2006 ICD-9-CM OFFICIAL CODES
DISEASES TABULAR LIST 7
ICDMENU
7. OPERATIONS ON THE CARDIOVASCULAR SYSTEM (35-39)
35 Operations on valves and septa of heart
Includes: sternotomy (median) (transverse) as operative approach
thoracotomy as operative approach
Code also cardiopulmonary bypass [extracorporeal
circulation] [heart-lung machine] (39.61)
35.0 Closed heart valvotomy
Excludes: percutaneous (balloon) valvuloplasty (35.96)
35.00 Closed heart valvotomy, unspecified valve
35.01 Closed heart valvotomy, aortic valve
35.02 Closed heart valvotomy, mitral valve
35.03 Closed heart valvotomy, pulmonary valve
35.04 Closed heart valvotomy, tricuspid valve
35.1 Open heart valvuloplasty without replacement
Includes: open heart valvotomy
Excludes: that associated with repair of:
endocardial cushion defect (35.54, 35.63, 35.73)
valvular defect associated with atrial and
ventricular septal defects (35.54, 35.63, 35.73)
percutaneous (balloon) valvuloplasty (35.96)
Code also cardiopulmonary bypass if performed [extracorporeal
circulation] [heart-lung machine] (39.61)
35.10 Open heart valvuloplasty without replacement,
unspecified valve
35.11 Open heart valvuloplasty of aortic valve without
replacement
35.12 Open heart valvuloplasty of mitral valve without
replacement
35.13 Open heart valvuloplasty of pulmonary valve without
replacement
35.14 Open heart valvuloplasty of tricuspid valve without
replacement
35.2 Replacement of heart valve
Includes: excision of heart valve with replacement
Code also cardiopulmonary bypass [extracorporeal circulation]
[heart-lung machine] (39.61)
Excludes: that associated with repair of:
endocardial cushion defect (35.54, 35.63, 35.73)
valvular defect associated with atrial and
ventricular septal defects (35.54, 35.63, 35.73)
35.20 Replacement of unspecified heart valve
Repair of unspecified heart valve with tissue
graft or prosthetic implant
35.21 Replacement of aortic valve with tissue graft
Repair of aortic valve with tissue graft
(autograft) (heterograft) (homograft)
35.22 Other replacement of aortic valve
Repair of aortic valve with replacement:
NOS
prosthetic (partial) (synthetic) (total)
35.23 Replacement of mitral valve with tissue graft
Repair of mitral valve with tissue graft
(autograft) (heterograft) (homograft)
35.24 Other replacement of mitral valve
Repair of mitral valve with replacement:
NOS
prosthetic (partial) (synthetic) (total)
35.25 Replacement of pulmonary valve with tissue graft
Repair of pulmonary valve with tissue graft
(autograft) (heterograft) (homograft)
35.26 Other replacement of pulmonary valve
Repair of pulmonary valve with replacement:
NOS
prosthetic (partial) (synthetic) (total)
35.27 Replacement of tricuspid valve with tissue graft
Repair of tricuspid valve with tissue graft
(autograft) (heterograft) (homograft)
35.28 Other replacement of tricuspid valve
Repair of tricuspid valve with replacement:
NOS
prosthetic (partial) (synthetic) (total)
35.3 Operations on structures adjacent to heart valves
Code also cardiopulmonary bypass [extracorporeal circulation]
[heart-lung machine] (39.61)
35.31 Operations on papillary muscle
Division of papillary muscle
Reattachment of papillary muscle
Repair of papillary muscle
35.32 Operations on chordae tendineae
Division of chordae tendineae
Repair of chordae tendineae
35.33 Annuloplasty
Plication of annulus
35.34 Infundibulectomy
Right ventricular infundibulectomy
35.35 Operations on trabeculae carneae cordis
Division of trabeculae carneae cordis
Excision of trabeculae carneae cordis
Excision of aortic subvalvular ring
35.39 Operations on other structures adjacent to valves of
heart
Repair of sinus of Valsalva (aneurysm)
35.4 Production of septal defect in heart
35.41 Enlargement of existing atrial septal defect
Rashkind procedure
Septostomy (atrial) (balloon)
35.42 Creation of septal defect in heart
Blalock-Hanlon operation
35.5 Repair of atrial and ventricular septa with prosthesis
