AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2021 Issue 1; Ask the Editor

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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