AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 3; Ask the Editor

Senning Procedure (Atrial Switch)

A pediatric patient with transposition of the great arteries (TGA) presented for Senning procedure, in which a baffle or flap of atrial tissue is created to direct blood flow to the pulmonary veins, in order to correct the defect. During surgery, the patient was placed on cardiopulmonary bypass, and a portion of the anterior pericardium was excised to use as patches. The left and right atria were incised and a baffle was created using the pericardial tissue as a supplement. The creation of the baffle allows the pulmonary venous blood to be redirected to the tricuspid valve and the superior and inferior vena caval blood to be redirected to the mitral valve. Based on the use of the pericardial tissue for augmentation, would the correct root operation for this procedure be “Supplement?” Would the harvesting of the graft be separately coded? ...

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