**Part I: Listing of Open Heart Surgery Procedures**

This list identifies surgical procedures suggested by VA surgical
specialty groups as appropriate for open heart surgery.  This list of
open heart surgery procedures is not all inclusive.\
*Note: The absence of a surgical procedure form this list does not
necessarily indicate its lack of suitability.*

This list consists of a range of open heart surgery procedures that must
be performed using a heart/lung machine.

NOTE: These procedures must be performed using the extracorporeal
circulation pump (International Classification of Diseases, 9th
Revision, Clinical Module \[ICD-9-CD\], Code 39.610 or 39.611).

  ------------------------------------------------------- ---------------
  **Open Heart Surgery Procedures**                       **ICD-9-CM
                                                          Code**

  Lung transplant                                         33.5

  Heart/Lung transplant                                   33.6

  Open heart valvuloplasty of aortic valve without        35.11
  replacement                                             

  Mitral valve repair                                     35.12

  Open heart valvuloplasty of mitral valve without        35.12
  replacement                                             

  Open heart valvuloplasty of pulmonary valve without     35.13
  replacement                                             

  Open heart valvuloplasty of tricuspid valve without     34.14
  replacement                                             

  Ross procedure                                          35.21, 35.25

  Replacement of aortic valve with tissue graft           35.21

  Creation of conduit between right ventricle and         35.92
  pulmonary artery                                        

  Other replacement of aortic valve                       35.22

  Replacement of ascending aorta repair                   35.92, 39.52,
                                                          35.22

  Replacement of mitral valve with tissue graft           35.23

  Mitral valve replacement                                35.23-24

  Other replacement of mitral valve                       35.24

  Replacement of pulmonary valve with tissue graft        35.25

  Other replacement of pulmonary valve                    35.26

  Replacement of tricuspid valve with tissue graft        35.27

  Other replacement of tricuspid valve                    35.28

  Operations on papillary muscle                          35.31

  Operations on chordae tendineae                         35.32

  Annuloplasty                                            35.33

  Infundibulectomy                                        35.34

  Operations on trabeculae carneae cordis                 35.35

  Operations on other structures adjacent to valve of     35.39
  the\                                                    
  heart (repair of aneurysm of sinus of valsava)          

  Repair of atrial septal defect with prosthesis open     35.51
  technique                                               

  Repair of ventricular septal defect with prosthesis     35.53

  Closure of ventricular septal defect following          35.531
  infarction (with prosthesis)                            

  Repair of endocardial cushion defect with prosthesis    35.54

  Repair of atrial septal defect with tissue graft        35.61

  Repair of ventricular septal defect with tissue graft   35.62

  Closure of ventricular septal defect following          35.621
  infarction (with tissue graft)                          

  Repair of endocardial cushion defect with tissue graft  35.63

  Other and unspecified repair of atrial septal defect    35.71

  Other and unspecified repair of ventricular septal      35.72
  defect                                                  

  Other and unspecified repair of endocardial cushion     35.73
  defect                                                  

  Total repair of tetralogy of Fallot                     35.81

  Total repair of total anomalous pulmonary venous        35.82
  connection                                              

  Total repair of truncus arteriosus                      35.83

  Interatrial transposition of venous return              35.91

  Creation of conduit between left ventricle and aorta    35.93

  Creation of conduit between atrium and pulmonary artery 35.94

  Revision of corrective procedure on heart               35.95

  Other operations on septa of heart                      35.98

  Aortic valve replacement                                35.22

  Removal of coronary artery obstruction                  36.0

  CABG\                                                   36.10-36\
  \~Heart and/or lung bypass machine (if used)            39.61

  Aortocoronary bypass of one coronary artery             36.11

  Aortocoronary bypass of two coronary arteries           36.12

  Aortocoronary bypass of three coronary arteries         36.13

  Aortocoronary bypass of four or more coronary arteries  36.14

  Single internal mammary-coronary artery bypass          36.15

  Bilateral internal mammary-coronary artery bypass       36.16

  Other bypass anastomosis for heart revascularization    36.19

  Repair of aneurysm of coronary vessel                   36.91

  Other operations on vessels of heart (repair of         36.99
  arteriovenous fistula)                                  

  Cardiotomy                                              37.11

  Left ventricular aneurysmectomy                         37.321

  Excision of other lesion of heart                       37.33

  Infarctecomy                                            37.331

  Heart transplantation                                   37.5

  Implant of other heart assist system (exclude           37.62
  intraaortic balloon pump)                               

  Transmyocardiac laser procedure                         36.03
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