Changes to the ICD-10-PCS Official Guidelines for Coding and Reporting

A summary of the modifications ICD-10-PCS Official Guidelines for Coding and Reporting is included below. The complete guidelines may be downloaded by visiting https://www.cms.gov/Medicare/Coding/ICD10/2018-ICD-10-PCS-and-GEMs.html. The modifications are published below using the following format: Narrative changes appear in bold text (e.g., a more definitive root operation) Items underlined have been moved within the guidelines since October 1, 2017 (e.g., control of acute bleeding) Deletions are shown as strikeouts (e.g., any of the definitive root operations) B3. Root Operation . . . Discontinued or incomplete procedures B3.3 If the intended procedure is discontinued or otherwise not completed...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This page reviews updates to the ICD-10-PCS Official Guidelines for Coding and Reporting and highlights where the guidance was modified. It is useful for coding professionals, auditors, and compliance staff who need to stay current with ICD-10-PCS guideline revisions and understand the general areas affected by the update. The article covers broad guideline topics such as root operation concepts, body part selection, and device-related guidance.

Why This Topic Matters

ICD-10-PCS guideline changes can affect how inpatient procedures are interpreted and reported. Reviewing the update helps users identify what parts of the official guidance changed and determine whether the revision is relevant to coding workflow, education, or policy review.

Article Sections

  1. Modifications and formatting legend

    Explains the format used to present the guideline updates, including how narrative changes, moved items, and deletions are indicated.

  2. B3. Root Operation

    Covers updates within the root operation guideline area, including guidance for discontinued or incomplete procedures and treatment of control-related scenarios.

  3. B4. Body Part

    Summarizes changes related to body part selection and anatomical site interpretation for procedures involving continuous sections of a tubular body part.

  4. B6. Device

    Addresses device-related guidance, including when a device is coded and references to limited root operation qualifier values.

What You Will Learn

  • How the guideline changes are organized and presented
  • Which ICD-10-PCS guideline areas were revised
  • What general topics are addressed in root operation, body part, and device guidance
  • How the update is structured for review by coding professionals

Who Should Read This

  • Inpatient coders
  • Coding auditors
  • Clinical documentation improvement specialists
  • Compliance staff
  • Coding educators

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