TABLE 6B - NEW PROCEDURE CODES
Procedure Code	Description	O.R.	MDC	MS-DRG
021W08F	Bypass Thoracic Aorta, Descending to Abdominal Artery with Zooplastic Tissue, Open Approach	Y	05	270, 271, 272
""				981, 982, 983
021W08G	Bypass Thoracic Aorta, Descending to Axillary Artery with Zooplastic Tissue, Open Approach	Y	01	037, 038, 039
""			05	270, 271, 272
""			21	907, 908, 909
""			24	957, 958, 959
""				981, 982, 983
021W08H	Bypass Thoracic Aorta, Descending to Brachial Artery with Zooplastic Tissue, Open Approach	Y	01	037, 038, 039
""			05	270, 271, 272
""			21	907, 908, 909
""			24	957, 958, 959
""				981, 982, 983
021W08V	Bypass Thoracic Aorta, Descending to Lower Extremity Artery with Zooplastic Tissue, Open Approach	Y	05	270, 271, 272
""				981, 982, 983
021W09F	Bypass Thoracic Aorta, Descending to Abdominal Artery with Autologous Venous Tissue, Open Approach	Y	05	270, 271, 272
""				981, 982, 983
021W09G	Bypass Thoracic Aorta, Descending to Axillary Artery with Autologous Venous Tissue, Open Approach	Y	01	037, 038, 039
""			05	270, 271, 272
""			21	907, 908, 909
""			24	957, 958, 959
""				981, 982, 983
021W09H	Bypass Thoracic Aorta, Descending to Brachial Artery with Autologous Venous Tissue, Open Approach	Y	01	037, 038, 039
""			05	270, 271, 272
""			21	907, 908, 909
""			24	957, 958, 959
""				981, 982, 983
021W09V	Bypass Thoracic Aorta, Descending to Lower Extremity Artery with Autologous Venous Tissue, Open Approach	Y	05	270, 271, 272
""				981, 982, 983
021W0AF	Bypass Thoracic Aorta, Descending to Abdominal Artery with Autologous Arterial Tissue, Open Approach	Y	05	270, 271, 272
""				981, 982, 983
021W0AG	Bypass Thoracic Aorta, Descending to Axillary Artery with Autologous Arterial Tissue, Open Approach	Y	01	037, 038, 039
""			05	270, 271, 272
""			21	907, 908, 909
""			24	957, 958, 959
""				981, 982, 983
021W0AH	Bypass Thoracic Aorta, Descending to Brachial Artery with Autologous Arterial Tissue, Open Approach	Y	01	037, 038, 039
""			05	270, 271, 272
""			21	907, 908, 909
""			24	957, 958, 959
""				981, 982, 983
021W0AV	Bypass Thoracic Aorta, Descending to Lower Extremity Artery with Autologous Arterial Tissue, Open Approach	Y	05	270, 271, 272
""				981, 982, 983
021W0JF	Bypass Thoracic Aorta, Descending to Abdominal Artery with Synthetic Substitute, Open Approach	Y	05	270, 271, 272
""				981, 982, 983
021W0JV	Bypass Thoracic Aorta, Descending to Lower Extremity Artery with Synthetic Substitute, Open Approach	Y	05	270, 271, 272
""				981, 982, 983
021W0KF	Bypass Thoracic Aorta, Descending to Abdominal Artery with Nonautologous Tissue Substitute, Open Approach	Y	05	270, 271, 272
""				981, 982, 983
021W0KV	Bypass Thoracic Aorta, Descending to Lower Extremity Artery with Nonautologous Tissue Substitute, Open Approach	Y	05	270, 271, 272
""				981, 982, 983
031509T	Bypass Right Axillary Artery to Abdominal Artery with Autologous Venous Tissue, Open Approach	Y	05	252, 253, 254
""				981, 982, 983
03150AT	Bypass Right Axillary Artery to Abdominal Artery with Autologous Arterial Tissue, Open Approach	Y	05	252, 253, 254
""				981, 982, 983
03150JT	Bypass Right Axillary Artery to Abdominal Artery with Synthetic Substitute, Open Approach	Y	05	252, 253, 254
""				981, 982, 983
03150KT	Bypass Right Axillary Artery to Abdominal Artery with Nonautologous Tissue Substitute, Open Approach	Y	05	252, 253, 254
""				981, 982, 983
03150ZT	Bypass Right Axillary Artery to Abdominal Artery, Open Approach	Y	05	252, 253, 254
""			06	356, 357, 358
""			10	628, 629, 630
""			11	673, 674, 675
""			21	907, 908, 909
""			24	957, 958, 959
""				981, 982, 983
031609T	Bypass Left Axillary Artery to Abdominal Artery with Autologous Venous Tissue, Open Approach	Y	05	252, 253, 254
""				981, 982, 983
03160AT	Bypass Left Axillary Artery to Abdominal Artery with Autologous Arterial Tissue, Open Approach	Y	05	252, 253, 254
""				981, 982, 983
03160JT	Bypass Left Axillary Artery to Abdominal Artery with Synthetic Substitute, Open Approach	Y	05	252, 253, 254
""				981, 982, 983
03160KT	Bypass Left Axillary Artery to Abdominal Artery with Nonautologous Tissue Substitute, Open Approach	Y	05	252, 253, 254
