HCPro, JustCoding Inpatient - 2021 Issue 3 (January)
Fragmentation: Break down 2021 ICD-10-PCS reporting for EKOS and IVL
January 19th, 2021
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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
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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.
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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.
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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
Modifiers Discussed
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