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
                                   Cardiac support device (CSD)
                                   Epicardial support device
                                   Fabric (textile) (mesh) device
                                   Ventricular support device on surface of heart
 
             Code also any:
                              cardiopulmonary bypass [extracorporeal circulation]
                             [heart-lung machine] if performed (39.61)
                             mitral valve repair (35.02, 35.12)
                             mitral valve replacement (35.23 - 35.24)
                             transesophageal echocardiography (88.72)
 
             Excludes:
                             circulatory assist systems (37.61 - 37.68)
 
                       37.49 Other repair of heart and pericardium
 
              37.5 Heart replacement procedures
 
                        37.51 Heart transplantation
 
            Excludes: combined heart-lung transplantation (33.6)
 
                       37.52 Implantation of total replacement heart system
                                   Artificial heart
                                   Implantation of fully implantable total
                                   replacement heart system, including
                                   ventriculectomy
 
            Excludes: implantation of heart assist system [VAD] (37.62, 37.65,
                              37.66)
 
                        37.53 Replacement or repair of thoracic unit of total
                                   replacement heart system
 
            Excludes: replacement and repair of heart assist system [VAD](37.63)
 
                       37.54 Replacement or repair of other implantable component
                                   of total replacement heart system
                                   Implantable battery
                                   Implantable controller
                                   Transcutaneous energy transfer [TET] device
 
             Excludes: replacement and repair of heart assist system [VAD]
                             (37.63)
                              replacement or repair of thoracic unit of total
                             replacement heart system (37.53)
 
             37.6 Implantation of heart and circulatory assist system
 
            Excludes: implantation of prosthetic cardiac support system (37.41)
 
                       37.61 Implant of pulsation balloon
 
                        37.62 Insertion of non-implantable heart assist system
                                   Insertion of heart assist system, NOS
                                   Insertion of heart pump
 
            Excludes: implantation of total replacement heart system (37.52)
                              insertion of percutaneous external heart assist
                             device (37.68)
 
                       37.63 Repair of heart assist system
                                   Replacement of parts of an existing ventricular
                                   assist device (VAD)
 
             Excludes: replacement or repair of other implantable component of
                              total replacement heart system [artificial heart]
                             (37.54)
                              replacement or repair of thoracic unit of total
                             replacement heart system [artificial heart] (37.53)
 
                       37.64 Removal of heart assist system
 
            Excludes: that with replacement of implant (37.63)
                              explantation [removal] of percutaneous external
                             heart assist device (97.44)
                             nonoperative removal of heart assist system (97.44)
 
                       37.65 Implant of external heart assist system
                                   Note: Device (outside the body but connected to
                                   heart) with external circulation and pump.
                                   Includes open chest (sternotomy) procedure for
                                   cannulae attachments
 
            Excludes: implant of pulsation balloon (37.61)
                              implantation of total replacement heart system
                             (37.52)
                              insertion of percutaneous external heart assist
                             device (37.68)
 
                       37.66 Insertion of implantable heart assist system
                                   Axial flow heart assist system
                                   Diagonal pump heart assist system
                                   Left ventricular assist device (LVAD)
                                   Pulsatile heart assist system
                                   Right ventricular assist device (RVAD)
                                   Rotary pump heart assist system
                                   Ventricular assist device (VAD) not otherwise
                                   specified
                                   Note: Device directly connected to the heart
                                   and implanted in the upper left quadrant of
                                   peritoneal cavity.
                                   Transportable, implantable heart assist system.
 
            Excludes: implant of pulsation balloon (37.61)
                              implantation of total replacement heart system
                             [artificial heart] (37.52)
                              insertion of percutaneous external heart assist
                             device (37.68)
 
                       37.67 Implantation of cardiomyostimulation system
                                   Note: Two-step open procedure consisting of
                                   transfer of one end of the latissimus dorsi
                                   muscle; wrapping it around the heart; rib
                                   resection; implantation of epicardial cardiac
                                   pacing leads into the right ventricle;
                                   tunneling and pocket creation for the
                                   cardiomyostimulator.
 
