AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 3; Ask the Editor
Fractional Flow Reserve
A patient with unstable angina underwent left coronary angiography, right coronary angiography, left heart catheterization with ventriculography, and insertion of a drug-eluting stent. Myocardial Fractional Flow Reserve (FFR) measurement was performed. Mean arterial pressure and mean distal coronary pressures were then obtained. Is the FFR reported when done with a heart catheterization? If so, what code should be assigned? ...
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Article Overview
This premium article addresses fractional flow reserve (FFR) in the setting of cardiac catheterization and angiography. It is intended for coding professionals who need to understand whether the measurement may be reported separately and what procedure coding reference is discussed. The content focuses on procedure classification for a cardiovascular diagnostic service and the context in which it may be documented.
Why This Topic Matters
FFR can be part of complex cardiac catheterization encounters, and coders need to know how the service is represented in procedure coding resources. Understanding the scope of the guidance helps support accurate reporting and documentation review for cardiovascular procedures.
What You Will Learn
- How the article frames fractional flow reserve in the context of cardiac catheterization
- What type of procedure coding reference is discussed for this cardiovascular measurement
- How the article positions reporting options for the service in a hospital/facility setting
- What documentation context is associated with the measurement service
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation specialists
- Revenue cycle professionals
- Cardiovascular billing staff
Codes Discussed
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