SUPERSEDED LCD Reference Article Billing and Coding Article

Billing and Coding: Transesophageal Echocardiography (TEE)

A52868

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Draft Articles are works in progress and not necessarily a reflection of the current billing and coding practices. Revisions to codes are carefully and thoroughly reviewed and are not intended to change the original intent of the LCD.
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Source Article ID
N/A
Article ID
A52868
Original ICD-9 Article ID
Not Applicable
Article Title
Billing and Coding: Transesophageal Echocardiography (TEE)
Article Type
Billing and Coding
Original Effective Date
10/01/2015
Revision Effective Date
10/01/2023
Revision Ending Date
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Retirement Date
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Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

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Article Guidance

Article Text

This article contains coding and other guidelines that complement the Local Coverage Determination (LCD) for Transesophageal Echocardiography (TEE).

 Coding Information:

Procedure codes may be subject to National Correct Coding Initiative (NCCI) edits or OPPS packaging edits. Refer to NCCI and OPPS requirements prior to billing Medicare.

For services requiring a referring/ordering physician, the name and NPI of the referring/ordering physician must be reported on the claim.

A claim submitted without a valid ICD-10-CM diagnosis code will be returned to the provider as an incomplete claim under Section 1833(e) of the Social Security Act.

The diagnosis code(s) must best describe the patient's condition for which the service was performed. For diagnostic tests report the result of the test if known; otherwise the symptoms prompting the performance of the test should be reported.

CPT coding
Use procedure code 93312 (C8925 for OPPS billing when contrast is used) or 93315 (C8926 for OPPS billing when contrast is used) for the complete procedure, including probe placement, image acquisition, interpretation and report. Code 93315 (C8926 for OPPS billing when contrast is used) should be used for congenital anomalies only.

Use procedure code 93313 or 93316 where the provider is reporting only the insertion of the transesophageal probe. Code 93316 is reserved for congenital anomalies only.

Use procedure code 93314 or 93317 where the provider is reporting the actual manipulation of the probe to obtain images and to provide an interpretation and report. Code 93317 is reserved for congenital anomalies only.

CPT code 93318 (C8927 for OPPS billing when contrast is used) (intraoperative monitoring) is considered part of an anesthesia service and should not be billed separately by the anesthesiologist.

CPT codes 76376 and 76377 and 93319 (3D echocardiography) should be billed in conjunction with the base code for the imaging procedure. For the purposes of this LCD, the base codes for CPT 76376 and 76377 are 93312, 93314, C8925, 93315, C8926, and 93317 and the base codes for CPT 93319 are 93312, 93314, 93315, C8926, and 93317.


Diagnosis coding
ICD-10-CM code R93.1 or R93.8 should be reported when a TEE (CPT codes 93312, 93313, and 93314) is performed because of inadequate visualization of cardiac anatomy on TTE, for structures normally visualized by TTE and for which TEE is not usually indicated. ICD-10-CM code R93.1 or R93.8 should be reported as the primary diagnosis and the cardiac abnormality should be coded as a secondary diagnosis.

ICD-10-CM code Z01.89 should be reported when a TEE is performed during an open chest procedure. ICD-10-CM code Z01.89 should be reported as the primary diagnosis and the reason for the surgical procedure should be coded as the secondary diagnosis.

For add-on CPT codes 93319, 93320, 93321 and 93325, the ICD-10-CM codes reported should be the same as those reported for the base codes to which they are attached.

Bundled services
Procedure codes may be subject to National Correct Coding Initiative (NCCI) edits or OPPS packaging edits. Refer to NCCI and OPPS requirements prior to billing Medicare.

CPT codes 93312-93318 include conscious sedation. Therefore sedation should not be billed separately, and if it is, will be bundled into the primary procedure code.

For claims submitted to the Part B MAC:

All services/procedures performed on the same day for the same beneficiary by the physician/provider should be billed on the same claim.

For claims submitted to the Part A MAC:

The OPPS does not apply to claims for every type of bill submitted by Medicare-certified providers. The following guidelines pertain to claims for bill types that are subject to the OPPS:

Hospitals are required to include HCPCS codes for all services paid under the OPPS.

HCPCS codes C8925, C8926, and C8927 should be used to report transesophageal echocardiography services by OPPS hospitals when contrast is used. If the transesophageal echocardiography services are performed without contrast, OPPS hospitals should report CPT codes from the 9xxxx series, as appropriate.

Every effort should be made to report all services performed on the same day on the same claim to assure proper payment under the OPPS. Claims submitted for the same date of service will be returned to the provider (except duplicates or those containing condition code 20 or 21) with a notification that an adjustment bill should be submitted (CMS Program Memorandum, Transmittal No. A-00-36, Change Request #1229, June 2000).

Documentation Requirements:

A covered service must include a complete interpretation/report by the performing physician, and must be available if requested.

The patient's medical record must contain documentation that fully supports the medical necessity for services included within the attached LCD. (See "Indications and Limitations of Coverage.") This documentation includes, but is not limited to, relevant medical history, physical examination, and results of pertinent diagnostic tests or procedures, as well as reasons for repeat testing.

In those instances in which repeat tests were denied, the physician must document a good faith effort was made to identify them and to request copies of them from previous providers, in order for NGS to consider reimbursement for such tests on appeal.

Each service requires a formal written report with interpretation. This report should be kept on file with copies of image documentation (paper or tape) for review if requested. All appropriate measurements should be included in the report.

A Doppler interrogation should state the modes used and should give both qualitative and quantitative information.

Documentation of the qualifications of personnel performing tests, as described in the Indications section of the LCD, should be available on request.

All documentation must be submitted upon request.

Utilization Guidelines:

  1. TEE services will be covered twice per year for all conditions except endocarditis (ICD-10 code I39), for which four (4) services per year will be covered.
  2. TEE may be repeated in patients with repeat episodes of atrial fibrillation/flutter prior to cardioversion.
  3. Services exceeding this parameter will be considered not medically necessary, unless there is documentation that the tests were performed for clinical indications reflecting a change in the patient’s status or underlying cardiac condition, or documentation of a new unrelated condition, sign or symptom.
  4. In those instances in which repeat tests were denied and a physician has documented a good faith effort to identify them and to request copies of them from previous providers, then NGS could reimburse such tests on appeal.
  5. These guidelines do not apply to tests performed on hospital inpatients.

Response To Comments

Number Comment Response
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Coding Information

Bill Type Codes

Code Description
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Revenue Codes

Code Description
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CPT/HCPCS Codes

Group 1

(16 Codes)
Group 1 Paragraph

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Group 1 Codes
Code Description
76376 3D RENDERING WITH INTERPRETATION AND REPORTING OF COMPUTED TOMOGRAPHY, MAGNETIC RESONANCE IMAGING, ULTRASOUND, OR OTHER TOMOGRAPHIC MODALITY WITH IMAGE POSTPROCESSING UNDER CONCURRENT SUPERVISION; NOT REQUIRING IMAGE POSTPROCESSING ON AN INDEPENDENT WORKSTATION
76377 3D RENDERING WITH INTERPRETATION AND REPORTING OF COMPUTED TOMOGRAPHY, MAGNETIC RESONANCE IMAGING, ULTRASOUND, OR OTHER TOMOGRAPHIC MODALITY WITH IMAGE POSTPROCESSING UNDER CONCURRENT SUPERVISION; REQUIRING IMAGE POSTPROCESSING ON AN INDEPENDENT WORKSTATION
93312 ECHOCARDIOGRAPHY, TRANSESOPHAGEAL, REAL-TIME WITH IMAGE DOCUMENTATION (2D) (WITH OR WITHOUT M-MODE RECORDING); INCLUDING PROBE PLACEMENT, IMAGE ACQUISITION, INTERPRETATION AND REPORT
93313 ECHOCARDIOGRAPHY, TRANSESOPHAGEAL, REAL-TIME WITH IMAGE DOCUMENTATION (2D) (WITH OR WITHOUT M-MODE RECORDING); PLACEMENT OF TRANSESOPHAGEAL PROBE ONLY
93314 ECHOCARDIOGRAPHY, TRANSESOPHAGEAL, REAL-TIME WITH IMAGE DOCUMENTATION (2D) (WITH OR WITHOUT M-MODE RECORDING); IMAGE ACQUISITION, INTERPRETATION AND REPORT ONLY
93315 TRANSESOPHAGEAL ECHOCARDIOGRAPHY FOR CONGENITAL CARDIAC ANOMALIES; INCLUDING PROBE PLACEMENT, IMAGE ACQUISITION, INTERPRETATION AND REPORT
93316 TRANSESOPHAGEAL ECHOCARDIOGRAPHY FOR CONGENITAL CARDIAC ANOMALIES; PLACEMENT OF TRANSESOPHAGEAL PROBE ONLY
93317 TRANSESOPHAGEAL ECHOCARDIOGRAPHY FOR CONGENITAL CARDIAC ANOMALIES; IMAGE ACQUISITION, INTERPRETATION AND REPORT ONLY
93318 ECHOCARDIOGRAPHY, TRANSESOPHAGEAL (TEE) FOR MONITORING PURPOSES, INCLUDING PROBE PLACEMENT, REAL TIME 2-DIMENSIONAL IMAGE ACQUISITION AND INTERPRETATION LEADING TO ONGOING (CONTINUOUS) ASSESSMENT OF (DYNAMICALLY CHANGING) CARDIAC PUMPING FUNCTION AND TO THERAPEUTIC MEASURES ON AN IMMEDIATE TIME BASIS
93319 3D ECHOCARDIOGRAPHIC IMAGING AND POSTPROCESSING DURING TRANSESOPHAGEAL ECHOCARDIOGRAPHY, OR DURING TRANSTHORACIC ECHOCARDIOGRAPHY FOR CONGENITAL CARDIAC ANOMALIES, FOR THE ASSESSMENT OF CARDIAC STRUCTURE(S) (EG, CARDIAC CHAMBERS AND VALVES, LEFT ATRIAL APPENDAGE, INTERATRIAL SEPTUM, INTERVENTRICULAR SEPTUM) AND FUNCTION, WHEN PERFORMED (LIST SEPARATELY IN ADDITION TO CODE FOR ECHOCARDIOGRAPHIC IMAGING)
93320 DOPPLER ECHOCARDIOGRAPHY, PULSED WAVE AND/OR CONTINUOUS WAVE WITH SPECTRAL DISPLAY (LIST SEPARATELY IN ADDITION TO CODES FOR ECHOCARDIOGRAPHIC IMAGING); COMPLETE
93321 DOPPLER ECHOCARDIOGRAPHY, PULSED WAVE AND/OR CONTINUOUS WAVE WITH SPECTRAL DISPLAY (LIST SEPARATELY IN ADDITION TO CODES FOR ECHOCARDIOGRAPHIC IMAGING); FOLLOW-UP OR LIMITED STUDY (LIST SEPARATELY IN ADDITION TO CODES FOR ECHOCARDIOGRAPHIC IMAGING)
93325 DOPPLER ECHOCARDIOGRAPHY COLOR FLOW VELOCITY MAPPING (LIST SEPARATELY IN ADDITION TO CODES FOR ECHOCARDIOGRAPHY)
C8925 TRANSESOPHAGEAL ECHOCARDIOGRAPHY (TEE) WITH CONTRAST, OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, REAL TIME WITH IMAGE DOCUMENTATION (2D) (WITH OR WITHOUT M-MODE RECORDING); INCLUDING PROBE PLACEMENT, IMAGE ACQUISITION, INTERPRETATION AND REPORT
C8926 TRANSESOPHAGEAL ECHOCARDIOGRAPHY (TEE) WITH CONTRAST, OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, FOR CONGENITAL CARDIAC ANOMALIES; INCLUDING PROBE PLACEMENT, IMAGE ACQUISITION, INTERPRETATION AND REPORT
C8927 TRANSESOPHAGEAL ECHOCARDIOGRAPHY (TEE) WITH CONTRAST, OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, FOR MONITORING PURPOSES, INCLUDING PROBE PLACEMENT, REAL TIME 2-DIMENSIONAL IMAGE ACQUISITION AND INTERPRETATION LEADING TO ONGOING (CONTINUOUS) ASSESSMENT OF (DYNAMICALLY CHANGING) CARDIAC PUMPING FUNCTION AND TO THERAPEUTIC MEASURES ON AN IMMEDIATE TIME BASIS
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CPT/HCPCS Modifiers

