ICD-10-CM/PCS MS-DRG v39.0 Definitions Manual
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ICD-10-CM/PCS MS-DRG v39.0 Definitions Manual |
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| Appendix I Hospital Acquired Conditions (HACS) List |
| Hospital acquired conditions |
| Page 10 of 13 |
HAC 05: FALLS AND TRAUMA (continued)
SECONDARY DIAGNOSIS
M9910 S066X1A S32019B S42262A S52234B S62034B S72124C S82015B S82832C T25329A
| T25329A | Burn of third degree of unspecified foot, initial encounter |
| T25331A | Burn of third degree of right toe(s) (nail), initial encounter |
| T25332A | Burn of third degree of left toe(s) (nail), initial encounter |
| T25339A | Burn of third degree of unspecified toe(s) (nail), initial encounter |
| T25391A | Burn of third degree of multiple sites of right ankle and foot, initial encounter |
| T25392A | Burn of third degree of multiple sites of left ankle and foot, initial encounter |
| T25399A | Burn of third degree of multiple sites of unspecified ankle and foot, initial encounter |
| T25711A | Corrosion of third degree of right ankle, initial encounter |
| T25712A | Corrosion of third degree of left ankle, initial encounter |
| T25719A | Corrosion of third degree of unspecified ankle, initial encounter |
| T25721A | Corrosion of third degree of right foot, initial encounter |
| T25722A | Corrosion of third degree of left foot, initial encounter |
| T25729A | Corrosion of third degree of unspecified foot, initial encounter |
| T25731A | Corrosion of third degree of right toe(s) (nail), initial encounter |
| T25732A | Corrosion of third degree of left toe(s) (nail), initial encounter |
| T25739A | Corrosion of third degree of unspecified toe(s) (nail), initial encounter |
| T25791A | Corrosion of third degree of multiple sites of right ankle and foot, initial encounter |
| T25792A | Corrosion of third degree of multiple sites of left ankle and foot, initial encounter |
| T25799A | Corrosion of third degree of multiple sites of unspecified ankle and foot, initial encounter |
| T2620XA | Burn with resulting rupture and destruction of unspecified eyeball, initial encounter |
| T2621XA | Burn with resulting rupture and destruction of right eyeball, initial encounter |
| T2622XA | Burn with resulting rupture and destruction of left eyeball, initial encounter |
| T2670XA | Corrosion with resulting rupture and destruction of unspecified eyeball, initial encounter |
| T2671XA | Corrosion with resulting rupture and destruction of right eyeball, initial encounter |
| T2672XA | Corrosion with resulting rupture and destruction of left eyeball, initial encounter |
| T270XXA | Burn of larynx and trachea, initial encounter |
| T271XXA | Burn involving larynx and trachea with lung, initial encounter |
| T272XXA | Burn of other parts of respiratory tract, initial encounter |
| T273XXA | Burn of respiratory tract, part unspecified, initial encounter |
| T274XXA | Corrosion of larynx and trachea, initial encounter |
| T275XXA | Corrosion involving larynx and trachea with lung, initial encounter |
| T276XXA | Corrosion of other parts of respiratory tract, initial encounter |
| T277XXA | Corrosion of respiratory tract, part unspecified, initial encounter |
| T281XXA | Burn of esophagus, initial encounter |
| T282XXA | Burn of other parts of alimentary tract, initial encounter |
| T286XXA | Corrosion of esophagus, initial encounter |
| T287XXA | Corrosion of other parts of alimentary tract, initial encounter |
| T3110 | Burns involving 10-19% of body surface with 0% to 9% third degree burns |
| T3111 | Burns involving 10-19% of body surface with 10-19% third degree burns |
| T3120 | Burns involving 20-29% of body surface with 0% to 9% third degree burns |
| T3121 | Burns involving 20-29% of body surface with 10-19% third degree burns |
| T3122 | Burns involving 20-29% of body surface with 20-29% third degree burns |
| T3130 | Burns involving 30-39% of body surface with 0% to 9% third degree burns |
| T3131 | Burns involving 30-39% of body surface with 10-19% third degree burns |
