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37.6 Implantation of heart and circulatory assist system(s)
Excludes:
implantation of prosthetic cardiac support system (37.41)
37.60 Implantation or insertion of biventricular external heart assist system
Temporary cardiac support for both left and right ventricles, inserted in the same operative episode
Includes: open chest (sternotomy) procedure for cannulae attachments
Note: Device (outside the body but connected to heart) with external circulation pump. Ventriculotomy is included; do not code separately.
Excludes: implantation of internal biventricular heart replacement system (artificial heart) (37.52)
implant of pulsation balloon (37.61)
insertion of percutaneous external heart assist device (37.68)
insertion of temporary non-implantable extracorporeal circulatory assist device (37.62)
37.61 Implant of pulsation balloon
37.62 Insertion of temporary non-implantable extracorporeal circulatory assist device
Acute circulatory support device
Insertion of heart assist system, NOS
Insertion of heart pump
Short-term circulatory support (up to six hours)
Excludes:
implantation of total internal biventricular heart replacement system [artificial heart] (37.52)
implant of external heart assist system (37.65)
insertion of implantable extracorporeal heart assist system (37.66)
insertion of percutaneous external heart assist device (37.68)
removal of heart assist system (37.64)
Note: Includes explantation of this device; do not code separately.
37.63 Repair of heart assist system
Replacement of parts of an existing ventricular assist device (VAD)
Excludes:
replacement or repair of other implantable component of (total) replacement heart system [artificial heart] (37.54)
replacement or repair of thoracic unit of (total) replacement heart system [artificial heart] (37.53)
37.64 Removal of external heart assist system(s) or device(s)
Explantation of external device(s) providing left and right ventricular support
Explantation of single external device and cannulae
Excludes: explantation [removal] of percutaneous external heart assist device (97.44)
nonoperative removal of heart assist system (97.44)
temporary non-implantable extracorporeal circulatory assist device (37.62)
that with replacement of implant (37.63)
37.65 Implant of single ventricular (extracorporeal) external heart assist system
Insertion of one device into one ventricle
Note: Device (outside the body but connected to heart) with external circulation and pump.
Note: Insertion or implantation of one external VAD for left or right heart support.
Includes open chest (sternotomy) procedure for cannulae attachments
Excludes:
implant of pulsation balloon (37.61)
implantation of total internal biventricular heart replacement system (37.52)
insertion of implantable heart assist system (37.66)
insertion of percutaneous external heart assist device (37.68)
insertion or implantation of two external VADs for simultaneous right and left heart support (37.60)
that without sternotomy (37.62)
37.66 Insertion of implantable heart assist system
Axial flow heart assist system
Diagonal pump heart assist system
Left ventricular assist device (LVAD)
Pulsatile heart assist system
Right ventricular assist device (RVAD)
Rotary pump heart assist system
Transportable, implantable heart assist system.
Ventricular assist device (VAD) not otherwise specified
Note: Device directly connected to the heart and implanted in the upper left quadrant of peritoneal cavity.
Note: This device can be used for either destination therapy (DT) or bridge-to-transplant (BTT)
Excludes:
implant of pulsation balloon (37.61)
implantation of total internal biventricular heart replacement system [artificial heart] (37.52)
insertion of percutaneous external heart assist device (37.68)
37.67 Implantation of cardiomyostimulation system
Note: Two-step open procedure consisting of transfer of one end of the latissimus dorsi muscle; wrapping it around the heart; rib resection; implantation of epicardial cardiac pacing leads into the right ventricle; tunneling and pocket creation for the cardiomyostimulator.
37.68 Insertion of percutaneous external heart assist device
Includes percutaneous [femoral] insertion of cannulae attachments
Circulatory assist device
Extrinsic heart assist device
pVAD
Percutaneous heart assist device
 
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