AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 1; Ask the Editor

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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