(see: The IABP is not considered a device because it is controlled by the console while the Impella® has an internal motor. The Impella® device functions independently of how forceful the heart beats.The IABP works by using the force of each heartbeat to increase blood flow and is attached to a computer console.The major difference between the two devices is this: Both devices push blood from the left ventricle to the aorta with each heartbeat. The Impella® and IABP are two medical devices used to assist the heart pump to pump blood. So, why is the IABP not a device if it is left in the body after surgery? First Quarter 2017 was referring to External Heart Assisted Devices, more specifically the Impella® device. This may still seem a little confusing due to the fact that the ICD-10-PCS definition of a device states: A device is coded only if a device remains after the procedure is completed. Since an IABP is not considered a device under ICD-10-PCS, it is also not appropriate to report the root operations “insertion” and/or “removal.”.Additionally, from a coding perspective, the IABP is not classified as a device, nor coded as a device in ICD-10-PCS.Guidance for external heart assist devices do not apply to the placement or removal of intra-aortic balloon pumps therefore, it is not appropriate to report an IABP with the device value “external heart assist device.”.10, coding specialists were instructed that: Information was originally published in Coding Clinic Third Quarter 2013. 3, has provided clarification and further advice about the coding of an IABP. The AHA Coding Clinic for ICD-10-CM and ICD-10-PCS, Second Quarter 2018, pg.
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