| 92920 |
C4 |
Prq cardiac angioplast 1 art |
NA |
Y |
Y |
| 92921 |
C4 |
Prq cardiac angio addl art |
NA |
Y |
Y |
| 92924 |
C4 |
Prq card angio/athrect 1 art |
NA |
Y |
Y |
| 92925 |
C4 |
Prq card angio/athrect addl |
NA |
Y |
Y |
| 92928 |
C4 |
Prq card stent w/angio 1 vsl |
NA |
Y |
Y |
| 92929 |
C4 |
Prq card stent w/angio addl |
NA |
Y |
Y |
| 92933 |
C4 |
Prq card stent/ath/angio |
NA |
Y |
Y |
| 92934 |
C4 |
Prq card stent/ath/angio |
NA |
Y |
Y |
| 92937 |
C4 |
Prq revasc byp graft 1 vsl |
NA |
Y |
Y |
| 92938 |
C4 |
Prq revasc byp graft addl |
NA |
Y |
Y |
| 92941 |
C4 |
Prq card revasc mi 1 vsl |
NA |
Y |
Y |
| 92943 |
C4 |
Prq card revasc chronic 1vsl |
NA |
Y |
Y |
| 92944 |
C4 |
Prq card revasc chronic addl |
NA |
Y |
Y |
| 92980 |
C4 |
Insert intracoronary stent |
NA |
Y |
Y |
| 92981 |
C4 |
Insert intracoronary stent |
NA |
Y |
Y |
| 92982 |
C4 |
Coronary artery dilation |
NA |
Y |
Y |
| 92984 |
C4 |
Coronary artery dilation |
NA |
Y |
Y |
| 92995 |
C4 |
Coronary atherectomy |
NA |
Y |
Y |
| 92996 |
C4 |
Coronary atherectomy add-on |
NA |
Y |
Y |
| 00.66 |
09 |
Percutaneous transluminal coronary angioplasty |
NA |
Y |
Y |
| 36.0 |
09 |
Removal of coronary artery obstruction and insertion of stent(s) |
NA |
Y |
Y |
| 36.00 |
09 |
Rmvl cor art obstr nos |
NA |
Y |
Y |
| 36.01 |
09 |
1 ptca/atherect w/o tl |
NA |
Y |
Y |
| 36.02 |
09 |
1 ptca/atherect w tl |
NA |
Y |
Y |
| 36.03 |
09 |
Open chest coronary artery angioplasty |
NA |
Y |
Y |
| 36.04 |
09 |
Intracoronary artery thrombolytic infusion |
NA |
Y |
Y |
| 36.05 |
09 |
Ptca/atherect-mult vess |
NA |
Y |
Y |
| 36.06 |
09 |
Insertion of non-drug-eluting coronary artery stent(s) |
NA |
Y |
Y |
| 36.07 |
09 |
Insertion of drug-eluting coronary artery stent(s) |
NA |
Y |
Y |
| 36.09 |
09 |
Other specified removal of coronary artery obstruction |
NA |
Y |
Y |
| 36.1 |
09 |
Bypass anastomosis for heart revascularization |
NA |
Y |
Y |
| 36.2 |
09 |
Heart revascularization by arterial implant |
NA |
Y |
Y |
| 33510 |
C4 |
Cabg vein single |
NA |
Y |
Y |
| 33511 |
C4 |
Cabg vein two |
NA |
Y |
Y |
| 33512 |
C4 |
Cabg vein three |
NA |
Y |
Y |
| 33513 |
C4 |
Cabg vein four |
NA |
Y |
Y |
| 33514 |
C4 |
Cabg vein five |
NA |
Y |
Y |
| 33515 |
C4 |
Coronary art bypass two corn art |
NA |
Y |
Y |
| 33516 |
C4 |
Cabg vein six or more |
NA |
Y |
Y |
| 33517 |
C4 |
Cabg artery-vein single |
NA |
Y |
Y |
| 33518 |
C4 |
Cabg artery-vein two |
NA |
Y |
Y |
| 33519 |
C4 |
Cabg artery-vein three |
NA |
Y |
Y |
| 33520 |
C4 |
Coronary artery,bypass/graft |
NA |
Y |
Y |
| 33521 |
C4 |
Cabg artery-vein four |
NA |
Y |
Y |
| 33522 |
C4 |
Cabg artery-vein five |
NA |
Y |
Y |
| 33523 |
C4 |
Cabg art-vein six or more |
NA |
Y |
Y |
| 33533 |
C4 |
Coronary artery bypass, single arterial graft |
NA |
Y |
Y |
| 33534 |
C4 |
Coronary artery bypass, two coronary arterial grafts |
NA |
Y |
Y |
| 33535 |
C4 |
Coronary artery bypass, three coronary arterial grafts |
NA |
Y |
Y |
| 33536 |
C4 |
Coronary artery bypass, four or more coronary arterial grafts |
NA |
Y |
Y |
| 33542 |
C4 |
Removal of heart lesion |
NA |
Y |
Y |
| 33545 |
C4 |
Repair of heart damage |
NA |
Y |
Y |
| C9600 |
H4 |
Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch |
NA |
Y |
Y |
| C9601 |
H4 |
Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary arter |
NA |
Y |
Y |
| C9602 |
H4 |
Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch |
NA |
Y |
Y |
| C9603 |
H4 |
Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery |
NA |
Y |
Y |
| C9604 |
H4 |
Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel |
NA |
Y |
Y |
| C9605 |
H4 |
Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; each additional branch subtended by the bypass graft |
NA |
Y |
Y |
| C9606 |
H4 |
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 |
NA |
Y |
Y |
| C9607 |
H4 |
Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; single vessel |
NA |
Y |
Y |
| C9608 |
H4 |
Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; each additional coronary artery, coronary artery branch, or bypass graft |
NA |
Y |
Y |
| G0290 |
H4 |
Transcatheter placement of a drug eluting intracoronary stent(s), percutaneous, with or without other therapeutic intervention, any method; single vessel |
NA |
Y |
Y |
| G0291 |
H4 |
Transcatheter placement of a drug eluting intracoronary stent(s), percutaneous, with or without other therapeutic intervention, any method; each additional vessel |
NA |
Y |
Y |
| 0210083 |
10 |
Bypass Coronary Artery, One Artery from Coronary Artery with Zooplastic Tissue, Open Approach |
NA |
Y |
Y |
| 0210088 |
10 |
Bypass Coronary Artery, One Artery from Right Internal Mammary with Zooplastic Tissue, Open Approach |
NA |
Y |
Y |
| 0210089 |
10 |
Bypass Coronary Artery, One Artery from Left Internal Mammary with Zooplastic Tissue, Open Approach |
NA |
Y |
Y |
| 0210093 |
10 |
Bypass Coronary Artery, One Artery from Coronary Artery with Autologous Venous Tissue, Open Approach |
NA |
Y |
Y |
| 0210098 |
10 |
Bypass Coronary Artery, One Artery from Right Internal Mammary with Autologous Venous Tissue, Open Approach |
NA |
Y |
Y |
| 0210099 |
10 |
Bypass Coronary Artery, One Artery from Left Internal Mammary with Autologous Venous Tissue, Open Approach |
NA |
Y |
Y |
| 0210483 |
10 |
Bypass Coronary Artery, One Artery from Coronary Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 0210488 |
10 |
Bypass Coronary Artery, One Artery from Right Internal Mammary with Zooplastic Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 0210489 |
10 |
Bypass Coronary Artery, One Artery from Left Internal Mammary with Zooplastic Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 0210493 |
10 |
Bypass Coronary Artery, One Artery from Coronary Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 0210498 |
10 |
Bypass Coronary Artery, One Artery from Right Internal Mammary with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 0210499 |
10 |
Bypass Coronary Artery, One Artery from Left Internal Mammary with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 0211083 |
10 |
Bypass Coronary Artery, Two Arteries from Coronary Artery with Zooplastic Tissue, Open Approach |
NA |
Y |
Y |
| 0211088 |
10 |
Bypass Coronary Artery, Two Arteries from Right Internal Mammary with Zooplastic Tissue, Open Approach |
NA |
Y |
Y |
| 0211089 |
10 |
Bypass Coronary Artery, Two Arteries from Left Internal Mammary with Zooplastic Tissue, Open Approach |
NA |
Y |
Y |
| 0211093 |
10 |
Bypass Coronary Artery, Two Arteries from Coronary Artery with Autologous Venous Tissue, Open Approach |
NA |
Y |
Y |
| 0211098 |
10 |
Bypass Coronary Artery, Two Arteries from Right Internal Mammary with Autologous Venous Tissue, Open Approach |
NA |
Y |
Y |
| 0211099 |
10 |
Bypass Coronary Artery, Two Arteries from Left Internal Mammary with Autologous Venous Tissue, Open Approach |
NA |
Y |
Y |
| 0211483 |
10 |
Bypass Coronary Artery, Two Arteries from Coronary Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 0211488 |
10 |
Bypass Coronary Artery, Two Arteries from Right Internal Mammary with Zooplastic Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 0211489 |
10 |
Bypass Coronary Artery, Two Arteries from Left Internal Mammary with Zooplastic Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 0211493 |
10 |
Bypass Coronary Artery, Two Arteries from Coronary Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 0211498 |
10 |
Bypass Coronary Artery, Two Arteries from Right Internal Mammary with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 0211499 |
10 |
Bypass Coronary Artery, Two Arteries from Left Internal Mammary with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 0212083 |
10 |
Bypass Coronary Artery, Three Arteries from Coronary Artery with Zooplastic Tissue, Open Approach |
NA |
Y |
Y |
| 0212088 |
10 |
Bypass Coronary Artery, Three Arteries from Right Internal Mammary with Zooplastic Tissue, Open Approach |
NA |
Y |
Y |
| 0212089 |
10 |
Bypass Coronary Artery, Three Arteries from Left Internal Mammary with Zooplastic Tissue, Open Approach |
NA |
Y |
Y |
| 0212093 |
10 |
Bypass Coronary Artery, Three Arteries from Coronary Artery with Autologous Venous Tissue, Open Approach |
NA |
Y |
Y |
| 0212098 |
10 |
Bypass Coronary Artery, Three Arteries from Right Internal Mammary with Autologous Venous Tissue, Open Approach |
NA |
Y |
Y |
| 0212099 |
10 |
Bypass Coronary Artery, Three Arteries from Left Internal Mammary with Autologous Venous Tissue, Open Approach |
NA |
Y |
Y |
| 0212483 |
10 |
Bypass Coronary Artery, Three Arteries from Coronary Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 0212488 |
10 |
Bypass Coronary Artery, Three Arteries from Right Internal Mammary with Zooplastic Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 0212489 |
10 |
Bypass Coronary Artery, Three Arteries from Left Internal Mammary with Zooplastic Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 0212493 |
10 |
Bypass Coronary Artery, Three Arteries from Coronary Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 0212498 |
10 |
Bypass Coronary Artery, Three Arteries from Right Internal Mammary with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 0212499 |
10 |
Bypass Coronary Artery, Three Arteries from Left Internal Mammary with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 0213083 |
10 |
Bypass Coronary Artery, Four or More Arteries from Coronary Artery with Zooplastic Tissue, Open Approach |
NA |
Y |
Y |
| 0213088 |
10 |
Bypass Coronary Artery, Four or More Arteries from Right Internal Mammary with Zooplastic Tissue, Open Approach |
NA |
Y |
Y |
| 0213089 |
10 |
