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Capturing Exclusionary Conditions for CCSIP Analyses Technical Note

Capturing isolated CABG based on the OSHPD inpatient discharge data requires:

• the presence of a Coronary Bypass procedure code; • absence of a valve procedure on the same date as the CABG ; • absence of any of the surgeries listed in the exclusion table below on the same date as the CABG surgery.

Capturing isolated SAVRs, MVRs, and MV Repairs and isolated SAVRs, MVRs and MV Repairs combined with CABG surgery based on the OSHPD inpatient discharge data requires:

• the presence of a SAVR, MVR or MV Repair procedure code; • the presence of an extracorporeal circulation code; • for isolated SAVRs, MVRs and MV Repairs combined with CABG surgery, the presence of a CABG surgery Surgical AVR, MVR or Mitral Repair valve procedure on the same date as the valve surgery; • absence of any of the surgeries listed in the exclusion table below on the same date as the valve surgery.

For the exclusion table below, there is overlap for several of the exclusions captured, a result of the nature of abstracting a surgical procedure or diagnosis into a coding system. Codes are based on a combination of determining a set of codes based on the description of the exclusionary condition and critically reviewing the General Equivalence Mappings (GEMs) made available by the Center for Medicare and Medicaid Services (CMS) (see https://www.cms.gov/Medicare/Coding/ICD10/2018-ICD-10-CM-and-GEMs.html and https://www.cms.gov/Medicare/Coding/ICD10/2018-ICD-10-PCS-and- GEMs.html).

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Isolated Isolated Valve and Description CABG ICD-9-PCS ICD-10-PCS Valve/CABG Exclusion Exclusion

Other local excision or destruction of lesion or tissue 0B5Kxxx, 0B5Lxxx, 0B5Mxxx, 0BBKxxx, 0BBLxxx,   32.29 of lung 0BBMxxx

Lobectomy of lung   32.4x 0BTCxxx, 0BTDxxx, 0BTFxxx, 0BTGxxx, 0BTHxxx

Lung transplant   33.5x 0BYxxxx

Combined -   33.6x 02Yxxxx

Pleural decortication   34.51-34.52 0BDNxxx, 0BDPxxx

027F0xx, 027G0xx, 027H0xx, 027J0xx, 02NF0xx, Open heart valvuloplasty without replacement  35.10-35.14 02NG0xx, 02NH0xx, 02NJ0xx, 02QF0xx, 02QG0xx, 02QH0xx, 02QJ0xx, 02VG0xx

02RF0xx, 02RF4xx, 02RGxxx, 02RHxxx, 02RJxxx, Open and other replacement of  35.20-35.28 X2RF0xx, X2RF4xx

0289xxx, 028Dxxx, 02BKxxx, 02NKxxx, 02NLxxx, 35.31-35.35, Operations on structures adjacent to heart valves  02Q9xxx, 02QDxxx, 02QFxxx, 02QGxxx, 02QHxxx, 35.39 02QJxxx

Infundibulectomy   35.34 02BKxxx

Production of septal defect in heart   35.41, 35.42 02QAxxx, 02B5xxx

Repair of atrial and ventricular septa with prosthesis / 35.50-35.54,  02RMxxx, 02U50xx, 02UM0xx, 024Gxxx, 024Jxxx tissue graft (but not closure of patent foramen ovale) 36.60-35.63 3

Isolated Isolated Valve and Description CABG ICD-9-PCS ICD-10-PCS Valve/CABG Exclusion Exclusion

35.50-35.53,  02RMxxx, 02U50xx, 02UM0xx 35.60-35.62

Other and unspecified repair of atrial and ventricular  35.70-37.73 02Q5xxx, 02QMxxx, 02QBxxx, 02QCxxx septa

02BK0ZZ and 02NH0ZZ and 02RM0JZ and at least one   35.81 of {02RP0JZ, 02RQ0JZ, 02RR0JZ} all on the same date as index surgery

At least one of {02170ZP, 02170ZQ, 02170ZR} and at   35.82 least one of {02LS0ZZ, 02LT0ZZ} and 02RM0JZ and 02U70JZ all on the same date as index surgery Total repair of certain congenital cardiac anomalies At least one of {02LR0ZT, 02VR0ZT} and 02RM0JZ and   35.83 at least one of {02RQ07Z, 02RQ0JZ, 02RR07Z, 02RR0JZ} all on the same date as index surgery