""				981, 982, 983
03160ZT	Bypass Left Axillary Artery to Abdominal Artery, Open Approach	Y	05	252, 253, 254
""			06	356, 357, 358
""			10	628, 629, 630
""			11	673, 674, 675
""			21	907, 908, 909
""			24	957, 958, 959
""				981, 982, 983
031H09Y	Bypass Right Common Carotid Artery to Upper Artery with Autologous Venous Tissue, Open Approach	Y	01	037, 038, 039
""			04	166, 167, 168
""			05	252, 253, 254
""			07	423, 424, 425
""			09	579, 580, 581
""			10	628, 629, 630
""			21	907, 908, 909
""			24	957, 958, 959
""				981, 982, 983
031H0AY	Bypass Right Common Carotid Artery to Upper Artery with Autologous Arterial Tissue, Open Approach	Y	01	037, 038, 039
""			04	166, 167, 168
""			05	252, 253, 254
""			07	423, 424, 425
""			09	579, 580, 581
""			10	628, 629, 630
""			21	907, 908, 909
""			24	957, 958, 959
""				981, 982, 983
031H0JY	Bypass Right Common Carotid Artery to Upper Artery with Synthetic Substitute, Open Approach	Y	01	037, 038, 039
""			04	166, 167, 168
""			05	252, 253, 254
""			07	423, 424, 425
""			09	579, 580, 581
""			10	628, 629, 630
""			21	907, 908, 909
""			24	957, 958, 959
""				981, 982, 983
031H0KY	Bypass Right Common Carotid Artery to Upper Artery with Nonautologous Tissue Substitute, Open Approach	Y	01	037, 038, 039
""			04	166, 167, 168
""			05	252, 253, 254
""			07	423, 424, 425
""			09	579, 580, 581
""			10	628, 629, 630
""			21	907, 908, 909
""			24	957, 958, 959
""				981, 982, 983
031H0ZY	Bypass Right Common Carotid Artery to Upper Artery, Open Approach	Y	01	037, 038, 039
""			04	166, 167, 168
""			05	252, 253, 254
""			07	423, 424, 425
""			09	579, 580, 581
""			10	628, 629, 630
""			21	907, 908, 909
""			24	957, 958, 959
""				981, 982, 983
031J09Y	Bypass Left Common Carotid Artery to Upper Artery with Autologous Venous Tissue, Open Approach	Y	01	037, 038, 039
""			04	166, 167, 168
""			05	252, 253, 254
""			07	423, 424, 425
""			09	579, 580, 581
""			10	628, 629, 630
""			21	907, 908, 909
""			24	957, 958, 959
""				981, 982, 983
031J0AY	Bypass Left Common Carotid Artery to Upper Artery with Autologous Arterial Tissue, Open Approach	Y	01	037, 038, 039
""			04	166, 167, 168
""			05	252, 253, 254
""			07	423, 424, 425
""			09	579, 580, 581
""			10	628, 629, 630
""			21	907, 908, 909
""			24	957, 958, 959
""				981, 982, 983
031J0JY	Bypass Left Common Carotid Artery to Upper Artery with Synthetic Substitute, Open Approach	Y	01	037, 038, 039
""			04	166, 167, 168
""			05	252, 253, 254
""			07	423, 424, 425
""			09	579, 580, 581
""			10	628, 629, 630
""			21	907, 908, 909
""			24	957, 958, 959
""				981, 982, 983
031J0KY	Bypass Left Common Carotid Artery to Upper Artery with Nonautologous Tissue Substitute, Open Approach	Y	01	037, 038, 039
""			04	166, 167, 168
""			05	252, 253, 254
""			07	423, 424, 425
""			09	579, 580, 581
""			10	628, 629, 630
""			21	907, 908, 909
""			24	957, 958, 959
""				981, 982, 983
031J0ZY	Bypass Left Common Carotid Artery to Upper Artery, Open Approach	Y	01	037, 038, 039
""			04	166, 167, 168
""			05	252, 253, 254
""			07	423, 424, 425
""			09	579, 580, 581
""			10	628, 629, 630
""			21	907, 908, 909
""			24	957, 958, 959
""				981, 982, 983
093K7ZZ	Control Bleeding in Nasal Mucosa and Soft Tissue, Via Natural or Artificial Opening	Y	04	163, 164, 165
""			05	264
""			10	628, 629, 630
""			17	820, 821, 822, 826, 827, 828, 829, 830
""			21	907, 908, 909
""			24	957, 958, 959
""				981, 982, 983
093K8ZZ	Control Bleeding in Nasal Mucosa and Soft Tissue, Via Natural or Artificial Opening Endoscopic	Y	04	163, 164, 165
""			05	264
""			17	820, 821, 822, 826, 827, 828, 829, 830
""			21	907, 908, 909
""			24	957, 958, 959
""				981, 982, 983
0UY90Z0	Transplantation of Uterus, Allogeneic, Open Approach	Y	13	736, 737, 738, 739, 740, 741, 742, 743
""				981, 982, 983
0UY90Z1	Transplantation of Uterus, Syngeneic, Open Approach	Y	13	736, 737, 738, 739, 740, 741, 742, 743
""				981, 982, 983
0UY90Z2	Transplantation of Uterus, Zooplastic, Open Approach	Y	13	736, 737, 738, 739, 740, 741, 742, 743
""				981, 982, 983

	Notes:
