERIES, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VD0ZZ
PX
RESTRICTION OF LEFT COMMON ILIAC ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VD3DZ
PX
RESTRICTION OF LEFT COMMON ILIAC ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VD3EZ
PX
RESTRICTION OF LEFT COMMON ILIAC ARTERY WITH BRANCHED OR 
FENESTRATED INTRALUMINAL DEVICE, ONE OR TWO ARTERIES, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VD3ZZ
PX
RESTRICTION OF LEFT COMMON ILIAC ARTERY, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VD4DZ
PX
RESTRICTION OF LEFT COMMON ILIAC ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VD4EZ
PX
RESTRICTION OF LEFT COMMON ILIAC ARTERY WITH BRANCHED OR 
FENESTRATED INTRALUMINAL DEVICE, ONE OR TWO ARTERIES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VD4ZZ
PX
RESTRICTION OF LEFT COMMON ILIAC ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VE0ZZ
PX
RESTRICTION OF RIGHT INTERNAL ILIAC ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VE4ZZ
PX
RESTRICTION OF RIGHT INTERNAL ILIAC ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VF0ZZ
PX
RESTRICTION OF LEFT INTERNAL ILIAC ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VF4ZZ
PX
RESTRICTION OF LEFT INTERNAL ILIAC ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VH0ZZ
PX
RESTRICTION OF RIGHT EXTERNAL ILIAC ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VH4ZZ
PX
RESTRICTION OF RIGHT EXTERNAL ILIAC ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VJ0ZZ
PX
RESTRICTION OF LEFT EXTERNAL ILIAC ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VJ4ZZ
PX
RESTRICTION OF LEFT EXTERNAL ILIAC ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VK0DZ
PX
RESTRICTION OF RIGHT FEMORAL ARTERY WITH INTRALUMINAL DEVICE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VK0ZZ
PX
RESTRICTION OF RIGHT FEMORAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VK3DZ
PX
RESTRICTION OF RIGHT FEMORAL ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VK3ZZ
PX
RESTRICTION OF RIGHT FEMORAL ARTERY, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VK4DZ
PX
RESTRICTION OF RIGHT FEMORAL ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VK4ZZ
PX
RESTRICTION OF RIGHT FEMORAL ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VL0DZ
PX
RESTRICTION OF LEFT FEMORAL ARTERY WITH INTRALUMINAL DEVICE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VL0ZZ
PX
RESTRICTION OF LEFT FEMORAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VL3DZ
PX
RESTRICTION OF LEFT FEMORAL ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VL3ZZ
PX
RESTRICTION OF LEFT FEMORAL ARTERY, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VL4DZ
PX
RESTRICTION OF LEFT FEMORAL ARTERY WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VL4ZZ
PX
RESTRICTION OF LEFT FEMORAL ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VM0ZZ
PX
RESTRICTION OF RIGHT POPLITEAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VM4ZZ
PX
RESTRICTION OF RIGHT POPLITEAL ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VN0ZZ
PX
RESTRICTION OF LEFT POPLITEAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VN4ZZ
PX
RESTRICTION OF LEFT POPLITEAL ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VP0ZZ
PX
RESTRICTION OF RIGHT ANTERIOR TIBIAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VP4ZZ
PX
RESTRICTION OF RIGHT ANTERIOR TIBIAL ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VQ0ZZ
PX
RESTRICTION OF LEFT ANTERIOR TIBIAL ARTERY, OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
04VQ4ZZ
PX
RESTRICTION OF LEFT ANTERIOR TIBIAL ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VR0ZZ
PX
RESTRICTION OF RIGHT POSTERIOR TIBIAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VR4ZZ
PX
RESTRICTION OF RIGHT POSTERIOR TIBIAL ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VS0ZZ
PX
RESTRICTION OF LEFT POSTERIOR TIBIAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VS4ZZ
PX
RESTRICTION OF LEFT POSTERIOR TIBIAL ARTERY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VT0ZZ
PX
RESTRICTION OF RIGHT PERONEAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VT4ZZ
PX
RESTRICTION OF RIGHT PERONEAL ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VU0ZZ
PX
RESTRICTION OF LEFT PERONEAL ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VU4ZZ
PX
RESTRICTION OF LEFT PERONEAL ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VY0ZZ
PX
RESTRICTION OF LOWER ARTERY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
04VY4ZZ
PX
RESTRICTION OF LOWER ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051707Y
PX
BYPASS RIGHT AXILLARY VEIN TO UPPER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051709Y
PX
BYPASS RIGHT AXILLARY VEIN TO UPPER VEIN WITH AUTOLOGOUS VENOUS 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05170AY
PX
BYPASS RIGHT AXILLARY VEIN TO UPPER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05170JY
PX
BYPASS RIGHT AXILLARY VEIN TO UPPER VEIN WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05170KY
PX
BYPASS RIGHT AXILLARY VEIN TO UPPER VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05170ZY
PX
BYPASS RIGHT AXILLARY VEIN TO UPPER VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051747Y
PX
BYPASS RIGHT AXILLARY VEIN TO UPPER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051749Y
PX
BYPASS RIGHT AXILLARY VEIN TO UPPER VEIN WITH AUTOLOGOUS VENOUS 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05174AY
PX
BYPASS RIGHT AXILLARY VEIN TO UPPER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05174JY
PX
BYPASS RIGHT AXILLARY VEIN TO UPPER VEIN WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05174KY
PX
BYPASS RIGHT AXILLARY VEIN TO UPPER VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05174ZY
PX
BYPASS RIGHT AXILLARY VEIN TO UPPER VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051807Y
PX
BYPASS LEFT AXILLARY VEIN TO UPPER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051809Y
PX
BYPASS LEFT AXILLARY VEIN TO UPPER VEIN WITH AUTOLOGOUS VENOUS 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05180AY
PX
BYPASS LEFT AXILLARY VEIN TO UPPER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05180JY
PX
BYPASS LEFT AXILLARY VEIN TO UPPER VEIN WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05180KY
PX
BYPASS LEFT AXILLARY VEIN TO UPPER VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05180ZY
PX
BYPASS LEFT AXILLARY VEIN TO UPPER VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051847Y
PX
BYPASS LEFT AXILLARY VEIN TO UPPER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051849Y
PX
BYPASS LEFT AXILLARY VEIN TO UPPER VEIN WITH AUTOLOGOUS VENOUS 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05184AY
PX
BYPASS LEFT AXILLARY VEIN TO UPPER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05184JY
PX
BYPASS LEFT AXILLARY VEIN TO UPPER VEIN WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05184KY
PX
BYPASS LEFT AXILLARY VEIN TO UPPER VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05184ZY
PX
BYPASS LEFT AXILLARY VEIN TO UPPER VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051907Y
PX
BYPASS RIGHT BRACHIAL VEIN TO UPPER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051909Y
PX
BYPASS RIGHT BRACHIAL VEIN TO UPPER VEIN WITH AUTOLOGOUS VENOUS 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05190AY
PX
BYPASS RIGHT BRACHIAL VEIN TO UPPER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
05190JY
PX
BYPASS RIGHT BRACHIAL VEIN TO UPPER VEIN WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05190KY
PX
BYPASS RIGHT BRACHIAL VEIN TO UPPER VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05190ZY
PX
BYPASS RIGHT BRACHIAL VEIN TO UPPER VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051947Y
PX
BYPASS RIGHT BRACHIAL VEIN TO UPPER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051949Y
PX
BYPASS RIGHT BRACHIAL VEIN TO UPPER VEIN WITH AUTOLOGOUS VENOUS 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05194AY
PX
BYPASS RIGHT BRACHIAL VEIN TO UPPER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05194JY
PX
BYPASS RIGHT BRACHIAL VEIN TO UPPER VEIN WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05194KY
PX
BYPASS RIGHT BRACHIAL VEIN TO UPPER VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05194ZY
PX
BYPASS RIGHT BRACHIAL VEIN TO UPPER VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051A07Y
PX
BYPASS LEFT BRACHIAL VEIN TO UPPER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051A09Y
PX
BYPASS LEFT BRACHIAL VEIN TO UPPER VEIN WITH AUTOLOGOUS VENOUS 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051A0AY
PX
BYPASS LEFT BRACHIAL VEIN TO UPPER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051A0JY
PX
BYPASS LEFT BRACHIAL VEIN TO UPPER VEIN WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051A0KY
PX
BYPASS LEFT BRACHIAL VEIN TO UPPER VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051A0ZY
PX
BYPASS LEFT BRACHIAL VEIN TO UPPER VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051A47Y
PX
BYPASS LEFT BRACHIAL VEIN TO UPPER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051A49Y
PX
BYPASS LEFT BRACHIAL VEIN TO UPPER VEIN WITH AUTOLOGOUS VENOUS 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051A4AY
PX
BYPASS LEFT BRACHIAL VEIN TO UPPER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051A4JY
PX
BYPASS LEFT BRACHIAL VEIN TO UPPER VEIN WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051A4KY
PX
BYPASS LEFT BRACHIAL VEIN TO UPPER VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051A4ZY
PX
BYPASS LEFT BRACHIAL VEIN TO UPPER VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051B07Y
PX
BYPASS RIGHT BASILIC VEIN TO UPPER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051B09Y
PX
BYPASS RIGHT BASILIC VEIN TO UPPER VEIN WITH AUTOLOGOUS VENOUS 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051B0AY
PX
BYPASS RIGHT BASILIC VEIN TO UPPER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051B0JY
PX
BYPASS RIGHT BASILIC VEIN TO UPPER VEIN WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051B0KY
PX
BYPASS RIGHT BASILIC VEIN TO UPPER VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051B0ZY
PX
BYPASS RIGHT BASILIC VEIN TO UPPER VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051B47Y
PX
BYPASS RIGHT BASILIC VEIN TO UPPER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051B49Y
PX
BYPASS RIGHT BASILIC VEIN TO UPPER VEIN WITH AUTOLOGOUS VENOUS 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051B4AY
PX
BYPASS RIGHT BASILIC VEIN TO UPPER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051B4JY
PX
BYPASS RIGHT BASILIC VEIN TO UPPER VEIN WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051B4KY
PX
BYPASS RIGHT BASILIC VEIN TO UPPER VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051B4ZY
PX
BYPASS RIGHT BASILIC VEIN TO UPPER VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051C07Y
PX
BYPASS LEFT BASILIC VEIN TO UPPER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051C09Y
PX
BYPASS LEFT BASILIC VEIN TO UPPER VEIN WITH AUTOLOGOUS VENOUS 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051C0AY
PX
BYPASS LEFT BASILIC VEIN TO UPPER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
051C0JY
PX
BYPASS LEFT BASILIC VEIN TO UPPER VEIN WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051C0KY
PX
BYPASS LEFT BASILIC VEIN TO UPPER VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051C0ZY
PX
BYPASS LEFT BASILIC VEIN TO UPPER VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051C47Y
PX
BYPASS LEFT BASILIC VEIN TO UPPER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051C49Y
PX
BYPASS LEFT BASILIC VEIN TO UPPER VEIN WITH AUTOLOGOUS VENOUS 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051C4AY
PX
BYPASS LEFT BASILIC VEIN TO UPPER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051C4JY
PX
BYPASS LEFT BASILIC VEIN TO UPPER VEIN WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051C4KY
PX
BYPASS LEFT BASILIC VEIN TO UPPER VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051C4ZY
PX
BYPASS LEFT BASILIC VEIN TO UPPER VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051D07Y
PX
BYPASS RIGHT CEPHALIC VEIN TO UPPER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051D09Y
PX
BYPASS RIGHT CEPHALIC VEIN TO UPPER VEIN WITH AUTOLOGOUS VENOUS 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051D0AY
PX
BYPASS RIGHT CEPHALIC VEIN TO UPPER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051D0JY
PX
BYPASS RIGHT CEPHALIC VEIN TO UPPER VEIN WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051D0KY
PX
BYPASS RIGHT CEPHALIC VEIN TO UPPER VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051D0ZY
PX
BYPASS RIGHT CEPHALIC VEIN TO UPPER VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051D47Y
PX
BYPASS RIGHT CEPHALIC VEIN TO UPPER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051D49Y
PX
BYPASS RIGHT CEPHALIC VEIN TO UPPER VEIN WITH AUTOLOGOUS VENOUS 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051D4AY
PX
BYPASS RIGHT CEPHALIC VEIN TO UPPER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051D4JY
PX
BYPASS RIGHT CEPHALIC VEIN TO UPPER VEIN WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051D4KY
PX
BYPASS RIGHT CEPHALIC VEIN TO UPPER VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051D4ZY
PX
BYPASS RIGHT CEPHALIC VEIN TO UPPER VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051F07Y
PX
BYPASS LEFT CEPHALIC VEIN TO UPPER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051F09Y
PX
BYPASS LEFT CEPHALIC VEIN TO UPPER VEIN WITH AUTOLOGOUS VENOUS 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051F0AY
PX
BYPASS LEFT CEPHALIC VEIN TO UPPER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051F0JY
PX
BYPASS LEFT CEPHALIC VEIN TO UPPER VEIN WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051F0KY
PX
BYPASS LEFT CEPHALIC VEIN TO UPPER VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051F0ZY
PX
BYPASS LEFT CEPHALIC VEIN TO UPPER VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051F47Y
PX
BYPASS LEFT CEPHALIC VEIN TO UPPER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051F49Y
PX
BYPASS LEFT CEPHALIC VEIN TO UPPER VEIN WITH AUTOLOGOUS VENOUS 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051F4AY
PX
BYPASS LEFT CEPHALIC VEIN TO UPPER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051F4JY
PX
BYPASS LEFT CEPHALIC VEIN TO UPPER VEIN WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051F4KY
PX
BYPASS LEFT CEPHALIC VEIN TO UPPER VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051F4ZY
PX
BYPASS LEFT CEPHALIC VEIN TO UPPER VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051G07Y
PX
BYPASS RIGHT HAND VEIN TO UPPER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051G09Y
PX
BYPASS RIGHT HAND VEIN TO UPPER VEIN WITH AUTOLOGOUS VENOUS 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051G0AY
PX
BYPASS RIGHT HAND VEIN TO UPPER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
051G0JY
PX
BYPASS RIGHT HAND VEIN TO UPPER VEIN WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051G0KY
PX
BYPASS RIGHT HAND VEIN TO UPPER VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051G0ZY
PX
BYPASS RIGHT HAND VEIN TO UPPER VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051G47Y
PX
BYPASS RIGHT HAND VEIN TO UPPER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051G49Y
PX
BYPASS RIGHT HAND VEIN TO UPPER VEIN WITH AUTOLOGOUS VENOUS 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051G4AY
PX
BYPASS RIGHT HAND VEIN TO UPPER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051G4JY
PX
BYPASS RIGHT HAND VEIN TO UPPER VEIN WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051G4KY
PX
BYPASS RIGHT HAND VEIN TO UPPER VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051G4ZY
PX
BYPASS RIGHT HAND VEIN TO UPPER VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051H07Y
PX
BYPASS LEFT HAND VEIN TO UPPER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051H09Y
PX
BYPASS LEFT HAND VEIN TO UPPER VEIN WITH AUTOLOGOUS VENOUS TISSUE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051H0AY
PX
BYPASS LEFT HAND VEIN TO UPPER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051H0JY
PX
BYPASS LEFT HAND VEIN TO UPPER VEIN WITH SYNTHETIC SUBSTITUTE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051H0KY
PX
BYPASS LEFT HAND VEIN TO UPPER VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051H0ZY
PX
BYPASS LEFT HAND VEIN TO UPPER VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051H47Y
PX
BYPASS LEFT HAND VEIN TO UPPER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051H49Y
PX
BYPASS LEFT HAND VEIN TO UPPER VEIN WITH AUTOLOGOUS VENOUS TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051H4AY
PX
BYPASS LEFT HAND VEIN TO UPPER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051H4JY
PX
BYPASS LEFT HAND VEIN TO UPPER VEIN WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051H4KY
PX
BYPASS LEFT HAND VEIN TO UPPER VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051H4ZY
PX
BYPASS LEFT HAND VEIN TO UPPER VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051L07Y
PX
BYPASS INTRACRANIAL VEIN TO UPPER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051L09Y
PX
BYPASS INTRACRANIAL VEIN TO UPPER VEIN WITH AUTOLOGOUS VENOUS 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051L0AY
PX
BYPASS INTRACRANIAL VEIN TO UPPER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051L0JY
PX
BYPASS INTRACRANIAL VEIN TO UPPER VEIN WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051L0KY
PX
BYPASS INTRACRANIAL VEIN TO UPPER VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051L0ZY
PX
BYPASS INTRACRANIAL VEIN TO UPPER VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051L47Y
PX
BYPASS INTRACRANIAL VEIN TO UPPER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051L49Y
PX
BYPASS INTRACRANIAL VEIN TO UPPER VEIN WITH AUTOLOGOUS VENOUS 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051L4AY
PX
BYPASS INTRACRANIAL VEIN TO UPPER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051L4JY
PX
BYPASS INTRACRANIAL VEIN TO UPPER VEIN WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051L4KY
PX
BYPASS INTRACRANIAL VEIN TO UPPER VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051L4ZY
PX
BYPASS INTRACRANIAL VEIN TO UPPER VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051M07Y
PX
BYPASS RIGHT INTERNAL JUGULAR VEIN TO UPPER VEIN WITH AUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051M09Y
PX
BYPASS RIGHT INTERNAL JUGULAR VEIN TO UPPER VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051M0AY
PX
BYPASS RIGHT INTERNAL JUGULAR VEIN TO UPPER VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
051M0JY
PX
BYPASS RIGHT INTERNAL JUGULAR VEIN TO UPPER VEIN WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051M0KY
PX
BYPASS RIGHT INTERNAL JUGULAR VEIN TO UPPER VEIN WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051M0ZY
PX
BYPASS RIGHT INTERNAL JUGULAR VEIN TO UPPER VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051M47Y
PX
BYPASS RIGHT INTERNAL JUGULAR VEIN TO UPPER VEIN WITH AUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051M49Y
PX
BYPASS RIGHT INTERNAL JUGULAR VEIN TO UPPER VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051M4AY
PX
BYPASS RIGHT INTERNAL JUGULAR VEIN TO UPPER VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051M4JY
PX
BYPASS RIGHT INTERNAL JUGULAR VEIN TO UPPER VEIN WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051M4KY
PX
BYPASS RIGHT INTERNAL JUGULAR VEIN TO UPPER VEIN WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051M4ZY
PX
BYPASS RIGHT INTERNAL JUGULAR VEIN TO UPPER VEIN, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051N07Y
PX
BYPASS LEFT INTERNAL JUGULAR VEIN TO UPPER VEIN WITH AUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051N09Y
PX
BYPASS LEFT INTERNAL JUGULAR VEIN TO UPPER VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051N0AY
PX
BYPASS LEFT INTERNAL JUGULAR VEIN TO UPPER VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051N0JY
PX
BYPASS LEFT INTERNAL JUGULAR VEIN TO UPPER VEIN WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051N0KY
PX
BYPASS LEFT INTERNAL JUGULAR VEIN TO UPPER VEIN WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051N0ZY
PX
BYPASS LEFT INTERNAL JUGULAR VEIN TO UPPER VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051N47Y
PX
BYPASS LEFT INTERNAL JUGULAR VEIN TO UPPER VEIN WITH AUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051N49Y
PX
BYPASS LEFT INTERNAL JUGULAR VEIN TO UPPER VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051N4AY
PX
BYPASS LEFT INTERNAL JUGULAR VEIN TO UPPER VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051N4JY
PX
BYPASS LEFT INTERNAL JUGULAR VEIN TO UPPER VEIN WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051N4KY
PX
BYPASS LEFT INTERNAL JUGULAR VEIN TO UPPER VEIN WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051N4ZY
PX
BYPASS LEFT INTERNAL JUGULAR VEIN TO UPPER VEIN, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051P07Y
PX
BYPASS RIGHT EXTERNAL JUGULAR VEIN TO UPPER VEIN WITH AUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051P09Y
PX
BYPASS RIGHT EXTERNAL JUGULAR VEIN TO UPPER VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051P0AY
PX
BYPASS RIGHT EXTERNAL JUGULAR VEIN TO UPPER VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051P0JY
PX
BYPASS RIGHT EXTERNAL JUGULAR VEIN TO UPPER VEIN WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051P0KY
PX
BYPASS RIGHT EXTERNAL JUGULAR VEIN TO UPPER VEIN WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051P0ZY
PX
BYPASS RIGHT EXTERNAL JUGULAR VEIN TO UPPER VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051P47Y
PX
BYPASS RIGHT EXTERNAL JUGULAR VEIN TO UPPER VEIN WITH AUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051P49Y
PX
BYPASS RIGHT EXTERNAL JUGULAR VEIN TO UPPER VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051P4AY
PX
BYPASS RIGHT EXTERNAL JUGULAR VEIN TO UPPER VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051P4JY
PX
BYPASS RIGHT EXTERNAL JUGULAR VEIN TO UPPER VEIN WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051P4KY
PX
BYPASS RIGHT EXTERNAL JUGULAR VEIN TO UPPER VEIN WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051P4ZY
PX
BYPASS RIGHT EXTERNAL JUGULAR VEIN TO UPPER VEIN, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051Q07Y
PX
BYPASS LEFT EXTERNAL JUGULAR VEIN TO UPPER VEIN WITH AUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
051Q09Y
PX
BYPASS LEFT EXTERNAL JUGULAR VEIN TO UPPER VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051Q0AY
PX
BYPASS LEFT EXTERNAL JUGULAR VEIN TO UPPER VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051Q0JY
PX
BYPASS LEFT EXTERNAL JUGULAR VEIN TO UPPER VEIN WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051Q0KY
PX
BYPASS LEFT EXTERNAL JUGULAR VEIN TO UPPER VEIN WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051Q0ZY
PX
BYPASS LEFT EXTERNAL JUGULAR VEIN TO UPPER VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051Q47Y
PX
BYPASS LEFT EXTERNAL JUGULAR VEIN TO UPPER VEIN WITH AUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051Q49Y
PX
BYPASS LEFT EXTERNAL JUGULAR VEIN TO UPPER VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051Q4AY
PX
BYPASS LEFT EXTERNAL JUGULAR VEIN TO UPPER VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051Q4JY
PX
BYPASS LEFT EXTERNAL JUGULAR VEIN TO UPPER VEIN WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051Q4KY
PX
BYPASS LEFT EXTERNAL JUGULAR VEIN TO UPPER VEIN WITH 
NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051Q4ZY
PX
BYPASS LEFT EXTERNAL JUGULAR VEIN TO UPPER VEIN, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051R07Y
PX
BYPASS RIGHT VERTEBRAL VEIN TO UPPER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051R09Y
PX
BYPASS RIGHT VERTEBRAL VEIN TO UPPER VEIN WITH AUTOLOGOUS VENOUS 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051R0AY
PX
BYPASS RIGHT VERTEBRAL VEIN TO UPPER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051R0JY
PX
BYPASS RIGHT VERTEBRAL VEIN TO UPPER VEIN WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051R0KY
PX
BYPASS RIGHT VERTEBRAL VEIN TO UPPER VEIN WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051R0ZY
PX
BYPASS RIGHT VERTEBRAL VEIN TO UPPER VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051R47Y
PX
BYPASS RIGHT VERTEBRAL VEIN TO UPPER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051R49Y
PX
BYPASS RIGHT VERTEBRAL VEIN TO UPPER VEIN WITH AUTOLOGOUS VENOUS 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051R4AY
PX
BYPASS RIGHT VERTEBRAL VEIN TO UPPER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051R4JY
PX
BYPASS RIGHT VERTEBRAL VEIN TO UPPER VEIN WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051R4KY
PX
BYPASS RIGHT VERTEBRAL VEIN TO UPPER VEIN WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051R4ZY
PX
BYPASS RIGHT VERTEBRAL VEIN TO UPPER VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051S07Y
PX
BYPASS LEFT VERTEBRAL VEIN TO UPPER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051S09Y
PX
BYPASS LEFT VERTEBRAL VEIN TO UPPER VEIN WITH AUTOLOGOUS VENOUS 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051S0AY
PX
BYPASS LEFT VERTEBRAL VEIN TO UPPER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051S0JY
PX
BYPASS LEFT VERTEBRAL VEIN TO UPPER VEIN WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051S0KY
PX
BYPASS LEFT VERTEBRAL VEIN TO UPPER VEIN WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051S0ZY
PX
BYPASS LEFT VERTEBRAL VEIN TO UPPER VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051S47Y
PX
BYPASS LEFT VERTEBRAL VEIN TO UPPER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051S49Y
PX
BYPASS LEFT VERTEBRAL VEIN TO UPPER VEIN WITH AUTOLOGOUS VENOUS 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051S4AY
PX
BYPASS LEFT VERTEBRAL VEIN TO UPPER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051S4JY
PX
BYPASS LEFT VERTEBRAL VEIN TO UPPER VEIN WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051S4KY
PX
BYPASS LEFT VERTEBRAL VEIN TO UPPER VEIN WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051S4ZY
PX
BYPASS LEFT VERTEBRAL VEIN TO UPPER VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
051T07Y
PX
BYPASS RIGHT FACE VEIN TO UPPER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051T09Y
PX
BYPASS RIGHT FACE VEIN TO UPPER VEIN WITH AUTOLOGOUS VENOUS TISSUE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051T0AY
PX
BYPASS RIGHT FACE VEIN TO UPPER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051T0JY
PX
BYPASS RIGHT FACE VEIN TO UPPER VEIN WITH SYNTHETIC SUBSTITUTE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051T0KY
PX
BYPASS RIGHT FACE VEIN TO UPPER VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051T0ZY
PX
BYPASS RIGHT FACE VEIN TO UPPER VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051T47Y
PX
BYPASS RIGHT FACE VEIN TO UPPER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051T49Y
PX
BYPASS RIGHT FACE VEIN TO UPPER VEIN WITH AUTOLOGOUS VENOUS TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051T4AY
PX
BYPASS RIGHT FACE VEIN TO UPPER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051T4JY
PX
BYPASS RIGHT FACE VEIN TO UPPER VEIN WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051T4KY
PX
BYPASS RIGHT FACE VEIN TO UPPER VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051T4ZY
PX
BYPASS RIGHT FACE VEIN TO UPPER VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051V07Y
PX
BYPASS LEFT FACE VEIN TO UPPER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051V09Y
PX
BYPASS LEFT FACE VEIN TO UPPER VEIN WITH AUTOLOGOUS VENOUS TISSUE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051V0AY
PX
BYPASS LEFT FACE VEIN TO UPPER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051V0JY
PX
BYPASS LEFT FACE VEIN TO UPPER VEIN WITH SYNTHETIC SUBSTITUTE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051V0KY
PX
BYPASS LEFT FACE VEIN TO UPPER VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051V0ZY
PX
BYPASS LEFT FACE VEIN TO UPPER VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051V47Y
PX
BYPASS LEFT FACE VEIN TO UPPER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051V49Y
PX
BYPASS LEFT FACE VEIN TO UPPER VEIN WITH AUTOLOGOUS VENOUS TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051V4AY
PX
BYPASS LEFT FACE VEIN TO UPPER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051V4JY
PX
BYPASS LEFT FACE VEIN TO UPPER VEIN WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051V4KY
PX
BYPASS LEFT FACE VEIN TO UPPER VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
051V4ZY
PX
BYPASS LEFT FACE VEIN TO UPPER VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05B00ZZ
PX
EXCISION OF AZYGOS VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05B04ZZ
PX
EXCISION OF AZYGOS VEIN, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05B10ZZ
PX
EXCISION OF HEMIAZYGOS VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05B14ZZ
PX
EXCISION OF HEMIAZYGOS VEIN, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05B30ZZ
PX
EXCISION OF RIGHT INNOMINATE VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05B34ZZ
PX
EXCISION OF RIGHT INNOMINATE VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05B40ZZ
PX
EXCISION OF LEFT INNOMINATE VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05B44ZZ
PX
EXCISION OF LEFT INNOMINATE VEIN, PERCUTANEOUS ENDOSCOPIC APPROACH ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05B50ZZ
PX
EXCISION OF RIGHT SUBCLAVIAN VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05B54ZZ
PX
EXCISION OF RIGHT SUBCLAVIAN VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05B60ZZ
PX
EXCISION OF LEFT SUBCLAVIAN VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05B64ZZ
PX
EXCISION OF LEFT SUBCLAVIAN VEIN, PERCUTANEOUS ENDOSCOPIC APPROACH ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05C33ZZ
PX
EXTIRPATION OF MATTER FROM RIGHT INNOMINATE VEIN, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05C43ZZ
PX
EXTIRPATION OF MATTER FROM LEFT INNOMINATE VEIN, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05C53ZZ
PX
EXTIRPATION OF MATTER FROM RIGHT SUBCLAVIAN VEIN, PERCUTANEOUS 
APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
05C63ZZ
PX
EXTIRPATION OF MATTER FROM LEFT SUBCLAVIAN VEIN, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05L33ZZ
PX
OCCLUSION OF RIGHT INNOMINATE VEIN, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05L43ZZ
PX
OCCLUSION OF LEFT INNOMINATE VEIN, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05L53ZZ
PX
OCCLUSION OF RIGHT SUBCLAVIAN VEIN, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05L63ZZ
PX
OCCLUSION OF LEFT SUBCLAVIAN VEIN, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05R007Z
PX
REPLACEMENT OF AZYGOS VEIN WITH AUTOLOGOUS TISSUE SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05R00JZ
PX
REPLACEMENT OF AZYGOS VEIN WITH SYNTHETIC SUBSTITUTE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05R00KZ
PX
REPLACEMENT OF AZYGOS VEIN WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05R047Z
PX
REPLACEMENT OF AZYGOS VEIN WITH AUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05R04JZ
PX
REPLACEMENT OF AZYGOS VEIN WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05R04KZ
PX
REPLACEMENT OF AZYGOS VEIN WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05R107Z
PX
REPLACEMENT OF HEMIAZYGOS VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05R10JZ
PX
REPLACEMENT OF HEMIAZYGOS VEIN WITH SYNTHETIC SUBSTITUTE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05R10KZ
PX
REPLACEMENT OF HEMIAZYGOS VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05R147Z
PX
REPLACEMENT OF HEMIAZYGOS VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05R14JZ
PX
REPLACEMENT OF HEMIAZYGOS VEIN WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05R14KZ
PX
REPLACEMENT OF HEMIAZYGOS VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05R307Z
PX
REPLACEMENT OF RIGHT INNOMINATE VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05R30JZ
PX
REPLACEMENT OF RIGHT INNOMINATE VEIN WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05R30KZ
PX
REPLACEMENT OF RIGHT INNOMINATE VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05R347Z
PX
REPLACEMENT OF RIGHT INNOMINATE VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05R34JZ
PX
REPLACEMENT OF RIGHT INNOMINATE VEIN WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05R34KZ
PX
REPLACEMENT OF RIGHT INNOMINATE VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05R407Z
PX
REPLACEMENT OF LEFT INNOMINATE VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05R40JZ
PX
REPLACEMENT OF LEFT INNOMINATE VEIN WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05R40KZ
PX
REPLACEMENT OF LEFT INNOMINATE VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05R447Z
PX
REPLACEMENT OF LEFT INNOMINATE VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05R44JZ
PX
REPLACEMENT OF LEFT INNOMINATE VEIN WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05R44KZ
PX
REPLACEMENT OF LEFT INNOMINATE VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05R507Z
PX
REPLACEMENT OF RIGHT SUBCLAVIAN VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05R50JZ
PX
REPLACEMENT OF RIGHT SUBCLAVIAN VEIN WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05R50KZ
PX
REPLACEMENT OF RIGHT SUBCLAVIAN VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05R547Z
PX
REPLACEMENT OF RIGHT SUBCLAVIAN VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05R54JZ
PX
REPLACEMENT OF RIGHT SUBCLAVIAN VEIN WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05R54KZ
PX
REPLACEMENT OF RIGHT SUBCLAVIAN VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05R607Z
PX
REPLACEMENT OF LEFT SUBCLAVIAN VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
05R60JZ
PX
REPLACEMENT OF LEFT SUBCLAVIAN VEIN WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05R60KZ
PX
REPLACEMENT OF LEFT SUBCLAVIAN VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05R647Z
PX
REPLACEMENT OF LEFT SUBCLAVIAN VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05R64JZ
PX
REPLACEMENT OF LEFT SUBCLAVIAN VEIN WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05R64KZ
PX
REPLACEMENT OF LEFT SUBCLAVIAN VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05V00ZZ
PX
RESTRICTION OF AZYGOS VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05V04ZZ
PX
RESTRICTION OF AZYGOS VEIN, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05V10ZZ
PX
RESTRICTION OF HEMIAZYGOS VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05V14ZZ
PX
RESTRICTION OF HEMIAZYGOS VEIN, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05V30DZ
PX
RESTRICTION OF RIGHT INNOMINATE VEIN WITH INTRALUMINAL DEVICE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05V30ZZ
PX
RESTRICTION OF RIGHT INNOMINATE VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05V33DZ
PX
RESTRICTION OF RIGHT INNOMINATE VEIN WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05V33ZZ
PX
RESTRICTION OF RIGHT INNOMINATE VEIN, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05V34DZ
PX
RESTRICTION OF RIGHT INNOMINATE VEIN WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05V34ZZ
PX
RESTRICTION OF RIGHT INNOMINATE VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05V40DZ
PX
RESTRICTION OF LEFT INNOMINATE VEIN WITH INTRALUMINAL DEVICE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05V40ZZ
PX
RESTRICTION OF LEFT INNOMINATE VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05V43DZ
PX
RESTRICTION OF LEFT INNOMINATE VEIN WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05V43ZZ
PX
RESTRICTION OF LEFT INNOMINATE VEIN, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05V44DZ
PX
RESTRICTION OF LEFT INNOMINATE VEIN WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05V44ZZ
PX
RESTRICTION OF LEFT INNOMINATE VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05V50DZ
PX
RESTRICTION OF RIGHT SUBCLAVIAN VEIN WITH INTRALUMINAL DEVICE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05V50ZZ
PX
RESTRICTION OF RIGHT SUBCLAVIAN VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05V53DZ
PX
RESTRICTION OF RIGHT SUBCLAVIAN VEIN WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05V53ZZ
PX
RESTRICTION OF RIGHT SUBCLAVIAN VEIN, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05V54DZ
PX
RESTRICTION OF RIGHT SUBCLAVIAN VEIN WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05V54ZZ
PX
RESTRICTION OF RIGHT SUBCLAVIAN VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05V60DZ
PX
RESTRICTION OF LEFT SUBCLAVIAN VEIN WITH INTRALUMINAL DEVICE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05V60ZZ
PX
RESTRICTION OF LEFT SUBCLAVIAN VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05V63DZ
PX
RESTRICTION OF LEFT SUBCLAVIAN VEIN WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05V63ZZ
PX
RESTRICTION OF LEFT SUBCLAVIAN VEIN, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05V64DZ
PX
RESTRICTION OF LEFT SUBCLAVIAN VEIN WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05V64ZZ
PX
RESTRICTION OF LEFT SUBCLAVIAN VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05V70ZZ
PX
RESTRICTION OF RIGHT AXILLARY VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05V74ZZ
PX
RESTRICTION OF RIGHT AXILLARY VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05V80ZZ
PX
RESTRICTION OF LEFT AXILLARY VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05V84ZZ
PX
RESTRICTION OF LEFT AXILLARY VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05V90ZZ
PX
RESTRICTION OF RIGHT BRACHIAL VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05V94ZZ
PX
RESTRICTION OF RIGHT BRACHIAL VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05VA0ZZ
PX
RESTRICTION OF LEFT BRACHIAL VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05VA4ZZ
PX
RESTRICTION OF LEFT BRACHIAL VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05VB0ZZ
PX
RESTRICTION OF RIGHT BASILIC VEIN, OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
05VB4ZZ
PX
RESTRICTION OF RIGHT BASILIC VEIN, PERCUTANEOUS ENDOSCOPIC APPROACH ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05VC0ZZ
PX
RESTRICTION OF LEFT BASILIC VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05VC4ZZ
PX
RESTRICTION OF LEFT BASILIC VEIN, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05VD0ZZ
PX
RESTRICTION OF RIGHT CEPHALIC VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05VD4ZZ
PX
RESTRICTION OF RIGHT CEPHALIC VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05VF0ZZ
PX
RESTRICTION OF LEFT CEPHALIC VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05VF4ZZ
PX
RESTRICTION OF LEFT CEPHALIC VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05VL0ZZ
PX
RESTRICTION OF INTRACRANIAL VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05VL4ZZ
PX
RESTRICTION OF INTRACRANIAL VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05VM0ZZ
PX
RESTRICTION OF RIGHT INTERNAL JUGULAR VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05VM4ZZ
PX
RESTRICTION OF RIGHT INTERNAL JUGULAR VEIN, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05VN0ZZ
PX
RESTRICTION OF LEFT INTERNAL JUGULAR VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05VN4ZZ
PX
RESTRICTION OF LEFT INTERNAL JUGULAR VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05VP0ZZ
PX
RESTRICTION OF RIGHT EXTERNAL JUGULAR VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05VP4ZZ
PX
RESTRICTION OF RIGHT EXTERNAL JUGULAR VEIN, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05VQ0ZZ
PX
RESTRICTION OF LEFT EXTERNAL JUGULAR VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05VQ4ZZ
PX
RESTRICTION OF LEFT EXTERNAL JUGULAR VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05VR0ZZ
PX
RESTRICTION OF RIGHT VERTEBRAL VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05VR4ZZ
PX
RESTRICTION OF RIGHT VERTEBRAL VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05VS0ZZ
PX
RESTRICTION OF LEFT VERTEBRAL VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05VS4ZZ
PX
RESTRICTION OF LEFT VERTEBRAL VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05VT0ZZ
PX
RESTRICTION OF RIGHT FACE VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05VT4ZZ
PX
RESTRICTION OF RIGHT FACE VEIN, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05VV0ZZ
PX
RESTRICTION OF LEFT FACE VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05VV4ZZ
PX
RESTRICTION OF LEFT FACE VEIN, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05VY0DZ
PX
RESTRICTION OF UPPER VEIN WITH INTRALUMINAL DEVICE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05VY0ZZ
PX
RESTRICTION OF UPPER VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05VY4DZ
PX
RESTRICTION OF UPPER VEIN WITH INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
05VY4ZZ
PX
RESTRICTION OF UPPER VEIN, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061307Y
PX
BYPASS ESOPHAGEAL VEIN TO LOWER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061309Y
PX
BYPASS ESOPHAGEAL VEIN TO LOWER VEIN WITH AUTOLOGOUS VENOUS 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06130AY
PX
BYPASS ESOPHAGEAL VEIN TO LOWER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06130JY
PX
BYPASS ESOPHAGEAL VEIN TO LOWER VEIN WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06130KY
PX
BYPASS ESOPHAGEAL VEIN TO LOWER VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06130ZY
PX
BYPASS ESOPHAGEAL VEIN TO LOWER VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061347Y
PX
BYPASS ESOPHAGEAL VEIN TO LOWER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061349Y
PX
BYPASS ESOPHAGEAL VEIN TO LOWER VEIN WITH AUTOLOGOUS VENOUS 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06134AY
PX
BYPASS ESOPHAGEAL VEIN TO LOWER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06134JY
PX
BYPASS ESOPHAGEAL VEIN TO LOWER VEIN WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06134KY
PX
BYPASS ESOPHAGEAL VEIN TO LOWER VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06134ZY
PX
BYPASS ESOPHAGEAL VEIN TO LOWER VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061C07Y
PX
BYPASS RIGHT COMMON ILIAC VEIN TO LOWER VEIN WITH AUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061C09Y
PX
BYPASS RIGHT COMMON ILIAC VEIN TO LOWER VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
061C0AY
PX
BYPASS RIGHT COMMON ILIAC VEIN TO LOWER VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061C0JY
PX
BYPASS RIGHT COMMON ILIAC VEIN TO LOWER VEIN WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061C0KY
PX
BYPASS RIGHT COMMON ILIAC VEIN TO LOWER VEIN WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061C0ZY
PX
BYPASS RIGHT COMMON ILIAC VEIN TO LOWER VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061C47Y
PX
BYPASS RIGHT COMMON ILIAC VEIN TO LOWER VEIN WITH AUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061C49Y
PX
BYPASS RIGHT COMMON ILIAC VEIN TO LOWER VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061C4AY
PX
BYPASS RIGHT COMMON ILIAC VEIN TO LOWER VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061C4JY
PX
BYPASS RIGHT COMMON ILIAC VEIN TO LOWER VEIN WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061C4KY
PX
BYPASS RIGHT COMMON ILIAC VEIN TO LOWER VEIN WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061C4ZY
PX
BYPASS RIGHT COMMON ILIAC VEIN TO LOWER VEIN, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061D07Y
PX
BYPASS LEFT COMMON ILIAC VEIN TO LOWER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061D09Y
PX
BYPASS LEFT COMMON ILIAC VEIN TO LOWER VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061D0AY
PX
BYPASS LEFT COMMON ILIAC VEIN TO LOWER VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061D0JY
PX
BYPASS LEFT COMMON ILIAC VEIN TO LOWER VEIN WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061D0KY
PX
BYPASS LEFT COMMON ILIAC VEIN TO LOWER VEIN WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061D0ZY
PX
BYPASS LEFT COMMON ILIAC VEIN TO LOWER VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061D47Y
PX
BYPASS LEFT COMMON ILIAC VEIN TO LOWER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061D49Y
PX
BYPASS LEFT COMMON ILIAC VEIN TO LOWER VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061D4AY
PX
BYPASS LEFT COMMON ILIAC VEIN TO LOWER VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061D4JY
PX
BYPASS LEFT COMMON ILIAC VEIN TO LOWER VEIN WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061D4KY
PX
BYPASS LEFT COMMON ILIAC VEIN TO LOWER VEIN WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061D4ZY
PX
BYPASS LEFT COMMON ILIAC VEIN TO LOWER VEIN, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061F07Y
PX
BYPASS RIGHT EXTERNAL ILIAC VEIN TO LOWER VEIN WITH AUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061F09Y
PX
BYPASS RIGHT EXTERNAL ILIAC VEIN TO LOWER VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061F0AY
PX
BYPASS RIGHT EXTERNAL ILIAC VEIN TO LOWER VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061F0JY
PX
BYPASS RIGHT EXTERNAL ILIAC VEIN TO LOWER VEIN WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061F0KY
PX
BYPASS RIGHT EXTERNAL ILIAC VEIN TO LOWER VEIN WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061F0ZY
PX
BYPASS RIGHT EXTERNAL ILIAC VEIN TO LOWER VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061F47Y
PX
BYPASS RIGHT EXTERNAL ILIAC VEIN TO LOWER VEIN WITH AUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061F49Y
PX
BYPASS RIGHT EXTERNAL ILIAC VEIN TO LOWER VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061F4AY
PX
BYPASS RIGHT EXTERNAL ILIAC VEIN TO LOWER VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061F4JY
PX
BYPASS RIGHT EXTERNAL ILIAC VEIN TO LOWER VEIN WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061F4KY
PX
BYPASS RIGHT EXTERNAL ILIAC VEIN TO LOWER VEIN WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061F4ZY
PX
BYPASS RIGHT EXTERNAL ILIAC VEIN TO LOWER VEIN, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061G07Y
PX
BYPASS LEFT EXTERNAL ILIAC VEIN TO LOWER VEIN WITH AUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
061G09Y
PX
BYPASS LEFT EXTERNAL ILIAC VEIN TO LOWER VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061G0AY
PX
BYPASS LEFT EXTERNAL ILIAC VEIN TO LOWER VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061G0JY
PX
BYPASS LEFT EXTERNAL ILIAC VEIN TO LOWER VEIN WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061G0KY
PX
BYPASS LEFT EXTERNAL ILIAC VEIN TO LOWER VEIN WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061G0ZY
PX
BYPASS LEFT EXTERNAL ILIAC VEIN TO LOWER VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061G47Y
PX
BYPASS LEFT EXTERNAL ILIAC VEIN TO LOWER VEIN WITH AUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061G49Y
PX
BYPASS LEFT EXTERNAL ILIAC VEIN TO LOWER VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061G4AY
PX
BYPASS LEFT EXTERNAL ILIAC VEIN TO LOWER VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061G4JY
PX
BYPASS LEFT EXTERNAL ILIAC VEIN TO LOWER VEIN WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061G4KY
PX
BYPASS LEFT EXTERNAL ILIAC VEIN TO LOWER VEIN WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061G4ZY
PX
BYPASS LEFT EXTERNAL ILIAC VEIN TO LOWER VEIN, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061H07Y
PX
BYPASS RIGHT HYPOGASTRIC VEIN TO LOWER VEIN WITH AUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061H09Y
PX
BYPASS RIGHT HYPOGASTRIC VEIN TO LOWER VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061H0AY
PX
BYPASS RIGHT HYPOGASTRIC VEIN TO LOWER VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061H0JY
PX
BYPASS RIGHT HYPOGASTRIC VEIN TO LOWER VEIN WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061H0KY
PX
BYPASS RIGHT HYPOGASTRIC VEIN TO LOWER VEIN WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061H0ZY
PX
BYPASS RIGHT HYPOGASTRIC VEIN TO LOWER VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061H47Y
PX
BYPASS RIGHT HYPOGASTRIC VEIN TO LOWER VEIN WITH AUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061H49Y
PX
BYPASS RIGHT HYPOGASTRIC VEIN TO LOWER VEIN WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061H4AY
PX
BYPASS RIGHT HYPOGASTRIC VEIN TO LOWER VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061H4JY
PX
BYPASS RIGHT HYPOGASTRIC VEIN TO LOWER VEIN WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061H4KY
PX
BYPASS RIGHT HYPOGASTRIC VEIN TO LOWER VEIN WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061H4ZY
PX
BYPASS RIGHT HYPOGASTRIC VEIN TO LOWER VEIN, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061M07Y
PX
BYPASS RIGHT FEMORAL VEIN TO LOWER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061M09Y
PX
BYPASS RIGHT FEMORAL VEIN TO LOWER VEIN WITH AUTOLOGOUS VENOUS 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061M0AY
PX
BYPASS RIGHT FEMORAL VEIN TO LOWER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061M0JY
PX
BYPASS RIGHT FEMORAL VEIN TO LOWER VEIN WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061M0KY
PX
BYPASS RIGHT FEMORAL VEIN TO LOWER VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061M0ZY
PX
BYPASS RIGHT FEMORAL VEIN TO LOWER VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061M47Y
PX
BYPASS RIGHT FEMORAL VEIN TO LOWER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061M49Y
PX
BYPASS RIGHT FEMORAL VEIN TO LOWER VEIN WITH AUTOLOGOUS VENOUS 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061M4AY
PX
BYPASS RIGHT FEMORAL VEIN TO LOWER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061M4JY
PX
BYPASS RIGHT FEMORAL VEIN TO LOWER VEIN WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061M4KY
PX
BYPASS RIGHT FEMORAL VEIN TO LOWER VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061M4ZY
PX
BYPASS RIGHT FEMORAL VEIN TO LOWER VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061N07Y
PX
BYPASS LEFT FEMORAL VEIN TO LOWER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
061N09Y
PX
BYPASS LEFT FEMORAL VEIN TO LOWER VEIN WITH AUTOLOGOUS VENOUS 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061N0AY
PX
BYPASS LEFT FEMORAL VEIN TO LOWER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061N0JY
PX
BYPASS LEFT FEMORAL VEIN TO LOWER VEIN WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061N0KY
PX
BYPASS LEFT FEMORAL VEIN TO LOWER VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061N0ZY
PX
BYPASS LEFT FEMORAL VEIN TO LOWER VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061N47Y
PX
BYPASS LEFT FEMORAL VEIN TO LOWER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061N49Y
PX
BYPASS LEFT FEMORAL VEIN TO LOWER VEIN WITH AUTOLOGOUS VENOUS 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061N4AY
PX
BYPASS LEFT FEMORAL VEIN TO LOWER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061N4JY
PX
BYPASS LEFT FEMORAL VEIN TO LOWER VEIN WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061N4KY
PX
BYPASS LEFT FEMORAL VEIN TO LOWER VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061N4ZY
PX
BYPASS LEFT FEMORAL VEIN TO LOWER VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061P07Y
PX
BYPASS RIGHT SAPHENOUS VEIN TO LOWER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061P09Y
PX
BYPASS RIGHT SAPHENOUS VEIN TO LOWER VEIN WITH AUTOLOGOUS VENOUS 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061P0AY
PX
BYPASS RIGHT SAPHENOUS VEIN TO LOWER VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061P0JY
PX
BYPASS RIGHT SAPHENOUS VEIN TO LOWER VEIN WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061P0KY
PX
BYPASS RIGHT SAPHENOUS VEIN TO LOWER VEIN WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061P0ZY
PX
BYPASS RIGHT SAPHENOUS VEIN TO LOWER VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061P47Y
PX
BYPASS RIGHT SAPHENOUS VEIN TO LOWER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061P49Y
PX
BYPASS RIGHT SAPHENOUS VEIN TO LOWER VEIN WITH AUTOLOGOUS VENOUS 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061P4AY
PX
BYPASS RIGHT SAPHENOUS VEIN TO LOWER VEIN WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061P4JY
PX
BYPASS RIGHT SAPHENOUS VEIN TO LOWER VEIN WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061P4KY
PX
BYPASS RIGHT SAPHENOUS VEIN TO LOWER VEIN WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061P4ZY
PX
BYPASS RIGHT SAPHENOUS VEIN TO LOWER VEIN, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061Q07Y
PX
BYPASS LEFT SAPHENOUS VEIN TO LOWER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061Q09Y
PX
BYPASS LEFT SAPHENOUS VEIN TO LOWER VEIN WITH AUTOLOGOUS VENOUS 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061Q0AY
PX
BYPASS LEFT SAPHENOUS VEIN TO LOWER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061Q0JY
PX
BYPASS LEFT SAPHENOUS VEIN TO LOWER VEIN WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061Q0KY
PX
BYPASS LEFT SAPHENOUS VEIN TO LOWER VEIN WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061Q0ZY
PX
BYPASS LEFT SAPHENOUS VEIN TO LOWER VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061Q47Y
PX
BYPASS LEFT SAPHENOUS VEIN TO LOWER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061Q49Y
PX
BYPASS LEFT SAPHENOUS VEIN TO LOWER VEIN WITH AUTOLOGOUS VENOUS 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061Q4AY
PX
BYPASS LEFT SAPHENOUS VEIN TO LOWER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061Q4JY
PX
BYPASS LEFT SAPHENOUS VEIN TO LOWER VEIN WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061Q4KY
PX
BYPASS LEFT SAPHENOUS VEIN TO LOWER VEIN WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061Q4ZY
PX
BYPASS LEFT SAPHENOUS VEIN TO LOWER VEIN, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061T07Y
PX
BYPASS RIGHT FOOT VEIN TO LOWER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
061T09Y
PX
BYPASS RIGHT FOOT VEIN TO LOWER VEIN WITH AUTOLOGOUS VENOUS 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061T0AY
PX
BYPASS RIGHT FOOT VEIN TO LOWER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061T0JY
PX
BYPASS RIGHT FOOT VEIN TO LOWER VEIN WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061T0KY
PX
BYPASS RIGHT FOOT VEIN TO LOWER VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061T0ZY
PX
BYPASS RIGHT FOOT VEIN TO LOWER VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061T47Y
PX
BYPASS RIGHT FOOT VEIN TO LOWER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061T49Y
PX
BYPASS RIGHT FOOT VEIN TO LOWER VEIN WITH AUTOLOGOUS VENOUS 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061T4AY
PX
BYPASS RIGHT FOOT VEIN TO LOWER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061T4JY
PX
BYPASS RIGHT FOOT VEIN TO LOWER VEIN WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061T4KY
PX
BYPASS RIGHT FOOT VEIN TO LOWER VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061T4ZY
PX
BYPASS RIGHT FOOT VEIN TO LOWER VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061V07Y
PX
BYPASS LEFT FOOT VEIN TO LOWER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061V09Y
PX
BYPASS LEFT FOOT VEIN TO LOWER VEIN WITH AUTOLOGOUS VENOUS TISSUE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061V0AY
PX
BYPASS LEFT FOOT VEIN TO LOWER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061V0JY
PX
BYPASS LEFT FOOT VEIN TO LOWER VEIN WITH SYNTHETIC SUBSTITUTE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061V0KY
PX
BYPASS LEFT FOOT VEIN TO LOWER VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061V0ZY
PX
BYPASS LEFT FOOT VEIN TO LOWER VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061V47Y
PX
BYPASS LEFT FOOT VEIN TO LOWER VEIN WITH AUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061V49Y
PX
BYPASS LEFT FOOT VEIN TO LOWER VEIN WITH AUTOLOGOUS VENOUS TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061V4AY
PX
BYPASS LEFT FOOT VEIN TO LOWER VEIN WITH AUTOLOGOUS ARTERIAL 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061V4JY
PX
BYPASS LEFT FOOT VEIN TO LOWER VEIN WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061V4KY
PX
BYPASS LEFT FOOT VEIN TO LOWER VEIN WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
061V4ZY
PX
BYPASS LEFT FOOT VEIN TO LOWER VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06C03ZZ
PX
EXTIRPATION OF MATTER FROM INFERIOR VENA CAVA, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06CC3ZZ
PX
EXTIRPATION OF MATTER FROM RIGHT COMMON ILIAC VEIN, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06CD3ZZ
PX
EXTIRPATION OF MATTER FROM LEFT COMMON ILIAC VEIN, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06CF3ZZ
PX
EXTIRPATION OF MATTER FROM RIGHT EXTERNAL ILIAC VEIN, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06CG3ZZ
PX
EXTIRPATION OF MATTER FROM LEFT EXTERNAL ILIAC VEIN, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06CM3ZZ
PX
EXTIRPATION OF MATTER FROM RIGHT FEMORAL VEIN, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06CN3ZZ
PX
EXTIRPATION OF MATTER FROM LEFT FEMORAL VEIN, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06LC0DZ
PX
OCCLUSION OF RIGHT COMMON ILIAC VEIN WITH INTRALUMINAL DEVICE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06LC3DZ
PX
OCCLUSION OF RIGHT COMMON ILIAC VEIN WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06LC3ZZ
PX
OCCLUSION OF RIGHT COMMON ILIAC VEIN, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06LC4DZ
PX
OCCLUSION OF RIGHT COMMON ILIAC VEIN WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06LD0DZ
PX
OCCLUSION OF LEFT COMMON ILIAC VEIN WITH INTRALUMINAL DEVICE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06LD3DZ
PX
OCCLUSION OF LEFT COMMON ILIAC VEIN WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
06LD3ZZ
PX
OCCLUSION OF LEFT COMMON ILIAC VEIN, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06LD4DZ
PX
OCCLUSION OF LEFT COMMON ILIAC VEIN WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06LF0DZ
PX
OCCLUSION OF RIGHT EXTERNAL ILIAC VEIN WITH INTRALUMINAL DEVICE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06LF3DZ
PX
OCCLUSION OF RIGHT EXTERNAL ILIAC VEIN WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06LF3ZZ
PX
OCCLUSION OF RIGHT EXTERNAL ILIAC VEIN, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06LF4DZ
PX
OCCLUSION OF RIGHT EXTERNAL ILIAC VEIN WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06LG0DZ
PX
OCCLUSION OF LEFT EXTERNAL ILIAC VEIN WITH INTRALUMINAL DEVICE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06LG3DZ
PX
OCCLUSION OF LEFT EXTERNAL ILIAC VEIN WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06LG3ZZ
PX
OCCLUSION OF LEFT EXTERNAL ILIAC VEIN, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06LG4DZ
PX
OCCLUSION OF LEFT EXTERNAL ILIAC VEIN WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06LM0DZ
PX
OCCLUSION OF RIGHT FEMORAL VEIN WITH INTRALUMINAL DEVICE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06LM3DZ
PX
OCCLUSION OF RIGHT FEMORAL VEIN WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06LM3ZZ
PX
OCCLUSION OF RIGHT FEMORAL VEIN, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06LM4DZ
PX
OCCLUSION OF RIGHT FEMORAL VEIN WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06LN0DZ
PX
OCCLUSION OF LEFT FEMORAL VEIN WITH INTRALUMINAL DEVICE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06LN3DZ
PX
OCCLUSION OF LEFT FEMORAL VEIN WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06LN3ZZ
PX
OCCLUSION OF LEFT FEMORAL VEIN, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06LN4DZ
PX
OCCLUSION OF LEFT FEMORAL VEIN WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06V10ZZ
PX
RESTRICTION OF SPLENIC VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06V14ZZ
PX
RESTRICTION OF SPLENIC VEIN, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06V20ZZ
PX
RESTRICTION OF GASTRIC VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06V24ZZ
PX
RESTRICTION OF GASTRIC VEIN, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06V30ZZ
PX
RESTRICTION OF ESOPHAGEAL VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06V34ZZ
PX
RESTRICTION OF ESOPHAGEAL VEIN, PERCUTANEOUS ENDOSCOPIC APPROACH ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06V40ZZ
PX
RESTRICTION OF HEPATIC VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06V44ZZ
PX
RESTRICTION OF HEPATIC VEIN, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06V50ZZ
PX
RESTRICTION OF SUPERIOR MESENTERIC VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06V54ZZ
PX
RESTRICTION OF SUPERIOR MESENTERIC VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06V60ZZ
PX
RESTRICTION OF INFERIOR MESENTERIC VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06V64ZZ
PX
RESTRICTION OF INFERIOR MESENTERIC VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06V70ZZ
PX
RESTRICTION OF COLIC VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06V74ZZ
PX
RESTRICTION OF COLIC VEIN, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06V80ZZ
PX
RESTRICTION OF PORTAL VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06V84ZZ
PX
RESTRICTION OF PORTAL VEIN, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06V90ZZ
PX
RESTRICTION OF RIGHT RENAL VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06V94ZZ
PX
RESTRICTION OF RIGHT RENAL VEIN, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VB0ZZ
PX
RESTRICTION OF LEFT RENAL VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VB4ZZ
PX
RESTRICTION OF LEFT RENAL VEIN, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VC0DZ
PX
RESTRICTION OF RIGHT COMMON ILIAC VEIN WITH INTRALUMINAL DEVICE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VC0ZZ
PX
RESTRICTION OF RIGHT COMMON ILIAC VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VC3DZ
PX
RESTRICTION OF RIGHT COMMON ILIAC VEIN WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VC3ZZ
PX
RESTRICTION OF RIGHT COMMON ILIAC VEIN, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VC4DZ
PX
RESTRICTION OF RIGHT COMMON ILIAC VEIN WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VC4ZZ
PX
RESTRICTION OF RIGHT COMMON ILIAC VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VD0DZ
PX
RESTRICTION OF LEFT COMMON ILIAC VEIN WITH INTRALUMINAL DEVICE, OPEN 
APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
06VD0ZZ
PX
RESTRICTION OF LEFT COMMON ILIAC VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VD3DZ
PX
RESTRICTION OF LEFT COMMON ILIAC VEIN WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VD3ZZ
PX
RESTRICTION OF LEFT COMMON ILIAC VEIN, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VD4DZ
PX
RESTRICTION OF LEFT COMMON ILIAC VEIN WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VD4ZZ
PX
RESTRICTION OF LEFT COMMON ILIAC VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VF0DZ
PX
RESTRICTION OF RIGHT EXTERNAL ILIAC VEIN WITH INTRALUMINAL DEVICE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VF0ZZ
PX
RESTRICTION OF RIGHT EXTERNAL ILIAC VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VF3DZ
PX
RESTRICTION OF RIGHT EXTERNAL ILIAC VEIN WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VF3ZZ
PX
RESTRICTION OF RIGHT EXTERNAL ILIAC VEIN, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VF4DZ
PX
RESTRICTION OF RIGHT EXTERNAL ILIAC VEIN WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VF4ZZ
PX
RESTRICTION OF RIGHT EXTERNAL ILIAC VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VG0DZ
PX
RESTRICTION OF LEFT EXTERNAL ILIAC VEIN WITH INTRALUMINAL DEVICE, 
OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VG0ZZ
PX
RESTRICTION OF LEFT EXTERNAL ILIAC VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VG3DZ
PX
RESTRICTION OF LEFT EXTERNAL ILIAC VEIN WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VG3ZZ
PX
RESTRICTION OF LEFT EXTERNAL ILIAC VEIN, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VG4DZ
PX
RESTRICTION OF LEFT EXTERNAL ILIAC VEIN WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VG4ZZ
PX
RESTRICTION OF LEFT EXTERNAL ILIAC VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VH0ZZ
PX
RESTRICTION OF RIGHT HYPOGASTRIC VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VH4ZZ
PX
RESTRICTION OF RIGHT HYPOGASTRIC VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VJ0ZZ
PX
RESTRICTION OF LEFT HYPOGASTRIC VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VJ4ZZ
PX
RESTRICTION OF LEFT HYPOGASTRIC VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VM0DZ
PX
RESTRICTION OF RIGHT FEMORAL VEIN WITH INTRALUMINAL DEVICE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VM0ZZ
PX
RESTRICTION OF RIGHT FEMORAL VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VM3DZ
PX
RESTRICTION OF RIGHT FEMORAL VEIN WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VM3ZZ
PX
RESTRICTION OF RIGHT FEMORAL VEIN, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VM4DZ
PX
RESTRICTION OF RIGHT FEMORAL VEIN WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VM4ZZ
PX
RESTRICTION OF RIGHT FEMORAL VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VN0DZ
PX
RESTRICTION OF LEFT FEMORAL VEIN WITH INTRALUMINAL DEVICE, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VN0ZZ
PX
RESTRICTION OF LEFT FEMORAL VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VN3DZ
PX
RESTRICTION OF LEFT FEMORAL VEIN WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VN3ZZ
PX
RESTRICTION OF LEFT FEMORAL VEIN, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VN4DZ
PX
RESTRICTION OF LEFT FEMORAL VEIN WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VN4ZZ
PX
RESTRICTION OF LEFT FEMORAL VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VP0ZZ
PX
RESTRICTION OF RIGHT SAPHENOUS VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VP4ZZ
PX
RESTRICTION OF RIGHT SAPHENOUS VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VQ0ZZ
PX
RESTRICTION OF LEFT SAPHENOUS VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VQ4ZZ
PX
RESTRICTION OF LEFT SAPHENOUS VEIN, PERCUTANEOUS ENDOSCOPIC 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VT0ZZ
PX
RESTRICTION OF RIGHT FOOT VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VT4ZZ
PX
RESTRICTION OF RIGHT FOOT VEIN, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VV0ZZ
PX
RESTRICTION OF LEFT FOOT VEIN, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VV4ZZ
PX
RESTRICTION OF LEFT FOOT VEIN, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VY0DZ
PX
RESTRICTION OF LOWER VEIN WITH INTRALUMINAL DEVICE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VY0ZZ
PX
RESTRICTION OF LOWER VEIN, OPEN APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
06VY4DZ
PX
RESTRICTION OF LOWER VEIN WITH INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
06VY4ZZ
PX
RESTRICTION OF LOWER VEIN, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0BYC0Z0
PX
TRANSPLANTATION OF RIGHT UPPER LUNG LOBE, ALLOGENEIC, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0BYC0Z1
PX
TRANSPLANTATION OF RIGHT UPPER LUNG LOBE, SYNGENEIC, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0BYC0Z2
PX
TRANSPLANTATION OF RIGHT UPPER LUNG LOBE, ZOOPLASTIC, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0BYD0Z0
PX
TRANSPLANTATION OF RIGHT MIDDLE LUNG LOBE, ALLOGENEIC, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0BYD0Z1
PX
TRANSPLANTATION OF RIGHT MIDDLE LUNG LOBE, SYNGENEIC, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0BYD0Z2
PX
TRANSPLANTATION OF RIGHT MIDDLE LUNG LOBE, ZOOPLASTIC, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0BYF0Z0
PX
TRANSPLANTATION OF RIGHT LOWER LUNG LOBE, ALLOGENEIC, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0BYF0Z1
PX
TRANSPLANTATION OF RIGHT LOWER LUNG LOBE, SYNGENEIC, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0BYF0Z2
PX
TRANSPLANTATION OF RIGHT LOWER LUNG LOBE, ZOOPLASTIC, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0BYG0Z0
PX
TRANSPLANTATION OF LEFT UPPER LUNG LOBE, ALLOGENEIC, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0BYG0Z1
PX
TRANSPLANTATION OF LEFT UPPER LUNG LOBE, SYNGENEIC, OPEN APPROACH ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0BYG0Z2
PX
TRANSPLANTATION OF LEFT UPPER LUNG LOBE, ZOOPLASTIC, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0BYH0Z0
PX
TRANSPLANTATION OF LUNG LINGULA, ALLOGENEIC, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0BYH0Z1
PX
TRANSPLANTATION OF LUNG LINGULA, SYNGENEIC, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0BYH0Z2
PX
TRANSPLANTATION OF LUNG LINGULA, ZOOPLASTIC, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0BYJ0Z0
PX
TRANSPLANTATION OF LEFT LOWER LUNG LOBE, ALLOGENEIC, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0BYJ0Z1
PX
TRANSPLANTATION OF LEFT LOWER LUNG LOBE, SYNGENEIC, OPEN APPROACH ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0BYJ0Z2
PX
TRANSPLANTATION OF LEFT LOWER LUNG LOBE, ZOOPLASTIC, OPEN 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0BYK0Z0
PX
TRANSPLANTATION OF RIGHT LUNG, ALLOGENEIC, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0BYK0Z1
PX
TRANSPLANTATION OF RIGHT LUNG, SYNGENEIC, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0BYK0Z2
PX
TRANSPLANTATION OF RIGHT LUNG, ZOOPLASTIC, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0BYL0Z0
PX
TRANSPLANTATION OF LEFT LUNG, ALLOGENEIC, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0BYL0Z1
PX
TRANSPLANTATION OF LEFT LUNG, SYNGENEIC, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0BYL0Z2
PX
TRANSPLANTATION OF LEFT LUNG, ZOOPLASTIC, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0BYM0Z0
PX
TRANSPLANTATION OF BILATERAL LUNGS, ALLOGENEIC, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0BYM0Z1
PX
TRANSPLANTATION OF BILATERAL LUNGS, SYNGENEIC, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0BYM0Z2
PX
TRANSPLANTATION OF BILATERAL LUNGS, ZOOPLASTIC, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0W9C30Z
PX
DRAINAGE OF MEDIASTINUM WITH DRAINAGE DEVICE, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0W9C3ZZ
PX
DRAINAGE OF MEDIASTINUM, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0W9D00Z
PX
DRAINAGE OF PERICARDIAL CAVITY WITH DRAINAGE DEVICE, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0W9D0ZX
PX
DRAINAGE OF PERICARDIAL CAVITY, OPEN APPROACH, DIAGNOSTIC
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0W9D0ZZ
PX
DRAINAGE OF PERICARDIAL CAVITY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0W9D30Z
PX
DRAINAGE OF PERICARDIAL CAVITY WITH DRAINAGE DEVICE, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0W9D3ZX
PX
DRAINAGE OF PERICARDIAL CAVITY, PERCUTANEOUS APPROACH, DIAGNOSTIC
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0W9D3ZZ
PX
DRAINAGE OF PERICARDIAL CAVITY, PERCUTANEOUS APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0W9D40Z
PX
DRAINAGE OF PERICARDIAL CAVITY WITH DRAINAGE DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0W9D4ZX
PX
DRAINAGE OF PERICARDIAL CAVITY, PERCUTANEOUS ENDOSCOPIC APPROACH, 
DIAGNOSTIC
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0W9D4ZZ
PX
DRAINAGE OF PERICARDIAL CAVITY, PERCUTANEOUS ENDOSCOPIC APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0WCD0ZZ
PX
EXTIRPATION OF MATTER FROM PERICARDIAL CAVITY, OPEN APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0WCD3ZZ
PX
EXTIRPATION OF MATTER FROM PERICARDIAL CAVITY, PERCUTANEOUS 
APPROACH
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0WCD4ZZ
PX
EXTIRPATION OF MATTER FROM PERICARDIAL CAVITY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
ICD-10-PCS

