AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 4; Ask the Editor
Modified Warden Procedure for Repair of Septal Defect and Right Partial Anomalous Pulmonary Venous Return
A patient with sinus venosus atrial septal defect and right partial anomalous pulmonary venous return was admitted for modified Warden procedure, atrial septectomy and replacement of superior vena cava with tubularized cormatrix patch. A bovine pericardial patch was trimmed and the superior vena cava opening was baffled to the margin of the right atrium septal defect. The superior vena cava was closed with a bovine pericardial patch. The tubularized cormatrix was used to reconstruct the systemic venous pathway onto the atrium. What are the code assignments for this procedure? ...
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Article Overview
This premium article explains how to approach coding for a congenital heart surgery case involving repair of a septal defect and right partial anomalous pulmonary venous return using a modified Warden procedure. It is aimed at coding professionals who need to understand the operative scenario, the relevant code set, and the assignment considered for this type of repair.
Why This Topic Matters
Congenital cardiothoracic procedures can be complex to classify because the operative steps may involve multiple anatomic structures and reconstruction of venous pathways. This article helps readers evaluate the procedure context and identify the coding approach discussed for this specific surgical repair.
What You Will Learn
- How the operative scenario is characterized for coding purposes
- Which code set is relevant to this congenital heart repair
- How the article frames the code assignment for this procedure type
- The anatomic structures and surgical reconstruction concepts involved in the case
Who Should Read This
- Medical coders
- Coding auditors
- Health information management professionals
- Cardiothoracic surgery coding specialists
Codes Discussed
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