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ICD-10-PCS Procedure Codes 
  
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Section 0 - Medical and Surgical 
          
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Body System 4 - Lower Arteries 
          
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Body Part 0 - Abdominal Aorta 
          
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Device A - Autologous Arterial Tissue 
          
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| 04100A0 |     | Bypass Abd Aorta to Abd Aorta with Autol Art, Open Approach  | 
| 04100A1 |     | Bypass Abd Aorta to Celiac Art with Autol Art, Open Approach | 
| 04100A2 |     | Bypass Abd Aorta to Mesent Art with Autol Art, Open Approach | 
| 04100A3 |     | Bypass Abd Aorta to R Renal A with Autol Art, Open Approach  | 
| 04100A4 |     | Bypass Abd Aorta to L Renal A with Autol Art, Open Approach  | 
| 04100A5 |     | Bypass Abd Aorta to B Renal A with Autol Art, Open Approach  | 
| 04100A6 |     | Bypass Abd Aorta to R Com Ilia with Autol Art, Open Approach | 
| 04100A7 |     | Bypass Abd Aorta to L Com Ilia with Autol Art, Open Approach | 
| 04100A8 |     | Bypass Abd Aorta to B Com Ilia with Autol Art, Open Approach | 
| 04100A9 |     | Bypass Abd Aorta to R Int Ilia with Autol Art, Open Approach | 
| 04100AB |     | Bypass Abd Aorta to L Int Ilia with Autol Art, Open Approach | 
| 04100AC |     | Bypass Abd Aorta to B Int Ilia with Autol Art, Open Approach | 
| 04100AD |     | Bypass Abd Aorta to R Ext Ilia with Autol Art, Open Approach | 
| 04100AF |     | Bypass Abd Aorta to L Ext Ilia with Autol Art, Open Approach | 
| 04100AG |     | Bypass Abd Aorta to B Ext Ilia with Autol Art, Open Approach | 
| 04100AH |     | Bypass Abd Aorta to R Femor A with Autol Art, Open Approach  | 
| 04100AJ |     | Bypass Abd Aorta to L Femor A with Autol Art, Open Approach  | 
| 04100AK |     | Bypass Abd Aorta to B Femor A with Autol Art, Open Approach  | 
| 04100AQ |     | Bypass Abd Aorta to Low Ex Art with Autol Art, Open Approach | 
| 04100AR |     | Bypass Abd Aorta to Low Art with Autol Art, Open Approach    | 
       
          
          
          
      
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