AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2021 Issue 4; ICD-10-PCS New/Revised Codes
Percutaneous Bypass of Brachial Artery for Arteriovenous Fistula Creation
In the Medical and Surgical Section Table 031, Bypass of Upper Arteries, the approach value 3 Percutaneous, has been added for the brachial artery body part values and applied to the qualifier value F Lower Arm Vein, as shown below. The change will allow the identification of procedures such as the creation of an arteriovenous (AV) fistula by connecting the brachial artery to a lower arm vein using the Ellipsys® Vascular Access System. Body Part Approach Device Qualifier 7 Brachial Artery, Right 0 Open 9 Autologous Venous Tissue A Autologous Arterial Tissue J Synthetic Substitute K Nonautologous Tissue Substitute...
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Article Overview
This article explains a Medical and Surgical ICD-10-PCS table update involving bypass procedures of the upper arteries. It is relevant to coding professionals who need to track structural changes in procedure classification for vascular access-related procedures, including percutaneous approaches and related body part and qualifier options.
Why This Topic Matters
Updates to procedure tables can affect how vascular access and bypass procedures are represented in ICD-10-PCS. Understanding the revised table structure helps coders, auditors, and clinical documentation teams stay aligned with current procedure classification.
What You Will Learn
- The scope of the ICD-10-PCS table update described in the article
- How the bypass table structure was changed for upper artery procedures
- Which broad anatomic and approach categories are implicated by the update
- The clinical context in which the change is relevant to vascular access procedures
Who Should Read This
- Hospital inpatient coders
- Coding educators
- Clinical documentation specialists
- Coding auditors
- Revenue cycle professionals
Code Ranges Discussed
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