Non-covered Procedure Codes - ICD-10-PCS Code Edits


The following 99 ICD-10-PCS codes are intended for non-covered procedure codes. The procedures codes identified here are always non-covered procedures.


ICD-10-PCS CodeDescriptionSectionBody SystemOperation
00F3XZZFragmentation in Intracranial Epidural Space, External ApproachMedical and SurgicalCentral Nervous System and Cranial NervesFragmentation
00F4XZZFragmentation in Intracranial Subdural Space, External ApproachMedical and SurgicalCentral Nervous System and Cranial NervesFragmentation
00F5XZZFragmentation in Intracranial Subarachnoid Space, External ApproachMedical and SurgicalCentral Nervous System and Cranial NervesFragmentation
00F6XZZFragmentation in Cerebral Ventricle, External ApproachMedical and SurgicalCentral Nervous System and Cranial NervesFragmentation
02BK0ZZExcision of Right Ventricle, Open ApproachMedical and SurgicalHeart and Great VesselsExcision
02BK3ZZExcision of Right Ventricle, Percutaneous ApproachMedical and SurgicalHeart and Great VesselsExcision
02BK4ZZExcision of Right Ventricle, Percutaneous Endoscopic ApproachMedical and SurgicalHeart and Great VesselsExcision
02BL0ZZExcision of Left Ventricle, Open ApproachMedical and SurgicalHeart and Great VesselsExcision
02BL3ZZExcision of Left Ventricle, Percutaneous ApproachMedical and SurgicalHeart and Great VesselsExcision
02BL4ZZExcision of Left Ventricle, Percutaneous Endoscopic ApproachMedical and SurgicalHeart and Great VesselsExcision
02FNXZZFragmentation in Pericardium, External ApproachMedical and SurgicalHeart and Great VesselsFragmentation
02HA3QZInsertion of Implantable Heart Assist System into Heart, Percutaneous ApproachMedical and SurgicalHeart and Great VesselsInsertion
02HA4QZInsertion of Implantable Heart Assist System into Heart, Percutaneous Endoscopic ApproachMedical and SurgicalHeart and Great VesselsInsertion
02WA3QZRevision of Implantable Heart Assist System in Heart, Percutaneous ApproachMedical and SurgicalHeart and Great VesselsRevision
02WA4QZRevision of Implantable Heart Assist System in Heart, Percutaneous Endoscopic ApproachMedical and SurgicalHeart and Great VesselsRevision
037G3Z6Dilation of Intracranial Artery, Bifurcation, Percutaneous ApproachMedical and SurgicalUpper ArteriesDilation
037G3ZZDilation of Intracranial Artery, Percutaneous ApproachMedical and SurgicalUpper ArteriesDilation
037G4Z6Dilation of Intracranial Artery, Bifurcation, Percutaneous Endoscopic ApproachMedical and SurgicalUpper ArteriesDilation
037G4ZZDilation of Intracranial Artery, Percutaneous Endoscopic ApproachMedical and SurgicalUpper ArteriesDilation
057L3ZZDilation of Intracranial Vein, Percutaneous ApproachMedical and SurgicalUpper VeinsDilation
057L4ZZDilation of Intracranial Vein, Percutaneous Endoscopic ApproachMedical and SurgicalUpper VeinsDilation
08F4XZZFragmentation in Right Vitreous, External ApproachMedical and SurgicalEyeFragmentation
08F5XZZFragmentation in Left Vitreous, External ApproachMedical and SurgicalEyeFragmentation
08Q8XZZRepair Right Cornea, External ApproachMedical and SurgicalEyeRepair
08Q9XZZRepair Left Cornea, External ApproachMedical and SurgicalEyeRepair
08U80KZSupplement Right Cornea with Nonautologous Tissue Substitute, Open ApproachMedical and SurgicalEyeSupplement
08U83KZSupplement Right Cornea with Nonautologous Tissue Substitute, Percutaneous ApproachMedical and SurgicalEyeSupplement
08U8XKZSupplement Right Cornea with Nonautologous Tissue Substitute, External ApproachMedical and SurgicalEyeSupplement
08U90KZSupplement Left Cornea with Nonautologous Tissue Substitute, Open ApproachMedical and SurgicalEyeSupplement
08U93KZSupplement Left Cornea with Nonautologous Tissue Substitute, Percutaneous ApproachMedical and SurgicalEyeSupplement
08U9XKZSupplement Left Cornea with Nonautologous Tissue Substitute, External ApproachMedical and SurgicalEyeSupplement
0BF1XZZFragmentation in Trachea, External ApproachMedical and SurgicalRespiratory SystemFragmentation
0BF2XZZFragmentation in Carina, External ApproachMedical and SurgicalRespiratory SystemFragmentation
