ICD-10-CM/PCS MS-DRG v41.1 Definitions Manual
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ICD-10-CM/PCS MS-DRG v41.1 Definitions Manual |
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| Appendix I Hospital Acquired Conditions (HACs) List |
| Hospital acquired conditions |
| Page 11 of 14 |
HAC 08: SURGICAL SITE INFECTION-MEDIASTINITIS AFTER CORONARY BYPASS GRAFT (CABG) (continued)
PROCEDURES
| 0211093 | Bypass Coronary Artery, Two Arteries from Coronary Artery with Autologous Venous Tissue, Open Approach |
| 0211098 | Bypass Coronary Artery, Two Arteries from Right Internal Mammary with Autologous Venous Tissue, Open Approach |
| 0211099 | Bypass Coronary Artery, Two Arteries from Left Internal Mammary with Autologous Venous Tissue, Open Approach |
| 021109C | Bypass Coronary Artery, Two Arteries from Thoracic Artery with Autologous Venous Tissue, Open Approach |
| 021109F | Bypass Coronary Artery, Two Arteries from Abdominal Artery with Autologous Venous Tissue, Open Approach |
| 021109W | Bypass Coronary Artery, Two Arteries from Aorta with Autologous Venous Tissue, Open Approach |
| 02110A3 | Bypass Coronary Artery, Two Arteries from Coronary Artery with Autologous Arterial Tissue, Open Approach |
| 02110A8 | Bypass Coronary Artery, Two Arteries from Right Internal Mammary with Autologous Arterial Tissue, Open Approach |
| 02110A9 | Bypass Coronary Artery, Two Arteries from Left Internal Mammary with Autologous Arterial Tissue, Open Approach |
| 02110AC | Bypass Coronary Artery, Two Arteries from Thoracic Artery with Autologous Arterial Tissue, Open Approach |
| 02110AF | Bypass Coronary Artery, Two Arteries from Abdominal Artery with Autologous Arterial Tissue, Open Approach |
| 02110AW | Bypass Coronary Artery, Two Arteries from Aorta with Autologous Arterial Tissue, Open Approach |
| 02110J3 | Bypass Coronary Artery, Two Arteries from Coronary Artery with Synthetic Substitute, Open Approach |
| 02110J8 | Bypass Coronary Artery, Two Arteries from Right Internal Mammary with Synthetic Substitute, Open Approach |
| 02110J9 | Bypass Coronary Artery, Two Arteries from Left Internal Mammary with Synthetic Substitute, Open Approach |
| 02110JC | Bypass Coronary Artery, Two Arteries from Thoracic Artery with Synthetic Substitute, Open Approach |
| 02110JF | Bypass Coronary Artery, Two Arteries from Abdominal Artery with Synthetic Substitute, Open Approach |
| 02110JW | Bypass Coronary Artery, Two Arteries from Aorta with Synthetic Substitute, Open Approach |
| 02110K3 | Bypass Coronary Artery, Two Arteries from Coronary Artery with Nonautologous Tissue Substitute, Open Approach |
| 02110K8 | Bypass Coronary Artery, Two Arteries from Right Internal Mammary with Nonautologous Tissue Substitute, Open Approach |
| 02110K9 | Bypass Coronary Artery, Two Arteries from Left Internal Mammary with Nonautologous Tissue Substitute, Open Approach |
| 02110KC | Bypass Coronary Artery, Two Arteries from Thoracic Artery with Nonautologous Tissue Substitute, Open Approach |
| 02110KF | Bypass Coronary Artery, Two Arteries from Abdominal Artery with Nonautologous Tissue Substitute, Open Approach |
| 02110KW | Bypass Coronary Artery, Two Arteries from Aorta with Nonautologous Tissue Substitute, Open Approach |
| 02110Z3 | Bypass Coronary Artery, Two Arteries from Coronary Artery, Open Approach |
| 02110Z8 | Bypass Coronary Artery, Two Arteries from Right Internal Mammary, Open Approach |
| 02110Z9 | Bypass Coronary Artery, Two Arteries from Left Internal Mammary, Open Approach |
| 02110ZC | Bypass Coronary Artery, Two Arteries from Thoracic Artery, Open Approach |
| 02110ZF | Bypass Coronary Artery, Two Arteries from Abdominal Artery, Open Approach |
| 0211483 | Bypass Coronary Artery, Two Arteries from Coronary Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 0211488 | Bypass Coronary Artery, Two Arteries from Right Internal Mammary with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 0211489 | Bypass Coronary Artery, Two Arteries from Left Internal Mammary with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 021148C | Bypass Coronary Artery, Two Arteries from Thoracic Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 021148F | Bypass Coronary Artery, Two Arteries from Abdominal Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 021148W | Bypass Coronary Artery, Two Arteries from Aorta with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 0211493 | Bypass Coronary Artery, Two Arteries from Coronary Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 0211498 | Bypass Coronary Artery, Two Arteries from Right Internal Mammary with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 0211499 | Bypass Coronary Artery, Two Arteries from Left Internal Mammary with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 021149C | Bypass Coronary Artery, Two Arteries from Thoracic Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 021149F | Bypass Coronary Artery, Two Arteries from Abdominal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 021149W | Bypass Coronary Artery, Two Arteries from Aorta with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 02114A3 | Bypass Coronary Artery, Two Arteries from Coronary Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 02114A8 | Bypass Coronary Artery, Two Arteries from Right Internal Mammary with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 02114A9 | Bypass Coronary Artery, Two Arteries from Left Internal Mammary with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 