AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 4; New/Revised ICD-10-PCS Procedure Codes
Radiotherapeutic Brain Implant
A new device value was added to code table 00H, Central Nervous System and Cranial Nerves, Insertion, to identify a new type of radioactive implant placed in the brain to treat primary malignant tumors and brain metastases. Device4 Radioactive Element, Cesium-131 Collagen Implant Traditional forms of brain brachytherapy have included inserting radioactive seeds directly into the surrounding brain tissue after tumor resection, as well as temporarily infusing liquid radioisotopes into a balloon placed within the tumor resection cavity. More recently, the Gamma Tile device embeds radioactive Cesium-131 seeds within a carrier composed of collagen. Immediately following surgical resection of...
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Article Overview
This premium coding article covers an update to ICD-10-PCS for a brain implant used in radiotherapeutic treatment of malignant brain disease. It is intended for coding professionals, facility coders, and others who need to understand the scope of the device update and the general clinical context in which the implant is used. The article also places the update in the broader context of brain brachytherapy approaches and related surgical treatment.
Why This Topic Matters
The article is relevant because coding updates for specialized intracranial implants can affect facility procedure reporting and code assignment in neurosurgical oncology cases.
What You Will Learn
- The clinical context for a radiotherapeutic brain implant update
- How the article situates the device within brain brachytherapy
- Which coding area was updated to reflect the new implant type
- General information about how the implant is placed in relation to surgery
Who Should Read This
- Facility coders
- Inpatient coding staff
- Coding educators
- Health information management professionals
- Neurosurgery coding teams
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