ICD-10-CM/PCS MS-DRG v42.0 Definitions Manual
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Appendix I Hospital Acquired Conditions (HACs) List
Hospital acquired conditions
Page 10 of 14

HAC 05: FALLS AND TRAUMA (continued)

SECONDARY DIAGNOSIS

M9910 S064X8A S24104A S42223B S52209A S59202A S72101C S79111A S82464C T23779A

T23779ACorrosion of third degree of unspecified wrist, initial encounter
T23791ACorrosion of third degree of multiple sites of right wrist and hand, initial encounter
T23792ACorrosion of third degree of multiple sites of left wrist and hand, initial encounter
T23799ACorrosion of third degree of multiple sites of unspecified wrist and hand, initial encounter
T24301ABurn of third degree of unspecified site of right lower limb, except ankle and foot, initial encounter
T24302ABurn of third degree of unspecified site of left lower limb, except ankle and foot, initial encounter
T24309ABurn of third degree of unspecified site of unspecified lower limb, except ankle and foot, initial encounter
T24311ABurn of third degree of right thigh, initial encounter
T24312ABurn of third degree of left thigh, initial encounter
T24319ABurn of third degree of unspecified thigh, initial encounter
T24321ABurn of third degree of right knee, initial encounter
T24322ABurn of third degree of left knee, initial encounter
T24329ABurn of third degree of unspecified knee, initial encounter
T24331ABurn of third degree of right lower leg, initial encounter
T24332ABurn of third degree of left lower leg, initial encounter
T24339ABurn of third degree of unspecified lower leg, initial encounter
T24391ABurn of third degree of multiple sites of right lower limb, except ankle and foot, initial encounter
T24392ABurn of third degree of multiple sites of left lower limb, except ankle and foot, initial encounter
T24399ABurn of third degree of multiple sites of unspecified lower limb, except ankle and foot, initial encounter
T24701ACorrosion of third degree of unspecified site of right lower limb, except ankle and foot, initial encounter
T24702ACorrosion of third degree of unspecified site of left lower limb, except ankle and foot, initial encounter
T24709ACorrosion of third degree of unspecified site of unspecified lower limb, except ankle and foot, initial encounter
T24711ACorrosion of third degree of right thigh, initial encounter
T24712ACorrosion of third degree of left thigh, initial encounter
T24719ACorrosion of third degree of unspecified thigh, initial encounter
T24721ACorrosion of third degree of right knee, initial encounter
T24722ACorrosion of third degree of left knee, initial encounter
T24729ACorrosion of third degree of unspecified knee, initial encounter
T24731ACorrosion of third degree of right lower leg, initial encounter
T24732ACorrosion of third degree of left lower leg, initial encounter
T24739ACorrosion of third degree of unspecified lower leg, initial encounter
T24791ACorrosion of third degree of multiple sites of right lower limb, except ankle and foot, initial encounter
T24792ACorrosion of third degree of multiple sites of left lower limb, except ankle and foot, initial encounter
T24799ACorrosion of third degree of multiple sites of unspecified lower limb, except ankle and foot, initial encounter
T25311ABurn of third degree of right ankle, initial encounter
T25312ABurn of third degree of left ankle, initial encounter
T25319ABurn of third degree of unspecified ankle, initial encounter
T25321ABurn of third degree of right foot, initial encounter
T25322ABurn of third degree of left foot, initial encounter
T25329ABurn of third degree of unspecified foot, initial encounter
T25331ABurn of third degree of right toe(s) (nail), initial encounter
T25332ABurn of third degree of left toe(s) (nail), initial encounter
T25339ABurn of third degree of unspecified toe(s) (nail), initial encounter
T25391ABurn of third degree of multiple sites of right ankle and foot, initial encounter
T25392ABurn of third degree of multiple sites of left ankle and foot, initial encounter
T25399ABurn of third degree of multiple sites of unspecified ankle and foot, initial encounter
T25711ACorrosion of third degree of right ankle, initial encounter
T25712ACorrosion of third degree of left ankle, initial encounter
T25719ACorrosion of third degree of unspecified ankle, initial encounter
T25721ACorrosion of third degree of right foot, initial encounter
T25722ACorrosion of third degree of left foot, initial encounter
T25729ACorrosion of third degree of unspecified foot, initial encounter
T25731ACorrosion of third degree of right toe(s) (nail), initial encounter
T25732ACorrosion of third degree of left toe(s) (nail), initial encounter
