Morbidity Audit and Logbook Tool ADJUVANT OPERATIONS/PROCEDURES AORTIC SURGERY. SNOMED Board Reporting Terms for SET and IMG Cardiothoracic Surgery

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1 SNOMED s for SET and IMG Cardiothoracic Surgery ADJUVANT OPERATIONS/PROCEDURES Axillary artery cannula insertion Cannulation for cardiopulmonary bypass Values Femoral artery cannula insertion Insertion of intra-aortic balloon counterpulsation Pulmonary catheterisation with Swan-Ganz catheter Insertion of intraaortic balloon counterpulsation device through femoral artery Insertion of intra-aortic balloon pump using fluoroscopic guidance Transluminal insertion of aortic balloon pump Central/Peripheral Central Peripheral Re-open for control of haemorrhage AORTIC SURGERY Aneurysmectomy of ascending aorta Aneurysmectomy of aorta with anastomosis Excision of aneurysm of sinus of Values Page 1 of 44

2 SNOMED s for SET and IMG Cardiothoracic Surgery AORTIC SURGERY Aneurysmectomy of descending aorta Valsalva Aneurysmectomy of descending aorta with anastomosis Aneurysmectomy with graft replacement of abdominal aorta Aortic valve replacement and replacement of ascending aorta Repair of coarctation of aorta Percutaneous transluminal balloon angioplasty of coarctation of aorta with insertion of stent Values Repair of descending thoracic aorta Type Interposition graft Endovascular stent Left heart bypass Left heart shunt Repair of proximal thoracic aorta dissection Repair of thoracoabdominal aortic aneurysm Open repair of thoracoabdominal aortic aneurysm A/B Type A Type B Replacement of aortic arch Replacement of aortic root with reimplantation of coronary arteries Valve Replacement Sparing Page 2 of 44

3 SNOMED s for SET and IMG Cardiothoracic Surgery AORTIC VALVE SURGERY Repair of aortic valve Annuloplasty of aortic valve Aortic valve cusp resection and repair with circumferential annuloplasty Aortic valve resuspension and replacement of ascending aorta Aortoventriculoplasty Aortoventriculoplasty with pulmonary valve autograft Bicuspidisation of aortic valve Composite aortic root operation Construction of left ventricle to aorta tunnel with right ventricle to pulmonary artery valved conduit Creation of conduit between right ventricle and pulmonary artery Creation of conduit of right ventricle and pulmonary artery in repair of pulmonary artery atresia Creation of conduit of right ventricle and pulmonary artery in repair of transposition of great Values Page 3 of 44

4 SNOMED s for SET and IMG Cardiothoracic Surgery AORTIC VALVE SURGERY vessels Formation of conduit of right ventricle and pulmonary artery in repair of pulmonary artery atresia in truncus arteriosus Homograft aortic valve replacement Konno aortoventriculoplasty Ligation of sinus of Valsalva fistula Non-Konno aortoventriculoplasty Open heart valvuloplasty of aortic valve without replacement Patch enlargement of aortic valve annulus Patching of sinus of Valsalva fistula Percutaneous balloon valvuloplasty of aortic valve Plastic repair of aortic valve Plication of aortic valve cusp Rastelli creation of conduit between right ventricle and pulmonary artery Rastelli operation in repair of Values Page 4 of 44

5 SNOMED s for SET and IMG Cardiothoracic Surgery AORTIC VALVE SURGERY transposition of great vessels Repair of aneurysm of sinus of Valsalva Repair of aortic root Repair of aortic valve cusp Repair of aortic valve using fluoroscopic guidance Repair of aortic valve with tissue graft Repair of aortic valve without replacement Repair of double outlet right ventricle with anastomosis of left ventricle to aorta via ventricular septal defect and right ventricle to pulmonary trunk conduit Repair of fistula of sinus of Valsalva Repair of sinus of Valsalva fistula with cardiopulmonary bypass Repair of supravalvar aorta using patch Replacement of aortic root using pulmonary valve autograft with right ventricle to pulmonary Values Page 5 of 44

6 SNOMED s for SET and IMG Cardiothoracic Surgery AORTIC VALVE SURGERY artery valved conduit Resection of aortic valve cusp Resection of subvalvular tissue for discrete subvalvular aortic stenosis Suturing of sinus of Valsalva fistula Replacement of aortic valve Aortic valve replacement and aortoplasty Aortic valve replacement and patch aortoplasty Aortic valve replacement and plication of ascending aorta Autograft aortic valve replacement Ball valve aortic valve replacement Bileaflet aortic valve replacement Disc valve aortic valve replacement Mechanical prosthetic aortic valve replacement Porcine aortic valve replacement Replacement of aortic valve with tissue graft Values Type Mechanical prosthetic Xenograft Stentless Homograft Page 6 of 44

