icd 10 code for percutaneous revision of external heart

by Kieran White 4 min read

02WA3RS

Full Answer

What is the ICD-10-PCS code for PCI?

Dilation of Coronary Artery, One Artery, Percutaneous Approach. ICD-10-PCS 02703ZZ is a specific/billable code that can be used to indicate a procedure.

What is procedure code 0BH17EZ?

ICD-10-PCS Code 0BH17EZ - Insertion of Endotracheal Airway into Trachea, Via Natural or Artificial Opening - Codify by AAPC.

What DRG 215?

View the requirements to qualify....DRGNameType215OTHER HEART ASSIST SYSTEM IMPLANTMedical

When can inspection procedures be reported separately with other procedures?

11c When both an Inspection procedure and another procedure are performed on the same body part during the same episode, if the Inspection procedure is performed using a different approach than the other procedure, the Inspection procedure is coded separately.

What is procedure code 5A1955Z?

2022 ICD-10-PCS Procedure Code 5A1955Z: Respiratory Ventilation, Greater than 96 Consecutive Hours.

Are there ICD 10 procedure codes?

ICD-10-PCS will be the official system of assigning codes to procedures associated with hospital utilization in the United States. ICD-10-PCS codes will support data collection, payment and electronic health records. ICD-10-PCS is a medical classification coding system for procedural codes.

What DRG 216?

DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS.

What is the difference between open approach and percutaneous?

External. Open approach is cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure. If procedures are performed using the open approach with percutaneous endoscopic assistance or hand-assisted laparoscopy they are coded as open.

What is percutaneous approach?

Instead of the large incision required for traditional heart or vascular surgery, percutaneous approaches use special catheters and devices to treat the problem through one or more small puncture sites through the skin.

How do you code separate procedures?

You can always identify a designated “separate procedure” by the parenthetical inclusion of (separate procedure) at the end of a CPT code description (e.g. 29870 Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure)).

General Information

CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

Article Guidance

Effective for dates of service on/after February 3, 2014. Noridian will cover the percutaneous insertion of an endovascular cardiac assist device itself under limited conditions.

ICD-10-CM Codes that Support Medical Necessity

Cardiogenic shock ICD-10-CM code R57.0, or severe decompensated heart failure with threatening multi-organ failure, represented by one of the following ICD-10-CM codes.

ICD-10-PCS Codes

Part A providers use the following ICD-10-PCS Codes to report endovascular cardiac assist devices.

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.

General Information

CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

Article Guidance

Percutaneous insertion of an endovascular cardiac assist device will be covered under limited conditions.

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.

PCS Reporting

In October 2017, the qualifier “intraoperative” was added to 02H for insertion of short term external heart assist system. Previously, guidance was to only code the assistance procedure (5A0) when the Impella® was inserted during surgery only and removed.

So, to sum things up

If the Impella® device is used for support during a surgery or a procedure, and removed at the end of the procedure, insertion with intraoperative qualifier (02HA3RJ) AND (assistance (5A0) are reported.

Happy Coding!

The information contained in this coding advice is valid at the time of posting. Viewers are encouraged to research subsequent official guidance in the areas associated with the topic as they can change rapidly.