Norwood Sano Procedure

A patient with hypoplastic left heart syndrome (HLHS) presented for first stage palliation (Norwood procedure) where the outflow from the right ventricle (pulmonary artery) and the outflow from the left ventricle (aorta) are connected side to side. An additional connection is made with either a Sano or Blalock-Taussig (BT) shunt for the blood flow into the lungs. During this procedure, the patient was placed on cardiopulmonary bypass, and a pulmonary homograft patch was utilized to augment the aortic arch reconstruction and a right ventricular to pulmonary artery (RV-PA) conduit (Sano shunt) was utilized to create a pathway for the blood to flow into the lungs. What codes are assigned for a Stage 1 Norwood Sano procedure with a RV-PA conduit? ...

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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 the general coding context for a Stage 1 Norwood Sano procedure in a patient with hypoplastic left heart syndrome. It is aimed at inpatient procedure coders and others who need to understand how the operative approach, bypass support, and reconstruction components are translated into ICD-10-PCS coding. The article focuses on the procedure’s major components and the assigned code set used for reporting the case.

Why This Topic Matters

Complex congenital heart surgery can involve multiple operative components that affect code assignment. Understanding the procedure context helps coders evaluate the correct ICD-10-PCS reporting framework for this type of pediatric cardiac surgery.

What You Will Learn

  • The clinical and procedural context of Stage 1 Norwood Sano palliation
  • How the article frames the surgical reconstruction and conduit components
  • Which code set is used for reporting this type of inpatient procedure case
  • How complex congenital heart surgery is discussed from a coding perspective

Who Should Read This

  • Inpatient coders
  • Cardiovascular surgery coders
  • Hospital coding professionals
  • Clinical documentation specialists

Codes Discussed

  • ICD-10-PCS: 021K0JP
  • ICD-10-PCS: 021K0JQ

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