7 SNOMED s for SET and IMG Cardiothoracic Surgery AORTIC VALVE SURGERY Transcatheter aortic valve implantation Replacement of implanted aortic valve Single leaflet aortic valve replacement Xenograft aortic valve replacement Values Type of Access Transfemoral Transapical Transaortic Other CARDIAC OPERATIONS - BYPASS Arterial cannula insertion Arterial cannulisation with cardiac output Brachial artery cannula insertion Cannulation of arterial graft Dorsalis pedis artery cannula insertion Hepatic artery cannula insertion Lower limb artery cannula insertion Open cannulation of artery Posterior tibial artery cannula Values Page 7 of 44

8 SNOMED s for SET and IMG Cardiothoracic Surgery CARDIAC OPERATIONS - BYPASS insertion Radial artery cannula insertion Subclavian artery cannula insertion Temporal artery cannula insertion Ulnar artery cannula insertion Upper limb artery cannula insertion Insertion of coronary sinus cannula Intravenous cannulation Percutaneous transluminal cannulation of vein Peripheral venous cannula insertion Peripheral venous cannula insertion - antecubital fossa Peripheral venous cannula insertion - dorsum of foot Peripheral venous cannula insertion - dorsum of hand Peripheral venous cannula insertion - forearm Peripheral venous cannula insertion - saphenous vein Peripheral venous cannula insertion - scalp Values Page 8 of 44

9 SNOMED s for SET and IMG Cardiothoracic Surgery CARDIAC OPERATIONS - COMPONENT PROCEDURES Aortocoronary artery bypass graft Aortocoronary artery bypass graft with prosthesis Aortocoronary artery bypass graft with saphenous vein graft Aortocoronary artery bypass graft with three vein grafts Aortocoronary artery bypass graft with two vein grafts Aortocoronary artery bypass graft with vein graft Aortocoronary bypass of four or more coronary arteries Aortocoronary bypass of one coronary artery Aortocoronary bypass of three coronary arteries Aortocoronary bypass of two coronary arteries Saphenous vein graft replacement of four or more coronary arteries Saphenous vein graft replacement of one coronary artery Saphenous vein graft replacement of three coronary arteries Saphenous vein graft replacement of Component Values Aorto-coronary anastomosis Page 9 of 44

10 SNOMED s for SET and IMG Cardiothoracic Surgery CARDIAC OPERATIONS - COMPONENT PROCEDURES Coronary artery bypass graft Harvesting of internal thoracic artery Harvesting of long saphenous vein Harvesting of radial artery Harvesting of short saphenous vein Non-aortic proximal anastomosis two coronary arteries Double anastomosis of mammary arteries to coronary arteries Further Information Values Distal coronary anastomosis - Off Pump Distal coronary anastomosis - On Pump Distal coronary anastomosis - On pump beating Page 10 of 44

11 SNOMED s for SET and IMG Cardiothoracic Surgery CARDIAC OPERATIONS - COMPONENT PROCEDURES (Coronary artery bypass graft) Coronary artery bypass graft Reporting Term Allograft bypass of coronary artery Allograft replacement of four or more coronary arteries Allograft replacement of one coronary artery Allograft replacement of three coronary arteries Allograft replacement of two coronary arteries Anastomosis of internal mammary artery to coronary artery, double vessel Anastomosis of thoracic artery to coronary artery, double Anastomosis of thoracic artery to coronary artery, single Connection of mammary artery to coronary artery Coronary artery bypass graft x 1 Coronary artery bypass grafts x 2 Coronary artery bypass grafts x 3 Coronary artery bypass grafts x 4 Coronary artery bypass grafts x 5 Coronary artery bypass grafts greater than 5 Values Distal coronary anastomosis - Off Pump Distal coronary anastomosis - On Pump Distal coronary anastomosis - On pump beating Page 11 of 44

