AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2022 Issue 4; New/Revised ICD-10-PCS Codes Section X – New Technology

Pressure-Controlled Intermittent Coronary Sinus Occlusion

In table X2A, New Technology, Assistance of Cardiovascular System, a new code was created to identify pressure-controlled intermittent coronary sinus occlusion.Body Part Approach Device/Substance/Technology Qualifier 7 Coronary Sinus 3 Percutaneous 5 Intermittent Coronary Sinus Occlusion 8 New Technology Group 8 Pressure-controlled intermittent coronary sinus occlusion (PiCSO) is an adjunct procedure performed with percutaneous coronary intervention (PCI) following acute myocardial infarction (AMI). While interventions, such as stenting and atherectomy address the obstruction/infarct in the coronary arteries, PiCSO focuses on the heart’s microvasculature by way of the venous system. The additional treatment directed at microvasculature can contribute to reduction...

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