AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2023 Issue 3; Ask the Editor
Neurally Adjusted Ventilatory Assistance
A premature newborn, who was delivered at 34 weeks of gestation, developed apnea spells, and required neutrally adjusted ventilatory assist (NAVA) for respiratory support. NAVA was provided continuously for less than 96 hours and the patient was weaned to RAM cannula oxygen delivery on day 7 and room air on day 8. What is the appropriate root operation for NAVA? Would the need for intubation in conjunction with NAVA affect the root operation? ...
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Article Overview
This article discusses neurally adjusted ventilatory assistance (NAVA) in the context of inpatient coding for neonatal respiratory support. It focuses on how the procedure is classified within ICD-10-PCS, what broad procedural category applies, and how associated device placement considerations factor into code assignment. The content is most relevant for inpatient coders, CDI professionals, and coding educators working with newborn respiratory care cases.
Why This Topic Matters
NAVA is a specialized respiratory support service that can raise questions about procedure classification and whether accompanying steps are separately reportable. Understanding the article helps coders apply the correct ICD-10-PCS framework in neonatal cases involving ventilatory assistance.
Article Sections
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Clinical scenario and coding question
Introduces a neonatal respiratory support case and poses the coding issue addressed by the article. The section frames the procedural circumstances and the broader question of how the service should be classified.
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ICD-10-PCS classification guidance
Discusses the procedural table and root operation framework used to classify the service. It also addresses the relationship between the support procedure and related device placement considerations.
What You Will Learn
- How the article frames neurally adjusted ventilatory assistance within inpatient procedural coding
- The ICD-10-PCS category used to review the procedure
- How associated catheter placement is treated in the article’s discussion
- What broad issue is raised when intubation occurs with ventilatory assistance
Who Should Read This
- Inpatient coders
- Clinical documentation improvement specialists
- Coding educators
- Hospital coding staff
- Neonatal care coding professionals
Code Ranges Discussed
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