Table 6P.3a - List of ICD-10-PCS procedure codes for Open Concomitant Surgical Ablation Combinations					
					
Open Concomitant Surgical Ablation Procedure Combinations:					
 Open CABG + open surgical ablation					
 Open CABG + open MVR + open surgical ablation					
 Open CABG + open AVR + open surgical ablation					
 Open CABG + open MVR + open AVR + open surgical ablation					
 Open MVR + open surgical ablation					
 Open AVR + open surgical ablation					
 Open MVR + open AVR + open surgical ablation					
					
ICD-10-PCS Procedure Code	Description for Coronary Artery Bypass Graft  (CABG) 		ICD-10-PCS Procedure Code	Description for Aortic Valve Replacement or Mitral Valve Replacement 	
0210083	"Bypass coronary artery, one artery from coronary artery with zooplastic tissue, open approach"		02QF0ZJ	"Repair aortic valve created from truncal valve, open approach"	
0210088	"Bypass coronary artery, one artery from right internal mammary with zooplastic tissue, open approach"		02QF0ZZ	"Repair aortic valve, open approach"	
0210089	"Bypass coronary artery, one artery from left internal mammary with zooplastic tissue, open approach"		02QG0ZE	"Repair mitral valve created from left atrioventricular valve, open approach"	
0210093	"Bypass coronary artery, one artery from coronary artery with autologous venous tissue, open approach"		02QG0ZZ	"Repair mitral valve, open approach"	
0210098	"Bypass coronary artery, one artery from right internal mammary with autologous venous tissue, open approach"		02RF07Z	"Replacement of aortic valve with autologous tissue substitute, open approach"	
0210099	"Bypass coronary artery, one artery from left internal mammary with autologous venous tissue, open approach"		02RF08N	"Replacement of aortic valve with zooplastic tissue, using rapid deployment technique, open approach"	
0211083	"Bypass coronary artery, two arteries from coronary artery with zooplastic tissue, open approach"		02RF08Z	"Replacement of aortic valve with zooplastic tissue, open approach"	
0211088	"Bypass coronary artery, two arteries from right internal mammary with zooplastic tissue, open approach"		02RF0JZ	"Replacement of aortic valve with synthetic substitute, open approach"	
0211089	"Bypass coronary artery, two arteries from left internal mammary with zooplastic tissue, open approach"		02RF0KZ	"Replacement of aortic valve with nonautologous tissue substitute, open approach"	
0211093	"Bypass coronary artery, two arteries from coronary artery with autologous venous tissue, open approach"		02RG07Z	"Replacement of mitral valve with autologous tissue substitute, open approach"	
0211098	"Bypass coronary artery, two arteries from right internal mammary with autologous venous tissue, open approach"		02RG08Z	"Replacement of mitral valve with zooplastic tissue, open approach"	
0211099	"Bypass coronary artery, two arteries from left internal mammary with autologous venous tissue, open approach"		02RG0JZ	"Replacement of mitral valve with synthetic substitute, open approach"	
0212083	"Bypass coronary artery, three arteries from coronary artery with zooplastic tissue, open approach"		02RG0KZ	"Replacement of mitral valve with nonautologous tissue substitute, 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"		                      Description for Open Surgical Ablation 		
0212093	"Bypass coronary artery, three arteries from coronary artery with autologous venous tissue, open approach"		02540ZZ	"Destruction of coronary vein, open approach"	
0212098	"Bypass coronary artery, three arteries from right internal mammary with autologous venous tissue, open approach"		02550ZZ	"Destruction of atrial septum, open approach"	
0212099	"Bypass coronary artery, three arteries from left internal mammary with autologous venous tissue, open approach"		02560ZZ	"Destruction of right atrium, open approach"	
0213083	"Bypass coronary artery, four or more arteries from coronary artery with zooplastic tissue, open approach"		02570ZK	"Destruction of left atrial appendage, open approach"	
0213088	"Bypass coronary artery, four or more arteries from right internal mammary with zooplastic tissue, open approach"		02570ZZ	"Destruction of left atrium, open approach"	
0213089	"Bypass coronary artery, four or more arteries from left internal mammary with zooplastic tissue, open approach"		02580ZZ	"Destruction of conduction mechanism, open approach"	
0213093	"Bypass coronary artery, four or more arteries from coronary artery with autologous venous tissue, open approach"		02590ZZ	"Destruction of chordae tendineae, open approach"	
0213098	"Bypass coronary artery, four or more arteries from right internal mammary with autologous venous tissue, open approach"		025S0ZZ	"Destruction of right pulmonary vein, open approach"	
0213099	"Bypass coronary artery, four or more arteries from left internal mammary with autologous venous tissue, open approach"		025T0ZZ	"Destruction of left pulmonary vein, 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"				
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"				
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"				
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"				
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"				
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"				
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"				
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"				
					
					
					
					
					
					
					
					
					
					
					
					
					
					
					
