Limited Coverage - ICD-10-PCS Code Edits
The Medicare Code Editor (MCE) detects and reports errors in the coding claims data. The following 49 ICD-10-PCS codes are intended for limited coverage. For certain procedures whose medical complexity and serious nature incur extraordinary associated costs, Medicare limits coverage to a portion of the cost.
ICD-10-PCS Code | Description | Section | Body System | Operation |
---|---|---|---|---|
02WA3QZ | Revision of Implantable Heart Assist System in Heart, Percutaneous Approach | Medical and Surgical | Heart and Great Vessels | Revision |
02WA4QZ | Revision of Implantable Heart Assist System in Heart, Percutaneous Endoscopic Approach | Medical and Surgical | Heart and Great Vessels | Revision |
02YA0Z0 | Transplantation of Heart, Allogeneic, Open Approach | Medical and Surgical | Heart and Great Vessels | Transplantation |
02YA0Z1 | Transplantation of Heart, Syngeneic, Open Approach | Medical and Surgical | Heart and Great Vessels | Transplantation |
02YA0Z2 | Transplantation of Heart, Zooplastic, Open Approach | Medical and Surgical | Heart and Great Vessels | Transplantation |
0BYC0Z0 | Transplantation of Right Upper Lung Lobe, Allogeneic, Open Approach | Medical and Surgical | Respiratory System | Transplantation |
0BYC0Z1 | Transplantation of Right Upper Lung Lobe, Syngeneic, Open Approach | Medical and Surgical | Respiratory System | Transplantation |
0BYC0Z2 | Transplantation of Right Upper Lung Lobe, Zooplastic, Open Approach | Medical and Surgical | Respiratory System | Transplantation |
0BYD0Z0 | Transplantation of Right Middle Lung Lobe, Allogeneic, Open Approach | Medical and Surgical | Respiratory System | Transplantation |
0BYD0Z1 | Transplantation of Right Middle Lung Lobe, Syngeneic, Open Approach | Medical and Surgical | Respiratory System | Transplantation |
0BYD0Z2 | Transplantation of Right Middle Lung Lobe, Zooplastic, Open Approach | Medical and Surgical | Respiratory System | Transplantation |
0BYF0Z0 | Transplantation of Right Lower Lung Lobe, Allogeneic, Open Approach | Medical and Surgical | Respiratory System | Transplantation |
0BYF0Z1 | Transplantation of Right Lower Lung Lobe, Syngeneic, Open Approach | Medical and Surgical | Respiratory System | Transplantation |
0BYF0Z2 | Transplantation of Right Lower Lung Lobe, Zooplastic, Open Approach | Medical and Surgical | Respiratory System | Transplantation |
0BYG0Z0 | Transplantation of Left Upper Lung Lobe, Allogeneic, Open Approach | Medical and Surgical | Respiratory System | Transplantation |
0BYG0Z1 | Transplantation of Left Upper Lung Lobe, Syngeneic, Open Approach | Medical and Surgical | Respiratory System | Transplantation |
0BYG0Z2 | Transplantation of Left Upper Lung Lobe, Zooplastic, Open Approach | Medical and Surgical | Respiratory System | Transplantation |
0BYH0Z0 | Transplantation of Lung Lingula, Allogeneic, Open Approach | Medical and Surgical | Respiratory System | Transplantation |
0BYH0Z1 | Transplantation of Lung Lingula, Syngeneic, Open Approach | Medical and Surgical | Respiratory System | Transplantation |
0BYH0Z2 | Transplantation of Lung Lingula, Zooplastic, Open Approach | Medical and Surgical | Respiratory System | Transplantation |
0BYJ0Z0 | Transplantation of Left Lower Lung Lobe, Allogeneic, Open Approach | Medical and Surgical | Respiratory System | Transplantation |
0BYJ0Z1 | Transplantation of Left Lower Lung Lobe, Syngeneic, Open Approach | Medical and Surgical | Respiratory System | Transplantation |
