AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2014 Issue 4; Clarification

Peripulmonary Vein Catheter Ablation

Coding Clinic, Second Quarter 2013, advised the assignment of codes that describe the destruction of the right and left pulmonary veins (025T3ZZ and 025S3ZZ), for catheter ablation around the pulmonary veins. We are requesting that the Coding Clinic Editorial Advisory Board revisit this advice. According to our electrophysiology study (EPS) physicians, the pulmonary veins are not being destroyed or eradicated. The intent of the surgery is to ablate the atrium. I understand that in ICD-10-PCS “peripulmonary vein” is coded to the body site; however the EPS physician stated that the pulmonary vein would never be destroyed. Could the EAB clarify this issue? ...

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