02114AC | Bypass Coronary Artery, Two Arteries from Thoracic Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 02114AF | Bypass Coronary Artery, Two Arteries from Abdominal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 02114AW | Bypass Coronary Artery, Two Arteries from Aorta with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 02114J3 | Bypass Coronary Artery, Two Arteries from Coronary Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 02114J8 | Bypass Coronary Artery, Two Arteries from Right Internal Mammary with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 02114J9 | Bypass Coronary Artery, Two Arteries from Left Internal Mammary with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 02114JC | Bypass Coronary Artery, Two Arteries from Thoracic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 02114JF | Bypass Coronary Artery, Two Arteries from Abdominal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 02114JW | Bypass Coronary Artery, Two Arteries from Aorta with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 02114K3 | Bypass Coronary Artery, Two Arteries from Coronary Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 02114K8 | Bypass Coronary Artery, Two Arteries from Right Internal Mammary with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 02114K9 | Bypass Coronary Artery, Two Arteries from Left Internal Mammary with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 02114KC | Bypass Coronary Artery, Two Arteries from Thoracic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 02114KF | Bypass Coronary Artery, Two Arteries from Abdominal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 02114KW | Bypass Coronary Artery, Two Arteries from Aorta with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 02114Z3 | Bypass Coronary Artery, Two Arteries from Coronary Artery, Percutaneous Endoscopic Approach |
| 02114Z8 | Bypass Coronary Artery, Two Arteries from Right Internal Mammary, Percutaneous Endoscopic Approach |
| 02114Z9 | Bypass Coronary Artery, Two Arteries from Left Internal Mammary, Percutaneous Endoscopic Approach |
| 02114ZC | Bypass Coronary Artery, Two Arteries from Thoracic Artery, Percutaneous Endoscopic Approach |
| 02114ZF | Bypass Coronary Artery, Two Arteries from Abdominal Artery, Percutaneous Endoscopic Approach |
| 0212083 | Bypass Coronary Artery, Three Arteries from Coronary Artery with Zooplastic Tissue, Open Approach |
| 0212088 | Bypass Coronary Artery, Three Arteries from Right Internal Mammary with Zooplastic Tissue, Open Approach |
| 0212089 | Bypass Coronary Artery, Three Arteries from Left Internal Mammary with Zooplastic Tissue, Open Approach |
| 021208C | Bypass Coronary Artery, Three Arteries from Thoracic Artery with Zooplastic Tissue, Open Approach |
| 021208F | Bypass Coronary Artery, Three Arteries from Abdominal Artery with Zooplastic Tissue, Open Approach |
| 021208W | Bypass Coronary Artery, Three Arteries from Aorta with Zooplastic Tissue, Open Approach |
| 0212093 | Bypass Coronary Artery, Three Arteries from Coronary Artery with Autologous Venous Tissue, Open Approach |
| 0212098 | Bypass Coronary Artery, Three Arteries from Right Internal Mammary with Autologous Venous Tissue, Open Approach |
| 0212099 | Bypass Coronary Artery, Three Arteries from Left Internal Mammary with Autologous Venous Tissue, Open Approach |
| 021209C | Bypass Coronary Artery, Three Arteries from Thoracic Artery with Autologous Venous Tissue, Open Approach |
| 021209F | Bypass Coronary Artery, Three Arteries from Abdominal Artery with Autologous Venous Tissue, Open Approach |
| 021209W | Bypass Coronary Artery, Three Arteries from Aorta with Autologous Venous Tissue, Open Approach |
| 02120A3 | Bypass Coronary Artery, Three Arteries from Coronary Artery with Autologous Arterial Tissue, Open Approach |
| 02120A8 | Bypass Coronary Artery, Three Arteries from Right Internal Mammary with Autologous Arterial Tissue, Open Approach |
| 02120A9 | Bypass Coronary Artery, Three Arteries from Left Internal Mammary with Autologous Arterial Tissue, Open Approach |
| 02120AC | Bypass Coronary Artery, Three Arteries from Thoracic Artery with Autologous Arterial Tissue, Open Approach |
| 02120AF | Bypass Coronary Artery, Three Arteries from Abdominal Artery with Autologous Arterial Tissue, Open Approach |
| 02120AW | Bypass Coronary Artery, Three Arteries from Aorta with Autologous Arterial Tissue, Open Approach |
| 02120J3 | Bypass Coronary Artery, Three Arteries from Coronary Artery with Synthetic Substitute, Open Approach |
| 02120J8 | Bypass Coronary Artery, Three Arteries from Right Internal Mammary with Synthetic Substitute, Open Approach |
| 02120J9 | Bypass Coronary Artery, Three Arteries from Left Internal Mammary with Synthetic Substitute, Open Approach |
| 02120JC | Bypass Coronary Artery, Three Arteries from Thoracic Artery with Synthetic Substitute, Open Approach |
| 02120JF | Bypass Coronary Artery, Three Arteries from Abdominal Artery with Synthetic Substitute, Open Approach |
| 02120JW | Bypass Coronary Artery, Three Arteries from Aorta with Synthetic Substitute, Open Approach |
| 02120K3 | Bypass Coronary Artery, Three Arteries from Coronary Artery with Nonautologous Tissue Substitute, Open Approach |
| 02120K8 | Bypass Coronary Artery, Three Arteries from Right Internal Mammary with Nonautologous Tissue Substitute, Open Approach |
| 02120K9 | Bypass Coronary Artery, Three Arteries from Left Internal Mammary with Nonautologous Tissue Substitute, Open Approach |
