| UPBEAT |
CACH |
DESCRIPTIONS |
| |
| |
|
COMPLEX HEARTS |
| T14 |
01009 |
Dextrocardia |
| T52 |
02400** |
Univentricular connection |
| T521 |
02410** |
Tricuspid atresia (Univentricular connection LV type, absent right atrioventricular connection) |
| V15 |
39035** |
Modified Fontan procedure (nature unspecified) |
| T30 |
02930** |
Classic transposition (d-transposition: AV concordance; VA discordance) |
| T514 |
02950** |
Congenitally corrected transposition (l-transposition:
AV and VA discordance) |
| V22 |
41040** |
Mustard operation |
| V21 |
27000** |
Arterial switch (Jatene procedure) |
| |
| |
|
ATRIA & VENTRICLES |
| S534 |
04600 |
Partial unilateral anomalous pulmonary venous connection (PAPVC) |
| V312 |
43010 |
Repair of partial anomalous pulmonary venous connection |
| |
05230 |
ASD |
| V32 |
41000 |
Surgical closure of ASD |
| V324 |
22024 |
Device occlusion of ASD |
| S61 |
06020** |
Complete AV septal defect (common AV valve) |
| S62 |
06030** |
Partial AV septal defect (partitioned atrioventricular orifice) |
| V331 |
37025** |
Patch closure of AV septal defect (nature unknown or single patch) |
| T7 |
07804 |
Single VSD |
| V54 |
37000 |
VSD closure |
| |
37050 |
Residual VSD(s) |
|
| |
| |
|
THE TRICUSPID VALVE |
| T49 |
06407** |
Ebstein anomaly of the tricuspid valve |
| T482 |
06419 |
Tricuspid regurgitation |
| V442 |
38240 |
Tricuspid valve repair |
| D8 |
38011 |
Mechanical tricuspid valve replacement |
| D7 |
38031 |
Bioprosthetic tricuspid valve replacement |
|
|
| |
| |
|
THE MITRAL VALVE |
| T471 |
06526 |
Mitral valve stenosis |
| B7 |
06527 |
Mitral regurgitation |
| V462 |
38250 |
Mitral valve repair |
| B9 |
38012 |
Mechanical mitral valve replacement |
| B8 |
38032 |
Bioprosthetic mitral valve replacement |
|
|
| |
| |
|
RIGHT VENTRICULAR OUTFLOW |
| T31 |
07540** |
Tetralogy of Fallot |
| V52 |
31104** |
Repaired tetralogy of Fallot |
| T631 |
07103 |
Right ventricular outflow tract obstruction |
| V512 |
36000 |
Infundibulectomy |
|
|
| |
| |
|
LEFT VENTRICULAR OUTFLOW |
| H87 |
07302 |
Left ventricular outflow tract obstruction (unspecified) |
| V531 |
29100 |
Resection of fibromuscular subaortic stenosis |
| H92 |
10211 |
Hypertrophic obstructive cardiomyopathy (HOCM) |
| V532 |
29105 |
Subaortic myectomy |
|
|
| |
| |
|
THE PULMONARY VALVE |
| T831 |
08221 |
Valvular pulmonary stenosis |
| V613 |
33015 |
Pulmonary valvotomy (nature unspecified) |
| V614 |
22001 |
Balloon dilation of pulmonary valve |
| T834 |
08230 |
Pulmonary atresia |
| T835 |
08240 |
Pulmonary valve regurgitation |
| E6 |
33060 |
Bioprosthetic pulmonary valve replacement |
|
|
| |
| |
|
THE AORTIC VALVE |
| C26 |
08311 |
Bicuspid aortic valve |
| C3 |
08321 |
Valvular aortic stenosis |
| V621 |
29015 |
Aortic valvotomy (nature unspecified) |
| T825 |
08340 |
Aortic valve regurgitation |
| C6 |
