Cardiovascular Service Line Part 1

Codes Discussed: ICD-10-PCS (International Classification of Diseases, 10th Revision, Procedure Coding System), ICD-10-CM (referenced through course resources), Medical and Surgical section value 0, Measurement and Monitoring section value 4, Administration section value 3, Extracorporeal Assistance and Performance section value 5, Extracorporeal Therapies section value 6, Imaging section value B, Heart and Great Vessels body system value 2, Upper Arteries, Lower Arteries, Upper Veins, Lower Veins, General Anatomical Regions body system value W, 0W9 table (Drainage of pericardial cavity/general anatomical regions table), 03Q table (Upper Arteries Repair table), Face Artery body part value R, angular artery coded to Face Artery, Guideline B4.1c (tubular body part closest to the heart), Device value 0 (Monitoring device/pressure sensor in Heart and Great Vessels; drainage device in arteries and veins), Device value J (Synthetic substitute/cardiac pacemaker lead in Heart and Great Vessels context), Device value K (Cardiac defibrillator lead/nonautologous tissue substitute in Heart and Great Vessels context), Device value 4 (Intraluminal device, drug-eluting stent, one stent in table 027), Device value 5 (Intraluminal device, drug-eluting stents, two stents in table 027), Device value 3 (Infusion device/triple lumen venous catheter for temporary dialysis access in table 05H), Device value B (Bioactive intraluminal device/bioactive embolization coils in table 03V), Device value Z (No device), Device value 9 (Autologous venous tissue), Device value A (Autologous arterial tissue), Device value D (Intraluminal device/bare metal stent context), Device value T (Radioactive intraluminal device/intracoronary brachytherapy), Qualifier N (Sampling and Pressure for cardiac catheterization), Qualifier 6 (Bifurcation), Qualifier Z (No qualifier), Qualifier 9 (Internal Mammary, Left/LIMA), Qualifier 8 (Internal Mammary, Right), Qualifier W (Aorta), Qualifier 3 (Coronary Artery), Qualifier 4 (Coronary Vein), Qualifier 7 (Other thrombolytic/tPA via coronary artery), Contrast value 0 (High osmolar contrast), Contrast value 1 (Low osmolar contrast), Contrast value Y (Other contrast/iso-osmolar contrast), 6AB table (Extracorporeal Therapies Perfusion table), 4A0 table (Measurement table for cardiac catheterization), 027 table (Heart and Great Vessels Dilation table/PTCA and stenting), 021 table (Heart and Great Vessels Bypass table/CABG), 02R table (Heart and Great Vessels Replacement table/valve replacement), X2R table (New Technology transcatheter tricuspid valve replacement table reference), 02H table (Insertion into Heart and Great Vessels table), 02P table (Removal from Heart and Great Vessels table), 05H table (Upper Veins Insertion table), 03V table (Upper Arteries Restriction table/embolization coil context), 4A023N7 (Left heart catheterization/Measurement with sampling and pressure), 027034Z (Percutaneous dilation of one coronary artery with one drug-eluting intraluminal device/PTCA and drug-eluting stent to LAD), 02100Z9 (Open bypass of one coronary artery from left internal mammary artery/LIMA to LAD), 021109W (Open bypass of two coronary arteries from aorta using autologous venous tissue/saphenous vein grafts), 3E07317 (Introduction of other thrombolytic into coronary artery/tPA during cardiac catheterization), 3E07316 (Incorrect answer choice; tPA is not recombinant human-activated Protein C), 3E073PZ (Incorrect answer choice; tPA is not a platelet inhibitor), 02703Z6 (Percutaneous dilation of one coronary artery with no device at bifurcation/POBA to LMCA bifurcation), 02713Z6 (Incorrect answer choice because only one coronary artery site was treated), 02703ZZ (Incorrect answer choice because bifurcation qualifier was required), B2111ZZ (Fluoroscopy of multiple coronary arteries with low osmolar contrast/right and left coronary angiography using Optiray or Omnipaque context), 0JH609Z (Insertion of biventricular ICD generator into chest subcutaneous tissue and fascia), 0JPT0PZ (Removal of cardiac rhythm related device from trunk subcutaneous tissue and fascia/old ICD generator removal), 02HL3KZ (Percutaneous insertion of defibrillator lead into left ventricle), 0JR60JZ (Incorrect answer choice because subcutaneous tissue was not replaced with a device), 0JH607Z (Incorrect answer choice because device was ICD, not pacemaker), 02UJ0JZ (Open supplement of tricuspid valve with synthetic substitute/annuloplasty ring), 02QJ0ZZ (Incorrect answer choice because annuloplasty required a device and Repair does not involve devices), 02UJ3JZ (Incorrect answer choice because procedure was not percutaneous), 02RJ0JZ (Incorrect answer choice because entire valve was not replaced), 02C03ZZ (Percutaneous extirpation of matter from one coronary artery/coronary