AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2014 Issue 3; Ask the Editor
Fontan Completion Procedure Stage II
A patient diagnosed with hypoplastic left heart syndrome, status post Norwood procedure and bidirectional Glenn procedure, presents for Fontan completion stage II. The intent of the procedure is to connect the inferior vena cava with the right pulmonary artery via a prosthetic conduit. What is the appropriate ICD-10-PCS code for this procedure? ...
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Article Overview
This short coding article explains how to approach a congenital heart surgery procedure involving Fontan completion stage II. It is aimed at coders and clinical coding professionals who work with ICD-10-PCS and related cardiothoracic procedure documentation. The article focuses on identifying the procedure concept, the relevant anatomy, and the final ICD-10-PCS assignment in a brief question-and-answer format.
Why This Topic Matters
Accurate procedural coding for complex congenital heart surgery depends on recognizing the operative anatomy and the procedure stage documented in the record. This article helps readers understand how the source documentation is translated into an ICD-10-PCS assignment.
What You Will Learn
- How Fontan completion stage II is characterized in operative documentation
- How congenital heart surgery context affects ICD-10-PCS procedure identification
- How the article presents the final ICD-10-PCS assignment in a concise coding format
- What broad anatomic relationships are discussed in the procedure narrative
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation specialists
- Cardiothoracic surgery coding professionals
Codes Discussed
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