17 Cardiovascular event or intervention <60 days prior to screening
5A02110
PX
ASSISTANCE WITH CARDIAC OUTPUT USING BALLOON PUMP, INTERMITTENT
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
5A02116
PX
ASSISTANCE WITH CARDIAC OUTPUT USING OTHER PUMP, INTERMITTENT
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
5A0211D
PX
ASSISTANCE WITH CARDIAC OUTPUT USING IMPELLER PUMP, INTERMITTENT
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
5A02210
PX
ASSISTANCE WITH CARDIAC OUTPUT USING BALLOON PUMP, CONTINUOUS
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
5A02216
PX
ASSISTANCE WITH CARDIAC OUTPUT USING OTHER PUMP, CONTINUOUS
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
5A0221D
PX
ASSISTANCE WITH CARDIAC OUTPUT USING IMPELLER PUMP, CONTINUOUS
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
X2RF032
PX
REPLACEMENT OF AORTIC VALVE USING ZOOPLASTIC TISSUE, RAPID 
DEPLOYMENT TECHNIQUE, OPEN APPROACH, NEW TECHNOLOGY GROUP 2
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
X2RF332
PX
REPLACEMENT OF AORTIC VALVE USING ZOOPLASTIC TISSUE, RAPID 
DEPLOYMENT TECHNIQUE, PERCUTANEOUS APPROACH, NEW TECHNOLOGY 
GROUP 2
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
X2RF432
PX
REPLACEMENT OF AORTIC VALVE USING ZOOPLASTIC TISSUE, RAPID 
DEPLOYMENT TECHNIQUE, PERCUTANEOUS ENDOSCOPIC APPROACH, NEW 
TECHNOLOGY GROUP 2
ICD-10-PCS
17 Cardiovascular event or intervention <60 days prior to screening
0257T
PX
IMPLANTATION OF CATHETER-DELIVERED PROSTHETIC AORTIC HEART VALVE; 
OPEN THORACIC APPROACH (EG, TRANSAPICAL, TRANSVENTRICULAR)
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
0258T
PX
TRANSTHORACIC CARDIAC EXPOSURE (EG, STERNOTOMY, THORACOTOMY, 
SUBXIPHOID) FOR CATHETER-DELIVERED AORTIC VALVE REPLACEMENT; 
WITHOUT CARDIOPULMONARY BYPASS
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
0259T
PX
TRANSTHORACIC CARDIAC EXPOSURE (EG, STERNOTOMY, THORACOTOMY, 
SUBXIPHOID) FOR CATHETER-DELIVERED AORTIC VALVE REPLACEMENT; WITH 
CARDIOPULMONARY BYPASS
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
0262T
PX
IMPLANTATION OF CATHETER-DELIVERED PROSTHETIC PULMONARY VALVE, 
ENDOVASCULAR APPROACH
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
0343T
PX
TRANSCATHETER MITRAL VALVE REPAIR PERCUTANEOUS APPROACH 
INCLUDING TRANSSEPTAL PUNCTURE WHEN PERFORMED; INITIAL PROSTHESIS
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
0344T
PX
TRANSCATHETER MITRAL VALVE REPAIR PERCUTANEOUS APPROACH 
INCLUDING TRANSSEPTAL PUNCTURE WHEN PERFORMED; ADDITIONAL 
PROSTHESIS(ES) DURING SAME SESSION (LIST SEPARATELY IN ADDITION TO 
CODE FOR PRIMARY PROCEDURE)
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
32851
PX
LUNG TRANSPLANT, SINGLE; WITHOUT CARDIOPULMONARY BYPASS
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
32852
PX
LUNG TRANSPLANT, SINGLE; WITH CARDIOPULMONARY BYPASS
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
32853
PX
LUNG TRANSPLANT, DOUBLE (BILATERAL SEQUENTIAL OR EN BLOC); WITHOUT 
CARDIOPULMONARY BYPASS
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
32854
PX
LUNG TRANSPLANT, DOUBLE (BILATERAL SEQUENTIAL OR EN BLOC); WITH 
CARDIOPULMONARY BYPASS
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33361
PX
TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR/TAVI) WITH 
PROSTHETIC VALVE; PERCUTANEOUS FEMORAL ARTERY APPROACH
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33362
PX
TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR/TAVI) WITH 
PROSTHETIC VALVE; OPEN FEMORAL ARTERY APPROACH
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33363
PX
TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR/TAVI) WITH 
PROSTHETIC VALVE; OPEN AXILLARY ARTERY APPROACH
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33364
PX
TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR/TAVI) WITH 
PROSTHETIC VALVE; OPEN ILIAC ARTERY APPROACH
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33365
PX
TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR/TAVI) WITH 
PROSTHETIC VALVE; TRANSAORTIC APPROACH (EG, MEDIAN STERNOTOMY, 
MEDIASTINOTOMY)
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33367
PX
TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR/TAVI) WITH 
PROSTHETIC VALVE; CARDIOPULMONARY BYPASS SUPPORT WITH 
PERCUTANEOUS PERIPHERAL ARTERIAL AND VENOUS CANNULATION (EG, 
FEMORAL VESSELS) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY 
PROCEDURE)
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33368
PX
TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR/TAVI) WITH 
PROSTHETIC VALVE; CARDIOPULMONARY BYPASS SUPPORT WITH OPEN 
PERIPHERAL ARTERIAL AND VENOUS CANNULATION (EG, FEMORAL, ILIAC, 
AXILLARY VESSELS) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY 
PROCEDURE)
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33369
PX
TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR/TAVI) WITH 
PROSTHETIC VALVE; CARDIOPULMONARY BYPASS SUPPORT WITH CENTRAL 
ARTERIAL AND VENOUS CANNULATION (EG, AORTA, RIGHT ATRIUM, 
PULMONARY ARTERY) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY 
PROCEDURE)
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33400
PX
VALVULOPLASTY, AORTIC VALVE; OPEN, WITH CARDIOPULMONARY BYPASS
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33401
PX
VALVULOPLASTY, AORTIC VALVE; OPEN, WITH INFLOW OCCLUSION
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33403
PX
VALVULOPLASTY, AORTIC VALVE; USING TRANSVENTRICULAR DILATION, WITH 
CARDIOPULMONARY BYPASS
CPT/HCPCS

17 Cardiovascular event or intervention <60 days prior to screening
33405
PX
REPLACEMENT, AORTIC VALVE, OPEN, WITH CARDIOPULMONARY BYPASS; 
WITH PROSTHETIC VALVE OTHER THAN HOMOGRAFT OR STENTLESS VALVE
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33406
PX
REPLACEMENT, AORTIC VALVE, OPEN, WITH CARDIOPULMONARY BYPASS; 
WITH ALLOGRAFT VALVE (FREEHAND)
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33410
PX
REPLACEMENT, AORTIC VALVE, OPEN, WITH CARDIOPULMONARY BYPASS; 
WITH STENTLESS TISSUE VALVE
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33418
PX
TRANSCATHETER MITRAL VALVE REPAIR, PERCUTANEOUS APPROACH, 
INCLUDING TRANSSEPTAL PUNCTURE WHEN PERFORMED; INITIAL PROSTHESIS
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33419
PX
TRANSCATHETER MITRAL VALVE REPAIR, PERCUTANEOUS APPROACH, 
INCLUDING TRANSSEPTAL PUNCTURE WHEN PERFORMED; ADDITIONAL 
PROSTHESIS(ES) DURING SAME SESSION (LIST SEPARATELY IN ADDITION TO 
CODE FOR PRIMARY PROCEDURE)
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33420
PX
VALVOTOMY, MITRAL VALVE; CLOSED HEART
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33422
PX
VALVOTOMY, MITRAL VALVE; OPEN HEART, WITH CARDIOPULMONARY BYPASS
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33425
PX
VALVULOPLASTY, MITRAL VALVE, WITH CARDIOPULMONARY BYPASS;
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33426
PX
VALVULOPLASTY, MITRAL VALVE, WITH CARDIOPULMONARY BYPASS; WITH 
PROSTHETIC RING
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33427
PX
VALVULOPLASTY, MITRAL VALVE, WITH CARDIOPULMONARY BYPASS; RADICAL 
RECONSTRUCTION, WITH OR WITHOUT RING
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33430
PX
REPLACEMENT, MITRAL VALVE, WITH CARDIOPULMONARY BYPASS
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33460
PX
VALVECTOMY, TRICUSPID VALVE, WITH CARDIOPULMONARY BYPASS
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33463
PX
VALVULOPLASTY, TRICUSPID VALVE; WITHOUT RING INSERTION
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33464
PX
VALVULOPLASTY, TRICUSPID VALVE; WITH RING INSERTION
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33465
PX
REPLACEMENT, TRICUSPID VALVE, WITH CARDIOPULMONARY BYPASS
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33468
PX
TRICUSPID VALVE REPOSITIONING AND PLICATION FOR EBSTEIN ANOMALY
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33475
PX
REPLACEMENT, PULMONARY VALVE
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33477
PX
TRANSCATHETER PULMONARY VALVE IMPLANTATION, PERCUTANEOUS 
APPROACH, INCLUDING PRE-STENTING OF THE VALVE DELIVERY SITE, WHEN 
PERFORMED
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33496
PX
REPAIR OF NON-STRUCTURAL PROSTHETIC VALVE DYSFUNCTION WITH 
CARDIOPULMONARY BYPASS (SEPARATE PROCEDURE)
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33510
PX
CORONARY ARTERY BYPASS, VEIN ONLY; SINGLE CORONARY VENOUS GRAFT
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33511
PX
CORONARY ARTERY BYPASS, VEIN ONLY; 2 CORONARY VENOUS GRAFTS
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33512
PX
CORONARY ARTERY BYPASS, VEIN ONLY; 3 CORONARY VENOUS GRAFTS
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33513
PX
CORONARY ARTERY BYPASS, VEIN ONLY; 4 CORONARY VENOUS GRAFTS
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33514
PX
CORONARY ARTERY BYPASS, VEIN ONLY; 5 CORONARY VENOUS GRAFTS
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33516
PX
CORONARY ARTERY BYPASS, VEIN ONLY; 6 OR MORE CORONARY VENOUS 
GRAFTS
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33517
PX
CORONARY ARTERY BYPASS, USING VENOUS GRAFT(S) AND ARTERIAL 
GRAFT(S); SINGLE VEIN GRAFT (LIST SEPARATELY IN ADDITION TO CODE FOR 
PRIMARY PROCEDURE)
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33518
PX
CORONARY ARTERY BYPASS, USING VENOUS GRAFT(S) AND ARTERIAL 
GRAFT(S); 2 VENOUS GRAFTS (LIST SEPARATELY IN ADDITION TO CODE FOR 
PRIMARY PROCEDURE)
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33519
PX
CORONARY ARTERY BYPASS, USING VENOUS GRAFT(S) AND ARTERIAL 
GRAFT(S); 3 VENOUS GRAFTS (LIST SEPARATELY IN ADDITION TO CODE FOR 
PRIMARY PROCEDURE)
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33521
PX
CORONARY ARTERY BYPASS, USING VENOUS GRAFT(S) AND ARTERIAL 
GRAFT(S); 4 VENOUS GRAFTS (LIST SEPARATELY IN ADDITION TO CODE FOR 
PRIMARY PROCEDURE)
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33522
PX
CORONARY ARTERY BYPASS, USING VENOUS GRAFT(S) AND ARTERIAL 
GRAFT(S); 5 VENOUS GRAFTS (LIST SEPARATELY IN ADDITION TO CODE FOR 
PRIMARY PROCEDURE)
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33523
PX
CORONARY ARTERY BYPASS, USING VENOUS GRAFT(S) AND ARTERIAL 
GRAFT(S); 6 OR MORE VENOUS GRAFTS (LIST SEPARATELY IN ADDITION TO 
CODE FOR PRIMARY PROCEDURE)
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33530
PX
REOPERATION, CORONARY ARTERY BYPASS PROCEDURE OR VALVE 
PROCEDURE, MORE THAN 1 MONTH AFTER ORIGINAL OPERATION (LIST 
SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33533
PX
CORONARY ARTERY BYPASS, USING ARTERIAL GRAFT(S); SINGLE ARTERIAL 
GRAFT
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33534
PX
CORONARY ARTERY BYPASS, USING ARTERIAL GRAFT(S); 2 CORONARY 
ARTERIAL GRAFTS
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33535
PX
CORONARY ARTERY BYPASS, USING ARTERIAL GRAFT(S); 3 CORONARY 
ARTERIAL GRAFTS
CPT/HCPCS

17 Cardiovascular event or intervention <60 days prior to screening
33536
PX
CORONARY ARTERY BYPASS, USING ARTERIAL GRAFT(S); 4 OR MORE 
CORONARY ARTERIAL GRAFTS
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33542
PX
MYOCARDIAL RESECTION (EG, VENTRICULAR ANEURYSMECTOMY)
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33545
PX
REPAIR OF POSTINFARCTION VENTRICULAR SEPTAL DEFECT, WITH OR 
WITHOUT MYOCARDIAL RESECTION
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33548
PX
SURGICAL VENTRICULAR RESTORATION PROCEDURE, INCLUDES PROSTHETIC 
PATCH, WHEN PERFORMED (EG, VENTRICULAR REMODELING, SVR, SAVER, DOR 
PROCEDURES)
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33572
PX
CORONARY ENDARTERECTOMY, OPEN, ANY METHOD, OF LEFT ANTERIOR 
DESCENDING, CIRCUMFLEX, OR RIGHT CORONARY ARTERY PERFORMED IN 
CONJUNCTION WITH CORONARY ARTERY BYPASS GRAFT PROCEDURE, EACH 
VESSEL (LIST SEPARATELY IN ADDITION TO PRIMARY PROCEDURE)
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33665
PX
REPAIR OF INTERMEDIATE OR TRANSITIONAL ATRIOVENTRICULAR CANAL, WITH 
OR WITHOUT ATRIOVENTRICULAR VALVE REPAIR
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33935
PX
HEART-LUNG TRANSPLANT WITH RECIPIENT CARDIECTOMY-
PNEUMONECTOMY
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
33999
PX
UNLISTED PROCEDURE, CARDIAC SURGERY
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
S2060
PX
LOBAR LUNG TRANSPLANTATION
CPT/HCPCS
17 Cardiovascular event or intervention <60 days prior to screening
I20.0
DX
UNSTABLE ANGINA
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I24.0
DX
ACUTE CORONARY THROMBOSIS NOT RESULTING IN MYOCARDIAL INFARCTION
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I24.1
DX
DRESSLER'S SYNDROME
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I24.8*
DX
OTHER FORMS OF ACUTE ISCHEMIC HEART DISEASE
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I24.81
DX
ACUTE CORONARY MICROVASCULAR DYSFUNCTION
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I24.89
DX
OTHER FORMS OF ACUTE ISCHEMIC HEART DISEASE
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I24.9
DX
ACUTE ISCHEMIC HEART DISEASE, UNSPECIFIED
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I25.110
DX
ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITH 
UNSTABLE ANGINA PECTORIS
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I25.700
DX
ATHEROSCLEROSIS OF CORONARY ARTERY BYPASS GRAFT(S), UNSPECIFIED, 
WITH UNSTABLE ANGINA PECTORIS
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I25.710
DX
ATHEROSCLEROSIS OF AUTOLOGOUS VEIN CORONARY ARTERY BYPASS 
GRAFT(S) WITH UNSTABLE ANGINA PECTORIS
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I25.720
DX
ATHEROSCLEROSIS OF AUTOLOGOUS ARTERY CORONARY ARTERY BYPASS 
GRAFT(S) WITH UNSTABLE ANGINA PECTORIS
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I25.730
DX
ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL CORONARY ARTERY 
BYPASS GRAFT(S) WITH UNSTABLE ANGINA PECTORIS
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I25.750
DX
ATHEROSCLEROSIS OF NATIVE CORONARY ARTERY OF TRANSPLANTED HEART 
WITH UNSTABLE ANGINA
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I25.760
DX
ATHEROSCLEROSIS OF BYPASS GRAFT OF CORONARY ARTERY OF 
TRANSPLANTED HEART WITH UNSTABLE ANGINA
ICD-10-CM
17 Cardiovascular event or intervention <60 days prior to screening
I25.790
DX
ATHEROSCLEROSIS OF OTHER CORONARY ARTERY BYPASS GRAFT(S) WITH 
UNSTABLE ANGINA PECTORIS
ICD-10-CM
18 GLP-1-RA or pramlintide treatment within 3 months prior to Visit 1
LIXISENATIDE RX
Generic
18 GLP-1-RA or pramlintide treatment within 3 months prior to Visit 2
DULAGLUTID
E
RX
Generic
18 GLP-1-RA or pramlintide treatment within 3 months prior to Visit 1
LIRAGLUTIDE
RX
Generic
18 GLP-1-RA or pramlintide treatment within 3 months prior to Visit 1
ALBIGLUTIDE
RX
Generic
18 GLP-1-RA or pramlintide treatment within 3 months prior to Visit 1
EXENATIDE
RX
Generic
18 GLP-1-RA or pramlintide treatment within 3 months prior to Visit 1
EXENATIDE 
MICROSPHER
ES
RX
Generic
18 GLP-1-RA or pramlintide treatment within 3 months prior to Visit 1
PRAMLINTIDE 
ACETATE
RX
Generic
18 GLP-1-RA or pramlintide treatment within 3 months prior to Visit 1
SEMAGLUTID
E
RX
Generic
19 Women who is pregnant or breastfeading
H35.1
DX
RETINOPATHY OF PREMATURITY
ICD-10-CM
19 Women who is pregnant or breastfeading
H35.10
DX
RETINOPATHY OF PREMATURITY, UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
H35.101
DX
RETINOPATHY OF PREMATURITY, UNSPECIFIED, RIGHT EYE
ICD-10-CM
19 Women who is pregnant or breastfeading
H35.102
DX
RETINOPATHY OF PREMATURITY, UNSPECIFIED, LEFT EYE
ICD-10-CM
19 Women who is pregnant or breastfeading
H35.103
DX
RETINOPATHY OF PREMATURITY, UNSPECIFIED, BILATERAL
ICD-10-CM
19 Women who is pregnant or breastfeading
H35.109
DX
RETINOPATHY OF PREMATURITY, UNSPECIFIED, UNSPECIFIED EYE
ICD-10-CM
19 Women who is pregnant or breastfeading
H35.11
DX
RETINOPATHY OF PREMATURITY, STAGE 0
ICD-10-CM
19 Women who is pregnant or breastfeading
H35.111
DX
RETINOPATHY OF PREMATURITY, STAGE 0, RIGHT EYE
ICD-10-CM
19 Women who is pregnant or breastfeading
H35.112
DX
RETINOPATHY OF PREMATURITY, STAGE 0, LEFT EYE
ICD-10-CM
19 Women who is pregnant or breastfeading
H35.113
DX
RETINOPATHY OF PREMATURITY, STAGE 0, BILATERAL
ICD-10-CM
19 Women who is pregnant or breastfeading
H35.119
DX
RETINOPATHY OF PREMATURITY, STAGE 0, UNSPECIFIED EYE
ICD-10-CM
19 Women who is pregnant or breastfeading
H35.12
DX
RETINOPATHY OF PREMATURITY, STAGE 1
ICD-10-CM
19 Women who is pregnant or breastfeading
H35.121
DX
RETINOPATHY OF PREMATURITY, STAGE 1, RIGHT EYE
ICD-10-CM

19 Women who is pregnant or breastfeading
H35.122
DX
RETINOPATHY OF PREMATURITY, STAGE 1, LEFT EYE
ICD-10-CM
19 Women who is pregnant or breastfeading
H35.123
DX
RETINOPATHY OF PREMATURITY, STAGE 1, BILATERAL
ICD-10-CM
19 Women who is pregnant or breastfeading
H35.129
DX
RETINOPATHY OF PREMATURITY, STAGE 1, UNSPECIFIED EYE
ICD-10-CM
19 Women who is pregnant or breastfeading
H35.13
DX
RETINOPATHY OF PREMATURITY, STAGE 2
ICD-10-CM
19 Women who is pregnant or breastfeading
H35.131
DX
RETINOPATHY OF PREMATURITY, STAGE 2, RIGHT EYE
ICD-10-CM
19 Women who is pregnant or breastfeading
H35.132
DX
RETINOPATHY OF PREMATURITY, STAGE 2, LEFT EYE
ICD-10-CM
19 Women who is pregnant or breastfeading
H35.133
DX
RETINOPATHY OF PREMATURITY, STAGE 2, BILATERAL
ICD-10-CM
19 Women who is pregnant or breastfeading
H35.139
DX
RETINOPATHY OF PREMATURITY, STAGE 2, UNSPECIFIED EYE
ICD-10-CM
19 Women who is pregnant or breastfeading
H35.14
DX
RETINOPATHY OF PREMATURITY, STAGE 3
ICD-10-CM
19 Women who is pregnant or breastfeading
H35.141
DX
RETINOPATHY OF PREMATURITY, STAGE 3, RIGHT EYE
ICD-10-CM
19 Women who is pregnant or breastfeading
H35.142
DX
RETINOPATHY OF PREMATURITY, STAGE 3, LEFT EYE
ICD-10-CM
19 Women who is pregnant or breastfeading
H35.143
DX
RETINOPATHY OF PREMATURITY, STAGE 3, BILATERAL
ICD-10-CM
19 Women who is pregnant or breastfeading
H35.149
DX
RETINOPATHY OF PREMATURITY, STAGE 3, UNSPECIFIED EYE
ICD-10-CM
19 Women who is pregnant or breastfeading
H35.15
DX
RETINOPATHY OF PREMATURITY, STAGE 4
ICD-10-CM
19 Women who is pregnant or breastfeading
H35.151
DX
RETINOPATHY OF PREMATURITY, STAGE 4, RIGHT EYE
ICD-10-CM
19 Women who is pregnant or breastfeading
H35.152
DX
RETINOPATHY OF PREMATURITY, STAGE 4, LEFT EYE
ICD-10-CM
19 Women who is pregnant or breastfeading
H35.153
DX
RETINOPATHY OF PREMATURITY, STAGE 4, BILATERAL
ICD-10-CM
19 Women who is pregnant or breastfeading
H35.159
DX
RETINOPATHY OF PREMATURITY, STAGE 4, UNSPECIFIED EYE
ICD-10-CM
19 Women who is pregnant or breastfeading
H35.16
DX
RETINOPATHY OF PREMATURITY, STAGE 5
ICD-10-CM
19 Women who is pregnant or breastfeading
H35.161
DX
RETINOPATHY OF PREMATURITY, STAGE 5, RIGHT EYE
ICD-10-CM
19 Women who is pregnant or breastfeading
H35.162
DX
RETINOPATHY OF PREMATURITY, STAGE 5, LEFT EYE
ICD-10-CM
19 Women who is pregnant or breastfeading
H35.163
DX
RETINOPATHY OF PREMATURITY, STAGE 5, BILATERAL
ICD-10-CM
19 Women who is pregnant or breastfeading
H35.169
DX
RETINOPATHY OF PREMATURITY, STAGE 5, UNSPECIFIED EYE
ICD-10-CM
19 Women who is pregnant or breastfeading
H35.17
DX
RETROLENTAL FIBROPLASIA
ICD-10-CM
19 Women who is pregnant or breastfeading
H35.171
DX
RETROLENTAL FIBROPLASIA, RIGHT EYE
ICD-10-CM
19 Women who is pregnant or breastfeading
H35.172
DX
RETROLENTAL FIBROPLASIA, LEFT EYE
ICD-10-CM
19 Women who is pregnant or breastfeading
H35.173
DX
RETROLENTAL FIBROPLASIA, BILATERAL
ICD-10-CM
19 Women who is pregnant or breastfeading
H35.179
DX
RETROLENTAL FIBROPLASIA, UNSPECIFIED EYE
ICD-10-CM
19 Women who is pregnant or breastfeading
O00
DX
ECTOPIC PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O00.0
DX
ABDOMINAL PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O00.00
DX
ABDOMINAL PREGNANCY WITHOUT INTRAUTERINE PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O00.01
DX
ABDOMINAL PREGNANCY WITH INTRAUTERINE PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O00.1
DX
TUBAL PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O00.10
DX
TUBAL PREGNANCY WITHOUT INTRAUTERINE PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O00.101
DX
RIGHT TUBAL PREGNANCY WITHOUT INTRAUTERINE PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O00.102
DX
LEFT TUBAL PREGNANCY WITHOUT INTRAUTERINE PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O00.109
DX
UNSPECIFIED TUBAL PREGNANCY WITHOUT INTRAUTERINE PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O00.11
DX
TUBAL PREGNANCY WITH INTRAUTERINE PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O00.111
DX
RIGHT TUBAL PREGNANCY WITH INTRAUTERINE PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O00.112
DX
LEFT TUBAL PREGNANCY WITH INTRAUTERINE PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O00.119
DX
UNSPECIFIED TUBAL PREGNANCY WITH INTRAUTERINE PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O00.2
DX
OVARIAN PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O00.20
DX
OVARIAN PREGNANCY WITHOUT INTRAUTERINE PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O00.201
DX
RIGHT OVARIAN PREGNANCY WITHOUT INTRAUTERINE PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O00.202
DX
LEFT OVARIAN PREGNANCY WITHOUT INTRAUTERINE PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O00.209
DX
UNSPECIFIED OVARIAN PREGNANCY WITHOUT INTRAUTERINE PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O00.21
DX
OVARIAN PREGNANCY WITH INTRAUTERINE PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O00.211
DX
RIGHT OVARIAN PREGNANCY WITH INTRAUTERINE PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O00.212
DX
LEFT OVARIAN PREGNANCY WITH INTRAUTERINE PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O00.219
DX
UNSPECIFIED OVARIAN PREGNANCY WITH INTRAUTERINE PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O00.8
DX
OTHER ECTOPIC PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O00.80
DX
OTHER ECTOPIC PREGNANCY WITHOUT INTRAUTERINE PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O00.81
DX
OTHER ECTOPIC PREGNANCY WITH INTRAUTERINE PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O00.9
DX
ECTOPIC PREGNANCY, UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O00.90
DX
UNSPECIFIED ECTOPIC PREGNANCY WITHOUT INTRAUTERINE PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O00.91
DX
UNSPECIFIED ECTOPIC PREGNANCY WITH INTRAUTERINE PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O01
DX
HYDATIDIFORM MOLE
ICD-10-CM
19 Women who is pregnant or breastfeading
O01.0
DX
CLASSICAL HYDATIDIFORM MOLE
ICD-10-CM
19 Women who is pregnant or breastfeading
O01.1
DX
INCOMPLETE AND PARTIAL HYDATIDIFORM MOLE
ICD-10-CM
19 Women who is pregnant or breastfeading
O01.9
DX
HYDATIDIFORM MOLE, UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O02
DX
OTHER ABNORMAL PRODUCTS OF CONCEPTION
ICD-10-CM
19 Women who is pregnant or breastfeading
O02.0
DX
BLIGHTED OVUM AND NONHYDATIDIFORM MOLE
ICD-10-CM
19 Women who is pregnant or breastfeading
O02.1
DX
MISSED ABORTION
ICD-10-CM
19 Women who is pregnant or breastfeading
O02.8
DX
OTHER SPECIFIED ABNORMAL PRODUCTS OF CONCEPTION
ICD-10-CM
19 Women who is pregnant or breastfeading
O02.81
DX
INAPPROPRIATE CHANGE IN QUANTITATIVE HUMAN CHORIONIC 
GONADOTROPIN (HCG) IN EARLY PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O02.89
DX
OTHER ABNORMAL PRODUCTS OF CONCEPTION
ICD-10-CM

19 Women who is pregnant or breastfeading
O02.9
DX
ABNORMAL PRODUCT OF CONCEPTION, UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O03
DX
SPONTANEOUS ABORTION
ICD-10-CM
19 Women who is pregnant or breastfeading
O03.0
DX
GENITAL TRACT AND PELVIC INFECTION FOLLOWING INCOMPLETE 
SPONTANEOUS ABORTION
ICD-10-CM
19 Women who is pregnant or breastfeading
O03.1
DX
DELAYED OR EXCESSIVE HEMORRHAGE FOLLOWING INCOMPLETE 
SPONTANEOUS ABORTION
ICD-10-CM
19 Women who is pregnant or breastfeading
O03.2
DX
EMBOLISM FOLLOWING INCOMPLETE SPONTANEOUS ABORTION
ICD-10-CM
19 Women who is pregnant or breastfeading
O03.3
DX
OTHER AND UNSPECIFIED COMPLICATIONS FOLLOWING INCOMPLETE 
SPONTANEOUS ABORTION
ICD-10-CM
19 Women who is pregnant or breastfeading
O03.30
DX
UNSPECIFIED COMPLICATION FOLLOWING INCOMPLETE SPONTANEOUS 
ABORTION
ICD-10-CM
19 Women who is pregnant or breastfeading
O03.31
DX
SHOCK FOLLOWING INCOMPLETE SPONTANEOUS ABORTION
ICD-10-CM
19 Women who is pregnant or breastfeading
O03.32
DX
RENAL FAILURE FOLLOWING INCOMPLETE SPONTANEOUS ABORTION
ICD-10-CM
19 Women who is pregnant or breastfeading
O03.33
DX
METABOLIC DISORDER FOLLOWING INCOMPLETE SPONTANEOUS ABORTION
ICD-10-CM
19 Women who is pregnant or breastfeading
O03.34
DX
DAMAGE TO PELVIC ORGANS FOLLOWING INCOMPLETE SPONTANEOUS 
ABORTION
ICD-10-CM
19 Women who is pregnant or breastfeading
O03.35
DX
OTHER VENOUS COMPLICATIONS FOLLOWING INCOMPLETE SPONTANEOUS 
ABORTION
ICD-10-CM
19 Women who is pregnant or breastfeading
O03.36
DX
CARDIAC ARREST FOLLOWING INCOMPLETE SPONTANEOUS ABORTION
ICD-10-CM
19 Women who is pregnant or breastfeading
O03.37
DX
SEPSIS FOLLOWING INCOMPLETE SPONTANEOUS ABORTION
ICD-10-CM
19 Women who is pregnant or breastfeading
O03.38
DX
URINARY TRACT INFECTION FOLLOWING INCOMPLETE SPONTANEOUS 
ABORTION
ICD-10-CM
19 Women who is pregnant or breastfeading
O03.39
DX
INCOMPLETE SPONTANEOUS ABORTION WITH OTHER COMPLICATIONS
ICD-10-CM
19 Women who is pregnant or breastfeading
O03.4
DX
INCOMPLETE SPONTANEOUS ABORTION WITHOUT COMPLICATION
ICD-10-CM
19 Women who is pregnant or breastfeading
O03.5
DX
GENITAL TRACT AND PELVIC INFECTION FOLLOWING COMPLETE OR 
UNSPECIFIED SPONTANEOUS ABORTION
ICD-10-CM
19 Women who is pregnant or breastfeading
O03.6
DX
DELAYED OR EXCESSIVE HEMORRHAGE FOLLOWING COMPLETE OR 
UNSPECIFIED SPONTANEOUS ABORTION
ICD-10-CM
19 Women who is pregnant or breastfeading
O03.7
DX
EMBOLISM FOLLOWING COMPLETE OR UNSPECIFIED SPONTANEOUS ABORTION ICD-10-CM
19 Women who is pregnant or breastfeading
O03.8
DX
OTHER AND UNSPECIFIED COMPLICATIONS FOLLOWING COMPLETE OR 
UNSPECIFIED SPONTANEOUS ABORTION
ICD-10-CM
19 Women who is pregnant or breastfeading
O03.80
DX
UNSPECIFIED COMPLICATION FOLLOWING COMPLETE OR UNSPECIFIED 
SPONTANEOUS ABORTION
ICD-10-CM
19 Women who is pregnant or breastfeading
O03.81
DX
SHOCK FOLLOWING COMPLETE OR UNSPECIFIED SPONTANEOUS ABORTION
ICD-10-CM
19 Women who is pregnant or breastfeading
O03.82
DX
RENAL FAILURE FOLLOWING COMPLETE OR UNSPECIFIED SPONTANEOUS 
ABORTION
ICD-10-CM
19 Women who is pregnant or breastfeading
O03.83
DX
METABOLIC DISORDER FOLLOWING COMPLETE OR UNSPECIFIED 
SPONTANEOUS ABORTION
ICD-10-CM
19 Women who is pregnant or breastfeading
O03.84
DX
DAMAGE TO PELVIC ORGANS FOLLOWING COMPLETE OR UNSPECIFIED 
SPONTANEOUS ABORTION
ICD-10-CM
19 Women who is pregnant or breastfeading
O03.85
DX
OTHER VENOUS COMPLICATIONS FOLLOWING COMPLETE OR UNSPECIFIED 
SPONTANEOUS ABORTION
ICD-10-CM
19 Women who is pregnant or breastfeading
O03.86
DX
CARDIAC ARREST FOLLOWING COMPLETE OR UNSPECIFIED SPONTANEOUS 
ABORTION
ICD-10-CM
19 Women who is pregnant or breastfeading
O03.87
DX
SEPSIS FOLLOWING COMPLETE OR UNSPECIFIED SPONTANEOUS ABORTION
ICD-10-CM
19 Women who is pregnant or breastfeading
O03.88
DX
URINARY TRACT INFECTION FOLLOWING COMPLETE OR UNSPECIFIED 
SPONTANEOUS ABORTION
ICD-10-CM
19 Women who is pregnant or breastfeading
O03.89
DX
COMPLETE OR UNSPECIFIED SPONTANEOUS ABORTION WITH OTHER 
COMPLICATIONS
ICD-10-CM
19 Women who is pregnant or breastfeading
O03.9
DX
COMPLETE OR UNSPECIFIED SPONTANEOUS ABORTION WITHOUT 
COMPLICATION
ICD-10-CM
19 Women who is pregnant or breastfeading
O04
DX
COMPLICATIONS FOLLOWING (INDUCED) TERMINATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O04.5
DX
GENITAL TRACT AND PELVIC INFECTION FOLLOWING (INDUCED) TERMINATION 
OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O04.6
DX
DELAYED OR EXCESSIVE HEMORRHAGE FOLLOWING (INDUCED) TERMINATION 
OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O04.7
DX
EMBOLISM FOLLOWING (INDUCED) TERMINATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O04.8
DX
(INDUCED) TERMINATION OF PREGNANCY WITH OTHER AND UNSPECIFIED 
COMPLICATIONS
ICD-10-CM
19 Women who is pregnant or breastfeading
O04.80
DX
(INDUCED) TERMINATION OF PREGNANCY WITH UNSPECIFIED COMPLICATIONS
ICD-10-CM
19 Women who is pregnant or breastfeading
O04.81
DX
SHOCK FOLLOWING (INDUCED) TERMINATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O04.82
DX
RENAL FAILURE FOLLOWING (INDUCED) TERMINATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O04.83
DX
METABOLIC DISORDER FOLLOWING (INDUCED) TERMINATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O04.84
DX
DAMAGE TO PELVIC ORGANS FOLLOWING (INDUCED) TERMINATION OF 
PREGNANCY
ICD-10-CM

19 Women who is pregnant or breastfeading
O04.85
DX
OTHER VENOUS COMPLICATIONS FOLLOWING (INDUCED) TERMINATION OF 
PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O04.86
DX
CARDIAC ARREST FOLLOWING (INDUCED) TERMINATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O04.87
DX
SEPSIS FOLLOWING (INDUCED) TERMINATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O04.88
DX
URINARY TRACT INFECTION FOLLOWING (INDUCED) TERMINATION OF 
PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O04.89
DX
(INDUCED) TERMINATION OF PREGNANCY WITH OTHER COMPLICATIONS
ICD-10-CM
19 Women who is pregnant or breastfeading
O07
DX
FAILED ATTEMPTED TERMINATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O07.0
DX
GENITAL TRACT AND PELVIC INFECTION FOLLOWING FAILED ATTEMPTED 
TERMINATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O07.1
DX
DELAYED OR EXCESSIVE HEMORRHAGE FOLLOWING FAILED ATTEMPTED 
TERMINATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O07.2
DX
EMBOLISM FOLLOWING FAILED ATTEMPTED TERMINATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O07.3
DX
FAILED ATTEMPTED TERMINATION OF PREGNANCY WITH OTHER AND 
UNSPECIFIED COMPLICATIONS
ICD-10-CM
19 Women who is pregnant or breastfeading
O07.30
DX
FAILED ATTEMPTED TERMINATION OF PREGNANCY WITH UNSPECIFIED 
COMPLICATIONS
ICD-10-CM
19 Women who is pregnant or breastfeading
O07.31
DX
SHOCK FOLLOWING FAILED ATTEMPTED TERMINATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O07.32
DX
RENAL FAILURE FOLLOWING FAILED ATTEMPTED TERMINATION OF 
PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O07.33
DX
METABOLIC DISORDER FOLLOWING FAILED ATTEMPTED TERMINATION OF 
PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O07.34
DX
DAMAGE TO PELVIC ORGANS FOLLOWING FAILED ATTEMPTED TERMINATION 
OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O07.35
DX
OTHER VENOUS COMPLICATIONS FOLLOWING FAILED ATTEMPTED 
TERMINATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O07.36
DX
CARDIAC ARREST FOLLOWING FAILED ATTEMPTED TERMINATION OF 
PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O07.37
DX
SEPSIS FOLLOWING FAILED ATTEMPTED TERMINATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O07.38
DX
URINARY TRACT INFECTION FOLLOWING FAILED ATTEMPTED TERMINATION OF 
PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O07.39
DX
FAILED ATTEMPTED TERMINATION OF PREGNANCY WITH OTHER 
COMPLICATIONS
ICD-10-CM
19 Women who is pregnant or breastfeading
O07.4
DX
FAILED ATTEMPTED TERMINATION OF PREGNANCY WITHOUT COMPLICATION
ICD-10-CM
19 Women who is pregnant or breastfeading
O08
DX
COMPLICATIONS FOLLOWING ECTOPIC AND MOLAR PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O08.0
DX
GENITAL TRACT AND PELVIC INFECTION FOLLOWING ECTOPIC AND MOLAR 
PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O08.1
DX
DELAYED OR EXCESSIVE HEMORRHAGE FOLLOWING ECTOPIC AND MOLAR 
PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O08.2
DX
EMBOLISM FOLLOWING ECTOPIC AND MOLAR PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O08.3
DX
SHOCK FOLLOWING ECTOPIC AND MOLAR PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O08.4
DX
RENAL FAILURE FOLLOWING ECTOPIC AND MOLAR PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O08.5
DX
METABOLIC DISORDERS FOLLOWING AN ECTOPIC AND MOLAR PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O08.6
DX
DAMAGE TO PELVIC ORGANS AND TISSUES FOLLOWING AN ECTOPIC AND 
MOLAR PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O08.7
DX
OTHER VENOUS COMPLICATIONS FOLLOWING AN ECTOPIC AND MOLAR 
PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O08.8
DX
OTHER COMPLICATIONS FOLLOWING AN ECTOPIC AND MOLAR PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O08.81
DX
CARDIAC ARREST FOLLOWING AN ECTOPIC AND MOLAR PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O08.82
DX
SEPSIS FOLLOWING ECTOPIC AND MOLAR PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O08.83
DX
URINARY TRACT INFECTION FOLLOWING AN ECTOPIC AND MOLAR PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O08.89
DX
OTHER COMPLICATIONS FOLLOWING AN ECTOPIC AND MOLAR PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O08.9
DX
UNSPECIFIED COMPLICATION FOLLOWING AN ECTOPIC AND MOLAR 
PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O09
DX
SUPERVISION OF HIGH RISK PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.0
DX
SUPERVISION OF PREGNANCY WITH HISTORY OF INFERTILITY
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.00
DX
SUPERVISION OF PREGNANCY WITH HISTORY OF INFERTILITY, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.01
DX
SUPERVISION OF PREGNANCY WITH HISTORY OF INFERTILITY, FIRST TRIMESTER ICD-10-CM
19 Women who is pregnant or breastfeading
O09.02
DX
SUPERVISION OF PREGNANCY WITH HISTORY OF INFERTILITY, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.03
DX
SUPERVISION OF PREGNANCY WITH HISTORY OF INFERTILITY, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.1
DX
SUPERVISION OF PREGNANCY WITH HISTORY OF ECTOPIC PREGNANCY
ICD-10-CM

19 Women who is pregnant or breastfeading
O09.10
DX
SUPERVISION OF PREGNANCY WITH HISTORY OF ECTOPIC PREGNANCY, 
UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.11
DX
SUPERVISION OF PREGNANCY WITH HISTORY OF ECTOPIC PREGNANCY, FIRST 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.12
DX
SUPERVISION OF PREGNANCY WITH HISTORY OF ECTOPIC PREGNANCY, 
SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.13
DX
SUPERVISION OF PREGNANCY WITH HISTORY OF ECTOPIC PREGNANCY, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.2
DX
SUPERVISION OF PREGNANCY WITH OTHER POOR REPRODUCTIVE OR 
OBSTETRIC HISTORY
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.21
DX
SUPERVISION OF PREGNANCY WITH HISTORY OF PRE-TERM LABOR
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.211
DX
SUPERVISION OF PREGNANCY WITH HISTORY OF PRE-TERM LABOR, FIRST 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.212
DX
SUPERVISION OF PREGNANCY WITH HISTORY OF PRE-TERM LABOR, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.213
DX
SUPERVISION OF PREGNANCY WITH HISTORY OF PRE-TERM LABOR, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.219
DX
SUPERVISION OF PREGNANCY WITH HISTORY OF PRE-TERM LABOR, 
UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.29
DX
SUPERVISION OF PREGNANCY WITH OTHER POOR REPRODUCTIVE OR 
OBSTETRIC HISTORY
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.291
DX
SUPERVISION OF PREGNANCY WITH OTHER POOR REPRODUCTIVE OR 
OBSTETRIC HISTORY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.292
DX
SUPERVISION OF PREGNANCY WITH OTHER POOR REPRODUCTIVE OR 
OBSTETRIC HISTORY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.293
DX
SUPERVISION OF PREGNANCY WITH OTHER POOR REPRODUCTIVE OR 
OBSTETRIC HISTORY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.299
DX
SUPERVISION OF PREGNANCY WITH OTHER POOR REPRODUCTIVE OR 
OBSTETRIC HISTORY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.3
DX
SUPERVISION OF PREGNANCY WITH INSUFFICIENT ANTENATAL CARE
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.30
DX
SUPERVISION OF PREGNANCY WITH INSUFFICIENT ANTENATAL CARE, 
UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.31
DX
SUPERVISION OF PREGNANCY WITH INSUFFICIENT ANTENATAL CARE, FIRST 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.32
DX
SUPERVISION OF PREGNANCY WITH INSUFFICIENT ANTENATAL CARE, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.33
DX
SUPERVISION OF PREGNANCY WITH INSUFFICIENT ANTENATAL CARE, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.4
DX
SUPERVISION OF PREGNANCY WITH GRAND MULTIPARITY
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.40
DX
SUPERVISION OF PREGNANCY WITH GRAND MULTIPARITY, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.41
DX
SUPERVISION OF PREGNANCY WITH GRAND MULTIPARITY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.42
DX
SUPERVISION OF PREGNANCY WITH GRAND MULTIPARITY, SECOND TRIMESTER ICD-10-CM
19 Women who is pregnant or breastfeading
O09.43
DX
SUPERVISION OF PREGNANCY WITH GRAND MULTIPARITY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.5
DX
SUPERVISION OF ELDERLY PRIMIGRAVIDA AND MULTIGRAVIDA
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.51
DX
SUPERVISION OF ELDERLY PRIMIGRAVIDA
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.511
DX
SUPERVISION OF ELDERLY PRIMIGRAVIDA, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.512
DX
SUPERVISION OF ELDERLY PRIMIGRAVIDA, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.513
DX
SUPERVISION OF ELDERLY PRIMIGRAVIDA, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.519
DX
SUPERVISION OF ELDERLY PRIMIGRAVIDA, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.52
DX
SUPERVISION OF ELDERLY MULTIGRAVIDA
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.521
DX
SUPERVISION OF ELDERLY MULTIGRAVIDA, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.522
DX
SUPERVISION OF ELDERLY MULTIGRAVIDA, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.523
DX
SUPERVISION OF ELDERLY MULTIGRAVIDA, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.529
DX
SUPERVISION OF ELDERLY MULTIGRAVIDA, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.6
DX
SUPERVISION OF YOUNG PRIMIGRAVIDA AND MULTIGRAVIDA
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.61
DX
SUPERVISION OF YOUNG PRIMIGRAVIDA
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.611
DX
SUPERVISION OF YOUNG PRIMIGRAVIDA, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.612
DX
SUPERVISION OF YOUNG PRIMIGRAVIDA, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.613
DX
SUPERVISION OF YOUNG PRIMIGRAVIDA, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.619
DX
SUPERVISION OF YOUNG PRIMIGRAVIDA, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.62
DX
SUPERVISION OF YOUNG MULTIGRAVIDA
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.621
DX
SUPERVISION OF YOUNG MULTIGRAVIDA, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.622
DX
SUPERVISION OF YOUNG MULTIGRAVIDA, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.623
DX
SUPERVISION OF YOUNG MULTIGRAVIDA, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.629
DX
SUPERVISION OF YOUNG MULTIGRAVIDA, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.7
DX
SUPERVISION OF HIGH RISK PREGNANCY DUE TO SOCIAL PROBLEMS
ICD-10-CM

19 Women who is pregnant or breastfeading
O09.70
DX
SUPERVISION OF HIGH RISK PREGNANCY DUE TO SOCIAL PROBLEMS, 
UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.71
DX
SUPERVISION OF HIGH RISK PREGNANCY DUE TO SOCIAL PROBLEMS, FIRST 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.72
DX
SUPERVISION OF HIGH RISK PREGNANCY DUE TO SOCIAL PROBLEMS, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.73
DX
SUPERVISION OF HIGH RISK PREGNANCY DUE TO SOCIAL PROBLEMS, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.8
DX
SUPERVISION OF OTHER HIGH RISK PREGNANCIES
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.81
DX
SUPERVISION OF PREGNANCY RESULTING FROM ASSISTED REPRODUCTIVE 
TECHNOLOGY
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.811
DX
SUPERVISION OF PREGNANCY RESULTING FROM ASSISTED REPRODUCTIVE 
TECHNOLOGY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.812
DX
SUPERVISION OF PREGNANCY RESULTING FROM ASSISTED REPRODUCTIVE 
TECHNOLOGY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.813
DX
SUPERVISION OF PREGNANCY RESULTING FROM ASSISTED REPRODUCTIVE 
TECHNOLOGY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.819
DX
SUPERVISION OF PREGNANCY RESULTING FROM ASSISTED REPRODUCTIVE 
TECHNOLOGY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.82
DX
SUPERVISION OF PREGNANCY WITH HISTORY OF IN UTERO PROCEDURE DURING 
PREVIOUS PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.821
DX
SUPERVISION OF PREGNANCY WITH HISTORY OF IN UTERO PROCEDURE DURING 
PREVIOUS PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.822
DX
SUPERVISION OF PREGNANCY WITH HISTORY OF IN UTERO PROCEDURE DURING 
PREVIOUS PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.823
DX
SUPERVISION OF PREGNANCY WITH HISTORY OF IN UTERO PROCEDURE DURING 
PREVIOUS PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.829
DX
SUPERVISION OF PREGNANCY WITH HISTORY OF IN UTERO PROCEDURE DURING 
PREVIOUS PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.89
DX
SUPERVISION OF OTHER HIGH RISK PREGNANCIES
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.891
DX
SUPERVISION OF OTHER HIGH RISK PREGNANCIES, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.892
DX
SUPERVISION OF OTHER HIGH RISK PREGNANCIES, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.893
DX
SUPERVISION OF OTHER HIGH RISK PREGNANCIES, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.899
DX
SUPERVISION OF OTHER HIGH RISK PREGNANCIES, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.9
DX
SUPERVISION OF HIGH RISK PREGNANCY, UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.90
DX
SUPERVISION OF HIGH RISK PREGNANCY, UNSPECIFIED, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.91
DX
SUPERVISION OF HIGH RISK PREGNANCY, UNSPECIFIED, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.92
DX
SUPERVISION OF HIGH RISK PREGNANCY, UNSPECIFIED, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.93
DX
SUPERVISION OF HIGH RISK PREGNANCY, UNSPECIFIED, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.A
DX
SUPERVISION OF PREGNANCY WITH HISTORY OF MOLAR PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.A0
DX
SUPERVISION OF PREGNANCY WITH HISTORY OF MOLAR PREGNANCY, 
UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.A1
DX
SUPERVISION OF PREGNANCY WITH HISTORY OF MOLAR PREGNANCY, FIRST 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.A2
DX
SUPERVISION OF PREGNANCY WITH HISTORY OF MOLAR PREGNANCY, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O09.A3
DX
SUPERVISION OF PREGNANCY WITH HISTORY OF MOLAR PREGNANCY, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O10
DX
PRE-EXISTING HYPERTENSION COMPLICATING PREGNANCY, CHILDBIRTH AND 
THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.0
DX
PRE-EXISTING ESSENTIAL HYPERTENSION COMPLICATING PREGNANCY, 
CHILDBIRTH AND THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.01
DX
PRE-EXISTING ESSENTIAL HYPERTENSION COMPLICATING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.011
DX
PRE-EXISTING ESSENTIAL HYPERTENSION COMPLICATING PREGNANCY, FIRST 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.012
DX
PRE-EXISTING ESSENTIAL HYPERTENSION COMPLICATING PREGNANCY, 
SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.013
DX
PRE-EXISTING ESSENTIAL HYPERTENSION COMPLICATING PREGNANCY, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.019
DX
PRE-EXISTING ESSENTIAL HYPERTENSION COMPLICATING PREGNANCY, 
UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.02
DX
PRE-EXISTING ESSENTIAL HYPERTENSION COMPLICATING CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.03
DX
PRE-EXISTING ESSENTIAL HYPERTENSION COMPLICATING THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.1
DX
PRE-EXISTING HYPERTENSIVE HEART DISEASE COMPLICATING PREGNANCY, 
CHILDBIRTH AND THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.11
DX
PRE-EXISTING HYPERTENSIVE HEART DISEASE COMPLICATING PREGNANCY
ICD-10-CM

19 Women who is pregnant or breastfeading
O10.111
DX
PRE-EXISTING HYPERTENSIVE HEART DISEASE COMPLICATING PREGNANCY, 
FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.112
DX
PRE-EXISTING HYPERTENSIVE HEART DISEASE COMPLICATING PREGNANCY, 
SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.113
DX
PRE-EXISTING HYPERTENSIVE HEART DISEASE COMPLICATING PREGNANCY, 
THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.119
DX
PRE-EXISTING HYPERTENSIVE HEART DISEASE COMPLICATING PREGNANCY, 
UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.12
DX
PRE-EXISTING HYPERTENSIVE HEART DISEASE COMPLICATING CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.13
DX
PRE-EXISTING HYPERTENSIVE HEART DISEASE COMPLICATING THE 
PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.2
DX
PRE-EXISTING HYPERTENSIVE CHRONIC KIDNEY DISEASE COMPLICATING 
PREGNANCY, CHILDBIRTH AND THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.21
DX
PRE-EXISTING HYPERTENSIVE CHRONIC KIDNEY DISEASE COMPLICATING 
PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.211
DX
PRE-EXISTING HYPERTENSIVE CHRONIC KIDNEY DISEASE COMPLICATING 
PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.212
DX
PRE-EXISTING HYPERTENSIVE CHRONIC KIDNEY DISEASE COMPLICATING 
PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.213
DX
PRE-EXISTING HYPERTENSIVE CHRONIC KIDNEY DISEASE COMPLICATING 
PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.219
DX
PRE-EXISTING HYPERTENSIVE CHRONIC KIDNEY DISEASE COMPLICATING 
PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.22
DX
PRE-EXISTING HYPERTENSIVE CHRONIC KIDNEY DISEASE COMPLICATING 
CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.23
DX
PRE-EXISTING HYPERTENSIVE CHRONIC KIDNEY DISEASE COMPLICATING THE 
PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.3
DX
PRE-EXISTING HYPERTENSIVE HEART AND CHRONIC KIDNEY DISEASE 
COMPLICATING PREGNANCY, CHILDBIRTH AND THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.31
DX
PRE-EXISTING HYPERTENSIVE HEART AND CHRONIC KIDNEY DISEASE 
COMPLICATING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.311
DX
PRE-EXISTING HYPERTENSIVE HEART AND CHRONIC KIDNEY DISEASE 
COMPLICATING PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.312
DX
PRE-EXISTING HYPERTENSIVE HEART AND CHRONIC KIDNEY DISEASE 
COMPLICATING PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.313
DX
PRE-EXISTING HYPERTENSIVE HEART AND CHRONIC KIDNEY DISEASE 
COMPLICATING PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.319
DX
PRE-EXISTING HYPERTENSIVE HEART AND CHRONIC KIDNEY DISEASE 
COMPLICATING PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.32
DX
PRE-EXISTING HYPERTENSIVE HEART AND CHRONIC KIDNEY DISEASE 
COMPLICATING CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.33
DX
PRE-EXISTING HYPERTENSIVE HEART AND CHRONIC KIDNEY DISEASE 
COMPLICATING THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.4
DX
PRE-EXISTING SECONDARY HYPERTENSION COMPLICATING PREGNANCY, 
CHILDBIRTH AND THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.41
DX
PRE-EXISTING SECONDARY HYPERTENSION COMPLICATING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.411
DX
PRE-EXISTING SECONDARY HYPERTENSION COMPLICATING PREGNANCY, FIRST 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.412
DX
PRE-EXISTING SECONDARY HYPERTENSION COMPLICATING PREGNANCY, 
SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.413
DX
PRE-EXISTING SECONDARY HYPERTENSION COMPLICATING PREGNANCY, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.419
DX
PRE-EXISTING SECONDARY HYPERTENSION COMPLICATING PREGNANCY, 
UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.42
DX
PRE-EXISTING SECONDARY HYPERTENSION COMPLICATING CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.43
DX
PRE-EXISTING SECONDARY HYPERTENSION COMPLICATING THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.9
DX
UNSPECIFIED PRE-EXISTING HYPERTENSION COMPLICATING PREGNANCY, 
CHILDBIRTH AND THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.91
DX
UNSPECIFIED PRE-EXISTING HYPERTENSION COMPLICATING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.911
DX
UNSPECIFIED PRE-EXISTING HYPERTENSION COMPLICATING PREGNANCY, FIRST 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.912
DX
UNSPECIFIED PRE-EXISTING HYPERTENSION COMPLICATING PREGNANCY, 
SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.913
DX
UNSPECIFIED PRE-EXISTING HYPERTENSION COMPLICATING PREGNANCY, 
THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.919
DX
UNSPECIFIED PRE-EXISTING HYPERTENSION COMPLICATING PREGNANCY, 
UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O10.92
DX
UNSPECIFIED PRE-EXISTING HYPERTENSION COMPLICATING CHILDBIRTH
ICD-10-CM

19 Women who is pregnant or breastfeading
O10.93
DX
UNSPECIFIED PRE-EXISTING HYPERTENSION COMPLICATING THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O11
DX
PRE-EXISTING HYPERTENSION WITH PRE-ECLAMPSIA
ICD-10-CM
19 Women who is pregnant or breastfeading
O11.1
DX
PRE-EXISTING HYPERTENSION WITH PRE-ECLAMPSIA, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O11.2
DX
PRE-EXISTING HYPERTENSION WITH PRE-ECLAMPSIA, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O11.3
DX
PRE-EXISTING HYPERTENSION WITH PRE-ECLAMPSIA, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O11.4
DX
PRE-EXISTING HYPERTENSION WITH PRE-ECLAMPSIA, COMPLICATING 
CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O11.5
DX
PRE-EXISTING HYPERTENSION WITH PRE-ECLAMPSIA, COMPLICATING THE 
PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O11.9
DX
PRE-EXISTING HYPERTENSION WITH PRE-ECLAMPSIA, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O12
DX
GESTATIONAL [PREGNANCY-GESTATIONAL [PREGNANCY-INDUCED] EDEMA 
AND PROTEINURIA WITHOUT HYPERTENSION
ICD-10-CM
19 Women who is pregnant or breastfeading
O12.0
DX
GESTATIONAL EDEMA
ICD-10-CM
19 Women who is pregnant or breastfeading
O12.00
DX
GESTATIONAL EDEMA, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O12.01
DX
GESTATIONAL EDEMA, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O12.02
DX
GESTATIONAL EDEMA, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O12.03
DX
GESTATIONAL EDEMA, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O12.04
DX
GESTATIONAL EDEMA, COMPLICATING CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O12.05
DX
GESTATIONAL EDEMA, COMPLICATING THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O12.1
DX
GESTATIONAL PROTEINURIA
ICD-10-CM
19 Women who is pregnant or breastfeading
O12.10
DX
GESTATIONAL PROTEINURIA, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O12.11
DX
GESTATIONAL PROTEINURIA, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O12.12
DX
GESTATIONAL PROTEINURIA, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O12.13
DX
GESTATIONAL PROTEINURIA, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O12.14
DX
GESTATIONAL PROTEINURIA, COMPLICATING CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O12.15
DX
GESTATIONAL PROTEINURIA, COMPLICATING THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O12.2
DX
GESTATIONAL EDEMA WITH PROTEINURIA
ICD-10-CM
19 Women who is pregnant or breastfeading
O12.20
DX
GESTATIONAL EDEMA WITH PROTEINURIA, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O12.21
DX
GESTATIONAL EDEMA WITH PROTEINURIA, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O12.22
DX
GESTATIONAL EDEMA WITH PROTEINURIA, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O12.23
DX
GESTATIONAL EDEMA WITH PROTEINURIA, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O12.24
DX
GESTATIONAL EDEMA WITH PROTEINURIA, COMPLICATING CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O12.25
DX
GESTATIONAL EDEMA WITH PROTEINURIA, COMPLICATING THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O13
DX
GESTATIONAL [PREGNANCY-INDUCED] HYPERTENSION WITHOUT SIGNIFICANT 
PROTEINURIA
ICD-10-CM
19 Women who is pregnant or breastfeading
O13.1
DX
GESTATIONAL [PREGNANCY-INDUCED] HYPERTENSION WITHOUT SIGNIFICANT 
PROTEINURIA, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O13.2
DX
GESTATIONAL [PREGNANCY-INDUCED] HYPERTENSION WITHOUT SIGNIFICANT 
PROTEINURIA, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O13.3
DX
GESTATIONAL [PREGNANCY-INDUCED] HYPERTENSION WITHOUT SIGNIFICANT 
PROTEINURIA, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O13.4
DX
GESTATIONAL [PREGNANCY-INDUCED] HYPERTENSION WITHOUT SIGNIFICANT 
PROTEINURIA, COMPLICATING CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O13.5
DX
GESTATIONAL [PREGNANCY-INDUCED] HYPERTENSION WITHOUT SIGNIFICANT 
PROTEINURIA, COMPLICATING THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O13.9
DX
GESTATIONAL [PREGNANCY-INDUCED] HYPERTENSION WITHOUT SIGNIFICANT 
PROTEINURIA, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O14
DX
PRE-ECLAMPSIA-ECLAMPSIA
ICD-10-CM
19 Women who is pregnant or breastfeading
O14.0
DX
MILD TO MODERATE PRE-ECLAMPSIA
ICD-10-CM
19 Women who is pregnant or breastfeading
O14.00
DX
MILD TO MODERATE PRE-ECLAMPSIA, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O14.02
DX
MILD TO MODERATE PRE-ECLAMPSIA, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O14.03
DX
MILD TO MODERATE PRE-ECLAMPSIA, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O14.04
DX
MILD TO MODERATE PRE-ECLAMPSIA, COMPLICATING CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O14.05
DX
MILD TO MODERATE PRE-ECLAMPSIA, COMPLICATING THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O14.1
DX
SEVERE PRE-ECLAMPSIA
ICD-10-CM
19 Women who is pregnant or breastfeading
O14.10
DX
SEVERE PRE-ECLAMPSIA, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O14.12
DX
SEVERE PRE-ECLAMPSIA, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O14.13
DX
SEVERE PRE-ECLAMPSIA, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O14.14
DX
SEVERE PRE-ECLAMPSIA, COMPLICATING CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O14.15
DX
SEVERE PRE-ECLAMPSIA, COMPLICATING THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O14.2
DX
HELLP SYNDROME
ICD-10-CM
19 Women who is pregnant or breastfeading
O14.20
DX
HELLP SYNDROME (HELLP), UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O14.22
DX
HELLP SYNDROME (HELLP), SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O14.23
DX
HELLP SYNDROME (HELLP), THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O14.24
DX
HELLP SYNDROME, COMPLICATING CHILDBIRTH
ICD-10-CM

19 Women who is pregnant or breastfeading
O14.25
DX
HELLP SYNDROME, COMPLICATING THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O14.9
DX
UNSPECIFIED PRE-ECLAMPSIA
ICD-10-CM
19 Women who is pregnant or breastfeading
O14.90
DX
UNSPECIFIED PRE-ECLAMPSIA, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O14.92
DX
UNSPECIFIED PRE-ECLAMPSIA, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O14.93
DX
UNSPECIFIED PRE-ECLAMPSIA, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O14.94
DX
UNSPECIFIED PRE-ECLAMPSIA, COMPLICATING CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O14.95
DX
UNSPECIFIED PRE-ECLAMPSIA, COMPLICATING THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O15
DX
ECLAMPSIA
ICD-10-CM
19 Women who is pregnant or breastfeading
O15.0
DX
ECLAMPSIA COMPLICATING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O15.00
DX
ECLAMPSIA COMPLICATING PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O15.02
DX
ECLAMPSIA COMPLICATING PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O15.03
DX
ECLAMPSIA COMPLICATING PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O15.1
DX
ECLAMPSIA COMPLICATING LABOR
ICD-10-CM
19 Women who is pregnant or breastfeading
O15.2
DX
ECLAMPSIA COMPLICATING THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O15.9
DX
ECLAMPSIA, UNSPECIFIED AS TO TIME PERIOD
ICD-10-CM
19 Women who is pregnant or breastfeading
O16
DX
UNSPECIFIED MATERNAL HYPERTENSION
ICD-10-CM
19 Women who is pregnant or breastfeading
O16.1
DX
UNSPECIFIED MATERNAL HYPERTENSION, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O16.2
DX
UNSPECIFIED MATERNAL HYPERTENSION, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O16.3
DX
UNSPECIFIED MATERNAL HYPERTENSION, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O16.4
DX
UNSPECIFIED MATERNAL HYPERTENSION, COMPLICATING CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O16.5
DX
UNSPECIFIED MATERNAL HYPERTENSION, COMPLICATING THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O16.9
DX
UNSPECIFIED MATERNAL HYPERTENSION, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O20
DX
HEMORRHAGE IN EARLY PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O20.0
DX
THREATENED ABORTION
ICD-10-CM
19 Women who is pregnant or breastfeading
O20.8
DX
OTHER HEMORRHAGE IN EARLY PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O20.9
DX
HEMORRHAGE IN EARLY PREGNANCY, UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O21
DX
EXCESSIVE VOMITING IN PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O21.0
DX
MILD HYPEREMESIS GRAVIDARUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O21.1
DX
HYPEREMESIS GRAVIDARUM WITH METABOLIC DISTURBANCE
ICD-10-CM
19 Women who is pregnant or breastfeading
O21.2
DX
LATE VOMITING OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O21.8
DX
OTHER VOMITING COMPLICATING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O21.9
DX
VOMITING OF PREGNANCY, UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O22
DX
VENOUS COMPLICATIONS AND HEMORRHOIDS IN PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O22.0
DX
VARICOSE VEINS OF LOWER EXTREMITY IN PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O22.00
DX
VARICOSE VEINS OF LOWER EXTREMITY IN PREGNANCY, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O22.01
DX
VARICOSE VEINS OF LOWER EXTREMITY IN PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O22.02
DX
VARICOSE VEINS OF LOWER EXTREMITY IN PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O22.03
DX
VARICOSE VEINS OF LOWER EXTREMITY IN PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O22.1
DX
GENITAL VARICES IN PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O22.10
DX
GENITAL VARICES IN PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O22.11
DX
GENITAL VARICES IN PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O22.12
DX
GENITAL VARICES IN PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O22.13
DX
GENITAL VARICES IN PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O22.2
DX
SUPERFICIAL THROMBOPHLEBITIS IN PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O22.20
DX
SUPERFICIAL THROMBOPHLEBITIS IN PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O22.21
DX
SUPERFICIAL THROMBOPHLEBITIS IN PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O22.22
DX
SUPERFICIAL THROMBOPHLEBITIS IN PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O22.23
DX
SUPERFICIAL THROMBOPHLEBITIS IN PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O22.3
DX
DEEP PHLEBOTHROMBOSIS IN PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O22.30
DX
DEEP PHLEBOTHROMBOSIS IN PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O22.31
DX
DEEP PHLEBOTHROMBOSIS IN PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O22.32
DX
DEEP PHLEBOTHROMBOSIS IN PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O22.33
DX
DEEP PHLEBOTHROMBOSIS IN PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O22.4
DX
HEMORRHOIDS IN PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O22.40
DX
HEMORRHOIDS IN PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O22.41
DX
HEMORRHOIDS IN PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O22.42
DX
HEMORRHOIDS IN PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O22.43
DX
HEMORRHOIDS IN PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O22.5
DX
CEREBRAL VENOUS THROMBOSIS IN PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O22.50
DX
CEREBRAL VENOUS THROMBOSIS IN PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O22.51
DX
CEREBRAL VENOUS THROMBOSIS IN PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O22.52
DX
CEREBRAL VENOUS THROMBOSIS IN PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O22.53
DX
CEREBRAL VENOUS THROMBOSIS IN PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O22.8
DX
OTHER VENOUS COMPLICATIONS IN PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O22.8X
DX
OTHER VENOUS COMPLICATIONS IN PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O22.8X1
DX
OTHER VENOUS COMPLICATIONS IN PREGNANCY, FIRST TRIMESTER
ICD-10-CM

19 Women who is pregnant or breastfeading
O22.8X2
DX
OTHER VENOUS COMPLICATIONS IN PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O22.8X3
DX
OTHER VENOUS COMPLICATIONS IN PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O22.8X9
DX
OTHER VENOUS COMPLICATIONS IN PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O22.9
DX
VENOUS COMPLICATION IN PREGNANCY, UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O22.90
DX
VENOUS COMPLICATION IN PREGNANCY, UNSPECIFIED, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O22.91
DX
VENOUS COMPLICATION IN PREGNANCY, UNSPECIFIED, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O22.92
DX
VENOUS COMPLICATION IN PREGNANCY, UNSPECIFIED, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O22.93
DX
VENOUS COMPLICATION IN PREGNANCY, UNSPECIFIED, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O23
DX
INFECTIONS OF GENITOURINARY TRACT IN PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.0
DX
INFECTIONS OF KIDNEY IN PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.00
DX
INFECTIONS OF KIDNEY IN PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.01
DX
INFECTIONS OF KIDNEY IN PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.02
DX
INFECTIONS OF KIDNEY IN PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.03
DX
INFECTIONS OF KIDNEY IN PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.1
DX
INFECTIONS OF BLADDER IN PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.10
DX
INFECTIONS OF BLADDER IN PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.11
DX
INFECTIONS OF BLADDER IN PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.12
DX
INFECTIONS OF BLADDER IN PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.13
DX
INFECTIONS OF BLADDER IN PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.2
DX
INFECTIONS OF URETHRA IN PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.20
DX
INFECTIONS OF URETHRA IN PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.21
DX
INFECTIONS OF URETHRA IN PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.22
DX
INFECTIONS OF URETHRA IN PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.23
DX
INFECTIONS OF URETHRA IN PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.3
DX
INFECTIONS OF OTHER PARTS OF URINARY TRACT IN PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.30
DX
INFECTIONS OF OTHER PARTS OF URINARY TRACT IN PREGNANCY, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.31
DX
INFECTIONS OF OTHER PARTS OF URINARY TRACT IN PREGNANCY, FIRST 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.32
DX
INFECTIONS OF OTHER PARTS OF URINARY TRACT IN PREGNANCY, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.33
DX
INFECTIONS OF OTHER PARTS OF URINARY TRACT IN PREGNANCY, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.4
DX
UNSPECIFIED INFECTION OF URINARY TRACT IN PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.40
DX
UNSPECIFIED INFECTION OF URINARY TRACT IN PREGNANCY, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.41
DX
UNSPECIFIED INFECTION OF URINARY TRACT IN PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.42
DX
UNSPECIFIED INFECTION OF URINARY TRACT IN PREGNANCY, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.43
DX
UNSPECIFIED INFECTION OF URINARY TRACT IN PREGNANCY, THIRD TRIMESTER ICD-10-CM
19 Women who is pregnant or breastfeading
O23.5
DX
INFECTIONS OF THE GENITAL TRACT IN PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.51
DX
INFECTION OF CERVIX IN PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.511
DX
INFECTIONS OF CERVIX IN PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.512
DX
INFECTIONS OF CERVIX IN PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.513
DX
INFECTIONS OF CERVIX IN PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.519
DX
INFECTIONS OF CERVIX IN PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.52
DX
SALPINGO-OOPHORITIS IN PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.521
DX
SALPINGO-OOPHORITIS IN PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.522
DX
SALPINGO-OOPHORITIS IN PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.523
DX
SALPINGO-OOPHORITIS IN PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.529
DX
SALPINGO-OOPHORITIS IN PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.59
DX
INFECTION OF OTHER PART OF GENITAL TRACT IN PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.591
DX
INFECTION OF OTHER PART OF GENITAL TRACT IN PREGNANCY, FIRST 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.592
DX
INFECTION OF OTHER PART OF GENITAL TRACT IN PREGNANCY, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.593
DX
INFECTION OF OTHER PART OF GENITAL TRACT IN PREGNANCY, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.599
DX
INFECTION OF OTHER PART OF GENITAL TRACT IN PREGNANCY, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.9
DX
UNSPECIFIED GENITOURINARY TRACT INFECTION IN PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.90
DX
UNSPECIFIED GENITOURINARY TRACT INFECTION IN PREGNANCY, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.91
DX
UNSPECIFIED GENITOURINARY TRACT INFECTION IN PREGNANCY, FIRST 
TRIMESTER
ICD-10-CM

