ICD-10-PCS: Transplantation of Zooplastic Heart

By Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA

For years, people have wondered why the zooplastic option was available in the Transplantation tables and now we know why.

A Maryland hospital transplanted a pig heart into a human for the first time on January 7th. A lucky coder at that hospital will be the first to use the Zooplastic qualifier for heart transplantation when coding this case as 02YA0Z2, Transplantation of Heart, Zooplastic, Open Approach.

The ICD-10-PCS code set is robust, with options for coding things that seem like they will never be done in current surgical practice. This tells us to “never say never.”

This is not the first time the code set has taught me to not second-guess the developers of the system.

A few years ago, I learned that surgeons could actually perform a percutaneous endoscopic coronary artery bypass graft surgery. Just like with the zooplastic heart, the code set was way ahead of us and ready to accept the coding challenge with a code such as 02104Z9, Bypass Coronary Artery, One Artery from Left Internal Mammary, Percutaneous Endoscopic Approach or 02114Z9, Bypass Coronary Artery, Two Arteries from Left Internal Mammary, Percutaneous Endoscopic Approach.

Once again, I give thanks for the wonderful group of people who worked so hard to develop this fabulous code set for us to use. All my thanks for anticipating so many advances in surgery that we never thought could happen!


ICD-10-PCS: Cardiac Procedure Coding
Learn to code advanced cardiac procedures with the unique perspective and expertise offered by nationally recognized ICD-10-PCS coding expert Lynn Kuehn! ICD-10-PCS: Cardiac Procedure Coding enables coders to visualize and understand complicated 3-D cardiac structures and then accurately and completely code the intricate surgical procedures performed. Learn more here.


Disclaimer: This article is written for educational purposes only. Every reasonable effort has been made to ensure its accuracy and completeness. It is the responsibility of the reader to refer to the definitions, descriptions, conventions, and guidelines specific to each coding classification, as well as relevant laws and regulations when selecting and reporting medical codes.

About the Author

Lynn Kuehn is president of Kuehn Consulting, LLC, and a nationally recognized authority on ICD-10-PCS coding. Lynn was elected to the AHIMA Board of Directors, served as faculty for the original ICD-10 “Train-the-Trainers” program, and authored or co-authored several of AHIMA’s most popular books including ICD-10-PCS: An Applied Approach, recognized as the “go-to” resource for learning and mastering ICD-10-PCS. As a Subject Matter Expert with Libman Education, Lynn’s unique and engaging teaching methods as well as her leadership on the importance of accuracy and efficiency in coding is recognized by clients and students throughout the country.

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