2019 Compilation of Inpatient Only Procedure Lists by Specialty. (for CPT searching)

Transcription

1 2019 Compilation of Lists by Specialty (for CPT searching) 2019 Bariatric Surgery: Is the Surgery Medicare Inpatient Only or not? Disclaimer: This is not the CMS List (Annual OPPS Addendum E). No guarantee can be made of the accuracy of this information which was compiled from public sources. CPT Codes are property of the AMA and are made available to the public only for non-commercial usage. Gastric Bypass or Partial Gastrectomy Procedures Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less) Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy) Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than verticalbanded gastroplasty Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal switch) Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastroenterostomy Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit absorption Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric restrictive device (separate procedure) Unlisted laparoscopy procedure, stomach Lap Band Procedures Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device component only Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and subcutaneous port components) Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device component only Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components Gastric restrictive procedure, open; revision of subcutaneous port component only

2 43887 Gastric restrictive procedure, open; removal of subcutaneous port component only Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only Vagus Nerve Procedures 0312T 0313T 0314T 0315T- 0317T Vagus nerve blocking therapy (morbid obesity); laparoscopic implantation of neurostimulator electrode array, anterior and posterior vagal trunks adjacent to esophagogastric junction (EGJ), with implantation of pulse generator, includes programming Vagus nerve blocking therapy (morbid obesity); laparoscopic revision or replacement of vagal trunk neurostimulator electrode array, including connection to existing pulse generator Vagus nerve blocking therapy (morbid obesity); laparoscopic removal of vagal trunk neurostimulator electrode array and pulse generator Vagus nerve blocking therapy (morbid obesity); removal, replacement, analysis, or reprogramming of pulse generator; codes 0315T, 0316T, 0317T 2019 Cardiac Surgery: Is the Procedure Medicare Inpatient Only or not? Disclaimer: This is not the CMS List (Annual OPPS Addendum E). No guarantee can be made of the accuracy of this information which was compiled from public sources. CPT Codes are property of the AMA and are made available to the public only for non-commercial usage. Coronary Artery Bypass Graft (CABG) and other Revascularization Procedures Transmyocardial laser revascularization, by thoracotomy; (separate procedure) Transmyocardial laser revascularization, by thoracotomy; performed at the time of other open cardiac procedure(s) (List separately in addition to code for primary procedure) Coronary artery bypass, vein only; 1-6 coronary venous graft(s); codes 33510, 33511, 33512, 33513, , Coronary artery bypass, using venous graft(s) and arterial graft(s); 1-6 vein graft(s) (List separately in addition to code for primary procedure); codes 33517, 33518, 33519, 33520, 33522, Reoperation, coronary artery bypass procedure or valve procedure, more than 1 month after original operation (List separately in addition to code for primary procedure) Coronary artery bypass, using arterial graft(s); 1-4 or more coronary arterial graft(s); codes 33533, 33534, 33535, Coronary endarterectomy, open, any method, of left anterior descending, circumflex, or right coronary artery performed in conjunction with coronary artery bypass graft procedure, each vessel (List separately in addition to primary procedure) Valvular Procedures 0343T Transcatheter mitral valve repair (TMVR) percutaneous approach including transseptal puncture when performed; initial prosthesis Percutaneous balloon valvuloplasty; pulmonary valve

