AMA CPT® Assistant - 2011 Issue 12 (December)

Surgery: Digestive System (Q&A) (December 2011)

December 2011 page 16 Surgery: Digestive System Question: Are the following two procedures considered inherent in a liver transplant: (1) a portal to left vein shunt is placed to "allow decompression of the mesenteric flow pre-implant, during implant and following implant"; and (2) a temporary portocaval shunt placed between the portal and hepatic veins. Michele A. Wrightson, CCS-P Answer: Yes. Both placement of a "portal to left vein shunt" and a "temporary portocaval shunt between the portal and hepatic veins" are considered inherent in a liver transplant, and are not additionally reported. The performance of these procedures replace venovenous...

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