19 Women who is pregnant or breastfeading
O23.92
DX
UNSPECIFIED GENITOURINARY TRACT INFECTION IN PREGNANCY, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O23.93
DX
UNSPECIFIED GENITOURINARY TRACT INFECTION IN PREGNANCY, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O24
DX
DIABETES MELLITUS IN PREGNANCY, CHILDBIRTH, AND THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.0
DX
PRE-EXISTING TYPE 1 DIABETES MELLITUS, IN PREGNANCY, CHILDBIRTH AND 
THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.01
DX
PRE-EXISTING TYPE 1 DIABETES MELLITUS, IN PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.011
DX
PRE-EXISTING TYPE 1 DIABETES MELLITUS, IN PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.012
DX
PRE-EXISTING TYPE 1 DIABETES MELLITUS, IN PREGNANCY, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.013
DX
PRE-EXISTING TYPE 1 DIABETES MELLITUS, IN PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.019
DX
PRE-EXISTING TYPE 1 DIABETES MELLITUS, IN PREGNANCY, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.02
DX
PRE-EXISTING TYPE 1 DIABETES MELLITUS, IN CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.03
DX
PRE-EXISTING TYPE 1 DIABETES MELLITUS, IN THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.1
DX
PRE-EXISTING TYPE 2 DIABETES MELLITUS, IN PREGNANCY, CHILDBIRTH AND 
THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.11
DX
PRE-EXISTING TYPE 2 DIABETES MELLITUS, IN PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.111
DX
PRE-EXISTING TYPE 2 DIABETES MELLITUS, IN PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.112
DX
PRE-EXISTING TYPE 2 DIABETES MELLITUS, IN PREGNANCY, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.113
DX
PRE-EXISTING TYPE 2 DIABETES MELLITUS, IN PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.119
DX
PRE-EXISTING TYPE 2 DIABETES MELLITUS, IN PREGNANCY, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.12
DX
PRE-EXISTING TYPE 2 DIABETES MELLITUS, IN CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.13
DX
PRE-EXISTING TYPE 2 DIABETES MELLITUS, IN THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.3
DX
UNSPECIFIED PRE-EXISTING DIABETES MELLITUS IN PREGNANCY, CHILDBIRTH 
AND THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.31
DX
UNSPECIFIED PRE-EXISTING DIABETES MELLITUS IN PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.311
DX
UNSPECIFIED PRE-EXISTING DIABETES MELLITUS IN PREGNANCY, FIRST 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.312
DX
UNSPECIFIED PRE-EXISTING DIABETES MELLITUS IN PREGNANCY, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.313
DX
UNSPECIFIED PRE-EXISTING DIABETES MELLITUS IN PREGNANCY, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.319
DX
UNSPECIFIED PRE-EXISTING DIABETES MELLITUS IN PREGNANCY, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.32
DX
UNSPECIFIED PRE-EXISTING DIABETES MELLITUS IN CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.33
DX
UNSPECIFIED PRE-EXISTING DIABETES MELLITUS IN THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.4
DX
GESTATIONAL DIABETES MELLITUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.41
DX
GESTATIONAL DIABETES MELLITUS IN PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.410
DX
GESTATIONAL DIABETES MELLITUS IN PREGNANCY, DIET CONTROLLED
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.414
DX
GESTATIONAL DIABETES MELLITUS IN PREGNANCY, INSULIN CONTROLLED
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.415
DX
GESTATIONAL DIABETES MELLITUS IN PREGNANCY, CONTROLLED BY ORAL 
HYPOGLYCEMIC DRUGS
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.419
DX
GESTATIONAL DIABETES MELLITUS IN PREGNANCY, UNSPECIFIED CONTROL
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.42
DX
GESTATIONAL DIABETES MELLITUS IN CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.420
DX
GESTATIONAL DIABETES MELLITUS IN CHILDBIRTH, DIET CONTROLLED
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.424
DX
GESTATIONAL DIABETES MELLITUS IN CHILDBIRTH, INSULIN CONTROLLED
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.425
DX
GESTATIONAL DIABETES MELLITUS IN CHILDBIRTH, CONTROLLED BY ORAL 
HYPOGLYCEMIC DRUGS
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.429
DX
GESTATIONAL DIABETES MELLITUS IN CHILDBIRTH, UNSPECIFIED CONTROL
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.43
DX
GESTATIONAL DIABETES MELLITUS IN THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.430
DX
GESTATIONAL DIABETES MELLITUS IN THE PUERPERIUM, DIET CONTROLLED
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.434
DX
GESTATIONAL DIABETES MELLITUS IN THE PUERPERIUM, INSULIN CONTROLLED ICD-10-CM
19 Women who is pregnant or breastfeading
O24.435
DX
GESTATIONAL DIABETES MELLITUS IN PUERPERIUM, CONTROLLED BY ORAL 
HYPOGLYCEMIC DRUGS
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.439
DX
GESTATIONAL DIABETES MELLITUS IN THE PUERPERIUM, UNSPECIFIED 
CONTROL
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.8
DX
OTHER PRE-EXISTING DIABETES MELLITUS IN PREGNANCY, CHILDBIRTH, AND 
THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.81
DX
OTHER PRE-EXISTING DIABETES MELLITUS IN PREGNANCY
ICD-10-CM

19 Women who is pregnant or breastfeading
O24.811
DX
OTHER PRE-EXISTING DIABETES MELLITUS IN PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.812
DX
OTHER PRE-EXISTING DIABETES MELLITUS IN PREGNANCY, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.813
DX
OTHER PRE-EXISTING DIABETES MELLITUS IN PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.819
DX
OTHER PRE-EXISTING DIABETES MELLITUS IN PREGNANCY, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.82
DX
OTHER PRE-EXISTING DIABETES MELLITUS IN CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.83
DX
OTHER PRE-EXISTING DIABETES MELLITUS IN THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.9
DX
UNSPECIFIED DIABETES MELLITUS IN PREGNANCY, CHILDBIRTH AND THE 
PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.91
DX
UNSPECIFIED DIABETES MELLITUS IN PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.911
DX
UNSPECIFIED DIABETES MELLITUS IN PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.912
DX
UNSPECIFIED DIABETES MELLITUS IN PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.913
DX
UNSPECIFIED DIABETES MELLITUS IN PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.919
DX
UNSPECIFIED DIABETES MELLITUS IN PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.92
DX
UNSPECIFIED DIABETES MELLITUS IN CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O24.93
DX
UNSPECIFIED DIABETES MELLITUS IN THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O25
DX
MALNUTRITION IN PREGNANCY, CHILDBIRTH AND THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O25.1
DX
MALNUTRITION IN PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O25.10
DX
MALNUTRITION IN PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O25.11
DX
MALNUTRITION IN PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O25.12
DX
MALNUTRITION IN PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O25.13
DX
MALNUTRITION IN PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O25.2
DX
MALNUTRITION IN CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O25.3
DX
MALNUTRITION IN THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O26
DX
MATERNAL CARE FOR OTHER CONDITIONS PREDOMINANTLY RELATED TO 
PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.0
DX
EXCESSIVE WEIGHT GAIN IN PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.00
DX
EXCESSIVE WEIGHT GAIN IN PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.01
DX
EXCESSIVE WEIGHT GAIN IN PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.02
DX
EXCESSIVE WEIGHT GAIN IN PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.03
DX
EXCESSIVE WEIGHT GAIN IN PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.1
DX
LOW WEIGHT GAIN IN PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.10
DX
LOW WEIGHT GAIN IN PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.11
DX
LOW WEIGHT GAIN IN PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.12
DX
LOW WEIGHT GAIN IN PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.13
DX
LOW WEIGHT GAIN IN PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.2
DX
PREGNANCY CARE FOR PATIENT WITH RECURRENT PREGNANCY LOSS
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.20
DX
PREGNANCY CARE FOR PATIENT WITH RECURRENT PREGNANCY LOSS, 
UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.21
DX
PREGNANCY CARE FOR PATIENT WITH RECURRENT PREGNANCY LOSS, FIRST 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.22
DX
PREGNANCY CARE FOR PATIENT WITH RECURRENT PREGNANCY LOSS, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.23
DX
PREGNANCY CARE FOR PATIENT WITH RECURRENT PREGNANCY LOSS, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.3
DX
RETAINED INTRAUTERINE CONTRACEPTIVE DEVICE IN PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.30
DX
RETAINED INTRAUTERINE CONTRACEPTIVE DEVICE IN PREGNANCY, 
UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.31
DX
RETAINED INTRAUTERINE CONTRACEPTIVE DEVICE IN PREGNANCY, FIRST 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.32
DX
RETAINED INTRAUTERINE CONTRACEPTIVE DEVICE IN PREGNANCY, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.33
DX
RETAINED INTRAUTERINE CONTRACEPTIVE DEVICE IN PREGNANCY, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.4
DX
HERPES GESTATIONIS
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.40
DX
HERPES GESTATIONIS, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.41
DX
HERPES GESTATIONIS, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.42
DX
HERPES GESTATIONIS, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.43
DX
HERPES GESTATIONIS, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.5
DX
MATERNAL HYPOTENSION SYNDROME
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.50
DX
MATERNAL HYPOTENSION SYNDROME, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.51
DX
MATERNAL HYPOTENSION SYNDROME, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.52
DX
MATERNAL HYPOTENSION SYNDROME, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.53
DX
MATERNAL HYPOTENSION SYNDROME, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.6
DX
LIVER AND BILIARY TRACT DISORDERS IN PREGNANCY, CHILDBIRTH AND THE 
PUERPERIUM
ICD-10-CM

19 Women who is pregnant or breastfeading
O26.61
DX
LIVER AND BILIARY TRACT DISORDERS IN PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.611
DX
LIVER AND BILIARY TRACT DISORDERS IN PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.612
DX
LIVER AND BILIARY TRACT DISORDERS IN PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.613
DX
LIVER AND BILIARY TRACT DISORDERS IN PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.619
DX
LIVER AND BILIARY TRACT DISORDERS IN PREGNANCY, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.62
DX
LIVER AND BILIARY TRACT DISORDERS IN CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.63
DX
LIVER AND BILIARY TRACT DISORDERS IN THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.7
DX
SUBLUXATION OF SYMPHYSIS (PUBIS) IN PREGNANCY, CHILDBIRTH AND THE 
PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.71
DX
SUBLUXATION OF SYMPHYSIS (PUBIS) IN PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.711
DX
SUBLUXATION OF SYMPHYSIS (PUBIS) IN PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.712
DX
SUBLUXATION OF SYMPHYSIS (PUBIS) IN PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.713
DX
SUBLUXATION OF SYMPHYSIS (PUBIS) IN PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.719
DX
SUBLUXATION OF SYMPHYSIS (PUBIS) IN PREGNANCY, UNSPECIFIED TRIMESTER ICD-10-CM
19 Women who is pregnant or breastfeading
O26.72
DX
SUBLUXATION OF SYMPHYSIS (PUBIS) IN CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.73
DX
SUBLUXATION OF SYMPHYSIS (PUBIS) IN THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.8
DX
OTHER SPECIFIED PREGNANCY RELATED CONDITIONS
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.81
DX
PREGNANCY RELATED EXHAUSTION AND FATIGUE
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.811
DX
PREGNANCY RELATED EXHAUSTION AND FATIGUE, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.812
DX
PREGNANCY RELATED EXHAUSTION AND FATIGUE, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.813
DX
PREGNANCY RELATED EXHAUSTION AND FATIGUE, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.819
DX
PREGNANCY RELATED EXHAUSTION AND FATIGUE, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.82
DX
PREGNANCY RELATED PERIPHERAL NEURITIS
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.821
DX
PREGNANCY RELATED PERIPHERAL NEURITIS, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.822
DX
PREGNANCY RELATED PERIPHERAL NEURITIS, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.823
DX
PREGNANCY RELATED PERIPHERAL NEURITIS, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.829
DX
PREGNANCY RELATED PERIPHERAL NEURITIS, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.83
DX
PREGNANCY RELATED RENAL DISEASE
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.831
DX
PREGNANCY RELATED RENAL DISEASE, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.832
DX
PREGNANCY RELATED RENAL DISEASE, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.833
DX
PREGNANCY RELATED RENAL DISEASE, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.839
DX
PREGNANCY RELATED RENAL DISEASE, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.84
DX
UTERINE SIZE-DATE DISCREPANCY COMPLICATING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.841
DX
UTERINE SIZE-DATE DISCREPANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.842
DX
UTERINE SIZE-DATE DISCREPANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.843
DX
UTERINE SIZE-DATE DISCREPANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.849
DX
UTERINE SIZE-DATE DISCREPANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.85
DX
SPOTTING COMPLICATING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.851
DX
SPOTTING COMPLICATING PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.852
DX
SPOTTING COMPLICATING PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.853
DX
SPOTTING COMPLICATING PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.859
DX
SPOTTING COMPLICATING PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.86
DX
PRURITIC URTICARIAL PAPULES AND PLAQUES OF PREGNANCY (PUPPP)
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.87
DX
CERVICAL SHORTENING
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.872
DX
CERVICAL SHORTENING, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.873
DX
CERVICAL SHORTENING, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.879
DX
CERVICAL SHORTENING, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.89
DX
OTHER SPECIFIED PREGNANCY RELATED CONDITIONS
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.891
DX
OTHER SPECIFIED PREGNANCY RELATED CONDITIONS, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.892
DX
OTHER SPECIFIED PREGNANCY RELATED CONDITIONS, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.893
DX
OTHER SPECIFIED PREGNANCY RELATED CONDITIONS, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.899
DX
OTHER SPECIFIED PREGNANCY RELATED CONDITIONS, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.9
DX
PREGNANCY RELATED CONDITIONS, UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.90
DX
PREGNANCY RELATED CONDITIONS, UNSPECIFIED, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.91
DX
PREGNANCY RELATED CONDITIONS, UNSPECIFIED, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.92
DX
PREGNANCY RELATED CONDITIONS, UNSPECIFIED, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O26.93
DX
PREGNANCY RELATED CONDITIONS, UNSPECIFIED, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O28
DX
ABNORMAL FINDINGS ON ANTENATAL SCREENING OF MOTHER
ICD-10-CM
19 Women who is pregnant or breastfeading
O28.0
DX
ABNORMAL HEMATOLOGICAL FINDING ON ANTENATAL SCREENING OF MOTHER ICD-10-CM
19 Women who is pregnant or breastfeading
O28.1
DX
ABNORMAL BIOCHEMICAL FINDING ON ANTENATAL SCREENING OF MOTHER
ICD-10-CM
19 Women who is pregnant or breastfeading
O28.2
DX
ABNORMAL CYTOLOGICAL FINDING ON ANTENATAL SCREENING OF MOTHER
ICD-10-CM
19 Women who is pregnant or breastfeading
O28.3
DX
ABNORMAL ULTRASONIC FINDING ON ANTENATAL SCREENING OF MOTHER
ICD-10-CM
19 Women who is pregnant or breastfeading
O28.4
DX
ABNORMAL RADIOLOGICAL FINDING ON ANTENATAL SCREENING OF MOTHER
ICD-10-CM

19 Women who is pregnant or breastfeading
O28.5
DX
ABNORMAL CHROMOSOMAL AND GENETIC FINDING ON ANTENATAL 
SCREENING OF MOTHER
ICD-10-CM
19 Women who is pregnant or breastfeading
O28.8
DX
OTHER ABNORMAL FINDINGS ON ANTENATAL SCREENING OF MOTHER
ICD-10-CM
19 Women who is pregnant or breastfeading
O28.9
DX
UNSPECIFIED ABNORMAL FINDINGS ON ANTENATAL SCREENING OF MOTHER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29
DX
COMPLICATIONS OF ANESTHESIA DURING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.0
DX
PULMONARY COMPLICATIONS OF ANESTHESIA DURING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.01
DX
ASPIRATION PNEUMONITIS DUE TO ANESTHESIA DURING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.011
DX
ASPIRATION PNEUMONITIS DUE TO ANESTHESIA DURING PREGNANCY, FIRST 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.012
DX
ASPIRATION PNEUMONITIS DUE TO ANESTHESIA DURING PREGNANCY, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.013
DX
ASPIRATION PNEUMONITIS DUE TO ANESTHESIA DURING PREGNANCY, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.019
DX
ASPIRATION PNEUMONITIS DUE TO ANESTHESIA DURING PREGNANCY, 
UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.02
DX
PRESSURE COLLAPSE OF LUNG DUE TO ANESTHESIA DURING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.021
DX
PRESSURE COLLAPSE OF LUNG DUE TO ANESTHESIA DURING PREGNANCY, 
FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.022
DX
PRESSURE COLLAPSE OF LUNG DUE TO ANESTHESIA DURING PREGNANCY, 
SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.023
DX
PRESSURE COLLAPSE OF LUNG DUE TO ANESTHESIA DURING PREGNANCY, 
THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.029
DX
PRESSURE COLLAPSE OF LUNG DUE TO ANESTHESIA DURING PREGNANCY, 
UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.09
DX
OTHER PULMONARY COMPLICATIONS OF ANESTHESIA DURING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.091
DX
OTHER PULMONARY COMPLICATIONS OF ANESTHESIA DURING PREGNANCY, 
FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.092
DX
OTHER PULMONARY COMPLICATIONS OF ANESTHESIA DURING PREGNANCY, 
SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.093
DX
OTHER PULMONARY COMPLICATIONS OF ANESTHESIA DURING PREGNANCY, 
THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.099
DX
OTHER PULMONARY COMPLICATIONS OF ANESTHESIA DURING PREGNANCY, 
UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.1
DX
CARDIAC COMPLICATIONS OF ANESTHESIA DURING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.11
DX
CARDIAC ARREST DUE TO ANESTHESIA DURING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.111
DX
CARDIAC ARREST DUE TO ANESTHESIA DURING PREGNANCY, FIRST TRIMESTER ICD-10-CM
19 Women who is pregnant or breastfeading
O29.112
DX
CARDIAC ARREST DUE TO ANESTHESIA DURING PREGNANCY, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.113
DX
CARDIAC ARREST DUE TO ANESTHESIA DURING PREGNANCY, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.119
DX
CARDIAC ARREST DUE TO ANESTHESIA DURING PREGNANCY, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.12
DX
CARDIAC FAILURE DUE TO ANESTHESIA DURING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.121
DX
CARDIAC FAILURE DUE TO ANESTHESIA DURING PREGNANCY, FIRST 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.122
DX
CARDIAC FAILURE DUE TO ANESTHESIA DURING PREGNANCY, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.123
DX
CARDIAC FAILURE DUE TO ANESTHESIA DURING PREGNANCY, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.129
DX
CARDIAC FAILURE DUE TO ANESTHESIA DURING PREGNANCY, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.19
DX
OTHER CARDIAC COMPLICATIONS OF ANESTHESIA DURING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.191
DX
OTHER CARDIAC COMPLICATIONS OF ANESTHESIA DURING PREGNANCY, FIRST 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.192
DX
OTHER CARDIAC COMPLICATIONS OF ANESTHESIA DURING PREGNANCY, 
SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.193
DX
OTHER CARDIAC COMPLICATIONS OF ANESTHESIA DURING PREGNANCY, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.199
DX
OTHER CARDIAC COMPLICATIONS OF ANESTHESIA DURING PREGNANCY, 
UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.2
DX
CENTRAL NERVOUS SYSTEM COMPLICATIONS OF ANESTHESIA DURING 
PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.21
DX
CEREBRAL ANOXIA DUE TO ANESTHESIA DURING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.211
DX
CEREBRAL ANOXIA DUE TO ANESTHESIA DURING PREGNANCY, FIRST 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.212
DX
CEREBRAL ANOXIA DUE TO ANESTHESIA DURING PREGNANCY, SECOND 
TRIMESTER
ICD-10-CM

19 Women who is pregnant or breastfeading
O29.213
DX
CEREBRAL ANOXIA DUE TO ANESTHESIA DURING PREGNANCY, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.219
DX
CEREBRAL ANOXIA DUE TO ANESTHESIA DURING PREGNANCY, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.29
DX
OTHER CENTRAL NERVOUS SYSTEM COMPLICATIONS OF ANESTHESIA DURING 
PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.291
DX
OTHER CENTRAL NERVOUS SYSTEM COMPLICATIONS OF ANESTHESIA DURING 
PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.292
DX
OTHER CENTRAL NERVOUS SYSTEM COMPLICATIONS OF ANESTHESIA DURING 
PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.293
DX
OTHER CENTRAL NERVOUS SYSTEM COMPLICATIONS OF ANESTHESIA DURING 
PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.299
DX
OTHER CENTRAL NERVOUS SYSTEM COMPLICATIONS OF ANESTHESIA DURING 
PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.3
DX
TOXIC REACTION TO LOCAL ANESTHESIA DURING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.3X
DX
TOXIC REACTION TO LOCAL ANESTHESIA DURING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.3X1
DX
TOXIC REACTION TO LOCAL ANESTHESIA DURING PREGNANCY, FIRST 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.3X2
DX
TOXIC REACTION TO LOCAL ANESTHESIA DURING PREGNANCY, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.3X3
DX
TOXIC REACTION TO LOCAL ANESTHESIA DURING PREGNANCY, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.3X9
DX
TOXIC REACTION TO LOCAL ANESTHESIA DURING PREGNANCY, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.4
DX
SPINAL AND EPIDURAL ANESTHESIA INDUCED HEADACHE DURING PREGNANCY ICD-10-CM
19 Women who is pregnant or breastfeading
O29.40
DX
SPINAL AND EPIDURAL ANESTHESIA INDUCED HEADACHE DURING 
PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.41
DX
SPINAL AND EPIDURAL ANESTHESIA INDUCED HEADACHE DURING 
PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.42
DX
SPINAL AND EPIDURAL ANESTHESIA INDUCED HEADACHE DURING 
PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.43
DX
SPINAL AND EPIDURAL ANESTHESIA INDUCED HEADACHE DURING 
PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.5
DX
OTHER COMPLICATIONS OF SPINAL AND EPIDURAL ANESTHESIA DURING 
PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.5X
DX
OTHER COMPLICATIONS OF SPINAL AND EPIDURAL ANESTHESIA DURING 
PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.5X1
DX
OTHER COMPLICATIONS OF SPINAL AND EPIDURAL ANESTHESIA DURING 
PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.5X2
DX
OTHER COMPLICATIONS OF SPINAL AND EPIDURAL ANESTHESIA DURING 
PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.5X3
DX
OTHER COMPLICATIONS OF SPINAL AND EPIDURAL ANESTHESIA DURING 
PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.5X9
DX
OTHER COMPLICATIONS OF SPINAL AND EPIDURAL ANESTHESIA DURING 
PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.6
DX
FAILED OR DIFFICULT INTUBATION FOR ANESTHESIA DURING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.60
DX
FAILED OR DIFFICULT INTUBATION FOR ANESTHESIA DURING PREGNANCY, 
UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.61
DX
FAILED OR DIFFICULT INTUBATION FOR ANESTHESIA DURING PREGNANCY, 
FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.62
DX
FAILED OR DIFFICULT INTUBATION FOR ANESTHESIA DURING PREGNANCY, 
SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.63
DX
FAILED OR DIFFICULT INTUBATION FOR ANESTHESIA DURING PREGNANCY, 
THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.8
DX
OTHER COMPLICATIONS OF ANESTHESIA DURING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.8X
DX
OTHER COMPLICATIONS OF ANESTHESIA DURING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.8X1
DX
OTHER COMPLICATIONS OF ANESTHESIA DURING PREGNANCY, FIRST 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.8X2
DX
OTHER COMPLICATIONS OF ANESTHESIA DURING PREGNANCY, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.8X3
DX
OTHER COMPLICATIONS OF ANESTHESIA DURING PREGNANCY, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.8X9
DX
OTHER COMPLICATIONS OF ANESTHESIA DURING PREGNANCY, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.9
DX
UNSPECIFIED COMPLICATION OF ANESTHESIA DURING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.90
DX
UNSPECIFIED COMPLICATION OF ANESTHESIA DURING PREGNANCY, 
UNSPECIFIED TRIMESTER
ICD-10-CM

19 Women who is pregnant or breastfeading
O29.91
DX
UNSPECIFIED COMPLICATION OF ANESTHESIA DURING PREGNANCY, FIRST 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.92
DX
UNSPECIFIED COMPLICATION OF ANESTHESIA DURING PREGNANCY, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O29.93
DX
UNSPECIFIED COMPLICATION OF ANESTHESIA DURING PREGNANCY, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30
DX
MULTIPLE GESTATION
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.0
DX
TWIN PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.00
DX
TWIN PREGNANCY, UNSPECIFIED NUMBER OF PLACENTA AND UNSPECIFIED 
NUMBER OF AMNIOTIC SACS
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.001
DX
TWIN PREGNANCY, UNSPECIFIED NUMBER OF PLACENTA AND UNSPECIFIED 
NUMBER OF AMNIOTIC SACS, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.002
DX
TWIN PREGNANCY, UNSPECIFIED NUMBER OF PLACENTA AND UNSPECIFIED 
NUMBER OF AMNIOTIC SACS, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.003
DX
TWIN PREGNANCY, UNSPECIFIED NUMBER OF PLACENTA AND UNSPECIFIED 
NUMBER OF AMNIOTIC SACS, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.009
DX
TWIN PREGNANCY, UNSPECIFIED NUMBER OF PLACENTA AND UNSPECIFIED 
NUMBER OF AMNIOTIC SACS, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.01
DX
TWIN PREGNANCY, MONOCHORIONIC/MONOAMNIOTIC
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.011
DX
TWIN PREGNANCY, MONOCHORIONIC/MONOAMNIOTIC, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.012
DX
TWIN PREGNANCY, MONOCHORIONIC/MONOAMNIOTIC, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.013
DX
TWIN PREGNANCY, MONOCHORIONIC/MONOAMNIOTIC, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.019
DX
TWIN PREGNANCY, MONOCHORIONIC/MONOAMNIOTIC, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.02
DX
CONJOINED TWIN PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.021
DX
CONJOINED TWIN PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.022
DX
CONJOINED TWIN PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.023
DX
CONJOINED TWIN PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.029
DX
CONJOINED TWIN PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.03
DX
TWIN PREGNANCY, MONOCHORIONIC/DIAMNIOTIC
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.031
DX
TWIN PREGNANCY, MONOCHORIONIC/DIAMNIOTIC, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.032
DX
TWIN PREGNANCY, MONOCHORIONIC/DIAMNIOTIC, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.033
DX
TWIN PREGNANCY, MONOCHORIONIC/DIAMNIOTIC, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.039
DX
TWIN PREGNANCY, MONOCHORIONIC/DIAMNIOTIC, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.04
DX
TWIN PREGNANCY, DICHORIONIC/DIAMNIOTIC
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.041
DX
TWIN PREGNANCY, DICHORIONIC/DIAMNIOTIC, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.042
DX
TWIN PREGNANCY, DICHORIONIC/DIAMNIOTIC, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.043
DX
TWIN PREGNANCY, DICHORIONIC/DIAMNIOTIC, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.049
DX
TWIN PREGNANCY, DICHORIONIC/DIAMNIOTIC, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.09
DX
TWIN PREGNANCY, UNABLE TO DETERMINE NUMBER OF PLACENTA AND 
NUMBER OF AMNIOTIC SACS
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.091
DX
TWIN PREGNANCY, UNABLE TO DETERMINE NUMBER OF PLACENTA AND 
NUMBER OF AMNIOTIC SACS, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.092
DX
TWIN PREGNANCY, UNABLE TO DETERMINE NUMBER OF PLACENTA AND 
NUMBER OF AMNIOTIC SACS, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.093
DX
TWIN PREGNANCY, UNABLE TO DETERMINE NUMBER OF PLACENTA AND 
NUMBER OF AMNIOTIC SACS, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.099
DX
TWIN PREGNANCY, UNABLE TO DETERMINE NUMBER OF PLACENTA AND 
NUMBER OF AMNIOTIC SACS, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.1
DX
TRIPLET PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.10
DX
TRIPLET PREGNANCY, UNSPECIFIED NUMBER OF PLACENTA AND UNSPECIFIED 
NUMBER OF AMNIOTIC SACS
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.101
DX
TRIPLET PREGNANCY, UNSPECIFIED NUMBER OF PLACENTA AND UNSPECIFIED 
NUMBER OF AMNIOTIC SACS, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.102
DX
TRIPLET PREGNANCY, UNSPECIFIED NUMBER OF PLACENTA AND UNSPECIFIED 
NUMBER OF AMNIOTIC SACS, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.103
DX
TRIPLET PREGNANCY, UNSPECIFIED NUMBER OF PLACENTA AND UNSPECIFIED 
NUMBER OF AMNIOTIC SACS, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.109
DX
TRIPLET PREGNANCY, UNSPECIFIED NUMBER OF PLACENTA AND UNSPECIFIED 
NUMBER OF AMNIOTIC SACS, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.11
DX
TRIPLET PREGNANCY WITH TWO OR MORE MONOCHORIONIC FETUSES
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.111
DX
TRIPLET PREGNANCY WITH TWO OR MORE MONOCHORIONIC FETUSES, FIRST 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.112
DX
TRIPLET PREGNANCY WITH TWO OR MORE MONOCHORIONIC FETUSES, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.113
DX
TRIPLET PREGNANCY WITH TWO OR MORE MONOCHORIONIC FETUSES, THIRD 
TRIMESTER
ICD-10-CM

19 Women who is pregnant or breastfeading
O30.119
DX
TRIPLET PREGNANCY WITH TWO OR MORE MONOCHORIONIC FETUSES, 
UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.12
DX
TRIPLET PREGNANCY WITH TWO OR MORE MONOAMNIOTIC FETUSES
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.121
DX
TRIPLET PREGNANCY WITH TWO OR MORE MONOAMNIOTIC FETUSES, FIRST 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.122
DX
TRIPLET PREGNANCY WITH TWO OR MORE MONOAMNIOTIC FETUSES, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.123
DX
TRIPLET PREGNANCY WITH TWO OR MORE MONOAMNIOTIC FETUSES, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.129
DX
TRIPLET PREGNANCY WITH TWO OR MORE MONOAMNIOTIC FETUSES, 
UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.13
DX
TRIPLET PREGNANCY, TRICHORIONIC/TRIAMNIOTIC
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.131
DX
TRIPLET PREGNANCY, TRICHORIONIC/TRIAMNIOTIC, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.132
DX
TRIPLET PREGNANCY, TRICHORIONIC/TRIAMNIOTIC, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.133
DX
TRIPLET PREGNANCY, TRICHORIONIC/TRIAMNIOTIC, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.139
DX
TRIPLET PREGNANCY, TRICHORIONIC/TRIAMNIOTIC, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.19
DX
TRIPLET PREGNANCY, UNABLE TO DETERMINE NUMBER OF PLACENTA AND 
NUMBER OF AMNIOTIC SACS
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.191
DX
TRIPLET PREGNANCY, UNABLE TO DETERMINE NUMBER OF PLACENTA AND 
NUMBER OF AMNIOTIC SACS, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.192
DX
TRIPLET PREGNANCY, UNABLE TO DETERMINE NUMBER OF PLACENTA AND 
NUMBER OF AMNIOTIC SACS, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.193
DX
TRIPLET PREGNANCY, UNABLE TO DETERMINE NUMBER OF PLACENTA AND 
NUMBER OF AMNIOTIC SACS, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.199
DX
TRIPLET PREGNANCY, UNABLE TO DETERMINE NUMBER OF PLACENTA AND 
NUMBER OF AMNIOTIC SACS, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.2
DX
QUADRUPLET PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.20
DX
QUADRUPLET PREGNANCY, UNSPECIFIED NUMBER OF PLACENTA AND 
UNSPECIFIED NUMBER OF AMNIOTIC SACS
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.201
DX
QUADRUPLET PREGNANCY, UNSPECIFIED NUMBER OF PLACENTA AND 
UNSPECIFIED NUMBER OF AMNIOTIC SACS, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.202
DX
QUADRUPLET PREGNANCY, UNSPECIFIED NUMBER OF PLACENTA AND 
UNSPECIFIED NUMBER OF AMNIOTIC SACS, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.203
DX
QUADRUPLET PREGNANCY, UNSPECIFIED NUMBER OF PLACENTA AND 
UNSPECIFIED NUMBER OF AMNIOTIC SACS, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.209
DX
QUADRUPLET PREGNANCY, UNSPECIFIED NUMBER OF PLACENTA AND 
UNSPECIFIED NUMBER OF AMNIOTIC SACS, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.21
DX
QUADRUPLET PREGNANCY WITH TWO OR MORE MONOCHORIONIC FETUSES
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.211
DX
QUADRUPLET PREGNANCY WITH TWO OR MORE MONOCHORIONIC FETUSES, 
FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.212
DX
QUADRUPLET PREGNANCY WITH TWO OR MORE MONOCHORIONIC FETUSES, 
SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.213
DX
QUADRUPLET PREGNANCY WITH TWO OR MORE MONOCHORIONIC FETUSES, 
THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.219
DX
QUADRUPLET PREGNANCY WITH TWO OR MORE MONOCHORIONIC FETUSES, 
UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.22
DX
QUADRUPLET PREGNANCY WITH TWO OR MORE MONOAMNIOTIC FETUSES
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.221
DX
QUADRUPLET PREGNANCY WITH TWO OR MORE MONOAMNIOTIC FETUSES, 
FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.222
DX
QUADRUPLET PREGNANCY WITH TWO OR MORE MONOAMNIOTIC FETUSES, 
SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.223
DX
QUADRUPLET PREGNANCY WITH TWO OR MORE MONOAMNIOTIC FETUSES, 
THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.229
DX
QUADRUPLET PREGNANCY WITH TWO OR MORE MONOAMNIOTIC FETUSES, 
UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.23
DX
QUADRUPLET PREGNANCY, QUADRACHORIONIC/QUADRA-AMNIOTIC
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.231
DX
QUADRUPLET PREGNANCY, QUADRACHORIONIC/QUADRA-AMNIOTIC, FIRST 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.232
DX
QUADRUPLET PREGNANCY, QUADRACHORIONIC/QUADRA-AMNIOTIC, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.233
DX
QUADRUPLET PREGNANCY, QUADRACHORIONIC/QUADRA-AMNIOTIC, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.239
DX
QUADRUPLET PREGNANCY, QUADRACHORIONIC/QUADRA-AMNIOTIC, 
UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.29
DX
QUADRUPLET PREGNANCY, UNABLE TO DETERMINE NUMBER OF PLACENTA 
AND NUMBER OF AMNIOTIC SACS
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.291
DX
QUADRUPLET PREGNANCY, UNABLE TO DETERMINE NUMBER OF PLACENTA 
AND NUMBER OF AMNIOTIC SACS, FIRST TRIMESTER
ICD-10-CM

19 Women who is pregnant or breastfeading
O30.292
DX
QUADRUPLET PREGNANCY, UNABLE TO DETERMINE NUMBER OF PLACENTA 
AND NUMBER OF AMNIOTIC SACS, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.293
DX
QUADRUPLET PREGNANCY, UNABLE TO DETERMINE NUMBER OF PLACENTA 
AND NUMBER OF AMNIOTIC SACS, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.299
DX
QUADRUPLET PREGNANCY, UNABLE TO DETERMINE NUMBER OF PLACENTA 
AND NUMBER OF AMNIOTIC SACS, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.8
DX
OTHER SPECIFIED MULTIPLE GESTATION
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.80
DX
OTHER SPECIFIED MULTIPLE GESTATION, UNSPECIFIED NUMBER OF PLACENTA 
AND UNSPECIFIED NUMBER OF AMNIOTIC SACS
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.801
DX
OTHER SPECIFIED MULTIPLE GESTATION, UNSPECIFIED NUMBER OF PLACENTA 
AND UNSPECIFIED NUMBER OF AMNIOTIC SACS, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.802
DX
OTHER SPECIFIED MULTIPLE GESTATION, UNSPECIFIED NUMBER OF PLACENTA 
AND UNSPECIFIED NUMBER OF AMNIOTIC SACS, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.803
DX
OTHER SPECIFIED MULTIPLE GESTATION, UNSPECIFIED NUMBER OF PLACENTA 
AND UNSPECIFIED NUMBER OF AMNIOTIC SACS, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.809
DX
OTHER SPECIFIED MULTIPLE GESTATION, UNSPECIFIED NUMBER OF PLACENTA 
AND UNSPECIFIED NUMBER OF AMNIOTIC SACS, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.81
DX
OTHER SPECIFIED MULTIPLE GESTATION WITH TWO OR MORE MONOCHORIONIC 
FETUSES
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.811
DX
OTHER SPECIFIED MULTIPLE GESTATION WITH TWO OR MORE MONOCHORIONIC 
FETUSES, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.812
DX
OTHER SPECIFIED MULTIPLE GESTATION WITH TWO OR MORE MONOCHORIONIC 
FETUSES, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.813
DX
OTHER SPECIFIED MULTIPLE GESTATION WITH TWO OR MORE MONOCHORIONIC 
FETUSES, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.819
DX
OTHER SPECIFIED MULTIPLE GESTATION WITH TWO OR MORE MONOCHORIONIC 
FETUSES, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.82
DX
OTHER SPECIFIED MULTIPLE GESTATION WITH TWO OR MORE MONOAMNIOTIC 
FETUSES
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.821
DX
OTHER SPECIFIED MULTIPLE GESTATION WITH TWO OR MORE MONOAMNIOTIC 
FETUSES, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.822
DX
OTHER SPECIFIED MULTIPLE GESTATION WITH TWO OR MORE MONOAMNIOTIC 
FETUSES, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.823
DX
OTHER SPECIFIED MULTIPLE GESTATION WITH TWO OR MORE MONOAMNIOTIC 
FETUSES, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.829
DX
OTHER SPECIFIED MULTIPLE GESTATION WITH TWO OR MORE MONOAMNIOTIC 
FETUSES, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.83
DX
OTHER SPECIFIED MULTIPLE GESTATION, NUMBER OF CHORIONS AND AMNIONS 
ARE BOTH EQUAL TO THE NUMBER OF FETUSES
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.831
DX
OTHER SPECIFIED MULTIPLE GESTATION, NUMBER OF CHORIONS AND AMNIONS 
ARE BOTH EQUAL TO THE NUMBER OF FETUSES, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.832
DX
OTHER SPECIFIED MULTIPLE GESTATION, NUMBER OF CHORIONS AND AMNIONS 
ARE BOTH EQUAL TO THE NUMBER OF FETUSES, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.833
DX
OTHER SPECIFIED MULTIPLE GESTATION, NUMBER OF CHORIONS AND AMNIONS 
ARE BOTH EQUAL TO THE NUMBER OF FETUSES, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.839
DX
OTHER SPECIFIED MULTIPLE GESTATION, NUMBER OF CHORIONS AND AMNIONS 
ARE BOTH EQUAL TO THE NUMBER OF FETUSES, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.89
DX
OTHER SPECIFIED MULTIPLE GESTATION, UNABLE TO DETERMINE NUMBER OF 
PLACENTA AND NUMBER OF AMNIOTIC SACS
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.891
DX
OTHER SPECIFIED MULTIPLE GESTATION, UNABLE TO DETERMINE NUMBER OF 
PLACENTA AND NUMBER OF AMNIOTIC SACS, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.892
DX
OTHER SPECIFIED MULTIPLE GESTATION, UNABLE TO DETERMINE NUMBER OF 
PLACENTA AND NUMBER OF AMNIOTIC SACS, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.893
DX
OTHER SPECIFIED MULTIPLE GESTATION, UNABLE TO DETERMINE NUMBER OF 
PLACENTA AND NUMBER OF AMNIOTIC SACS, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.899
DX
OTHER SPECIFIED MULTIPLE GESTATION, UNABLE TO DETERMINE NUMBER OF 
PLACENTA AND NUMBER OF AMNIOTIC SACS, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.9
DX
MULTIPLE GESTATION, UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.90
DX
MULTIPLE GESTATION, UNSPECIFIED, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.91
DX
MULTIPLE GESTATION, UNSPECIFIED, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.92
DX
MULTIPLE GESTATION, UNSPECIFIED, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O30.93
DX
MULTIPLE GESTATION, UNSPECIFIED, THIRD TRIMESTER
ICD-10-CM

19 Women who is pregnant or breastfeading
O31
DX
COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.0
DX
PAPYRACEOUS FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.00
DX
PAPYRACEOUS FETUS, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.00X0
DX
PAPYRACEOUS FETUS, UNSPECIFIED TRIMESTER, NOT APPLICABLE OR 
UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.00X1
DX
PAPYRACEOUS FETUS, UNSPECIFIED TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.00X2
DX
PAPYRACEOUS FETUS, UNSPECIFIED TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.00X3
DX
PAPYRACEOUS FETUS, UNSPECIFIED TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.00X4
DX
PAPYRACEOUS FETUS, UNSPECIFIED TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.00X5
DX
PAPYRACEOUS FETUS, UNSPECIFIED TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.00X9
DX
PAPYRACEOUS FETUS, UNSPECIFIED TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.01
DX
PAPYRACEOUS FETUS, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.01X0
DX
PAPYRACEOUS FETUS, FIRST TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.01X1
DX
PAPYRACEOUS FETUS, FIRST TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.01X2
DX
PAPYRACEOUS FETUS, FIRST TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.01X3
DX
PAPYRACEOUS FETUS, FIRST TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.01X4
DX
PAPYRACEOUS FETUS, FIRST TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.01X5
DX
PAPYRACEOUS FETUS, FIRST TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.01X9
DX
PAPYRACEOUS FETUS, FIRST TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.02
DX
PAPYRACEOUS FETUS, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.02X0
DX
PAPYRACEOUS FETUS, SECOND TRIMESTER, NOT APPLICABLE OR UNSPECIFIED ICD-10-CM
19 Women who is pregnant or breastfeading
O31.02X1
DX
PAPYRACEOUS FETUS, SECOND TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.02X2
DX
PAPYRACEOUS FETUS, SECOND TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.02X3
DX
PAPYRACEOUS FETUS, SECOND TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.02X4
DX
PAPYRACEOUS FETUS, SECOND TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.02X5
DX
PAPYRACEOUS FETUS, SECOND TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.02X9
DX
PAPYRACEOUS FETUS, SECOND TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.03
DX
PAPYRACEOUS FETUS, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.03X0
DX
PAPYRACEOUS FETUS, THIRD TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.03X1
DX
PAPYRACEOUS FETUS, THIRD TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.03X2
DX
PAPYRACEOUS FETUS, THIRD TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.03X3
DX
PAPYRACEOUS FETUS, THIRD TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.03X4
DX
PAPYRACEOUS FETUS, THIRD TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.03X5
DX
PAPYRACEOUS FETUS, THIRD TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.03X9
DX
PAPYRACEOUS FETUS, THIRD TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.1
DX
CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR 
MORE
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.10
DX
CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR 
MORE, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.10X0
DX
CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR 
MORE, UNSPECIFIED TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.10X1
DX
CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR 
MORE, UNSPECIFIED TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.10X2
DX
CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR 
MORE, UNSPECIFIED TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.10X3
DX
CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR 
MORE, UNSPECIFIED TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.10X4
DX
CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR 
MORE, UNSPECIFIED TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.10X5
DX
CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR 
MORE, UNSPECIFIED TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.10X9
DX
CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR 
MORE, UNSPECIFIED TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.11
DX
CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR 
MORE, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.11X0
DX
CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR 
MORE, FIRST TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.11X1
DX
CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR 
MORE, FIRST TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.11X2
DX
CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR 
MORE, FIRST TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.11X3
DX
CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR 
MORE, FIRST TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.11X4
DX
CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR 
MORE, FIRST TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.11X5
DX
CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR 
MORE, FIRST TRIMESTER, FETUS 5
ICD-10-CM

19 Women who is pregnant or breastfeading
O31.11X9
DX
CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR 
MORE, FIRST TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.12
DX
CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR 
MORE, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.12X0
DX
CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR 
MORE, SECOND TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.12X1
DX
CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR 
MORE, SECOND TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.12X2
DX
CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR 
MORE, SECOND TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.12X3
DX
CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR 
MORE, SECOND TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.12X4
DX
CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR 
MORE, SECOND TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.12X5
DX
CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR 
MORE, SECOND TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.12X9
DX
CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR 
MORE, SECOND TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.13
DX
CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR 
MORE, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.13X0
DX
CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR 
MORE, THIRD TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.13X1
DX
CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR 
MORE, THIRD TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.13X2
DX
CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR 
MORE, THIRD TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.13X3
DX
CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR 
MORE, THIRD TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.13X4
DX
CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR 
MORE, THIRD TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.13X5
DX
CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR 
MORE, THIRD TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.13X9
DX
CONTINUING PREGNANCY AFTER SPONTANEOUS ABORTION OF ONE FETUS OR 
MORE, THIRD TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.2
DX
CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR 
MORE
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.20
DX
CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR 
MORE, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.20X0
DX
CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR 
MORE, UNSPECIFIED TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.20X1
DX
CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR 
MORE, UNSPECIFIED TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.20X2
DX
CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR 
MORE, UNSPECIFIED TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.20X3
DX
CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR 
MORE, UNSPECIFIED TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.20X4
DX
CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR 
MORE, UNSPECIFIED TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.20X5
DX
CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR 
MORE, UNSPECIFIED TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.20X9
DX
CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR 
MORE, UNSPECIFIED TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.21
DX
CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR 
MORE, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.21X0
DX
CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR 
MORE, FIRST TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.21X1
DX
CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR 
MORE, FIRST TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.21X2
DX
CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR 
MORE, FIRST TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.21X3
DX
CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR 
MORE, FIRST TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.21X4
DX
CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR 
MORE, FIRST TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.21X5
DX
CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR 
MORE, FIRST TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.21X9
DX
CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR 
MORE, FIRST TRIMESTER, OTHER FETUS
ICD-10-CM

19 Women who is pregnant or breastfeading
O31.22
DX
CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR 
MORE, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.22X
DX
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.22X0
DX
CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR 
MORE, SECOND TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.22X1
DX
CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR 
MORE, SECOND TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.22X2
DX
CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR 
MORE, SECOND TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.22X3
DX
CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR 
MORE, SECOND TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.22X4
DX
CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR 
MORE, SECOND TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.22X5
DX
CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR 
MORE, SECOND TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.22X9
DX
CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR 
MORE, SECOND TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.23
DX
CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR 
MORE, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.23X0
DX
CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR 
MORE, THIRD TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.23X1
DX
CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR 
MORE, THIRD TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.23X2
DX
CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR 
MORE, THIRD TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.23X3
DX
CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR 
MORE, THIRD TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.23X4
DX
CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR 
MORE, THIRD TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.23X5
DX
CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR 
MORE, THIRD TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.23X9
DX
CONTINUING PREGNANCY AFTER INTRAUTERINE DEATH OF ONE FETUS OR 
MORE, THIRD TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.3
DX
CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS 
OR MORE
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.30
DX
CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS 
OR MORE, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.30X0
DX
CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS 
OR MORE, UNSPECIFIED TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.30X1
DX
CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS 
OR MORE, UNSPECIFIED TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.30X2
DX
CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS 
OR MORE, UNSPECIFIED TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.30X3
DX
CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS 
OR MORE, UNSPECIFIED TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.30X4
DX
CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS 
OR MORE, UNSPECIFIED TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.30X5
DX
CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS 
OR MORE, UNSPECIFIED TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.30X9
DX
CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS 
OR MORE, UNSPECIFIED TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.31
DX
CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS 
OR MORE, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.31X0
DX
CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS 
OR MORE, FIRST TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.31X1
DX
CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS 
OR MORE, FIRST TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.31X2
DX
CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS 
OR MORE, FIRST TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.31X3
DX
CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS 
OR MORE, FIRST TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.31X4
DX
CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS 
OR MORE, FIRST TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.31X5
DX
CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS 
OR MORE, FIRST TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.31X9
DX
CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS 
OR MORE, FIRST TRIMESTER, OTHER FETUS
ICD-10-CM

19 Women who is pregnant or breastfeading
O31.32
DX
CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS 
OR MORE, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.32X0
DX
CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS 
OR MORE, SECOND TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.32X1
DX
CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS 
OR MORE, SECOND TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.32X2
DX
CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS 
OR MORE, SECOND TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.32X3
DX
CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS 
OR MORE, SECOND TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.32X4
DX
CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS 
OR MORE, SECOND TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.32X5
DX
CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS 
OR MORE, SECOND TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.32X9
DX
CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS 
OR MORE, SECOND TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.33
DX
CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS 
OR MORE, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.33X0
DX
CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS 
OR MORE, THIRD TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.33X1
DX
CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS 
OR MORE, THIRD TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.33X2
DX
CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS 
OR MORE, THIRD TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.33X3
DX
CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS 
OR MORE, THIRD TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.33X4
DX
CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS 
OR MORE, THIRD TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.33X5
DX
CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS 
OR MORE, THIRD TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.33X9
DX
CONTINUING PREGNANCY AFTER ELECTIVE FETAL REDUCTION OF ONE FETUS 
OR MORE, THIRD TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.8
DX
OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.8X
DX
OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.8X1
DX
OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.8X10
DX
OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, FIRST TRIMESTER, 
NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.8X11
DX
OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, FIRST TRIMESTER, 
FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.8X12
DX
OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, FIRST TRIMESTER, 
FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.8X13
DX
OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, FIRST TRIMESTER, 
FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.8X14
DX
OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, FIRST TRIMESTER, 
FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.8X15
DX
OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, FIRST TRIMESTER, 
FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.8X19
DX
OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, FIRST TRIMESTER, 
OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.8X2
DX
OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.8X20
DX
OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, SECOND 
TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.8X21
DX
OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, SECOND 
TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.8X22
DX
OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, SECOND 
TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.8X23
DX
OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, SECOND 
TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.8X24
DX
OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, SECOND 
TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.8X25
DX
OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, SECOND 
TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.8X29
DX
OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, SECOND 
TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.8X3
DX
OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, THIRD TRIMESTER ICD-10-CM

19 Women who is pregnant or breastfeading
O31.8X30
DX
OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, THIRD TRIMESTER, 
NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.8X31
DX
OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, THIRD TRIMESTER, 
FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.8X32
DX
OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, THIRD TRIMESTER, 
FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.8X33
DX
OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, THIRD TRIMESTER, 
FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.8X34
DX
OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, THIRD TRIMESTER, 
FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.8X35
DX
OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, THIRD TRIMESTER, 
FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.8X39
DX
OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, THIRD TRIMESTER, 
OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.8X9
DX
OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.8X90
DX
OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, UNSPECIFIED 
TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.8X91
DX
OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, UNSPECIFIED 
TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.8X92
DX
OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, UNSPECIFIED 
TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.8X93
DX
OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, UNSPECIFIED 
TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.8X94
DX
OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, UNSPECIFIED 
TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.8X95
DX
OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, UNSPECIFIED 
TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O31.8X99
DX
OTHER COMPLICATIONS SPECIFIC TO MULTIPLE GESTATION, UNSPECIFIED 
TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O32
DX
MATERNAL CARE FOR MALPRESENTATION OF FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.0
DX
MATERNAL CARE FOR UNSTABLE LIE
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.0XX
DX
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.0XX0
DX
MATERNAL CARE FOR UNSTABLE LIE, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.0XX1
DX
MATERNAL CARE FOR UNSTABLE LIE, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.0XX2
DX
MATERNAL CARE FOR UNSTABLE LIE, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.0XX3
DX
MATERNAL CARE FOR UNSTABLE LIE, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.0XX4
DX
MATERNAL CARE FOR UNSTABLE LIE, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.0XX5
DX
MATERNAL CARE FOR UNSTABLE LIE, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.0XX9
DX
MATERNAL CARE FOR UNSTABLE LIE, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.1
DX
MATERNAL CARE FOR BREECH PRESENTATION
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.1XX
DX
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.1XX0
DX
MATERNAL CARE FOR BREECH PRESENTATION, NOT APPLICABLE OR 
UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.1XX1
DX
MATERNAL CARE FOR BREECH PRESENTATION, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.1XX2
DX
MATERNAL CARE FOR BREECH PRESENTATION, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.1XX3
DX
MATERNAL CARE FOR BREECH PRESENTATION, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.1XX4
DX
MATERNAL CARE FOR BREECH PRESENTATION, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.1XX5
DX
MATERNAL CARE FOR BREECH PRESENTATION, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.1XX9
DX
MATERNAL CARE FOR BREECH PRESENTATION, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.2
DX
MATERNAL CARE FOR TRANSVERSE AND OBLIQUE LIE
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.2XX
DX
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.2XX0
DX
MATERNAL CARE FOR TRANSVERSE AND OBLIQUE LIE, NOT APPLICABLE OR 
UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.2XX1
DX
MATERNAL CARE FOR TRANSVERSE AND OBLIQUE LIE, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.2XX2
DX
MATERNAL CARE FOR TRANSVERSE AND OBLIQUE LIE, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.2XX3
DX
MATERNAL CARE FOR TRANSVERSE AND OBLIQUE LIE, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.2XX4
DX
MATERNAL CARE FOR TRANSVERSE AND OBLIQUE LIE, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.2XX5
DX
MATERNAL CARE FOR TRANSVERSE AND OBLIQUE LIE, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.2XX9
DX
MATERNAL CARE FOR TRANSVERSE AND OBLIQUE LIE, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.3
DX
MATERNAL CARE FOR FACE, BROW AND CHIN PRESENTATION
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.3XX0
DX
MATERNAL CARE FOR FACE, BROW AND CHIN PRESENTATION, NOT 
APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.3XX1
DX
MATERNAL CARE FOR FACE, BROW AND CHIN PRESENTATION, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.3XX2
DX
MATERNAL CARE FOR FACE, BROW AND CHIN PRESENTATION, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.3XX3
DX
MATERNAL CARE FOR FACE, BROW AND CHIN PRESENTATION, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.3XX4
DX
MATERNAL CARE FOR FACE, BROW AND CHIN PRESENTATION, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.3XX5
DX
MATERNAL CARE FOR FACE, BROW AND CHIN PRESENTATION, FETUS 5
ICD-10-CM

19 Women who is pregnant or breastfeading
O32.3XX9
DX
MATERNAL CARE FOR FACE, BROW AND CHIN PRESENTATION, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.4
DX
MATERNAL CARE FOR HIGH HEAD AT TERM
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.4X
DX
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.4XX0
DX
MATERNAL CARE FOR HIGH HEAD AT TERM, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.4XX1
DX
MATERNAL CARE FOR HIGH HEAD AT TERM, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.4XX2
DX
MATERNAL CARE FOR HIGH HEAD AT TERM, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.4XX3
DX
MATERNAL CARE FOR HIGH HEAD AT TERM, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.4XX4
DX
MATERNAL CARE FOR HIGH HEAD AT TERM, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.4XX5
DX
MATERNAL CARE FOR HIGH HEAD AT TERM, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.4XX9
DX
MATERNAL CARE FOR HIGH HEAD AT TERM, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.6
DX
MATERNAL CARE FOR COMPOUND PRESENTATION
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.6XX0
DX
MATERNAL CARE FOR COMPOUND PRESENTATION, NOT APPLICABLE OR 
UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.6XX1
DX
MATERNAL CARE FOR COMPOUND PRESENTATION, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.6XX2
DX
MATERNAL CARE FOR COMPOUND PRESENTATION, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.6XX3
DX
MATERNAL CARE FOR COMPOUND PRESENTATION, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.6XX4
DX
MATERNAL CARE FOR COMPOUND PRESENTATION, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.6XX5
DX
MATERNAL CARE FOR COMPOUND PRESENTATION, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.6XX9
DX
MATERNAL CARE FOR COMPOUND PRESENTATION, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.8
DX
MATERNAL CARE FOR OTHER MALPRESENTATION OF FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.8XX
DX
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.8XX0
DX
MATERNAL CARE FOR OTHER MALPRESENTATION OF FETUS, NOT APPLICABLE 
OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.8XX1
DX
MATERNAL CARE FOR OTHER MALPRESENTATION OF FETUS, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.8XX2
DX
MATERNAL CARE FOR OTHER MALPRESENTATION OF FETUS, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.8XX3
DX
MATERNAL CARE FOR OTHER MALPRESENTATION OF FETUS, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.8XX4
DX
MATERNAL CARE FOR OTHER MALPRESENTATION OF FETUS, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.8XX5
DX
MATERNAL CARE FOR OTHER MALPRESENTATION OF FETUS, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.8XX9
DX
MATERNAL CARE FOR OTHER MALPRESENTATION OF FETUS, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.9
DX
MATERNAL CARE FOR MALPRESENTATION OF FETUS, UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.9XX
DX
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.9XX0
DX
MATERNAL CARE FOR MALPRESENTATION OF FETUS, UNSPECIFIED, NOT 
APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.9XX1
DX
MATERNAL CARE FOR MALPRESENTATION OF FETUS, UNSPECIFIED, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.9XX2
DX
MATERNAL CARE FOR MALPRESENTATION OF FETUS, UNSPECIFIED, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.9XX3
DX
MATERNAL CARE FOR MALPRESENTATION OF FETUS, UNSPECIFIED, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.9XX4
DX
MATERNAL CARE FOR MALPRESENTATION OF FETUS, UNSPECIFIED, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.9XX5
DX
MATERNAL CARE FOR MALPRESENTATION OF FETUS, UNSPECIFIED, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O32.9XX9
DX
MATERNAL CARE FOR MALPRESENTATION OF FETUS, UNSPECIFIED, OTHER 
FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O33
DX
MATERNAL CARE FOR DISPROPORTION
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.0
DX
MATERNAL CARE FOR DISPROPORTION DUE TO DEFORMITY OF MATERNAL 
PELVIC BONES
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.1
DX
MATERNAL CARE FOR DISPROPORTION DUE TO GENERALLY CONTRACTED 
PELVIS
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.2
DX
MATERNAL CARE FOR DISPROPORTION DUE TO INLET CONTRACTION OF PELVIS ICD-10-CM
19 Women who is pregnant or breastfeading
O33.3
DX
MATERNAL CARE FOR DISPROPORTION DUE TO OUTLET CONTRACTION OF 
PELVIS
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.3XX0
DX
MATERNAL CARE FOR DISPROPORTION DUE TO OUTLET CONTRACTION OF 
PELVIS, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.3XX1
DX
MATERNAL CARE FOR DISPROPORTION DUE TO OUTLET CONTRACTION OF 
PELVIS, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.3XX2
DX
MATERNAL CARE FOR DISPROPORTION DUE TO OUTLET CONTRACTION OF 
PELVIS, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.3XX3
DX
MATERNAL CARE FOR DISPROPORTION DUE TO OUTLET CONTRACTION OF 
PELVIS, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.3XX4
DX
MATERNAL CARE FOR DISPROPORTION DUE TO OUTLET CONTRACTION OF 
PELVIS, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.3XX5
DX
MATERNAL CARE FOR DISPROPORTION DUE TO OUTLET CONTRACTION OF 
PELVIS, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.3XX9
DX
MATERNAL CARE FOR DISPROPORTION DUE TO OUTLET CONTRACTION OF 
PELVIS, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.4
DX
MATERNAL CARE FOR DISPROPORTION OF MIXED MATERNAL AND FETAL 
ORIGIN
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.4XX
DX
ICD-10-CM

19 Women who is pregnant or breastfeading
O33.4XX0
DX
MATERNAL CARE FOR DISPROPORTION OF MIXED MATERNAL AND FETAL 
ORIGIN, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.4XX1
DX
MATERNAL CARE FOR DISPROPORTION OF MIXED MATERNAL AND FETAL 
ORIGIN, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.4XX2
DX
MATERNAL CARE FOR DISPROPORTION OF MIXED MATERNAL AND FETAL 
ORIGIN, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.4XX3
DX
MATERNAL CARE FOR DISPROPORTION OF MIXED MATERNAL AND FETAL 
ORIGIN, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.4XX4
DX
MATERNAL CARE FOR DISPROPORTION OF MIXED MATERNAL AND FETAL 
ORIGIN, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.4XX5
DX
MATERNAL CARE FOR DISPROPORTION OF MIXED MATERNAL AND FETAL 
ORIGIN, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.4XX9
DX
MATERNAL CARE FOR DISPROPORTION OF MIXED MATERNAL AND FETAL 
ORIGIN, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.5
DX
MATERNAL CARE FOR DISPROPORTION DUE TO UNUSUALLY LARGE FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.5X
DX
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.5XX0
DX
MATERNAL CARE FOR DISPROPORTION DUE TO UNUSUALLY LARGE FETUS, NOT 
APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.5XX1
DX
MATERNAL CARE FOR DISPROPORTION DUE TO UNUSUALLY LARGE FETUS, 
FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.5XX2
DX
MATERNAL CARE FOR DISPROPORTION DUE TO UNUSUALLY LARGE FETUS, 
FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.5XX3
DX
MATERNAL CARE FOR DISPROPORTION DUE TO UNUSUALLY LARGE FETUS, 
FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.5XX4
DX
MATERNAL CARE FOR DISPROPORTION DUE TO UNUSUALLY LARGE FETUS, 
FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.5XX5
DX
MATERNAL CARE FOR DISPROPORTION DUE TO UNUSUALLY LARGE FETUS, 
FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.5XX9
DX
MATERNAL CARE FOR DISPROPORTION DUE TO UNUSUALLY LARGE FETUS, 
OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.6
DX
MATERNAL CARE FOR DISPROPORTION DUE TO HYDROCEPHALIC FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.6XX0
DX
MATERNAL CARE FOR DISPROPORTION DUE TO HYDROCEPHALIC FETUS, NOT 
APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.6XX1
DX
MATERNAL CARE FOR DISPROPORTION DUE TO HYDROCEPHALIC FETUS, FETUS 
1
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.6XX2
DX
MATERNAL CARE FOR DISPROPORTION DUE TO HYDROCEPHALIC FETUS, FETUS 
2
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.6XX3
DX
MATERNAL CARE FOR DISPROPORTION DUE TO HYDROCEPHALIC FETUS, FETUS 
3
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.6XX4
DX
MATERNAL CARE FOR DISPROPORTION DUE TO HYDROCEPHALIC FETUS, FETUS 
4
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.6XX5
DX
MATERNAL CARE FOR DISPROPORTION DUE TO HYDROCEPHALIC FETUS, FETUS 
5
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.6XX9
DX
MATERNAL CARE FOR DISPROPORTION DUE TO HYDROCEPHALIC FETUS, OTHER 
FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.7
DX
MATERNAL CARE FOR DISPROPORTION DUE TO OTHER FETAL DEFORMITIES
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.7XX0
DX
MATERNAL CARE FOR DISPROPORTION DUE TO OTHER FETAL DEFORMITIES, 
NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.7XX1
DX
MATERNAL CARE FOR DISPROPORTION DUE TO OTHER FETAL DEFORMITIES, 
FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.7XX2
DX
MATERNAL CARE FOR DISPROPORTION DUE TO OTHER FETAL DEFORMITIES, 
FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.7XX3
DX
MATERNAL CARE FOR DISPROPORTION DUE TO OTHER FETAL DEFORMITIES, 
FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.7XX4
DX
MATERNAL CARE FOR DISPROPORTION DUE TO OTHER FETAL DEFORMITIES, 
FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.7XX5
DX
MATERNAL CARE FOR DISPROPORTION DUE TO OTHER FETAL DEFORMITIES, 
FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.7XX9
DX
MATERNAL CARE FOR DISPROPORTION DUE TO OTHER FETAL DEFORMITIES, 
OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.8
DX
MATERNAL CARE FOR DISPROPORTION OF OTHER ORIGIN
ICD-10-CM
19 Women who is pregnant or breastfeading
O33.9
DX
MATERNAL CARE FOR DISPROPORTION, UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O34
DX
MATERNAL CARE FOR ABNORMALITY OF PELVIC ORGANS
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.0
DX
MATERNAL CARE FOR CONGENITAL MALFORMATION OF UTERUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.00
DX
MATERNAL CARE FOR UNSPECIFIED CONGENITAL MALFORMATION OF UTERUS, 
UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.01
DX
MATERNAL CARE FOR UNSPECIFIED CONGENITAL MALFORMATION OF UTERUS, 
FIRST TRIMESTER
ICD-10-CM

19 Women who is pregnant or breastfeading
O34.02
DX
MATERNAL CARE FOR UNSPECIFIED CONGENITAL MALFORMATION OF UTERUS, 
SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.03
DX
MATERNAL CARE FOR UNSPECIFIED CONGENITAL MALFORMATION OF UTERUS, 
THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.1
DX
MATERNAL CARE FOR BENIGN TUMOR OF CORPUS UTERI
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.10
DX
MATERNAL CARE FOR BENIGN TUMOR OF CORPUS UTERI, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.11
DX
MATERNAL CARE FOR BENIGN TUMOR OF CORPUS UTERI, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.12
DX
MATERNAL CARE FOR BENIGN TUMOR OF CORPUS UTERI, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.13
DX
MATERNAL CARE FOR BENIGN TUMOR OF CORPUS UTERI, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.2
DX
MATERNAL CARE DUE TO UTERINE SCAR FROM PREVIOUS SURGERY
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.21
DX
MATERNAL CARE FOR SCAR FROM PREVIOUS CESAREAN DELIVERY
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.211
DX
MATERNAL CARE FOR LOW TRANSVERSE SCAR FROM PREVIOUS CESAREAN 
DELIVERY
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.212
DX
MATERNAL CARE FOR VERTICAL SCAR FROM PREVIOUS CESAREAN DELIVERY
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.219
DX
MATERNAL CARE FOR UNSPECIFIED TYPE SCAR FROM PREVIOUS CESAREAN 
DELIVERY
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.29
DX
MATERNAL CARE DUE TO UTERINE SCAR FROM OTHER PREVIOUS SURGERY
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.3
DX
MATERNAL CARE FOR CERVICAL INCOMPETENCE
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.30
DX
MATERNAL CARE FOR CERVICAL INCOMPETENCE, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.31
DX
MATERNAL CARE FOR CERVICAL INCOMPETENCE, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.32
DX
MATERNAL CARE FOR CERVICAL INCOMPETENCE, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.33
DX
MATERNAL CARE FOR CERVICAL INCOMPETENCE, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.4
DX
MATERNAL CARE FOR OTHER ABNORMALITIES OF CERVIX
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.40
DX
MATERNAL CARE FOR OTHER ABNORMALITIES OF CERVIX, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.41
DX
MATERNAL CARE FOR OTHER ABNORMALITIES OF CERVIX, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.42
DX
MATERNAL CARE FOR OTHER ABNORMALITIES OF CERVIX, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.43
DX
MATERNAL CARE FOR OTHER ABNORMALITIES OF CERVIX, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.5
DX
MATERNAL CARE FOR OTHER ABNORMALITIES OF GRAVID UTERUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.51
DX
MATERNAL CARE FOR INCARCERATION OF GRAVID UTERUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.511
DX
MATERNAL CARE FOR INCARCERATION OF GRAVID UTERUS, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.512
DX
MATERNAL CARE FOR INCARCERATION OF GRAVID UTERUS, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.513
DX
MATERNAL CARE FOR INCARCERATION OF GRAVID UTERUS, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.519
DX
MATERNAL CARE FOR INCARCERATION OF GRAVID UTERUS, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.52
DX
MATERNAL CARE FOR PROLAPSE OF GRAVID UTERUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.521
DX
MATERNAL CARE FOR PROLAPSE OF GRAVID UTERUS, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.522
DX
MATERNAL CARE FOR PROLAPSE OF GRAVID UTERUS, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.523
DX
MATERNAL CARE FOR PROLAPSE OF GRAVID UTERUS, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.529
DX
MATERNAL CARE FOR PROLAPSE OF GRAVID UTERUS, UNSPECIFIED TRIMESTER ICD-10-CM
19 Women who is pregnant or breastfeading
O34.53
DX
MATERNAL CARE FOR RETROVERSION OF GRAVID UTERUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.531
DX
MATERNAL CARE FOR RETROVERSION OF GRAVID UTERUS, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.532
DX
MATERNAL CARE FOR RETROVERSION OF GRAVID UTERUS, SECOND TRIMESTER ICD-10-CM
19 Women who is pregnant or breastfeading
O34.533
DX
MATERNAL CARE FOR RETROVERSION OF GRAVID UTERUS, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.539
DX
MATERNAL CARE FOR RETROVERSION OF GRAVID UTERUS, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.59
DX
MATERNAL CARE FOR OTHER ABNORMALITIES OF GRAVID UTERUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.591
DX
MATERNAL CARE FOR OTHER ABNORMALITIES OF GRAVID UTERUS, FIRST 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.592
DX
MATERNAL CARE FOR OTHER ABNORMALITIES OF GRAVID UTERUS, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.593
DX
MATERNAL CARE FOR OTHER ABNORMALITIES OF GRAVID UTERUS, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.599
DX
MATERNAL CARE FOR OTHER ABNORMALITIES OF GRAVID UTERUS, 
UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.6
DX
MATERNAL CARE FOR ABNORMALITY OF VAGINA
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.60
DX
MATERNAL CARE FOR ABNORMALITY OF VAGINA, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.61
DX
MATERNAL CARE FOR ABNORMALITY OF VAGINA, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.62
DX
MATERNAL CARE FOR ABNORMALITY OF VAGINA, SECOND TRIMESTER
ICD-10-CM

