DRAFT. ICD-10 Clinical Modification Code Sets
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- Franklin Norris
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1 NOTE: The tables provided below are for reference only and should not be programmed or submitted. Table 8.1 Ischemic Stroke ICD-10 Code I6300 I63011 I63012 I63019 I6302 I63031 I63032 I63039 I6309 I6310 I63111 I63112 I63119 I6312 I63131 I63132 I63139 I6319 I6320 I63211 I63212 I63219 I6322 I63231 I63232 I63239 I6329 I6330 I63311 I63312 I63319 I63321 I63322 I63329 ICD-10 Code Description Cerebral infarction due to thrombosis of unspecified precerebral artery Cerebral infarction due to thrombosis of right vertebral artery Cerebral infarction due to thrombosis of left vertebral artery Cerebral infarction due to thrombosis of unspecified vertebral artery Cerebral infarction due to thrombosis of basilar artery Cerebral infarction due to thrombosis of right carotid artery Cerebral infarction due to thrombosis of left carotid artery Cerebral infarction due to thrombosis of unspecified carotid artery Cerebral infarction due to thrombosis of other precerebral artery Cerebral infarction due to embolism of unspecified precerebral artery Cerebral infarction due to embolism of right vertebral artery Cerebral infarction due to embolism of left vertebral artery Cerebral infarction due to embolism of unspecified vertebral artery Cerebral infarction due to embolism of basilar artery Cerebral infarction due to embolism of right carotid artery Cerebral infarction due to embolism of left carotid artery Cerebral infarction due to embolism of unspecified carotid artery Cerebral infarction due to embolism of other precerebral artery Cerebral infarction due to unspecified occlusion or stenosis of unspecified precerebral arteries Cerebral infarction due to unspecified occlusion or stenosis of right vertebral arteries Cerebral infarction due to unspecified occlusion or stenosis of left vertebral arteries Cerebral infarction due to unspecified occlusion or stenosis of unspecified vertebral arteries Cerebral infarction due to unspecified occlusion or stenosis of basilar arteries Cerebral infarction due to unspecified occlusion or stenosis of right carotid arteries Cerebral infarction due to unspecified occlusion or stenosis of left carotid arteries Cerebral infarction due to unspecified occlusion or stenosis of unspecified carotid arteries Cerebral infarction due to unspecified occlusion or stenosis of other precerebral arteries Cerebral infarction due to thrombosis of unspecified cerebral artery Cerebral infarction due to thrombosis of right middle cerebral artery Cerebral infarction due to thrombosis of left middle cerebral artery Cerebral infarction due to thrombosis of unspecified middle cerebral artery Cerebral infarction due to thrombosis of right anterior cerebral artery Cerebral infarction due to thrombosis of left anterior cerebral artery Cerebral infarction due to thrombosis of unspecified anterior cerebral artery January 1, 2015 through March 31, 2015 (1Q2015) Page 1
2 I63331 I63332 I63339 I63341 I63342 I63349 I6339 I6340 I63411 I63412 I63419 I63421 I63422 I63429 I63431 I63432 I63439 I63441 I63442 I63449 I6350 I63511 I63512 I63519 I63521 I63522 I63529 I63531 I63532 I63539 I63541 I63542 I63549 I6359 I636 Cerebral infarction due to thrombosis of right posterior cerebral artery Cerebral infarction due to thrombosis of left posterior cerebral artery Cerebral infarction due to thrombosis of unspecified posterior cerebral artery Cerebral infarction due to thrombosis of right cerebellar artery Cerebral infarction due to thrombosis of left cerebellar artery Cerebral infarction due to thrombosis of unspecified cerebellar artery Cerebral infarction due to thrombosis of other cerebral artery Cerebral infarction due to embolism of unspecified cerebral artery Cerebral infarction due to embolism of right middle cerebral artery Cerebral infarction due to embolism of left middle cerebral artery Cerebral infarction due to embolism of unspecified middle cerebral artery Cerebral infarction due to embolism of right anterior cerebral artery Cerebral infarction due to embolism of left anterior cerebral artery Cerebral infarction due to embolism of unspecified anterior cerebral artery Cerebral infarction due to embolism of right posterior cerebral artery Cerebral infarction due to embolism of left posterior cerebral artery Cerebral infarction due to embolism of unspecified posterior cerebral artery Cerebral infarction due to embolism of right cerebellar artery Cerebral infarction due to embolism of left cerebellar artery Cerebral infarction due to embolism of unspecified cerebellar artery Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebral artery Cerebral infarction due to unspecified occlusion or stenosis of right middle cerebral artery Cerebral infarction due to unspecified occlusion or stenosis of left middle cerebral artery Cerebral infarction due to unspecified occlusion or stenosis of unspecified middle cerebral artery Cerebral infarction due to unspecified occlusion or stenosis of right anterior cerebral artery Cerebral infarction due to unspecified occlusion or stenosis of left anterior cerebral artery Cerebral infarction due to unspecified occlusion or stenosis of unspecified anterior cerebral artery Cerebral infarction due to unspecified occlusion or stenosis of right posterior cerebral artery Cerebral infarction due to unspecified occlusion or stenosis of left posterior cerebral artery Cerebral infarction due to unspecified occlusion or stenosis of unspecified posterior cerebral artery Cerebral infarction due to unspecified occlusion or stenosis of right cerebellar artery Cerebral infarction due to unspecified occlusion or stenosis of left cerebellar artery Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebellar artery Cerebral infarction due to unspecified occlusion or stenosis of other cerebral artery Cerebral infarction due to cerebral venous thrombosis, nonpyogenic January 1, 2015 through March 31, 2015 (1Q2015) Page 2