Bypass Coronary Artery, Four or More Arteries from Left Internal Mammary with Zooplastic Tissue, Open Approach |
NA |
Y |
Y |
| 0213093 |
10 |
Bypass Coronary Artery, Four or More Arteries from Coronary Artery with Autologous Venous Tissue, Open Approach |
NA |
Y |
Y |
| 0213098 |
10 |
Bypass Coronary Artery, Four or More Arteries from Right Internal Mammary with Autologous Venous Tissue, Open Approach |
NA |
Y |
Y |
| 0213099 |
10 |
Bypass Coronary Artery, Four or More Arteries from Left Internal Mammary with Autologous Venous Tissue, Open Approach |
NA |
Y |
Y |
| 0213483 |
10 |
Bypass Coronary Artery, Four or More Arteries from Coronary Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 0213488 |
10 |
Bypass Coronary Artery, Four or More Arteries from Right Internal Mammary with Zooplastic Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 0213489 |
10 |
Bypass Coronary Artery, Four or More Arteries from Left Internal Mammary with Zooplastic Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 0213493 |
10 |
Bypass Coronary Artery, Four or More Arteries from Coronary Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 0213498 |
10 |
Bypass Coronary Artery, Four or More Arteries from Right Internal Mammary with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 0213499 |
10 |
Bypass Coronary Artery, Four or More Arteries from Left Internal Mammary with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 021008C |
10 |
Bypass Coronary Artery, One Artery from Thoracic Artery with Zooplastic Tissue, Open Approach |
NA |
Y |
Y |
| 021008F |
10 |
Bypass Coronary Artery, One Artery from Abdominal Artery with Zooplastic Tissue, Open Approach |
NA |
Y |
Y |
| 021008W |
10 |
Bypass Coronary Artery, One Artery from Aorta with Zooplastic Tissue, Open Approach |
NA |
Y |
Y |
| 021009C |
10 |
Bypass Coronary Artery, One Artery from Thoracic Artery with Autologous Venous Tissue, Open Approach |
NA |
Y |
Y |
| 021009F |
10 |
Bypass Coronary Artery, One Artery from Abdominal Artery with Autologous Venous Tissue, Open Approach |
NA |
Y |
Y |
| 021009W |
10 |
Bypass Coronary Artery, One Artery from Aorta with Autologous Venous Tissue, Open Approach |
NA |
Y |
Y |
| 02100A3 |
10 |
Bypass Coronary Artery, One Artery from Coronary Artery with Autologous Arterial Tissue, Open Approach |
NA |
Y |
Y |
| 02100A8 |
10 |
Bypass Coronary Artery, One Artery from Right Internal Mammary with Autologous Arterial Tissue, Open Approach |
NA |
Y |
Y |
| 02100A9 |
10 |
Bypass Coronary Artery, One Artery from Left Internal Mammary with Autologous Arterial Tissue, Open Approach |
NA |
Y |
Y |
| 02100AC |
10 |
Bypass Coronary Artery, One Artery from Thoracic Artery with Autologous Arterial Tissue, Open Approach |
NA |
Y |
Y |
| 02100AF |
10 |
Bypass Coronary Artery, One Artery from Abdominal Artery with Autologous Arterial Tissue, Open Approach |
NA |
Y |
Y |
| 02100AW |
10 |
Bypass Coronary Artery, One Artery from Aorta with Autologous Arterial Tissue, Open Approach |
NA |
Y |
Y |
| 02100J3 |
10 |
Bypass Coronary Artery, One Artery from Coronary Artery with Synthetic Substitute, Open Approach |
NA |
Y |
Y |
| 02100J8 |
10 |
Bypass Coronary Artery, One Artery from Right Internal Mammary with Synthetic Substitute, Open Approach |
NA |
Y |
Y |
| 02100J9 |
10 |
Bypass Coronary Artery, One Artery from Left Internal Mammary with Synthetic Substitute, Open Approach |
NA |
Y |
Y |
| 02100JC |
10 |
Bypass Coronary Artery, One Artery from Thoracic Artery with Synthetic Substitute, Open Approach |
NA |
Y |
Y |
| 02100JF |
10 |
Bypass Coronary Artery, One Artery from Abdominal Artery with Synthetic Substitute, Open Approach |
NA |
Y |
Y |
| 02100JW |
10 |
Bypass Coronary Artery, One Artery from Aorta with Synthetic Substitute, Open Approach |
NA |
Y |
Y |
| 02100K3 |
10 |
Bypass Coronary Artery, One Artery from Coronary Artery with Nonautologous Tissue Substitute, Open Approach |
NA |
Y |
Y |
| 02100K8 |
10 |
Bypass Coronary Artery, One Artery from Right Internal Mammary with Nonautologous Tissue Substitute, Open Approach |
NA |
Y |
Y |
| 02100K9 |
10 |
Bypass Coronary Artery, One Artery from Left Internal Mammary with Nonautologous Tissue Substitute, Open Approach |
NA |
Y |
Y |
| 02100KC |
10 |
Bypass Coronary Artery, One Artery from Thoracic Artery with Nonautologous Tissue Substitute, Open Approach |
NA |
Y |
Y |
| 02100KF |
10 |
Bypass Coronary Artery, One Artery from Abdominal Artery with Nonautologous Tissue Substitute, Open Approach |
NA |
Y |
Y |
| 02100KW |
10 |
Bypass Coronary Artery, One Artery from Aorta with Nonautologous Tissue Substitute, Open Approach |
NA |
Y |
Y |
| 02100Z3 |
10 |
Bypass Coronary Artery, One Artery from Coronary Artery, Open Approach |
NA |
Y |
Y |
| 02100Z8 |
10 |
Bypass Coronary Artery, One Artery from Right Internal Mammary, Open Approach |
NA |
Y |
Y |
| 02100Z9 |
10 |
Bypass Coronary Artery, One Artery from Left Internal Mammary, Open Approach |
NA |
Y |
Y |
| 02100ZC |
10 |
Bypass Coronary Artery, One Artery from Thoracic Artery, Open Approach |
NA |
Y |
Y |
| 02100ZF |
10 |
Bypass Coronary Artery, One Artery from Abdominal Artery, Open Approach |
NA |
Y |
Y |
| 021048C |
10 |
Bypass Coronary Artery, One Artery from Thoracic Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 021048F |
10 |
Bypass Coronary Artery, One Artery from Abdominal Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 021048W |
10 |
Bypass Coronary Artery, One Artery from Aorta with Zooplastic Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 021049C |
10 |
Bypass Coronary Artery, One Artery from Thoracic Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 021049F |
10 |
Bypass Coronary Artery, One Artery from Abdominal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 021049W |
10 |
Bypass Coronary Artery, One Artery from Aorta with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02104A3 |
10 |
Bypass Coronary Artery, One Artery from Coronary Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02104A8 |
10 |
Bypass Coronary Artery, One Artery from Right Internal Mammary with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02104A9 |
10 |
Bypass Coronary Artery, One Artery from Left Internal Mammary with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02104AC |
10 |
Bypass Coronary Artery, One Artery from Thoracic Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02104AF |
10 |
Bypass Coronary Artery, One Artery from Abdominal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02104AW |
10 |
Bypass Coronary Artery, One Artery from Aorta with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02104J3 |
10 |
Bypass Coronary Artery, One Artery from Coronary Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02104J8 |
10 |
Bypass Coronary Artery, One Artery from Right Internal Mammary with Synthetic Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02104J9 |
10 |
Bypass Coronary Artery, One Artery from Left Internal Mammary with Synthetic Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02104JC |
10 |
Bypass Coronary Artery, One Artery from Thoracic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02104JF |
10 |
Bypass Coronary Artery, One Artery from Abdominal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02104JW |
10 |
Bypass Coronary Artery, One Artery from Aorta with Synthetic Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02104K3 |
10 |
Bypass Coronary Artery, One Artery from Coronary Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02104K8 |
10 |
Bypass Coronary Artery, One Artery from Right Internal Mammary with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02104K9 |
10 |
Bypass Coronary Artery, One Artery from Left Internal Mammary with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02104KC |
10 |
Bypass Coronary Artery, One Artery from Thoracic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02104KF |
10 |
Bypass Coronary Artery, One Artery from Abdominal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02104KW |
10 |
Bypass Coronary Artery, One Artery from Aorta with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02104Z3 |
10 |
Bypass Coronary Artery, One Artery from Coronary Artery, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02104Z8 |
10 |
Bypass Coronary Artery, One Artery from Right Internal Mammary, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02104Z9 |
10 |
Bypass Coronary Artery, One Artery from Left Internal Mammary, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02104ZC |
10 |
Bypass Coronary Artery, One Artery from Thoracic Artery, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02104ZF |
10 |
Bypass Coronary Artery, One Artery from Abdominal Artery, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 021108C |
10 |
Bypass Coronary Artery, Two Arteries from Thoracic Artery with Zooplastic Tissue, Open Approach |
NA |
Y |
Y |
| 021108F |
10 |
Bypass Coronary Artery, Two Arteries from Abdominal Artery with Zooplastic Tissue, Open Approach |
NA |
Y |
Y |
| 021108W |
10 |
Bypass Coronary Artery, Two Arteries from Aorta with Zooplastic Tissue, Open Approach |
NA |
Y |
Y |
| 021109C |
10 |
Bypass Coronary Artery, Two Arteries from Thoracic Artery with Autologous Venous Tissue, Open Approach |
NA |
Y |
Y |
| 021109F |
10 |
Bypass Coronary Artery, Two Arteries from Abdominal Artery with Autologous Venous Tissue, Open Approach |
NA |
Y |
Y |
| 021109W |
10 |
Bypass Coronary Artery, Two Arteries from Aorta with Autologous Venous Tissue, Open Approach |
NA |
Y |
Y |
| 02110A3 |
10 |
Bypass Coronary Artery, Two Arteries from Coronary Artery with Autologous Arterial Tissue, Open Approach |
NA |
Y |
Y |
| 02110A8 |
