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DIVISION of CARDIOTHORACIC SURGERY
CARDIAC
DATE OF SERVICE:
PLACE OF SERVICE:
BILLING AREA:
IH
9033
OH
OPU
HUP
PPMC
PAH
PHYSICIAN:
, M.D.
PROCEDURES
# CODE
22
50
51
52
58
59
62
76
78
79
82
MODIFIERS
# CODE
CORONARY ARTERY GRAFTS
33508
33510
33511
33512
33513
33514
33516
33517
33518
33519
33521
33522
33523
33533
33534
33535
33536
33530
33572
35600
Endoscopy, V-A, harvest of veins for CABG
1-venous graft only
2-venous graft only
3-venous graft only
4-venous graft only
5-venous graft only
6 or more venous graft only
1-venous graft (add arter. code below)
2-venous graft (add arter. code below)
3-venous graft (add arter. code below)
4-venous graft (add arter. code below)
5-venous graft (add arter. code below)
6 or more ven. graft (add art, code below)
1-arterial graft
2-arterial graft
3-arterial graft
4 or more arterial graft
Reop., coronary artery bypass
Coronary endarterectomy
Harvest of radial artery
# CODE
MOD
Unusual Procedural Service
Bilateral Services
Multiple Services
Reduced Services
Staged Procedure
Distinct Procedure
Two Surgeons
Repeat Proc Same MD
Return To O R Related Procedure
Return To O R Unrelated Procedure
Assistant Surgeon
THORACIC AORTIC ANEURYSMS
MOD
MOD
AORTIC REPAIR
MOD
33335 Aortic graft transection w/CPB
33720 Sinus Valsalva aneurysm
34812 Open femoral artery exposure, delivery
ednovascular prosthesis, groin incision/unilateral
36200 Intro cath, aorta
# CODE
WOUNDS OF HEART, GT. VES.
MOD
33300 Repair of cardiac wound w/o CPB
33305 Repair of cardiac wound w/ CPB
33320 Sut. repair of Ao or great vessels
# CODE
TUMOR
33120 Excision of intra-cardiac tumor
# CODE
MYOCARDIUM REPAIR
33542 Myocardial resection
33545 Postinfarction VSD repair
33548 Surgical ventricular restoration proc, includes
prosathetic patch when performed by remodeling,
SVR, SAVER, DOR proc
MOD
MOD
VALVE
MOD
PACEMAKER / EP
INTRACARDIAC REPAIR
33641 ASD closure
33675 Closure mltpl vent setp defects
33676 Closure mltpl vent setp defects; w/pulm valvtmy
or infund resect
33677 Closure mltpl vent setp defects;w/remov pulm
artery band, w or w/o gusset
33681 VSD closure
PULMONARY ARTERY
MOD
Pulmon. artery embolect. w/CPB
Pulmon. artery embolect. w/o CPB
Pulmon. art. endarter. w or w/o
Repair pulmonary artery arborization anomalies
by unifocalization; w/o cardiopulmonary bp
33926 "
" w/cardiopulomonary bp
# CODE
PERICARDIAM
MOD
33025 Pericardial window
33030 Pericardiac w/o CPB
33031 Pericardiac. w/cardiopul. bypass
# CODE
CARDIAC ASSIST
MOD
# CODE
VENOUS ACCESS PROCEDURES
MOD
33940
33944
33945
33967
33968
33970
33975
33976
33977
33978
33981
MOD
33202 Insert epicard elctrd:open
33203 Insert epicard elctrd:endo approach
33206 Insert/repl. perm pacemaker w/transvenous
electrode(s)
33207 Instr/repl. perm. pacer w/ventricular (VVI)
33208 w/atrial and ventricular (DDDR)
33210 Insert/repl. temp trnsv. single chamber
33212 Insrt./repl. pacemaker pulse gen. only;
single chamber, atrial or ventricular
33213
dual chamber
33216 Insert/repl. reposit. transv. ids
15+ dys.>init, insert, sngl. chamber, A or V
33218 Rpr pacer, ids. only, sngl. chamber, A or V
33222 Rev./reloc. skin pocket pacemaker
33223 Rev./reloc. skin cardio-defib
33241 Rem single/dual chamber pacing
cardioverter-defibrillator pulse generator
33243 Rem single/dual chamber pacing cardioverterdefibrillator electrode(s), by thoracotomy
33244 By transvenous extraction
33257 Oper tissue ablat and recon or atria, limited,
at time of other cardiac proc.