Includes: repair of septa with synthetic implant or patch
Code also cardiopulmonary bypass [extracorporeal circulation]
[heart-lung machine] (39.61)
35.50 Repair of unspecified septal defect of heart with
prosthesis
Excludes: that associated with repair of:
endocardial cushion defect (35.54)
septal defect associated with valvular defect (35.54)
35.51 Repair of atrial septal defect with prosthesis, open
technique
Atrioseptoplasty with prosthesis
Correction of atrial septal defect with
prosthesis
Repair:
foramen ovale (patent)
with prosthesis ostium secundum defect with
prosthesis
Excludes: that associated with repair of:
atrial septal defect associated with valvular and
ventricular septal defects (35.54)
endocardial cushion defect (35.54)
35.52 Repair of atrial septal defect with prosthesis,
closed technique
Insertion of atrial septal umbrella [King-Mills]
35.53 Repair of ventricular septal defect with prosthesis
Correction of ventricular septal defect with
prosthesis
Repair of supracristal defect with prosthesis
Excludes: that associated with repair of:
endocardial cushion defect (35.54)
ventricular defect associated with valvular and
atrial septal defects (35.54)
35.54 Repair of endocardial cushion defect with prosthesis
Repair:
atrioventricular canal with prosthesis (grafted
to septa)
ostium primum defect with prosthesis (grafted
to septa)
valvular defect associated with atrial and
ventricular septal defects with prosthesis
(grafted to septa)
Excludes: repair of isolated:
atrial septal defect (35.51-35.52)
valvular defect (35.20, 35.22, 35.24, 35.26, 35.28)
ventricular septal defect (35.53)
35.6 Repair of atrial and ventricular septa with tissue graft
Code also cardiopulmonary bypass [extracorporeal circulation]
[heart-lung machine] (39.61)
35.60 Repair of unspecified septal defect of heart with
tissue graft
Excludes: that associated with repair of:
endocardial cushion defect (35.63)
septal defect associated withvalvular defect (35.63)
35.61 Repair of atrial septal defect with tissue graft
Atrioseptoplasty with tissue graft
Correction of atrial septal defect with tissue
graft
Repair:
foramen ovale (patent) with tissue graft
ostium secundum defect with tissue graft
Excludes: that associated with repair of:
atrial septal defect associated with valvular and
ventricular septal defects (35.63)
endocardial cushion defect (35.63)
35.62 Repair of ventricular septal defect with tissue graft
Correction of ventricular septal defect with
tissue graft
Repair of supracristal defect with tissue graft
Excludes: that associated with repair of:
endocardial cushion defect(35.63)
ventricular defect associate with valvular and
atrial septal defects (35.63)
35.63 Repair of endocardial cushion defect with tissue graft
Repair of:
atrioventricular canal with tissue graft
ostium primum defect with tissue graft
valvular defect associated with atrial and
ventricular septal defects with tissue graft
Excludes: repair of isolated:
atrial septal defect (35.61)
valvular defect (35.20-35.21, 35.23, 35.25, 35.27)
ventricular septal defect (35.62)
35.7 Other and unspecified repair of atrial and ventricular septa
Code also cardiopulmonary bypass [extracorporeal circulation]
[heart-lung machine] (39.61)
35.70 Other and unspecified repair of unspecified septal
defect of heart
Repair of septal defect NOS
Excludes: that associated with repair of:
endocardial cushion defect (35.73)
septal defect associated wit valvular defect (35.73)
35.71 Other and unspecified repair of atrial septal defect
Repair NOS:
atrial septum
foramen ovale (patent)
ostium secundum defect
Excludes: that associated with repair of:
atrial septal defect associated with valvular
ventricular septal defects (35.73)
endocardial cushion defect (35.73)
35.72 Other and unspecified repair of ventricular septal
defect
Repair NOS:
supracristal defect
ventricular septum
Excludes: that associated with repair of:
