2017 ICD-10- PCS Updates
By Bonnie Schreck
July 06, 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.
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:
The addition of specific anatomical sites to the aortic artery, which include:
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.
New codes have been added for perfusion. These codes are for donor organs in which fluid is pumped through them to preserve the organ.
New Technology Codes
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.
Two or more vertebra:
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.
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.
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.
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
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