AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2021 Issue 4; ICD-10-PCS New/Revised Codes
Coronary Intravascular Lithotripsy
In code Table 02F, Fragmentation of Heart and Great Vessels, body part values for coronary artery(ies) as noted below were added to identify coronary intravascular lithotripsy. Body Part Approach Device Qualifier 0 Coronary Artery, One Artery 1 Coronary Artery, Two Arteries 2 Coronary Artery, Three Arteries 3 Coronary Artery, Four or More Arteries 3 Percutaneous Z No Device Z No Qualifier Coronary intravascular lithotripsy (IVL) is a new treatment that utilizes controlled sound waves in short pulses to selectively crack intimal and medial calcium within coronary artery(ies) without affecting soft tissue. Once fractured, the calcium’s resistance to balloon...
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Article Overview
This article explains a coding update related to coronary intravascular lithotripsy and its placement within ICD-10-PCS. It is aimed at coding professionals, auditors, and clinical documentation teams who need to understand the general procedural context and the affected table structure without relying on premium details.
Why This Topic Matters
It helps readers recognize that a newer coronary procedure is represented in ICD-10-PCS and that related vascular interventions may also be separately coded. This is relevant for accurate procedure reporting, documentation review, and coding education.
What You Will Learn
- How coronary intravascular lithotripsy is represented in ICD-10-PCS
- Which part of the ICD-10-PCS table structure was updated
- The general procedural context in which coronary IVL is performed
- How the article situates coronary IVL alongside related coronary interventions
Who Should Read This
- Inpatient coders
- Coding auditors
- Clinical documentation specialists
- Revenue cycle professionals
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