Group 1

Group 1 Paragraph

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Group 1 Codes

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ICD-10-CM Codes that Support Medical Necessity

Group 1

(705 Codes)
Group 1 Paragraph

The correct use of an ICD-10-CM code does not assure coverage of a service. The service must be reasonable and necessary in the specific case and must meet the criteria specified in the attached determination.

The following diagnoses are covered for CPT codes 93312, 93313, 93314 and C8925. (When reporting add-on CPT codes 93319, 93320, 93321 and 93325, the same ICD-10-CM code should be used as that used for the base code to which it is attached):

Use ICD-10 codes R93.1 or R93.89 when a TEE is performed because of inadequate visualization of cardiac anatomy on TTE, for structures normally visualized by TTE and for which TEE is not usually indicated. The ICD-10 codes R93.1 or R93.89 should be coded as the primary diagnosis and the cardiac abnormality should be coded as a secondary diagnosis.

Use ICD-10 codes Z01.30, Z01.31, or Z01.89 when a TEE is performed during an open chest procedure. ICD-10 codes Z01.30, Z01.31, or Z01.89 should be coded as the primary diagnosis and the reason for the surgical procedure should be coded as the secondary diagnosis.

 

 

Group 1 Codes
Code Description
A02.1 Salmonella sepsis
A18.84 Tuberculosis of heart
A22.7 Anthrax sepsis
A26.7 Erysipelothrix sepsis
A32.7 Listerial sepsis
A40.0 Sepsis due to streptococcus, group A
A40.1 Sepsis due to streptococcus, group B
A40.3 Sepsis due to Streptococcus pneumoniae
A40.8 Other streptococcal sepsis
A40.9 Streptococcal sepsis, unspecified
A41.01 Sepsis due to Methicillin susceptible Staphylococcus aureus
A41.02 Sepsis due to Methicillin resistant Staphylococcus aureus
A41.1 Sepsis due to other specified staphylococcus
A41.2 Sepsis due to unspecified staphylococcus
A41.3 Sepsis due to Hemophilus influenzae
A41.4 Sepsis due to anaerobes
A41.50 Gram-negative sepsis, unspecified
A41.51 Sepsis due to Escherichia coli [E. coli]
A41.52 Sepsis due to Pseudomonas
A41.53 Sepsis due to Serratia
A41.54 Sepsis due to Acinetobacter baumannii
A41.59 Other Gram-negative sepsis
A41.81 Sepsis due to Enterococcus
A41.89 Other specified sepsis
A41.9 Sepsis, unspecified organism
A42.7 Actinomycotic sepsis
A52.01 Syphilitic aneurysm of aorta
A52.02 Syphilitic aortitis
A54.86 Gonococcal sepsis
B37.7 Candidal sepsis
C38.0 Malignant neoplasm of heart
C45.2 Mesothelioma of pericardium
C79.89 Secondary malignant neoplasm of other specified sites
C79.9 Secondary malignant neoplasm of unspecified site
D15.1 Benign neoplasm of heart
D48.7 Neoplasm of uncertain behavior of other specified sites
D49.89 Neoplasm of unspecified behavior of other specified sites
G06.0 Intracranial abscess and granuloma
G06.1 Intraspinal abscess and granuloma
G45.0 Vertebro-basilar artery syndrome
G45.1 Carotid artery syndrome (hemispheric)
G45.2 Multiple and bilateral precerebral artery syndromes
G45.8 Other transient cerebral ischemic attacks and related syndromes
G45.9 Transient cerebral ischemic attack, unspecified
G46.0 Middle cerebral artery syndrome
G46.1 Anterior cerebral artery syndrome
G46.2 Posterior cerebral artery syndrome
I01.1 Acute rheumatic endocarditis
I01.2 Acute rheumatic myocarditis
I02.0 Rheumatic chorea with heart involvement
I05.0 Rheumatic mitral stenosis
I05.1 Rheumatic mitral insufficiency
I05.2 Rheumatic mitral stenosis with insufficiency
I05.8 Other rheumatic mitral valve diseases
I05.9 Rheumatic mitral valve disease, unspecified
I08.0 Rheumatic disorders of both mitral and aortic valves
I08.1 Rheumatic disorders of both mitral and tricuspid valves
I08.2 Rheumatic disorders of both aortic and tricuspid valves
I08.3 Combined rheumatic disorders of mitral, aortic and tricuspid valves
I08.8 Other rheumatic multiple valve diseases
I08.9 Rheumatic multiple valve disease, unspecified
I09.0 Rheumatic myocarditis
I09.1 Rheumatic diseases of endocardium, valve unspecified
I09.89 Other specified rheumatic heart diseases
I09.9 Rheumatic heart disease, unspecified
I23.0 Hemopericardium as current complication following acute myocardial infarction
I23.1 Atrial septal defect as current complication following acute myocardial infarction
I23.2 Ventricular septal defect as current complication following acute myocardial infarction
I23.3 Rupture of cardiac wall without hemopericardium as current complication following acute myocardial infarction
I23.4 Rupture of chordae tendineae as current complication following acute myocardial infarction
I23.5 Rupture of papillary muscle as current complication following acute myocardial infarction
I23.6 Thrombosis of atrium, auricular appendage, and ventricle as current complications following acute myocardial infarction
I23.7 Postinfarction angina
I23.8 Other current complications following acute myocardial infarction
I25.3 Aneurysm of heart
I25.41 Coronary artery aneurysm
I25.42 Coronary artery dissection
I25.82 Chronic total occlusion of coronary artery
I26.01 Septic pulmonary embolism with acute cor pulmonale
I26.02 Saddle embolus of pulmonary artery with acute cor pulmonale
I26.09 Other pulmonary embolism with acute cor pulmonale
I26.90 Septic pulmonary embolism without acute cor pulmonale
I26.92 Saddle embolus of pulmonary artery without acute cor pulmonale
I26.99 Other pulmonary embolism without acute cor pulmonale
I28.0 Arteriovenous fistula of pulmonary vessels
I28.1 Aneurysm of pulmonary artery
I31.4 Cardiac tamponade
I33.0 Acute and subacute infective endocarditis
I34.0 Nonrheumatic mitral (valve) insufficiency
I34.1 Nonrheumatic mitral (valve) prolapse
I34.2 Nonrheumatic mitral (valve) stenosis
I34.81 Nonrheumatic mitral (valve) annulus calcification
I34.89 Other nonrheumatic mitral valve disorders
I34.9 Nonrheumatic mitral valve disorder, unspecified
I35.0 Nonrheumatic aortic (valve) stenosis
I35.1 Nonrheumatic aortic (valve) insufficiency
I35.2 Nonrheumatic aortic (valve) stenosis with insufficiency
I35.8 Other nonrheumatic aortic valve disorders
I35.9 Nonrheumatic aortic valve disorder, unspecified
I36.1 Nonrheumatic tricuspid (valve) insufficiency
I36.2 Nonrheumatic tricuspid (valve) stenosis with insufficiency
I36.8 Other nonrheumatic tricuspid valve disorders
I36.9 Nonrheumatic tricuspid valve disorder, unspecified
I37.0 Nonrheumatic pulmonary valve stenosis
I37.1 Nonrheumatic pulmonary valve insufficiency
I37.2 Nonrheumatic pulmonary valve stenosis with insufficiency
I37.8 Other nonrheumatic pulmonary valve disorders
I37.9 Nonrheumatic pulmonary valve disorder, unspecified
I38 Endocarditis, valve unspecified
I39 Endocarditis and heart valve disorders in diseases classified elsewhere
I40.0 Infective myocarditis
I42.0 Dilated cardiomyopathy
I42.1 Obstructive hypertrophic cardiomyopathy
I42.2 Other hypertrophic cardiomyopathy
I42.3 Endomyocardial (eosinophilic) disease
I42.4 Endocardial fibroelastosis
I42.5 Other restrictive cardiomyopathy
I42.6 Alcoholic cardiomyopathy
I42.7 Cardiomyopathy due to drug and external agent
I42.8 Other cardiomyopathies
I42.9 Cardiomyopathy, unspecified
I43 Cardiomyopathy in diseases classified elsewhere
I48.0 Paroxysmal atrial fibrillation
I48.11 Longstanding persistent atrial fibrillation
I48.19 Other persistent atrial fibrillation
I48.20 Chronic atrial fibrillation, unspecified
I48.21 Permanent atrial fibrillation
I48.3 Typical atrial flutter
I48.4 Atypical atrial flutter
I48.91 Unspecified atrial fibrillation
I48.92 Unspecified atrial flutter
I51.0 Cardiac septal defect, acquired
I51.1 Rupture of chordae tendineae, not elsewhere classified
I51.2 Rupture of papillary muscle, not elsewhere classified
I51.3 Intracardiac thrombosis, not elsewhere classified
I51.4 Myocarditis, unspecified
I51.7 Cardiomegaly
I51.81 Takotsubo syndrome
I51.89 Other ill-defined heart diseases
I60.00 Nontraumatic subarachnoid hemorrhage from unspecified carotid siphon and bifurcation
I60.01 Nontraumatic subarachnoid hemorrhage from right carotid siphon and bifurcation
I60.02 Nontraumatic subarachnoid hemorrhage from left carotid siphon and bifurcation
I60.10 Nontraumatic subarachnoid hemorrhage from unspecified middle cerebral artery
I60.11 Nontraumatic subarachnoid hemorrhage from right middle cerebral artery
I60.12 Nontraumatic subarachnoid hemorrhage from left middle cerebral artery
I60.30 Nontraumatic subarachnoid hemorrhage from unspecified posterior communicating artery
I60.31 Nontraumatic subarachnoid hemorrhage from right posterior communicating artery
I60.32 Nontraumatic subarachnoid hemorrhage from left posterior communicating artery
I60.4 Nontraumatic subarachnoid hemorrhage from basilar artery
I60.50 Nontraumatic subarachnoid hemorrhage from unspecified vertebral artery
I60.51 Nontraumatic subarachnoid hemorrhage from right vertebral artery
I60.52 Nontraumatic subarachnoid hemorrhage from left vertebral artery
I60.6 Nontraumatic subarachnoid hemorrhage from other intracranial arteries
I60.7 Nontraumatic subarachnoid hemorrhage from unspecified intracranial artery
I60.8 Other nontraumatic subarachnoid hemorrhage
I60.9 Nontraumatic subarachnoid hemorrhage, unspecified
I62.9 Nontraumatic intracranial hemorrhage, unspecified
I63.013 Cerebral infarction due to thrombosis of bilateral vertebral arteries
I63.033 Cerebral infarction due to thrombosis of bilateral carotid arteries
I63.113 Cerebral infarction due to embolism of bilateral vertebral arteries
I63.133 Cerebral infarction due to embolism of bilateral carotid arteries
I63.213 Cerebral infarction due to unspecified occlusion or stenosis of bilateral vertebral arteries
I63.233 Cerebral infarction due to unspecified occlusion or stenosis of bilateral carotid arteries
I63.30 Cerebral infarction due to thrombosis of unspecified cerebral artery
I63.311 Cerebral infarction due to thrombosis of right middle cerebral artery
I63.312 Cerebral infarction due to thrombosis of left middle cerebral artery
I63.313 Cerebral infarction due to thrombosis of bilateral middle cerebral arteries
