AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2020 Issue 4; Section X-New Technology

Cerebral Embolic Filtration Extracorporeal Flow Reversal Circuit

A new code has been created at table X2A, Cardiovascular System, Assistance, to describe the use of reverse flow embolic neuroprotection during transcarotid arterial revascularization (TCAR), an intraoperative filtration procedure that utilizes an extracorporeal flow reversal circuit. Body Part Device/Substance/Technology H Common Carotid Artery, Right J Common Carotid Artery, Left 3 Cerebral Embolic Filtration, Extracorporeal Flow Reversal Circuit The TCAR procedure is performed to reduce the risk of stroke with placement of a carotid artery stent. Traditional carotid artery stenting is performed using instrumentation via the femoral artery being advanced under fluoroscopy to the site of plaque obstructing the...

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