02SP0ZZ and at least one of {02SW0ZZ, 02SX0ZZ} all on   35.84 the same date as index surgery

Interatrial transposition of venous return   35.91 02U50JZ

Creation of conduit between right and   35.92 021Kxxx

Creation of conduit between left ventricle and   35.93 021Lxxx

Creation of conduit between and pulmonary   35.94 0216xxx artery 4

Isolated Isolated Valve and Description CABG ICD-9-PCS ICD-10-PCS Valve/CABG Exclusion Exclusion

02W5xxx, 02WMxxx, 02WFxxx, 02WGxxx, 02WHxxx,  35.95 02WJxxx Revision of corrective procedure on heart  35.95 02W5xxx, 02WMxxx

Percutaneous balloon valvuloplasty 027F3xx, 027G3xx, 027H3xx, 027J3xx, 027F4xx,  35.96 027G4xx, 027H4xx, 027J4xx

Percutaneous with implant (TMVR)   35.97 02UG3JZ

Other operations on septa of heart   35.98 02Q5xxx, 02QMxxx

Other operations on valves of heart  35.99 02QFxxx, 02QGxxx, 02QHxxx, 02QJxxx, 02VGxxx

Pericardiectomy (only in patients with diagnosis code   37.31 02BNxxx, 02TNxxx 423.2 / I41.1 Constrictive pericarditis in any position)

Excision of of heart  37.32 02B6xxx, 02B7xxx, 02BKxxx, 02BLxxx

Septal myomectomy with hypertrophic obstructive 0256xxx, 0257xxx, 025Kxxx, 025Lxxx, 025Mxxx, cardiomyopathy (only in patients with diagnosis code:   37.33, 37.34 02B6xxx, 02B7xxx, 02BKxxx, 02BLxxx, 02BMxxx, 425.1 / I42.1 or I42.2) 02T8xxx

Full open MAZE procedure (only in patients with   37.33 0256xZZ and 0257xZZ and 0258xZZ diagnosis code: 427.30-427.31 / I48.0-I48.92)

Partial   37.35 02BKxxx, 02BLxxx

Heart transplantation   37.5x 02Yxxxx, 02RKxxx, 02RLxxx, 02WAxxx 5

Isolated Isolated Valve and Description CABG ICD-9-PCS ICD-10-PCS Valve/CABG Exclusion Exclusion

Ventricular Assist Device (VAD) as bridge to transplant   37.66,37.68 02HAxQZ, 02HAxRx, 02WAxQZ

Endarterectomy of intracranial vessels   38.11 03CGxxx

03CHxxx, 03CJxxx, 03CKxxx, 03CLxxx, 03CMxxx, of other vessels of head and neck,   38.12 03CNxxx, 03CPxxx, 03CQxxx, 03CRxxx, 03CSxxx, 03CTxxx, 03CUxxx, 03CVxxx

Endarterectomy of aorta   38.14 02CWxxx, 02CXxxx, 04C0xxx

02CPxxx, 02CQxxx, 02CRxxx, 02CSxxx, 02CTxxx, Endarterectomy of other thoracic vessels   38.15 02CVxxx, 03C0xxx, 03C1xxx, 03C2xxx, 03C3xxx, 03C4xxx

04C1xxx, 04C2xxx, 04C3xxx, 04C4xxx, 04C5xxx, 04C6xxx, 04C7xxx, 04C8xxx, 04C9xxx, 04CAxxx, Endarterectomy of abdominal   38.16 04CBxxx, 04CCxxx, 04CDxxx, 04CExxx, 04CFxxx, 04CHxxx, 04CJxxx

Resection of aorta with , excision of   38.34 04B0xxx, 02BWxxx, 02BXxxx aneurysm of heart

Resection of vessel with replacement: angiectomy, excision of aneurysm with replacement, intracranial   38.41 03RGxxx, 03RLxxx vessel

Resection of vessel with replacement: angiectomy, 03RHxxx, 03RJxxx, 03RKxxx, 03RLxxx, 03RMxxx,   38.42 excision of aneurysm with replacement, other vessels 03RNxxx, 03RPxxx, 03RQxxx, 03RRxxx, 03RSxxx, 03RTxxx, 03RUxxx, 03RVxxx, 05RMxxx, 05RNxxx, 6