| 02120KC | Bypass Coronary Artery, Three Arteries from Thoracic Artery with Nonautologous Tissue Substitute, Open Approach |
| 02120KF | Bypass Coronary Artery, Three Arteries from Abdominal Artery with Nonautologous Tissue Substitute, Open Approach |
| 02120KW | Bypass Coronary Artery, Three Arteries from Aorta with Nonautologous Tissue Substitute, Open Approach |
| 02120Z3 | Bypass Coronary Artery, Three Arteries from Coronary Artery, Open Approach |
| 02120Z8 | Bypass Coronary Artery, Three Arteries from Right Internal Mammary, Open Approach |
| 02120Z9 | Bypass Coronary Artery, Three Arteries from Left Internal Mammary, Open Approach |
| 02120ZC | Bypass Coronary Artery, Three Arteries from Thoracic Artery, Open Approach |
| 02120ZF | Bypass Coronary Artery, Three Arteries from Abdominal Artery, Open Approach |
| 0212483 | Bypass Coronary Artery, Three Arteries from Coronary Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 0212488 | Bypass Coronary Artery, Three Arteries from Right Internal Mammary with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 0212489 | Bypass Coronary Artery, Three Arteries from Left Internal Mammary with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 021248C | Bypass Coronary Artery, Three Arteries from Thoracic Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 021248F | Bypass Coronary Artery, Three Arteries from Abdominal Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 021248W | Bypass Coronary Artery, Three Arteries from Aorta with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 0212493 | Bypass Coronary Artery, Three Arteries from Coronary Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 0212498 | Bypass Coronary Artery, Three Arteries from Right Internal Mammary with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 0212499 | Bypass Coronary Artery, Three Arteries from Left Internal Mammary with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 021249C | Bypass Coronary Artery, Three Arteries from Thoracic Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 021249F | Bypass Coronary Artery, Three Arteries from Abdominal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 021249W | Bypass Coronary Artery, Three Arteries from Aorta with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 02124A3 | Bypass Coronary Artery, Three Arteries from Coronary Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 02124A8 | Bypass Coronary Artery, Three Arteries from Right Internal Mammary with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 02124A9 | Bypass Coronary Artery, Three Arteries from Left Internal Mammary with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 02124AC | Bypass Coronary Artery, Three Arteries from Thoracic Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 02124AF | Bypass Coronary Artery, Three Arteries from Abdominal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 02124AW | Bypass Coronary Artery, Three Arteries from Aorta with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 02124J3 | Bypass Coronary Artery, Three Arteries from Coronary Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 02124J8 | Bypass Coronary Artery, Three Arteries from Right Internal Mammary with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 02124J9 | Bypass Coronary Artery, Three Arteries from Left Internal Mammary with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 02124JC | Bypass Coronary Artery, Three Arteries from Thoracic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 02124JF | Bypass Coronary Artery, Three Arteries from Abdominal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 02124JW | Bypass Coronary Artery, Three Arteries from Aorta with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 02124K3 | Bypass Coronary Artery, Three Arteries from Coronary Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 02124K8 | Bypass Coronary Artery, Three Arteries from Right Internal Mammary with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 02124K9 | Bypass Coronary Artery, Three Arteries from Left Internal Mammary with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 02124KC | Bypass Coronary Artery, Three Arteries from Thoracic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 02124KF | Bypass Coronary Artery, Three Arteries from Abdominal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 02124KW | Bypass Coronary Artery, Three Arteries from Aorta with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 02124Z3 | Bypass Coronary Artery, Three Arteries from Coronary Artery, Percutaneous Endoscopic Approach |
| 02124Z8 | Bypass Coronary Artery, Three Arteries from Right Internal Mammary, Percutaneous Endoscopic Approach |
| 02124Z9 | Bypass Coronary Artery, Three Arteries from Left Internal Mammary, Percutaneous Endoscopic Approach |
| 02124ZC | Bypass Coronary Artery, Three Arteries from Thoracic Artery, Percutaneous Endoscopic Approach |
| 02124ZF | Bypass Coronary Artery, Three Arteries from Abdominal Artery, Percutaneous Endoscopic Approach |
| 0213083 | Bypass Coronary Artery, Four or More Arteries from Coronary Artery with Zooplastic Tissue, Open Approach |
| 0213088 | Bypass Coronary Artery, Four or More Arteries from Right Internal Mammary with Zooplastic Tissue, Open Approach |
| 0213089 | Bypass Coronary Artery, Four or More Arteries from Left Internal Mammary with Zooplastic Tissue, Open Approach |