3 0344T 0345T 0483T 0484T Transcatheter mitral valve repair (TMVR) percutaneous approach including transseptal puncture when performed; additional prosthesis (es) during same session (List separately in addition to code for primary procedure) Transcatheter mitral valve repair (TMVR) percutaneous approach via the coronary sinus Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; percutaneous approach, including transseptal puncture, when performed Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; transthoracic exposure (eg, thoracotomy, transapical) Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; percutaneous femoral artery approach Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open femoral artery approach Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open axillary artery approach Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open iliac artery approach Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; transaortic approach (eg, median sternotomy, mediastinotomy) Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; transapical exposure (eg, left thoracotomy) Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; cardiopulmonary bypass support with percutaneous peripheral arterial and venous cannulation (eg, femoral vessels) (List separately in addition to code for primary procedure) Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; cardiopulmonary bypass support with open peripheral arterial and venous cannulation (eg, femoral, iliac, axillary vessels) (List separately in addition to code for primary procedure) Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; cardiopulmonary bypass support with central arterial and venous cannulation (eg, aorta, right atrium, pulmonary artery) (List separately in addition to code for primary procedure) Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; simple (ie, valvotomy, debridement, debulking, and/or simple commissural resuspension) Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; complex (eg, leaflet extension, leaflet resection, leaflet reconstruction, or annuloplasty) Replacement, aortic valve, with cardiopulmonary bypass; with prosthetic valve other than homograft or stentless valve Replacement, aortic valve, with cardiopulmonary bypass; with allograft valve (freehand) Replacement, aortic valve, with cardiopulmonary bypass; with stentless tissue valve Replacement, aortic valve; with aortic annulus enlargement, noncoronary sinus Replacement, aortic valve; with transventricular aortic annulus enlargement (Konno procedure) Replacement, aortic valve; by translocation of autologous pulmonary valve with allograft replacement of pulmonary valve (Ross procedure) Valvotomy, mitral valve; closed heart Valvotomy, mitral valve; open heart, with cardiopulmonary bypass Valvuloplasty, mitral valve, with cardiopulmonary bypass; Valvuloplasty, mitral valve, with cardiopulmonary bypass; with prosthetic ring Valvuloplasty, mitral valve, with cardiopulmonary Percutaneous balloon valvuloplasty; aortic valve Percutaneous balloon valvuloplasty; mitral valve

4 bypass; radical reconstruction, with or without ring Replacement, mitral valve, with cardiopulmonary bypass Replacement, aortic valve; by translocation of autologous pulmonary valve and transventricular aortic annulus enlargement of the left ventricular outflow tract with valved conduit replacement of pulmonary valve (Ross-Konno procedure) Valvectomy, tricuspid valve, with cardiopulmonary bypass Valvuloplasty, tricuspid valve; without ring insertion Valvuloplasty, tricuspid valve; with ring insertion Replacement, tricuspid valve, with cardiopulmonary bypass Tricuspid valve repositioning and plication for Ebstein anomaly Valvotomy, pulmonary valve, closed heart; transventricular Valvotomy, pulmonary valve, closed heart; via pulmonary artery Valvotomy, pulmonary valve, open heart; with cardiopulmonary bypass Replacement, pulmonary valve Implant tcat pulm vlv perq Repair of non-structural prosthetic valve dysfunction with cardiopulmonary bypass (separate procedure) Closure of atrioventricular valve (mitral or tricuspid) by suture or patch Closure of semilunar valve (aortic or pulmonary) by suture or patch Atrial Septal and Ventricular Septal Procedures Repair atrial septal defect, secundum, with cardiopulmonary bypass, with or without patch Repair of atrial septal defect and ventricular septal defect, with direct or patch closure Repair of incomplete or partial atrioventricular canal (ostium primum atrial septal defect), with or without atrioventricular valve repair Repair of intermediate or transitional atrioventricular canal, with or without atrioventricular valve repair Repair of complete atrioventricular canal, with or without prosthetic valve Closure of multiple ventricular septal defects; Closure of multiple ventricular septal defects; with pulmonary valvotomy or infundibular resection (acyanotic) Closure of multiple ventricular septal defects; with removal of pulmonary artery band, with or without gusset Closure of single ventricular septal defect, with or without patch; Closure of single ventricular septal defect, with or without patch; with pulmonary valvotomy or infundibular resection (acyanotic) Closure of single ventricular septal defect, with or without patch; with removal of pulmonary artery band, with or without gusset Repair of cor triatriatum or supravalvular mitral ring by resection of left atrial membrane Atrial septectomy or septostomy; closed heart (Blalock-Hanlon type operation) Atrial septectomy or septostomy; open heart with cardiopulmonary bypass Atrial septectomy or septostomy; open heart, with inflow occlusion Atrial septectomy or septostomy; transvenous method, balloon (eg, Rashkind type) (includes cardiac Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant Percutaneous transcatheter closure of a congenital ventricular septal defect with implant