I63.319 Cerebral infarction due to thrombosis of unspecified middle cerebral artery
I63.321 Cerebral infarction due to thrombosis of right anterior cerebral artery
I63.322 Cerebral infarction due to thrombosis of left anterior cerebral artery
I63.323 Cerebral infarction due to thrombosis of bilateral anterior cerebral arteries
I63.329 Cerebral infarction due to thrombosis of unspecified anterior cerebral artery
I63.331 Cerebral infarction due to thrombosis of right posterior cerebral artery
I63.332 Cerebral infarction due to thrombosis of left posterior cerebral artery
I63.333 Cerebral infarction due to thrombosis of bilateral posterior cerebral arteries
I63.339 Cerebral infarction due to thrombosis of unspecified posterior cerebral artery
I63.341 Cerebral infarction due to thrombosis of right cerebellar artery
I63.342 Cerebral infarction due to thrombosis of left cerebellar artery
I63.343 Cerebral infarction due to thrombosis of bilateral cerebellar arteries
I63.349 Cerebral infarction due to thrombosis of unspecified cerebellar artery
I63.39 Cerebral infarction due to thrombosis of other cerebral artery
I63.40 Cerebral infarction due to embolism of unspecified cerebral artery
I63.411 Cerebral infarction due to embolism of right middle cerebral artery
I63.412 Cerebral infarction due to embolism of left middle cerebral artery
I63.413 Cerebral infarction due to embolism of bilateral middle cerebral arteries
I63.419 Cerebral infarction due to embolism of unspecified middle cerebral artery
I63.421 Cerebral infarction due to embolism of right anterior cerebral artery
I63.422 Cerebral infarction due to embolism of left anterior cerebral artery
I63.423 Cerebral infarction due to embolism of bilateral anterior cerebral arteries
I63.429 Cerebral infarction due to embolism of unspecified anterior cerebral artery
I63.431 Cerebral infarction due to embolism of right posterior cerebral artery
I63.432 Cerebral infarction due to embolism of left posterior cerebral artery
I63.433 Cerebral infarction due to embolism of bilateral posterior cerebral arteries
I63.439 Cerebral infarction due to embolism of unspecified posterior cerebral artery
I63.441 Cerebral infarction due to embolism of right cerebellar artery
I63.442 Cerebral infarction due to embolism of left cerebellar artery
I63.443 Cerebral infarction due to embolism of bilateral cerebellar arteries
I63.449 Cerebral infarction due to embolism of unspecified cerebellar artery
I63.49 Cerebral infarction due to embolism of other cerebral artery
I63.50 Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebral artery
I63.511 Cerebral infarction due to unspecified occlusion or stenosis of right middle cerebral artery
I63.512 Cerebral infarction due to unspecified occlusion or stenosis of left middle cerebral artery
I63.513 Cerebral infarction due to unspecified occlusion or stenosis of bilateral middle cerebral arteries
I63.519 Cerebral infarction due to unspecified occlusion or stenosis of unspecified middle cerebral artery
I63.521 Cerebral infarction due to unspecified occlusion or stenosis of right anterior cerebral artery
I63.522 Cerebral infarction due to unspecified occlusion or stenosis of left anterior cerebral artery
I63.523 Cerebral infarction due to unspecified occlusion or stenosis of bilateral anterior cerebral arteries
I63.529 Cerebral infarction due to unspecified occlusion or stenosis of unspecified anterior cerebral artery
I63.531 Cerebral infarction due to unspecified occlusion or stenosis of right posterior cerebral artery
I63.532 Cerebral infarction due to unspecified occlusion or stenosis of left posterior cerebral artery
I63.533 Cerebral infarction due to unspecified occlusion or stenosis of bilateral posterior cerebral arteries
I63.539 Cerebral infarction due to unspecified occlusion or stenosis of unspecified posterior cerebral artery
I63.541 Cerebral infarction due to unspecified occlusion or stenosis of right cerebellar artery
I63.542 Cerebral infarction due to unspecified occlusion or stenosis of left cerebellar artery
I63.543 Cerebral infarction due to unspecified occlusion or stenosis of bilateral cerebellar arteries
I63.549 Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebellar artery
I63.59 Cerebral infarction due to unspecified occlusion or stenosis of other cerebral artery
I63.6 Cerebral infarction due to cerebral venous thrombosis, nonpyogenic
I63.81 Other cerebral infarction due to occlusion or stenosis of small artery
I63.89 Other cerebral infarction
I63.9 Cerebral infarction, unspecified
I66.01 Occlusion and stenosis of right middle cerebral artery
I66.02 Occlusion and stenosis of left middle cerebral artery
I66.03 Occlusion and stenosis of bilateral middle cerebral arteries
I66.09 Occlusion and stenosis of unspecified middle cerebral artery
I66.11 Occlusion and stenosis of right anterior cerebral artery
I66.12 Occlusion and stenosis of left anterior cerebral artery
I66.13 Occlusion and stenosis of bilateral anterior cerebral arteries
I66.19 Occlusion and stenosis of unspecified anterior cerebral artery
I66.21 Occlusion and stenosis of right posterior cerebral artery
I66.22 Occlusion and stenosis of left posterior cerebral artery
I66.23 Occlusion and stenosis of bilateral posterior cerebral arteries
I66.29 Occlusion and stenosis of unspecified posterior cerebral artery
I66.3 Occlusion and stenosis of cerebellar arteries
I66.9 Occlusion and stenosis of unspecified cerebral artery
I67.841 Reversible cerebrovascular vasoconstriction syndrome
I67.848 Other cerebrovascular vasospasm and vasoconstriction
I67.89 Other cerebrovascular disease
I70.0 Atherosclerosis of aorta
I71.00 Dissection of unspecified site of aorta
I71.010 Dissection of ascending aorta
I71.011 Dissection of aortic arch
I71.012 Dissection of descending thoracic aorta
I71.019 Dissection of thoracic aorta, unspecified
I71.03 Dissection of thoracoabdominal aorta
I71.10 Thoracic aortic aneurysm, ruptured, unspecified
I71.11 Aneurysm of the ascending aorta, ruptured
I71.12 Aneurysm of the aortic arch, ruptured
I71.13 Aneurysm of the descending thoracic aorta, ruptured
I71.20 Thoracic aortic aneurysm, without rupture, unspecified
I71.21 Aneurysm of the ascending aorta, without rupture
I71.22 Aneurysm of the aortic arch, without rupture
I71.23 Aneurysm of the descending thoracic aorta, without rupture
I71.50 Thoracoabdominal aortic aneurysm, ruptured, unspecified
I71.51 Supraceliac aneurysm of the thoracoabdominal aorta, ruptured
I71.52 Paravisceral aneurysm of the thoracoabdominal aorta, ruptured
I71.60 Thoracoabdominal aortic aneurysm, without rupture, unspecified
I71.61 Supraceliac aneurysm of the thoracoabdominal aorta, without rupture
I71.62 Paravisceral aneurysm of the thoracoabdominal aorta, without rupture
I74.11 Embolism and thrombosis of thoracic aorta
I74.2 Embolism and thrombosis of arteries of the upper extremities
I74.3 Embolism and thrombosis of arteries of the lower extremities
I74.4 Embolism and thrombosis of arteries of extremities, unspecified
I74.5 Embolism and thrombosis of iliac artery
I74.8 Embolism and thrombosis of other arteries
I74.9 Embolism and thrombosis of unspecified artery
I75.89 Atheroembolism of other site
I76 Septic arterial embolism
I77.2 Rupture of artery
I82.220 Acute embolism and thrombosis of inferior vena cava
I82.221 Chronic embolism and thrombosis of inferior vena cava
I87.1 Compression of vein
I95.89 Other hypotension
I95.9 Hypotension, unspecified
I97.0 Postcardiotomy syndrome
I97.110 Postprocedural cardiac insufficiency following cardiac surgery
I97.111 Postprocedural cardiac insufficiency following other surgery
I97.120 Postprocedural cardiac arrest following cardiac surgery
I97.121 Postprocedural cardiac arrest following other surgery
I97.130 Postprocedural heart failure following cardiac surgery
I97.131 Postprocedural heart failure following other surgery
I97.190 Other postprocedural cardiac functional disturbances following cardiac surgery
I97.191 Other postprocedural cardiac functional disturbances following other surgery
K68.11 Postprocedural retroperitoneal abscess
M32.11 Endocarditis in systemic lupus erythematosus
O90.3 Peripartum cardiomyopathy
Q21.10 Atrial septal defect, unspecified
Q21.11 Secundum atrial septal defect
Q21.12 Patent foramen ovale
Q21.13 Coronary sinus atrial septal defect
Q21.14 Superior sinus venosus atrial septal defect
Q21.15 Inferior sinus venosus atrial septal defect
Q21.16 Sinus venosus atrial septal defect, unspecified
Q21.19 Other specified atrial septal defect
R57.0 Cardiogenic shock
R57.1 Hypovolemic shock
R57.8 Other shock
R57.9 Shock, unspecified
R65.20 Severe sepsis without septic shock
R65.21 Severe sepsis with septic shock
R78.81 Bacteremia
R93.1 Abnormal findings on diagnostic imaging of heart and coronary circulation
R93.89 Abnormal findings on diagnostic imaging of other specified body structures
S25.00XA Unspecified injury of thoracic aorta, initial encounter
S25.00XD Unspecified injury of thoracic aorta, subsequent encounter
S25.00XS Unspecified injury of thoracic aorta, sequela
S25.01XA Minor laceration of thoracic aorta, initial encounter
S25.01XD Minor laceration of thoracic aorta, subsequent encounter
S25.01XS Minor laceration of thoracic aorta, sequela
S25.02XA Major laceration of thoracic aorta, initial encounter
S25.02XD Major laceration of thoracic aorta, subsequent encounter
S25.02XS Major laceration of thoracic aorta, sequela
S25.09XA Other specified injury of thoracic aorta, initial encounter
S25.09XD Other specified injury of thoracic aorta, subsequent encounter
S25.09XS Other specified injury of thoracic aorta, sequela
S25.20XA Unspecified injury of superior vena cava, initial encounter
S25.20XD Unspecified injury of superior vena cava, subsequent encounter
S25.20XS Unspecified injury of superior vena cava, sequela
S25.21XA Minor laceration of superior vena cava, initial encounter
S25.21XD Minor laceration of superior vena cava, subsequent encounter
S25.21XS Minor laceration of superior vena cava, sequela