3 I638 I639 I6521 I6522 I6523 I6529 I6601 I6602 I6603 I6609 I6611 I6612 I6613 I6619 I6621 I6622 I6623 I6629 I663 Other cerebral infarction Cerebral infarction, unspecified Occlusion and stenosis of right carotid artery Occlusion and stenosis of left carotid artery Occlusion and stenosis of bilateral carotid arteries Occlusion and stenosis of unspecified carotid artery Occlusion and stenosis of right middle cerebral artery Occlusion and stenosis of left middle cerebral artery Occlusion and stenosis of bilateral middle cerebral arteries Occlusion and stenosis of unspecified middle cerebral artery Occlusion and stenosis of right anterior cerebral artery Occlusion and stenosis of left anterior cerebral artery Occlusion and stenosis of bilateral anterior cerebral arteries Occlusion and stenosis of unspecified anterior cerebral artery Occlusion and stenosis of right posterior cerebral artery Occlusion and stenosis of left posterior cerebral artery Occlusion and stenosis of bilateral posterior cerebral arteries Occlusion and stenosis of unspecified posterior cerebral artery Occlusion and stenosis of cerebellar arteries Table 8.1a Thrombolytic Agent Procedures ICD-10 Code 3E E E E E E E E06317 ICD-10 Code Description Introduction of Other Thrombolytic into Peripheral Vein, Open Introduction of Other Thrombolytic into Peripheral Vein, Percutaneous Introduction of Other Thrombolytic into Central Vein, Open Introduction of Other Thrombolytic into Central Vein, Percutaneous Introduction of Other Thrombolytic into Peripheral Artery, Open Introduction of Other Thrombolytic into Peripheral Artery, Percutaneous Introduction of Other Thrombolytic into Central Artery, Open Introduction of Other Thrombolytic into Central Artery, Percutaneous January 1, 2015 through March 31, 2015 (1Q2015) Page 3
4 Table 8.1b Mechanical Endovascular Reperfusion Procedures ICD-10 Code 03CG0ZZ 03CG3ZZ 03CG4ZZ 03CH0ZZ 03CH3ZZ 03CH4ZZ 03CJ0ZZ 03CJ3ZZ 03CJ4ZZ 03CK0ZZ 03CK3ZZ 03CK4ZZ 03CL0ZZ 03CL3ZZ 03CL4ZZ 03CM0ZZ 03CM3ZZ 03CM4ZZ 03CN0ZZ 03CN3ZZ 03CN4ZZ 03CP0ZZ 03CP3ZZ 03CP4ZZ 03CQ0ZZ 03CQ3ZZ 03CQ4ZZ ICD-10 Code Description Extirpation of Matter from Intracranial Artery, Open Extirpation of Matter from Intracranial Artery, Percutaneous Extirpation of Matter from Intracranial Artery, Percutaneous Endoscopic Extirpation of Matter from Common Carotid Artery, Right, Open Extirpation of Matter from Common Carotid Artery, Right, Percutaneous Extirpation of Matter from Right Common Carotid Artery, Percutaneous Endoscopic Extirpation of Matter from Left Common Carotid Artery, Open Extirpation of Matter from Left Common Carotid Artery, Percutaneous Extirpation of Matter from Left Common Carotid Artery, Percutaneous Endoscopic Extirpation of Matter from Right Internal Carotid Artery, Open Extirpation of Matter from Right Internal Carotid Artery, Percutaneous Extirpation of Matter from Right Internal Carotid Artery, Percutaneous Endoscopic Extirpation of Matter from Left Internal Carotid Artery, Open Extirpation of Matter from Left Internal Carotid Artery, Percutaneous Extirpation of Matter from Left Internal Carotid Artery, Percutaneous Endoscopic Extirpation of Matter from Right External Carotid Artery, Open Extirpation of Matter from Right External Carotid Artery, Percutaneous Extirpation of Matter from Right External Carotid Artery, Percutaneous Endoscopic Extirpation of Matter from Left External Carotid Artery, Open Extirpation of Matter from Left External Carotid Artery, Percutaneous Extirpation of Matter from Left External Carotid Artery, Percutaneous Endoscopic Extirpation of Matter from Right Vertebral Artery, Open Extirpation of Matter from Right Vertebral Artery, Percutaneous Extirpation of Matter from Right Vertebral Artery, Percutaneous Endoscopic Extirpation of Matter from Left Vertebral Artery, Open Extirpation of Matter from Left Vertebral Artery, Percutaneous Extirpation of Matter from Left Vertebral Artery, Percutaneous Endoscopic January 1, 2015 through March 31, 2015 (1Q2015) Page 4
5 Table 8.2 Hemorrhagic Stroke ICD-10 Code I6000 I6001 I6002 I6010 I6011 I6012 I6020 I6021 I6022 I6030 I6031 I6032 I604 I6050 I6051 I6052 I606 I607 I608 I609 I610 I611 I612 I613 I614 I615 I616 I618 I619 ICD-10 Code Description Nontraumatic subarachnoid hemorrhage from unspecified carotid siphon and bifurcation Nontraumatic subarachnoid hemorrhage from right carotid siphon and bifurcation Nontraumatic subarachnoid hemorrhage from left carotid siphon and bifurcation Nontraumatic subarachnoid hemorrhage from unspecified middle cerebral artery Nontraumatic subarachnoid hemorrhage from right middle cerebral artery Nontraumatic subarachnoid hemorrhage from left middle cerebral artery Nontraumatic subarachnoid hemorrhage from unspecified anterior communicating artery Nontraumatic subarachnoid hemorrhage from right anterior communicating artery Nontraumatic subarachnoid hemorrhage from left anterior communicating artery Nontraumatic subarachnoid hemorrhage from unspecified posterior communicating artery Nontraumatic subarachnoid hemorrhage from right posterior communicating artery Nontraumatic subarachnoid hemorrhage from left posterior communicating artery Nontraumatic subarachnoid hemorrhage from basilar artery Nontraumatic subarachnoid hemorrhage from unspecified vertebral artery Nontraumatic subarachnoid hemorrhage from right vertebral artery Nontraumatic subarachnoid hemorrhage from left vertebral artery Nontraumatic subarachnoid hemorrhage from other intracranial arteries Nontraumatic subarachnoid hemorrhage from unspecified intracranial artery Other nontraumatic subarachnoid hemorrhage Nontraumatic subarachnoid hemorrhage, unspecified Nontraumatic intracerebral hemorrhage in hemisphere, subcortical Nontraumatic intracerebral hemorrhage in hemisphere, cortical Nontraumatic intracerebral hemorrhage in hemisphere, unspecified Nontraumatic intracerebral hemorrhage in brain stem Nontraumatic intracerebral hemorrhage in cerebellum Nontraumatic intracerebral hemorrhage, intraventricular Nontraumatic intracerebral hemorrhage, multiple localized Other nontraumatic intracerebral hemorrhage Nontraumatic intracerebral hemorrhage, unspecified January 1, 2015 through March 31, 2015 (1Q2015) Page 5
