evekhm/cms_iom_500 huggingface dataset:
(Medicare Claims Processing Manual)
syndrome  I49.8  Other specified cardiac arrhythmias  I49.9  Cardiac arrhythmia, unspecified  I50.1  Left ventricular failure  I50.20  Unspecified systolic (congestive) heart failure  I50.21  Acute systolic (congestive) heart failure  I50.22  Chronic systolic (congestive) heart failure  I50.23  Acute on chronic systolic (congestive) heart failure  I50.30  Unspecified diastolic (congestive) heart failure  I50.31  Acute diastolic (congestive) heart failure  I50.32  Chronic diastolic (congestive) heart failure  I50.33  Acute on chronic diastolic (congestive) heart failure  I50.40  Unspecified combined systolic (congestive) and diastolic (congestive) heart failure  I50.41  Acute combined systolic (congestive) and diastolic (congestive) heart failure  I50.42  Chronic combined systolic (congestive) and diastolic (congestive) heart failure  I50.43  Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure  I50.9  Heart failure, unspecified  I51.4  Myocarditis, unspecified  I51.9  Heart disease, unspecified  I52 Other heart disorders in diseases classified elsewhere  I97.0  Postcardiotomy syndrome  I97.110  Postprocedural cardiac insufficiency following cardiac surgery  I97.111  Postprocedural cardiac insufficiency following other surgery  I97.120  Postprocedural cardiac arrest following cardiac surgery  I97.121  Postprocedural cardiac arrest following other surgery  I97.130  Postprocedural heart failure following cardiac surgery  I97.131  Postprocedural heart failure following other surgery  I97.190  Other postprocedural cardiac functional disturbances following cardiac surgery  I97.191  Other postprocedural cardiac functional disturbances following other surgery  I97.710  Intraoperative cardiac arrest during cardiac surgery  I97.711  Intraoperative cardiac arrest during other surgery  I97.790  Other intraoperative cardiac functional disturbances during cardiac surgery  I97.791  Other intraoperative cardiac functional disturbances during other surgery  I97.88  Other intraoperative complications of the
(Medicare Claims Processing Manual)
cardiac arrest during other surgery  I97.790  Other intraoperative cardiac functional disturbances during cardiac surgery  I97.791  Other intraoperative cardiac functional disturbances during other surgery  I97.88  Other intraoperative complications of the circulatory system, not elsewhere classified  I97.89  Other postprocedural complications and disorders of the circulatory system, not elsewhere classified  M32.11  Endocarditis in systemic lupus erythematosus  O90.89  Other complications of the puerperium, not elsewhere classified  Q20.0  Common arterial trunk  Q20.1  Double outlet right ventricle  Q20.2  Double outlet left ventricle  Q20.3  Discordant ventriculoarterial connection  Q20.4  Double inlet ventricle  Q20.5  Discordant atrioventricular connection  Q20.6  Isomerism of atrial appendages  Q20.8  Other congenital malformations of cardiac chambers and connections  Q20.9  Congenital malformation of cardiac chambers and connections, unspecified  Q21.0  Ventricular septal defect  Q21.1  Atrial septal defect  Q21.2  Atrioventricular septal defect  Q21.3  Tetralogy of Fallot  Q21.4  Aortopulmonary septal defect  Q21.8  Other congenital malformations of cardiac septa  Q21.9  Congenital malformation of cardiac septum, unspecified  Q22.0  Pulmonary valve atresia  Q22.1  Congenital pulmonary valve stenosis  Q22.2  Congenital pulmonary valve insufficiency  Q22.3  Other congenital malformations of pulmonary valve  Q22.4  Congenital tricuspid stenosis  Q22.5  Ebstein's anomaly  Q22.6  Hypoplastic right heart syndrome  Q22.8  Other congenital malformations of tricuspid valve  Q22.9  Congenital malformation of tricuspid valve, unspecified  Q23.0  Congenital stenosis of aortic valve  Q23.1  Congenital insufficiency of aortic valve  Q23.2  Congenital mitral stenosis  Q23.3  Congenital mitral insufficiency  Q23.4  Hypoplastic left heart syndrome  Q23.8  Other congenital malformations of aortic and mitral valves  Q23.9  Congenital malformation of aortic and mitral valves, unspecified  Q24.0
