AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2021 Issue 3; Ask the Editor
Repair Mitral Valve with Pascal® System
The patient is admitted for transcatheter mitral valve repair with the PASCAL implant system. In the cardiac catheterization lab, percutaneous access was accomplished through the right femoral vein. Under general anesthesia, via transesophageal guidance, a single PASCAL device was placed in the A2 P2 region with reduction of mitral regurgitation from moderate-severe, to mild-moderate. How would this procedure be coded in ICD-10-PCS? ...
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Article Overview
This article is about transcatheter mitral valve repair using the PASCAL implant system and how that procedure is represented in ICD-10-PCS. It is aimed at coders, CDI specialists, and reimbursement staff who need to identify the appropriate procedure code for this type of structural heart intervention. The discussion focuses on the procedure setting, approach, device context, and the assigned ICD-10-PCS code.
Why This Topic Matters
Accurate procedure coding for transcatheter mitral valve repair affects documentation integrity, reporting, and claims processing for structural heart procedures. This article helps readers recognize the relevant ICD-10-PCS classification for a PASCAL-based repair.
What You Will Learn
- What type of cardiac procedure the article addresses
- How the transcatheter mitral valve repair is represented in ICD-10-PCS
- What procedural context is relevant to assigning the code
- How the PASCAL implant system fits into the coding discussion
Who Should Read This
- Medical coders
- CDI specialists
- Coding auditors
- Revenue cycle staff
- Cardiovascular documentation staff
Codes Discussed
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