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
        &nb