Resuspension of Aortic Valve and Repair of Ascending Aorta

A patient presents to the emergency department with chest pain, is admitted, and found to have Type A ascending aortic dissection. The surgeon accomplished replacement of ascending aorta with graft under circulatory arrest and resuspension of aortic valve. BioGlue was used to restore the integrity of the adventitia to the media. 4-0 Prolene sutures were used to lift the valve into correct anatomical position. A double layer of felt on the inside and outside was also utilized. How is this surgery coded? ...

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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 discusses how to approach coding a complex cardiothoracic surgical case involving repair of the ascending aorta and resuspension of the aortic valve. It is intended for coders, auditors, and billing professionals who need to understand the procedural scope, applicable code sets, and related reporting considerations for this type of operative scenario.

Why This Topic Matters

Complex aortic surgery often involves multiple procedures and documentation elements that affect code selection. Understanding the article helps readers identify the relevant classification system and locate the procedural guidance they need for accurate reporting.

What You Will Learn

  • The clinical and operative context of aortic dissection repair
  • How the article frames coding for combined aortic and valve procedures
  • Which coding system is referenced for the case discussion
  • How the surgical components are presented for coding review

Who Should Read This

  • Medical coders
  • Coding auditors
  • Revenue cycle professionals
  • Cardiothoracic surgery billing staff

Codes Discussed

  • ICD-9-CM Procedure: 38.45
  • ICD-9-CM Procedure: 35.11

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