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ICD 10 Coding Alert

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PCS: Fill In 2 Blanks to Report This Carotid Bypass Procedure Code

Published on Sun Nov 11, 2012

Without key information, you will have too many potential codes. Drastic changes are coming for inpatient coders, and the way providers currently document procedures will become incomplete in 2014. Check out this carotid bypass scenario and find out what you need to know for accurate ICD-10-PCS claims. Scenario: The physician's operative notes indicate right common carotid to internal carotid bypass. This was to treat a critical right internal carotid artery stenosis. Currently, you can code this procedure with 39.29 (Other [peripheral] vascular shunt or bypass).However, you cannot report this procedure -- as stated -- in ICD-PCS. What's missing? In order to correctly bill this procedure in ICD-10-PCS, you have to have the following information:Type of procedureAnatomic location/body partApproachDeviceYou don't know the approach (open, percutaneous, or percutaneous endoscopic) and device (drug-eluting intraluminal device, intraluminal device, or no device). Here are the potential codes you can use:
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