33258 Oper tissue ablat and recon or atria, perf w/other
cardiac proc, w/o cardiopulm bypass
33259 Oper tissue ablat and recon or atria, perf w/other
cardiac proc, w/cardiopulm bypass
33261 Operative ablation of ventricular
arrhythmogenic focus w/cardiopulm bypass
33265 Endscpy, surg; op tiss ablat w recon of atria,
ltd (mod. maze proc) w/o cp bypass
33266 Endscpy, surg;op tiss ablat w recon of atria,
extnsv (maze proc) w/o cp bypass
# CODE
# CODE
33910
33915
33916
33925
0256T Implant of cath-delivered aortic heart valve;
endovasc approach
0257T Implant of cath-delivered aortic heart valve;
open thoracic approach
0258T Transthoracic cardiac expos for cath-delivered
aortic valve replacement; w/o CPB
0259T Transthoracic cardiac expos for cath-delivered
aortic valve replacement; with CPB
33405 Aort. val. rplc. w/crdiopl. byps. w/prosth viv
33410 Aortic valve repl.-stentless
33411 Aortic valve repl. w/annul. enlarg.
33425 Mitral valvuloplasty
33426 Mitral valvuloplasty w/prosth. ring
33427
radical reconst. w/wo ring
33430 Mitral valve replacement
33460 Tricuspid. valve vale cl w//cardio bypass
33463 Valvuloplasty, tricuspid valve, w/o ring
33464 Valvuloplasty, tricuspid vavle, w/ring
33465 Replacement, tricuspid valve
33470 Pulm. valve valvo. closed heart transvnl
33475 Replacement, pulmonary valve
33530 Reoperation, valve procedure
# CODE
0050T Removal ventricular assist device, extracorporeal
percut transseptal access single/dual cannulation
33860 Ascending aortic graft
33863
w/aortic root replacement
33870 Transverse arch graft
33875 Descending thoracic aortic graft
33877 Thoracoabdom. aortic aneurysm
# CODE
# CODE
Don. cardiec. and/or pneumonectomy
Backbench, heart prior to transplant
Heart transplant
Insertion IAB assist device, percut
Removal IAB "
"
IAB, through fem. art, open approach
Implant LVAD-single
LVAD bivent
Removal LVAD-single
"
" bivent
Replace extracorp vent assist dev, single or
bivent, pump(s), single or each pump
33982 Replace vent assist dev pump(s);
implant intracorp, single vent, w/o CP bypass
33983 Replace vent assist dev pump(s);
implant intracorp, single vent, w/ CP bypass
33999 Unlisted proc., cardiac surgery
36556 Inset non-tunneled centrally inserted central
venous cath
36569 Insert peripherally inserted central venous cath
(PICC), w/o subcut port/pump
36580 Replacement, complete, non-tunneled centrally
inserted venous cath, w/o subcut port/pump,
through same venous access
36584 Replacement, complete, peripherally inserted
central venous cath (PICC), w/o subcut
port/pump through same venous access
36620 A line
# CODE
32852
32851
32853
32854
32855
32856
33933
33935
# CODE
10060
10061
21750
31600
31645
MOD
32421
33724
33726
34812
34820
35697
35820
36822
92950
92971
93503
LUNG TRANSPLANTATION
MOD
Lung Txp single lung w/bypass
Lung Txp single w/o bypass
Lung Txp double lung w/o bypass
Lung Txp double lung w/bypass
Backbench, unilateral
" " bilateral
Backbench, cadaver donor heart/lung prior to txp
Heart-lung txp w/recipient cardiectomy-pneumon.
MISCELLANEOUS
MOD
I & D simple abscess
I & D complicated/multiple
Stern. clos. w/ or w/o debride
Tracheostomy, planned
Bronchoscopy, w/therapeutic aspiration/drainage
lung abscess
Thoracentesis
Repair isol partl anom pulm venous return
Repair pulm venous stenosis
Femoral exposure, stent graft
Iliac exposure, retroperitoneal, stent graft
Reimplantation, visceral artery to infrarenal
aortic prosthesis, each artery
Chest exploration
Insert ecmo
Cardiopulmonary resusc.
Cardioassist external meth.
Swan-Ganz
revised 12-21-11
DIAGNOSES
# CODE
394.0
394.1
394.9
395.1
395.2
396.9
397.0
398.99
# CODE
410.70
410.90
411.1
413.9
414.00
414.01
414.04
414.05
414.10
414.11
414.12
414.19
414.2
414.3
414.4
414.8
# CODE
415.0
415.11
415.19
416.0
416.2
416.8
416.9
# CODE
420.90
421.0
422.0
423.0
423.2
423.3
423.9
435.9
# CODE
424.0
424.1
424.2
424.3
424.90
RHEUMATIC HEART DISEASE
Mitral stenosis
Rheumatic mitral insufficiency
Other unspec. mitral valve dis.
Rheumatic aortic insufficiency
Rheumatic aortic insufficiency
Mitral/Aortic valve dis, unspec
Disease of the tricuspid valve
Rheumatic valve dis, other
ISCHEMIC HEART DISEASE
Subendocardial infarction
Myocardial infarc. unspec. site
Intermediate coronary syndrome
Other unspec. angina pectoris
Coronary arterosclerosis, unspec
Coron. Arterosciero. of native coron. artery
Coron. Arterosciero. of artery bypass graft
Coron. Arterosciero. of unspec. bypass graft
Aneurysm of heart (wall)
"
" coronary vessels
Dissection of coronary artery
Other aneurysm of heart
Chronic total occlusion of coronary artery
Coronary athero. due to lipid rich plaque
Coronary atheroscl. due to calcif. coronary lesion
Other spec. forms, chronic isch. dis.
