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Patent Foramen Ovale Closure In Clark
State:
Multi-State
County:
Clark
Control #:
US-000281
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Word;
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FAQ
A PFO is an atrial septal defect. These defects are normally repaired via catheter using a closure device such as CardioSEALs Septal Occluder. If the physician repaired the defect using a catheter, the correct CPT code is 93580.
You may be asleep for the procedure, or you may get a sedative to help you relax. Your doctor makes a small cut in your groin. Then the catheter, with tools inside it, is put into your blood vessel and carefully guided to your heart. Your doctor moves the tip of the catheter to place a small device inside the PFO.
PFO/ASO Closure with ICE (93580 with 93662): Bill ICE-guided PFO closure with CPT 93580 (CardioSEALs, AMPLATZER™ Occluder, etc.). Bill 93580 has ICE/TEE codes if echocardiography was performed during PFO closure.
A patent foramen ovale (PFO) is a small hole between the 2 upper chambers of the heart, the right and the left atrium. Patent foramen transcatheter repair is a procedure to fix this hole in the heart. Normally, the atrial septum separates the right and left atria. No blood flows between these 2 chambers.
Expect tenderness or a small bump (size of a quarter) at the procedure site. Bruising is also common at the procedure site. Possible sensations in the chest: palpitations, chest discomfort, or pressure. This is very common about 2 weeks to 6 weeks post closure; usually treatment is NOT required.
ICD-10 code Q21. 12 for Patent foramen ovale is a medical classification as listed by WHO under the range - Congenital malformations, deformations and chromosomal abnormalities .
During this procedure, a thin catheter (tube) is threaded to the heart from the blood vessels in the groin area. The catheter, guided by X-ray, allows a special device to be put in place to close the patent foramen ovale. The procedure lasts about 1 to 2 hours. An overnight hospital stay may be needed.
Everyone has a PFO at birth. It is a normal part of the circulation of a fetus. But, in most infants, this small hole naturally closes very soon after birth. But in some cases, it does not.
With pressure diminution of the right atrium due to the resistance drop in the pulmonary circulation at the first breath, the left-sided septum primum will be pressed against the right-sided septum secundum, closing the foramen ovale. The two septa will normally fuse during the first year of life.
Procedures to close a patent foramen ovale include: Device closure. In this procedure, the provider inserts a thin, flexible tube called a catheter into a blood vessel in the groin area. The catheter tip has a device to plug the PFO . Surgical closure. In this heart surgery, the surgeon uses stitches to close the PFO .