6 Table 8.2a Subarachnoid Hemorrhage ICD-10 Code I6000 I6001 I6002 I6010 I6011 I6012 I6020 I6021 I6022 I6030 I6031 I6032 I604 I6050 I6051 I6052 I606 I607 I608 I609 ICD-10 Code Description Nontraumatic subarachnoid hemorrhage from unspecified carotid siphon and bifurcation Nontraumatic subarachnoid hemorrhage from right carotid siphon and bifurcation Nontraumatic subarachnoid hemorrhage from left carotid siphon and bifurcation Nontraumatic subarachnoid hemorrhage from unspecified middle cerebral artery Nontraumatic subarachnoid hemorrhage from right middle cerebral artery Nontraumatic subarachnoid hemorrhage from left middle cerebral artery Nontraumatic subarachnoid hemorrhage from unspecified anterior communicating artery Nontraumatic subarachnoid hemorrhage from right anterior communicating artery Nontraumatic subarachnoid hemorrhage from left anterior communicating artery Nontraumatic subarachnoid hemorrhage from unspecified posterior communicating artery Nontraumatic subarachnoid hemorrhage from right posterior communicating artery Nontraumatic subarachnoid hemorrhage from left posterior communicating artery Nontraumatic subarachnoid hemorrhage from basilar artery Nontraumatic subarachnoid hemorrhage from unspecified vertebral artery Nontraumatic subarachnoid hemorrhage from right vertebral artery Nontraumatic subarachnoid hemorrhage from left vertebral artery Nontraumatic subarachnoid hemorrhage from other intracranial arteries Nontraumatic subarachnoid hemorrhage from unspecified intracranial artery Other nontraumatic subarachnoid hemorrhage Nontraumatic subarachnoid hemorrhage, unspecified Table 8.2b Intracerebral Hemorrhage ICD-10 Code I610 I611 I612 I613 I614 I615 I616 I618 I619 ICD-10 Code Description Nontraumatic intracerebral hemorrhage in hemisphere, subcortical Nontraumatic intracerebral hemorrhage in hemisphere, cortical Nontraumatic intracerebral hemorrhage in hemisphere, unspecified Nontraumatic intracerebral hemorrhage in brain stem Nontraumatic intracerebral hemorrhage in cerebellum Nontraumatic intracerebral hemorrhage, intraventricular Nontraumatic intracerebral hemorrhage, multiple localized Other nontraumatic intracerebral hemorrhage Nontraumatic intracerebral hemorrhage, unspecified January 1, 2015 through March 31, 2015 (1Q2015) Page 6
7 Table 8.2c Primary Parenchymal Intracerebral Hemorrhage ICD-10 Code I610 I611 I612 I613 I614 I615 I616 I618 I619 I6200 I6201 I6202 I6203 I629 ICD-10 Code Description Nontraumatic intracerebral hemorrhage in hemisphere, subcortical Nontraumatic intracerebral hemorrhage in hemisphere, cortical Nontraumatic intracerebral hemorrhage in hemisphere, unspecified Nontraumatic intracerebral hemorrhage in brain stem Nontraumatic intracerebral hemorrhage in cerebellum Nontraumatic intracerebral hemorrhage, intraventricular Nontraumatic intracerebral hemorrhage, multiple localized Other nontraumatic intracerebral hemorrhage Nontraumatic intracerebral hemorrhage, unspecified Nontraumatic subdural hemorrhage, unspecified Nontraumatic acute subdural hemorrhage Nontraumatic subacute subdural hemorrhage Nontraumatic chronic subdural hemorrhage Nontraumatic intracranial hemorrhage, unspecified Table 8.2d Aneurysm Repair Procedures ICD-10 Code 03VH0CZ 03VH3CZ 03VH4CZ 03VJ0CZ 03VJ3CZ 03VJ4CZ 03VK0CZ 03VK3CZ 03VK4CZ 03VL0CZ 03VL3CZ 03VL4CZ 03VM0CZ ICD-10 Code Description Restriction of Right Common Carotid Artery with Extraluminal Device, Open Restriction of Right Common Carotid Artery with Extraluminal Device, Percutaneous Restriction of Right Common Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Restriction of Left Common Carotid Artery with Extraluminal Device, Open Restriction of Left Common Carotid Artery with Extraluminal Device, Percutaneous Restriction of Left Common Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Restriction of Right Internal Carotid Artery with Extraluminal Device, Open Restriction of Right Internal Carotid Artery with Extraluminal Device, Percutaneous Restriction of Right Internal Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Restriction of Left Internal Carotid Artery with Extraluminal Device, Open Restriction of Left Internal Carotid Artery with Extraluminal Device, Percutaneous Restriction of Left Internal Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Restriction of Right External Carotid Artery with Extraluminal Device, Open January 1, 2015 through March 31, 2015 (1Q2015) Page 7
8 03VM3CZ 03VM4CZ 03VN0CZ 03VN3CZ 03VN4CZ 03VP0CZ 03VP3CZ 03VP4CZ 03VQ0CZ 03VQ3CZ 03VQ4CZ 03VG0ZZ 03VG4ZZ 03VH0ZZ 03VH4ZZ 03VJ0ZZ 03VJ4ZZ 03VK0ZZ 03VK4ZZ 03VL0ZZ 03VL4ZZ 03VM0ZZ 03VM4ZZ 03VN0ZZ 03VN4ZZ 03VP0ZZ 03VP4ZZ 03VQ0ZZ 03VQ4ZZ 03VG0DZ 03VG3DZ 03VG4DZ 03VH0DZ 03VH3DZ 03VH4DZ Restriction of Right External Carotid Artery with Extraluminal Device, Percutaneous Restriction of Right External Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Restriction of Left External Carotid Artery with Extraluminal Device, Open Restriction of Left External Carotid Artery with Extraluminal Device, Percutaneous Restriction of Left External Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Restriction of Right Vertebral Artery with Extraluminal Device, Open Restriction of Right Vertebral Artery with Extraluminal Device, Percutaneous Restriction of Right Vertebral Artery with Extraluminal Device, Percutaneous Endoscopic Restriction of Left Vertebral Artery with Extraluminal Device, Open Restriction of Left Vertebral Artery with Extraluminal Device, Percutaneous Restriction of Left Vertebral Artery with Extraluminal Device, Percutaneous Endoscopic Restriction of Intracranial Artery, Open Restriction of Intracranial Artery, Percutaneous Endoscopic Restriction of Right Common Carotid Artery, Open Restriction of Right Common Carotid Artery, Percutaneous Endoscopic Restriction of Left Common Carotid Artery, Open Restriction of Left Common Carotid Artery, Percutaneous Endoscopic Restriction of Right Internal Carotid Artery, Open Restriction of Right Internal Carotid Artery, Percutaneous Endoscopic Restriction of Left Internal Carotid Artery, Open Restriction of Left Internal Carotid Artery, Percutaneous Endoscopic Restriction of Right External Carotid Artery, Open Restriction of Right External Carotid Artery, Percutaneous Endoscopic Restriction of Left External Carotid Artery, Open Restriction of Left External Carotid Artery, Percutaneous Endoscopic Restriction of Right Vertebral Artery, Open Restriction of Right Vertebral Artery, Percutaneous Endoscopic Restriction of Left Vertebral Artery, Open Restriction of Left Vertebral Artery, Percutaneous Endoscopic Restriction of Intracranial Artery with Intraluminal Device, Open Restriction of Intracranial Artery with Intraluminal Device, Percutaneous Restriction of Intracranial Artery with Intraluminal Device, Percutaneous Endoscopic Restriction of Right Common Carotid Artery with Intraluminal Device, Open Restriction of Right Common Carotid Artery with Intraluminal Device, Percutaneous Restriction of Right Common Carotid Artery with Intraluminal Device, Percutaneous January 1, 2015 through March 31, 2015 (1Q2015) Page 8