10 |
Bypass Coronary Artery, Two Arteries from Right Internal Mammary with Autologous Arterial Tissue, Open Approach |
NA |
Y |
Y |
| 02110A9 |
10 |
Bypass Coronary Artery, Two Arteries from Left Internal Mammary with Autologous Arterial Tissue, Open Approach |
NA |
Y |
Y |
| 02110AC |
10 |
Bypass Coronary Artery, Two Arteries from Thoracic Artery with Autologous Arterial Tissue, Open Approach |
NA |
Y |
Y |
| 02110AF |
10 |
Bypass Coronary Artery, Two Arteries from Abdominal Artery with Autologous Arterial Tissue, Open Approach |
NA |
Y |
Y |
| 02110AW |
10 |
Bypass Coronary Artery, Two Arteries from Aorta with Autologous Arterial Tissue, Open Approach |
NA |
Y |
Y |
| 02110J3 |
10 |
Bypass Coronary Artery, Two Arteries from Coronary Artery with Synthetic Substitute, Open Approach |
NA |
Y |
Y |
| 02110J8 |
10 |
Bypass Coronary Artery, Two Arteries from Right Internal Mammary with Synthetic Substitute, Open Approach |
NA |
Y |
Y |
| 02110J9 |
10 |
Bypass Coronary Artery, Two Arteries from Left Internal Mammary with Synthetic Substitute, Open Approach |
NA |
Y |
Y |
| 02110JC |
10 |
Bypass Coronary Artery, Two Arteries from Thoracic Artery with Synthetic Substitute, Open Approach |
NA |
Y |
Y |
| 02110JF |
10 |
Bypass Coronary Artery, Two Arteries from Abdominal Artery with Synthetic Substitute, Open Approach |
NA |
Y |
Y |
| 02110JW |
10 |
Bypass Coronary Artery, Two Arteries from Aorta with Synthetic Substitute, Open Approach |
NA |
Y |
Y |
| 02110K3 |
10 |
Bypass Coronary Artery, Two Arteries from Coronary Artery with Nonautologous Tissue Substitute, Open Approach |
NA |
Y |
Y |
| 02110K8 |
10 |
Bypass Coronary Artery, Two Arteries from Right Internal Mammary with Nonautologous Tissue Substitute, Open Approach |
NA |
Y |
Y |
| 02110K9 |
10 |
Bypass Coronary Artery, Two Arteries from Left Internal Mammary with Nonautologous Tissue Substitute, Open Approach |
NA |
Y |
Y |
| 02110KC |
10 |
Bypass Coronary Artery, Two Arteries from Thoracic Artery with Nonautologous Tissue Substitute, Open Approach |
NA |
Y |
Y |
| 02110KF |
10 |
Bypass Coronary Artery, Two Arteries from Abdominal Artery with Nonautologous Tissue Substitute, Open Approach |
NA |
Y |
Y |
| 02110KW |
10 |
Bypass Coronary Artery, Two Arteries from Aorta with Nonautologous Tissue Substitute, Open Approach |
NA |
Y |
Y |
| 02110Z3 |
10 |
Bypass Coronary Artery, Two Arteries from Coronary Artery, Open Approach |
NA |
Y |
Y |
| 02110Z8 |
10 |
Bypass Coronary Artery, Two Arteries from Right Internal Mammary, Open Approach |
NA |
Y |
Y |
| 02110Z9 |
10 |
Bypass Coronary Artery, Two Arteries from Left Internal Mammary, Open Approach |
NA |
Y |
Y |
| 02110ZC |
10 |
Bypass Coronary Artery, Two Arteries from Thoracic Artery, Open Approach |
NA |
Y |
Y |
| 02110ZF |
10 |
Bypass Coronary Artery, Two Arteries from Abdominal Artery, Open Approach |
NA |
Y |
Y |
| 021148C |
10 |
Bypass Coronary Artery, Two Arteries from Thoracic Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 021148F |
10 |
Bypass Coronary Artery, Two Arteries from Abdominal Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 021148W |
10 |
Bypass Coronary Artery, Two Arteries from Aorta with Zooplastic Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 021149C |
10 |
Bypass Coronary Artery, Two Arteries from Thoracic Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 021149F |
10 |
Bypass Coronary Artery, Two Arteries from Abdominal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 021149W |
10 |
Bypass Coronary Artery, Two Arteries from Aorta with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02114A3 |
10 |
Bypass Coronary Artery, Two Arteries from Coronary Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02114A8 |
10 |
Bypass Coronary Artery, Two Arteries from Right Internal Mammary with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02114A9 |
10 |
Bypass Coronary Artery, Two Arteries from Left Internal Mammary with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02114AC |
10 |
Bypass Coronary Artery, Two Arteries from Thoracic Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02114AF |
10 |
Bypass Coronary Artery, Two Arteries from Abdominal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02114AW |
10 |
Bypass Coronary Artery, Two Arteries from Aorta with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02114J3 |
10 |
Bypass Coronary Artery, Two Arteries from Coronary Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02114J8 |
10 |
Bypass Coronary Artery, Two Arteries from Right Internal Mammary with Synthetic Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02114J9 |
10 |
Bypass Coronary Artery, Two Arteries from Left Internal Mammary with Synthetic Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02114JC |
10 |
Bypass Coronary Artery, Two Arteries from Thoracic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02114JF |
10 |
Bypass Coronary Artery, Two Arteries from Abdominal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02114JW |
10 |
Bypass Coronary Artery, Two Arteries from Aorta with Synthetic Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02114K3 |
10 |
Bypass Coronary Artery, Two Arteries from Coronary Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02114K8 |
10 |
Bypass Coronary Artery, Two Arteries from Right Internal Mammary with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02114K9 |
10 |
Bypass Coronary Artery, Two Arteries from Left Internal Mammary with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02114KC |
10 |
Bypass Coronary Artery, Two Arteries from Thoracic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02114KF |
10 |
Bypass Coronary Artery, Two Arteries from Abdominal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02114KW |
10 |
Bypass Coronary Artery, Two Arteries from Aorta with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02114Z3 |
10 |
Bypass Coronary Artery, Two Arteries from Coronary Artery, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02114Z8 |
10 |
Bypass Coronary Artery, Two Arteries from Right Internal Mammary, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02114Z9 |
10 |
Bypass Coronary Artery, Two Arteries from Left Internal Mammary, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02114ZC |
10 |
Bypass Coronary Artery, Two Arteries from Thoracic Artery, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02114ZF |
10 |
Bypass Coronary Artery, Two Arteries from Abdominal Artery, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 021208C |
10 |
Bypass Coronary Artery, Three Arteries from Thoracic Artery with Zooplastic Tissue, Open Approach |
NA |
Y |
Y |
| 021208F |
10 |
Bypass Coronary Artery, Three Arteries from Abdominal Artery with Zooplastic Tissue, Open Approach |
NA |
Y |
Y |
| 021208W |
10 |
Bypass Coronary Artery, Three Arteries from Aorta with Zooplastic Tissue, Open Approach |
NA |
Y |
Y |
| 021209C |
10 |
Bypass Coronary Artery, Three Arteries from Thoracic Artery with Autologous Venous Tissue, Open Approach |
NA |
Y |
Y |
| 021209F |
10 |
Bypass Coronary Artery, Three Arteries from Abdominal Artery with Autologous Venous Tissue, Open Approach |
NA |
Y |
Y |
| 021209W |
10 |
Bypass Coronary Artery, Three Arteries from Aorta with Autologous Venous Tissue, Open Approach |
NA |
Y |
Y |
| 02120A3 |
10 |
Bypass Coronary Artery, Three Arteries from Coronary Artery with Autologous Arterial Tissue, Open Approach |
NA |
Y |
Y |
| 02120A8 |
10 |
Bypass Coronary Artery, Three Arteries from Right Internal Mammary with Autologous Arterial Tissue, Open Approach |
NA |
Y |
Y |
| 02120A9 |
10 |
Bypass Coronary Artery, Three Arteries from Left Internal Mammary with Autologous Arterial Tissue, Open Approach |
NA |
Y |
Y |
| 02120AC |
10 |
Bypass Coronary Artery, Three Arteries from Thoracic Artery with Autologous Arterial Tissue, Open Approach |
NA |
Y |
Y |
| 02120AF |
10 |
Bypass Coronary Artery, Three Arteries from Abdominal Artery with Autologous Arterial Tissue, Open Approach |
NA |
Y |
Y |
| 02120AW |
10 |
Bypass Coronary Artery, Three Arteries from Aorta with Autologous Arterial Tissue, Open Approach |
NA |
Y |
Y |
| 02120J3 |
10 |
Bypass Coronary Artery, Three Arteries from Coronary Artery with Synthetic Substitute, Open Approach |
NA |
Y |
Y |
| 02120J8 |
10 |
Bypass Coronary Artery, Three Arteries from Right Internal Mammary with Synthetic Substitute, Open Approach |
NA |
Y |
Y |
| 02120J9 |
10 |
Bypass Coronary Artery, Three Arteries from Left Internal Mammary with Synthetic Substitute, Open Approach |
NA |
Y |
Y |
| 02120JC |
10 |
Bypass Coronary Artery, Three Arteries from Thoracic Artery with Synthetic Substitute, Open Approach |
NA |
Y |
Y |
| 02120JF |
10 |
Bypass Coronary Artery, Three Arteries from Abdominal Artery with Synthetic Substitute, Open Approach |
NA |
Y |
Y |
| 02120JW |
10 |
Bypass Coronary Artery, Three Arteries from Aorta with Synthetic Substitute, Open Approach |
NA |
Y |
Y |
| 02120K3 |
10 |
Bypass Coronary Artery, Three Arteries from Coronary Artery with Nonautologous Tissue Substitute, Open Approach |
NA |
Y |
Y |
| 02120K8 |
10 |
Bypass Coronary Artery, Three Arteries from Right Internal Mammary with Nonautologous Tissue Substitute, Open Approach |
NA |
Y |
Y |
| 02120K9 |
10 |
Bypass Coronary Artery, Three Arteries from Left Internal Mammary with Nonautologous Tissue Substitute, Open Approach |
NA |
Y |
Y |
| 02120KC |
10 |
Bypass Coronary Artery, Three Arteries from Thoracic Artery with Nonautologous Tissue Substitute, Open Approach |
NA |
Y |
Y |
| 02120KF |
10 |
Bypass Coronary Artery, Three Arteries from Abdominal Artery with Nonautologous Tissue Substitute, Open Approach |