5 catheterization) Atrial septectomy or septostomy; blade method (Park septostomy) (includes cardiac catheterization) Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed Aorta/Great Vessel Procedures Suture repair of aorta or great vessels; without shunt or cardiopulmonary bypass Suture repair of aorta or great vessels; with shunt bypass Suture repair of aorta or great vessels; with cardiopulmonary bypass Insertion of graft, aorta or great vessels; without shunt, or cardiopulmonary bypass Insertion of graft, aorta or great vessels; with cardiopulmonary bypass Construction of apical-aortic conduit Aortoplasty (gusset) for supravalvular stenosis Anastomosis of pulmonary artery to aorta (Damus- Kaye-Stansel procedure) Application of right and left pulmonary artery bands (eg, hybrid approach stage 1) Transthoracic insertion of catheter for stent placement with catheter removal and closure (eg, hybrid approach stage 1) Reconstruction of complex cardiac anomaly (eg, single ventricle or hypoplastic left heart) with palliation of single ventricle with aortic outflow obstruction and aortic arch hypoplasia, creation of cavopulmonary anastomosis, and removal of right and left pulmonary bands (eg, hybrid approach stage 2, Norwood, bidirectional Glenn, Banding of pulmonary artery Repair of isolated partial anomalous pulmonary venous return (eg, Scimitar Syndrome) Repair of pulmonary venous stenosis Complete repair of anomalous pulmonary venous return (supracardiac, intracardiac, or infracardiac types) Shunt; subclavian to pulmonary artery (Blalock- Taussig type operation) Shunt; ascending aorta to pulmonary artery (Waterston type operation) Shunt; descending aorta to pulmonary artery (Potts- Smith type operation) Shunt; central, with prosthetic graft Shunt; superior vena cava to pulmonary artery for flow to 1 lung (classical Glenn procedure) Shunt; superior vena cava to pulmonary artery for flow to both lungs (bidirectional Glenn procedure) Anastomosis, cavopulmonary, second superior vena cava (List separately in addition to primary procedure) Repair of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis; without surgical enlargement of ventricular septal defect Repair of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis; with surgical enlargement of ventricular septal defect Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with removal of pulmonary band Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure)

6 33776 Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with closure of ventricular septal defect Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with repair of subpulmonic obstruction Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with removal of pulmonary band Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with closure of ventricular septal defect Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with repair of subpulmonic obstruction Total repair, truncus arteriosus (Rastelli type operation) Reimplantation of an anomalous pulmonary artery Aortic suspension (aortopexy) for tracheal decompression (eg, for tracheomalacia) (separate procedure) Division of aberrant vessel (vascular ring); Division of aberrant vessel (vascular ring); with reanastomosis Obliteration of aortopulmonary septal defect; without cardiopulmonary bypass Obliteration of aortopulmonary septal defect; with cardiopulmonary bypass Repair of patent ductus arteriosus; by ligation Percutaneous transcatheter closure of patent ductus arteriosus Repair of patent ductus arteriosus; by division, younger than 18 years Repair of patent ductus arteriosus; by division, 18 years and older Excision of coarctation of aorta, with or without associated patent ductus arteriosus; with direct anastomosis Excision of coarctation of aorta, with or without associated patent ductus arteriosus; with graft Excision of coarctation of aorta, with or without associated patent ductus arteriosus; repair using either left subclavian artery or prosthetic material as gusset for enlargement Repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic material; without cardiopulmonary bypass Repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic material; with cardiopulmonary bypass Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed Ascending aorta graft, with cardiopulmonary bypass, with aortic root replacement using valved conduit and coronary reconstruction (eg, Bentall) Ascending aorta graft, with cardiopulmonary bypass with valve suspension, with coronary reconstruction and valve-sparing aortic root remodeling (eg, David Procedure, Yacoub Procedure) Transverse arch graft, with cardiopulmonary bypass Descending thoracic aorta graft, with or without bypass Repair of thoracoabdominal aortic aneurysm with graft, with or without cardiopulmonary bypass Electrophysiology Procedures (See Cardiology List for Additional Procedures)

