047U056 (575289)    ICD OPERATION/PROCEDURE (80.1)

Name Value
CODE NUMBER 047U056
STATUS
  • STATUS EFFECTIVE DATE:   2016-10-01 00:00:00
    ACTIVE
  • STATUS EFFECTIVE DATE:   2019-10-01 00:00:00
    INACTIVE
OPERATION/PROCEDURE
  • OPER/PROCEDURE EFFECTIVE DATE:   2016-10-01 00:00:00
    Dilate L Peroneal Art, Bifurc, w 2 Drug-elut, Open
DESCRIPTION
  • Dilation of Left Peroneal Artery, Bifurcation, with Two Drug-eluting Intraluminal Devices, Open Approach
    SUPPLEMENTAL:
    • WORD:   LT