12 SNOMED s for SET and IMG Cardiothoracic Surgery CARDIAC OPERATIONS - COMPONENT PROCEDURES (Coronary artery bypass graft) Reporting Term Coronary artery bypass graft, anastomosis of artery of thorax to coronary artery Coronary artery bypass with autogenous graft of internal mammary artery, single graft Coronary artery bypass with autogenous graft, five grafts Coronary artery bypass with autogenous graft, four grafts Coronary artery bypass with autogenous graft, three grafts Coronary artery bypass with autogenous graft, two grafts Double implantation of mammary arteries into coronary arteries Emergency CABG Internal mammary-coronary artery bypass graft Prosthetic bypass of coronary artery Prosthetic replacement of four or more coronary arteries Prosthetic replacement of one coronary artery Prosthetic replacement of three Values Page 12 of 44

13 SNOMED s for SET and IMG Cardiothoracic Surgery CARDIAC OPERATIONS - COMPONENT PROCEDURES (Coronary artery bypass graft) LITA sequential anastomosis LITA single anastomosis RITA sequential anastomosis RITA single anastomosis Reporting Term coronary arteries Prosthetic replacement of two coronary arteries Robot assisted coronary artery bypass Single anastomosis of mammary artery to left anterior descending coronary artery Single implantation of mammary artery into coronary artery Single internal mammary-coronary artery bypass Values CARDIAC OPERATIONS - COMPONENT PROCEDURES (Sternum) Median sternotomy Plating of sternum Reopening of sternotomy surgical site Wiring of sternum Values Page 13 of 44

14 SNOMED s for SET and IMG Cardiothoracic Surgery CARDIAC OPERATIONS - SOFT TISSUE CLOSURE Soft tissue closure Values CONGENITAL CARDIAC Correction of congenital deformity of heart Closure of coronary sinus atrial septal defect Correction of tetralogy of Fallot, onestage Patching of coronary sinus atrial septal defect Type Values with cardiopulmonary bypass with circulatory arrest without cardiopulmonary bypass GENERAL THORACIC - MAJOR OPERATIONS Chest wall closure Chest wall excision Previous chest wall incision - resuture Suture of laceration of chest wall Costotransversectomy Excision of first AND cervical rib Excision of first rib Excision of lesion of chest wall Excision of neoplasm of chest wall including rib Values Page 14 of 44

15 SNOMED s for SET and IMG Cardiothoracic Surgery GENERAL THORACIC - MAJOR OPERATIONS Decortication of lung Excision of lung sequestration Excision of rib Excision of rib and open drainage of pleural cavity Excision of rib by cervical approach Excision of rib margin Partial excision of chest wall Partial excision of rib Resection of rib by transaxillary approach Resection of sternum Thoracectomy Thoracoplasty procedure Removal of plomb with decortication Thoracoscopy with total pulmonary decortication and intrapleural pneumonolysis Values Excision of mediastinal tumour Excision of intracardiac tumour with cardiopulmonary bypass Excision of pericardial tumour Resection of external cardiac tumour Resection of neoplasm of heart Thoracoscopic excision of neoplasm of pericardium Page 15 of 44

16 SNOMED s for SET and IMG Cardiothoracic Surgery GENERAL THORACIC - MAJOR OPERATIONS Excision of thymus Excision of tissue of mediastinum Limited thoracotomy and biopsy of lung Excision of lesion of thymus Mediastinoscopic thymectomy Partial thymectomy Total thymectomy Transcervical thymectomy Transsternal thymectomy Values Lung volume reduction surgery Bronchoscopic lung volume reduction Mediastinoscopy with biopsy Oesophagectomy Bancroft partial gastrectomy and oesophagogastrostomy Diverticulectomy of oesophagus Diverticulectomy of oesophagus by cervical approach Diverticulectomy of oesophagus by thoracic approach Diverticulectomy of oesophagus with myotomy Endoscopic excision of lesion of Page 16 of 44

17 SNOMED s for SET and IMG Cardiothoracic Surgery GENERAL THORACIC - MAJOR OPERATIONS oesophagus Endoscopic excision of tissue of oesophagus Endoscopy of upper gastrointestinal tract and excision of mucosa of oesophagus Endoscopy of upper gastrointestinal tract and excision of polyp of oesophagus Excision of oesophageal lesion Excisional biopsy of lesion of oesophagus Fibreoptic endoscopic submucosal resection of lesion of oesophagus Incisional biopsy of oesophagus Ivor Lewis partial oesophagogastrectomy Ivor Lewis subtotal oesophagectomy Laryngooesophagectomy Laryngopharyngooesophagectomy with radical neck dissection and synchronous thyroidectomy McKeown oesophagectomy Oesophageal polypectomy Oesophagectomy and colonic Values Page 17 of 44