T25739ACorrosion of third degree of unspecified toe(s) (nail), initial encounter
T25791ACorrosion of third degree of multiple sites of right ankle and foot, initial encounter
T25792ACorrosion of third degree of multiple sites of left ankle and foot, initial encounter
T25799ACorrosion of third degree of multiple sites of unspecified ankle and foot, initial encounter
T2620XABurn with resulting rupture and destruction of unspecified eyeball, initial encounter
T2621XABurn with resulting rupture and destruction of right eyeball, initial encounter
T2622XABurn with resulting rupture and destruction of left eyeball, initial encounter
T2670XACorrosion with resulting rupture and destruction of unspecified eyeball, initial encounter
T2671XACorrosion with resulting rupture and destruction of right eyeball, initial encounter
T2672XACorrosion with resulting rupture and destruction of left eyeball, initial encounter
T270XXABurn of larynx and trachea, initial encounter
T271XXABurn involving larynx and trachea with lung, initial encounter
T272XXABurn of other parts of respiratory tract, initial encounter
T273XXABurn of respiratory tract, part unspecified, initial encounter
T274XXACorrosion of larynx and trachea, initial encounter
T275XXACorrosion involving larynx and trachea with lung, initial encounter
T276XXACorrosion of other parts of respiratory tract, initial encounter
T277XXACorrosion of respiratory tract, part unspecified, initial encounter
T281XXABurn of esophagus, initial encounter
T282XXABurn of other parts of alimentary tract, initial encounter
T286XXACorrosion of esophagus, initial encounter
T287XXACorrosion of other parts of alimentary tract, initial encounter
T3110Burns involving 10-19% of body surface with 0% to 9% third degree burns
T3111Burns involving 10-19% of body surface with 10-19% third degree burns
T3120Burns involving 20-29% of body surface with 0% to 9% third degree burns
T3121Burns involving 20-29% of body surface with 10-19% third degree burns
T3122Burns involving 20-29% of body surface with 20-29% third degree burns
T3130Burns involving 30-39% of body surface with 0% to 9% third degree burns
T3131Burns involving 30-39% of body surface with 10-19% third degree burns
T3132Burns involving 30-39% of body surface with 20-29% third degree burns
T3133Burns involving 30-39% of body surface with 30-39% third degree burns
T3140Burns involving 40-49% of body surface with 0% to 9% third degree burns
T3141Burns involving 40-49% of body surface with 10-19% third degree burns
T3142Burns involving 40-49% of body surface with 20-29% third degree burns
T3143Burns involving 40-49% of body surface with 30-39% third degree burns
T3144Burns involving 40-49% of body surface with 40-49% third degree burns
T3150Burns involving 50-59% of body surface with 0% to 9% third degree burns
T3151Burns involving 50-59% of body surface with 10-19% third degree burns
T3152Burns involving 50-59% of body surface with 20-29% third degree burns
T3153Burns involving 50-59% of body surface with 30-39% third degree burns
T3154Burns involving 50-59% of body surface with 40-49% third degree burns
T3155Burns involving 50-59% of body surface with 50-59% third degree burns
T3160Burns involving 60-69% of body surface with 0% to 9% third degree burns
T3161Burns involving 60-69% of body surface with 10-19% third degree burns
T3162Burns involving 60-69% of body surface with 20-29% third degree burns
T3163Burns involving 60-69% of body surface with 30-39% third degree burns
T3164Burns involving 60-69% of body surface with 40-49% third degree burns
T3165Burns involving 60-69% of body surface with 50-59% third degree burns
T3166Burns involving 60-69% of body surface with 60-69% third degree burns
T3170Burns involving 70-79% of body surface with 0% to 9% third degree burns
T3171Burns involving 70-79% of body surface with 10-19% third degree burns
T3172Burns involving 70-79% of body surface with 20-29% third degree burns
T3173Burns involving 70-79% of body surface with 30-39% third degree burns
T3174Burns involving 70-79% of body surface with 40-49% third degree burns
T3175Burns involving 70-79% of body surface with 50-59% third degree burns
T3176Burns involving 70-79% of body surface with 60-69% third degree burns
T3177Burns involving 70-79% of body surface with 70-79% third degree burns
T3180Burns involving 80-89% of body surface with 0% to 9% third degree burns
T3181Burns involving 80-89% of body surface with 10-19% third degree burns
T3182Burns involving 80-89% of body surface with 20-29% third degree burns
T3183Burns involving 80-89% of body surface with 30-39% third degree burns
T3184Burns involving 80-89% of body surface with 40-49% third degree burns