19 Women who is pregnant or breastfeading
O34.63
DX
MATERNAL CARE FOR ABNORMALITY OF VAGINA, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.7
DX
MATERNAL CARE FOR ABNORMALITY OF VULVA AND PERINEUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.70
DX
MATERNAL CARE FOR ABNORMALITY OF VULVA AND PERINEUM, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.71
DX
MATERNAL CARE FOR ABNORMALITY OF VULVA AND PERINEUM, FIRST 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.72
DX
MATERNAL CARE FOR ABNORMALITY OF VULVA AND PERINEUM, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.73
DX
MATERNAL CARE FOR ABNORMALITY OF VULVA AND PERINEUM, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.8
DX
MATERNAL CARE FOR OTHER ABNORMALITIES OF PELVIC ORGANS
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.80
DX
MATERNAL CARE FOR OTHER ABNORMALITIES OF PELVIC ORGANS, 
UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.81
DX
MATERNAL CARE FOR OTHER ABNORMALITIES OF PELVIC ORGANS, FIRST 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.82
DX
MATERNAL CARE FOR OTHER ABNORMALITIES OF PELVIC ORGANS, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.83
DX
MATERNAL CARE FOR OTHER ABNORMALITIES OF PELVIC ORGANS, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.9
DX
MATERNAL CARE FOR ABNORMALITY OF PELVIC ORGAN, UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.90
DX
MATERNAL CARE FOR ABNORMALITY OF PELVIC ORGAN, UNSPECIFIED, 
UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.91
DX
MATERNAL CARE FOR ABNORMALITY OF PELVIC ORGAN, UNSPECIFIED, FIRST 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.92
DX
MATERNAL CARE FOR ABNORMALITY OF PELVIC ORGAN, UNSPECIFIED, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O34.93
DX
MATERNAL CARE FOR ABNORMALITY OF PELVIC ORGAN, UNSPECIFIED, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O35
DX
MATERNAL CARE FOR KNOWN OR SUSPECTED FETAL ABNORMALITY AND 
DAMAGE
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.0
DX
MATERNAL CARE FOR (SUSPECTED) CENTRAL NERVOUS SYSTEM 
MALFORMATION IN FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.0XX0
DX
MATERNAL CARE FOR (SUSPECTED) CENTRAL NERVOUS SYSTEM 
MALFORMATION IN FETUS, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.0XX1
DX
MATERNAL CARE FOR (SUSPECTED) CENTRAL NERVOUS SYSTEM 
MALFORMATION IN FETUS, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.0XX2
DX
MATERNAL CARE FOR (SUSPECTED) CENTRAL NERVOUS SYSTEM 
MALFORMATION IN FETUS, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.0XX3
DX
MATERNAL CARE FOR (SUSPECTED) CENTRAL NERVOUS SYSTEM 
MALFORMATION IN FETUS, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.0XX4
DX
MATERNAL CARE FOR (SUSPECTED) CENTRAL NERVOUS SYSTEM 
MALFORMATION IN FETUS, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.0XX5
DX
MATERNAL CARE FOR (SUSPECTED) CENTRAL NERVOUS SYSTEM 
MALFORMATION IN FETUS, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.0XX9
DX
MATERNAL CARE FOR (SUSPECTED) CENTRAL NERVOUS SYSTEM 
MALFORMATION IN FETUS, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.1
DX
MATERNAL CARE FOR (SUSPECTED) CHROMOSOMAL ABNORMALITY IN FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.1X
DX
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.1XX
DX
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.1XX0
DX
MATERNAL CARE FOR (SUSPECTED) CHROMOSOMAL ABNORMALITY IN FETUS, 
NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.1XX1
DX
MATERNAL CARE FOR (SUSPECTED) CHROMOSOMAL ABNORMALITY IN FETUS, 
FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.1XX2
DX
MATERNAL CARE FOR (SUSPECTED) CHROMOSOMAL ABNORMALITY IN FETUS, 
FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.1XX3
DX
MATERNAL CARE FOR (SUSPECTED) CHROMOSOMAL ABNORMALITY IN FETUS, 
FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.1XX4
DX
MATERNAL CARE FOR (SUSPECTED) CHROMOSOMAL ABNORMALITY IN FETUS, 
FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.1XX5
DX
MATERNAL CARE FOR (SUSPECTED) CHROMOSOMAL ABNORMALITY IN FETUS, 
FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.1XX9
DX
MATERNAL CARE FOR (SUSPECTED) CHROMOSOMAL ABNORMALITY IN FETUS, 
OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.2
DX
MATERNAL CARE FOR (SUSPECTED) HEREDITARY DISEASE IN FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.2XX
DX
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.2XX0
DX
MATERNAL CARE FOR (SUSPECTED) HEREDITARY DISEASE IN FETUS, NOT 
APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.2XX1
DX
MATERNAL CARE FOR (SUSPECTED) HEREDITARY DISEASE IN FETUS, FETUS 1
ICD-10-CM

19 Women who is pregnant or breastfeading
O35.2XX2
DX
MATERNAL CARE FOR (SUSPECTED) HEREDITARY DISEASE IN FETUS, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.2XX3
DX
MATERNAL CARE FOR (SUSPECTED) HEREDITARY DISEASE IN FETUS, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.2XX4
DX
MATERNAL CARE FOR (SUSPECTED) HEREDITARY DISEASE IN FETUS, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.2XX5
DX
MATERNAL CARE FOR (SUSPECTED) HEREDITARY DISEASE IN FETUS, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.2XX9
DX
MATERNAL CARE FOR (SUSPECTED) HEREDITARY DISEASE IN FETUS, OTHER 
FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.3
DX
MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS FROM VIRAL DISEASE 
IN MOTHER
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.3XX0
DX
MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS FROM VIRAL DISEASE 
IN MOTHER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.3XX1
DX
MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS FROM VIRAL DISEASE 
IN MOTHER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.3XX2
DX
MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS FROM VIRAL DISEASE 
IN MOTHER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.3XX3
DX
MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS FROM VIRAL DISEASE 
IN MOTHER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.3XX4
DX
MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS FROM VIRAL DISEASE 
IN MOTHER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.3XX5
DX
MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS FROM VIRAL DISEASE 
IN MOTHER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.3XX9
DX
MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS FROM VIRAL DISEASE 
IN MOTHER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.4
DX
MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS FROM ALCOHOL
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.4XX0
DX
MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS FROM ALCOHOL, NOT 
APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.4XX1
DX
MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS FROM ALCOHOL, 
FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.4XX2
DX
MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS FROM ALCOHOL, 
FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.4XX3
DX
MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS FROM ALCOHOL, 
FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.4XX4
DX
MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS FROM ALCOHOL, 
FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.4XX5
DX
MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS FROM ALCOHOL, 
FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.4XX9
DX
MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS FROM ALCOHOL, 
OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.5
DX
MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS BY DRUGS
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.5XX
DX
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.5XX0
DX
MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS BY DRUGS, NOT 
APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.5XX1
DX
MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS BY DRUGS, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.5XX2
DX
MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS BY DRUGS, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.5XX3
DX
MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS BY DRUGS, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.5XX4
DX
MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS BY DRUGS, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.5XX5
DX
MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS BY DRUGS, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.5XX9
DX
MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS BY DRUGS, OTHER 
FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.6
DX
MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS BY RADIATION
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.6XX0
DX
MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS BY RADIATION, NOT 
APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.6XX1
DX
MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS BY RADIATION, FETUS 1 ICD-10-CM
19 Women who is pregnant or breastfeading
O35.6XX2
DX
MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS BY RADIATION, FETUS 
2
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.6XX3
DX
MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS BY RADIATION, FETUS 
3
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.6XX4
DX
MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS BY RADIATION, FETUS 
4
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.6XX5
DX
MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS BY RADIATION, FETUS 
5
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.6XX9
DX
MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS BY RADIATION, OTHER 
FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.7
DX
MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS BY OTHER MEDICAL 
PROCEDURES
ICD-10-CM

19 Women who is pregnant or breastfeading
O35.7XX0
DX
MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS BY OTHER MEDICAL 
PROCEDURES, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.7XX1
DX
MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS BY OTHER MEDICAL 
PROCEDURES, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.7XX2
DX
MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS BY OTHER MEDICAL 
PROCEDURES, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.7XX3
DX
MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS BY OTHER MEDICAL 
PROCEDURES, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.7XX4
DX
MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS BY OTHER MEDICAL 
PROCEDURES, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.7XX5
DX
MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS BY OTHER MEDICAL 
PROCEDURES, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.7XX9
DX
MATERNAL CARE FOR (SUSPECTED) DAMAGE TO FETUS BY OTHER MEDICAL 
PROCEDURES, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.8
DX
MATERNAL CARE FOR OTHER (SUSPECTED) FETAL ABNORMALITY AND 
DAMAGE
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.8X
DX
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.8XX
DX
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.8XX0
DX
MATERNAL CARE FOR OTHER (SUSPECTED) FETAL ABNORMALITY AND 
DAMAGE, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.8XX1
DX
MATERNAL CARE FOR OTHER (SUSPECTED) FETAL ABNORMALITY AND 
DAMAGE, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.8XX2
DX
MATERNAL CARE FOR OTHER (SUSPECTED) FETAL ABNORMALITY AND 
DAMAGE, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.8XX3
DX
MATERNAL CARE FOR OTHER (SUSPECTED) FETAL ABNORMALITY AND 
DAMAGE, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.8XX4
DX
MATERNAL CARE FOR OTHER (SUSPECTED) FETAL ABNORMALITY AND 
DAMAGE, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.8XX5
DX
MATERNAL CARE FOR OTHER (SUSPECTED) FETAL ABNORMALITY AND 
DAMAGE, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.8XX9
DX
MATERNAL CARE FOR OTHER (SUSPECTED) FETAL ABNORMALITY AND 
DAMAGE, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.9
DX
MATERNAL CARE FOR (SUSPECTED) FETAL ABNORMALITY AND DAMAGE, 
UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.9X
DX
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.9XX
DX
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.9XX0
DX
MATERNAL CARE FOR (SUSPECTED) FETAL ABNORMALITY AND DAMAGE, 
UNSPECIFIED, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.9XX1
DX
MATERNAL CARE FOR (SUSPECTED) FETAL ABNORMALITY AND DAMAGE, 
UNSPECIFIED, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.9XX2
DX
MATERNAL CARE FOR (SUSPECTED) FETAL ABNORMALITY AND DAMAGE, 
UNSPECIFIED, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.9XX3
DX
MATERNAL CARE FOR (SUSPECTED) FETAL ABNORMALITY AND DAMAGE, 
UNSPECIFIED, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.9XX4
DX
MATERNAL CARE FOR (SUSPECTED) FETAL ABNORMALITY AND DAMAGE, 
UNSPECIFIED, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.9XX5
DX
MATERNAL CARE FOR (SUSPECTED) FETAL ABNORMALITY AND DAMAGE, 
UNSPECIFIED, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O35.9XX9
DX
MATERNAL CARE FOR (SUSPECTED) FETAL ABNORMALITY AND DAMAGE, 
UNSPECIFIED, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36
DX
MATERNAL CARE FOR OTHER FETAL PROBLEMS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0
DX
MATERNAL CARE FOR RHESUS ISOIMMUNIZATION
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.01
DX
MATERNAL CARE FOR ANTI-D [RH] ANTIBODIES
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.011
DX
MATERNAL CARE FOR ANTI-D [RH] ANTIBODIES, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0110
DX
MATERNAL CARE FOR ANTI-D [RH] ANTIBODIES, FIRST TRIMESTER, NOT 
APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0111
DX
MATERNAL CARE FOR ANTI-D [RH] ANTIBODIES, FIRST TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0112
DX
MATERNAL CARE FOR ANTI-D [RH] ANTIBODIES, FIRST TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0113
DX
MATERNAL CARE FOR ANTI-D [RH] ANTIBODIES, FIRST TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0114
DX
MATERNAL CARE FOR ANTI-D [RH] ANTIBODIES, FIRST TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0115
DX
MATERNAL CARE FOR ANTI-D [RH] ANTIBODIES, FIRST TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0119
DX
MATERNAL CARE FOR ANTI-D [RH] ANTIBODIES, FIRST TRIMESTER, OTHER 
FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.012
DX
MATERNAL CARE FOR ANTI-D [RH] ANTIBODIES, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0120
DX
MATERNAL CARE FOR ANTI-D [RH] ANTIBODIES, SECOND TRIMESTER, NOT 
APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0121
DX
MATERNAL CARE FOR ANTI-D [RH] ANTIBODIES, SECOND TRIMESTER, FETUS 1
ICD-10-CM

19 Women who is pregnant or breastfeading
O36.0122
DX
MATERNAL CARE FOR ANTI-D [RH] ANTIBODIES, SECOND TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0123
DX
MATERNAL CARE FOR ANTI-D [RH] ANTIBODIES, SECOND TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0124
DX
MATERNAL CARE FOR ANTI-D [RH] ANTIBODIES, SECOND TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0125
DX
MATERNAL CARE FOR ANTI-D [RH] ANTIBODIES, SECOND TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0129
DX
MATERNAL CARE FOR ANTI-D [RH] ANTIBODIES, SECOND TRIMESTER, OTHER 
FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.013
DX
MATERNAL CARE FOR ANTI-D [RH] ANTIBODIES, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0130
DX
MATERNAL CARE FOR ANTI-D [RH] ANTIBODIES, THIRD TRIMESTER, NOT 
APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0131
DX
MATERNAL CARE FOR ANTI-D [RH] ANTIBODIES, THIRD TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0132
DX
MATERNAL CARE FOR ANTI-D [RH] ANTIBODIES, THIRD TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0133
DX
MATERNAL CARE FOR ANTI-D [RH] ANTIBODIES, THIRD TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0134
DX
MATERNAL CARE FOR ANTI-D [RH] ANTIBODIES, THIRD TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0135
DX
MATERNAL CARE FOR ANTI-D [RH] ANTIBODIES, THIRD TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0139
DX
MATERNAL CARE FOR ANTI-D [RH] ANTIBODIES, THIRD TRIMESTER, OTHER 
FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.019
DX
MATERNAL CARE FOR ANTI-D [RH] ANTIBODIES, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0190
DX
MATERNAL CARE FOR ANTI-D [RH] ANTIBODIES, UNSPECIFIED TRIMESTER, NOT 
APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0191
DX
MATERNAL CARE FOR ANTI-D [RH] ANTIBODIES, UNSPECIFIED TRIMESTER, 
FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0192
DX
MATERNAL CARE FOR ANTI-D [RH] ANTIBODIES, UNSPECIFIED TRIMESTER, 
FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0193
DX
MATERNAL CARE FOR ANTI-D [RH] ANTIBODIES, UNSPECIFIED TRIMESTER, 
FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0194
DX
MATERNAL CARE FOR ANTI-D [RH] ANTIBODIES, UNSPECIFIED TRIMESTER, 
FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0195
DX
MATERNAL CARE FOR ANTI-D [RH] ANTIBODIES, UNSPECIFIED TRIMESTER, 
FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0199
DX
MATERNAL CARE FOR ANTI-D [RH] ANTIBODIES, UNSPECIFIED TRIMESTER, 
OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.09
DX
MATERNAL CARE FOR OTHER RHESUS ISOIMMUNIZATION
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.091
DX
MATERNAL CARE FOR OTHER RHESUS ISOIMMUNIZATION, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0910
DX
MATERNAL CARE FOR OTHER RHESUS ISOIMMUNIZATION, FIRST TRIMESTER, 
NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0911
DX
MATERNAL CARE FOR OTHER RHESUS ISOIMMUNIZATION, FIRST TRIMESTER, 
FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0912
DX
MATERNAL CARE FOR OTHER RHESUS ISOIMMUNIZATION, FIRST TRIMESTER, 
FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0913
DX
MATERNAL CARE FOR OTHER RHESUS ISOIMMUNIZATION, FIRST TRIMESTER, 
FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0914
DX
MATERNAL CARE FOR OTHER RHESUS ISOIMMUNIZATION, FIRST TRIMESTER, 
FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0915
DX
MATERNAL CARE FOR OTHER RHESUS ISOIMMUNIZATION, FIRST TRIMESTER, 
FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0919
DX
MATERNAL CARE FOR OTHER RHESUS ISOIMMUNIZATION, FIRST TRIMESTER, 
OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.092
DX
MATERNAL CARE FOR OTHER RHESUS ISOIMMUNIZATION, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0920
DX
MATERNAL CARE FOR OTHER RHESUS ISOIMMUNIZATION, SECOND TRIMESTER, 
NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0921
DX
MATERNAL CARE FOR OTHER RHESUS ISOIMMUNIZATION, SECOND TRIMESTER, 
FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0922
DX
MATERNAL CARE FOR OTHER RHESUS ISOIMMUNIZATION, SECOND TRIMESTER, 
FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0923
DX
MATERNAL CARE FOR OTHER RHESUS ISOIMMUNIZATION, SECOND TRIMESTER, 
FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0924
DX
MATERNAL CARE FOR OTHER RHESUS ISOIMMUNIZATION, SECOND TRIMESTER, 
FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0925
DX
MATERNAL CARE FOR OTHER RHESUS ISOIMMUNIZATION, SECOND TRIMESTER, 
FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0929
DX
MATERNAL CARE FOR OTHER RHESUS ISOIMMUNIZATION, SECOND TRIMESTER, 
OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.093
DX
MATERNAL CARE FOR OTHER RHESUS ISOIMMUNIZATION, THIRD TRIMESTER
ICD-10-CM

19 Women who is pregnant or breastfeading
O36.0930
DX
MATERNAL CARE FOR OTHER RHESUS ISOIMMUNIZATION, THIRD TRIMESTER, 
NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0931
DX
MATERNAL CARE FOR OTHER RHESUS ISOIMMUNIZATION, THIRD TRIMESTER, 
FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0932
DX
MATERNAL CARE FOR OTHER RHESUS ISOIMMUNIZATION, THIRD TRIMESTER, 
FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0933
DX
MATERNAL CARE FOR OTHER RHESUS ISOIMMUNIZATION, THIRD TRIMESTER, 
FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0934
DX
MATERNAL CARE FOR OTHER RHESUS ISOIMMUNIZATION, THIRD TRIMESTER, 
FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0935
DX
MATERNAL CARE FOR OTHER RHESUS ISOIMMUNIZATION, THIRD TRIMESTER, 
FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0939
DX
MATERNAL CARE FOR OTHER RHESUS ISOIMMUNIZATION, THIRD TRIMESTER, 
OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.099
DX
MATERNAL CARE FOR OTHER RHESUS ISOIMMUNIZATION, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0990
DX
MATERNAL CARE FOR OTHER RHESUS ISOIMMUNIZATION, UNSPECIFIED 
TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0991
DX
MATERNAL CARE FOR OTHER RHESUS ISOIMMUNIZATION, UNSPECIFIED 
TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0992
DX
MATERNAL CARE FOR OTHER RHESUS ISOIMMUNIZATION, UNSPECIFIED 
TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0993
DX
MATERNAL CARE FOR OTHER RHESUS ISOIMMUNIZATION, UNSPECIFIED 
TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0994
DX
MATERNAL CARE FOR OTHER RHESUS ISOIMMUNIZATION, UNSPECIFIED 
TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0995
DX
MATERNAL CARE FOR OTHER RHESUS ISOIMMUNIZATION, UNSPECIFIED 
TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.0999
DX
MATERNAL CARE FOR OTHER RHESUS ISOIMMUNIZATION, UNSPECIFIED 
TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1
DX
MATERNAL CARE FOR OTHER ISOIMMUNIZATION
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.11
DX
MATERNAL CARE FOR ANTI-A SENSITIZATION
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.111
DX
MATERNAL CARE FOR ANTI-A SENSITIZATION, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1110
DX
MATERNAL CARE FOR ANTI-A SENSITIZATION, FIRST TRIMESTER, NOT 
APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1111
DX
MATERNAL CARE FOR ANTI-A SENSITIZATION, FIRST TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1112
DX
MATERNAL CARE FOR ANTI-A SENSITIZATION, FIRST TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1113
DX
MATERNAL CARE FOR ANTI-A SENSITIZATION, FIRST TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1114
DX
MATERNAL CARE FOR ANTI-A SENSITIZATION, FIRST TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1115
DX
MATERNAL CARE FOR ANTI-A SENSITIZATION, FIRST TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1119
DX
MATERNAL CARE FOR ANTI-A SENSITIZATION, FIRST TRIMESTER, OTHER FETUS ICD-10-CM
19 Women who is pregnant or breastfeading
O36.112
DX
MATERNAL CARE FOR ANTI-A SENSITIZATION, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1120
DX
MATERNAL CARE FOR ANTI-A SENSITIZATION, SECOND TRIMESTER, NOT 
APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1121
DX
MATERNAL CARE FOR ANTI-A SENSITIZATION, SECOND TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1122
DX
MATERNAL CARE FOR ANTI-A SENSITIZATION, SECOND TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1123
DX
MATERNAL CARE FOR ANTI-A SENSITIZATION, SECOND TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1124
DX
MATERNAL CARE FOR ANTI-A SENSITIZATION, SECOND TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1125
DX
MATERNAL CARE FOR ANTI-A SENSITIZATION, SECOND TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1129
DX
MATERNAL CARE FOR ANTI-A SENSITIZATION, SECOND TRIMESTER, OTHER 
FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.113
DX
MATERNAL CARE FOR ANTI-A SENSITIZATION, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1130
DX
MATERNAL CARE FOR ANTI-A SENSITIZATION, THIRD TRIMESTER, NOT 
APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1131
DX
MATERNAL CARE FOR ANTI-A SENSITIZATION, THIRD TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1132
DX
MATERNAL CARE FOR ANTI-A SENSITIZATION, THIRD TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1133
DX
MATERNAL CARE FOR ANTI-A SENSITIZATION, THIRD TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1134
DX
MATERNAL CARE FOR ANTI-A SENSITIZATION, THIRD TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1135
DX
MATERNAL CARE FOR ANTI-A SENSITIZATION, THIRD TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1139
DX
MATERNAL CARE FOR ANTI-A SENSITIZATION, THIRD TRIMESTER, OTHER 
FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.119
DX
MATERNAL CARE FOR ANTI-A SENSITIZATION, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1190
DX
MATERNAL CARE FOR ANTI-A SENSITIZATION, UNSPECIFIED TRIMESTER, NOT 
APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1191
DX
MATERNAL CARE FOR ANTI-A SENSITIZATION, UNSPECIFIED TRIMESTER, FETUS 
1
ICD-10-CM

19 Women who is pregnant or breastfeading
O36.1192
DX
MATERNAL CARE FOR ANTI-A SENSITIZATION, UNSPECIFIED TRIMESTER, FETUS 
2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1193
DX
MATERNAL CARE FOR ANTI-A SENSITIZATION, UNSPECIFIED TRIMESTER, FETUS 
3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1194
DX
MATERNAL CARE FOR ANTI-A SENSITIZATION, UNSPECIFIED TRIMESTER, FETUS 
4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1195
DX
MATERNAL CARE FOR ANTI-A SENSITIZATION, UNSPECIFIED TRIMESTER, FETUS 
5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1199
DX
MATERNAL CARE FOR ANTI-A SENSITIZATION, UNSPECIFIED TRIMESTER, 
OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.19
DX
MATERNAL CARE FOR OTHER ISOIMMUNIZATION
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.191
DX
MATERNAL CARE FOR OTHER ISOIMMUNIZATION, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1910
DX
MATERNAL CARE FOR OTHER ISOIMMUNIZATION, FIRST TRIMESTER, NOT 
APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1911
DX
MATERNAL CARE FOR OTHER ISOIMMUNIZATION, FIRST TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1912
DX
MATERNAL CARE FOR OTHER ISOIMMUNIZATION, FIRST TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1913
DX
MATERNAL CARE FOR OTHER ISOIMMUNIZATION, FIRST TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1914
DX
MATERNAL CARE FOR OTHER ISOIMMUNIZATION, FIRST TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1915
DX
MATERNAL CARE FOR OTHER ISOIMMUNIZATION, FIRST TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1919
DX
MATERNAL CARE FOR OTHER ISOIMMUNIZATION, FIRST TRIMESTER, OTHER 
FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.192
DX
MATERNAL CARE FOR OTHER ISOIMMUNIZATION, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1920
DX
MATERNAL CARE FOR OTHER ISOIMMUNIZATION, SECOND TRIMESTER, NOT 
APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1921
DX
MATERNAL CARE FOR OTHER ISOIMMUNIZATION, SECOND TRIMESTER, FETUS 1 ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1922
DX
MATERNAL CARE FOR OTHER ISOIMMUNIZATION, SECOND TRIMESTER, FETUS 2 ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1923
DX
MATERNAL CARE FOR OTHER ISOIMMUNIZATION, SECOND TRIMESTER, FETUS 3 ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1924
DX
MATERNAL CARE FOR OTHER ISOIMMUNIZATION, SECOND TRIMESTER, FETUS 4 ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1925
DX
MATERNAL CARE FOR OTHER ISOIMMUNIZATION, SECOND TRIMESTER, FETUS 5 ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1929
DX
MATERNAL CARE FOR OTHER ISOIMMUNIZATION, SECOND TRIMESTER, OTHER 
FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.193
DX
MATERNAL CARE FOR OTHER ISOIMMUNIZATION, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1930
DX
MATERNAL CARE FOR OTHER ISOIMMUNIZATION, THIRD TRIMESTER, NOT 
APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1931
DX
MATERNAL CARE FOR OTHER ISOIMMUNIZATION, THIRD TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1932
DX
MATERNAL CARE FOR OTHER ISOIMMUNIZATION, THIRD TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1933
DX
MATERNAL CARE FOR OTHER ISOIMMUNIZATION, THIRD TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1934
DX
MATERNAL CARE FOR OTHER ISOIMMUNIZATION, THIRD TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1935
DX
MATERNAL CARE FOR OTHER ISOIMMUNIZATION, THIRD TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1939
DX
MATERNAL CARE FOR OTHER ISOIMMUNIZATION, THIRD TRIMESTER, OTHER 
FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.199
DX
MATERNAL CARE FOR OTHER ISOIMMUNIZATION, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1990
DX
MATERNAL CARE FOR OTHER ISOIMMUNIZATION, UNSPECIFIED TRIMESTER, 
NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1991
DX
MATERNAL CARE FOR OTHER ISOIMMUNIZATION, UNSPECIFIED TRIMESTER, 
FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1992
DX
MATERNAL CARE FOR OTHER ISOIMMUNIZATION, UNSPECIFIED TRIMESTER, 
FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1993
DX
MATERNAL CARE FOR OTHER ISOIMMUNIZATION, UNSPECIFIED TRIMESTER, 
FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1994
DX
MATERNAL CARE FOR OTHER ISOIMMUNIZATION, UNSPECIFIED TRIMESTER, 
FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1995
DX
MATERNAL CARE FOR OTHER ISOIMMUNIZATION, UNSPECIFIED TRIMESTER, 
FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.1999
DX
MATERNAL CARE FOR OTHER ISOIMMUNIZATION, UNSPECIFIED TRIMESTER, 
OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.2
DX
MATERNAL CARE FOR HYDROPS FETALIS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.20
DX
MATERNAL CARE FOR HYDROPS FETALIS, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.20X0
DX
MATERNAL CARE FOR HYDROPS FETALIS, UNSPECIFIED TRIMESTER, NOT 
APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.20X1
DX
MATERNAL CARE FOR HYDROPS FETALIS, UNSPECIFIED TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.20X2
DX
MATERNAL CARE FOR HYDROPS FETALIS, UNSPECIFIED TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.20X3
DX
MATERNAL CARE FOR HYDROPS FETALIS, UNSPECIFIED TRIMESTER, FETUS 3
ICD-10-CM

19 Women who is pregnant or breastfeading
O36.20X4
DX
MATERNAL CARE FOR HYDROPS FETALIS, UNSPECIFIED TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.20X5
DX
MATERNAL CARE FOR HYDROPS FETALIS, UNSPECIFIED TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.20X9
DX
MATERNAL CARE FOR HYDROPS FETALIS, UNSPECIFIED TRIMESTER, OTHER 
FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.21
DX
MATERNAL CARE FOR HYDROPS FETALIS, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.21X0
DX
MATERNAL CARE FOR HYDROPS FETALIS, FIRST TRIMESTER, NOT APPLICABLE 
OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.21X1
DX
MATERNAL CARE FOR HYDROPS FETALIS, FIRST TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.21X2
DX
MATERNAL CARE FOR HYDROPS FETALIS, FIRST TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.21X3
DX
MATERNAL CARE FOR HYDROPS FETALIS, FIRST TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.21X4
DX
MATERNAL CARE FOR HYDROPS FETALIS, FIRST TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.21X5
DX
MATERNAL CARE FOR HYDROPS FETALIS, FIRST TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.21X9
DX
MATERNAL CARE FOR HYDROPS FETALIS, FIRST TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.22
DX
MATERNAL CARE FOR HYDROPS FETALIS, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.22X0
DX
MATERNAL CARE FOR HYDROPS FETALIS, SECOND TRIMESTER, NOT 
APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.22X1
DX
MATERNAL CARE FOR HYDROPS FETALIS, SECOND TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.22X2
DX
MATERNAL CARE FOR HYDROPS FETALIS, SECOND TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.22X3
DX
MATERNAL CARE FOR HYDROPS FETALIS, SECOND TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.22X4
DX
MATERNAL CARE FOR HYDROPS FETALIS, SECOND TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.22X5
DX
MATERNAL CARE FOR HYDROPS FETALIS, SECOND TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.22X9
DX
MATERNAL CARE FOR HYDROPS FETALIS, SECOND TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.23
DX
MATERNAL CARE FOR HYDROPS FETALIS, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.23X0
DX
MATERNAL CARE FOR HYDROPS FETALIS, THIRD TRIMESTER, NOT APPLICABLE 
OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.23X1
DX
MATERNAL CARE FOR HYDROPS FETALIS, THIRD TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.23X2
DX
MATERNAL CARE FOR HYDROPS FETALIS, THIRD TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.23X3
DX
MATERNAL CARE FOR HYDROPS FETALIS, THIRD TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.23X4
DX
MATERNAL CARE FOR HYDROPS FETALIS, THIRD TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.23X5
DX
MATERNAL CARE FOR HYDROPS FETALIS, THIRD TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.23X9
DX
MATERNAL CARE FOR HYDROPS FETALIS, THIRD TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.4
DX
MATERNAL CARE FOR INTRAUTERINE DEATH
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.4X
DX
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.4XX0
DX
MATERNAL CARE FOR INTRAUTERINE DEATH, NOT APPLICABLE OR 
UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.4XX1
DX
MATERNAL CARE FOR INTRAUTERINE DEATH, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.4XX2
DX
MATERNAL CARE FOR INTRAUTERINE DEATH, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.4XX3
DX
MATERNAL CARE FOR INTRAUTERINE DEATH, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.4XX4
DX
MATERNAL CARE FOR INTRAUTERINE DEATH, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.4XX5
DX
MATERNAL CARE FOR INTRAUTERINE DEATH, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.4XX9
DX
MATERNAL CARE FOR INTRAUTERINE DEATH, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5
DX
MATERNAL CARE FOR KNOWN OR SUSPECTED POOR FETAL GROWTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.51
DX
MATERNAL CARE FOR KNOWN OR SUSPECTED PLACENTAL INSUFFICIENCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.511
DX
MATERNAL CARE FOR KNOWN OR SUSPECTED PLACENTAL INSUFFICIENCY, 
FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5110
DX
MATERNAL CARE FOR KNOWN OR SUSPECTED PLACENTAL INSUFFICIENCY, 
FIRST TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5111
DX
MATERNAL CARE FOR KNOWN OR SUSPECTED PLACENTAL INSUFFICIENCY, 
FIRST TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5112
DX
MATERNAL CARE FOR KNOWN OR SUSPECTED PLACENTAL INSUFFICIENCY, 
FIRST TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5113
DX
MATERNAL CARE FOR KNOWN OR SUSPECTED PLACENTAL INSUFFICIENCY, 
FIRST TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5114
DX
MATERNAL CARE FOR KNOWN OR SUSPECTED PLACENTAL INSUFFICIENCY, 
FIRST TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5115
DX
MATERNAL CARE FOR KNOWN OR SUSPECTED PLACENTAL INSUFFICIENCY, 
FIRST TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5119
DX
MATERNAL CARE FOR KNOWN OR SUSPECTED PLACENTAL INSUFFICIENCY, 
FIRST TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.512
DX
MATERNAL CARE FOR KNOWN OR SUSPECTED PLACENTAL INSUFFICIENCY, 
SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5120
DX
MATERNAL CARE FOR KNOWN OR SUSPECTED PLACENTAL INSUFFICIENCY, 
SECOND TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5121
DX
MATERNAL CARE FOR KNOWN OR SUSPECTED PLACENTAL INSUFFICIENCY, 
SECOND TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5122
DX
MATERNAL CARE FOR KNOWN OR SUSPECTED PLACENTAL INSUFFICIENCY, 
SECOND TRIMESTER, FETUS 2
ICD-10-CM

19 Women who is pregnant or breastfeading
O36.5123
DX
MATERNAL CARE FOR KNOWN OR SUSPECTED PLACENTAL INSUFFICIENCY, 
SECOND TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5124
DX
MATERNAL CARE FOR KNOWN OR SUSPECTED PLACENTAL INSUFFICIENCY, 
SECOND TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5125
DX
MATERNAL CARE FOR KNOWN OR SUSPECTED PLACENTAL INSUFFICIENCY, 
SECOND TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5129
DX
MATERNAL CARE FOR KNOWN OR SUSPECTED PLACENTAL INSUFFICIENCY, 
SECOND TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.513
DX
MATERNAL CARE FOR KNOWN OR SUSPECTED PLACENTAL INSUFFICIENCY, 
THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5130
DX
MATERNAL CARE FOR KNOWN OR SUSPECTED PLACENTAL INSUFFICIENCY, 
THIRD TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5131
DX
MATERNAL CARE FOR KNOWN OR SUSPECTED PLACENTAL INSUFFICIENCY, 
THIRD TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5132
DX
MATERNAL CARE FOR KNOWN OR SUSPECTED PLACENTAL INSUFFICIENCY, 
THIRD TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5133
DX
MATERNAL CARE FOR KNOWN OR SUSPECTED PLACENTAL INSUFFICIENCY, 
THIRD TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5134
DX
MATERNAL CARE FOR KNOWN OR SUSPECTED PLACENTAL INSUFFICIENCY, 
THIRD TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5135
DX
MATERNAL CARE FOR KNOWN OR SUSPECTED PLACENTAL INSUFFICIENCY, 
THIRD TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5139
DX
MATERNAL CARE FOR KNOWN OR SUSPECTED PLACENTAL INSUFFICIENCY, 
THIRD TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.519
DX
MATERNAL CARE FOR KNOWN OR SUSPECTED PLACENTAL INSUFFICIENCY, 
UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5190
DX
MATERNAL CARE FOR KNOWN OR SUSPECTED PLACENTAL INSUFFICIENCY, 
UNSPECIFIED TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5191
DX
MATERNAL CARE FOR KNOWN OR SUSPECTED PLACENTAL INSUFFICIENCY, 
UNSPECIFIED TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5192
DX
MATERNAL CARE FOR KNOWN OR SUSPECTED PLACENTAL INSUFFICIENCY, 
UNSPECIFIED TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5193
DX
MATERNAL CARE FOR KNOWN OR SUSPECTED PLACENTAL INSUFFICIENCY, 
UNSPECIFIED TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5194
DX
MATERNAL CARE FOR KNOWN OR SUSPECTED PLACENTAL INSUFFICIENCY, 
UNSPECIFIED TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5195
DX
MATERNAL CARE FOR KNOWN OR SUSPECTED PLACENTAL INSUFFICIENCY, 
UNSPECIFIED TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5199
DX
MATERNAL CARE FOR KNOWN OR SUSPECTED PLACENTAL INSUFFICIENCY, 
UNSPECIFIED TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.59
DX
MATERNAL CARE FOR OTHER KNOWN OR SUSPECTED POOR FETAL GROWTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.591
DX
MATERNAL CARE FOR OTHER KNOWN OR SUSPECTED POOR FETAL GROWTH, 
FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5910
DX
MATERNAL CARE FOR OTHER KNOWN OR SUSPECTED POOR FETAL GROWTH, 
FIRST TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5911
DX
MATERNAL CARE FOR OTHER KNOWN OR SUSPECTED POOR FETAL GROWTH, 
FIRST TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5912
DX
MATERNAL CARE FOR OTHER KNOWN OR SUSPECTED POOR FETAL GROWTH, 
FIRST TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5913
DX
MATERNAL CARE FOR OTHER KNOWN OR SUSPECTED POOR FETAL GROWTH, 
FIRST TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5914
DX
MATERNAL CARE FOR OTHER KNOWN OR SUSPECTED POOR FETAL GROWTH, 
FIRST TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5915
DX
MATERNAL CARE FOR OTHER KNOWN OR SUSPECTED POOR FETAL GROWTH, 
FIRST TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5919
DX
MATERNAL CARE FOR OTHER KNOWN OR SUSPECTED POOR FETAL GROWTH, 
FIRST TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.592
DX
MATERNAL CARE FOR OTHER KNOWN OR SUSPECTED POOR FETAL GROWTH, 
SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5920
DX
MATERNAL CARE FOR OTHER KNOWN OR SUSPECTED POOR FETAL GROWTH, 
SECOND TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5921
DX
MATERNAL CARE FOR OTHER KNOWN OR SUSPECTED POOR FETAL GROWTH, 
SECOND TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5922
DX
MATERNAL CARE FOR OTHER KNOWN OR SUSPECTED POOR FETAL GROWTH, 
SECOND TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5923
DX
MATERNAL CARE FOR OTHER KNOWN OR SUSPECTED POOR FETAL GROWTH, 
SECOND TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5924
DX
MATERNAL CARE FOR OTHER KNOWN OR SUSPECTED POOR FETAL GROWTH, 
SECOND TRIMESTER, FETUS 4
ICD-10-CM

19 Women who is pregnant or breastfeading
O36.5925
DX
MATERNAL CARE FOR OTHER KNOWN OR SUSPECTED POOR FETAL GROWTH, 
SECOND TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5929
DX
MATERNAL CARE FOR OTHER KNOWN OR SUSPECTED POOR FETAL GROWTH, 
SECOND TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.593
DX
MATERNAL CARE FOR OTHER KNOWN OR SUSPECTED POOR FETAL GROWTH, 
THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5930
DX
MATERNAL CARE FOR OTHER KNOWN OR SUSPECTED POOR FETAL GROWTH, 
THIRD TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5931
DX
MATERNAL CARE FOR OTHER KNOWN OR SUSPECTED POOR FETAL GROWTH, 
THIRD TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5932
DX
MATERNAL CARE FOR OTHER KNOWN OR SUSPECTED POOR FETAL GROWTH, 
THIRD TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5933
DX
MATERNAL CARE FOR OTHER KNOWN OR SUSPECTED POOR FETAL GROWTH, 
THIRD TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5934
DX
MATERNAL CARE FOR OTHER KNOWN OR SUSPECTED POOR FETAL GROWTH, 
THIRD TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5935
DX
MATERNAL CARE FOR OTHER KNOWN OR SUSPECTED POOR FETAL GROWTH, 
THIRD TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5939
DX
MATERNAL CARE FOR OTHER KNOWN OR SUSPECTED POOR FETAL GROWTH, 
THIRD TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.599
DX
MATERNAL CARE FOR OTHER KNOWN OR SUSPECTED POOR FETAL GROWTH, 
UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5990
DX
MATERNAL CARE FOR OTHER KNOWN OR SUSPECTED POOR FETAL GROWTH, 
UNSPECIFIED TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5991
DX
MATERNAL CARE FOR OTHER KNOWN OR SUSPECTED POOR FETAL GROWTH, 
UNSPECIFIED TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5992
DX
MATERNAL CARE FOR OTHER KNOWN OR SUSPECTED POOR FETAL GROWTH, 
UNSPECIFIED TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5993
DX
MATERNAL CARE FOR OTHER KNOWN OR SUSPECTED POOR FETAL GROWTH, 
UNSPECIFIED TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5994
DX
MATERNAL CARE FOR OTHER KNOWN OR SUSPECTED POOR FETAL GROWTH, 
UNSPECIFIED TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5995
DX
MATERNAL CARE FOR OTHER KNOWN OR SUSPECTED POOR FETAL GROWTH, 
UNSPECIFIED TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.5999
DX
MATERNAL CARE FOR OTHER KNOWN OR SUSPECTED POOR FETAL GROWTH, 
UNSPECIFIED TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.6
DX
MATERNAL CARE FOR EXCESSIVE FETAL GROWTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.60
DX
MATERNAL CARE FOR EXCESSIVE FETAL GROWTH, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.60X
DX
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.60X0
DX
MATERNAL CARE FOR EXCESSIVE FETAL GROWTH, UNSPECIFIED TRIMESTER, 
NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.60X1
DX
MATERNAL CARE FOR EXCESSIVE FETAL GROWTH, UNSPECIFIED TRIMESTER, 
FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.60X2
DX
MATERNAL CARE FOR EXCESSIVE FETAL GROWTH, UNSPECIFIED TRIMESTER, 
FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.60X3
DX
MATERNAL CARE FOR EXCESSIVE FETAL GROWTH, UNSPECIFIED TRIMESTER, 
FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.60X4
DX
MATERNAL CARE FOR EXCESSIVE FETAL GROWTH, UNSPECIFIED TRIMESTER, 
FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.60X5
DX
MATERNAL CARE FOR EXCESSIVE FETAL GROWTH, UNSPECIFIED TRIMESTER, 
FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.60X9
DX
MATERNAL CARE FOR EXCESSIVE FETAL GROWTH, UNSPECIFIED TRIMESTER, 
OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.61
DX
MATERNAL CARE FOR EXCESSIVE FETAL GROWTH, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.61X
DX
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.61X0
DX
MATERNAL CARE FOR EXCESSIVE FETAL GROWTH, FIRST TRIMESTER, NOT 
APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.61X1
DX
MATERNAL CARE FOR EXCESSIVE FETAL GROWTH, FIRST TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.61X2
DX
MATERNAL CARE FOR EXCESSIVE FETAL GROWTH, FIRST TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.61X3
DX
MATERNAL CARE FOR EXCESSIVE FETAL GROWTH, FIRST TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.61X4
DX
MATERNAL CARE FOR EXCESSIVE FETAL GROWTH, FIRST TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.61X5
DX
MATERNAL CARE FOR EXCESSIVE FETAL GROWTH, FIRST TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.61X9
DX
MATERNAL CARE FOR EXCESSIVE FETAL GROWTH, FIRST TRIMESTER, OTHER 
FETUS
ICD-10-CM

19 Women who is pregnant or breastfeading
O36.62
DX
MATERNAL CARE FOR EXCESSIVE FETAL GROWTH, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.62X0
DX
MATERNAL CARE FOR EXCESSIVE FETAL GROWTH, SECOND TRIMESTER, NOT 
APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.62X1
DX
MATERNAL CARE FOR EXCESSIVE FETAL GROWTH, SECOND TRIMESTER, FETUS 
1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.62X2
DX
MATERNAL CARE FOR EXCESSIVE FETAL GROWTH, SECOND TRIMESTER, FETUS 
2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.62X3
DX
MATERNAL CARE FOR EXCESSIVE FETAL GROWTH, SECOND TRIMESTER, FETUS 
3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.62X4
DX
MATERNAL CARE FOR EXCESSIVE FETAL GROWTH, SECOND TRIMESTER, FETUS 
4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.62X5
DX
MATERNAL CARE FOR EXCESSIVE FETAL GROWTH, SECOND TRIMESTER, FETUS 
5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.62X9
DX
MATERNAL CARE FOR EXCESSIVE FETAL GROWTH, SECOND TRIMESTER, 
OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.63
DX
MATERNAL CARE FOR EXCESSIVE FETAL GROWTH, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.63X
DX
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.63X0
DX
MATERNAL CARE FOR EXCESSIVE FETAL GROWTH, THIRD TRIMESTER, NOT 
APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.63X1
DX
MATERNAL CARE FOR EXCESSIVE FETAL GROWTH, THIRD TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.63X2
DX
MATERNAL CARE FOR EXCESSIVE FETAL GROWTH, THIRD TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.63X3
DX
MATERNAL CARE FOR EXCESSIVE FETAL GROWTH, THIRD TRIMESTER, FETUS 3 ICD-10-CM
19 Women who is pregnant or breastfeading
O36.63X4
DX
MATERNAL CARE FOR EXCESSIVE FETAL GROWTH, THIRD TRIMESTER, FETUS 4 ICD-10-CM
19 Women who is pregnant or breastfeading
O36.63X5
DX
MATERNAL CARE FOR EXCESSIVE FETAL GROWTH, THIRD TRIMESTER, FETUS 5 ICD-10-CM
19 Women who is pregnant or breastfeading
O36.63X9
DX
MATERNAL CARE FOR EXCESSIVE FETAL GROWTH, THIRD TRIMESTER, OTHER 
FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.7
DX
MATERNAL CARE FOR VIABLE FETUS IN ABDOMINAL PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.70
DX
MATERNAL CARE FOR VIABLE FETUS IN ABDOMINAL PREGNANCY, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.70X0
DX
MATERNAL CARE FOR VIABLE FETUS IN ABDOMINAL PREGNANCY, UNSPECIFIED 
TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.70X1
DX
MATERNAL CARE FOR VIABLE FETUS IN ABDOMINAL PREGNANCY, UNSPECIFIED 
TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.70X2
DX
MATERNAL CARE FOR VIABLE FETUS IN ABDOMINAL PREGNANCY, UNSPECIFIED 
TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.70X3
DX
MATERNAL CARE FOR VIABLE FETUS IN ABDOMINAL PREGNANCY, UNSPECIFIED 
TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.70X4
DX
MATERNAL CARE FOR VIABLE FETUS IN ABDOMINAL PREGNANCY, UNSPECIFIED 
TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.70X5
DX
MATERNAL CARE FOR VIABLE FETUS IN ABDOMINAL PREGNANCY, UNSPECIFIED 
TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.70X9
DX
MATERNAL CARE FOR VIABLE FETUS IN ABDOMINAL PREGNANCY, UNSPECIFIED 
TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.71
DX
MATERNAL CARE FOR VIABLE FETUS IN ABDOMINAL PREGNANCY, FIRST 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.71X0
DX
MATERNAL CARE FOR VIABLE FETUS IN ABDOMINAL PREGNANCY, FIRST 
TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.71X1
DX
MATERNAL CARE FOR VIABLE FETUS IN ABDOMINAL PREGNANCY, FIRST 
TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.71X2
DX
MATERNAL CARE FOR VIABLE FETUS IN ABDOMINAL PREGNANCY, FIRST 
TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.71X3
DX
MATERNAL CARE FOR VIABLE FETUS IN ABDOMINAL PREGNANCY, FIRST 
TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.71X4
DX
MATERNAL CARE FOR VIABLE FETUS IN ABDOMINAL PREGNANCY, FIRST 
TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.71X5
DX
MATERNAL CARE FOR VIABLE FETUS IN ABDOMINAL PREGNANCY, FIRST 
TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.71X9
DX
MATERNAL CARE FOR VIABLE FETUS IN ABDOMINAL PREGNANCY, FIRST 
TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.72
DX
MATERNAL CARE FOR VIABLE FETUS IN ABDOMINAL PREGNANCY, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.72X0
DX
MATERNAL CARE FOR VIABLE FETUS IN ABDOMINAL PREGNANCY, SECOND 
TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM

19 Women who is pregnant or breastfeading
O36.72X1
DX
MATERNAL CARE FOR VIABLE FETUS IN ABDOMINAL PREGNANCY, SECOND 
TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.72X2
DX
MATERNAL CARE FOR VIABLE FETUS IN ABDOMINAL PREGNANCY, SECOND 
TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.72X3
DX
MATERNAL CARE FOR VIABLE FETUS IN ABDOMINAL PREGNANCY, SECOND 
TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.72X4
DX
MATERNAL CARE FOR VIABLE FETUS IN ABDOMINAL PREGNANCY, SECOND 
TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.72X5
DX
MATERNAL CARE FOR VIABLE FETUS IN ABDOMINAL PREGNANCY, SECOND 
TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.72X9
DX
MATERNAL CARE FOR VIABLE FETUS IN ABDOMINAL PREGNANCY, SECOND 
TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.73
DX
MATERNAL CARE FOR VIABLE FETUS IN ABDOMINAL PREGNANCY, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.73X0
DX
MATERNAL CARE FOR VIABLE FETUS IN ABDOMINAL PREGNANCY, THIRD 
TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.73X1
DX
MATERNAL CARE FOR VIABLE FETUS IN ABDOMINAL PREGNANCY, THIRD 
TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.73X2
DX
MATERNAL CARE FOR VIABLE FETUS IN ABDOMINAL PREGNANCY, THIRD 
TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.73X3
DX
MATERNAL CARE FOR VIABLE FETUS IN ABDOMINAL PREGNANCY, THIRD 
TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.73X4
DX
MATERNAL CARE FOR VIABLE FETUS IN ABDOMINAL PREGNANCY, THIRD 
TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.73X5
DX
MATERNAL CARE FOR VIABLE FETUS IN ABDOMINAL PREGNANCY, THIRD 
TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.73X9
DX
MATERNAL CARE FOR VIABLE FETUS IN ABDOMINAL PREGNANCY, THIRD 
TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8
DX
MATERNAL CARE FOR OTHER SPECIFIED FETAL PROBLEMS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.80
DX
PREGNANCY WITH INCONCLUSIVE FETAL VIABILITY
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.80X
DX
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.80X0
DX
PREGNANCY WITH INCONCLUSIVE FETAL VIABILITY, NOT APPLICABLE OR 
UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.80X1
DX
PREGNANCY WITH INCONCLUSIVE FETAL VIABILITY, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.80X2
DX
PREGNANCY WITH INCONCLUSIVE FETAL VIABILITY, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.80X3
DX
PREGNANCY WITH INCONCLUSIVE FETAL VIABILITY, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.80X4
DX
PREGNANCY WITH INCONCLUSIVE FETAL VIABILITY, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.80X5
DX
PREGNANCY WITH INCONCLUSIVE FETAL VIABILITY, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.80X9
DX
PREGNANCY WITH INCONCLUSIVE FETAL VIABILITY, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.81
DX
DECREASED FETAL MOVEMENTS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.812
DX
DECREASED FETAL MOVEMENTS, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8120
DX
DECREASED FETAL MOVEMENTS, SECOND TRIMESTER, NOT APPLICABLE OR 
UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8121
DX
DECREASED FETAL MOVEMENTS, SECOND TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8122
DX
DECREASED FETAL MOVEMENTS, SECOND TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8123
DX
DECREASED FETAL MOVEMENTS, SECOND TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8124
DX
DECREASED FETAL MOVEMENTS, SECOND TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8125
DX
DECREASED FETAL MOVEMENTS, SECOND TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8129
DX
DECREASED FETAL MOVEMENTS, SECOND TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.813
DX
DECREASED FETAL MOVEMENTS, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8130
DX
DECREASED FETAL MOVEMENTS, THIRD TRIMESTER, NOT APPLICABLE OR 
UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8131
DX
DECREASED FETAL MOVEMENTS, THIRD TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8132
DX
DECREASED FETAL MOVEMENTS, THIRD TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8133
DX
DECREASED FETAL MOVEMENTS, THIRD TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8134
DX
DECREASED FETAL MOVEMENTS, THIRD TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8135
DX
DECREASED FETAL MOVEMENTS, THIRD TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8139
DX
DECREASED FETAL MOVEMENTS, THIRD TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.819
DX
DECREASED FETAL MOVEMENTS, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8190
DX
DECREASED FETAL MOVEMENTS, UNSPECIFIED TRIMESTER, NOT APPLICABLE 
OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8191
DX
DECREASED FETAL MOVEMENTS, UNSPECIFIED TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8192
DX
DECREASED FETAL MOVEMENTS, UNSPECIFIED TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8193
DX
DECREASED FETAL MOVEMENTS, UNSPECIFIED TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8194
DX
DECREASED FETAL MOVEMENTS, UNSPECIFIED TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8195
DX
DECREASED FETAL MOVEMENTS, UNSPECIFIED TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8199
DX
DECREASED FETAL MOVEMENTS, UNSPECIFIED TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.82
DX
FETAL ANEMIA AND THROMBOCYTOPENIA
ICD-10-CM

19 Women who is pregnant or breastfeading
O36.821
DX
FETAL ANEMIA AND THROMBOCYTOPENIA, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8210
DX
FETAL ANEMIA AND THROMBOCYTOPENIA, FIRST TRIMESTER, NOT APPLICABLE 
OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8211
DX
FETAL ANEMIA AND THROMBOCYTOPENIA, FIRST TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8212
DX
FETAL ANEMIA AND THROMBOCYTOPENIA, FIRST TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8213
DX
FETAL ANEMIA AND THROMBOCYTOPENIA, FIRST TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8214
DX
FETAL ANEMIA AND THROMBOCYTOPENIA, FIRST TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8215
DX
FETAL ANEMIA AND THROMBOCYTOPENIA, FIRST TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8219
DX
FETAL ANEMIA AND THROMBOCYTOPENIA, FIRST TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.822
DX
FETAL ANEMIA AND THROMBOCYTOPENIA, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8220
DX
FETAL ANEMIA AND THROMBOCYTOPENIA, SECOND TRIMESTER, NOT 
APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8221
DX
FETAL ANEMIA AND THROMBOCYTOPENIA, SECOND TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8222
DX
FETAL ANEMIA AND THROMBOCYTOPENIA, SECOND TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8223
DX
FETAL ANEMIA AND THROMBOCYTOPENIA, SECOND TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8224
DX
FETAL ANEMIA AND THROMBOCYTOPENIA, SECOND TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8225
DX
FETAL ANEMIA AND THROMBOCYTOPENIA, SECOND TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8229
DX
FETAL ANEMIA AND THROMBOCYTOPENIA, SECOND TRIMESTER, OTHER FETUS ICD-10-CM
19 Women who is pregnant or breastfeading
O36.823
DX
FETAL ANEMIA AND THROMBOCYTOPENIA, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8230
DX
FETAL ANEMIA AND THROMBOCYTOPENIA, THIRD TRIMESTER, NOT 
APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8231
DX
FETAL ANEMIA AND THROMBOCYTOPENIA, THIRD TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8232
DX
FETAL ANEMIA AND THROMBOCYTOPENIA, THIRD TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8233
DX
FETAL ANEMIA AND THROMBOCYTOPENIA, THIRD TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8234
DX
FETAL ANEMIA AND THROMBOCYTOPENIA, THIRD TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8235
DX
FETAL ANEMIA AND THROMBOCYTOPENIA, THIRD TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8239
DX
FETAL ANEMIA AND THROMBOCYTOPENIA, THIRD TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.829
DX
FETAL ANEMIA AND THROMBOCYTOPENIA, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8290
DX
FETAL ANEMIA AND THROMBOCYTOPENIA, UNSPECIFIED TRIMESTER, NOT 
APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8291
DX
FETAL ANEMIA AND THROMBOCYTOPENIA, UNSPECIFIED TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8292
DX
FETAL ANEMIA AND THROMBOCYTOPENIA, UNSPECIFIED TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8293
DX
FETAL ANEMIA AND THROMBOCYTOPENIA, UNSPECIFIED TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8294
DX
FETAL ANEMIA AND THROMBOCYTOPENIA, UNSPECIFIED TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8295
DX
FETAL ANEMIA AND THROMBOCYTOPENIA, UNSPECIFIED TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8299
DX
FETAL ANEMIA AND THROMBOCYTOPENIA, UNSPECIFIED TRIMESTER, OTHER 
FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.83
DX
MATERNAL CARE FOR ABNORMALITIES OF THE FETAL HEART RATE OR 
RHYTHM
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.831
DX
MATERNAL CARE FOR ABNORMALITIES OF THE FETAL HEART RATE OR 
RHYTHM, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8310
DX
MATERNAL CARE FOR ABNORMALITIES OF THE FETAL HEART RATE OR 
RHYTHM, FIRST TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8311
DX
MATERNAL CARE FOR ABNORMALITIES OF THE FETAL HEART RATE OR 
RHYTHM, FIRST TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8312
DX
MATERNAL CARE FOR ABNORMALITIES OF THE FETAL HEART RATE OR 
RHYTHM, FIRST TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8313
DX
MATERNAL CARE FOR ABNORMALITIES OF THE FETAL HEART RATE OR 
RHYTHM, FIRST TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8314
DX
MATERNAL CARE FOR ABNORMALITIES OF THE FETAL HEART RATE OR 
RHYTHM, FIRST TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8315
DX
MATERNAL CARE FOR ABNORMALITIES OF THE FETAL HEART RATE OR 
RHYTHM, FIRST TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8319
DX
MATERNAL CARE FOR ABNORMALITIES OF THE FETAL HEART RATE OR 
RHYTHM, FIRST TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.832
DX
MATERNAL CARE FOR ABNORMALITIES OF THE FETAL HEART RATE OR 
RHYTHM, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8320
DX
MATERNAL CARE FOR ABNORMALITIES OF THE FETAL HEART RATE OR 
RHYTHM, SECOND TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8321
DX
MATERNAL CARE FOR ABNORMALITIES OF THE FETAL HEART RATE OR 
RHYTHM, SECOND TRIMESTER, FETUS 1
ICD-10-CM

19 Women who is pregnant or breastfeading
O36.8322
DX
MATERNAL CARE FOR ABNORMALITIES OF THE FETAL HEART RATE OR 
RHYTHM, SECOND TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8323
DX
MATERNAL CARE FOR ABNORMALITIES OF THE FETAL HEART RATE OR 
RHYTHM, SECOND TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8324
DX
MATERNAL CARE FOR ABNORMALITIES OF THE FETAL HEART RATE OR 
RHYTHM, SECOND TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8325
DX
MATERNAL CARE FOR ABNORMALITIES OF THE FETAL HEART RATE OR 
RHYTHM, SECOND TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8329
DX
MATERNAL CARE FOR ABNORMALITIES OF THE FETAL HEART RATE OR 
RHYTHM, SECOND TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.833
DX
MATERNAL CARE FOR ABNORMALITIES OF THE FETAL HEART RATE OR 
RHYTHM, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8330
DX
MATERNAL CARE FOR ABNORMALITIES OF THE FETAL HEART RATE OR 
RHYTHM, THIRD TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8331
DX
MATERNAL CARE FOR ABNORMALITIES OF THE FETAL HEART RATE OR 
RHYTHM, THIRD TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8332
DX
MATERNAL CARE FOR ABNORMALITIES OF THE FETAL HEART RATE OR 
RHYTHM, THIRD TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8333
DX
MATERNAL CARE FOR ABNORMALITIES OF THE FETAL HEART RATE OR 
RHYTHM, THIRD TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8334
DX
MATERNAL CARE FOR ABNORMALITIES OF THE FETAL HEART RATE OR 
RHYTHM, THIRD TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8335
DX
MATERNAL CARE FOR ABNORMALITIES OF THE FETAL HEART RATE OR 
RHYTHM, THIRD TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8339
DX
MATERNAL CARE FOR ABNORMALITIES OF THE FETAL HEART RATE OR 
RHYTHM, THIRD TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.839
DX
MATERNAL CARE FOR ABNORMALITIES OF THE FETAL HEART RATE OR 
RHYTHM, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8390
DX
MATERNAL CARE FOR ABNORMALITIES OF THE FETAL HEART RATE OR 
RHYTHM, UNSPECIFIED TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8391
DX
MATERNAL CARE FOR ABNORMALITIES OF THE FETAL HEART RATE OR 
RHYTHM, UNSPECIFIED TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8392
DX
MATERNAL CARE FOR ABNORMALITIES OF THE FETAL HEART RATE OR 
RHYTHM, UNSPECIFIED TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8393
DX
MATERNAL CARE FOR ABNORMALITIES OF THE FETAL HEART RATE OR 
RHYTHM, UNSPECIFIED TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8394
DX
MATERNAL CARE FOR ABNORMALITIES OF THE FETAL HEART RATE OR 
RHYTHM, UNSPECIFIED TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8395
DX
MATERNAL CARE FOR ABNORMALITIES OF THE FETAL HEART RATE OR 
RHYTHM, UNSPECIFIED TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8399
DX
MATERNAL CARE FOR ABNORMALITIES OF THE FETAL HEART RATE OR 
RHYTHM, UNSPECIFIED TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.89
DX
MATERNAL CARE FOR OTHER SPECIFIED FETAL PROBLEMS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.891
DX
MATERNAL CARE FOR OTHER SPECIFIED FETAL PROBLEMS, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8910
DX
MATERNAL CARE FOR OTHER SPECIFIED FETAL PROBLEMS, FIRST TRIMESTER, 
NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8911
DX
MATERNAL CARE FOR OTHER SPECIFIED FETAL PROBLEMS, FIRST TRIMESTER, 
FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8912
DX
MATERNAL CARE FOR OTHER SPECIFIED FETAL PROBLEMS, FIRST TRIMESTER, 
FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8913
DX
MATERNAL CARE FOR OTHER SPECIFIED FETAL PROBLEMS, FIRST TRIMESTER, 
FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8914
DX
MATERNAL CARE FOR OTHER SPECIFIED FETAL PROBLEMS, FIRST TRIMESTER, 
FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8915
DX
MATERNAL CARE FOR OTHER SPECIFIED FETAL PROBLEMS, FIRST TRIMESTER, 
FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8919
DX
MATERNAL CARE FOR OTHER SPECIFIED FETAL PROBLEMS, FIRST TRIMESTER, 
OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.892
DX
MATERNAL CARE FOR OTHER SPECIFIED FETAL PROBLEMS, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8920
DX
MATERNAL CARE FOR OTHER SPECIFIED FETAL PROBLEMS, SECOND 
TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8921
DX
MATERNAL CARE FOR OTHER SPECIFIED FETAL PROBLEMS, SECOND 
TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8922
DX
MATERNAL CARE FOR OTHER SPECIFIED FETAL PROBLEMS, SECOND 
TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8923
DX
MATERNAL CARE FOR OTHER SPECIFIED FETAL PROBLEMS, SECOND 
TRIMESTER, FETUS 3
ICD-10-CM

19 Women who is pregnant or breastfeading
O36.8924
DX
MATERNAL CARE FOR OTHER SPECIFIED FETAL PROBLEMS, SECOND 
TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8925
DX
MATERNAL CARE FOR OTHER SPECIFIED FETAL PROBLEMS, SECOND 
TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8929
DX
MATERNAL CARE FOR OTHER SPECIFIED FETAL PROBLEMS, SECOND 
TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.893
DX
MATERNAL CARE FOR OTHER SPECIFIED FETAL PROBLEMS, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8930
DX
MATERNAL CARE FOR OTHER SPECIFIED FETAL PROBLEMS, THIRD TRIMESTER, 
NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8931
DX
MATERNAL CARE FOR OTHER SPECIFIED FETAL PROBLEMS, THIRD TRIMESTER, 
FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8932
DX
MATERNAL CARE FOR OTHER SPECIFIED FETAL PROBLEMS, THIRD TRIMESTER, 
FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8933
DX
MATERNAL CARE FOR OTHER SPECIFIED FETAL PROBLEMS, THIRD TRIMESTER, 
FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8934
DX
MATERNAL CARE FOR OTHER SPECIFIED FETAL PROBLEMS, THIRD TRIMESTER, 
FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8935
DX
MATERNAL CARE FOR OTHER SPECIFIED FETAL PROBLEMS, THIRD TRIMESTER, 
FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8939
DX
MATERNAL CARE FOR OTHER SPECIFIED FETAL PROBLEMS, THIRD TRIMESTER, 
OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.899
DX
MATERNAL CARE FOR OTHER SPECIFIED FETAL PROBLEMS, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8990
DX
MATERNAL CARE FOR OTHER SPECIFIED FETAL PROBLEMS, UNSPECIFIED 
TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8991
DX
MATERNAL CARE FOR OTHER SPECIFIED FETAL PROBLEMS, UNSPECIFIED 
TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8992
DX
MATERNAL CARE FOR OTHER SPECIFIED FETAL PROBLEMS, UNSPECIFIED 
TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8993
DX
MATERNAL CARE FOR OTHER SPECIFIED FETAL PROBLEMS, UNSPECIFIED 
TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8994
DX
MATERNAL CARE FOR OTHER SPECIFIED FETAL PROBLEMS, UNSPECIFIED 
TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8995
DX
MATERNAL CARE FOR OTHER SPECIFIED FETAL PROBLEMS, UNSPECIFIED 
TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.8999
DX
MATERNAL CARE FOR OTHER SPECIFIED FETAL PROBLEMS, UNSPECIFIED 
TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.9
DX
MATERNAL CARE FOR FETAL PROBLEM, UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.90
DX
MATERNAL CARE FOR FETAL PROBLEM, UNSPECIFIED, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.90X0
DX
MATERNAL CARE FOR FETAL PROBLEM, UNSPECIFIED, UNSPECIFIED 
TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.90X1
DX
MATERNAL CARE FOR FETAL PROBLEM, UNSPECIFIED, UNSPECIFIED 
TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.90X2
DX
MATERNAL CARE FOR FETAL PROBLEM, UNSPECIFIED, UNSPECIFIED 
TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.90X3
DX
MATERNAL CARE FOR FETAL PROBLEM, UNSPECIFIED, UNSPECIFIED 
TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.90X4
DX
MATERNAL CARE FOR FETAL PROBLEM, UNSPECIFIED, UNSPECIFIED 
TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.90X5
DX
MATERNAL CARE FOR FETAL PROBLEM, UNSPECIFIED, UNSPECIFIED 
TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.90X9
DX
MATERNAL CARE FOR FETAL PROBLEM, UNSPECIFIED, UNSPECIFIED 
TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.91
DX
MATERNAL CARE FOR FETAL PROBLEM, UNSPECIFIED, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.91X0
DX
MATERNAL CARE FOR FETAL PROBLEM, UNSPECIFIED, FIRST TRIMESTER, NOT 
APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.91X1
DX
MATERNAL CARE FOR FETAL PROBLEM, UNSPECIFIED, FIRST TRIMESTER, 
FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.91X2
DX
MATERNAL CARE FOR FETAL PROBLEM, UNSPECIFIED, FIRST TRIMESTER, 
FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.91X3
DX
MATERNAL CARE FOR FETAL PROBLEM, UNSPECIFIED, FIRST TRIMESTER, 
FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.91X4
DX
MATERNAL CARE FOR FETAL PROBLEM, UNSPECIFIED, FIRST TRIMESTER, 
FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.91X5
DX
MATERNAL CARE FOR FETAL PROBLEM, UNSPECIFIED, FIRST TRIMESTER, 
FETUS 5
ICD-10-CM

19 Women who is pregnant or breastfeading
O36.91X9
DX
MATERNAL CARE FOR FETAL PROBLEM, UNSPECIFIED, FIRST TRIMESTER, 
OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.92
DX
MATERNAL CARE FOR FETAL PROBLEM, UNSPECIFIED, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.92X0
DX
MATERNAL CARE FOR FETAL PROBLEM, UNSPECIFIED, SECOND TRIMESTER, 
NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.92X1
DX
MATERNAL CARE FOR FETAL PROBLEM, UNSPECIFIED, SECOND TRIMESTER, 
FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.92X2
DX
MATERNAL CARE FOR FETAL PROBLEM, UNSPECIFIED, SECOND TRIMESTER, 
FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.92X3
DX
MATERNAL CARE FOR FETAL PROBLEM, UNSPECIFIED, SECOND TRIMESTER, 
FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.92X4
DX
MATERNAL CARE FOR FETAL PROBLEM, UNSPECIFIED, SECOND TRIMESTER, 
FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.92X5
DX
MATERNAL CARE FOR FETAL PROBLEM, UNSPECIFIED, SECOND TRIMESTER, 
FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.92X9
DX
MATERNAL CARE FOR FETAL PROBLEM, UNSPECIFIED, SECOND TRIMESTER, 
OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.93
DX
MATERNAL CARE FOR FETAL PROBLEM, UNSPECIFIED, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.93X0
DX
MATERNAL CARE FOR FETAL PROBLEM, UNSPECIFIED, THIRD TRIMESTER, NOT 
APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.93X1
DX
MATERNAL CARE FOR FETAL PROBLEM, UNSPECIFIED, THIRD TRIMESTER, 
FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.93X2
DX
MATERNAL CARE FOR FETAL PROBLEM, UNSPECIFIED, THIRD TRIMESTER, 
FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.93X3
DX
MATERNAL CARE FOR FETAL PROBLEM, UNSPECIFIED, THIRD TRIMESTER, 
FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.93X4
DX
MATERNAL CARE FOR FETAL PROBLEM, UNSPECIFIED, THIRD TRIMESTER, 
FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.93X5
DX
MATERNAL CARE FOR FETAL PROBLEM, UNSPECIFIED, THIRD TRIMESTER, 
FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O36.93X9
DX
MATERNAL CARE FOR FETAL PROBLEM, UNSPECIFIED, THIRD TRIMESTER, 
OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O40
DX
POLYHYDRAMNIOS
ICD-10-CM
19 Women who is pregnant or breastfeading
O40.1
DX
POLYHYDRAMNIOS, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O40.1XX0
DX
POLYHYDRAMNIOS, FIRST TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O40.1XX1
DX
POLYHYDRAMNIOS, FIRST TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O40.1XX2
DX
POLYHYDRAMNIOS, FIRST TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O40.1XX3
DX
POLYHYDRAMNIOS, FIRST TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O40.1XX4
DX
POLYHYDRAMNIOS, FIRST TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O40.1XX5
DX
POLYHYDRAMNIOS, FIRST TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O40.1XX9
DX
POLYHYDRAMNIOS, FIRST TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O40.2
DX
POLYHYDRAMNIOS, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O40.2XX0
DX
POLYHYDRAMNIOS, SECOND TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O40.2XX1
DX
POLYHYDRAMNIOS, SECOND TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O40.2XX2
DX
POLYHYDRAMNIOS, SECOND TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O40.2XX3
DX
POLYHYDRAMNIOS, SECOND TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O40.2XX4
DX
POLYHYDRAMNIOS, SECOND TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O40.2XX5
DX
POLYHYDRAMNIOS, SECOND TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O40.2XX9
DX
POLYHYDRAMNIOS, SECOND TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O40.3
DX
POLYHYDRAMNIOS, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O40.3XX
DX
ICD-10-CM
19 Women who is pregnant or breastfeading
O40.3XX0
DX
POLYHYDRAMNIOS, THIRD TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O40.3XX1
DX
POLYHYDRAMNIOS, THIRD TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O40.3XX2
DX
POLYHYDRAMNIOS, THIRD TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O40.3XX3
DX
POLYHYDRAMNIOS, THIRD TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O40.3XX4
DX
POLYHYDRAMNIOS, THIRD TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O40.3XX5
DX
POLYHYDRAMNIOS, THIRD TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O40.3XX9
DX
POLYHYDRAMNIOS, THIRD TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O40.9
DX
POLYHYDRAMNIOS, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O40.9X
DX
ICD-10-CM
19 Women who is pregnant or breastfeading
O40.9XX0
DX
POLYHYDRAMNIOS, UNSPECIFIED TRIMESTER, NOT APPLICABLE OR 
UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O40.9XX1
DX
POLYHYDRAMNIOS, UNSPECIFIED TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O40.9XX2
DX
POLYHYDRAMNIOS, UNSPECIFIED TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O40.9XX3
DX
POLYHYDRAMNIOS, UNSPECIFIED TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O40.9XX4
DX
POLYHYDRAMNIOS, UNSPECIFIED TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O40.9XX5
DX
POLYHYDRAMNIOS, UNSPECIFIED TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O40.9XX9
DX
POLYHYDRAMNIOS, UNSPECIFIED TRIMESTER, OTHER FETUS
ICD-10-CM

