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 Carotid Artery with Integrated Embolic Protection
In table X2A, Assistance of Cardiovascular System, device value 4 Cerebral Embolic Filtration, Single Integrated Distal Filter, was added with body part values K Right Internal Carotid Artery, and L Left Internal Carotid Artery.Body Part Approach Device/Substance/Technology Qualifier H Common Carotid Artery, Right J Common Carotid Artery, Left K Internal Carotid Artery, Right L Internal Carotid Artery, Left 3 Percutaneous 4 Cerebral Embolic Filtration, Single Integrated Distal Filter B New Technology Group 11 For example, the Neuroguard IEP® 3-in-1 Carotid Stent, Post-Dilation Balloon System with Integrated Embolic Protection, integrates a nitinol self-expanding stent and post-dilation balloon, with an...
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Article Overview
This premium article reviews an ICD-10-PCS coding update involving carotid artery dilation procedures performed with integrated embolic protection. It is intended for inpatient coders and CDI/coding staff who work with cardiovascular procedures and ICD-10-PCS table updates. The article covers the revised table values, the procedure context, and the general assignment of a related dilation code from the upper arteries section.
Why This Topic Matters
Coding for cardiovascular procedures can change when device and body part values are updated, especially when new technology is introduced. Understanding the scope of the update helps coders review cases involving carotid artery interventions and align documentation with the applicable ICD-10-PCS table structure.
Article Sections
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ICD-10-PCS table update
Introduces a table update affecting cardiovascular procedure reporting and identifies the newly added values in the table structure.
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Procedure context and example device
Describes the general clinical setting for carotid artery dilation with integrated embolic protection and references an example system used in this type of procedure.
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Related dilation table reference
Notes the related table used for reporting the dilation and stent placement portion of the procedure.
What You Will Learn
- How the article frames an ICD-10-PCS table update for cardiovascular procedures
- Which broad body part and device categories are discussed
- How the article situates the procedure within carotid artery intervention coding
- What related ICD-10-PCS table area is referenced for the dilation component
Who Should Read This
- Inpatient coding professionals
- Clinical documentation integrity specialists
- Health information management staff
- ICD-10-PCS trainers and auditors
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