AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2024 Issue 1; Ask the Editor

PROTEKDuo® Cannula Insertion with CentriMag®

A patient with a unicuspid aortic valve and aortic stenosis was admitted to undergo a Ross procedure for surgical correction of congenital heart anomalies. During the separation from cardiopulmonary bypass, the patient developed severe postoperative right ventricular dysfunction and subsequently required percutaneous transjugular PROTEKDuo® cannula placement with CentriMag® as a right ventricular assist device (RVAD). The PROTEKDuo® cannula was inserted through the Lunderquist wire without difficulty. The tip of the cannula was located in the mid-right pulmonary artery. The tubing was connected to the PROTEKDuo® and CentriMag®. RVAD support was initiated. What is the appropriate ICD-10-PCS code assignment for the placement of the PROTEKDuo® device that is being utilized as an RVAD? Is this device classified as a short-term external heart assist device? ...

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