T3185Burns involving 80-89% of body surface with 50-59% third degree burns
T3186Burns involving 80-89% of body surface with 60-69% third degree burns
T3187Burns involving 80-89% of body surface with 70-79% third degree burns
T3188Burns involving 80-89% of body surface with 80-89% third degree burns
T3190Burns involving 90% or more of body surface with 0% to 9% third degree burns
T3191Burns involving 90% or more of body surface with 10-19% third degree burns
T3192Burns involving 90% or more of body surface with 20-29% third degree burns
T3193Burns involving 90% or more of body surface with 30-39% third degree burns
T3194Burns involving 90% or more of body surface with 40-49% third degree burns
T3195Burns involving 90% or more of body surface with 50-59% third degree burns
T3196Burns involving 90% or more of body surface with 60-69% third degree burns
T3197Burns involving 90% or more of body surface with 70-79% third degree burns
T3198Burns involving 90% or more of body surface with 80-89% third degree burns
T3199Burns involving 90% or more of body surface with 90% or more third degree burns
T3210Corrosions involving 10-19% of body surface with 0% to 9% third degree corrosion
T3211Corrosions involving 10-19% of body surface with 10-19% third degree corrosion
T3220Corrosions involving 20-29% of body surface with 0% to 9% third degree corrosion
T3221Corrosions involving 20-29% of body surface with 10-19% third degree corrosion
T3222Corrosions involving 20-29% of body surface with 20-29% third degree corrosion
T3230Corrosions involving 30-39% of body surface with 0% to 9% third degree corrosion
T3231Corrosions involving 30-39% of body surface with 10-19% third degree corrosion
T3232Corrosions involving 30-39% of body surface with 20-29% third degree corrosion
T3233Corrosions involving 30-39% of body surface with 30-39% third degree corrosion
T3240Corrosions involving 40-49% of body surface with 0% to 9% third degree corrosion
T3241Corrosions involving 40-49% of body surface with 10-19% third degree corrosion
T3242Corrosions involving 40-49% of body surface with 20-29% third degree corrosion
T3243Corrosions involving 40-49% of body surface with 30-39% third degree corrosion
T3244Corrosions involving 40-49% of body surface with 40-49% third degree corrosion
T3250Corrosions involving 50-59% of body surface with 0% to 9% third degree corrosion
T3251Corrosions involving 50-59% of body surface with 10-19% third degree corrosion
T3252Corrosions involving 50-59% of body surface with 20-29% third degree corrosion
T3253Corrosions involving 50-59% of body surface with 30-39% third degree corrosion
T3254Corrosions involving 50-59% of body surface with 40-49% third degree corrosion
T3255Corrosions involving 50-59% of body surface with 50-59% third degree corrosion
T3260Corrosions involving 60-69% of body surface with 0% to 9% third degree corrosion
T3261Corrosions involving 60-69% of body surface with 10-19% third degree corrosion
T3262Corrosions involving 60-69% of body surface with 20-29% third degree corrosion
T3263Corrosions involving 60-69% of body surface with 30-39% third degree corrosion
T3264Corrosions involving 60-69% of body surface with 40-49% third degree corrosion
T3265Corrosions involving 60-69% of body surface with 50-59% third degree corrosion
T3266Corrosions involving 60-69% of body surface with 60-69% third degree corrosion
T3270Corrosions involving 70-79% of body surface with 0% to 9% third degree corrosion
T3271Corrosions involving 70-79% of body surface with 10-19% third degree corrosion
T3272Corrosions involving 70-79% of body surface with 20-29% third degree corrosion
T3273Corrosions involving 70-79% of body surface with 30-39% third degree corrosion
T3274Corrosions involving 70-79% of body surface with 40-49% third degree corrosion
T3275Corrosions involving 70-79% of body surface with 50-59% third degree corrosion
T3276Corrosions involving 70-79% of body surface with 60-69% third degree corrosion
T3277Corrosions involving 70-79% of body surface with 70-79% third degree corrosion
T3280Corrosions involving 80-89% of body surface with 0% to 9% third degree corrosion
T3281Corrosions involving 80-89% of body surface with 10-19% third degree corrosion
T3282Corrosions involving 80-89% of body surface with 20-29% third degree corrosion
T3283Corrosions involving 80-89% of body surface with 30-39% third degree corrosion
T3284Corrosions involving 80-89% of body surface with 40-49% third degree corrosion
T3285Corrosions involving 80-89% of body surface with 50-59% third degree corrosion
T3286Corrosions involving 80-89% of body surface with 60-69% third degree corrosion
T3287Corrosions involving 80-89% of body surface with 70-79% third degree corrosion
