AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 4; New/Revised ICD-10-PCS Procedure Codes
Hemodialysis and Renal Replacement Therapy
Three new duration values were added to code table 5A1, Physiological Systems, Performance, to capture the duration and continuity of hemodialysis procedures. Body part value “D” Urinary was expanded into its own row to enable this. Duration7 Intermittent, Less than 6 Hours Per Day 8 Prolonged Intermittent, 6-18 Hours Per Day 9 Continuous, Greater than 18 Hours Per Day Intermittent hemodialysis is the conventional treatment, usually performed for end stage renal disease three times per week, for about 4 hours per session. In the inpatient setting, intermittent hemodialysis is also sometimes performed for acute kidney injury/acute renal failure...
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Article Overview
This article covers hemodialysis and renal replacement therapy as they relate to ICD-10-PCS duration values and inpatient procedure classification. It is intended for coding professionals and other healthcare revenue cycle staff who need to understand how dialysis therapy types are grouped, how duration affects categorization, and how related inpatient examples are discussed in the context of acute and chronic renal care.
Why This Topic Matters
Dialysis services can be documented in different ways depending on setting, duration, and therapy type, so this topic is important for accurate procedure abstraction and consistent ICD-10-PCS reporting. The article helps readers orient themselves to the general structure of the guidance without replacing the full premium content.
What You Will Learn
- How hemodialysis and renal replacement therapy are discussed in relation to ICD-10-PCS
- How duration categories are used to distinguish dialysis-related procedure types
- How inpatient renal replacement therapy topics are framed in acute and chronic kidney care
- How the article presents coding-focused examples in a general dialysis context
Who Should Read This
- Medical coders
- Coding auditors
- Hospital revenue cycle staff
- Clinical documentation specialists
- Health information management professionals
Codes Discussed
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