Cardiovascular Service Line Part 2

Codes Discussed: ICD-10-PCS (International Classification of Diseases, 10th Revision, Procedure Coding System), 2025 ICD-10-PCS, Medical and Surgical section, Upper Arteries body system value 3, Lower Arteries body system value 4, Upper Veins body system, Lower Veins body system, Heart and Great Vessels body system, Imaging section, New Technology section, General Anatomical Regions body system, Body Part Key, Guideline B4.1c (continuous tubular body part coded to the body part closest to the heart), 047 table (Lower Arteries Dilation table), X27 table (New Technology table for drug-eluting resorbable scaffold in below-knee arteries), 03C table (Upper Arteries Extirpation table), 04V table (Lower Arteries Restriction table for EVAR/FEVAR), 02V table (Heart and Great Vessels Restriction table for TEVAR), 04L table (Lower Arteries Occlusion table), 041 table (Lower Arteries Bypass table), 031 table (Upper Arteries Bypass table/WavelinQ AV fistula), X2K table (New Technology table for Ellipsys AV fistula), 06F table (Lower Veins Fragmentation table for ultrasound-assisted thrombolysis in DVT context), 06H table (Lower Veins Insertion table for IVC filter), 05H table (Upper Veins Insertion table), 0JH table (Insertion into subcutaneous tissue and fascia for vascular access device components), 03Q table (Upper Arteries Repair table), 04H03DZ (Incorrect answer choice because aortic stent graft placement is not Insertion), 02VW3DZ (Incorrect answer choice because abdominal aorta is not above the diaphragm), 04V03DZ (Restriction of abdominal aorta with intraluminal device, percutaneous approach/EVAR stent graft for abdominal aortic aneurysm), 04703DZ (Incorrect answer choice because aortic stent graft placement is not Dilation), 047T3ZZ (Percutaneous dilation of right peroneal artery with no device/angioplasty balloon), 02HV33Z (Percutaneous insertion of infusion device into superior vena cava/vascular catheter tip in SVC), 0JH60XZ (Insertion of tunneled vascular access device into chest subcutaneous tissue and fascia), 05HN33Z (Incorrect answer choice when catheter body part is based on tip location, not internal jugular entry point), 04LF3DU (Percutaneous occlusion of left internal iliac artery with intraluminal device, uterine artery left qualifier/left uterine artery coil embolization), 06LY3CC (Percutaneous occlusion of lower vein with extraluminal device, hemorrhoidal plexus qualifier/hemorrhoidal banding), 04793DZ (Percutaneous dilation of right renal artery with intraluminal device/bare metal stent), 047K3Z1 (Percutaneous dilation of right femoral artery with no device, drug-coated balloon qualifier), 047K3DZ (Incorrect answer choice because no stent was placed in the right superficial femoral artery), 047K3ZZ (Incorrect answer choice because drug-coated balloon qualifier was required), 02HV33Z, 0JH60WZ (Percutaneous insertion of infusion device into superior vena cava plus insertion of totally implantable vascular access device into chest subcutaneous tissue and fascia/Infuse-A-Port), 0JH60VZ (Incorrect answer choice because totally implantable device was placed, not tunneled device), 06H03DZ (Percutaneous insertion of intraluminal device into inferior vena cava/IVC filter), 03CH0ZZ (Open extirpation of matter from right common carotid artery/carotid endarterectomy), 03UH0JZ (Open supplement of right common carotid artery with synthetic substitute/patch angioplasty), 03CK0ZZ (Incorrect answer choice because internal carotid was part of a continuous body part and common carotid is closest to the heart), 03UK0JZ (Incorrect answer choice because patch supplement also follows closest-to-heart body part selection), 031B3ZF (Percutaneous bypass of right radial artery to lower arm vein/WavelinQ AV fistula), X2KB317 (Percutaneous AV fistula creation using Ellipsys catheter with anastomosis of right radial artery to cephalic vein; incorrect for WavelinQ scenario), 03173ZZ (Incorrect answer choice because radial artery, not brachial artery, was