19 Women who is pregnant or breastfeading
O41
DX
OTHER DISORDERS OF AMNIOTIC FLUID AND MEMBRANES
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.0
DX
OLIGOHYDRAMNIOS
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.00
DX
OLIGOHYDRAMNIOS, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.00X
DX
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.00X0
DX
OLIGOHYDRAMNIOS, UNSPECIFIED TRIMESTER, NOT APPLICABLE OR 
UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.00X1
DX
OLIGOHYDRAMNIOS, UNSPECIFIED TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.00X2
DX
OLIGOHYDRAMNIOS, UNSPECIFIED TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.00X3
DX
OLIGOHYDRAMNIOS, UNSPECIFIED TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.00X4
DX
OLIGOHYDRAMNIOS, UNSPECIFIED TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.00X5
DX
OLIGOHYDRAMNIOS, UNSPECIFIED TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.00X9
DX
OLIGOHYDRAMNIOS, UNSPECIFIED TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.01
DX
OLIGOHYDRAMNIOS, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.01X0
DX
OLIGOHYDRAMNIOS, FIRST TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.01X1
DX
OLIGOHYDRAMNIOS, FIRST TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.01X2
DX
OLIGOHYDRAMNIOS, FIRST TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.01X3
DX
OLIGOHYDRAMNIOS, FIRST TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.01X4
DX
OLIGOHYDRAMNIOS, FIRST TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.01X5
DX
OLIGOHYDRAMNIOS, FIRST TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.01X9
DX
OLIGOHYDRAMNIOS, FIRST TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.02
DX
OLIGOHYDRAMNIOS, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.02X0
DX
OLIGOHYDRAMNIOS, SECOND TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.02X1
DX
OLIGOHYDRAMNIOS, SECOND TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.02X2
DX
OLIGOHYDRAMNIOS, SECOND TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.02X3
DX
OLIGOHYDRAMNIOS, SECOND TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.02X4
DX
OLIGOHYDRAMNIOS, SECOND TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.02X5
DX
OLIGOHYDRAMNIOS, SECOND TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.02X9
DX
OLIGOHYDRAMNIOS, SECOND TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.03
DX
OLIGOHYDRAMNIOS, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.03X
DX
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.03X0
DX
OLIGOHYDRAMNIOS, THIRD TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.03X1
DX
OLIGOHYDRAMNIOS, THIRD TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.03X2
DX
OLIGOHYDRAMNIOS, THIRD TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.03X3
DX
OLIGOHYDRAMNIOS, THIRD TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.03X4
DX
OLIGOHYDRAMNIOS, THIRD TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.03X5
DX
OLIGOHYDRAMNIOS, THIRD TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.03X9
DX
OLIGOHYDRAMNIOS, THIRD TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1
DX
INFECTION OF AMNIOTIC SAC AND MEMBRANES
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.10
DX
INFECTION OF AMNIOTIC SAC AND MEMBRANES, UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.101
DX
INFECTION OF AMNIOTIC SAC AND MEMBRANES, UNSPECIFIED, FIRST 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1010
DX
INFECTION OF AMNIOTIC SAC AND MEMBRANES, UNSPECIFIED, FIRST 
TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1011
DX
INFECTION OF AMNIOTIC SAC AND MEMBRANES, UNSPECIFIED, FIRST 
TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1012
DX
INFECTION OF AMNIOTIC SAC AND MEMBRANES, UNSPECIFIED, FIRST 
TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1013
DX
INFECTION OF AMNIOTIC SAC AND MEMBRANES, UNSPECIFIED, FIRST 
TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1014
DX
INFECTION OF AMNIOTIC SAC AND MEMBRANES, UNSPECIFIED, FIRST 
TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1015
DX
INFECTION OF AMNIOTIC SAC AND MEMBRANES, UNSPECIFIED, FIRST 
TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1019
DX
INFECTION OF AMNIOTIC SAC AND MEMBRANES, UNSPECIFIED, FIRST 
TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.102
DX
INFECTION OF AMNIOTIC SAC AND MEMBRANES, UNSPECIFIED, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1020
DX
INFECTION OF AMNIOTIC SAC AND MEMBRANES, UNSPECIFIED, SECOND 
TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1021
DX
INFECTION OF AMNIOTIC SAC AND MEMBRANES, UNSPECIFIED, SECOND 
TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1022
DX
INFECTION OF AMNIOTIC SAC AND MEMBRANES, UNSPECIFIED, SECOND 
TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1023
DX
INFECTION OF AMNIOTIC SAC AND MEMBRANES, UNSPECIFIED, SECOND 
TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1024
DX
INFECTION OF AMNIOTIC SAC AND MEMBRANES, UNSPECIFIED, SECOND 
TRIMESTER, FETUS 4
ICD-10-CM

19 Women who is pregnant or breastfeading
O41.1025
DX
INFECTION OF AMNIOTIC SAC AND MEMBRANES, UNSPECIFIED, SECOND 
TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1029
DX
INFECTION OF AMNIOTIC SAC AND MEMBRANES, UNSPECIFIED, SECOND 
TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.103
DX
INFECTION OF AMNIOTIC SAC AND MEMBRANES, UNSPECIFIED, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1030
DX
INFECTION OF AMNIOTIC SAC AND MEMBRANES, UNSPECIFIED, THIRD 
TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1031
DX
INFECTION OF AMNIOTIC SAC AND MEMBRANES, UNSPECIFIED, THIRD 
TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1032
DX
INFECTION OF AMNIOTIC SAC AND MEMBRANES, UNSPECIFIED, THIRD 
TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1033
DX
INFECTION OF AMNIOTIC SAC AND MEMBRANES, UNSPECIFIED, THIRD 
TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1034
DX
INFECTION OF AMNIOTIC SAC AND MEMBRANES, UNSPECIFIED, THIRD 
TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1035
DX
INFECTION OF AMNIOTIC SAC AND MEMBRANES, UNSPECIFIED, THIRD 
TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1039
DX
INFECTION OF AMNIOTIC SAC AND MEMBRANES, UNSPECIFIED, THIRD 
TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.109
DX
INFECTION OF AMNIOTIC SAC AND MEMBRANES, UNSPECIFIED, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1090
DX
INFECTION OF AMNIOTIC SAC AND MEMBRANES, UNSPECIFIED, UNSPECIFIED 
TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1091
DX
INFECTION OF AMNIOTIC SAC AND MEMBRANES, UNSPECIFIED, UNSPECIFIED 
TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1092
DX
INFECTION OF AMNIOTIC SAC AND MEMBRANES, UNSPECIFIED, UNSPECIFIED 
TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1093
DX
INFECTION OF AMNIOTIC SAC AND MEMBRANES, UNSPECIFIED, UNSPECIFIED 
TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1094
DX
INFECTION OF AMNIOTIC SAC AND MEMBRANES, UNSPECIFIED, UNSPECIFIED 
TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1095
DX
INFECTION OF AMNIOTIC SAC AND MEMBRANES, UNSPECIFIED, UNSPECIFIED 
TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1099
DX
INFECTION OF AMNIOTIC SAC AND MEMBRANES, UNSPECIFIED, UNSPECIFIED 
TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.12
DX
CHORIOAMNIONITIS
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.121
DX
CHORIOAMNIONITIS, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1210
DX
CHORIOAMNIONITIS, FIRST TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1211
DX
CHORIOAMNIONITIS, FIRST TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1212
DX
CHORIOAMNIONITIS, FIRST TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1213
DX
CHORIOAMNIONITIS, FIRST TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1214
DX
CHORIOAMNIONITIS, FIRST TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1215
DX
CHORIOAMNIONITIS, FIRST TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1219
DX
CHORIOAMNIONITIS, FIRST TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.122
DX
CHORIOAMNIONITIS, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1220
DX
CHORIOAMNIONITIS, SECOND TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1221
DX
CHORIOAMNIONITIS, SECOND TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1222
DX
CHORIOAMNIONITIS, SECOND TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1223
DX
CHORIOAMNIONITIS, SECOND TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1224
DX
CHORIOAMNIONITIS, SECOND TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1225
DX
CHORIOAMNIONITIS, SECOND TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1229
DX
CHORIOAMNIONITIS, SECOND TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.123
DX
CHORIOAMNIONITIS, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1230
DX
CHORIOAMNIONITIS, THIRD TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1231
DX
CHORIOAMNIONITIS, THIRD TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1232
DX
CHORIOAMNIONITIS, THIRD TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1233
DX
CHORIOAMNIONITIS, THIRD TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1234
DX
CHORIOAMNIONITIS, THIRD TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1235
DX
CHORIOAMNIONITIS, THIRD TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1239
DX
CHORIOAMNIONITIS, THIRD TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.129
DX
CHORIOAMNIONITIS, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1290
DX
CHORIOAMNIONITIS, UNSPECIFIED TRIMESTER, NOT APPLICABLE OR 
UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1291
DX
CHORIOAMNIONITIS, UNSPECIFIED TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1292
DX
CHORIOAMNIONITIS, UNSPECIFIED TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1293
DX
CHORIOAMNIONITIS, UNSPECIFIED TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1294
DX
CHORIOAMNIONITIS, UNSPECIFIED TRIMESTER, FETUS 4
ICD-10-CM

19 Women who is pregnant or breastfeading
O41.1295
DX
CHORIOAMNIONITIS, UNSPECIFIED TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1299
DX
CHORIOAMNIONITIS, UNSPECIFIED TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.14
DX
PLACENTITIS
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.141
DX
PLACENTITIS, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1410
DX
PLACENTITIS, FIRST TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1411
DX
PLACENTITIS, FIRST TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1412
DX
PLACENTITIS, FIRST TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1413
DX
PLACENTITIS, FIRST TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1414
DX
PLACENTITIS, FIRST TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1415
DX
PLACENTITIS, FIRST TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1419
DX
PLACENTITIS, FIRST TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.142
DX
PLACENTITIS, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1420
DX
PLACENTITIS, SECOND TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1421
DX
PLACENTITIS, SECOND TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1422
DX
PLACENTITIS, SECOND TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1423
DX
PLACENTITIS, SECOND TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1424
DX
PLACENTITIS, SECOND TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1425
DX
PLACENTITIS, SECOND TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1429
DX
PLACENTITIS, SECOND TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.143
DX
PLACENTITIS, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1430
DX
PLACENTITIS, THIRD TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1431
DX
PLACENTITIS, THIRD TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1432
DX
PLACENTITIS, THIRD TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1433
DX
PLACENTITIS, THIRD TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1434
DX
PLACENTITIS, THIRD TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1435
DX
PLACENTITIS, THIRD TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1439
DX
PLACENTITIS, THIRD TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.149
DX
PLACENTITIS, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1490
DX
PLACENTITIS, UNSPECIFIED TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1491
DX
PLACENTITIS, UNSPECIFIED TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1492
DX
PLACENTITIS, UNSPECIFIED TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1493
DX
PLACENTITIS, UNSPECIFIED TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1494
DX
PLACENTITIS, UNSPECIFIED TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1495
DX
PLACENTITIS, UNSPECIFIED TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.1499
DX
PLACENTITIS, UNSPECIFIED TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.8
DX
OTHER SPECIFIED DISORDERS OF AMNIOTIC FLUID AND MEMBRANES
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.8X
DX
OTHER SPECIFIED DISORDERS OF AMNIOTIC FLUID AND MEMBRANES
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.8X1
DX
OTHER SPECIFIED DISORDERS OF AMNIOTIC FLUID AND MEMBRANES, FIRST 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.8X10
DX
OTHER SPECIFIED DISORDERS OF AMNIOTIC FLUID AND MEMBRANES, FIRST 
TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.8X11
DX
OTHER SPECIFIED DISORDERS OF AMNIOTIC FLUID AND MEMBRANES, FIRST 
TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.8X12
DX
OTHER SPECIFIED DISORDERS OF AMNIOTIC FLUID AND MEMBRANES, FIRST 
TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.8X13
DX
OTHER SPECIFIED DISORDERS OF AMNIOTIC FLUID AND MEMBRANES, FIRST 
TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.8X14
DX
OTHER SPECIFIED DISORDERS OF AMNIOTIC FLUID AND MEMBRANES, FIRST 
TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.8X15
DX
OTHER SPECIFIED DISORDERS OF AMNIOTIC FLUID AND MEMBRANES, FIRST 
TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.8X19
DX
OTHER SPECIFIED DISORDERS OF AMNIOTIC FLUID AND MEMBRANES, FIRST 
TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.8X2
DX
OTHER SPECIFIED DISORDERS OF AMNIOTIC FLUID AND MEMBRANES, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.8X20
DX
OTHER SPECIFIED DISORDERS OF AMNIOTIC FLUID AND MEMBRANES, SECOND 
TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.8X21
DX
OTHER SPECIFIED DISORDERS OF AMNIOTIC FLUID AND MEMBRANES, SECOND 
TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.8X22
DX
OTHER SPECIFIED DISORDERS OF AMNIOTIC FLUID AND MEMBRANES, SECOND 
TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.8X23
DX
OTHER SPECIFIED DISORDERS OF AMNIOTIC FLUID AND MEMBRANES, SECOND 
TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.8X24
DX
OTHER SPECIFIED DISORDERS OF AMNIOTIC FLUID AND MEMBRANES, SECOND 
TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.8X25
DX
OTHER SPECIFIED DISORDERS OF AMNIOTIC FLUID AND MEMBRANES, SECOND 
TRIMESTER, FETUS 5
ICD-10-CM

19 Women who is pregnant or breastfeading
O41.8X29
DX
OTHER SPECIFIED DISORDERS OF AMNIOTIC FLUID AND MEMBRANES, SECOND 
TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.8X3
DX
OTHER SPECIFIED DISORDERS OF AMNIOTIC FLUID AND MEMBRANES, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.8X30
DX
OTHER SPECIFIED DISORDERS OF AMNIOTIC FLUID AND MEMBRANES, THIRD 
TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.8X31
DX
OTHER SPECIFIED DISORDERS OF AMNIOTIC FLUID AND MEMBRANES, THIRD 
TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.8X32
DX
OTHER SPECIFIED DISORDERS OF AMNIOTIC FLUID AND MEMBRANES, THIRD 
TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.8X33
DX
OTHER SPECIFIED DISORDERS OF AMNIOTIC FLUID AND MEMBRANES, THIRD 
TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.8X34
DX
OTHER SPECIFIED DISORDERS OF AMNIOTIC FLUID AND MEMBRANES, THIRD 
TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.8X35
DX
OTHER SPECIFIED DISORDERS OF AMNIOTIC FLUID AND MEMBRANES, THIRD 
TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.8X39
DX
OTHER SPECIFIED DISORDERS OF AMNIOTIC FLUID AND MEMBRANES, THIRD 
TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.8X9
DX
OTHER SPECIFIED DISORDERS OF AMNIOTIC FLUID AND MEMBRANES, 
UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.8X90
DX
OTHER SPECIFIED DISORDERS OF AMNIOTIC FLUID AND MEMBRANES, 
UNSPECIFIED TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.8X91
DX
OTHER SPECIFIED DISORDERS OF AMNIOTIC FLUID AND MEMBRANES, 
UNSPECIFIED TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.8X92
DX
OTHER SPECIFIED DISORDERS OF AMNIOTIC FLUID AND MEMBRANES, 
UNSPECIFIED TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.8X93
DX
OTHER SPECIFIED DISORDERS OF AMNIOTIC FLUID AND MEMBRANES, 
UNSPECIFIED TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.8X94
DX
OTHER SPECIFIED DISORDERS OF AMNIOTIC FLUID AND MEMBRANES, 
UNSPECIFIED TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.8X95
DX
OTHER SPECIFIED DISORDERS OF AMNIOTIC FLUID AND MEMBRANES, 
UNSPECIFIED TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.8X99
DX
OTHER SPECIFIED DISORDERS OF AMNIOTIC FLUID AND MEMBRANES, 
UNSPECIFIED TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.9
DX
DISORDER OF AMNIOTIC FLUID AND MEMBRANES, UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.90
DX
DISORDER OF AMNIOTIC FLUID AND MEMBRANES, UNSPECIFIED, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.90X0
DX
DISORDER OF AMNIOTIC FLUID AND MEMBRANES, UNSPECIFIED, UNSPECIFIED 
TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.90X1
DX
DISORDER OF AMNIOTIC FLUID AND MEMBRANES, UNSPECIFIED, UNSPECIFIED 
TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.90X2
DX
DISORDER OF AMNIOTIC FLUID AND MEMBRANES, UNSPECIFIED, UNSPECIFIED 
TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.90X3
DX
DISORDER OF AMNIOTIC FLUID AND MEMBRANES, UNSPECIFIED, UNSPECIFIED 
TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.90X4
DX
DISORDER OF AMNIOTIC FLUID AND MEMBRANES, UNSPECIFIED, UNSPECIFIED 
TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.90X5
DX
DISORDER OF AMNIOTIC FLUID AND MEMBRANES, UNSPECIFIED, UNSPECIFIED 
TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.90X9
DX
DISORDER OF AMNIOTIC FLUID AND MEMBRANES, UNSPECIFIED, UNSPECIFIED 
TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.91
DX
DISORDER OF AMNIOTIC FLUID AND MEMBRANES, UNSPECIFIED, FIRST 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.91X0
DX
DISORDER OF AMNIOTIC FLUID AND MEMBRANES, UNSPECIFIED, FIRST 
TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.91X1
DX
DISORDER OF AMNIOTIC FLUID AND MEMBRANES, UNSPECIFIED, FIRST 
TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.91X2
DX
DISORDER OF AMNIOTIC FLUID AND MEMBRANES, UNSPECIFIED, FIRST 
TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.91X3
DX
DISORDER OF AMNIOTIC FLUID AND MEMBRANES, UNSPECIFIED, FIRST 
TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.91X4
DX
DISORDER OF AMNIOTIC FLUID AND MEMBRANES, UNSPECIFIED, FIRST 
TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.91X5
DX
DISORDER OF AMNIOTIC FLUID AND MEMBRANES, UNSPECIFIED, FIRST 
TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.91X9
DX
DISORDER OF AMNIOTIC FLUID AND MEMBRANES, UNSPECIFIED, FIRST 
TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.92
DX
DISORDER OF AMNIOTIC FLUID AND MEMBRANES, UNSPECIFIED, SECOND 
TRIMESTER
ICD-10-CM

19 Women who is pregnant or breastfeading
O41.92X0
DX
DISORDER OF AMNIOTIC FLUID AND MEMBRANES, UNSPECIFIED, SECOND 
TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.92X1
DX
DISORDER OF AMNIOTIC FLUID AND MEMBRANES, UNSPECIFIED, SECOND 
TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.92X2
DX
DISORDER OF AMNIOTIC FLUID AND MEMBRANES, UNSPECIFIED, SECOND 
TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.92X3
DX
DISORDER OF AMNIOTIC FLUID AND MEMBRANES, UNSPECIFIED, SECOND 
TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.92X4
DX
DISORDER OF AMNIOTIC FLUID AND MEMBRANES, UNSPECIFIED, SECOND 
TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.92X5
DX
DISORDER OF AMNIOTIC FLUID AND MEMBRANES, UNSPECIFIED, SECOND 
TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.92X9
DX
DISORDER OF AMNIOTIC FLUID AND MEMBRANES, UNSPECIFIED, SECOND 
TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.93
DX
DISORDER OF AMNIOTIC FLUID AND MEMBRANES, UNSPECIFIED, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.93X0
DX
DISORDER OF AMNIOTIC FLUID AND MEMBRANES, UNSPECIFIED, THIRD 
TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.93X1
DX
DISORDER OF AMNIOTIC FLUID AND MEMBRANES, UNSPECIFIED, THIRD 
TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.93X2
DX
DISORDER OF AMNIOTIC FLUID AND MEMBRANES, UNSPECIFIED, THIRD 
TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.93X3
DX
DISORDER OF AMNIOTIC FLUID AND MEMBRANES, UNSPECIFIED, THIRD 
TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.93X4
DX
DISORDER OF AMNIOTIC FLUID AND MEMBRANES, UNSPECIFIED, THIRD 
TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.93X5
DX
DISORDER OF AMNIOTIC FLUID AND MEMBRANES, UNSPECIFIED, THIRD 
TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O41.93X9
DX
DISORDER OF AMNIOTIC FLUID AND MEMBRANES, UNSPECIFIED, THIRD 
TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O42.01
DX
PRETERM PREMATURE RUPTURE OF MEMBRANES, ONSET OF LABOR WITHIN 24 
HOURS OF RUPTURE
ICD-10-CM
19 Women who is pregnant or breastfeading
O42.012
DX
PRETERM PREMATURE RUPTURE OF MEMBRANES, ONSET OF LABOR WITHIN 24 
HOURS OF RUPTURE, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O42.013
DX
PRETERM PREMATURE RUPTURE OF MEMBRANES, ONSET OF LABOR WITHIN 24 
HOURS OF RUPTURE, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O42.019
DX
PRETERM PREMATURE RUPTURE OF MEMBRANES, ONSET OF LABOR WITHIN 24 
HOURS OF RUPTURE, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O42.1
DX
PREMATURE RUPTURE OF MEMBRANES, ONSET OF LABOR MORE THAN 24 
HOURS FOLLOWING RUPTURE
ICD-10-CM
19 Women who is pregnant or breastfeading
O42.10
DX
PREMATURE RUPTURE OF MEMBRANES, ONSET OF LABOR MORE THAN 24 
HOURS FOLLOWING RUPTURE, UNSPECIFIED WEEKS OF GESTATION
ICD-10-CM
19 Women who is pregnant or breastfeading
O42.11
DX
PRETERM PREMATURE RUPTURE OF MEMBRANES, ONSET OF LABOR MORE 
THAN 24 HOURS FOLLOWING RUPTURE
ICD-10-CM
19 Women who is pregnant or breastfeading
O42.111
DX
PRETERM PREMATURE RUPTURE OF MEMBRANES, ONSET OF LABOR MORE 
THAN 24 HOURS FOLLOWING RUPTURE, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O42.112
DX
PRETERM PREMATURE RUPTURE OF MEMBRANES, ONSET OF LABOR MORE 
THAN 24 HOURS FOLLOWING RUPTURE, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O42.113
DX
PRETERM PREMATURE RUPTURE OF MEMBRANES, ONSET OF LABOR MORE 
THAN 24 HOURS FOLLOWING RUPTURE, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O42.119
DX
PRETERM PREMATURE RUPTURE OF MEMBRANES, ONSET OF LABOR MORE 
THAN 24 HOURS FOLLOWING RUPTURE, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O42.12
DX
FULL-TERM PREMATURE RUPTURE OF MEMBRANES, ONSET OF LABOR MORE 
THAN 24 HOURS FOLLOWING RUPTURE
ICD-10-CM
19 Women who is pregnant or breastfeading
O42.9
DX
PREMATURE RUPTURE OF MEMBRANES, UNSPECIFIED AS TO LENGTH OF TIME 
BETWEEN RUPTURE AND ONSET OF LABOR
ICD-10-CM
19 Women who is pregnant or breastfeading
O42.90
DX
PREMATURE RUPTURE OF MEMBRANES, UNSPECIFIED AS TO LENGTH OF TIME 
BETWEEN RUPTURE AND ONSET OF LABOR, UNSPECIFIED WEEKS OF 
GESTATION
ICD-10-CM
19 Women who is pregnant or breastfeading
O42.91
DX
PRETERM PREMATURE RUPTURE OF MEMBRANES, UNSPECIFIED AS TO 
LENGTH OF TIME BETWEEN RUPTURE AND ONSET OF LABOR
ICD-10-CM
19 Women who is pregnant or breastfeading
O42.911
DX
PRETERM PREMATURE RUPTURE OF MEMBRANES, UNSPECIFIED AS TO 
LENGTH OF TIME BETWEEN RUPTURE AND ONSET OF LABOR, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O42.912
DX
PRETERM PREMATURE RUPTURE OF MEMBRANES, UNSPECIFIED AS TO 
LENGTH OF TIME BETWEEN RUPTURE AND ONSET OF LABOR, SECOND 
TRIMESTER
ICD-10-CM

19 Women who is pregnant or breastfeading
O42.913
DX
PRETERM PREMATURE RUPTURE OF MEMBRANES, UNSPECIFIED AS TO 
LENGTH OF TIME BETWEEN RUPTURE AND ONSET OF LABOR, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O42.919
DX
PRETERM PREMATURE RUPTURE OF MEMBRANES, UNSPECIFIED AS TO 
LENGTH OF TIME BETWEEN RUPTURE AND ONSET OF LABOR, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O42.92
DX
FULL-TERM PREMATURE RUPTURE OF MEMBRANES, UNSPECIFIED AS TO 
LENGTH OF TIME BETWEEN RUPTURE AND ONSET OF LABOR
ICD-10-CM
19 Women who is pregnant or breastfeading
O43
DX
PLACENTAL DISORDERS
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.0
DX
PLACENTAL TRANSFUSION SYNDROMES
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.01
DX
FETOMATERNAL PLACENTAL TRANSFUSION SYNDROME
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.011
DX
FETOMATERNAL PLACENTAL TRANSFUSION SYNDROME, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.012
DX
FETOMATERNAL PLACENTAL TRANSFUSION SYNDROME, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.013
DX
FETOMATERNAL PLACENTAL TRANSFUSION SYNDROME, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.019
DX
FETOMATERNAL PLACENTAL TRANSFUSION SYNDROME, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.02
DX
FETUS-TO-FETUS PLACENTAL TRANSFUSION SYNDROME
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.021
DX
FETUS-TO-FETUS PLACENTAL TRANSFUSION SYNDROME, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.022
DX
FETUS-TO-FETUS PLACENTAL TRANSFUSION SYNDROME, SECOND TRIMESTER ICD-10-CM
19 Women who is pregnant or breastfeading
O43.023
DX
FETUS-TO-FETUS PLACENTAL TRANSFUSION SYNDROME, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.029
DX
FETUS-TO-FETUS PLACENTAL TRANSFUSION SYNDROME, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.1
DX
MALFORMATION OF PLACENTA
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.10
DX
MALFORMATION OF PLACENTA, UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.101
DX
MALFORMATION OF PLACENTA, UNSPECIFIED, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.102
DX
MALFORMATION OF PLACENTA, UNSPECIFIED, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.103
DX
MALFORMATION OF PLACENTA, UNSPECIFIED, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.109
DX
MALFORMATION OF PLACENTA, UNSPECIFIED, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.11
DX
CIRCUMVALLATE PLACENTA
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.111
DX
CIRCUMVALLATE PLACENTA, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.112
DX
CIRCUMVALLATE PLACENTA, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.113
DX
CIRCUMVALLATE PLACENTA, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.119
DX
CIRCUMVALLATE PLACENTA, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.12
DX
VELAMENTOUS INSERTION OF UMBILICAL CORD
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.121
DX
VELAMENTOUS INSERTION OF UMBILICAL CORD, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.122
DX
VELAMENTOUS INSERTION OF UMBILICAL CORD, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.123
DX
VELAMENTOUS INSERTION OF UMBILICAL CORD, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.129
DX
VELAMENTOUS INSERTION OF UMBILICAL CORD, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.19
DX
OTHER MALFORMATION OF PLACENTA
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.191
DX
OTHER MALFORMATION OF PLACENTA, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.192
DX
OTHER MALFORMATION OF PLACENTA, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.193
DX
OTHER MALFORMATION OF PLACENTA, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.199
DX
OTHER MALFORMATION OF PLACENTA, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.2
DX
MORBIDLY ADHERENT PLACENTA
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.21
DX
PLACENTA ACCRETA
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.211
DX
PLACENTA ACCRETA, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.212
DX
PLACENTA ACCRETA, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.213
DX
PLACENTA ACCRETA, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.219
DX
PLACENTA ACCRETA, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.22
DX
PLACENTA INCRETA
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.221
DX
PLACENTA INCRETA, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.222
DX
PLACENTA INCRETA, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.223
DX
PLACENTA INCRETA, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.229
DX
PLACENTA INCRETA, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.23
DX
PLACENTA PERCRETA
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.231
DX
PLACENTA PERCRETA, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.232
DX
PLACENTA PERCRETA, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.233
DX
PLACENTA PERCRETA, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.239
DX
PLACENTA PERCRETA, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.8
DX
OTHER PLACENTAL DISORDERS
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.81
DX
PLACENTAL INFARCTION
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.811
DX
PLACENTAL INFARCTION, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.812
DX
PLACENTAL INFARCTION, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.813
DX
PLACENTAL INFARCTION, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.819
DX
PLACENTAL INFARCTION, UNSPECIFIED TRIMESTER
ICD-10-CM

19 Women who is pregnant or breastfeading
O43.89
DX
OTHER PLACENTAL DISORDERS
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.891
DX
OTHER PLACENTAL DISORDERS, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.892
DX
OTHER PLACENTAL DISORDERS, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.893
DX
OTHER PLACENTAL DISORDERS, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.899
DX
OTHER PLACENTAL DISORDERS, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.9
DX
UNSPECIFIED PLACENTAL DISORDER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.90
DX
UNSPECIFIED PLACENTAL DISORDER, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.91
DX
UNSPECIFIED PLACENTAL DISORDER, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.92
DX
UNSPECIFIED PLACENTAL DISORDER, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O43.93
DX
UNSPECIFIED PLACENTAL DISORDER, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O44
DX
PLACENTA PREVIA
ICD-10-CM
19 Women who is pregnant or breastfeading
O44.0
DX
COMPLETE PLACENTA PREVIA NOS OR WITHOUT HEMORRHAGE
ICD-10-CM
19 Women who is pregnant or breastfeading
O44.00
DX
COMPLETE PLACENTA PREVIA NOS OR WITHOUT HEMORRHAGE, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O44.01
DX
COMPLETE PLACENTA PREVIA NOS OR WITHOUT HEMORRHAGE, FIRST 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O44.02
DX
COMPLETE PLACENTA PREVIA NOS OR WITHOUT HEMORRHAGE, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O44.03
DX
COMPLETE PLACENTA PREVIA NOS OR WITHOUT HEMORRHAGE, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O44.1
DX
COMPLETE PLACENTA PREVIA WITH HEMORRHAGE
ICD-10-CM
19 Women who is pregnant or breastfeading
O44.10
DX
COMPLETE PLACENTA PREVIA WITH HEMORRHAGE, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O44.11
DX
COMPLETE PLACENTA PREVIA WITH HEMORRHAGE, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O44.12
DX
COMPLETE PLACENTA PREVIA WITH HEMORRHAGE, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O44.13
DX
COMPLETE PLACENTA PREVIA WITH HEMORRHAGE, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O44.2
DX
PARTIAL PLACENTA PREVIA WITHOUT HEMORRHAGE
ICD-10-CM
19 Women who is pregnant or breastfeading
O44.20
DX
PARTIAL PLACENTA PREVIA NOS OR WITHOUT HEMORRHAGE, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O44.21
DX
PARTIAL PLACENTA PREVIA NOS OR WITHOUT HEMORRHAGE, FIRST 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O44.22
DX
PARTIAL PLACENTA PREVIA NOS OR WITHOUT HEMORRHAGE, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O44.23
DX
PARTIAL PLACENTA PREVIA NOS OR WITHOUT HEMORRHAGE, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O44.3
DX
PARTIAL PLACENTA PREVIA WITH HEMORRHAGE
ICD-10-CM
19 Women who is pregnant or breastfeading
O44.30
DX
PARTIAL PLACENTA PREVIA WITH HEMORRHAGE, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O44.31
DX
PARTIAL PLACENTA PREVIA WITH HEMORRHAGE, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O44.32
DX
PARTIAL PLACENTA PREVIA WITH HEMORRHAGE, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O44.33
DX
PARTIAL PLACENTA PREVIA WITH HEMORRHAGE, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O44.4
DX
LOW LYING PLACENTA NOS OR WITHOUT HEMORRHAGE
ICD-10-CM
19 Women who is pregnant or breastfeading
O44.40
DX
LOW LYING PLACENTA NOS OR WITHOUT HEMORRHAGE, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O44.41
DX
LOW LYING PLACENTA NOS OR WITHOUT HEMORRHAGE, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O44.42
DX
LOW LYING PLACENTA NOS OR WITHOUT HEMORRHAGE, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O44.43
DX
LOW LYING PLACENTA NOS OR WITHOUT HEMORRHAGE, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O44.5
DX
LOW LYING PLACENTA WITH HEMORRHAGE
ICD-10-CM
19 Women who is pregnant or breastfeading
O44.50
DX
LOW LYING PLACENTA WITH HEMORRHAGE, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O44.51
DX
LOW LYING PLACENTA WITH HEMORRHAGE, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O44.52
DX
LOW LYING PLACENTA WITH HEMORRHAGE, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O44.53
DX
LOW LYING PLACENTA WITH HEMORRHAGE, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O45
DX
PREMATURE SEPARATION OF PLACENTA [ABRUPTIO PLACENTAE]
ICD-10-CM
19 Women who is pregnant or breastfeading
O45.0
DX
PREMATURE SEPARATION OF PLACENTA WITH COAGULATION DEFECT
ICD-10-CM
19 Women who is pregnant or breastfeading
O45.00
DX
PREMATURE SEPARATION OF PLACENTA WITH COAGULATION DEFECT, 
UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O45.001
DX
PREMATURE SEPARATION OF PLACENTA WITH COAGULATION DEFECT, 
UNSPECIFIED, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O45.002
DX
PREMATURE SEPARATION OF PLACENTA WITH COAGULATION DEFECT, 
UNSPECIFIED, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O45.003
DX
PREMATURE SEPARATION OF PLACENTA WITH COAGULATION DEFECT, 
UNSPECIFIED, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O45.009
DX
PREMATURE SEPARATION OF PLACENTA WITH COAGULATION DEFECT, 
UNSPECIFIED, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O45.01
DX
PREMATURE SEPARATION OF PLACENTA WITH AFIBRINOGENEMIA
ICD-10-CM
19 Women who is pregnant or breastfeading
O45.011
DX
PREMATURE SEPARATION OF PLACENTA WITH AFIBRINOGENEMIA, FIRST 
TRIMESTER
ICD-10-CM

19 Women who is pregnant or breastfeading
O45.012
DX
PREMATURE SEPARATION OF PLACENTA WITH AFIBRINOGENEMIA, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O45.013
DX
PREMATURE SEPARATION OF PLACENTA WITH AFIBRINOGENEMIA, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O45.019
DX
PREMATURE SEPARATION OF PLACENTA WITH AFIBRINOGENEMIA, 
UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O45.02
DX
PREMATURE SEPARATION OF PLACENTA WITH DISSEMINATED 
INTRAVASCULAR COAGULATION
ICD-10-CM
19 Women who is pregnant or breastfeading
O45.021
DX
PREMATURE SEPARATION OF PLACENTA WITH DISSEMINATED 
INTRAVASCULAR COAGULATION, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O45.022
DX
PREMATURE SEPARATION OF PLACENTA WITH DISSEMINATED 
INTRAVASCULAR COAGULATION, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O45.023
DX
PREMATURE SEPARATION OF PLACENTA WITH DISSEMINATED 
INTRAVASCULAR COAGULATION, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O45.029
DX
PREMATURE SEPARATION OF PLACENTA WITH DISSEMINATED 
INTRAVASCULAR COAGULATION, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O45.09
DX
PREMATURE SEPARATION OF PLACENTA WITH OTHER COAGULATION DEFECT
ICD-10-CM
19 Women who is pregnant or breastfeading
O45.091
DX
PREMATURE SEPARATION OF PLACENTA WITH OTHER COAGULATION DEFECT, 
FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O45.092
DX
PREMATURE SEPARATION OF PLACENTA WITH OTHER COAGULATION DEFECT, 
SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O45.093
DX
PREMATURE SEPARATION OF PLACENTA WITH OTHER COAGULATION DEFECT, 
THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O45.099
DX
PREMATURE SEPARATION OF PLACENTA WITH OTHER COAGULATION DEFECT, 
UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O45.8
DX
OTHER PREMATURE SEPARATION OF PLACENTA
ICD-10-CM
19 Women who is pregnant or breastfeading
O45.8X
DX
OTHER PREMATURE SEPARATION OF PLACENTA
ICD-10-CM
19 Women who is pregnant or breastfeading
O45.8X1
DX
OTHER PREMATURE SEPARATION OF PLACENTA, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O45.8X2
DX
OTHER PREMATURE SEPARATION OF PLACENTA, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O45.8X3
DX
OTHER PREMATURE SEPARATION OF PLACENTA, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O45.8X9
DX
OTHER PREMATURE SEPARATION OF PLACENTA, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O45.9
DX
PREMATURE SEPARATION OF PLACENTA, UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O45.90
DX
PREMATURE SEPARATION OF PLACENTA, UNSPECIFIED, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O45.91
DX
PREMATURE SEPARATION OF PLACENTA, UNSPECIFIED, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O45.92
DX
PREMATURE SEPARATION OF PLACENTA, UNSPECIFIED, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O45.93
DX
PREMATURE SEPARATION OF PLACENTA, UNSPECIFIED, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O46
DX
ANTEPARTUM HEMORRHAGE, NOT ELSEWHERE CLASSIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O46.0
DX
ANTEPARTUM HEMORRHAGE WITH COAGULATION DEFECT
ICD-10-CM
19 Women who is pregnant or breastfeading
O46.00
DX
ANTEPARTUM HEMORRHAGE WITH COAGULATION DEFECT, UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O46.001
DX
ANTEPARTUM HEMORRHAGE WITH COAGULATION DEFECT, UNSPECIFIED, 
FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O46.002
DX
ANTEPARTUM HEMORRHAGE WITH COAGULATION DEFECT, UNSPECIFIED, 
SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O46.003
DX
ANTEPARTUM HEMORRHAGE WITH COAGULATION DEFECT, UNSPECIFIED, 
THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O46.009
DX
ANTEPARTUM HEMORRHAGE WITH COAGULATION DEFECT, UNSPECIFIED, 
UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O46.01
DX
ANTEPARTUM HEMORRHAGE WITH AFIBRINOGENEMIA
ICD-10-CM
19 Women who is pregnant or breastfeading
O46.011
DX
ANTEPARTUM HEMORRHAGE WITH AFIBRINOGENEMIA, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O46.012
DX
ANTEPARTUM HEMORRHAGE WITH AFIBRINOGENEMIA, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O46.013
DX
ANTEPARTUM HEMORRHAGE WITH AFIBRINOGENEMIA, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O46.019
DX
ANTEPARTUM HEMORRHAGE WITH AFIBRINOGENEMIA, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O46.02
DX
ANTEPARTUM HEMORRHAGE WITH DISSEMINATED INTRAVASCULAR 
COAGULATION
ICD-10-CM
19 Women who is pregnant or breastfeading
O46.021
DX
ANTEPARTUM HEMORRHAGE WITH DISSEMINATED INTRAVASCULAR 
COAGULATION, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O46.022
DX
ANTEPARTUM HEMORRHAGE WITH DISSEMINATED INTRAVASCULAR 
COAGULATION, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O46.023
DX
ANTEPARTUM HEMORRHAGE WITH DISSEMINATED INTRAVASCULAR 
COAGULATION, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O46.029
DX
ANTEPARTUM HEMORRHAGE WITH DISSEMINATED INTRAVASCULAR 
COAGULATION, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O46.09
DX
ANTEPARTUM HEMORRHAGE WITH OTHER COAGULATION DEFECT
ICD-10-CM
19 Women who is pregnant or breastfeading
O46.091
DX
ANTEPARTUM HEMORRHAGE WITH OTHER COAGULATION DEFECT, FIRST 
TRIMESTER
ICD-10-CM

19 Women who is pregnant or breastfeading
O46.092
DX
ANTEPARTUM HEMORRHAGE WITH OTHER COAGULATION DEFECT, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O46.093
DX
ANTEPARTUM HEMORRHAGE WITH OTHER COAGULATION DEFECT, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O46.099
DX
ANTEPARTUM HEMORRHAGE WITH OTHER COAGULATION DEFECT, 
UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O46.8
DX
OTHER ANTEPARTUM HEMORRHAGE
ICD-10-CM
19 Women who is pregnant or breastfeading
O46.8X
DX
OTHER ANTEPARTUM HEMORRHAGE
ICD-10-CM
19 Women who is pregnant or breastfeading
O46.8X1
DX
OTHER ANTEPARTUM HEMORRHAGE, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O46.8X2
DX
OTHER ANTEPARTUM HEMORRHAGE, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O46.8X3
DX
OTHER ANTEPARTUM HEMORRHAGE, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O46.8X9
DX
OTHER ANTEPARTUM HEMORRHAGE, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O46.9
DX
ANTEPARTUM HEMORRHAGE, UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O46.90
DX
ANTEPARTUM HEMORRHAGE, UNSPECIFIED, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O46.91
DX
ANTEPARTUM HEMORRHAGE, UNSPECIFIED, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O46.92
DX
ANTEPARTUM HEMORRHAGE, UNSPECIFIED, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O46.93
DX
ANTEPARTUM HEMORRHAGE, UNSPECIFIED, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O47
DX
FALSE LABOR
ICD-10-CM
19 Women who is pregnant or breastfeading
O47.0
DX
FALSE LABOR BEFORE 37 COMPLETED WEEKS OF GESTATION
ICD-10-CM
19 Women who is pregnant or breastfeading
O47.00
DX
FALSE LABOR BEFORE 37 COMPLETED WEEKS OF GESTATION, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O47.02
DX
FALSE LABOR BEFORE 37 COMPLETED WEEKS OF GESTATION, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O47.03
DX
FALSE LABOR BEFORE 37 COMPLETED WEEKS OF GESTATION, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O47.1
DX
FALSE LABOR AT OR AFTER 37 COMPLETED WEEKS OF GESTATION
ICD-10-CM
19 Women who is pregnant or breastfeading
O47.9
DX
FALSE LABOR, UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O48
DX
LATE PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O48.0
DX
POST-TERM PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O48.1
DX
PROLONGED PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O60.0
DX
PRETERM LABOR WITHOUT DELIVERY
ICD-10-CM
19 Women who is pregnant or breastfeading
O60.00
DX
PRETERM LABOR WITHOUT DELIVERY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O60.02
DX
PRETERM LABOR WITHOUT DELIVERY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O60.03
DX
PRETERM LABOR WITHOUT DELIVERY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O60.1
DX
PRETERM LABOR WITH PRETERM DELIVERY
ICD-10-CM
19 Women who is pregnant or breastfeading
O60.10
DX
PRETERM LABOR WITH PRETERM DELIVERY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O60.10X
DX
ICD-10-CM
19 Women who is pregnant or breastfeading
O60.10X0
DX
PRETERM LABOR WITH PRETERM DELIVERY, UNSPECIFIED TRIMESTER, NOT 
APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O60.10X1
DX
PRETERM LABOR WITH PRETERM DELIVERY, UNSPECIFIED TRIMESTER, FETUS 1 ICD-10-CM
19 Women who is pregnant or breastfeading
O60.10X2
DX
PRETERM LABOR WITH PRETERM DELIVERY, UNSPECIFIED TRIMESTER, FETUS 2 ICD-10-CM
19 Women who is pregnant or breastfeading
O60.10X3
DX
PRETERM LABOR WITH PRETERM DELIVERY, UNSPECIFIED TRIMESTER, FETUS 3 ICD-10-CM
19 Women who is pregnant or breastfeading
O60.10X4
DX
PRETERM LABOR WITH PRETERM DELIVERY, UNSPECIFIED TRIMESTER, FETUS 4 ICD-10-CM
19 Women who is pregnant or breastfeading
O60.10X5
DX
PRETERM LABOR WITH PRETERM DELIVERY, UNSPECIFIED TRIMESTER, FETUS 5 ICD-10-CM
19 Women who is pregnant or breastfeading
O60.10X9
DX
PRETERM LABOR WITH PRETERM DELIVERY, UNSPECIFIED TRIMESTER, OTHER 
FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O60.12
DX
PRETERM LABOR SECOND TRIMESTER WITH PRETERM DELIVERY SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O60.12X
DX
ICD-10-CM
19 Women who is pregnant or breastfeading
O60.12X0
DX
PRETERM LABOR SECOND TRIMESTER WITH PRETERM DELIVERY SECOND 
TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O60.12X1
DX
PRETERM LABOR SECOND TRIMESTER WITH PRETERM DELIVERY SECOND 
TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O60.12X2
DX
PRETERM LABOR SECOND TRIMESTER WITH PRETERM DELIVERY SECOND 
TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O60.12X3
DX
PRETERM LABOR SECOND TRIMESTER WITH PRETERM DELIVERY SECOND 
TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O60.12X4
DX
PRETERM LABOR SECOND TRIMESTER WITH PRETERM DELIVERY SECOND 
TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O60.12X5
DX
PRETERM LABOR SECOND TRIMESTER WITH PRETERM DELIVERY SECOND 
TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O60.12X9
DX
PRETERM LABOR SECOND TRIMESTER WITH PRETERM DELIVERY SECOND 
TRIMESTER, OTHER FETUS
ICD-10-CM

19 Women who is pregnant or breastfeading
O60.13
DX
PRETERM LABOR SECOND TRIMESTER WITH PRETERM DELIVERY THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O60.13X
DX
ICD-10-CM
19 Women who is pregnant or breastfeading
O60.13X0
DX
PRETERM LABOR SECOND TRIMESTER WITH PRETERM DELIVERY THIRD 
TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O60.13X1
DX
PRETERM LABOR SECOND TRIMESTER WITH PRETERM DELIVERY THIRD 
TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O60.13X2
DX
PRETERM LABOR SECOND TRIMESTER WITH PRETERM DELIVERY THIRD 
TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O60.13X3
DX
PRETERM LABOR SECOND TRIMESTER WITH PRETERM DELIVERY THIRD 
TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O60.13X4
DX
PRETERM LABOR SECOND TRIMESTER WITH PRETERM DELIVERY THIRD 
TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O60.13X5
DX
PRETERM LABOR SECOND TRIMESTER WITH PRETERM DELIVERY THIRD 
TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O60.13X9
DX
PRETERM LABOR SECOND TRIMESTER WITH PRETERM DELIVERY THIRD 
TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O60.14
DX
PRETERM LABOR THIRD TRIMESTER WITH PRETERM DELIVERY THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O60.14X
DX
ICD-10-CM
19 Women who is pregnant or breastfeading
O60.14X0
DX
PRETERM LABOR THIRD TRIMESTER WITH PRETERM DELIVERY THIRD 
TRIMESTER, NOT APPLICABLE OR UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O60.14X1
DX
PRETERM LABOR THIRD TRIMESTER WITH PRETERM DELIVERY THIRD 
TRIMESTER, FETUS 1
ICD-10-CM
19 Women who is pregnant or breastfeading
O60.14X2
DX
PRETERM LABOR THIRD TRIMESTER WITH PRETERM DELIVERY THIRD 
TRIMESTER, FETUS 2
ICD-10-CM
19 Women who is pregnant or breastfeading
O60.14X3
DX
PRETERM LABOR THIRD TRIMESTER WITH PRETERM DELIVERY THIRD 
TRIMESTER, FETUS 3
ICD-10-CM
19 Women who is pregnant or breastfeading
O60.14X4
DX
PRETERM LABOR THIRD TRIMESTER WITH PRETERM DELIVERY THIRD 
TRIMESTER, FETUS 4
ICD-10-CM
19 Women who is pregnant or breastfeading
O60.14X5
DX
PRETERM LABOR THIRD TRIMESTER WITH PRETERM DELIVERY THIRD 
TRIMESTER, FETUS 5
ICD-10-CM
19 Women who is pregnant or breastfeading
O60.14X9
DX
PRETERM LABOR THIRD TRIMESTER WITH PRETERM DELIVERY THIRD 
TRIMESTER, OTHER FETUS
ICD-10-CM
19 Women who is pregnant or breastfeading
O61
DX
FAILED INDUCTION OF LABOR
ICD-10-CM
19 Women who is pregnant or breastfeading
O61.0
DX
FAILED MEDICAL INDUCTION OF LABOR
ICD-10-CM
19 Women who is pregnant or breastfeading
O61.1
DX
FAILED INSTRUMENTAL INDUCTION OF LABOR
ICD-10-CM
19 Women who is pregnant or breastfeading
O61.8
DX
OTHER FAILED INDUCTION OF LABOR
ICD-10-CM
19 Women who is pregnant or breastfeading
O61.9
DX
FAILED INDUCTION OF LABOR, UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O63.2
DX
DELAYED DELIVERY OF SECOND TWIN, TRIPLET, ETC.
ICD-10-CM
19 Women who is pregnant or breastfeading
O71.0
DX
RUPTURE OF UTERUS (SPONTANEOUS) BEFORE ONSET OF LABOR
ICD-10-CM
19 Women who is pregnant or breastfeading
O71.00
DX
RUPTURE OF UTERUS BEFORE ONSET OF LABOR, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O71.02
DX
RUPTURE OF UTERUS BEFORE ONSET OF LABOR, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O71.03
DX
RUPTURE OF UTERUS BEFORE ONSET OF LABOR, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O72
DX
POSTPARTUM HEMORRHAGE
ICD-10-CM
19 Women who is pregnant or breastfeading
O72.0
DX
THIRD-STAGE HEMORRHAGE
ICD-10-CM
19 Women who is pregnant or breastfeading
O72.1
DX
OTHER IMMEDIATE POSTPARTUM HEMORRHAGE
ICD-10-CM
19 Women who is pregnant or breastfeading
O72.2
DX
DELAYED AND SECONDARY POSTPARTUM HEMORRHAGE
ICD-10-CM
19 Women who is pregnant or breastfeading
O72.3
DX
POSTPARTUM COAGULATION DEFECTS
ICD-10-CM
19 Women who is pregnant or breastfeading
O73
DX
RETAINED PLACENTA AND MEMBRANES, WITHOUT HEMORRHAGE
ICD-10-CM
19 Women who is pregnant or breastfeading
O73.0
DX
RETAINED PLACENTA WITHOUT HEMORRHAGE
ICD-10-CM
19 Women who is pregnant or breastfeading
O73.1
DX
RETAINED PORTIONS OF PLACENTA AND MEMBRANES, WITHOUT 
HEMORRHAGE
ICD-10-CM
19 Women who is pregnant or breastfeading
O75
DX
OTHER COMPLICATIONS OF LABOR AND DELIVERY, NOT ELSEWHERE 
CLASSIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O75.0
DX
MATERNAL DISTRESS DURING LABOR AND DELIVERY
ICD-10-CM
19 Women who is pregnant or breastfeading
O75.1
DX
SHOCK DURING OR FOLLOWING LABOR AND DELIVERY
ICD-10-CM
19 Women who is pregnant or breastfeading
O75.2
DX
PYREXIA DURING LABOR, NOT ELSEWHERE CLASSIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
O75.3
DX
OTHER INFECTION DURING LABOR
ICD-10-CM
19 Women who is pregnant or breastfeading
O75.4
DX
OTHER COMPLICATIONS OF OBSTETRIC SURGERY AND PROCEDURES
ICD-10-CM
19 Women who is pregnant or breastfeading
O75.5
DX
DELAYED DELIVERY AFTER ARTIFICIAL RUPTURE OF MEMBRANES
ICD-10-CM
19 Women who is pregnant or breastfeading
O75.8
DX
OTHER SPECIFIED COMPLICATIONS OF LABOR AND DELIVERY
ICD-10-CM
19 Women who is pregnant or breastfeading
O75.81
DX
MATERNAL EXHAUSTION COMPLICATING LABOR AND DELIVERY
ICD-10-CM
19 Women who is pregnant or breastfeading
O75.82
DX
ONSET (SPONTANEOUS) OF LABOR AFTER 37 COMPLETED WEEKS OF 
GESTATION BUT BEFORE 39 COMPLETED WEEKS GESTATION, WITH DELIVERY 
BY (PLANNED) CESAREAN SECTION
ICD-10-CM
19 Women who is pregnant or breastfeading
O75.89
DX
OTHER SPECIFIED COMPLICATIONS OF LABOR AND DELIVERY
ICD-10-CM
19 Women who is pregnant or breastfeading
O75.9
DX
COMPLICATION OF LABOR AND DELIVERY, UNSPECIFIED
ICD-10-CM

19 Women who is pregnant or breastfeading
O94
DX
SEQUELAE OF COMPLICATION OF PREGNANCY, CHILDBIRTH, AND THE 
PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O98
DX
MATERNAL INFECTIOUS AND PARASITIC DISEASES CLASSIFIABLE ELSEWHERE 
BUT COMPLICATING PREGNANCY, CHILDBIRTH AND THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.0
DX
TUBERCULOSIS COMPLICATING PREGNANCY, CHILDBIRTH AND THE 
PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.01
DX
TUBERCULOSIS COMPLICATING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.011
DX
TUBERCULOSIS COMPLICATING PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.012
DX
TUBERCULOSIS COMPLICATING PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.013
DX
TUBERCULOSIS COMPLICATING PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.019
DX
TUBERCULOSIS COMPLICATING PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.02
DX
TUBERCULOSIS COMPLICATING CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.03
DX
TUBERCULOSIS COMPLICATING THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.1
DX
SYPHILIS COMPLICATING PREGNANCY, CHILDBIRTH AND THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.11
DX
SYPHILIS COMPLICATING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.111
DX
SYPHILIS COMPLICATING PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.112
DX
SYPHILIS COMPLICATING PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.113
DX
SYPHILIS COMPLICATING PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.119
DX
SYPHILIS COMPLICATING PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.12
DX
SYPHILIS COMPLICATING CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.13
DX
SYPHILIS COMPLICATING THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.2
DX
GONORRHEA COMPLICATING PREGNANCY, CHILDBIRTH AND THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.21
DX
GONORRHEA COMPLICATING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.211
DX
GONORRHEA COMPLICATING PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.212
DX
GONORRHEA COMPLICATING PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.213
DX
GONORRHEA COMPLICATING PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.219
DX
GONORRHEA COMPLICATING PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.22
DX
GONORRHEA COMPLICATING CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.23
DX
GONORRHEA COMPLICATING THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.3
DX
OTHER INFECTIONS WITH A PREDOMINANTLY SEXUAL MODE OF 
TRANSMISSION COMPLICATING PREGNANCY, CHILDBIRTH AND THE 
PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.31
DX
OTHER INFECTIONS WITH A PREDOMINANTLY SEXUAL MODE OF 
TRANSMISSION COMPLICATING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.311
DX
OTHER INFECTIONS WITH A PREDOMINANTLY SEXUAL MODE OF 
TRANSMISSION COMPLICATING PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.312
DX
OTHER INFECTIONS WITH A PREDOMINANTLY SEXUAL MODE OF 
TRANSMISSION COMPLICATING PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.313
DX
OTHER INFECTIONS WITH A PREDOMINANTLY SEXUAL MODE OF 
TRANSMISSION COMPLICATING PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.319
DX
OTHER INFECTIONS WITH A PREDOMINANTLY SEXUAL MODE OF 
TRANSMISSION COMPLICATING PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.32
DX
OTHER INFECTIONS WITH A PREDOMINANTLY SEXUAL MODE OF 
TRANSMISSION COMPLICATING CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.33
DX
OTHER INFECTIONS WITH A PREDOMINANTLY SEXUAL MODE OF 
TRANSMISSION COMPLICATING THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.4
DX
VIRAL HEPATITIS COMPLICATING PREGNANCY, CHILDBIRTH AND THE 
PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.41
DX
VIRAL HEPATITIS COMPLICATING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.411
DX
VIRAL HEPATITIS COMPLICATING PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.412
DX
VIRAL HEPATITIS COMPLICATING PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.413
DX
VIRAL HEPATITIS COMPLICATING PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.419
DX
VIRAL HEPATITIS COMPLICATING PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.42
DX
VIRAL HEPATITIS COMPLICATING CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.43
DX
VIRAL HEPATITIS COMPLICATING THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.5
DX
OTHER VIRAL DISEASES COMPLICATING PREGNANCY, CHILDBIRTH AND THE 
PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.51
DX
OTHER VIRAL DISEASES COMPLICATING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.511
DX
OTHER VIRAL DISEASES COMPLICATING PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.512
DX
OTHER VIRAL DISEASES COMPLICATING PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.513
DX
OTHER VIRAL DISEASES COMPLICATING PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.519
DX
OTHER VIRAL DISEASES COMPLICATING PREGNANCY, UNSPECIFIED TRIMESTER ICD-10-CM
19 Women who is pregnant or breastfeading
O98.52
DX
OTHER VIRAL DISEASES COMPLICATING CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.53
DX
OTHER VIRAL DISEASES COMPLICATING THE PUERPERIUM
ICD-10-CM

19 Women who is pregnant or breastfeading
O98.6
DX
PROTOZOAL DISEASES COMPLICATING PREGNANCY, CHILDBIRTH AND THE 
PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.61
DX
PROTOZOAL DISEASES COMPLICATING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.611
DX
PROTOZOAL DISEASES COMPLICATING PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.612
DX
PROTOZOAL DISEASES COMPLICATING PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.613
DX
PROTOZOAL DISEASES COMPLICATING PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.619
DX
PROTOZOAL DISEASES COMPLICATING PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.62
DX
PROTOZOAL DISEASES COMPLICATING CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.63
DX
PROTOZOAL DISEASES COMPLICATING THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.7
DX
HUMAN IMMUNODEFICIENCY VIRUS [HIV] DISEASE COMPLICATING PREGNANCY, 
CHILDBIRTH AND THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.71
DX
HUMAN IMMUNODEFICIENCY VIRUS [HIV] DISEASE COMPLICATING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.711
DX
HUMAN IMMUNODEFICIENCY VIRUS [HIV] DISEASE COMPLICATING PREGNANCY, 
FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.712
DX
HUMAN IMMUNODEFICIENCY VIRUS [HIV] DISEASE COMPLICATING PREGNANCY, 
SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.713
DX
HUMAN IMMUNODEFICIENCY VIRUS [HIV] DISEASE COMPLICATING PREGNANCY, 
THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.719
DX
HUMAN IMMUNODEFICIENCY VIRUS [HIV] DISEASE COMPLICATING PREGNANCY, 
UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.72
DX
HUMAN IMMUNODEFICIENCY VIRUS [HIV] DISEASE COMPLICATING CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.73
DX
HUMAN IMMUNODEFICIENCY VIRUS [HIV] DISEASE COMPLICATING THE 
PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.8
DX
OTHER MATERNAL INFECTIOUS AND PARASITIC DISEASES COMPLICATING 
PREGNANCY, CHILDBIRTH AND THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.81
DX
OTHER MATERNAL INFECTIOUS AND PARASITIC DISEASES COMPLICATING 
PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.811
DX
OTHER MATERNAL INFECTIOUS AND PARASITIC DISEASES COMPLICATING 
PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.812
DX
OTHER MATERNAL INFECTIOUS AND PARASITIC DISEASES COMPLICATING 
PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.813
DX
OTHER MATERNAL INFECTIOUS AND PARASITIC DISEASES COMPLICATING 
PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.819
DX
OTHER MATERNAL INFECTIOUS AND PARASITIC DISEASES COMPLICATING 
PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.82
DX
OTHER MATERNAL INFECTIOUS AND PARASITIC DISEASES COMPLICATING 
CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.83
DX
OTHER MATERNAL INFECTIOUS AND PARASITIC DISEASES COMPLICATING THE 
PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.9
DX
UNSPECIFIED MATERNAL INFECTIOUS AND PARASITIC DISEASE COMPLICATING 
PREGNANCY, CHILDBIRTH AND THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.91
DX
UNSPECIFIED MATERNAL INFECTIOUS AND PARASITIC DISEASE COMPLICATING 
PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.911
DX
UNSPECIFIED MATERNAL INFECTIOUS AND PARASITIC DISEASE COMPLICATING 
PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.912
DX
UNSPECIFIED MATERNAL INFECTIOUS AND PARASITIC DISEASE COMPLICATING 
PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.913
DX
UNSPECIFIED MATERNAL INFECTIOUS AND PARASITIC DISEASE COMPLICATING 
PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.919
DX
UNSPECIFIED MATERNAL INFECTIOUS AND PARASITIC DISEASE COMPLICATING 
PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.92
DX
UNSPECIFIED MATERNAL INFECTIOUS AND PARASITIC DISEASE COMPLICATING 
CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O98.93
DX
UNSPECIFIED MATERNAL INFECTIOUS AND PARASITIC DISEASE COMPLICATING 
THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O99
DX
OTHER MATERNAL DISEASES CLASSIFIABLE ELSEWHERE BUT COMPLICATING 
PREGNANCY, CHILDBIRTH AND THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.0
DX
ANEMIA COMPLICATING PREGNANCY, CHILDBIRTH AND THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.01
DX
ANEMIA COMPLICATING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.011
DX
ANEMIA COMPLICATING PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.012
DX
ANEMIA COMPLICATING PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.013
DX
ANEMIA COMPLICATING PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.019
DX
ANEMIA COMPLICATING PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.02
DX
ANEMIA COMPLICATING CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.03
DX
ANEMIA COMPLICATING THE PUERPERIUM
ICD-10-CM

19 Women who is pregnant or breastfeading
O99.1
DX
OTHER DISEASES OF THE BLOOD AND BLOOD-FORMING ORGANS AND CERTAIN 
DISORDERS INVOLVING THE IMMUNE MECHANISM COMPLICATING PREGNANCY, 
CHILDBIRTH AND THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.11
DX
OTHER DISEASES OF THE BLOOD AND BLOOD-FORMING ORGANS AND CERTAIN 
DISORDERS INVOLVING THE IMMUNE MECHANISM COMPLICATING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.111
DX
OTHER DISEASES OF THE BLOOD AND BLOOD-FORMING ORGANS AND CERTAIN 
DISORDERS INVOLVING THE IMMUNE MECHANISM COMPLICATING PREGNANCY, 
FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.112
DX
OTHER DISEASES OF THE BLOOD AND BLOOD-FORMING ORGANS AND CERTAIN 
DISORDERS INVOLVING THE IMMUNE MECHANISM COMPLICATING PREGNANCY, 
SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.113
DX
OTHER DISEASES OF THE BLOOD AND BLOOD-FORMING ORGANS AND CERTAIN 
DISORDERS INVOLVING THE IMMUNE MECHANISM COMPLICATING PREGNANCY, 
THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.119
DX
OTHER DISEASES OF THE BLOOD AND BLOOD-FORMING ORGANS AND CERTAIN 
DISORDERS INVOLVING THE IMMUNE MECHANISM COMPLICATING PREGNANCY, 
UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.12
DX
OTHER DISEASES OF THE BLOOD AND BLOOD-FORMING ORGANS AND CERTAIN 
DISORDERS INVOLVING THE IMMUNE MECHANISM COMPLICATING CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.13
DX
OTHER DISEASES OF THE BLOOD AND BLOOD-FORMING ORGANS AND CERTAIN 
DISORDERS INVOLVING THE IMMUNE MECHANISM COMPLICATING THE 
PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.2
DX
ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES COMPLICATING 
PREGNANCY, CHILDBIRTH AND THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.21
DX
OBESITY COMPLICATING PREGNANCY, CHILDBIRTH, AND THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.210
DX
OBESITY COMPLICATING PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.211
DX
OBESITY COMPLICATING PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.212
DX
OBESITY COMPLICATING PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.213
DX
OBESITY COMPLICATING PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.214
DX
OBESITY COMPLICATING CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.215
DX
OBESITY COMPLICATING THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.28
DX
OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES COMPLICATING 
PREGNANCY, CHILDBIRTH AND THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.280
DX
ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES COMPLICATING 
PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.281
DX
ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES COMPLICATING 
PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.282
DX
ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES COMPLICATING 
PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.283
DX
ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES COMPLICATING 
PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.284
DX
ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES COMPLICATING 
CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.285
DX
ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES COMPLICATING THE 
PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.3
DX
MENTAL DISORDERS AND DISEASES OF THE NERVOUS SYSTEM COMPLICATING 
PREGNANCY, CHILDBIRTH AND THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.31
DX
ALCOHOL USE COMPLICATING PREGNANCY, CHILDBIRTH, AND THE 
PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.310
DX
ALCOHOL USE COMPLICATING PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.311
DX
ALCOHOL USE COMPLICATING PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.312
DX
ALCOHOL USE COMPLICATING PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.313
DX
ALCOHOL USE COMPLICATING PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.314
DX
ALCOHOL USE COMPLICATING CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.315
DX
ALCOHOL USE COMPLICATING THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.32
DX
DRUG USE COMPLICATING PREGNANCY, CHILDBIRTH, AND THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.320
DX
DRUG USE COMPLICATING PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.321
DX
DRUG USE COMPLICATING PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.322
DX
DRUG USE COMPLICATING PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.323
DX
DRUG USE COMPLICATING PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.324
DX
DRUG USE COMPLICATING CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.325
DX
DRUG USE COMPLICATING THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.33
DX
TOBACCO USE DISORDER COMPLICATING PREGNANCY, CHILDBIRTH, AND THE 
PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.330
DX
SMOKING (TOBACCO) COMPLICATING PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.331
DX
SMOKING (TOBACCO) COMPLICATING PREGNANCY, FIRST TRIMESTER
ICD-10-CM

