Percutaneous Creation of Arteriovenous Fistula Using Thermal Resistance Energy

The root operation “Bypass” has been added to Section X, New Technology, Cardiovascular System, resulting in a new Table X2K. In addition, the body part value B Radial Artery, Right, and C Radial Artery, Left, as well as the Device/Substance/Technology value 1 Thermal Resistance Energy, were created as shown below. The new codes allow the identification of the percutaneous creation of an arteriovenous fistula (AVF) using thermal resistance energy. Section: X New Technology Body System: 2 Cardiovascular System Operation: K Bypass Body Part Approach Device/ Substance/ Technology Qualifier B Radial Artery, Right C Radial Artery, Left 3 Percutaneous...

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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 covers a new ICD-10-PCS New Technology update related to percutaneous creation of an arteriovenous fistula for hemodialysis access. It is relevant to inpatient coders, HIM professionals, and facilities tracking new technology procedures, with discussion of the new table structure, the related device system, and the broader clinical setting for end-stage renal disease access creation.

Why This Topic Matters

It helps readers recognize a newly created procedure code set for a vascular access technique and understand the update in the context of hemodialysis access reporting.

Article Sections

  1. New Technology table and code creation

    Summarizes the new ICD-10-PCS New Technology structure and the procedure category it supports.

  2. Ellipsys Vascular Access System and clinical context

    Describes the device system and the broader setting in which the procedure is performed, including hemodialysis access and end-stage renal disease.

  3. Procedure overview

    Provides a general overview of how the access is created and how the related intervention is handled at a high level.

What You Will Learn

  • How a new ICD-10-PCS New Technology procedure table is structured
  • The clinical context for percutaneous arteriovenous fistula creation
  • The role of the related vascular access system in hemodialysis access
  • How the article frames the associated procedure at a high level

Who Should Read This

  • Inpatient medical coders
  • HIM professionals
  • Coding auditors
  • Clinical documentation specialists
  • Revenue cycle teams

Codes Discussed

  • ICD-10-PCS: X2K83G7
  • ICD-10-PCS: X2KB3G7
  • ICD-10-PCS: X2KC3G7

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