AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2018 Issue 4; New/Revised ICD-10-PCS Codes
Percutaneous Extracorporeal Membrane Oxygenation
New qualifiers were created in table 5A1, Physiological Systems, Performance, to capture percutaneous Extracorporeal Membrane Oxygenation (ECMO). The new codes enable additional detail to distinguish the different ECMO procedures that have grown over time with different indications, technical details and equipment designs. The unspecified qualifier value “Membrane (3)” used only in a single ECMO code did not distinguish different ECMO procedures; therefore, code 5A15223 Extracorporeal Membrane Oxygenation, Continuous, has been deleted from ICD-10-PCS. Body SystemDurationFunctionQualifier5 Circulatory 2 Continuous 2 Oxygenation F Membrane, Central G Membrane, Peripheral Veno-arterial H Membrane, Peripheral Veno-venous ECMO is a bypass technique to support...
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Article Overview
This article covers ICD-10-PCS changes for percutaneous extracorporeal membrane oxygenation (ECMO) and how the updated qualifiers differentiate broad ECMO procedure categories. It is relevant for inpatient coding professionals, CDI staff, and clinicians who document ECMO support, because it focuses on procedure classification changes and related coding context for central and peripheral ECMO approaches.
Why This Topic Matters
ECMO coding can vary based on the procedure approach and support configuration, so accurate classification affects procedure reporting in the inpatient setting. This article helps readers understand the scope of the ICD-10-PCS update and the general clinical scenarios in which ECMO support may be documented.
Article Sections
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ICD-10-PCS qualifier update for ECMO
Introduces the update to ICD-10-PCS table 5A1 and explains that new qualifiers were added to better distinguish ECMO procedures. It also notes the removal of an older code from the code set.
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ECMO background and common clinical uses
Describes ECMO as a form of cardiopulmonary support and outlines the broad situations in which it may be considered. The section provides general clinical context for why ECMO is documented in hospital records.
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Types of ECMO and qualifier distinctions
Summarizes the main ECMO categories tied to the updated qualifiers and contrasts their broad procedural characteristics. It frames how the article organizes central and peripheral ECMO approaches.
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Clinical example: veno-venous bypass during surgery
Presents a perioperative example involving bypass support during surgery and asks for the associated procedure assignment. The example reinforces the article’s focus on ECMO-related procedural classification.
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Clinical example: ECMO support in cardiogenic shock
Provides an ICU-based example of ECMO support in a critical care setting and asks for the appropriate procedure code. The scenario illustrates another common documentation context for ECMO reporting.
What You Will Learn
- How the article frames the ICD-10-PCS update for ECMO procedures
- Which broad ECMO categories are discussed in relation to the new qualifiers
- What clinical contexts commonly lead to ECMO documentation
- How the article uses perioperative and critical care examples to illustrate coding context
Who Should Read This
- Inpatient coders
- Clinical documentation improvement specialists
- Health information management professionals
- Clinicians documenting ECMO procedures
Codes Discussed
Code Ranges Discussed
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