endocardial cushion defect (35.73)
ventricular septal defect associated with valvular
and atrial septal defects (35.73)
35.73 Other and unspecified repair of endocardial cushion
defect
Repair NOS:
atrioventricular canal
ostium primum defect
valvular defect associated with atrial and
ventricular septal defects
Excludes: repair of isolated:
atrial septal defect (35.71)
valvular defect (35.20, 35.22, 35.24, 35.26, 35.28)
ventricular septal defect (35.72)
35.8 Total repair of certain congenital cardiac anomalies
Note: For partial repair of defect [e.g. repair of atrial
septal defect in tetralogy of Fallot] -- code to specific
procedure
35.81 Total repair of tetralogy of Fallot
One-stage total correction of tetralogy of
Fallot with or without:
commissurotomy of pulmonary valve
infundibulectomy
outflow tract prosthesis
patch graft of outflow tract
prosthetic tube for pulmonary artery
repair of ventricular septal defect (with
prosthesis)
take-down of previous systemic-pulmonary artery
anastomosis
35.82 Total repair of total anomalous pulmonary venous
connection
One-stage total correction of total anomalous
pulmonary venous connection with or without:
anastomosis between (horizontal) common
pulmonary trunk and posterior wall of left
atrium (side-to-side)
enlargement of foramen ovale
incision [excision] of common wall between
posterior left atrium and coronary sinus and
roofing of resultant defect with patch graft
(synthetic)
ligation of venous connection (descending
anomalous vein) (to left innominate vein) (to
superior vena cava)
repair of atrial septal defect (with prosthesis)
35.83 Total repair of truncus arteriosus
One-stage total correction of truncus
arteriosus with or without:
construction (with aortic homograft) (with
prosthesis) of a pulmonary artery placed from
right ventricle to arteries supplying the lung
ligation of connections between aorta and
pulmonary artery
repair of ventricular septal defect (with
prosthesis)
35.84 Total correction of transposition of great vessels,
not elsewhere classified
Arterial switch operation [Jatene]
Total correction of transposition of great
arteries at the arterial level by switching the
great arteries, including the left or both
coronary arteries, implanted in the wall of the
pulmonary artery
Excludes: baffle operation [Mustard] [Senning] (35.91)
creation of shunt between right ventricle and
pulmonary artery [Rastelli] (35.92)
35.9 Other operations on valves and septa of heart
Code also cardiopulmonary bypass, if performed [extracorporeal
circulation] [heart-lung machine] (39.61)
35.91 Interatrial transposition of venous return
Baffle:
atrial
interatrial
Mustard's operation
Resection of atrial septum and insertion of
patch to direct systemic venous return to
tricuspid valve and pulmonary venousreturn to
mitral valve
35.92 Creation of conduit between right ventricle and
pulmonary artery
Creation of shunt between right ventricle and
(distal) pulmonary artery
Excludes: that associated with total repair of truncus arteriosus
(35.83)
35.93 Creation of conduit between left ventricle and aorta
Creation of apicoaortic shunt
Shunt between apex of left ventricle and aorta
35.94 Creation of conduit between atrium and pulmonary
artery
Fontan procedure
35.95 Revision of corrective procedure on heart
Replacement of prosthetic heart valve poppet
Resuture of prosthesis of:
septum
valve
Excludes: complete revision -- code to specific procedure
replacement of prosthesis or graft of:
septum (35.50-35.63)
valve (35.20-35.28)
35.96 Percutaneous valvuloplasty
Percutaneous balloon valvuloplasty
35.98 Other operations on septa of heart
35.99 Other operations on valves of heart
36 Operations on vessels of heart
Includes: sternotomy (median) (transverse) as operative approach
thoracotomy as operative approach
cardiopulmonary bypass, if performed [extracorporeal
circulation] [heart-lung machine] (39.61)
