AHA Coding Clinic® for ICD-9 - 2010 Issue 4; Volume 3 New/Revised Codes

Insertion of Sternal Fixation Device with Rigid Plates

As of October 1, 2010, a new code has been created to describe the insertion of a sternal fixation device with rigid plates (84.94) for the prevention of sternal dehiscence (SD) and deep sternal wound infection following cardiothoracic surgery. Traditionally, sternal closure following cardiothoracic surgery was done using sternal wiring. However, sternal dehiscence with or without infection is a major source of morbidity and mortality. The incidence of sternalcomplications is increased by obesity, osteoporosis, and chronicobstructive pulmonary disease as well as by factors relatedto wound healing (e.g., diabetes or corticosteroid use). Studies have demonstrated that rigid plate...

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