7 33202 Insertion of epicardial electrode(s); open incision (eg, thoracotomy, median sternotomy, subxiphoid approach) Insertion of epicardial electrode(s); endoscopic approach (eg, thoracoscopy, pericardioscopy) Removal of permanent epicardial pacemaker and electrodes by thoracotomy; single lead system, atrial or ventricular Removal of permanent epicardial pacemaker and electrodes by thoracotomy; dual lead system Removal of permanent transvenous electrode(s) by thoracotomy Removal of single or dual chamber pacing cardioverter-defibrillator electrode(s); by thoracotomy Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node re-entry), tract(s) and/or focus (foci); without cardiopulmonary bypass Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node re-entry), tract(s) and/or focus (foci); with cardiopulmonary bypass Operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure) Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); without cardiopulmonary bypass Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); with cardiopulmonary bypass Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), limited (eg, modified maze procedure) (List separately in addition to code for primary procedure) Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), extensive (eg, maze procedure), without cardiopulmonary bypass (List separately in addition to code for primary procedure) Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), extensive (eg, maze procedure), with cardiopulmonary bypass (List separately in addition to code for primary procedure) Operative ablation of ventricular arrhythmogenic focus with cardiopulmonary bypass Endoscopy, surgical; operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure), without cardiopulmonary bypass Endoscopy, surgical; operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure), without cardiopulmonary bypass Insertion, replacement, repair, revision, removal (except by thoracotomy), or upgrade of pacemaker, icd, generator, or transvenous electrodes; codes 33206, 33207, 33208, 33210, 33211, 33212, 33213, 33214, 33215, 33216, 33217, 33218, 33220, 33221, 33224, 33225, 33226, 33227, 33228, 33229, 33230, 33231, 33233, 33234, 33235, 33240, 33241, 33244, 33249, 33262, 33263, Relocation of skin pocket for pacemaker Relocation of skin pocket for cardioverter-defibrillator Cardioversion, elective, electrical conversion of arrhythmia; external Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure) Pericardial Surgery Tube pericardiostomy Pericardiocentesis; initial Pericardiotomy for removal of clot or foreign body Pericardiocentesis; subsequent (primary procedure) Creation of pericardial window or partial resection for drainage Pericardiectomy, subtotal or complete; without

8 cardiopulmonary bypass Pericardiectomy, subtotal or complete; with cardiopulmonary bypass Resection of pericardial cyst or tumor Sternal Surgery Ostectomy of sternum, partial Sternal debridement Radical resection of sternum; Radical resection of sternum; with mediastinal lymphadenectomy Reconstructive repair of pectus excavatum or carinatum; open Closure of median sternotomy separation with or without debridement (separate procedure) Open treatment of sternum fracture with or without skeletal fixation Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), without thoracoscopy Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy Closed treatment of sternum fracture Circulatory Assist/Replacement Procedures 0451T 0452T 0455T 0456T 0459T 0461T Insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system, endovascular approach, and programming of sensing and therapeutic parameters; complete system (counterpulsation device, vascular graft, implantable vascular hemostatic seal, mechano-electrical skin interface and subcutaneous electrodes) Insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system, endovascular approach, and programming of sensing and therapeutic parameters; aortic counterpulsation device and vascular hemostatic seal Removal of permanently implantable aortic counterpulsation ventricular assist system; complete system (aortic counterpulsation device, vascular hemostatic seal, mechano-electrical skin interface and electrodes) Removal of permanently implantable aortic counterpulsation ventricular assist system; aortic counterpulsation device and vascular hemostatic seal Relocation of skin pocket with replacement of implanted aortic counterpulsation ventricular assist device, mechano-electrical skin interface and electrodes Repositioning of previously implanted aortic counterpulsation ventricular assist device; aortic counterpulsation device Implantation of a total replacement heart system (artificial heart) with recipient cardiectomy Removal and replacement of total replacement heart system (artificial heart) Removal of a total replacement heart system (artificial heart) for heart transplantation (List separately in addition to code for primary procedure) Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided 0453T 0454T 0457T 0458T 0460T 0462T 0463T Insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system, endovascular approach, and programming of sensing and therapeutic parameters; mechano-electrical skin interface Insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system, endovascular approach, and programming of sensing and therapeutic parameters; subcutaneous electrode Removal of permanently implantable aortic counterpulsation ventricular assist system; mechanoelectrical skin interface Removal of permanently implantable aortic counterpulsation ventricular assist system; subcutaneous electrode Repositioning of previously implanted aortic counterpulsation ventricular assist device; subcutaneous electrode Programming device evaluation (in person) with iterative adjustment of the implantable mechanoelectrical skin interface and/or external driver to test the function of the device and select optimal permanent programmed values with analysis, including review and report, implantable aortic counterpulsation ventricular assist system, per day Interrogation device evaluation (in person) with analysis, review and report, includes connection, recording and disconnection per patient encounter, implantable aortic counterpulsation ventricular assist system, per day

