AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2018 Issue 4; New/Revised ICD-10-PCS Codes
Robotic Waterjet Ablation
New code table XV5, Male Reproductive System, Destruction, captures a new technique using a robotic waterjet for the treatment of lower urinary tract symptoms caused by benign prostatic hypertrophy. Device/Substance/TechnologyA Robotic Waterjet Ablation Also referred to as “aquablation therapy,” the procedure uses a robotically controlled high-velocity saline stream to ablate the obstructive prostate tissue. The procedure enables targeted, controlled, heat-free and immediate removal of prostate tissue. Aquablation therapy requires external ultrasound image guidance and incorporates endoscopic visualization to identify the prostatic adenoma and plan the ablation of the treatment area. The system’s robot then uses the...
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Article Overview
This premium article covers robotic waterjet ablation, also referred to as aquablation therapy, in the context of benign prostatic hypertrophy and urinary retention. It is relevant to coders, CDI staff, and reimbursement teams working with urinary tract and male reproductive system procedures. The article also presents the associated diagnosis coding context and the ICD-10-PCS technology-based procedure assignment discussed for this case.
Why This Topic Matters
Robotic waterjet ablation is a newer procedure concept that can affect how clinicians document and how coders identify the correct diagnosis and procedure coding framework. Understanding the article helps readers recognize the procedure’s general clinical setting, the code set involved, and the type of documentation support referenced in the example.
What You Will Learn
- What robotic waterjet ablation is and the clinical setting in which it is discussed
- How the article frames the procedure within diagnosis and procedure coding
- What general documentation and technology concepts are associated with the case example
- Which code sets are referenced in the scenario
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation integrity specialists
- Revenue cycle professionals
- Healthcare educators
Codes Discussed
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