S25.22XA Major laceration of superior vena cava, initial encounter
S25.22XD Major laceration of superior vena cava, subsequent encounter
S25.22XS Major laceration of superior vena cava, sequela
S25.29XA Other specified injury of superior vena cava, initial encounter
S25.29XD Other specified injury of superior vena cava, subsequent encounter
S25.29XS Other specified injury of superior vena cava, sequela
S25.401A Unspecified injury of right pulmonary blood vessels, initial encounter
S25.401D Unspecified injury of right pulmonary blood vessels, subsequent encounter
S25.401S Unspecified injury of right pulmonary blood vessels, sequela
S25.402A Unspecified injury of left pulmonary blood vessels, initial encounter
S25.402D Unspecified injury of left pulmonary blood vessels, subsequent encounter
S25.402S Unspecified injury of left pulmonary blood vessels, sequela
S25.409A Unspecified injury of unspecified pulmonary blood vessels, initial encounter
S25.409D Unspecified injury of unspecified pulmonary blood vessels, subsequent encounter
S25.409S Unspecified injury of unspecified pulmonary blood vessels, sequela
S25.411A Minor laceration of right pulmonary blood vessels, initial encounter
S25.411D Minor laceration of right pulmonary blood vessels, subsequent encounter
S25.411S Minor laceration of right pulmonary blood vessels, sequela
S25.412A Minor laceration of left pulmonary blood vessels, initial encounter
S25.412D Minor laceration of left pulmonary blood vessels, subsequent encounter
S25.412S Minor laceration of left pulmonary blood vessels, sequela
S25.419A Minor laceration of unspecified pulmonary blood vessels, initial encounter
S25.419D Minor laceration of unspecified pulmonary blood vessels, subsequent encounter
S25.419S Minor laceration of unspecified pulmonary blood vessels, sequela
S25.421A Major laceration of right pulmonary blood vessels, initial encounter
S25.421D Major laceration of right pulmonary blood vessels, subsequent encounter
S25.421S Major laceration of right pulmonary blood vessels, sequela
S25.422A Major laceration of left pulmonary blood vessels, initial encounter
S25.422D Major laceration of left pulmonary blood vessels, subsequent encounter
S25.422S Major laceration of left pulmonary blood vessels, sequela
S25.429A Major laceration of unspecified pulmonary blood vessels, initial encounter
S25.429D Major laceration of unspecified pulmonary blood vessels, subsequent encounter
S25.429S Major laceration of unspecified pulmonary blood vessels, sequela
S25.491A Other specified injury of right pulmonary blood vessels, initial encounter
S25.491D Other specified injury of right pulmonary blood vessels, subsequent encounter
S25.491S Other specified injury of right pulmonary blood vessels, sequela
S25.492A Other specified injury of left pulmonary blood vessels, initial encounter
S25.492D Other specified injury of left pulmonary blood vessels, subsequent encounter
S25.492S Other specified injury of left pulmonary blood vessels, sequela
S25.499A Other specified injury of unspecified pulmonary blood vessels, initial encounter
S25.499D Other specified injury of unspecified pulmonary blood vessels, subsequent encounter
S25.499S Other specified injury of unspecified pulmonary blood vessels, sequela
S25.90XA Unspecified injury of unspecified blood vessel of thorax, initial encounter
S25.90XD Unspecified injury of unspecified blood vessel of thorax, subsequent encounter
S25.90XS Unspecified injury of unspecified blood vessel of thorax, sequela
S25.91XA Laceration of unspecified blood vessel of thorax, initial encounter
S25.91XD Laceration of unspecified blood vessel of thorax, subsequent encounter
S25.91XS Laceration of unspecified blood vessel of thorax, sequela
S25.99XA Other specified injury of unspecified blood vessel of thorax, initial encounter
S25.99XD Other specified injury of unspecified blood vessel of thorax, subsequent encounter
S25.99XS Other specified injury of unspecified blood vessel of thorax, sequela
S26.00XA Unspecified injury of heart with hemopericardium, initial encounter
S26.00XD Unspecified injury of heart with hemopericardium, subsequent encounter
S26.00XS Unspecified injury of heart with hemopericardium, sequela
S26.01XA Contusion of heart with hemopericardium, initial encounter
S26.01XD Contusion of heart with hemopericardium, subsequent encounter
S26.01XS Contusion of heart with hemopericardium, sequela
S26.020A Mild laceration of heart with hemopericardium, initial encounter
S26.020D Mild laceration of heart with hemopericardium, subsequent encounter
S26.020S Mild laceration of heart with hemopericardium, sequela
S26.021A Moderate laceration of heart with hemopericardium, initial encounter
S26.021D Moderate laceration of heart with hemopericardium, subsequent encounter
S26.021S Moderate laceration of heart with hemopericardium, sequela
S26.022A Major laceration of heart with hemopericardium, initial encounter
S26.022D Major laceration of heart with hemopericardium, subsequent encounter
S26.022S Major laceration of heart with hemopericardium, sequela
S26.09XA Other injury of heart with hemopericardium, initial encounter
S26.09XD Other injury of heart with hemopericardium, subsequent encounter
S26.09XS Other injury of heart with hemopericardium, sequela
S26.10XA Unspecified injury of heart without hemopericardium, initial encounter
S26.10XD Unspecified injury of heart without hemopericardium, subsequent encounter
S26.10XS Unspecified injury of heart without hemopericardium, sequela
S26.11XA Contusion of heart without hemopericardium, initial encounter
S26.11XD Contusion of heart without hemopericardium, subsequent encounter
S26.11XS Contusion of heart without hemopericardium, sequela
S26.12XA Laceration of heart without hemopericardium, initial encounter
S26.12XD Laceration of heart without hemopericardium, subsequent encounter
S26.12XS Laceration of heart without hemopericardium, sequela
S26.19XA Other injury of heart without hemopericardium, initial encounter
S26.19XD Other injury of heart without hemopericardium, subsequent encounter
S26.19XS Other injury of heart without hemopericardium, sequela
S26.90XA Unspecified injury of heart, unspecified with or without hemopericardium, initial encounter
S26.90XD Unspecified injury of heart, unspecified with or without hemopericardium, subsequent encounter
S26.90XS Unspecified injury of heart, unspecified with or without hemopericardium, sequela
S26.91XA Contusion of heart, unspecified with or without hemopericardium, initial encounter
S26.91XD Contusion of heart, unspecified with or without hemopericardium, subsequent encounter
S26.91XS Contusion of heart, unspecified with or without hemopericardium, sequela
S26.92XA Laceration of heart, unspecified with or without hemopericardium, initial encounter
S26.92XD Laceration of heart, unspecified with or without hemopericardium, subsequent encounter
S26.92XS Laceration of heart, unspecified with or without hemopericardium, sequela
S26.99XA Other injury of heart, unspecified with or without hemopericardium, initial encounter
S26.99XD Other injury of heart, unspecified with or without hemopericardium, subsequent encounter
S26.99XS Other injury of heart, unspecified with or without hemopericardium, sequela
T79.4XXA Traumatic shock, initial encounter
T79.4XXD Traumatic shock, subsequent encounter
T79.4XXS Traumatic shock, sequela
T80.0XXA Air embolism following infusion, transfusion and therapeutic injection, initial encounter
T80.0XXD Air embolism following infusion, transfusion and therapeutic injection, subsequent encounter
T80.0XXS Air embolism following infusion, transfusion and therapeutic injection, sequela
T81.10XA Postprocedural shock unspecified, initial encounter
T81.10XD Postprocedural shock unspecified, subsequent encounter
T81.10XS Postprocedural shock unspecified, sequela
T81.11XA Postprocedural cardiogenic shock, initial encounter
T81.11XD Postprocedural cardiogenic shock, subsequent encounter
T81.11XS Postprocedural cardiogenic shock, sequela
T81.12XA Postprocedural septic shock, initial encounter
T81.12XD Postprocedural septic shock, subsequent encounter
T81.12XS Postprocedural septic shock, sequela
T81.19XA Other postprocedural shock, initial encounter
T81.19XD Other postprocedural shock, subsequent encounter
T81.19XS Other postprocedural shock, sequela
T81.44XA Sepsis following a procedure, initial encounter
T81.44XD Sepsis following a procedure, subsequent encounter
T81.44XS Sepsis following a procedure, sequela
T82.01XA Breakdown (mechanical) of heart valve prosthesis, initial encounter
T82.01XD Breakdown (mechanical) of heart valve prosthesis, subsequent encounter
T82.01XS Breakdown (mechanical) of heart valve prosthesis, sequela
T82.02XA Displacement of heart valve prosthesis, initial encounter
T82.02XD Displacement of heart valve prosthesis, subsequent encounter
T82.02XS Displacement of heart valve prosthesis, sequela
T82.03XA Leakage of heart valve prosthesis, initial encounter
T82.03XD Leakage of heart valve prosthesis, subsequent encounter
T82.03XS Leakage of heart valve prosthesis, sequela
T82.09XA Other mechanical complication of heart valve prosthesis, initial encounter
T82.09XD Other mechanical complication of heart valve prosthesis, subsequent encounter
T82.09XS Other mechanical complication of heart valve prosthesis, sequela
T82.110A Breakdown (mechanical) of cardiac electrode, initial encounter
T82.110D Breakdown (mechanical) of cardiac electrode, subsequent encounter
T82.110S Breakdown (mechanical) of cardiac electrode, sequela
T82.111A Breakdown (mechanical) of cardiac pulse generator (battery), initial encounter
T82.111D Breakdown (mechanical) of cardiac pulse generator (battery), subsequent encounter
T82.111S Breakdown (mechanical) of cardiac pulse generator (battery), sequela
T82.118A Breakdown (mechanical) of other cardiac electronic device, initial encounter
T82.118D Breakdown (mechanical) of other cardiac electronic device, subsequent encounter
T82.118S Breakdown (mechanical) of other cardiac electronic device, sequela