9 by physician; initiation or daily management, venovenous or veno-arterial; codes 33946, 33947, 33948, Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion, reposition, or removal of peripheral or central cannula(e); percutaneous, open, sternotomy, or thoracotomy; codes 33951, 33952, 33953, 33954, 33955, 33956, 33957, 33958, 33959, 33962, 33963, 33964, 33965, 33966, 33969, 33984, 33985, Insertion of intra-aortic balloon assist device, percutaneous Removal of intra-aortic balloon assist device, percutaneous Insertion of intra-aortic balloon assist device through the femoral artery, open approach Removal of intra-aortic balloon assist device including repair of femoral artery, with or without graft Insertion of intra-aortic balloon assist device through the ascending aorta Removal of intra-aortic balloon assist device from the ascending aorta, including repair of the ascending aorta, with or without graft Insertion of ventricular assist device; extracorporeal, single ventricle Insertion of ventricular assist device; extracorporeal, biventricular Removal of ventricular assist device; extracorporeal, single ventricle Removal of ventricular assist device; extracorporeal, biventricular Insertion of ventricular assist device, implantable intracorporeal, single ventricle Removal of ventricular assist device, implantable intracorporeal, single ventricle Replacement of extracorporeal ventricular assist device, single or biventricular, pump(s), single or each pump Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, without cardiopulmonary bypass Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, with cardiopulmonary bypass Arterial exposure with creation of graft conduit (eg, chimney graft) to facilitate arterial perfusion for ECMO/ECLS Insertion of left heart vent by thoracic incision (eg, sternotomy, thoracotomy) for ECMO/ECLS Removal of left heart vent by thoracic incision (eg, sternotomy, thoracotomy) for ECMO/ECLS Insertion of ventricular assist device, percutaneous including radiological supervision and interpretation; arterial access only Insertion of ventricular assist device, percutaneous including radiological supervision and interpretation; both arterial and venous access, with transseptal puncture Removal of percutaneous ventricular assist device at separate and distinct session from insertion Repositioning of percutaneous ventricular assist device with imaging guidance at separate and distinct session from insertion Cardioassist-method of circulatory assist; internal Cardioassist-method of circulatory assist; external Transplantation Procedures

10 33930 Donor cardiectomy-pneumonectomy (including cold preservation) Backbench standard preparation of cadaver donor heart/lung allograft prior to transplantation, including dissection of allograft from surrounding soft tissues to prepare aorta, superior vena cava, inferior vena cava, and trachea for implantation Heart-lung transplant with recipient cardiectomypneumonectomy Donor cardiectomy (including cold preservation) Backbench standard preparation of cadaver donor heart allograft prior to transplantation, including dissection of allograft from surrounding soft tissues to prepare aorta, superior vena cava, inferior vena cava, pulmonary artery, and left atrium for implantation Heart transplant, with or without recipient cardiectomy Other Cardiac Surgery Excision of intracardiac tumor, resection with cardiopulmonary bypass Resection of external cardiac tumor Repair of cardiac wound; without bypass Repair of cardiac wound; with cardiopulmonary bypass Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); without bypass Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); with cardiopulmonary bypass Repair of left ventricular outflow tract obstruction by patch enlargement of the outflow tract Resection or incision of subvalvular tissue for discrete subvalvular aortic stenosis Ventriculomyotomy (-myectomy) for idiopathic hypertrophic subaortic stenosis (eg, asymmetric septal hypertrophy) Right ventricular resection for infundibular stenosis, with or without commissurotomy Outflow tract augmentation (gusset), with or without commissurotomy or infundibular resection Repair of coronary arteriovenous or arteriocardiac chamber fistula; with cardiopulmonary bypass Repair of coronary arteriovenous or arteriocardiac chamber fistula; without cardiopulmonary bypass Repair of anomalous coronary artery from pulmonary artery origin; by ligation Repair of anomalous coronary artery from pulmonary artery origin; by graft, without cardiopulmonary bypass Repair of anomalous coronary artery from pulmonary artery origin; by graft, with cardiopulmonary bypass Repair of anomalous coronary artery from pulmonary artery origin; with construction of intrapulmonary artery tunnel (Takeuchi procedure) Repair of anomalous coronary artery from pulmonary artery origin; by translocation from pulmonary artery to aorta Repair of anomalous (eg, intramural) aortic origin of coronary artery by unroofing or translocation Myocardial resection (eg, ventricular aneurysmectomy) Repair of postinfarction ventricular septal defect, with or without myocardial resection Surgical ventricular restoration procedure, includes prosthetic patch, when performed (eg, ventricular remodeling, SVR, SAVER, Dor procedures) Repair of complex cardiac anomaly other than pulmonary atresia with ventricular septal defect by

