AHA Coding Clinic® for ICD-9 - 1988 Fourth Quarter

Closed-Chest Heart-Lung Bypass, 39.65

Note: As of October 1, 1990, closed-chest heart-lung bypass is coded to 39.66. The closed-chest heart-lung bypass, also referred to as percutaneous cardiopulmonary bypass or Bard cardiopulmonary assist system, is currently assigned to code 39.65, pending the assignment of a new code. The percutaneous cardiopulmonary bypass is accomplished via catheters in the femoral artery and vein with aspiration of blood from the right atrium, oxygenating it, and returning it to the distal aorta. It may be initiated percutaneously or via a cutdown. Currently, it is being used as a prophylactic or as an emergency measure in the...

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