0BYJ0Z2 | Transplantation of Left Lower Lung Lobe, Zooplastic, Open Approach | Medical and Surgical | Respiratory System | Transplantation |
0BYK0Z0 | Transplantation of Right Lung, Allogeneic, Open Approach | Medical and Surgical | Respiratory System | Transplantation |
0BYK0Z1 | Transplantation of Right Lung, Syngeneic, Open Approach | Medical and Surgical | Respiratory System | Transplantation |
0BYK0Z2 | Transplantation of Right Lung, Zooplastic, Open Approach | Medical and Surgical | Respiratory System | Transplantation |
0BYL0Z0 | Transplantation of Left Lung, Allogeneic, Open Approach | Medical and Surgical | Respiratory System | Transplantation |
0BYL0Z1 | Transplantation of Left Lung, Syngeneic, Open Approach | Medical and Surgical | Respiratory System | Transplantation |
0BYL0Z2 | Transplantation of Left Lung, Zooplastic, Open Approach | Medical and Surgical | Respiratory System | Transplantation |
0BYM0Z0 | Transplantation of Bilateral Lungs, Allogeneic, Open Approach | Medical and Surgical | Respiratory System | Transplantation |
0BYM0Z1 | Transplantation of Bilateral Lungs, Syngeneic, Open Approach | Medical and Surgical | Respiratory System | Transplantation |
0BYM0Z2 | Transplantation of Bilateral Lungs, Zooplastic, Open Approach | Medical and Surgical | Respiratory System | Transplantation |
0DY80Z0 | Transplantation of Small Intestine, Allogeneic, Open Approach | Medical and Surgical | Gastrointestinal System | Transplantation |
0DY80Z1 | Transplantation of Small Intestine, Syngeneic, Open Approach | Medical and Surgical | Gastrointestinal System | Transplantation |
0DY80Z2 | Transplantation of Small Intestine, Zooplastic, Open Approach | Medical and Surgical | Gastrointestinal System | Transplantation |
0DYE0Z0 | Transplantation of Large Intestine, Allogeneic, Open Approach | Medical and Surgical | Gastrointestinal System | Transplantation |
0DYE0Z1 | Transplantation of Large Intestine, Syngeneic, Open Approach | Medical and Surgical | Gastrointestinal System | Transplantation |
0DYE0Z2 | Transplantation of Large Intestine, Zooplastic, Open Approach | Medical and Surgical | Gastrointestinal System | Transplantation |
0FY00Z0 | Transplantation of Liver, Allogeneic, Open Approach | Medical and Surgical | Hepatobiliary System and Pancreas | Transplantation |
0FY00Z1 | Transplantation of Liver, Syngeneic, Open Approach | Medical and Surgical | Hepatobiliary System and Pancreas | Transplantation |
0FY00Z2 | Transplantation of Liver, Zooplastic, Open Approach | Medical and Surgical | Hepatobiliary System and Pancreas | Transplantation |
0FYG0Z0 | Transplantation of Pancreas, Allogeneic, Open Approach | Medical and Surgical | Hepatobiliary System and Pancreas | Transplantation |
0FYG0Z1 | Transplantation of Pancreas, Syngeneic, Open Approach | Medical and Surgical | Hepatobiliary System and Pancreas | Transplantation |
0TY00Z0 | Transplantation of Right Kidney, Allogeneic, Open Approach | Medical and Surgical | Urinary System | Transplantation |
0TY00Z1 | Transplantation of Right Kidney, Syngeneic, Open Approach | Medical and Surgical | Urinary System | Transplantation |
0TY00Z2 | Transplantation of Right Kidney, Zooplastic, Open Approach | Medical and Surgical | Urinary System | Transplantation |
0TY10Z0 | Transplantation of Left Kidney, Allogeneic, Open Approach | Medical and Surgical | Urinary System | Transplantation |
0TY10Z1 | Transplantation of Left Kidney, Syngeneic, Open Approach | Medical and Surgical | Urinary System | Transplantation |
0TY10Z2 | Transplantation of Left Kidney, Zooplastic, Open Approach | Medical and Surgical | Urinary System | Transplantation |