External Heart Assist Device

The Central Office on ICD-10-CM/PCS has received a number of follow-up questions since the publication of information in the Fourth Quarter 2016 issue of Coding Clinic about coding newer indications for the Impella® external heart assist device. This advice applies to coding for external heart assist devices and does not apply to other devices such as placement or removal of a Swan-Ganz, an intra-aortic balloon pump (IABP), etc. The following questions and answers are provided to help clarify these issues. ...

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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 explains follow-up coding guidance for external heart assist devices, with emphasis on ICD-10-PCS clarification published by Coding Clinic and referenced by the Central Office. It is intended for coders and clinical documentation professionals who need to understand how the guidance applies in procedural coding contexts and how it distinguishes external heart assist device coding from other device scenarios. The article focuses on general coding clarification, supporting references, and the scope of the advice provided.

Why This Topic Matters

Accurate procedural coding depends on understanding when device-related entries are reported and when they are not. This article helps coding professionals interpret updated guidance for external heart assist device cases in a way that supports consistent ICD-10-PCS reporting.

What You Will Learn

  • The scope of the ICD-10-PCS clarification for external heart assist devices
  • How the article frames device-related coding questions from Coding Clinic
  • The relationship between the guidance and broader procedural coding documentation needs
  • How the article distinguishes the discussed device scenario from other device types

Who Should Read This

  • Inpatient coders
  • Coding educators
  • Clinical documentation specialists
  • Health information management professionals

Codes Discussed

  • ICD-10-PCS: 5A0
  • ICD-10-PCS: 02H

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