| T3132 | Burns involving 30-39% of body surface with 20-29% third degree burns |
| T3133 | Burns involving 30-39% of body surface with 30-39% third degree burns |
| T3140 | Burns involving 40-49% of body surface with 0% to 9% third degree burns |
| T3141 | Burns involving 40-49% of body surface with 10-19% third degree burns |
| T3142 | Burns involving 40-49% of body surface with 20-29% third degree burns |
| T3143 | Burns involving 40-49% of body surface with 30-39% third degree burns |
| T3144 | Burns involving 40-49% of body surface with 40-49% third degree burns |
| T3150 | Burns involving 50-59% of body surface with 0% to 9% third degree burns |
| T3151 | Burns involving 50-59% of body surface with 10-19% third degree burns |
| T3152 | Burns involving 50-59% of body surface with 20-29% third degree burns |
| T3153 | Burns involving 50-59% of body surface with 30-39% third degree burns |
| T3154 | Burns involving 50-59% of body surface with 40-49% third degree burns |
| T3155 | Burns involving 50-59% of body surface with 50-59% third degree burns |
| T3160 | Burns involving 60-69% of body surface with 0% to 9% third degree burns |
| T3161 | Burns involving 60-69% of body surface with 10-19% third degree burns |
| T3162 | Burns involving 60-69% of body surface with 20-29% third degree burns |
| T3163 | Burns involving 60-69% of body surface with 30-39% third degree burns |
| T3164 | Burns involving 60-69% of body surface with 40-49% third degree burns |
| T3165 | Burns involving 60-69% of body surface with 50-59% third degree burns |
| T3166 | Burns involving 60-69% of body surface with 60-69% third degree burns |
| T3170 | Burns involving 70-79% of body surface with 0% to 9% third degree burns |
| T3171 | Burns involving 70-79% of body surface with 10-19% third degree burns |
| T3172 | Burns involving 70-79% of body surface with 20-29% third degree burns |
| T3173 | Burns involving 70-79% of body surface with 30-39% third degree burns |
| T3174 | Burns involving 70-79% of body surface with 40-49% third degree burns |
| T3175 | Burns involving 70-79% of body surface with 50-59% third degree burns |
| T3176 | Burns involving 70-79% of body surface with 60-69% third degree burns |
| T3177 | Burns involving 70-79% of body surface with 70-79% third degree burns |
| T3180 | Burns involving 80-89% of body surface with 0% to 9% third degree burns |
| T3181 | Burns involving 80-89% of body surface with 10-19% third degree burns |
| T3182 | Burns involving 80-89% of body surface with 20-29% third degree burns |
| T3183 | Burns involving 80-89% of body surface with 30-39% third degree burns |
| T3184 | Burns involving 80-89% of body surface with 40-49% third degree burns |
| T3185 | Burns involving 80-89% of body surface with 50-59% third degree burns |
| T3186 | Burns involving 80-89% of body surface with 60-69% third degree burns |
| T3187 | Burns involving 80-89% of body surface with 70-79% third degree burns |
| T3188 | Burns involving 80-89% of body surface with 80-89% third degree burns |
| T3190 | Burns involving 90% or more of body surface with 0% to 9% third degree burns |
| T3191 | Burns involving 90% or more of body surface with 10-19% third degree burns |
| T3192 | Burns involving 90% or more of body surface with 20-29% third degree burns |
| T3193 | Burns involving 90% or more of body surface with 30-39% third degree burns |
| T3194 | Burns involving 90% or more of body surface with 40-49% third degree burns |
| T3195 | Burns involving 90% or more of body surface with 50-59% third degree burns |
| T3196 | Burns involving 90% or more of body surface with 60-69% third degree burns |
| T3197 | Burns involving 90% or more of body surface with 70-79% third degree burns |
| T3198 | Burns involving 90% or more of body surface with 80-89% third degree burns |
| T3199 | Burns involving 90% or more of body surface with 90% or more third degree burns |
| T3210 | Corrosions involving 10-19% of body surface with 0% to 9% third degree corrosion |
