AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 4; New/Revised ICD-10-PCS Procedure Codes, Section 0-Medical and Surgical
Branched and Fenestrated Endograft Repair of Aneurysms
Two new device values were added for branched and fenestrated endograft procedures used to treat aneurysms. Device E Intraluminal Device, Branched or Fenestrated, One or Two Arteries F Intraluminal Device, Branched or Fenestrated, Three or More Arteries These new values restore the detail previously available in ICD-9-CM to identify the use of branched and fenestrated endografts, also known as stent grafts, in endovascular aneurysm repair (EVAR). Because branched and fenestrated endografts are used only for treatment of aneurysms, of the thoracic aorta, abdominal aorta and common iliac arteries, this change impacts just two procedure code tables:...
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Article Overview
This article covers ICD-10-PCS revisions for aneurysm repair involving branched and fenestrated endografts. It explains the scope of the update, the affected procedure tables, the added device and qualifier values, and the anatomic contexts where these changes matter. The article is aimed at coding professionals who need to understand how endovascular aneurysm repair terminology and device classification are reflected in the procedure coding system.
Why This Topic Matters
These changes affect how endovascular aneurysm repair procedures are represented in ICD-10-PCS and help coding staff recognize the updated device and qualifier structure used for complex aortic repairs.
Article Sections
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Device
Discusses the new device values added for endograft procedures and the broader context of aneurysm repair coding.
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Qualifier
Reviews the new qualifier value added to the lower-artery procedure table and its relationship to abdominal aortic anatomy.
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Clinical example and coding question
Presents a sample aneurysm repair scenario and asks how the procedure is represented in the coding system.
What You Will Learn
- What ICD-10-PCS updates were made for branched and fenestrated endograft procedures
- Which procedure tables are affected by the update
- How the new qualifier relates to abdominal aortic anatomy
- What general anatomic settings are discussed in relation to endovascular aneurysm repair
Who Should Read This
- ICD-10-PCS coders
- Coding educators
- Hospital coding staff
- Clinical documentation specialists
Codes Discussed
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