Placement of Sentinel™ Embolic Protection Device with Deployment of Single Filter

A patient with aortic stenosis underwent transcatheter aortic valve replacement (TAVR). Prior to the TAVR, one filter of a dual filter Sentinel™ Embolic Protection Device was deployed in the innominate artery. The provider was not able to advance the left carotid filter due to excessive subclavian tortuosity. Following successful TAVR, the Sentinel™ Embolic Protection Device was removed over the wire. Since the left carotid filter could not be advanced, is there a way to capture successful deployment of one of the filters of the dual filter Sentinel™ Embolic Protection Device? Would it be appropriate to assign code X2A5312, Cerebral embolic filtration, dual filter in innominate artery and left common carotid artery, percutaneous approach, new technology group 2? ...

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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 article discusses a coding question involving cerebral embolic protection used in the setting of transcatheter aortic valve replacement. It focuses on whether a single-filter deployment from a dual-filter device can be reported, and whether the referenced new technology procedure code is applicable when the full device deployment is not completed. The content is relevant to coders and clinical documentation staff working with cardiovascular procedures, interventional cases, and ICD-10-PCS device/procedure reporting.

Why This Topic Matters

Cases involving partial device deployment can create uncertainty in procedure coding and reporting. Understanding how the scenario is addressed helps support more consistent coding review for TAVR-related cases and associated embolic protection procedures.

What You Will Learn

  • How this embolic protection scenario is framed for coding review
  • What documentation issues arise when a dual-filter device is only partially deployed
  • How the article relates the scenario to procedure code assignment questions
  • What types of cardiovascular coding considerations are involved in TAVR-related cases

Who Should Read This

  • Hospital inpatient coders
  • Clinical documentation integrity specialists
  • Cardiovascular procedure coders
  • Coding auditors and compliance staff

Codes Discussed

  • ICD-10-PCS: X2A5312

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