AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2013 Issue 3; Ask the Editor

Heart Transplant Surgery

There is some confusion among coders regarding what is coded when coding a heart transplant. The patient was admitted and underwent an orthostatic cardiac allograft transplantation utilizing total cardiopulmonary bypass along with an open sternotomy covered with Ioban. Because excessive transfusions were required, a Mahurkar catheter was inserted percutaneously through the left common femoral vein and the end tip placed in the inferior vena cava (IVC). The patient also had an intra-aortic balloon pump for counterpulsation which was left in place after the procedure. The pacemaker was also left in place due to coagulopathy. How should this procedure be coded in ICD-10-PCS? ...

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