New Fragmentation Tables

A large number of changes have been made resulting in 116 new codes to fully describe intravascular ultrasound assisted thrombolysis procedures with tissue plasminogen activator (tPA) as well as peripheral intravascular lithotripsy. Both procedures are classified to the root operation Fragmentation: Breaking solid matter in a body part into pieces. The change consists of adding new body part values to existing table Heart and Great Vessels, Fragmentation (02F), creation of four new tables with the root operation Fragmentation for the body systems Upper Arteries (03F), Lower Arteries (04F), Upper Veins (05F) and Lower Veins (06F), and creation of the...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains recent ICD-10-PCS table changes related to fragmentation procedures in vascular anatomy. It is relevant to facility coders, CDI staff, and HIM professionals who need to understand how new body-part values, new tables, and related qualifiers affect procedure coding for intravascular ultrasound assisted thrombolysis and peripheral intravascular lithotripsy. The article focuses on the structure and scope of the updates rather than on clinical documentation or payment policy.

Why This Topic Matters

ICD-10-PCS table updates can change how vascular fragmentation procedures are represented in the code set. Understanding these changes helps coding teams stay current with procedure code structure and table organization.

Article Sections

  1. Overview of fragmentation table changes

    Introduces the scope of the ICD-10-PCS updates and the types of vascular procedures affected.

  2. Updates to table 02F, Heart and Great Vessels

    Summarizes additions to the existing heart and great vessels fragmentation table and the related qualifier structure.

  3. New table 03F, Upper Arteries

    Describes the new upper arteries fragmentation table and its body-part structure.

  4. New table 04F, Lower Arteries

    Describes the new lower arteries fragmentation table and its body-part structure.

  5. New table 05F, Upper Veins

    Describes the new upper veins fragmentation table and its body-part structure.

  6. New table 06F, Lower Veins

    Describes the new lower veins fragmentation table and its body-part structure.

What You Will Learn

  • Which ICD-10-PCS fragmentation tables were updated or added
  • What broad vascular anatomy groups were affected by the changes
  • How the article frames the addition of ultrasonic-related qualifier structure
  • How the updates relate to intravascular ultrasound assisted thrombolysis and peripheral intravascular lithotripsy

Who Should Read This

  • Inpatient coders
  • HIM professionals
  • CDI specialists
  • Coding auditors
  • Revenue cycle teams

Codes Discussed

  • ICD-10-PCS: 02F
  • ICD-10-PCS: 03F
  • ICD-10-PCS: 04F
  • ICD-10-PCS: 05F
  • ICD-10-PCS: 06F

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