A patient with a pulmonary arteriovenous fistula presented for embolization of the right middle lobe lesions. Tornado® coils were deployed into the right pulmonary artery that fed into a branch of the arteriovenous fistula. Post-embolization imaging showed complete occlusion of the AV fistula within the right middle lobe region. What is the appropriate body system and body part value for occlusion of a right pulmonary artery? Table 02L does not include a body part value for the right pulmonary artery even though it’s a great vessel.
The procedure occludes both the pulmonary artery and vein, but the ICD-10-PCS table does not currently provide the body part value “right pulmonary artery” under the root operation “Occlusion.” Since there is no body part value for right pulmonary artery, occlusion of the right pulmonary vein should be coded. Assign the following ICD-10-PCS code:02LS3DZ Occlusion of right pulmonary vein with intraluminal device, percutaneous approach