| 021308C | Bypass Coronary Artery, Four or More Arteries from Thoracic Artery with Zooplastic Tissue, Open Approach |
| 021308F | Bypass Coronary Artery, Four or More Arteries from Abdominal Artery with Zooplastic Tissue, Open Approach |
| 021308W | Bypass Coronary Artery, Four or More Arteries from Aorta with Zooplastic Tissue, Open Approach |
| 0213093 | Bypass Coronary Artery, Four or More Arteries from Coronary Artery with Autologous Venous Tissue, Open Approach |
| 0213098 | Bypass Coronary Artery, Four or More Arteries from Right Internal Mammary with Autologous Venous Tissue, Open Approach |
| 0213099 | Bypass Coronary Artery, Four or More Arteries from Left Internal Mammary with Autologous Venous Tissue, Open Approach |
| 021309C | Bypass Coronary Artery, Four or More Arteries from Thoracic Artery with Autologous Venous Tissue, Open Approach |
| 021309F | Bypass Coronary Artery, Four or More Arteries from Abdominal Artery with Autologous Venous Tissue, Open Approach |
| 021309W | Bypass Coronary Artery, Four or More Arteries from Aorta with Autologous Venous Tissue, Open Approach |
| 02130A3 | Bypass Coronary Artery, Four or More Arteries from Coronary Artery with Autologous Arterial Tissue, Open Approach |
| 02130A8 | Bypass Coronary Artery, Four or More Arteries from Right Internal Mammary with Autologous Arterial Tissue, Open Approach |
| 02130A9 | Bypass Coronary Artery, Four or More Arteries from Left Internal Mammary with Autologous Arterial Tissue, Open Approach |
| 02130AC | Bypass Coronary Artery, Four or More Arteries from Thoracic Artery with Autologous Arterial Tissue, Open Approach |
| 02130AF | Bypass Coronary Artery, Four or More Arteries from Abdominal Artery with Autologous Arterial Tissue, Open Approach |
| 02130AW | Bypass Coronary Artery, Four or More Arteries from Aorta with Autologous Arterial Tissue, Open Approach |
| 02130J3 | Bypass Coronary Artery, Four or More Arteries from Coronary Artery with Synthetic Substitute, Open Approach |
| 02130J8 | Bypass Coronary Artery, Four or More Arteries from Right Internal Mammary with Synthetic Substitute, Open Approach |
| 02130J9 | Bypass Coronary Artery, Four or More Arteries from Left Internal Mammary with Synthetic Substitute, Open Approach |
| 02130JC | Bypass Coronary Artery, Four or More Arteries from Thoracic Artery with Synthetic Substitute, Open Approach |
| 02130JF | Bypass Coronary Artery, Four or More Arteries from Abdominal Artery with Synthetic Substitute, Open Approach |
| 02130JW | Bypass Coronary Artery, Four or More Arteries from Aorta with Synthetic Substitute, Open Approach |
| 02130K3 | Bypass Coronary Artery, Four or More Arteries from Coronary Artery with Nonautologous Tissue Substitute, Open Approach |
| 02130K8 | Bypass Coronary Artery, Four or More Arteries from Right Internal Mammary with Nonautologous Tissue Substitute, Open Approach |
| 02130K9 | Bypass Coronary Artery, Four or More Arteries from Left Internal Mammary with Nonautologous Tissue Substitute, Open Approach |
| 02130KC | Bypass Coronary Artery, Four or More Arteries from Thoracic Artery with Nonautologous Tissue Substitute, Open Approach |
| 02130KF | Bypass Coronary Artery, Four or More Arteries from Abdominal Artery with Nonautologous Tissue Substitute, Open Approach |
| 02130KW | Bypass Coronary Artery, Four or More Arteries from Aorta with Nonautologous Tissue Substitute, Open Approach |
| 02130Z3 | Bypass Coronary Artery, Four or More Arteries from Coronary Artery, Open Approach |
| 02130Z8 | Bypass Coronary Artery, Four or More Arteries from Right Internal Mammary, Open Approach |
| 02130Z9 | Bypass Coronary Artery, Four or More Arteries from Left Internal Mammary, Open Approach |
| 02130ZC | Bypass Coronary Artery, Four or More Arteries from Thoracic Artery, Open Approach |
| 02130ZF | Bypass Coronary Artery, Four or More Arteries from Abdominal Artery, Open Approach |
| 0213483 | Bypass Coronary Artery, Four or More Arteries from Coronary Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 0213488 | Bypass Coronary Artery, Four or More Arteries from Right Internal Mammary with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 0213489 | Bypass Coronary Artery, Four or More Arteries from Left Internal Mammary with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 021348C | Bypass Coronary Artery, Four or More Arteries from Thoracic Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 021348F | Bypass Coronary Artery, Four or More Arteries from Abdominal Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 021348W | Bypass Coronary Artery, Four or More Arteries from Aorta with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 0213493 | Bypass Coronary Artery, Four or More Arteries from Coronary Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 0213498 | Bypass Coronary Artery, Four or More Arteries from Right Internal Mammary with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 0213499 | Bypass Coronary Artery, Four or More Arteries from Left Internal Mammary with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 021349C | Bypass Coronary Artery, Four or More Arteries from Thoracic Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 021349F | Bypass Coronary Artery, Four or More Arteries from Abdominal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 021349W | Bypass Coronary Artery, Four or More Arteries from Aorta with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 02134A3 | Bypass Coronary Artery, Four or More Arteries from Coronary Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 