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

Intravascular Ultrasound Assisted Thrombolysis

Conventional catheter-directed thrombolysis generally uses a multi-side hole catheter placed adjacent to the thrombus. Thrombolytics are then delivered directly to the thrombus via the catheter. Newer technology utilizes pulses of ultrasonic energy to temporarily make the fibrin in the thrombus more porous and increase fluid flow within the thrombus. High frequency, low-intensity ultrasonic waves create a pressure gradient that drives the thrombolytic into the thrombus and keeps it in close proximity to the binding sites. An example of this technology is the EkoSonic® Endovascular System (EKOS™ system). The most common indication for ultrasound assisted thrombolysis is the treatment of...

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