Congenital Disorders - Hypoplastic Left Heart Syndrome Bi-directional Glenn Procedure in ICD-10-PCS
Instructor
Beth Martilik, MA, RHIA, CDIP, CCSDescription
Congenital Disorder Coding: Hypoplastic Left Heart Syndrome Bi-Directional Glenn Procedure (ICD-10-PCS) is an online, self-paced course for inpatient coders who need a focused understanding of how the second-stage palliative Glenn procedure is performed and coded. This course reviews the clinical purpose, history, and surgical technique of the bi-directional Glenn procedure used in the management of hypoplastic left heart syndrome, with emphasis on how blood flow is redirected to improve oxygenation. Coders will learn how to interpret operative documentation and apply ICD-10-PCS concepts—such as root operations, body part values, and approaches—to accurately code this complex congenital heart procedure. Prior coursework on hypoplastic left heart syndrome diagnosis and the Norwood procedure is recommended to support a complete clinical and coding foundation.
**Note: It is recommended that the coder complete the Courses entitled: Congenital Disorders Hypoplastic Left Heart Syndrome Diagnosis, as well as Congenital Disorders Hypoplastic Left Heart Syndrome Norwood Procedure to better understand this condition and the normal heart anatomy prior to attempting this course.
Included Lessons:
- What is a Bi-Directional Glenn Procedure?
- The Procedure
- Coding Clinic References
- ICD-10-PCS Coding
Key Takeaways
Overall, completing this course will empower medical coders with the specialized knowledge and skills required to accurately document and code the bi-directional Glenn procedure, contributing to improved patient care and effective healthcare record management in the context of congenital heart disorders. Some key takeaways of this course include:
- In-Depth Understanding of Hypoplastic Left Heart Syndrome (HLHS): Coders will gain a comprehensive understanding of HLHS, a complex congenital heart condition, including its pathophysiology, clinical implications, and treatment strategies.
- Knowledge of the Bi-directional Glenn Procedure: Participants will become well-versed in the bi-directional Glenn procedure, its purpose, timing, and significance within the overall treatment plan for HLHS patients.
- ICD-10-PCS Coding Proficiency: The course will equip coders with the skills and knowledge necessary to accurately code the bi-directional Glenn procedure using the ICD-10-PCS coding system, ensuring precise documentation for billing and record-keeping purposes.
- Historical Perspective: Coders will learn about the historical evolution of the Glenn procedure, including its original technique and subsequent modifications, providing context for current surgical practices.
- Differentiation from Other Procedures: Participants will be able to distinguish the bi-directional Glenn procedure from other similar surgical techniques, such as the hemi-Fontan, and understand the coding implications of such distinctions.
- Surgical Technique: Coders will gain insights into the step-by-step surgical techniques involved in the bi-directional Glenn procedure, including the division of shunts and the creation of anastomoses.
- Bilateral Bi-directional Glenn Procedure: For more complex cases, coders will learn about the bilateral bi-directional Glenn procedure and understand how it differs from the standard procedure.
Benefits of Taking this Course
- Enhanced Expertise in Coding Complex Congenital Heart Procedures
- Improved Bi-Directional Glenn Procedure PCS Coding
- Increased Confidence
- Ability to Handle Complex Cases
- Valuable Specialization
FAQs
What will I learn about coding the Bi-Directional Glenn procedure for hypoplastic left heart syndrome in ICD-10-PCS?
This course explains how the Bi-Directional Glenn procedure is performed as part of the staged surgical management of hypoplastic left heart syndrome and how that surgical intent translates to ICD-10-PCS coding. You’ll learn how to identify the correct root operation, body part, approach, and device values based on the operative report and the role the Glenn procedure plays in single-ventricle palliation.
How does the course help coders understand the relationship between hypoplastic left heart syndrome and staged cardiac procedures?
The course provides clinical context for hypoplastic left heart syndrome and explains where the Bi-Directional Glenn fits within the staged surgical pathway. By understanding the purpose of the procedure and the anatomic changes involved, coders can more accurately interpret provider documentation and apply ICD-10-PCS guidelines correctly.
Will this course improve my ability to identify key documentation details needed for accurate PCS coding of the Glenn procedure?
Yes. The course highlights the specific documentation elements coders must locate, including vessels involved, surgical connections created, use of cardiopulmonary bypass, and the overall intent of the procedure. You’ll learn how to translate complex pediatric cardiac surgery terminology into accurate ICD-10-PCS code components and recognize when clarification may be needed.
About Our Medical Coding Courses
HIAlearn, powered by Health Information Associates (HIA)—a leader in medical coding and auditing for more than three decades—offers a flexible, online education platform designed for today’s coders. With a growing catalog of AHIMA and AAPC-approved coding courses, HIAlearn supports both beginners and experienced coders looking to build confidence, accuracy, and CEU credits.
Courses are available across various coding types including CPT, E/M, ICD-10-CM, and ICD-10-PCS, and are designed for multiple specialties including inpatient, outpatient, profee, and CDI.
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Overview
Code Type
Keep learning with more medical coding courses from HIAlearn.
Congenital Disorders Hypoplastic Left Heart Syndrome Diagnosis in ICD‑10‑CM
Provides the diagnostic context needed to accurately document HLHS before coding the Glenn procedure.
Congenital Disorders Hypoplastic Left Heart Syndrome Norwood Procedure in ICD‑10‑PCS
Teaches procedural coding for the Norwood, which precedes the Glenn in the staged HLHS treatment pathway.
Congenital Disorders Hypoplastic Left Heart Syndrome Fontan Procedure in ICD‑10‑PCS
Focuses on the Fontan, the final surgical stage—completing the HLHS coding sequence after Norwood and Glenn.
