AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Quarter 4; New/Revised ICD-10-PCS Procedure Codes
lfieri Stitch Procedure
In a patient with severe congenital mitral valve regurgitation, a suture was placed to create an Alfieri stitch bringing together the center A2 segment of the anterior leaflet and the center P2 segment of the posterior leaflet. To reduce mitral leakage further, a partial mitral annuloplasty using bovine tissue strips to reinforce the annulus was also performed. The procedure was done via an open approach. What ICD-10-PCS codes are assigned? ...
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Article Overview
This premium article discusses an ICD-10-PCS update involving the heart and great vessels code table and explains the clinical context of the Alfieri stitch procedure for mitral valve repair. It is intended for coders working with cardiac surgery documentation, ICD-10-PCS procedure reporting, and related repair or supplement concepts. The article also includes a coding-oriented example that illustrates how the procedure is represented in ICD-10-PCS.
Why This Topic Matters
Cardiac valve procedures often involve more than one operative component and can be documented using terminology that varies by surgeon, facility, or specialty. This article helps coding professionals understand how an ICD-10-PCS table change and related mitral valve repair concepts fit into procedure reporting workflows.
What You Will Learn
- How the Alfieri stitch procedure is discussed in the context of mitral valve repair coding
- What type of ICD-10-PCS table update is mentioned in connection with heart and great vessels procedures
- How the article frames concurrent valve-related procedure concepts in a coding context
- The general coding scenario presented for a congenital mitral regurgitation case
Who Should Read This
- Inpatient coders
- ICD-10-PCS coders
- Cardiovascular coding professionals
- Health information management staff
- Clinical documentation specialists
Codes Discussed
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