                        37.68 Insertion of percutaneous external heart assist device
                                   Includes percutaneous [femoral] insertion of
                                   cannulae attachments
                                   Circulatory assist device
                                   Extrinsic heart assist device
                                   pVAD
                                   Percutaneous heart assist device
 
              37.7 Insertion, revision, replacement, and removal of pacemaker
                       leads; insertion of temporary pacemaker system; or revision
                       of cardiac device pocket
 
             Code also any insertion and replacement of pacemaker device
                             (37.80-37.87)
 
             Excludes: implantation or replacement of transvenous lead [electrode]
                             into left ventricular cardiac venous system (00.52)
 
                       37.70 Initial insertion of lead [electrode], not otherwise
                                   specified
 
            Excludes: insertion of temporary transvenous pacemaker system (37.78)
                              replacement of atrial and/or ventricular lead(s)
                             (37.76)
 
                       37.71 Initial insertion of transvenous lead [electrode]
                                   into ventricle
 
            Excludes: insertion of temporary transvenous pacemaker system (37.78)
                              replacement of atrial and/or ventricular lead(s)
                             (37.76)
 
                       37.72 Initial insertion of transvenous leads [electrodes]
                                   into atrium and ventricle
 
            Excludes: insertion of temporary transvenous pacemaker system (37.78)
                              replacement of atrial and/or ventricular lead(s)
                             (37.76)
 
                       37.73 Initial insertion of transvenous lead [electrode]
                                   into atrium
 
            Excludes: insertion of temporary transvenous pacemaker system (37.78)
                              replacement of atrial and/or ventricular lead(s)
                             (37.76)
 
                       37.74 Insertion or replacement of epicardial lead
                                   [electrode] into epicardium
                                   Insertion or replacement of epicardial by:
                                   sternotomy
                                   thoracotomy
 
            Excludes: replacement of atrial and/or ventricular lead(s) (37.76)
 
                        37.75 Revision of lead [electrode]
                                   Repair of electrode [removal with re-insertion]
                                   Repositioning of lead [electrode]
                                   Revision of lead NOS
 
             Excludes: repositioning of temporary transvenous pacemaker system --
                              omit code
 
                        37.76 Replacement of transvenous atrial and/or ventricular
                                   lead(s) [electrode]
                                   Removal or abandonment of existing transvenous
                                   or epicardial lead(s) with transvenous lead(s)
                                   replacement
 
            Excludes: replacement of epicardial lead [electrode] (37.74)
 
                       37.77 Removal of lead(s) [electrode] without replacement
                                   Removal:
                                   epicardial lead (transthoracic approach)
                                   transvenous lead(s)
 
             Excludes: removal of temporary transvenous pacemaker system -- omit
                              code
                              that with replacement of:
                             atrial and/or ventricular lead(s) [electrode] (37.76)
                             epicardial lead [electrode] (37.74)
 
                       37.78 Insertion of temporary transvenous pacemaker system
 
            Excludes: intraoperative cardiac pacemaker (39.64)
 
                       37.79 Revision or relocation of cardiac device pocket
                                   Debridement and reforming pocket (skin and
                                   subcutaneous tissue)
                                   Relocation of pocket [creation of new pocket]
                                   pacemaker or CRT-P
                                   Revision or relocation of pacemaker,
                                   defibrillator, or other implanted cardiac
                                   device pocket
 
              37.8 Insertion, replacement, removal, and revision of pacemaker device
 
             Code also any lead insertion, lead replacement, lead removal and/or
                             lead revision (37.70-37.77)
 
             Excludes: implantation of cardiac resynchronization pacemaker
                             [CRT-P] (00.50)
                              implantation or replacement of cardiac
                              resynchronization pacemaker pulse generator only
                             [CRT-P] (00.53)
 
                       37.80 Insertion of permanent pacemaker, initial or
                                   replacement, type of device not specified
 
                        37.81 Initial insertion of single-chamber device, not
                                   specified as rate responsive
 
            Excludes: replacement of existing pacemaker device (37.85- 37.87)
 
                       37.82 Initial insertion of single-chamber device, rate
                                   responsive
                                   Rate responsive to physiologic stimuli other
                                   than atrial rate
 
            Excludes: replacement of existing pacemaker device (37.85- 37.87)
 
                       37.83 Initial insertion of dual-chamber device
                                   Atrial ventricular sequential device
 
            Excludes: replacement of existing pacemaker device (37.85- 37.87)
 
                       37.85 Replacement of any type pacemaker device with
                                   single-chamber device, not specified as rate
                                   responsive
 
                        37.86 Replacement of any type of pacemaker device with
                                   single-chamber device, rate responsive
                                   Rate responsive to physiologic stimuli other
                                   than atrial rate
 