9 Endoscopic 03VJ0DZ Restriction of Left Common Carotid Artery with Intraluminal Device, Open 03VJ3DZ Restriction of Left Common Carotid Artery with Intraluminal Device, Percutaneous 03VJ4DZ Restriction of Left Common Carotid Artery with Intraluminal Device, Percutaneous Endoscopic 03VK0DZ Restriction of Right Internal Carotid Artery with Intraluminal Device, Open 03VK3DZ Restriction of Right Internal Carotid Artery with Intraluminal Device, Percutaneous Restriction of Right Internal Carotid Artery with Intraluminal Device, Percutaneous Endoscopic 03VK4DZ 03VL0DZ Restriction of Left Internal Carotid Artery with Intraluminal Device, Open 03VL3DZ Restriction of Left Internal Carotid Artery with Intraluminal Device, Percutaneous Restriction of Left Internal Carotid Artery with Intraluminal Device, Percutaneous Endoscopic 03VL4DZ 03VM0DZ Restriction of Right External Carotid Artery with Intraluminal Device, Open 03VM3DZ Restriction of Right External Carotid Artery with Intraluminal Device, Percutaneous Restriction of Right External Carotid Artery with Intraluminal Device, Percutaneous 03VM4DZ Endoscopic 03VN0DZ Restriction of Left External Carotid Artery with Intraluminal Device, Open 03VN3DZ Restriction of Left External Carotid Artery with Intraluminal Device, Percutaneous Restriction of Left External Carotid Artery with Intraluminal Device, Percutaneous Endoscopic 03VN4DZ 03VP0DZ Restriction of Right Vertebral Artery with Intraluminal Device, Open 03VP3DZ Restriction of Right Vertebral Artery with Intraluminal Device, Percutaneous Restriction of Right Vertebral Artery with Intraluminal Device, Percutaneous Endoscopic 03VP4DZ 03VQ0DZ Restriction of Left Vertebral Artery with Intraluminal Device, Open 03VQ3DZ Restriction of Left Vertebral Artery with Intraluminal Device, Percutaneous Restriction of Left Vertebral Artery with Intraluminal Device, Percutaneous Endoscopic 03VQ4DZ 03VG0BZ Restriction of Intracranial Artery with Bioactive Intraluminal Device, Open 03VG3BZ Restriction of Intracranial Artery with Bioactive Intraluminal Device, Percutaneous Restriction of Intracranial Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic 03VG4BZ Restriction of Right Common Carotid Artery with Bioactive Intraluminal Device, Open 03VH0BZ Restriction of Right Common Carotid Artery with Bioactive Intraluminal Device, Percutaneous 03VH3BZ Restriction of Right Common Carotid Artery with Bioactive Intraluminal Device, Percutaneous 03VH4BZ Endoscopic 03VJ0BZ Restriction of Left Common Carotid Artery with Bioactive Intraluminal Device, Open Restriction of Left Common Carotid Artery with Bioactive Intraluminal Device, Percutaneous 03VJ3BZ January 1, 2015 through March 31, 2015 (1Q2015) Page 9
10 03VJ4BZ 03VK0BZ 03VK3BZ 03VK4BZ 03VL0BZ 03VL3BZ 03VL4BZ 03VM0BZ 03VM3BZ 03VM4BZ 03VN0BZ 03VN3BZ 03VN4BZ 03VP0BZ 03VP3BZ 03VP4BZ 03VQ0BZ 03VQ3BZ 03VQ4BZ 03VG0CZ 03VG3CZ 03VG3ZZ 03VG4CZ 03VH3ZZ 03VJ3ZZ 03VK3ZZ 03VL3ZZ 03VM3ZZ 03VN3ZZ Restriction of Left Common Carotid Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Restriction of Right Internal Carotid Artery with Bioactive Intraluminal Device, Open Restriction of Right Internal Carotid Artery with Bioactive Intraluminal Device, Percutaneous Restriction of Right Internal Carotid Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Restriction of Left Internal Carotid Artery with Bioactive Intraluminal Device, Open Restriction of Left Internal Carotid Artery with Bioactive Intraluminal Device, Percutaneous Restriction of Left Internal Carotid Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Restriction of Right External Carotid Artery with Bioactive Intraluminal Device, Open Restriction of Right External Carotid Artery with Bioactive Intraluminal Device, Percutaneous Restriction of Right External Carotid Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Restriction of Left External Carotid Artery with Bioactive Intraluminal Device, Open Restriction of Left External Carotid Artery with Bioactive Intraluminal Device, Percutaneous Restriction of Left External Carotid Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Restriction of Right Vertebral Artery with Bioactive Intraluminal Device, Open Restriction of Right Vertebral Artery with Bioactive Intraluminal Device, Percutaneous Restriction of Right Vertebral Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Restriction of Left Vertebral Artery with Bioactive Intraluminal Device, Open Restriction of Left Vertebral Artery with Bioactive Intraluminal Device, Percutaneous Restriction of Left Vertebral Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Restriction Intracranial Artery with Extraluminal Device, Open Restriction Intracranial Artery with Extraluminal Device, Percutaneous Restriction Intracranial Artery, Percutaneous Restriction Intracranial Artery with Extraluminal Device, Percutaneous Endoscopic Restriction Common Carotid Artery, Right, Percutaneous Restriction Common Carotid Artery, Left, Percutaneous Restriction Internal Carotid Artery, Right, Percutaneous Restriction Internal Carotid Artery, Left, Percutaneous Restriction External Carotid Artery, Right, Percutaneous Restriction External Carotid Artery, Left, Percutaneous January 1, 2015 through March 31, 2015 (1Q2015) Page 10
