AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2022 Issue 1; Ask the Editor

Insertion of Amplatzer Occluder Device into Atrium

A 63-year-old male status post open-heart repair of an ascending aortic aneurysm was found to have a large mass in his left atrium that was obstructing blood flow. The patient underwent drainage of the hematoma. Under transesophageal echocardiogram (TEE) guidance, approximately 100 ml of blood was aspirated from the hematoma; however, after several minutes, the hematoma started to re-accumulate.An Amplatzer device was then inserted to keep the hematoma compressed. The wall of the hematoma was punctured into the left atrium and a 35mm Amplatzer Cribriform Occluder device was inserted with a disc placed in the left atrium, the neck of the device placed through the hematoma and the interatrial septum, and the second disc placed into the right atrium. What is the appropriate root operation and body part value for this procedure? ...

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