AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 4; New/Revised ICD-10-PCS Procedure Codes
Intramuscular Autologous Bone Marrow Cell Therapy
New code table XK0, Introduction, Muscles, Tendons, Bursae and Ligaments, captures a new technique for treating advanced, limb-threatening peripheral artery disease. Device/Substance/Technology0 Concentrated Bone Marrow Aspirate Treatment of critical limb ischemia of extremities generally involves bypass, angioplasty, stenting, or atherectomy or, if those procedures fail, amputation. Intramuscular autologous bone marrow cell therapy is a new technique that uses stem cells taken from the patient to promote angiogenesis, the formation of new blood vessels. In the procedure, bone marrow is first aspirated from the iliac crest. This step is coded separately. The collected bone marrow is centrifuged to create concentrated...
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Article Overview
This article covers an intramuscular autologous bone marrow cell therapy approach used for advanced peripheral artery disease and critical limb ischemia. It is aimed at coding professionals and clinicians who need to understand the procedure’s place in the ICD-10-PCS framework, the broad technology involved, and how the source describes the overall treatment process and related device/substance terminology.
Why This Topic Matters
The article helps readers identify a specialized therapy that may appear in inpatient procedure coding and understand how the source frames it within ICD-10-PCS. It is relevant for documenting and classifying newer PAD treatments and for distinguishing the therapy from other vascular interventions.
What You Will Learn
- How the therapy is described in relation to peripheral artery disease and critical limb ischemia
- How the procedure is summarized in ICD-10-PCS terminology
- What general steps are involved in the treatment workflow
- What broad technology or device concepts the source associates with the therapy
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation specialists
- Health information management professionals
- Vascular clinicians
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