Atrium, left (7)Ventricle, right (K)Ventricle, left (L)Pulmonary Trunk (P)Pulmonary Artery, Right (Q)Pulmonary Artery, Left (R)
Superior Vena Cava (V)Thoracic, aorta descending (W)Thoracic aorta, ascending/arch (X)If a Fragmentationis being performed, there is a single body part value, pericardium (N).ICD-10-PCS Coding Guideline B4.4 specifies that the coronary arteries are classified as a single body part that is further specified by number of arteries treated. One procedure code specifying multiple arteries is used when the same procedure is performed, including the same device and qualifier values. For example:Angioplasty of two distinct coronary arteries with placement of two stents is coded as Dilation of Coronary Artery, Two Arteries with Two Intraluminal Devices.Angioplasty of two distinct coronary arteries, one with stent placed and one without, is coded separately as Dilation of Coronary Artery, One Artery with Intraluminal Device, and Dilation of Coronary Artery, One Artery with no device.Depending on the root operation, the 5th character approach may be open (0), percutaneous (3), percutaneous endoscopic (4), or external (X). Click here to see the definition of these approaches.The 6th character device depends on the root operation. For example, for the root operation Occlusion (L), three choices exist for the device: extraluminal device (C), intraluminal device (D), or no device (Z). Refer to the Resource tab for this lesson to see the ICD-10 Procedure Coding System (ICD-10-PCS) tables and index. Within that file is a list of specific devices and their character device mapping on the Device Aggregation Table. Continuing with the Occlusion example, if the physician states he or she uses a drug-eluting stent, the table maps that stent to the character D for intraluminal device. This resource also contains the Device Key, a table that maps a particular device to its translation for the PCS code table. For example, the use of the Berlin heart ventricular assist device is as an implantable heart assist system in the body system heart and great vessels (Q).The 7th character qualifier also depends on the root operation reported. For the root operation Transplantation, the qualifier is allogeneic(0), syngeneic(1), or zooplastic(2). In many instances in the 02 body system for the heart and great vessels, the qualifier is no qualifier (Z).Procedures: Coronary Artery Disease ProceduresCardiac Catheterization and AngiographyTwo tests that are commonly used to evaluate coronary artery disease are cardiac catheterization and coronary angiography. In these tests, a catheter is placed into the heart to test the function and assess the anatomy of the heart and vessels. Catheterization and angiography evaluations are generally performed in advance of angioplasty or coronary bypass procedures to identify the location and extent of any blockage of the coronary arteries.
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- Summer '18
- Stephanie Carlisto
- Cardiology, Atherosclerosis, Coronary artery bypass surgery, coronary artery