                        37.87 Replacement of any type pacemaker device with
                                   dual-chamber device
                                   Atrial ventricular sequential device
 
                        37.89 Revision or removal of pacemaker device
                                   Removal without replacement of cardiac
                                   resynchronization pacemaker device [CRT-P]
                                   Repair of pacemaker device
 
             Excludes: removal of temporary transvenous pacemaker system -- omit
                              code
                              replacement of existing pacemaker device
                             (37.85-37.87)
                              replacement of existing pacemaker device with CRT-P
                             pacemaker device (00.53)
 
             37.9 Other operations on heart and pericardium
 
                        37.90 Insertion of left atrial appendage device
                                   Left atrial filter
                                   Left atrial occluder
                                   Transseptal catheter technique
 
                        37.91 Open chest cardiac massage
 
            Excludes: closed chest cardiac massage (99.63)
 
                       37.92 Injection of therapeutic substance into heart
 
                        37.93 Injection of therapeutic substance into pericardium
 
                        37.94 Implantation or replacement of automatic
                                   cardioverter/defibrillator, total system [AICD]
                                   Implantation of defibrillator with leads
                                   (epicardial patches), formation of pocket
                                   (abdominal fascia) (subcutaneous), any
                                   transvenous leads, intraoperative procedures
                                   for evaluation of lead signals, and obtaining
                                   defibrillator threshold measurements
                                   (electrophysiologic studies [EPS])
                                   Techniques:
                                   lateral thoracotomy
                                   medial sternotomy
                                   subxiphoid procedure
 
            Code also extracorporeal circulation, if performed (39.61)
 
             Code also any concomitant procedure [e.g., coronary bypass]
                             (36.00-36.19)
 
             Excludes:implantation of cardiac resynchronization defibrillator,
                             total system [CRT-D] (00.51)
 
                       37.95 Implantation of automatic cardioverter/defibrillator
                                   lead(s) only
 
                        37.96 Implantation of automatic cardioverter/defibrillator
                                   pulse generator only
 
             Excludes: implantation or replacement of cardiac resynchronization
                              defibrillator, pulse generator
                             device only [CRT-D] (00.54)
 
                       37.97 Replacement of automatic cardioverter/defibrillator
                                   lead(s) only
 
                        37.98 Replacement of automatic cardioverter/defibrillator
                                   pulse generator only
 
             Excludes:replacement of cardiac resynchronization defibrillator,
                             pulse generator device only [CRT-D] (00.54)
 
                       37.99 Other
                                   Removal of cardioverter/defibrillator pulse
                                   generator only without replacement
                                   Removal without replacement of cardiac
                                   resynchronization defibrillator device [CRT-D]
                                   Repositioning of lead(s) (sensing) (pacing)
                                   [electrode]
                                   Repositioning of pulse generator
                                   Revision of cardioverter/defibrillator
                                   (automatic) pocket
                                   Revision or relocation of CRT-D pocket
 
            Excludes: cardiac retraining (93.36)
                             conversion of cardiac rhythm (99.60-99.69)
                              implantation of prosthetic cardiac support device
                             (37.41)
                             insertion of left atrial appendage device (37.90)
                             maze procedure (Cox-maze), open (37.33)
                             maze procedure, endovascular approach (37.34)
 
  38 Incision, excision, and occlusion of vessels
 
             Code also
                              any application or administration of an adhesion
                             barrier substance (99.77)
                              cardiopulmonary bypass [extracorporeal circulation]
                             [heart-lung machine] (39.61)
 
            Excludes: that of coronary vessels (36.01-36.99)
                              The following fourth-digit subclassification is for
                              use with appropriate categories in section 38.0,
                              38.1, 38.3, 38.5, 38.6, 38.8, and 38.9 according to
                              site. Valid fourth-digits are in [brackets] at the
                              end of each code/description.
 
