Revision of Thoratec II® Heartmate Driveline

A patient has been on a Thoratec Heartmate II® left ventricular assist device for about 2 ½ years. He has had recurrent driveline infections. He is now admitted to the hospital and taken to the operating room for a driveline revision. The provider listed the procedure as revision and repositioning of percutaneous driveline. Provider documentation indicates that an incision was made, and skin and subcutaneous tissue were removed down to the abdominal wall fascia. The driveline was cleaned. The velor of the driveline was removed. A trough was made in the rectus abdominis muscle to place the newly exposed driveline. The fascia was closed, the driveline was exited below the original site and the wound was closed. What is the correct procedure code? ...

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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 coding article explains how to think about a driveline revision case involving a Thoratec Heartmate II left ventricular assist device. It is intended for coders and clinical documentation reviewers who need to understand the general procedural context, the coding system involved, and the type of guidance provided for identifying the correct procedure code.

Why This Topic Matters

Driveline procedures for implanted cardiac support devices can be difficult to classify from operative documentation. This article helps users understand the coding topic and the documentation elements being discussed without exposing the full premium guidance.

What You Will Learn

  • The procedural context of a left ventricular assist device driveline revision
  • How the article frames the coding question for a percutaneous driveline revision
  • The general type of procedure coding guidance discussed in the case scenario
  • How operative documentation details are used in the article’s coding discussion

Who Should Read This

  • Medical coders
  • Coding auditors
  • Clinical documentation specialists
  • Revenue cycle professionals
  • Cardiology and cardiovascular surgery coding staff

Codes Discussed

  • ICD-9-CM Procedure: 37.79

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