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ICD-10-PCS Code 04104A5

Official Description

Bypass Abdominal Aorta to Bilateral Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach

Short Descr

Bypass Abd Aorta to B Renal A w Autol Art, Perc Endo

0016070-0YWBXYZ Section 0 - Medical and Surgical

0410090-04WYXKZ Body System 4 - Lower Arteries

0410090-041W4ZS Operation 1 - Bypass

0410090-04104ZR Body Part 0 - Abdominal Aorta

0410490-04104ZR Approach 4 - Percutaneous Endoscopic

04104A0-04104AR Device A - Autologous Arterial Tissue

04104A0 Bypass Abd Aorta to Abd Aorta w Autol Art, Perc Endo

04104A1 Bypass Abd Aorta to Celiac Art w Autol Art, Perc Endo

04104A2 Bypass Abd Aorta to Mesent Art w Autol Art, Perc Endo

04104A3 Bypass Abd Aorta to R Renal A w Autol Art, Perc Endo

04104A4 Bypass Abd Aorta to L Renal A w Autol Art, Perc Endo

04104A5 Bypass Abd Aorta to B Renal A w Autol Art, Perc Endo

04104A6 Bypass Abd Aorta to R Com Ilia w Autol Art, Perc Endo

04104A7 Bypass Abd Aorta to L Com Ilia w Autol Art, Perc Endo

04104A8 Bypass Abd Aorta to B Com Ilia w Autol Art, Perc Endo

04104A9 Bypass Abd Aorta to R Int Ilia w Autol Art, Perc Endo

04104AB Bypass Abd Aorta to L Int Ilia w Autol Art, Perc Endo

04104AC Bypass Abd Aorta to B Int Ilia w Autol Art, Perc Endo

04104AD Bypass Abd Aorta to R Ext Ilia w Autol Art, Perc Endo

04104AF Bypass Abd Aorta to L Ext Ilia w Autol Art, Perc Endo

04104AG Bypass Abd Aorta to B Ext Ilia w Autol Art, Perc Endo

04104AH Bypass Abd Aorta to R Femor A w Autol Art, Perc Endo

04104AJ Bypass Abd Aorta to L Femor A w Autol Art, Perc Endo

04104AK Bypass Abd Aorta to B Femor A w Autol Art, Perc Endo

04104AQ Bypass Abd Aorta to Low Ex Art w Autol Art, Perc Endo

04104AR Bypass Abd Aorta to Low Art w Autol Art, Perc Endo

Date	Action	Notes
2015-10-01	Added	Code established

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