18 SNOMED s for SET and IMG Cardiothoracic Surgery GENERAL THORACIC - MAJOR OPERATIONS interposition Oesophagectomy and interposition reconstruction Oesophagectomy and jejunal interposition Oesophagogastrectomy Oesophagogastrectomy and anastomosis of oesophagus to transposed jejunum Open excisional biopsy of oesophagus Partial excision of oesophagus and anastomosis of oesophagus to jejunum Partial excision of oesophagus and interposition of colon Partial oesophagectomy and anastomosis of oesophagus to transposed jejunum Partial oesophagectomy and end-toend anastomosis of oesophagus Partial oesophagectomy and interposition of microvascularly attached colon Partial oesophagectomy and interposition of microvascularly Values Page 18 of 44

19 SNOMED s for SET and IMG Cardiothoracic Surgery GENERAL THORACIC - MAJOR OPERATIONS attached jejunum Partial oesophagectomy and proximal gastrectomy Partial oesophagectomy and total gastrectomy Partial oesophagectomy with subaortic reconstruction Partial oesophagectomy with supraaortic reconstruction Partial segmental oesophagectomy Pharyngolaryngo-oesophagectomy Pharyngolaryngo-oesophagectomy and radical neck dissection Snare resection of oesophageal lesion Subtotal resection of oesophagus Total oesophagectomy Total oesophagectomy and interposition of microvascularly attached colon Total oesophagectomy and interposition of microvascularly attached jejunum Total oesophagectomy with gastropharyngostomy Trans-hiatal oesophagectomy Values Page 19 of 44

20 SNOMED s for SET and IMG Cardiothoracic Surgery GENERAL THORACIC - MAJOR OPERATIONS Open pleurodesis Operation on oesophagus Pleurectomy Video assisted thoracoscopic excision of oesophagus Video assisted thoracoscopic excision of oesophagus by abdominal approach Wide excision of malignant lesion of cervical oesophagus Wooky operation, excision of oesophagus with radical neck dissection Decortication of lung and parietal pleurectomy Excision of pleural lesion Open excision of pleural lesion Open pleurectomy Parietal pleurectomy Partial pleurectomy Pleuropneumonectomy Total decortication of lung Values Page 20 of 44

21 SNOMED s for SET and IMG Cardiothoracic Surgery GENERAL THORACIC - MAJOR OPERATIONS (Lobectomy) Lobectomy of lung Lobectomy of lung with excision of part of adjacent lobe Lobectomy with bronchoplastic procedure Segmental lobectomy Bilobectomy of lung Empyemectomy with lobectomy Excision of segment of left lower lobe Excision of segment of left upper lobe Excision of segment of lung Excision of segment of right lower lobe Excision of segment of right middle lobe Excision of segment of right upper lobe Lingulectomy of lung Partial lobectomy of lung Segmental lobectomy with concomitant decortication Total lobectomy of lung Total lobectomy of lung with concomitant decortication Total lobectomy with bronchoplasty Segmental lobectomy with bronchoplasty Values Page 21 of 44

22 SNOMED s for SET and IMG Cardiothoracic Surgery GENERAL THORACIC - MAJOR OPERATIONS (Resection) Total pneumonectomy Wedge excision of lung Complete excision of lung with mediastinal dissection Completion pneumonectomy Donor cardiectomy-pneumonectomy with preparation and maintenance of homograft Extrapericardial pneumonectomy Extrapleural pneumonectomy Extrapleural pneumonectomy with empyemectomy Intrapericardial pneumonectomy Pneumonectomy with tracheobronchoplasty Removal of lung from donor Multiple wedge excisions of lung Single wedge excision of lung Values GENERAL THORACIC - MAJOR OPERATIONS (Transplant) Double lung transplant Single lung transplant Transplant of heart and lung Values Page 22 of 44

23 SNOMED s for SET and IMG Cardiothoracic Surgery GENERAL THORACIC SOFT TISSUE CLOSURE Soft tissue closure Values MITRAL VALVE SURGERY Repair of mitral valve Annuloplasty of mitral valve Atriocommissuropexy of mitral valve Bicuspidisation of mitral valve Closure of mitral valve Closure of true mitral cleft Decalcification of implanted mitral valve Decalcification of mitral valve Excision of supramitral valve ring Hinging of mitral valve Lengthening operation on mitral papillary muscle Mitral annuloplasty using ring Mitral annulus enlargement Mitral valvuloplasty Open heart valvuloplasty of mitral valve without replacement Patch closure of endocardial cushion defect with repair of mitral cleft Technique Values Mini-mitral Video assisted - Bi leaflet Mini-mitral Video assisted - Anterior leaflet Mini-mitral Video assisted - Posterior leaflet Robotic - Bi leaflet Robotic - Anterior leaflet Robotic - Posterior leaflet Sternotomy - Bi leaflet Sternotomy - Anterior leaflet Sternotomy - Posterior leaflet Page 23 of 44

