Transcatheter aortic valve implantation (TAVI)

Minimally invasive, done through large vessel or small incision in chest.

How to code

• AVR Repair/Replace
• either peripheral angiogram or Thoracotomy depending which approach they use. Template:Discussion would they ever use thoracotomy for something that is transcatheter? Ttenbergen 13:54, 2017 September 12 (CDT)
• Aortic Stenosis or Aortic Insufficiency

how about the angiogram?

• What code do you use for a "peripheral angiogram" in TEVAR and TAVI? Is this a coronary angiogram? Also, do you count the angiogram in the lab counts?--LKolesar 13:15, 2015 September 16 (CDT)
  • They do not do a coronary angiogram, they approach the valve through a femoral artery cutdown doing a peripheral angiogram to access the artery and aorta. I started coding both AVR and angiogram to indicate the AVR was not done the usual way through a sternotomy. --LBilesky 14:22, 2017 May 25 (CDT)

previous location

• • Maybe the pt came from Interventional radiology and not the heart cath lab? --LKolesar 14:34, 2017 July 14 (CDT)

vs Valvuloplasty

• There is a whole different discussion going on under Valvuloplasty related to this. Should these be coded as Valvuloplasty or AVR Repair/Replace? The answer eventually might better live in those articles, since they are really more relevant to the dx than to how to code at STB, right? Ttenbergen 17:10, 2017 May 18 (CDT)