NA |
Y |
Y |
| 02120KW |
10 |
Bypass Coronary Artery, Three Arteries from Aorta with Nonautologous Tissue Substitute, Open Approach |
NA |
Y |
Y |
| 02120Z3 |
10 |
Bypass Coronary Artery, Three Arteries from Coronary Artery, Open Approach |
NA |
Y |
Y |
| 02120Z8 |
10 |
Bypass Coronary Artery, Three Arteries from Right Internal Mammary, Open Approach |
NA |
Y |
Y |
| 02120Z9 |
10 |
Bypass Coronary Artery, Three Arteries from Left Internal Mammary, Open Approach |
NA |
Y |
Y |
| 02120ZC |
10 |
Bypass Coronary Artery, Three Arteries from Thoracic Artery, Open Approach |
NA |
Y |
Y |
| 02120ZF |
10 |
Bypass Coronary Artery, Three Arteries from Abdominal Artery, Open Approach |
NA |
Y |
Y |
| 021248C |
10 |
Bypass Coronary Artery, Three Arteries from Thoracic Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 021248F |
10 |
Bypass Coronary Artery, Three Arteries from Abdominal Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 021248W |
10 |
Bypass Coronary Artery, Three Arteries from Aorta with Zooplastic Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 021249C |
10 |
Bypass Coronary Artery, Three Arteries from Thoracic Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 021249F |
10 |
Bypass Coronary Artery, Three Arteries from Abdominal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 021249W |
10 |
Bypass Coronary Artery, Three Arteries from Aorta with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02124A3 |
10 |
Bypass Coronary Artery, Three Arteries from Coronary Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02124A8 |
10 |
Bypass Coronary Artery, Three Arteries from Right Internal Mammary with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02124A9 |
10 |
Bypass Coronary Artery, Three Arteries from Left Internal Mammary with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02124AC |
10 |
Bypass Coronary Artery, Three Arteries from Thoracic Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02124AF |
10 |
Bypass Coronary Artery, Three Arteries from Abdominal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02124AW |
10 |
Bypass Coronary Artery, Three Arteries from Aorta with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02124J3 |
10 |
Bypass Coronary Artery, Three Arteries from Coronary Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02124J8 |
10 |
Bypass Coronary Artery, Three Arteries from Right Internal Mammary with Synthetic Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02124J9 |
10 |
Bypass Coronary Artery, Three Arteries from Left Internal Mammary with Synthetic Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02124JC |
10 |
Bypass Coronary Artery, Three Arteries from Thoracic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02124JF |
10 |
Bypass Coronary Artery, Three Arteries from Abdominal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02124JW |
10 |
Bypass Coronary Artery, Three Arteries from Aorta with Synthetic Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02124K3 |
10 |
Bypass Coronary Artery, Three Arteries from Coronary Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02124K8 |
10 |
Bypass Coronary Artery, Three Arteries from Right Internal Mammary with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02124K9 |
10 |
Bypass Coronary Artery, Three Arteries from Left Internal Mammary with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02124KC |
10 |
Bypass Coronary Artery, Three Arteries from Thoracic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02124KF |
10 |
Bypass Coronary Artery, Three Arteries from Abdominal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02124KW |
10 |
Bypass Coronary Artery, Three Arteries from Aorta with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02124Z3 |
10 |
Bypass Coronary Artery, Three Arteries from Coronary Artery, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02124Z8 |
10 |
Bypass Coronary Artery, Three Arteries from Right Internal Mammary, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02124Z9 |
10 |
Bypass Coronary Artery, Three Arteries from Left Internal Mammary, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02124ZC |
10 |
Bypass Coronary Artery, Three Arteries from Thoracic Artery, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02124ZF |
10 |
Bypass Coronary Artery, Three Arteries from Abdominal Artery, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 021308C |
10 |
Bypass Coronary Artery, Four or More Arteries from Thoracic Artery with Zooplastic Tissue, Open Approach |
NA |
Y |
Y |
| 021308F |
10 |
Bypass Coronary Artery, Four or More Arteries from Abdominal Artery with Zooplastic Tissue, Open Approach |
NA |
Y |
Y |
| 021308W |
10 |
Bypass Coronary Artery, Four or More Arteries from Aorta with Zooplastic Tissue, Open Approach |
NA |
Y |
Y |
| 021309C |
10 |
Bypass Coronary Artery, Four or More Arteries from Thoracic Artery with Autologous Venous Tissue, Open Approach |
NA |
Y |
Y |
| 021309F |
10 |
Bypass Coronary Artery, Four or More Arteries from Abdominal Artery with Autologous Venous Tissue, Open Approach |
NA |
Y |
Y |
| 021309W |
10 |
Bypass Coronary Artery, Four or More Arteries from Aorta with Autologous Venous Tissue, Open Approach |
NA |
Y |
Y |
| 02130A3 |
10 |
Bypass Coronary Artery, Four or More Arteries from Coronary Artery with Autologous Arterial Tissue, Open Approach |
NA |
Y |
Y |
| 02130A8 |
10 |
Bypass Coronary Artery, Four or More Arteries from Right Internal Mammary with Autologous Arterial Tissue, Open Approach |
NA |
Y |
Y |
| 02130A9 |
10 |
Bypass Coronary Artery, Four or More Arteries from Left Internal Mammary with Autologous Arterial Tissue, Open Approach |
NA |
Y |
Y |
| 02130AC |
10 |
Bypass Coronary Artery, Four or More Arteries from Thoracic Artery with Autologous Arterial Tissue, Open Approach |
NA |
Y |
Y |
| 02130AF |
10 |
Bypass Coronary Artery, Four or More Arteries from Abdominal Artery with Autologous Arterial Tissue, Open Approach |
NA |
Y |
Y |
| 02130AW |
10 |
Bypass Coronary Artery, Four or More Arteries from Aorta with Autologous Arterial Tissue, Open Approach |
NA |
Y |
Y |
| 02130J3 |
10 |
Bypass Coronary Artery, Four or More Arteries from Coronary Artery with Synthetic Substitute, Open Approach |
NA |
Y |
Y |
| 02130J8 |
10 |
Bypass Coronary Artery, Four or More Arteries from Right Internal Mammary with Synthetic Substitute, Open Approach |
NA |
Y |
Y |
| 02130J9 |
10 |
Bypass Coronary Artery, Four or More Arteries from Left Internal Mammary with Synthetic Substitute, Open Approach |
NA |
Y |
Y |
| 02130JC |
10 |
Bypass Coronary Artery, Four or More Arteries from Thoracic Artery with Synthetic Substitute, Open Approach |
NA |
Y |
Y |
| 02130JF |
10 |
Bypass Coronary Artery, Four or More Arteries from Abdominal Artery with Synthetic Substitute, Open Approach |
NA |
Y |
Y |
| 02130JW |
10 |
Bypass Coronary Artery, Four or More Arteries from Aorta with Synthetic Substitute, Open Approach |
NA |
Y |
Y |
| 02130K3 |
10 |
Bypass Coronary Artery, Four or More Arteries from Coronary Artery with Nonautologous Tissue Substitute, Open Approach |
NA |
Y |
Y |
| 02130K8 |
10 |
Bypass Coronary Artery, Four or More Arteries from Right Internal Mammary with Nonautologous Tissue Substitute, Open Approach |
NA |
Y |
Y |
| 02130K9 |
10 |
Bypass Coronary Artery, Four or More Arteries from Left Internal Mammary with Nonautologous Tissue Substitute, Open Approach |
NA |
Y |
Y |
| 02130KC |
10 |
Bypass Coronary Artery, Four or More Arteries from Thoracic Artery with Nonautologous Tissue Substitute, Open Approach |
NA |
Y |
Y |
| 02130KF |
10 |
Bypass Coronary Artery, Four or More Arteries from Abdominal Artery with Nonautologous Tissue Substitute, Open Approach |
NA |
Y |
Y |
| 02130KW |
10 |
Bypass Coronary Artery, Four or More Arteries from Aorta with Nonautologous Tissue Substitute, Open Approach |
NA |
Y |
Y |
| 02130Z3 |
10 |
Bypass Coronary Artery, Four or More Arteries from Coronary Artery, Open Approach |
NA |
Y |
Y |
| 02130Z8 |
10 |
Bypass Coronary Artery, Four or More Arteries from Right Internal Mammary, Open Approach |
NA |
Y |
Y |
| 02130Z9 |
10 |
Bypass Coronary Artery, Four or More Arteries from Left Internal Mammary, Open Approach |
NA |
Y |
Y |
| 02130ZC |
10 |
Bypass Coronary Artery, Four or More Arteries from Thoracic Artery, Open Approach |
NA |
Y |
Y |
| 02130ZF |
10 |
Bypass Coronary Artery, Four or More Arteries from Abdominal Artery, Open Approach |
NA |
Y |
Y |
| 021348C |
10 |
Bypass Coronary Artery, Four or More Arteries from Thoracic Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 021348F |
10 |
Bypass Coronary Artery, Four or More Arteries from Abdominal Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 021348W |
10 |
Bypass Coronary Artery, Four or More Arteries from Aorta with Zooplastic Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 021349C |
10 |
Bypass Coronary Artery, Four or More Arteries from Thoracic Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 021349F |
10 |
Bypass Coronary Artery, Four or More Arteries from Abdominal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 021349W |
10 |
Bypass Coronary Artery, Four or More Arteries from Aorta with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02134A3 |
10 |
Bypass Coronary Artery, Four or More Arteries from Coronary Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02134A8 |
10 |
Bypass Coronary Artery, Four or More Arteries from Right Internal Mammary with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02134A9 |
10 |
Bypass Coronary Artery, Four or More Arteries from Left Internal Mammary with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02134AC |