(Medicare Claims Processing Manual)
Q23.4  Hypoplastic left heart syndrome  Q23.8  Other congenital malformations of aortic and mitral valves  Q23.9  Congenital malformation of aortic and mitral valves, unspecified  Q24.0  Dextrocardia  Q24.1  Levocardia  Q24.2  Cor triatriatum  Q24.3  Pulmonary infundibular stenosis  Q24.4  Congenital subaortic stenosis  Q24.5  Malformation of coronary vessels  Q24.6  Congenital heart block  Q24.8  Other specified congenital malformations of heart  Q24.9  Congenital malformation of heart, unspecified  R00.1  Bradycardia, unspecified  R57.0  Cardiogenic shock  T82.221A  Breakdown (mechanical) of biological heart valve graft, initial encounter  T82.222A  Displacement of biological heart valve graft, initial encounter  T82.223A  Leakage of biological heart valve graft, initial encounter  T82.228A  Other mechanical complication of biological heart valve graft, initial encounter  T82.512A  Breakdown (mechanical) of artificial heart, initial encounter  T82.514A  Breakdown (mechanical) of infusion catheter, initial encounter  T82.518A  Breakdown (mechanical) of other cardiac and vascular devices and implants, initial encounter  T82.519A  Breakdown (mechanical) of unspecified cardiac and vascular devices and implants, initial encounter  T82.522A  Displacement of artificial heart, initial encounter  T82.524A  Displacement of infusion catheter, initial encounter  T82.528A  Displacement of other cardiac and vascular devices and implants, initial encounter  T82.529A  Displacement of unspecified cardiac and vascular devices and implants, initial encounter  T82.532A  Leakage of artificial heart, initial encounter  T82.534A  Leakage of infusion catheter, initial encounter  T82.538A  Leakage of other cardiac and vascular devices and implants, initial encounter  T82.539A  Leakage of unspecified cardiac and vascular devices and implants, initial encounter  T82.592A  Other mechanical complication of artificial heart, initial encounter  T82.594A  Other mechanical complication of infusion catheter, initial encounter  T82.598A  Other mechanical complication
(Medicare Claims Processing Manual)
initial encounter  T82.592A  Other mechanical complication of artificial heart, initial encounter  T82.594A  Other mechanical complication of infusion catheter, initial encounter  T82.598A  Other mechanical complication of other cardiac and vascular devices and implants, initial encounter  T82.599A  Other mechanical complication of unspecified cardiac and vascular devices and implants, initial encounter  T86.20  Unspecified complication of heart transplant  T86.21  Heart transplant rejection  T86.22  Heart transplant failure  T86.23  Heart transplant infection  T86.290  Cardiac allograft vasculopathy  T86.298  Other complications of heart transplant  T86.30  Unspecified complication of heart -lung transplant  T86.31  Heart -lung transplant rejection  T86.32  Heart -lung transplant failure  T86.33  Heart -lung transplant infection  T86.39  Other complications of heart -lung transplant  Z48.21  Encounter for aftercare following heart transplant  Z48.280  Encounter for aftercare following heart -lung transplant  Z94.1  Heart transplant status  Z94.3  Heart and lungs transplant status  Z95.9  Presence of cardiac and vascular implant and graft, unspecified  Q24.0  Dextrocardia  Q24.1  Levocardia  Q24.2  Cor triatriatum  Q24.3  Pulmonary infundibular stenosis  Q24.4  Congenital subaortic stenosis  Q24.5  Malformation of coronary vessels  Q24.6  Congenital