In code table 02H, Heart and Great Vessels, Insertion, coronary artery body part values have been added to allow the capture of detail for procedures on the coronary arteries such as insertion of a stent into the coronary artery to prevent the risk of coronary obstruction following a prosthetic valve deployment.
|0 Coronary Artery, One Artery
1 Coronary Artery, Two Arteries
2 Coronary Artery, Three Arteries
3 Coronary Artery, Four or More
4 Percutaneous Endoscopic
|D Intraluminal Device
Y Other Device
|Z No Qualifier|
A patient with severe symptomatic prosthetic aortic stenosis and regurgitation underwent transfemoral valve-in-valve transcatheter aortic valve replacement (TAVR). The provider applied electrocautery, creating an intentional laceration to the prosthetic aortic valve leaflet to prevent risk of coronary obstruction (BASILICA technique) following prosthetic valve deployment. A bioprosthetic valve was deployed across the previously placed prosthetic aortic valve. A valvuloplasty balloon was then advanced across the new prosthetic valve, and inflated, resulting in further expansion of the valve. The provider then performed prophylactic stenting of the left main coronary artery (LMCA) and the right coronary artery (RCA). What is the correct code assignment for the BASILICA technique and stent insertion during TAVR?
Do not assign a unique code for the BASILICA technique that is utilized during a TAVR procedure. The provider documented that the intent of the stent placement is to prevent the risk of coronary obstruction following the prosthetic valve deployment. The Insertion table 02H has been revised and now has an option for the coronary artery body part and intraluminal device. Assign the following procedure codes: