ICD-10-PCS Procedure Code 04LE0DT

Occlusion of R Uter A with Intralum Dev, Open Approach

ICD-10-PCS Procedure Code 04LE0DT

ICD-10-PCS: 04LE0DT
Short Description: Occlusion of R Uter A with Intralum Dev, Open Approach
Long Description: Occlusion of Right Uterine Artery with Intraluminal Device, Open Approach

This is the 2019 version of the ICD-10-PCS procedure code 04LE0DT

Valid for Submission
The code 04LE0DT is a billable procedure code.

ICD-10-PCS Table

Section 0 - Medical and Surgical
Body System 04 - Lower Arteries
Operation 04L - Occlusion
Body Part Approach Device Qualifier
E - Internal Iliac Artery, Right 0 - Open D - Intraluminal Device T - Uterine Artery, Right

ICD-10-PCS Definitions

Operation Occlusion
Definition:
Completely closing an orifice or the lumen of a tubular body part
Explanation:
The orifice can be a natural orifice or an artificially created orifice
Includes:
Fallopian tube ligation, ligation of inferior vena cava
Body Part Internal Iliac Artery, Left
Internal Iliac Artery, Right
Includes:
Deferential artery
Hypogastric artery
Iliolumbar artery
Inferior gluteal artery
Inferior vesical artery
Internal pudendal artery
Lateral sacral artery
Middle rectal artery
Obturator artery
Superior gluteal artery
Umbilical artery
Uterine Artery
Vaginal artery
Approach Open
Definition:
Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure
Device Intraluminal Device
Includes:
Absolute Pro Vascular (OTW) Self-Expanding Stent System
Acculink (RX) Carotid Stent System
AFX(R) Endovascular AAA System
AneuRx(R) AAA Advantage(R)
Assurant (Cobalt) stent
Carotid WALLSTENT(R) Monorail(R) Endoprosthesis
CoAxia NeuroFlo catheter
Colonic Z-Stent(R)
Complete (SE) stent
Cook Zenith AAA Endovascular Graft
Driver stent (RX) (OTW)
E-Luminexx(tm) (Biliary)(Vascular) Stent
Embolization coil(s)
Endologix AFX(R) Endovascular AAA System
Endurant(R) Endovascular Stent Graft
Endurant(R) II AAA stent graft system
EXCLUDER(R) AAA Endoprosthesis
Express(R) (LD) Premounted Stent System
Express(R) Biliary SD Monorail(R) Premounted Stent System
Express(R) SD Renal Monorail(R) Premounted Stent System
FLAIR(R) Endovascular Stent Graft
Formula(tm) Balloon-Expandable Renal Stent System
GORE EXCLUDER(R) AAA Endoprosthesis
GORE TAG(R) Thoracic Endoprosthesis
Herculink (RX) Elite Renal Stent System
LifeStent(R) (Flexstar)(XL) Vascular Stent System
Medtronic Endurant(R) II AAA stent graft system
Micro-Driver stent (RX) (OTW)
MULTI-LINK (VISION)(MINI-VISION)(ULTRA) Coronary Stent System
Omnilink Elite Vascular Balloon Expandable Stent System
Pipeline(tm) Embolization device (PED)
Protege(R) RX Carotid Stent System
Stent, intraluminal (cardiovascular)(gastrointestinal)(hepatobiliary)(urinary)
Talent(R) Converter
Talent(R) Occluder
Talent(R) Stent Graft (abdominal)(thoracic)
Therapeutic occlusion coil(s)
Ultraflex(tm) Precision Colonic Stent System
Valiant Thoracic Stent Graft
WALLSTENT(R) Endoprosthesis
Xact Carotid Stent System
Zenith AAA Endovascular Graft
Zenith Flex(R) AAA Endovascular Graft
Zenith TX2(R) TAA Endovascular Graft
Zenith(R) Renu(tm) AAA Ancillary Graft

Code Edits

The following code edits are applicable to this code 04LE0DT:

Procedures for females only - this code is intended for procedures for females only.

Diagnostic Related Groups

The procedure code 04LE0DT is grouped in the following Diagnostic Related Group(s) (MS-DRG V35.0)

  • 749 - OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC
  • 750 - OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC

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