heart block  Q24.8  Other specified congenital malformations of heart  Q24.9  Congenital malformation of heart, unspecified  R00.1  Bradycardia, unspecified  R57.0  Cardiogenic shock  T82.221A  Breakdown (mechanical) of biological heart valve graft, initial encounter  T82.222A  Displacement of biological heart valve graft, initial encounter  T82.223A  Leakage of biological heart valve graft, initial encounter  T82.228A  Other mechanical complication of biological heart valve graft, initial encounter  T82.512A  Breakdown (mechanical) of artificial heart, initial encounter  T82.514A  Breakdown (mechanical) of infusion catheter, initial encounter  T82.518A  Breakdown (mechanical) of other cardiac and vascular devices and implants, initial encounter  T82.519A  Breakdown (mechanical) of unspecified cardiac and vascular devices
(Medicare Claims Processing Manual)
of infusion catheter, initial encounter  T82.518A  Breakdown (mechanical) of other cardiac and vascular devices and implants, initial encounter  T82.519A  Breakdown (mechanical) of unspecified cardiac and vascular devices and implants, initial encounter  T82.522A  Displacement of artificial heart, initial encounter  T82.524A  Displacement of infusion catheter, initial encounter  T82.528A  Displacement of other cardiac and vascular devices and implants, initial encounter  T82.529A  Displacement of unspecified cardiac and vascular devices and implants, initial encounter  T82.532A  Leakage of artificial heart, initial encounter  T82.534A  Leakage of infusion catheter, initial encounter  T82.538A  Leakage of other cardiac and vascular devices and implants, initial encounter  T82.539A  Leakage of unspecified cardiac and vascular devices and implants, initial encounter  T82.592A  Other mechanical complication of artificial heart, initial encounter  T82.594A  Other mechanical complication of infusion catheter, initial encounter  T82.598A  Other mechanical complication of other cardiac and vascular devices and implants, initial encounter  T82.599A  Other mechanical complication of unspecified cardiac and vascular devices and implants, initial encounter  T86.20  Unspecified complication of heart transplant  T86.21  Heart transplant rejection  T86.22  Heart transplant failure  T86.23  Heart transplant infection  T86.290  Cardiac allograft vasculopathy  T86.298  Other complications of heart transplant  T86.30  Unspecified complication of heart -lung transplant  T86.31  Heart -lung transplant rejection  T86.32  Heart -lung transplant failure  T86.33  Heart -lung transplant infection  T86.39  Other complications of heart -lung transplant  Z48.21  Encounter for aftercare following heart transplant  Z48.280  Encounter for aftercare following heart -lung transplant  Z94.1  Heart transplant status  Z94.3  Heart and lungs transplant status  Z95.9  Presence of cardiac and vascular implant and graft, unspecified
(Medicare Claims Processing Manual)
ICD-10 Procedure Code  Definition  Discharges Effective  02RK0JZ  Replacement of Right Ventricle with Synthetic Substitute, Open Approach  On or After ICD-10 Implementation  02RL0JZ  Replacement of Left Ventricle with Synthetic Substitute, Open Approach  02WA0JZ  Revision of Synthetic Substitute in Heart, Open Approach   NOTE: Total artificial heart is reported with a cluster of 2 codes for open replacement with synthetic substitute of the right and left ventricles- 02RK0JZ + 02RL0JZ   320.3  Ventricular Assist Devices (VADs)  (Rev.10837; Issued: 06-11- 21; Effective: 12 -01-20; Implementation: 07-27-21)  Medicare may cover a Ventricular Assist Device (VAD). A VAD is surgically attached to one or both intact ventricles and is used to assist or augment the ability of a damaged or weakened native heart to pump blood. Improvement in the performance of the nati ve heart may allow the device to be removed. Refer to the Internet Only Manual Publication 100-03, National Coverage Determination (NCD) Manual, section 20.9.1, for coverage criteria. 