Isolated Isolated Valve and Description CABG ICD-9-PCS ICD-10-PCS Valve/CABG Exclusion Exclusion 05RPxxx, 05RQxxx, 05RRxxx, 05RSxxx, 05RTxxx, 05RVxxx, 06R3xxx

Resection of vessel with replacement: aorta,   38.44 04R0xxx abdominal

02RPxxx, 02RQxxx, 02RRxxx, 02RSxxx, 02RTxxx, 02RVxxx, 02RWxxx, 02RXxxx, 03R2xxx, 03R3xxx, Resection of other thoracic vessels with replacement   38.45 03R4xxx, 05R0xxx, 05R1xxx, 05R3xxx, 05R4xxx, 05R5xxx, 05R6xxx

025Pxxx, 025Qxxx, 025Rxxx, 025Sxxx, 025Txxx, 025Vxxx, 025Wxxx, 025Xxxx, 02BPxxx, 02BQxxx, 02BRxxx, 02BSxxx, 02BTxxx, 02BVxxx, 02BW3xxx, Other excision of other thoracic vessel   38.65 02BX3xxx, 0352xxx, 0353xxx, 0354xxx, 03B2xxx, 03B3xxx, 03B4xxx, 0550xxx, 0551xxx, 0553xxx, 0554xxx, 0555xxx, 0556xxx, 05B0xxx, 05B1xxx, 05B3xxx, 05B4xxx, 05B5xxx, 05B6xxx

02LPxxx, 02LQxxx, 02LRxxx, 02LSxxx, 02LTxxx, 02LVxxx, 02LWxxx, 02LXxxx, 02VPxxx, 02VQxxx, 02VRxxx, Other surgical occlusion of other thoracic vessel   38.85 02VSxxx, 02VTxxx, 02VVxxx, 02VWxxx, 02VXxxx, 03L2xxx, 03L3xxx, 03L4xxx, 05L0xxx, 05L1xxx, 05L3xxx, 05L4xxx, 05L5xxx, 05L6xxx

Caval-pulmonary artery anastomosis   39.21 021Vxxx

021Wxxx, 021Xxxx, 031Hxxx, 031Jxxx, 031Kxxx, Aorta-subclavian-carotid bypass   39.22 031Lxxx, 031Mxxx, 031Nxxx 7

Isolated Isolated Valve and Description CABG ICD-9-PCS ICD-10-PCS Valve/CABG Exclusion Exclusion

021Wxxx, 0510xxx, 0511xxx, 0513xxx, 0514xxx, Other intrathoracic vascular shunt or bypass   39.23 0515xxx, 0516xxx

Aorta-renal bypass   39.24 0410xxx

0410xxx, 041Cxxx, 041Dxxx, 041Exxx, 041Fxxx, Aorta-iliac-femoral bypass   39.25 041Hxxx, 041Jxxx

0410xxx, 0413xxx, 0414xxx, 041Cxxx, 041Dxxx, Other intra-abdominal vascular shunt or bypass   39.26 041Exxx, 041Fxxx, 041Hxxx, 041Jxxx

Extracranial-intracranial (EC-IC) vascular bypass   39.28 031H0xx, 031J0xx, 031S0xx, 031T0xx

02VPxxx, 02VQxxx, 02VRxxx, 02VSxxx, 02VTxxx, 02VWxxx, 02VXxxx, 03V2xxx, 03V3xxx, 03V4xxx, 03V5xxx, 03V6xxx, 03V7xxx, 03V8xxx, 03V9xxx, Clipping or other repair of aneurysm   39.51, 39.52 03VAxxx, 03VDxxx, 03VFxxx, 03VGxxx, 03VHxxx, 03VJxxx, 03VKxxx, 03VLxxx, 03VMxxx, 03VNxxx, 03VPxxx, 03VQxxx, 03VRxxx, 03VSxxx, 03VTxxx, 03VUxxx, 03VVxxx, 03VYxxx, 04Vxxxx

Repair of   39.53 03LKxxx, 03LLxxx, 03VKxxx, 03VLxxx

Re-entry operation (aorta), aortic arch repair, repair of   39.54 02QWxxx, 02QXxxx

