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Home/Diagnosis/ICD-10 Coding for Open Heart Surgery

ICD-10 Coding for Open Heart Surgery

021009Z
02RF08Z

Complete ICD-10-CM coding and documentation guide for icd-10 coding for open heart surgery includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Cardiac Surgery
Heart Surgery
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Key Information: ICD-10 Coding for Open Heart Surgery

Essential facts and insights about ICD-10 Coding for Open Heart Surgery

Use ICD-10 code 021009Z for bypass of one coronary artery using autologous arterial tissue, open approach, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Bypass of one coronary artery using autologous arterial tissue, open approach

Non-Billable
021009Z
Non-Billable

Diagnostic Criteria

clinical:
  • • Presence of significant coronary artery disease with ≥70% stenosis
documentation:
  • • Detailed operative note specifying graft source and anastomosis sites

Applicable To

  • • CABG using LIMA to LAD

Important Notes

  • • Ensure documentation specifies the exact artery bypassed and the graft source.

Replacement of aortic valve with synthetic substitute, open approach

Non-Billable
02RF08Z
Non-Billable

Applicable To

  • • AVR with mechanical prosthesis

Important Notes

  • • Ensure documentation includes valve type, size, and surgical approach.
Ancillary Codes

Additional codes that may be used with this diagnosis

4A023N7

Cardiac catheterization

Use when cardiac catheterization is performed post-operatively for complications.

Frequently Asked Questions

What is the ICD-10 code for open heart surgery?

ICD-10 codes for open heart surgery vary by procedure, such as 021009Z for CABG using an arterial graft.

How do you code a CABG procedure?

CABG coding requires specifying the number of arteries bypassed and the graft source, using codes like 021009Z.

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