injection or infusion of platelet inhibitor (99.20)
injection or infusion of thrombolytic agent (99.10)
36.0 Removal of coronary artery obstruction and insertion of stent(s)
36.03 Open chest coronary artery angioplasty
Coronary (artery):
endarterectomy (with patch graft)
thromboendarterectomy (with patch graft)
Open surgery for direct relief of coronary
artery obstruction
Excludes: that with coronary artery bypass graft (36.10-36.19)
Code also any:
insertion of drug-eluting coronary stent(s) (36.07)
insertion of non-drug-eluting coronary stent(s)
(36.06)
number of vascular stents inserted (00.45-00.48)
number of vessels treated (00.40-00.43)
36.04 Intracoronary artery thrombolytic infusion
That by direct coronary artery injection,
infusion, or catheterization
enzyme infusion
Platelet inhibitor
Excludes: infusion of platelet inhibitor (99.20)
infusion of thrombolytic agent (99.10)
that associated with any procedure in 00.66, 36.03
36.06 Insertion of non-drug-eluting coronary artery stent(s)
Bare stent(s)
Bonded stent(s)
Drug-coated stent(s), i.e. heparin coated
Endograft(s)
Endovascular graft(s)
Stent grafts
Code also any:
number of vascular stents inserted (00.45-00.48)
number of vessels treated (00.40-00.43)
open chest coronary artery angioplasty (36.03)
percutaneous transluminal coronary angioplasty
[PTCA] or coronary atherectomy (00.66)
Excludes: insertion of drug-eluting coronary artery stent(s) (36.07)
36.07 Insertion of drug-eluting coronary artery stent(s)
Endograft(s)
Endovascular graft(s)
Stent graft(s)
Code also any:
number of vascular stents inserted (00.45-00.48)
number of vessels treated (00.40-00.43)
open chest coronary artery angioplasty (36.03)
percutaneous transluminal coronary angioplasty
[PTCA] or coronary atherectomy (00.66)
Excludes: drug-coated stents, e.g., heparin coated (36.06)
insertion of non-drug-eluting coronary artery
stent(s) (36.06)
36.09 Other removal of coronary artery obstruction
Coronary angioplasty NOS
Code also any:
number of vascular stents inserted (00.45-00.48)
number of vessels treated (00.40-00.43)
Excludes: that by open angioplasty (36.03)
that by percutaneous transluminal coronary
angioplasty [PTCA] or coronary atherectomy (00.66)
36.1 Bypass anastomosis for heart revascularization
Note: Do not assign codes from series 00.40-00.43 with
codes from series 36.10-36.19
Code also : cardiopulmonary bypass [extracorporeal circulation]
[heart-lung machine] (39.61)
pressurized treatment of venous bypass graft
[conduit] with pharmaceutical substance, if
performed (00.16)
36.10 Aortocoronary bypass for heart revascularization, not
otherwise specified
Direct revascularization:
cardiac with catheter stent, prosthesis, or
vein graft
coronary with catheter stent, prosthesis, or
vein graft
heart muscle with catheter stent, prosthesis,
or vein graft
myocardial with catheter stent, prosthesis, or
vein graft
Heart revascularization NOS
36.11 (Aorto)coronary bypass of one coronary artery
36.12 (Aorto)coronary bypass of two coronary arteries
36.13 (Aorto)coronary bypass of three coronary arteries
36.14 (Aorto)coronary bypass of four or more coronary
arteries
36.15 Single internal mammary-coronary artery bypass
Anastomosis (single):
mammary artery to coronary artery
thoracic artery to coronary artery
36.16 Double internal mammary-coronary artery bypass
Anastomosis, double:
mammary artery to coronary artery
thoracic artery to coronary artery
36.17 Abdominal - coronary artery bypass
Anastomosis:
Gastroepiploic - coronary artery
36.19 Other bypass anastomosis for heart revascularization
36.2 Heart revascularization by arterial implant
Implantation of:
aortic branches [ascending aortic branches] into heart
muscle
blood vessels into myocardium
internal mammary artery [internal thoracic artery] into:
heart muscle
myocardium
ventricle
ventricular wall
Indirect heart revascularization NOS
36.3 Other heart revascularization