             0 unspecified site
 
             1 intracranial vessels
                              Cerebral (anterior) (middle)
                              Circle of Willis
                              Posterior communicating artery
 
             2 other vessels of head and neck
                              Carotid artery (common) (external) (internal)
                              Jugular vein (external) (internal)
 
             3 upper limb vessels
                              Axillary
                              Brachial
                              Radial
                              Ulnar
 
             4 aorta
 
             5 other thoracic vessels
                              Innominate
                              Pulmonary (artery) (vein)
                              Subclavian
                              Vena cava, superior
 
             6 abdominal arteries
                              Celiac
                              Gastric
                              Hepatic
                              Iliac
                              Mesenteric
                              Renal
                              Splenic
                              Umbilical
 
            Excludes: abdominal aorta (4)
 
             7 abdominal veins
                              Iliac
                              Portal
                              Renal
                              Splenic
                              Vena cava (inferior)
 
             8 lower limb arteries
                              Femoral (common) (superficial)
                              Popliteal
                              Tibial
 
             9 lower limb veins
                              Femoral
                              Popliteal
                              Saphenous
                              Tibial
 
                        38.0_ Incision of vessel
                                   [0-9]
                                   Embolectomy
                                   Thrombectomy
 
             Excludes: puncture or catheterization of any:
                             artery (38.91, 38.98)
                             vein (38.92-38.95, 38.99)
 
                       38.1_ Endarterectomy
                                   [0-6,8]
                                   Endarterectomy with:
                                   embolectomy
                                   patch graft
                                   temporary bypass during procedure
                                   thrombectomy
 
             Code also any:
                             number of vascular stents inserted (00.45-00.48)
                             number of vessels treated (00.40-00.43)
 
             38.2 Diagnostic procedures on blood vessels
 
            Excludes: adjunct vascular system procedures (00.40-00.43)
 
                       38.21 Biopsy of blood vessel
 
                        38.22 Percutaneous angioscopy
 
            Excludes: angioscopy of eye (95.12)
 
                       38.29 Other diagnostic procedures on blood vessels
 
            Excludes: blood vessel thermography (88.86)
                             circulatory monitoring (89.61-89.69)
                              contrast:
                             angiocardiography (88.50-88.58)
                             arteriography (88.40-88.49)
                             phlebography (88.60-88.67)
                             impedance phlebography (88.68)
                             peripheral vascular ultrasonography (88.77)
                             plethysmogram (89.58)
 
                       38.3_ Resection of vessel with anastomosis
                                   [0-9]
                                   Angiectomy
                                   Excision of:
                                   aneurysm (arteriovenous) with anastomosis
                                   blood vessel (lesion) with anastomosis
 
                        38.4_ Resection of vessel with replacement
                                   [0-9]
                                   Angiectomy
                                   Excision of:
                                   aneurysm (arteriovenous) or blood vessel
                                   (lesion) with replacement
 
            Excludes: endovascular repair of aneurysm (39.71 - 39.79)
                              Requires the use of one of the following
                              fourth-digit subclassifications to identify site:
 
             0 unspecified site
 
             1 intracranial vessels
                              Cerebral (anterior) (middle)
                              Circle of Willis
                              Posterior communicating artery
 
             2 other vessels of head and neck
                              Carotid artery (common) (external) (internal)
                              Jugular vein (external) (internal)
 
             3 upper limb vessels
                              Axillary
                              Brachial
                              Radial
                              Ulnar
 
             4 aorta, abdominal
 
             Code also any thoracic vessel involvement (thoracoabdominal
                             procedure) (38.45)
 
             5 thoracic vessels
                              Aorta (thoracic)
                              Innominate
                              Pulmonary (artery) (vein)
                              Subclavian
                              Vena cava, superior
 
             Code also any abdominal aorta involvement (thoracoabdominal
                             procedure) (38.44)
 
             6 abdominal arteries
                              Celiac
                              Gastric
                              Hepatic
                              Iliac
                              Mesenteric
                              Renal
                              Splenic
                              Umbilical
 
            Excludes: abdominal aorta (4)
 
             7 abdominal veins
                              Iliac
                              Portal
                              Renal
                              Splenic
                              Vena cava (inferior)
 
             8 lower limb arteries
                              Femoral (common) (superficial)
                              Popliteal
                              Tibial
 
             9 lower limb veins
                              Femoral
                              Popliteal
                              Saphenous
                              Tibial
 
                       38.5_ Ligation and stripping of varicose veins
                                   [0-3,5,7,9]
 
             Excludes: ligation of varices:
                             esophageal (42.91)
                             gastric (44.91)
 
                       38.6_ Other excision of vessel
                                   [0-9]
                                   Excision of blood vessel (lesion) NOS
 
            Excludes: excision of vessel for aortocoronary bypass (36.10-36.14)
                              excision with:
                             anastomosis (38.30-38.39)
                             graft replacement (38.40-38.49)
                             implant (38.40-38.49)
 
