The cardiopulmonary bypass is coded similarly in both code sets. ICD-10-PCS also requires separate codes for the harvesting of the bypass grafts, which are coded with the root operation Excision since only a portion of the artery/vein was removed. Patient with CAD is admitted for PTCA and stenting of 3 coronary arteries. Drug-eluting stents were placed in the RCA x 2 and LAD. Rationale: This procedure is coded very differently in ICD-9-CM and ICD-10-PCS. ICD-9-CM requires separate codes for the PTCA, insertion of stents, number of stents, and how many vessels are treated. ICD-10-PCS has one comprehensive code that describes the number of sites treated (not vessels) with PTCA and the type of stent used. 2015 Official ICD-10-PCS Coding Guidelines.Concept: Ischemic Heart Disease (IHD) / Coronary Heart Disease (CHD) - Measuring PrevalenceĬoronary heart disease (CHD), also called coronary artery disease (CAD), If different devices (drug-eluting, non-drug-eluting, radioactive, or no stent) are used in one procedure, separate codes are assigned to indicate how many vessels are treated with that type of device.
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