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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Article Overview
This short article explains the coding status of closed-chest heart-lung bypass and notes an update effective October 1, 1990. It is relevant for coders and billing staff who need to understand how this procedure was referenced in older coding resources and what general clinical scenarios were associated with it.
Why This Topic Matters
Accurate interpretation of legacy procedure references helps maintain consistency when reviewing historical records, archival claims, or older documentation that predates later code updates.
What You Will Learn
- The historical coding context for closed-chest heart-lung bypass
- Alternate terminology associated with the procedure
- The general procedural setting in which the service may be performed
- The article’s date-related coding update
Who Should Read This
- Medical coders
- Coding auditors
- Billing staff
- Revenue cycle professionals
- Clinical documentation reviewers
Codes Discussed
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