AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2019 Issue 4; Section X - New Technology
Cerebral Embolic Filtration
A new code has been created at table X2A, Cardiovascular System, Assistance, to describe cerebral embolic protection for the aortic arch and to differentiate the filter device. Prior to this change, ICD-10-PCS described only the innominate artery and left common carotid artery in the Body Part value and a dual filter device. Body PartDevice/Substance/Technology6 Aortic Arch 2 Cerebral Embolic Filtration, Single Deflection Filter The cerebral embolic filtration device is used in conjunction with transcatheter aortic valve replacement (TAVR) procedures to treat high-risk and moderate-risk patients with aortic stenosis. An example of the single deflection cerebral embolic filtration device is...
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Article Overview
This article covers an ICD-10-PCS coding update involving cerebral embolic filtration in the cardiovascular system. It is intended for coding professionals, CDI staff, and clinical teams working with transcatheter aortic valve replacement and related heart and great vessel procedures. The discussion focuses on how the new table value distinguishes a specific filter device and how the topic fits within broader ICD-10-PCS procedure coding for cardiovascular assistance and valve replacement.
Why This Topic Matters
Accurate understanding of this update helps coders and auditors recognize the relevant ICD-10-PCS structure for procedures involving cerebral embolic protection during cardiovascular intervention. It supports correct code-set navigation and awareness of how the article situates the filtration topic alongside related procedural coding.
Article Sections
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ICD-10-PCS table update
Introduces a new ICD-10-PCS table value for cardiovascular assistance and explains the scope of the coding change at a high level.
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Device and procedure context
Describes the general clinical setting for cerebral embolic protection during transcatheter aortic valve replacement and notes an example device used in this context.
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Related TAVR procedure coding
Indicates that the valve replacement procedure is coded separately using the appropriate ICD-10-PCS table values.
What You Will Learn
- The general purpose of the ICD-10-PCS update discussed in the article.
- How the article situates cerebral embolic filtration within cardiovascular procedure coding.
- The relationship between the filtration topic and transcatheter aortic valve replacement coding.
- Which broad ICD-10-PCS tables are referenced in connection with the update.
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation integrity specialists
- Cardiovascular service line staff
- Revenue cycle professionals
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