| T3211 | Corrosions involving 10-19% of body surface with 10-19% third degree corrosion |
| T3220 | Corrosions involving 20-29% of body surface with 0% to 9% third degree corrosion |
| T3221 | Corrosions involving 20-29% of body surface with 10-19% third degree corrosion |
| T3222 | Corrosions involving 20-29% of body surface with 20-29% third degree corrosion |
| T3230 | Corrosions involving 30-39% of body surface with 0% to 9% third degree corrosion |
| T3231 | Corrosions involving 30-39% of body surface with 10-19% third degree corrosion |
| T3232 | Corrosions involving 30-39% of body surface with 20-29% third degree corrosion |
| T3233 | Corrosions involving 30-39% of body surface with 30-39% third degree corrosion |
| T3240 | Corrosions involving 40-49% of body surface with 0% to 9% third degree corrosion |
| T3241 | Corrosions involving 40-49% of body surface with 10-19% third degree corrosion |
| T3242 | Corrosions involving 40-49% of body surface with 20-29% third degree corrosion |
| T3243 | Corrosions involving 40-49% of body surface with 30-39% third degree corrosion |
| T3244 | Corrosions involving 40-49% of body surface with 40-49% third degree corrosion |
| T3250 | Corrosions involving 50-59% of body surface with 0% to 9% third degree corrosion |
| T3251 | Corrosions involving 50-59% of body surface with 10-19% third degree corrosion |
| T3252 | Corrosions involving 50-59% of body surface with 20-29% third degree corrosion |
| T3253 | Corrosions involving 50-59% of body surface with 30-39% third degree corrosion |
| T3254 | Corrosions involving 50-59% of body surface with 40-49% third degree corrosion |
| T3255 | Corrosions involving 50-59% of body surface with 50-59% third degree corrosion |
| T3260 | Corrosions involving 60-69% of body surface with 0% to 9% third degree corrosion |
| T3261 | Corrosions involving 60-69% of body surface with 10-19% third degree corrosion |
| T3262 | Corrosions involving 60-69% of body surface with 20-29% third degree corrosion |
| T3263 | Corrosions involving 60-69% of body surface with 30-39% third degree corrosion |
| T3264 | Corrosions involving 60-69% of body surface with 40-49% third degree corrosion |
| T3265 | Corrosions involving 60-69% of body surface with 50-59% third degree corrosion |
| T3266 | Corrosions involving 60-69% of body surface with 60-69% third degree corrosion |
| T3270 | Corrosions involving 70-79% of body surface with 0% to 9% third degree corrosion |
| T3271 | Corrosions involving 70-79% of body surface with 10-19% third degree corrosion |
| T3272 | Corrosions involving 70-79% of body surface with 20-29% third degree corrosion |
| T3273 | Corrosions involving 70-79% of body surface with 30-39% third degree corrosion |
| T3274 | Corrosions involving 70-79% of body surface with 40-49% third degree corrosion |
| T3275 | Corrosions involving 70-79% of body surface with 50-59% third degree corrosion |
| T3276 | Corrosions involving 70-79% of body surface with 60-69% third degree corrosion |
| T3277 | Corrosions involving 70-79% of body surface with 70-79% third degree corrosion |
| T3280 | Corrosions involving 80-89% of body surface with 0% to 9% third degree corrosion |
| T3281 | Corrosions involving 80-89% of body surface with 10-19% third degree corrosion |
| T3282 | Corrosions involving 80-89% of body surface with 20-29% third degree corrosion |
| T3283 | Corrosions involving 80-89% of body surface with 30-39% third degree corrosion |
| T3284 | Corrosions involving 80-89% of body surface with 40-49% third degree corrosion |
| T3285 | Corrosions involving 80-89% of body surface with 50-59% third degree corrosion |
| T3286 | Corrosions involving 80-89% of body surface with 60-69% third degree corrosion |
| T3287 | Corrosions involving 80-89% of body surface with 70-79% third degree corrosion |
| T3288 | Corrosions involving 80-89% of body surface with 80-89% third degree corrosion |
| T3290 | Corrosions involving 90% or more of body surface with 0% to 9% third degree corrosion |
| T3291 | Corrosions involving 90% or more of body surface with 10-19% third degree corrosion |
