7.

OPERATIONS ON THE CARDIOVASCULAR SYSTEM (35-39)

35

Operations on valves and septa of heart

35.0

Closed heart valvotomy or transcatheter replacement of heart valve

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

35.05

Endovascular replacement of aortic valve

35.06

Transapical replacement of aortic valve

35.07

Endovascular replacement of pulmonary valve

35.08

Transapical replacement of pulmonary valve

35.09

Endovascular replacement of unspecified heart valve

35.1

Open heart valvuloplasty without replacement

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

Open and other replacement of heart valve

35.20

35.39

Open and other replacement of unspecified heart valve

Open and other replacement of aortic valve with tissue graft
Open and other replacement of aortic valve
Open and other replacement of mitral valve with tissue graft
Open and other replacement of mitral valve
Open and other replacement of pulmonary valve with tissue graft
Open and other replacement of pulmonary valve
Open and other replacement of tricuspid valve with tissue graft
Open and other replacement of tricuspid valve
Operations on structures adjacent to heart valves
Operations on papillary muscle
Operations on chordae tendineae
Annuloplasty
Infundibulectomy
Operations on trabeculae carneae cordis
Operations on other structures adjacent to valves of heart

35.4

Production of septal defect in heart

35.21
35.22
35.23
35.24
35.25
35.26
35.27
35.28
35.3
35.31
35.32
35.33
35.34
35.35

Enlargement of existing atrial septal defect

35.42 Creation of septal defect in heart
35.41
35.5

Repair of atrial and ventricular septa with prosthesis

35.50

Repair of unspecified septal defect of heart with prosthesis

Repair of atrial septal defect with prosthesis, open technique

35.52 Repair of atrial septal defect with prosthesis, closed technique
35.53 Repair of ventricular septal defect with prosthesis, open technique
35.54 Repair of endocardial cushion defect with prosthesis

35.51

35.55

Repair of ventricular septal defect with prosthesis, closed technique

35.6

Repair of atrial and ventricular septa with tissue graft

35.60

Repair of unspecified septal defect of heart with tissue graft

35.61

35.73

Repair of atrial septal defect with tissue graft

Repair of ventricular septal defect with tissue graft
Repair of endocardial cushion defect with tissue graft
Other and unspecified repair of atrial and ventricular septa
Other and unspecified repair of unspecified septal defect of heart
Other and unspecified repair of atrial septal defect
Other and unspecified repair of ventricular septal defect
Other and unspecified repair of endocardial cushion defect

35.8

Total repair of certain congenital cardiac anomalies

35.81

35.97

Total repair of tetralogy of Fallot

Total repair of total anomalous pulmonary venous connection
Total repair of truncus arteriosus
Total correction of transposition of great vessels, not elsewhere classified
Other operations on valves and septa of heart
Interatrial transposition of venous return
Creation of conduit between right ventricle and pulmonary artery
Creation of conduit between left ventricle and aorta
Creation of conduit between atrium and pulmonary artery
Revision of corrective procedure on heart
Percutaneous balloon valvuloplasty
Percutaneous mitral valve repair with implant

35.62
35.63
35.7
35.70
35.71
35.72

35.82
35.83
35.84
35.9
35.91
35.92
35.93
35.94
35.95
35.96
35.98

Other operations on septa of heart

35.99

Other operations on valves of heart

36

Operations on vessels of heart

36.0

Removal of coronary artery obstruction and insertion of stent(s)

36.03

36.10

Open chest coronary artery angioplasty

Intracoronary artery thrombolytic infusion
Insertion of non-drug-eluting coronary artery stent(s)
Insertion of drug-eluting coronary artery stent(s)
Other removal of coronary artery obstruction
Bypass anastomosis for heart revascularization
Aortocoronary bypass for heart revascularization, not otherwise specified

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

36.04
36.06
36.07
36.09
36.1

Single internal mammary-coronary artery bypass

36.16 Double internal mammary-coronary artery bypass
36.17 Abdominal - coronary artery bypass

36.15

36.19

Other bypass anastomosis for heart revascularization

36.2

Heart revascularization by arterial implant

36.3

Other heart revascularization

36.31

Open chest transmyocardial revascularization

36.32

Other transmyocardial revascularization

Endoscopic transmyocardial revascularization

36.34 Percutaneous transmyocardial revascularization
36.39 Other heart revascularization
36.9
Other operations on vessels of heart
36.33

