A patient was diagnosed with severe tricuspid regurgitation requiring treatment by transcatheter implantation of a Sapien valve within two caval noncovered stents. The procedure was aimed to eliminate the impact of the tricuspid regurgitation on the liver. What are the appropriate ICD-10-PCS codes for the placement of a transvenous transcatheter valve and stabilizing stents in the inferior vena cava (IVC)?
In this case, the valve was placed into the IVC to prevent the backward flow of blood from the leaking tricuspid valve. As the IVC was not calcified, the stents were inserted to aid positioning and to hold the valve in place. Assign the following code:
06V03DZ Restriction of inferior vena cava with intraluminal device, percutaneous approach, for the insertion of the transcatheter valve into the inferior vena cava
The procedure is consistent with the definition of the root operation “Restriction,” partially closing an orifice or the lumen of a tubular body part.