| T3292 | Corrosions involving 90% or more of body surface with 20-29% third degree corrosion |
| T3293 | Corrosions involving 90% or more of body surface with 30-39% third degree corrosion |
| T3294 | Corrosions involving 90% or more of body surface with 40-49% third degree corrosion |
| T3295 | Corrosions involving 90% or more of body surface with 50-59% third degree corrosion |
| T3296 | Corrosions involving 90% or more of body surface with 60-69% third degree corrosion |
| T3297 | Corrosions involving 90% or more of body surface with 70-79% third degree corrosion |
| T3298 | Corrosions involving 90% or more of body surface with 80-89% third degree corrosion |
| T3299 | Corrosions involving 90% or more of body surface with 90% or more third degree corrosion |
| T33011A | Superficial frostbite of right ear, initial encounter |
| T33012A | Superficial frostbite of left ear, initial encounter |
| T33019A | Superficial frostbite of unspecified ear, initial encounter |
| T3302XA | Superficial frostbite of nose, initial encounter |
| T3309XA | Superficial frostbite of other part of head, initial encounter |
| T331XXA | Superficial frostbite of neck, initial encounter |
| T332XXA | Superficial frostbite of thorax, initial encounter |
| T333XXA | Superficial frostbite of abdominal wall, lower back and pelvis, initial encounter |
| T3340XA | Superficial frostbite of unspecified arm, initial encounter |
| T3341XA | Superficial frostbite of right arm, initial encounter |
| T3342XA | Superficial frostbite of left arm, initial encounter |
| T33511A | Superficial frostbite of right wrist, initial encounter |
| T33512A | Superficial frostbite of left wrist, initial encounter |
| T33519A | Superficial frostbite of unspecified wrist, initial encounter |
| T33521A | Superficial frostbite of right hand, initial encounter |
| T33522A | Superficial frostbite of left hand, initial encounter |
| T33529A | Superficial frostbite of unspecified hand, initial encounter |
| T33531A | Superficial frostbite of right finger(s), initial encounter |
| T33532A | Superficial frostbite of left finger(s), initial encounter |
| T33539A | Superficial frostbite of unspecified finger(s), initial encounter |
| T3360XA | Superficial frostbite of unspecified hip and thigh, initial encounter |
| T3361XA | Superficial frostbite of right hip and thigh, initial encounter |
| T3362XA | Superficial frostbite of left hip and thigh, initial encounter |
| T3370XA | Superficial frostbite of unspecified knee and lower leg, initial encounter |
| T3371XA | Superficial frostbite of right knee and lower leg, initial encounter |
| T3372XA | Superficial frostbite of left knee and lower leg, initial encounter |
| T33811A | Superficial frostbite of right ankle, initial encounter |
| T33812A | Superficial frostbite of left ankle, initial encounter |
| T33819A | Superficial frostbite of unspecified ankle, initial encounter |
| T33821A | Superficial frostbite of right foot, initial encounter |
| T33822A | Superficial frostbite of left foot, initial encounter |
| T33829A | Superficial frostbite of unspecified foot, initial encounter |
| T33831A | Superficial frostbite of right toe(s), initial encounter |
| T33832A | Superficial frostbite of left toe(s), initial encounter |
| T33839A | Superficial frostbite of unspecified toe(s), initial encounter |
| T3390XA | Superficial frostbite of unspecified sites, initial encounter |
| T3399XA | Superficial frostbite of other sites, initial encounter |
| T34011A | Frostbite with tissue necrosis of right ear, initial encounter |
| T34012A | Frostbite with tissue necrosis of left ear, initial encounter |
| T34019A | Frostbite with tissue necrosis of unspecified ear, initial encounter |
| T3402XA | Frostbite with tissue necrosis of nose, initial encounter |
| T3409XA | Frostbite with tissue necrosis of other part of head, initial encounter |
| T341XXA | Frostbite with tissue necrosis of neck, initial encounter |
| T342XXA | Frostbite with tissue necrosis of thorax, initial encounter |