02134A8 | Bypass Coronary Artery, Four or More Arteries from Right Internal Mammary with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 02134A9 | Bypass Coronary Artery, Four or More Arteries from Left Internal Mammary with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 02134AC | Bypass Coronary Artery, Four or More Arteries from Thoracic Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 02134AF | Bypass Coronary Artery, Four or More Arteries from Abdominal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 02134AW | Bypass Coronary Artery, Four or More Arteries from Aorta with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 02134J3 | Bypass Coronary Artery, Four or More Arteries from Coronary Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 02134J8 | Bypass Coronary Artery, Four or More Arteries from Right Internal Mammary with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 02134J9 | Bypass Coronary Artery, Four or More Arteries from Left Internal Mammary with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 02134JC | Bypass Coronary Artery, Four or More Arteries from Thoracic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 02134JF | Bypass Coronary Artery, Four or More Arteries from Abdominal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 02134JW | Bypass Coronary Artery, Four or More Arteries from Aorta with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 02134K3 | Bypass Coronary Artery, Four or More Arteries from Coronary Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 02134K8 | Bypass Coronary Artery, Four or More Arteries from Right Internal Mammary with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 02134K9 | Bypass Coronary Artery, Four or More Arteries from Left Internal Mammary with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 02134KC | Bypass Coronary Artery, Four or More Arteries from Thoracic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 02134KF | Bypass Coronary Artery, Four or More Arteries from Abdominal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 02134KW | Bypass Coronary Artery, Four or More Arteries from Aorta with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 02134Z3 | Bypass Coronary Artery, Four or More Arteries from Coronary Artery, Percutaneous Endoscopic Approach |
| 02134Z8 | Bypass Coronary Artery, Four or More Arteries from Right Internal Mammary, Percutaneous Endoscopic Approach |
| 02134Z9 | Bypass Coronary Artery, Four or More Arteries from Left Internal Mammary, Percutaneous Endoscopic Approach |
| 02134ZC | Bypass Coronary Artery, Four or More Arteries from Thoracic Artery, Percutaneous Endoscopic Approach |
| 02134ZF | Bypass Coronary Artery, Four or More Arteries from Abdominal Artery, Percutaneous Endoscopic Approach |
AND
SECONDARY DIAGNOSIS
| J9851 | Mediastinitis |
| J9859 | Other diseases of mediastinum, not elsewhere classified |
HAC 09: MANIFESTATIONS OF POOR GLYCEMIC CONTROL
SECONDARY DIAGNOSIS
| E0800 | Diabetes mellitus due to underlying condition with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) |
| E0801 | Diabetes mellitus due to underlying condition with hyperosmolarity with coma |
| E0810 | Diabetes mellitus due to underlying condition with ketoacidosis without coma |
| E0811 | Diabetes mellitus due to underlying condition with ketoacidosis with coma |
| E0900 | Drug or chemical induced diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) |
| E0901 | Drug or chemical induced diabetes mellitus with hyperosmolarity with coma |
| E0910 | Drug or chemical induced diabetes mellitus with ketoacidosis without coma |
| E0911 | Drug or chemical induced diabetes mellitus with ketoacidosis with coma |
| E1010 | Type 1 diabetes mellitus with ketoacidosis without coma |
| E1011 | Type 1 diabetes mellitus with ketoacidosis with coma |
| E1100 | Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) |
| E1101 | Type 2 diabetes mellitus with hyperosmolarity with coma |
| E1110 | Type 2 diabetes mellitus with ketoacidosis without coma |
| E1111 | Type 2 diabetes mellitus with ketoacidosis with coma |
| E1300 | Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) |
| E1301 | Other specified diabetes mellitus with hyperosmolarity with coma |
| E1310 | Other specified diabetes mellitus with ketoacidosis without coma |
| E1311 | Other specified diabetes mellitus with ketoacidosis with coma |
| E15 | Nondiabetic hypoglycemic coma |
HAC 10: DEEP VEIN THROMBOSIS (DVT) / PULMONARY EMBOLISM (PE) WITH TOTAL KNEE OR HIP REPLACEMENT
PROCEDURES
| 0SR9019 | Replacement of Right Hip Joint with Metal Synthetic Substitute, Cemented, Open Approach |
| 0SR901A | Replacement of Right Hip Joint with Metal Synthetic Substitute, Uncemented, Open Approach |
| 0SR901Z | Replacement of Right Hip Joint with Metal Synthetic Substitute, Open Approach |
| 0SR9029 | Replacement of Right Hip Joint with Metal on Polyethylene Synthetic Substitute, Cemented, Open Approach |
| 0SR902A | Replacement of Right Hip Joint with Metal on Polyethylene Synthetic Substitute, Uncemented, Open Approach |
| 0SR902Z | Replacement of Right Hip Joint with Metal on Polyethylene Synthetic Substitute, Open Approach |
| 0SR9039 | Replacement of Right Hip Joint with Ceramic Synthetic Substitute, Cemented, Open Approach |
| 0SR903A | Replacement of Right Hip Joint with Ceramic Synthetic Substitute, Uncemented, Open Approach |
| 0SR903Z | Replacement of Right Hip Joint with Ceramic Synthetic Substitute, Open Approach |