T82.119A Breakdown (mechanical) of unspecified cardiac electronic device, initial encounter
T82.119D Breakdown (mechanical) of unspecified cardiac electronic device, subsequent encounter
T82.119S Breakdown (mechanical) of unspecified cardiac electronic device, sequela
T82.120A Displacement of cardiac electrode, initial encounter
T82.120D Displacement of cardiac electrode, subsequent encounter
T82.120S Displacement of cardiac electrode, sequela
T82.121A Displacement of cardiac pulse generator (battery), initial encounter
T82.121D Displacement of cardiac pulse generator (battery), subsequent encounter
T82.121S Displacement of cardiac pulse generator (battery), sequela
T82.128A Displacement of other cardiac electronic device, initial encounter
T82.128D Displacement of other cardiac electronic device, subsequent encounter
T82.128S Displacement of other cardiac electronic device, sequela
T82.129A Displacement of unspecified cardiac electronic device, initial encounter
T82.129D Displacement of unspecified cardiac electronic device, subsequent encounter
T82.129S Displacement of unspecified cardiac electronic device, sequela
T82.190A Other mechanical complication of cardiac electrode, initial encounter
T82.190D Other mechanical complication of cardiac electrode, subsequent encounter
T82.190S Other mechanical complication of cardiac electrode, sequela
T82.191A Other mechanical complication of cardiac pulse generator (battery), initial encounter
T82.191D Other mechanical complication of cardiac pulse generator (battery), subsequent encounter
T82.191S Other mechanical complication of cardiac pulse generator (battery), sequela
T82.198A Other mechanical complication of other cardiac electronic device, initial encounter
T82.198D Other mechanical complication of other cardiac electronic device, subsequent encounter
T82.198S Other mechanical complication of other cardiac electronic device, sequela
T82.199A Other mechanical complication of unspecified cardiac device, initial encounter
T82.199D Other mechanical complication of unspecified cardiac device, subsequent encounter
T82.199S Other mechanical complication of unspecified cardiac device, sequela
T82.310A Breakdown (mechanical) of aortic (bifurcation) graft (replacement), initial encounter
T82.310D Breakdown (mechanical) of aortic (bifurcation) graft (replacement), subsequent encounter
T82.310S Breakdown (mechanical) of aortic (bifurcation) graft (replacement), sequela
T82.311A Breakdown (mechanical) of carotid arterial graft (bypass), initial encounter
T82.311D Breakdown (mechanical) of carotid arterial graft (bypass), subsequent encounter
T82.311S Breakdown (mechanical) of carotid arterial graft (bypass), sequela
T82.312A Breakdown (mechanical) of femoral arterial graft (bypass), initial encounter
T82.312D Breakdown (mechanical) of femoral arterial graft (bypass), subsequent encounter
T82.312S Breakdown (mechanical) of femoral arterial graft (bypass), sequela
T82.318A Breakdown (mechanical) of other vascular grafts, initial encounter
T82.318D Breakdown (mechanical) of other vascular grafts, subsequent encounter
T82.318S Breakdown (mechanical) of other vascular grafts, sequela
T82.319A Breakdown (mechanical) of unspecified vascular grafts, initial encounter
T82.319D Breakdown (mechanical) of unspecified vascular grafts, subsequent encounter
T82.319S Breakdown (mechanical) of unspecified vascular grafts, sequela
T82.320A Displacement of aortic (bifurcation) graft (replacement), initial encounter
T82.320D Displacement of aortic (bifurcation) graft (replacement), subsequent encounter
T82.320S Displacement of aortic (bifurcation) graft (replacement), sequela
T82.321A Displacement of carotid arterial graft (bypass), initial encounter
T82.321D Displacement of carotid arterial graft (bypass), subsequent encounter
T82.321S Displacement of carotid arterial graft (bypass), sequela
T82.322A Displacement of femoral arterial graft (bypass), initial encounter
T82.322D Displacement of femoral arterial graft (bypass), subsequent encounter
T82.322S Displacement of femoral arterial graft (bypass), sequela
T82.328A Displacement of other vascular grafts, initial encounter
T82.328D Displacement of other vascular grafts, subsequent encounter
T82.328S Displacement of other vascular grafts, sequela
T82.329A Displacement of unspecified vascular grafts, initial encounter
T82.329D Displacement of unspecified vascular grafts, subsequent encounter
T82.329S Displacement of unspecified vascular grafts, sequela
T82.330A Leakage of aortic (bifurcation) graft (replacement), initial encounter
T82.330D Leakage of aortic (bifurcation) graft (replacement), subsequent encounter
T82.330S Leakage of aortic (bifurcation) graft (replacement), sequela
T82.331A Leakage of carotid arterial graft (bypass), initial encounter
T82.331D Leakage of carotid arterial graft (bypass), subsequent encounter
T82.331S Leakage of carotid arterial graft (bypass), sequela
T82.332A Leakage of femoral arterial graft (bypass), initial encounter
T82.332D Leakage of femoral arterial graft (bypass), subsequent encounter
T82.332S Leakage of femoral arterial graft (bypass), sequela
T82.338A Leakage of other vascular grafts, initial encounter
T82.338D Leakage of other vascular grafts, subsequent encounter
T82.338S Leakage of other vascular grafts, sequela
T82.339A Leakage of unspecified vascular graft, initial encounter
T82.339D Leakage of unspecified vascular graft, subsequent encounter
T82.339S Leakage of unspecified vascular graft, sequela
T82.390A Other mechanical complication of aortic (bifurcation) graft (replacement), initial encounter
T82.390D Other mechanical complication of aortic (bifurcation) graft (replacement), subsequent encounter
T82.390S Other mechanical complication of aortic (bifurcation) graft (replacement), sequela
T82.391A Other mechanical complication of carotid arterial graft (bypass), initial encounter
T82.391D Other mechanical complication of carotid arterial graft (bypass), subsequent encounter
T82.391S Other mechanical complication of carotid arterial graft (bypass), sequela
T82.392A Other mechanical complication of femoral arterial graft (bypass), initial encounter
T82.392D Other mechanical complication of femoral arterial graft (bypass), subsequent encounter
T82.392S Other mechanical complication of femoral arterial graft (bypass), sequela
T82.398A Other mechanical complication of other vascular grafts, initial encounter
T82.398D Other mechanical complication of other vascular grafts, subsequent encounter
T82.398S Other mechanical complication of other vascular grafts, sequela
T82.399A Other mechanical complication of unspecified vascular grafts, initial encounter
T82.399D Other mechanical complication of unspecified vascular grafts, subsequent encounter
T82.399S Other mechanical complication of unspecified vascular grafts, sequela
T82.41XA Breakdown (mechanical) of vascular dialysis catheter, initial encounter
T82.41XD Breakdown (mechanical) of vascular dialysis catheter, subsequent encounter
T82.41XS Breakdown (mechanical) of vascular dialysis catheter, sequela
T82.42XA Displacement of vascular dialysis catheter, initial encounter
T82.42XD Displacement of vascular dialysis catheter, subsequent encounter
T82.42XS Displacement of vascular dialysis catheter, sequela
T82.43XA Leakage of vascular dialysis catheter, initial encounter
T82.43XD Leakage of vascular dialysis catheter, subsequent encounter
T82.43XS Leakage of vascular dialysis catheter, sequela
T82.49XA Other complication of vascular dialysis catheter, initial encounter
T82.49XD Other complication of vascular dialysis catheter, subsequent encounter
T82.49XS Other complication of vascular dialysis catheter, sequela
T82.510A Breakdown (mechanical) of surgically created arteriovenous fistula, initial encounter
T82.510D Breakdown (mechanical) of surgically created arteriovenous fistula, subsequent encounter
T82.510S Breakdown (mechanical) of surgically created arteriovenous fistula, sequela
T82.511A Breakdown (mechanical) of surgically created arteriovenous shunt, initial encounter
T82.511D Breakdown (mechanical) of surgically created arteriovenous shunt, subsequent encounter
T82.511S Breakdown (mechanical) of surgically created arteriovenous shunt, sequela
T82.513A Breakdown (mechanical) of balloon (counterpulsation) device, initial encounter
T82.513D Breakdown (mechanical) of balloon (counterpulsation) device, subsequent encounter
T82.513S Breakdown (mechanical) of balloon (counterpulsation) device, sequela
T82.514A Breakdown (mechanical) of infusion catheter, initial encounter
T82.514D Breakdown (mechanical) of infusion catheter, subsequent encounter
T82.514S Breakdown (mechanical) of infusion catheter, sequela
T82.515A Breakdown (mechanical) of umbrella device, initial encounter
T82.515D Breakdown (mechanical) of umbrella device, subsequent encounter
T82.515S Breakdown (mechanical) of umbrella device, sequela
T82.518A Breakdown (mechanical) of other cardiac and vascular devices and implants, initial encounter
T82.518D Breakdown (mechanical) of other cardiac and vascular devices and implants, subsequent encounter
T82.518S Breakdown (mechanical) of other cardiac and vascular devices and implants, sequela
T82.519A Breakdown (mechanical) of unspecified cardiac and vascular devices and implants, initial encounter
T82.519D Breakdown (mechanical) of unspecified cardiac and vascular devices and implants, subsequent encounter
T82.519S Breakdown (mechanical) of unspecified cardiac and vascular devices and implants, sequela
T82.520A Displacement of surgically created arteriovenous fistula, initial encounter
T82.520D Displacement of surgically created arteriovenous fistula, subsequent encounter
T82.520S Displacement of surgically created arteriovenous fistula, sequela
T82.521A Displacement of surgically created arteriovenous shunt, initial encounter
T82.521D Displacement of surgically created arteriovenous shunt, subsequent encounter
T82.521S Displacement of surgically created arteriovenous shunt, sequela
