AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2014 Issue 3; Ask the Editor

Closure of Paravalvular Leak Using Amplatzer® Vascular Plug

The patient, who is status post-surgical aortic valve replacement, underwent closure of an aortic paravalvular leak in the hybrid catheterization lab. The provider documented that a guide catheter was used to locate the paravalvular defect, and a glide wire was traversed across the paravalvular leak. Using transesophageal echocardiography, an Amplatzer® vascular plug (AVP) was deployed with reduction in the paravalvular leak. A second AVP device was placed across the smaller defect. ICD-10-PCS table 02W, Revision, heart and great vessels, appears to be the correct table, with “aortic valve” assigned as the body part (4th character). However, “percutaneous” is not an option for the approach (5th character). Code 02UF3JZ, Supplement aortic valve with synthetic substitute, percutaneous approach, also appears to be an option. What is the correct ICD-10-PCS code assignment for closure of a perivalvular leak using Amplatzer® device? ...

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