AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2019 Quarter 4; ICD-10-PCS NEW/REVISED CODES
Coronary Artery Body Part to Root Operation Insertion
A patient with severe symptomatic prosthetic aortic stenosis and regurgitation underwent transfemoral valve-in-valve transcatheter aortic valve replacement (TAVR). The provider applied electrocautery, creating an intentional laceration to the prosthetic aortic valve leaflet to prevent risk of coronary obstruction (BASILICA technique) following prosthetic valve deployment. A bioprosthetic valve was deployed across the previously placed prosthetic aortic valve. A valvuloplasty balloon was then advanced across the new prosthetic valve, and inflated, resulting in further expansion of the valve. The provider then performed prophylactic stenting of the left main coronary artery (LMCA) and the right coronary artery (RCA). What is the correct code assignment for the BASILICA technique and stent insertion during TAVR? ...
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Article Overview
This premium article addresses an ICD-10-PCS update for coronary artery body part values in the Heart and Great Vessels, Insertion table and places that update in the context of TAVR-related coronary protection. It is intended for coding professionals who need to understand the scope of the change, the procedure setting, and the type of assignment guidance discussed without relying on the full article.
Why This Topic Matters
Procedures involving TAVR and coronary intervention can require precise PCS coding, and this article helps readers identify when the coronary artery body part detail applies. It is relevant for coders, CDI specialists, auditors, and compliance staff working with cardiovascular procedure documentation.
Article Sections
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ICD-10-PCS table update for coronary artery body part values
This section describes a change to the Heart and Great Vessels Insertion table and the added coronary artery body part detail. It frames the update as part of procedure reporting for coronary artery-related work.
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TAVR and coronary protection scenario
This section presents a cardiovascular procedure context involving valve replacement and coronary protection measures. It explains the documentation scenario used to illustrate the coding issue.
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Code assignment guidance
This section provides general guidance on the coding approach discussed for the procedure scenario. It focuses on the relationship between the documented intent and the reporting outcome.
What You Will Learn
- The scope of the ICD-10-PCS Insertion table update for coronary artery body part values
- How the article frames TAVR-related coronary protection documentation
- The general type of code assignment guidance discussed for the procedure scenario
- Which procedural context the article uses to illustrate coronary artery coding detail
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation integrity specialists
- Compliance staff
- Cardiovascular procedure coding professionals
Codes Discussed
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