1 A quarterly publication of the Central Office on ICD-10-CM/PCS. Volume 5 Second Quarter Number 2 2018. In This Issue Osteoporosis and Fracture Intra-Aortic Balloon Pump 3 (Traumatic versus Pathologic) 12. Pacing Lead Attached to Automatic Ask the Editor Implantable Cardioverter Arthroscopic Drainage of Knee Defibrillator 19. and Nonexcisional Debridement 17 Prelaminated Free Flap Graft Using Carotid Artery Stenosis and AlloDerm 20 Transient Ischemic Attack 9 Prescribed Opioids for Pain Cocaine Use and Pregnancy 10 Management 11. Degenerative Changes of Bilateral Posterior Capsular Opacity 14. Hips 15 Recreational Marijuana Use 11. Degenerative Changes of Cervical Sessile Serrated Polyp 14.
2 Spine 14 Takotsubo Syndrome with Diabetes with Arthropathy 6 Hypertension 9. Diabetes with Peripheral Transverse Rectus Abdominis Angiopathy 7 Myocutaneous (TRAM) Delay 18. Discogenic Degenerative Changes 15 Traumatic Subdural Hygroma 13. Encephalopathy due to Urinary Urinary Tract Infection During Tract Infection 22 Delivery Episode 20. Exchange of Tibial Polyethylene Urinary Tract Infection and Component with Stabilizing Hydronephrosis with Obstruction Insert (Tibial Tray) 16 due to Ureteral Calculus 21. Excision of Synovial Cyst 22. High Transverse Cesarean Section 17 Clarifications Kennedy Terminal Ulcer 21 Coronary Artery Bifurcation 24. Newborn Disturbance of Sodium Encephalopathy due to Other Balance 6 Conditions 24.
3 Non-Traumatic Subdural Hygroma 13 Third and Fourth Degree Observation for Suspected Burn Obstetric Lacerations 25. Injury 7. Observation for Suspected Injury Correction Following Motor Vehicle Dismembered Pyeloplasty 27. Accident 8. coding advice or code assignments contained in this issue effective with discharges June 6, 2018. coding Clinic for Editorial Advisory Board Lee R. Morisy, , FACS. Representative, Amer. College ICD 10 CM/PCS Donna Ganzer, Chairman Published quarterly by the of Surgeons, Memphis, TN. President, Ganzer Network American Hospital Association Corporation, Great Neck, NY Janice R. Noller, RHIA, Central Office on CDIP, CCS. ICD-10-CM/PCS.
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8 Halima Zayyad-Matarieh, The cooperating parties listed below have final approval of the cod- ing advice provided in this publication : American Hospital Associa- RHIA, coding Consultant tion, American Health Information Management Association, Centers for Medicare & Medicaid Services (formerly HCFA), National Center Medical Advisors, Centers for Health Statistics for Medicare & Medicaid 2018 by the American Hospital Association. All rights reserved. Re- Services production or use of this publication in any form or in any information storage or retrieval system is forbidden without express permission of Songhai Barclift, , FACOG. the publisher. For permission to reprint material from this publication , Karen Nakano, please write to the Central Office on ICD-10-CM/PCS, American Hos- pital Association, 155 N.
9 Wacker Drive, Suite 400, Chicago, IL 60606. Intra-Aortic Balloon Pump The Central Office on ICD-10-CM/PCS has received numerous requests regarding the reporting of an intra-aortic balloon pump (IABP). The following information regarding an IABP, along with some coding examples, is being provided to help clarify the coding issues. An intra-aortic balloon pump (IABP) provides circulatory support by helping the heart pump blood. Specifically, it is a polyethylene balloon mounted on a catheter that is generally inserted into the descending aorta through the femoral artery. The other end of the catheter attaches to a computer console containing a pump that inflates the balloon.
10 The balloon at the end of the catheter inflates and deflates with the rhythm of the heart, helping the heart to pump blood into the body. At the start of diastole, the balloon inflates augmenting coronary perfusion. At the beginning of systole, the balloon deflates and blood is ejected from the left ventricle increasing cardiac output. These actions decrease the workload on the heart and allow the heart to pump more blood. The IABP is driven by a balloon pump console and can be programmed to produce rates as high as 140 beats per minute. IABP therapy was first used for surgical patients but is now being used with interventional cardiology procedures and medical therapy.