•Therapeutic procedures performed during a cardiac catheterization are: oPercutaneous transluminal coronary angioplasty•Relieve obstruction of coronary arteries by widening a narrowed area by employing a balloon-tipped catheter•May include the insertion of one or more coronary stents
© 2013 ICD-10-PCS Procedure Coding • Coronary artery bypass graft o Aortocoronary bypass brings blood from the aorta into the obstructed coronary artery using a segment of the saphenous vein o Internal mammary-coronary artery bypass graft uses the internal mammary artery to bypass the occluded coronary artery o Abdominal-coronary artery bypass using an abdominal artery o The root operation is “bypass.” The seventh character qualifier identifies the vessel bypassed from or the vessel that is the source of blood flow to the bypassed vessel.
© 2013 ICD-10-PCS Procedure Coding • Cardiac pacemaker • Includes three basic components inserted in the body o Pulse generator o Pacing lead o Electrode • Different types of pacemakers o Single chamber o Dual chamber o Rate responsive o Cardiac resynchronization • The root operation “insertion” is used to code the insertion of each lead and the pacemaker generator
© 2013 ICD-10-PCS Procedure Coding • Automatic Implantable Cardioverter-Defibrillators (AICD) • Includes components inserted in the body o Pulse generator o Three leads: right ventricle, right atrium and apical pericardium • The root operation “insertion” o Device character is cardiac lead, defibrillator o Generator is inserted in subcutaneous tissue and has a device value for the type of defibrillator generator used
© 2013 Exercises • Practice coding the conditions included in Chapter 9 of ICD-10-CM for diseases of the circulatory system as well as the procedures used to treat these conditions by completing the review exercises for Chapter 12.
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- Fall '16
- Cardiology, Hypertensive Disease