T3288Corrosions involving 80-89% of body surface with 80-89% third degree corrosion
T3290Corrosions involving 90% or more of body surface with 0% to 9% third degree corrosion
T3291Corrosions involving 90% or more of body surface with 10-19% third degree corrosion
T3292Corrosions involving 90% or more of body surface with 20-29% third degree corrosion
T3293Corrosions involving 90% or more of body surface with 30-39% third degree corrosion
T3294Corrosions involving 90% or more of body surface with 40-49% third degree corrosion
T3295Corrosions involving 90% or more of body surface with 50-59% third degree corrosion
T3296Corrosions involving 90% or more of body surface with 60-69% third degree corrosion
T3297Corrosions involving 90% or more of body surface with 70-79% third degree corrosion
T3298Corrosions involving 90% or more of body surface with 80-89% third degree corrosion
T3299Corrosions involving 90% or more of body surface with 90% or more third degree corrosion
T33011ASuperficial frostbite of right ear, initial encounter
T33012ASuperficial frostbite of left ear, initial encounter
T33019ASuperficial frostbite of unspecified ear, initial encounter
T3302XASuperficial frostbite of nose, initial encounter
T3309XASuperficial frostbite of other part of head, initial encounter
T331XXASuperficial frostbite of neck, initial encounter
T332XXASuperficial frostbite of thorax, initial encounter
T333XXASuperficial frostbite of abdominal wall, lower back and pelvis, initial encounter
T3340XASuperficial frostbite of unspecified arm, initial encounter
T3341XASuperficial frostbite of right arm, initial encounter
T3342XASuperficial frostbite of left arm, initial encounter
T33511ASuperficial frostbite of right wrist, initial encounter
T33512ASuperficial frostbite of left wrist, initial encounter
T33519ASuperficial frostbite of unspecified wrist, initial encounter
T33521ASuperficial frostbite of right hand, initial encounter
T33522ASuperficial frostbite of left hand, initial encounter
T33529ASuperficial frostbite of unspecified hand, initial encounter
T33531ASuperficial frostbite of right finger(s), initial encounter
T33532ASuperficial frostbite of left finger(s), initial encounter
T33539ASuperficial frostbite of unspecified finger(s), initial encounter
T3360XASuperficial frostbite of unspecified hip and thigh, initial encounter
T3361XASuperficial frostbite of right hip and thigh, initial encounter
T3362XASuperficial frostbite of left hip and thigh, initial encounter
T3370XASuperficial frostbite of unspecified knee and lower leg, initial encounter
T3371XASuperficial frostbite of right knee and lower leg, initial encounter
T3372XASuperficial frostbite of left knee and lower leg, initial encounter
T33811ASuperficial frostbite of right ankle, initial encounter
T33812ASuperficial frostbite of left ankle, initial encounter
T33819ASuperficial frostbite of unspecified ankle, initial encounter
T33821ASuperficial frostbite of right foot, initial encounter
T33822ASuperficial frostbite of left foot, initial encounter
T33829ASuperficial frostbite of unspecified foot, initial encounter
T33831ASuperficial frostbite of right toe(s), initial encounter
T33832ASuperficial frostbite of left toe(s), initial encounter
T33839ASuperficial frostbite of unspecified toe(s), initial encounter
T3390XASuperficial frostbite of unspecified sites, initial encounter
T3399XASuperficial frostbite of other sites, initial encounter
T34011AFrostbite with tissue necrosis of right ear, initial encounter
T34012AFrostbite with tissue necrosis of left ear, initial encounter
T34019AFrostbite with tissue necrosis of unspecified ear, initial encounter
T3402XAFrostbite with tissue necrosis of nose, initial encounter
T3409XAFrostbite with tissue necrosis of other part of head, initial encounter
T341XXAFrostbite with tissue necrosis of neck, initial encounter
T342XXAFrostbite with tissue necrosis of thorax, initial encounter
T343XXAFrostbite with tissue necrosis of abdominal wall, lower back and pelvis, initial encounter
T3440XAFrostbite with tissue necrosis of unspecified arm, initial encounter
T3441XAFrostbite with tissue necrosis of right arm, initial encounter
T3442XAFrostbite with tissue necrosis of left arm, initial encounter
T34511AFrostbite with tissue necrosis of right wrist, initial encounter
T34512AFrostbite with tissue necrosis of left wrist, initial encounter
T34519AFrostbite with tissue necrosis of unspecified wrist, initial encounter
T34521AFrostbite with tissue necrosis of right hand, initial encounter
T34522AFrostbite with tissue necrosis of left hand, initial encounter
T34529AFrostbite with tissue necrosis of unspecified hand, initial encounter