320.3.1  Post-cardiotomy  (Rev.10837; Issued: 06-11- 21; Effective: 12 -01-20; Implementation: 07-27-21)  Post-cardiotomy is the period following open-heart surgery. VADs used for support of blood circulation post-cardiotomy are covered only if they have received approval from the Food and Drug Administration (FDA) for that purpose, and the VADs are used according to the FDA -approved labeling instructions.  320.3.2  VADs  for Short -term or Long -term Mechanical Circulatory Support  (Rev.10837; Issued: 06-11- 21; Effective: 12 -01-20; Implementation: 07-27-21)
(Medicare Claims Processing Manual)
Effective for claims with dates of service on or after December 1, 2020, Left ventricular assist devices (LVADs) are covered if they are FDA -approved for short-term (e.g., bridge- to-recovery and bridge- to-transplant) or long-term (e.g., destination therapy) mechanical circulatory support for heart failure patients who meet spec ific clinical criteria outlined in NCD 20.9.1.   320.3.3  Other (Rev. 12396; Issued: 12-07- 23; Effective: 01 -09-24; Implementation: 01-09-24)  All other indications for the use of VADs not otherwise listed remain non-covered, except in the context of Category B investigational device exemption clinical trials (42 CFR 405) or as a routine cost in clinical trials defined under section 310.1 of the NCD Manual.  Claims Coding  Appropriate ICD -10 diagnosis and procedure codes are included below:  ICD-10 Diagnosis Code  Definition  I09.81  Rheumatic heart failure  I11.0  Hypertensive heart disease with heart failure   I13.0  Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease,  or unspecified chronic kidney disease   I13.2  Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end  stage renal disease  I20.0  Unstable angina   I21.01  ST elevation (STEMI) myocardial infarction involving left main coronary artery   ST elevation (STEMI) myocardial infarction involving left  I21.02  anterior descending coronary artery   I21.09  ST elevation (STEMI) myocardial infarction involving  other coronary artery of anterior wall   I21.11  ST elevation (STEMI) myocardial infarction involving  right coronary artery   I21.19  ST elevation (STEMI) myocardial infarction involving  other coronary artery of inferior wall   I21.21  ST elevation (STEMI) myocardial infarction involving left  circumflex coronary artery   I21.29  ST elevation (STEMI) myocardial infarction involving  other sites   I21.3  ST elevation (STEMI) myocardial infarction of  unspecified site  I21.4  Non-ST elevation (NSTEMI) myocardial infarction
(Medicare Claims Processing Manual)
I21.3  ST elevation (STEMI) myocardial infarction of  unspecified site  I21.4  Non-ST elevation (NSTEMI) myocardial infarction   I22.0  Subsequent ST elevation (STEMI) myocardial infarction  of anterior wall   I22.1  Subsequent ST elevation (STEMI) myocardial infarction  of inferior wall   I22.2  Subsequent non -ST elevation (NSTEMI) myocardial  infarction   I22.8  Subsequent ST elevation (STEMI) myocardial infarction  of other sites   I22.9  Subsequent ST elevation (STEMI) myocardial infarction of unspecified site   I24.0  Acute coronary thrombosis not resulting in myocardial  infarction  I24.1  Dressler's syndrome  I24.81  Acute coronary microvascular dysfunction Effective 10/1/23  I24.89  Other forms of acute ischemic heart disease Effective 10/1/23  I24.9  Acute ischemic heart disease, unspecified   I25.10  Atherosclerotic heart disease of native coronary artery  without angina pectoris   Atherosclerotic heart disease of native coronary artery  I25.110  with unstable angina pectoris   I25.111  Atherosclerotic heart disease of native coronary artery with  angina