ICD-10-PCS Code Range for Completely closing an orifice or the lumen of a tubular body part

ICD-10-PCS Code Range for Completely closing an orifice or the lumen of a tubular body part is medical classification list by Centers for Medicare and Medicaid Services (CMS).

ICD-10-PCS code range (04L), contains ICD-10-PCS codes for Central Nervous System and Cranial Nerves, Medical and Surgical, Lower Arteries, Completely closing an orifice or the lumen of a tubular body part.

Image 2
PCS Tables

04L

0 Medical and Surgical
4 Lower Arteries
L Occlusion: Completely closing an orifice or the lumen of a tubular body part
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
Body System (Character 4)
0 Abdominal Aorta
Approach (Character 5)
0 Open
3 Percutaneous
Substance (Character 6)
C Extraluminal Device
Z No Device
Qualifier (Character 7)
Z No Qualifier
Body System (Character 4)
0 Abdominal Aorta
Approach (Character 5)
0 Open
3 Percutaneous
Substance (Character 6)
D Intraluminal Device
Qualifier (Character 7)
J Temporary
Z No Qualifier
Body System (Character 4)
0 Abdominal Aorta
Approach (Character 5)
4 Percutaneous Endoscopic
Substance (Character 6)
C Extraluminal Device
D Intraluminal Device
Z No Device
Qualifier (Character 7)
Z No Qualifier
Body System (Character 4)
1 Celiac Artery
2 Gastric Artery
3 Hepatic Artery
4 Splenic Artery
5 Superior Mesenteric Artery
6 Colic Artery, Right
7 Colic Artery, Left
8 Colic Artery, Middle
9 Renal Artery, Right
A Renal Artery, Left
B Inferior Mesenteric Artery
C Common Iliac Artery, Right
D Common Iliac Artery, Left
H External Iliac Artery, Right
J External Iliac Artery, Left
K Femoral Artery, Right
L Femoral Artery, Left
M Popliteal Artery, Right
N Popliteal Artery, Left
P Anterior Tibial Artery, Right
Q Anterior Tibial Artery, Left
R Posterior Tibial Artery, Right
S Posterior Tibial Artery, Left
T Peroneal Artery, Right
U Peroneal Artery, Left
V Foot Artery, Right
W Foot Artery, Left
Y Lower Artery
Approach (Character 5)
0 Open
3 Percutaneous
4 Percutaneous Endoscopic
Substance (Character 6)
C Extraluminal Device
D Intraluminal Device
Z No Device
Qualifier (Character 7)
Z No Qualifier
Body System (Character 4)
E Internal Iliac Artery, Right
Approach (Character 5)
0 Open
3 Percutaneous
4 Percutaneous Endoscopic
Substance (Character 6)
C Extraluminal Device
D Intraluminal Device
Z No Device
Qualifier (Character 7)
T Uterine Artery, Right
V Prostatic Artery, Right
Z No Qualifier
Body System (Character 4)
F Internal Iliac Artery, Left
Approach (Character 5)
0 Open
3 Percutaneous
4 Percutaneous Endoscopic
Substance (Character 6)
C Extraluminal Device
D Intraluminal Device
Z No Device
Qualifier (Character 7)
U Uterine Artery, Left
W Prostatic Artery, Left
Z No Qualifier

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