36.91

Repair of aneurysm of coronary vessel

36.99
37

Other operations on vessels of heart

Other operations on heart and pericardium

37.0

Pericardiocentesis

Cardiotomy and pericardiotomy

37.10 Incision of heart, not otherwise specified
37.11 Cardiotomy
37.12 Pericardiotomy
37.1

37.2

Diagnostic procedures on heart and pericardium

Noninvasive programmed electrical stimulation (NIPS)

37.21 Right heart cardiac catheterization
37.20
37.22

Left heart cardiac catheterization

37.23

Combined right and left heart cardiac catheterization

37.24

Biopsy of pericardium

37.25

Biopsy of heart

Catheter based invasive electrophysiologic testing

Cardiac mapping
37.28 Intracardiac echocardiography

37.26

37.27
37.29

Other diagnostic procedures on heart and pericardium

37.3

37.37

Pericardiectomy and excision of lesion of heart

Pericardiectomy
Excision of aneurysm of heart
Excision or destruction of other lesion or tissue of heart, open approach
Excision or destruction of other lesion or tissue of heart, endovascular approach
Partial ventriculectomy
Excision, destruction, or exclusion of left atrial appendage (LAA)
Excision or destruction of other lesion or tissue of heart, thoracoscopic approach

37.4

Repair of heart and pericardium

37.41

Implantation of prosthetic cardiac support device around the heart

37.49

Other repair of heart and pericardium

37.5

Heart replacement procedures

37.51

Heart transplantation

37.52

37.60

Implantation of total internal biventricular heart replacement system

Replacement or repair of thoracic unit of (total) replacement heart system
Replacement or repair of other implantable component of (total) replacement heart system
Removal of internal biventricular heart replacement system
Implantation of heart and circulatory assist system(s)
Implantation or insertion of biventricular external heart assist system

37.61

Implant of pulsation balloon

37.31
37.32
37.33
37.34
37.35
37.36

37.53
37.54
37.55
37.6

Insertion of temporary non-implantable extracorporeal circulatory assist device

Repair of heart assist system
37.64 Removal of external heart assist system(s) or device(s)

37.62

37.63

Implant of single ventricular (extracorporeal) external heart assist system

37.66 Insertion of implantable heart assist system
37.65
37.67

Implantation of cardiomyostimulation system

37.68
37.7

Insertion of percutaneous external heart assist device

Insertion, revision, replacement, and removal of leads; insertion of temporary pacemaker system; or revision

37.70

Initial insertion of lead [electrode], not otherwise specified

37.71

Initial insertion of transvenous lead [electrode] into ventricle

37.72

Initial insertion of transvenous leads [electrodes] into atrium and ventricle

37.73

Initial insertion of transvenous lead [electrode] into atrium

Insertion or replacement of epicardial lead [electrode] into epicardium

37.75 Revision of lead [electrode]
37.76 Replacement of transvenous atrial and/or ventricular lead(s) [electrode]
37.77 Removal of lead(s) [electrode] without replacement

37.74

37.78

Insertion of temporary transvenous pacemaker system

37.79
37.8

Revision or relocation of cardiac device pocket

Insertion, replacement, removal, and revision of pacemaker device

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

Initial insertion of single-chamber device, rate responsive

37.83 Initial insertion of dual-chamber device
37.82

37.85

Replacement of any type pacemaker device with single-chamber device, not specified as rate responsive

Replacement of any type of pacemaker device with single-chamber device, rate responsive
37.87 Replacement of any type pacemaker device with dual-chamber device
37.89 Revision or removal of pacemaker device

37.86

37.9

Other operations on heart and pericardium

37.90

Insertion of left atrial appendage device

37.91

Open chest cardiac massage

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]

37.95

Implantation of automatic cardioverter/defibrillator lead(s) only

Implantation of automatic cardioverter/defibrillator pulse generator only

Replacement of automatic cardioverter/defibrillator lead(s) only
37.98 Replacement of automatic cardioverter/defibrillator pulse generator only

37.96

37.97
37.99

Other

38

38.2

Incision, excision, and occlusion of vessels

Incision of vessel
Endarterectomy
Diagnostic procedures on blood vessels

38.0
38.1
38.21

Biopsy of blood vessel

38.22

Percutaneous angioscopy

38.23

Intravascular spectroscopy

38.24

Intravascular imaging of coronary vessel(s) by optical coherence tomography [OCT]