pectoris with documented spasm  I25.112  Atherosclerotic heart disease of native coronary artery with refractory angina pectoris   I25.118  Atherosclerotic heart disease of native coronary artery with other forms of angina pectoris   I25.119  Atherosclerotic heart disease of native coronary artery  with unspecified angina pectoris  I25.5  Ischemic cardiomyopathy  I25.6  Silent myocardial ischemia   I25.700  Atherosclerosis of coronary artery bypass graft(s),  unspecified, with unstable angina pectoris   I25.701  Atherosclerosis of coronary artery bypass graft(s),  unspecified, with angina pectoris with documented spasm   I25.708  Atherosclerosis of coronary artery bypass graft(s),  unspecified, with other forms of angina pectoris
(Medicare Claims Processing Manual)
I25.708  Atherosclerosis of coronary artery bypass graft(s),  unspecified, with other forms of angina pectoris   I25.709  Atherosclerosis of coronary artery bypass graft(s),  unspecified, with unspecified angina pectoris   I25.710  Atherosclerosis of autologous vein coronary artery bypass  graft(s) with unstable angina pectoris   I25.711  Atherosclerosis of autologous vein coronary artery bypass graft(s) with angina pectoris with documented spasm   I25.718  Atherosclerosis of autologous vein coronary artery bypass  graft(s) with other forms of angina pectoris   I25.719  Atherosclerosis of autologous vein coronary artery bypass  graft(s) with unspecified angina pectoris   I25.720  Atherosclerosis of autologous artery coronary artery  bypass graft(s) with unstable angina pectoris   I25.721  Atherosclerosis of autologous artery coronary artery  bypass graft(s) with angina pectoris with documented spasm   I25.728  Atherosclerosis of autologous artery coronary artery  bypass graft(s) with other forms of angina pectoris   I25.729  Atherosclerosis of autologous artery coronary artery  bypass graft(s) with unspecified angina pectoris   I25.730  Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with unstable angina pectoris   I25.731  Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with angina pectoris with  documented spasm   I25.738  Atherosclerosis of nonautologous biological coronary  artery bypass graft(s) with other forms of angina pectoris   I25.739  Atherosclerosis of nonautologous biological coronary  artery bypass graft(s) with unspecified angina pectoris   I25.750  Atherosclerosis of native coronary artery of transplanted  heart with unstable angina
(Medicare Claims Processing Manual)
I25.750  Atherosclerosis of native coronary artery of transplanted  heart with unstable angina   I25.751  Atherosclerosis of native coronary artery of transplanted  heart with angina pectoris with documented spasm   I25.758  Atherosclerosis of native coronary artery of transplanted  heart with other forms of angina pectoris   I25.759  Atherosclerosis of native coronary artery of transplanted  heart with unspecified angina pectoris   I25.760  Atherosclerosis of bypass graft of coronary artery of  transplanted heart with unstable angina   I25.761  Atherosclerosis of bypass graft of coronary artery of transplanted heart with angina pectoris with documented spasm   I25.768  Atherosclerosis of bypass graft of coronary artery of transplanted heart with other forms of angina pectoris   I25.769  Atherosclerosis of bypass graft of coronary artery of  transplanted heart with unspecified angina pectoris   I25.790  Atherosclerosis of other coronary artery bypass graft(s)  with unstable angina pectoris   I25.791  Atherosclerosis of other coronary artery bypass graft(s)  with angina pectoris with documented spasm   Atherosclerosis of other coronary artery bypass graft(s)  I25.798  with other forms of angina pectoris   I25.799  Atherosclerosis of other coronary artery bypass graft(s)  with unspecified angina pectoris   I25.810  Atherosclerosis of coronary artery bypass graft(s) without  angina pectoris   I25.811  Atherosclerosis of native coronary artery of transplanted  heart without angina pectoris
