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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