AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2018 Quarter 4; New/Revised ICD-10-PCS Codes
Extraction of Hepatobiliary and Pancreas Sites
A female patient with locally advanced, unresectable stage III cancer of the body of the pancreas underwent laparoscopic irreversible electroporation to ablate the pancreatic tumor. How should this be coded? ...
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Article Overview
This article covers an ICD-10-PCS update for hepatobiliary system and pancreas procedures, with emphasis on a new extraction table and a new destruction qualifier associated with irreversible electroporation. It is relevant to coding professionals working with procedure coding changes and to readers who need to understand the scope of the update, the affected body system, and the related clinical context.
Why This Topic Matters
Procedure coding updates can affect how hepatobiliary and pancreatic services are captured and reported. This article helps coders and CDI/coding education users recognize that the update expands detail for certain biopsy-related procedures and introduces a new qualifier tied to a specialized ablative technology.
Article Sections
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Extraction of Hepatobiliary and Pancreas Sites
Introduces a new ICD-10-PCS extraction table for the hepatobiliary system and pancreas and explains the general purpose of the update.
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Irreversible Electroporation
Describes a new qualifier added within a hepatobiliary system and pancreas destruction table and provides general background on the technology and its clinical context.
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Clinical Example
Presents an example involving a pancreatic cancer case and identifies the type of coding output associated with the procedure.
What You Will Learn
- What procedure-coding area was updated in the hepatobiliary system and pancreas
- How a new extraction table affects documentation capture for certain biopsy-related procedures
- What broader clinical technology is being addressed by the new destruction qualifier
- How the article frames a sample pancreatic case for coding review
Who Should Read This
- ICD-10-PCS coders
- Coding educators
- Clinical documentation improvement specialists
- Revenue cycle and coding compliance teams
Codes Discussed
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