AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2019 Issue 4; ICD-10-PCS NEW/REVISED CODES
Intramedullary Limb Lengthening Internal Fixation Device
The device value 7 Internal Fixation Device, Intramedullary Limb Lengthening was added to the following tables: 0PH Upper Bones, Insertion Body PartDeviceF Humeral Shaft, Right G Humeral Shaft, Left 7 Internal Fixation Device, Intramedullary Limb Lengthening 0QH Lower Bones, Insertion Body PartDevice8 Femoral Shaft, Right 9 Femoral Shaft, Left 7 Internal Fixation Device, Intramedullary Limb Lengthening G Tibia, Right H Tibia, Left 7 Internal Fixation Device, Intramedullary Limb Lengthening An example of this type of system is the PRECICE® Intramedullary Limb Lengthening (IMLL) System which is composed of the PRECICE® nail, locking screws, end cap, surgical instruments, and an...
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Article Overview
This premium coding update covers a specific ICD-10-PCS device value addition for intramedullary limb lengthening internal fixation devices. It is relevant to inpatient coding professionals, CDI staff, and facility coders working with orthopedic implant procedures, especially those involving limb lengthening systems and device removal coding concepts. The article also situates the update within the applicable insertion tables and references a representative commercial system used for this type of procedure.
Why This Topic Matters
Understanding this update helps coders and billing teams recognize how intramedullary limb lengthening procedures are represented in ICD-10-PCS and how related device terminology is organized in the procedure tables. It supports consistent coding for orthopedic implant procedures and associated device removal.
Article Sections
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ICD-10-PCS table update
The article introduces a device-value change and shows where it was added within the relevant insertion tables for upper and lower bones.
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Example system and procedural context
This section describes an example limb lengthening system and outlines its general components and purpose in orthopedic care.
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Removal coding note
The article closes with a brief note about how removal of the device is represented in the coding framework.
What You Will Learn
- How the device-value update is positioned within the procedure tables
- What general type of orthopedic system is used as an example
- How the article frames the related removal concept at a high level
- Which bone groups are referenced in the context of the update
Who Should Read This
- Inpatient coders
- Facility coding staff
- Clinical documentation integrity specialists
- Orthopedic billing and coding professionals
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