24 SNOMED s for SET and IMG Cardiothoracic Surgery MITRAL VALVE SURGERY Replacement of mitral valve Patching of defect of mitral leaflet Patching of mitral valve Plastic repair of mitral valve Plication annuloplasty of mitral valve Repair of defect of mitral leaflet Repair of mitral valve using fluoroscopic guidance Repair of mitral valve with prosthesis Repair of mitral valve with tissue graft Repair of mitral valve without replacement Repair of rupture of mitral chordae tendinae Shortening operation on mitral papillary muscle Shortening plasty to mitral chordae tendinae Suturing of defect of mitral leaflet Suturing of mitral valve Ball valve mitral valve replacement Bileaflet mitral valve replacement Bjork-Shiley prosthetic replacement of mitral valve Disc valve mitral valve replacement Homograft mitral valve replacement Values Technique Mini-mitral Video assisted - Mechanical Mini-mitral Video assisted - Xenograft Robotic - Mechanical Robotic Xenograft Page 24 of 44

25 SNOMED s for SET and IMG Cardiothoracic Surgery MITRAL VALVE SURGERY Mechanical prosthetic mitral valve replacement Porcine mitral valve replacement Replacement of implanted mitral valve Replacement of mitral valve with tissue graft Single leaflet mitral valve replacement Xenograft mitral valve replacement Values Sternotomy - Mechanical Sternotomy - Xenograft OTHER MAJOR CARDIAC OPERATIONS Closure of ventricular septal defect Closure of defect of interventricular septum using intraoperative transluminal prosthesis Closure of defect of interventricular septum using pericardial patch Closure of multiple ventricular septal defects Closure of ventricular septal defect by direct suture Closure of ventricular septal defect using fluoroscopic guidance Values Page 25 of 44

26 SNOMED s for SET and IMG Cardiothoracic Surgery OTHER MAJOR CARDIAC OPERATIONS Closure of ventricular septal defect with infundibular resection and patch Closure of ventricular septal defect with patch Closure of ventricular septal defect with pulmonary valvotomy and patch Primary closure of defect of interventricular septum Repair of pulmonary atresia with ventricular septal defect Repair of ventricular septal defect in total repair of tetralogy of Fallot Repair of ventricular septal defect with prosthesis Repair of ventricular septal defect with prosthesis in total repair of tetralogy of Fallot Repair of ventricular septum in total repair of total anomalous pulmonary venous connection Transluminal closure of ventricular septal defect using prosthesis Transmyocardial closure of ventricular septal defect using catheter with implant Values Page 26 of 44

27 SNOMED s for SET and IMG Cardiothoracic Surgery OTHER MAJOR CARDIAC OPERATIONS Drainage of pericardium Implantation of ventricular assist device Oesophagectomy Pericardial window operation Pericardiectomy Transmyocardial closure of ventricular septal defect using catheter with implant and cardiopulmonary bypass Pericardial shunt operation Pericardioperitoneal shunt operation Pericardiopleural shunt operation Pericardiotomy and drainage of effusion Transluminal drainage of pericardium US scan of pericardium and drainage Implantation of biventricular assist device Implantation of heart auxiliary ventricle Implantation of left ventricular assist device Implantation of right ventricular assist device Open implantation of ventricular assist device Temporary implantation of left ventricular assist device Tube pericardiostomy Epicardiectomy Values Page 27 of 44

28 SNOMED s for SET and IMG Cardiothoracic Surgery OTHER MAJOR CARDIAC OPERATIONS Procedure for arrhythmia Excision of entire pericardium Excision of lesion of epicardium Excision of lesion of pericardium Excision of part of pericardium Excision of scar of epicardium Excision of scar of pericardium Excisional biopsy of pericardium Pericardial cyst excision Resection of pericardium for chronic constrictive pericarditis Resection of pericardium for removal of adhesions Thoracoscopic excision of cyst of pericardium Thoracoscopic excision of mass of pericardium Thoracoscopy with total pericardiectomy Ablation of atrioventricular node Ablation of ventricular arrhythmogenic focus with cardiopulmonary bypass Ablation operation for arrhythmia Atrial cardioversion Atrioventricular disconnection Values Page 28 of 44

