In code Table 02V, Restriction of Heart and Great Vessels, the body part value L, Ventricle, Left, has been added to the device values listed below for all available approaches. This change will allow the identification of procedures such as placement of the Ancora AccuCinch® device. The procedure is used to treat heart failure and functional mitral regurgitation by targeting left ventricular (LV) dysfunction and abnormal dilation of the heart.
|L Ventricle, Left||0 Open
4 Percutaneous Endoscopic
|C Extraluminal Device
D Intraluminal Device
Z No Device
|Z No Qualifier|
A patient, who had been diagnosed with heart failure, dyspnea and severe mitral regurgitation with moderate to severe left ventricular dysfunction and left ventricular ejection fraction, underwent mitral valve annuloplasty using the Ancora AccuCinch® percutaneous device. During surgery, a wire was placed across the aortic valve to gain access into the left ventricular cavity. A flexible wire delivery sheath was placed beneath the mitral annulus at the superior aspect of the ventricle and the base of the heart. The Trac™ catheter was placed around the mitral annulus. The AccuCinch® device was ultimately deployed. The device seated well and there was a reduction of mitral regurgitation. What is the appropriate ICD-10-PCS code for mitral valve annuloplasty using the Ancora AccuCinch® device?
Assign the following procedure code:
02VL3DZ Restriction of left ventricle with intraluminal device, percutaneous approach, for the mitral valve annuloplasty using Ancora AccuCinch® device.
The AccuCinch® device (percutaneous ventricular repair system) was developed to treat both heart failure and functional mitral regurgitation. It is implanted into the subvalvular space of the left ventricle, and the objective of the procedure is to improve the abnormal dilation of the heart. Once cinched properly into place, the device is intended to reduce the size of the left ventricle by making the mitral valve opening smaller while providing strength and support to the heart wall so that the valve functions better and is less likely to leak.