11 construction or replacement of conduit from right or left ventricle to pulmonary artery Repair of complex cardiac anomalies (eg, single ventricle with subaortic obstruction) by surgical enlargement of ventricular septal defect Repair of double outlet right ventricle with intraventricular tunnel repair; Repair of double outlet right ventricle with intraventricular tunnel repair; with repair of right ventricular outflow tract obstruction Repair of complex cardiac anomalies (eg, tricuspid atresia) by closure of atrial septal defect and anastomosis of atria or vena cava to pulmonary artery (simple Fontan procedure) Repair of complex cardiac anomalies (eg, single ventricle) by modified Fontan procedure Repair of single ventricle with aortic outflow obstruction and aortic arch hypoplasia (hypoplastic left heart syndrome) (eg, Norwood procedure) Direct or patch closure, sinus venosus, with or without anomalous pulmonary venous drainage Complete repair tetralogy of Fallot without pulmonary atresia; Complete repair tetralogy of Fallot without pulmonary atresia; with transannular patch Complete repair tetralogy of Fallot with pulmonary atresia including construction of conduit from right ventricle to pulmonary artery and closure of ventricular septal defect Repair sinus of Valsalva fistula, with cardiopulmonary bypass; Repair sinus of Valsalva fistula, with cardiopulmonary bypass; with repair of ventricular septal defect Repair sinus of Valsalva aneurysm, with cardiopulmonary bypass Closure of aortico-left ventricular tunnel Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie, Nikaidoh procedure); without coronary ostium reimplantation Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie, Nikaidoh procedure); with reimplantation of 1 or both coronary ostia Unlisted procedure, cardiac surgery Miscellaneous Surgery Thoracotomy; with cardiac massage Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure) 2019 Cardiology: Is the Procedure Medicare Inpatient Only or not? Disclaimer: This is not the CMS List (Annual OPPS Addendum E). No guarantee can be made of the accuracy of this information which was compiled from public sources. CPT Codes are property of the AMA and are made available to the public only for non-commercial usage. Interventional Cardiology 0345T Transcatheter mitral valve repair percutaneous approach via the coronary sinus 0205T Intravascular catheter-based coronary vessel or graft spectroscopy (eg, infrared) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation, and report, each vessel (List separately in addition to code for primary procedure) 0483T Transcatheter mitral valve implantation/replacement 0338T- Transcatheter renal sympathetic denervation,