29060 |
Mechanical aortic valve replacement |
| C55 |
29070 |
Bioprosthetic aortic valve replacement |
| C8 |
29071 |
Pulmonary autograft (Ross) / root replacement |
|
|
| |
| |
|
THE AORTA |
| C153 |
24140 |
Patch closure of sinus of Valsalva aneurysm |
| P72 |
09031 |
Idiopathic dilation/aneurysm of the ascending aorta |
| V64 |
29045 |
Aortic root replacement (Bentall procedure) |
| |
29046 |
Aortic root replacement without AVR - The David operation |
| T86 |
09160** |
Coarctation of the aorta |
| V741 |
24035** |
Coarctation repair |
| V728 |
22011 |
Balloon dilation of coarctation of aorta |
| C14 |
09190 |
Aortic dissection |
| V732 |
15990 |
Repair of descending thoracic and/or abdominal aortic dissection |
|
|
| |
| |
|
THE DUCTUS & THE PULMONARY ARTERIES |
| T12 |
09355 |
Patent ductus arteriosus |
| V731 |
26000 |
Ligation/division of ductus arteriosus |
| V732 |
22023 |
Device occlusion of PDA |
| E572 |
09562** |
Secondary pulmonary arterial hypertension |
| W611 |
09565** |
Eisenmenger syndrome |
|
|
| |
| |
|
RHYTHM & CONDUCTION |
| X152 |
12160 |
Atrial flutter |
| X16 |
12170 |
Atrial fibrillation |
| X188 |
12310S |
Sustained ventricular tachycardia |
| X215 |
12375 |
Complete heart block |
| |
42084 |
Maze procedure |
| X92 |
13022 |
VVI pacemaker |
| X93 |
13024 |
A-V sequential pacemaker |
| |
13030 |
Implantable defibrillator |
|
|
| |
| |
|
SYNDROMES |
| U111 |
21006 |
Down syndrome |
| U112 |
21008 |
Turner syndrome |
| U126 |
21012 |
Noonan syndrome |
| U127 |
21051 |
Marfan syndrome |
| U122 |
21055 |
Williams syndrome |
|
|
| |
| |
|
SURGICAL PROCEDURES |
| V91 |
15100 |
Heart transplant |
| V92 |
15110 |
Heart and lung transplant |
| V93 |
15120 |
Lung transplant |
| V81 |
28000** |
Waterston anastomosis |
| V82 |
28020** |
Potts anastomosis |
| V812 |
28040** |
Blalock-Taussig anastomosis (RSCA to RPA) |
| V813 |
28050** |
Blalock-Taussig anastomosis (LSCA to LPA) |
| V816 |
28060** |
Glenn anastomosis (right SVC to RPA) |
| V818 |
28075** |
Bidirectional Glenn |
| V795 |
35000** |
RV to PA conduit |
| V796 |
35010** |
LV to PA conduit |
|
|
| |
| |
|
ACQUIRED CONDITIONS |
| |
| AA60 |
AA60 |
Congestive heart failure |
| AA341 |
AA341 |
Coronary artery disease |
| AA45 |
AA45P |
Prior PTCA |
| AA52 |
AA52 |
Prior coronary artery bypass grafts (CABG) |
| W3111 |
W3111 |
Prior CVA |
| AA24 |
AA24 |
Peripheral vascular disease |
| C16 |
C16 |
Diabetes mellitus |
| U542 |
44020 |
Rheumatic heart disease |
| W161 |
W161 |
HIV seropositivity |
| W211 |
W211 |
Renal Insufficiency |
| W244 |
W244 |
Hypertension - treated |
| W4271 |
W4271 |
Hyperlipidemia - treated |
| W641 |
W641 |
COPD |
| W642 |
W642 |
Asthma |
| |
10100P |
Prior infective endocarditis |
| |
| ** Represent diagnoses recommended for specially skilled care. |
| Italicized text indicates therapeutic procedures. |
