Procedure Type: Cardiac (pediatric)

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Description

This phenotype determines if a cardiac procedure was performed and whether or not cardiopulmonary bypass was used for patients < 18 years old.

Limitation

Coarction of Aorta procedures may result as CPB cases dependent accuracy of Surgical CPT codes (33480) and site variable mapping

Data quality is limited to individual site documentation accuracy, completeness, and variable mapping, which is performed by each site, independently. MPOG, as the coordinating center, reviews data quality at each data upload and monthly via Data Diagnostics and Case Validation tools. This review, while thorough, may not contain all data elements relevant to this phenotype and thus should be carefully reviewed by the user.

Value Type

Categorical

Enumeration

Value	Value Code	Definition

Return Columns

Name	Data Type

Granularity

Logic

The following logic determines which value a case will result based on cardiopulmonary bypass and other cardiac procedure variables:

Cardiopulmonary Bypass	Cardiac	Result	Value_Code
No	No	No	0
Yes	Yes	Cardiovascular with CPB	1
No	Yes	Cardiovascular without CPB	2
Yes	No	Non-cardiac with CPB	9

If case returns any of the following, result -998 and Exclude.

Age group value_code < 8
Procedure Type: Organ Procurement value_code = 0
Obstetric Anesthesia Type value_code = 0
Surgical Service like Neurosurgery

Cardiopulmonary Bypass Defintions

CPB Start Date/Time exists
CPB Duration is = 25 minutes

Cardiac Procedure Variables Considered

Surgical Service

MPOG Concept ID	Surgical Service
80031	Pediatric Cardiac Surgery
80036	Pediatric Cardiothoracic Surgery
80016	Medical - Cardiology
80005	Cardiac
80088	Cardiothoracic
80118	Cardiothoracic-Vascular
80044	Pediatric Cardiology

Procedure Text

aortic arch, arteriosus, atrial, Atriclip, atrioventricular canal defect, Blalock, cardiac cath, cardio, coarc, coarctation of aorta, defib, ductus, ECMO, extracorporeal membrane oxygenation, electrophysiolo, fallot, fontan , heart , HRT Cath, ICD, loop recorder, myocard, taussig, pace maker, pacemaker , pda, pericardial, pulmonary artery, pulmonary valve, tetrology, TTE, TEE, Transesophageal Echocardiogram , tricuspid, valvoplasty, vascular ring, ventricular septal defect, ventricular assist device, VSD

Procedure Type: Adult Cardiac value_code > 0

Procedure Type: TEE/Cardioversion value_code > 0

Anesthesia CPT Code (if not available then Anesthesia CPT Predicted rank = 1)

Anesthesia CPT Code	Description
01926	Anesthesia for therapeutic interventional radiology procedures involving the arterial system; intracranial, intracardiac, or aortic
00550	Anesthesia for sternal debridement
00560	Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; without pump oxygenator
00561	Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; with pump oxygenator, younger than 1 year of age
00562	Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; with pump oxygenator, age 1 year or older, for all non-coronary bypass procedures (eg, valve procedures) or for re-operation for coronary bypass more than 1 month after original operation
00563	Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; with pump oxygenator with hypothermic circulatory arrest
00566	Anesthesia for direct coronary artery bypass grafting without pump oxygenator
00567	Anesthesia for direct coronary artery bypass grafting; with pump oxygenator
00580	Anesthesia for heart transplant or heart/lung transplant

Surgical CPT Code Billing Start Date must = Procedure Date

Surgical CPT Code	Description
33016-33100	Pericardiocentesis and pericardial drainage with insertion of indwelling catheter; Surgical Procedures on the Pericardium; Creation of pericardial window or partial resection for drainage
33120 - 33130	Excision Procedures of Cardiac Tumor
33202 - 33275	Pacemaker or Implantable Defibrillator Procedures
33300 - 33315	Surgical Procedures on the Heart (Including Valves) and Great Vessels
33320 - 33322	Surgical Procedures on the Heart (Including Valves) and Great Vessels (suture repair w/wo shunt or bypass)
33361 - 33369	Surgical Procedures on Cardiac Valves (Transcatheter aortic valve); transcatheter AVR via open approach with and without bypass
33390 - 33420	Surgical Procedures on Cardiac Valves Cont. ; Transcath mitral valves
33422 - 33471	Surgical Procedures on Cardiac Valves Cont.
33474 - 33478	Surgical Procedures on Cardiac Valves Cont. ; Transcath pulmonic valves
33500 - 33508	Coronary Artery Anomaly Procedures; Creation of pericardial window or partial resection for drainage
33510 - 33530	Venous Grafting Only for Coronary Artery Bypass; Combined Arterial-Venous Grafting for Coronary Bypass
33533 - 33548	Arterial Grafting for Coronary Artery Bypass
33600 - 33622	Repair Procedures for Single Ventricle and Other Complex Cardiac Anomalies
33641 - 33697	Repair Procedures for Septal Defect
33702 - 33722	Repair Procedures for the Sinus of Valsalva
33724 - 33732	Repair Procedures for Venous Anomalies
33735 - 33768	Shunting Procedures on the Heart and Pericardium
33770 - 33783	Repair Procedures for Transposition of the Great Vessels
33786 - 33788	Repair Procedures for Truncus Arteriosus
33800 - 33853	Repair Procedures for Aortic Anomalies
33858 - 33877	Repair Procedures for Thoracic Aortic Aneurysm
33880 - 33891	Endovascular Repair Procedures of the Descending Thoracic Aorta
33910-33959	Surgical Procedures on the Pulmonary Artery; Heart/Lung Transplantation Procedures; ECMO procedures
33962-33993	Cardiac Assist Procedures (ECMO and IABP); perc. Assist device
92920-92979	Therapeutic Cardiovascular Services and Procedures on the Coronary Vessels
92950-92987	Balloon aortic valvuloplasty; Other Therapeutic Cardiovascular Services and Procedures
93451- 93533	Cardiac Catheterization and Associated Procedures
93580-93592	Repair Procedures of Structural Heart Defect
93600-93662	Intracardiac Electrophysiological Procedures/Studies
33140-33141	Transmyocardial Revascularization Procedures
33285-33286	Introduction or Removal of Subcutaneous Cardiac Rhythm Monitor
33289	Implantation of Hemodynamic Monitor
33330	Surgical Procedures on the Heart (Including Valves) and Great Vessels Continued (graft without shunt or bypass)
33335	Surgical Procedures on the Heart (Including Valves) and Great Vessels Continued
33340	Surgical Procedures on the Heart (Including Valves) and Great Vessels Continued (perc. LAA)
33496	Other Cardiac Valvular Procedures
33572	Coronary Endarterectomy Procedures
33999	Other Cardiac Surgery Procedures
35820	Exploration for postoperative hemorrhage, thrombosis or infection
35840	Exploration for postoperative hemorrhage, thrombosis or infection
92990	Balloon pulmonary valvuloplasty CPT code and balloon pulmonary valvuloplasty work RVU / balloon mitral valvuloplasty
92998	Other Therapeutic Cardiovascular Services and Procedures

Non-Cardiac Variables

Procedure Type: Lung Transplant