AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2020 Quarter 4; New/Revised ICD-10-CM Codes
ICD-10-PCS NEW/REVISED CODES
A patient with a history of congestive heart failure (CHF) with Class III-IV symptoms underwent placement of a V-wave atrial septal shunt device. Venous access was obtained from the right femoral vein. An atrial septal puncture was performed and a guidewire was advanced into the superior vena cava. A trans-septal puncture was made at the mid-portion and slightly posterior aspect of the right atrium into the left atrium. The V-wave shunt was advanced (via trans-septal catheterization) into the left atrium and positioned across the septum. How is this procedure coded in ICD-10-PCS? ...
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Article Overview
This article reviews the FY 2021 ICD-10-PCS update cycle and outlines the types of changes made across multiple sections of the procedure code set. It is intended for coding professionals who need to understand which areas of ICD-10-PCS were updated, how the update information is organized, and where to find the official CMS addenda and conversion materials. The article covers section-level additions and revised table values, along with general update context tied to CMS review and Coding Clinic discussion.
Why This Topic Matters
ICD-10-PCS annual updates affect procedure reporting accuracy, code set maintenance, and compliance workflows for inpatient and facility coding. Reviewing the update summary helps coders and auditors identify where the most significant changes occurred and which official resources support the revised code set.
Article Sections
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FY 2021 ICD-10-PCS update overview
Introduces the annual update cycle, effective date, and the general scope of changes across the procedure code system. It also points readers to official CMS reference materials for the full addenda and conversion table.
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Section 0 - Medical and Surgical
Summarizes changes affecting the largest portion of the procedure code set and notes the broad types of updates included in this section. The article then organizes the detailed table changes by specific procedure tables.
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Insertion of Radioactive Element
Describes a new device value added within selected insertion tables and explains the update in the context of brachytherapy-related procedures. The section identifies the affected body systems and the resulting expansion in code availability.
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Atrium Bypass Qualifier
Describes a table update in the heart and great vessels bypass category and provides context for the procedural scenario associated with the change. The section includes a brief coding-focused example tied to the revised table values.
What You Will Learn
- How the FY 2021 ICD-10-PCS update summary is organized.
- Which major ICD-10-PCS sections received changes for the effective date covered.
- What kinds of table-level updates were introduced in the article.
- How the article frames the CMS and Coding Clinic sources behind the update cycle.
- What procedural scenarios are used to illustrate selected ICD-10-PCS changes.
Who Should Read This
- Hospital inpatient coders
- Procedure coding auditors
- Coding compliance staff
- Revenue cycle teams
- Health information management professionals
Codes Discussed
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