12 0484T (TMVI) with prosthetic valve; percutaneous approach, including transseptal puncture, when performed Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; transthoracic exposure (eg, thoracotomy, transapical) Percutaneous transcatheter closure of the left atrial appendage with endocardial implant, including fluoroscopy, transseptal puncture, catheter placement(s), left atrial angiography, left atrial appendage angiography, when performed, and radiological supervision and interpretation Transcatheter pulmonary valve implantation, percutaneous approach, including pre-stenting of the valve delivery site, when performed Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; percutaneous femoral artery approach 0339T 0523T 0525T- 0527T 0530T- 0532T percutaneous approach including arterial puncture, selective catheter placement(s) renal artery(ies), fluoroscopy, contrast injection(s), intraprocedural roadmapping and radiological supervision and interpretation, including pressure gradient measurements, flush aortogram and diagnostic renal angiography when performed; unilateral or bilateral; codes 0338T, 0339T Intraprocedural coronary fractional flow reserve (FFR) with 3D functional mapping of color-coded FFR values for the coronary tree, derived from coronary angiogram data, for real-time review and interpretation of possible atherosclerotic stenosis(es) intervention (List separately in addition to code for primary procedure) Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial system programming, and imaging supervision and interpretation; complete system (electrode and implantable monitor), electrode only, or monitor only. Removal of intracardiac ischemia monitoring system, including all imaging supervision and interpretation; complete system (electrode and implantable monitor), electrode only, or monitor only Transcatheter implantation of wireless pulmonary artery pressure sensor for long-term hemodynamic monitoring, including deployment and calibration of the sensor, right heart catheterization, selective pulmonary catheterization, radiological supervision and interpretation, and pulmonary artery angiography, when performed Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open femoral artery approach Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open axillary artery approach Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open iliac artery approach Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; transaortic approach (eg, median sternotomy, mediastinotomy) Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; transapical exposure (e.g., left thoracotomy) Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; cardiopulmonary bypass support with percutaneous peripheral arterial and venous cannulation (eg, femoral vessels) (List separately in addition to code for primary procedure) Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; cardiopulmonary bypass support with open peripheral arterial and venous cannulation (eg, femoral, iliac, axillary vessels) (List separately in addition to code for primary procedure) Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; cardiopulmonary bypass support with central arterial and venous cannulation (eg, aorta, right atrium, pulmonary artery) (List separately in addition to code for primary procedure) Transcatheter mitral valve repair, percutaneous approach, including transseptal puncture when performed; initial prosthesis Transcatheter mitral valve repair, percutaneous approach, including transseptal puncture when performed; additional prosthesis (es) during same session Insertion of intra-aortic balloon assist device, percutaneous Removal of intra-aortic balloon assist device, percutaneous Transcatheter placement of intravascular stent(s), cervical carotid artery, percutaneous; with distal embolic protection Transcatheter placement of intravascular stent(s), Percutaneous transluminal coronary angioplasty,

13 intrathoracic common carotid artery or innominate artery, open or percutaneous antegrade approach, including angioplasty, when performed, and radiological supervision and interpretation Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of intracoronary stent, atherectomy and angioplasty, including aspiration thrombectomy when performed, single vessel C9606 Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including aspiration thrombectomy when performed, single vessel Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed atherectomy, or stent; codes 92920, 92924, 92928, 92933, 92937, Percutaneous transluminal coronary angioplasty, atherectomy, or stent; each additional branch of a major coronary artery or bypass graft; codes 92921, 92925, 92929, 92934, 92938, Percutaneous transcatheter placement of drug eluting intracoronary stent, atherectomy and angioplasty; codes C9600, C9602, C9604, C9607 Percutaneous transcatheter placement of drug eluting intracoronary stent, atherectomy and angioplasty; each additional branch of a major coronary artery or bypass graft; codes C9601, C9603, C9605, C Percutaneous transluminal coronary thrombectomy mechanical (List separately in addition to code for primary procedure) Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) Thrombolysis, coronary; by intravenous infusion Percutaneous balloon valvuloplasty; aortic valve Percutaneous balloon valvuloplasty; mitral valve Percutaneous balloon valvuloplasty; pulmonary valve Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant Percutaneous transcatheter closure of a congenital ventricular septal defect with implant Percutaneous transcatheter closure of patent ductus arteriosus Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) Peripheral Vascular (See Vascular Surgery List for Additional Procedures) Transluminal balloon angioplasty, percutaneous; renal or visceral artery Transluminal balloon angioplasty, percutaneous; aortic Transluminal balloon angioplasty, percutaneous; venous Selective or non-selective catheter placement, thoracic aorta, common carotid, innominate artery, subclavian artery, vertebral artery, external carotid artery with angiography, includes angiography of the cervicocerebral arch, when performed; codes 36221, 36222, 36223, 36224, 36225, 36226, 36227, Selective or superselective catheter placement, main renal artery, second order or higher renal artery

