AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 4; New/Revised ICD-10-PCS Procedure Codes, Section X—New Technology
Cerebral Embolic Filtration
A new table X2A describing assistance of the cardiovascular system captures the placement of two filters into precerebral arteries during certain cardiac procedures that have a known risk of perioperative stroke. Device/Substance/Technology1 Cerebral Embolic Filtration, Dual Filter One model of the dual filter system is called the Sentinel™ Cerebral Protection System. In certain patient populations, release of embolic debris is a known complication of the transcatheter aortic valve replacement (TAVR) procedure. Placing two filters at the beginning of the TAVR procedure, one in the innominate artery and one in the left common carotid artery, is intended to capture...
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Article Overview
This premium article covers a new ICD-10-PCS table related to assistance of the cardiovascular system for placement of dual cerebral filters in precerebral arteries during selected cardiac and great vessel procedures. It is aimed at medical coders, CDI professionals, and reimbursement staff who need to understand the scope of the new table, the device category involved, and the procedural context in which it may appear. The article also notes the relationship between the filtration procedure and the separately coded primary procedure.
Why This Topic Matters
Understanding this topic helps readers recognize when the new ICD-10-PCS table applies and how it relates to procedures performed for stroke-risk mitigation during cardiovascular interventions.
What You Will Learn
- The purpose of a new ICD-10-PCS table for cerebral embolic filtration
- The general procedural context in which dual cerebral filters may be placed
- How the filtration procedure relates to the primary cardiovascular procedure
- The types of cardiovascular and great vessel procedures discussed at a high level
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation integrity specialists
- Revenue cycle professionals
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