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AHA Coding Clinic® for ICD-9 - 2009 Issue 2; Ask the Editor

Apical Aortic Conduit

The cardiovascular surgeons at our facility are performing a procedure in which they create an apical aortic conduit. The procedure is performed for patients with aortic valve stenosis with concomitant aortic atherosclerosis. The patient is put on heart lung bypass. The conduit consists of a hemashield graft sewn to a stentless root containing a tissue valve. The distal end of the conduit is anastomosed to the descending thoracic aorta. The proximal end of the conduit is anastomosed to the left ventricular apex, after a core is removed with an apical cutter. The patient’s stenotic native aortic valve is left in-situ. How should this procedure be coded? A similar question was addressed in Coding Clinic First Quarter 1996, page 11. However, that scenario did not involve the conduit component. ...

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