2017 ICD-10- PCS Updates

by 
June 27th, 2016

The final version of the 2017 ICD-10- PCS codes has been released by the Center for Medicare and Medicaid Services. Beginning on October 1, 2016, the first day of the federal fiscal year, the use of these codes will become mandatory for hospital inpatient services.

The updates for the 2017 ICD-10- PCS codes include 3,827 new codes, 491 revised [titles] codes and 12 deleted codes. In all, there will be 75,789 codes for FY2017 compared to 71,974 codes for FY2016.

Some of the other changes include the revision of root operation definitions Control and Creation in the Medical and Surgical section, the addition of the root operation Perfusion in the Extracorporeal Therapies and the revision of the ICD-10- PCS Official Coding Guidelines in response to public comment and internal review.

ICD-10- PCS Definition Updates

For the definition of the root operation ‘Control’, the previous Definition and Includes/Examples were:

The new Definition and Includes/Examples for 2017 are:

The definition of the new root operation ‘Perfusion’ is:

ICD-10- PCS Code Updates

A majority of the additions, revisions and deletions are in the Cardiovascular specialty. Some examples of these updates include the following:

Aortic Artery

The addition of specific anatomical sites to the aortic artery, which include:

Artery Bypass

For artery bypasses, pulmonary artery codes have been added:

Also added are codes for pulmonary vein bypasses:

Also, the code description for coronary artery bypasses has been revised to read ‘arteries’ instead of ‘sites’.

Measurement and Monitoring

Indocyanine green (ICG) is a cyanine dye used in medical diagnostics. It is used for determining cardiac output, hepatic function and liver blood flow, and ophthalmic angiography In the Measurement and Monitoring section, indocyanine green dye has been added as a 7th character qualifier.

Example:

Perfusion

New codes have been added for perfusion. These codes are for donor organs in which fluid is pumped through them to preserve the organ.

Examples:

New Technology Codes

Spinal Fusions

For spinal fusions, codes have been added for nanotextured surface interbody fusion devices. These devices have an increased amount of nano-scaled textures to a currently-available device to create a statistically significant greater amount of the osteogenic and angiogenic growth factors that are critical for bone growth and fusion.

Examples:

One vertebra:

Two or more vertebra:

Growth Rods

Magnetically-controlled growth rods have been added as a 6th character Device/Substance/New/Technology. a non-invasive treatment for children with early onset scoliosis. After the initial procedure to implant the rod, doctors use an external remote control outside of the body to lengthen the magnetically controlled rod as a child grows.

Examples:

Uridine Triacitate

Urinadine triacetate, also known under the Brand name Vistogard, is emergency treatment for adults and children who receive an overdose of the cancer treatment fluorouracil or capecitabine, or who develop certain severe or life-threatening toxicities within four days of receiving these cancer treatments.

Example:

Porcine Liver Skin Substitute

Porcine (pig) liver skin grafts are used to treat patients who are recovering from serious burns. This type of graft has the potential to extend the life of the graft to allow for healing of the burn.

Example:

For more information on 2017 ICD-10- PCS updates, visit the CMS website at: https://www.cms.gov/Medicare/Coding/ICD10/2017-ICD- 10-PCS- and-GEMs.html

2017 ICD-10- PCS Updates. (2016, June 27). Find-A-Code Articles. Retrieved from https://www.findacode.com/articles/2017-icd-10-pcs-updates-29621.html

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