AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2022 Issue 2; Ask the Editor
Radioembolization of Right Hepatic Lobe
A patient diagnosed with right lobe hepatocellular carcinoma and portal vein invasion, was admitted for low dose Yttrium-90 radioembolization of the right hepatic lobe. The right hepatic artery was selectively catheterized and a microcatheter was used to administer multiple small aliquots of Yttrium-90 microspheres into the right hepatic lobe via the hepatic artery, followed by sterile D5 water and contrast flushes. Imaging obtained following the radioembolization procedure demonstrated no extrahepatic uptake. What is the appropriate code assignment for Yttrium-90 radioembolization? Would two codes be required, one for the occlusion of the vessel and the other for introduction of radioactive material? ...
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Article Overview
This article explains a coding question involving Yttrium-90 radioembolization for a liver malignancy with portal vein invasion. It is aimed at medical coders and coding professionals who need to understand how the procedure is represented in the inpatient procedure code set and whether the procedure should be reported as a single service or as separate components. The article centers on the procedure context, the anatomy involved, and the appropriate procedure code assignment.
Why This Topic Matters
Radioembolization procedures can raise questions about how to represent catheter-based delivery of radioactive material in procedural coding. Correct identification of the relevant inpatient procedure code is important for accurate reporting.
What You Will Learn
- How Yttrium-90 radioembolization is discussed in a coding context
- Which broad procedure code set is relevant to the scenario
- How the article frames the question of single versus multiple procedure reporting
- The anatomical and procedural context surrounding hepatic radioembolization
Who Should Read This
- Medical coders
- Coding auditors
- Revenue cycle staff
- Hospital coding professionals
Codes Discussed
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