| 0SR9049 | Replacement of Right Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Cemented, Open Approach |
| 0SR904A | Replacement of Right Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Uncemented, Open Approach |
| 0SR904Z | Replacement of Right Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Open Approach |
| 0SR9069 | Replacement of Right Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Cemented, Open Approach |
| 0SR906A | Replacement of Right Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Uncemented, Open Approach |
| 0SR906Z | Replacement of Right Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Open Approach |
| 0SR907Z | Replacement of Right Hip Joint with Autologous Tissue Substitute, Open Approach |
| 0SR90EZ | Replacement of Right Hip Joint with Articulating Spacer, Open Approach |
| 0SR90J9 | Replacement of Right Hip Joint with Synthetic Substitute, Cemented, Open Approach |
| 0SR90JA | Replacement of Right Hip Joint with Synthetic Substitute, Uncemented, Open Approach |
| 0SR90JZ | Replacement of Right Hip Joint with Synthetic Substitute, Open Approach |
| 0SR90KZ | Replacement of Right Hip Joint with Nonautologous Tissue Substitute, Open Approach |
| 0SRA009 | Replacement of Right Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Cemented, Open Approach |
| 0SRA00A | Replacement of Right Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Uncemented, Open Approach |
| 0SRA00Z | Replacement of Right Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Open Approach |
| 0SRA019 | Replacement of Right Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Cemented, Open Approach |
| 0SRA01A | Replacement of Right Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Uncemented, Open Approach |
| 0SRA01Z | Replacement of Right Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Open Approach |
| 0SRA039 | Replacement of Right Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Cemented, Open Approach |
| 0SRA03A | Replacement of Right Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Uncemented, Open Approach |
| 0SRA03Z | Replacement of Right Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Open Approach |
| 0SRA07Z | Replacement of Right Hip Joint, Acetabular Surface with Autologous Tissue Substitute, Open Approach |
| 0SRA0J9 | Replacement of Right Hip Joint, Acetabular Surface with Synthetic Substitute, Cemented, Open Approach |
| 0SRA0JA | Replacement of Right Hip Joint, Acetabular Surface with Synthetic Substitute, Uncemented, Open Approach |
| 0SRA0JZ | Replacement of Right Hip Joint, Acetabular Surface with Synthetic Substitute, Open Approach |
| 0SRA0KZ | Replacement of Right Hip Joint, Acetabular Surface with Nonautologous Tissue Substitute, Open Approach |
| 0SRB019 | Replacement of Left Hip Joint with Metal Synthetic Substitute, Cemented, Open Approach |
| 0SRB01A | Replacement of Left Hip Joint with Metal Synthetic Substitute, Uncemented, Open Approach |
| 0SRB01Z | Replacement of Left Hip Joint with Metal Synthetic Substitute, Open Approach |
| 0SRB029 | Replacement of Left Hip Joint with Metal on Polyethylene Synthetic Substitute, Cemented, Open Approach |
| 0SRB02A | Replacement of Left Hip Joint with Metal on Polyethylene Synthetic Substitute, Uncemented, Open Approach |
| 0SRB02Z | Replacement of Left Hip Joint with Metal on Polyethylene Synthetic Substitute, Open Approach |
| 0SRB039 | Replacement of Left Hip Joint with Ceramic Synthetic Substitute, Cemented, Open Approach |
| 0SRB03A | Replacement of Left Hip Joint with Ceramic Synthetic Substitute, Uncemented, Open Approach |
| 0SRB03Z | Replacement of Left Hip Joint with Ceramic Synthetic Substitute, Open Approach |
| 0SRB049 | Replacement of Left Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Cemented, Open Approach |
| 0SRB04A | Replacement of Left Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Uncemented, Open Approach |
| 0SRB04Z | Replacement of Left Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Open Approach |
| 0SRB069 | Replacement of Left Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Cemented, Open Approach |
| 0SRB06A | Replacement of Left Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Uncemented, Open Approach |
| 0SRB06Z | Replacement of Left Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Open Approach |
| 0SRB07Z | Replacement of Left Hip Joint with Autologous Tissue Substitute, Open Approach |
| 0SRB0EZ | Replacement of Left Hip Joint with Articulating Spacer, Open Approach |
| 0SRB0J9 | Replacement of Left Hip Joint with Synthetic Substitute, Cemented, Open Approach |
| 0SRB0JA | Replacement of Left Hip Joint with Synthetic Substitute, Uncemented, Open Approach |
| 0SRB0JZ | Replacement of Left Hip Joint with Synthetic Substitute, Open Approach |
| 0SRB0KZ | Replacement of Left Hip Joint with Nonautologous Tissue Substitute, Open Approach |
| 0SRC069 | Replacement of Right Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Cemented, Open Approach |
| 0SRC06A | Replacement of Right Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Uncemented, Open Approach |
| 0SRC06Z | Replacement of Right Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Open Approach |
| 0SRC07Z | Replacement of Right Knee Joint with Autologous Tissue Substitute, Open Approach |
| 0SRC0EZ | Replacement of Right Knee Joint with Articulating Spacer, Open Approach |
| 0SRC0J9 | Replacement of Right Knee Joint with Synthetic Substitute, Cemented, Open Approach |
