AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 4; New/Revised ICD-10-PCS Procedure Codes
Occlusion/Ligation of Pulmonary Trunk & Right Pulmonary Artery
In code table 02L, Heart and Great Vessels, Occlusion, two body part values were added, to capture detail for embolization procedures performed on the pulmonary trunk and right pulmonary artery. Body PartP Pulmonary Trunk Q Pulmonary Artery, Right In many procedures for correction of congenital heart defects, native blood flow to the pulmonary arteries is cut off as an adjunctive measure because a newly created conduit, for example from the right ventricle to the pulmonary artery, has now taken over the function of delivering blood to the pulmonary arteries. Depending on the specific defect, this may be accomplished by...
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Article Overview
This article covers an ICD-10-PCS update in the Heart and Great Vessels section that adds new body part values for occlusion procedures involving the pulmonary trunk and the right pulmonary artery, along with a qualifier change affecting the left pulmonary artery row. It also includes a brief clinical application example related to embolization in the pulmonary circulation. The content is useful for inpatient coders, HIM professionals, CDI staff, and anyone tracking ICD-10-PCS body part and qualifier updates in cardiovascular procedures.
Why This Topic Matters
Changes to ICD-10-PCS tables can affect procedure selection and documentation interpretation for cardiovascular and embolization cases. Understanding the revised body part values and related qualifier update helps support accurate code assignment in affected scenarios.
Article Sections
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ICD-10-PCS table update for occlusion of the pulmonary circulation
Describes the update to the Heart and Great Vessels occlusion table and the addition of new body part values. It places the change in the context of procedures involving the pulmonary circulation.
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Clinical application example
Presents a brief embolization scenario involving the pulmonary circulation and shows how the case is addressed in ICD-10-PCS. The example is tied to the table update discussed above.
What You Will Learn
- What changed in the ICD-10-PCS occlusion table for pulmonary circulation cases
- How the update relates to procedures involving congenital heart defects and embolization
- Why related qualifier and body part revisions matter for code assignment
- How the article frames a short clinical example using the updated ICD-10-PCS structure
Who Should Read This
- Inpatient coders
- Health information management professionals
- Clinical documentation integrity specialists
- Cardiovascular coding staff
- Compliance and reimbursement teams
Codes Discussed
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