AHA Coding Clinic® for ICD-9 - 1984 November - December; New Technologies
Extracorporeal oxygenation
Note: As of October 1, 1988, extracorporeal oxygenation is coded to 39.65. The current code assignment for extracorporeal oxygenation is 39.61, Extracorporeal circulation. Extracorporeal oxygenation is a life-saving treatment for infants with severe neonatal respiratory failure. It involves a cardiopulmonary bypass-like procedure as performed in the operating room for open-heart surgery. The use of the newer membrane oxygenation allows bypass to continue for days and weeks rather than minutes and hours. Extracorporeal oxygenation is a temporary artificial lung, and the patient must have a respiratory disorder considered reversible within one or two weeks. A simplified heart-lung machine...
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Article Overview
This short article discusses extracorporeal oxygenation from a coding and clinical perspective. It notes a historical change in the assigned diagnosis/procedure code and explains the general therapy context, patient population, and technology involved. The content is useful for coding professionals, CDI staff, and clinicians who need to understand how this service is referenced in coding guidance and older code references.
Why This Topic Matters
Articles like this help readers recognize when a term has an older coding reference versus a current assignment, which is important for accurate record review and retrospective coding. It also provides context for a specialized neonatal therapy that may appear in operative, ICU, or historical documentation.
What You Will Learn
- How extracorporeal oxygenation is referenced in coding guidance
- The general clinical context in which the therapy is used
- Why historical code references matter when reviewing older records
- Which patient populations are discussed in relation to this therapy
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation integrity specialists
- Neonatal clinicians
- Health information management professionals
Codes Discussed
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