| T343XXA | Frostbite with tissue necrosis of abdominal wall, lower back and pelvis, initial encounter |
| T3440XA | Frostbite with tissue necrosis of unspecified arm, initial encounter |
| T3441XA | Frostbite with tissue necrosis of right arm, initial encounter |
| T3442XA | Frostbite with tissue necrosis of left arm, initial encounter |
| T34511A | Frostbite with tissue necrosis of right wrist, initial encounter |
| T34512A | Frostbite with tissue necrosis of left wrist, initial encounter |
| T34519A | Frostbite with tissue necrosis of unspecified wrist, initial encounter |
| T34521A | Frostbite with tissue necrosis of right hand, initial encounter |
| T34522A | Frostbite with tissue necrosis of left hand, initial encounter |
| T34529A | Frostbite with tissue necrosis of unspecified hand, initial encounter |
| T34531A | Frostbite with tissue necrosis of right finger(s), initial encounter |
| T34532A | Frostbite with tissue necrosis of left finger(s), initial encounter |
| T34539A | Frostbite with tissue necrosis of unspecified finger(s), initial encounter |
| T3460XA | Frostbite with tissue necrosis of unspecified hip and thigh, initial encounter |
| T3461XA | Frostbite with tissue necrosis of right hip and thigh, initial encounter |
| T3462XA | Frostbite with tissue necrosis of left hip and thigh, initial encounter |
| T3470XA | Frostbite with tissue necrosis of unspecified knee and lower leg, initial encounter |
| T3471XA | Frostbite with tissue necrosis of right knee and lower leg, initial encounter |
| T3472XA | Frostbite with tissue necrosis of left knee and lower leg, initial encounter |
| T34811A | Frostbite with tissue necrosis of right ankle, initial encounter |
| T34812A | Frostbite with tissue necrosis of left ankle, initial encounter |
| T34819A | Frostbite with tissue necrosis of unspecified ankle, initial encounter |
| T34821A | Frostbite with tissue necrosis of right foot, initial encounter |
| T34822A | Frostbite with tissue necrosis of left foot, initial encounter |
| T34829A | Frostbite with tissue necrosis of unspecified foot, initial encounter |
| T34831A | Frostbite with tissue necrosis of right toe(s), initial encounter |
| T34832A | Frostbite with tissue necrosis of left toe(s), initial encounter |
| T34839A | Frostbite with tissue necrosis of unspecified toe(s), initial encounter |
| T3490XA | Frostbite with tissue necrosis of unspecified sites, initial encounter |
| T3499XA | Frostbite with tissue necrosis of other sites, initial encounter |
| T6701XA | Heatstroke and sunstroke, initial encounter |
| T6702XA | Exertional heatstroke, initial encounter |
| T6709XA | Other heatstroke and sunstroke, initial encounter |
| T69021A | Immersion foot, right foot, initial encounter |
| T69022A | Immersion foot, left foot, initial encounter |
| T69029A | Immersion foot, unspecified foot, initial encounter |
| T703XXA | Caisson disease [decompression sickness], initial encounter |
| T71111A | Asphyxiation due to smothering under pillow, accidental, initial encounter |
| T71112A | Asphyxiation due to smothering under pillow, intentional self-harm, initial encounter |
| T71113A | Asphyxiation due to smothering under pillow, assault, initial encounter |
| T71114A | Asphyxiation due to smothering under pillow, undetermined, initial encounter |
| T71121A | Asphyxiation due to plastic bag, accidental, initial encounter |
| T71122A | Asphyxiation due to plastic bag, intentional self-harm, initial encounter |
| T71123A | Asphyxiation due to plastic bag, assault, initial encounter |
| T71124A | Asphyxiation due to plastic bag, undetermined, initial encounter |
| T71131A | Asphyxiation due to being trapped in bed linens, accidental, initial encounter |
| T71132A | Asphyxiation due to being trapped in bed linens, intentional self-harm, initial encounter |
| T71133A | Asphyxiation due to being trapped in bed linens, assault, initial encounter |
| T71134A | Asphyxiation due to being trapped in bed linens, undetermined, initial encounter |
| T71141A | Asphyxiation due to smothering under another person's body (in bed), accidental, initial encounter |
