AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2022 Issue 4; New/Revised ICD-10-PCS Codes Section X – New Technology
Internal Fixation Device with Tulip Connector
“Insertion” has been added to the body system, Bones, to create table XNH, Insertion of Bones, to capture insertion of an internal fixation device with tulip connector into the ilium for pelvic fixation and as an adjunct to sacroiliac joint fusion for the treatment of spinal instabilities or deformities.Section: X New Technology Body System: N Bones Operation: H Insertion Body Part Approach Device/Substance/Technology Qualifier 6 Pelvic Bone, Right 7 Pelvic Bone, Left 0 Open 3 Percutaneous 5 Internal Fixation Device with Tulip Connector 8 New Technology Group 8 At table XRG, Fusion of Joints, body part values...
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Article Overview
This article covers an ICD-10-PCS new technology update involving table changes for bone insertion and joint fusion procedures. It is relevant to coding professionals who track PCS table revisions, device/technology additions, and reporting of spinal and pelvic fixation-related procedures. The article focuses on the affected tables, body part values, approaches, and technology group assignments in a non-clinical update context.
Why This Topic Matters
Updates to ICD-10-PCS tables can affect how procedures are captured in inpatient coding systems. Understanding these changes helps coders and CDI teams stay aligned with current PCS structure and reporting options for relevant fixation and fusion procedures.
Article Sections
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X New Technology
Introduces the new technology update and the affected ICD-10-PCS table structures. The section outlines the body system, operation, body part, approach, device/technology, and qualifier fields associated with the change.
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XRG, Fusion of Joints
Describes the updated joint fusion table entries tied to the new technology addition. The section presents the affected body part values and related table field structure.
What You Will Learn
- Which ICD-10-PCS table structures were updated
- Which general procedure categories are affected by the update
- How the article organizes the new technology and fusion table changes
- Which body parts and approaches are implicated in the table revisions
- How the update is framed for reporting and tracking purposes
Who Should Read This
- ICD-10-PCS coders
- Inpatient coding staff
- Clinical documentation improvement professionals
- Coding educators
- Health information management professionals
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