Review ICD-10-PCS reporting for ECMO procedures amid COVID-19

Why This Topic Matters

ECMO cases are clinically complex and can significantly affect inpatient coding outcomes, including MS-DRG grouping and reimbursement. The article helps coders recognize the broad procedural categories and reporting considerations that matter when reviewing these admissions.

Article Sections

1. FY2020 ICD-10-PCS update for ECMO

   Introduces the coding update discussed in the article and frames the reporting topic for inpatient coders. Focuses on the ICD-10-PCS table changes relevant to ECMO in the fiscal year referenced.

2. What is an ECMO?

   Provides a general overview of ECMO as a form of cardiopulmonary support. Describes the basic concept, circuit setup, and broad ways the procedure is established in patients.

3. Peripheral veno-venous

   Reviews one broad ECMO configuration discussed in the article. Covers access patterns, general support purpose, and common clinical situations associated with this approach.

4. Peripheral veno-arterial

   Reviews another broad ECMO configuration discussed in the article. Addresses how it differs at a high level from venous-venous support and the types of clinical situations in which it may be used.

5. Central ECMO

   Summarizes the article’s discussion of central cannulation and open-chest ECMO use. Includes the general context in which this approach is considered and its relationship to broader ECMO support.

6. Intraoperative ECMO and cardiopulmonary Bypass

   Compares ECMO with cardiopulmonary bypass at a high level for reporting purposes. Covers the general distinctions the article highlights, including timing, setup, and procedural context.

7. The risks

   Discusses the general risk profile and complications associated with ECMO. Addresses why clinical complexity and complications are relevant to inpatient management and coding awareness.