| 0SRC0JA | Replacement of Right Knee Joint with Synthetic Substitute, Uncemented, Open Approach |
| 0SRC0JZ | Replacement of Right Knee Joint with Synthetic Substitute, Open Approach |
| 0SRC0KZ | Replacement of Right Knee Joint with Nonautologous Tissue Substitute, Open Approach |
| 0SRC0L9 | Replacement of Right Knee Joint with Medial Unicondylar Synthetic Substitute, Cemented, Open Approach |
| 0SRC0LA | Replacement of Right Knee Joint with Medial Unicondylar Synthetic Substitute, Uncemented, Open Approach |
| 0SRC0LZ | Replacement of Right Knee Joint with Medial Unicondylar Synthetic Substitute, Open Approach |
| 0SRC0M9 | Replacement of Right Knee Joint with Lateral Unicondylar Synthetic Substitute, Cemented, Open Approach |
| 0SRC0MA | Replacement of Right Knee Joint with Lateral Unicondylar Synthetic Substitute, Uncemented, Open Approach |
| 0SRC0MZ | Replacement of Right Knee Joint with Lateral Unicondylar Synthetic Substitute, Open Approach |
| 0SRC0N9 | Replacement of Right Knee Joint with Patellofemoral Synthetic Substitute, Cemented, Open Approach |
| 0SRC0NA | Replacement of Right Knee Joint with Patellofemoral Synthetic Substitute, Uncemented, Open Approach |
| 0SRC0NZ | Replacement of Right Knee Joint with Patellofemoral Synthetic Substitute, Open Approach |
| 0SRD069 | Replacement of Left Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Cemented, Open Approach |
| 0SRD06A | Replacement of Left Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Uncemented, Open Approach |
| 0SRD06Z | Replacement of Left Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Open Approach |
| 0SRD07Z | Replacement of Left Knee Joint with Autologous Tissue Substitute, Open Approach |
| 0SRD0EZ | Replacement of Left Knee Joint with Articulating Spacer, Open Approach |
| 0SRD0J9 | Replacement of Left Knee Joint with Synthetic Substitute, Cemented, Open Approach |
| 0SRD0JA | Replacement of Left Knee Joint with Synthetic Substitute, Uncemented, Open Approach |
| 0SRD0JZ | Replacement of Left Knee Joint with Synthetic Substitute, Open Approach |
| 0SRD0KZ | Replacement of Left Knee Joint with Nonautologous Tissue Substitute, Open Approach |
| 0SRD0L9 | Replacement of Left Knee Joint with Medial Unicondylar Synthetic Substitute, Cemented, Open Approach |
| 0SRD0LA | Replacement of Left Knee Joint with Medial Unicondylar Synthetic Substitute, Uncemented, Open Approach |
| 0SRD0LZ | Replacement of Left Knee Joint with Medial Unicondylar Synthetic Substitute, Open Approach |
| 0SRD0M9 | Replacement of Left Knee Joint with Lateral Unicondylar Synthetic Substitute, Cemented, Open Approach |
| 0SRD0MA | Replacement of Left Knee Joint with Lateral Unicondylar Synthetic Substitute, Uncemented, Open Approach |
| 0SRD0MZ | Replacement of Left Knee Joint with Lateral Unicondylar Synthetic Substitute, Open Approach |
| 0SRD0N9 | Replacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Cemented, Open Approach |
| 0SRD0NA | Replacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Uncemented, Open Approach |
| 0SRD0NZ | Replacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Open Approach |
| 0SRE009 | Replacement of Left Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Cemented, Open Approach |
| 0SRE00A | Replacement of Left Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Uncemented, Open Approach |
| 0SRE00Z | Replacement of Left Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Open Approach |
| 0SRE019 | Replacement of Left Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Cemented, Open Approach |
| 0SRE01A | Replacement of Left Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Uncemented, Open Approach |
| 0SRE01Z | Replacement of Left Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Open Approach |
| 0SRE039 | Replacement of Left Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Cemented, Open Approach |
| 0SRE03A | Replacement of Left Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Uncemented, Open Approach |
| 0SRE03Z | Replacement of Left Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Open Approach |
| 0SRE07Z | Replacement of Left Hip Joint, Acetabular Surface with Autologous Tissue Substitute, Open Approach |
| 0SRE0J9 | Replacement of Left Hip Joint, Acetabular Surface with Synthetic Substitute, Cemented, Open Approach |
| 0SRE0JA | Replacement of Left Hip Joint, Acetabular Surface with Synthetic Substitute, Uncemented, Open Approach |
| 0SRE0JZ | Replacement of Left Hip Joint, Acetabular Surface with Synthetic Substitute, Open Approach |
| 0SRE0KZ | Replacement of Left Hip Joint, Acetabular Surface with Nonautologous Tissue Substitute, Open Approach |
| 0SRR019 | Replacement of Right Hip Joint, Femoral Surface with Metal Synthetic Substitute, Cemented, Open Approach |
| 0SRR01A | Replacement of Right Hip Joint, Femoral Surface with Metal Synthetic Substitute, Uncemented, Open Approach |
| 0SRR01Z | Replacement of Right Hip Joint, Femoral Surface with Metal Synthetic Substitute, Open Approach |
| 0SRR039 | Replacement of Right Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Cemented, Open Approach |
| 0SRR03A | Replacement of Right Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Uncemented, Open Approach |
| 0SRR03Z | Replacement of Right Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Open Approach |
| 0SRR07Z | Replacement of Right Hip Joint, Femoral Surface with Autologous Tissue Substitute, Open Approach |
| 0SRR0J9 | Replacement of Right Hip Joint, Femoral Surface with Synthetic Substitute, Cemented, Open Approach |