T82.523A Displacement of balloon (counterpulsation) device, initial encounter
T82.523D Displacement of balloon (counterpulsation) device, subsequent encounter
T82.523S Displacement of balloon (counterpulsation) device, sequela
T82.524A Displacement of infusion catheter, initial encounter
T82.524D Displacement of infusion catheter, subsequent encounter
T82.524S Displacement of infusion catheter, sequela
T82.525A Displacement of umbrella device, initial encounter
T82.525D Displacement of umbrella device, subsequent encounter
T82.525S Displacement of umbrella device, sequela
T82.528A Displacement of other cardiac and vascular devices and implants, initial encounter
T82.528D Displacement of other cardiac and vascular devices and implants, subsequent encounter
T82.528S Displacement of other cardiac and vascular devices and implants, sequela
T82.529A Displacement of unspecified cardiac and vascular devices and implants, initial encounter
T82.529D Displacement of unspecified cardiac and vascular devices and implants, subsequent encounter
T82.529S Displacement of unspecified cardiac and vascular devices and implants, sequela
T82.530A Leakage of surgically created arteriovenous fistula, initial encounter
T82.530D Leakage of surgically created arteriovenous fistula, subsequent encounter
T82.530S Leakage of surgically created arteriovenous fistula, sequela
T82.531A Leakage of surgically created arteriovenous shunt, initial encounter
T82.531D Leakage of surgically created arteriovenous shunt, subsequent encounter
T82.531S Leakage of surgically created arteriovenous shunt, sequela
T82.533A Leakage of balloon (counterpulsation) device, initial encounter
T82.533D Leakage of balloon (counterpulsation) device, subsequent encounter
T82.533S Leakage of balloon (counterpulsation) device, sequela
T82.534A Leakage of infusion catheter, initial encounter
T82.534D Leakage of infusion catheter, subsequent encounter
T82.534S Leakage of infusion catheter, sequela
T82.535A Leakage of umbrella device, initial encounter
T82.535D Leakage of umbrella device, subsequent encounter
T82.535S Leakage of umbrella device, sequela
T82.538A Leakage of other cardiac and vascular devices and implants, initial encounter
T82.538D Leakage of other cardiac and vascular devices and implants, subsequent encounter
T82.538S Leakage of other cardiac and vascular devices and implants, sequela
T82.539A Leakage of unspecified cardiac and vascular devices and implants, initial encounter
T82.539D Leakage of unspecified cardiac and vascular devices and implants, subsequent encounter
T82.539S Leakage of unspecified cardiac and vascular devices and implants, sequela
T82.590A Other mechanical complication of surgically created arteriovenous fistula, initial encounter
T82.590D Other mechanical complication of surgically created arteriovenous fistula, subsequent encounter
T82.590S Other mechanical complication of surgically created arteriovenous fistula, sequela
T82.591A Other mechanical complication of surgically created arteriovenous shunt, initial encounter
T82.591D Other mechanical complication of surgically created arteriovenous shunt, subsequent encounter
T82.591S Other mechanical complication of surgically created arteriovenous shunt, sequela
T82.593A Other mechanical complication of balloon (counterpulsation) device, initial encounter
T82.593D Other mechanical complication of balloon (counterpulsation) device, subsequent encounter
T82.593S Other mechanical complication of balloon (counterpulsation) device, sequela
T82.594A Other mechanical complication of infusion catheter, initial encounter
T82.594D Other mechanical complication of infusion catheter, subsequent encounter
T82.594S Other mechanical complication of infusion catheter, sequela
T82.595A Other mechanical complication of umbrella device, initial encounter
T82.595D Other mechanical complication of umbrella device, subsequent encounter
T82.595S Other mechanical complication of umbrella device, sequela
T82.598A Other mechanical complication of other cardiac and vascular devices and implants, initial encounter
T82.598D Other mechanical complication of other cardiac and vascular devices and implants, subsequent encounter
T82.598S Other mechanical complication of other cardiac and vascular devices and implants, sequela
T82.599A Other mechanical complication of unspecified cardiac and vascular devices and implants, initial encounter
T82.599D Other mechanical complication of unspecified cardiac and vascular devices and implants, subsequent encounter
T82.599S Other mechanical complication of unspecified cardiac and vascular devices and implants, sequela
T82.6XXA Infection and inflammatory reaction due to cardiac valve prosthesis, initial encounter
T82.6XXD Infection and inflammatory reaction due to cardiac valve prosthesis, subsequent encounter
T82.6XXS Infection and inflammatory reaction due to cardiac valve prosthesis, sequela
T82.7XXA Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, initial encounter
T82.7XXD Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter
T82.7XXS Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, sequela
T82.817A Embolism due to cardiac prosthetic devices, implants and grafts, initial encounter
T82.817D Embolism due to cardiac prosthetic devices, implants and grafts, subsequent encounter
T82.817S Embolism due to cardiac prosthetic devices, implants and grafts, sequela
T82.827A Fibrosis due to cardiac prosthetic devices, implants and grafts, initial encounter
T82.827D Fibrosis due to cardiac prosthetic devices, implants and grafts, subsequent encounter
T82.827S Fibrosis due to cardiac prosthetic devices, implants and grafts, sequela
T82.837A Hemorrhage due to cardiac prosthetic devices, implants and grafts, initial encounter
T82.837D Hemorrhage due to cardiac prosthetic devices, implants and grafts, subsequent encounter
T82.837S Hemorrhage due to cardiac prosthetic devices, implants and grafts, sequela
T82.847A Pain due to cardiac prosthetic devices, implants and grafts, initial encounter
T82.847D Pain due to cardiac prosthetic devices, implants and grafts, subsequent encounter
T82.847S Pain due to cardiac prosthetic devices, implants and grafts, sequela
T82.855A - T82.855S Stenosis of coronary artery stent, initial encounter - Stenosis of coronary artery stent, sequela
T82.856A Stenosis of peripheral vascular stent, initial encounter
T82.857A Stenosis of other cardiac prosthetic devices, implants and grafts, initial encounter
T82.857D Stenosis of other cardiac prosthetic devices, implants and grafts, subsequent encounter
T82.857S Stenosis of other cardiac prosthetic devices, implants and grafts, sequela
T82.867A Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter
T82.867D Thrombosis due to cardiac prosthetic devices, implants and grafts, subsequent encounter
T82.867S Thrombosis due to cardiac prosthetic devices, implants and grafts, sequela
T82.897A Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter
T82.897D Other specified complication of cardiac prosthetic devices, implants and grafts, subsequent encounter
T82.897S Other specified complication of cardiac prosthetic devices, implants and grafts, sequela
T82.9XXA Unspecified complication of cardiac and vascular prosthetic device, implant and graft, initial encounter
T82.9XXD Unspecified complication of cardiac and vascular prosthetic device, implant and graft, subsequent encounter
T82.9XXS Unspecified complication of cardiac and vascular prosthetic device, implant and graft, sequela
T84.50XA Infection and inflammatory reaction due to unspecified internal joint prosthesis, initial encounter
T84.50XD Infection and inflammatory reaction due to unspecified internal joint prosthesis, subsequent encounter
T84.50XS Infection and inflammatory reaction due to unspecified internal joint prosthesis, sequela
T84.51XA Infection and inflammatory reaction due to internal right hip prosthesis, initial encounter
T84.51XD Infection and inflammatory reaction due to internal right hip prosthesis, subsequent encounter
T84.51XS Infection and inflammatory reaction due to internal right hip prosthesis, sequela
T84.52XA Infection and inflammatory reaction due to internal left hip prosthesis, initial encounter
T84.52XD Infection and inflammatory reaction due to internal left hip prosthesis, subsequent encounter
T84.52XS Infection and inflammatory reaction due to internal left hip prosthesis, sequela
T84.53XA Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter
T84.53XD Infection and inflammatory reaction due to internal right knee prosthesis, subsequent encounter
T84.53XS Infection and inflammatory reaction due to internal right knee prosthesis, sequela
T84.54XA Infection and inflammatory reaction due to internal left knee prosthesis, initial encounter
T84.54XD Infection and inflammatory reaction due to internal left knee prosthesis, subsequent encounter
T84.54XS Infection and inflammatory reaction due to internal left knee prosthesis, sequela
T84.59XA Infection and inflammatory reaction due to other internal joint prosthesis, initial encounter
T84.59XD Infection and inflammatory reaction due to other internal joint prosthesis, subsequent encounter
T84.59XS Infection and inflammatory reaction due to other internal joint prosthesis, sequela
T85.79XA Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts, initial encounter
T85.79XD Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts, subsequent encounter
Z01.30 Encounter for examination of blood pressure without abnormal findings
Z01.31 Encounter for examination of blood pressure with abnormal findings
Z01.89 Encounter for other specified special examinations
Z48.21 Encounter for aftercare following heart transplant
Z48.24 Encounter for aftercare following lung transplant
Z48.280 Encounter for aftercare following heart-lung transplant
Z52.89 Donor of other specified organs or tissues
Z94.1 Heart transplant status
Z94.2 Lung transplant status
Z94.3 Heart and lungs transplant status
Z95.2 Presence of prosthetic heart valve
Z98.890 Other specified postprocedural states

