AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2023 Issue 3; Ask the Editor

Placement of Emboshield Embolic Filter

A patient, who is status post coronary artery bypass graft surgery over 20 years ago, presents with worsening shortness of breath and chest pain suggestive of angina. A coronary angiogram demonstrates high-grade stenosis in the saphenous vein graft (SVG) to right coronary artery (RCA), so the patient underwent a successful placement of drug eluting stent (DES). Emboshield embolic filter was placed in the distal graft during the stent placement procedure and then removed. Would it be appropriate to assign ICD-10-PCS code X2A6325, Cerebral embolic filtration, single deflection filter in aortic arch, percutaneous approach, new technology group 5, since the aortic arch is the closest available option? ...

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