AHA Coding Clinic® for ICD-9 - 2005 Issue 2; Ask the Editor
Amplatzer Occlusion Device
One of our physicians is performing Amplatzer occlusion in the cardiac catheterization lab. This device is used to repair cardiac anomalies and is implanted at the site of the defect via a catheter. Types of repair include atrial septal defects, patent ductus arteriosus, patent foramen ovale, and ventricular septal defects. For example, a 4-year-old girl was admitted for treatment of a large atrial septal defect with right-to-left shunting. The patient had a history of pulmonary atresia with intact ventricular septum, status post right ventricular outflow tract (RVOT) patch and bidirectional Glenn shunt. Echocardiogram demonstrated a moderately well developed pulmonary valve (PV) with antegrade flow across the RVOT and right-to-left shunt across an atrial septal defect (ASD) and patent foramen ovale (PFO). The patient underwent right and left cardiac catheterization and test occlusion of the PFO/ASD with Bermann catheter. An Amplatzer septal occluder was then placed across the atrial septum, the device was released and balloon occlusion of the ASD/PFO was accomplished. Can you help us identify the correct ICD-9-CM code for this procedure? ...
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Article Overview
This article covers the clinical context for Amplatzer occlusion device placement in congenital cardiac defect repair, including common defect types, catheterization-based delivery, and an illustrative patient scenario. It is relevant to cardiology and cardiac catheterization teams, as well as coding and reimbursement professionals reviewing device-related procedural content. The article is focused on understanding the procedure context and associated coding topics without providing a full coding decision guide.
Why This Topic Matters
Device-based closure procedures are common in congenital heart care and often require careful documentation review. Understanding the procedure context helps coding and billing staff identify the appropriate specialty, setting, and code-set areas involved.
What You Will Learn
- The clinical context for catheter-delivered cardiac occlusion devices
- Common congenital defect categories associated with Amplatzer device use
- How the procedure is presented in a cardiac catheterization lab setting
- The type of patient scenario used to illustrate the procedure topic
Who Should Read This
- Cardiologists
- Interventional cardiology staff
- Cardiac catheterization lab personnel
- Medical coders
- Coding auditors
- Revenue cycle professionals
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