02160AQ – Bypass Right Atrium to Right Pulmonary Artery with Autologous Arterial Tissue, Open Approach

Coding Notes

Active

Billable, valid for HIPAA-covered transactions

PCS Table

Section 0 Medical and Surgical
Body System 2 Heart and Great Vessels
Operation 1 Bypass
Body Part	Approach	Device	Qualifier
0 Coronary Artery, One Artery 1 Coronary Artery, Two Arteries 2 Coronary Artery, Three Arteries 3 Coronary Artery, Four or More Arteries	0 Open	8 Zooplastic Tissue 9 Autologous Venous Tissue A Autologous Arterial Tissue J Synthetic Substitute K Nonautologous Tissue Substitute	3 Coronary Artery 8 Internal Mammary, Right 9 Internal Mammary, Left C Thoracic Artery F Abdominal Artery W Aorta
0 Coronary Artery, One Artery 1 Coronary Artery, Two Arteries 2 Coronary Artery, Three Arteries 3 Coronary Artery, Four or More Arteries	0 Open	Z No Device	3 Coronary Artery 8 Internal Mammary, Right 9 Internal Mammary, Left C Thoracic Artery F Abdominal Artery
0 Coronary Artery, One Artery 1 Coronary Artery, Two Arteries 2 Coronary Artery, Three Arteries 3 Coronary Artery, Four or More Arteries	3 Percutaneous	4 Intraluminal Device, Drug-eluting D Intraluminal Device	4 Coronary Vein
0 Coronary Artery, One Artery 1 Coronary Artery, Two Arteries 2 Coronary Artery, Three Arteries 3 Coronary Artery, Four or More Arteries	4 Percutaneous Endoscopic	4 Intraluminal Device, Drug-eluting D Intraluminal Device	4 Coronary Vein
0 Coronary Artery, One Artery 1 Coronary Artery, Two Arteries 2 Coronary Artery, Three Arteries 3 Coronary Artery, Four or More Arteries	4 Percutaneous Endoscopic	8 Zooplastic Tissue 9 Autologous Venous Tissue A Autologous Arterial Tissue J Synthetic Substitute K Nonautologous Tissue Substitute	3 Coronary Artery 8 Internal Mammary, Right 9 Internal Mammary, Left C Thoracic Artery F Abdominal Artery W Aorta
0 Coronary Artery, One Artery 1 Coronary Artery, Two Arteries 2 Coronary Artery, Three Arteries 3 Coronary Artery, Four or More Arteries	4 Percutaneous Endoscopic	Z No Device	3 Coronary Artery 8 Internal Mammary, Right 9 Internal Mammary, Left C Thoracic Artery F Abdominal Artery
6 Atrium, Right	0 Open 4 Percutaneous Endoscopic	8 Zooplastic Tissue 9 Autologous Venous Tissue A Autologous Arterial Tissue J Synthetic Substitute K Nonautologous Tissue Substitute	P Pulmonary Trunk Q Pulmonary Artery, Right R Pulmonary Artery, Left
6 Atrium, Right	0 Open 4 Percutaneous Endoscopic	Z No Device	7 Atrium, Left P Pulmonary Trunk Q Pulmonary Artery, Right R Pulmonary Artery, Left
6 Atrium, Right	3 Percutaneous	Z No Device	7 Atrium, Left
7 Atrium, Left	0 Open 4 Percutaneous Endoscopic	8 Zooplastic Tissue 9 Autologous Venous Tissue A Autologous Arterial Tissue J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device	P Pulmonary Trunk Q Pulmonary Artery, Right R Pulmonary Artery, Left S Pulmonary Vein, Right T Pulmonary Vein, Left U Pulmonary Vein, Confluence
7 Atrium, Left	3 Percutaneous	J Synthetic Substitute	6 Atrium, Right
K Ventricle, Right L Ventricle, Left	0 Open 4 Percutaneous Endoscopic	8 Zooplastic Tissue 9 Autologous Venous Tissue A Autologous Arterial Tissue J Synthetic Substitute K Nonautologous Tissue Substitute	P Pulmonary Trunk Q Pulmonary Artery, Right R Pulmonary Artery, Left
K Ventricle, Right L Ventricle, Left	0 Open 4 Percutaneous Endoscopic	Z No Device	5 Coronary Circulation 8 Internal Mammary, Right 9 Internal Mammary, Left C Thoracic Artery F Abdominal Artery P Pulmonary Trunk Q Pulmonary Artery, Right R Pulmonary Artery, Left W Aorta
P Pulmonary Trunk Q Pulmonary Artery, Right R Pulmonary Artery, Left	0 Open 4 Percutaneous Endoscopic	8 Zooplastic Tissue 9 Autologous Venous Tissue A Autologous Arterial Tissue J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device	A Innominate Artery B Subclavian D Carotid
V Superior Vena Cava	0 Open 4 Percutaneous Endoscopic	8 Zooplastic Tissue 9 Autologous Venous Tissue A Autologous Arterial Tissue J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device	P Pulmonary Trunk Q Pulmonary Artery, Right R Pulmonary Artery, Left S Pulmonary Vein, Right T Pulmonary Vein, Left U Pulmonary Vein, Confluence
W Thoracic Aorta, Descending	0 Open	8 Zooplastic Tissue 9 Autologous Venous Tissue A Autologous Arterial Tissue J Synthetic Substitute K Nonautologous Tissue Substitute	A Innominate Artery B Subclavian D Carotid F Abdominal Artery G Axillary Artery H Brachial Artery P Pulmonary Trunk Q Pulmonary Artery, Right R Pulmonary Artery, Left V Lower Extremity Artery
W Thoracic Aorta, Descending	0 Open	Z No Device	A Innominate Artery B Subclavian D Carotid P Pulmonary Trunk Q Pulmonary Artery, Right R Pulmonary Artery, Left
W Thoracic Aorta, Descending	4 Percutaneous Endoscopic	8 Zooplastic Tissue 9 Autologous Venous Tissue A Autologous Arterial Tissue J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device	A Innominate Artery B Subclavian D Carotid P Pulmonary Trunk Q Pulmonary Artery, Right R Pulmonary Artery, Left
X Thoracic Aorta, Ascending/Arch	0 Open 4 Percutaneous Endoscopic	8 Zooplastic Tissue 9 Autologous Venous Tissue A Autologous Arterial Tissue J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device	A Innominate Artery B Subclavian D Carotid P Pulmonary Trunk Q Pulmonary Artery, Right R Pulmonary Artery, Left

GEM Conversion to ICD-9 PCS

359.4

Fs: 10000 – Creation of conduit between atrium and pulmonary artery

MDC / MS-DRG Reference

DRG 228

OTHER CARDIOTHORACIC PROCEDURES WITH MCC

DRG 229

OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC

Sibling Codes

021.60AP

Bypass Right Atrium to Pulmonary Trunk with Autologous Arterial Tissue, Open Approach

021.60AR

Bypass Right Atrium to Left Pulmonary Artery with Autologous Arterial Tissue, Open Approach