Restriction vs. Occlusion – Selecting ICD-10-PCS Root Operations

Accurate ICD-10-PCS coding for procedures performed on orifices or tubular body parts (e.g., blood vessels, intestines) requires the ability to determine when to assign the root operation Occlusion and when to assign the root operation Restriction.

Please watch this presentation to learn about the objectives of the root operations Occlusion and Restriction and some procedures that meet these objectives.

Take Aways

• The objective of the root operation Restriction is partial closure of an orifice or lumen of a tubular body part.
• The objective of the root operation Occlusion is complete closure of an orifice or lumen of a tubular body part.
• The root operation for embolization procedures may be either Occlusion or Restriction depending on the level of closure of the body part at the conclusion of the procedure.
• Treatment of aneurysms is reported with the root operation Restriction.

To find instruction in ICD-10-PCS and CPT coding for Endovascular treatment of abdominal aortic aneurysms, explore the courses Endovascular Aortic Aneurysm Repair Coding in ICD-10-PCS and Endovascular AAA Endograft (EVAR) Procedure Coding in CPT at at HIAlearn.com.

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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.