By Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA
For years, people have wondered why the zooplastic option was available in the Transplantation tables and now we know why.
A Maryland hospital transplanted a pig heart into a human for the first time on January 7th. A lucky coder at that hospital will be the first to use the Zooplastic qualifier for heart transplantation when coding this case as 02YA0Z2, Transplantation of Heart, Zooplastic, Open Approach.
The ICD-10-PCS code set is robust, with options for coding things that seem like they will never be done in current surgical practice. This tells us to “never say never.”
This is not the first time the code set has taught me to not second-guess the developers of the system.
A few years ago, I learned that surgeons could actually perform a percutaneous endoscopic coronary artery bypass graft surgery. Just like with the zooplastic heart, the code set was way ahead of us and ready to accept the coding challenge with a code such as 02104Z9, Bypass Coronary Artery, One Artery from Left Internal Mammary, Percutaneous Endoscopic Approach or 02114Z9, Bypass Coronary Artery, Two Arteries from Left Internal Mammary, Percutaneous Endoscopic Approach.
Once again, I give thanks for the wonderful group of people who worked so hard to develop this fabulous code set for us to use. All my thanks for anticipating so many advances in surgery that we never thought could happen!
ICD-10-PCS: Cardiac Procedure Coding
Learn to code advanced cardiac procedures with the unique perspective and expertise offered by nationally recognized ICD-10-PCS coding expert Lynn Kuehn! ICD-10-PCS: Cardiac Procedure Coding enables coders to visualize and understand complicated 3-D cardiac structures and then accurately and completely code the intricate surgical procedures performed. Learn more here.