AHA Coding Clinic® for ICD-9 - 2008 Issue 4; VOLUMES 1 AND 2 NEW/REVISED CODES
Removal of Internal Biventricular Heart Replacement System
Effective October 1, 2008, code 37.55, Removal of internal biventricular heart replacement system, has been created for removal of an artificial heart or removal of an internal biventricular system that has been used to replace the function of the heart. Revise code title 37.52 Implantation of total internal biventricular heart replacement heart system Delete inclusion term Implantation of fully implantable total replacement heart system, including ventriculectomy Revise exclusion term Excludes: implantation of heart assist system [VAD] (37.62, 37.65, 37.66, 37.68) Add note Note: This procedure includes substantial removal of part or all of...
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Article Overview
This article covers an ICD procedure coding update effective October 1, 2008, focused on internal biventricular heart replacement systems and related cardiac replacement procedures. It is intended for medical coders, CDI staff, and revenue cycle professionals who need to understand the scope of the code changes, associated exclusions, and the way the update is discussed in a coding scenario. The article also includes a short example involving procedure assignment for a patient who underwent removal of an artificial heart and heart transplantation.
Why This Topic Matters
These code updates affect how complex heart replacement and removal procedures are classified and reported. Accurate understanding of the revision context, exclusions, and related procedure categories is important for compliant inpatient coding and for interpreting cases involving artificial heart systems.
Article Sections
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ICD procedure code revisions effective October 1, 2008
Introduces the coding update and summarizes the affected procedure categories. It presents the general scope of the revision and the types of internal heart replacement procedures addressed.
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Code revisions, exclusions, and notes
Describes the revised procedure titles, newly created code, and associated exclusion language. It also includes a note about related operative components and how the update is framed within the procedure classification.
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Coding example and code assignments
Presents a brief case scenario and the reported diagnosis and procedure assignments. The example illustrates the article’s coding context without expanding into broader guidance.
What You Will Learn
- The scope of the ICD procedure code update for internal biventricular heart replacement systems
- Which procedure categories were revised, created, or excluded in the update
- How the article frames a coding example involving removal of an artificial heart and transplantation
- The relationship between the update and related cardiac procedure classifications
Who Should Read This
- Medical coders
- Inpatient coding staff
- Clinical documentation improvement specialists
- Revenue cycle professionals
- Health information management professionals
Codes Discussed
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