021X0JR Bypass Thoracic Aorta, Ascending/Arch to Left Pulmonary Artery with Synthetic Substitute, Open...
ICD-10-PCS Procedure Codes
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The above description is abbreviated. This code description may also have Includes, Excludes, Notes, Guidelines, Examples and other information. |
021X0JR Structure
| 0 | Section | Medical and Surgical |
| 2 | Body System | Heart and Great Vessels |
| 1 | Operation | Bypass |
| X | Body Part | Thoracic Aorta, Ascending/Arch |
| 0 | Approach | Open |
| J | Device | Synthetic Substitute |
| R | Qualifier | Pulmonary Artery, Left |
021 Section Table
| Body Part | Approach | Device | Qualifier |
|---|---|---|---|
| 0 Coronary Artery, One Artery 1 Coronary Artery, Two Arteries 2 Coronary Artery, Three Arteries 3 Coronary Artery, Four or More Arteries | 0 Open | 8 Zooplastic Tissue 9 Autologous Venous Tissue A Autologous Arterial Tissue J Synthetic Substitute K Nonautologous Tissue Substitute | 3 Coronary Artery 8 Internal Mammary, Right 9 Internal Mammary, Left C Thoracic Artery F Abdominal Artery W Aorta |
| Body Part | Approach | Device | Qualifier |
| 0 Coronary Artery, One Artery 1 Coronary Artery, Two Arteries 2 Coronary Artery, Three Arteries 3 Coronary Artery, Four or More Arteries | 0 Open | Z No Device | 3 Coronary Artery 8 Internal Mammary, Right 9 Internal Mammary, Left C Thoracic Artery F Abdominal Artery |
| Body Part | Approach | Device | Qualifier |
| 0 Coronary Artery, One Artery 1 Coronary Artery, Two Arteries 2 Coronary Artery, Three Arteries 3 Coronary Artery, Four or More Arteries | 3 Percutaneous | 4 Intraluminal Device, Drug-eluting D Intraluminal Device | 4 Coronary Vein |
| Body Part | Approach | Device | Qualifier |
| 0 Coronary Artery, One Artery 1 Coronary Artery, Two Arteries 2 Coronary Artery, Three Arteries 3 Coronary Artery, Four or More Arteries | 4 Percutaneous Endoscopic | 4 Intraluminal Device, Drug-eluting D Intraluminal Device | 4 Coronary Vein |
| Body Part | Approach | Device | Qualifier |
| 0 Coronary Artery, One Artery 1 Coronary Artery, Two Arteries 2 Coronary Artery, Three Arteries 3 Coronary Artery, Four or More Arteries | 4 Percutaneous Endoscopic | 8 Zooplastic Tissue 9 Autologous Venous Tissue A Autologous Arterial Tissue J Synthetic Substitute K Nonautologous Tissue Substitute | 3 Coronary Artery 8 Internal Mammary, Right 9 Internal Mammary, Left C Thoracic Artery F Abdominal Artery W Aorta |
| Body Part | Approach | Device | Qualifier |
| 0 Coronary Artery, One Artery 1 Coronary Artery, Two Arteries 2 Coronary Artery, Three Arteries 3 Coronary Artery, Four or More Arteries | 4 Percutaneous Endoscopic | Z No Device | 3 Coronary Artery 8 Internal Mammary, Right 9 Internal Mammary, Left C Thoracic Artery F Abdominal Artery |
| Body Part | Approach | Device | Qualifier |
| 6 Atrium, Right | 0 Open 4 Percutaneous Endoscopic | 8 Zooplastic Tissue 9 Autologous Venous Tissue A Autologous Arterial Tissue J Synthetic Substitute K Nonautologous Tissue Substitute | P Pulmonary Trunk Q Pulmonary Artery, Right R Pulmonary Artery, Left |
| Body Part | Approach | Device | Qualifier |
| 6 Atrium, Right | 0 Open 4 Percutaneous Endoscopic | Z No Device | 7 Atrium, Left P Pulmonary Trunk Q Pulmonary Artery, Right R Pulmonary Artery, Left |
| Body Part | Approach | Device | Qualifier |