0BF3XZZFragmentation in Right Main Bronchus, External ApproachMedical and SurgicalRespiratory SystemFragmentation
0BF4XZZFragmentation in Right Upper Lobe Bronchus, External ApproachMedical and SurgicalRespiratory SystemFragmentation
0BF5XZZFragmentation in Right Middle Lobe Bronchus, External ApproachMedical and SurgicalRespiratory SystemFragmentation
0BF6XZZFragmentation in Right Lower Lobe Bronchus, External ApproachMedical and SurgicalRespiratory SystemFragmentation
0BF7XZZFragmentation in Left Main Bronchus, External ApproachMedical and SurgicalRespiratory SystemFragmentation
0BF8XZZFragmentation in Left Upper Lobe Bronchus, External ApproachMedical and SurgicalRespiratory SystemFragmentation
0BF9XZZFragmentation in Lingula Bronchus, External ApproachMedical and SurgicalRespiratory SystemFragmentation
0BFBXZZFragmentation in Left Lower Lobe Bronchus, External ApproachMedical and SurgicalRespiratory SystemFragmentation
0CFBXZZFragmentation in Right Parotid Duct, External ApproachMedical and SurgicalMouth and ThroatFragmentation
0CFCXZZFragmentation in Left Parotid Duct, External ApproachMedical and SurgicalMouth and ThroatFragmentation
0DF5XZZFragmentation in Esophagus, External ApproachMedical and SurgicalGastrointestinal SystemFragmentation
0DF6XZZFragmentation in Stomach, External ApproachMedical and SurgicalGastrointestinal SystemFragmentation
0DF8XZZFragmentation in Small Intestine, External ApproachMedical and SurgicalGastrointestinal SystemFragmentation
0DF9XZZFragmentation in Duodenum, External ApproachMedical and SurgicalGastrointestinal SystemFragmentation
0DFAXZZFragmentation in Jejunum, External ApproachMedical and SurgicalGastrointestinal SystemFragmentation
0DFBXZZFragmentation in Ileum, External ApproachMedical and SurgicalGastrointestinal SystemFragmentation
0DFEXZZFragmentation in Large Intestine, External ApproachMedical and SurgicalGastrointestinal SystemFragmentation
0DFFXZZFragmentation in Right Large Intestine, External ApproachMedical and SurgicalGastrointestinal SystemFragmentation
0DFGXZZFragmentation in Left Large Intestine, External ApproachMedical and SurgicalGastrointestinal SystemFragmentation
0DFHXZZFragmentation in Cecum, External ApproachMedical and SurgicalGastrointestinal SystemFragmentation
0DFJXZZFragmentation in Appendix, External ApproachMedical and SurgicalGastrointestinal SystemFragmentation
0DFKXZZFragmentation in Ascending Colon, External ApproachMedical and SurgicalGastrointestinal SystemFragmentation
0DFLXZZFragmentation in Transverse Colon, External ApproachMedical and SurgicalGastrointestinal SystemFragmentation
0DFMXZZFragmentation in Descending Colon, External ApproachMedical and SurgicalGastrointestinal SystemFragmentation
0DFNXZZFragmentation in Sigmoid Colon, External ApproachMedical and SurgicalGastrointestinal SystemFragmentation
0DFPXZZFragmentation in Rectum, External ApproachMedical and SurgicalGastrointestinal SystemFragmentation
0DFQXZZFragmentation in Anus, External ApproachMedical and SurgicalGastrointestinal SystemFragmentation
0DV67DZRestriction of Stomach with Intraluminal Device, Via Natural or Artificial OpeningMedical and SurgicalGastrointestinal SystemRestriction
0DV68DZRestriction of Stomach with Intraluminal Device, Via Natural or Artificial Opening EndoscopicMedical and SurgicalGastrointestinal SystemRestriction
0FF4XZZFragmentation in Gallbladder, External ApproachMedical and SurgicalHepatobiliary System and PancreasFragmentation
0FF5XZZFragmentation in Right Hepatic Duct, External ApproachMedical and SurgicalHepatobiliary System and PancreasFragmentation
0FF6XZZFragmentation in Left Hepatic Duct, External ApproachMedical and SurgicalHepatobiliary System and PancreasFragmentation
0FF8XZZFragmentation in Cystic Duct, External ApproachMedical and SurgicalHepatobiliary System and PancreasFragmentation
0FF9XZZFragmentation in Common Bile Duct, External ApproachMedical and SurgicalHepatobiliary System and PancreasFragmentation
