| Procedure Code: |
04.5 |
| Description: |
Cranial or peripheral nerve graft |
| Short Description: |
Peripheral nerve graft |
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| Chapter: |
Operations on the nervous system |
| Subsection 1: |
Operations on spinal cord and spinal canal structures |
| ICD-10-PCS General Equivalence Mappings (GEMS): |
|---|
| ICD 10 PCS Code: |
01U537Z - Supplement Median Nerve with Autologous Tissue Substitute, Percutaneous Approach (approximate) |
| ICD 10 PCS Code: |
01UB37Z - Supplement Lumbar Nerve with Autologous Tissue Substitute, Percutaneous Approach (approximate) |
| ICD 10 PCS Code: |
01UB07Z - Supplement Lumbar Nerve with Autologous Tissue Substitute, Open Approach (approximate) |
| ICD 10 PCS Code: |
01U847Z - Supplement Thoracic Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach (approximate) |
| ICD 10 PCS Code: |
01U837Z - Supplement Thoracic Nerve with Autologous Tissue Substitute, Percutaneous Approach (approximate) |
| ICD 10 PCS Code: |
01U807Z - Supplement Thoracic Nerve with Autologous Tissue Substitute, Open Approach (approximate) |
| ICD 10 PCS Code: |
01U647Z - Supplement Radial Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach (approximate) |
| ICD 10 PCS Code: |
01U637Z - Supplement Radial Nerve with Autologous Tissue Substitute, Percutaneous Approach (approximate) |
| ICD 10 PCS Code: |
01U607Z - Supplement Radial Nerve with Autologous Tissue Substitute, Open Approach (approximate) |
| ICD 10 PCS Code: |
01U547Z - Supplement Median Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach (approximate) |
| ICD 10 PCS Code: |
01UB47Z - Supplement Lumbar Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach (approximate) |
| ICD 10 PCS Code: |
01U507Z - Supplement Median Nerve with Autologous Tissue Substitute, Open Approach (approximate) |
| ICD 10 PCS Code: |
01U447Z - Supplement Ulnar Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach (approximate) |
| ICD 10 PCS Code: |
01U437Z - Supplement Ulnar Nerve with Autologous Tissue Substitute, Percutaneous Approach (approximate) |
| ICD 10 PCS Code: |
01U407Z - Supplement Ulnar Nerve with Autologous Tissue Substitute, Open Approach (approximate) |
| ICD 10 PCS Code: |
01U247Z - Supplement Phrenic Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach (approximate) |
| ICD 10 PCS Code: |
01U237Z - Supplement Phrenic Nerve with Autologous Tissue Substitute, Percutaneous Approach (approximate) |
| ICD 10 PCS Code: |
01U207Z - Supplement Phrenic Nerve with Autologous Tissue Substitute, Open Approach (approximate) |
| ICD 10 PCS Code: |
01U147Z - Supplement Cervical Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach (approximate) |
| ICD 10 PCS Code: |
01UF47Z - Supplement Sciatic Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach (approximate) |
| ICD 10 PCS Code: |
01UR47Z - Supplement Sacral Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach (approximate) |
| ICD 10 PCS Code: |
01UR37Z - Supplement Sacral Nerve with Autologous Tissue Substitute, Percutaneous Approach (approximate) |
| ICD 10 PCS Code: |
01UR07Z - Supplement Sacral Nerve with Autologous Tissue Substitute, Open Approach (approximate) |
| ICD 10 PCS Code: |
01UH47Z - Supplement Peroneal Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach (approximate) |
| ICD 10 PCS Code: |
01UH37Z - Supplement Peroneal Nerve with Autologous Tissue Substitute, Percutaneous Approach (approximate) |
| ICD 10 PCS Code: |
01UH07Z - Supplement Peroneal Nerve with Autologous Tissue Substitute, Open Approach (approximate) |
| ICD 10 PCS Code: |
01UG47Z - Supplement Tibial Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach (approximate) |
| ICD 10 PCS Code: |
01UG37Z - Supplement Tibial Nerve with Autologous Tissue Substitute, Percutaneous Approach (approximate) |
| ICD 10 PCS Code: |
01UG07Z - Supplement Tibial Nerve with Autologous Tissue Substitute, Open Approach (approximate) |
| ICD 10 PCS Code: |
01U137Z - Supplement Cervical Nerve with Autologous Tissue Substitute, Percutaneous Approach (approximate) |
| ICD 10 PCS Code: |
01UF37Z - Supplement Sciatic Nerve with Autologous Tissue Substitute, Percutaneous Approach (approximate) |
| ICD 10 PCS Code: |
01UF07Z - Supplement Sciatic Nerve with Autologous Tissue Substitute, Open Approach (approximate) |
| ICD 10 PCS Code: |
01UD47Z - Supplement Femoral Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach (approximate) |
| ICD 10 PCS Code: |
01UD37Z - Supplement Femoral Nerve with Autologous Tissue Substitute, Percutaneous Approach (approximate) |
| ICD 10 PCS Code: |
01UD07Z - Supplement Femoral Nerve with Autologous Tissue Substitute, Open Approach (approximate) |
| ICD 10 PCS Code: |
01UC47Z - Supplement Pudendal Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach (approximate) |
| ICD 10 PCS Code: |
