Fragmentation: Break down 2021 ICD-10-PCS reporting for EKOS and IVL

January 19th, 2021

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains a fiscal year 2021 ICD-10-PCS update affecting the Fragmentation root operation and applies it to two vascular procedures: ultrasound-assisted thrombolysis (EKOS) and intravascular shockwave lithotripsy (IVL). It is relevant to inpatient coders, coding educators, and CDI or reimbursement professionals who work with vascular procedures and ICD-10-PCS procedure assignment. The article also touches on related coding considerations, including body system selection, approach, device/qualifier usage, and how these procedures relate to other vascular coding scenarios.

Why This Topic Matters

The FY 2021 ICD-10-PCS changes introduced new fragmentation table structure that can affect how vascular procedures are reported. Understanding the article helps coders recognize the relevant ICD-10-PCS framework for these procedures and identify when related procedure categories may also be involved.

Article Sections

  1. FY 2021 ICD-10-PCS Fragmentation update

    Overview of the ICD-10-PCS update introducing new Fragmentation tables and the body systems affected. Includes background on the root operation concept and how it is used for procedure reporting.

  2. EKOS

    Discussion of ultrasound-assisted thrombolysis as a vascular procedure and the general coding considerations associated with reporting it in ICD-10-PCS. Covers the procedure context and related assignment elements.

  3. IVL

    Discussion of intravascular shockwave lithotripsy as another vascular Fragmentation procedure and the general ICD-10-PCS considerations involved. Includes the procedure context and related assignment elements.

What You Will Learn

  • The ICD-10-PCS Fragmentation root operation update for FY 2021
  • How EKOS and IVL fit within the Fragmentation concept
  • Which broad coding elements are discussed for these vascular procedures
  • How the article frames related procedure-reporting considerations

Who Should Read This

  • Inpatient medical coders
  • Coding educators
  • CDI specialists
  • Hospital reimbursement staff
  • Interventional radiology coding staff

Codes Discussed

  • ICD-10-PCS: 06FN3Z0
  • ICD-10-PCS: 04FC3ZZ

Modifiers Discussed

  • ICD-10-PCS: 0
  • ICD-10-PCS: Z
  • ICD-10-PCS: 3

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