AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2019 Issue 3; Ask the Editor

Insertion of Left Ventricular Catheter

A 66-year-old woman presented with severe congestive heart failure (CHF) and coronary artery disease. Her CHF worsened, leading to cardiogenic shock with cardiac arrest. She was taken to the cardiac catheterization lab for urgent percutaneous coronary intervention and placed on peripheral extracorporeal membrane oxygenation (ECMO). Due to continued significant left ventricular distension, the patient underwent surgery for insertion of a left ventricular catheter (vent). Following open sternotomy and dissection of the mediastinum the ECMO was reduced to leave volume inside the heart, then a 20-French left ventricular (LV)catheter was inserted. This was then connected to the Y circuit of the venous limb of the ECMO circuit after tunneling through the right upper quadrant. How is the LV vent insertion coded in ICD-10-PCS? ...

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