10 |
Bypass Coronary Artery, Four or More Arteries from Thoracic Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02134AF |
10 |
Bypass Coronary Artery, Four or More Arteries from Abdominal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02134AW |
10 |
Bypass Coronary Artery, Four or More Arteries from Aorta with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02134J3 |
10 |
Bypass Coronary Artery, Four or More Arteries from Coronary Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02134J8 |
10 |
Bypass Coronary Artery, Four or More Arteries from Right Internal Mammary with Synthetic Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02134J9 |
10 |
Bypass Coronary Artery, Four or More Arteries from Left Internal Mammary with Synthetic Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02134JC |
10 |
Bypass Coronary Artery, Four or More Arteries from Thoracic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02134JF |
10 |
Bypass Coronary Artery, Four or More Arteries from Abdominal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02134JW |
10 |
Bypass Coronary Artery, Four or More Arteries from Aorta with Synthetic Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02134K3 |
10 |
Bypass Coronary Artery, Four or More Arteries from Coronary Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02134K8 |
10 |
Bypass Coronary Artery, Four or More Arteries from Right Internal Mammary with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02134K9 |
10 |
Bypass Coronary Artery, Four or More Arteries from Left Internal Mammary with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02134KC |
10 |
Bypass Coronary Artery, Four or More Arteries from Thoracic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02134KF |
10 |
Bypass Coronary Artery, Four or More Arteries from Abdominal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02134KW |
10 |
Bypass Coronary Artery, Four or More Arteries from Aorta with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02134Z3 |
10 |
Bypass Coronary Artery, Four or More Arteries from Coronary Artery, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02134Z8 |
10 |
Bypass Coronary Artery, Four or More Arteries from Right Internal Mammary, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02134Z9 |
10 |
Bypass Coronary Artery, Four or More Arteries from Left Internal Mammary, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02134ZC |
10 |
Bypass Coronary Artery, Four or More Arteries from Thoracic Artery, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02134ZF |
10 |
Bypass Coronary Artery, Four or More Arteries from Abdominal Artery, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 0271046 |
10 |
Dilation of Coronary Artery, Two Arteries, Bifurcation, with Drug-eluting Intraluminal Device, Open Approach |
NA |
Y |
Y |
| 027104Z |
10 |
Dilation of Coronary Artery, Two Arteries with Drug-eluting Intraluminal Device, Open Approach |
NA |
Y |
Y |
| 0271056 |
10 |
Dilation of Coronary Artery, Two Arteries, Bifurcation, with Two Drug-eluting Intraluminal Devices, Open Approach |
NA |
Y |
Y |
| 027105Z |
10 |
Dilation of Coronary Artery, Two Arteries with Two Drug-eluting Intraluminal Devices, Open Approach |
NA |
Y |
Y |
| 0271066 |
10 |
Dilation of Coronary Artery, Two Arteries, Bifurcation, with Three Drug-eluting Intraluminal Devices, Open Approach |
NA |
Y |
Y |
| 027106Z |
10 |
Dilation of Coronary Artery, Two Arteries with Three Drug-eluting Intraluminal Devices, Open Approach |
NA |
Y |
Y |
| 0271076 |
10 |
Dilation of Coronary Artery, Two Arteries, Bifurcation, with Four or More Drug-eluting Intraluminal Devices, Open Approach |
NA |
Y |
Y |
| 027107Z |
10 |
Dilation of Coronary Artery, Two Arteries with Four or More Drug-eluting Intraluminal Devices, Open Approach |
NA |
Y |
Y |
| 02710D6 |
10 |
Dilation of Coronary Artery, Two Arteries, Bifurcation, with Intraluminal Device, Open Approach |
NA |
Y |
Y |
| 02710DZ |
10 |
Dilation of Coronary Artery, Two Arteries with Intraluminal Device, Open Approach |
NA |
Y |
Y |
| 02710E6 |
10 |
Dilation of Coronary Artery, Two Arteries, Bifurcation, with Two Intraluminal Devices, Open Approach |
NA |
Y |
Y |
| 02710EZ |
10 |
Dilation of Coronary Artery, Two Arteries with Two Intraluminal Devices, Open Approach |
NA |
Y |
Y |
| 02710F6 |
10 |
Dilation of Coronary Artery, Two Arteries, Bifurcation, with Three Intraluminal Devices, Open Approach |
NA |
Y |
Y |
| 02710FZ |
10 |
Dilation of Coronary Artery, Two Arteries with Three Intraluminal Devices, Open Approach |
NA |
Y |
Y |
| 02710G6 |
10 |
Dilation of Coronary Artery, Two Arteries, Bifurcation, with Four or More Intraluminal Devices, Open Approach |
NA |
Y |
Y |
| 02710GZ |
10 |
Dilation of Coronary Artery, Two Arteries with Four or More Intraluminal Devices, Open Approach |
NA |
Y |
Y |
| 02710T6 |
10 |
Dilation of Coronary Artery, Two Arteries, Bifurcation, with Radioactive Intraluminal Device, Open Approach |
NA |
Y |
Y |
| 02710TZ |
10 |
Dilation of Coronary Artery, Two Arteries with Radioactive Intraluminal Device, Open Approach |
NA |
Y |
Y |
| 02710Z6 |
10 |
Dilation of Coronary Artery, Two Arteries, Bifurcation, Open Approach |
NA |
Y |
Y |
| 02710ZZ |
10 |
Dilation of Coronary Artery, Two Arteries, Open Approach |
NA |
Y |
Y |
| 0271346 |
10 |
Dilation of Coronary Artery, Two Arteries, Bifurcation, with Drug-eluting Intraluminal Device, Percutaneous Approach |
NA |
Y |
Y |
| 027134Z |
10 |
Dilation of Coronary Artery, Two Arteries with Drug-eluting Intraluminal Device, Percutaneous Approach |
NA |
Y |
Y |
| 0271356 |
10 |
Dilation of Coronary Artery, Two Arteries, Bifurcation, with Two Drug-eluting Intraluminal Devices, Percutaneous Approach |
NA |
Y |
Y |
| 027135Z |
10 |
Dilation of Coronary Artery, Two Arteries with Two Drug-eluting Intraluminal Devices, Percutaneous Approach |
NA |
Y |
Y |
| 0271366 |
10 |
Dilation of Coronary Artery, Two Arteries, Bifurcation, with Three Drug-eluting Intraluminal Devices, Percutaneous Approach |
NA |
Y |
Y |
| 027136Z |
10 |
Dilation of Coronary Artery, Two Arteries with Three Drug-eluting Intraluminal Devices, Percutaneous Approach |
NA |
Y |
Y |
| 0271376 |
10 |
Dilation of Coronary Artery, Two Arteries, Bifurcation, with Four or More Drug-eluting Intraluminal Devices, Percutaneous approach |
NA |
Y |
Y |
| 027137Z |
10 |
Dilation of Coronary Artery, Two Arteries with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach |
NA |
Y |
Y |
| 02713D6 |
10 |
Dilation of Coronary Artery, Two Arteries, Bifurcation, with Intraluminal Device, Percutaneous Approach |
NA |
Y |
Y |
| 02713DZ |
10 |
Dilation of Coronary Artery, Two Arteries with Intraluminal Device, Percutaneous Approach |
NA |
Y |
Y |
| 02713E6 |
10 |
Dilation of Coronary Artery, Two Arteries, Bifurcation, with Two Intraluminal Devices, Percutaneous Approach |
NA |
Y |
Y |
| 02713EZ |
10 |
Dilation of Coronary Artery, Two Arteries with Two Intraluminal Devices, Percutaneous Approach |
NA |
Y |
Y |
| 02713F6 |
10 |
Dilation of Coronary Artery, Two Arteries, Bifurcation, with Three Intraluminal Devices, Percutaneous Approach |
NA |
Y |
Y |
| 02713FZ |
10 |
Dilation of Coronary Artery, Two Arteries with Three Intraluminal Devices, Percutaneous Approach |
NA |
Y |
Y |
| 02713G6 |
10 |
Dilation of Coronary Artery, Two Arteries, Bifurcation, with Four or More Intraluminal Devices, Percutaneous Approach |
NA |
Y |
Y |
| 02713GZ |
10 |
Dilation of Coronary Artery, Two Arteries with Four or More Intraluminal Devices, Percutaneous Approach |
NA |
Y |
Y |
| 02713T6 |
10 |
Dilation of Coronary Artery, Two Arteries, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Approach |
NA |
Y |
Y |
| 02713TZ |
10 |
Dilation of Coronary Artery, Two Arteries with Radioactive Intraluminal Device, Percutaneous Approach |
NA |
Y |
Y |
| 02713Z6 |
10 |
Dilation of Coronary Artery, Two Arteries, Bifurcation, Percutaneous Approach |
NA |
Y |
Y |
| 02713ZZ |
10 |
Dilation of Coronary Artery, Two Arteries, Percutaneous Approach |
NA |
Y |
Y |
| 0271446 |
10 |
Dilation of Coronary Artery, Two Arteries, Bifurcation, with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 027144Z |
10 |
Dilation of Coronary Artery, Two Arteries with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 0271456 |
10 |
Dilation of Coronary Artery, Two Arteries, Bifurcation, with Two Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 027145Z |
10 |
Dilation of Coronary Artery, Two Arteries with Two Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 0271466 |
10 |
Dilation of Coronary Artery, Two Arteries, Bifurcation, with Three Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 027146Z |
10 |
Dilation of Coronary Artery, Two Arteries with Three Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 0271476 |
10 |
Dilation of Coronary Artery, Two Arteries, Bifurcation, with Four or More Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 027147Z |
10 |
Dilation of Coronary Artery, Two Arteries with Four or More Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02714D6 |
10 |
Dilation of Coronary Artery, Two Arteries, Bifurcation, with Intraluminal Device, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02714DZ |
10 |
Dilation of Coronary Artery, Two Arteries with Intraluminal Device, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02714E6 |
10 |
Dilation of Coronary Artery, Two Arteries, Bifurcation, with Two Intraluminal Devices, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02714EZ |
10 |
Dilation of Coronary Artery, Two Arteries with Two Intraluminal Devices, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02714F6 |
