AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2023 Issue 2; Ask the Editor

Heart Transplantation and Removal of Right Ventricular Assist Device

A patient was admitted to the cardiovascular intensive care unit for heart transplant surgery. He was placed on a temporary right ventricular assist device (RVAD), and two weeks later, the patient underwent heart transplant surgery. During the process of excising the native heart, the temporary RVAD cannula was removed from the right atrium. Upon removal, a blood clot was found in the cannula and right atrium as well as within the pulmonary artery bifurcation. Should a blood clot discovered within the RVAD cannula while resecting the native heart in preparation for transplantation surgery be reported? If so, what are the appropriate code assignments for these findings? ...

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