T34531AFrostbite with tissue necrosis of right finger(s), initial encounter
T34532AFrostbite with tissue necrosis of left finger(s), initial encounter
T34539AFrostbite with tissue necrosis of unspecified finger(s), initial encounter
T3460XAFrostbite with tissue necrosis of unspecified hip and thigh, initial encounter
T3461XAFrostbite with tissue necrosis of right hip and thigh, initial encounter
T3462XAFrostbite with tissue necrosis of left hip and thigh, initial encounter
T3470XAFrostbite with tissue necrosis of unspecified knee and lower leg, initial encounter
T3471XAFrostbite with tissue necrosis of right knee and lower leg, initial encounter
T3472XAFrostbite with tissue necrosis of left knee and lower leg, initial encounter
T34811AFrostbite with tissue necrosis of right ankle, initial encounter
T34812AFrostbite with tissue necrosis of left ankle, initial encounter
T34819AFrostbite with tissue necrosis of unspecified ankle, initial encounter
T34821AFrostbite with tissue necrosis of right foot, initial encounter
T34822AFrostbite with tissue necrosis of left foot, initial encounter
T34829AFrostbite with tissue necrosis of unspecified foot, initial encounter
T34831AFrostbite with tissue necrosis of right toe(s), initial encounter
T34832AFrostbite with tissue necrosis of left toe(s), initial encounter
T34839AFrostbite with tissue necrosis of unspecified toe(s), initial encounter
T3490XAFrostbite with tissue necrosis of unspecified sites, initial encounter
T3499XAFrostbite with tissue necrosis of other sites, initial encounter
T6701XAHeatstroke and sunstroke, initial encounter
T6702XAExertional heatstroke, initial encounter
T6709XAOther heatstroke and sunstroke, initial encounter
T69021AImmersion foot, right foot, initial encounter
T69022AImmersion foot, left foot, initial encounter
T69029AImmersion foot, unspecified foot, initial encounter
T703XXACaisson disease [decompression sickness], initial encounter
T71111AAsphyxiation due to smothering under pillow, accidental, initial encounter
T71112AAsphyxiation due to smothering under pillow, intentional self-harm, initial encounter
T71113AAsphyxiation due to smothering under pillow, assault, initial encounter
T71114AAsphyxiation due to smothering under pillow, undetermined, initial encounter
T71121AAsphyxiation due to plastic bag, accidental, initial encounter
T71122AAsphyxiation due to plastic bag, intentional self-harm, initial encounter
T71123AAsphyxiation due to plastic bag, assault, initial encounter
T71124AAsphyxiation due to plastic bag, undetermined, initial encounter
T71131AAsphyxiation due to being trapped in bed linens, accidental, initial encounter
T71132AAsphyxiation due to being trapped in bed linens, intentional self-harm, initial encounter
T71133AAsphyxiation due to being trapped in bed linens, assault, initial encounter
T71134AAsphyxiation due to being trapped in bed linens, undetermined, initial encounter
T71141AAsphyxiation due to smothering under another person's body (in bed), accidental, initial encounter
T71143AAsphyxiation due to smothering under another person's body (in bed), assault, initial encounter
T71144AAsphyxiation due to smothering under another person's body (in bed), undetermined, initial encounter
T71151AAsphyxiation due to smothering in furniture, accidental, initial encounter
T71152AAsphyxiation due to smothering in furniture, intentional self-harm, initial encounter
T71153AAsphyxiation due to smothering in furniture, assault, initial encounter
T71154AAsphyxiation due to smothering in furniture, undetermined, initial encounter
T71161AAsphyxiation due to hanging, accidental, initial encounter
T71162AAsphyxiation due to hanging, intentional self-harm, initial encounter
T71163AAsphyxiation due to hanging, assault, initial encounter
T71164AAsphyxiation due to hanging, undetermined, initial encounter
T71191AAsphyxiation due to mechanical threat to breathing due to other causes, accidental, initial encounter
T71192AAsphyxiation due to mechanical threat to breathing due to other causes, intentional self-harm, initial encounter
T71193AAsphyxiation due to mechanical threat to breathing due to other causes, assault, initial encounter
T71194AAsphyxiation due to mechanical threat to breathing due to other causes, undetermined, initial encounter
T7120XAAsphyxiation due to systemic oxygen deficiency due to low oxygen content in ambient air due to unspecified cause, initial encounter
T7121XAAsphyxiation due to cave-in or falling earth, initial encounter
T7129XAAsphyxiation due to being trapped in other low oxygen environment, initial encounter
T719XXAAsphyxiation due to unspecified cause, initial encounter
T751XXAUnspecified effects of drowning and nonfatal submersion, initial encounter

