Plus: Don't miss the more specific choices for postprocedural hematoma, hemorrhage.
Most specialty coders probably are comfortable reporting all the ICD-10 changes that went into effect last October, but it's not always so easy for anesthesia coders since you need to be ready to code for any type of procedure.
With that in mind, here's a look at some vascular changes that you'll need to get details about before submitting your anesthesia provider's claims.
Artery Aneurysm and Dissection Offer More Options
ICD-10-CM now offers a couple of new options that will allow you to be more specific in your artery aneurysm coding:
Artery dissection also has more specific choices, with the following additions to I77.7- (Other arterial dissection):
And, the "other" code I77.79 has a slight change from previous years. The descriptor has shifted from "Dissection of other artery" to "Dissection of other specified artery."
You'll also find new options to report vascular stent stenosis for non-coronary vessels with the new codes listed below. Coders such as Christina Neighbors, MA, CPC, CCC, Coding Quality Auditor for Conifer Health Solutions, Coding Quality & Education Department, says these are useful changes:
The existing stenosis codes add the term "other" to make way for the additions:
Pick Up on Subtle Postprocedural Updates
If your anesthesia provider is involved with a case involving postprocedural hemorrhage or hematoma, ICD-10 2017 includes changes for those as well. Coders now have distinct options for each condition within an organ system.
For example, note the changes to these digestive system procedure codes:
You'll find similar changes to provide separate codes for postprocedural hemorrhage or hematoma in the circulatory system, endocrine system, and skin and subcutaneous tissue chapters, to name a few.