AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2018 Issue 3; Ask the Editor

Alcohol Septal Ablation

The patient had congestive heart failure with hypertrophic obstructive cardiomyopathy and underwent alcohol septal ablation in conjunction with left heart catheterization and coronary angiography. During the intervention, a balloon catheter was advanced into the vessel over a Whisper wire. The balloon was inflated to occlude the vessel proximally. The wire was removed, the lumen aspirated and contrast injected to verify complete vessel occlusion. 2ml of absolute ethanol was then infused. Septal ablation was successfully performed via the first septal branch of the left anterior descending artery. How is alcohol septal ablation coded in ICD-10-PCS? ...

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