| 6 Atrium, Right | 3 Percutaneous | Z No Device | 7 Atrium, Left |
| Body Part | Approach | Device | Qualifier |
| 7 Atrium, Left | 0 Open 4 Percutaneous Endoscopic | 8 Zooplastic Tissue 9 Autologous Venous Tissue A Autologous Arterial Tissue J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device | P Pulmonary Trunk Q Pulmonary Artery, Right R Pulmonary Artery, Left S Pulmonary Vein, Right T Pulmonary Vein, Left U Pulmonary Vein, Confluence |
| Body Part | Approach | Device | Qualifier |
| 7 Atrium, Left | 3 Percutaneous | J Synthetic Substitute | 6 Atrium, Right |
| Body Part | Approach | Device | Qualifier |
| K Ventricle, Right L Ventricle, Left | 0 Open 4 Percutaneous Endoscopic | 8 Zooplastic Tissue 9 Autologous Venous Tissue A Autologous Arterial Tissue J Synthetic Substitute K Nonautologous Tissue Substitute | P Pulmonary Trunk Q Pulmonary Artery, Right R Pulmonary Artery, Left |
| Body Part | Approach | Device | Qualifier |
| K Ventricle, Right L Ventricle, Left | 0 Open 4 Percutaneous Endoscopic | Z No Device | 5 Coronary Circulation 8 Internal Mammary, Right 9 Internal Mammary, Left C Thoracic Artery F Abdominal Artery P Pulmonary Trunk Q Pulmonary Artery, Right R Pulmonary Artery, Left W Aorta |
| Body Part | Approach | Device | Qualifier |
| P Pulmonary Trunk Q Pulmonary Artery, Right R Pulmonary Artery, Left | 0 Open 4 Percutaneous Endoscopic | 8 Zooplastic Tissue 9 Autologous Venous Tissue A Autologous Arterial Tissue J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device | A Innominate Artery B Subclavian D Carotid |
| Body Part | Approach | Device | Qualifier |
| V Superior Vena Cava | 0 Open 4 Percutaneous Endoscopic | 8 Zooplastic Tissue 9 Autologous Venous Tissue A Autologous Arterial Tissue J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device | P Pulmonary Trunk Q Pulmonary Artery, Right R Pulmonary Artery, Left S Pulmonary Vein, Right T Pulmonary Vein, Left U Pulmonary Vein, Confluence |
| Body Part | Approach | Device | Qualifier |
| W Thoracic Aorta, Descending | 0 Open | 8 Zooplastic Tissue 9 Autologous Venous Tissue A Autologous Arterial Tissue J Synthetic Substitute K Nonautologous Tissue Substitute | A Innominate Artery B Subclavian D Carotid F Abdominal Artery G Axillary Artery H Brachial Artery P Pulmonary Trunk Q Pulmonary Artery, Right R Pulmonary Artery, Left V Lower Extremity Artery |
| Body Part | Approach | Device | Qualifier |
| W Thoracic Aorta, Descending | 0 Open | Z No Device | A Innominate Artery B Subclavian D Carotid P Pulmonary Trunk Q Pulmonary Artery, Right R Pulmonary Artery, Left |
| Body Part | Approach | Device | Qualifier |
| W Thoracic Aorta, Descending | 4 Percutaneous Endoscopic | 8 Zooplastic Tissue 9 Autologous Venous Tissue A Autologous Arterial Tissue J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device | A Innominate Artery B Subclavian D Carotid P Pulmonary Trunk Q Pulmonary Artery, Right R Pulmonary Artery, Left |
| Body Part | Approach | Device | Qualifier |
| X Thoracic Aorta, Ascending/Arch | 0 Open 4 Percutaneous Endoscopic | 8 Zooplastic Tissue 9 Autologous Venous Tissue A Autologous Arterial Tissue J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device | A Innominate Artery B Subclavian D Carotid P Pulmonary Trunk Q Pulmonary Artery, Right R Pulmonary Artery, Left |
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