10 |
Dilation of Coronary Artery, Two Arteries, Bifurcation, with Three Intraluminal Devices, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02714FZ |
10 |
Dilation of Coronary Artery, Two Arteries with Three Intraluminal Devices, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02714G6 |
10 |
Dilation of Coronary Artery, Two Arteries, Bifurcation, with Four or More Intraluminal Devices, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02714GZ |
10 |
Dilation of Coronary Artery, Two Arteries with Four or More Intraluminal Devices, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02714T6 |
10 |
Dilation of Coronary Artery, Two Arteries, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02714TZ |
10 |
Dilation of Coronary Artery, Two Arteries with Radioactive Intraluminal Device, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02714Z6 |
10 |
Dilation of Coronary Artery, Two Arteries, Bifurcation, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02714ZZ |
10 |
Dilation of Coronary Artery, Two Arteries, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 0272046 |
10 |
Dilation of Coronary Artery, Three Arteries, Bifurcation, with Drug-eluting Intraluminal Device, Open Approach |
NA |
Y |
Y |
| 027204Z |
10 |
Dilation of Coronary Artery, Three Arteries with Drug-eluting Intraluminal Device, Open Approach |
NA |
Y |
Y |
| 0272056 |
10 |
Dilation of Coronary Artery, Three Arteries, Bifurcation, with Two Drug-eluting Intraluminal Devices, Open Approach |
NA |
Y |
Y |
| 027205Z |
10 |
Dilation of Coronary Artery, Three Arteries with Two Drug-eluting Intraluminal Devices, Open Approach |
NA |
Y |
Y |
| 0272066 |
10 |
Dilation of Coronary Artery, Three Arteries, Bifurcation, with Three Drug-eluting Intraluminal Devices, Open Approach |
NA |
Y |
Y |
| 027206Z |
10 |
Dilation of Coronary Artery, Three Arteries with Three Drug-eluting Intraluminal Devices, Open Approach |
NA |
Y |
Y |
| 0272076 |
10 |
Dilation of Coronary Artery, Three Arteries, Bifurcation, with Four or More Drug-eluting Intraluminal Devices, Open Approach |
NA |
Y |
Y |
| 027207Z |
10 |
Dilation of Coronary Artery, Three Arteries with Four or More Drug-eluting Intraluminal Devices, Open Approach |
NA |
Y |
Y |
| 02720D6 |
10 |
Dilation of Coronary Artery, Three Arteries, Bifurcation, with Intraluminal Device, Open Approach |
NA |
Y |
Y |
| 02720DZ |
10 |
Dilation of Coronary Artery, Three Arteries with Intraluminal Device, Open Approach |
NA |
Y |
Y |
| 02720E6 |
10 |
Dilation of Coronary Artery, Three Arteries, Bifurcation, with Two Intraluminal Devices, Open Approach |
NA |
Y |
Y |
| 02720EZ |
10 |
Dilation of Coronary Artery, Three Arteries with Two Intraluminal Devices, Open Approach |
NA |
Y |
Y |
| 02720F6 |
10 |
Dilation of Coronary Artery, Three Arteries, Bifurcation, with Three Intraluminal Devices, Open Approach |
NA |
Y |
Y |
| 02720FZ |
10 |
Dilation of Coronary Artery, Three Arteries with Three Intraluminal Devices, Open Approach |
NA |
Y |
Y |
| 02720G6 |
10 |
Dilation of Coronary Artery, Three Arteries, Bifurcation, with Four or More Intraluminal Devices, Open Approach |
NA |
Y |
Y |
| 02720GZ |
10 |
Dilation of Coronary Artery, Three Arteries with Four or More Intraluminal Devices, Open Approach |
NA |
Y |
Y |
| 02720T6 |
10 |
Dilation of Coronary Artery, Three Arteries, Bifurcation, with Radioactive Intraluminal Device, Open Approach |
NA |
Y |
Y |
| 02720TZ |
10 |
Dilation of Coronary Artery, Three Arteries with Radioactive Intraluminal Device, Open Approach |
NA |
Y |
Y |
| 02720Z6 |
10 |
Dilation of Coronary Artery, Three Arteries, Bifurcation, Open Approach |
NA |
Y |
Y |
| 02720ZZ |
10 |
Dilation of Coronary Artery, Three Arteries, Open Approach |
NA |
Y |
Y |
| 0272346 |
10 |
Dilation of Coronary Artery, Three Arteries, Bifurcation, with Drug-eluting Intraluminal Device, Percutaneous Approach |
NA |
Y |
Y |
| 027234Z |
10 |
Dilation of Coronary Artery, Three Arteries with Drug-eluting Intraluminal Device, Percutaneous Approach |
NA |
Y |
Y |
| 0272356 |
10 |
Dilation of Coronary Artery, Three Arteries, Bifurcation, with Two Drug-eluting Intraluminal Devices, Percutaneous Approach |
NA |
Y |
Y |
| 027235Z |
10 |
Dilation of Coronary Artery, Three Arteries with Two Drug-eluting Intraluminal Devices, Percutaneous Approach |
NA |
Y |
Y |
| 0272366 |
10 |
Dilation of Coronary Artery, Three Arteries, Bifurcation, with Three Drug-eluting Intraluminal Devices, Percutaneous Approach |
NA |
Y |
Y |
| 027236Z |
10 |
Dilation of Coronary Artery, Three Arteries with Three Drug-eluting Intraluminal Devices, Percutaneous Approach |
NA |
Y |
Y |
| 0272376 |
10 |
Dilation of Coronary Artery, Three Arteries, Bifurcation, with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach |
NA |
Y |
Y |
| 027237Z |
10 |
Dilation of Coronary Artery, Three Arteries with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach |
NA |
Y |
Y |
| 02723D6 |
10 |
Dilation of Coronary Artery, Three Arteries, Bifurcation, with Intraluminal Device, Percutaneous Approach |
NA |
Y |
Y |
| 02723DZ |
10 |
Dilation of Coronary Artery, Three Arteries with Intraluminal Device, Percutaneous Approach |
NA |
Y |
Y |
| 02723E6 |
10 |
Dilation of Coronary Artery, Three Arteries, Bifurcation, with Two Intraluminal Devices, Percutaneous Approach |
NA |
Y |
Y |
| 02723EZ |
10 |
Dilation of Coronary Artery, Three Arteries with Two Intraluminal Devices, Percutaneous Approach |
NA |
Y |
Y |
| 02723F6 |
10 |
Dilation of Coronary Artery, Three Arteries, Bifurcation, with Three Intraluminal Devices, Percutaneous Approach |
NA |
Y |
Y |
| 02723FZ |
10 |
Dilation of Coronary Artery, Three Arteries with Three Intraluminal Devices, Percutaneous Approach |
NA |
Y |
Y |
| 02723G6 |
10 |
Dilation of Coronary Artery, Three Arteries, Bifurcation, with Four or More Intraluminal Devices, Percutaneous Approach |
NA |
Y |
Y |
| 02723GZ |
10 |
Dilation of Coronary Artery, Three Arteries with Four or More Intraluminal Devices, Percutaneous Approach |
NA |
Y |
Y |
| 02723T6 |
10 |
Dilation of Coronary Artery, Three Arteries, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Approach |
NA |
Y |
Y |
| 02723TZ |
10 |
Dilation of Coronary Artery, Three Arteries with Radioactive Intraluminal Device, Percutaneous Approach |
NA |
Y |
Y |
| 02723Z6 |
10 |
Dilation of Coronary Artery, Three Arteries, Bifurcation, Percutaneous Approach |
NA |
Y |
Y |
| 02723ZZ |
10 |
Dilation of Coronary Artery, Three Arteries, Percutaneous Approach |
NA |
Y |
Y |
| 0272446 |
10 |
Dilation of Coronary Artery, Three Arteries, Bifurcation, with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 027244Z |
10 |
Dilation of Coronary Artery, Three Arteries with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 0272456 |
10 |
Dilation of Coronary Artery, Three Arteries, Bifurcation, with Two Drug-eluting Intraluminal Devices, Percutaneous Endos... |
NA |
Y |
Y |
| 027245Z |
10 |
Dilation of Coronary Artery, Three Arteries with Two Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 0272466 |
10 |
Dilation of Coronary Artery, Three Arteries, Bifurcation, with Three Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 027246Z |
10 |
Dilation of Coronary Artery, Three Arteries with Three Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 0272476 |
10 |
Dilation of Coronary Artery, Three Arteries, Bifurcation, with Four or More Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 027247Z |
10 |
Dilation of Coronary Artery, Three Arteries with Four or More Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02724D6 |
10 |
Dilation of Coronary Artery, Three Arteries, Bifurcation, with Intraluminal Device, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02724DZ |
10 |
Dilation of Coronary Artery, Three Arteries with Intraluminal Device, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02724E6 |
10 |
Dilation of Coronary Artery, Three Arteries, Bifurcation, with Two Intraluminal Devices, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02724EZ |
10 |
Dilation of Coronary Artery, Three Arteries with Two Intraluminal Devices, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02724F6 |
10 |
Dilation of Coronary Artery, Three Arteries, Bifurcation, with Three Intraluminal Devices, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02724FZ |
10 |
Dilation of Coronary Artery, Three Arteries with Three Intraluminal Devices, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02724G6 |
10 |
Dilation of Coronary Artery, Three Arteries, Bifurcation, with Four or More Intraluminal Devices, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02724GZ |
10 |
Dilation of Coronary Artery, Three Arteries with Four or More Intraluminal Devices, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02724T6 |
10 |
Dilation of Coronary Artery, Three Arteries, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02724TZ |
10 |
Dilation of Coronary Artery, Three Arteries with Radioactive Intraluminal Device, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02724Z6 |
10 |
Dilation of Coronary Artery, Three Arteries, Bifurcation, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02724ZZ |
10 |
Dilation of Coronary Artery, Three Arteries, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 0273046 |
10 |
Dilation of Coronary Artery, Four or More Arteries, Bifurcation, with Drug-eluting Intraluminal Device, Open Approach |
NA |
Y |
Y |
| 027304Z |
10 |
Dilation of Coronary Artery, Four or More Arteries with Drug-eluting Intraluminal Device, Open Approach |
NA |
Y |
Y |
| 0273056 |
10 |
Dilation of Coronary Artery, Four or More Arteries, Bifurcation, with Two Drug-eluting Intraluminal Devices, Open Approach |
