AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 3; Ask the Editor
Intra-Aortic Balloon Pump Removal
A patient was transferred to our facility status post placement of an intra-aortic balloon pump (IABP) due to persistent cardiogenic shock. The patient subsequently underwent bedside removal of the IABP. The IABP was disconnected and the catheter and sheath were withdrawn. A Fem-Stop was then applied. What is the appropriate ICD-10-PCS code assignment for removal of an IABP performed at bedside? ...
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Article Overview
This article explains the coding considerations for bedside removal of an intra-aortic balloon pump after placement for cardiogenic shock. It is aimed at inpatient facility coders and others working with ICD-10-PCS classification questions involving mechanical circulatory support. The discussion focuses on whether the removal is separately reported and on how the device is represented within the ICD-10-PCS system.
Why This Topic Matters
Questions about device removal reporting and correct ICD-10-PCS classification can affect inpatient procedure coding accuracy and consistency for facilities handling cardiogenic shock cases.
What You Will Learn
- How inpatient facilities may approach reporting of bedside intra-aortic balloon pump removal
- How ICD-10-PCS classifies intra-aortic balloon pump use
- Why device removal questions can differ when a device is not identified in a specific ICD-10-PCS section or value structure
- How the article frames coding considerations for non-operative removal scenarios
Who Should Read This
- Inpatient facility coders
- Coding educators
- Hospital coding compliance staff
- Clinical documentation specialists
Code Ranges Discussed
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