ICD-10-PCS code structure

Section:
  0 = Medical and Surgical

Body System:
  4 = Lower Arteries

Root Operation:
  L = Occlusion

Body Part:

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See Terms used in Medical and Surgical

Select the appropriate procedure code based on the approach & device:

04LY - Lower Artery

• Open Approach

  Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

  • Extraluminal Device
    • 04LY0CZ - Occlusion of Lower Artery with Extralum Dev, Open Approach
  • Intraluminal Device
    • 04LY0DZ - Occlusion of Lower Artery with Intralum Dev, Open Approach
  • No Device
    • 04LY0ZZ - Occlusion of Lower Artery, Open Approach

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• Percutaneous Approach

  Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure

  • Extraluminal Device
    • 04LY3CZ - Occlusion of Lower Artery with Extralum Dev, Perc Approach
  • Intraluminal Device
    • 04LY3DZ - Occlusion of Lower Artery with Intralum Dev, Perc Approach
  • No Device
    • 04LY3ZZ - Occlusion of Lower Artery, Percutaneous Approach

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• Percutaneous Endoscopic Approach

  Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

  • Extraluminal Device
    • 04LY4CZ - Occlusion of Low Art with Extralum Dev, Perc Endo Approach
  • Intraluminal Device
    • 04LY4DZ - Occlusion of Low Art with Intralum Dev, Perc Endo Approach
  • No Device
    • 04LY4ZZ - Occlusion of Lower Artery, Percutaneous Endoscopic Approach