             38.7 Interruption of the vena cava
                       Insertion of implant or sieve in vena cava
                       Ligation of vena cava (inferior) (superior)
                       Plication of vena cava
 
                        38.8_ Other surgical occlusion of vessels
                                   [0-9]
                                   Clamping of blood vessel
                                   Division of blood vessel
                                   Ligation of blood vessel
                                   Occlusion of blood vessel
 
            Excludes: adrenal vessels (07.43)
                             esophageal varices (42.91)
                             gastric or duodenal vessel for ulcer (44.40-44.49)
                             gastric varices (44.91)
                             meningeal vessel (02.13)
                              percutaneous transcatheter infusion embolization
                             (99.29)
                             spermatic vein for varicocele (63.1)
                             surgical occlusion of vena cava (38.7)
                             that for chemoembolization (99.25)
                              that for control of (postoperative) hemorrhage:
                             anus (49.95)
                             bladder (57.93)
                             following vascular procedure (39.41)
                             nose (21.00-21.09)
                             prostate (60.94)
                             tonsil (28.7)
                             thyroid vessel (06.92)
                              transcatheter (infusion) 99.29
 
             38.9 Puncture of vessel
 
            Excludes: that for circulatory monitoring (89.60-89.69)
 
                       38.91 Arterial catheterization
 
                        38.92 Umbilical vein catheterization
 
                        38.93 Venous catheterization, not elsewhere classified
 
            Excludes: that for cardiac catheterization (37.21-37.23)
                             that for renal dialysis (38.95)
 
                       38.94 Venous cutdown
 
                        38.95 Venous catheterization for renal dialysis
 
             Excludes: insertion of totally implantable vascular access device
                             [VAD] (86.07)
 
                       38.98 Other puncture of artery
 
             Excludes: that for:
                             arteriography (88.40-88.49)
                             coronary arteriography (88.55-88.57)
 
                       38.99 Other puncture of vein
                                   Phlebotomy
 
             Excludes: that for:
                             angiography (88.60-88.69)
                             extracorporeal circulation (39.61, 50.92)
                              injection or infusion of:
                             sclerosing solution (39.92)
                             therapeutic or prophylactic substance (99.11-99.29)
                             perfusion (39.96-39.97)
                             phlebography (88.60-88.69)
                             transfusion (99.01-99.09)
 
  39 Other operations on vessels
 
            Excludes: those on coronary vessels (36.00-36.99)
 
             39.0 Systemic to pulmonary artery shunt
                       Descending aorta-pulmonary artery anastomosis (graft)
                       Left to right anastomosis (graft)
                       Subclavian-pulmonary anastomosis (graft)
 
             Code also cardiopulmonary bypass [extracorporeal circulation]
                             [heart-lung machine] (39.61)
 
             39.1 Intra-abdominal venous shunt
                       Anastomosis:
                       mesocaval
                       portacaval
                       portal vein to inferior vena cava
                       splenic and renal veins
                       transjugular intrahepatic portosystemic shunt (TIPS)
 
            Excludes: peritoneovenous shunt (54.94)
 
             39.2 Other shunt or vascular bypass
 
             Code also pressurized treatment of venous bypass graft [conduit] with
                             pharmaceutical substance, if performed (00.16)
 
                       39.21 Caval-pulmonary artery anastomosis
 
            Code also cardiopulmonary bypass (39.61)
 
                       39.22 Aorta-subclavian-carotid bypass
                                   Bypass (arterial):
                                   aorta to carotid and brachial
                                   aorta to subclavian and carotid
                                   carotid to subclavian
 
                        39.23 Other intrathoracic vascular shunt or bypass
                                   Intrathoracic (arterial) bypass graft NOS
 
            Excludes: coronary artery bypass (36.10-36.19)
 
                       39.24 Aorta-renal bypass
 
                        39.25 Aorta-iliac-femoral bypass
                                   Bypass:
                                   aortofemoral
                                   aortoiliac
                                   aortoiliac to popliteal
                                   aortopopliteal
                                   iliofemoral [iliac-femoral]
 
                        39.26 Other intra-abdominal vascular shunt or bypass
                                   Bypass:
                                   aortoceliac
                                   aortic-superior mesenteric
                                   common hepatic-common iliac-renal
                                   Intra-abdominal arterial bypass graft NOS
 
