Extracorporeal Shock Wave Lithotripsy

A patient with right kidney stone is admitted to undergo an extracorporeal shock wave lithotripsy (ESWL) on the right kidney stone. Shock waves were delivered 120 per minute ungated. The stone appeared to fragment well. After 2000 shocks, the patient was transported to the recovery room in stable condition. How should this procedure be coded in ICD-10-PCS? ...

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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 premium article is about coding an extracorporeal shock wave lithotripsy procedure in ICD-10-PCS. It is intended for coders, CDI staff, and other healthcare revenue cycle professionals who need to understand how a kidney stone treatment is classified in the procedure code set. The article focuses on the procedure context, the relevant ICD-10-PCS root operation, and the code assignment associated with the documented case.

Why This Topic Matters

ESWL is a commonly encountered stone treatment, and correct ICD-10-PCS representation depends on understanding how the procedure is classified within the procedure code set. This article helps readers identify the relevant coding category for a kidney stone fragmentation procedure.

What You Will Learn

  • How an extracorporeal shock wave lithotripsy procedure is framed for ICD-10-PCS coding
  • How the article classifies the procedure within the broader concept of fragmentation
  • How a documented kidney stone case is mapped to the ICD-10-PCS procedure code set contextually
  • What type of documentation details are highlighted for procedure coding review

Who Should Read This

  • Medical coders
  • CDI specialists
  • HIM professionals
  • Revenue cycle staff

Codes Discussed


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