0FFCXZZFragmentation in Ampulla of Vater, External ApproachMedical and SurgicalHepatobiliary System and PancreasFragmentation
0FFDXZZFragmentation in Pancreatic Duct, External ApproachMedical and SurgicalHepatobiliary System and PancreasFragmentation
0FFFXZZFragmentation in Accessory Pancreatic Duct, External ApproachMedical and SurgicalHepatobiliary System and PancreasFragmentation
0FYG0Z2Transplantation of Pancreas, Zooplastic, Open ApproachMedical and SurgicalHepatobiliary System and PancreasTransplantation
0JH70MZInsertion of Stimulator Generator into Back Subcutaneous Tissue and Fascia, Open ApproachMedical and SurgicalSubcutaneous Tissue and FasciaInsertion
0JH73MZInsertion of Stimulator Generator into Back Subcutaneous Tissue and Fascia, Percutaneous ApproachMedical and SurgicalSubcutaneous Tissue and FasciaInsertion
0JH80MZInsertion of Stimulator Generator into Abdomen Subcutaneous Tissue and Fascia, Open ApproachMedical and SurgicalSubcutaneous Tissue and FasciaInsertion
0JH83MZInsertion of Stimulator Generator into Abdomen Subcutaneous Tissue and Fascia, Percutaneous ApproachMedical and SurgicalSubcutaneous Tissue and FasciaInsertion
0TFDXZZFragmentation in Urethra, External ApproachMedical and SurgicalUrinary SystemFragmentation
0THB0MZInsertion of Stimulator Lead into Bladder, Open ApproachMedical and SurgicalUrinary SystemInsertion
0THB3MZInsertion of Stimulator Lead into Bladder, Percutaneous ApproachMedical and SurgicalUrinary SystemInsertion
0THB4MZInsertion of Stimulator Lead into Bladder, Percutaneous Endoscopic ApproachMedical and SurgicalUrinary SystemInsertion
0THB7MZInsertion of Stimulator Lead into Bladder, Via Natural or Artificial OpeningMedical and SurgicalUrinary SystemInsertion
0THB8MZInsertion of Stimulator Lead into Bladder, Via Natural or Artificial Opening EndoscopicMedical and SurgicalUrinary SystemInsertion
0TPB0MZRemoval of Stimulator Lead from Bladder, Open ApproachMedical and SurgicalUrinary SystemRemoval
0TPB3MZRemoval of Stimulator Lead from Bladder, Percutaneous ApproachMedical and SurgicalUrinary SystemRemoval
0TPB4MZRemoval of Stimulator Lead from Bladder, Percutaneous Endoscopic ApproachMedical and SurgicalUrinary SystemRemoval
0TPB7MZRemoval of Stimulator Lead from Bladder, Via Natural or Artificial OpeningMedical and SurgicalUrinary SystemRemoval
0TPB8MZRemoval of Stimulator Lead from Bladder, Via Natural or Artificial Opening EndoscopicMedical and SurgicalUrinary SystemRemoval
0UF5XZZFragmentation in Right Fallopian Tube, External ApproachMedical and SurgicalFemale Reproductive SystemFragmentation
0UF6XZZFragmentation in Left Fallopian Tube, External ApproachMedical and SurgicalFemale Reproductive SystemFragmentation
0UF7XZZFragmentation in Bilateral Fallopian Tubes, External ApproachMedical and SurgicalFemale Reproductive SystemFragmentation
0UF9XZZFragmentation in Uterus, External ApproachMedical and SurgicalFemale Reproductive SystemFragmentation
0WF1XZZFragmentation in Cranial Cavity, External ApproachMedical and SurgicalAnatomical Regions, GeneralFragmentation
0WF3XZZFragmentation in Oral Cavity and Throat, External ApproachMedical and SurgicalAnatomical Regions, GeneralFragmentation
0WF9XZZFragmentation in Right Pleural Cavity, External ApproachMedical and SurgicalAnatomical Regions, GeneralFragmentation
0WFBXZZFragmentation in Left Pleural Cavity, External ApproachMedical and SurgicalAnatomical Regions, GeneralFragmentation
0WFCXZZFragmentation in Mediastinum, External ApproachMedical and SurgicalAnatomical Regions, GeneralFragmentation
0WFGXZZFragmentation in Peritoneal Cavity, External ApproachMedical and SurgicalAnatomical Regions, GeneralFragmentation
0WFJXZZFragmentation in Pelvic Cavity, External ApproachMedical and SurgicalAnatomical Regions, GeneralFragmentation
0WFPXZZFragmentation in Gastrointestinal Tract, External ApproachMedical and SurgicalAnatomical Regions, GeneralFragmentation
0WFQXZZFragmentation in Respiratory Tract, External ApproachMedical and SurgicalAnatomical Regions, GeneralFragmentation

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