Bidirectional Shunting following Transseptal Puncture

A patient with symptomatic mitral regurgitation and tricuspid regurgitation presented for transcatheter valve repair with clip placement. Utilizing fluoroscopy, intracardiac echocardiography and transesophageal echocardiography (TEE), MitraClips™ were placed in both the anterior and posterior leaflets of the mitral valve following transseptal puncture. However, clip deployment into the tricuspid valve was unable to be completed. The TEE revealed the site of the transseptal puncture showed bidirectional flow. Subsequently, a bubble study was performed which showed bidirectional shunting. Therefore, it was decided to close the transseptal access site with a 25 mm Gore® Cardioform device. What is the appropriate ICD-10-CM code to capture bidirectional shunting following transseptal puncture? ...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

The article presents a valve-repair scenario involving transseptal access, imaging findings, and a subsequent coding question about bidirectional shunting. It is relevant to readers interested in cardiovascular procedures and ICD-10-CM coding for procedural complications; the full article provides the case-specific coding discussion.

Why This Topic Matters

The case highlights a coding question that may arise when a finding is identified after transseptal access during a cardiovascular procedure.

What You Will Learn

  • The clinical context of the coding question.
  • How the article approaches coding a post-procedural cardiovascular finding in ICD-10-CM.
  • The types of imaging and procedural details included in the case.
  • The relationship between the procedural scenario and the coding discussion.

Who Should Read This

  • Medical coders
  • Coding auditors
  • Cardiology coding professionals
  • Healthcare documentation specialists

Codes Discussed


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