AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2015 Quarter 4; New/Revised ICD-10-PCS Codes
Drug-Coated Balloon Angioplasty in Peripheral Vessels
A 65-year-old male with severe calf claudication developed an ulcer on the right foot, and was admitted to the hospital for percutaneous interventional procedure. The patient is a smoker with diabetes mellitus, hypertension and dyslipidemia. Diagnostic angiography confirmed complete occlusion of the right superficial femoral artery, and he underwent balloon angioplasty with stent placement using a drug-coated balloon. Post-procedural imaging showed that blood flow had been restored. What is the appropriate ICD-10-PCS code for angioplasty of the femoral artery using a drug-coated balloon with stent placement? ...
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Article Overview
This article covers an ICD-10-PCS update for peripheral angioplasty involving drug-coated balloons, with emphasis on lower-extremity vessel procedures and the code changes introduced for this technology. It is relevant for inpatient coders, CDI teams, vascular surgery documentation staff, and reimbursement professionals who need to recognize the procedure category, understand the scope of the coding update, and see which lower-artery procedures are included. The article also presents a procedural example and identifies the selected ICD-10-PCS code for that scenario.
Why This Topic Matters
Drug-coated balloon angioplasty is a distinct peripheral vascular technology, and the article shows how ICD-10-PCS was updated to capture it accurately. Correct classification affects inpatient procedure reporting and documentation consistency for lower-extremity interventions.
What You Will Learn
- How ICD-10-PCS was updated to capture drug-coated balloon use in peripheral angioplasty
- Which lower-extremity vessel procedures are included in the update
- How the article frames the technology and its role in vascular intervention
- How a sample inpatient peripheral angioplasty scenario is coded at a high level
Who Should Read This
- Inpatient coders
- Clinical documentation integrity specialists
- Vascular surgery coding staff
- Hospital reimbursement teams
- Health information management professionals
Codes Discussed
Code Ranges Discussed
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