Kcentra is a prothrombin complex concentrate used to reverse the effects of certain blood-thinning medications. When coding for procedures involving Kcentra, it is important for coders to understand the ICD-10-PCS codes and guidelines. In this guide, we will discuss the ICD-10-PCS coding guidelines for Kcentra, including its definition, indications, and coding examples.
Definition:
Kcentra is a prothrombin complex concentrate containing factors II, VII, IX, and X, as well as proteins C and S. It is used to reverse the effects of certain blood-thinning medications, such as warfarin, in patients who are at risk of bleeding or who require emergency surgery or invasive procedures.
Indications:
Kcentra is indicated for the urgent reversal of vitamin K antagonist (VKA) therapy in adult patients with acute major bleeding or the need for urgent surgery or invasive procedures. It is not intended for prophylaxis or routine use in patients without bleeding or a need for urgent surgery or invasive procedures.
ICD-10-PCS Coding Guidelines:
When coding for procedures involving Kcentra, the following guidelines should be followed:
- Identify the root operation: The root operation for procedures involving Kcentra is Administration, which involves putting in or on a therapeutic, diagnostic, nutritional, physiological, or prophylactic substance.
- Select the appropriate body part: The body part value for procedures involving Kcentra will depend on the location of the injection or infusion.
- Select the appropriate approach: The approach value for procedures involving Kcentra will depend on the method of administration, such as intravenous (IV) injection, intravenous (IV) infusion, or subcutaneous injection.
- Select the appropriate device: The device value for procedures involving Kcentra will depend on the type of equipment used for the administration, such as a needle, catheter, or infusion pump.
Examples of Kcentra ICD-10-PCS Codes:
- A patient with acute major bleeding due to warfarin therapy requires an IV injection of Kcentra.
Code: 3E0H7JG (Administration, Peripheral Vein, Medication, Kcentra, Intravenous)
- A patient who is on warfarin therapy requires an urgent surgery, and Kcentra is administered via an IV infusion during the procedure.
Code: 3E023FJ (Administration, Central Vein, Medication, Kcentra, Continuous Infusion)
- A patient on warfarin therapy requires a subcutaneous injection of Kcentra to prevent excessive bleeding during a dental procedure.
Code: 3E0431J (Administration, Subcutaneous Tissue and Fascia, Medication, Kcentra)
Conclusion:
Kcentra is a prothrombin complex concentrate used to reverse the effects of certain blood-thinning medications. When coding for procedures involving Kcentra, it is important to follow the ICD-10-PCS coding guidelines, which involve identifying the root operation, selecting the appropriate body part, approach, and device values. Accurate coding of procedures involving Kcentra is essential for proper medical billing and coding, and understanding the ICD-10-PCS codes and guidelines is crucial for accurate coding.