11 03VP3ZZ 03VQ3ZZ Restriction Vertebral Artery, Right, Percutaneous Restriction Vertebral Artery, Left, Percutaneous Table 8.2e Surgical Intervention Procedures ICD-10 Code 037H34Z 037H3DZ 037H3ZZ 037H44Z 037H4DZ 037H4ZZ 037J34Z 037J3DZ 037J3ZZ 037J44Z 037J4DZ 037J4ZZ 037K34Z 037K3DZ 037K3ZZ 037K44Z 037K4DZ 037K4ZZ 037L34Z 037L3DZ 037L3ZZ 037L44Z 037L4DZ ICD-10 Code Description Dilation of Right Common Carotid Artery with Drug-eluting Intraluminal Device, Percutaneous Dilation of Right Common Carotid Artery with Intraluminal Device, Percutaneous Dilation of Right Common Carotid Artery, Percutaneous Dilation of Right Common Carotid Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Dilation of Right Common Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Dilation of Right Common Carotid Artery, Percutaneous Endoscopic Dilation of Left Common Carotid Artery with Drug-eluting Intraluminal Device, Percutaneous Dilation of Left Common Carotid Artery with Intraluminal Device, Percutaneous Dilation of Left Common Carotid Artery, Percutaneous Dilation of Left Common Carotid Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Dilation of Left Common Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Dilation of Left Common Carotid Artery, Percutaneous Endoscopic Dilation of Right Internal Carotid Artery with Drug-eluting Intraluminal Device, Percutaneous Dilation of Right Internal Carotid Artery with Intraluminal Device, Percutaneous Dilation of Right Internal Carotid Artery, Percutaneous Dilation of Right Internal Carotid Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Dilation of Right Internal Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Dilation of Right Internal Carotid Artery, Percutaneous Endoscopic Dilation of Left Internal Carotid Artery with Drug-eluting Intraluminal Device, Percutaneous Dilation of Left Internal Carotid Artery with Intraluminal Device, Percutaneous Dilation of Left Internal Carotid Artery, Percutaneous Dilation of Left Internal Carotid Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Dilation of Left Internal Carotid Artery with Intraluminal Device, Percutaneous Endoscopic January 1, 2015 through March 31, 2015 (1Q2015) Page 11
12 037L4ZZ 037M34Z 037M3DZ 037M3ZZ 037M44Z 037M4DZ 037M4ZZ 037N34Z 037N3DZ 037N3ZZ 037N44Z 037N4DZ 037N4ZZ 037P34Z 037P3DZ 037P3ZZ 037P44Z 037P4DZ 037P4ZZ 037Q34Z 037Q3DZ 037Q3ZZ 037Q44Z 037Q4DZ 037Q4ZZ 03CH3ZZ 03CJ3ZZ 03CK3ZZ 03CL3ZZ 03CM3ZZ Dilation of Left Internal Carotid Artery, Percutaneous Endoscopic Dilation of Right External Carotid Artery with Drug-eluting Intraluminal Device, Percutaneous Dilation of Right External Carotid Artery with Intraluminal Device, Percutaneous Dilation of Right External Carotid Artery, Percutaneous Dilation of Right External Carotid Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Dilation of Right External Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Dilation of Right External Carotid Artery, Percutaneous Endoscopic Dilation of Left External Carotid Artery with Drug-eluting Intraluminal Device, Percutaneous Dilation of Left External Carotid Artery with Intraluminal Device, Percutaneous Dilation of Left External Carotid Artery, Percutaneous Dilation of Left External Carotid Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Dilation of Left External Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Dilation of Left External Carotid Artery, Percutaneous Endoscopic Dilation of Right Vertebral Artery with Drug-eluting Intraluminal Device, Percutaneous Dilation of Right Vertebral Artery with Intraluminal Device, Percutaneous Dilation of Right Vertebral Artery, Percutaneous Dilation of Right Vertebral Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Dilation of Right Vertebral Artery with Intraluminal Device, Percutaneous Endoscopic Dilation of Right Vertebral Artery, Percutaneous Endoscopic Dilation of Left Vertebral Artery with Drug-eluting Intraluminal Device, Percutaneous Dilation of Left Vertebral Artery with Intraluminal Device, Percutaneous Dilation of Left Vertebral Artery, Percutaneous Dilation of Left Vertebral Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Dilation of Left Vertebral Artery with Intraluminal Device, Percutaneous Endoscopic Dilation of Left Vertebral Artery, Percutaneous Endoscopic Extirpation of Matter from Right Common Carotid Artery, Percutaneous Extirpation of Matter from Left Common Carotid Artery, Percutaneous Extirpation of Matter from Right Internal Carotid Artery, Percutaneous Extirpation of Matter from Left Internal Carotid Artery, Percutaneous Extirpation of Matter from Right External Carotid Artery, Percutaneous January 1, 2015 through March 31, 2015 (1Q2015) Page 12
13 03CN3ZZ 03CP3ZZ 03CQ3ZZ 057M3DZ 057M4DZ 057N3DZ 057N4DZ 057P3DZ 057P4DZ 057Q3DZ 057Q4DZ 057R3DZ 057R4DZ 057S3DZ 057S4DZ 057T3DZ 057T4DZ 037G34Z 037G3DZ 037G3ZZ 037G44Z 037G4DZ 037G4ZZ 03CG3ZZ 057L3DZ 057L4DZ 05CL3ZZ 037H3DZ 037H4DZ 037J3DZ 037J4DZ 037K3DZ 037K4DZ Extirpation of Matter from Left External Carotid Artery, Percutaneous Extirpation of Matter from Right Vertebral Artery, Percutaneous Extirpation of Matter from Left Vertebral Artery, Percutaneous Dilation of Right Internal Jugular Vein with Intraluminal Device, Percutaneous Dilation of Right Internal Jugular Vein with Intraluminal Device, Percutaneous Endoscopic Dilation of Left Internal Jugular Vein with Intraluminal Device, Percutaneous Dilation of Left Internal Jugular Vein with Intraluminal Device, Percutaneous Endoscopic Dilation of Right External Jugular Vein with Intraluminal Device, Percutaneous Dilation of Right External Jugular Vein with Intraluminal Device, Percutaneous Endoscopic Dilation of Left External Jugular Vein with Intraluminal Device, Percutaneous Dilation of Left External Jugular Vein with Intraluminal Device, Percutaneous Endoscopic Dilation of Right Vertebral Vein with Intraluminal Device, Percutaneous Dilation of Right Vertebral Vein with Intraluminal Device, Percutaneous Endoscopic Dilation of Left Vertebral Vein with Intraluminal Device, Percutaneous Dilation of Left Vertebral Vein with Intraluminal Device, Percutaneous Endoscopic Dilation of Right Face Vein with Intraluminal Device, Percutaneous Dilation of Right Face Vein with Intraluminal Device, Percutaneous Endoscopic Dilation of Intracranial Artery with Drug-eluting Intraluminal Device, Percutaneous Dilation of Intracranial Artery with Intraluminal Device, Percutaneous Dilation of