AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2021 Issue 4; ICD-10-PCS New/Revised Codes
Section 5-Extracorporeal or Systemic Assistance and Performance
Automated Chest Compression In the Extracorporeal or Systemic Assistance and Performance Table 5A1, a new qualifier value J Automated, has been added to the body system value 2 Cardiac, as shown below. The change will allow reporting mechanical chest compressions performed using devices such as the LUCAS® device and Defibtech. Mechanical chest compression devices apply external automated cardiopulmonary resuscitation (CPR) to a patient’s chest in place of a human rescuer. The devices are broadly categorized as load distributing band or piston devices, based on the mechanism that is used to deliver compressions. Automated chest compression may be used...
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Article Overview
This short coding update explains a revision to the ICD-10-PCS Extracorporeal or Systemic Assistance and Performance table for automated chest compression. It is relevant to inpatient procedural coders, CDI teams, and clinical documentation staff who track quarterly or annual ICD-10-PCS changes affecting cardiac support procedures and device-based CPR documentation.
Why This Topic Matters
Updates to ICD-10-PCS tables can affect how mechanical cardiac support procedures are represented in coded data, so awareness of the added qualifier helps coding and documentation teams stay aligned with current system structure.
What You Will Learn
- What change was made in the ICD-10-PCS Extracorporeal or Systemic Assistance and Performance table
- How automated chest compression is categorized at a high level
- Why documentation of device-based CPR may be relevant to procedural coding updates
- Which broader ICD-10-PCS section and body system are involved
Who Should Read This
- Inpatient coders
- Clinical documentation integrity specialists
- Health information management professionals
- Coding educators
- Revenue cycle staff
Modifiers Discussed
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