used for bypass), 051D0ZY (Incorrect answer choice because artery was bypassed to vein, not vein to artery), 041K0JL (Open bypass of right femoral artery to right popliteal artery with synthetic substitute/fem-pop bypass using GORE-TEX graft), 03180ZD (Direct AV anastomosis of left cephalic vein to brachial artery), 031B0JF (Creation of right AV graft using GORE-TEX graft from right radial artery to right basilic vein), 041K0KS (Creation of AV fistula in right leg using cadaveric vein to connect mid superficial femoral vein and artery), 04LE3DT (Percutaneous occlusion of right internal iliac artery with intraluminal device, uterine artery right qualifier/right uterine artery coil embolization), 02H633Z (Percutaneous insertion of infusion device into right atrium/catheter tip in right atrium), 0JH60WZ (Insertion of totally implantable vascular access device into chest subcutaneous tissue and fascia/port), Body part value 2 (Innominate/brachiocephalic artery), Body part value K (Right femoral artery), Body part value V (Left thyroid artery), Body part value R (Face artery), Body part value G (Intracranial artery), Body part value 3 (Hepatic artery), Body part value F (Left internal iliac artery), Body part value E (Right internal iliac artery/uterine artery index cross-reference in CP4), Body part value 6 (Right atrium and chest subcutaneous tissue in vascular access examples), Body part value Y (Lower vein/hemorrhoidal plexus coding), Device value Z (No device), Device value D (Intraluminal device), Device value T (Intraluminal device, everolimus-eluting resorbable scaffold/New Technology below-knee scaffold), Device value C (Extraluminal device), Device value J (Synthetic substitute), Device value B (Bioactive intraluminal device), Device value 3 (Infusion device), Device value V (Vascular access device, tunneled), Device value W (Vascular access device, totally implantable/port), Device value X (Infusion device, pump), Device value 0 (Drainage device), Device value 9 (Autologous venous tissue), Device value K (Nonautologous tissue substitute), Qualifier value 1 (Drug-coated balloon), Qualifier value 2 (Sustained-release drug-eluting stent), Qualifier value S (Lower extremity vein/endovascular arterial bypass using adjacent vein), Qualifier value T (Uterine artery, right), Qualifier value U (Uterine artery, left), Qualifier value C (Hemorrhoidal plexus), Qualifier value F (Lower arm vein), Qualifier value Y (Other/vascular access coding context), EVAR (Endovascular aneurysm repair), TEVAR (Thoracic endovascular aortic repair), FEVAR (Fenestrated endovascular aneurysm repair), IBE (Iliac Branch Endoprosthesis), UAE (Uterine artery embolization), AVF (Arteriovenous fistula), AV graft, IVC filter, CVC (Central venous catheter), DVT (Deep vein thrombosis), PE (Pulmonary embolism), EKOS, Ellipsys catheter, WavelinQ catheter, AneuRx AAA Advantage stent graft, GORE EXCLUDER Iliac Branch Endoprosthesis, GORE-TEX vascular graft, Dacron graft, Dacron cuff, Vitacuff, Permacath, Port-a-cath, Infuse-A-Port, Huber needle, paclitaxel, drug-coated balloon, cutting balloon, laser balloon, bare metal stent, covered stent, fabric-covered stent, graft-covered stent, drug-eluting stent, sustained-release drug-eluting stent, everolimus-eluting resorbable scaffold, intraluminal device, branched or fenestrated intraluminal device, bioactive embolization coils, embolization coils, embolization beads, stent retriever, umbrella device, RF energy, radiofrequency ablation, laser ablation, sclerotherapy, stab phlebectomy, rubber band ligation, anoscope, transmucosal coagulation, fluoroscopy, high osmolar contrast, low osmolar contrast, other contrast