| 0SRR0JA | Replacement of Right Hip Joint, Femoral Surface with Synthetic Substitute, Uncemented, Open Approach |
| 0SRR0JZ | Replacement of Right Hip Joint, Femoral Surface with Synthetic Substitute, Open Approach |
| 0SRR0KZ | Replacement of Right Hip Joint, Femoral Surface with Nonautologous Tissue Substitute, Open Approach |
| 0SRS019 | Replacement of Left Hip Joint, Femoral Surface with Metal Synthetic Substitute, Cemented, Open Approach |
| 0SRS01A | Replacement of Left Hip Joint, Femoral Surface with Metal Synthetic Substitute, Uncemented, Open Approach |
| 0SRS01Z | Replacement of Left Hip Joint, Femoral Surface with Metal Synthetic Substitute, Open Approach |
| 0SRS039 | Replacement of Left Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Cemented, Open Approach |
| 0SRS03A | Replacement of Left Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Uncemented, Open Approach |
| 0SRS03Z | Replacement of Left Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Open Approach |
| 0SRS07Z | Replacement of Left Hip Joint, Femoral Surface with Autologous Tissue Substitute, Open Approach |
| 0SRS0J9 | Replacement of Left Hip Joint, Femoral Surface with Synthetic Substitute, Cemented, Open Approach |
| 0SRS0JA | Replacement of Left Hip Joint, Femoral Surface with Synthetic Substitute, Uncemented, Open Approach |
| 0SRS0JZ | Replacement of Left Hip Joint, Femoral Surface with Synthetic Substitute, Open Approach |
| 0SRS0KZ | Replacement of Left Hip Joint, Femoral Surface with Nonautologous Tissue Substitute, Open Approach |
| 0SRT07Z | Replacement of Right Knee Joint, Femoral Surface with Autologous Tissue Substitute, Open Approach |
| 0SRT0J9 | Replacement of Right Knee Joint, Femoral Surface with Synthetic Substitute, Cemented, Open Approach |
| 0SRT0JA | Replacement of Right Knee Joint, Femoral Surface with Synthetic Substitute, Uncemented, Open Approach |
| 0SRT0JZ | Replacement of Right Knee Joint, Femoral Surface with Synthetic Substitute, Open Approach |
| 0SRT0KZ | Replacement of Right Knee Joint, Femoral Surface with Nonautologous Tissue Substitute, Open Approach |
| 0SRU07Z | Replacement of Left Knee Joint, Femoral Surface with Autologous Tissue Substitute, Open Approach |
| 0SRU0J9 | Replacement of Left Knee Joint, Femoral Surface with Synthetic Substitute, Cemented, Open Approach |
| 0SRU0JA | Replacement of Left Knee Joint, Femoral Surface with Synthetic Substitute, Uncemented, Open Approach |
| 0SRU0JZ | Replacement of Left Knee Joint, Femoral Surface with Synthetic Substitute, Open Approach |
| 0SRU0KZ | Replacement of Left Knee Joint, Femoral Surface with Nonautologous Tissue Substitute, Open Approach |
| 0SRV07Z | Replacement of Right Knee Joint, Tibial Surface with Autologous Tissue Substitute, Open Approach |
| 0SRV0J9 | Replacement of Right Knee Joint, Tibial Surface with Synthetic Substitute, Cemented, Open Approach |
| 0SRV0JA | Replacement of Right Knee Joint, Tibial Surface with Synthetic Substitute, Uncemented, Open Approach |
| 0SRV0JZ | Replacement of Right Knee Joint, Tibial Surface with Synthetic Substitute, Open Approach |
| 0SRV0KZ | Replacement of Right Knee Joint, Tibial Surface with Nonautologous Tissue Substitute, Open Approach |
| 0SRW07Z | Replacement of Left Knee Joint, Tibial Surface with Autologous Tissue Substitute, Open Approach |
| 0SRW0J9 | Replacement of Left Knee Joint, Tibial Surface with Synthetic Substitute, Cemented, Open Approach |
| 0SRW0JA | Replacement of Left Knee Joint, Tibial Surface with Synthetic Substitute, Uncemented, Open Approach |
| 0SRW0JZ | Replacement of Left Knee Joint, Tibial Surface with Synthetic Substitute, Open Approach |
| 0SRW0KZ | Replacement of Left Knee Joint, Tibial Surface with Nonautologous Tissue Substitute, Open Approach |
| 0SU90BZ | Supplement Right Hip Joint with Resurfacing Device, Open Approach |
| 0SUA0BZ | Supplement Right Hip Joint, Acetabular Surface with Resurfacing Device, Open Approach |
| 0SUB0BZ | Supplement Left Hip Joint with Resurfacing Device, Open Approach |
| 0SUE0BZ | Supplement Left Hip Joint, Acetabular Surface with Resurfacing Device, Open Approach |
| 0SUR0BZ | Supplement Right Hip Joint, Femoral Surface with Resurfacing Device, Open Approach |
| 0SUS0BZ | Supplement Left Hip Joint, Femoral Surface with Resurfacing Device, Open Approach |
| XRRG0L8 | Replacement of Right Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8 |
| XRRG0M8 | Replacement of Right Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8 |
| XRRH0L8 | Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8 |
| XRRH0M8 | Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8 |
AND
SECONDARY DIAGNOSIS
| I2602 | Saddle embolus of pulmonary artery with acute cor pulmonale |
| I2609 | Other pulmonary embolism with acute cor pulmonale |
| I2692 | Saddle embolus of pulmonary artery without acute cor pulmonale |
| I2693 | Single subsegmental pulmonary embolism without acute cor pulmonale |
| I2694 | Multiple subsegmental pulmonary emboli without acute cor pulmonale |
| I2699 | Other pulmonary embolism without acute cor pulmonale |
| I82401 | Acute embolism and thrombosis of unspecified deep veins of right lower extremity |
| I82402 | Acute embolism and thrombosis of unspecified deep veins of left lower extremity |
| I82403 | Acute embolism and thrombosis of unspecified deep veins of lower extremity, bilateral |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 08 Mar 2024 10:29:37 CMS, code-revision=359, description-revision=1383 |