AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2026 Issue 1; Ask the Editor

Insertion of Two Impella® Devices During Separate Operative Episodes

A patient with cardiogenic shock and acute mitral valve insufficiency was transferred to our facility for Impella® insertion. The patient was taken to the catheterization lab immediately following admission. Following left groin access, an Impella® CP was successfully inserted. Four hours following completion of this procedure, the patient’s condition worsened and the patient was taken to a hybrid operating room. The right groin was accessed and an Impella® RP was successfully implanted. Since the Impella® devices were inserted into the same patient, would it be appropriate to report the insertion of a biventricular Impella® device? What are the appropriate code assignments for these procedures? ...

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