AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2024 Issue 4; ICD-10-PCS New/Revised Codes Section 0 – Medical and Surgical
Bypass of Hepatic Artery and Splenic Artery to Lower Artery
In table 041, Bypass of Lower Arteries, qualifier value R Lower Artery, was added to body part values 3 Hepatic Artery and 4 Splenic Artery to capture bypass procedures from the hepatic and splenic arteries to lower arteries other than the renal arteries.Body Part Approach Device Qualifier 3 Hepatic Artery 4 Splenic Artery 0 Open 4 Percutaneous Endoscopic 9 Autologous Venous Tissue A Autologous Arterial Tissue J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device R Lower Artery ...
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Article Overview
This article covers a targeted ICD-10-PCS update to the bypass table for lower arteries and shows how the change affects coding for certain arterial bypass procedures involving the hepatic and splenic arteries. It is aimed at coders, auditors, and reimbursement professionals who work with inpatient procedural coding and need to understand the revised table structure and related coding context.
Why This Topic Matters
The update changes how specific bypass procedures are represented in ICD-10-PCS, which can affect code assignment, data accuracy, and downstream reporting for vascular surgery cases.
Article Sections
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ICD-10-PCS table update
This section describes a revision to the bypass table for lower arteries and the body part values affected by the update.
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Clinical example
This section presents a vascular surgery scenario and illustrates how the updated ICD-10-PCS table is applied in context.
What You Will Learn
- What portion of the ICD-10-PCS bypass table was updated
- Which body part values are involved in the revised lower-artery bypass table
- How the article frames a representative vascular bypass scenario
- How the update relates to inpatient procedural coding workflows
Who Should Read This
- ICD-10-PCS coders
- Inpatient coding auditors
- Hospital reimbursement staff
- Clinical documentation and coding professionals
Codes Discussed
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