Heart Assist System

Effective October 1, 2008, code 37.60, Implantation or insertion of biventricular external heart assist system, has been created for the use of the biventricular mechanical heart assist device. This device is used to provide temporary simultaneous support for both the right ventricle and the left ventricle when the native heart is weak or damaged and fails to pump sufficient blood throughout the body. The biventricular support may be utilized for treatment of acute heart failure when there is a chance that the heart failure is temporary and the heart may return to normal function following a period of...

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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 article covers ICD-9-CM updates for heart assist system procedures, with emphasis on revised subcategory 37.6 and related code title, inclusion, and exclusion changes. It is relevant to coders working in cardiovascular surgery, cardiothoracic procedures, and hospital inpatient procedure coding who need to understand how the classification was updated for different assist system scenarios. The article also includes a brief coding example involving postoperative cardiac arrest after aortic valve replacement.

Why This Topic Matters

These updates affect how temporary and implantable heart assist procedures are classified, helping ensure procedure coding aligns with the revised ICD-9-CM structure. The article is useful for distinguishing among similar assist-system procedure types and understanding which related options were added or revised.

Article Sections

  1. ICD-9-CM heart assist system revisions

    Overview of the October 1, 2008 updates affecting the heart assist system subcategory and related procedure classifications.

  2. New and revised procedure codes

    Discussion of the updated code titles, inclusions, and exclusions associated with implantation, insertion, repair, removal, and other assist system procedures.

  3. Coding example

    A short scenario showing how the updated guidance is applied in the context of postoperative cardiac support after valve surgery.

What You Will Learn

  • The scope of the ICD-9-CM heart assist system update
  • Which procedure categories were revised in the article
  • How the article frames temporary versus implantable assist system procedures
  • How the article presents an example involving postoperative cardiac support

Who Should Read This

  • Inpatient coders
  • Cardiovascular coders
  • Hospital coding staff
  • Clinical documentation improvement specialists

Codes Discussed

  • ICD-9-CM: 37.60
  • ICD-9-CM: 37.62
  • ICD-9-CM: 37.63
  • ICD-9-CM: 37.64
  • ICD-9-CM: 37.65
  • ICD-9-CM: 37.66
  • ICD-9-CM: 37.52
  • ICD-9-CM: 37.61
  • ICD-9-CM: 37.68
  • ICD-9-CM: 37.53

Code Ranges Discussed

  • ICD-9-CM: 37.6

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