Topics Covered: ICD-10-PCS cardiovascular service line Part 2, peripheral circulatory system coding, peripheral vascular procedure coding, procedures on peripheral arteries, procedures on peripheral veins, cardiovascular body systems in PCS, upper arteries coding, lower arteries coding, upper veins coding, lower veins coding, diaphragm as dividing point for upper and lower vessels, body system value selection, body part value selection, Body Part Key use, vascular anatomy for PCS coding, upper artery anatomy, lower artery anatomy, upper vein anatomy, lower vein anatomy, brachiocephalic artery, innominate artery, aortic arch branches, head and neck arteries, arm arteries, chest arteries, thoracic spine arteries, abdominal cavity arteries, lower extremity arteries, superior vena cava in Heart and Great Vessels body system, inferior vena cava in Lower Veins body system, approach selection for vascular procedures, open vascular approach, percutaneous vascular approach, catheter-based vascular procedures, interventional radiology vascular coding, radiology suite procedures, operating room vascular procedures, peripheral angiography, fluoroscopy root type, contrast material coding, high osmolar contrast, low osmolar contrast, other contrast, contrast media osmolarity, peripheral angioplasty coding, peripheral artery stent coding, percutaneous transluminal angioplasty, PTA coding, arterial stenosis treatment, balloon catheter dilation, cutting balloon, laser balloon, drug-coated balloon, paclitaxel-coated balloon, restenosis prevention, bare metal stent coding, covered stent coding, fabric-covered stent, graft-covered stent, drug-eluting stent coding, sustained-release drug-eluting stent coding, below-knee drug-eluting stent coding, critical limb ischemia treatment, CLI, amputation prevention, drug-eluting resorbable scaffold system, everolimus-eluting resorbable scaffold, New Technology vascular coding, bridging lesion coding, continuous arterial lesion, superficial femoral artery and popliteal artery bridging lesion, closest-to-heart guideline, single-code bridging lesion reporting, Dilation coding practice, lower extremity artery anatomy, atherectomy coding, thrombectomy coding, peripheral artery extirpation, transcatheter thrombectomy, transcatheter atherectomy, stent retriever thrombectomy, head and neck artery thrombectomy, solid matter removal from artery, carotid endarterectomy coding, carotid artery plaque removal, carotid stenosis coding, common carotid artery, internal carotid artery, open endarterectomy, patch angioplasty, Dacron patch, arterial patch graft, simple suture repair after endarterectomy, Supplement coding after endarterectomy, aneurysm repair coding, aortic aneurysm repair, abdominal aortic aneurysm repair, thoracic aortic aneurysm repair, arterial wall weakening, aneurysm rupture prevention, endograft placement, covered stent graft, EVAR coding, TEVAR coding, FEVAR coding, fenestrated endovascular aneurysm repair, fenestrated device, visceral artery fenestrations, renal artery fenestrations, superior mesenteric artery fenestration, branched device, bifurcated aortic endograft, docking limbs, visceral artery counting, iliac branch endoprosthesis coding, IBE coding, GORE EXCLUDER IBE, aortoiliac aneurysm treatment, common iliac artery aneurysm treatment, aortoiliac bifurcation, internal iliac artery preservation, external iliac artery preservation, femoral artery access, berry aneurysm coil embolization, intracranial aneurysm embolization, aneurysm clipping, extraluminal device clipping, aneurysm approach and device matching, embolization coding, embolization coils, embolization beads, embolization intent, Restriction versus Occlusion, vessel size restriction, complete vessel occlusion, arteriovenous malformation treatment, vascular tumor embolization, uterine artery embolization coding, UAE coding, uterine fibroid embolization, internal iliac artery body part selection, uterine artery qualifier selection, operative report intent review, peripheral artery bypass coding, lower extremity bypass coding, femoral-popliteal bypass, fem-pop bypass, bypass from and bypass to coding, lower arteries Bypass table, synthetic vascular graft, GORE-TEX graft, endovascular arterial bypass, adjacent vein bypass, lower extremity vein qualifier, catheter-based revascularization, crossover catheter, vein reinforced with