AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2023 Issue 4; New/Revised ICD-10-PCS Codes Section X – New Technology
Short-Term External Heart Assist System with Axillary Artery or Ascending Thoracic Aorta Conduit
Body part values L Axillary Artery, Right, M Axillary Artery, Left, and X Thoracic Aorta, Ascending, were also added to table X2H, Insertion of Cardiovascular System, with device value F Conduit to Short-term External Heart Assist System, to capture insertion of a short-term external heart assist system using a conduit that is attached to the axillary artery or the ascending thoracic aorta.Body Part Approach Device/Substance/ Technology Qualifier L Axillary Artery, Right M Axillary Artery, Left X Thoracic Aorta, Ascending 0 Open F Conduit to Short-term External Heart Assist System 9 New Technology Group 9 An external heart assist...
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Article Overview
This article covers a coding update in ICD-10-PCS for procedures involving a short-term external heart assist system and a conduit placed through the axillary artery or ascending thoracic aorta. It is intended for coding professionals and others who need to understand how the procedure is represented in the inpatient procedure code set, along with the clinical context for the device and access approaches discussed. The article also notes the associated technology grouping and the distinction between the conduit insertion and the device insertion.
Why This Topic Matters
Procedure coding for temporary ventricular assist support can depend on the access route and device setup, so accurate interpretation of the table update helps support correct inpatient coding and reporting.
Article Sections
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Table X2H update for conduit insertion
Describes the ICD-10-PCS table update and the body part, approach, device, and qualifier values associated with the conduit insertion. The section focuses on the procedural framework rather than coding outcomes.
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Clinical context for external heart assist devices
Provides background on external heart assist devices and the general function of short-term ventricular support. This section explains the broader clinical setting in which the procedure occurs.
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Impella 5.5 with SmartAssist system and access approaches
Summarizes the temporary support device discussed in the article and the general access pathways used for placement. The section gives procedural context without detailed coding guidance.
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Separate reporting of the device insertion
Notes that the conduit insertion is reported separately from insertion of the external heart assist system. This section addresses the reporting relationship at a high level.
What You Will Learn
- How the article frames an ICD-10-PCS table update for a cardiovascular procedure
- Which general anatomy and access routes are discussed for the procedure
- How the article distinguishes conduit placement from device insertion
- What clinical scenario the temporary heart assist system is associated with
Who Should Read This
- ICD-10-PCS coders
- Inpatient coding specialists
- Clinical documentation staff
- Revenue cycle professionals
- Health information management teams
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