AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2022 Issue 3; Ask the Editor

Placement of PreCARDIA Device

A new device called preCARDIA is being used to treat acute decompensated heart failure (ADHF) patients. This new technology uses a balloon catheter and pump controller, designed to address ADHF via intermittent occlusion of the superior vena cava (SVC). These patients are brought into the cardiac suite, a Swan-Ganz catheter is advanced under direct fluoroscopic guidance into the distal pulmonary artery where measurements are obtained, and then the preCARDIA device is implanted in the superior vena cava (SVC) per research protocol. What is the appropriate ICD-10-PCS code for the insertion of a preCARDIA device? Is the objective of the procedure to occlude the SVC? ...

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