29 SNOMED s for SET and IMG Cardiothoracic Surgery OTHER MAJOR CARDIAC OPERATIONS operation Biphasic cardioversion procedure Biphasic defibrillation procedure Cardioversion Cardioversion by intracardiac catheter Cardioversion using fluoroscopic guidance Catheter ablation of arrhythmogenic focus Chemical cardioversion Complete atrioventricular disconnection operation Conversion of cardiac rhythm to sinus rhythm Corridor operation Cryoablation operation for arrhythmia Diathermy ablation operation for arrhythmia Direct current atrial defibrillation Direct current cardiac shock Direct current cardioversion Direct current defibrillation Direct current ventricular defibrillation Electrical sinus rhythm conversion Values Page 29 of 44

30 SNOMED s for SET and IMG Cardiothoracic Surgery OTHER MAJOR CARDIAC OPERATIONS Endocardial excision of rhythmogenic focus Epicardial excision of rhythmogenic focus Excision operation for arrhythmia Exclusion operation for arrhythmia External electrode cardioversion External ventricular defibrillation Implantation of insertable loop recorder Internal cardioversion Laser ablation operation for arrhythmia Ligation operation for arrhythmia Maze procedure Maze procedure for atrial fibrillation Measurement of microvolt T wave alternans for ventricular arrhythmia assessment Monophasic defibrillation Open ablation of atrioventricular node Open operations on conducting system of heart Partial atrioventricular disconnection Values Page 30 of 44

31 SNOMED s for SET and IMG Cardiothoracic Surgery OTHER MAJOR CARDIAC OPERATIONS Pulmonary embolectomy Sternal wire removal Temporary cardioassist with artificial heart Transplantation of heart operation Percutaneous transluminal ablation of atrioventricular node Percutaneous transluminal electrophysiological studies on conducting system of heart Percutaneous transluminal mapping of conducting system of heart Precordial thump Radiofrequency ablation operation for arrhythmia Transection operation for arrhythmia Open pulmonary embolectomy Percutaneous embolectomy of pulmonary artery Pulmonary embolectomy Allotransplant of heart Autotransplantation of heart Heart transplant with recipient cardiectomy Heart-lung transplant with recipient cardiectomy-pneumonectomy Values Page 31 of 44

32 SNOMED s for SET and IMG Cardiothoracic Surgery OTHER MAJOR CARDIAC OPERATIONS Heterotopic allotransplant of heart Orthotopic allotransplant of heart Xenotransplant of heart Values OTHER MAJOR CARDIAC OPERATIONS (Resection of neoplasm of heart) Excision of left atrial myxoma Excision of left ventricular lesion Excision of right atrial myxoma Excision of right ventricular lesion Left ventricular aneurysm resection Values OTHER THORACIC (Bronchoscopy) Fibreoptic bronchoscopy Fibreoptic therapeutic bronchoscopy Rigid bronchoscopy Rigid therapeutic bronchoscopy Values Page 32 of 44

33 SNOMED s for SET and IMG Cardiothoracic Surgery OTHER THORACIC (Oesophagoscopy) Fibreoptic oesophagoscopy Diagnostic fibreoptic oesophagoscopy via stoma Diagnostic flexible fibreoptic oesophagoscopy Fibreoptic endoscopic dilation of web of oesophagus Fibreoptic endoscopic pressurecontrolled balloon dilatation of lower oesophageal sphincter Fibreoptic oesophagoscopy and balloon dilatation Fibreoptic oesophagoscopy and banding of oesophageal varices Fibreoptic oesophagoscopy and biopsy Fibreoptic oesophagoscopy and cauterisation Fibreoptic oesophagoscopy and injection sclerotherapy of varices Fibreoptic oesophagoscopy and insertion of tube prosthesis Fibreoptic oesophagoscopy and removal of foreign body Fibreoptic oesophagoscopy and snare resection Values Page 33 of 44