Reimplantation of aberrant renal vessel   39.55 04S9xxx, 04SAxxx, 06S9xxx, 06SBxxx 8

Isolated Isolated Valve and Description CABG ICD-9-PCS ICD-10-PCS Valve/CABG Exclusion Exclusion

Repair of vessel with tissue or synthetic patch graft in patients with diagnosis (441.x   39.56-39.58 02UWxxx, 02UXxxx, 04U0xxx / I71.x)

02SP0xx, 02SQ0xx, 02SR0xx, 02SS0xx, 02ST0xx, 02SV0xx, 02SW0xx, 02SX0xx, 03QYxxx, 03S2xxx, 03S3xxx, 03S4xxx, 03S5xxx, 03S6xxx, 03S7xxx, 03S8xxx, 03S9xxx, 03SAxxx, 03SDxxx, 03SFxxx, 03SGxxx, 03SHxxx, 03SJxxx, 03SKxxx, 03SLxxx, 03SMxxx, 03SNxxx, 03SPxxx, 03SQxxx, 03SRxxx, 03SSxxx, 03STxxx, 03SUxxx, 03SVxxx, 03SYxxx, 04QYxxx, 04S0xxx, 04S1xxx, 04S2xxx, 04S3xxx, 04S4xxx, 04S5xxx, 04S6xxx, 04S7xxx, 04S8xxx, 04SBxxx, 04SCxxx, 04SDxxx, 04SExxx, 04SFxxx, 04SHxxx, 04SJxxx, 04SKxxx, Other repair of vessel: aorticopulmonary windows 04SLxxx, 04SMxxx, 04SNxxx, 04SPxxx, 04SQxxx, operation, arterioplasty NOS, construction of venous   39.59 04SRxxx, 04SSxxx, 04STxxx, 04SUxxx, 04SVxxx, valves, plications of , reimplantation of artery 04SWxxx, 04SYxxx, 05QYxxx, 05S0xxx, 05S1xxx, 05S3xxx, 05S4xxx, 05S5xxx, 05S6xxx, 05S7xxx, 05S8xxx, 05S9xxx, 05SAxxx, 05SBxxx, 05SCxxx, 05SDxxx, 05SFxxx, 05SGxxx, 05SHxxx, 05SLxxx, 05SMxxx, 05SNxxx, 05SPxxx, 05SQxxx, 05SRxxx, 05SSxxx, 05STxxx, 05SVxxx, 05SYxxx, 06QYxxx, 06S0xxx, 06S1xxx, 06S2xxx, 06S3xxx, 06S4xxx, 06S5xxx, 06S6xxx, 06S7xxx, 06S8xxx, 06SCxxx, 06SDxxx, 06SFxxx, 06SGxxx, 06SHxxx, 06SJxxx, 06SMxxx, 06SNxxx, 06SPxxx, 06SQxxx, 06STxxx, 06SVxxx, 06SYxxx

Endovascular implantation of other graft in abdominal  39.71 04V03xx, 04U03xx aorta 9

Isolated Isolated Valve and Description CABG ICD-9-PCS ICD-10-PCS Valve/CABG Exclusion Exclusion

02UW3xx, 02UW4xx, 02UX3xx, 02UX4xx, 02VWxxx, Endovascular implantation of graft in thoracic aorta  39.73 02VXxxx