| T71143A | Asphyxiation due to smothering under another person's body (in bed), assault, initial encounter |
| T71144A | Asphyxiation due to smothering under another person's body (in bed), undetermined, initial encounter |
| T71151A | Asphyxiation due to smothering in furniture, accidental, initial encounter |
| T71152A | Asphyxiation due to smothering in furniture, intentional self-harm, initial encounter |
| T71153A | Asphyxiation due to smothering in furniture, assault, initial encounter |
| T71154A | Asphyxiation due to smothering in furniture, undetermined, initial encounter |
| T71161A | Asphyxiation due to hanging, accidental, initial encounter |
| T71162A | Asphyxiation due to hanging, intentional self-harm, initial encounter |
| T71163A | Asphyxiation due to hanging, assault, initial encounter |
| T71164A | Asphyxiation due to hanging, undetermined, initial encounter |
| T71191A | Asphyxiation due to mechanical threat to breathing due to other causes, accidental, initial encounter |
| T71192A | Asphyxiation due to mechanical threat to breathing due to other causes, intentional self-harm, initial encounter |
| T71193A | Asphyxiation due to mechanical threat to breathing due to other causes, assault, initial encounter |
| T71194A | Asphyxiation due to mechanical threat to breathing due to other causes, undetermined, initial encounter |
| T7120XA | Asphyxiation due to systemic oxygen deficiency due to low oxygen content in ambient air due to unspecified cause, initial encounter |
| T7121XA | Asphyxiation due to cave-in or falling earth, initial encounter |
| T7129XA | Asphyxiation due to being trapped in other low oxygen environment, initial encounter |
| T719XXA | Asphyxiation due to unspecified cause, initial encounter |
| T751XXA | Unspecified effects of drowning and nonfatal submersion, initial encounter |
HAC 06: CATHETER-ASSOCIATED URINARY TRACT INFECTION (UTI)
SECONDARY DIAGNOSIS
| T83511A | Infection and inflammatory reaction due to indwelling urethral catheter, initial encounter |
| T83518A | Infection and inflammatory reaction due to other urinary catheter, initial encounter |
IN ADDITION, MARK THE FOLLOWING SECONDARY DIAGNOSIS CODES IF THEY ARE PRESENT ON THE CLAIM
| B3741 | Candidal cystitis and urethritis |
| B3749 | Other urogenital candidiasis |
| N10 | Acute pyelonephritis |
| N119 | Chronic tubulo-interstitial nephritis, unspecified |
| N12 | Tubulo-interstitial nephritis, not specified as acute or chronic |
| N136 | Pyonephrosis |
| N151 | Renal and perinephric abscess |
| N2884 | Pyelitis cystica |
| N2885 | Pyeloureteritis cystica |
| N2886 | Ureteritis cystica |
| N3000 | Acute cystitis without hematuria |
| N3001 | Acute cystitis with hematuria |
| N340 | Urethral abscess |
| N390 | Urinary tract infection, site not specified |
HAC 07: VASCULAR CATHETER-ASSOCIATED INFECTION
SECONDARY DIAGNOSIS
| T80211A | Bloodstream infection due to central venous catheter, initial encounter |
| T80212A | Local infection due to central venous catheter, initial encounter |
| T80218A | Other infection due to central venous catheter, initial encounter |
| T80219A | Unspecified infection due to central venous catheter, initial encounter |
HAC 08: SURGICAL SITE INFECTION-MEDIASTINITIS AFTER CORONARY BYPASS GRAFT (CABG)
PROCEDURES
| 0210083 | Bypass Coronary Artery, One Artery from Coronary Artery with Zooplastic Tissue, Open Approach |
| 0210088 | Bypass Coronary Artery, One Artery from Right Internal Mammary with Zooplastic Tissue, Open Approach |
| 0210089 | Bypass Coronary Artery, One Artery from Left Internal Mammary with Zooplastic Tissue, Open Approach |
| 021008C | Bypass Coronary Artery, One Artery from Thoracic Artery with Zooplastic Tissue, Open Approach |
| 021008F | Bypass Coronary Artery, One Artery from Abdominal Artery with Zooplastic Tissue, Open Approach |
| 021008W | Bypass Coronary Artery, One Artery from Aorta with Zooplastic Tissue, Open Approach |
