AHA Coding Clinic® for ICD-9 - 2008 Issue 3; Ask the Editor

Surgical Ventricular Restoration

The patient is a 47-year-old woman who had developed congestive heart failure secondary to a ventricular aneurysm. The patient was placed on cardiopulmonary bypass and underwent surgical ventricular restoration (SVR). SVR is a new surgical technique that reshapes the heart and includes operative methods that reduce LV volumes and restore elliptical shape to the left ventricular. How should this procedure be coded? Code 37.35, Partial ventriculectomy, does not seem correct since the ventricle was not excised. ...

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