stents, arteriovenous fistula coding, AVF coding, arteriovenous graft coding, AV graft coding, ESRD dialysis vascular access, dialysis access creation, AV anastomosis, artery-to-vein connection, brachial artery to cephalic vein fistula, radial artery to basilic vein graft, femoral artery to femoral vein AV fistula, cadaveric vein graft, biological graft material, synthetic graft material, no-device AV anastomosis, Ellipsys procedure coding, WavelinQ procedure coding, percutaneous AV fistula creation, radiofrequency AV anastomosis, magnetic catheter alignment, New Technology AVF coding, procedures on peripheral veins, vascular access device coding, vascular access body system selection, vascular access device value selection, IVC filter coding, inferior vena cava filter placement, umbrella device, clot capture device, pulmonary embolism prevention, thrombi, venous thromboembolism, DVT, post-deployment cavogram, intravascular ultrasound-assisted thrombolysis, EKOS catheter for DVT, ultrasound-assisted thrombolysis, thrombolytic penetration, Fragmentation root operation, central venous catheter coding, CVC coding, central vein access, subclavian vein catheter, vena cava catheter, right atrium catheter tip, right side of heart catheter tip, tunneled catheter coding, nontunneled catheter coding, temporary catheter, dialysis access catheter, long-term vascular access, catheter tip location, cavoatrial junction, post-placement imaging for catheter tip, femoral vein catheter with unknown tip, lower vein body part fallback, infusion device coding, subcutaneous cuff coding, tunneled vascular access device coding, Dacron cuff, Vitacuff, Permacath coding, totally implantable vascular access coding, Port-a-cath coding, Infuse-A-Port coding, chemotherapy access, subcutaneous port placement, Huber needle access, central venous pump coding, vascular pump coding, infusion pump device, vascular catheter component, subcutaneous component, vascular access device replacement, tunneled catheter replacement, port replacement, pump replacement, vascular component removal and insertion, subcutaneous component removal and insertion, four-code complete replacement, tunneled catheter exchange, Change root operation, existing tunnel exchange, varicose vein procedure coding, varicose veins, venous valve dysfunction, venous pooling, congenital varicose vein etiology, pregnancy-related varicose veins, thrombophlebitis, vein ligation, vein stripping, laser ablation, radiofrequency ablation, sclerotherapy, stab phlebectomy, varicose vein root operation selection, Occlusion for ligation, Extraction for stripping, Destruction for ablation and sclerotherapy, Excision for stab phlebectomy, hemorrhoid procedure coding, hemorrhoidectomy coding, hemorrhoids as perianal varicose veins, hemorrhoidal banding, rubber band ligation, anoscope, transmucosal coagulation, hemorrhoid ablation, hemorrhoidal plexus qualifier, Lower Vein body part for hemorrhoids, Code Purple practice, Code Red ultimate challenge, artery body part matching, right descending genicular artery, left thyrocervical trunk, submental artery, middle cerebral artery, proper hepatic artery, left hypogastric artery, aneurysm repair device and approach matching, aortic stent graft, coil embolization, aneurysm clipping, Dacron/Teflon graft, peripheral artery stent root operation, right uterine artery coil embolization, AV fistula and graft code matching, port placement coding scenario, tunneled catheter coding scenario, varicose vein root operations, abdominal aortic aneurysm EVAR case, right peroneal artery angioplasty case, Permacath dialysis access case, left uterine artery embolization case, hemorrhoidal banding case, renal artery stent with femoral drug-coated balloon case, internal jugular Infuse-A-Port placement case, prophylactic retrievable IVC filter case, carotid endarterectomy with patch angioplasty case, WavelinQ AV fistula case, ICD-10-PCS inpatient procedure coding education, peripheral vascular procedure coding education, medical coding course content