36.31 Open chest transmyocardial revascularization
36.32 Other transmyocardial revascularization
Percutaneous transmyocardial revascularization
Thoracoscopic transmyocardial revascularization
36.39 Other heart revascularization
Abrasion of epicardium
Cardio-omentopexy
Intrapericardial poudrage
Myocardial graft:
mediastinal fat
omentum
pectoral muscles
36.9 Other operations on vessels of heart
Code also cardiopulmonary bypass [extracorporeal circulation]
[heart-lung machine] (39.61)
36.91 Repair of aneurysm of coronary vessel
36.99 Other operations on vessels of heart
Exploration of coronary artery
Incision of coronary artery
Ligation of coronary artery
Repair of arteriovenous fistula
37 Other operations on heart and pericardium
Code also any injection or infusion of platelet inhibitor (99.20)
37.0 Pericardiocentesis
37.1 Cardiotomy and pericardiotomy
Code also cardiopulmonary bypass [extracorporeal circulation]
[heart-lung machine] (39.61)
37.10 Incision of heart, not otherwise specified
Cardiolysis NOS
37.11 Cardiotomy
Incision of:
atrium
endocardium
myocardium
ventricle
37.12 Pericardiotomy
Pericardial window operation
Pericardiolysis
Pericardiotomy
37.2 Diagnostic procedures on heart and pericardium
37.21 Right heart cardiac catheterization
Cardiac catheterization NOS
Excludes: that with catheterization of left heart (37.23)
37.22 Left heart cardiac catheterization
Excludes: that with catheterization of right heart (37.23)
37.23 Combined right and left heart cardiac catheterization
37.24 Biopsy of pericardium
37.25 Biopsy of heart
37.26 Cardiac electrophysiologic stimulation and recording
studies
Electrophysiologic studies [EPS]
Non-invasive programmed electrical stimulation
(NIPS)
Programmed electrical stimulation
Code also any concomitant procedure
Excludes: device interrogation only without arrhythmia induction
(bedside check) (89.45-89.49)
His bundle recording (37.29)
37.27 Cardiac mapping
Code also any concomitant procedure
Excludes: electrocardiogram (89.52)
His bundle recording (37.29)
37.28 Intracardiac echocardiography
Echocardiography of heart chambers
ICE
Code also any synchronous Doppler flow mapping (88.72)
Excludes: intravascular imaging of coronary vessels (intravascular
ultrasound)(IVUS) (00.24)
37.29 Other diagnostic procedures on heart and pericardium
Excludes: angiocardiography (88.50-88.58)
cardiac function tests (89.41-89.69)
cardiovascular radioisotopic scan and function study
(92.05)
coronary arteriography (88.55-88.57)
diagnostic pericardiocentesis (37.0)
diagnostic ultrasound of heart (88.72)
x-ray of heart (87.49)
37.3 Pericardiectomy and excision of lesion of heart
Code also cardiopulmonary bypass [extracorporeal circulation]
[heart-lung machine] (39.61)
37.31 Pericardiectomy
Excision of:
adhesions of pericardium constricting scar of:
epicardium
pericardium
37.32 Excision of aneurysm of heart
Repair of aneurysm of heart
37.33 Excision or destruction of other lesion or tissue of
heart,open approach
Ablation of heart tissue (cryoablation)
(electrocurrent) (laser) (microwave)
(radiofrequency) (resection), open chest
approach
Cox-maze procedure
Maze procedure
Modified maze procedure, trans-thoracic approach
Excludes: ablation,excision or destruction of lesion or tissue of
heart, endovascular approach (37.34)
37.34 Excision or destruction of other lesion or tissue of
heart,other approach
Ablation of heart tissue (cryoablation)
(electrocurrent)(laser) (microwave)
(radiofrequency) (resection), via peripherally
inserted catheter
Modified maze procedure, endovascular approach
37.35 Partial ventriculectomy
Ventricular reduction surgery
Ventricular remodeling
Code also any synchronous:mitral valve repair (35.02, 35.12)
mitral valve replacement (35.23 - 35.24)
37.4 Repair of heart and pericardium
37.41 Implantation of prosthetic cardiac support device
around the heart
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