AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2018 Issue 4; Added and Revised Device Values
Joint Fusion Device Value
The device value “Z, No device” was deleted from the following tables: 0RG Fusion of Upper Joints 0SG Fusion of Lower Joints This results in the deletion of 213 codes. The codes were clinically invalid because a fusion procedure always requires some type of device (for example, instrumentation with bone graft or bone graft alone) to facilitate the fusion of the joints. ...
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Article Overview
This coding update discusses a change to ICD-10-PCS fusion tables and the resulting impact on code availability. It also addresses documentation concerns for fusion procedures when the device used to accomplish the procedure is not specified. The article is relevant to inpatient coding professionals, CDI teams, and facility staff who work with procedure documentation and code selection.
Why This Topic Matters
Updates to ICD-10-PCS structure can affect code validity, query practices, and documentation workflow for fusion procedures. Understanding the scope of the change helps coding and clinical documentation teams maintain accurate reporting.
What You Will Learn
- What change was made to the ICD-10-PCS fusion tables
- Why the change affected code availability
- How unspecified fusion device documentation is handled at a high level
- Why documentation improvement is important for fusion procedures
Who Should Read This
- Inpatient hospital coders
- Clinical documentation integrity specialists
- Health information management staff
- Physician documentation improvement teams
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