AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 2; Ask the Editor

Aortic Valve Replacement with Aortic Root Enlargement

A patient with symptomatic aortic stenosis underwent aortic valve replacement (AVR) with a root enlargement using a bioprosthetic valve and Hemashield® graft. During surgery, an aortotomy was done, calcified leaflets were excised, and the annulus was thoroughly debrided. A patch graft was needed as well as root enlargement. Therefore, a Hemashield® patch graft was sewn in place. Subannular sutures were placed and a pericardial valve was seated in place. The aortotomy was closed using the Hemashield® patch. Is a separate code assigned for aortic root enlargement with patch graft when performed during an AVR? ...

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