| 0210093 | Bypass Coronary Artery, One Artery from Coronary Artery with Autologous Venous Tissue, Open Approach |
| 0210098 | Bypass Coronary Artery, One Artery from Right Internal Mammary with Autologous Venous Tissue, Open Approach |
| 0210099 | Bypass Coronary Artery, One Artery from Left Internal Mammary with Autologous Venous Tissue, Open Approach |
| 021009C | Bypass Coronary Artery, One Artery from Thoracic Artery with Autologous Venous Tissue, Open Approach |
| 021009F | Bypass Coronary Artery, One Artery from Abdominal Artery with Autologous Venous Tissue, Open Approach |
| 021009W | Bypass Coronary Artery, One Artery from Aorta with Autologous Venous Tissue, Open Approach |
| 02100A3 | Bypass Coronary Artery, One Artery from Coronary Artery with Autologous Arterial Tissue, Open Approach |
| 02100A8 | Bypass Coronary Artery, One Artery from Right Internal Mammary with Autologous Arterial Tissue, Open Approach |
| 02100A9 | Bypass Coronary Artery, One Artery from Left Internal Mammary with Autologous Arterial Tissue, Open Approach |
| 02100AC | Bypass Coronary Artery, One Artery from Thoracic Artery with Autologous Arterial Tissue, Open Approach |
| 02100AF | Bypass Coronary Artery, One Artery from Abdominal Artery with Autologous Arterial Tissue, Open Approach |
| 02100AW | Bypass Coronary Artery, One Artery from Aorta with Autologous Arterial Tissue, Open Approach |
| 02100J3 | Bypass Coronary Artery, One Artery from Coronary Artery with Synthetic Substitute, Open Approach |
| 02100J8 | Bypass Coronary Artery, One Artery from Right Internal Mammary with Synthetic Substitute, Open Approach |
| 02100J9 | Bypass Coronary Artery, One Artery from Left Internal Mammary with Synthetic Substitute, Open Approach |
| 02100JC | Bypass Coronary Artery, One Artery from Thoracic Artery with Synthetic Substitute, Open Approach |
| 02100JF | Bypass Coronary Artery, One Artery from Abdominal Artery with Synthetic Substitute, Open Approach |
| 02100JW | Bypass Coronary Artery, One Artery from Aorta with Synthetic Substitute, Open Approach |
| 02100K3 | Bypass Coronary Artery, One Artery from Coronary Artery with Nonautologous Tissue Substitute, Open Approach |
| 02100K8 | Bypass Coronary Artery, One Artery from Right Internal Mammary with Nonautologous Tissue Substitute, Open Approach |
| 02100K9 | Bypass Coronary Artery, One Artery from Left Internal Mammary with Nonautologous Tissue Substitute, Open Approach |
| 02100KC | Bypass Coronary Artery, One Artery from Thoracic Artery with Nonautologous Tissue Substitute, Open Approach |
| 02100KF | Bypass Coronary Artery, One Artery from Abdominal Artery with Nonautologous Tissue Substitute, Open Approach |
| 02100KW | Bypass Coronary Artery, One Artery from Aorta with Nonautologous Tissue Substitute, Open Approach |
| 02100Z3 | Bypass Coronary Artery, One Artery from Coronary Artery, Open Approach |
| 02100Z8 | Bypass Coronary Artery, One Artery from Right Internal Mammary, Open Approach |
| 02100Z9 | Bypass Coronary Artery, One Artery from Left Internal Mammary, Open Approach |
| 02100ZC | Bypass Coronary Artery, One Artery from Thoracic Artery, Open Approach |
| 02100ZF | Bypass Coronary Artery, One Artery from Abdominal Artery, Open Approach |
| 0210483 | Bypass Coronary Artery, One Artery from Coronary Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 0210488 | Bypass Coronary Artery, One Artery from Right Internal Mammary with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 0210489 | Bypass Coronary Artery, One Artery from Left Internal Mammary with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 021048C | Bypass Coronary Artery, One Artery from Thoracic Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 021048F | Bypass Coronary Artery, One Artery from Abdominal Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 021048W | Bypass Coronary Artery, One Artery from Aorta with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 0210493 | Bypass Coronary Artery, One Artery from Coronary Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 0210498 | Bypass Coronary Artery, One Artery from