            Excludes: peritoneovenous shunt (54.94)
 
                       39.27 Arteriovenostomy for renal dialysis
                                   Anastomosis for renal dialysis
                                   Formation of (peripheral) arteriovenous
                                   fistula for renal [kidney] dialysis
 
            Code also any renal dialysis (39.95)
 
                       39.28 Extracranial-intracranial (EC-IC) vascular bypass
 
                        39.29 Other (peripheral) vascular shunt or bypass
                                   Bypass (graft):
                                   axillary-brachial
                                   axillary-femoral [axillofemoral] (superficial)
                                   brachial
                                   femoral-femoral
                                   femoroperoneal
                                   femoropopliteal (arteries)
                                   femorotibial (anterior) (posterior)
                                   popliteal
                                   vascular NOS
 
            Excludes: peritoneovenous shunt (54.94)
 
             39.3 Suture of vessel
                       Repair of laceration of blood vessel
 
             Excludes: any other vascular puncture closure device - omit code
                             suture of aneurysm (39.52)
                              that for control of hemorrhage (postoperative):
                             anus (49.95)
                             bladder (57.93)
                             following vascular procedure (39.41)
                             nose (21.00-21.09)
                             prostate (60.94)
                             tonsil (28.7)
 
                       39.30 Suture of unspecified blood vessel
 
                        39.31 Suture of artery
 
                        39.32 Suture of vein
 
              39.4 Revision of vascular procedure
 
                        39.41 Control of hemorrhage following vascular surgery
 
             Excludes: that for control of hemorrhage (post operative):
                             anus (49.95)
                             bladder (57.93)
                             nose (21.00-21.09)
                             prostate (60.94)
                             tonsil (28.7)
 
                       39.42 Revision of arteriovenous shunt for renal dialysis
                                   Conversion of renal dialysis:
                                   end-to-end anastomosis to end-to-side
                                   end-to-side anastomosis to end-to-end
                                   vessel-to-vessel cannula to arteriovenous shunt
                                   Removal of old arteriovenous shunt and creation
                                   of new shunt
 
            Excludes: replacement of vessel-to-vessel cannula (39.94)
 
                       39.43 Removal of arteriovenous shunt for renal dialysis
 
            Excludes: that with replacement [revision] of shunt (39.42)
 
                       39.49 Other revision of vascular procedure
                                   Declotting (graft)
                                   Revision of:
                                   anastomosis of blood vessel
                                   vascular procedure (previous)
 
              39.5 Other repair of vessels
 
                        39.50 Angioplasty or atherectomy of other non-coronary
                                   vessel(s)
                                   Percutaneous transluminal angioplasty (PTA) of
                                   non-coronary vessels:
                                   Lower extremity vessels
                                   Mesenteric artery
                                   Renal artery
                                   Upper extremity vessels
 
             Code also any:
                             injection or infusion of thrombolytic agent (99.10)
                              Insertion of non-coronary stent(s) or stent
                             grafts(s) (39.90)
                             number of vascular stents inserted (00.45-00.48)
                             number of vessels treated (00.40-00.43)
 
             Excludes: percutaneous angioplasty or atherectomy of precerebral or
                             cerebral vessel(s) (00.61 -00.62)
 
                       39.51 Clipping of aneurysm
 
            Excludes: clipping of arteriovenous fistula (39.53)
 
                       39.52 Other repair of aneurysm
                                   Repair of aneurysm by:
                                   coagulation
                                   electrocoagulation
                                   filipuncture
                                   methyl methacrylate
                                   suture
                                   wiring
                                   wrapping
 
            Excludes: endovascular repair of aneurysm (39.71 - 39.79)
                             re-entry operation (aorta) (39.54)
                              that with:
                             graft replacement (38.40-38.49)
                             resection (38.30-38.49, 38.60-38.69)
 
                       39.53 Repair of arteriovenous fistula
                                   Embolization of carotid cavernous fistula
                                   Repair of arteriovenous fistula by:
                                   clipping
                                   coagulation
                                   ligation and division
 
             Excludes: repair of :
                             arteriovenous shunt for renal dialysis (39.42)
                             head and neck vessels, endovascular approach (39.72)
                              that with:
                             graft replacement (38.40-38.49)
                             resection (38.30-38.49, 38.60-38.69)
 
                       39.54 Re-entry operation (aorta)
                                   Fenestration of dissecting aneurysm of thoracic
                                   aorta
 
