SynCardia Total Artificial Heart

The patient is a 49-year-old male diagnosed with cardiogenic shock, dilated cardiomyopathy with end-stage heart failure, and Janus Kinase 2 mutation with hypercoagulable state. He was supported with the Impella® 5.0 device for several weeks and transferred for implantation of a SynCardia total artificial heart and removal of the Impella® 5.0 left ventricular assist device. The pericardium was opened and the Impella device was removed. The SynCardia pump was placed inside the left ventricular stump on both sides. The outflow graft was anastomosed to the pulmonary artery graft and the aortograft, and the left and right pleurae were opened to accommodate the left and right pumps. What is the correct root operation for the implantation of the SynCardia total artificial heart? What is the correct device value for the removal of the Impella® device? ...

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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 article covers an ICD-10-PCS case study centered on total artificial heart implantation and removal of a previously placed support device. It is aimed at inpatient coders, CDI professionals, and coding educators who need to understand how the procedure is classified and what device-related data are relevant in the surgical record. The discussion focuses on procedure classification concepts and the documentation elements that support code assignment without providing a full coding guide.

Why This Topic Matters

These cases can be difficult to code because they involve complex cardiac procedures, multiple devices, and precise ICD-10-PCS selection. Understanding how the article frames the procedure and device terminology helps coders review similar operative notes and identify when detailed operative documentation is especially important.

What You Will Learn

  • How a total artificial heart procedure is framed for inpatient procedure coding
  • What documentation elements are relevant when a prior cardiac support device is removed
  • How the article approaches ICD-10-PCS classification concepts in a complex cardiac case
  • Which procedure-specific details are emphasized in the operative context

Who Should Read This

  • Inpatient coders
  • Clinical documentation integrity specialists
  • Coding educators
  • Cardiovascular surgery coding staff

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