AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2025 Issue 4; ICD-10-PCS New/Revised Codes Section X—New Technology
Dilation of Arteriovenous Fistula with Cell Impermeable Endoprosthesis
In table X27, Dilation of Cardiovascular System, device value 5 Intraluminal Device, Cell Impermeable, was added with body part values 5 Right Subclavian Vein, 6 Left Subclavian Vein, 7 Right Axillary Vein, 8 Left Axillary Vein, 9 Right Brachial Vein, A Left Brachial Vein, B Right Basilic Vein, C Left Basilic Vein, D Right Cephalic Vein, and E Left Cephalic Vein.Body Part Approach Device/Substance/Technology Qualifier 5 Subclavian Vein, Right 6 Subclavian Vein, Left 7 Axillary Vein, Right 8 Axillary Vein, Left 9 Brachial Vein, Right A Brachial Vein, Left B Basilic Vein, Right C Basilic Vein, Left D...
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Article Overview
This article explains a coding update in ICD-10-PCS for cardiovascular dilation procedures and discusses the relevant body part, device, approach, and qualifier values tied to a cell-impermeable endoprosthesis. It is intended for medical coders, CDI professionals, and revenue cycle staff who need to understand how the update affects procedure reporting for dialysis access and related venous interventions.
Why This Topic Matters
Updates to procedure classification tables can affect how cardiovascular interventions are represented in administrative data and reported in coding workflows. The article also provides clinical context for the type of endoprosthesis referenced so readers can understand the scope of the change.
What You Will Learn
- The scope of the ICD-10-PCS table update affecting cardiovascular dilation procedures.
- Which anatomic body part values are associated with the update.
- How the article frames the device category, approach, and qualifier elements.
- The clinical context in which a cell-impermeable endoprosthesis is used.
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation integrity specialists
- Revenue cycle professionals
- Healthcare compliance staff
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