AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 2; Ask the Editor

Repair of Tetralogy of Fallot with Autologous Pericardial Patch Graft

A patient with tetralogy of Fallot presents for repair. During the procedure, the anterior portion of the pericardium was resected and treated in glutaraldehyde. Following the repair, the pulmonary arteriotomy site was closed with the autologous pericardial patch to enlarge the main pulmonary artery and left pulmonary artery. The infundibulotomy was closed with an autologous pericardial patch to enlarge the area with running Prolene® suture. Should the pericardial excision be coded separately? Also, should the closure with pericardial patch be coded separately? If so, what is the appropriate root operation? ...

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