Ask Dr. Z

My providers are performing percutaneous RVADs utilizing the ProTek Duo. Would we utilize the LVAD codes, as the descriptor DOES NOT indicate left ventricle or use an unlisted code? The procedure note is as follows: "The existing PA catheter was removed. A new 0.035" PA catheter was advanced to the right PA. The 0.035 PA catheter was exchanged for a Lundequist wire. The existing sheath was removed, and the venotomy was dilated up to a 26 French dilator. Anticoagulation was initiated. The 29 French Protek Duo cannula was advanced to the main PA, and this cannula was clamped. The inflow and outflow were then attached to the TandemLife RVAD system via wet-wet connections. Once the system was confirmed to be free of air, the clamps were removed and RVAD was initiated at 3 L/min."