(Medicare Claims Processing Manual)
I25.811  Atherosclerosis of native coronary artery of transplanted  heart without angina pectoris   I25.812  Atherosclerosis of bypass graft of coronary artery of  transplanted heart without angina pectoris  I25.89  Other forms of chronic ischemic heart disease  I25.9  Chronic ischemic heart disease, unspecified  I34.0  Nonrheumatic mitral (valve) insufficiency  I34.1  Nonrheumatic mitral (valve) prolapse  I34.2  Nonrheumatic mitral (valve) stenosis  I34.8  Other nonrheumatic mitral valve disorders  I34.9  Nonrheumatic mitral valve disorder, unspecified  I35.0  Nonrheumatic aortic (valve) stenosis  I35.1  Nonrheumatic aortic (valve) insufficiency  I35.2  Nonrheumatic aortic (valve) stenosis with insufficiency  I35.8  Other nonrheumatic aortic valve disorders  I35.9  Nonrheumatic aortic valve disorder, unspecified  I36.0  Nonrheumatic tricuspid (valve) stenosis  I36.1  Nonrheumatic tricuspid (valve) insufficiency  I36.2  Nonrheumatic tricuspid (valve) stenosis with insufficiency  I36.8  Other nonrheumatic tricuspid valve disorders  I36.9  Nonrheumatic tricuspid valve disorder, unspecified  I37.0  Nonrheumatic pulmonary valve stenosis  I37.1  Nonrheumatic pulmonary valve insufficiency   I37.2  Nonrheumatic pulmonary valve stenosis with  insufficiency  I37.8  Other nonrheumatic pulmonary valve disorders  I37.9  Nonrheumatic pulmonary valve disorder, unspecified  I38 Endocarditis, valve unspecified
(Medicare Claims Processing Manual)
I39 Endocarditis and heart valve disorders in diseases  classified elsewhere  I42.0  Dilated cardiomyopathy  I42.2  Other hypertrophic cardiomyopathy  I42.3  Endomyocardial (eosinophilic) disease  I42.4  Endocardial fibroelastosis  I42.5  Other restrictive cardiomyopathy  I42.6  Alcoholic cardiomyopathy  I42.7  Cardiomyopathy due to drug and external agent  I42.8  Other cardiomyopathies  I42.9  Cardiomyopathy, unspecified  I43 Cardiomyopathy in diseases classified elsewhere  I46.2  Cardiac arrest due to underlying cardiac condition  I46.8  Cardiac arrest due to other underlying condition  I46.9  Cardiac arrest, cause unspecified  I47.0  Re-entry ventricular arrhythmia  I47.2  Ventricular tachycardia  I47.9  Paroxysmal tachycardia, unspecified  I47.10  Supraventricular tachycardia, unspecified Effective 10/1/23  I47.11  Inappropriate sinus tachycardia, so stated Effective 10/1/23  I47.19  Other supraventricular tachycardia Effective 10/1/23   I48.0  Atrial fibrillation  I48.11  Longstanding persistent atrial fibrillation  I48.19  Other persistent atrial fibrillation  I49.01  Ventricular fibrillation  I49.02  Ventricular flutter  I49.1  Atrial premature depolarization  I49.2  Junctional premature depolarization  I49.3  Ventricular premature depolarization  I49.40  Unspecified premature depolarization  I49.49  Other premature depolarization  I49.5  Sick sinus syndrome  I49.8  Other specified cardiac arrhythmias  I49.9  Cardiac arrhythmia, unspecified  I50.1  Left ventricular failure  I50.20  Unspecified systolic (congestive) heart failure  I50.21  Acute systolic (congestive) heart failure  I50.22  Chronic systolic (congestive) heart failure  I50.23  Acute on chronic systolic (congestive) heart failure  I50.30  Unspecified diastolic (congestive) heart failure  I50.31  Acute diastolic (congestive) heart failure
(Medicare Claims Processing Manual)
heart failure  I50.23  Acute on chronic systolic (congestive) heart failure  I50.30  Unspecified diastolic (congestive) heart failure  I50.31  Acute diastolic (congestive) heart failure  I50.32  Chronic diastolic (congestive) heart failure  I50.33  Acute on chronic diastolic (congestive) heart failure