AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 4
Changes to the ICD-10-PCS Official Guidelines for Coding and Reporting
Effective October 1, 2016, there are changes to the ICD-10-PCS Official Guidelines for Coding and Reporting. The complete set of guidelines are not shown in their entirety; only those guidelines that have been added or modified are included below. The complete guidelines may be downloaded by visiting https://www.cms.gov/Medicare/Coding/ICD10/2017-ICD-10-PCS-and-GEMs.html. The modifications are published below using the following format: Narrative changes appear in bold text (e.g., arteries)Items underlined have been moved within the guidelines since October 1, 2016 (e.g., artery sites)Deletions are shown as strikeouts (e.g., artery sites) B2.1a The procedure codes in the...
Subscribe or sign in to view the full article.
Article Overview
This premium update reviews changes to the ICD-10-PCS Official Guidelines for Coding and Reporting that became effective October 1, 2016. It is intended for coding professionals who need to track revisions to the PCS guidance and understand how the guideline language was modified across several sections. The article focuses on guideline text changes, movement of language, and revised examples within the ICD-10-PCS framework.
Why This Topic Matters
Keeping current with official ICD-10-PCS guideline updates is important for accurate inpatient procedure coding and consistent application of PCS rules. This article helps readers identify which guideline areas changed and where updated wording may affect coding workflows and education.
Article Sections
-
Introduction
Explains that the article presents selected changes to the ICD-10-PCS Official Guidelines for Coding and Reporting effective October 1, 2016. It also notes the format used to present additions, movements, and deletions in the guideline text.
-
B2.1a
Covers updates related to general anatomical regions and the circumstances under which procedure codes in those body systems are applied. Includes broad examples tied to anatomical region reporting.
-
B3.1b / B3.2 / B3.4a
Summarizes guideline edits addressing how procedures are reported when the same root operation involves different or multiple body parts. Also includes related example language for diagnostic and specimen-related procedures.
-
B3.6b / B3.6c
Addresses revisions involving coronary artery classification and bypass-related coding guidance. The section discusses how the guideline language was updated for coronary artery sites and related procedure distinctions.
-
B3.7
Reviews updated guidance for the root operation Control and the circumstances in which other definitive root operations are used instead. Includes a broad example involving postprocedural bleeding.
-
B3.9
Covers guidance related to autografts obtained from a different procedure site to complete a procedure objective.
-
B4.2
Explains updates about body part selection when a specific branch does not have its own PCS body part value. The section also references how cardiovascular body systems may be handled in certain situations.
-
B4.4
Summarizes revisions concerning coronary artery body part classification and reporting of procedures on multiple sites. The section includes example language illustrating the updated terminology.
What You Will Learn
- How the article presents selected ICD-10-PCS guideline changes effective October 1, 2016
- Which guideline sections were revised or clarified
- How the update organizes modifications, moved text, and deletions
- The general subjects addressed in the revised PCS guidance
- Which areas of ICD-10-PCS procedure reporting are discussed in the update
Who Should Read This
- Inpatient coding professionals
- Coding educators and auditors
- Clinical documentation and coding compliance staff
- Health information management professionals
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com