AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2024 Issue 2; Ask the Editor

Aortic Valve and Aortic Root Replacement with Aortic Valve Conduit

A patient with aortic valve stenosis and aortic root aneurysm underwent a tissue composite root replacement via modified Bentall with Konect Resilia™ aortic valve conduit. The aortic root conduit is a Gelweave Valsalva graft made of polyester. The aortic valve is made of bovine pericardial tissue (Resilia™) and is pre-mounted inside the Gelweave conduit. During the procedure, the bicuspid valve was removed in its entirety via redo sternotomy. The tissue valve conduit was secured with sutures. After creating button sites in the graft, both button anastomoses were completed with suture. The graft was beveled, and a distal anastomosis was completed with sutures. The aortic valve was functioning properly, hemostasis was achieved, and thymic tissues were reapproximated over the neo ascending aorta and innominate vein. When the aortic valve and aortic root are both replaced with an aortic valve conduit, is the Replacement code assigned once with the body part value “aortic valve,” or is the aortic root considered part of the ascending aorta, requiring a separate code for Replacement of the ascending aorta? ...

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