AHA Coding Clinic® for ICD-9 - 2014 Issue 1; Ask the Editor

Extracardiac Fontan Procedure

A patient with hypoplastic left heart syndrome, who has previously undergone a neonatal Norwood procedure followed by a bidirectional Glenn procedure, now presents for an extracardiac Fontan procedure.  ICD-9-CM’s Index to procedures leads to code 35.94, when referencing the Fontan procedure. This code describes creation of a conduit between the atrium and pulmonary artery. However, in this case the main purpose of the operation was to connect the inferior vena cava with the right pulmonary artery via a prosthetic conduit, and code 35.94 does not seem right. What is the appropriate ICD-9-CM procedure code? ...

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