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Thread: Insertion of LV Vent during Ecmo

  1. #1
    Join Date
    Apr 2007

    Question Insertion of LV Vent during Ecmo

    AAPC: Back to School
    I'm trying to find the correct coding for insertion of a left ventricular vent only (not an assist device) placed on a date after Ecmo cannulation (36822) on a pediatric patient on ECMO support in an attempt to "optimize recovery of his LV". Here are the details:

    "...Sternum was opened. Pledget pursestring placed and vent placed with extreme care taken to avoid entry of air into the heart. Likewise extreme care was taken to establish the Y connection to the circuit with perfect deairing. Copious irrigation and suctioning were completed. Drains were reinserted. Snares were again tucked under the sternum away from the heart and great vessels. I would also add that I carefully examined the aortic root. The L button was visualized and appeared nicely distended....I elected to leave the sternum open, as child was not bleeding, to ensure no negative impact on the heart..."

    Any help is appreciated. Thanks!

  2. #2


    did you ever get response to your question? I have the same senario, but cant find a cpt code

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