Group 2

(74 Codes)
Group 2 Paragraph

The following diagnoses are covered for CPT codes 93315, 93316, 93317 and C8926. (When reporting add-on CPT codes 93319, 93320, 93321 and 93325, the same ICD-10-CM code should be used as that used for the base code to which it is attached):

Group 2 Codes
Code Description
Q20.0 Common arterial trunk
Q20.1 Double outlet right ventricle
Q20.2 Double outlet left ventricle
Q20.3 Discordant ventriculoarterial connection
Q20.4 Double inlet ventricle
Q20.5 Discordant atrioventricular connection
Q20.8 Other congenital malformations of cardiac chambers and connections
Q21.0 Ventricular septal defect
Q21.10 Atrial septal defect, unspecified
Q21.11 Secundum atrial septal defect
Q21.12 Patent foramen ovale
Q21.13 Coronary sinus atrial septal defect
Q21.14 Superior sinus venosus atrial septal defect
Q21.15 Inferior sinus venosus atrial septal defect
Q21.16 Sinus venosus atrial septal defect, unspecified
Q21.19 Other specified atrial septal defect
Q21.20 Atrioventricular septal defect, unspecified as to partial or complete
Q21.21 Partial atrioventricular septal defect
Q21.22 Transitional atrioventricular septal defect
Q21.23 Complete atrioventricular septal defect
Q21.3 Tetralogy of Fallot
Q22.0 Pulmonary valve atresia
Q22.1 Congenital pulmonary valve stenosis
Q22.2 Congenital pulmonary valve insufficiency
Q22.3 Other congenital malformations of pulmonary valve
Q22.4 Congenital tricuspid stenosis
Q22.5 Ebstein's anomaly
Q22.6 Hypoplastic right heart syndrome
Q22.8 Other congenital malformations of tricuspid valve
Q22.9 Congenital malformation of tricuspid valve, unspecified
Q23.0 Congenital stenosis of aortic valve
Q23.1 Congenital insufficiency of aortic valve
Q23.2 Congenital mitral stenosis
Q23.3 Congenital mitral insufficiency
Q23.4 Hypoplastic left heart syndrome
Q24.2 Cor triatriatum
Q24.3 Pulmonary infundibular stenosis
Q24.4 Congenital subaortic stenosis
Q24.5 Malformation of coronary vessels
Q24.8 Other specified congenital malformations of heart
Q25.0 Patent ductus arteriosus
Q25.1 Coarctation of aorta
Q25.21 Interruption of aortic arch
Q25.29 Other atresia of aorta
Q25.3 Supravalvular aortic stenosis
Q25.40 - Q25.49 Congenital malformation of aorta unspecified - Other congenital malformations of aorta
Q25.5 Atresia of pulmonary artery
Q25.6 Stenosis of pulmonary artery
Q25.71 Coarctation of pulmonary artery
Q25.72 Congenital pulmonary arteriovenous malformation
Q25.79 Other congenital malformations of pulmonary artery
Q25.8 Other congenital malformations of other great arteries
Q25.9 Congenital malformation of great arteries, unspecified
Q26.0 Congenital stenosis of vena cava
Q26.1 Persistent left superior vena cava
Q26.2 Total anomalous pulmonary venous connection
Q26.3 Partial anomalous pulmonary venous connection
Q26.4 Anomalous pulmonary venous connection, unspecified
Q26.8 Other congenital malformations of great veins
Q26.9 Congenital malformation of great vein, unspecified
Q87.40 Marfan syndrome, unspecified
Q87.410 Marfan syndrome with aortic dilation
Q87.418 Marfan syndrome with other cardiovascular manifestations
Q87.42 Marfan syndrome with ocular manifestations
Q87.43 Marfan syndrome with skeletal manifestation

Group 3

(115 Codes)
Group 3 Paragraph

The following diagnoses are covered for CPT codes 76376 and 76377 when performed for 3-D imaging with CPT codes 93312, 93314, C8925, 93315, 93317 or C8926:

