![]() ![]() If multiple coronary artery sites are bypassed, a separate procedure is coded for each coronary artery site that uses a different device and/or qualifier.Įxample: Aortocoronary artery bypass and internal mammary coronary artery bypass are coded separately. ![]() Rather than identifying the body part bypassed from, the body part identifies the number of coronary artery sites bypassed to, and the qualifier specifies the vessel bypassed from.Įxample: Aortocoronary artery bypass of one site on the left anterior descending coronary artery and one site on the obtuse marginal coronary artery is classified in the body part axis of classification as two coronary artery sites and the qualifier specifies the aorta as the body part bypassed from. Coronary artery bypass procedures are coded differently than other bypass procedures as described in the previous guideline. There are a few specific guidelines associated with procedures done on the coronary arteries in ICD-10-PCS which need to be reviewed.Ĭoronary arteries are classified by number of distinct sites treated, rather than number of coronary arteries or anatomic name of a coronary artery (e.g., left anterior descending). In honor of American Heart Month, this month’s Code Cracker explores the guidelines for coding heart procedures. The coding of heart procedures is done very differently in ICD-9-CM versus ICD-10-PCS. Provider unable to clinically determine whether the condition was present at the time of inpatient admission.Tune in to this monthly online coding column to learn from AHIMA’s coding experts about challenging areas and documentation opportunities for ICD-10-CM/PCS. POA Indicators on CMS form 4010A are as follows: Indicatorĭiagnosis was present at time of inpatient admissionĭiagnosis was not present at time of inpatient admissionĭocumentation insufficient to determine if the condition was present at the time of inpatient admission.Ĭlinically undetermined. A 'billable code' is detailed enough to be used to specify a medical diagnosis. Z13.6 is a billable ICD code used to specify a diagnosis of encounter for screening for cardiovascular disorders. This "Present On Admission" (POA) indicator is recorded on CMS form 4010A. POA Exempt Code The Center for Medicare & Medicaid Services (CMS) requires medical coders to indicate whether or not a condition was present at the time of admission, in order to properly assign MS-DRG codes. ![]()
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