ICD-10-PCS Coding for Treatment of Atherosclerosis at Bifurcations and Across Multiple Vessels

Description

This course covers several topics related to assignment of ICD-10-PCS codes for the performance of angioplasty, atherectomy and endarterectomy procedures in the treatment of atherosclerosis. Much of the discussion is focused on the selection of values for ICD-10-PCS code characters with special emphasis on the use of qualifier value "6, Bifurcation" when coding for interventions in the coronary arteries. Additional topics include vascular anatomy, explanations of endovascular revascularization procedures and discussion of ICD-10-PCS coding guidelines and official coding advice related to determination of the number of ICD-10-PCS codes to assign when endovascular revascularization procedures are performed across multiple vessels.  

Included Lessons:

• ICD-10-PCS Coding for Treatment of Atherosclerosis at Bifurcations and Across Multiple Vessels Handouts
• ICD-10-PCS Coding for Treatment of Atherosclerosis at Bifurcations and Across Multiple Vessels Video Presentation

Key Takeaways

• Understand Atherosclerosis Treatments: Review how angioplasty, atherectomy, and endarterectomy restore blood flow in coronary and peripheral arteries.
• Recognize Bifurcation Lesions: Identify true and non-true bifurcation lesions and apply the Medina classification to interpret documentation.
• Apply PCS Root Operations: Differentiate between Dilation and Extirpation and know when to code both during the same operative episode.
• Select Accurate Body-Part Values: Follow PCS guidelines for coronary arteries coded by number treated and for continuous lesions in peripheral vessels.
• Assign Correct Devices and Qualifiers: Choose the right stent type, count, and qualifier—such as bifurcation or drug-coated balloon—based on documentation.
• Translate Op Report Clues: Recognize terms like POT, T-stent, and kissing balloons as indicators for bifurcation or specialized angioplasty techniques.
• Practice with Real Case Scenarios: Strengthen coding accuracy through guided case studies on angioplasty and atherectomy procedures.

Benefits of Taking this Course

• Improved Coding Accuracy for Angioplasty and Atherectomy Procedures
• Greater Confidence in Coding Complex Vascular and Coronary Scenarios
• Enhanced Understanding of Bifurcation Lesions and Medina Classification
• Strengthened Ability to Select Correct ICD-10-PCS Root Operations and Body-Part Values
• Improved Skill in Assigning Devices and Qualifiers for Multi-Vessel Procedures
• Increased Proficiency in Interpreting Operative Reports for Revascularization Techniques
• Expanded Knowledge of PCS Guidelines for Continuous Lesions and Multi-Artery Treatments

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About Our Medical Coding Courses

HIAlearn, powered by Health Information Associates (HIA)—a leader in medical coding and auditing for more than three decades—offers a flexible, online education platform designed for today’s coders. With a growing catalog of AHIMA and AAPC-approved coding courses, HIAlearn supports both beginners and experienced coders looking to build confidence, accuracy, and CEU credits.

Courses are available across various coding types including CPT, E/M, ICD-10-CM, and ICD-10-PCS, and are designed for multiple specialties including inpatient, outpatient, profee, and CDI.

To stay up to date, coders can explore our Coding Updates hub for the latest ICD-10-CM, ICD-10-PCS, CPT, and IPPS changes. HIAlearn also supports organizations with group discounts and scalable team access, promoting accuracy, compliance, and continuous professional development across departments.