AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 4; New/Revised ICD-10-PCS Procedure Codes
Resuscitative Endovascular Balloon Occlusion of Aorta
A new row was added to code table 02L, Heart and Great Vessels, Occlusion, for the body part Thoracic Aorta, Descending. In code table 04L, Lower Arteries, Occlusion, existing rows were reorganized to create a separate row for the body part Abdominal Aorta. A new qualifier was then added to both rows to identify resuscitative endovascular balloon occlusion of the aorta. Qualifier J Temporary Resuscitative endovascular balloon occlusion of the aorta is known by its acronym REBOA. REBOA procedures involve using a balloon catheter to close off the aorta completely for a brief period of time. This temporarily stops...
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Article Overview
This article covers a coding update related to resuscitative endovascular balloon occlusion of the aorta (REBOA) and describes the procedural contexts in which it may be performed. It is relevant to inpatient facility coders, coding educators, auditors, and clinical documentation teams who need to understand how the procedure is reflected in ICD-10-PCS and how the update affects code table structure and qualifier use. The discussion also provides broad clinical background on the procedure and notes that the primary procedure is coded separately.
Why This Topic Matters
REBOA is a high-acuity procedure with documentation and code-structure implications. Understanding the ICD-10-PCS update helps ensure accurate interpretation of the procedure’s placement within the system and supports consistent facility coding.
What You Will Learn
- How REBOA is described in the context of ICD-10-PCS coding updates
- Which code tables were affected by the procedure-related update
- The broad clinical situations in which the procedure may be performed
- How the article frames the relationship between the procedure and the primary procedure code
Who Should Read This
- Inpatient facility coders
- Coding educators
- Clinical documentation improvement specialists
- Coding auditors
- Revenue cycle professionals
Code Ranges Discussed
Modifiers Discussed
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