Drug-Coated Balloon Angioplasty in Peripheral Vessels

Effective October 1, 2015, new ICD-10-PCS codes have been created to identify the use of drug-coated balloons in peripheral angioplasty in order to distinguish this new technology from traditional angioplasty. The use of drug-coated balloons in angioplasty is now identified by the qualifier value “1 Drug-Coated Balloon.” This new qualifier value has been added to table 047 Dilation of Lower Arteries, and is available for all vessels in the table. For coding purposes, drug-coated balloons are not considered devices, because they are not left in the body after the procedure. The use of drug-coated balloons in interventional...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article covers an ICD-10-PCS update for peripheral angioplasty involving drug-coated balloons, with emphasis on lower-extremity vessel procedures and the code changes introduced for this technology. It is relevant for inpatient coders, CDI teams, vascular surgery documentation staff, and reimbursement professionals who need to recognize the procedure category, understand the scope of the coding update, and see which lower-artery procedures are included. The article also presents a procedural example and identifies the selected ICD-10-PCS code for that scenario.

Why This Topic Matters

Drug-coated balloon angioplasty is a distinct peripheral vascular technology, and the article shows how ICD-10-PCS was updated to capture it accurately. Correct classification affects inpatient procedure reporting and documentation consistency for lower-extremity interventions.

What You Will Learn

  • How ICD-10-PCS was updated to capture drug-coated balloon use in peripheral angioplasty
  • Which lower-extremity vessel procedures are included in the update
  • How the article frames the technology and its role in vascular intervention
  • How a sample inpatient peripheral angioplasty scenario is coded at a high level

Who Should Read This

  • Inpatient coders
  • Clinical documentation integrity specialists
  • Vascular surgery coding staff
  • Hospital reimbursement teams
  • Health information management professionals

Codes Discussed

  • ICD-10-PCS: 047K041
  • ICD-10-PCS: 047K0D1
  • ICD-10-PCS: 047K0Z1
  • ICD-10-PCS: 047K341
  • ICD-10-PCS: 047K3D1
  • ICD-10-PCS: 047K3Z1
  • ICD-10-PCS: 047K441
  • ICD-10-PCS: 047K4D1
  • ICD-10-PCS: 047K4Z1
  • ICD-10-PCS: 047L041
  • ICD-10-PCS: 047L0D1
  • ICD-10-PCS: 047L0Z1
  • ICD-10-PCS: 047L341
  • ICD-10-PCS: 047L3D1
  • ICD-10-PCS: 047L3Z1
  • ICD-10-PCS: 047L441
  • ICD-10-PCS: 047L4D1
  • ICD-10-PCS: 047L4Z1
  • ICD-10-PCS: 047M041
  • ICD-10-PCS: 047M0D1
  • ICD-10-PCS: 047M0Z1
  • ICD-10-PCS: 047M341
  • ICD-10-PCS: 047M3D1
  • ICD-10-PCS: 047M3Z1
  • ICD-10-PCS: 047M441
  • ICD-10-PCS: 047M4D1
  • ICD-10-PCS: 047M4Z1
  • ICD-10-PCS: 047N041
  • ICD-10-PCS: 047N0D1
  • ICD-10-PCS: 047N0Z1
  • ICD-10-PCS: 047N341
  • ICD-10-PCS: 047N3D1
  • ICD-10-PCS: 047N3Z1
  • ICD-10-PCS: 047N441
  • ICD-10-PCS: 047N4D1
  • ICD-10-PCS: 047N4Z1

Code Ranges Discussed

  • ICD-10-PCS: 047K041-047K4Z1
  • ICD-10-PCS: 047L041-047L4Z1
  • ICD-10-PCS: 047M041-047M4Z1
  • ICD-10-PCS: 047N041-047N4Z1

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