ICD-10-CM/PCS MS-DRG v42.0 Definitions Manual

MDC 05 Diseases and Disorders of the Circulatory System

Concomitant Left Atrial Appendage Closure and Cardiac Ablation

Concomitant Left Atrial Appendage Closure	Cardiac Ablation	DRG
Yes	Yes	317

DRG 317 Concomitant Left Atrial Appendage Closure and Cardiac Ablation

TWO CONDITIONS MUST BE MET

FIRST CONDITION: SELECT ONE PROCEDURE FROM LEFT ATRIAL APPENDAGE CLOSURE PROCEDURES

LEFT ATRIAL APPENDAGE CLOSURE PROCEDURES

02L70CK*	Occlusion of Left Atrial Appendage with Extraluminal Device, Open Approach
02L70DK*	Occlusion of Left Atrial Appendage with Intraluminal Device, Open Approach
02L70ZK*	Occlusion of Left Atrial Appendage, Open Approach
02L73CK*	Occlusion of Left Atrial Appendage with Extraluminal Device, Percutaneous Approach
02L73DK*	Occlusion of Left Atrial Appendage with Intraluminal Device, Percutaneous Approach
02L73ZK*	Occlusion of Left Atrial Appendage, Percutaneous Approach
02L74CK*	Occlusion of Left Atrial Appendage with Extraluminal Device, Percutaneous Endoscopic Approach
02L74DK*	Occlusion of Left Atrial Appendage with Intraluminal Device, Percutaneous Endoscopic Approach
02L74ZK*	Occlusion of Left Atrial Appendage, Percutaneous Endoscopic Approach

SECOND CONDITION: SELECT ONE PROCEDURE FROM CARDIAC ABLATION PROCEDURES

CARDIAC ABLATION PROCEDURES

02540ZZ	Destruction of Coronary Vein, Open Approach
02543ZZ	Destruction of Coronary Vein, Percutaneous Approach
02544ZZ	Destruction of Coronary Vein, Percutaneous Endoscopic Approach
02550ZZ	Destruction of Atrial Septum, Open Approach
02553ZZ	Destruction of Atrial Septum, Percutaneous Approach
02554ZZ	Destruction of Atrial Septum, Percutaneous Endoscopic Approach
02560ZZ	Destruction of Right Atrium, Open Approach
02563ZZ	Destruction of Right Atrium, Percutaneous Approach
02564ZZ	Destruction of Right Atrium, Percutaneous Endoscopic Approach
02570ZZ	Destruction of Left Atrium, Open Approach
02573ZZ	Destruction of Left Atrium, Percutaneous Approach
02574ZZ	Destruction of Left Atrium, Percutaneous Endoscopic Approach
02580ZZ	Destruction of Conduction Mechanism, Open Approach
02583ZF	Destruction of Conduction Mechanism using Irreversible Electroporation, Percutaneous Approach
02583ZZ	Destruction of Conduction Mechanism, Percutaneous Approach
02584ZZ	Destruction of Conduction Mechanism, Percutaneous Endoscopic Approach
025S0ZZ	Destruction of Right Pulmonary Vein, Open Approach
025S3ZZ	Destruction of Right Pulmonary Vein, Percutaneous Approach
025S4ZZ	Destruction of Right Pulmonary Vein, Percutaneous Endoscopic Approach
025T0ZZ	Destruction of Left Pulmonary Vein, Open Approach
025T3ZZ	Destruction of Left Pulmonary Vein, Percutaneous Approach
025T4ZZ	Destruction of Left Pulmonary Vein, Percutaneous Endoscopic Approach

NON-OPERATING ROOM PROCEDURES

02570ZK*	Destruction of Left Atrial Appendage, Open Approach
02573ZK*	Destruction of Left Atrial Appendage, Percutaneous Approach
02574ZK*	Destruction of Left Atrial Appendage, Percutaneous Endoscopic Approach

Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
06 Sep 2024 16:41:54
CMS, code-revision=366, description-revision=1405