Hemi-Fontan Procedure with Pulmonary Artery Augmenation

A six-month-old patient with hypoplastic left heart syndrome, status post Norwood operation with modified Blalock-Taussig shunt, presents for a second stage reconstruction. The surgeon documented hemi-Fontan procedure and bilateral pulmonary artery augmentation with allograft tissue. How are the hemi-Fontan procedure and bilateral pulmonary artery augmentation coded? ...

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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 premium article explains how to code a pediatric congenital heart surgery case involving staged reconstruction after prior Norwood operation. It focuses on the procedural categories involved, the coding framework used, and the relationship between the documented surgery and the relevant procedural code set. The article is intended for coders, CDI professionals, and reimbursement staff working with complex congenital cardiac procedures.

Why This Topic Matters

Accurate reporting of staged congenital heart surgery affects claims integrity, procedure reporting, and data quality for complex pediatric cases. This article helps readers identify the broad coding approach for a documented hemi-Fontan reconstruction with accompanying vessel augmentation in a congenital heart surgery setting.

What You Will Learn

  • How a staged congenital heart surgery case is framed for procedural coding
  • How the article approaches coding for a hemi-Fontan reconstruction
  • How associated pulmonary artery augmentation is addressed at a high level
  • Which procedural coding system is referenced for the case

Who Should Read This

  • Medical coders
  • Coding auditors
  • Clinical documentation improvement specialists
  • Revenue cycle professionals
  • Pediatric cardiology coding staff

Codes Discussed

  • ICD-9-CM Procedure: 35.94
  • ICD-9-CM Procedure: 39.56

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