AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2019 Issue 2; Ask The Editor
Veno-Arterial Extracorporeal Membrane Oxygenation via Sternotomy
A patient with postcardiotomy cardiogenic shock, pulmonary edema, right ventricular failure and mediastinal bleeding underwent surgical exploration and extracorporeal membrane oxygenation (ECMO). The patient’s chest was opened and explored and veno-arterial ECMO was performed by placement of the arterial cannula centrally in the aorta and venous cannulation peripherally in the femoral vein. New ICD-10-PCS codes were created to capture central, veno-arterial peripheral ECMO and veno-venous peripheral ECMO. However, this procedure does not seem to fall into any of these categories. Is this coded as central ECMO or peripheral veno-arterial ECMO? What is the appropriate PCS code for this procedure? ...
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Article Overview
This article explains how a specific ECMO scenario performed through sternotomy is addressed in ICD-10-PCS. It is aimed at coding professionals who need to understand how the article frames central versus peripheral ECMO coding concepts, the procedure context, and the related PCS assignment considerations.
Why This Topic Matters
ECMO coding can be difficult when cannulation routes and operative access do not fit a straightforward category. This article matters because it helps coders interpret a specialized surgical ECMO scenario within ICD-10-PCS.
What You Will Learn
- How the article frames an ECMO case performed through open chest access
- The ICD-10-PCS topic area involved in ECMO procedure reporting
- How the article discusses the distinction between central and peripheral ECMO concepts in this scenario
- The coding question raised by a postcardiotomy cardiogenic shock case
Who Should Read This
- Inpatient hospital coders
- Coding auditors
- Clinical documentation specialists
- Revenue cycle professionals
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