AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2021 Quarter 4; ICD-10-PCS New/Revised Codes
Restriction of Left Ventricle
A patient, who had been diagnosed with heart failure, dyspnea and severe mitral regurgitation with moderate to severe left ventricular dysfunction and left ventricular ejection fraction, underwent mitral valve annuloplasty using the Ancora AccuCinch® percutaneous device. During surgery, a wire was placed across the aortic valve to gain access into the left ventricular cavity. A flexible wire delivery sheath was placed beneath the mitral annulus at the superior aspect of the ventricle and the base of the heart. The Trac™ catheter was placed around the mitral annulus. The AccuCinch® device was ultimately deployed. The device seated well and there was a reduction of mitral regurgitation. What is the appropriate ICD-10-PCS code for mitral valve annuloplasty using the Ancora AccuCinch® device? ...
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Article Overview
This article covers a change to ICD-10-PCS Table 02V for restriction procedures involving the heart and great vessels, with emphasis on left ventricular body part values and available approaches and device options. It is intended for coding professionals working with cardiovascular procedures, especially cases involving heart failure, functional mitral regurgitation, and left ventricular support devices. The article also includes an example scenario that frames the coding context for a percutaneous mitral valve annuloplasty-related procedure.
Why This Topic Matters
Updates to procedure code tables can change how cardiac interventions are captured in ICD-10-PCS. Understanding the scope of the table change helps coders identify when left ventricular procedures are reportable and how the example fits the broader coding category.
Article Sections
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ICD-10-PCS Table 02V Update
Introduces the procedure table change and the addition of a left ventricle body part value across available approaches. It places the change in the context of restriction procedures involving the heart and great vessels.
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Device and approach values
Summarizes the body part, approach, device, and qualifier values referenced in the update. This section provides the structural coding context without detailing selection logic.
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Clinical example
Presents a cardiac procedure scenario involving mitral valve repair-related work and a percutaneous device. The example frames the coding topic discussed in the article.
What You Will Learn
- What ICD-10-PCS table area is affected by the update
- How the article frames left ventricular restriction procedures
- What kinds of cardiovascular procedure scenarios the update is meant to support
- How the clinical example relates to the procedure table change
Who Should Read This
- ICD-10-PCS coders
- Inpatient coding specialists
- Cardiovascular coding staff
- Clinical documentation and coding review teams
Codes Discussed
Code Ranges Discussed
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