atherectomy of LAD), 02703DZ (Percutaneous dilation of one coronary artery with bare metal stent/LAD stent), B2151ZZ (Fluoroscopy of left heart with low osmolar contrast/left ventriculogram using Omnipaque), B2051ZZ (Incorrect answer choice because ventriculography does not use plain radiography), B2011ZZ (Incorrect answer choice because coronary angiography does not use plain radiography), B215YZZ (Incorrect answer choice when Omnipaque low osmolar contrast was used; correct in Visipaque other-contrast case), B211YZZ (Incorrect answer choice when Omnipaque low osmolar contrast was used; correct in Visipaque other-contrast case), 02RG0JZ (Open replacement of mitral valve with synthetic substitute/mechanical mitral valve replacement), 02RG07Z (Incorrect answer choice because valve was not replaced with tissue substitute), 02UG0JZ (Incorrect answer choice because entire valve was replaced, not only supplemented), 02RF0JZ (Incorrect answer choice because aortic valve was not replaced), 5A1221Z (Cardiopulmonary bypass/performance of cardiac output, continuous), 021209W (Open bypass of three coronary arteries from aorta with autologous venous tissue/three saphenous vein grafts), 06BP4ZZ (Percutaneous endoscopic excision of right greater saphenous vein for graft harvest), 02130Z3 (Incorrect answer choice because saphenous and mammary grafts require separate CABG codes), 06BP0ZZ (Incorrect answer choice because right saphenous vein was harvested endoscopically), 0JH608Z (Insertion of dual-chamber defibrillator generator into chest subcutaneous tissue and fascia), 02HK3KZ (Percutaneous insertion of defibrillator lead into right ventricle), 02H63KZ (Percutaneous insertion of defibrillator lead into right atrium), 0JH606Z (Incorrect answer choice because device was cardioverter defibrillator, not pacemaker), 02HK3JZ (Incorrect answer choice because lead was defibrillator lead, not pacemaker lead), 02H63JZ (Incorrect answer choice because lead was defibrillator lead, not pacemaker lead), 02HK0KZ (Incorrect answer choice because leads were not placed by open technique), 02H60KZ (Incorrect answer choice because leads were not placed by open technique), 02713TZ (Percutaneous dilation of two coronary arteries with radioactive intraluminal device/PTCA with intracoronary brachytherapy to circumflex and LAD), 02703TZ (Incorrect answer choice because two coronary arteries were treated), B213YZZ (Fluoroscopy of multiple coronary artery bypass grafts with other contrast/Visipaque), B218YZZ (Incorrect answer choice because LIMA graft was not imaged), CABG (Coronary artery bypass grafting), PTCA (Percutaneous transluminal coronary angioplasty), POBA (Plain old balloon angioplasty), tPA/TPA (Tissue plasminogen activator), IVL (Intravascular lithotripsy/lithoplasty), EKOS (Ultrasound-assisted thrombolysis catheter), LIMA (Left internal mammary artery), IMA (Internal mammary artery), LAD (Left anterior descending artery), LMCA (Left main coronary artery), RCA (Right coronary artery), LCx (Left circumflex artery), AV node, SA node, Bundle of His, right bundle branch, left bundle branch, Purkinje fibers, SVC (Superior vena cava), IVC (Inferior vena cava), CRT (Cardiac resynchronization therapy), BiV AICD (Biventricular automatic implantable cardioverter defibrillator), AICD/ICD (Automatic implantable cardioverter defibrillator), CRT-D, RVOT (Right ventricular outflow tract), TAVR/TAVI (Transcatheter aortic valve replacement/implantation), MitraClip, TricValve, Melody valve, Harmony valve, Carpentier-Edwards Physio Tricuspid Annuloplasty Ring, CarboMedics mechanical valve, Silverhawk atherectomy catheter, AngioJet catheter, Pixel bare metal stent, Galileo centering catheter, Sprint Fidelis Dual-Coil Active Fixation lead, Medtronic CapSureFix Active Fixation atrial lead, Medtronic EnTrust DR generator, Angiomax, Omnipaque (low osmolar contrast), Optiray (low osmolar contrast), Visipaque (other/iso-osmolar contrast), Hypaque 141/282/370 (high osmolar contrast), Renografin 141/282/370 (high osmolar contrast), Hexabrix 320 (low osmolar contrast), Isovue 200/250/300/370 (low osmolar contrast), Omnipaque 140/180/240/300/350 (low osmolar contrast), Optiray 160/240/300/320/350 (low osmolar contrast), Oxilan 300/350 (low osmolar contrast), Ultravist 150/240/300/370 (low osmolar contrast), Optivist 300/350 (low osmolar contrast), carbon dioxide contrast, heparin-coated or drug-coated stent, drug-eluting stent, bare metal stent, autologous venous tissue, autologous arterial tissue, synthetic substitute, nonautologous tissue substitute, zooplastic tissue substitute, bioactive embolization coils, triple lumen venous catheter, pressure sensor, monitoring device, drainage device, pacemaker generator, defibrillator generator, cardiac pacemaker lead, cardiac defibrillator lead

