AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2014 Issue 3; Ask the Editor

Repair of Tetralogy of Fallot

A 4-month-old boy with a large conoventricular ventricular septal defect (VSD) with mild aortic override and mild anterior deviation of the conal septum was admitted for surgical repair. The surgeon accomplished a repair of Tetralogy of Fallot. At surgery, cardiopulmonary bypass was established; the ligamentum was ligated; the thymus was resected; the right ventricle outflow tract (RVOT) was divided and widened; and closure of VSD was done with a Gore-tex® patch. What is the correct ICD-10-CM diagnosis code assignment for obstruction of the right ventricular outflow tract (RVOT) muscle bundles? What are the correct ICD-10-PCS procedure code assignments?  ...

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