             Code also cardiopulmonary bypass [extracorporeal circulation]
                             [heart-lung machine] (39.61)
 
                       39.55 Reimplantation of aberrant renal vessel
 
                        39.56 Repair of blood vessel with tissue patch graft
 
            Excludes: that with resection (38.40-38.49)
 
                       39.57 Repair of blood vessel with synthetic patch graft
 
            Excludes: that with resection (38.40-38.49)
 
                       39.58 Repair of blood vessel with unspecified type of patch
                                   graft
 
            Excludes: that with resection (38.40-38.49)
 
                       39.59 Other repair of vessel
                                   Aorticopulmonary window operation
                                   Arterioplasty NOS
                                   Construction of venous valves (peripheral)
                                   Plication of vein (peripheral)
                                   Reimplantation of artery
 
             Code also cardiopulmonary bypass [extracorporeal circulation]
                             [heart-lung machine] (39.61)
 
            Excludes: interruption of the vena cava (38.7)
                             reimplantation of renal artery (39.55)
                              that with:
                             graft (39.56-39.58)
                             resection (38.30-38.49, 38.60-38.69)
 
             39.6 Extracorporeal circulation and procedures auxiliary to heart
                       surgery
 
                        39.61 Extracorporeal circulation auxiliary to open heart
                                   surgery
                                   Artificial heart and lung
                                   Cardiopulmonary bypass
                                   Pump oxygenator
 
            Excludes: extracorporeal hepatic assistance (50.92)
                             extracorporeal membrane oxygenation [ECMO] (39.65)
                             hemodialysis (39.95)
                             percutaneous cardiopulmonary bypass (39.66)
 
                       39.62 Hypothermia (systemic) incidental to open heart
                                   surgery
 
                        39.63 Cardioplegia
                                   Arrest:
                                   anoxic
                                   circulatory
 
                        39.64 Intraoperative cardiac pacemaker
                                   Temporary pacemaker used during and immediately
                                   following cardiac surgery
 
                        39.65 Extracorporeal membrane oxygenation [ECMO]
 
             Excludes: extracorporeal circulation auxiliary to open heart surgery
                             (39.61)
                             percutaneous cardiopulmonary bypass (39.66)
 
                       39.66 Percutaneous cardiopulmonary bypass
                                   Closed chest
 
             Excludes: extracorporeal circulation auxiliary to open heart surgery
                             (39.61)
                             extracorporeal hepatic assistance (50.92)
                             extracorporeal membrane oxygenation [ECMO] (39.65)
                             hemodialysis (39.95)
 
             39.7 Endovascular repair of vessel
                       Endoluminal repair
 
             Excludes: angioplasty or atherectomy of other non-coronary vessel(s)
                             (39.50)
                              insertion of non-drug-eluting peripheral vessel
                             stent(s) (39.90)
                             other repair of aneurysm (39.52)
                              percutaneous insertion of carotid artery stent(s)
                             (00.63)
                              percutaneous insertion of intracranial stent(s)
                             (00.65)
                              percutaneous insertion of other precerebral artery
                             stent(s) (00.64)
                              resection of abdominal aorta with replacement
                             (38.44)
                              resection of lower limb arteries with replacement
                             (38.48)
                             resection of thoracic aorta with replacement (38.45)
                              resection of upper limb vessels with replacement
                             (38.43)
 
                       39.71 Endovascular implantation of graft in abdominal aorta
                                   Endovascular repair of abdominal aortic
                                   aneurysm with graft
                                   Stent graft(s)
 
                        39.72 Endovascular repair or occlusion of head and neck
                                   vessels
                                   Coil embolization or occlusion
                                   Endograft(s)
                                   Endovascular graft(s)
                                   Liquid tissue adhesive (glue) embolization or
                                   occlusion
                                   Other implant or substance for repair,
                                   embolization or occlusion
                                   That for repair of aneurysm, arteriovenous
                                   malformation[AVM] or fistula
 
                        39.73 Endovascular implantation of graft in thoracic aorta
                                   Endograft(s)
                                   Endovascular graft(s)
                                   Endovascular repair of defect of thoracic aorta
                                   with graft(s) or device(s)
                                   Stent graft(s) or device(s)
                                   That for repair of aneurysm, dissection, or
                                   injury
 
             Excludes: fenestration of dissecting aneurysm of thoracic aorta
                             (39.54)
 