Topics Covered: ICD-10-PCS cardiovascular service line coding, cardiovascular PCS coding, cardiac anatomy for PCS coding, vascular anatomy for PCS coding, circulatory system anatomy, heart anatomy, vascular system anatomy, arteries versus veins, great vessels, oxygenated blood circulation, unoxygenated blood circulation, red blood cells, gas exchange, ischemia, infarction, tissue death, heart chambers, atria, ventricles, atrioventricular septum, atrial septum, ventricular septum, heart valves, tricuspid valve, pulmonary valve, mitral valve, bicuspid valve, aortic valve, papillary muscles, chordae tendineae, heart wall layers, epicardium, myocardium, endocardium, parietal pericardium, visceral pericardium, pericardial space, pericardial cavity, myocardial infarction, superior vena cava, inferior vena cava, aorta, pulmonary trunk, pulmonary arteries, pulmonary veins, cardiopulmonary circulation, systemic circulation, pulmonary circulation, pulmonary vasculature, main pulmonary artery, pulmonary trunk, right pulmonary artery, left pulmonary artery, lung segmental pulmonary arteries, pulmonary arterioles, aortic root, ascending aorta, aortic arch, descending aorta, thoracic aorta, abdominal aorta, coronary artery anatomy, native coronary arteries, left main coronary artery, left circumflex artery, left anterior descending artery, right coronary artery, ramus intermedius, coronary bypass anatomy, CABG anatomy, mammary bypass, aortocoronary bypass, internal mammary artery, saphenous vein graft, coronary artery bypass graft, native artery versus bypass graft, coronary veins, coronary sinus, venous return, cardiac electrical conduction, sinoatrial node, atrioventricular node, Bundle of His, bundle branches, right bundle branch, left bundle branch, Purkinje fibers, natural pacemaker of the heart, arterioles, capillaries, venules, varicose veins, arterial anatomy, venous anatomy, upper arteries, lower arteries, upper veins, lower veins, diaphragm as vascular body system dividing point, heart and great vessels body system, cardiovascular PCS body systems, Medical and Surgical cardiovascular procedure coding, root operations in cardiovascular coding, Body Part Key use, closest body part value selection, tubular structure guideline, body part closest to heart, pericardial cavity drainage coding, General Anatomical Regions table, cardiovascular device values, pressure sensor, monitoring device, drainage device, synthetic substitute, cardiac pacemaker lead, cardiac defibrillator lead, nonautologous tissue substitute, Device Key use, device trade names in PCS, Measurement and Monitoring section coding, cardiac catheterization section selection, Administration section cardiovascular procedures, Transfusion root operation, Introduction root operation, Irrigation root operation, Extracorporeal Assistance and Performance cardiovascular procedures, Extracorporeal Therapies section, Perfusion root operation, extracorporeal treatment by diffusion of therapeutic fluid, lung perfusion before transplantation, organ resuscitation and preservation, Imaging section cardiovascular coding, angiography coding, fluoroscopy root type, contrast material coding, high osmolar contrast, low osmolar contrast, other contrast, contrast trade name lookup, cardiac catheterization coding, diagnostic cardiac catheterization, left heart catheterization, right heart catheterization, bilateral heart catheterization, cardiac output measurement, heart pressure measurement, sampling and pressure function, arterial access, venous access, groin access, aorta catheter access, vena cava catheter access, coronary imaging, coronary angiography, aortography, ventriculography, left ventriculogram, right and left coronary angiography, native coronary artery imaging, coronary bypass graft imaging, contrast injection, fluoroscopic moving image, coronary artery disease evaluation, congestive heart failure catheterization, congenital heart disease catheterization, PTCA coding, percutaneous transluminal angioplasty, coronary stent coding, coronary lesion treatment, balloon angioplasty, cutting balloon angioplasty, coronary restenosis prevention, drug-eluting stent, drug-coated stent, drug-covered stent, bare metal stent, heparin-coated stent, Dilation root operation, percutaneous approach, intraluminal device coding, radioactive intraluminal device coding, intracoronary brachytherapy, bifurcation lesion coding, mid-vessel lesion coding, Extirpation root operation, coronary thrombectomy, coronary atherectomy, blood clot removal, arterial plaque removal, AngioJet thrombectomy, rotational atherectomy, directional atherectomy, laser atherectomy, orbital atherectomy, 360-degree orbital atherectomy, Silverhawk atherectomy, solid matter removal from artery, thrombolysis coding, tPA administration, tissue plasminogen activator, streptokinase, urokinase, thrombolytic medication, thrombolytic