Intracranial Artery, Percutaneous Dilation of Intracranial Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Dilation of Intracranial Artery with Intraluminal Device, Percutaneous Endoscopic Dilation of Intracranial Artery, Percutaneous Endoscopic Extirpation of Matter from Intracranial Artery, Percutaneous Dilation of Intracranial Vein with Intraluminal Device, Percutaneous Dilation of Intracranial Vein with Intraluminal Device, Percutaneous Endoscopic Extirpation of Matter from Intracranial Vein, Percutaneous Dilation of Right Common Carotid Artery with Intraluminal Device, Percutaneous Dilation of Right Common Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Dilation of Left Common Carotid Artery with Intraluminal Device, Percutaneous Dilation of Left Common Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Dilation of Right Internal Carotid Artery with Intraluminal Device, Percutaneous Dilation of Right Internal Carotid Artery with Intraluminal Device, Percutaneous Endoscopic January 1, 2015 through March 31, 2015 (1Q2015) Page 13
14 037L3DZ 037L4DZ 037M3DZ 037M4DZ 037N3DZ 037N4DZ 037P3DZ 037P4DZ 037Q3DZ 037Q4DZ 037S3DZ 037S4DZ 037T3DZ 037T4DZ 057M3DZ 057M4DZ 057N3DZ 057N4DZ 057P3DZ 057P4DZ 057Q3DZ 057Q4DZ 057R3DZ 057R4DZ 057S3DZ 057S4DZ 037G34Z 037G3DZ 037G44Z 037G4DZ Dilation of Left Internal Carotid Artery with Intraluminal Device, Percutaneous Dilation of Left Internal Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Dilation of Right External Carotid Artery with Intraluminal Device, Percutaneous Dilation of Right External Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Dilation of Left External Carotid Artery with Intraluminal Device, Percutaneous Dilation of Left External Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Dilation of Right Vertebral Artery with Intraluminal Device, Percutaneous Dilation of Right Vertebral Artery with Intraluminal Device, Percutaneous Endoscopic Dilation of Left Vertebral Artery with Intraluminal Device, Percutaneous Dilation of Left Vertebral Artery with Intraluminal Device, Percutaneous Endoscopic Dilation of Right Temporal Artery with Intraluminal Device, Percutaneous Dilation of Right Temporal Artery with Intraluminal Device, Percutaneous Endoscopic Dilation of Left Temporal Artery with Intraluminal Device, Percutaneous Dilation of Left Temporal Artery with Intraluminal Device, Percutaneous Endoscopic Dilation of Right Internal Jugular Vein with Intraluminal Device, Percutaneous Dilation of Right Internal Jugular Vein with Intraluminal Device, Percutaneous Endoscopic Dilation of Left Internal Jugular Vein with Intraluminal Device, Percutaneous Dilation of Left Internal Jugular Vein with Intraluminal Device, Percutaneous Endoscopic Dilation of Right External Jugular Vein with Intraluminal Device, Percutaneous Dilation of Right External Jugular Vein with Intraluminal Device, Percutaneous Endoscopic Dilation of Left External Jugular Vein with Intraluminal Device, Percutaneous Dilation of Left External Jugular Vein with Intraluminal Device, Percutaneous Endoscopic Dilation of Right Vertebral Vein with Intraluminal Device, Percutaneous Dilation of Right Vertebral Vein with Intraluminal Device, Percutaneous Endoscopic Dilation of Left Vertebral Vein with Intraluminal Device, Percutaneous Dilation of Left Vertebral Vein with Intraluminal Device, Percutaneous Endoscopic Dilation of Intracranial Artery with Drug-eluting Intraluminal Device, Percutaneous Dilation of Intracranial Artery with Intraluminal Device, Percutaneous Dilation of Intracranial Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Dilation of Intracranial Artery with Intraluminal Device, Percutaneous Endoscopic January 1, 2015 through March 31, 2015 (1Q2015) Page 14
15 057L3DZ 057L4DZ Z 00913ZZ Z 00914ZZ Z 00923ZZ Z 00924ZZ Z 00943ZZ Z 00944ZZ 00963ZZ 00964ZZ 0W9130Z 0W913ZZ 0W9140Z 0W914ZZ 3E0Q0AZ 3E0Q0E0 3E0Q0E1 3E0Q33Z 3E0Q36Z 3E0Q37Z 3E0Q3AZ 3E0Q3BZ 3E0Q3E0 3E0Q3E1 3E0Q3GC 3E0Q3HZ 3E0Q3KZ 3E0Q3SF Dilation of Intracranial Vein with Intraluminal Device, Percutaneous Dilation of Intracranial Vein with Intraluminal Device, Percutaneous Endoscopic Drainage of Cerebral Meninges with Drainage Device, Percutaneous Drainage of Cerebral Meninges, Percutaneous Drainage of Cerebral Meninges with Drainage Device, Percutaneous Endoscopic Drainage of Cerebral Meninges, Percutaneous Endoscopic Drainage of Dura Mater with Drainage Device, Percutaneous Drainage of Dura Mater, Percutaneous Drainage of Dura Mater with Drainage Device, Percutaneous Endoscopic Drainage of Dura Mater, Percutaneous Endoscopic Drainage of Subdural Space with Drainage Device, Percutaneous Drainage of Subdural Space, Percutaneous Drainage of Subdural Space with Drainage Device, Percutaneous Endoscopic Drainage of Subdural Space, Percutaneous Endoscopic Drainage of Cerebral Ventricle, Percutaneous Drainage of Cerebral Ventricle, Percutaneous Endoscopic Drainage of Cranial Cavity with Drainage Device, Percutaneous Drainage of Cranial Cavity, Percutaneous Drainage of Cranial Cavity with Drainage Device, Percutaneous Endoscopic Drainage of Cranial Cavity, Percutaneous Endoscopic Introduction of Embryonic Stem Cells into Cranial Cavity and Brain, Open Introduction of Autologous Somatic Stem Cells into Cranial Cavity and Brain, Open Introduction of Nonautologous Somatic Stem Cells into Cranial Cavity and Brain, Open Introduction of Anti-inflammatory into Cranial Cavity and Brain, Percutaneous Introduction of Nutritional Substance into Cranial Cavity and Brain, Percutaneous Introduction of Electrolytic and Water Balance Substance into Cranial Cavity and Brain, Percutaneous Introduction of Embryonic Stem Cells into Cranial Cavity and Brain, Percutaneous Introduction of Local Anesthetic into Cranial Cavity and Brain, Percutaneous Introduction of Autologous Somatic Stem Cells into Cranial Cavity and Brain, Percutaneous Introduction of Nonautologous Somatic Stem Cells into Cranial Cavity and Brain, Percutaneous Introduction of Other Therapeutic Substance into Cranial Cavity and Brain, Percutaneous Introduction of Radioactive Substance into Cranial Cavity and Brain, Percutaneous Introduction of Other Diagnostic Substance into Cranial Cavity and Brain, Percutaneous Introduction of Other Gas into Cranial Cavity and Brain, Percutaneous January 1, 2015 through March 31, 2015 (1Q2015) Page 15