19 Women who is pregnant or breastfeading
O99.332
DX
SMOKING (TOBACCO) COMPLICATING PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.333
DX
SMOKING (TOBACCO) COMPLICATING PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.334
DX
SMOKING (TOBACCO) COMPLICATING CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.335
DX
SMOKING (TOBACCO) COMPLICATING THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.34
DX
OTHER MENTAL DISORDERS COMPLICATING PREGNANCY, CHILDBIRTH, AND 
THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.340
DX
OTHER MENTAL DISORDERS COMPLICATING PREGNANCY, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.341
DX
OTHER MENTAL DISORDERS COMPLICATING PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.342
DX
OTHER MENTAL DISORDERS COMPLICATING PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.343
DX
OTHER MENTAL DISORDERS COMPLICATING PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.344
DX
OTHER MENTAL DISORDERS COMPLICATING CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.345
DX
OTHER MENTAL DISORDERS COMPLICATING THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.35
DX
DISEASES OF THE NERVOUS SYSTEM COMPLICATING PREGNANCY, CHILDBIRTH, 
AND THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.350
DX
DISEASES OF THE NERVOUS SYSTEM COMPLICATING PREGNANCY, 
UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.351
DX
DISEASES OF THE NERVOUS SYSTEM COMPLICATING PREGNANCY, FIRST 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.352
DX
DISEASES OF THE NERVOUS SYSTEM COMPLICATING PREGNANCY, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.353
DX
DISEASES OF THE NERVOUS SYSTEM COMPLICATING PREGNANCY, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.354
DX
DISEASES OF THE NERVOUS SYSTEM COMPLICATING CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.355
DX
DISEASES OF THE NERVOUS SYSTEM COMPLICATING THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.4
DX
DISEASES OF THE CIRCULATORY SYSTEM COMPLICATING PREGNANCY, 
CHILDBIRTH AND THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.41
DX
DISEASES OF THE CIRCULATORY SYSTEM COMPLICATING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.411
DX
DISEASES OF THE CIRCULATORY SYSTEM COMPLICATING PREGNANCY, FIRST 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.412
DX
DISEASES OF THE CIRCULATORY SYSTEM COMPLICATING PREGNANCY, 
SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.413
DX
DISEASES OF THE CIRCULATORY SYSTEM COMPLICATING PREGNANCY, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.419
DX
DISEASES OF THE CIRCULATORY SYSTEM COMPLICATING PREGNANCY, 
UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.42
DX
DISEASES OF THE CIRCULATORY SYSTEM COMPLICATING CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.43
DX
DISEASES OF THE CIRCULATORY SYSTEM COMPLICATING THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.5
DX
DISEASES OF THE RESPIRATORY SYSTEM COMPLICATING PREGNANCY, 
CHILDBIRTH AND THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.51
DX
DISEASES OF THE RESPIRATORY SYSTEM COMPLICATING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.511
DX
DISEASES OF THE RESPIRATORY SYSTEM COMPLICATING PREGNANCY, FIRST 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.512
DX
DISEASES OF THE RESPIRATORY SYSTEM COMPLICATING PREGNANCY, 
SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.513
DX
DISEASES OF THE RESPIRATORY SYSTEM COMPLICATING PREGNANCY, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.519
DX
DISEASES OF THE RESPIRATORY SYSTEM COMPLICATING PREGNANCY, 
UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.52
DX
DISEASES OF THE RESPIRATORY SYSTEM COMPLICATING CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.53
DX
DISEASES OF THE RESPIRATORY SYSTEM COMPLICATING THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.6
DX
DISEASES OF THE DIGESTIVE SYSTEM COMPLICATING PREGNANCY, 
CHILDBIRTH AND THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.61
DX
DISEASES OF THE DIGESTIVE SYSTEM COMPLICATING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.611
DX
DISEASES OF THE DIGESTIVE SYSTEM COMPLICATING PREGNANCY, FIRST 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.612
DX
DISEASES OF THE DIGESTIVE SYSTEM COMPLICATING PREGNANCY, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.613
DX
DISEASES OF THE DIGESTIVE SYSTEM COMPLICATING PREGNANCY, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.619
DX
DISEASES OF THE DIGESTIVE SYSTEM COMPLICATING PREGNANCY, 
UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.62
DX
DISEASES OF THE DIGESTIVE SYSTEM COMPLICATING CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.63
DX
DISEASES OF THE DIGESTIVE SYSTEM COMPLICATING THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.7
DX
DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE COMPLICATING 
PREGNANCY, CHILDBIRTH AND THE PUERPERIUM
ICD-10-CM

19 Women who is pregnant or breastfeading
O99.71
DX
DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE COMPLICATING 
PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.711
DX
DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE COMPLICATING 
PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.712
DX
DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE COMPLICATING 
PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.713
DX
DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE COMPLICATING 
PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.719
DX
DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE COMPLICATING 
PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.72
DX
DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE COMPLICATING 
CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.73
DX
DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE COMPLICATING THE 
PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.8
DX
OTHER SPECIFIED DISEASES AND CONDITIONS COMPLICATING PREGNANCY, 
CHILDBIRTH AND THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.81
DX
ABNORMAL GLUCOSE COMPLICATING PREGNANCY, CHILDBIRTH AND THE 
PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.810
DX
ABNORMAL GLUCOSE COMPLICATING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.814
DX
ABNORMAL GLUCOSE COMPLICATING CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.815
DX
ABNORMAL GLUCOSE COMPLICATING THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.82
DX
STREPTOCOCCUS B CARRIER STATE COMPLICATING PREGNANCY, CHILDBIRTH 
AND THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.820
DX
STREPTOCOCCUS B CARRIER STATE COMPLICATING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.824
DX
STREPTOCOCCUS B CARRIER STATE COMPLICATING CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.825
DX
STREPTOCOCCUS B CARRIER STATE COMPLICATING THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.83
DX
OTHER INFECTION CARRIER STATE COMPLICATING PREGNANCY, CHILDBIRTH 
AND THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.830
DX
OTHER INFECTION CARRIER STATE COMPLICATING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.834
DX
OTHER INFECTION CARRIER STATE COMPLICATING CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.835
DX
OTHER INFECTION CARRIER STATE COMPLICATING THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.84
DX
BARIATRIC SURGERY STATUS COMPLICATING PREGNANCY, CHILDBIRTH AND 
THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.840
DX
BARIATRIC SURGERY STATUS COMPLICATING PREGNANCY, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.841
DX
BARIATRIC SURGERY STATUS COMPLICATING PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.842
DX
BARIATRIC SURGERY STATUS COMPLICATING PREGNANCY, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.843
DX
BARIATRIC SURGERY STATUS COMPLICATING PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.844
DX
BARIATRIC SURGERY STATUS COMPLICATING CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.845
DX
BARIATRIC SURGERY STATUS COMPLICATING THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O99.89
DX
OTHER SPECIFIED DISEASES AND CONDITIONS COMPLICATING PREGNANCY, 
CHILDBIRTH AND THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O9A
DX
MATERNAL MALIGNANT NEOPLASMS, TRAUMATIC INJURIES AND ABUSE 
CLASSIFIABLE ELSEWHERE BUT COMPLICATING PREGNANCY, CHILDBIRTH AND 
THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O9A.1
DX
MALIGNANT NEOPLASM COMPLICATING PREGNANCY, CHILDBIRTH AND THE 
PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O9A.11
DX
MALIGNANT NEOPLASM COMPLICATING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O9A.111
DX
MALIGNANT NEOPLASM COMPLICATING PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O9A.112
DX
MALIGNANT NEOPLASM COMPLICATING PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O9A.113
DX
MALIGNANT NEOPLASM COMPLICATING PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O9A.119
DX
MALIGNANT NEOPLASM COMPLICATING PREGNANCY, UNSPECIFIED TRIMESTER ICD-10-CM
19 Women who is pregnant or breastfeading
O9A.12
DX
MALIGNANT NEOPLASM COMPLICATING CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O9A.13
DX
MALIGNANT NEOPLASM COMPLICATING THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O9A.2
DX
INJURY, POISONING AND CERTAIN OTHER CONSEQUENCES OF EXTERNAL 
CAUSES COMPLICATING PREGNANCY, CHILDBIRTH AND THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O9A.21
DX
INJURY, POISONING AND CERTAIN OTHER CONSEQUENCES OF EXTERNAL 
CAUSES COMPLICATING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O9A.211
DX
INJURY, POISONING AND CERTAIN OTHER CONSEQUENCES OF EXTERNAL 
CAUSES COMPLICATING PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O9A.212
DX
INJURY, POISONING AND CERTAIN OTHER CONSEQUENCES OF EXTERNAL 
CAUSES COMPLICATING PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O9A.213
DX
INJURY, POISONING AND CERTAIN OTHER CONSEQUENCES OF EXTERNAL 
CAUSES COMPLICATING PREGNANCY, THIRD TRIMESTER
ICD-10-CM

19 Women who is pregnant or breastfeading
O9A.219
DX
INJURY, POISONING AND CERTAIN OTHER CONSEQUENCES OF EXTERNAL 
CAUSES COMPLICATING PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O9A.22
DX
INJURY, POISONING AND CERTAIN OTHER CONSEQUENCES OF EXTERNAL 
CAUSES COMPLICATING CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O9A.23
DX
INJURY, POISONING AND CERTAIN OTHER CONSEQUENCES OF EXTERNAL 
CAUSES COMPLICATING THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O9A.3
DX
PHYSICAL ABUSE COMPLICATING PREGNANCY, CHILDBIRTH AND THE 
PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O9A.31
DX
PHYSICAL ABUSE COMPLICATING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O9A.311
DX
PHYSICAL ABUSE COMPLICATING PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O9A.312
DX
PHYSICAL ABUSE COMPLICATING PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O9A.313
DX
PHYSICAL ABUSE COMPLICATING PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O9A.319
DX
PHYSICAL ABUSE COMPLICATING PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O9A.32
DX
PHYSICAL ABUSE COMPLICATING CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O9A.33
DX
PHYSICAL ABUSE COMPLICATING THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O9A.4
DX
SEXUAL ABUSE COMPLICATING PREGNANCY, CHILDBIRTH AND THE 
PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O9A.41
DX
SEXUAL ABUSE COMPLICATING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O9A.411
DX
SEXUAL ABUSE COMPLICATING PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O9A.412
DX
SEXUAL ABUSE COMPLICATING PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O9A.413
DX
SEXUAL ABUSE COMPLICATING PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O9A.419
DX
SEXUAL ABUSE COMPLICATING PREGNANCY, UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O9A.42
DX
SEXUAL ABUSE COMPLICATING CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O9A.43
DX
SEXUAL ABUSE COMPLICATING THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O9A.5
DX
PSYCHOLOGICAL ABUSE COMPLICATING PREGNANCY, CHILDBIRTH AND THE 
PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
O9A.51
DX
PSYCHOLOGICAL ABUSE COMPLICATING PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
O9A.511
DX
PSYCHOLOGICAL ABUSE COMPLICATING PREGNANCY, FIRST TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O9A.512
DX
PSYCHOLOGICAL ABUSE COMPLICATING PREGNANCY, SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O9A.513
DX
PSYCHOLOGICAL ABUSE COMPLICATING PREGNANCY, THIRD TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
O9A.519
DX
PSYCHOLOGICAL ABUSE COMPLICATING PREGNANCY, UNSPECIFIED TRIMESTER ICD-10-CM
19 Women who is pregnant or breastfeading
O9A.52
DX
PSYCHOLOGICAL ABUSE COMPLICATING CHILDBIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
O9A.53
DX
PSYCHOLOGICAL ABUSE COMPLICATING THE PUERPERIUM
ICD-10-CM
19 Women who is pregnant or breastfeading
P01.5
DX
NEWBORN AFFECTED BY MULTIPLE PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
P05.01
DX
NEWBORN LIGHT FOR GESTATIONAL AGE, LESS THAN 500 GRAMS
ICD-10-CM
19 Women who is pregnant or breastfeading
P05.02
DX
NEWBORN LIGHT FOR GESTATIONAL AGE, 500-749 GRAMS
ICD-10-CM
19 Women who is pregnant or breastfeading
P05.03
DX
NEWBORN LIGHT FOR GESTATIONAL AGE, 750-999 GRAMS
ICD-10-CM
19 Women who is pregnant or breastfeading
P05.04
DX
NEWBORN LIGHT FOR GESTATIONAL AGE, 1000-1249 GRAMS
ICD-10-CM
19 Women who is pregnant or breastfeading
P05.05
DX
NEWBORN LIGHT FOR GESTATIONAL AGE, 1250-1499 GRAMS
ICD-10-CM
19 Women who is pregnant or breastfeading
P05.06
DX
NEWBORN LIGHT FOR GESTATIONAL AGE, 1500-1749 GRAMS
ICD-10-CM
19 Women who is pregnant or breastfeading
P05.11
DX
NEWBORN SMALL FOR GESTATIONAL AGE, LESS THAN 500 GRAMS
ICD-10-CM
19 Women who is pregnant or breastfeading
P05.12
DX
NEWBORN SMALL FOR GESTATIONAL AGE, 500-749 GRAMS
ICD-10-CM
19 Women who is pregnant or breastfeading
P05.13
DX
NEWBORN SMALL FOR GESTATIONAL AGE, 750-999 GRAMS
ICD-10-CM
19 Women who is pregnant or breastfeading
P05.14
DX
NEWBORN SMALL FOR GESTATIONAL AGE, 1000-1249 GRAMS
ICD-10-CM
19 Women who is pregnant or breastfeading
P05.15
DX
NEWBORN SMALL FOR GESTATIONAL AGE, 1250-1499 GRAMS
ICD-10-CM
19 Women who is pregnant or breastfeading
P05.16
DX
NEWBORN SMALL FOR GESTATIONAL AGE, 1500-1749 GRAMS
ICD-10-CM
19 Women who is pregnant or breastfeading
P07.01
DX
EXTREMELY LOW BIRTH WEIGHT NEWBORN, LESS THAN 500 GRAMS
ICD-10-CM
19 Women who is pregnant or breastfeading
P07.02
DX
EXTREMELY LOW BIRTH WEIGHT NEWBORN, 500-749 GRAMS
ICD-10-CM
19 Women who is pregnant or breastfeading
P07.03
DX
EXTREMELY LOW BIRTH WEIGHT NEWBORN, 750-999 GRAMS
ICD-10-CM
19 Women who is pregnant or breastfeading
P07.14
DX
OTHER LOW BIRTH WEIGHT NEWBORN, 1000-1249 GRAMS
ICD-10-CM
19 Women who is pregnant or breastfeading
P07.15
DX
OTHER LOW BIRTH WEIGHT NEWBORN, 1250-1499 GRAMS
ICD-10-CM
19 Women who is pregnant or breastfeading
P07.16
DX
OTHER LOW BIRTH WEIGHT NEWBORN, 1500-1749 GRAMS
ICD-10-CM
19 Women who is pregnant or breastfeading
P07.2
DX
EXTREME IMMATURITY OF NEWBORN
ICD-10-CM
19 Women who is pregnant or breastfeading
P07.20
DX
EXTREME IMMATURITY OF NEWBORN, UNSPECIFIED WEEKS OF GESTATION
ICD-10-CM
19 Women who is pregnant or breastfeading
P07.21
DX
EXTREME IMMATURITY OF NEWBORN, GESTATIONAL AGE LESS THAN 23 
COMPLETED WEEKS
ICD-10-CM
19 Women who is pregnant or breastfeading
P07.22
DX
EXTREME IMMATURITY OF NEWBORN, GESTATIONAL AGE 23 COMPLETED 
WEEKS
ICD-10-CM
19 Women who is pregnant or breastfeading
P07.23
DX
EXTREME IMMATURITY OF NEWBORN, GESTATIONAL AGE 24 COMPLETED 
WEEKS
ICD-10-CM
19 Women who is pregnant or breastfeading
P07.24
DX
EXTREME IMMATURITY OF NEWBORN, GESTATIONAL AGE 25 COMPLETED 
WEEKS
ICD-10-CM
19 Women who is pregnant or breastfeading
P07.25
DX
EXTREME IMMATURITY OF NEWBORN, GESTATIONAL AGE 26 COMPLETED 
WEEKS
ICD-10-CM
19 Women who is pregnant or breastfeading
P07.26
DX
EXTREME IMMATURITY OF NEWBORN, GESTATIONAL AGE 27 COMPLETED 
WEEKS
ICD-10-CM
19 Women who is pregnant or breastfeading
P07.3
DX
PRETERM [PREMATURE] NEWBORN [OTHER]
ICD-10-CM

19 Women who is pregnant or breastfeading
P07.30
DX
PRETERM NEWBORN, UNSPECIFIED WEEKS OF GESTATION
ICD-10-CM
19 Women who is pregnant or breastfeading
P07.31
DX
PRETERM NEWBORN, GESTATIONAL AGE 28 COMPLETED WEEKS
ICD-10-CM
19 Women who is pregnant or breastfeading
P07.32
DX
PRETERM NEWBORN, GESTATIONAL AGE 29 COMPLETED WEEKS
ICD-10-CM
19 Women who is pregnant or breastfeading
P07.33
DX
PRETERM NEWBORN, GESTATIONAL AGE 30 COMPLETED WEEKS
ICD-10-CM
19 Women who is pregnant or breastfeading
P07.34
DX
PRETERM NEWBORN, GESTATIONAL AGE 31 COMPLETED WEEKS
ICD-10-CM
19 Women who is pregnant or breastfeading
P07.35
DX
PRETERM NEWBORN, GESTATIONAL AGE 32 COMPLETED WEEKS
ICD-10-CM
19 Women who is pregnant or breastfeading
P07.36
DX
PRETERM NEWBORN, GESTATIONAL AGE 33 COMPLETED WEEKS
ICD-10-CM
19 Women who is pregnant or breastfeading
P07.37
DX
PRETERM NEWBORN, GESTATIONAL AGE 34 COMPLETED WEEKS
ICD-10-CM
19 Women who is pregnant or breastfeading
P07.38
DX
PRETERM NEWBORN, GESTATIONAL AGE 35 COMPLETED WEEKS
ICD-10-CM
19 Women who is pregnant or breastfeading
P07.39
DX
PRETERM NEWBORN, GESTATIONAL AGE 36 COMPLETED WEEKS
ICD-10-CM
19 Women who is pregnant or breastfeading
P08.2
DX
LATE NEWBORN, NOT HEAVY FOR GESTATIONAL AGE
ICD-10-CM
19 Women who is pregnant or breastfeading
P08.21
DX
POST-TERM NEWBORN
ICD-10-CM
19 Women who is pregnant or breastfeading
P08.22
DX
PROLONGED GESTATION OF NEWBORN
ICD-10-CM
19 Women who is pregnant or breastfeading
P61.2
DX
ANEMIA OF PREMATURITY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z32.01
DX
ENCOUNTER FOR PREGNANCY TEST, RESULT POSITIVE
ICD-10-CM
19 Women who is pregnant or breastfeading
Z33
DX
PREGNANT STATE
ICD-10-CM
19 Women who is pregnant or breastfeading
Z33.1
DX
PREGNANT STATE, INCIDENTAL
ICD-10-CM
19 Women who is pregnant or breastfeading
Z33.2
DX
ENCOUNTER FOR ELECTIVE TERMINATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z33.3
DX
PREGNANT STATE, GESTATIONAL CARRIER
ICD-10-CM
19 Women who is pregnant or breastfeading
Z34
DX
ENCOUNTER FOR SUPERVISION OF NORMAL PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z34.0
DX
ENCOUNTER FOR SUPERVISION OF NORMAL FIRST PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z34.00
DX
ENCOUNTER FOR SUPERVISION OF NORMAL FIRST PREGNANCY, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
Z34.01
DX
ENCOUNTER FOR SUPERVISION OF NORMAL FIRST PREGNANCY, FIRST 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
Z34.02
DX
ENCOUNTER FOR SUPERVISION OF NORMAL FIRST PREGNANCY, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
Z34.03
DX
ENCOUNTER FOR SUPERVISION OF NORMAL FIRST PREGNANCY, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
Z34.8
DX
ENCOUNTER FOR SUPERVISION OF OTHER NORMAL PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z34.80
DX
ENCOUNTER FOR SUPERVISION OF OTHER NORMAL PREGNANCY, UNSPECIFIED 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
Z34.81
DX
ENCOUNTER FOR SUPERVISION OF OTHER NORMAL PREGNANCY, FIRST 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
Z34.82
DX
ENCOUNTER FOR SUPERVISION OF OTHER NORMAL PREGNANCY, SECOND 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
Z34.83
DX
ENCOUNTER FOR SUPERVISION OF OTHER NORMAL PREGNANCY, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
Z34.9
DX
ENCOUNTER FOR SUPERVISION OF NORMAL PREGNANCY, UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
Z36.1
DX
ENCOUNTER FOR ANTENATAL SCREENING FOR RAISED ALPHAFETOPROTEIN 
LEVEL
ICD-10-CM
19 Women who is pregnant or breastfeading
Z36.3
DX
ENCOUNTER FOR ANTENATAL SCREENING FOR MALFORMATIONS
ICD-10-CM
19 Women who is pregnant or breastfeading
Z36.4
DX
ENCOUNTER FOR ANTENATAL SCREENING FOR FETAL GROWTH RETARDATION
ICD-10-CM
19 Women who is pregnant or breastfeading
Z36.84
DX
ENCOUNTER FOR ANTENATAL SCREENING FOR FETAL LUNG MATURITY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z36.85
DX
ENCOUNTER FOR ANTENATAL SCREENING FOR STREPTOCOCCUS B
ICD-10-CM
19 Women who is pregnant or breastfeading
Z36.87
DX
ENCOUNTER FOR ANTENATAL SCREENING FOR UNCERTAIN DATES
ICD-10-CM
19 Women who is pregnant or breastfeading
Z36.89
DX
ENCOUNTER FOR OTHER SPECIFIED ANTENATAL SCREENING
ICD-10-CM
19 Women who is pregnant or breastfeading
Z36.9
DX
ENCOUNTER FOR ANTENATAL SCREENING, UNSPECIFIED
ICD-10-CM
19 Women who is pregnant or breastfeading
Z37.5
DX
OTHER MULTIPLE BIRTHS, ALL LIVEBORN
ICD-10-CM
19 Women who is pregnant or breastfeading
Z37.50
DX
MULTIPLE BIRTHS, UNSPECIFIED, ALL LIVEBORN
ICD-10-CM
19 Women who is pregnant or breastfeading
Z37.51
DX
TRIPLETS, ALL LIVEBORN
ICD-10-CM
19 Women who is pregnant or breastfeading
Z37.52
DX
QUADRUPLETS, ALL LIVEBORN
ICD-10-CM
19 Women who is pregnant or breastfeading
Z37.54
DX
SEXTUPLETS, ALL LIVEBORN
ICD-10-CM
19 Women who is pregnant or breastfeading
Z37.59
DX
OTHER MULTIPLE BIRTHS, ALL LIVEBORN
ICD-10-CM
19 Women who is pregnant or breastfeading
Z37.6
DX
OTHER MULTIPLE BIRTHS, SOME LIVEBORN
ICD-10-CM
19 Women who is pregnant or breastfeading
Z37.60
DX
MULTIPLE BIRTHS, UNSPECIFIED, SOME LIVEBORN
ICD-10-CM
19 Women who is pregnant or breastfeading
Z37.61
DX
TRIPLETS, SOME LIVEBORN
ICD-10-CM
19 Women who is pregnant or breastfeading
Z37.62
DX
QUADRUPLETS, SOME LIVEBORN
ICD-10-CM
19 Women who is pregnant or breastfeading
Z37.69
DX
OTHER MULTIPLE BIRTHS, SOME LIVEBORN
ICD-10-CM
19 Women who is pregnant or breastfeading
Z38.3
DX
TWIN LIVEBORN INFANT, BORN IN HOSPITAL
ICD-10-CM
19 Women who is pregnant or breastfeading
Z38.31
DX
TWIN LIVEBORN INFANT, DELIVERED BY CESAREAN
ICD-10-CM
19 Women who is pregnant or breastfeading
Z38.4
DX
TWIN LIVEBORN INFANT, BORN OUTSIDE HOSPITAL
ICD-10-CM
19 Women who is pregnant or breastfeading
Z38.5
DX
TWIN LIVEBORN INFANT, UNSPECIFIED AS TO PLACE OF BIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
Z38.6
DX
OTHER MULTIPLE LIVEBORN INFANT, BORN IN HOSPITAL
ICD-10-CM
19 Women who is pregnant or breastfeading
Z38.62
DX
TRIPLET LIVEBORN INFANT, DELIVERED BY CESAREAN
ICD-10-CM
19 Women who is pregnant or breastfeading
Z38.64
DX
QUADRUPLET LIVEBORN INFANT, DELIVERED BY CESAREAN
ICD-10-CM

19 Women who is pregnant or breastfeading
Z38.66
DX
QUINTUPLET LIVEBORN INFANT, DELIVERED BY CESAREAN
ICD-10-CM
19 Women who is pregnant or breastfeading
Z38.69
DX
OTHER MULTIPLE LIVEBORN INFANT, DELIVERED BY CESAREAN
ICD-10-CM
19 Women who is pregnant or breastfeading
Z38.7
DX
OTHER MULTIPLE LIVEBORN INFANT, BORN OUTSIDE HOSPITAL
ICD-10-CM
19 Women who is pregnant or breastfeading
Z38.8
DX
OTHER MULTIPLE LIVEBORN INFANT, UNSPECIFIED AS TO PLACE OF BIRTH
ICD-10-CM
19 Women who is pregnant or breastfeading
Z39
DX
ENCOUNTER FOR MATERNAL POSTPARTUM CARE AND EXAMINATION
ICD-10-CM
19 Women who is pregnant or breastfeading
Z39.0
DX
ENCOUNTER FOR CARE AND EXAMINATION OF MOTHER IMMEDIATELY AFTER 
DELIVERY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z39.2
DX
ENCOUNTER FOR ROUTINE POSTPARTUM FOLLOW-UP
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A
DX
WEEKS OF GESTATION
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.0
DX
WEEKS OF GESTATION OF PREGNANCY, UNSPECIFIED OR LESS THAN 10 WEEKS ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.01
DX
LESS THAN 8 WEEKS GESTATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.09
DX
9 WEEKS GESTATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.1
DX
WEEKS OF GESTATION OF PREGNANCY, WEEKS 10-19
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.12
DX
12 WEEKS GESTATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.13
DX
13 WEEKS GESTATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.14
DX
14 WEEKS GESTATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.16
DX
16 WEEKS GESTATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.17
DX
17 WEEKS GESTATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.18
DX
18 WEEKS GESTATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.19
DX
19 WEEKS GESTATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.24
DX
24 WEEKS GESTATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.25
DX
25 WEEKS GESTATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.26
DX
26 WEEKS GESTATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.27
DX
27 WEEKS GESTATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.28
DX
28 WEEKS GESTATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.29
DX
29 WEEKS GESTATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.3
DX
WEEKS OF GESTATION OF PREGNANCY, WEEKS 30-29
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.32
DX
32 WEEKS GESTATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.33
DX
33 WEEKS GESTATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.34
DX
34 WEEKS GESTATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.39
DX
39 WEEKS GESTATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.40
DX
40 WEEKS GESTATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.41
DX
41 WEEKS GESTATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.49
DX
GREATER THAN 42 WEEKS GESTATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z34.90
DX
ENCOUNTER FOR SUPERVISION OF NORMAL PREGNANCY, UNSPECIFIED, 
UNSPECIFIED TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
Z34.91
DX
ENCOUNTER FOR SUPERVISION OF NORMAL PREGNANCY, UNSPECIFIED, FIRST 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
Z34.92
DX
ENCOUNTER FOR SUPERVISION OF NORMAL PREGNANCY, UNSPECIFIED, 
SECOND TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
Z34.93
DX
ENCOUNTER FOR SUPERVISION OF NORMAL PREGNANCY, UNSPECIFIED, THIRD 
TRIMESTER
ICD-10-CM
19 Women who is pregnant or breastfeading
Z36
DX
ENCOUNTER FOR ANTENATAL SCREENING OF MOTHER
ICD-10-CM
19 Women who is pregnant or breastfeading
Z36.0
DX
ENCOUNTER FOR ANTENATAL SCREENING FOR CHROMOSOMAL ANOMALIES
ICD-10-CM
19 Women who is pregnant or breastfeading
Z36.2
DX
ENCOUNTER FOR OTHER ANTENATAL SCREENING FOLLOW-UP
ICD-10-CM
19 Women who is pregnant or breastfeading
Z36.5
DX
ENCOUNTER FOR ANTENATAL SCREENING FOR ISOIMMUNIZATION
ICD-10-CM
19 Women who is pregnant or breastfeading
Z36.8
DX
ENCOUNTER FOR OTHER ANTENATAL SCREENING
ICD-10-CM
19 Women who is pregnant or breastfeading
Z36.81
DX
ENCOUNTER FOR ANTENATAL SCREENING FOR HYDROPS FETALIS
ICD-10-CM
19 Women who is pregnant or breastfeading
Z36.82
DX
ENCOUNTER FOR ANTENATAL SCREENING FOR NUCHAL TRANSLUCENCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z36.83
DX
ENCOUNTER FOR FETAL SCREENING FOR CONGENITAL CARDIAC 
ABNORMALITIES
ICD-10-CM
19 Women who is pregnant or breastfeading
Z36.86
DX
ENCOUNTER FOR ANTENATAL SCREENING FOR CERVICAL LENGTH
ICD-10-CM
19 Women who is pregnant or breastfeading
Z36.88
DX
ENCOUNTER FOR ANTENATAL SCREENING FOR FETAL MACROSOMIA
ICD-10-CM
19 Women who is pregnant or breastfeading
Z36.8A
DX
ENCOUNTER FOR ANTENATAL SCREENING FOR OTHER GENETIC DEFECTS
ICD-10-CM
19 Women who is pregnant or breastfeading
Z37.2
DX
TWINS, BOTH LIVEBORN
ICD-10-CM
19 Women who is pregnant or breastfeading
Z37.3
DX
TWINS, ONE LIVEBORN AND ONE STILLBORN
ICD-10-CM
19 Women who is pregnant or breastfeading
Z37.53
DX
QUINTUPLETS, ALL LIVEBORN
ICD-10-CM
19 Women who is pregnant or breastfeading
Z37.63
DX
QUINTUPLETS, SOME LIVEBORN
ICD-10-CM
19 Women who is pregnant or breastfeading
Z37.64
DX
SEXTUPLETS, SOME LIVEBORN
ICD-10-CM
19 Women who is pregnant or breastfeading
Z38.30
DX
TWIN LIVEBORN INFANT, DELIVERED VAGINALLY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z38.61
DX
TRIPLET LIVEBORN INFANT, DELIVERED VAGINALLY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z38.63
DX
QUADRUPLET LIVEBORN INFANT, DELIVERED VAGINALLY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z38.65
DX
QUINTUPLET LIVEBORN INFANT, DELIVERED VAGINALLY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z38.68
DX
OTHER MULTIPLE LIVEBORN INFANT, DELIVERED VAGINALLY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z39.1
DX
ENCOUNTER FOR CARE AND EXAMINATION OF LACTATING MOTHER
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.00
DX
WEEKS OF GESTATION OF PREGNANCY NOT SPECIFIED
ICD-10-CM

19 Women who is pregnant or breastfeading
Z3A.08
DX
8 WEEKS GESTATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.10
DX
10 WEEKS GESTATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.11
DX
11 WEEKS GESTATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.15
DX
15 WEEKS GESTATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.2
DX
WEEKS OF GESTATION OF PREGNANCY, WEEKS 20-29
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.20
DX
20 WEEKS GESTATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.21
DX
21 WEEKS GESTATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.22
DX
22 WEEKS GESTATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.23
DX
23 WEEKS GESTATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.30
DX
30 WEEKS GESTATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.31
DX
31 WEEKS GESTATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.35
DX
35 WEEKS GESTATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.36
DX
36 WEEKS GESTATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.37
DX
37 WEEKS GESTATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.38
DX
38 WEEKS GESTATION OF PREGNANCY
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.4
DX
WEEKS OF GESTATION OF PREGNANCY, WEEKS 40 OR GREATER
ICD-10-CM
19 Women who is pregnant or breastfeading
Z3A.42
DX
42 WEEKS GESTATION OF PREGNANCY
ICD-10-CM

Category
Variable_Name
Code
Code_category Code_type
Description
Details
1 Acute MI
I21 
DX
ICD-10-CM
ACUTE MYOCARDIAL INFARCTION
Inpatient setting, primary position
1 Acute MI
I21.0 
DX
ICD-10-CM
ST ELEVATION (STEMI) MYOCARDIAL INFARCTION OF ANTERIOR WALL
Inpatient setting, primary position
1 Acute MI
I21.01 
DX
ICD-10-CM
ST ELEVATION (STEMI) MYOCARDIAL INFARCTION INVOLVING LEFT MAIN CORONARY ARTERY
Inpatient setting, primary position
1 Acute MI
I21.02 
DX
ICD-10-CM
ST ELEVATION (STEMI) MYOCARDIAL INFARCTION INVOLVING LEFT ANTERIOR DESCENDING CORONARY ARTERY
Inpatient setting, primary position
1 Acute MI
I21.09 
DX
ICD-10-CM
ST ELEVATION (STEMI) MYOCARDIAL INFARCTION INVOLVING OTHER CORONARY ARTERY OF ANTERIOR WALL
Inpatient setting, primary position
1 Acute MI
I21.1 
DX
ICD-10-CM
ST ELEVATION (STEMI) MYOCARDIAL INFARCTION OF INFERIOR WALL
Inpatient setting, primary position
1 Acute MI
I21.11 
DX
ICD-10-CM
ST ELEVATION (STEMI) MYOCARDIAL INFARCTION INVOLVING RIGHT CORONARY ARTERY
Inpatient setting, primary position
1 Acute MI
I21.19 
DX
ICD-10-CM
ST ELEVATION (STEMI) MYOCARDIAL INFARCTION INVOLVING OTHER CORONARY ARTERY OF INFERIOR WALL
Inpatient setting, primary position
1 Acute MI
I21.2 
DX
ICD-10-CM
ST ELEVATION (STEMI) MYOCARDIAL INFARCTION OF OTHER SITES
Inpatient setting, primary position
1 Acute MI
I21.21 
DX
ICD-10-CM
ST ELEVATION (STEMI) MYOCARDIAL INFARCTION INVOLVING LEFT CIRCUMFLEX CORONARY ARTERY
Inpatient setting, primary position
1 Acute MI
I21.29 
DX
ICD-10-CM
ST ELEVATION (STEMI) MYOCARDIAL INFARCTION INVOLVING OTHER SITES
Inpatient setting, primary position
1 Acute MI
I21.3 
DX
ICD-10-CM
ST ELEVATION (STEMI) MYOCARDIAL INFARCTION OF UNSPECIFIED SITE
Inpatient setting, primary position
1 Acute MI
I21.4 
DX
ICD-10-CM
NON-ST ELEVATION (NSTEMI) MYOCARDIAL INFARCTION
Inpatient setting, primary position
1 Acute MI
I21.9 
DX
ICD-10-CM
ACUTE MYOCARDIAL INFARCTION, UNSPECIFIED
Inpatient setting, primary position
1 Acute MI
I21.A 
DX
ICD-10-CM
OTHER TYPE OF MYOCARDIAL INFARCTION
Inpatient setting, primary position
1 Acute MI
I21.A1 
DX
ICD-10-CM
MYOCARDIAL INFARCTION TYPE 2
Inpatient setting, primary position
1 Acute MI
I21.A9 
DX
ICD-10-CM
OTHER MYOCARDIAL INFARCTION TYPE
Inpatient setting, primary position
2 Nonfatal Stroke
G43.609 
DX
ICD-10-CM
 PERSISTENT MIGRAINE AURA WITH CEREBRAL INFARCTION, NOT INTRACTABLE, WITHOUT STATUS MIGRAINOSUS
Inpatient setting, primary position
2 Nonfatal Stroke
G43.619 
DX
ICD-10-CM
 PERSISTENT MIGRAINE AURA WITH CEREBRAL INFARCTION, INTRACTABLE, WITHOUT STATUS MIGRAINOSUS
Inpatient setting, primary position
2 Nonfatal Stroke
G46.3 
DX
ICD-10-CM
 BRAIN STEM STROKE SYNDROME
Inpatient setting, primary position
2 Nonfatal Stroke
G46.4 
DX
ICD-10-CM
 CEREBELLAR STROKE SYNDROME
Inpatient setting, primary position
2 Nonfatal Stroke
I63.0 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF PRECEREBRAL ARTERIES
Inpatient setting, primary position
2 Nonfatal Stroke
I63.00 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF UNSPECIFIED PRECEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.01 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF VERTEBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.011 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF RIGHT VERTEBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.012 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF LEFT VERTEBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.013 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF BILATERAL VERTEBRAL ARTERIES
Inpatient setting, primary position
2 Nonfatal Stroke
I63.019 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF UNSPECIFIED VERTEBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.02 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF BASILAR ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.03 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF CAROTID ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.031 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF RIGHT CAROTID ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.032 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF LEFT CAROTID ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.033 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF BILATERAL CAROTID ARTERIES
Inpatient setting, primary position
2 Nonfatal Stroke
I63.039 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF UNSPECIFIED CAROTID ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.09 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF OTHER PRECEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.1 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO EMBOLISM OF PRECEREBRAL ARTERIES
Inpatient setting, primary position
2 Nonfatal Stroke
I63.10 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO EMBOLISM OF UNSPECIFIED PRECEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.11 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO EMBOLISM OF VERTEBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.111 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO EMBOLISM OF RIGHT VERTEBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.112 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO EMBOLISM OF LEFT VERTEBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.113 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO EMBOLISM OF BILATERAL VERTEBRAL ARTERIES
Inpatient setting, primary position
2 Nonfatal Stroke
I63.119 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO EMBOLISM OF UNSPECIFIED VERTEBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.12 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO EMBOLISM OF BASILAR ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.13 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO EMBOLISM OF CAROTID ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.131 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO EMBOLISM OF RIGHT CAROTID ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.132 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO EMBOLISM OF LEFT CAROTID ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.133 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO EMBOLISM OF BILATERAL CAROTID ARTERIES
Inpatient setting, primary position
2 Nonfatal Stroke
I63.139 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO EMBOLISM OF UNSPECIFIED CAROTID ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.19 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO EMBOLISM OF OTHER PRECEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.2 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF PRECEREBRAL ARTERIES
Inpatient setting, primary position
2 Nonfatal Stroke
I63.20 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF UNSPECIFIED PRECEREBRAL ARTERIES
Inpatient setting, primary position
2 Nonfatal Stroke
I63.21 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF VERTEBRAL ARTERIES
Inpatient setting, primary position
2 Nonfatal Stroke
I63.211 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF RIGHT VERTEBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.212 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF LEFT VERTEBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.213 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF BILATERAL VERTEBRAL ARTERIES
Inpatient setting, primary position
2 Nonfatal Stroke
I63.219 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF UNSPECIFIED VERTEBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.22 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF BASILAR ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.23 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF CAROTID ARTERIES
Inpatient setting, primary position
2 Nonfatal Stroke
I63.231 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF RIGHT CAROTID ARTERIES
Inpatient setting, primary position
2 Nonfatal Stroke
I63.232 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF LEFT CAROTID ARTERIES
Inpatient setting, primary position
2 Nonfatal Stroke
I63.233 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF BILATERAL CAROTID ARTERIES
Inpatient setting, primary position
2 Nonfatal Stroke
I63.239 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF UNSPECIFIED CAROTID ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.29 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF OTHER PRECEREBRAL ARTERIES
Inpatient setting, primary position
2 Nonfatal Stroke
I63.3 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF CEREBRAL ARTERIES
Inpatient setting, primary position
2 Nonfatal Stroke
I63.30 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF UNSPECIFIED CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.31 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF MIDDLE CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.311 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF RIGHT MIDDLE CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.312 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF LEFT MIDDLE CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.313 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF BILATERAL MIDDLE CEREBRAL ARTERIES
Inpatient setting, primary position
2 Nonfatal Stroke
I63.319 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF UNSPECIFIED MIDDLE CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.32 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF ANTERIOR CEREBRAL ARTERY
Inpatient setting, primary position

2 Nonfatal Stroke
I63.321 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF RIGHT ANTERIOR CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.322 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF LEFT ANTERIOR CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.323 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF BILATERAL ANTERIOR CEREBRAL ARTERIES
Inpatient setting, primary position
2 Nonfatal Stroke
I63.329 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF UNSPECIFIED ANTERIOR CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.33 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF POSTERIOR CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.331 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF RIGHT POSTERIOR CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.332 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF LEFT POSTERIOR CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.333 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF BILATERAL POSTERIOR CEREBRAL ARTERIES
Inpatient setting, primary position
2 Nonfatal Stroke
I63.339 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF UNSPECIFIED POSTERIOR CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.34 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF CEREBELLAR ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.341 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF RIGHT CEREBELLAR ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.342 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF LEFT CEREBELLAR ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.343 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF BILATERAL CEREBELLAR ARTERIES
Inpatient setting, primary position
2 Nonfatal Stroke
I63.349 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF UNSPECIFIED CEREBELLAR ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.39 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO THROMBOSIS OF OTHER CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.4 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO EMBOLISM OF CEREBRAL ARTERIES
Inpatient setting, primary position
2 Nonfatal Stroke
I63.40 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO EMBOLISM OF UNSPECIFIED CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.41 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO EMBOLISM OF MIDDLE CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.411 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO EMBOLISM OF RIGHT MIDDLE CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.412 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO EMBOLISM OF LEFT MIDDLE CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.413 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO EMBOLISM OF BILATERAL MIDDLE CEREBRAL ARTERIES
Inpatient setting, primary position
2 Nonfatal Stroke
I63.419 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO EMBOLISM OF UNSPECIFIED MIDDLE CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.42 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO EMBOLISM OF ANTERIOR CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.421 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO EMBOLISM OF RIGHT ANTERIOR CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.422 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO EMBOLISM OF LEFT ANTERIOR CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.423 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO EMBOLISM OF BILATERAL ANTERIOR CEREBRAL ARTERIES
Inpatient setting, primary position
2 Nonfatal Stroke
I63.429 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO EMBOLISM OF UNSPECIFIED ANTERIOR CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.43 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO EMBOLISM OF POSTERIOR CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.431 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO EMBOLISM OF RIGHT POSTERIOR CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.432 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO EMBOLISM OF LEFT POSTERIOR CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.433 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO EMBOLISM OF BILATERAL POSTERIOR CEREBRAL ARTERIES
Inpatient setting, primary position
2 Nonfatal Stroke
I63.439 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO EMBOLISM OF UNSPECIFIED POSTERIOR CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.44 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO EMBOLISM OF CEREBELLAR ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.441 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO EMBOLISM OF RIGHT CEREBELLAR ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.442 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO EMBOLISM OF LEFT CEREBELLAR ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.443 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO EMBOLISM OF BILATERAL CEREBELLAR ARTERIES
Inpatient setting, primary position
2 Nonfatal Stroke
I63.449 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO EMBOLISM OF UNSPECIFIED CEREBELLAR ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.49 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO EMBOLISM OF OTHER CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.5 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF CEREBRAL ARTERIES
Inpatient setting, primary position
2 Nonfatal Stroke
I63.50 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF UNSPECIFIED CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.51 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF MIDDLE CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.511 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF RIGHT MIDDLE CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.512 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF LEFT MIDDLE CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.513 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF BILATERAL MIDDLE CEREBRAL ARTERIES Inpatient setting, primary position
2 Nonfatal Stroke
I63.519 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF UNSPECIFIED MIDDLE CEREBRAL ARTERY Inpatient setting, primary position
2 Nonfatal Stroke
I63.52 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF ANTERIOR CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.521 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF RIGHT ANTERIOR CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.522 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF LEFT ANTERIOR CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.523 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF BILATERAL ANTERIOR CEREBRAL 
ARTERIES
Inpatient setting, primary position
2 Nonfatal Stroke
I63.529 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF UNSPECIFIED ANTERIOR CEREBRAL 
ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.53 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF POSTERIOR CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.531 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF RIGHT POSTERIOR CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.532 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF LEFT POSTERIOR CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.533 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF BILATERAL POSTERIOR CEREBRAL 
ARTERIES
Inpatient setting, primary position
2 Nonfatal Stroke
I63.539 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF UNSPECIFIED POSTERIOR CEREBRAL 
ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.54 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF CEREBELLAR ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.541 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF RIGHT CEREBELLAR ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.542 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF LEFT CEREBELLAR ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.543 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF BILATERAL CEREBELLAR ARTERIES
Inpatient setting, primary position
2 Nonfatal Stroke
I63.549 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF UNSPECIFIED CEREBELLAR ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.59 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO UNSPECIFIED OCCLUSION OR STENOSIS OF OTHER CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.6 
DX
ICD-10-CM
 CEREBRAL INFARCTION DUE TO CEREBRAL VENOUS THROMBOSIS, NONPYOGENIC
Inpatient setting, primary position
2 Nonfatal Stroke
I63.8 
DX
ICD-10-CM
 OTHER CEREBRAL INFARCTION
Inpatient setting, primary position
2 Nonfatal Stroke
I63.81 
DX
ICD-10-CM
 OTHER CEREBRAL INFARCTION DUE TO OCCLUSION OR STENOSIS OF SMALL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I63.89 
DX
ICD-10-CM
 OTHER CEREBRAL INFARCTION
Inpatient setting, primary position
2 Nonfatal Stroke
I63.9 
DX
ICD-10-CM
 CEREBRAL INFARCTION, UNSPECIFIED
Inpatient setting, primary position
2 Nonfatal Stroke
I65.0 
DX
ICD-10-CM
 OCCLUSION AND STENOSIS OF VERTEBRAL ARTERY
Inpatient setting, primary position

2 Nonfatal Stroke
I65.01 
DX
ICD-10-CM
 OCCLUSION AND STENOSIS OF RIGHT VERTEBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I65.02 
DX
ICD-10-CM
 OCCLUSION AND STENOSIS OF LEFT VERTEBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I65.03 
DX
ICD-10-CM
 OCCLUSION AND STENOSIS OF BILATERAL VERTEBRAL ARTERIES
Inpatient setting, primary position
2 Nonfatal Stroke
I65.09 
DX
ICD-10-CM
 OCCLUSION AND STENOSIS OF UNSPECIFIED VERTEBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I65.1 
DX
ICD-10-CM
 OCCLUSION AND STENOSIS OF BASILAR ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I65.2 
DX
ICD-10-CM
 OCCLUSION AND STENOSIS OF CAROTID ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I65.21 
DX
ICD-10-CM
 OCCLUSION AND STENOSIS OF RIGHT CAROTID ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I65.22 
DX
ICD-10-CM
 OCCLUSION AND STENOSIS OF LEFT CAROTID ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I65.23 
DX
ICD-10-CM
 OCCLUSION AND STENOSIS OF BILATERAL CAROTID ARTERIES
Inpatient setting, primary position
2 Nonfatal Stroke
I65.29 
DX
ICD-10-CM
 OCCLUSION AND STENOSIS OF UNSPECIFIED CAROTID ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I65.8 
DX
ICD-10-CM
 OCCLUSION AND STENOSIS OF OTHER PRECEREBRAL ARTERIES
Inpatient setting, primary position
2 Nonfatal Stroke
I65.9 
DX
ICD-10-CM
 OCCLUSION AND STENOSIS OF UNSPECIFIED PRECEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I66.0 
DX
ICD-10-CM
 OCCLUSION AND STENOSIS OF MIDDLE CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I66.01 
DX
ICD-10-CM
 OCCLUSION AND STENOSIS OF RIGHT MIDDLE CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I66.02 
DX
ICD-10-CM
 OCCLUSION AND STENOSIS OF LEFT MIDDLE CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I66.03 
DX
ICD-10-CM
 OCCLUSION AND STENOSIS OF BILATERAL MIDDLE CEREBRAL ARTERIES
Inpatient setting, primary position
2 Nonfatal Stroke
I66.09 
DX
ICD-10-CM
 OCCLUSION AND STENOSIS OF UNSPECIFIED MIDDLE CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I66.1 
DX
ICD-10-CM
 OCCLUSION AND STENOSIS OF ANTERIOR CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I66.11 
DX
ICD-10-CM
 OCCLUSION AND STENOSIS OF RIGHT ANTERIOR CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I66.12 
DX
ICD-10-CM
 OCCLUSION AND STENOSIS OF LEFT ANTERIOR CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I66.13 
DX
ICD-10-CM
 OCCLUSION AND STENOSIS OF BILATERAL ANTERIOR CEREBRAL ARTERIES
Inpatient setting, primary position
2 Nonfatal Stroke
I66.19 
DX
ICD-10-CM
 OCCLUSION AND STENOSIS OF UNSPECIFIED ANTERIOR CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I66.2 
DX
ICD-10-CM
 OCCLUSION AND STENOSIS OF POSTERIOR CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I66.21 
DX
ICD-10-CM
 OCCLUSION AND STENOSIS OF RIGHT POSTERIOR CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I66.22 
DX
ICD-10-CM
 OCCLUSION AND STENOSIS OF LEFT POSTERIOR CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I66.23 
DX
ICD-10-CM
 OCCLUSION AND STENOSIS OF BILATERAL POSTERIOR CEREBRAL ARTERIES
Inpatient setting, primary position
2 Nonfatal Stroke
I66.29 
DX
ICD-10-CM
 OCCLUSION AND STENOSIS OF UNSPECIFIED POSTERIOR CEREBRAL ARTERY
Inpatient setting, primary position
2 Nonfatal Stroke
I66.3 
DX
ICD-10-CM
 OCCLUSION AND STENOSIS OF CEREBELLAR ARTERIES
Inpatient setting, primary position
2 Nonfatal Stroke
I66.8 
DX
ICD-10-CM
 OCCLUSION AND STENOSIS OF OTHER CEREBRAL ARTERIES
Inpatient setting, primary position
2 Nonfatal Stroke
I66.9 
DX
ICD-10-CM
 OCCLUSION AND STENOSIS OF UNSPECIFIED CEREBRAL ARTERY
Inpatient setting, primary position
3 Coronary revascularization
T82.211A 
DX
ICD-10-PCS BREAKDOWN (MECHANICAL) OF CORONARY ARTERY BYPASS GRAFT, INITIAL ENCOUNTER
Any setting
3 Coronary revascularization
T82.212A 
DX
ICD-10-PCS DISPLACEMENT OF CORONARY ARTERY BYPASS GRAFT, INITIAL ENCOUNTER
Any setting
3 Coronary revascularization
T82.213A
DX
ICD-10-PCS LEAKAGE OF CORONARY ARTERY BYPASS GRAFT, INITIAL ENCOUNTER
Any setting
3 Coronary revascularization
T82.218A 
DX
ICD-10-PCS OTHER MECHANICAL COMPLICATION OF CORONARY ARTERY BYPASS GRAFT, INITIAL ENCOUNTER
Any setting
3 Coronary revascularization
0210083
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY ARTERY WITH ZOOPLASTIC TISSUE, OPEN APPROACH
Any setting
3 Coronary revascularization
0210088
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM RIGHT INTERNAL MAMMARY WITH ZOOPLASTIC TISSUE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
0210089
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM LEFT INTERNAL MAMMARY WITH ZOOPLASTIC TISSUE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
021008C 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM THORACIC ARTERY WITH ZOOPLASTIC TISSUE, OPEN APPROACH
Any setting
3 Coronary revascularization
021008F 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM ABDOMINAL ARTERY WITH ZOOPLASTIC TISSUE, OPEN APPROACH
Any setting
3 Coronary revascularization
021008W PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM AORTA WITH ZOOPLASTIC TISSUE, OPEN APPROACH
Any setting
3 Coronary revascularization
0210093
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
0210098
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM RIGHT INTERNAL MAMMARY WITH AUTOLOGOUS VENOUS TISSUE, 
OPEN APPROACH
Any setting
3 Coronary revascularization
0210099
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM LEFT INTERNAL MAMMARY WITH AUTOLOGOUS VENOUS TISSUE, 
OPEN APPROACH
Any setting
3 Coronary revascularization
021009C 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM THORACIC ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
021009F 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM ABDOMINAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
021009W PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM AORTA WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
Any setting
3 Coronary revascularization
02100A3 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
02100A8 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM RIGHT INTERNAL MAMMARY WITH AUTOLOGOUS ARTERIAL TISSUE, 
OPEN APPROACH
Any setting
3 Coronary revascularization
02100A9 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM LEFT INTERNAL MAMMARY WITH AUTOLOGOUS ARTERIAL TISSUE, 
OPEN APPROACH
Any setting
3 Coronary revascularization
02100AC 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM THORACIC ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
02100AF 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM ABDOMINAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
02100AW PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM AORTA WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
Any setting
3 Coronary revascularization
02100J3 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
02100J8 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM RIGHT INTERNAL MAMMARY WITH SYNTHETIC SUBSTITUTE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
02100J9 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM LEFT INTERNAL MAMMARY WITH SYNTHETIC SUBSTITUTE, OPEN 
APPROACH
Any setting

3 Coronary revascularization
02100JC 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM THORACIC ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH Any setting
3 Coronary revascularization
02100JF 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM ABDOMINAL ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
02100JW 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM AORTA WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
Any setting
3 Coronary revascularization
02100K3 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
OPEN APPROACH
Any setting
3 Coronary revascularization
02100K8 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM RIGHT INTERNAL MAMMARY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
Any setting
3 Coronary revascularization
02100K9 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM LEFT INTERNAL MAMMARY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
Any setting
3 Coronary revascularization
02100KC 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM THORACIC ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
OPEN APPROACH
Any setting
3 Coronary revascularization
02100KF 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM ABDOMINAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
OPEN APPROACH
Any setting
3 Coronary revascularization
02100KW PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM AORTA WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
02100Z3 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY ARTERY, OPEN APPROACH
Any setting
3 Coronary revascularization
02100Z8 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM RIGHT INTERNAL MAMMARY, OPEN APPROACH
Any setting
3 Coronary revascularization
02100Z9 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM LEFT INTERNAL MAMMARY, OPEN APPROACH
Any setting
3 Coronary revascularization
02100ZC 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM THORACIC ARTERY, OPEN APPROACH
Any setting
3 Coronary revascularization
02100ZF 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM ABDOMINAL ARTERY, OPEN APPROACH
Any setting
3 Coronary revascularization
0210344
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY VEIN WITH DRUG-ELUTING INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02103D4 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY VEIN WITH INTRALUMINAL DEVICE, PERCUTANEOUS 
APPROACH
Any setting
3 Coronary revascularization
0210444
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY VEIN WITH DRUG-ELUTING INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
0210483
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY ARTERY WITH ZOOPLASTIC TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
0210488
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM RIGHT INTERNAL MAMMARY WITH ZOOPLASTIC TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
0210489
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM LEFT INTERNAL MAMMARY WITH ZOOPLASTIC TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
021048C 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM THORACIC ARTERY WITH ZOOPLASTIC TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
021048F 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM ABDOMINAL ARTERY WITH ZOOPLASTIC TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
021048W PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM AORTA WITH ZOOPLASTIC TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
Any setting
3 Coronary revascularization
210493
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY ARTERY WITH AUTOLOGOUS VENOUS TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
0210498
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM RIGHT INTERNAL MAMMARY WITH AUTOLOGOUS VENOUS TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
0210499
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM LEFT INTERNAL MAMMARY WITH AUTOLOGOUS VENOUS TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
021049C 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM THORACIC ARTERY WITH AUTOLOGOUS VENOUS TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
021049F 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM ABDOMINAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
021049W PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM AORTA WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02104A3 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02104A8 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM RIGHT INTERNAL MAMMARY WITH AUTOLOGOUS ARTERIAL TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02104A9 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM LEFT INTERNAL MAMMARY WITH AUTOLOGOUS ARTERIAL TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02104AC 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM THORACIC ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02104AF 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM ABDOMINAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02104AW PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM AORTA WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02104D4 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY VEIN WITH INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02104J3 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02104J8 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM RIGHT INTERNAL MAMMARY WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02104J9 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM LEFT INTERNAL MAMMARY WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting

3 Coronary revascularization
02104JC 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM THORACIC ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02104JF 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM ABDOMINAL ARTERY WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02104JW 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM AORTA WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02104K3 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02104K8 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM RIGHT INTERNAL MAMMARY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02104K9 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM LEFT INTERNAL MAMMARY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02104KC 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM THORACIC ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02104KF 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM ABDOMINAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02104KW PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM AORTA WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02104Z3 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM CORONARY ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02104Z8 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM RIGHT INTERNAL MAMMARY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
Any setting
3 Coronary revascularization
02104Z9 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM LEFT INTERNAL MAMMARY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
Any setting
3 Coronary revascularization
02104ZC 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM THORACIC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02104ZF 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, ONE ARTERY FROM ABDOMINAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
0211083
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY ARTERY WITH ZOOPLASTIC TISSUE, OPEN APPROACH
Any setting
3 Coronary revascularization
0211088
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM RIGHT INTERNAL MAMMARY WITH ZOOPLASTIC TISSUE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
0211089
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM LEFT INTERNAL MAMMARY WITH ZOOPLASTIC TISSUE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
021108C 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM THORACIC ARTERY WITH ZOOPLASTIC TISSUE, OPEN APPROACH
Any setting
3 Coronary revascularization
021108F 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM ABDOMINAL ARTERY WITH ZOOPLASTIC TISSUE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
021108W 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM AORTA WITH ZOOPLASTIC TISSUE, OPEN APPROACH
Any setting
3 Coronary revascularization
0211093
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
0211098
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM RIGHT INTERNAL MAMMARY WITH AUTOLOGOUS VENOUS TISSUE, 
OPEN APPROACH
Any setting
3 Coronary revascularization
0211099
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM LEFT INTERNAL MAMMARY WITH AUTOLOGOUS VENOUS TISSUE, 
OPEN APPROACH
Any setting
3 Coronary revascularization
021109C 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM THORACIC ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
021109F 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM ABDOMINAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
021109W 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM AORTA WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
Any setting
3 Coronary revascularization
02110A3 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
02110A8 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM RIGHT INTERNAL MAMMARY WITH AUTOLOGOUS ARTERIAL 
TISSUE, OPEN APPROACH
Any setting
3 Coronary revascularization
02110A9 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM LEFT INTERNAL MAMMARY WITH AUTOLOGOUS ARTERIAL TISSUE, 
OPEN APPROACH
Any setting
3 Coronary revascularization
02110AC 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM THORACIC ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
02110AF 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM ABDOMINAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
02110AW 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM AORTA WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH
Any setting
3 Coronary revascularization
02110J3 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
02110J8 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM RIGHT INTERNAL MAMMARY WITH SYNTHETIC SUBSTITUTE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
02110J9 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM LEFT INTERNAL MAMMARY WITH SYNTHETIC SUBSTITUTE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
02110JC 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM THORACIC ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
02110JF 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM ABDOMINAL ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
02110JW 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM AORTA WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
Any setting
3 Coronary revascularization
02110K3 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
OPEN APPROACH
Any setting

3 Coronary revascularization
02110K8 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM RIGHT INTERNAL MAMMARY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
Any setting
3 Coronary revascularization
02110K9 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM LEFT INTERNAL MAMMARY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
Any setting
3 Coronary revascularization
02110KC 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM THORACIC ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
OPEN APPROACH
Any setting
3 Coronary revascularization
02110KF 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM ABDOMINAL ARTERY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
Any setting
3 Coronary revascularization
02110KW 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM AORTA WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
02110Z3 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY ARTERY, OPEN APPROACH
Any setting
3 Coronary revascularization
02110Z8 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM RIGHT INTERNAL MAMMARY, OPEN APPROACH
Any setting
3 Coronary revascularization
02110Z9 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM LEFT INTERNAL MAMMARY, OPEN APPROACH
Any setting
3 Coronary revascularization
02110ZC 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM THORACIC ARTERY, OPEN APPROACH
Any setting
3 Coronary revascularization
02110ZF 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM ABDOMINAL ARTERY, OPEN APPROACH
Any setting
3 Coronary revascularization
0211344
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY VEIN WITH DRUG-ELUTING INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02113D4 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY VEIN WITH INTRALUMINAL DEVICE, PERCUTANEOUS 
APPROACH
Any setting
3 Coronary revascularization
0211444
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY VEIN WITH DRUG-ELUTING INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
0211483
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY ARTERY WITH ZOOPLASTIC TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
0211488
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM RIGHT INTERNAL MAMMARY WITH ZOOPLASTIC TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
0211489
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM LEFT INTERNAL MAMMARY WITH ZOOPLASTIC TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
021148C 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM THORACIC ARTERY WITH ZOOPLASTIC TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
021148F 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM ABDOMINAL ARTERY WITH ZOOPLASTIC TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
021148W 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM AORTA WITH ZOOPLASTIC TISSUE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
Any setting
3 Coronary revascularization
0211493
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY ARTERY WITH AUTOLOGOUS VENOUS TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
0211498
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM RIGHT INTERNAL MAMMARY WITH AUTOLOGOUS VENOUS TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
0211499
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM LEFT INTERNAL MAMMARY WITH AUTOLOGOUS VENOUS TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
021149C 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM THORACIC ARTERY WITH AUTOLOGOUS VENOUS TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
021149F 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM ABDOMINAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
021149W 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM AORTA WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02114A3 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02114A8 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM RIGHT INTERNAL MAMMARY WITH AUTOLOGOUS ARTERIAL 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02114A9 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM LEFT INTERNAL MAMMARY WITH AUTOLOGOUS ARTERIAL TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02114AC 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM THORACIC ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02114AF 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM ABDOMINAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02114AW 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM AORTA WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02114D4 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY VEIN WITH INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02114J3 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY ARTERY WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02114J8 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM RIGHT INTERNAL MAMMARY WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02114J9 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM LEFT INTERNAL MAMMARY WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02114JC 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM THORACIC ARTERY WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02114JF 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM ABDOMINAL ARTERY WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02114JW 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM AORTA WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02114K3 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting

3 Coronary revascularization
02114K8 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM RIGHT INTERNAL MAMMARY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02114K9 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM LEFT INTERNAL MAMMARY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02114KC 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM THORACIC ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02114KF 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM ABDOMINAL ARTERY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02114KW 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM AORTA WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02114Z3 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM CORONARY ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02114Z8 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM RIGHT INTERNAL MAMMARY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
Any setting
3 Coronary revascularization
02114Z9 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM LEFT INTERNAL MAMMARY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
Any setting
3 Coronary revascularization
02114ZC 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM THORACIC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02114ZF 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, TWO ARTERIES FROM ABDOMINAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
212083
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY ARTERY WITH ZOOPLASTIC TISSUE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
212088
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM RIGHT INTERNAL MAMMARY WITH ZOOPLASTIC TISSUE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
212089
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM LEFT INTERNAL MAMMARY WITH ZOOPLASTIC TISSUE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
021208C 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM THORACIC ARTERY WITH ZOOPLASTIC TISSUE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
021208F 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM ABDOMINAL ARTERY WITH ZOOPLASTIC TISSUE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
021208W PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM AORTA WITH ZOOPLASTIC TISSUE, OPEN APPROACH
Any setting
3 Coronary revascularization
212093
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
212098
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM RIGHT INTERNAL MAMMARY WITH AUTOLOGOUS VENOUS 
TISSUE, OPEN APPROACH
Any setting
3 Coronary revascularization
212099
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM LEFT INTERNAL MAMMARY WITH AUTOLOGOUS VENOUS 
TISSUE, OPEN APPROACH
Any setting
3 Coronary revascularization
021209C 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM THORACIC ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
021209F 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM ABDOMINAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
021209W PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM AORTA WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH
Any setting
3 Coronary revascularization
02120A3 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, 
OPEN APPROACH
Any setting
3 Coronary revascularization
02120A8 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM RIGHT INTERNAL MAMMARY WITH AUTOLOGOUS ARTERIAL 
TISSUE, OPEN APPROACH
Any setting
3 Coronary revascularization
02120A9 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM LEFT INTERNAL MAMMARY WITH AUTOLOGOUS ARTERIAL 
TISSUE, OPEN APPROACH
Any setting
3 Coronary revascularization
02120AC 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM THORACIC ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
02120AF 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM ABDOMINAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, 
OPEN APPROACH
Any setting
3 Coronary revascularization
02120AW PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM AORTA WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH Any setting
3 Coronary revascularization
02120J3 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
02120J8 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM RIGHT INTERNAL MAMMARY WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
Any setting
3 Coronary revascularization
02120J9 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM LEFT INTERNAL MAMMARY WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
Any setting
3 Coronary revascularization
02120JC 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM THORACIC ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
02120JF 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM ABDOMINAL ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
02120JW 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM AORTA WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH
Any setting
3 Coronary revascularization
02120K3 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY ARTERY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
Any setting
3 Coronary revascularization
02120K8 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM RIGHT INTERNAL MAMMARY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
Any setting
3 Coronary revascularization
02120K9 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM LEFT INTERNAL MAMMARY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
Any setting

3 Coronary revascularization
02120KC 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM THORACIC ARTERY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
Any setting
3 Coronary revascularization
02120KF 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM ABDOMINAL ARTERY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
Any setting
3 Coronary revascularization
02120KW PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM AORTA WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
02120Z3 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY ARTERY, OPEN APPROACH
Any setting
3 Coronary revascularization
02120Z8 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM RIGHT INTERNAL MAMMARY, OPEN APPROACH
Any setting
3 Coronary revascularization
02120Z9 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM LEFT INTERNAL MAMMARY, OPEN APPROACH
Any setting
3 Coronary revascularization
02120ZC 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM THORACIC ARTERY, OPEN APPROACH
Any setting
3 Coronary revascularization
02120ZF 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM ABDOMINAL ARTERY, OPEN APPROACH
Any setting
3 Coronary revascularization
0212344
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY VEIN WITH DRUG-ELUTING INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02123D4 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY VEIN WITH INTRALUMINAL DEVICE, PERCUTANEOUS 
APPROACH
Any setting
3 Coronary revascularization
0212444
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY VEIN WITH DRUG-ELUTING INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
0212483
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY ARTERY WITH ZOOPLASTIC TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
0212488
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM RIGHT INTERNAL MAMMARY WITH ZOOPLASTIC TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
0212489
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM LEFT INTERNAL MAMMARY WITH ZOOPLASTIC TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
021248C 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM THORACIC ARTERY WITH ZOOPLASTIC TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
021248F 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM ABDOMINAL ARTERY WITH ZOOPLASTIC TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
021248W 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM AORTA WITH ZOOPLASTIC TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
0212493
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY ARTERY WITH AUTOLOGOUS VENOUS TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
0212498
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM RIGHT INTERNAL MAMMARY WITH AUTOLOGOUS VENOUS 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
0212499
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM LEFT INTERNAL MAMMARY WITH AUTOLOGOUS VENOUS 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
021249C 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM THORACIC ARTERY WITH AUTOLOGOUS VENOUS TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
021249F 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM ABDOMINAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
021249W 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM AORTA WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02124A3 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02124A8 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM RIGHT INTERNAL MAMMARY WITH AUTOLOGOUS ARTERIAL 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02124A9 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM LEFT INTERNAL MAMMARY WITH AUTOLOGOUS ARTERIAL 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02124AC 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM THORACIC ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02124AF 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM ABDOMINAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02124AW PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM AORTA WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02124D4 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY VEIN WITH INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02124J3 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY ARTERY WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02124J8 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM RIGHT INTERNAL MAMMARY WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02124J9 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM LEFT INTERNAL MAMMARY WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02124JC 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM THORACIC ARTERY WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02124JF 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM ABDOMINAL ARTERY WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02124JW 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM AORTA WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02124K3 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY ARTERY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02124K8 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM RIGHT INTERNAL MAMMARY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02124K9 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM LEFT INTERNAL MAMMARY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting

3 Coronary revascularization
02124KC 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM THORACIC ARTERY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02124KF 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM ABDOMINAL ARTERY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02124KW PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM AORTA WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02124Z3 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM CORONARY ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH Any setting
3 Coronary revascularization
02124Z8 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM RIGHT INTERNAL MAMMARY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
Any setting
3 Coronary revascularization
02124Z9 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM LEFT INTERNAL MAMMARY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
Any setting
3 Coronary revascularization
02124ZC 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM THORACIC ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02124ZF 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, THREE ARTERIES FROM ABDOMINAL ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
Any setting
3 Coronary revascularization
0213083
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY ARTERY WITH ZOOPLASTIC TISSUE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
0213088
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM RIGHT INTERNAL MAMMARY WITH ZOOPLASTIC TISSUE, 
OPEN APPROACH
Any setting
3 Coronary revascularization
0213089
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM LEFT INTERNAL MAMMARY WITH ZOOPLASTIC TISSUE, 
OPEN APPROACH
Any setting
3 Coronary revascularization
021308C 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM THORACIC ARTERY WITH ZOOPLASTIC TISSUE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
021308F 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM ABDOMINAL ARTERY WITH ZOOPLASTIC TISSUE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
021308W PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM AORTA WITH ZOOPLASTIC TISSUE, OPEN APPROACH
Any setting
3 Coronary revascularization
0213093
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY ARTERY WITH AUTOLOGOUS VENOUS 
TISSUE, OPEN APPROACH
Any setting
3 Coronary revascularization
0213098
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM RIGHT INTERNAL MAMMARY WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
Any setting
3 Coronary revascularization
0213099
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM LEFT INTERNAL MAMMARY WITH AUTOLOGOUS 
VENOUS TISSUE, OPEN APPROACH
Any setting
3 Coronary revascularization
021309C 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM THORACIC ARTERY WITH AUTOLOGOUS VENOUS 
TISSUE, OPEN APPROACH
Any setting
3 Coronary revascularization
021309F 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM ABDOMINAL ARTERY WITH AUTOLOGOUS VENOUS 
TISSUE, OPEN APPROACH
Any setting
3 Coronary revascularization
021309W PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM AORTA WITH AUTOLOGOUS VENOUS TISSUE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
02130A3 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY ARTERY WITH AUTOLOGOUS ARTERIAL 
TISSUE, OPEN APPROACH
Any setting
3 Coronary revascularization
02130A8 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM RIGHT INTERNAL MAMMARY WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
Any setting
3 Coronary revascularization
02130A9 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM LEFT INTERNAL MAMMARY WITH AUTOLOGOUS 
ARTERIAL TISSUE, OPEN APPROACH
Any setting
3 Coronary revascularization
02130AC 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM THORACIC ARTERY WITH AUTOLOGOUS ARTERIAL 
TISSUE, OPEN APPROACH
Any setting
3 Coronary revascularization
02130AF 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM ABDOMINAL ARTERY WITH AUTOLOGOUS ARTERIAL 
TISSUE, OPEN APPROACH
Any setting
3 Coronary revascularization
02130AW PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM AORTA WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
02130J3 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY ARTERY WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
Any setting
3 Coronary revascularization
02130J8 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM RIGHT INTERNAL MAMMARY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
Any setting
3 Coronary revascularization
02130J9 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM LEFT INTERNAL MAMMARY WITH SYNTHETIC 
SUBSTITUTE, OPEN APPROACH
Any setting
3 Coronary revascularization
02130JC 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM THORACIC ARTERY WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
Any setting
3 Coronary revascularization
02130JF 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM ABDOMINAL ARTERY WITH SYNTHETIC SUBSTITUTE, 
OPEN APPROACH
Any setting
3 Coronary revascularization
02130JW 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM AORTA WITH SYNTHETIC SUBSTITUTE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
02130K3 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY ARTERY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
Any setting
3 Coronary revascularization
02130K8 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM RIGHT INTERNAL MAMMARY WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
Any setting
3 Coronary revascularization
02130K9 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM LEFT INTERNAL MAMMARY WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, OPEN APPROACH
Any setting
3 Coronary revascularization
02130KC 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM THORACIC ARTERY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
Any setting