Group 3 Codes
Code Description
I05.0 Rheumatic mitral stenosis
I05.1 Rheumatic mitral insufficiency
I05.2 Rheumatic mitral stenosis with insufficiency
I05.8 Other rheumatic mitral valve diseases
I05.9 Rheumatic mitral valve disease, unspecified
I08.0 Rheumatic disorders of both mitral and aortic valves
I08.1 Rheumatic disorders of both mitral and tricuspid valves
I08.3 Combined rheumatic disorders of mitral, aortic and tricuspid valves
I08.8 Other rheumatic multiple valve diseases
I08.9 Rheumatic multiple valve disease, unspecified
I23.1 Atrial septal defect as current complication following acute myocardial infarction
I23.2 Ventricular septal defect as current complication following acute myocardial infarction
I23.4 Rupture of chordae tendineae as current complication following acute myocardial infarction
I23.5 Rupture of papillary muscle as current complication following acute myocardial infarction
I33.0 Acute and subacute infective endocarditis
I34.0 Nonrheumatic mitral (valve) insufficiency
I34.1 Nonrheumatic mitral (valve) prolapse
I34.81 Nonrheumatic mitral (valve) annulus calcification
I34.89 Other nonrheumatic mitral valve disorders
I34.9 Nonrheumatic mitral valve disorder, unspecified
I36.1 Nonrheumatic tricuspid (valve) insufficiency
I36.2 Nonrheumatic tricuspid (valve) stenosis with insufficiency
I36.8 Other nonrheumatic tricuspid valve disorders
I36.9 Nonrheumatic tricuspid valve disorder, unspecified
I39 Endocarditis and heart valve disorders in diseases classified elsewhere
I48.0 Paroxysmal atrial fibrillation
I48.11 Longstanding persistent atrial fibrillation
I48.19 Other persistent atrial fibrillation
I48.20 Chronic atrial fibrillation, unspecified
I48.21 Permanent atrial fibrillation
I48.3 Typical atrial flutter
I48.4 Atypical atrial flutter
I48.91 Unspecified atrial fibrillation
I48.92 Unspecified atrial flutter
I51.0 Cardiac septal defect, acquired
I51.1 Rupture of chordae tendineae, not elsewhere classified
I51.2 Rupture of papillary muscle, not elsewhere classified
I97.0 Postcardiotomy syndrome
I97.110 Postprocedural cardiac insufficiency following cardiac surgery
I97.111 Postprocedural cardiac insufficiency following other surgery
I97.120 Postprocedural cardiac arrest following cardiac surgery
I97.121 Postprocedural cardiac arrest following other surgery
I97.130 Postprocedural heart failure following cardiac surgery
I97.131 Postprocedural heart failure following other surgery
I97.190 Other postprocedural cardiac functional disturbances following cardiac surgery
I97.191 Other postprocedural cardiac functional disturbances following other surgery
Q21.10 Atrial septal defect, unspecified
Q21.11 Secundum atrial septal defect
Q21.12 Patent foramen ovale
Q21.13 Coronary sinus atrial septal defect
Q21.14 Superior sinus venosus atrial septal defect
Q21.15 Inferior sinus venosus atrial septal defect
Q21.16 Sinus venosus atrial septal defect, unspecified
Q21.19 Other specified atrial septal defect
Q21.20 Atrioventricular septal defect, unspecified as to partial or complete
Q21.21 Partial atrioventricular septal defect
Q21.22 Transitional atrioventricular septal defect
Q21.23 Complete atrioventricular septal defect
Q23.2 Congenital mitral stenosis
Q23.3 Congenital mitral insufficiency
Q23.4 Hypoplastic left heart syndrome
T82.01XA Breakdown (mechanical) of heart valve prosthesis, initial encounter
T82.01XD Breakdown (mechanical) of heart valve prosthesis, subsequent encounter
T82.01XS Breakdown (mechanical) of heart valve prosthesis, sequela
T82.02XA Displacement of heart valve prosthesis, initial encounter
T82.02XD Displacement of heart valve prosthesis, subsequent encounter
T82.02XS Displacement of heart valve prosthesis, sequela
T82.03XA Leakage of heart valve prosthesis, initial encounter
T82.03XD Leakage of heart valve prosthesis, subsequent encounter
T82.03XS Leakage of heart valve prosthesis, sequela
T82.09XA Other mechanical complication of heart valve prosthesis, initial encounter
T82.09XD Other mechanical complication of heart valve prosthesis, subsequent encounter
T82.09XS Other mechanical complication of heart valve prosthesis, sequela
T82.519A Breakdown (mechanical) of unspecified cardiac and vascular devices and implants, initial encounter
T82.519D Breakdown (mechanical) of unspecified cardiac and vascular devices and implants, subsequent encounter
T82.519S Breakdown (mechanical) of unspecified cardiac and vascular devices and implants, sequela
T82.529A Displacement of unspecified cardiac and vascular devices and implants, initial encounter
T82.529D Displacement of unspecified cardiac and vascular devices and implants, subsequent encounter
T82.529S Displacement of unspecified cardiac and vascular devices and implants, sequela
T82.539A Leakage of unspecified cardiac and vascular devices and implants, initial encounter
T82.539D Leakage of unspecified cardiac and vascular devices and implants, subsequent encounter
T82.539S Leakage of unspecified cardiac and vascular devices and implants, sequela
T82.599A Other mechanical complication of unspecified cardiac and vascular devices and implants, initial encounter
T82.599D Other mechanical complication of unspecified cardiac and vascular devices and implants, subsequent encounter
T82.599S Other mechanical complication of unspecified cardiac and vascular devices and implants, sequela
T82.6XXA Infection and inflammatory reaction due to cardiac valve prosthesis, initial encounter
T82.6XXD Infection and inflammatory reaction due to cardiac valve prosthesis, subsequent encounter
T82.6XXS Infection and inflammatory reaction due to cardiac valve prosthesis, sequela
T82.7XXA Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, initial encounter
T82.7XXD Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter
T82.7XXS Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, sequela
T82.817A Embolism due to cardiac prosthetic devices, implants and grafts, initial encounter
T82.817D Embolism due to cardiac prosthetic devices, implants and grafts, subsequent encounter
T82.817S Embolism due to cardiac prosthetic devices, implants and grafts, sequela
T82.827A Fibrosis due to cardiac prosthetic devices, implants and grafts, initial encounter
T82.827D Fibrosis due to cardiac prosthetic devices, implants and grafts, subsequent encounter
T82.827S Fibrosis due to cardiac prosthetic devices, implants and grafts, sequela
T82.837A Hemorrhage due to cardiac prosthetic devices, implants and grafts, initial encounter
T82.837D Hemorrhage due to cardiac prosthetic devices, implants and grafts, subsequent encounter
T82.837S Hemorrhage due to cardiac prosthetic devices, implants and grafts, sequela
T82.847A Pain due to cardiac prosthetic devices, implants and grafts, initial encounter
T82.847D Pain due to cardiac prosthetic devices, implants and grafts, subsequent encounter
T82.847S Pain due to cardiac prosthetic devices, implants and grafts, sequela
T82.857A Stenosis of other cardiac prosthetic devices, implants and grafts, initial encounter
T82.857D Stenosis of other cardiac prosthetic devices, implants and grafts, subsequent encounter
T82.857S Stenosis of other cardiac prosthetic devices, implants and grafts, sequela
T82.867A Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter
T82.867D Thrombosis due to cardiac prosthetic devices, implants and grafts, subsequent encounter
T82.867S Thrombosis due to cardiac prosthetic devices, implants and grafts, sequela
T82.897A Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter
T82.897D Other specified complication of cardiac prosthetic devices, implants and grafts, subsequent encounter
T82.897S Other specified complication of cardiac prosthetic devices, implants and grafts, sequela
T82.9XXA Unspecified complication of cardiac and vascular prosthetic device, implant and graft, initial encounter
T82.9XXD Unspecified complication of cardiac and vascular prosthetic device, implant and graft, subsequent encounter
T82.9XXS Unspecified complication of cardiac and vascular prosthetic device, implant and graft, sequela
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ICD-10-CM Codes that DO NOT Support Medical Necessity

Group 1

Group 1 Paragraph

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Group 1 Codes

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ICD-10-PCS Codes

Group 1

Group 1 Paragraph

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Group 1 Codes

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Additional ICD-10 Information

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Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type. Complete absence of all Bill Types indicates that coverage is not influenced by Bill Type and the article should be assumed to apply equally to all claims.

Code Description
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Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination. Complete absence of all Revenue Codes indicates that coverage is not influenced by Revenue Code and the article should be assumed to apply equally to all Revenue Codes.

Code Description
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Other Coding Information

Group 1

Group 1 Paragraph

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Group 1 Codes

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Coding Table Information

Excluded CPT/HCPCS Codes - Table Format
Code Descriptor Generic Name Descriptor Brand Name Exclusion Effective Date Exclusion End Date Reason for Exclusion
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Non-Excluded CPT/HCPCS Ended Codes - Table Format
Code Descriptor Generic Name Descriptor Brand Name Exclusion Effective Date Exclusion End Date Reason for Exclusion
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Revision History Information

Revision History Date Revision History Number Revision History Explanation
10/01/2023 R10

Due to the annual ICD-10 updates for 2024, the following coding has been revised:

ICD-10 code A41.54 has been added to group one.

For the following ICD-10 codes, descriptions were changed in the in the Covered ICD-10 Codes field:
I71.51 descriptor was changed in Group 1
I71.52 descriptor was changed in Group 1
I71.61 descriptor was changed in Group 1
I71.62 descriptor was changed in Group 1
Q87.40 descriptor was changed in Group 2
Q87.410 descriptor was changed in Group 2
Q87.418 descriptor was changed in Group 2
Q87.42 descriptor was changed in Group 2
Q87.43 descriptor was changed in Group 2

10/01/2022 R9

Due to the annual ICD-10 updates for 2023, these coding changes have been made:

For group 1, ICD-10 code I34.8 is deleted and replaced by I34.81 and I34.89; ICD-10 code I71.01 is deleted and replaced by I71.010, I71.011, I71.012, and I71.019; ICD-10 code I71.1 is deleted and replaced by I71.10, I71.11, I71.12, and I71.13; ICD-10 code I71.2 is deleted and replaced by I71.20, I71.21, I71.22 and I71.23; ICD-10 code I71.5 is deleted and replaced by I71.50, I71. 51, and I71.52; ICD-10 code I71.6 is deleted and replaced by I71.60, I71.61, and I71.62; ICD-10 code Q21.1 is deleted and replaced by Q21.10, Q21.11, Q21.12, Q21.13, Q21.14, Q21.15, Q21.16 and Q21.19.

For groups 2 and 3, ICD-10 code Q21.1 is deleted and replaced by Q21.10, Q21.11, Q21.12, Q21.13, Q21.14, Q21.15, Q21.16 and Q21.19; ICD-10 code Q21.2 is deleted and replaced by Q21.20, Q21.21, Q21.22 and Q21.23.

For group 3, ICD-10 code I34.8 is deleted and replaced by I34.81 and I34.89.

01/01/2022 R8

Due to the 2022 annual CPT updates, CPT code 93319 has been added to the list of codes, guidelines, and to groups 1 and 2 ICD-10 covered diagnoses.

10/01/2019 R7

Article revised for annual ICD-10 updates for 2020. ICD-10 codes I48.11, I48.19, I48.20, and I48.21 have replaced deleted codes I48.1 and I48.2 in Groups 1 and 3.

The article was converted to the new Billing and Coding Article type.

Bill types and Revenue codes have been removed from this article. Guidance on these codes is available in the Bill type and Revenue code sections.

08/01/2019 R6

For the August 1, 2019 revision, ICD-10 code Z98.890 was omitted from Group 1 and ICD-10 code Q87.43 was omitted from Group 2.  These have been reinstated.

08/01/2019 R5

The title of the article has been revised to add “Billing and Coding”. The article has been revised to add ICD-10-CM coding sections, Documentation Requirements and Utilization Guidelines.

08/01/2018 R4

 

Statement below revised to add new wording:

 

CPT codes 93312-93318 include conscious sedation. Therefore sedation should not be billed separately and if it is, will be bundled into the primary procedure code.

 

12/01/2017 R3

Article revised to include OPPS codes C8925 and C8926 in the guideline for base codes with which CPT codes 76376 and 76377 (3D echocardiography) can be billed.

01/01/2016 R2 This statement was removed from diagnosis coding guidelines, as it was removed from the Transesophageal Echocardiography LCD (L33579) in February 2015.
“The list of ICD-10-CM codes for this secondary diagnosis will be found in the LCD for Transthoracic Echocardiography, L33577, under the list of payable ICD-10-CM codes for CPT codes 93303 and 93304, and the list of payable ICD-10-CM codes for CPT codes 93306, 93307 and 93308.”
Minor template changes made.
10/01/2015 R1 Place of service guidelines under Part B have been removed from this article.
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Associated Documents

Medicare BPM Ch 15.50.2 SAD Determinations
Medicare BPM Ch 15.50.2
Related Local Coverage Documents
LCDs
L33579 - Transesophageal Echocardiography (TEE)
Related National Coverage Documents
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SAD Process URL 1
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SAD Process URL 2
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Statutory Requirements URLs
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Rules and Regulations URLs
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CMS Manual Explanations URLs
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Other URLs
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Public Versions
Updated On Effective Dates Status
11/20/2023 10/01/2023 - N/A Currently in Effect View
09/21/2023 10/01/2023 - N/A Superseded You are here
09/15/2022 10/01/2022 - 09/30/2023 Superseded View
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Keywords

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