5A1522F – Extracorporeal Oxygenation, Membrane, Central
Coding Notes
Active
Billable, valid for HIPAA-covered transactions
PCS Table
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Section
5
Extracorporeal or Systemic Assistance and Performance
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Body System
A
Physiological Systems
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Operation
1
Performance
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| Body System | Duration | Function | Qualifier |
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2
Cardiac
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0
Single
|
1
Output
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2
Manual
|
|
2
Cardiac
|
1
Intermittent
|
3
Pacing
|
Z
No Qualifier
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2
Cardiac
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2
Continuous
|
1
Output
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J
Automated
Z
No Qualifier
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2
Cardiac
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2
Continuous
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3
Pacing
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Z
No Qualifier
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5
Circulatory
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2
Continuous
A
Intraoperative
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2
Oxygenation
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F
Membrane, Central
G
Membrane, Peripheral Veno-arterial
H
Membrane, Peripheral Veno-venous
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9
Respiratory
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0
Single
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5
Ventilation
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4
Nonmechanical
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9
Respiratory
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3
Less than 24 Consecutive Hours
4
24-96 Consecutive Hours
5
Greater than 96 Consecutive Hours
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5
Ventilation
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Z
No Qualifier
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C
Biliary
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0
Single
6
Multiple
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0
Filtration
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Z
No Qualifier
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D
Urinary
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7
Intermittent, Less than 6 Hours Per Day
8
Prolonged Intermittent, 6-18 hours Per Day
9
Continuous, Greater than 18 hours Per Day
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0
Filtration
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Z
No Qualifier
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