16 3E0Q3TZ 3E0Q7SF 0WJ10ZZ 00J00ZZ 00W00JZ 00W00KZ 0N800ZZ 0N803ZZ 0N804ZZ 0N810ZZ 0N813ZZ 0N814ZZ 0N820ZZ 0N823ZZ 0N824ZZ 0N830ZZ 0N833ZZ 0N834ZZ 0N840ZZ 0N843ZZ 0N844ZZ 0N850ZZ 0N853ZZ 0N854ZZ 0N860ZZ 0N863ZZ 0N864ZZ 0N870ZZ 0N873ZZ 0N874ZZ 0N880ZZ 0N883ZZ 0N884ZZ 0NC10ZZ 0NC13ZZ 0NC14ZZ 0NC20ZZ 0NC23ZZ Introduction of Destructive Agent into Cranial Cavity and Brain, Percutaneous Introduction of Other Gas into Cranial Cavity and Brain, Via Natural or Artificial Opening Inspection of Cranial Cavity, Open Inspection of Brain, Open Revision of Synthetic Substitute in Brain, Open Revision of Nonautologous Tissue Substitute in Brain, Open Division of Skull, Open Division of Skull, Percutaneous Division of Skull, Percutaneous Endoscopic Division of Right Frontal Bone, Open Division of Right Frontal Bone, Percutaneous Division of Right Frontal Bone, Percutaneous Endoscopic Division of Left Frontal Bone, Open Division of Left Frontal Bone, Percutaneous Division of Left Frontal Bone, Percutaneous Endoscopic Division of Right Parietal Bone, Open Division of Right Parietal Bone, Percutaneous Division of Right Parietal Bone, Percutaneous Endoscopic Division of Left Parietal Bone, Open Division of Left Parietal Bone, Percutaneous Division of Left Parietal Bone, Percutaneous Endoscopic Division of Right Temporal Bone, Open Division of Right Temporal Bone, Percutaneous Division of Right Temporal Bone, Percutaneous Endoscopic Division of Left Temporal Bone, Open Division of Left Temporal Bone, Percutaneous Division of Left Temporal Bone, Percutaneous Endoscopic Division of Right Occipital Bone, Open Division of Right Occipital Bone, Percutaneous Division of Right Occipital Bone, Percutaneous Endoscopic Division of Left Occipital Bone, Open Division of Left Occipital Bone, Percutaneous Division of Left Occipital Bone, Percutaneous Endoscopic Extirpation of Matter from Right Frontal Bone, Open Extirpation of Matter from Right Frontal Bone, Percutaneous Extirpation of Matter from Right Frontal Bone, Percutaneous Endoscopic Extirpation of Matter from Left Frontal Bone, Open Extirpation of Matter from Left Frontal Bone, Percutaneous January 1, 2015 through March 31, 2015 (1Q2015) Page 16
17 0NC24ZZ 0NC30ZZ 0NC33ZZ 0NC34ZZ 0NC40ZZ 0NC43ZZ 0NC44ZZ 0NC50ZZ 0NC53ZZ 0NC54ZZ 0NC60ZZ 0NC63ZZ 0NC64ZZ 0NC70ZZ 0NC73ZZ 0NC74ZZ 0NC80ZZ 0NC83ZZ 0NC84ZZ 0NH00MZ 0NH03MZ 0NH04MZ 0NP000Z 0NP004Z 0NP005Z 0NP007Z 0NP00KZ 0NP00SZ 0NP030Z 0NP034Z 0NP037Z 0NP03KZ 0NP03SZ 0NP040Z 0NP044Z 0NP047Z 0NP04KZ 0NP04SZ Extirpation of Matter from Left Frontal Bone, Percutaneous Endoscopic Extirpation of Matter from Right Parietal Bone, Open Extirpation of Matter from Right Parietal Bone, Percutaneous Extirpation of Matter from Right Parietal Bone, Percutaneous Endoscopic Extirpation of Matter from Left Parietal Bone, Open Extirpation of Matter from Left Parietal Bone, Percutaneous Extirpation of Matter from Left Parietal Bone, Percutaneous Endoscopic Extirpation of Matter from Right Temporal Bone, Open Extirpation of Matter from Right Temporal Bone, Percutaneous Extirpation of Matter from Right Temporal Bone, Percutaneous Endoscopic Extirpation of Matter from Left Temporal Bone, Open Extirpation of Matter from Left Temporal Bone, Percutaneous Extirpation of Matter from Left Temporal Bone, Percutaneous Endoscopic Extirpation of Matter from Right Occipital Bone, Open Extirpation of Matter from Right Occipital Bone, Percutaneous Extirpation of Matter from Right Occipital Bone, Percutaneous Endoscopic Extirpation of Matter from Left Occipital Bone, Open Extirpation of Matter from Left Occipital Bone, Percutaneous Extirpation of Matter from Left Occipital Bone, Percutaneous Endoscopic Insertion of Bone Growth Stimulator into Skull, Open Insertion of Bone Growth Stimulator into Skull, Percutaneous Insertion of Bone Growth Stimulator into Skull, Percutaneous Endoscopic Removal of Drainage Device from Skull, Open Removal of Internal Fixation Device from Skull, Open Removal of External Fixation Device from Skull, Open Removal of Autologous Tissue Substitute from Skull, Open Removal of Nonautologous Tissue Substitute from Skull, Open Removal of Hearing Device from Skull, Open Removal of Drainage Device from Skull, Percutaneous Removal of Internal Fixation Device from Skull, Percutaneous Removal of Autologous Tissue Substitute from Skull, Percutaneous Removal of Nonautologous Tissue Substitute from Skull, Percutaneous Removal of Hearing Device from Skull, Percutaneous Removal of Drainage Device from Skull, Percutaneous Endoscopic Removal of Internal Fixation Device from Skull, Percutaneous Endoscopic Removal of Autologous Tissue Substitute from Skull, Percutaneous Endoscopic Removal of Nonautologous Tissue Substitute from Skull, Percutaneous Endoscopic Removal of Hearing Device from Skull, Percutaneous Endoscopic January 1, 2015 through March 31, 2015 (1Q2015) Page 17
18 0NP0X4Z 0NP0XSZ 0NW000Z 0NW004Z 0NW005Z 0NW007Z 0NW00JZ 0NW00KZ 0NW00MZ 0NW00NZ 0NW00SZ 0NW030Z 0NW034Z 0NW035Z 0NW037Z 0NW03JZ 0NW03KZ 0NW03MZ 0NW03SZ 0NW040Z 0NW044Z 0NW045Z 0NW047Z 0NW04JZ 0NW04KZ 0NW04MZ 0NW04SZ 0W9100Z 0W910ZZ 0WC10ZZ 0WC13ZZ 0WC14ZZ 0WH10YZ 0WH13YZ 0WH14YZ 0WJ10ZZ 0WP100Z 0WP101Z Removal of Internal Fixation Device from Skull, External Removal of Hearing Device from Skull, External Revision of Drainage Device in Skull, Open Revision of Internal Fixation Device in Skull, Open Revision of External Fixation Device in Skull, Open Revision of Autologous Tissue Substitute in Skull, Open Revision of Synthetic Substitute in Skull, Open Revision of Nonautologous Tissue Substitute in Skull, Open Revision of Bone Growth Stimulator in Skull, Open Revision of Neurostimulator Generator in Skull, Open Revision of Hearing Device in Skull, Open Revision of Drainage Device in Skull, Percutaneous Revision of Internal Fixation Device in Skull, Percutaneous Revision of External Fixation Device in Skull, Percutaneous Revision of Autologous Tissue Substitute in Skull, Percutaneous Revision of Synthetic Substitute in Skull, Percutaneous Revision of Nonautologous Tissue Substitute in