AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 1; Ask the Editor

Pulmonary Valvotomy and Dilation of Annulus

A 19-month-old child was admitted for repair of severe subvalvar and valvar pulmonary stenosis, fenestrated secundum atrial septal defect and patent foramen ovale. A pulmonary valvotomy was performed with pulmonary valve debridement. An incision was performed on the main pulmonary artery. The valvotomy was performed by doing several commisurotomies, dilation of the annulus, and debridement of the tips of the leaflets. What is the code assignment for the valvotomy procedure? Are the commisurotomies inherent to dilation of the valve? ...

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