HCPro, JustCoding Inpatient - 2016 Issue 43 (November)
Arteries and stents see changes in 2017 ICD-10-PCS guideline updates
November 15th, 2016
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Article Overview
This article explains how 2017 ICD-10-PCS guideline and table updates affected coding for coronary artery and stent-related procedures. It is aimed at inpatient coders, coding educators, and compliance professionals who need a current view of how the PCS tables changed, which coronary branches are included for coding purposes, and how the updated device and qualifier values fit into the revised structure. The discussion also references Coding Clinic guidance and contrasts the 2016 and 2017 approaches at a high level.
Why This Topic Matters
Changes to ICD-10-PCS tables and guidelines can alter code selection for common cardiovascular procedures. Understanding the scope of the update helps coding teams stay aligned with current PCS structure and supporting guidance.
Article Sections
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2017 ICD-10-PCS guideline and table updates
Introduces the scope of the 2017 ICD-10-PCS changes and why they created questions for coders working with cardiovascular procedures.
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Coronary artery body part clarification
Summarizes the revised coronary artery body part concept and the related Coding Clinic clarification on which arteries and branches are included. It also notes the PCS tables affected by this clarification.
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Stent device value changes
Describes the update to device character values for coronary interventional procedures and identifies the PCS tables impacted by the expanded device options.
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Bifurcation qualifier update
Reviews the addition of a bifurcation qualifier value and the tables in which that qualifier was expanded for 2017.
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Practical impact and coding workflow
Provides a high-level discussion of how the 2017 changes affect coding practice and the importance of staying current with official guidance and Coding Clinic.
What You Will Learn
- How the 2017 ICD-10-PCS updates affected cardiovascular procedure coding
- Which broad categories of PCS tables were changed for coronary artery and stent-related procedures
- How official coding guidance and Coding Clinic are used to interpret PCS updates
- Why device and qualifier changes matter within the ICD-10-PCS table structure
Who Should Read This
- Inpatient coders
- Coding educators
- Coding auditors
- Compliance professionals
- Revenue cycle staff
Codes Discussed
Code Ranges Discussed
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