AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2020 Issue 1; Ask the Editor

Elephant Trunk Repair of Aortic Dissection

A two-year-old male with Tetralogy of Fallot with pulmonary atresia, and major aortopulmonary collateral arteries (MAPCA) presents for pulmonary artery unifocalization. Via a redo median sternotomy, the pericardium was accessed and the Blalock-Taussig (BT) shunt was doubly ligated and divided. Non-duplicate MAPCAs to the left and right lung were taken off the descending aorta and unifocalized together with the native pulmonary arteries (PAs). These required extensive patching with PhotoFix (bovine) pericardium. A right ventriculotomy was performed, and an 8 mm Gore-Tex® conduit was sewn into the unifocalized PAs distally and the right ventricular outflow tract proximally. How is pulmonary artery unifocalization coded? ...

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