AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2020 Quarter 4; New/Revised ICD-10-CM Codes
Intravascular Lithotripsy
The patient presented with stenosis of the right external iliac and common femoral arteries and underwent a percutaneous transluminal angioplasty (PTA) with shockwave lithotripsy therapy. During the procedure, a shockwave lithotripsy balloon was inserted and two treatments of shockwaves were delivered. A drug-coated balloon was then inserted and left in place for three minutes. Final angiography revealed excellent results and reduction in stenosis. How is shockwave lithotripsy therapy and drug-coated balloon angioplasty of the external iliac and common femoral arteries coded? ...
Subscribe or sign in to view the full article.
Article Overview
This article provides a high-level overview of intravascular lithotripsy in the treatment of calcified arterial plaque and then applies that topic to a coding-focused angioplasty scenario. It is aimed at readers who need to understand the procedure context, the vascular anatomy involved, and how the case is represented in ICD-10-PCS for facility coding purposes. The article also touches on the relationship between shockwave lithotripsy therapy and drug-coated balloon angioplasty in an arterial intervention setting.
Why This Topic Matters
Intravascular lithotripsy is a newer vascular technology, so coders and clinical documentation staff need to understand how procedure details and anatomy affect coding. The article helps readers identify when a case involves treatment of calcified lesions, balloon-based intervention, and related ICD-10-PCS assignment considerations.
What You Will Learn
- What intravascular lithotripsy is used for in arterial procedures
- How shockwave-based vascular therapy is described in a procedural context
- How an angioplasty case involving the external iliac and common femoral arteries is presented for coding review
- What ICD-10-PCS coding is being discussed for this type of vascular intervention
Who Should Read This
- Inpatient coders
- Facility coding professionals
- Clinical documentation specialists
- Revenue cycle staff
- Vascular surgery coding teams
Codes Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com