Percutaneous procedure classification
The classification of percutaneous procedures depends on the context—clinical (e.g., cardiovascular, neuro, musculoskeletal), procedural goal (diagnostic or therapeutic), or coding systems (e.g., ICD-10-PCS, CPT, SNOMED CT).
1. By Clinical Area Here’s a general classification by specialty:
Cardiology Percutaneous Coronary Intervention (PCI) – e.g., angioplasty, stent placement.
Percutaneous valvuloplasty – e.g., for mitral or aortic stenosis.
Percutaneous closure procedures – e.g., ASD, PFO closure.
Interventional Radiology Percutaneous biopsy – e.g., liver, kidney, bone.
Percutaneous drainage – e.g., abscesses, pleural effusions.
Percutaneous nephrostomy
Percutaneous ablation – e.g., radiofrequency or cryoablation of tumors.
Urology Percutaneous nephrolithotomy (PCNL)
Percutaneous insertion of ureteral stents
Orthopedics Percutaneous pinning of fractures
Percutaneous tendon release or repair
2. By Purpose Diagnostic
Percutaneous needle biopsy
Percutaneous aspiration (e.g., of cysts or fluids)
Therapeutic
Percutaneous catheter drainage
Percutaneous tumor ablation
Percutaneous implantation (e.g., pacemaker leads, spinal cord stimulator electrodes)
3. By Coding (ICD-10-PCS Example) In ICD-10-PCS, percutaneous procedures are defined by:
Approach: “3” = Percutaneous (via skin or mucous membrane, using instrumentation)
For example:
02703ZZ: Dilation of Coronary Artery, One Artery, Percutaneous Approach
0JH60XZ: Insertion of infusion device into subcutaneous tissue, percutaneous approach
Neurosurgery/Spine
Percutaneous vertebroplasty/kyphoplasty
Percutaneous rhizotomy or cordotomy
Percutaneous disc decompression