AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 2; Ask the Editor
Infusion of tPA into Pleural Cavity 12 Intestinal Obstruction due to Peritoneal Carcinomatosis
The patient had a Streptococcal empyema and received an infusion of tissue plasminogen activator (tPA) via his chest tube into the pleural cavity to break up thickened pleural effusion in order for it to easily drain. In ICD-10-PCS, under the root operation “Introduction” of thrombolytic there is no body part value for pleural cavity. What is the appropriate code assignment for tPA infusion into the pleural cavity? ...
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Article Overview
This article focuses on an ICD-10-PCS coding question involving administration of a therapeutic substance into the pleural cavity through a chest tube. It is written for coding professionals, CDI staff, and others who need to understand how a specific procedure scenario is assigned within ICD-10-PCS.
Why This Topic Matters
Questions about infusion procedures into the pleural space can be difficult to classify in ICD-10-PCS because the relevant body part and approach choices may not be immediately obvious. This article helps readers identify the applicable code assignment for a pleural cavity therapeutic infusion scenario.
What You Will Learn
- How a pleural cavity infusion scenario is handled in ICD-10-PCS
- How the article frames the coding question for a tPA-related chest tube procedure
- What code assignment is identified for the documented procedure scenario
- How this example fits into procedure coding for pleural space interventions
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation integrity specialists
- Revenue cycle professionals
Codes Discussed
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