by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA
Coding Extracorporeal Membrane Oxygenation (ECMO) is easy up until the FY2019 update. (I even had the code for ECMO memorized as 5A15223!) Those days will be over for discharges occurring October 1, 2018 and later.
The ECMO process actually has three variations and the 2019 ICD-10-PCS code set will allow coding of each variation by the use of a special qualifier for each type. The secret to ECMO coding will be understanding how the patient was cannulated.
The basics are:
> Central veno-arterial ECMO involves a venous cannulation connection and an arterial connection in the chest
> Peripheral veno-arterial ECMO uses those same types of cannulation somewhere outside of the chest
> Peripheral veno-venous ECMO uses all venous cannulation connections
To learn more about this complex procedure including how to code different types of ECMO provided during hospitalization as well as special pediatric cannulations, sign up for the complete ICD-10-PCS FY2019 Updates or better yet, consider the Advanced Coding Subscription to assure you have access to all the 2019 code set updates and some special bonus content.