This answer was provided based on limited information. 02584ZZ, Destruction of conduction mechanism, percutaneous endoscopic approachĮditor’s note: Shannon McCall, RHIA, CCS, CCS-P, CPC, CEMC, CRC, CCDS, CCDS-O, HCS-D, director of HIM and coding for HCPro in Middleton, Massachusetts, answered this question.02583ZZ, Destruction of conduction mechanism, percutaneous approach.02580ZZ, Destruction of conduction mechanism, open approach.This procedure can be reported with the following ICD-10-PCS codes: The ablation procedure is directed at the pathway for electrical impulses rather the muscular wall of the heart itself. However, according to Coding Clinic, Third Quarter 2016, the body part being treated is actually the atrioventricular node, which is assigned to body part character 8: conduction mechanism.
When ablation procedures are performed to treat AF, it would seem like the body part value would be the atrium (right or left).
In ICD-10-PCS, ablation procedures for treatment of AF are assigned to the root operation Destruction (the physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent). How should we report this in ICD-10-PCS?Ī: An ablation is a common form of treatment for AF. Q: We have a patient who was admitted for an ablation procedure in order to treat his atrial fibrillation (AF).