Right Internal Mammary with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 0210499 | Bypass Coronary Artery, One Artery from Left Internal Mammary with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 021049C | Bypass Coronary Artery, One Artery from Thoracic Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 021049F | Bypass Coronary Artery, One Artery from Abdominal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 021049W | Bypass Coronary Artery, One Artery from Aorta with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 02104A3 | Bypass Coronary Artery, One Artery from Coronary Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 02104A8 | Bypass Coronary Artery, One Artery from Right Internal Mammary with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 02104A9 | Bypass Coronary Artery, One Artery from Left Internal Mammary with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 02104AC | Bypass Coronary Artery, One Artery from Thoracic Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 02104AF | Bypass Coronary Artery, One Artery from Abdominal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 02104AW | Bypass Coronary Artery, One Artery from Aorta with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 02104J3 | Bypass Coronary Artery, One Artery from Coronary Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 02104J8 | Bypass Coronary Artery, One Artery from Right Internal Mammary with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 02104J9 | Bypass Coronary Artery, One Artery from Left Internal Mammary with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 02104JC | Bypass Coronary Artery, One Artery from Thoracic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 02104JF | Bypass Coronary Artery, One Artery from Abdominal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 02104JW | Bypass Coronary Artery, One Artery from Aorta with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 02104K3 | Bypass Coronary Artery, One Artery from Coronary Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 02104K8 | Bypass Coronary Artery, One Artery from Right Internal Mammary with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 02104K9 | Bypass Coronary Artery, One Artery from Left Internal Mammary with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 02104KC | Bypass Coronary Artery, One Artery from Thoracic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 02104KF | Bypass Coronary Artery, One Artery from Abdominal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 02104KW | Bypass Coronary Artery, One Artery from Aorta with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 02104Z3 | Bypass Coronary Artery, One Artery from Coronary Artery, Percutaneous Endoscopic Approach |
| 02104Z8 | Bypass Coronary Artery, One Artery from Right Internal Mammary, Percutaneous Endoscopic Approach |
| 02104Z9 | Bypass Coronary Artery, One Artery from Left Internal Mammary, Percutaneous Endoscopic Approach |
| 02104ZC | Bypass Coronary Artery, One Artery from Thoracic Artery, Percutaneous Endoscopic Approach |
| 02104ZF | Bypass Coronary Artery, One Artery from Abdominal Artery, Percutaneous Endoscopic Approach |
| 0211083 | Bypass Coronary Artery, Two Arteries from Coronary Artery with Zooplastic Tissue, Open Approach |
| 0211088 | Bypass Coronary Artery, Two Arteries from Right Internal Mammary with Zooplastic Tissue, Open Approach |
| 0211089 | Bypass Coronary Artery, Two Arteries from Left Internal Mammary with Zooplastic Tissue, Open Approach |
| 021108C | Bypass Coronary Artery, Two Arteries from Thoracic Artery with Zooplastic Tissue, Open Approach |
| 021108F | Bypass Coronary Artery, Two Arteries from Abdominal Artery with Zooplastic Tissue, Open Approach |
| 021108W | Bypass Coronary Artery, Two Arteries from Aorta with Zooplastic Tissue, Open Approach |
| 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 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 08 Mar 2021 20:13:49 CMS, code-revision=301, description-revision=1298 |