02CP3xx, 02CP4xx, 02CQ3xx, 02CQ4xx, 02CR3xx, 02CR4xx, 02CS3xx, 02CS4xx, 02CT3xx, 02CT4xx, 02CV3xx, 02CV4xx, 02CW3xx, 02CW4xx, 02CX3xx, 02CX4xx, 02LS3xx, 02LS4xx, 02LT3xx, 02LT4xx, 02VP3xx, 02VP4xx, 02VQ3xx, 02VQ4xx, 02VR3xx, 02VR4xx, 02VS3xx, 02VS4xx, 02VT3xx, 02VT4xx, 02VW3xx, 02VW4xx, 02VX3xx, 02VX4xx, 03C23xx, 03C24xx, 03C33xx, 03C34xx, 03C43xx, 03C44xx, 03C53xx, 03C54xx, 03C63xx, 03C64xx, 03C73xx, 03C74xx, 03C83xx, 03C84xx, 03C93xx, 03C94xx, 03CA3xx, 03CA4xx, 03CD3xx, 03CD4xx, 03CF3xx, 03CF4xx, 03CY3xx, 03CY4xx, 03L23xx, 03L24xx, 03L33xx, 03L34xx, 03L43xx, 03L44xx, 03L53xx, 03L54xx, 03L63xx, 03L64xx, 03L73xx, 03L74xx, Other endovascular repair of aneurysm  39.79 03L83xx, 03L84xx, 03L93xx, 03L94xx, 03LA3xx, 03LA4xx, 03LA3xx, 03LA4xx, 03LD3xx, 03LD4xx, 03LF3xx, 03LF4xx, 03LG3xx, 03LG4xx, 03LH3xx, 03LH4xx, 03LJ3xx, 03LJ4xx, 03LK3xx, 03LK4xx, 03LL3xx, 03LL4xx, 03LM3xx, 03LM4xx, 03LN3xx, 03LN4xx, 03LP3xx, 03LP4xx, 03LQ3xx, 03LQ4xx, 03LR3xx, 03LR4xx, 03LS3xx, 03LS4xx, 03LT3xx, 03LT4xx, 03LU3xx, 03LU4xx, 03LV3xx, 03LV4xx, 03LY3xx, 03LY4xx, 03LY3xx, 03LY4xx, 03V23xx, 03V24xx, 03V33xx, 03V34xx, 03V43xx, 03V44xx, 03V53xx, 03V54xx, 03V63xx, 03V64xx, 03V73xx, 03V74xx, 03V83xx, 03V84xx, 03V93xx, 03V94xx, 03VA3xx, 03VA4xx, 03VD3xx, 03VD4xx, 03VF3xx, 03VF4xx, 03VG3xx, 03VG4xx, 03VH3xx, 03VH4xx, 03VJ3xx, 03VJ4xx, 03VK3xx, 03VK4xx, 03VL3xx, 03VL4xx, 10

Isolated Isolated Valve and Description CABG ICD-9-PCS ICD-10-PCS Valve/CABG Exclusion Exclusion 03VM3xx, 03VM4xx, 03VN3xx, 03VN4xx, 03VP3xx, 03VP4xx, 03VQ3xx, 03VQ4xx, 03VR3xx, 03VR4xx, 03VS3xx, 03VS4xx, 03VT3xx, 03VT4xx, 03VU3xx, 03VU4xx, 03VV3xx, 03VV4xx, 03VY3xx, 03VY4xx, 04C03xx, 04C04xx, 04C13xx, 04C14xx, 04C23xx, 04C24xx, 04C33xx, 04C34xx, 04C43xx, 04C44xx, 04C53xx, 04C54xx, 04C63xx, 04C64xx, 04C73xx, 04C74xx, 04C83xx, 04C84xx, 04C93xx, 04C94xx, 04CA3xx, 04CA4xx, 04CB3xx, 04CB4xx, 04CC3xx, 04CC4xx, 04CD3xx, 04CD4xx, 04CE3xx, 04CE4xx, 04CF3xx, 04CF4xx, 04CH3xx, 04CH4xx, 04CJ3xx, 04CJ4xx, 04CK3xx, 04CK4xx, 04CL3xx, 04CL4xx, 04CM3xx, 04CM4xx, 04CN3xx, 04CN4xx, 04CP3xx, 04CP4xx, 04CQ3xx, 04CQ4xx, 04CR3xx, 04CR4xx, 04CS3xx, 04CS4xx, 04CT3xx, 04CT4xx, 04CU3xx, 04CU4xx, 04CV3xx, 04CV4xx, 04CW3xx, 04CW4xx, 04CY3xx, 04CY4xx, 04L03xx, 04L04xx, 04L13xx, 04L14xx, 04L23xx, 04L24xx, 04L33xx, 04L34xx, 04L43xx, 04L44xx, 04L53xx, 04L54xx, 04L63xx, 04L64xx, 04L73xx, 04L74xx, 04L83xx, 04L84xx, 04L93xx, 04L94xx, 04LA3xx, 04LA4xx, 04LB3xx, 04LB4xx, 04LC3xx, 04LC4xx, 04LD3xx, 04LD4xx, 04LE3xx, 04LE4xx, 04LF3xx, 04LF4xx, 04LH3xx, 04LH4xx, 04LJ3xx, 04LJ4xx, 04LK3xx, 04LK4xx, 04LL3xx, 04LL4xx, 04LM3xx, 04LM4xx, 04LN3xx, 04LN4xx, 04LP3xx, 04LP4xx, 04LQ3xx, 04LQ4xx, 04LR3xx, 04LR4xx, 04LS3xx, 04LS4xx, 04LT3xx, 04LT4xx, 04LU3xx, 04LU4xx, 04LV3xx, 04LV4xx, 04LW3xx, 04LW4xx, 04LY3xx, 04LY4xx, 04V03xx, 04V04xx, 04V13xx, 04V14xx, 04V23xx, 04V24xx, 04V33xx, 04V34xx, 04V43xx, 04V44xx, 04V53xx, 04V54xx, 04V63xx, 04V64xx, 04V73xx, 04V74xx, 04V83xx, 04V84xx, 04V93xx, 04V94xx, 04VA3xx, 04VA4xx, 11

