All angiography codes will come from the “Imaging” section of ICD-10-PCS, but the correct code table will vary based on the value of the Body System character. In the imaging section of PCS the 3 rd character is “Type” not “Root Operation”. The character values for “Type” include:
The AHA Coding Clinic is not just for hospital coding; their guidance often applies to all the different healthcare settings, even physician offices and clinics. With this new release of Coding Clinic, there are some steps that I advise HIM, coding, and CDI professionals to take:
The Official Guidelines for Coding and Reporting (developed by the four cooperating parties) are a set of rules that have been developed to accompany and complement the official conventions and instructions provided within the ICD-10-CM and ICD-10-PCS. The instructions and conventions of the classification take precedence over guidelines.
It’s common to see the diagnoses in the list below as the pre/post-operative diagnosis for angiography procedures. Angiography is a radiological procedure that uses fluoroscopy, x-ray, CT or MRI to image arteries and veins in relation to vascular obstructions such as atherosclerosis, embolism or thrombus or vascular anomalies.
All angiography codes will come from the “Imaging” section of ICD-10-PCS, but the correct code table will vary based on the value of the Body System character.
The 6 th and 7 th character of a PCS angiography code are qualifiers which allow additional explanatory information to be communicated by the code. Some qualifiers and their values are specific to certain imaging “types”. For example, the value of “0” indicates a qualifier of “Unenhanced and Enhanced” for the CT and MRI imaging types but indicates “intraoperative” for the fluoroscopy imaging type. This means qualifier values are not necessarily interchangeable, so the PCS table should always be consulted to determine the correct value to assign.
Angiography is a radiological procedure that uses fluoroscopy, x-ray, CT or MRI to image arteries and veins in relation to vascular obstructions such as atherosclerosis , embolism or thrombus or vascular anomalies.
Fluoroscopy is the most common type of imaging for angiography.
Angiograms are performed primarily to diagnose vascular disease throughout the body. It’s common to see the diagnoses in the list below as the pre/post-operative diagnosis for angiography procedures. Pain in chest/angina. Coronary artery/heart disease (CAD) (CHD) Arterio/atherosclerotic heart disease (ASHD) Ischemic heart disease (IHD) ...
The following are some of the details about what information the values for the 7 characters used to create an ICD-10-PCS angiography code report.
Plain Radiography – Planar display of an image developed from the capture of external ionizing radiation on photographic or photoconductive plate.
Coding Clinic for ICD-10-CM and ICD-10-PCS is the quarterly newsletter published by the American Hospital Association's Central Office on ICD-10-CM and ICD-10-PCS. The advice provided in Coding Clinic is the result of a formal cooperative effort between the American Hospital Association (AHA), the American Health Information Management Association (AHIMA), the Centers for Disease Control and Prevention (CDC) National Center for Health Statistics (NCHS) and the Centers for Medicare and Medicaid Services (CMS). In addition to these organizations, the Editorial Advisory Board consists of an expert panel of physicians representing the American Medical Association, the American College of Surgeons, the American Academy of Pediatrics and the American College of Physicians, as well as coding professionals representing healthcare facilities.
The Official Guidelines for Coding and Reporting (developed by the four cooperating parties) are a set of rules that have been developed to accompany and complement the official conventions and instructions provided within the ICD-10-CM and ICD-10-PCS. The instructions and conventions of the classification take precedence over guidelines. The guidelines provide additional instruction. Adherence to these guidelines when assigning ICD-10 diagnosis and procedure codes is required under the Health Insurance Portability and Accountability Act (HIPAA). The Coding Clinic is to be used as an official resource when the classification and the guidelines do not provide direction.
The use of ICD-10-CM and ICD-10-PCS applies to all "Covered Entities," that is health plans, health care clearinghouses and health care providers, that transmit electronic health information in connection with the Health Insurance Portability and Accountability Act (HIPAA) transaction standards.
On August 4, 2014, the Department of Health and Human Services issued a final rule implementing the Protecting Access to Medicare Act of 2014 by changing the compliance date for ICD-10, including the Official ICD–10–CM Guidelines for Coding and Reporting, and the Official ICD–10–PCS Guidelines for Coding and Reporting, from October 1, 2014 to October 1, 2015. It also requires HIPAA covered entities to continue to use ICD-9-CM through September 30, 2015.
Published since 1984 , Coding Clinic brings the latest official coding information to coding professionals, auditors, third-party payers, government agencies, and consultants who are interested in and dedicated to improving the accuracy and uniformity of medical coding.
On January 15, 2009, the Secretary of the Department of Health and Human Services released a final rule calling for the adoption of a new edition of the International Classification of Diseases (ICD) standards known as the 10th edition using Clinical Modifications (CM) and the Procedure Coding System (PCS). The final rule adopted ICD-10-CM ...
The partial code freeze continued through October 1, 2015, the new planned implementation date. Regular updates to ICD-10 will began on October 1, 2016, one year after the implementation of ICD-10. See Partial Code Freeze for ICD-9-CM and ICD-10 for more information.
The AHA Coding Clinic on ICD-10-CM/PCS can be accessed at the AHA website. So be sure to check that out, as a paid subscription is required, but definitely worth the fee. You can, however, submit ICD-10-CM and PCS coding questions for free via the online portal, so that is also a great option for coding and even CDI professionals ( https://www.codingclinicadvisor.com/ Home/HelpCenter).
The AHA Coding Clinic is not just for hospital coding; their guidance often applies to all the different healthcare settings, even physician offices and clinics. With this new release of Coding Clinic, there are some steps that I advise HIM, coding, and CDI professionals to take:
AHA offers materials designed to supplement classroom work and exercises in the ICD-10-CM/PCS Coding Handbook. Available materials include slide decks covering the key points of each chapter and exercise test banks.
Revised March 24, 2021
Earn CEUs by taking an AHA Coding clinic quiz. Quizzes are available to take online for AHA Coding Clinic for ICD-10-CM/PCS and AHA Coding Clinic for HCPCS.