34 SNOMED s for SET and IMG Cardiothoracic Surgery OTHER THORACIC (Oesophagoscopy) Rigid oesophagoscopy Therapeutic fibreoptic oesophagoscopy Therapeutic rigid oesophagoscopy Diagnostic rigid oesophagoscopy Rigid oesophagoscopy and balloon dilatation Rigid oesophagoscopy and biopsy Rigid oesophagoscopy and cauterisation Rigid oesophagoscopy and injection sclerotherapy of varices Rigid oesophagoscopy and insertion of tube prosthesis Rigid oesophagoscopy and laser Rigid oesophagoscopy and removal of foreign body Rigid oesophagoscopy and snare resection Values OTHER THORACIC VATS Endoscopic pleurectomy Endoscopic transaxillary thoracic Values Page 34 of 44

35 SNOMED s for SET and IMG Cardiothoracic Surgery OTHER THORACIC VATS sympathectomy Excision of bulla of lung Thoracoscopic biopsy of lung Thoracoscopic biopsy of pericardium Thoracoscopic biopsy of pleura Thoracoscopic lobectomy of lung Thoracoscopy pericardiectomy Thoracoscopic pleurodesis Thoracoscopic pneumonectomy Thoracoscopic wedge resection of lung Thoracoscopy with excision of pericardial lesion Thoracoscopy with oesophagomyotomy Thoracoscopy with biopsy Thoracoscopy with partial pulmonary decortication Thoracoscopy and biopsy of intrathoracic organ Values OTHER VALVE SURGERY Double valve replacement Double valve replacement Values Page 35 of 44

36 SNOMED s for SET and IMG Cardiothoracic Surgery OTHER VALVE SURGERY Percutaneous insertion of aortic valve using fluoroscopic guidance Double valve replacement with commissurotomy of one valve Double valve replacement with valvuloplasty of one valve Values Replacement of pulmonary valve Ball valve pulmonary valve replacement Bileaflet pulmonary valve replacement Disc valve pulmonary valve replacement Homograft pulmonary valve replacement Mechanical prosthetic pulmonary valve replacement Percutaneous transluminal replacement of pulmonary valve Porcine pulmonary valve replacement Repair of pulmonary valve with tissue graft Replacement of implanted pulmonary valve Single leaflet pulmonary valve Type Mechanical prosthetic Xenograft Page 36 of 44

37 SNOMED s for SET and IMG Cardiothoracic Surgery OTHER VALVE SURGERY Replacement of tricuspid valve replacement Xenograft pulmonary valve replacement Ball valve tricuspid valve replacement Bileaflet tricuspid valve replacement Disc valve tricuspid valve replacement Homograft tricuspid valve replacement Mechanical prosthetic tricuspid valve replacement Porcine tricuspid valve replacement Replacement of implanted tricuspid valve Replacement of tricuspid valve with tissue graft Single leaflet tricuspid valve replacement Xenograft tricuspid valve replacement Type Values Mechanical prosthetic Xenograft PACEMAKER AND DEFIBRILLATOR INSERTIONS - TOTAL SYSTEMS Implantation of automatic cardiac defibrillator Implantation of cardioverter defibrillator with one electrode lead Values Page 37 of 44

38 SNOMED s for SET and IMG Cardiothoracic Surgery PACEMAKER AND DEFIBRILLATOR INSERTIONS - TOTAL SYSTEMS Implantation of biventricular cardiac pacemaker system Implantation of cardiac pacemaker Implantation of cardioverter defibrillator with three electrode leads Implantation of cardioverter defibrillator with two electrode leads Implantation of internal cardiac defibrillator Insertion of biventricular implantable cardioverter defibrillator Insertion of cardiac biventricular implantable cardioverter defibrillator (ICD) using fluoroscopic guidance Insertion of cardiac defibrillator using fluoroscopic guidance Transvenous implantation of automatic cardiac defibrillator Implantation of cardiac defibrillator lead Implantation of cardiac dual-chamber device, replacement Implantation of cardiac singlechamber device replacement, rateresponsive Chamber Values Single Dual Page 38 of 44

39 SNOMED s for SET and IMG Cardiothoracic Surgery PACEMAKER AND DEFIBRILLATOR INSERTIONS - TOTAL SYSTEMS Implantation of cardiac singlechamber device, replacement Implantation of cardiac temporary transvenous pacemaker system during and immediately following cardiac surgery Implantation of rate-responsive cardiac single-chamber device Initial implantation of cardiac dualchamber device Initial implantation of cardiac singlechamber device Insertion of cardiac biventricular permanent pacemaker (PPM) using fluoroscopic guidance Insertion of endocardial electrode for temporary cardiac pacing Insertion of epicardial electrode for temporary cardiac pacing Insertion of IV endocardial electrode Insertion of pacemaker for control of atrial fibrillation Insertion of permanent atrial pacemaker with transvenous electrodes Values Page 39 of 44