HAC 06: CATHETER-ASSOCIATED URINARY TRACT INFECTION (UTI)

SECONDARY DIAGNOSIS

T83511AInfection and inflammatory reaction due to indwelling urethral catheter, initial encounter
T83518AInfection 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

B3741Candidal cystitis and urethritis
B3749Other urogenital candidiasis
N10Acute pyelonephritis
N119Chronic tubulo-interstitial nephritis, unspecified
N12Tubulo-interstitial nephritis, not specified as acute or chronic
N136Pyonephrosis
N151Renal and perinephric abscess
N2884Pyelitis cystica
N2885Pyeloureteritis cystica
N2886Ureteritis cystica
N3000Acute cystitis without hematuria
N3001Acute cystitis with hematuria
N340Urethral abscess
N390Urinary tract infection, site not specified

HAC 07: VASCULAR CATHETER-ASSOCIATED INFECTION

SECONDARY DIAGNOSIS

T80211ABloodstream infection due to central venous catheter, initial encounter
T80212ALocal infection due to central venous catheter, initial encounter
T80218AOther infection due to central venous catheter, initial encounter
T80219AUnspecified infection due to central venous catheter, initial encounter

HAC 08: SURGICAL SITE INFECTION-MEDIASTINITIS AFTER CORONARY BYPASS GRAFT (CABG)