38.25
38.26

Intravascular imaging of non-coronary vessel(s) by optical coherence tomography [OCT]

Insertion of implantable pressure sensor without lead for intracardiac or great vessel hemodynamic monitor

38.29

Other diagnostic procedures on blood vessels

38.8

Resection of vessel with anastomosis

Resection of vessel with replacement
Ligation and stripping of varicose veins
Other excision of vessel
Interruption of the vena cava
Other surgical occlusion of vessels

38.9

Puncture of vessel

38.3
38.4
38.5
38.6
38.7

38.91

Arterial catheterization

38.92

Umbilical vein catheterization

38.93

Venous catheterization, not elsewhere classified

38.94

Venous cutdown

38.95

Venous catheterization for renal dialysis

38.97

Central venous catheter placement with guidance

38.98

Other puncture of artery

38.99

Other puncture of vein

39

Other operations on vessels

Systemic to pulmonary artery shunt

39.1
Intra-abdominal venous shunt
39.2
Other shunt or vascular bypass
39.21 Caval-pulmonary artery anastomosis
39.22 Aorta-subclavian-carotid bypass
39.23 Other intrathoracic vascular shunt or bypass
39.0

39.24

Aorta-renal bypass

Aorta-iliac-femoral bypass
Other intra-abdominal vascular shunt or bypass
39.27 Arteriovenostomy for renal dialysis

39.25

39.26
39.28

Extracranial-intracranial (EC-IC) vascular bypass

39.29
39.3

Other (peripheral) vascular shunt or bypass

Suture of vessel

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

39.42

Revision of arteriovenous shunt for renal dialysis

39.43

Removal of arteriovenous shunt for renal dialysis

39.49

Other revision of vascular procedure

39.5

Other repair of vessels

39.50

Angioplasty of other non-coronary vessel(s)

39.51

Clipping of aneurysm

Other repair of aneurysm

39.53 Repair of arteriovenous fistula
39.54 Re-entry operation (aorta)

39.52

39.55

Reimplantation of aberrant renal vessel

39.56

Repair of blood vessel with tissue patch graft

39.57

Repair of blood vessel with synthetic patch graft

39.58

Repair of blood vessel with unspecified type of patch graft

39.59

Other repair of vessel

39.6

Extracorporeal circulation and procedures auxiliary to heart surgery

39.61

Extracorporeal circulation auxiliary to open heart surgery

39.62

Hypothermia (systemic) incidental to open heart surgery

Cardioplegia
39.64 Intraoperative cardiac pacemaker

39.63

39.65

Extracorporeal membrane oxygenation [ECMO]

39.66

39.77

Percutaneous cardiopulmonary bypass

Endovascular procedures on vessel(s)
Endovascular implantation of other graft in abdominal aorta
Endovascular (total) embolization or occlusion of head and neck vessels
Endovascular implantation of graft in thoracic aorta
Endovascular removal of obstruction from head and neck vessel(s)
Endovascular embolization or occlusion of vessel(s) of head or neck using bare coils
Endovascular embolization or occlusion of vessel(s) of head or neck using bioactive coils
Temporary (partial) therapeutic endovascular occlusion of vessel

39.78

Endovascular implantation of branching or fenestrated graft(s) in aorta

39.79

Other endovascular procedures on other vessels

39.8

Operations on carotid body, carotid sinus and other vascular bodies

39.81

39.85

Implantation or replacement of carotid sinus stimulation device, total system

Implantation or replacement of carotid sinus stimulation lead(s) only
Implantation or replacement of carotid sinus stimulation pulse generator only
Revision of carotid sinus stimulation lead(s) only
Revision of carotid sinus stimulation pulse generator

39.86

Removal of carotid sinus stimulation device, total system

39.87

Removal of carotid sinus stimulation lead(s) only

39.7
39.71
39.72
39.73
39.74
39.75
39.76

39.82
39.83
39.84

39.88

Removal of carotid sinus stimulation pulse generator only

39.89

Other operations on carotid body, carotid sinus and other vascular bodies

39.9

Other operations on vessels

39.90

39.98

Insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s)

Freeing of vessel
Injection of sclerosing agent into vein
Insertion of vessel-to-vessel cannula
Replacement of vessel-to-vessel cannula
Hemodialysis
Total body perfusion
Other perfusion
Control of hemorrhage, not otherwise specified

39.99

Other operations on vessels

39.91
39.92
39.93
39.94
39.95
39.96
39.97