AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Quarter 4; New/Revised ICD-10-PCS Procedure Codes
Insertion of External Heart Assist Devices
A patient underwent a percutaneous transluminal angioplasty (PTCA). An Impella® external heart assist device was utilized for intraoperative support, and was removed at the end of the PTCA procedure. Would both the assistance and insertion of external heart assist system codes be reported? Would a removal of external heart assist system code be assigned as well? ...
Subscribe or sign in to view the full article.
Article Overview
This article reviews updates to ICD-10-PCS coding for external heart assist device procedures in the Heart and Great Vessels body system. It covers revisions to device terminology, newly available qualifiers, affected procedure tables, and an example scenario involving a cardiovascular procedure where intraoperative device use is discussed. The content is intended for inpatient coding professionals, auditors, and CDI staff who need to understand how the update affects code assignment and reporting.
Why This Topic Matters
These ICD-10-PCS updates can affect how external heart assist device procedures are represented in facility coding, especially when device use is temporary or limited to the operative setting. Accurate awareness of the table and qualifier changes helps support consistent reporting and cleaner claim data.
Article Sections
-
ICD-10-PCS revisions for external heart assist devices
Summarizes the update to device terminology and the procedure tables affected in the Heart and Great Vessels body system. It frames the scope of the changes across related root operations.
-
New qualifier for intraoperative use
Describes the addition of a qualifier for procedures where the device is used during the operation. The section explains the general purpose of this new reporting distinction.
-
Qualifier added for biventricular procedures
Covers the expanded availability of a qualifier for biventricular reporting across removal and revision tables. It notes the relationship between the device value update and the affected tables.
-
Clinical scenario and guideline reference
Presents a coding scenario involving a cardiovascular intervention and external heart assist device support. It references a guideline update and indicates that code assignment is discussed in the full article.
What You Will Learn
- How the article’s ICD-10-PCS updates are organized
- Which Heart and Great Vessels tables are affected by the revisions
- How new qualifier availability changes the reporting framework
- What coding topic is illustrated by the included clinical scenario
- Why the guideline reference is relevant to external heart assist device reporting
Who Should Read This
- Hospital inpatient coders
- Coding auditors
- Clinical documentation improvement specialists
- Revenue cycle staff
- Coding educators
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com