AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 4; New/Revised ICD-10-PCS Procedure Codes
Extracorporeal Carbon Dioxide Removal
A new row was added to code table 5A0, Physiological Systems, Assistance, creating a new code for continuous respiratory filtration. Body SystemDurationFunction9 Respiratory 2 Continuous 0 Filtration The new code identifies a technique for extracorporeal carbon dioxide removal (ECCO2R) in patients with acute respiratory failure whose main feature is hypercapnia. In acute hypercapnic respiratory failure, decreasing CO2 is the key need rather than increasing oxygenation. The technique is analogous to dialysis. After placement of a central venous catheter, which is coded separately, blood is passed to an external pump where a membrane filters out excess CO2. The filtered blood...
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Article Overview
This article covers a newly added ICD-10-PCS code table row and the clinical context for extracorporeal carbon dioxide removal (ECCO2R). It is relevant to coders, CDI staff, and clinicians working with acute respiratory failure and extracorporeal support technologies. The article provides a high-level overview of the procedure, how it differs from oxygen-focused respiratory support, and an example of a commercial system associated with the technique.
Why This Topic Matters
It helps readers understand a coding update tied to an emerging respiratory support method and its relationship to broader extracorporeal therapy workflows.
What You Will Learn
- The clinical context for extracorporeal carbon dioxide removal
- How the article frames the related ICD-10-PCS code update
- Why the technique is discussed in relation to acute respiratory failure
- The role of extracorporeal support technology in respiratory care
Who Should Read This
- Medical coders
- Clinical documentation specialists
- Health information management professionals
- Respiratory therapists
- Physicians and hospital staff involved in respiratory care
Codes Discussed
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