Skull, Percutaneous Revision of Bone Growth Stimulator in Skull, Percutaneous Revision of Hearing Device in Skull, Percutaneous Revision of Drainage Device in Skull, Percutaneous Endoscopic Revision of Internal Fixation Device in Skull, Percutaneous Endoscopic Revision of External Fixation Device in Skull, Percutaneous Endoscopic Revision of Autologous Tissue Substitute in Skull, Percutaneous Endoscopic Revision of Synthetic Substitute in Skull, Percutaneous Endoscopic Revision of Nonautologous Tissue Substitute in Skull, Percutaneous Endoscopic Revision of Bone Growth Stimulator in Skull, Percutaneous Endoscopic Revision of Hearing Device in Skull, Percutaneous Endoscopic Drainage of Cranial Cavity with Drainage Device, Open Drainage of Cranial Cavity, Open Extirpation of Matter from Cranial Cavity, Open Extirpation of Matter from Cranial Cavity, Percutaneous Extirpation of Matter from Cranial Cavity, Percutaneous Endoscopic Insertion of Other Device into Cranial Cavity, Open Insertion of Other Device into Cranial Cavity, Percutaneous Insertion of Other Device into Cranial Cavity, Percutaneous Endoscopic Inspection of Cranial Cavity, Open Removal of Drainage Device from Cranial Cavity, Open Removal of Radioactive Element from Cranial Cavity, Open January 1, 2015 through March 31, 2015 (1Q2015) Page 18
19 0WP10JZ 0WP10YZ 0WP130Z 0WP131Z 0WP13JZ 0WP13YZ 0WP140Z 0WP141Z 0WP14JZ 0WP14YZ 0WW100Z 0WW101Z 0WW103Z 0WW10JZ 0WW10YZ 0WW130Z 0WW131Z 0WW133Z 0WW13JZ 0WW13YZ 0WW140Z 0WW141Z 0WW143Z 0WW14JZ 0WW14YZ Z 00900ZZ Z 00903ZZ Z 00904ZZ Z 00930ZZ Z 00933ZZ Z 00934ZZ 00960ZZ Removal of Synthetic Substitute from Cranial Cavity, Open Removal of Other Device from Cranial Cavity, Open Removal of Drainage Device from Cranial Cavity, Percutaneous Removal of Radioactive Element from Cranial Cavity, Percutaneous Removal of Synthetic Substitute from Cranial Cavity, Percutaneous Removal of Other Device from Cranial Cavity, Percutaneous Removal of Drainage Device from Cranial Cavity, Percutaneous Endoscopic Removal of Radioactive Element from Cranial Cavity, Percutaneous Endoscopic Removal of Synthetic Substitute from Cranial Cavity, Percutaneous Endoscopic Removal of Other Device from Cranial Cavity, Percutaneous Endoscopic Revision of Drainage Device in Cranial Cavity, Open Revision of Radioactive Element in Cranial Cavity, Open Revision of Infusion Device in Cranial Cavity, Open Revision of Synthetic Substitute in Cranial Cavity, Open Revision of Other Device in Cranial Cavity, Open Revision of Drainage Device in Cranial Cavity, Percutaneous Revision of Radioactive Element in Cranial Cavity, Percutaneous Revision of Infusion Device in Cranial Cavity, Percutaneous Revision of Synthetic Substitute in Cranial Cavity, Percutaneous Revision of Other Device in Cranial Cavity, Percutaneous Revision of Drainage Device in Cranial Cavity, Percutaneous Endoscopic Revision of Radioactive Element in Cranial Cavity, Percutaneous Endoscopic Revision of Infusion Device in Cranial Cavity, Percutaneous Endoscopic Revision of Synthetic Substitute in Cranial Cavity, Percutaneous Endoscopic Revision of Other Device in Cranial Cavity, Percutaneous Endoscopic Drainage of Brain with Drainage Device, Open Drainage of Brain, Open Drainage of Brain with Drainage Device, Percutaneous Drainage of Brain, Percutaneous Drainage of Brain with Drainage Device, Percutaneous Endoscopic Drainage of Brain, Percutaneous Endoscopic Drainage of Epidural Space with Drainage Device, Open Drainage of Epidural Space, Open Drainage of Epidural Space with Drainage Device, Percutaneous Drainage of Epidural Space, Percutaneous Drainage of Epidural Space with Drainage Device, Percutaneous Endoscopic Drainage of Epidural Space, Percutaneous Endoscopic Drainage of Cerebral Ventricle, Open January 1, 2015 through March 31, 2015 (1Q2015) Page 19
20 009700Z 00970ZZ Z 00973ZZ Z 00974ZZ 009B00Z 009B0ZZ 009B30Z 009B3ZZ 009B40Z 009B4ZZ 009C00Z 009C0ZZ 009C30Z 009C3ZZ 009C40Z 009C4ZZ 009D00Z 009D0ZZ 009D30Z 009D3ZZ 009D40Z 009D4ZZ 00C00ZZ 00C03ZZ 00C04ZZ 00C30ZZ 00C33ZZ 00C34ZZ 00C60ZZ 00C63ZZ 00C64ZZ 00C70ZZ 00C73ZZ 00C74ZZ 00CB0ZZ 00CB3ZZ Drainage of Cerebral Hemisphere with Drainage Device, Open Drainage of Cerebral Hemisphere, Open Drainage of Cerebral Hemisphere with Drainage Device, Percutaneous Drainage of Cerebral Hemisphere, Percutaneous Drainage of Cerebral Hemisphere with Drainage Device, Percutaneous Endoscopic Drainage of Cerebral Hemisphere, Percutaneous Endoscopic Drainage of Pons with Drainage Device, Open Drainage of Pons, Open Drainage of Pons with Drainage Device, Percutaneous Drainage of Pons, Percutaneous Drainage of Pons with Drainage Device, Percutaneous Endoscopic Drainage of Pons, Percutaneous Endoscopic Drainage of Cerebellum with Drainage Device, Open Drainage of Cerebellum, Open Drainage of Cerebellum with Drainage Device, Percutaneous Drainage of Cerebellum, Percutaneous Drainage of Cerebellum with Drainage Device, Percutaneous Endoscopic Drainage of Cerebellum, Percutaneous Endoscopic Drainage of Medulla Oblongata with Drainage Device, Open Drainage of Medulla Oblongata, Open Drainage of Medulla Oblongata with Drainage Device, Percutaneous Drainage of Medulla Oblongata, Percutaneous Drainage of Medulla Oblongata with Drainage Device, Percutaneous Endoscopic Drainage of Medulla Oblongata, Percutaneous Endoscopic Extirpation of Matter from Brain, Open Extirpation of Matter from Brain, Percutaneous Extirpation of Matter from Brain, Percutaneous Endoscopic Extirpation of Matter from Epidural Space, Open Extirpation of Matter from Epidural Space, Percutaneous Extirpation of Matter from Epidural Space, Percutaneous Endoscopic Extirpation of Matter from Cerebral Ventricle, Open Extirpation of Matter from Cerebral Ventricle, Percutaneous Extirpation of Matter from Cerebral Ventricle, Percutaneous Endoscopic Extirpation of Matter from Cerebral Hemisphere, Open Extirpation of Matter from Cerebral Hemisphere, Percutaneous Extirpation of Matter from Cerebral Hemisphere, Percutaneous Endoscopic Extirpation of Matter from Pons, Open Extirpation of Matter from Pons, Percutaneous January 1, 2015 through March 31, 2015 (1Q2015) Page 20
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