2020 ICD-10-PCS Procedure Code 021749T

Bypass Left Atrium to Left Pulmonary Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach

Version 2020 Billable Code

Valid for Submission

021749T is a billable procedure code used to specify the performance of bypass left atrium to left pulmonary vein with autologous venous tissue, percutaneous endoscopic approach. The code is valid for the year 2020 for the submission of HIPAA-covered transactions.

The procedure code 021749T is in the medical and surgical section and is part of the heart and great vessels body system, classified under the bypass operation. The applicable bodypart is atrium, left.

ICD-10-PCS:021749T
Short Description:Bypass L Atrium to L Pulm Vn w Autol Vn, Perc Endo
Long Description:Bypass Left Atrium to Left Pulmonary Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach

Replacement Code

021749T replaces the following previously assigned ICD-10-PCS code(s):

  • 02QT4ZZ - Repair Left Pulmonary Vein, Percutaneous Endoscopic Approach

ICD-10-PCS Details

Position Designation Character Label Notes
1 Section 0 Medical and Surgical
2 Body System 2 Heart and Great Vessels
3 Operation 1 Bypass

Involves:
Altering the route of passage of the contents of a tubular body part

Explanation:
Rerouting contents of a body part to a downstream area of the normal route, to a similar route and body part, or to an abnormal route and dissimilar body part. Includes one or more anastomoses, with or without the use of a device

Includes:

  • Coronary artery bypass, colostomy formation

4 BodyPart 7 Atrium, Left

Includes:

  • Atrium pulmonale
  • Left auricular appendix

5 Approach 4 Percutaneous Endoscopic

Involves:
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

6 Device 9 Autologous Venous Tissue
7 Qualifier T Pulmonary Vein, Left

Diagnostic Related Groups

The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The procedure code 021749T is grouped in the following groups for version MS-DRG V37.0 applicable from 10/01/2019 through 09/30/2020.

  • 228 - OTHER CARDIOTHORACIC PROCEDURES WITH MCC
  • 229 - OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC
  • 907 - OTHER O.R. PROCEDURES FOR INJURIES WITH MCC
  • 908 - OTHER O.R. PROCEDURES FOR INJURIES WITH CC
  • 909 - OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC
  • 957 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC
  • 958 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC
  • 959 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC

Convert 021749T to ICD-9-PCS

The following crosswalk between ICD-10-PCS to ICD-9-PCS is based based on the General Equivalence Mappings (GEMS) information:

What is ICD-10-PCS?

The ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates. This 2020 ICD-10-PCS code is to be used for discharges occurring from October 1, 2019 through September 30, 2020.

Each ICD-10-PCS code has a structure of seven alphanumeric characters and contains no decimals. The first character defines the major "section". Depending on the "section" the second through seventh characters mean different things.