40 SNOMED s for SET and IMG Cardiothoracic Surgery PACEMAKER AND DEFIBRILLATOR INSERTIONS - TOTAL SYSTEMS Insertion of permanent cardiac pacemaker pulse generator and electrode Insertion of permanent cardiac pacemaker using fluoroscopic guidance Insertion of permanent epicardial cardiac pacemaker system Insertion of permanent pacemaker with transvenous electrodes, AV sequential Insertion of permanent pacemaker with transvenous electrodes, ventricular Insertion of permanent transvenous electrode of dual chamber pulse generator Insertion of permanent transvenous electrodes Insertion of programmable cardiac pacemaker Insertion of temporary cardiac pacemaker Insertion of temporary cardiac pacemaker using fluoroscopic guidance Values Page 40 of 44

41 SNOMED s for SET and IMG Cardiothoracic Surgery PACEMAKER AND DEFIBRILLATOR INSERTIONS - TOTAL SYSTEMS Removal of cardiac pacemaker Reimplantation of cardiac pacemaker electrode Removal of cardiac pacemaker with replacement by single-chamber device, rate-responsive Replacement of pacemaker device with single-chamber device, not specified as rate-responsive Resiting of lead of intravenous pacemaker system Temporary insertion of pacemaker into atrium by transvenous route Removal of cardiac biventricular permanent pacemaker using fluoroscopic guidance Removal of cardiac pacemaker lead using fluoroscopic guidance Removal of cardiac pacing electrode Removal of electronic heart device pulse generator Removal of epicardial electrodes Removal of epicardial electrodes with replacement of epicardial lead Removal of IV endocardial electrode Removal of pacemaker electrode Values Page 41 of 44

42 SNOMED s for SET and IMG Cardiothoracic Surgery PACEMAKER AND DEFIBRILLATOR INSERTIONS - TOTAL SYSTEMS leads without replacement Removal of single-chamber cardiac pacemaker with replacement by dualchamber cardiac pacemaker Removal of temporary cardiac pacemaker lead using fluoroscopic guidance Removal of transvenous electrodes Surgical removal of single chamber pacing cardioverter defibrillator electrode by transthoracic approach Surgical removal of transvenous electrode of dual chamber pacing cardioverter defibrillator pulse generator by transthoracic approach Surgical removal of transvenous electrode of dual chamber pacing cardioverter defibrillator pulse generator by transvenous approach Surgical removal of transvenous electrode of single chamber pacing cardioverter defibrillator pulse generator by transthoracic approach Surgical removal of transvenous electrode of single chamber pacing cardioverter defibrillator pulse Values Page 42 of 44

43 SNOMED s for SET and IMG Cardiothoracic Surgery PACEMAKER AND DEFIBRILLATOR INSERTIONS - TOTAL SYSTEMS Removal of cardioverter/defibrillator pulse generator without replacement Replacement of cardiac pacemaker generator by transvenous approach Thoracotomy and removal of cardiac pacemaker electrodes Implantation of electrode into cardiac atrium and ventricle, replacement Implantation of electrode into cardiac atrium, replacement Implantation of electrode into cardiac ventricle, replacement Removal of cardiac pacemaker electrodes with replacement Removal of cardiac pacemaker from epicardium with replacement of atrial and/or ventricular leads Replacement of cardiac biventricular permanent pacemaker using fluoroscopic guidance Replacement of cardiac pacemaker device with dual-chamber device Replacement of electronic heart device, transvenous electrode Replacement of IV endocardial Values Page 43 of 44

44 SNOMED s for SET and IMG Cardiothoracic Surgery PACEMAKER AND DEFIBRILLATOR INSERTIONS - TOTAL SYSTEMS Replacement of cardioverter defibrillator electrode Replacement of permanent cardiac pacemaker using fluoroscopic guidance Replacement of temporary transvenous electrode of dual chamber pulse generator Replacement of temporary transvenous pacemaker system Replacement of transvenous atrial and ventricular pacemaker electrode leads Replacement of transvenous atrial pacemaker electrode leads Replacement of transvenous ventricular pacemaker electrode leads Replacement of cardiac biventricular implantable cardioverter defibrillator using fluoroscopic guidance Replacement of cardiac defibrillator using fluoroscopic guidance Values Page 44 of 44