If a patient with abnormal "native" connections has subsequent catheterization procedures, would it be appropriate to report a code with normal "native" connections (congenital), abnormal "native" connections, or with non-congenital codes after the completion of some of the procedures to correct the flow excluding the heart transplantation (right ventricular-pulmonary artery [RV-PA] conduit, Glenn, Fontan, or Sano)? ...
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Article Overview
This premium coding article explains the topic of subsequent catheterization procedures in patients with complex congenital heart disease after major surgical or transcatheter flow-altering procedures, and after orthotopic heart transplantation. It is intended for cardiology and catheterization coding audiences who need to understand how congenital and non-congenital catheterization categories are discussed in the context of altered cardiac anatomy and residual congenital lesions.
Why This Topic Matters
Coding for follow-up catheterizations in patients with repaired or palliated congenital heart disease can be difficult because surgical history does not always change the underlying congenital classification. This article helps readers understand the general scope of that issue and the types of post-surgical and post-transplant scenarios addressed.
What You Will Learn
- How the article frames catheterization coding in the setting of complex congenital heart disease
- How post-surgical anatomy and residual congenital lesions are discussed in relation to catheterization categories
- How transplant-related follow-up situations are treated at a high level in the article
- Which clinical scenarios the article uses to distinguish congenital from non-congenital catheterization contexts
Who Should Read This
- Cardiology coders
- Catheterization lab coding staff
- Cardiovascular coding auditors
- Health information management professionals
Codes Discussed
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