AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2025 Issue 4; ICD-10-PCS New/Revised Codes Section 5 – Extracorporeal or Systemic Assistance and Performance
Extracorporeal Circulatory Filtration
In table 5A0, Assistance of Physiological Systems, function value 6 Cerebral Embolic Filtration, and qualifier values M Single Capture Filter, N Dual Capture Filter, P Single Deflection Filter, and Q Extracorporeal Flow Reversal Circuit, were added to body system value 5 Circulatory, and duration value A Intraoperative, to capture circulatory filtration when used during interventional procedures.Body System Duration Function Qualifier 5 Circulatory A Intraoperative 6 Cerebral Embolic Filtration M Single Capture Filter N Dual Capture Filter P Single Deflection Filter Q Extracorporeal Flow Reversal Circuit A single capture filter, such as the Spider FX™ Embolic Protection Device, has...
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Article Overview
This article explains a set of ICD-10-PCS updates involving intraoperative circulatory filtration and embolic protection. It is relevant to inpatient coding professionals, CDI teams, and procedural coders who track quarterly or annual ICD-10-PCS changes. The article summarizes how the updated table structure aligns with different filtration and protection approaches and notes related deletions from a prior new technology section.
Why This Topic Matters
These updates affect how certain cardiovascular procedures are represented in ICD-10-PCS and how coders identify the current table structure versus prior new technology entries.
Article Sections
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ICD-10-PCS table 5A0 updates
This section introduces changes to the Assistance of Physiological Systems table and the addition of values used for intraoperative circulatory filtration. It identifies the body system, duration, function, and qualifier structure involved.
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Filtration and protection device overview
This section provides broad explanations of several embolic protection approaches used during interventional cardiovascular procedures. It includes device examples and general procedural context.
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Deleted New Technology section codes
This section notes prior ICD-10-PCS entries that were removed from the New Technology area and replaced by the updated table structure. It lists the affected code entries without further coding guidance.
What You Will Learn
- Which ICD-10-PCS table was updated for intraoperative circulatory filtration
- How the article groups embolic protection approaches by general procedure context
- What prior New Technology entries were removed in connection with the update
- Which clinical settings the article associates with the updated filtration concepts
Who Should Read This
- Inpatient coders
- Coding auditors
- Clinical documentation improvement professionals
- Health information management staff
Codes Discussed
Modifiers Discussed
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