14 branches for renal angiography, unilateral or bilateral; codes 36251, 36252, 36253, Primary percutaneous transluminal mechanical thrombectomy, noncoronary, arterial or arterial bypass graft or vein, including fluoroscopic guidance and intraprocedural pharmacological thrombolytic injection(s); codes 37184, 37185, 37186, 37187, Transcatheter placement of an intravascular stent(s) (except coronary, carotid, vertebral, iliac, and lower extremity arteries), percutaneous or open; codes 37205, 37206, 37207, Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, with transluminal angioplasty or stent; codes 37220, 37221, 37222, Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty or stent; codes 37224, 37225, 37226, Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, with transluminal angioplasty, atherectomy, or stent; codes 37228, 37229, 37230, 37231, 37232, 37233, 37234, Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation, initial noncoronary vessel (List separately in addition to code for primary procedure) each additional noncoronary vessel (List separately in addition to code for primary procedure) Electrophysiology (See Cardiac Surgery List - Electrophysiology for Additional Procedures) 0266T 0267T 0268T 0269T- 0271T 0272T- 0273T 0408T 0409T- 0418T Implantation or replacement of carotid sinus baroreflex activation device; total system (includes generator placement, unilateral or bilateral lead placement, intra-operative interrogation, programming, and repositioning, when performed) Implantation or replacement of carotid sinus baroreflex activation device; lead only, unilateral (includes intra-operative interrogation, programming, and repositioning, when performed) Implantation or replacement of carotid sinus baroreflex activation device; pulse generator only (includes intra-operative interrogation, programming, and repositioning, when performed) Revision or removal of carotid sinus baroreflex activation device; total system, lead only, or pulse generator only (includes generator placement, unilateral or bilateral lead placement, intra-operative interrogation, programming, and repositioning, when performed); codes 0269T, 0270T, 0271T Interrogation device evaluation (in person), carotid sinus baroreflex activation system, including telemetric iterative communication with the implantable device to monitor device diagnostics and programmed therapy values, with interpretation and report (eg, battery status, lead impedance, pulse amplitude, pulse width, therapy frequency, pathway mode, burst mode, therapy start/stop times each day); with or without programming; codes 0272T, 0273T Insertion or replacement of permanent cardiac contractility modulation system, including contractility evaluation when performed, and programming of sensing and therapeutic parameters; pulse generator with transvenous electrodes Insertion, replacement, removal, reposition, relocation, or interrogation of permanent cardiac contractility modulation system, including contractility evaluation

15 0515T- 0517T 0518T 0519T 0520T when performed, and programming of sensing and therapeutic parameters; pulse generator, electrodes, skin pocket; codes 0409T, 0410T, 0411T, 0412T, 0413T, 0414T, 0415T, 0416T, 0417T, 0418T Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming, and imaging supervision and interpretation, when performed; complete system (electrode and generator), electrode only, or generator only Removal of only pulse generator component(s) (battery and/or transmitter) of wireless cardiac stimulator for left ventricular pacing Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s) (battery and/or transmitter) Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s) (battery and/or transmitter), including placement of a new electrode Insertion, replacement, repair, revision, removal, or upgrade of pacemaker, icd, generator, transvenous electrodes, or skin pocket; codes 33206, 33207, 33208, 33210, 33211, 33212, 33213, 33214, 33215, 33216, 33217, 33218, 33220, 33221, 33222, 33223, 33224, 33225, 33226, 33227, 33228, 33229, 33230, 33231, 33233, 33234, 33235, 33240, 33241, 33244, 33249, 33262, 33263, Insertion or replacement of permanent subcutaneous implantable defibrillator system, with subcutaneous electrode, including defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters, when performed Insertion or removal of, or repositioning of previously implanted, subcutaneous implantable defibrillator electrode; codes Transcatheter insertion or replacement of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed Transcatheter removal of permanent leadless pacemaker, right ventricular Insertion, subcutaneous cardiac rhythm monitor, including programming Removal, subcutaneous cardiac rhythm monitor Temporary transcutaneous pacing Cardioversion, elective, electrical conversion of arrhythmia; external Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure) Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care professional; implantable subcutaneous lead defibrillator system Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient encounter; implantable subcutaneous lead defibrillator system Bundle of His recording Intra-atrial recording Right ventricular recording Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for

16 primary procedure) Intra-atrial pacing Intraventricular pacing Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) Esophageal recording of atrial electrogram with or without ventricular electrogram(s); Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing Induction of arrhythmia by electrical pacing Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recording from coronary sinus or left atrium (List separately in addition to code for primary procedure) Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and recording (List separately in addition to code for primary procedure) Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement; Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement; with testing of single or dual chamber pacing cardioverter-defibrillator pulse generator Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters) Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters) Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement Comprehensive electrophysiologic evaluation