3 Coronary revascularization
02130KF 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM ABDOMINAL ARTERY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, OPEN APPROACH
Any setting
3 Coronary revascularization
02130KW PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM AORTA WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
OPEN APPROACH
Any setting
3 Coronary revascularization
02130Z3 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY ARTERY, OPEN APPROACH
Any setting
3 Coronary revascularization
02130Z8 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM RIGHT INTERNAL MAMMARY, OPEN APPROACH
Any setting
3 Coronary revascularization
02130Z9 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM LEFT INTERNAL MAMMARY, OPEN APPROACH
Any setting
3 Coronary revascularization
02130ZC 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM THORACIC ARTERY, OPEN APPROACH
Any setting
3 Coronary revascularization
02130ZF 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM ABDOMINAL ARTERY, OPEN APPROACH
Any setting
3 Coronary revascularization
0213344
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY VEIN WITH DRUG-ELUTING INTRALUMINAL 
DEVICE, PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02133D4 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY VEIN WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
0213444
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY VEIN WITH DRUG-ELUTING INTRALUMINAL 
DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
0213483
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY ARTERY WITH ZOOPLASTIC TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
0213488
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM RIGHT INTERNAL MAMMARY WITH ZOOPLASTIC TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
0213489
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM LEFT INTERNAL MAMMARY WITH ZOOPLASTIC TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
021348C 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM THORACIC ARTERY WITH ZOOPLASTIC TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
021348F 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM ABDOMINAL ARTERY WITH ZOOPLASTIC TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
021348W 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM AORTA WITH ZOOPLASTIC TISSUE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
0213493
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY ARTERY WITH AUTOLOGOUS VENOUS 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
0213498
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM RIGHT INTERNAL MAMMARY WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
0213499
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM LEFT INTERNAL MAMMARY WITH AUTOLOGOUS 
VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
021349C 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM THORACIC ARTERY WITH AUTOLOGOUS VENOUS 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
021349F 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM ABDOMINAL ARTERY WITH AUTOLOGOUS VENOUS 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
021349W 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM AORTA WITH AUTOLOGOUS VENOUS TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02134A3 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY ARTERY WITH AUTOLOGOUS ARTERIAL 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02134A8 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM RIGHT INTERNAL MAMMARY WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02134A9 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM LEFT INTERNAL MAMMARY WITH AUTOLOGOUS 
ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02134AC 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM THORACIC ARTERY WITH AUTOLOGOUS ARTERIAL 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02134AF 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM ABDOMINAL ARTERY WITH AUTOLOGOUS ARTERIAL 
TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02134AW PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM AORTA WITH AUTOLOGOUS ARTERIAL TISSUE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02134D4 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY VEIN WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02134J3 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY ARTERY WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02134J8 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM RIGHT INTERNAL MAMMARY WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02134J9 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM LEFT INTERNAL MAMMARY WITH SYNTHETIC 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02134JC 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM THORACIC ARTERY WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02134JF 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM ABDOMINAL ARTERY WITH SYNTHETIC SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02134JW 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM AORTA WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02134K3 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY ARTERY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02134K8 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM RIGHT INTERNAL MAMMARY WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02134K9 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM LEFT INTERNAL MAMMARY WITH NONAUTOLOGOUS 
TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02134KC 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM THORACIC ARTERY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting

3 Coronary revascularization
02134KF 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM ABDOMINAL ARTERY WITH NONAUTOLOGOUS TISSUE 
SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02134KW PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM AORTA WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02134Z3 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM CORONARY ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
Any setting
3 Coronary revascularization
02134Z8 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM RIGHT INTERNAL MAMMARY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02134Z9 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM LEFT INTERNAL MAMMARY, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02134ZC 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM THORACIC ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
Any setting
3 Coronary revascularization
02134ZF 
PX
ICD-10-PCS BYPASS CORONARY ARTERY, FOUR OR MORE ARTERIES FROM ABDOMINAL ARTERY, PERCUTANEOUS ENDOSCOPIC 
APPROACH
Any setting
3 Coronary revascularization
021K0Z5 
PX
ICD-10-PCS BYPASS RIGHT VENTRICLE TO CORONARY CIRCULATION, OPEN APPROACH
Any setting
3 Coronary revascularization
021K4Z5 
PX
ICD-10-PCS BYPASS RIGHT VENTRICLE TO CORONARY CIRCULATION, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
021L0Z5 
PX
ICD-10-PCS BYPASS LEFT VENTRICLE TO CORONARY CIRCULATION, OPEN APPROACH
Any setting
3 Coronary revascularization
021L4Z5 
PX
ICD-10-PCS BYPASS LEFT VENTRICLE TO CORONARY CIRCULATION, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
0270046
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
027004Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
Any setting
3 Coronary revascularization
0270056
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH TWO DRUGELUTING INTRALUMINAL DEVICES, 
OPEN APPROACH
Any setting
3 Coronary revascularization
027005Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN APPROACH Any setting
3 Coronary revascularization
0270066
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
OPEN APPROACH
Any setting
3 Coronary revascularization
027006Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH
Any setting
3 Coronary revascularization
0270076
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL 
DEVICES, OPEN APPROACH
Any setting
3 Coronary revascularization
027007Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH
Any setting
3 Coronary revascularization
02700D6 PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, OPEN APPROACH
Any setting
3 Coronary revascularization
02700DZ PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY WITH INTRALUMINAL DEVICE, OPEN APPROACH
Any setting
3 Coronary revascularization
02700E6
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
Any setting
3 Coronary revascularization
02700EZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
Any setting
3 Coronary revascularization
02700F6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, OPEN 
APPROACH
Any setting
3 Coronary revascularization
02700FZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
Any setting
3 Coronary revascularization
02700G6 PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN 
APPROACH
Any setting
3 Coronary revascularization
02700GZ PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
Any setting
3 Coronary revascularization
02700T6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH RADIOACTIVE INTRALUMINAL DEVICE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
02700TZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY WITH RADIOACTIVE INTRALUMINAL DEVICE, OPEN APPROACH
Any setting
3 Coronary revascularization
02700Z6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, OPEN APPROACH
Any setting
3 Coronary revascularization
02700ZZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY, OPEN APPROACH
Any setting
3 Coronary revascularization
0270346
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
027034Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
APPROACH
Any setting
3 Coronary revascularization
0270356
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
027035Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
Any setting
3 Coronary revascularization
0270366
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
027036Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
0270376
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL 
DEVICES, PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
027037Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02703D6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS 
APPROACH
Any setting
3 Coronary revascularization
02703DZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02703E6
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
Any setting
3 Coronary revascularization
02703EZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02703F6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
Any setting

3 Coronary revascularization
02703FZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02703G6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02703GZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
Any setting
3 Coronary revascularization
02703T6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH RADIOACTIVE INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02703TZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY WITH RADIOACTIVE INTRALUMINAL DEVICE, PERCUTANEOUS 
APPROACH
Any setting
3 Coronary revascularization
02703Z6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02703ZZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY, PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
0270446
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
027044Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
0270456
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
027045Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
0270466
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
027046Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
0270476
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL 
DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
027047Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02704D6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02704DZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
Any setting
3 Coronary revascularization
02704E6
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02704EZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
Any setting
3 Coronary revascularization
02704F6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02704FZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
Any setting
3 Coronary revascularization
02704G6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02704GZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02704T6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, WITH RADIOACTIVE INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02704TZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY WITH RADIOACTIVE INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02704Z6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02704ZZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, ONE ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
0271046
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
027104Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
Any setting
3 Coronary revascularization
0271056
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, 
OPEN APPROACH
Any setting
3 Coronary revascularization
027105Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH
Any setting
3 Coronary revascularization
0271066
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL 
DEVICES, OPEN APPROACH
Any setting
3 Coronary revascularization
027106Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH
Any setting
3 Coronary revascularization
0271076
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL 
DEVICES, OPEN APPROACH
Any setting
3 Coronary revascularization
027107Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
OPEN APPROACH
Any setting
3 Coronary revascularization
02710D6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH INTRALUMINAL DEVICE, OPEN APPROACH
Any setting
3 Coronary revascularization
02710DZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES WITH INTRALUMINAL DEVICE, OPEN APPROACH
Any setting
3 Coronary revascularization
02710E6
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, OPEN 
APPROACH
Any setting
3 Coronary revascularization
02710EZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
Any setting
3 Coronary revascularization
02710F6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, OPEN 
APPROACH
Any setting
3 Coronary revascularization
02710FZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
Any setting

3 Coronary revascularization
02710G6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN 
APPROACH
Any setting
3 Coronary revascularization
02710GZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
Any setting
3 Coronary revascularization
02710T6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH RADIOACTIVE INTRALUMINAL DEVICE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
02710TZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES WITH RADIOACTIVE INTRALUMINAL DEVICE, OPEN APPROACH
Any setting
3 Coronary revascularization
02710Z6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, OPEN APPROACH
Any setting
3 Coronary revascularization
02710ZZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES, OPEN APPROACH
Any setting
3 Coronary revascularization
0271346
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
027134Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
APPROACH
Any setting
3 Coronary revascularization
0271356
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
027135Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
0271366
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL 
DEVICES, PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
027136Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
0271376
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL 
DEVICES, PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
027137Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02713D6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS 
APPROACH
Any setting
3 Coronary revascularization
02713DZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02713E6
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02713EZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02713F6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02713FZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02713G6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02713GZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
Any setting
3 Coronary revascularization
02713T6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH RADIOACTIVE INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02713TZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES WITH RADIOACTIVE INTRALUMINAL DEVICE, PERCUTANEOUS 
APPROACH
Any setting
3 Coronary revascularization
02713Z6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02713ZZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES, PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
0271446
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
027144Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
0271456
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
027145Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
0271466
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL 
DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
027146Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
0271476
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL 
DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
027147Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02714D6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02714DZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
Any setting
3 Coronary revascularization
02714E6
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02714EZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
Any setting
3 Coronary revascularization
02714F6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting

3 Coronary revascularization
02714FZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02714G6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02714GZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02714T6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, WITH RADIOACTIVE INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02714TZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES WITH RADIOACTIVE INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02714Z6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02714ZZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, TWO ARTERIES, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
0272046
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, 
OPEN APPROACH
Any setting
3 Coronary revascularization
027204Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN APPROACH
Any setting
3 Coronary revascularization
0272056
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL 
DEVICES, OPEN APPROACH
Any setting
3 Coronary revascularization
027205Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH
Any setting
3 Coronary revascularization
0272066
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL 
DEVICES, OPEN APPROACH
Any setting
3 Coronary revascularization
027206Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, OPEN 
APPROACH
Any setting
3 Coronary revascularization
0272076
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING 
INTRALUMINAL DEVICES, OPEN APPROACH
Any setting
3 Coronary revascularization
027207Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
OPEN APPROACH
Any setting
3 Coronary revascularization
02720D6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH INTRALUMINAL DEVICE, OPEN APPROACH
Any setting
3 Coronary revascularization
02720DZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES WITH INTRALUMINAL DEVICE, OPEN APPROACH
Any setting
3 Coronary revascularization
02720E6
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, OPEN 
APPROACH
Any setting
3 Coronary revascularization
02720EZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
Any setting
3 Coronary revascularization
02720F6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, OPEN 
APPROACH
Any setting
3 Coronary revascularization
02720FZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
Any setting
3 Coronary revascularization
02720G6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, 
OPEN APPROACH
Any setting
3 Coronary revascularization
02720GZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN APPROACH
Any setting
3 Coronary revascularization
02720T6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH RADIOACTIVE INTRALUMINAL DEVICE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
02720TZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES WITH RADIOACTIVE INTRALUMINAL DEVICE, OPEN APPROACH
Any setting
3 Coronary revascularization
02720Z6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, OPEN APPROACH
Any setting
3 Coronary revascularization
02720ZZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES, OPEN APPROACH
Any setting
3 Coronary revascularization
0272346
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
027234Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
APPROACH
Any setting
3 Coronary revascularization
0272356
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL 
DEVICES, PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
027235Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
0272366
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL 
DEVICES, PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
027236Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
0272376
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING 
INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
027237Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02723D6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS 
APPROACH
Any setting
3 Coronary revascularization
02723DZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES WITH INTRALUMINAL DEVICE, PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02723E6
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02723EZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02723F6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02723FZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
Any setting

3 Coronary revascularization
02723G6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02723GZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
Any setting
3 Coronary revascularization
02723T6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH RADIOACTIVE INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02723TZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES WITH RADIOACTIVE INTRALUMINAL DEVICE, PERCUTANEOUS 
APPROACH
Any setting
3 Coronary revascularization
02723Z6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02723ZZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES, PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
0272446
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
027244Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES WITH DRUG-ELUTING INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
0272456
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL 
DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
027245Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
0272466
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH THREE DRUG-ELUTING INTRALUMINAL 
DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
027246Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
0272476
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING 
INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
027247Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02724D6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02724DZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES WITH INTRALUMINAL DEVICE, PERCUTANEOUS ENDOSCOPIC 
APPROACH
Any setting
3 Coronary revascularization
02724E6
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02724EZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02724F6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02724FZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02724G6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02724GZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES WITH FOUR OR MORE INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02724T6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, WITH RADIOACTIVE INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02724TZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES WITH RADIOACTIVE INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02724Z6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES, BIFURCATION, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02724ZZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, THREE ARTERIES, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
0273046
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL 
DEVICE, OPEN APPROACH
Any setting
3 Coronary revascularization
027304Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH DRUG-ELUTING INTRALUMINAL DEVICE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
0273056
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL 
DEVICES, OPEN APPROACH
Any setting
3 Coronary revascularization
027305Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, 
OPEN APPROACH
Any setting
3 Coronary revascularization
0273066
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH THREE DRUG-ELUTING 
INTRALUMINAL DEVICES, OPEN APPROACH
Any setting
3 Coronary revascularization
027306Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
OPEN APPROACH
Any setting
3 Coronary revascularization
0273076
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING 
INTRALUMINAL DEVICES, OPEN APPROACH
Any setting
3 Coronary revascularization
027307Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL 
DEVICES, OPEN APPROACH
Any setting
3 Coronary revascularization
02730D6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH INTRALUMINAL DEVICE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
02730DZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH INTRALUMINAL DEVICE, OPEN APPROACH
Any setting
3 Coronary revascularization
02730E6
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, OPEN 
APPROACH
Any setting
3 Coronary revascularization
02730EZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH TWO INTRALUMINAL DEVICES, OPEN APPROACH
Any setting
3 Coronary revascularization
02730F6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, 
OPEN APPROACH
Any setting

3 Coronary revascularization
02730FZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH THREE INTRALUMINAL DEVICES, OPEN APPROACH
Any setting
3 Coronary revascularization
02730G6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL 
DEVICES, OPEN APPROACH
Any setting
3 Coronary revascularization
02730GZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH FOUR OR MORE INTRALUMINAL DEVICES, OPEN 
APPROACH
Any setting
3 Coronary revascularization
02730T6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH RADIOACTIVE INTRALUMINAL 
DEVICE, OPEN APPROACH
Any setting
3 Coronary revascularization
02730TZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH RADIOACTIVE INTRALUMINAL DEVICE, OPEN 
APPROACH
Any setting
3 Coronary revascularization
02730Z6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, OPEN APPROACH
Any setting
3 Coronary revascularization
02730ZZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, OPEN APPROACH
Any setting
3 Coronary revascularization
0273346
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL 
DEVICE, PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
027334Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH DRUG-ELUTING INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
0273356
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL 
DEVICES, PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
027335Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
0273366
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH THREE DRUG-ELUTING 
INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
027336Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
0273376
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING 
INTRALUMINAL DEVICES, PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
027337Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL 
DEVICES, PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02733D6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02733DZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH INTRALUMINAL DEVICE, PERCUTANEOUS 
APPROACH
Any setting
3 Coronary revascularization
02733E6
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02733EZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
Any setting
3 Coronary revascularization
02733F6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02733FZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS 
APPROACH
Any setting
3 Coronary revascularization
02733G6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL 
DEVICES, PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02733GZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH FOUR OR MORE INTRALUMINAL DEVICES, 
PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02733T6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH RADIOACTIVE INTRALUMINAL 
DEVICE, PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02733TZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH RADIOACTIVE INTRALUMINAL DEVICE, 
PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02733Z6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02733ZZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
273446
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH DRUG-ELUTING INTRALUMINAL 
DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
027344Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH DRUG-ELUTING INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
273456
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH TWO DRUG-ELUTING INTRALUMINAL 
DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
027345Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH TWO DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
273466
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH THREE DRUG-ELUTING 
INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
027346Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH THREE DRUG-ELUTING INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
273476
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH FOUR OR MORE DRUG-ELUTING 
INTRALUMINAL DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
027347Z 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH FOUR OR MORE DRUG-ELUTING INTRALUMINAL 
DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02734D6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02734DZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH INTRALUMINAL DEVICE, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02734E6
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH TWO INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting

3 Coronary revascularization
02734EZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH TWO INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02734F6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH THREE INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02734FZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH THREE INTRALUMINAL DEVICES, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02734G6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH FOUR OR MORE INTRALUMINAL 
DEVICES, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02734GZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH FOUR OR MORE INTRALUMINAL DEVICES, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02734T6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, WITH RADIOACTIVE INTRALUMINAL 
DEVICE, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02734TZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES WITH RADIOACTIVE INTRALUMINAL DEVICE, 
PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02734Z6 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, PERCUTANEOUS ENDOSCOPIC 
APPROACH
Any setting
3 Coronary revascularization
02734ZZ 
PX
ICD-10-PCS DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02C00Z6 PX
ICD-10-PCS EXTIRPATION OF MATTER FROM CORONARY ARTERY, ONE ARTERY, BIFURCATION, OPEN APPROACH
Any setting
3 Coronary revascularization
02C00ZZ PX
ICD-10-PCS EXTIRPATION OF MATTER FROM CORONARY ARTERY, ONE ARTERY, OPEN APPROACH
Any setting
3 Coronary revascularization
02C03Z6 
PX
ICD-10-PCS EXTIRPATION OF MATTER FROM CORONARY ARTERY, ONE ARTERY, BIFURCATION, PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02C03ZZ 
PX
ICD-10-PCS EXTIRPATION OF MATTER FROM CORONARY ARTERY, ONE ARTERY, PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02C04Z6 
PX
ICD-10-PCS EXTIRPATION OF MATTER FROM CORONARY ARTERY, ONE ARTERY, BIFURCATION, PERCUTANEOUS ENDOSCOPIC 
APPROACH
Any setting
3 Coronary revascularization
02C04ZZ 
PX
ICD-10-PCS EXTIRPATION OF MATTER FROM CORONARY ARTERY, ONE ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02C10Z6 
PX
ICD-10-PCS EXTIRPATION OF MATTER FROM CORONARY ARTERY, TWO ARTERIES, BIFURCATION, OPEN APPROACH
Any setting
3 Coronary revascularization
02C10ZZ 
PX
ICD-10-PCS EXTIRPATION OF MATTER FROM CORONARY ARTERY, TWO ARTERIES, OPEN APPROACH
Any setting
3 Coronary revascularization
02C13Z6 
PX
ICD-10-PCS EXTIRPATION OF MATTER FROM CORONARY ARTERY, TWO ARTERIES, BIFURCATION, PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02C13ZZ 
PX
ICD-10-PCS EXTIRPATION OF MATTER FROM CORONARY ARTERY, TWO ARTERIES, PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02C14Z6 
PX
ICD-10-PCS EXTIRPATION OF MATTER FROM CORONARY ARTERY, TWO ARTERIES, BIFURCATION, PERCUTANEOUS ENDOSCOPIC 
APPROACH
Any setting
3 Coronary revascularization
02C14ZZ 
PX
ICD-10-PCS EXTIRPATION OF MATTER FROM CORONARY ARTERY, TWO ARTERIES, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02C20Z6 
PX
ICD-10-PCS EXTIRPATION OF MATTER FROM CORONARY ARTERY, THREE ARTERIES, BIFURCATION, OPEN APPROACH
Any setting
3 Coronary revascularization
02C20ZZ 
PX
ICD-10-PCS EXTIRPATION OF MATTER FROM CORONARY ARTERY, THREE ARTERIES, OPEN APPROACH
Any setting
3 Coronary revascularization
02C23Z6 
PX
ICD-10-PCS EXTIRPATION OF MATTER FROM CORONARY ARTERY, THREE ARTERIES, BIFURCATION, PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02C23ZZ 
PX
ICD-10-PCS EXTIRPATION OF MATTER FROM CORONARY ARTERY, THREE ARTERIES, PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02C24Z6 
PX
ICD-10-PCS EXTIRPATION OF MATTER FROM CORONARY ARTERY, THREE ARTERIES, BIFURCATION, PERCUTANEOUS ENDOSCOPIC 
APPROACH
Any setting
3 Coronary revascularization
02C24ZZ 
PX
ICD-10-PCS EXTIRPATION OF MATTER FROM CORONARY ARTERY, THREE ARTERIES, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02C30Z6 
PX
ICD-10-PCS EXTIRPATION OF MATTER FROM CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, OPEN APPROACH
Any setting
3 Coronary revascularization
02C30ZZ 
PX
ICD-10-PCS EXTIRPATION OF MATTER FROM CORONARY ARTERY, FOUR OR MORE ARTERIES, OPEN APPROACH
Any setting
3 Coronary revascularization
02C33Z6 
PX
ICD-10-PCS EXTIRPATION OF MATTER FROM CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, PERCUTANEOUS 
APPROACH
Any setting
3 Coronary revascularization
02C33ZZ 
PX
ICD-10-PCS EXTIRPATION OF MATTER FROM CORONARY ARTERY, FOUR OR MORE ARTERIES, PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02C34Z6 
PX
ICD-10-PCS EXTIRPATION OF MATTER FROM CORONARY ARTERY, FOUR OR MORE ARTERIES, BIFURCATION, PERCUTANEOUS 
ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02C34ZZ 
PX
ICD-10-PCS EXTIRPATION OF MATTER FROM CORONARY ARTERY, FOUR OR MORE ARTERIES, PERCUTANEOUS ENDOSCOPIC 
APPROACH
Any setting
3 Coronary revascularization
02QA0ZZ PX
ICD-10-PCS REPAIR HEART, OPEN APPROACH
Any setting
3 Coronary revascularization
02QA3ZZ 
PX
ICD-10-PCS REPAIR HEART, PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02QA4ZZ 
PX
ICD-10-PCS REPAIR HEART, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02QB0ZZ PX
ICD-10-PCS REPAIR RIGHT HEART, OPEN APPROACH
Any setting
3 Coronary revascularization
02QB3ZZ 
PX
ICD-10-PCS REPAIR RIGHT HEART, PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02QB4ZZ 
PX
ICD-10-PCS REPAIR RIGHT HEART, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
02QC0ZZ PX
ICD-10-PCS REPAIR LEFT HEART, OPEN APPROACH
Any setting
3 Coronary revascularization
02QC3ZZ 
PX
ICD-10-PCS REPAIR LEFT HEART, PERCUTANEOUS APPROACH
Any setting
3 Coronary revascularization
02QC4ZZ 
PX
ICD-10-PCS REPAIR LEFT HEART, PERCUTANEOUS ENDOSCOPIC APPROACH
Any setting
3 Coronary revascularization
33140
PX
CPT/HCPCS TRANSMYOCARDIAL LASER REVASCULARIZATION, BY THORACOTOMY; (SEPARATE PROCEDURE)
Any setting
3 Coronary revascularization
33141
PX
CPT/HCPCS TRANSMYOCARDIAL LASER REVASCULARIZATION, BY THORACOTOMY; PERFORMED AT THE TIME OF OTHER OPEN 
CARDIAC PROCEDURE(S) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
Any setting
3 Coronary revascularization
33510
PX
CPT/HCPCS CORONARY ARTERY BYPASS, VEIN ONLY; SINGLE CORONARY VENOUS GRAFT
Any setting
3 Coronary revascularization
33511
PX
CPT/HCPCS CORONARY ARTERY BYPASS, VEIN ONLY; 2 CORONARY VENOUS GRAFTS
Any setting
3 Coronary revascularization
33512
PX
CPT/HCPCS CORONARY ARTERY BYPASS, VEIN ONLY; 3 CORONARY VENOUS GRAFTS
Any setting
3 Coronary revascularization
33513
PX
CPT/HCPCS CORONARY ARTERY BYPASS, VEIN ONLY; 4 CORONARY VENOUS GRAFTS
Any setting
3 Coronary revascularization
33514
PX
CPT/HCPCS CORONARY ARTERY BYPASS, VEIN ONLY; 5 CORONARY VENOUS GRAFTS
Any setting
3 Coronary revascularization
33516
PX
CPT/HCPCS CORONARY ARTERY BYPASS, VEIN ONLY; 6 OR MORE CORONARY VENOUS GRAFTS
Any setting
3 Coronary revascularization
33517
PX
CPT/HCPCS CORONARY ARTERY BYPASS, USING VENOUS GRAFT(S) AND ARTERIAL GRAFT(S); SINGLE VEIN GRAFT (LIST 
SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
Any setting
3 Coronary revascularization
33518
PX
CPT/HCPCS CORONARY ARTERY BYPASS, USING VENOUS GRAFT(S) AND ARTERIAL GRAFT(S); 2 VENOUS GRAFTS (LIST 
SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
Any setting
3 Coronary revascularization
33519
PX
CPT/HCPCS CORONARY ARTERY BYPASS, USING VENOUS GRAFT(S) AND ARTERIAL GRAFT(S); 3 VENOUS GRAFTS (LIST 
SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
Any setting

3 Coronary revascularization
33521
PX
CPT/HCPCS CORONARY ARTERY BYPASS, USING VENOUS GRAFT(S) AND ARTERIAL GRAFT(S); 4 VENOUS GRAFTS (LIST 
SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
Any setting
3 Coronary revascularization
33522
PX
CPT/HCPCS CORONARY ARTERY BYPASS, USING VENOUS GRAFT(S) AND ARTERIAL GRAFT(S); 5 VENOUS GRAFTS (LIST 
SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
Any setting
3 Coronary revascularization
33523
PX
CPT/HCPCS CORONARY ARTERY BYPASS, USING VENOUS GRAFT(S) AND ARTERIAL GRAFT(S); 6 OR MORE VENOUS GRAFTS (LIST 
SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
Any setting
3 Coronary revascularization
33530
PX
CPT/HCPCS REOPERATION, CORONARY ARTERY BYPASS PROCEDURE OR VALVE PROCEDURE, MORE THAN 1 MONTH AFTER 
ORIGINAL OPERATION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
Any setting
3 Coronary revascularization
33533
PX
CPT/HCPCS CORONARY ARTERY BYPASS, USING ARTERIAL GRAFT(S); SINGLE ARTERIAL GRAFT
Any setting
3 Coronary revascularization
33534
PX
CPT/HCPCS CORONARY ARTERY BYPASS, USING ARTERIAL GRAFT(S); 2 CORONARY ARTERIAL GRAFTS
Any setting
3 Coronary revascularization
33535
PX
CPT/HCPCS CORONARY ARTERY BYPASS, USING ARTERIAL GRAFT(S); 3 CORONARY ARTERIAL GRAFTS
Any setting
3 Coronary revascularization
33536
PX
CPT/HCPCS CORONARY ARTERY BYPASS, USING ARTERIAL GRAFT(S); 4 OR MORE CORONARY ARTERIAL GRAFTS
Any setting
3 Coronary revascularization
33545
PX
CPT/HCPCS REPAIR OF POSTINFARCTION VENTRICULAR SEPTAL DEFECT, WITH OR WITHOUT MYOCARDIAL RESECTION
Any setting
3 Coronary revascularization
33572
PX
CPT/HCPCS CORONARY ENDARTERECTOMY, OPEN, ANY METHOD, OF LEFT ANTERIOR DESCENDING, CIRCUMFLEX, OR RIGHT 
CORONARY ARTERY PERFORMED IN CONJUNCTION WITH CORONARY ARTERY BYPASS GRAFT PROCEDURE, EACH 
VESSEL (LIST SEPARATELY IN ADDITION TO PRIMARY PROCEDURE)
Any setting
3 Coronary revascularization
92920
PX
CPT/HCPCS PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY; SINGLE MAJOR CORONARY ARTERY OR BRANCH
Any setting
3 Coronary revascularization
92921
PX
CPT/HCPCS PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY; EACH ADDITIONAL BRANCH OF A MAJOR CORONARY 
ARTERY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
Any setting
3 Coronary revascularization
92924
PX
CPT/HCPCS PERCUTANEOUS TRANSLUMINAL CORONARY ATHERECTOMY, WITH CORONARY ANGIOPLASTY WHEN PERFORMED; 
SINGLE MAJOR CORONARY ARTERY OR BRANCH
Any setting
3 Coronary revascularization
92925
PX
CPT/HCPCS PERCUTANEOUS TRANSLUMINAL CORONARY ATHERECTOMY, WITH CORONARY ANGIOPLASTY WHEN PERFORMED; 
EACH ADDITIONAL BRANCH OF A MAJOR CORONARY ARTERY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY 
PROCEDURE)
Any setting
3 Coronary revascularization
92928
PX
CPT/HCPCS PERCUTANEOUS TRANSCATHETER PLACEMENT OF INTRACORONARY STENT(S), WITH CORONARY ANGIOPLASTY 
WHEN PERFORMED; SINGLE MAJOR CORONARY ARTERY OR BRANCH
Any setting
3 Coronary revascularization
92929
PX
CPT/HCPCS PERCUTANEOUS TRANSCATHETER PLACEMENT OF INTRACORONARY STENT(S), WITH CORONARY ANGIOPLASTY 
WHEN PERFORMED; EACH ADDITIONAL BRANCH OF A MAJOR CORONARY ARTERY (LIST SEPARATELY IN ADDITION TO 
CODE FOR PRIMARY PROCEDURE)
Any setting
3 Coronary revascularization
92933
PX
CPT/HCPCS PERCUTANEOUS TRANSLUMINAL CORONARY ATHERECTOMY, WITH INTRACORONARY STENT, WITH CORONARY 
ANGIOPLASTY WHEN PERFORMED; SINGLE MAJOR CORONARY ARTERY OR BRANCH
Any setting
3 Coronary revascularization
92934
PX
CPT/HCPCS PERCUTANEOUS TRANSLUMINAL CORONARY ATHERECTOMY, WITH INTRACORONARY STENT, WITH CORONARY 
ANGIOPLASTY WHEN PERFORMED; EACH ADDITIONAL BRANCH OF A MAJOR CORONARY ARTERY (LIST SEPARATELY 
IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
Any setting
3 Coronary revascularization
92937
PX
CPT/HCPCS PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF OR THROUGH CORONARY ARTERY BYPASS GRAFT 
(INTERNAL MAMMARY, FREE ARTERIAL, VENOUS), ANY COMBINATION OF INTRACORONARY STENT, ATHERECTOMY 
AND ANGIOPLASTY, INCLUDING DISTAL PROTECTION WHEN PERFORMED; SINGLE VESSEL
Any setting
3 Coronary revascularization
92938
PX
CPT/HCPCS PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF OR THROUGH CORONARY ARTERY BYPASS GRAFT 
(INTERNAL MAMMARY, FREE ARTERIAL, VENOUS), ANY COMBINATION OF INTRACORONARY STENT, ATHERECTOMY 
AND ANGIOPLASTY, INCLUDING DISTAL PROTECTION WHEN PERFORMED; EACH ADDITIONAL BRANCH SUBTENDED BY 
THE BYPASS GRAFT (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
Any setting
3 Coronary revascularization
92941
PX
CPT/HCPCS PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF ACUTE TOTAL/SUBTOTAL OCCLUSION DURING ACUTE 
MYOCARDIAL INFARCTION, CORONARY ARTERY OR CORONARY ARTERY BYPASS GRAFT, ANY COMBINATION OF 
INTRACORONARY STENT, ATHERECTOMY AND ANGIOPLASTY, INCLUDING ASPIRATION THROMBECTOMY WHEN 
PERFORMED, SINGLE VESSEL
Any setting
3 Coronary revascularization
92943
PX
CPT/HCPCS PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF CHRONIC TOTAL OCCLUSION, CORONARY ARTERY, 
CORONARY ARTERY BRANCH, OR CORONARY ARTERY BYPASS GRAFT, ANY COMBINATION OF INTRACORONARY 
STENT, ATHERECTOMY AND ANGIOPLASTY; SINGLE VESSEL
Any setting
3 Coronary revascularization
92944
PX
CPT/HCPCS PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF CHRONIC TOTAL OCCLUSION, CORONARY ARTERY, 
CORONARY ARTERY BRANCH, OR CORONARY ARTERY BYPASS GRAFT, ANY COMBINATION OF INTRACORONARY 
STENT, ATHERECTOMY AND ANGIOPLASTY; EACH ADDITIONAL CORONARY ARTERY, CORONARY ARTERY BRANCH, OR 
BYPASS GRAFT (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
Any setting
3 Coronary revascularization
92973
PX
CPT/HCPCS PERCUTANEOUS TRANSLUMINAL CORONARY THROMBECTOMY MECHANICAL (LIST SEPARATELY IN ADDITION TO 
CODE FOR PRIMARY PROCEDURE)
Any setting
3 Coronary revascularization
92980
PX
CPT/HCPCS TRANSCATHETER PLACEMENT OF AN INTRACORONARY STENT(S), PERCUTANEOUS, WITH OR WITHOUT OTHER 
THERAPEUTIC INTERVENTION, ANY METHOD; SINGLE VESSEL
Any setting
3 Coronary revascularization
92981
PX
CPT/HCPCS TRANSCATHETER PLACEMENT OF AN INTRACORONARY STENT(S), PERCUTANEOUS, WITH OR WITHOUT OTHER 
THERAPEUTIC INTERVENTION, ANY METHOD; EACH ADDITIONAL VESSEL (LIST SEPARATELY IN ADDITION TO CODE FOR 
PRIMARY PROCEDURE)
Any setting
3 Coronary revascularization
92982
PX
CPT/HCPCS PERCUTANEOUS TRANSLUMINAL CORONARY BALLOON ANGIOPLASTY; SINGLE VESSEL
Any setting
3 Coronary revascularization
92984
PX
CPT/HCPCS PERCUTANEOUS TRANSLUMINAL CORONARY BALLOON ANGIOPLASTY; EACH ADDITIONAL VESSEL (LIST SEPARATELY 
IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
Any setting
3 Coronary revascularization
92995
PX
CPT/HCPCS PERCUTANEOUS TRANSLUMINAL CORONARY ATHERECTOMY, BY MECHANICAL OR OTHER METHOD, WITH OR 
WITHOUT BALLOON ANGIOPLASTY; SINGLE VESSEL
Any setting
3 Coronary revascularization
92996
PX
CPT/HCPCS PERCUTANEOUS TRANSLUMINAL CORONARY ATHERECTOMY, BY MECHANICAL OR OTHER METHOD, WITH OR 
WITHOUT BALLOON ANGIOPLASTY; EACH ADDITIONAL VESSEL (LIST SEPARATELY IN ADDITION TO CODE FOR 
PRIMARY PROCEDURE)
Any setting
3 Coronary revascularization
Z95.1 
DX
ICD-10-CM
PRESENCE OF AORTOCORONARY BYPASS GRAFT
Any setting
3 Coronary revascularization
Z95.5 
DX
ICD-10-CM
PRESENCE OF CORONARY ANGIOPLASTY IMPLANT AND GRAFT
Any setting
3 Coronary revascularization
Z98.61 
DX
ICD-10-CM
CORONARY ANGIOPLASTY STATUS
Any setting
4 Unstable angina
I20.0
DX
ICD-10-CM
UNSTABLE ANGINA
Inpatient setting, primary position
4 Unstable angina
I25.110
DX
ICD-10-CM
ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITH UNSTABLE ANGINA PECTORIS
Inpatient setting, primary position
4 Unstable angina
I25.700
DX
ICD-10-CM
ATHEROSCLEROSIS OF CORONARY ARTERY BYPASS GRAFT(S), UNSPECIFIED, WITH UNSTABLE ANGINA PECTORIS
Inpatient setting, primary position

4 Unstable angina
I25.710
DX
ICD-10-CM
ATHEROSCLEROSIS OF AUTOLOGOUS VEIN CORONARY ARTERY BYPASS GRAFT(S) WITH UNSTABLE ANGINA PECTORIS Inpatient setting, primary position
4 Unstable angina
I25.720
DX
ICD-10-CM
ATHEROSCLEROSIS OF AUTOLOGOUS ARTERY CORONARY ARTERY BYPASS GRAFT(S) WITH UNSTABLE ANGINA 
PECTORIS
Inpatient setting, primary position
4 Unstable angina
I25.730
DX
ICD-10-CM
ATHEROSCLEROSIS OF NONAUTOGLOUS BIOLOGICAL CORONARY ARTERY BYPASS GRAFT(S) WITH UNSTABLE ANGINA 
PECTORIS
Inpatient setting, primary position
4 Unstable angina
I25.750
DX
ICD-10-CM
ATHEROSCLEROSIS OF NATIVE CORONARY ARTERY OF TRANSPLANTED HEART WITH UNSTABLE ANGINA
Inpatient setting, primary position
4 Unstable angina
I25.760
DX
ICD-10-CM
ATHEROSCLEROSIS OF BYPASS GRAFT OF CORONARY ARTERY OF TRANSPLANTED HEART WITH UNSTABLE ANGINA
Inpatient setting, primary position
4 Unstable angina
I25.790
DX
ICD-10-CM
ATHEROSCLEROSIS OF OTHER CORONARY ARTERY BYPASS GRAFT(S) WITH UNSTABLE ANGINA PECTORIS
Inpatient setting, primary position
5 Negative control: Hernia
K40
DX
ICD-10-CM
INGUINAL HERNIA
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K41
DX
ICD-10-CM
FEMORAL HERNIA
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K41.0
DX
ICD-10-CM
BILATERAL FEMORAL HERNIA, WITH OBSTRUCTION, WITHOUT GANGRENE
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K41.00
DX
ICD-10-CM
BILATERAL FEMORAL HERNIA, WITH OBSTRUCTION, WITHOUT GANGRENE, NOT SPECIFIED AS RECURRENT
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K41.01
DX
ICD-10-CM
BILATERAL FEMORAL HERNIA, WITH OBSTRUCTION, WITHOUT GANGRENE, RECURRENT
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K41.1
DX
ICD-10-CM
BILATERAL FEMORAL HERNIA, WITH GANGRENE
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K41.10
DX
ICD-10-CM
BILATERAL FEMORAL HERNIA, WITH GANGRENE, NOT SPECIFIED AS RECURRENT
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K41.11
DX
ICD-10-CM
BILATERAL FEMORAL HERNIA, WITH GANGRENE, RECURRENT
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K41.2
DX
ICD-10-CM
BILATERAL FEMORAL HERNIA, WITHOUT OBSTRUCTION OR GANGRENE
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K41.20
DX
ICD-10-CM
BILATERAL FEMORAL HERNIA, WITHOUT OBSTRUCTION OR GANGRENE, NOT SPECIFIED AS RECURRENT
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K41.21
DX
ICD-10-CM
BILATERAL FEMORAL HERNIA, WITHOUT OBSTRUCTION OR GANGRENE, RECURRENT
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K41.3
DX
ICD-10-CM
UNILATERAL FEMORAL HERNIA, WITH OBSTRUCTION, WITHOUT GANGRENE
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K41.30
DX
ICD-10-CM
UNILATERAL FEMORAL HERNIA, WITH OBSTRUCTION, WITHOUT GANGRENE, NOT SPECIFIED AS RECURRENT
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K41.31
DX
ICD-10-CM
UNILATERAL FEMORAL HERNIA, WITH OBSTRUCTION, WITHOUT GANGRENE, RECURRENT
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K41.4
DX
ICD-10-CM
UNILATERAL FEMORAL HERNIA, WITH GANGRENE
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K41.40
DX
ICD-10-CM
UNILATERAL FEMORAL HERNIA, WITH GANGRENE, NOT SPECIFIED AS RECURRENT
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K41.41
DX
ICD-10-CM
UNILATERAL FEMORAL HERNIA, WITH GANGRENE, RECURRENT
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K41.9
DX
ICD-10-CM
UNILATERAL FEMORAL HERNIA, WITHOUT OBSTRUCTION OR GANGRENE
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K41.90
DX
ICD-10-CM
UNILATERAL FEMORAL HERNIA, WITHOUT OBSTRUCTION OR GANGRENE, NOT SPECIFIED AS RECURRENT
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K41.91
DX
ICD-10-CM
UNILATERAL FEMORAL HERNIA, WITHOUT OBSTRUCTION OR GANGRENE, RECURRENT
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K42
DX
ICD-10-CM
UMBILICAL HERNIA
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K42.0
DX
ICD-10-CM
UMBILICAL HERNIA WITH OBSTRUCTION, WITHOUT GANGRENE
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K42.1
DX
ICD-10-CM
UMBILICAL HERNIA WITH GANGRENE
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K42.9
DX
ICD-10-CM
UMBILICAL HERNIA WITHOUT OBSTRUCTION OR GANGRENE
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K43
DX
ICD-10-CM
VENTRAL HERNIA
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K43.0
DX
ICD-10-CM
INCISIONAL HERNIA WITH OBSTRUCTION, WITHOUT GANGRENE
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K43.1
DX
ICD-10-CM
INCISIONAL HERNIA WITH GANGRENE
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K43.2
DX
ICD-10-CM
INCISIONAL HERNIA WITHOUT OBSTRUCTION OR GANGRENE
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K43.3
DX
ICD-10-CM
PARASTOMAL HERNIA WITH OBSTRUCTION, WITHOUT GANGRENE
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K43.4
DX
ICD-10-CM
PARASTOMAL HERNIA WITH GANGRENE
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K43.5
DX
ICD-10-CM
PARASTOMAL HERNIA WITHOUT OBSTRUCTION OR GANGRENE
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K43.6
DX
ICD-10-CM
OTHER AND UNSPECIFIED VENTRAL HERNIA WITH OBSTRUCTION, WITHOUT GANGRENE
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K43.7
DX
ICD-10-CM
OTHER AND UNSPECIFIED VENTRAL HERNIA WITH GANGRENE
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K43.9
DX
ICD-10-CM
VENTRAL HERNIA WITHOUT OBSTRUCTION OR GANGRENE
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K44
DX
ICD-10-CM
DIAPHRAGMATIC HERNIA
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K44.0
DX
ICD-10-CM
DIAPHRAGMATIC HERNIA WITH OBSTRUCTION, WITHOUT GANGRENE
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K44.1
DX
ICD-10-CM
DIAPHRAGMATIC HERNIA WITH GANGRENE
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K44.9
DX
ICD-10-CM
DIAPHRAGMATIC HERNIA WITHOUT OBSTRUCTION OR GANGRENE
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K45
DX
ICD-10-CM
OTHER ABDOMINAL HERNIA
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K45.0
DX
ICD-10-CM
OTHER SPECIFIED ABDOMINAL HERNIA WITH OBSTRUCTION, WITHOUT GANGRENE
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K45.1
DX
ICD-10-CM
OTHER SPECIFIED ABDOMINAL HERNIA WITH GANGRENE
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K45.8
DX
ICD-10-CM
OTHER SPECIFIED ABDOMINAL HERNIA WITHOUT OBSTRUCTION OR GANGRENE
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K46
DX
ICD-10-CM
UNSPECIFIED ABDOMINAL HERNIA
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K46.0
DX
ICD-10-CM
UNSPECIFIED ABDOMINAL HERNIA WITH OBSTRUCTION, WITHOUT GANGRENE
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K46.1
DX
ICD-10-CM
UNSPECIFIED ABDOMINAL HERNIA WITH GANGRENE
Inpatient and outpatient setting, any position
5 Negative control: Hernia
K46.9
DX
ICD-10-CM
UNSPECIFIED ABDOMINAL HERNIA WITHOUT OBSTRUCTION OR GANGRENE
Inpatient and outpatient setting, any position
6 Negative control: Lumbar radiculopathy
M54.15
DX
ICD-10-CM
RADICULOPATHY, THORACOLUMBAR REGION
Inpatient and outpatient setting, any position
6 Negative control: Lumbar radiculopathy
M54.16
DX
ICD-10-CM
RADICULOPATHY, LUMBAR REGION
Inpatient and outpatient setting, any position
6 Negative control: Lumbar radiculopathy
M54.17
DX
ICD-10-CM
RADICULOPATHY, LUMBOSACRAL REGION
Inpatient and outpatient setting, any position

Category
Subcategory
ICD 
Validation source 
Type of the source 
PPV
Codes in 
the study 
Codes in the 
emulation 
Modification
Description of Modifications
Notes 
1 Acute myocardial infarction
ICD-10-CM
Accuracy of Medicare claims-based diagnosis of acute 
myocardial infarction: estimating positive predictive value 
on the basis of review of hospital records
Validation study 
94%
2 Stroke
ICD-10-CM
Validation of claims-based diagnostic and procedure codes 
for cardiovascular and gastrointestinal serious adverse 
events in a commercially-insured population; Validating 
administrative data in stroke research
Validation study 
95%
No
3 Coronary revascularization
ICD-10-CM
Semaglutide and Tirzepatide in Patients With Heart Failure 
With Preserved Ejection Fraction
Study w/ same criteria
4 Unstable angina
ICD-10-CM
Major adverse cardiovascular event definitions used in 
observational analysis of administrative databases: a 
systematic review
Systematic review 
5 Lumbar radiculopathy
ICD-10-CM
Clinical Outcomes of Tirzepatide or GLP-1 Receptor 
Agonists in Individuals With Type 2 Diabetes 
Association between chiropractic spinal manipulation and 
lumbar discectomy in adults with lumbar disc herniation and 
radiculopathy: retrospective cohort study using United 
States’ data
Study w/ same criteria
6 Hernia
ICD-10-CM
Clinical Outcomes of Tirzepatide or GLP-1 Receptor 
Agonists in Individuals With Type 2 Diabetes 
Study w/ same criteria
Inclusion 
criteria  
1 Men and women aged 40 years or older
Can't be validated 
N/A
N/A
N/A
N/A
N/A
N/A
N/A
2 Type 2 Diabetes
ICD-10-CM
PROMISE team
DoPE
3 HbA1c ≥7% and ≤ 10.5%
Can't be validated 
N/A
4 BMI ≥ 25kg/m2
ICD-10-CM
Validation of body mass index (BMI)-related ICD-9-CM and 
ICD-10-CM administrative diagnosis codes recorded in US 
claims data; Validation of body mass index (BMI)-related ICD-
9-CM and ICD-10-CM administrative diagnosis codes 
recorded in US claims data
Validation study 
98%
Yes
Added E66.2; E66.8
5 Established atherosclerotic CV-disease, 
either one of:
5. 1 Coronary artery disease, either one of:
5.1.1 Documented history of myocardial 
infarction
ICD-10-CM
PROMISE team
DoPE
No
5.1.2 ≥50% stenosis in ≥1 major coronary 
arteries determined by invasive 
angiography
RCT-DUPLICATE team
DoPE
N/A
N/A
N/A
Yes
Exluded ICD-10-CM I25.10 
due to freedom of symptoms
N/A
5.1.3 ≥50% stenosis in 2 or more major 
coronary arteries
RCT-DUPLICATE team
DoPE
N/A
N/A
N/A
N/A
N/A
N/A
5.1.4 History of surgical or percutaneous 
coronary revascularization procedure
ICD-10-CM
PROMISE team
DoPE
No
5.2 Cerebrovascular disease, either one of:
5.2.1 Documented history of ischemic stroke
ICD-10-CM
PROMISE team
DoPE
No
5.2.2 Carotid arterial disease with ≥50% 
stenosis, documented by carotid 
ultrasound, MRI, or angiography
ICD-10-CM
RCT-DUPLICATE team
DoPE
N/A
N/A
N/A
N/A
N/A
N/A
5.2.3 History of carotid stenting or surgical 
revascularization
ICD-10-CM
PROMISE team
DoPE
5.3 Peripheral arterial disease, either one of:
5.3.1 Intermittent claudication and ankle-
brachial index <0.9
ICD-10-CM
RCT-DUPLICATE team
DoPE
Yes
Excluded I70.20x due to 
freedom of symptoms
5.3.2 Prior nontraumatic amputation or 
peripheral vascular procedure (eg, 
stenting or surgical revascularization), 
due to peripheral arterial ischemia
ICD-10-CM, 
CPT
RCT-DUPLICATE team
DoPE
Exclusion 
criteria 
6 HbA1c >10.5%
Can't be validated 
N/A
7 Planning treatment for diabetic 
retinopathy and/or macular edema
CPT/HCPCS
LEAD-2
DoPE
No
8 Hospitalized for chronic heart failure 
within 2 months prior to screening
ICD-10-CM
Validity of International Classification of Diseases (ICD)-10 
Diagnosis Codes for Identification of Acute Heart Failure 
Hospitalization and Heart Failure with Reduced Versus 
Preserved Ejection Fraction in a National Medicare Sample
DoPE
98%
I50.x
I09.81 
I11.0 
I13.0 
I13.2 
I50.x
Based on 
PROMISE 
team
Added hypertensive heart 
disease with heart failure 
codes.
9 Chronic New York Heart Association 
Functional Classification IV heart failure
Can't be validated 
N/A
10 Planned coronary, carotid, or peripheral 
artery revascularization
Can't be validated 
N/A
11 History of chronic or acute pancreatitis
ICD-10-CM
PROMISE team
DoPE
No
12 Known clinically significant gastric 
emptying abnormality or bariatric 
surgery
Gastroparesis ICD-10-CM
Epidemiology, Etiology, and Treatment of Gastroparesis: 
Real-World Evidence From a Large US National Claims 
Database
Study w/ same criteria
K31.84
K31.84
No
Opioids / 
Antidiuretics / 
Laxative 
tablets
Prescriptions
https://www.drugs.com/
N/A
Bariatric 
surgery
ICD-10-CM
PROMISE Team
DoPE
No
13 Liver disease (not including non-alcoholic 
fatty liver disease [NAFLD]) or ALT level 
≥3X the ULN
ICD-10-CM
PROMISE Team
DoPE
No
14 eGFR <15 mL/Min/1.73 m2 or on chronic 
dialysis
ICD-10-CM, 
CPT /HCPCS
PROMISE team
DoPE
I12.0, 
N18.6
I12.0, I13.2 , N18.6
Yes
Added: I13.2 Hypertensive 
heart and chronic kidney 
disease with heart failure and 
with stage 5 chronic kidney 
disease, or end stage renal 
disease
Codes 
indicate stage 
V or end-
stage renal 
disease 
(ESRD)
15 Family or personal history of multiple 
endocrine neoplasia or medullary thyroid 
carcinoma
ICD-10-CM
PROMISE team
DoPE
No
16 Elevated serum calcitonin level
Can't be validated 
N/A
17 CV event or intervention <60 D prior to 
screening
Myocardial 
infarction
ICD-10-CM
PROMISE team
DoPE
CABG
ICD-10-CM
PROMISE team
DoPE
Major CV 
surgery
ICD-10-CM
Assessment of Potentially Preventable Hospital 
Readmissions After Major Surgery and Association With 
Public vs Private Health Insurance and Comorbidities
Study w/ same criteria
Yes
Added cathegories and codes 
for major CV operations.
Stroke
ICD-10-CM
Validating administrative data in stroke research; Validation 
of claims-based diagnostic and procedure codes for 
cardiovascular and gastrointestinal serious adverse events 
in a commercially-insured population
Validation study 
88%; 95%
No
TIA
ICD-10-CM
PROMISE team
DoPE
Unstable 
angina 
pectoris
ICD-10-CM
Validity of coronary heart diseases and heart failure based 
on hospital discharge and mortality data in the Netherlands 
using the cardiovascular registry Maastricht cohort study
Validation study 
78% I20
I20.0, I24.0, I24.1, 
I24.8, I24.81, 
I24.89, I24.9, 
I25.110, I25.700, 
I25.710, I25.720, 
I25.730, I25.750, 
I25.760, I25.790
Yes
Added codes with mention of 
angina pectoris in 
atherosclerosis
18 GLP-1 RA or pramlintide treatment 
within 3 Mo prior to Visit 1
Prescriptions
https://www.drugs.com/
N/A
19 Are women who are pregnant or 
breastfeeding
ICD-10-CM
Pregnancy team
DoPE
Outcome 

Appendix 3. Flowchart for cohort assembly
OPTUM (May 13, 2022 to May 31, 2025)
MARKETSCAN (May 13, 2022 to Dec 31, 2023)
Excluded Patients Remaining Patients
Excluded Patients Remaining Patients
Patients in dataset
96,791,997
Patients in dataset
126,118,011
Patients meeting cohort entry criteria
705,899
Patients meeting cohort entry criteria
292,147
Excluded due to insufficient enrollment
-198,502 (28%)
507,397
Excluded due to insufficient enrollment
-53,707 (18%)
238,440
Excluded due to prior use of referent
-137,947 (27%)
369,450
Excluded due to prior use of referent
-91,632 (38%)
146,808
Excluded due to prior use of exposure
-268,183 (73%)
101,267
Excluded due to prior use of exposure
-105,424 (72%)
41,384
Excluded because patient qualified in >1 exposure category
-11 (<1%)
101,256
Excluded because patient qualified in >1 exposure category
-7 (<1%)
41,377
Excluded based on 1 - Age
-3,583 (4%)
97,673
Excluded based on 1 - Age
-4,046 (10%)
37,331
Excluded based on 1 - Gender
-11 (<1%)
97,662
Excluded based on 1 - Gender
-0 (<1%)
37,331
Excluded based on 2 - Type 2 diabetes mellitus
-10,623 (11%)
87,039
Excluded based on 2 - Type 2 diabetes mellitus
-5,682 (15%)
31,649
Excluded based on 4 - BMI ≥ 25kg/m2 (ICD-10)
-17,659 (20%)
69,380
Excluded based on 4 - BMI ≥ 25kg/m2
-8,718 (28%)
22,931
Excluded based on 4 - BMI ≥ 25kg/m2 (Truncated)
-582 (<1%)
68,798
Excluded based on 5 - Established atherosclerotic cardiovascular disease
-10,471 (46%)
12,460
Excluded based on 5 - Established atherosclerotic cardiovascular disease
-16,249 (24%)
52,549
Excluded based on 7 - Planning treatment for diabetic retinopathy and/or macular edema
-204 (2%)
12,256
Excluded based on 7 - Planning treatment for diabetic retinopathy and/or macular edema
-786 (1%)
51,763
Excluded based on 8 - Hospitalized for chronic heart failure within 2 months prior to screening
-69 (<1%)
12,187
Excluded based on 8 - Hospitalized for chronic heart failure within 2 months prior to screening
-191 (<1%)
51,572
Excluded based on 11 - History of chronic or acute pancreatitis
-60 (<1%)
12,127
Excluded based on 11 - History of chronic or acute pancreatitis
-302 (<1%)
51,270
Excluded based on 12 - Known clinically significant gastric emptying abnormality or bariatric surgery
-764 (6%)
11,363
Excluded based on 12 - Known clinically significant gastric emptying abnormality or bariatric surgery
-2,942 (6%)
48,328
Excluded based on 13 - Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULN
-62 (<1%)
11,301
Excluded based on 13 - Liver disease (not including non-alcoholic fatty liver disease [NAFLD]) or ALT level ≥3X the ULN
-314 (<1%)
48,014
Excluded based on 14 - eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
-72 (<1%)
11,229
Excluded based on 14 - eGFR <15 mL/Min/1.73 m2 or on chronic dialysis
-381 (<1%)
47,633
Excluded based on 15 - Family or personal history of multiple endocrine neoplasia or medullary thyroid carcinoma
-36 (<1%)
11,193
Excluded based on 15 - Family or personal history of multiple endocrine neoplasia or medullary thyroid carcinoma
-79 (<1%)
47,554
Excluded based on 17 - Cardiovascular event or intervention <60 days prior to screening
-69 (<1%)
11,124
Excluded based on 17 - Cardiovascular event or intervention <60 days prior to screening
-221 (<1%)
47,333
Excluded based on 18 - GLP-1-RA or pramlintide treatment within 3 months prior to Visit 1
-1,678 (15%)
9,446
Excluded based on 18 - GLP-1-RA or pramlintide treatment within 3 months prior to Visit 1
-3,735 (8%)
43,598
Excluded based on 19 - Women who are pregnant or breastfeeding
-4 (<1%)
9,442
Excluded based on 19 - Women who are pregnant or breastfeeding
-2 (<1%)
43,596
Patients in Exposure Group
5,610
Patients in Exposure Group
29,761
Patients in Referent Group
3,832
Patients in Referent Group
13,835
Total Patients
9,442
Total Patients
43,596

Appendix 4. 1st Feasibility Assessment
Table of Contents
A. Patient characteristics by treatment group
B. Summary Parameters of Study Population
C. Median Follow up Time in Overall Study Population
D. Reasons for Censoring in Overall Study Population
E. Initial Power Assessment
F. Aetion report link
G. Review by Principal Investigator
OPTUM: Study period from May 13, 2022 to May 31, 2025
MARKETSCAN: Study period from May 13, 2022 to Dec 31, 2023
A. Patient characteristics by treatment group (follow-up start is 1 days after CED, so few patients and dropped, hence table 1 could include sightly fewer patients than the attrition table)
Before weighting
Variable
Reference: Dulaglutide
Exposure: Tirzepatide
Difference
Reference: Dulaglutide
Exposure: Tirzepatide
Difference
Number of patients
13,793
29,744 - (-, -)
5,329
5,116 - (-, -)
Age
...mean (sd)
73.95 (7.67)
66.65 (9.20)
7.30 (7.13, 7.46)
63.74 (10.60)
59.86 (9.36)
3.88 (3.50, 4.26)
...median [IQR]
74.00 [69.00, 79.00]
68.00 [61.00, 73.00]
- (-, -)
63.00 [56.00, 72.00]
59.00 [53.00, 65.00]
- (-, -)
Gender
...Male; n (%)
6,699 (48.6%)
14,518 (48.8%)
-0.2% (-1.3%, 0.8%)
2,885 (54.1%)
2,538 (49.6%)
4.5% (2.6%, 6.5%)
CCI (365 days)
...mean (sd)
3.64 (3.09)
2.84 (2.66)
0.81 (0.75, 0.87)
2.34 (2.50)
1.78 (2.02)
0.57 (0.48, 0.65)
...median [IQR]
3.00 [1.00, 5.00]
2.00 [1.00, 4.00]
- (-, -)
2.00 [1.00, 3.00]
1.00 [0.00, 3.00]
- (-, -)
B. Summary Parameters of Overall Study Population (Step 1)
Optum
Marketscan
Variable
Value
Value
Number of patients in full cohort
43,596
9,442
Number of patients dropped as incomplete cases
0
0
Number of patients that did not begin follow-up
59
8
Number of patients in analytic cohort
43,537
9,434
Number of events
322
88
Number of person-years
22,000,1
4,052.00
Number of patients in group: Reference: Sitagliptin
13,793
3,825
Number of patients in group: Exposure: Tirzepatide
29,744
5,609
C. Median Follow up Time in Overall Study Population (Step 1)
Optum
Marketscan
Patient Group
Median Follow-Up 
Time (Days) [IQR]
Median Follow-Up 
Time (Days) [IQR]
Overall Patient Population
145 [75, 297]
133 [71, 231]
Optum
Marketscan
In order to complete the initial power analysis, a dummy outcome of a 90-day gap in database enrollment was used. This outcome is used to ensure that no information on the comparative risks of the outcomes of interest are 
available at this stage. We completed a PS overlap weighted comparative analysis using this outcome. The PS included only 3 covariates: age, sex, and combined comorbidity index. Power calculations are based on the 
formulas from Chow et al. (2008).

D. Reasons for Censoring in Overall Study Population (Step 1)
Optum
Marketscan
Overall
Value
Value
Outcome
322 (0.7%)
88 (0.9%)
Start of an additional exposure
341 (0.8%)
97 (1.0%)
End of index exposure
16,757 (38.5%)
2,397 (25.4%)
Maximum follow-up time
8,118 (18.6%)
773 (8.2%)
Specified date reached
10,456 (24.0%)
4,917 (52.1%)
End of patient data
0 (0.0%)
0 (0.0%)
End of patient enrollment
4,150 (9.5%)
563 (6.0%)
Switch to other GLP-1-RA (for censoring) / Nursing home admission
3,029 (7.0%)
577 (6.1%)
E. Power Assessment
Superiority Analysis
Optum
Marketscan
Pooled
Number of patients
Reference
9,834
2,442
12,276
Exposed
15,677
3,375
19,052
Risk per 1,000 patients
14.64
21.72
15.89
Expected HR
0.75
0.75
0.75
Alpha (2-sided)
0.05
0.05
0.05
Number of events expected
373
126
498
Power
0.79
0.37
0.89
F. Aetion report link
Optum Step 1: https://bwh-dope.aetion.com/project/2951/rwrs/142679
Marketscan Step 1: https://bwh-dope.aetion.com/project/2950/rwrs/142680
F. Review by principal investigator
Stop analyses until feasibility and power are reviewed by primary investigators.
Reviewed by PI:
Nils Krüger
Date reviewed:
September 25, 2025

Appendix 5. 2nd Feasibility Assessment
Table of Contents
A. Median Follow up Time by Treatment Group
B. Reasons for Censoring by Treatment Group
C. Final Power Assessment
D. Aetion report link
E. Review by Principal Investigator
A. Median Follow Up Time by Treatment Group
Patient Group
Median Follow-Up Time 
(Days) [IQR]
Median Follow-Up 
Time (Days) [IQR]
Overall Patient Population
145 [75, 297]
133 [71, 231]
B. Reasons for Censoring in Overall Study Population
Optum
Marketscan
Overall
Value
Value
Outcome
322 (0.7%)
88 (0.9%)
Start of an additional exposure
341 (0.8%)
97 (1.0%)
End of index exposure
16,757 (38.5%)
2,397 (25.4%)
Maximum follow-up time
8,118 (18.6%)
773 (8.2%)
Specified date reached
10,456 (24.0%)
4,917 (52.1%)
End of patient data
0 (0.0%)
0 (0.0%)
End of patient enrollment
4,150 (9.5%)
563 (6.0%)
Switch to other GLP-1-RA (for censoring) / Nursing home admission
3,029 (7.0%)
577 (6.1%)
In order to complete the feasibility analysis, a dummy outcome of a 90-day gap in database enrollment was used. This outcome is used to ensure that no information on 
the comparative risks of the outcomes of interest are available at this stage. We completed a PS overlap weighted comparative analysis using this outcome. The PS 
included all prespecified covariates listed in the protocol. Power calculations are based on the formulas from Chow et al. (2008).

