Correction of Congenital Heart Defects

Changes were made to multiple tables within the Heart and Great Vessels body system to enable more precise coding for various procedures performed to correct congenital heart defects. Some of these changes involved new values for body parts, devices, and qualifiers, depending on the particular table. The tables impacted are as follows: 021       Bypass of Heart and Great Vessels, 024       Creation of Heart and Great Vessels 02L      Occlusion of Heart and Great Vessels 02Q      Repair of Heart and Great Vessels 02S ...

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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

This premium coding article explains updates to ICD-10-PCS tables used for congenital heart defect procedures in the Heart and Great Vessels body system. It covers revised and newly added table values, new qualifiers and device values, and example code applications for a range of congenital cardiac repairs and reconstructions. The article is intended for coding professionals who need to understand how these changes affect procedure reporting in 2016 and related guidance from Coding Clinic.

Why This Topic Matters

Congenital heart defect procedures often involve complex anatomy and multiple operative components. This article helps coders recognize which ICD-10-PCS tables were updated and how the available table values expanded for more precise procedure reporting.

Article Sections

  1. Overview of table changes

    Summarizes the ICD-10-PCS table updates affecting the Heart and Great Vessels body system and notes the introduction or revision of multiple tables.

  2. Modified Blalock-Taussig shunt

    Discusses table updates related to a shunt procedure used in congenital heart defect care and references prior coding guidance and later table refinements.

  3. Arterial switch with repositioning of coronary artery buttons

    Covers table changes associated with arterial switch procedures and the related repositioning of coronary artery tissue during congenital heart repair.

  4. Rastelli procedure

    Describes table updates related to a multicomponent congenital heart repair involving the pulmonary valve and associated cardiac structures.

  5. Repair of complete common atrioventricular canal defect

    Explains table additions supporting initial repair and later interventions for a common atrioventricular canal defect and related valve repair concepts.

  6. Truncus arteriosus repair

    Reviews table changes used for initial correction and later treatment of truncus arteriosus, including related valve and septal defect procedures.

  7. Repair of anomalous pulmonary venous return

    Addresses table updates for anomalous pulmonary venous return and includes a question-and-answer example involving pulmonary venous confluence repair.

  8. Zooplastic tissue substitute

    Notes the addition of a new device value related to bioprosthetic and tissue substitute materials used in congenital heart procedures.

What You Will Learn

  • Which ICD-10-PCS tables were updated for congenital heart defect procedures
  • How new body part, qualifier, and device values broaden procedure reporting options
  • Which congenital heart defect repairs are discussed in the article
  • How the article relates to Coding Clinic guidance and October 1, 2016 updates
  • What types of later valve interventions and related procedures are addressed at a high level

Who Should Read This

  • Inpatient coders
  • Clinical coding educators
  • Coding auditors
  • Health information management professionals
  • Cardiovascular surgery coding specialists

Codes Discussed

  • ICD-10-PCS: 021W0JQ
  • ICD-10-PCS: 021Q0JA
  • ICD-10-PCS: 02SX0ZZ
  • ICD-10-PCS: 02S10ZZ
  • ICD-10-PCS: 02SP0ZZ
  • ICD-10-PCS: 024G0J2
  • ICD-10-PCS: 024G0K2
  • ICD-10-PCS: 024J0J2
  • ICD-10-PCS: 024J0K2
  • ICD-10-PCS: 02UG0JE
  • ICD-10-PCS: 02UJ0KG
  • ICD-10-PCS: 02QG0ZE
  • ICD-10-PCS: 02QJ0ZG
  • ICD-10-PCS: 024F08J
  • ICD-10-PCS: 024F0JJ
  • ICD-10-PCS: 021K0KP
  • ICD-10-PCS: 02UM08Z
  • ICD-10-PCS: 02UF0KJ
  • ICD-10-PCS: 02QF0ZJ
  • ICD-10-PCS: 02170ZU

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