                       39.79 Other endovascular repair (of aneurysm) of other
                                   vessels
                                   Coil embolization or occlusion
                                   Endograft(s)
                                   Endovascular graft(s)
                                   Liquid tissue adhesive (glue) embolization or
                                   occlusion
                                   Other implant or substance for repair,
                                   embolization or occlusion
 
            Excludes: endovascular implantation of graft in thoracic aorta (39.73)
                              endovascular repair or occlusion of head and neck
                             vessels (39.72)
                              insertion of drug-eluting peripheral vessel stent(s)
                             (00.55)
                              insertion of non-drug-eluting peripheral vessel (s)
                             (for other than aneurysm repair) (39.90)
                              non-endovascular repair of arteriovenous fistula
                             (39.53)
                              other surgical occlusion of vessels -see category
                              38.8
                             percutaneous transcatheter infusion (99.29)
                              transcatheter embolization for gastric or duodenal
                             bleeding (44.44)
 
             39.8 Operations on carotid body and other vascular bodies
                       Chemodectomy
                       Denervation of:
                       aortic body
                       carotid body
                       Glomectomy, carotid
                       Implantation into carotid body:
                       electronic stimulator
                       pacemaker
 
            Excludes: excision of glomus jugulare (20.51)
 
             39.9 Other operations on vessels
 
                        39.90 Insertion of non-drug-eluting peripheral vessel
                                   stent(s)
                                   Bare stent(s)
                                   Bonded stent(s)
                                   Drug-coated stent(s), i.e., heparin coated
                                   Endograft(s)
                                   Endovascular graft(s)
                                   Endovascular recanalization techniques
                                   Stent graft(s)
 
             Code also any:
                             non-coronary angioplasty or atherectomy (39.50)
                             number of vascular stents inserted (00.45-00.48)
                             number of vessels treated (00.40-00.43)
 
             Excludes: insertion of drug-eluting peripheral vessel stent(s)
                             (00.55)
                              percutaneous insertion of carotid artery stent(s)
                             (00.63)
                              percutaneous insertion of intracranial stent(s)
                             (00.65)
                              percutaneous insertion of other precerebral artery
                             stent(s) (00.64)
                             that for aneurysm repair (39.71 - 39.79)
 
                       39.91 Freeing of vessel
                                   Dissection and freeing of adherent tissue:
                                   artery-vein-nerve bundle
                                   vascular bundle
 
                        39.92 Injection of sclerosing agent into vein
 
             Excludes: injection:
                             esophageal varices (42.33)
                             hemorrhoids (49.42)
 
                       39.93 Insertion of vessel-to-vessel cannula
                                   Formation of:
                                   arteriovenous:
                                   fistula by external cannula
                                   shunt by external cannula
 
            Code also any renal dialysis (39.95)
 
                       39.94 Replacement of vessel-to-vessel cannula
                                   Revision of vessel-to-vessel cannula
 
                        39.95 Hemodialysis
                                   Artificial kidney
                                   Hemodiafiltration
                                   Hemofiltration
                                   Renal dialysis
 
            Excludes: peritoneal dialysis (54.98)
 
                       39.96 Total body perfusion
 
            Code also substance perfused (99.21-99.29)
 
                       39.97 Other perfusion
                                   Perfusion NOS
                                   Perfusion, local [regional] of:
                                   carotid artery
                                   coronary artery
                                   head
                                   lower limb
                                   neck
                                   upper limb
 
            Code also substance perfused (99.21-99.29)
 
             Excludes: perfusion of:
                             kidney (55.95)
                             large intestine (46.96)
                             liver (50.93)
                             small intestine (46.95)
 
                       39.98 Control of hemorrhage, not otherwise specified
                                   Angiotripsy
                                   Control of postoperative hemorrhage NOS
                                   Venotripsy
 
             Excludes: control of hemorrhage (postoperative):
                             anus (49.95)
                             bladder (57.93)
                             following vascular procedure (39.41)
                             nose (21.00-21.09)
                             prostate (60.94)
                             tonsil (28.7)
                              that by:
                             ligation (38.80-38.89)
                             suture (39.30-39.32)
 
                       39.99 Other operations on vessels
 
             Excludes: injection or infusion of therapeutic or prophylactic
                             substance (99.11-99.29)
                              transfusion of blood and blood components
                             (99.01-99.09)