AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2014 Issue 3; Ask the Editor
Blalock-Taussig Shunt Procedure
A 3-week-old male, who was diagnosed with transposition of the great arteries with pulmonary stenosis, presents for right modified Blalock-Taussig shunt procedure to augment pulmonary blood flow. At surgery, the aorta and pulmonary artery were separated with electrocautery and the branch pulmonary arteries were mobilized. The innominate artery was mobilized, an arteriotomy was made and the proximal anastomosis was created with a Gore-Tex graft. A longitudinal arteriotomy was performed and the distal anastomosis of the shunt created to the right pulmonary artery using Prolene suture. What is the appropriate ICD-10-PCS code for modified Blalock-Taussig shunt procedure? ...
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Article Overview
This short clinical coding article focuses on assignment of an ICD-10-PCS code for a modified Blalock-Taussig shunt procedure. It is intended for coding professionals, auditors, and CDI teams who need to understand how the procedure is being categorized within the inpatient procedure code set. The content centers on a single case-based question and the resulting code selection presented in the article.
Why This Topic Matters
Procedures involving congenital heart disease can be coded in different ways depending on the operative approach and the anatomy involved. Articles like this help coders recognize the relevant ICD-10-PCS framework for a specific surgical repair or shunt procedure.
What You Will Learn
- How this cardiac shunt procedure is addressed in ICD-10-PCS
- How the article frames the coding task for a congenital heart surgery scenario
- Which inpatient procedure code is associated with the case discussed in the article
- How a modified Blalock-Taussig shunt is represented in the article’s coding guidance
Who Should Read This
- Inpatient coders
- Coding auditors
- Clinical documentation integrity specialists
- Hospital revenue cycle staff
Codes Discussed
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