AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2026 Issue 1; Clarifications and Corrections
Clarification: Interbody Fusion New Technology Device Value
Please clarify the revision to the descriptor of device value “R” in table XRG, New Technology Fusion of Joints, from “Interbody fusion device, customizable” to “Interbody fusion device, custom-made anatomically designed.” We are confused regarding how to appropriately identify when device value “R” should be reported. What is the appropriate use of device value “R” in table XRG? ...
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Article Overview
This article explains a terminology revision involving a device value in ICD-10-PCS new technology fusion of joints. It is relevant to inpatient coders, coding educators, and compliance staff who need to track updates to device values and understand the scope of the change over time. The article focuses on the reason for the descriptor update, the affected table, and the effective dates tied to the terminology change.
Why This Topic Matters
Accurate understanding of descriptor updates helps coding teams apply the correct device value terminology consistently across the relevant discharge dates and avoid confusion when reviewing new technology fusion cases.
Article Sections
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Clarification of device value R in table XRG
Explains the scope of the clarification and the context for a device value used in new technology fusion coding. It addresses the terminology update and the general purpose of the device value.
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Effective date change and descriptor update
Summarizes the timeline for the original descriptor and the later revision. It notes that the change was made to reduce confusion with related terminology.
What You Will Learn
- The purpose of the clarification notice
- The type of ICD-10-PCS table affected by the update
- How the terminology for the device value changed over time
- The effective dates associated with the descriptor revision
Who Should Read This
- Inpatient coders
- Coding auditors
- Compliance staff
- Health information management professionals
- Coding educators
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