Accurate ICD-10-PCS coding for Impella pump procedures includes building accurate codes for insertion and removal. Additionally, coders must understand under what circumstances these codes are reported and which associated procedures are also reported such as cardiac assistance provided in conjunction with pump insertion. .
Please watch this presentation to learn about ICD-10-PCS code assignment for Impella pump procedures.
To find instruction in ICD-10-PCS Coding for related procedures, explore the courses Electrophysiological (EPS) Studies and Ablation Coding in ICD-10-PCS and Cardiac Catheterization Coding in ICD-10-PCS on HIAlearn.com.
For detailed explanations of the quiz answers, please refer to the end of this blog post.
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Quiz Answers and RationaleQuestion 1: Insertion of an Impella pump for provision of ventricular support only for the duration of a protected PCI is intraoperative support which is identified by assignment of qualifier value J Intraoperative.
Question 2: The correct ICD-10-PCS code assignment is 02HA3RZ, 5A0221D, 02PA3RZ. A code for insertion of a surgical graft conduit is not assigned because a conduit is only required for insertion of an Impella 5.5 device. Qualifier value J Intraoperative is not appropriate and a code for removal is needed because the device was left in to provide continued support after the angioplasty was completed. |
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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.