introduction into heart or coronary artery, Fragmentation root operation, intravascular lithotripsy, IVL, lithoplasty, coronary calcium fragmentation, sonic pressure waves, calcified coronary lesion treatment, ultrasound-assisted thrombolysis, EKOS catheter thrombolysis, pulmonary artery thrombolysis, ultrasonic fragmentation qualifier, CABG coding, coronary artery bypass grafting, bypass to coronary artery exception, CABG body part selection, CABG qualifier selection, bypass from site, bypass to site, coronary artery count, coronary artery one artery, coronary artery two arteries, coronary artery three arteries, coronary artery four or more arteries, autologous artery graft, autologous vein graft, synthetic graft, nonautologous tissue graft, LIMA to LAD bypass, internal mammary artery graft coding, no device for attached mammary graft, left internal mammary qualifier, right internal mammary qualifier, saphenous vein graft coding, aortocoronary bypass, aorta qualifier, separate saphenous vein harvest coding, endoscopic saphenous vein harvest, right greater saphenous vein harvest, triple bypass coding, combination mammary and saphenous grafts, obtuse marginal bypass, posterolateral branch bypass, RCA bypass, LAD bypass, cardiopulmonary bypass coding, CPB coding, heart valve procedure coding, valvular stenosis, valvular regurgitation, valve replacement coding, balloon valvuloplasty coding, MitraClip coding, mitral valve supplement, mitral regurgitation treatment, annuloplasty coding, annular ring reinforcement, valve repair coding, commissurotomy coding, valve leaflet incision, open heart valve replacement, transapical valve approach, transcatheter valve approach, percutaneous valve approach, heart valve prosthesis materials, mechanical valve coding, synthetic valve substitute, bioprosthetic valve coding, bovine valve, porcine valve, zooplastic tissue substitute, donor valve, nonautologous tissue substitute, chronic anticoagulant therapy, transcatheter valve replacement, TAVR coding, TAVI coding, transcatheter aortic valve replacement, transcatheter mitral valve replacement, transseptal puncture, pulmonary valve replacement, right ventricular outflow tract narrowing, right ventricular outflow tract leak, Melody valve coding, Harmony valve coding, congenital heart disease pulmonary valve devices, native RVOT, existing conduit, transcatheter tricuspid valve replacement, New Technology tricuspid valve replacement, heterotopic bicaval valves, TricValve procedure, severe symptomatic tricuspid regurgitation, bicaval valve insertion, inferior vena cava valve placement, superior vena cava valve placement, right atrium supplement, heterotopic valve not native valve replacement, rapid deployment aortic valve, bovine pericardial aortic bioprosthetic valve, balloon expandable stent deployment system, rapid deployment technique qualifier, pacemaker coding, AICD coding, ICD coding, automatic implantable cardioverter defibrillator coding, cardiac rhythm device coding, bradycardia treatment, tachycardia treatment, generator insertion, battery pack, subcutaneous chest pocket, cardiac leads, electrodes, right atrial lead, right ventricular lead, single chamber pacemaker, dual chamber pacemaker, single chamber ICD, dual chamber ICD, defibrillator shock therapy, cardiac resynchronization therapy, CRT coding, biventricular pacing, biventricular ICD, left ventricular lead, coronary sinus lead placement, CRT-D upgrade, generator replacement coding, device removal and insertion coding, device revision coding, misplaced lead adjustment, entire device system placement, generator body system versus lead body system, subcutaneous tissue and fascia generator code, heart and great vessels lead code, number of codes for AICD placement, dual-chamber defibrillator insertion, modified Seldinger technique, subclavian vein cannulation, fluoroscopic lead placement, defibrillator threshold testing, Code Purple practice, Code Red ultimate challenge, heart valve labeling, conduction mechanism selection, great vessel identification, angular artery Body Part Key question, cardiovascular device value matching, cardiac catheterization section question, LAD drug-eluting stent case, contrast material matching, LIMA graft coding case, saphenous vein graft coding case, biventricular AICD code count, tPA coding case, POBA at left main bifurcation case, AICD upgrade case, tricuspid annuloplasty ring case, coronary atherectomy case, left heart cath with LAD bare metal stent case, mitral valve replacement case, CABG with LIMA and saphenous grafts case, dual-chamber defibrillator implantation case, coronary angiography with bypass graft imaging case, PTCA with intracoronary brachytherapy case, ICD-10-PCS inpatient procedure coding education, cardiovascular procedure coding education, medical coding course content