Isolated Isolated Valve and Description CABG ICD-9-PCS ICD-10-PCS Valve/CABG Exclusion Exclusion 04VB3xx, 04VB4xx, 04VC3xx, 04VC4xx, 04VD3xx, 04VD4xx, 04VE3xx, 04VE4xx, 04VF3xx, 04VF4xx, 04VH3xx, 04VH4xx, 04VJ3xx, 04VJ4xx, 04VK3xx, 04VK4xx, 04VL3xx, 04VL4xx, 04VM3xx, 04VM4xx, 04VN3xx, 04VN4xx, 04VP3xx, 04VP4xx, 04VQ3xx, 04VQ4xx, 04VR3xx, 04VR4xx, 04VS3xx, 04VS4xx, 04VT3xx, 04VT4xx, 04VU3xx, 04VU4xx, 04VV3xx, 04VV4xx, 04VW3xx, 04VW4xx, 04VY3xx, 04VY4xx, 05C03xx, 05C04xx, 05C13xx, 05C14xx, 05C33xx, 05C34xx, 05C43xx, 05C44xx, 05C53xx, 05C54xx, 05C63xx, 05C64xx, 05C73xx, 05C74xx, 05C83xx, 05C84xx, 05C93xx, 05C94xx, 05CA3xx, 05CA4xx, 05CB3xx, 05CB4xx, 05CC3xx, 05CC4xx, 05CD3xx, 05CD4xx, 05CF3xx, 05CF4xx, 05CG3xx, 05CG4xx, 05CH3xx, 05CH4xx, 05CM3xx, 05CM4xx, 05CN3xx, 05CN4xx, 05CP3xx, 05CP4xx, 05CQ3xx, 05CQ4xx, 05CR3xx, 05CR4xx, 05CS3xx, 05CS4xx, 05CT3xx, 05CT4xx, 05CV3xx, 05CV4xx, 05CY3xx, 05CY4xx, 05L03xx, 05L04xx, 05L13xx, 05L14xx, 05L33xx, 05L34xx, 05L43xx, 05L44xx, 05L53xx, 05L54xx, 05L63xx, 05L64xx, 05L73xx, 05L74xx, 05L83xx, 05L84xx, 05L93xx, 05L94xx, 05LA3xx, 05LA4xx, 05LB3xx, 05LB4xx, 05LC3xx, 05LC4xx, 05LD3xx, 05LD4xx, 05LF3xx, 05LF4xx, 05LG3xx, 05LG4xx, 05LH3xx, 05LH4xx, 05LL3xx, 05LL4xx, 05LM3xx, 05LM4xx, 05LN3xx, 05LN4xx, 05LP3xx, 05LP4xx, 05LQ3xx, 05LQ4xx, 05LR3xx, 05LR4xx, 05LS3xx, 05LS4xx, 05LT3xx, 05LT4xx, 05LV3xx, 05LV4xx, 05LY3xx, 05LY4xx, 05V03xx, 05V04xx, 05V13xx, 05V14xx, 05V33xx, 05V34xx, 05V43xx, 05V44xx, 05V53xx, 05V54xx, 05V63xx, 05V64xx, 05V73xx, 05V74xx, 05V83xx, 05V84xx, 05V93xx, 05V94xx, 05VA3xx, 05VA4xx, 05VB3xx, 05VB4xx, 05VC3xx, 12

