AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2020 Issue 4; New/Revised ICD-10-CM Codes

Intravascular Lithotripsy

Intravascular lithotripsy is used alone or with stent placement to treat plaque in the arteries. Shockwave lithotripsy is a new technology that uses a traditional balloon catheter with multiple mounted emitters to provide pulsatile sonic energy to fragment calcified calcifications within the vessels. The procedure is performed by delivering an intravascular lithotripsy (IVL) catheter across a calcified lesion over a wire and the integrated balloon is expanded. An electrical discharge from the emitters vaporizes the fluid within the balloon, creating a rapidly expanding and collapsing bubble that generates sonic pressure waves. The waves travel through soft vascular tissue, selectively...

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