. 2010 Jun;5(6):1054–1063. doi: 10.2215/CJN.00340110

Appendix 3.

Codes for cardiovascular procedures, vascular access and complications, and surgical DRG

	ICD-9-CM Codes (any position)		CPT and Surgical DRG Codes
	Diagnosis Codes	Procedure Codes	CPT and Surgical DRG Codes
Cardiovascular procedure
CABG surgery		36.1x	33510 to 33523; 33533 to 33536
PCI		00.66; 36.01; 36.02; 36.06	92980 to 92982; 92984; 92995; 92996
ICD		37.94
CRT-D		00.51
Coronary angiography and/or catheterization		37.22 to 37.23; 88.53 to 88.57	93508, 93510, 93511, 93524, 93526, 93527, 93529, 93531 to 93533, 93539, 93540, 93543, 93545, 93555
Acute myocardial infarction	410, 410.x0, 410.x1
Vascular access and complications^a
Vascular access		38.95, 39.27, 39.42, 39.43, 39.93, 39.94, 86.07	36488,^b 36489,^b 36490,^b 36491,^b 36533,^b 36555,^b 36556,^b,36557,^b 36558,^b 36565,^b 36800, 49419, 49420, 49421, 36810, 36818, 36820, 36821, 36825, 36830
Complication	996.1, 996.62, 996.73		34101,^b 35190,^b 35321,^b 35458,^b 35460,^b 35475,^b 35476,^b 35484,^b 35875,^b 35876,^b 35900,^b 35903,^b 35910,^b 36005,^b 36145, 36534,^b 36535,^b 36550,^b 36575,^b 36580,^b 36581,^b 36584,^b 36589,^b 36596,^b 36597,^b 36831, 36832, 36833,36834,^b 36838, 36860, 36861, 36870, 37190,^b 37201,^b 37205,^b 37206,^b 37207,^b 37208,^b 37607, 49422, 75790, 75820,^b 75860,^b 75896,^b 75960,^b 75962,^b 75978,^b 76937, 75998,^b 00532,^b 01784,^b 01844,^b 90939, 90940, G0159, M0900
Surgical DRG codes			001 to 008, 036 to 042, 049 to 063, 075 to 077, 103 to 120, 567 to 570, 146 to 171,191 to 201, 577 to 579, 209 to 234, 257 to 270, 285 to 293, 303 to 315, 334 to 345, 353 to 365, 392 to 394, 400 to 402, 406 to 408, 439 to 443, 471, 472, 476 to 486, 458, 459, 506, 507, 513 to 520, 525 to 558, 493 to 504, 439, 415, 424, 461, 474, 573, 468, 488, 491

CABG, coronary artery bypass graft; CPT, Current Procedural Terminology; CRT-D, cardiac resynchronization therapy-defibrillators; ICD, implantable cardioverter-defibrillator; PCI, percutaneous coronary intervention.

CPT codes for vascular access and complications are from Medicare Part B claims.

Requires an accompanying renal diagnosis code or V code for inclusion: 250.xx, 403.xx, 580 to 589, 593.xx, 996.1, 996.62, 996.73, V56.x, V45.1.