PULMONARY HEART DISEASE
Acute cor. pulmonale
Iatrogenic pulmonary embolism and infarction
"
" other
Primary pulmonary hypertension
Chronic pulmonary embolism
Other chronic pulmon. heart disease
Chronic pulm. heart disease, unspec.
OTHER HEART DISEASE
Acute pericarditis, unspecified
Acute & subs. bact. endocard.
Other acute myocarditis disease
Hemopericardium
Constrictive pericarditis
Cardiac tamponade
Unspec. dis. of the pericardium
TIA, unspec
VALVULAR HEART DISEASE
Mitral valve disorders
Aortic valve disorders
Tricus. val. disorders, non rheum.
Pulmonary valve disorders
Endocar., unspec. valve and cause
# CODE
425.0
425.11
425.18
425.4
425.5
425.7
425.8
# CODE
426.0
426.10
426.12
426.6
426.9
427.0
427.1
427.31
427.32
427.41
427.5
427.81
# CODE
414.10
428.0
428.1
428.9
# CODE
429.0
429.1
429.2
429.3
429.4
429.5
429.6
429.81
429.9
# CODE
441.00
441.1
441.2
441.5
441.7
441.9
447.70
447.71
447.72
447.73
CARDIOMYOPATHY
Endomyocardial fibrosis
Hyper. obstruct. cardiomyopathy
Other hyper. cardiomyopathy
Other primary cardiomyopathies
Alcoholic cardiomyopathy
Nutriti. and metabolic cardiomyopathy
Cardiomyopathy spec. elsewhere
CONDUCTION DISORDERS
Atrioventricular block, complete
Atrioventric, block, part/incompl, unspec
Mobitz (type II) atrioventricular block
Other heart block
Conduction disorder, unspecified
Paroxcys. supraventric. tachycardia
Paroxysmal ventricular tachycardia
Artial fibrillation
Artial flutter
Ventricular fibrillation
Cardiac arrest
Sinostrial node dysfunction
HEART FAILURE
Aneurysm of heart wall
Congestive heart failure, unspec
Left heart failure
Heart failure unspecified
# CODE
745.12
745.2
745.4
745.5
745.61
746.02
746.3
746.4
746.6
747.10
747.11
747.31
747.32
747.39
# CODE
996.00
996.01
996.02
996.71
996.72
997.31
997.39
998.11
998.12
998.30
998.31
998.32
998.59
CONGENITAL HEART DISEASE
Corrected tranmspos of great vessels
Tetralogy of fallot
Ventricular septal defect
Ostium secundum, ADS, PFO
Ostium primum defect
Congenital Pulmonary valve stenosis
Congenital Aortic valve stenosis
Congenital aortic insufficiency
Congenital mitral insufficiency
Coarctation of aorta
Interruption of aortic arch
Pulm. artery coarct. and atresia
Pulm. a/v malformation
Other anomalies of pulm. artery and pulm. circ.
COMPLICATIONS
Mechan. comp unspec. dev. graft
Mechan. comp. due to card. pacer
Mechan. comp. due to prosth. valve
Other comp. inter. prosth. valve
Other complications inter prosth. cardiac
device, graft
Ventilator assoc. pneumonia
Other respiratory complications
Hemorr. compl. a proc.
Hematoma complicating a proc
Disruption of wound, unspecified
Disruption of internal operation wound
" " external
Postoperative infection
COMPL. OF HEART FAILURE
Myocarditis unspecified
Myocardial degeneration
Cardiovascular disease, unspec.
Cardiomegaly
Functional disturbance after surgery
Rupture of cordae tendinae
Rupture of papillary muscle
Other disord. of papillary muscle
Heart disease, unspecified
AORTIC DISEASE
Dissecting Aortic aneurysm, unspec.
Thorac. aortic aneurysm, rupture
Thorac. aortic aneurysm, no rupture
Aortic aneurysm, unspec. site rupture
Thoracoabdominal aneurysm, w/o rupture
Aortic aneurysm, unspec. site unrup.
Aortic ectasia, unspecified site
Thoracic aortic ectasia
Abdominal aortic ectasia
Thoracoabdominal ectasia
# CODE
250.00
250.01
272.0
492.8
745.4
745.5
759.82
875.0
875.1
901.0
901.2
V67.00
MISCELLANEOUS
Type 11 diabetes (NIDDM)
Type 1 diabetes (IDDM)
Hypercholesterolemia
Emphysema/COPD
VSD
Atrial septal defect
Marfan syndrome
Open wound of chest w/o compl.
Open wound of chest complications
Injury to thoracic aorta
Injury to SVC
Post op visit, unspecified