Isolated Isolated Valve and Description CABG ICD-9-PCS ICD-10-PCS Valve/CABG Exclusion Exclusion 05VC4xx, 05VD3xx, 05VD4xx, 05VF3xx, 05VF4xx, 05VG3xx, 05VG4xx, 05VH3xx, 05VH4xx, 05VL3xx, 05VL4xx, 05VM3xx, 05VM4xx, 05VN3xx, 05VN4xx, 05VP3xx, 05VP4xx, 05VQ3xx, 05VQ4xx, 05VR3xx, 05VR4xx, 05VS3xx, 05VS4xx, 05VT3xx, 05VT4xx, 05VV3xx, 05VV4xx, 05VY3xx, 05VY4xx, 06C03xx, 06C04xx, 06C13xx, 06C14xx, 06C23xx, 06C24xx, 06C33xx, 06C34xx, 06C43xx, 06C44xx, 06C53xx, 06C54xx, 06C63xx, 06C64xx, 06C73xx, 06C74xx, 06C83xx, 06C84xx, 06C93xx, 06C94xx, 06CB3xx, 06CB4xx, 06CC3xx, 06CC4xx, 06CD3xx, 06CD4xx, 06CF3xx, 06CF4xx, 06CG3xx, 06CG4xx, 06CH3xx, 06CH4xx, 06CJ3xx, 06CJ4xx, 06CM3xx, 06CM4xx, 06CN3xx, 06CN4xx, 06CP3xx, 06CP4xx, 06CQ3xx, 06CQ4xx, 06CT3xx, 06CT4xx, 06CV3xx, 06CV4xx, 06CY3xx, 06CY4xx, 06L13xx, 06L14xx, 06L23xx, 06L24xx, 06L33xx, 06L34xx, 06L43xx, 06L44xx, 06L53xx, 06L54xx, 06L63xx, 06L64xx, 06L73xx, 06L74xx, 06L83xx, 06L84xx, 06L93xx, 06L94xx, 06LB3xx, 06LB4xx, 06LC3xx, 06LC4xx, 06LD3xx, 06LD4xx, 06LF3xx, 06LF4xx, 06LG3xx, 06LG4xx, 06LH3xx, 06LH4xx, 06LJ3xx, 06LJ4xx, 06LM3xx, 06LM4xx, 06LN3xx, 06LN4xx, 06LP3xx, 06LP4xx, 06LQ3xx, 06LQ4xx, 06LT3xx, 06LT4xx, 06LV3xx, 06LV4xx, 06LY3xx, 06LY4xx, 06V13xx, 06V14xx, 06V23xx, 06V24xx, 06V33xx, 06V34xx, 06V43xx, 06V44xx, 06V53xx, 06V54xx, 06V63xx, 06V64xx, 06V73xx, 06V74xx, 06V83xx, 06V84xx, 06V93xx, 06V94xx, 06VB3xx, 06VB4xx, 06VC3xx, 06VC4xx, 06VD3xx, 06VD4xx, 06VF3xx, 06VF4xx, 06VG3xx, 06VG4xx, 06VH3xx, 06VH4xx, 06VJ3xx, 06VJ4xx, 06VM3xx, 06VM4xx, 06VN3xx, 06VN4xx, 06VP3xx, 13

Isolated Isolated Valve and Description CABG ICD-9-PCS ICD-10-PCS Valve/CABG Exclusion Exclusion 06VP4xx, 06VQ3xx, 06VQ4xx, 06VT3xx, 06VT4xx, 06VV3xx, 06VV4xx, 06VY3xx, 06VY4xx

Amputation of upper limb   84.0x 0X6xxxx

Amputation of lower limb   84.1x 0Y6xxxx

Resection of quadrant of breast   85.22 0HBTxxx, 0HBUxxx, 0HBVxxx

Subtotal mastectomy   85.23 0HBTxxx, 0HBUxxx, 0HBVxxx

Mastectomy   85.4x 0HTT0ZZ, 0HTU0ZZ, 0HTV0ZZ