AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 2; Ask the Editor
Embolization of Pulmonary Arteriovenous Fistula
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. ...
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Article Overview
This article addresses an ICD-10-PCS coding scenario involving embolization for a pulmonary arteriovenous fistula and the challenge of selecting the correct body part value in the occlusion table. It is relevant for inpatient procedural coders, CDI staff, and others reviewing vascular and thoracic procedure documentation. The article focuses on table-based body part selection and the coding approach described by the source.
Why This Topic Matters
Correct ICD-10-PCS assignment depends on matching documented procedures to the available table values. Articles like this help coders understand how pulmonary vascular embolization cases are discussed in a PCS context and what broad documentation elements are implicated.
What You Will Learn
- How the article frames ICD-10-PCS coding for a pulmonary arteriovenous fistula embolization case.
- What general table-selection issue is discussed for occlusion procedures involving pulmonary vessels.
- Why this type of case is relevant to inpatient procedural coding review.
- How the article presents the coding context for vascular embolization documentation.
Who Should Read This
- Inpatient coders
- Coding educators
- Clinical documentation improvement specialists
- Revenue cycle staff
- Health information management professionals
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