01UC37Z - Supplement Pudendal Nerve with Autologous Tissue Substitute, Percutaneous Approach (approximate) |
| ICD 10 PCS Code: |
01UC07Z - Supplement Pudendal Nerve with Autologous Tissue Substitute, Open Approach (approximate) |
| ICD 10 PCS Code: |
00UJ07Z - Supplement Trochlear Nerve with Autologous Tissue Substitute, Open Approach (approximate) |
| ICD 10 PCS Code: |
00UM07Z - Supplement Facial Nerve with Autologous Tissue Substitute, Open Approach (approximate) |
| ICD 10 PCS Code: |
00UL47Z - Supplement Abducens Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach (approximate) |
| ICD 10 PCS Code: |
00UL37Z - Supplement Abducens Nerve with Autologous Tissue Substitute, Percutaneous Approach (approximate) |
| ICD 10 PCS Code: |
00UL07Z - Supplement Abducens Nerve with Autologous Tissue Substitute, Open Approach (approximate) |
| ICD 10 PCS Code: |
00UK47Z - Supplement Trigeminal Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach (approximate) |
| ICD 10 PCS Code: |
00UK37Z - Supplement Trigeminal Nerve with Autologous Tissue Substitute, Percutaneous Approach (approximate) |
| ICD 10 PCS Code: |
00UK07Z - Supplement Trigeminal Nerve with Autologous Tissue Substitute, Open Approach (approximate) |
| ICD 10 PCS Code: |
00UJ47Z - Supplement Trochlear Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach (approximate) |
| ICD 10 PCS Code: |
00UJ37Z - Supplement Trochlear Nerve with Autologous Tissue Substitute, Percutaneous Approach (approximate) |
| ICD 10 PCS Code: |
00UM37Z - Supplement Facial Nerve with Autologous Tissue Substitute, Percutaneous Approach (approximate) |
| ICD 10 PCS Code: |
00UH47Z - Supplement Oculomotor Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach (approximate) |
| ICD 10 PCS Code: |
00UH37Z - Supplement Oculomotor Nerve with Autologous Tissue Substitute, Percutaneous Approach (approximate) |
| ICD 10 PCS Code: |
00UH07Z - Supplement Oculomotor Nerve with Autologous Tissue Substitute, Open Approach (approximate) |
| ICD 10 PCS Code: |
00UG47Z - Supplement Optic Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach (approximate) |
| ICD 10 PCS Code: |
00UG37Z - Supplement Optic Nerve with Autologous Tissue Substitute, Percutaneous Approach (approximate) |
| ICD 10 PCS Code: |
00UG07Z - Supplement Optic Nerve with Autologous Tissue Substitute, Open Approach (approximate) |
| ICD 10 PCS Code: |
00UF47Z - Supplement Olfactory Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach (approximate) |
| ICD 10 PCS Code: |
00UF37Z - Supplement Olfactory Nerve with Autologous Tissue Substitute, Percutaneous Approach (approximate) |
| ICD 10 PCS Code: |
00UQ37Z - Supplement Vagus Nerve with Autologous Tissue Substitute, Percutaneous Approach (approximate) |
| ICD 10 PCS Code: |
01U107Z - Supplement Cervical Nerve with Autologous Tissue Substitute, Open Approach (approximate) |
| ICD 10 PCS Code: |
00US47Z - Supplement Hypoglossal Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach (approximate) |
| ICD 10 PCS Code: |
00US37Z - Supplement Hypoglossal Nerve with Autologous Tissue Substitute, Percutaneous Approach (approximate) |
| ICD 10 PCS Code: |
00US07Z - Supplement Hypoglossal Nerve with Autologous Tissue Substitute, Open Approach (approximate) |
| ICD 10 PCS Code: |
00UR47Z - Supplement Accessory Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach (approximate) |
| ICD 10 PCS Code: |
00UR37Z - Supplement Accessory Nerve with Autologous Tissue Substitute, Percutaneous Approach (approximate) |
| ICD 10 PCS Code: |
00UR07Z - Supplement Accessory Nerve with Autologous Tissue Substitute, Open Approach (approximate) |
| ICD 10 PCS Code: |
00UQ47Z - Supplement Vagus Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach (approximate) |
| ICD 10 PCS Code: |
00UF07Z - Supplement Olfactory Nerve with Autologous Tissue Substitute, Open Approach (approximate) |
| ICD 10 PCS Code: |
00UQ07Z - Supplement Vagus Nerve with Autologous Tissue Substitute, Open Approach (approximate) |
| ICD 10 PCS Code: |
00UP47Z - Supplement Glossopharyngeal Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach (approximate) |
| ICD 10 PCS Code: |
00UP37Z - Supplement Glossopharyngeal Nerve with Autologous Tissue Substitute, Percutaneous Approach (approximate) |
| ICD 10 PCS Code: |
00UP07Z - Supplement Glossopharyngeal Nerve with Autologous Tissue Substitute, Open Approach (approximate) |
| ICD 10 PCS Code: |
00UN47Z - Supplement Acoustic Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach (approximate) |
| ICD 10 PCS Code: |
00UN37Z - Supplement Acoustic Nerve with Autologous Tissue Substitute, Percutaneous Approach (approximate) |
| ICD 10 PCS Code: |
00UN07Z - Supplement Acoustic Nerve with Autologous Tissue Substitute, Open Approach (approximate) |
| ICD 10 PCS Code: |
00UM47Z - Supplement Facial Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach (approximate) |
