AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2023 Issue 4; New/Revised ICD-10-PCS Codes Section X – New Technology
Implantation of Extraluminal Support Device During Creation of Arteriovenous Fistula
At table X2U, Supplement of Cardiovascular System, body part values Q Upper Extremity Vein, Right and R Upper Extremity Vein, Left, and device value P Synthetic Substitute, Extraluminal Support Device, were added to capture implantation of an extraluminal support device during creation of an arteriovenous fistula.Body Part Approach Device/ Substance/ Technology Qualifier Q Upper Extremity Vein, Right R Upper Extremity Vein, Left 0 Open P Synthetic Substitute, Extraluminal Support Device 9 New Technology Group 9 A surgical arteriovenous (AV) fistula is the suturing of an artery and a vein together. Brachiocephalic, radiocephalic, and brachiobasilic fistulas are created for...
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Article Overview
This article covers a coding update in the Cardiovascular System table X2U for procedures involving creation of an arteriovenous fistula with implantation of an extraluminal support device. It is aimed at coders, CDI specialists, and other reimbursement professionals who need to understand the scope of the update, the anatomic areas involved, and the general procedural context discussed in the article.
Why This Topic Matters
It matters because it highlights a specific procedural update that affects how AV fistula-related encounters are represented in procedure coding and how related services are captured for reporting and billing review.
What You Will Learn
- The procedural context for AV fistula creation in hemodialysis access
- The general purpose of an extraluminal support device in fistula maturation
- How the article frames a coding update in the cardiovascular system table
- The relationship between the device implantation and the broader fistula creation encounter
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation improvement specialists
- Reimbursement staff
- Revenue cycle professionals
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