AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2014 Issue 3; Ask the Editor
Creation of Conduit from Right Ventricle to Pulmonary Artery
We are not sure how to report replacement of right ventricle (RV) to pulmonary artery (PA) conduit. In the examples we provided, the patient’s existing right ventricle to pulmonary artery conduit, along with the previously placed graft material, is resected and replaced with new graft material. Would this be considered removal and replacement of a device? Or should we just report a code for the new bypass procedure? ...
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Article Overview
This article addresses a cardiac procedure coding question involving replacement of an existing right ventricle to pulmonary artery conduit and how to characterize the procedure in ICD-10-PCS. It is intended for coders, auditors, and reimbursement staff who need to understand the general reporting approach for this type of open cardiac bypass case. The article presents concise guidance on whether the work is treated as device removal versus a new bypass procedure and includes the relevant ICD-10-PCS code identifier.
Why This Topic Matters
Accurate PCS reporting for complex congenital or reconstructive heart procedures depends on understanding how conduit replacement is classified. This affects code selection, claim consistency, and coding compliance for inpatient surgical cases.
What You Will Learn
- The coding topic addressed by the article
- How the procedure is characterized at a high level in ICD-10-PCS
- What type of procedure reporting category the guidance discusses
- Which ICD-10-PCS identifier is associated with the case described
Who Should Read This
- Medical coders
- Coding auditors
- Hospital reimbursement staff
- Health information management professionals
Codes Discussed
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