NA |
Y |
Y |
| 027305Z |
10 |
Dilation of Coronary Artery, Four or More Arteries with Two Drug-eluting Intraluminal Devices, Open Approach |
NA |
Y |
Y |
| 0273066 |
10 |
Dilation of Coronary Artery, Four or More Arteries, Bifurcation, with Three Drug-eluting Intraluminal Devices, Open Approach |
NA |
Y |
Y |
| 027306Z |
10 |
Dilation of Coronary Artery, Four or More Arteries with Three Drug-eluting Intraluminal Devices, Open Approach |
NA |
Y |
Y |
| 0273076 |
10 |
Dilation of Coronary Artery, Four or More Arteries, Bifurcation, with Four or More Drug-eluting Intraluminal Devices, Open Approach |
NA |
Y |
Y |
| 027307Z |
10 |
Dilation of Coronary Artery, Four or More Arteries with Four or More Drug-eluting Intraluminal Devices, Open Approach |
NA |
Y |
Y |
| 02730D6 |
10 |
Dilation of Coronary Artery, Four or More Arteries, Bifurcation, with Intraluminal Device, Open Approach |
NA |
Y |
Y |
| 02730DZ |
10 |
Dilation of Coronary Artery, Four or More Arteries with Intraluminal Device, Open Approach |
NA |
Y |
Y |
| 02730E6 |
10 |
Dilation of Coronary Artery, Four or More Arteries, Bifurcation, with Two Intraluminal Devices, Open Approach |
NA |
Y |
Y |
| 02730EZ |
10 |
Dilation of Coronary Artery, Four or More Arteries with Two Intraluminal Devices, Open Approach |
NA |
Y |
Y |
| 02730F6 |
10 |
Dilation of Coronary Artery, Four or More Arteries, Bifurcation, with Three Intraluminal Devices, Open Approach |
NA |
Y |
Y |
| 02730FZ |
10 |
Dilation of Coronary Artery, Four or More Arteries with Three Intraluminal Devices, Open Approach |
NA |
Y |
Y |
| 02730G6 |
10 |
Dilation of Coronary Artery, Four or More Arteries, Bifurcation, with Four or More Intraluminal Devices, Open Approach |
NA |
Y |
Y |
| 02730GZ |
10 |
Dilation of Coronary Artery, Four or More Arteries with Four or More Intraluminal Devices, Open Approach |
NA |
Y |
Y |
| 02730T6 |
10 |
Dilation of Coronary Artery, Four or More Arteries, Bifurcation, with Radioactive Intraluminal Device, Open Approach |
NA |
Y |
Y |
| 02730TZ |
10 |
Dilation of Coronary Artery, Four or More Arteries with Radioactive Intraluminal Device, Open Approach |
NA |
Y |
Y |
| 02730Z6 |
10 |
Dilation of Coronary Artery, Four or More Arteries, Bifurcation, Open Approach |
NA |
Y |
Y |
| 02730ZZ |
10 |
Dilation of Coronary Artery, Four or More Arteries, Open Approach |
NA |
Y |
Y |
| 0273346 |
10 |
Dilation of Coronary Artery, Four or More Arteries, Bifurcation, with Drug-eluting Intraluminal Device, Percutaneous App... |
NA |
Y |
Y |
| 027334Z |
10 |
Dilation of Coronary Artery, Four or More Arteries with Drug-eluting Intraluminal Device, Percutaneous Approach |
NA |
Y |
Y |
| 0273356 |
10 |
Dilation of Coronary Artery, Four or More Arteries, Bifurcation, with Two Drug-eluting Intraluminal Devices, Percutaneous Approach |
NA |
Y |
Y |
| 027335Z |
10 |
Dilation of Coronary Artery, Four or More Arteries with Two Drug-eluting Intraluminal Devices, Percutaneous Approach |
NA |
Y |
Y |
| 0273366 |
10 |
Dilation of Coronary Artery, Four or More Arteries, Bifurcation, with Three Drug-eluting Intraluminal Devices, Percutaneous Approach |
NA |
Y |
Y |
| 027336Z |
10 |
Dilation of Coronary Artery, Four or More Arteries with Three Drug-eluting Intraluminal Devices, Percutaneous Approach |
NA |
Y |
Y |
| 0273376 |
10 |
Dilation of Coronary Artery, Four or More Arteries, Bifurcation, with Four or More Drug-eluting Intraluminal Devices,Percutaneous Approach |
NA |
Y |
Y |
| 027337Z |
10 |
Dilation of Coronary Artery, Four or More Arteries with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach |
NA |
Y |
Y |
| 02733D6 |
10 |
Dilation of Coronary Artery, Four or More Arteries, Bifurcation, with Intraluminal Device, Percutaneous Approach |
NA |
Y |
Y |
| 02733DZ |
10 |
Dilation of Coronary Artery, Four or More Arteries with Intraluminal Device, Percutaneous Approach |
NA |
Y |
Y |
| 02733E6 |
10 |
Dilation of Coronary Artery, Four or More Arteries, Bifurcation, with Two Intraluminal Devices, Percutaneous Approach |
NA |
Y |
Y |
| 02733EZ |
10 |
Dilation of Coronary Artery, Four or More Arteries with Two Intraluminal Devices, Percutaneous Approach |
NA |
Y |
Y |
| 02733F6 |
10 |
Dilation of Coronary Artery, Four or More Arteries, Bifurcation, with Three Intraluminal Devices, Percutaneous Approach |
NA |
Y |
Y |
| 02733FZ |
10 |
Dilation of Coronary Artery, Four or More Arteries with Three Intraluminal Devices, Percutaneous Approach |
NA |
Y |
Y |
| 02733G6 |
10 |
Dilation of Coronary Artery, Four or More Arteries, Bifurcation, with Four or More Intraluminal Devices, Percutaneous Approach |
NA |
Y |
Y |
| 02733GZ |
10 |
Dilation of Coronary Artery, Four or More Arteries with Four or More Intraluminal Devices, Percutaneous Approach |
NA |
Y |
Y |
| 02733T6 |
10 |
Dilation of Coronary Artery, Four or More Arteries, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Approach |
NA |
Y |
Y |
| 02733TZ |
10 |
Dilation of Coronary Artery, Four or More Arteries with Radioactive Intraluminal Device, Percutaneous Approach |
NA |
Y |
Y |
| 02733Z6 |
10 |
Dilation of Coronary Artery, Four or More Arteries, Bifurcation, Percutaneous Approach |
NA |
Y |
Y |
| 02733ZZ |
10 |
Dilation of Coronary Artery, Four or More Arteries, Percutaneous Approach |
NA |
Y |
Y |
| 0273446 |
10 |
Dilation of Coronary Artery, Four or More Arteries, Bifurcation, with Drug-eluting Intraluminal Device, Percutaneous Endoscopic approach |
NA |
Y |
Y |
| 027344Z |
10 |
Dilation of Coronary Artery, Four or More Arteries with Drug-eluting Intraluminal Device, Percutaneous Endoscopic approach |
NA |
Y |
Y |
| 0273456 |
10 |
Dilation of Coronary Artery, Four or More Arteries, Bifurcation, with Two Drug-eluting Intraluminal Devices, Percutaneous endoscopic approach |
NA |
Y |
Y |
| 027345Z |
10 |
Dilation of Coronary Artery, Four or More Arteries with Two Drug-eluting Intraluminal Devices, Percutaneous Endoscopic approach |
NA |
Y |
Y |
| 0273466 |
10 |
Dilation of Coronary Artery, Four or More Arteries, Bifurcation, with Three Drug-eluting Intraluminal Devices,Percutaneous Endoscopic approach |
NA |
Y |
Y |
| 027346Z |
10 |
Dilation of Coronary Artery, Four or More Arteries with Three Drug-eluting Intraluminal Devices, Percutaneous Endoscopic... |
NA |
Y |
Y |
| 0273476 |
10 |
Dilation of Coronary Artery, Four or More Arteries, Bifurcation, with Four or More Drug-eluting Intraluminal Devices, Percutaneous Endoscopic approach |
NA |
Y |
Y |
| 027347Z |
10 |
Dilation of Coronary Artery, Four or More Arteries with Four or More Drug-eluting Intraluminal Devices, Percutaneous Endoscopic approach |
NA |
Y |
Y |
| 02734D6 |
10 |
Dilation of Coronary Artery, Four or More Arteries, Bifurcation, with Intraluminal Device, Percutaneous Endoscopic approach |
NA |
Y |
Y |
| 02734DZ |
10 |
Dilation of Coronary Artery, Four or More Arteries with Intraluminal Device, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02734E6 |
10 |
Dilation of Coronary Artery, Four or More Arteries, Bifurcation, with Two Intraluminal Devices, Percutaneous Endoscopic approach |
NA |
Y |
Y |
| 02734EZ |
10 |
Dilation of Coronary Artery, Four or More Arteries with Two Intraluminal Devices, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02734F6 |
10 |
Dilation of Coronary Artery, Four or More Arteries, Bifurcation, with Three Intraluminal Devices, Percutaneous Endoscopic approach |
NA |
Y |
Y |
| 02734FZ |
10 |
Dilation of Coronary Artery, Four or More Arteries with Three Intraluminal Devices, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02734G6 |
10 |
Dilation of Coronary Artery, Four or More Arteries, Bifurcation, with Four or More Intraluminal Devices, Percutaneous Endoscopic approach |
NA |
Y |
Y |
| 02734GZ |
10 |
Dilation of Coronary Artery, Four or More Arteries with Four or More Intraluminal Devices, Percutaneous Endoscopic approach |
NA |
Y |
Y |
| 02734T6 |
10 |
Dilation of Coronary Artery, Four or More Arteries, Bifurcation, with Radioactive Intraluminal Device, Percutaneous Endoscopic approach |
NA |
Y |
Y |
| 02734TZ |
10 |
Dilation of Coronary Artery, Four or More Arteries with Radioactive Intraluminal Device, Percutaneous Endoscopic approach |
NA |
Y |
Y |
| 02734Z6 |
10 |
Dilation of Coronary Artery, Four or More Arteries, Bifurcation, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02734ZZ |
10 |
Dilation of Coronary Artery, Four or More Arteries, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02C03Z6 |
10 |
Extirpation of Matter from Coronary Artery, One Artery, Bifurcation, Percutaneous Approach |
NA |
Y |
Y |
| 02C03Z7 |
10 |
Extirpation of Matter from Coronary Artery, One Artery, Orbital Atherectomy Technique, Percutaneous Approach |
NA |
Y |
Y |
| 02C03ZZ |
10 |
Extirpation of Matter from Coronary Artery, One Artery, Percutaneous Approach |
NA |
Y |
Y |
| 02C04Z6 |
10 |
Extirpation of Matter from Coronary Artery, One Artery, Bifurcation, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02C04ZZ |
10 |
Extirpation of Matter from Coronary Artery, One Artery, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02C13Z6 |
10 |
Extirpation of Matter from Coronary Artery, Two Arteries, Bifurcation, Percutaneous Approach |
NA |
Y |
Y |
| 02C13Z7 |
10 |
Extirpation of Matter from Coronary Artery, Two Arteries, Orbital Atherectomy Technique, Percutaneous Approach |
NA |
Y |
Y |
| 02C13ZZ |
10 |
Extirpation of Matter from Coronary Artery, Two Arteries, Percutaneous Approach |
NA |
Y |
Y |
| 02C14Z6 |
10 |
Extirpation of Matter from Coronary Artery, Two Arteries, Bifurcation, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02C14ZZ |
10 |
Extirpation of Matter from Coronary Artery, Two Arteries, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02C23Z6 |
10 |
Extirpation of Matter from Coronary Artery, Three Arteries, Bifurcation, Percutaneous Approach |
NA |
Y |
Y |
| 02C23Z7 |
10 |
Extirpation of Matter from Coronary Artery, Three Arteries, Orbital Atherectomy Technique, Percutaneous Approach |
NA |
Y |
Y |
| 02C23ZZ |
10 |
Extirpation of Matter from Coronary Artery, Three Arteries, Percutaneous Approach |
NA |
Y |
Y |
| 02C24Z6 |
10 |
Extirpation of Matter from Coronary Artery, Three Arteries, Bifurcation, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02C24ZZ |
10 |
Extirpation of Matter from Coronary Artery, Three Arteries, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02C33Z6 |
10 |
Extirpation of Matter from Coronary Artery, Four or More Arteries, Bifurcation, Percutaneous Approach |
NA |
Y |
Y |
| 02C33Z7 |
10 |
Extirpation of Matter from Coronary Artery, Four or More Arteries, Orbital Atherectomy Technique, Percutaneous Approach |
NA |
Y |
Y |
| 02C33ZZ |
10 |
Extirpation of Matter from Coronary Artery, Four or More Arteries, Percutaneous Approach |
NA |
Y |
Y |
| 02C34Z6 |
10 |
Extirpation of Matter from Coronary Artery, Four or More Arteries, Bifurcation, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02C34ZZ |
10 |
Extirpation of Matter from Coronary Artery, Four or More Arteries, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 0210344 |
10 |
Bypass Coronary Artery, One Artery From Coronary Vein With Drug-Eluting Intraluminal Device, Percutaneous Approach |
NA |
Y |
Y |
| 02103D4 |
10 |
Bypass Coronary Artery, One Artery From Coronary Vein With Intraluminal Device, Percutaneous Approach |
NA |
Y |
Y |
| 0210444 |
10 |
Bypass Coronary Artery, One Artery From Coronary Vein With Drug-Eluting Intraluminal Device, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02104D4 |
10 |
Bypass Coronary Artery, One Artery From Coronary Vein With Intraluminal Device, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 0211344 |
10 |
Bypass Coronary Artery, Two Arteries From Coronary Vein With Drug-Eluting Intraluminal Device, Percutaneous Approach |
NA |
Y |
Y |
| 02113D4 |
10 |
Bypass Coronary Artery, Two Arteries From Coronary Vein With Intraluminal Device, Percutaneous Approach |
NA |
Y |
Y |
| 0211444 |
10 |
Bypass Coronary Artery, Two Arteries From Coronary Vein With Drug-Eluting Intraluminal Device, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02114D4 |
10 |
Bypass Coronary Artery, Two Arteries From Coronary Vein With Intraluminal Device, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 0212344 |
10 |
Bypass Coronary Artery, Three Arteries From Coronary Vein With Drug-Eluting Intraluminal Device, Percutaneous Approach |
NA |
Y |
Y |
| 02123D4 |
10 |
Bypass Coronary Artery, Three Arteries From Coronary Vein With Intraluminal Device, Percutaneous Approach |
NA |
Y |
Y |
| 0212444 |
10 |
Bypass Coronary Artery, Three Arteries From Coronary Vein With Drug-Eluting Intraluminal Device, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02124D4 |
10 |
Bypass Coronary Artery, Three Arteries From Coronary Vein With Intraluminal Device, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 0213344 |
10 |
Bypass Coronary Artery, Four Or More Arteries From Coronary Vein With Drug-Eluting Intraluminal Device, Percutaneous Approach |
NA |
Y |
Y |
| 02133D4 |
10 |
Bypass Coronary Artery, Four Or More Arteries From Coronary Vein With Intraluminal Device, Percutaneous Approach |
NA |
Y |
Y |
| 0213444 |
10 |
Bypass Coronary Artery, Four Or More Arteries From Coronary Vein With Drug-Eluting Intraluminal Device, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 02134D4 |
10 |
Bypass Coronary Artery, Four Or More Arteries From Coronary Vein With Intraluminal Device, Percutaneous Endoscopic Approach |
NA |
Y |
Y |
| 33572 |
C4 |
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) |
NA |
Y |
Y |
| 36.10 |
09 |
Aortocoronary Bypass For Heart Revascularization, Not Otherwise Specified |
NA |
Y |
Y |
| 36.11 |
09 |
(Aorto)Coronary Bypass Of One Coronary Artery |
NA |
Y |
Y |
| 36.15 |
09 |
Single Internal Mammary-Coronary Artery Bypass |
NA |
Y |
Y |
| 36.16 |
09 |
Double Internal Mammary-Coronary Artery Bypass |
NA |
Y |
Y |
| 36.17 |
09 |
Abdominal-Coronary Artery Bypass |
NA |
Y |
Y |
| 36.19 |
09 |
Other Bypass Anastomosis For Heart Revascularization |
NA |
Y |
Y |
| 36.3 |
09 |
Other Heart Revascularization |
NA |
Y |
Y |
| 36.39 |
09 |
Other Heart Revascularization |
NA |
Y |
Y |
| S2205 |
H4 |
Minimally Invasive Direct Coronary Artery Bypass Surgery Involving Mini-Thoracotomy Or Mini-Sternotomy Surgery, Performed Under Direct Vision; Using Arterial Graft(S), Single Coronary Arterial Graft |
NA |
Y |
Y |
| S2206 |
H4 |
Minimally Invasive Direct Coronary Artery Bypass Surgery Involving Mini-Thoracotomy Or Mini-Sternotomy Surgery, Performed Under Direct Vision; Using Arterial Graft(S), Two Coronary Arterial Grafts |
NA |
Y |
Y |
| S2207 |
H4 |
Minimally Invasive Direct Coronary Artery Bypass Surgery Involving Mini-Thoracotomy Or Mini-Sternotomy Surgery, Performed Under Direct Vision; Using Venous Graft Only, Single Coronary Venous Graft |
NA |
Y |
Y |
| S2208 |
H4 |
Minimally Invasive Direct Coronary Artery Bypass Surgery Involving Mini-Thoracotomy Or Mini-Sternotomy Surgery, Performed Under Direct Vision; Using Single Arterial And Venous Graft(S), Single Venous Graft |
NA |
Y |
Y |
| S2209 |
H4 |
Minimally Invasive Direct Coronary Artery Bypass Surgery Involving Mini-Thoracotomy Or Mini-Sternotomy Surgery, Performed Under Direct Vision; Using Two Arterial Grafts And Single Venous Graft |
NA |
Y |
Y |
| 129112 |
LO |
Internal Mammary Coronary Artery Bypass Graft |
KPNC |
Y |
Y |
| 139804 |
LO |
Double Internal Mammary-Coronary Artery Bypass |
KPNC |
Y |
Y |
| 225747 |
LO |
Angioplasty Coronary W Stent |
KPNC |
Y |
Y |
| 233598 |
LO |
Coronary Artery Bypass Graft Revision Through Left Thoracotomy |
KPNC |
Y |
Y |
| 233784 |
LO |
Cabg Revision W Endoscopic Vein Harvest, Single Or Double Vein, Off Pump |
KPNC |
Y |
Y |
| 233786 |
LO |
Cabg Revision W Endoscopic Vein Harvest, Single Or Double Vein, On Pump |
KPNC |
Y |
Y |
| 233787 |
LO |
Cabg Revision, Single Or Double Radial Artery, On Pump |
KPNC |
Y |
Y |
| 233788 |
LO |
Cabg Revision W Endoscopic Vein Harvest, 3 Or More Vein, Off Pump |
KPNC |
Y |
Y |
| 233790 |
LO |
Cabg Revision W Endoscopic Vein Harvest, 3 Or More Vein, On Pump |
KPNC |
Y |
Y |
| 233792 |
LO |
Cabg W Endoscopic Vein Harvest, Single Or Double Vein, Off Pump |
KPNC |
Y |
Y |
| 233793 |
LO |
Cabg, Single Or Double Radial Artery, Off Pump |
KPNC |
Y |
Y |
| 233794 |
LO |
Cabg W Endoscopic Vein Harvest, Single Or Double Vein, On Pump |
KPNC |
Y |
Y |
| 233795 |
LO |
Cabg, Single Or Double Radial Artery, On Pump |
KPNC |
Y |
Y |
| 233796 |
LO |
Cabg W Endoscopic Vein Harvest, 3 Or More Vein, Off Pump |
KPNC |
Y |
Y |
| 233798 |
LO |
Cabg W Endoscopic Vein Harvest, 3 Or More Vein, On Pump |
KPNC |
Y |
Y |
| 233799 |
LO |
Cabg, 3 Or More Radial Artery, On Pump |
KPNC |
Y |
Y |
| 233802 |
LO |
Cabg W Aortic Valve Replacement |
KPNC |
Y |
Y |
| 233803 |
LO |
Cabg W Aortic Valve Replacement And Mitral Valve Replacement |
KPNC |
Y |
Y |
| 233804 |
LO |
Cabg W Mitral Valve Replacement |
KPNC |
Y |
Y |
| 233818 |
LO |
Coronary Artery Bypass Graft W Endoscopic Vein Harvest, Port Access |
KPNC |
Y |
Y |
| 259017 |
LO |
Cabg With Mitral Valve Repair |
KPNC |
Y |
Y |
| 346381 |
LO |
Coronary Artery Bypass Graft Via Port Access |
KPNC |
Y |
Y |
| 221144 |
LO |
AORTOCORONARY BYPASS OF 1 CORONARY ARTERY W ARM VEIN GRAFT |
KPHI |
Y |
Y |
| 221145 |
LO |
AORTOCORONARY BYPASS OF 1 CORONARY ARTERY W FEMOROPOPLITEAL VEIN HARVEST |
KPHI |
Y |
Y |
| 221146 |
LO |
AORTOCORONARY BYPASS OF 2 CORONARY ARTERIES W ARM VEIN HARVEST |
KPHI |
Y |
Y |
| 221147 |
LO |
AORTOCORONARY BYPASS OF 2 CORONARY ARTERIES W FEMOROPOPLITEAL VEIN HARVEST |
KPHI |
Y |
Y |
| 221148 |
LO |
AORTOCORONARY BYPASS OF 3 CORONARY ARTERIE GRAFT W ARM VEIN |
KPHI |
Y |
Y |
| 221149 |
LO |
AORTOCORONARY BYPASS OF 3 CORONARY ARTERIES W FEMOROPOPLITEIAL VEIN HARVEST |
KPHI |
Y |
Y |
| 221151 |
LO |
AORTOCORONARY BYPASS OF 4 OR MORE CORONARY ARTERIES W FEMOROPOPLITEAL VEIN HARVEST |
KPHI |
Y |
Y |
| 221157 |
LO |
AORTOCORONARY BYPASS REVISION, 1 GRAFT W ARM VEIN |
KPHI |
Y |
Y |
| 221160 |
LO |
AORTOCORONARY BYPASS REVISION, 2 GRAFTS W FEMOROPOPLITEAL VEIN HARVEST |
KPHI |
Y |
Y |
| 221161 |
LO |
AORTOCORONARY BYPASS REVISION, 3 GRAFTS |
KPHI |
Y |
Y |
| 221162 |
LO |
AORTOCORONARY BYPASS REVISION, 3 GRAFTS W ARM VEIN |
KPHI |
Y |
Y |
| 221163 |
LO |
AORTOCORONARY BYPASS REVISION, 3 GRAFTS W FEMOROPOPLITEAL VEIN HARVEST |
KPHI |
Y |
Y |
| 221165 |
LO |
AORTOCORONARY BYPASS REVISION, 4 GRAFTS OR MORE W ARM VEIN |
KPHI |
Y |
Y |
| 224371 |
LO |
PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY |
KPHI |
Y |
Y |
| 227373 |
LO |
CABG REVISION W ENDOSCOPIC VEIN HARVEST, 3 OR MORE VEIN, OFF PUMP |
KPHI |
Y |
Y |
| 227388 |
LO |
CABG W AORTIC VALVE REPLACEMENT |
KPHI |
Y |
Y |
| 227390 |
LO |
CABG W MITRAL VALVE REPLACEMENT |
KPHI |
Y |
Y |
| 33518A |
C4 |
CORONARY ARTERY BYPASS USING 2 AUTOGENOUS VENOUS GRAFT AND ARTERIAL GRAFT. |
NA |
Y |
Y |
| 33518B |
C4 |
CABG W AUTOGENOUS VENOUS AND ART GRAFTS 2 VENOUS |
NA |
Y |
Y |
| 33511A |
C4 |
CABG W AUTOGENOUS VENOUS GRAFTS 2 |
NA |
Y |
Y |
| 33511B |
C4 |
CABG W VENOUS GRAFTS 2 |
NA |
Y |
Y |
| 33510A |
C4 |
CABG |
NA |
Y |
Y |
| 204865 |
LO |
Percutaneous Transluminal Coronary Angioplasty |
KPNC |
Y |
Y |
| 207869 |
LO |
Coronary Artery Bypass Grafting, Off Pump |
KPNC |
Y |
Y |