C. Power Assessment
Superiority Analysis
Optum
Marketscan
Pooled
Number of patients
Reference
9,834
2,442
12,276
Exposed
15,677
3,375
19,052
Risk per 1,000 patients
14.64
21.72
15.89
Expected HR
0.75
0.75
0.75
Alpha (2-sided)
0.05
0.05
0.05
Number of events expected
373
126
498
Power
0.79
0.37
0.89
D. Aetion report link
Optum Step 1: https://bwh-dope.aetion.com/project/2951/rwrs/142679
Marketscan Step 1: https://bwh-dope.aetion.com/project/2950/rwrs/142680
E. Review by principal investigator
Stop analyses until feasibility and power are reviewed by primary investigators.
Reviewed by PI:
Nils Krüger
Date reviewed:
September 25, 2025

C-statistics unadjusted, OPTUM: 0.823
C-statistics unadjusted, MARKETSCAN: 0.822
C-statistics adjusted after overlap weighing on the PS, OPTUM: 0.505
C-statistics adjusted after overlap weighing on the PS, MARKETSCAN: 0.505
Appendix 6. Balance Assessment - PS Distribution and C-Statistic

OPTUM
Variable
Reference: Sitagliptin
Exposure: Tirzepatide
Reference: Sitagliptin
Exposure: Tirzepatide
Number of patients
13,970
20,263
13,793
29,744
Sum of weights
6,027.46
6,027.46
Effective sample size
9,834
15,677
Age
...mean (sd)
73.95 (7.67)
66.65 (9.20)
71.37 (7.77)
71.37 (7.57)
Gender (male); n (%)
6,699 (48.6%)
14,518 (48.8%)
2,899.0 (48.1%)
2,899.0 (48.1%)
Race
...White; n (%)
8,030 (58.2%)
18,967 (63.8%)
3,751.3 (62.2%)
3,751.3 (62.2%)
...Black; n (%)
2,806 (20.3%)
4,186 (14.1%)
1,073.5 (17.8%)
1,073.5 (17.8%)
...Unknown / Missing; n (%)
2,478 (18.0%)
6,134 (20.6%)
1,063.0 (17.6%)
1,063.0 (17.6%)
...Others; n (%)
479 (3.5%)
457 (1.5%)
139.7 (2.3%)
139.7 (2.3%)
Region / State
...Northest; n (%)
1,855 (13.4%)
2,523 (8.5%)
645.4 (10.7%)
645.4 (10.7%)
...Midwest / North central; n (%)
2,152 (15.6%)
5,933 (19.9%)
1,039.3 (17.2%)
1,039.3 (17.2%)
...South; n (%)
7,684 (55.7%)
17,385 (58.4%)
3,472.4 (57.6%)
3,472.4 (57.6%)
...West; n (%)
2,092 (15.2%)
3,884 (13.1%)
866.1 (14.4%)
866.1 (14.4%)
...Missing; n (%)
10 (0.1%)
19 (0.1%)
4.2 (0.1%)
4.2 (0.1%)
Smoking/Tobacco use; n (%)
3,847 (27.9%)
8,616 (29.0%)
1,732.4 (28.7%)
1,732.4 (28.7%)
Weight
...Overweight; n (%)
3,104 (22.5%)
1,893 (6.4%)
808.3 (13.4%)
808.3 (13.4%)
...Class 1 Obesity; n (%)
4,150 (30.1%)
5,950 (20.0%)
1,647.7 (27.3%)
1,647.7 (27.3%)
...Class 2 Obesity; n (%)
3,720 (27.0%)
10,508 (35.3%)
1,960.3 (32.5%)
1,960.3 (32.5%)
...Class 3 Obesity; n (%)
1,443 (10.5%)
7,750 (26.1%)
935.1 (15.5%)
935.1 (15.5%)
...Unspecified Obesity; n (%)
1,376 (10.0%)
3,643 (12.2%)
676.0 (11.2%)
676.0 (11.2%)
Diabetic retinopathy; n (%)
1,759 (12.8%)
3,319 (11.2%)
738.0 (12.2%)
738.0 (12.2%)
Diabetic neuropathy; n (%)
5,337 (38.7%)
9,824 (33.0%)
2,226.9 (37.0%)
2,226.9 (37.0%)
Diabetic nephropathy; n (%)
5,198 (37.7%)
8,040 (27.0%)
2,004.3 (33.3%)
2,004.3 (33.3%)
Diabetes with other ophthalmic complications; n (%)
1,043 (7.6%)
1,376 (4.6%)
386.2 (6.4%)
386.2 (6.4%)
Diabetes with peripheral circulatory disorders; n (%)
3,722 (27.0%)
6,013 (20.2%)
1,447.6 (24.0%)
1,447.6 (24.0%)
Diabetic foot; n (%)
587 (4.3%)
1,201 (4.0%)
249.7 (4.1%)
249.7 (4.1%)
Erectile dysfunction; n (%)
642 (4.7%)
1,722 (5.8%)
310.0 (5.1%)
310.0 (5.1%)
Hypoglycemia; n (%)
4,267 (30.9%)
8,127 (27.3%)
1,763.1 (29.3%)
1,763.1 (29.3%)
Hyperglycemia/DKA/HONK; n (%)
7,494 (54.3%)
15,277 (51.4%)
3,196.7 (53.0%)
3,196.7 (53.0%)
Skin infections; n (%)
1,580 (11.5%)
3,699 (12.4%)
711.4 (11.8%)
711.4 (11.8%)
Stable angina; n (%)
1,275 (9.2%)
2,946 (9.9%)
580.1 (9.6%)
580.1 (9.6%)
Unstable angina; n (%)
593 (4.3%)
1,342 (4.5%)
262.4 (4.4%)
262.4 (4.4%)
Hypertension; n (%)
13,088 (94.9%)
27,506 (92.5%)
5,681.7 (94.3%)
5,681.7 (94.3%)
Hypotension; n (%)
883 (6.4%)
1,287 (4.3%)
320.8 (5.3%)
320.8 (5.3%)
Hyperlipidemia; n (%)
12,534 (90.9%)
26,680 (89.7%)
5,469.4 (90.7%)
5,469.4 (90.7%)
Atrial fibrillation; n (%)
2,611 (18.9%)
5,104 (17.2%)
1,099.6 (18.2%)
1,099.6 (18.2%)
Cardiac conduction disorder; n (%)
1,552 (11.3%)
2,828 (9.5%)
630.9 (10.5%)
630.9 (10.5%)
Previous cardiac procedure (CABG, PTCA, Stent); n (%)
334 (2.4%)
824 (2.8%)
157.0 (2.6%)
157.0 (2.6%)
Ischemic stroke; n (%)
217 (1.6%)
280 (0.9%)
73.3 (1.2%)
73.3 (1.2%)
PVD diagnosis or surgery; n (%)
3,375 (24.5%)
5,515 (18.5%)
1,313.2 (21.8%)
1,313.2 (21.8%)
Other cardiac dysrhythmia; n (%)
4,215 (30.6%)
8,680 (29.2%)
1,785.7 (29.6%)
1,785.7 (29.6%)
Cardiomyopathy; n (%)
1,236 (9.0%)
2,549 (8.6%)
534.5 (8.9%)
534.5 (8.9%)
Valve disorders; n (%)
2,870 (20.8%)
5,355 (18.0%)
1,191.3 (19.8%)
1,191.3 (19.8%)
Valve replacement; n (%)
347 (2.5%)
672 (2.3%)
151.5 (2.5%)
151.5 (2.5%)
TIA; n (%)
530 (3.8%)
857 (2.9%)
201.3 (3.3%)
201.3 (3.3%)
Edema; n (%)
2,564 (18.6%)
5,387 (18.1%)
1,101.5 (18.3%)
1,101.5 (18.3%)
Venous thromboembolism / Pulmonary embolism; n (%)
702 (5.1%)
1,387 (4.7%)
285.4 (4.7%)
285.4 (4.7%)
Pulmonary hypertension; n (%)
787 (5.7%)
1,424 (4.8%)
314.3 (5.2%)
314.3 (5.2%)
Implantable cardioverter defibrillator; n (%)
53 (0.4%)
146 (0.5%)
27.1 (0.4%)
27.1 (0.4%)
Hyperkalemia; n (%)
852 (6.2%)
1,184 (4.0%)
304.4 (5.1%)
304.4 (5.1%)
Coronary atherosclerosis; n (%)
6,176 (44.8%)
13,983 (47.0%)
2,785.0 (46.2%)
2,785.0 (46.2%)
Cerebrovascular procedure; n (%)
40 (0.3%)
60 (0.2%)
14.8 (0.2%)
14.8 (0.2%)
Insertion of pacemakers / removal of cardiac lead; n (%)
64 (0.5%)
74 (0.2%)
21.3 (0.4%)
21.3 (0.4%)
Appendix 7. Balance Assessment - Table 1

CKD Stage 1-2; n (%)
1,256 (9.1%)
2,025 (6.8%)
505.9 (8.4%)
505.9 (8.4%)
CKD Stage 3-4; n (%)
4,247 (30.8%)
6,403 (21.5%)
1,638.6 (27.2%)
1,638.6 (27.2%)
Unspecified CKD; n (%)
1,800 (13.1%)
2,543 (8.5%)
654.1 (10.9%)
654.1 (10.9%)
Acute kidney injury; n (%)
1,862 (13.5%)
2,387 (8.0%)
635.4 (10.5%)
635.4 (10.5%)
Hypertensive nephropathy; n (%)
3,582 (26.0%)
5,317 (17.9%)
1,365.5 (22.7%)
1,365.5 (22.7%)
Urinary tract infections; n (%)
2,902 (21.0%)
4,703 (15.8%)
1,123.9 (18.7%)
1,123.9 (18.7%)
Genital infections; n (%)
406 (2.9%)
720 (2.4%)
166.3 (2.8%)
166.3 (2.8%)
Urolithiasis (Kidney and urinary stone); n (%)
832 (6.0%)
1,606 (5.4%)
356.9 (5.9%)
356.9 (5.9%)
COPD; n (%)
2,762 (20.0%)
5,169 (17.4%)
1,180.6 (19.6%)
1,180.6 (19.6%)
Asthma; n (%)
1,511 (11.0%)
4,043 (13.6%)
733.0 (12.2%)
733.0 (12.2%)
Obstructive sleep apnea; n (%)
3,212 (23.3%)
12,358 (41.5%)
1,830.6 (30.4%)
1,830.6 (30.4%)
Serious bacterial infections; n (%)
840 (6.1%)
995 (3.3%)
272.9 (4.5%)
272.9 (4.5%)
Pneumonia; n (%)
1,079 (7.8%)
1,674 (5.6%)
402.1 (6.7%)
402.1 (6.7%)
Liver disease; n (%)
2,698 (19.6%)
5,752 (19.3%)
1,164.5 (19.3%)
1,164.5 (19.3%)
MASH/MASLD; n (%)
1,034 (7.5%)
3,105 (10.4%)
525.2 (8.7%)
525.2 (8.7%)
Fractures / Falls; n (%)
1,486 (10.8%)
1,901 (6.4%)
515.4 (8.6%)
515.4 (8.6%)
Osteoporosis; n (%)
1,035 (7.5%)
1,573 (5.3%)
402.6 (6.7%)
402.6 (6.7%)
Osteoarthritis; n (%)
4,808 (34.9%)
10,144 (34.1%)
2,089.7 (34.7%)
2,089.7 (34.7%)
Depression; n (%)
2,718 (19.7%)
6,289 (21.1%)
1,201.7 (19.9%)
1,201.7 (19.9%)
Dementia; n (%)
1,752 (12.7%)
1,292 (4.3%)
465.8 (7.7%)
465.8 (7.7%)
Delirium or psychosis; n (%)
394 (2.9%)
389 (1.3%)
117.3 (2.0%)
117.3 (2.0%)
Anxiety; n (%)
2,526 (18.3%)
6,755 (22.7%)
1,181.1 (19.6%)
1,181.1 (19.6%)
Sleep disorders; n (%)
4,942 (35.8%)
11,677 (39.3%)
2,236.1 (37.1%)
2,236.1 (37.1%)
Anemia; n (%)
4,280 (31.0%)
6,827 (23.0%)
1,625.9 (27.0%)
1,625.9 (27.0%)
Influenza; n (%)
265 (1.9%)
633 (2.1%)
121.2 (2.0%)
121.2 (2.0%)
COVID; n (%)
1,596 (11.6%)
3,110 (10.5%)
650.3 (10.8%)
650.3 (10.8%)
Hyperthyroidism and other thyroid gland disorders; n (%)
4,096 (29.7%)
8,920 (30.0%)
1,799.1 (29.8%)
1,799.1 (29.8%)
Hypothyroidism; n (%)
3,283 (23.8%)
7,054 (23.7%)
1,433.7 (23.8%)
1,433.7 (23.8%)
Nephrotic syndrome; n (%)
4 (0.0%)
34 (0.1%)
2.5 (0.0%)
2.5 (0.0%)
Urinary incontinence; n (%)
1,267 (9.2%)
2,086 (7.0%)
504.0 (8.4%)
504.0 (8.4%)
Biliary disease; n (%)
27 (0.2%)
39 (0.1%)
10.4 (0.2%)
10.4 (0.2%)
Pancreatitis; n (%)
4 (0.0%)
11 (0.0%)
2.3 (0.0%)
2.3 (0.0%)
Bowel obstruction; n (%)
26 (0.2%)
53 (0.2%)
10.1 (0.2%)
10.1 (0.2%)
Gastroparesis; n (%)
130 (0.9%)
281 (0.9%)
61.5 (1.0%)
61.5 (1.0%)
Number of antidiabetic drugs on CED
...mean (sd)
1.25 (0.90)
1.09 (0.97)
1.22 (0.91)
1.22 (0.97)
Concomitant use or initiation of Metformin; n (%)
7,516 (54.5%)
12,987 (43.7%)
3,074.9 (51.0%)
3,074.9 (51.0%)
Concomitant use or initiation of Insulins; n (%)
2,085 (15.1%)
6,749 (22.7%)
1,122.5 (18.6%)
1,122.5 (18.6%)
Concomitant use or initiation of Sulfonylureas; n (%)
3,880 (28.1%)
4,591 (15.4%)
1,425.5 (23.7%)
1,425.5 (23.7%)
Concomitant use or initiation of DPP-4i; n (%)
124 (0.9%)
610 (2.1%)
67.6 (1.1%)
67.6 (1.1%)
Concomitant use or initiation of SGLT-2i; n (%)
2,575 (18.7%)
5,937 (20.0%)
1,234.8 (20.5%)
1,234.8 (20.5%)
Concomitant use or initiation of Any other glucose-lowering drugs; n (%)
1,038 (7.5%)
1,666 (5.6%)
437.7 (7.3%)
437.7 (7.3%)
Past use of Metformin; n (%)
8,755 (63.5%)
17,105 (57.5%)
3,763.2 (62.4%)
3,763.2 (62.4%)
Past use of Insulins; n (%)
2,900 (21.0%)
8,822 (29.7%)
1,525.8 (25.3%)
1,525.8 (25.3%)
Past use of Sulfonylureas; n (%)
5,079 (36.8%)
6,256 (21.0%)
1,878.1 (31.2%)
1,878.1 (31.2%)
Past use of DPP-4i; n (%)
373 (2.7%)
1,004 (3.4%)
163.7 (2.7%)
163.7 (2.7%)
Past use of SGLT-2i; n (%)
3,791 (27.5%)
8,329 (28.0%)
1,792.7 (29.7%)
1,792.7 (29.7%)
Past use of Any other glucose-lowering drugs; n (%)
1,462 (10.6%)
2,407 (8.1%)
622.1 (10.3%)
622.1 (10.3%)
ACE-is/ARB's; n (%)
10,334 (74.9%)
21,664 (72.8%)
4,516.0 (74.9%)
4,516.0 (74.9%)
ARNI; n (%)
416 (3.0%)
1,038 (3.5%)
199.2 (3.3%)
199.2 (3.3%)
Thiazides; n (%)
4,354 (31.6%)
10,043 (33.8%)
1,983.4 (32.9%)
1,983.4 (32.9%)
Beta-blockers; n (%)
8,224 (59.6%)
16,912 (56.9%)
3,563.0 (59.1%)
3,563.0 (59.1%)
Calcium channel blockers; n (%)
5,855 (42.4%)
10,905 (36.7%)
2,432.9 (40.4%)
2,432.9 (40.4%)
Digoxin  / Digitoxin; n (%)
174 (1.3%)
267 (0.9%)
71.2 (1.2%)
71.2 (1.2%)
Loop diuretics; n (%)
3,598 (26.1%)
7,919 (26.6%)
1,610.4 (26.7%)
1,610.4 (26.7%)
Other diuretics; n (%)
1,318 (9.6%)
3,641 (12.2%)
646.1 (10.7%)
646.1 (10.7%)
Intravenous diuretics; n (%)
301 (2.2%)
592 (2.0%)
122.9 (2.0%)
122.9 (2.0%)
Nitrates; n (%)
1,579 (11.4%)
3,536 (11.9%)
717.3 (11.9%)
717.3 (11.9%)
Anti-arrhythmics; n (%)
537 (3.9%)
1,285 (4.3%)
254.8 (4.2%)
254.8 (4.2%)
Statins; n (%)
11,936 (86.5%)
24,562 (82.6%)
5,195.0 (86.2%)
5,195.0 (86.2%)
PCSK9 inhibitors and other lipid-lowering drugs; n (%)
2,228 (16.2%)
5,648 (19.0%)
1,080.3 (17.9%)
1,080.3 (17.9%)
Antiplatelet medications; n (%)
2,618 (19.0%)
5,429 (18.3%)
1,132.8 (18.8%)
1,132.8 (18.8%)

Oral anticoagulants; n (%)
2,500 (18.1%)
4,944 (16.6%)
1,052.2 (17.5%)
1,052.2 (17.5%)
COPD/Asthma medications; n (%)
5,087 (36.9%)
12,140 (40.8%)
2,378.7 (39.5%)
2,378.7 (39.5%)
NSAIDS; n (%)
3,834 (27.8%)
9,022 (30.3%)
1,755.7 (29.1%)
1,755.7 (29.1%)
Oral corticosteroids; n (%)
3,057 (22.2%)
8,624 (29.0%)
1,505.2 (25.0%)
1,505.2 (25.0%)
Osteoporosis agents (incl. bisphosphonates); n (%)
669 (4.9%)
895 (3.0%)
258.9 (4.3%)
258.9 (4.3%)
Opioids; n (%)
2,986 (21.6%)
7,686 (25.8%)
1,436.5 (23.8%)
1,436.5 (23.8%)
Anti-depressants; n (%)
4,742 (34.4%)
12,228 (41.1%)
2,254.4 (37.4%)
2,254.4 (37.4%)
Antipsychotics; n (%)
673 (4.9%)
1,287 (4.3%)
265.1 (4.4%)
265.1 (4.4%)
Anxiolytics / hypnotics, benzos; n (%)
2,537 (18.4%)
6,967 (23.4%)
1,228.0 (20.4%)
1,228.0 (20.4%)
Dementia medications; n (%)
818 (5.9%)
564 (1.9%)
216.6 (3.6%)
216.6 (3.6%)
Urinary tract infections antibiotics; n (%)
6,714 (48.7%)
15,066 (50.7%)
3,004.7 (49.9%)
3,004.7 (49.9%)
Laxatives; n (%)
523 (3.8%)
1,269 (4.3%)
247.0 (4.1%)
247.0 (4.1%)
Number of distinct medications
...mean (sd)
15.85 (6.57)
16.30 (7.11)
16.29 (6.76)
16.29 (6.71)
Number of office visits
...mean (sd)
10.78 (7.30)
11.53 (7.55)
11.23 (7.66)
11.23 (7.14)
Number of endocrinologist visits
...mean (sd)
0.42 (1.69)
0.56 (1.57)
0.44 (1.70)
0.44 (1.34)
Number of cardiologist visits
...mean (sd)
2.65 (4.43)
2.66 (4.09)
2.62 (4.17)
2.62 (4.08)
Number of internal/family medicine visits
...mean (sd)
9.94 (11.47)
7.64 (8.32)
8.79 (9.74)
8.79 (9.86)
Number of electrocardiograms (ECG/EKG)
...mean (sd)
1.47 (2.01)
1.33 (1.87)
1.38 (1.90)
1.38 (1.88)
Number of echocardiograms
...mean (sd)
0.46 (0.77)
0.45 (0.77)
0.45 (0.74)
0.45 (0.75)
Out-of-pocket medication cost
...mean (sd)
617.36 (799.68)
710.57 (960.32)
659.83 (853.88)
659.83 (748.45)
Unique brand medicines
...mean (sd)
16.12 (6.79)
16.57 (7.33)
16.56 (6.97)
16.56 (6.93)
Unique generic medicines
...mean (sd)
15.85 (6.57)
16.30 (7.11)
16.29 (6.76)
16.29 (6.71)
Colonoscopy Sigmoidoscopy; n (%)
1,327 (9.6%)
3,581 (12.0%)
653.7 (10.8%)
653.7 (10.8%)
Flu Pneumococcal vaccine; n (%)
4,556 (33.0%)
9,154 (30.8%)
1,942.5 (32.2%)
1,942.5 (32.2%)
Pap smear; n (%)
374 (2.7%)
1,617 (5.4%)
220.4 (3.7%)
220.4 (3.7%)
PSA test; n (%)
3,511 (25.5%)
8,259 (27.8%)
1,601.9 (26.6%)
1,601.9 (26.6%)
Fecal occult blood test; n (%)
872 (6.3%)
1,183 (4.0%)
324.0 (5.4%)
324.0 (5.4%)
Bone mineral density tests; n (%)
1,183 (8.6%)
2,624 (8.8%)
559.3 (9.3%)
559.3 (9.3%)
Mammograms; n (%)
2,812 (20.4%)
7,654 (25.7%)
1,437.2 (23.8%)
1,437.2 (23.8%)
Telemedicine; n (%)
2,855 (20.7%)
6,957 (23.4%)
1,236.9 (20.5%)
1,236.9 (20.5%)
HbA1c tests
...mean (sd)
2.48 (1.34)
2.41 (1.37)
2.49 (1.33)
2.49 (1.38)
Lipid panels
...mean (sd)
1.72 (1.22)
1.76 (1.23)
1.75 (1.21)
1.75 (1.21)
Creatinine tests
...mean (sd)
3.88 (3.36)
3.42 (3.41)
3.73 (3.11)
3.73 (4.17)
Natriuretic peptide tests
...mean (sd)
0.26 (0.78)
0.26 (0.81)
0.25 (0.76)
0.25 (0.75)
Urine tests
...mean (sd)
1.44 (1.92)
1.23 (1.80)
1.36 (1.85)
1.36 (1.89)
Combined comorbidity score
...mean (sd)
3.64 (3.09)
2.84 (2.66)
3.26 (2.82)
3.26 (2.89)
Frailty Score
...mean (sd)
0.20 (0.07)
0.18 (0.06)
0.19 (0.06)
0.19 (0.06)
Number of Hospitalizations
...mean (sd)
0.42 (1.05)
0.23 (0.67)
0.30 (0.82)
0.30 (0.81)
Any hospitalization within prior 91 days; n (%)
1,307 (9.5%)
1,190 (4.0%)
366.2 (6.1%)
366.2 (6.1%)
Any hospitalization within prior 92-365 days; n (%)
2,336 (16.9%)
3,757 (12.6%)
886.0 (14.7%)
886.0 (14.7%)
Number of hospitalizations (0, 1, 2 or more)
...< 1; n (%)
10,738 (77.9%)
25,280 (85.0%)
4,931.8 (81.8%)
4,931.8 (81.8%)
...1 - <2; n (%)
1,709 (12.4%)
3,139 (10.6%)
693.2 (11.5%)
693.2 (11.5%)

...>= 2; n (%)
1,346 (9.8%)
1,325 (4.5%)
402.4 (6.7%)
402.4 (6.7%)
Heart failure hospitalization; n (%)
978 (7.1%)
1,473 (5.0%)
355.2 (5.9%)
355.2 (5.9%)
ED visit; n (%)
6,077 (44.1%)
10,116 (34.0%)
2,419.8 (40.2%)
2,419.8 (40.2%)
Acute MI; n (%)
242 (1.8%)
467 (1.6%)
98.8 (1.6%)
98.8 (1.6%)
Old MI; n (%)
1,160 (8.4%)
2,392 (8.0%)
493.3 (8.2%)
493.3 (8.2%)
Heart failure; n (%)
3,490 (25.3%)
6,804 (22.9%)
1,474.1 (24.5%)
1,474.1 (24.5%)
Acute heart failure; n (%)
848 (6.1%)
1,448 (4.9%)
330.4 (5.5%)
330.4 (5.5%)
Microalbuminuria or proteinuria; n (%)
1,107 (8.0%)
2,260 (7.6%)
467.9 (7.8%)
467.9 (7.8%)
Ratio of brand to generic medications
...mean (sd)
1.02 (0.04)
1.01 (0.03)
1.01 (0.04)
1.01 (0.03)
CED
...2022
3,157 (22.9%)
1,553 (5.2%)
651.5 (10.8%)
651.5 (10.8%)
...2023
4,846 (35.1%)
9,004 (30.3%)
2,160.0 (35.8%)
2,160.0 (35.8%)
...2024
4,522 (32.8%)
13,188 (44.3%)
2,418.1 (40.1%)
2,418.1 (40.1%)
...2025
1,268 (9.2%)
5,999 (20.2%)
797.9 (13.2%)
797.9 (13.2%)

MARKETSCAN
Variable
Reference: Sitagliptin
Exposure: Tirzepatide
Reference: Sitagliptin
Exposure: Tirzepatide
Number of patients
3,825
5,609
3,825
5,609
Sum of weights
1,413.43
1,413.43
Effective sample size
2,442
3,375
Age
...mean (sd)
68.34 (11.44)
59.43 (9.10)
63.13 (10.46)
63.13 (9.54)
Gender (male); n (%)
2,110 (55.2%)
2,813 (50.2%)
760.0 (53.8%)
760.0 (53.8%)
Region / State
...Northeast; n (%)
710 (18.6%)
571 (10.2%)
193.6 (13.7%)
193.6 (13.7%)
...Widwest / North central; n (%)
1,526 (39.9%)
1,476 (26.3%)
459.6 (32.5%)
459.6 (32.5%)
...South; n (%)
1,432 (37.4%)
3,261 (58.1%)
692.9 (49.0%)
692.9 (49.0%)
...West; n (%)
152 (4.0%)
295 (5.3%)
65.5 (4.6%)
65.5 (4.6%)
...Missing; n (%)
5 (0.1%)
6 (0.1%)
1.8 (0.1%)
1.8 (0.1%)
Smoking / Tobacco use; n (%)
529 (13.8%)
742 (13.2%)
193.4 (13.7%)
193.4 (13.7%)
Weight
...Overweight; n (%)
1,097 (28.7%)
443 (7.9%)
206.1 (14.6%)
206.1 (14.6%)
...Class 1 Obesity; n (%)
500 (13.1%)
457 (8.1%)
166.4 (11.8%)
166.4 (11.8%)
...Class 2 Obesity; n (%)
193 (5.0%)
385 (6.9%)
93.5 (6.6%)
93.5 (6.6%)
...Class 3 Obesity; n (%)
547 (14.3%)
1,102 (19.6%)
256.2 (18.1%)
256.2 (18.1%)
...Unspecified Obesity; n (%)
1,488 (38.9%)
3,222 (57.4%)
691.2 (48.9%)
691.2 (48.9%)
Diabetic retinopathy; n (%)
402 (10.5%)
494 (8.8%)
125.8 (8.9%)
125.8 (8.9%)
Diabetic neuropathy; n (%)
1,175 (30.7%)
1,261 (22.5%)
370.7 (26.2%)
370.7 (26.2%)
Diabetic nephropathy; n (%)
994 (26.0%)
870 (15.5%)
273.9 (19.4%)
273.9 (19.4%)
Diabetes with other opthalmic complications; n (%)
160 (4.2%)
115 (2.1%)
40.5 (2.9%)
40.5 (2.9%)
Diabetes with peripheral circulatory disorders; n (%)
642 (16.8%)
700 (12.5%)
196.9 (13.9%)
196.9 (13.9%)
Diabetic foot; n (%)
115 (3.0%)
150 (2.7%)
38.0 (2.7%)
38.0 (2.7%)
Erectile dysfunction; n (%)
182 (4.8%)
263 (4.7%)
65.7 (4.7%)
65.7 (4.7%)
Hypoglycemia; n (%)
748 (19.6%)
1,102 (19.6%)
273.4 (19.3%)
273.4 (19.3%)
Hyperglycemia/DKA/HONK; n (%)
1,954 (51.1%)
2,858 (51.0%)
720.5 (51.0%)
720.5 (51.0%)
Skin infections; n (%)
413 (10.8%)
598 (10.7%)
147.3 (10.4%)
147.3 (10.4%)
Stable angina; n (%)
282 (7.4%)
347 (6.2%)
95.5 (6.8%)
95.5 (6.8%)
Unstable angina; n (%)
155 (4.1%)
188 (3.4%)
50.1 (3.6%)
50.1 (3.6%)
Hypertension; n (%)
3,474 (90.8%)
4,960 (88.4%)
1,256.9 (88.9%)
1,256.9 (88.9%)
Hypotension; n (%)
156 (4.1%)
119 (2.1%)
36.1 (2.6%)
36.1 (2.6%)
Hyperlipidemia; n (%)
3,345 (87.5%)
4,853 (86.5%)
1,235.0 (87.4%)
1,235.0 (87.4%)
Atrial fibrillation; n (%)
625 (16.3%)
605 (10.8%)
178.9 (12.7%)
178.9 (12.7%)
Cardiac conduction disorder; n (%)
317 (8.3%)
282 (5.0%)
83.8 (5.9%)
83.8 (5.9%)
Previous cardiac procedure (CABG, PTCA, Stent); n (%)
102 (2.7%)
134 (2.4%)
38.5 (2.7%)
38.5 (2.7%)
Ischemic stroke; n (%)
115 (3.0%)
67 (1.2%)
23.9 (1.7%)
23.9 (1.7%)
PVD diagnosis or surgery; n (%)
693 (18.1%)
658 (11.7%)
206.0 (14.6%)
206.0 (14.6%)
Other cardiac dysrhythmia; n (%)
1,004 (26.2%)
1,291 (23.0%)
327.5 (23.2%)
327.5 (23.2%)
Cardiomyopathy; n (%)
303 (7.9%)
362 (6.5%)
94.3 (6.7%)
94.3 (6.7%)
Valve disorders; n (%)
641 (16.8%)
636 (11.3%)
190.9 (13.5%)
190.9 (13.5%)
Valve replacement; n (%)
56 (1.5%)
44 (0.8%)
15.0 (1.1%)
15.0 (1.1%)
TIA; n (%)
160 (4.2%)
128 (2.3%)
39.2 (2.8%)
39.2 (2.8%)
Edema; n (%)
518 (13.5%)
655 (11.7%)
173.3 (12.3%)
173.3 (12.3%)
Venous thromboembolism / Pulmonary embolism; n (%)
172 (4.5%)
191 (3.4%)
51.6 (3.7%)
51.6 (3.7%)
Pulmonary hypertension; n (%)
138 (3.6%)
112 (2.0%)
30.6 (2.2%)
30.6 (2.2%)
Implantable cardioverter defibrillator; n (%)
14 (0.4%)
18 (0.3%)
4.4 (0.3%)
4.4 (0.3%)
Hyperkalemia; n (%)
142 (3.7%)
85 (1.5%)
30.4 (2.2%)
30.4 (2.2%)
Coronary atherosclerosis; n (%)
1,612 (42.1%)
2,022 (36.0%)
559.8 (39.6%)
559.8 (39.6%)
Cerebrovascular procedure; n (%)
8 (0.2%)
6 (0.1%)
2.2 (0.2%)
2.2 (0.2%)
Insertion of pacemakers / removal of cardiac lead; n (%)
11 (0.3%)
4 (0.1%)
1.7 (0.1%)
1.7 (0.1%)
CKD stage 1-2; n (%)
145 (3.8%)
165 (2.9%)
50.7 (3.6%)
50.7 (3.6%)
CKD stage 3-4; n (%)
689 (18.0%)
493 (8.8%)
170.0 (12.0%)
170.0 (12.0%)
Unspecified CKD; n (%)
246 (6.4%)
170 (3.0%)
58.5 (4.1%)
58.5 (4.1%)
Acute kidney injury; n (%)
358 (9.4%)
213 (3.8%)
78.0 (5.5%)
78.0 (5.5%)
Appendix 7. Balance Assessment - Table 1

Hypertensive nephropathy; n (%)
573 (15.0%)
446 (8.0%)
143.7 (10.2%)
143.7 (10.2%)
Urinary tract infections; n (%)
609 (15.9%)
641 (11.4%)
176.8 (12.5%)
176.8 (12.5%)
Genital infections; n (%)
130 (3.4%)
167 (3.0%)
45.7 (3.2%)
45.7 (3.2%)
Urolithiasis (Kidney and urinary stone); n (%)
207 (5.4%)
245 (4.4%)
69.5 (4.9%)
69.5 (4.9%)
COPD; n (%)
478 (12.5%)
476 (8.5%)
146.3 (10.4%)
146.3 (10.4%)
Asthma; n (%)
344 (9.0%)
591 (10.5%)
140.8 (10.0%)
140.8 (10.0%)
Obstructive sleep apnea; n (%)
1,001 (26.2%)
2,193 (39.1%)
459.1 (32.5%)
459.1 (32.5%)
Serious bacterial infections; n (%)
250 (6.5%)
190 (3.4%)
62.4 (4.4%)
62.4 (4.4%)
Pneumonia; n (%)
269 (7.0%)
224 (4.0%)
68.0 (4.8%)
68.0 (4.8%)
Liver disease; n (%)
575 (15.0%)
879 (15.7%)
206.8 (14.6%)
206.8 (14.6%)
MASH/MASLD; n (%)
217 (5.7%)
501 (8.9%)
101.2 (7.2%)
101.2 (7.2%)
Fractures / Falls; n (%)
294 (7.7%)
206 (3.7%)
67.5 (4.8%)
67.5 (4.8%)
Osteoporosis; n (%)
150 (3.9%)
103 (1.8%)
37.9 (2.7%)
37.9 (2.7%)
Osteoarthritis; n (%)
976 (25.5%)
1,354 (24.1%)
330.4 (23.4%)
330.4 (23.4%)
Depression; n (%)
497 (13.0%)
878 (15.7%)
187.2 (13.3%)
187.2 (13.3%)
Dementia; n (%)
272 (7.1%)
90 (1.6%)
39.9 (2.8%)
39.9 (2.8%)
Delirium or psychosis; n (%)
41 (1.1%)
26 (0.5%)
9.3 (0.7%)
9.3 (0.7%)
Anxiety; n (%)
540 (14.1%)
1,175 (20.9%)
228.6 (16.2%)
228.6 (16.2%)
Sleep disorders; n (%)
939 (24.5%)
1,593 (28.4%)
366.3 (25.9%)
366.3 (25.9%)
Anemia; n (%)
1,009 (26.4%)
1,094 (19.5%)
301.8 (21.3%)
301.8 (21.3%)
Influenza; n (%)
62 (1.6%)
142 (2.5%)
29.3 (2.1%)
29.3 (2.1%)
COVID; n (%)
533 (13.9%)
809 (14.4%)
190.9 (13.5%)
190.9 (13.5%)
Hyperthyroidism and other thyroid gland disorders; n (%)
1,001 (26.2%)
1,498 (26.7%)
353.3 (25.0%)
353.3 (25.0%)
Hypothyroidism; n (%)
774 (20.2%)
1,148 (20.5%)
275.7 (19.5%)
275.7 (19.5%)
Nephrotic syndrome; n (%)
4 (0.1%)
2 (0.0%)
0.7 (0.1%)
0.7 (0.1%)
Urinary incontinence; n (%)
222 (5.8%)
191 (3.4%)
59.2 (4.2%)
59.2 (4.2%)
Biliary disease; n (%)
15 (0.4%)
12 (0.2%)
2.8 (0.2%)
2.8 (0.2%)
Pancreatitis; n (%)
1 (0.0%)
4 (0.1%)
0.8 (0.1%)
0.8 (0.1%)
Bowel obstruction; n (%)
15 (0.4%)
11 (0.2%)
3.0 (0.2%)
3.0 (0.2%)
Gastroparesis; n (%)
25 (0.7%)
49 (0.9%)
12.2 (0.9%)
12.2 (0.9%)
Number of antidiabetic drugs on CED
...mean ( sd)
1.17 (0.87)
1.06 (0.94)
1.17 (0.86)
1.17 (0.94)
Concomitant use or initiation of Metformin; n (%)
2,198 (57.5%)
2,557 (45.6%)
777.2 (55.0%)
777.2 (55.0%)
Concomitant use or initiation of Insulins; n (%)
488 (12.8%)
1,145 (20.4%)
226.6 (16.0%)
226.6 (16.0%)
Concomitant use or initiation of Sulfonylureas; n (%)
821 (21.5%)
576 (10.3%)
231.0 (16.3%)
231.0 (16.3%)
Concomitant use or initiation of DPP-4i; n (%)
35 (0.9%)
77 (1.4%)
16.2 (1.2%)
16.2 (1.2%)
Concomitant use or initiation of SGLT-2i; n (%)
753 (19.7%)
1,345 (24.0%)
332.6 (23.5%)
332.6 (23.5%)
Concomitant use or initiation of Any other glucose-lowering drugs; n (%)
186 (4.9%)
221 (3.9%)
68.1 (4.8%)
68.1 (4.8%)
Past use of Metformin; n (%)
2,620 (68.5%)
3,503 (62.5%)
959.2 (67.9%)
959.2 (67.9%)
Past use of Insulins; n (%)
739 (19.3%)
1,495 (26.7%)
315.6 (22.3%)
315.6 (22.3%)
Past use of Sulfonylureas; n (%)
1,197 (31.3%)
887 (15.8%)
333.2 (23.6%)
333.2 (23.6%)
Past use of DPP-4i; n (%)
98 (2.6%)
112 (2.0%)
30.3 (2.2%)
30.3 (2.2%)
Past use of SGLT-2i; n (%)
1,053 (27.5%)
1,749 (31.2%)
441.4 (31.2%)
441.4 (31.2%)
Past use of Any other glucose-lowering drugs; n (%)
285 (7.5%)
309 (5.5%)
92.2 (6.5%)
92.2 (6.5%)
ACE-is/ARB's; n (%)
2,833 (74.1%)
3,963 (70.7%)
1,035.3 (73.3%)
1,035.3 (73.3%)
ARNI; n (%)
104 (2.7%)
183 (3.3%)
37.0 (2.6%)
37.0 (2.6%)
Thiazides; n (%)
1,178 (30.8%)
1,946 (34.7%)
458.2 (32.4%)
458.2 (32.4%)
Beta-blockers; n (%)
2,149 (56.2%)
2,931 (52.3%)
765.6 (54.2%)
765.6 (54.2%)
Calcium channel blockers; n (%)
1,544 (40.4%)
1,783 (31.8%)
502.2 (35.5%)
502.2 (35.5%)
Digoxin  / Digitoxin; n (%)
41 (1.1%)
43 (0.8%)
13.5 (1.0%)
13.5 (1.0%)
Loop diuretics; n (%)
791 (20.7%)
1,019 (18.2%)
263.9 (18.7%)
263.9 (18.7%)
Other diuretics; n (%)
331 (8.7%)
586 (10.4%)
127.5 (9.0%)
127.5 (9.0%)
Intravenous diuretics; n (%)
53 (1.4%)
54 (1.0%)
15.2 (1.1%)
15.2 (1.1%)
Nitrates; n (%)
424 (11.1%)
543 (9.7%)
147.2 (10.4%)
147.2 (10.4%)
Anti-arrhythmics; n (%)
136 (3.6%)
190 (3.4%)
49.2 (3.5%)
49.2 (3.5%)
Statins; n (%)
3,165 (82.7%)
4,325 (77.1%)
1,144.6 (81.0%)
1,144.6 (81.0%)
PCSK9 inhibitors and other lipid-lowering drugs; n (%)
622 (16.3%)
985 (17.6%)
243.0 (17.2%)
243.0 (17.2%)
Antiplatelet medications; n (%)
821 (21.5%)
1,004 (17.9%)
285.2 (20.2%)
285.2 (20.2%)
Oral anticoagulants; n (%)
663 (17.3%)
713 (12.7%)
204.5 (14.5%)
204.5 (14.5%)
COPD/Asthma medications; n (%)
1,262 (33.0%)
2,160 (38.5%)
513.0 (36.3%)
513.0 (36.3%)

NSAIDS; n (%)
1,077 (28.2%)
1,891 (33.7%)
436.3 (30.9%)
436.3 (30.9%)
Oral corticosteroids; n (%)
938 (24.5%)
1,738 (31.0%)
382.8 (27.1%)
382.8 (27.1%)
Osteoporosis agents (incl. bisphosphonates); n (%)
90 (2.4%)
89 (1.6%)
28.4 (2.0%)
28.4 (2.0%)
Opioids; n (%)
748 (19.6%)
1,198 (21.4%)
294.1 (20.8%)
294.1 (20.8%)
Anti-depressants; n (%)
1,090 (28.5%)
2,150 (38.3%)
458.2 (32.4%)
458.2 (32.4%)
Antipsychotics; n (%)
127 (3.3%)
186 (3.3%)
42.7 (3.0%)
42.7 (3.0%)
Anxiolytics / hypnotics, benzos; n (%)
612 (16.0%)
1,294 (23.1%)
276.5 (19.6%)
276.5 (19.6%)
Dementia medications; n (%)
146 (3.8%)
34 (0.6%)
19.1 (1.4%)
19.1 (1.4%)
Urinary tract infections antibiotics; n (%)
1,757 (45.9%)
2,750 (49.0%)
658.8 (46.6%)
658.8 (46.6%)
Laxatives; n (%)
115 (3.0%)
195 (3.5%)
44.9 (3.2%)
44.9 (3.2%)
Number of distinct medications
...mean (sd)
14.08 (6.15)
15.02 (6.65)
14.37 (6.47)
14.37 (6.17)
Number of office visits
...mean (sd)
10.51 (7.12)
10.65 (6.99)
10.33 (7.18)
10.33 (6.77)
Number of endocrinologist visits
...mean (sd)
0.46 (1.61)
0.51 (1.39)
0.45 (1.54)
0.45 (1.29)
Number of cardiologist visits
...mean (sd)
2.54 (4.18)
1.99 (3.41)
2.11 (3.66)
2.11 (3.48)
Number of internal/family medicine visits
...mean (sd)
6.70 (7.91)
5.41 (5.75)
5.73 (6.20)
5.73 (6.25)
Number of Electrocardiograms (ECG/EKG)
...mean (sd)
1.50 (1.99)
1.20 (1.72)
1.29 (1.71)
1.29 (1.85)
Number of Echocardiograms
...mean (sd)
0.54 (0.93)
0.42 (0.79)
0.45 (0.80)
0.45 (0.83)
Out-of-pocket medication cost
...mean (sd)
525.86 (1,080.34)
603.48 (1,048.58)
554.16 (1,206.55)
554.16 (913.40)
Unique brand medicines
...mean (sd)
14.34 (6.36)
15.28 (6.84)
14.63 (6.69)
14.62 (6.33)
Unique generic medicines
...mean (sd)
14.08 (6.15)
15.02 (6.65)
14.37 (6.47)
14.37 (6.17)
Colonoscopy Sigmoidoscopy; n (%)
393 (10.3%)
723 (12.9%)
160.9 (11.4%)
160.9 (11.4%)
Flu Pneumococcal vaccine; n (%)
1,242 (32.5%)
1,562 (27.8%)
426.2 (30.2%)
426.2 (30.2%)
Pap smear; n (%)
181 (4.7%)
554 (9.9%)
97.8 (6.9%)
97.8 (6.9%)
PSA test; n (%)
1,046 (27.3%)
1,546 (27.6%)
404.9 (28.6%)
404.9 (28.6%)
Fecal occult blood test; n (%)
180 (4.7%)
233 (4.2%)
63.5 (4.5%)
63.5 (4.5%)
Bone mineral density tests; n (%)
188 (4.9%)
285 (5.1%)
70.5 (5.0%)
70.5 (5.0%)
Mammograms; n (%)
702 (18.4%)
1,473 (26.3%)
323.2 (22.9%)
323.2 (22.9%)
Telemedicine; n (%)
969 (25.3%)
1,736 (31.0%)
389.1 (27.5%)
389.1 (27.5%)
HbA1C tests
...mean (sd)
2.14 (1.52)
2.30 (1.81)
2.26 (1.50)
2.26 (1.52)
Lipid panels
...mean (sd)
1.55 (1.31)
1.72 (1.34)
1.66 (1.32)
1.66 (1.29)
Creatinine tests
...mean (sd)
0.08 (0.44)
0.04 (0.27)
0.06 (0.34)
0.06 (0.32)
Natriuretic peptide tests
...mean (sd)
0.20 (0.80)
0.20 (0.99)
0.20 (0.86)
0.20 (0.93)
Urine tests
...mean (sd)
1.23 (1.91)
1.08 (1.88)
1.13 (1.74)
1.13 (1.84)
Combined comorbidity score
...mean (sd)
2.64 (2.81)
1.70 (2.01)
1.98 (2.30)
1.98 (2.23)
Frailty Score
...mean (sd)
0.18 (0.06)
0.16 (0.04)
0.17 (0.05)
0.17 (0.05)
Number of Hospitalizations
...mean (sd)
11.51 (35.04)
5.80 (24.31)
7.25 (25.65)
7.25 (27.50)
Any hospitalization within prior 91 days; n (%)
272 (7.1%)
160 (2.9%)
60.5 (4.3%)
60.5 (4.3%)
Any hospitalization within prior 92-365 days; n (%)
548 (14.3%)
486 (8.7%)
140.7 (10.0%)
140.7 (10.0%)
Number of hospitalizations (0, 1, 2 or more)
...< 1; n (%)
3,091 (80.8%)
5,017 (89.4%)
1,229.0 (87.0%)
1,229.0 (87.0%)
...1 - <2; n (%)
32 (0.8%)
30 (0.5%)
9.1 (0.7%)
9.1 (0.7%)
...>= 2; n (%)
702 (18.4%)
562 (10.0%)
175.3 (12.4%)
175.3 (12.4%)

Heart failure hospitalization; n (%)
247 (6.5%)
164 (2.9%)
54.8 (3.9%)
54.8 (3.9%)
ED visit; n (%)
1,601 (41.9%)
2,012 (35.9%)
518.1 (36.7%)
518.1 (36.7%)
Acute MI; n (%)
90 (2.4%)
97 (1.7%)
28.6 (2.0%)
28.6 (2.0%)
Old MI; n (%)
169 (4.4%)
212 (3.8%)
60.2 (4.3%)
60.2 (4.3%)
Heart failure; n (%)
704 (18.4%)
665 (11.9%)
194.8 (13.8%)
194.8 (13.8%)
Acute heart failure; n (%)
192 (5.0%)
149 (2.7%)
47.1 (3.3%)
47.1 (3.3%)
Microalbuminuria or proteinuria; n (%)
190 (5.0%)
208 (3.7%)
62.1 (4.4%)
62.1 (4.4%)
Ratio of brand to generic medications
...mean (sd)
1.02 (0.04)
1.02 (0.04)
1.02 (0.04)
1.02 (0.04)
CED
...2022
1,611 (42.1%)
940 (16.8%)
399.6 (28.3%)
399.6 (28.3%)
...2023
2,214 (57.9%)
4,669 (83.2%)
1,013.9 (71.7%)
1,013.9 (71.7%)

Variable_name
Algorithm sources
Age 
Gender 
Race
Region
If region not available, from State, https://www2.census.gov/geo/pdfs/maps-
data/maps/reference/us_regdiv.pdf
Smoking / Tobacco use
Investigator review of codes based on: https://dev.sentinelsystem.org/projects/AP/repos/sentinel-
analytic-packages/browse?at=refs%2Fheads%2Fcder_mpl2p_wp015, 
https://dev.sentinelsystem.org/projects/AP/repos/sentinel-analytic-
packages/browse?at=refs%2Fheads%2Fcder_sir_wp002, 
https://pubmed.ncbi.nlm.nih.gov/34953068/, 
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9154288/, 
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3721171/
Underweight
Investigator review of codes based on: https://pubmed.ncbi.nlm.nih.gov/34338404/
Normal weight, if BMI is 20.0-24.9
Investigator review of codes based on: https://pubmed.ncbi.nlm.nih.gov/34338404/
Overweight, if BMI is 25.0 to 29.9
Investigator review of codes based on: https://pubmed.ncbi.nlm.nih.gov/34338404/
Class 1 (low-risk) obesity, if BMI is 30.0 to 34.9
Investigator review of codes based on: https://pubmed.ncbi.nlm.nih.gov/34338404/
Class 2 (moderate-risk) obesity, if BMI is 35.0 to 39.9
Investigator review of codes based on: https://pubmed.ncbi.nlm.nih.gov/34338404/
Class 3 (high-risk) obesity if BMI is equal to or greater than 40
Investigator review of codes based on: https://pubmed.ncbi.nlm.nih.gov/34338404/
Unspecified obesity
Investigator review of codes based on: https://pubmed.ncbi.nlm.nih.gov/34338404/
Diabetic retinopathy
Investigator review of codes based on: https://pubmed.ncbi.nlm.nih.gov/34953068/, 
https://pubmed.ncbi.nlm.nih.gov/35043165/
Diabetic neuropathy
Investigator review of codes based on: https://pubmed.ncbi.nlm.nih.gov/34953068/, 
https://pubmed.ncbi.nlm.nih.gov/35043165/
Diabetic nephropathy
Investigator review of codes based on: https://pubmed.ncbi.nlm.nih.gov/35043165/
Diabetes with other opthalmic complications
Investigator review of codes based on: https://pubmed.ncbi.nlm.nih.gov/34953068/, ICD9 to ICD10 
conversion
Diabetes with peripheral circulatory disorders
Investigator review of codes based on: 
https://www.ncbi.nlm.nih.gov/books/NBK368403/table/sb203.t5/, https://www.health.mil/Reference-
Center/Publications/2016/03/01/Diabetes-Mellitus, http://www.icd9data.com/2014/Volume1/240-
279/249-259/250/default.htm, https://www.icd10data.com/ICD10CM/Codes/E00-E89/E08-E13/E11-
Diabetic foot
Investigator review of codes based on: (modified codes) https://pubmed.ncbi.nlm.nih.gov/36102675/
Erectile dysfuntion
Investigator review of codes based on: the paper then used ICD9/ICD10 website to expand it, 
https://www.icd10data.com/ICD10CM/Codes/N00-N99/N40-N53/N52-, 
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4857901/
Hypoglycemia 
Investigator review of codes based on: https://pubmed.ncbi.nlm.nih.gov/34953068/, 
https://pubmed.ncbi.nlm.nih.gov/35043165/
Hyperglycemia/DKA/HONK 
Investigator review of codes based on: 
 Hyperglycemia: https://pubmed.ncbi.nlm.nih.gov/34953068/, 
https://pubmed.ncbi.nlm.nih.gov/35043165/
 DKA: https://pubmed.ncbi.nlm.nih.gov/29773640/, https://pubmed.ncbi.nlm.nih.gov/38262528/
 HONK: 
https://dam.assets.ohio.gov/image/upload/medicaid.ohio.gov/Providers/PaymentInnovation/DEF/DK
A.pdf
Skin infections
Investigator review of codes based on: https://pubmed.ncbi.nlm.nih.gov/34953068/ , ICD9 to ICD10 
conversion
Stable angina
Investigator review of codes based on: https://pubmed.ncbi.nlm.nih.gov/19337843/, 
https://pmc.ncbi.nlm.nih.gov/articles/PMC9172873/
Unstable angina
Investigator review of codes based on: https://pubmed.ncbi.nlm.nih.gov/19337843/, 
https://pmc.ncbi.nlm.nih.gov/articles/PMC9172873/
Hypertension
Investigator review of codes based on: https://pubmed.ncbi.nlm.nih.gov/35043165/, 
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8929186/
Hypotension 
Investigator review of codes based on: https://pmc.ncbi.nlm.nih.gov/articles/PMC8064679/
Hyperlipidemia
Investigator review of codes based on: https://pubmed.ncbi.nlm.nih.gov/35043165/, 
https://dev.sentinelsystem.org/projects/AP/repos/sentinel-analytic-
packages/browse?at=refs%2Fheads%2Fcder_sir_wp002, 
https://dev.sentinelsystem.org/projects/AP/repos/sentinel-analytic-
packages/browse?at=refs%2Fheads%2Fcder_mpl2p_wp015
Atrial fibrillation
Investigator review of codes based on: https://pubmed.ncbi.nlm.nih.gov/31933524/
Acute myocardial infarction
Investigator review of codes based on: https://pubmed.ncbi.nlm.nih.gov/24682186/
Old myocardial infarction
Investigator review of codes based on: https://pubmed.ncbi.nlm.nih.gov/24682186/
Cardiac conduction disorder
Investigator review of codes based on: https://stacks.cdc.gov/view/cdc/31381/cdc_31381_DS8.pdf, 
https://www.health.ny.gov/health_care/medicaid/redesign/dsrip/vbp_library/docs/arrblk.pdf, 
https://www.cdc.gov/dhdsp/maps/atlas/data-sources.html, 
https://www.cms.gov/medicare/coding/icd10/downloads/icd10clinicalconceptscardiology1.pdf, ICD9 
to ICD10 conversion

Previous cardiac procedure (CABG, PTCA, Stent)
Modified codes based on eligibility criteria, here we implement any care setting, any diagnosis position
Ischemic stroke
Modified codes based on eligibility criteria, here we implement any care setting, any diagnosis position
PVD diagnosis or surgery
Investigator review of codes, https://www.icd10data.com/
Other cardiac dysrhythmia
Investigator review of codes based on: https://stacks.cdc.gov/view/cdc/31381/cdc_31381_DS8.pdf, 
https://www.health.ny.gov/health_care/medicaid/redesign/dsrip/vbp_library/docs/arrblk.pdf, 
https://www.cdc.gov/dhdsp/maps/atlas/data-sources.html, 
https://www.cms.gov/medicare/coding/icd10/downloads/icd10clinicalconceptscardiology1.pdf, ICD9 
to ICD10 conversion
Heart failure
Investigator review of codes
Acute heart failure
Investigator review of codes
Microalbuminuria/proteinuria
Modified codes based on inclusion criteria, here we implement any care setting, any diagnosis position
Cardiomyopathy
Investigator review of codes based on: https://dev.sentinelsystem.org/projects/AP/repos/sentinel-
analytic-packages/browse?at=refs%2Fheads%2Fcder_mpl2p_wp015
Valve disorders 
Investigator review of codes based on: https://stacks.cdc.gov/view/cdc/31381/cdc_31381_DS8.pdf, 
https://pubmed.ncbi.nlm.nih.gov/38440888/, 
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8751938/, 
https://dev.sentinelsystem.org/projects/AP/repos/sentinel-analytic-
packages/browse?at=refs%2Fheads%2Fcder_mpl2p_wp015, 
https://dev.sentinelsystem.org/projects/AP/repos/sentinel-analytic-
packages/browse?at=cder_mpl2p_wp009
Valve replacement
Modified codes based on eligibility criteria, here we implement any care setting, any diagnosis position
TIA
Modified codes based on eligibility criteria, here we implement any care setting, any diagnosis position
Edema
Investigator review of codes based on: https://www.cms.gov/medicare-coverage-
database/view/article.aspx?articleid=52993&ver=45&
Venous thromboembolism/ pulmonary embolsim
Investigator review of codes based on: 
https://www.sciencedirect.com/science/article/pii/S2666572723000251
Pulmonary hypertension
Investigator review of codes
Implantable cardioverter defibrillator
Modified codes based on eligibility criteria, here we implement any care setting, any diagnosis position
Hyperkalemia
https://pmc.ncbi.nlm.nih.gov/articles/PMC4399109/
Coronary atherosclerosis
Investigator review of codes based on: https://pmc.ncbi.nlm.nih.gov/articles/PMC10251803/
Cerebrovascular procedure
Investigator review of codes, https://www.icd10data.com/
Insertion of pacemakers / removal of cardiac lead
Modified codes based on eligibility criteria, here we implement any care setting, any diagnosis position
CKD stage 1-2 
Investigator review of codes based on: https://pubmed.ncbi.nlm.nih.gov/35043165/
CKD stage 3-4 
Investigator review of codes based on: https://pmc.ncbi.nlm.nih.gov/articles/PMC2978782/
Unspecified CKD
Investigator review of codes based on: https://pmc.ncbi.nlm.nih.gov/articles/PMC5888226/
Acute kidney injury 
Investigator review of codes based on: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8929186/
Hypertensive nephropathy 
Investigator review of codes based on: https://nccd.cdc.gov/ckd/Methods.aspx?Qnum=Q637, 
https://www.kidneymedicinejournal.org/cms/10.1016/j.xkme.2022.100414/attachment/5e29ab67-
7a7d-4621-9af3-81bd071bbc67/mmc1.pdf, https://www.icd10data.com/ICD10CM/Codes/I00-I99
Urinary tract infections
Investigator reviewed code based on: https://pmc.ncbi.nlm.nih.gov/articles/PMC7558992/#app1-
antibiotics-09-00536
Genital infections
Investigator reviewed codes based on: https://pubmed.ncbi.nlm.nih.gov/30207042/
Urolithiasis (kidney or urinary stones)
Investigator review of codes based on: https://pmc.ncbi.nlm.nih.gov/articles/PMC7793999/
COPD 
Investigator review of codes based on: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10203971/
Asthma
Investigator review of codes based on: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10203971/, 
modified CCW algorithm (any care setting, any diagnosis position)
Obstructive sleep apnea 
Investigator review of codes based on: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8636332/, 
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7927325/
Serious bacterial infections
https://pubmed.ncbi.nlm.nih.gov/29921683/, https://pubmed.ncbi.nlm.nih.gov/17346615/, 
https://pubmed.ncbi.nlm.nih.gov/23335588/
Pneumonia
Investigator review of codes based on: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10203971/

Liver disease 
https://dev.sentinelsystem.org/projects/AP/repos/sentinel-analytic-
packages/browse?at=refs%2Fheads%2Fcder_sir_wp002, 
https://dev.sentinelsystem.org/projects/AP/repos/sentinel-analytic-
packages/browse?at=refs%2Fheads%2Fcder_mpl2p_wp015, Modified algorightm from 
https://pubmed.ncbi.nlm.nih.gov/34256144/, Modified CCW algorithm
MASH/MASLD
Investigator review of codes: https://pubmed.ncbi.nlm.nih.gov/32300995/, 
https://pubmed.ncbi.nlm.nih.gov/39316292/
Fractures / Falls
https://dev.sentinelsystem.org/projects/AP/repos/sentinel-analytic-
packages/browse?at=refs%2Fheads%2Fcder_mpl2p_wp015, 
https://dev.sentinelsystem.org/projects/AP/repos/sentinel-analytic-
packages/browse?at=cder_mpl2p_wp009, 
https://dev.sentinelsystem.org/projects/AP/repos/sentinel-analytic-
packages/browse?at=refs%2Fheads%2Fcder_mpl2p_wp015, 
https://dev.sentinelsystem.org/projects/AP/repos/sentinel-analytic-
packages/browse?at=cder_mpl2p_wp010
Osteoporosis
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8202643/, 
https://dev.sentinelsystem.org/projects/AP/repos/sentinel-analytic-
packages/browse?at=refs%2Fheads%2Fcder_sir_wp002, CCW Algorithms
Osteoarthritis
Modified CCW algorithm
Depression
https://pubmed.ncbi.nlm.nih.gov/35043165/, CCW Algorithms
Dementia
https://pubmed.ncbi.nlm.nih.gov/35043165/, 
https://dev.sentinelsystem.org/projects/AP/repos/sentinel-analytic-
packages/browse?at=refs%2Fheads%2Fcder_mpl2p_wp015
Delirium or psychosis
https://pubmed.ncbi.nlm.nih.gov/28485014/, https://pubmed.ncbi.nlm.nih.gov/35043165/
Anxiety
https://pubmed.ncbi.nlm.nih.gov/35043165/
Sleep disorder
Investigator review of codes based on https://www.verywellhealth.com/sleeping-disorders-list-and-
diagnostic-codes-3014779
Anemia
Modified codes based on eligibility criteria, here we implement any care setting, any diagnosis position
Influenza
Investigator review of codes based on: https://pubmed.ncbi.nlm.nih.gov/38556924/
COVID-19
https://pubmed.ncbi.nlm.nih.gov/34913208/, 
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8427377/
Hyperthyroidism and other thyroid gland disorders
Investigator review of codes based on: https://www.cms.gov/icd10m/version37-fullcode-
cms/fullcode_cms/P0244.html
Hypothyroidism
Investigator review of codes based on: https://pmc.ncbi.nlm.nih.gov/articles/PMC10478599/
Nephrotic syndrome
Investigator review of codes based on: https://nccd.cdc.gov/ckd/Methods.aspx?Qnum=Q637, 
https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P2401.html
Urinary incontinence
Investigator review of codes based on: https://pubmed.ncbi.nlm.nih.gov/38527324/
Biliary disease
Investigator review of codes based on: https://pubmed.ncbi.nlm.nih.gov/37796527/, 
https://pubmed.ncbi.nlm.nih.gov/35851329/, https://pmc.ncbi.nlm.nih.gov/articles/PMC3985913/, 
https://pubmed.ncbi.nlm.nih.gov/38503905/, https://pubmed.ncbi.nlm.nih.gov/35513234/
Pancreatitis
Investigator review of codes: https://pubmed.ncbi.nlm.nih.gov/36222554/, 
https://pubmed.ncbi.nlm.nih.gov/30287807/, https://pubmed.ncbi.nlm.nih.gov/22262606/
Bowel obstruction
Investigator review of codes based on:  https://pubmed.ncbi.nlm.nih.gov/36798959/, 
https://pubmed.ncbi.nlm.nih.gov/28438588/, https://pubmed.ncbi.nlm.nih.gov/31095068/
Gastroparesis
Investigator review of codes: https://pubmed.ncbi.nlm.nih.gov/34624355/
Number of antidiabetic drugs on CED
Investigator review of codes
Concomitant use or initiation of metformin
Investigator review of codes, https://www.drugs.com, 
https://www.ncbi.nlm.nih.gov/books/NBK518983/
Concomitant use or initiation of insulin
Investigator review of codes, https://www.drugs.com, 
https://www.ncbi.nlm.nih.gov/books/NBK278938/
Concomitant use or initiation of sulfonylureas
Investigator review of codes, https://www.drugs.com, 
https://www.ncbi.nlm.nih.gov/books/NBK513225/
Concomitant use or initiation of DPP4i except sitagliptin
Investigator review of codes, https://www.drugs.com, 
https://www.ncbi.nlm.nih.gov/books/NBK542331/
Concomitant use or initiation of SGLT2i
Investigator review of codes, https://www.drugs.com, 
https://www.ncbi.nlm.nih.gov/books/NBK576405/
Concomitant use or initiation of other glucose-lowering drugs
Investigator review of codes, https://www.drugs.com, 
https://www.ncbi.nlm.nih.gov/books/NBK551656/,   
https://pmc.ncbi.nlm.nih.gov/articles/PMC4882495/, 
https://www.ncbi.nlm.nih.gov/books/NBK557848/
Past use of metformin
Investigator review of codes, https://www.drugs.com, 
https://www.ncbi.nlm.nih.gov/books/NBK518983/
Past use of insulin
Investigator review of codes, https://www.drugs.com, 
https://www.ncbi.nlm.nih.gov/books/NBK278938/
Past use of sulfonylureas
Investigator review of codes, https://www.drugs.com, 
https://www.ncbi.nlm.nih.gov/books/NBK513225/

Past use of DPP4i except sitagliptin
Investigator review of codes, https://www.drugs.com, 
https://www.ncbi.nlm.nih.gov/books/NBK542331/
Past use of SGLT2i
Investigator review of codes, https://www.drugs.com, 
https://www.ncbi.nlm.nih.gov/books/NBK576405/
Past use of other glucose-lowering drugs
Investigator review of codes, https://www.drugs.com, 
https://www.ncbi.nlm.nih.gov/books/NBK551656/,   
https://pmc.ncbi.nlm.nih.gov/articles/PMC4882495/, 
https://www.ncbi.nlm.nih.gov/books/NBK557848/
ACEi / ARB
Investigator review of codes, https://www.drugs.com, 
https://www.ncbi.nlm.nih.gov/books/NBK9626/table/A66/
ARNI
Investigator review of codes, https://www.drugs.com, 
https://www.ncbi.nlm.nih.gov/books/NBK507904/
Thiazides
Investigator review of codes, https://www.drugs.com, 
https://www.ncbi.nlm.nih.gov/books/NBK9626/table/A66/
Beta-Blockers 
Investigator review of codes, https://www.drugs.com, 
https://www.ncbi.nlm.nih.gov/books/NBK9626/table/A66/
Calcium channel blockers 
Investigator review of codes, https://www.drugs.com, 
https://www.ncbi.nlm.nih.gov/books/NBK9626/table/A66/
Digoxin / Digitoxin
Investigator review of codes, https://www.drugs.com, 
https://www.ncbi.nlm.nih.gov/books/NBK556025/, 
https://pubchem.ncbi.nlm.nih.gov/compound/441207
Loop diuretics
Investigator review of codes, https://www.drugs.com, 
https://www.ncbi.nlm.nih.gov/books/NBK9626/table/A66/
Other diuretics
Investigator review of codes, https://www.drugs.com, 
https://www.ncbi.nlm.nih.gov/books/NBK9626/table/A66/
Intravenous diuretics
Investigator review of codes
Nitrates
Investigator review of codes, https://www.drugs.com, 
https://www.ncbi.nlm.nih.gov/books/NBK9626/table/A66/
Anti-arrhythmics
Investigator review of codes, https://www.drugs.com, 
https://www.ncbi.nlm.nih.gov/books/NBK482322/ (using class I and class II as class 2 is beta blockers 
and class 4 is calcium channel blockers)
Statins
Investigator review of codes, https://www.drugs.com, https://www.heart.org/en/health-
topics/cholesterol/prevention-and-treatment-of-high-cholesterol-hyperlipidemia/cholesterol-
medications
PCSK9 inhibitors and other lipid-lowering drugs 
Investigator review of codes, https://www.drugs.com, https://www.heart.org/en/health-
topics/cholesterol/prevention-and-treatment-of-high-cholesterol-hyperlipidemia/cholesterol-
medications
Antiplatelet agents 
Investigator review of codes, https://www.drugs.com, 
https://www.ncbi.nlm.nih.gov/books/NBK537062/
Oral anticoagulants
Investigator review of codes, https://www.drugs.com, 
https://www.ahajournals.org/doi/full/10.1161/JAHA.120.017559
COPD/Asthma medication
Investigator review of codes, https://www.copdfoundation.org/Learn-More/I-am-a-Person-with-
COPD/Treatments-Medications.aspx, https://getasthmahelp.org/medications-list.aspx
NSAIDs
Investigator review of codes, https://www.drugs.com, 
https://www.ncbi.nlm.nih.gov/books/NBK547742/
Oral corticosteroids 
Investigator review of codes, https://www.drugs.com, https://www.aaaai.org/tools-for-the-public/drug-
guide/oral-corticosteroid-medications
Osteoporosis agents (incl. bisphosphonates)
Investigator review of codes based on: https://www.drugs.com, 
https://www.ncbi.nlm.nih.gov/books/NBK470248/
Opioids
Investigator review of codes, https://www.drugs.com, 
https://pubmed.ncbi.nlm.nih.gov/31643200/#:~:text=They%20can%20also%20be%20informally,%2
C%20codeine%2C%20oxycodone%2C%20hydrocodone%2C
Anti-depressants
Investigator review of codes, https://www.drugs.com, 
https://www.ncbi.nlm.nih.gov/books/NBK538182/
Antipsychotics 
Investigator review of codes, https://www.drugs.com
Anxiolytics/hypnotics, benzodiazepines
Investigator review of codes, https://www.drugs.com, https://www.dea.gov/sites/default/files/2020-
06/Benzodiazepenes-2020.pdf, https://www.ncbi.nlm.nih.gov/books/NBK470159/, 
https://www.drugs.com
Medication for dementia
Investigator review of codes based on:   https://www.drugs.com, 
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7462122/, https://go.drugbank.com/drugs/DB00382
Urinary tract infections antibiotics
https://pubmed.ncbi.nlm.nih.gov/35790044/
Laxatives
Investigator review of codes, https://www.drugs.com
Number of distinct medications, median (iqr), mean (sd)
N/A
Number of office visits median (iqr), mean (sd)
https://www.cms.gov/files/document/mm13473-how-use-office-and-outpatient-evaluation-and-
management-visit-complexity-add-code-g2211.pdf, https://www.cms.gov/files/document/physician-
fee-schedule-pfs-payment-officeoutpatient-evaluation-and-management-em-visits-fact-sheet.pdf

Number of endocrinologist visits, median (iqr), mean (sd)
Data dictionary of Optum, Marketscan and https://www.cms.gov/Medicare/Provider-Enrollment-and-
Certification/MedicareProviderSupEnroll/downloads/taxonomy.pdf, 
https://www.cms.gov/medicare/provider-enrollment-and-
certification/medicareprovidersupenroll/downloads/taxonomycrosswalk.pdf
Number of cardiologist visits, median (iqr), mean (sd)
Data dictionary of Optum, Marketscan and https://www.cms.gov/Medicare/Provider-Enrollment-and-
Certification/MedicareProviderSupEnroll/downloads/taxonomy.pdf, 
https://www.cms.gov/medicare/provider-enrollment-and-
certification/medicareprovidersupenroll/downloads/taxonomycrosswalk.pdf
Number of internal medicine/family medicine visits, median (iqr), mean (sd)
Data dictionary of Optum, Marketscan and https://www.cms.gov/Medicare/Provider-Enrollment-and-
Certification/MedicareProviderSupEnroll/downloads/taxonomy.pdf, 
https://www.cms.gov/medicare/provider-enrollment-and-
certification/medicareprovidersupenroll/downloads/taxonomycrosswalk.pdf
Number of electrocardiograms, median (iqr), mean (sd)
https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57326, 
https://firstcoastbillinggroup.com/ekg-billing-and-reimbursement/, 
https://www.aapc.com/codes/coding-newsletters/my-cardiology-coding-alert/cpt-answer-5-common-
ecg-coding-questions-175952-article
Number of echocardiograms, median (iqr), mean (sd)
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8511132/, 
https://pubmed.ncbi.nlm.nih.gov/34778785/, https://www.cms.gov/medicare-coverage-
database/view/article.aspx?articleid=56625&ver=27&, 
https://www.medicalbillgurus.com/echocardiogram-cpt-code/
Pharmacy out-of-pocket cost, median (iqr), mean (sd)
N/A
Unique brand medications
Investigator review of codes, https://www.drugs.com
Unique generic medications
Investigator review of codes, https://www.drugs.com
Ratio of unique brand to generic medications
Investigator review of codes, https://www.drugs.com
Colonoscopy/ Sigmoidoscopy
https://dev.sentinelsystem.org/projects/AP/repos/sentinel-analytic-
packages/browse?at=refs%2Fheads%2Fcder_sir_wp002
Flu vaccine / Pneumococcal vaccine 
https://dev.sentinelsystem.org/projects/AP/repos/sentinel-analytic-
packages/browse?at=refs%2Fheads%2Fcder_sir_wp002, https://www.cms.gov/medicare-coverage-
database/view/article.aspx?articleId=54767&DocID=A54767, 
https://dev.sentinelsystem.org/projects/AP/repos/sentinel-analytic-
packages/browse?at=refs%2Fheads%2Fcder_sir_wp002, https://www.cms.gov/medicare-coverage-
database/view/article.aspx?articleId=54767&DocID=A54767
Pap smear test
https://dev.sentinelsystem.org/projects/AP/repos/sentinel-analytic-
packages/browse?at=refs%2Fheads%2Fcder_sir_wp002, 
http://www.icd9data.com/2012/Volume1/V01-V91/V70-V82/V72/default.htm, 
http://www.icd9data.com/2012/Volume1/V01-V91/V70-V82/V76/default.htm
PSA test
https://dev.sentinelsystem.org/projects/AP/repos/sentinel-analytic-
packages/browse?at=refs%2Fheads%2Fcder_sir_wp002
Fecal occult blood test 
Investigator review of codes 
Bone mineral density tests
N/A
Mammograms
Investigator review of codes based on: https://dev.sentinelsystem.org/projects/AP/repos/sentinel-
analytic-packages/browse?at=refs%2Fheads%2Fcder_sir_wp002, https://www.cms.gov/medicare-
coverage-database/view/article.aspx?articleid=56448&ver=16&bc=0, 
http://www.icd9data.com/2012/Volume1/V01-V91/V70-V82/V76/default.htm
Telemedicine
Investigator review of codes based on:  https://pubmed.ncbi.nlm.nih.gov/33151319/, 
https://www.cms.gov/newsroom/fact-sheets/medicare-telemedicine-health-care-provider-fact-
sheet, https://www.aafp.org/family-physician/practice-and-career/getting-paid/coding/coding-
telehealth-audio-virtual-digital-visits.html
Number of HbA1c tests, median (iqr), mean (sd)
https://pubmed.ncbi.nlm.nih.gov/34953068/
Number of lipid panels, median (iqr), mean (sd)
https://pubmed.ncbi.nlm.nih.gov/34953068/
Number of creatinine tests, median (iqr), mean (sd)
https://pubmed.ncbi.nlm.nih.gov/34953068/
Number of natriuretic peptide tests, median (iqr), mean (sd)
Investigator review of codes 
Number of urine tests, median (iqr), mean (sd)
Investigator review of codes 
HbA1c
N/A
Glucose
N/A
Creatinine
N/A
Systolic blood pressure
N/A
Heart rate
N/A
BMI
N/A
eGFR
N/A
LDL 
N/A
HDL
N/A
Total cholesterol
N/A
Triglycerides
N/A
Combined comorbidity score
A combined comorbidity score predicted mortality in elderly patients better than existing scores, 
https://pubmed.ncbi.nlm.nih.gov/21208778/
Frailty score 
Measuring Frailty in Medicare Data: Development and Validation of a Claims-Based Frailty Index, 
https://pubmed.ncbi.nlm.nih.gov/29244057/
Number of any hospitalization, median (iqr), mean (sd)
N/A
Any hospitalization within prior 90 days; n (%)
N/A

Any hospitalization within prior 91-365 days; n (%)
N/A
0, 1, >1 hospitalizations (any)
N/A
Hospitalization for heart failure; n (%)
N/A
Number of emergency department visit median (iqr), mean (sd)
Different in all 3 databases and measure already created in all 3 as well;
ED visit (Medicare): Revenue center codes:  0450, 0451, 0452, 0456, 0459, 0981; Place of service: 
23
ED visit (Optum): Place of service: 23
ED visit (Marketscan): Service sub-category codes: 10120, 10220, 10320, 10420, 10520, 12220, 
20120, 20220, 21120, 21220, 22120, 22320, 30120, 30220, 30320, 30420, 30520, 30620, 31120, 
31220, 31320, 31420, 31520, 31620; Place of service: 23
Calendar year
N/A