PROCEDURES

0210083 0211093

0210083Bypass Coronary Artery, One Artery from Coronary Artery with Zooplastic Tissue, Open Approach
0210088Bypass Coronary Artery, One Artery from Right Internal Mammary with Zooplastic Tissue, Open Approach
0210089Bypass Coronary Artery, One Artery from Left Internal Mammary with Zooplastic Tissue, Open Approach
021008CBypass Coronary Artery, One Artery from Thoracic Artery with Zooplastic Tissue, Open Approach
021008FBypass Coronary Artery, One Artery from Abdominal Artery with Zooplastic Tissue, Open Approach
021008WBypass Coronary Artery, One Artery from Aorta with Zooplastic Tissue, Open Approach
0210093Bypass Coronary Artery, One Artery from Coronary Artery with Autologous Venous Tissue, Open Approach
0210098Bypass Coronary Artery, One Artery from Right Internal Mammary with Autologous Venous Tissue, Open Approach
0210099Bypass Coronary Artery, One Artery from Left Internal Mammary with Autologous Venous Tissue, Open Approach
021009CBypass Coronary Artery, One Artery from Thoracic Artery with Autologous Venous Tissue, Open Approach
021009FBypass Coronary Artery, One Artery from Abdominal Artery with Autologous Venous Tissue, Open Approach
021009WBypass Coronary Artery, One Artery from Aorta with Autologous Venous Tissue, Open Approach
02100A3Bypass Coronary Artery, One Artery from Coronary Artery with Autologous Arterial Tissue, Open Approach
02100A8Bypass Coronary Artery, One Artery from Right Internal Mammary with Autologous Arterial Tissue, Open Approach
02100A9Bypass Coronary Artery, One Artery from Left Internal Mammary with Autologous Arterial Tissue, Open Approach
02100ACBypass Coronary Artery, One Artery from Thoracic Artery with Autologous Arterial Tissue, Open Approach
02100AFBypass Coronary Artery, One Artery from Abdominal Artery with Autologous Arterial Tissue, Open Approach
02100AWBypass Coronary Artery, One Artery from Aorta with Autologous Arterial Tissue, Open Approach
02100J3Bypass Coronary Artery, One Artery from Coronary Artery with Synthetic Substitute, Open Approach
02100J8Bypass Coronary Artery, One Artery from Right Internal Mammary with Synthetic Substitute, Open Approach
02100J9Bypass Coronary Artery, One Artery from Left Internal Mammary with Synthetic Substitute, Open Approach
02100JCBypass Coronary Artery, One Artery from Thoracic Artery with Synthetic Substitute, Open Approach
02100JFBypass Coronary Artery, One Artery from Abdominal Artery with Synthetic Substitute, Open Approach
02100JWBypass Coronary Artery, One Artery from Aorta with Synthetic Substitute, Open Approach
02100K3Bypass Coronary Artery, One Artery from Coronary Artery with Nonautologous Tissue Substitute, Open Approach
02100K8Bypass Coronary Artery, One Artery from Right Internal Mammary with Nonautologous Tissue Substitute, Open Approach
02100K9Bypass Coronary Artery, One Artery from Left Internal Mammary with Nonautologous Tissue Substitute, Open Approach
02100KCBypass Coronary Artery, One Artery from Thoracic Artery with Nonautologous Tissue Substitute, Open Approach
02100KFBypass Coronary Artery, One Artery from Abdominal Artery with Nonautologous Tissue Substitute, Open Approach
02100KWBypass Coronary Artery, One Artery from Aorta with Nonautologous Tissue Substitute, Open Approach
02100Z3Bypass Coronary Artery, One Artery from Coronary Artery, Open Approach
02100Z8Bypass Coronary Artery, One Artery from Right Internal Mammary, Open Approach
02100Z9Bypass Coronary Artery, One Artery from Left Internal Mammary, Open Approach
02100ZCBypass Coronary Artery, One Artery from Thoracic Artery, Open Approach
02100ZFBypass Coronary Artery, One Artery from Abdominal Artery, Open Approach
0210483Bypass Coronary Artery, One Artery from Coronary Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach
0210488Bypass Coronary Artery, One Artery from Right Internal Mammary with Zooplastic Tissue, Percutaneous Endoscopic Approach
0210489Bypass Coronary Artery, One Artery from Left Internal Mammary with Zooplastic Tissue, Percutaneous Endoscopic Approach
021048CBypass Coronary Artery, One Artery from Thoracic Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach
021048FBypass Coronary Artery, One Artery from Abdominal Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach
021048WBypass Coronary Artery, One Artery from Aorta with Zooplastic Tissue, Percutaneous Endoscopic Approach
0210493Bypass Coronary Artery, One Artery from Coronary Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
0210498Bypass Coronary Artery, One Artery from Right Internal Mammary with Autologous Venous Tissue, Percutaneous Endoscopic Approach
0210499Bypass Coronary Artery, One Artery from Left Internal Mammary with Autologous Venous Tissue, Percutaneous Endoscopic Approach
021049CBypass Coronary Artery, One Artery from Thoracic Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
021049FBypass Coronary Artery, One Artery from Abdominal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
021049WBypass Coronary Artery, One Artery from Aorta with Autologous Venous Tissue, Percutaneous Endoscopic Approach
02104A3Bypass Coronary Artery, One Artery from Coronary Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
02104A8Bypass Coronary Artery, One Artery from Right Internal Mammary with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
02104A9Bypass Coronary Artery, One Artery from Left Internal Mammary with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
02104ACBypass Coronary Artery, One Artery from Thoracic Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
02104AFBypass Coronary Artery, One Artery from Abdominal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
02104AWBypass Coronary Artery, One Artery from Aorta with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
02104J3Bypass Coronary Artery, One Artery from Coronary Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
02104J8Bypass Coronary Artery, One Artery from Right Internal Mammary with Synthetic Substitute, Percutaneous Endoscopic Approach
02104J9Bypass Coronary Artery, One Artery from Left Internal Mammary with Synthetic Substitute, Percutaneous Endoscopic Approach
02104JCBypass Coronary Artery, One Artery from Thoracic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
02104JFBypass Coronary Artery, One Artery from Abdominal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
02104JWBypass Coronary Artery, One Artery from Aorta with Synthetic Substitute, Percutaneous Endoscopic Approach
02104K3Bypass Coronary Artery, One Artery from Coronary Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
02104K8Bypass Coronary Artery, One Artery from Right Internal Mammary with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
02104K9Bypass Coronary Artery, One Artery from Left Internal Mammary with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
02104KCBypass Coronary Artery, One Artery from Thoracic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
02104KFBypass Coronary Artery, One Artery from Abdominal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
02104KWBypass Coronary Artery, One Artery from Aorta with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
02104Z3Bypass Coronary Artery, One Artery from Coronary Artery, Percutaneous Endoscopic Approach
02104Z8Bypass Coronary Artery, One Artery from Right Internal Mammary, Percutaneous Endoscopic Approach
02104Z9Bypass Coronary Artery, One Artery from Left Internal Mammary, Percutaneous Endoscopic Approach
02104ZCBypass Coronary Artery, One Artery from Thoracic Artery, Percutaneous Endoscopic Approach
02104ZFBypass Coronary Artery, One Artery from Abdominal Artery, Percutaneous Endoscopic Approach
0211083Bypass Coronary Artery, Two Arteries from Coronary Artery with Zooplastic Tissue, Open Approach
0211088Bypass Coronary Artery, Two Arteries from Right Internal Mammary with Zooplastic Tissue, Open Approach
0211089Bypass Coronary Artery, Two Arteries from Left Internal Mammary with Zooplastic Tissue, Open Approach
021108CBypass Coronary Artery, Two Arteries from Thoracic Artery with Zooplastic Tissue, Open Approach
021108FBypass Coronary Artery, Two Arteries from Abdominal Artery with Zooplastic Tissue, Open Approach
021108WBypass Coronary Artery, Two Arteries from Aorta with Zooplastic Tissue, Open Approach



Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
29 Mar 2024 17:03:46
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