New ICD-10-PCS Codes Effective August 01, 2020

In response to the COVID-19 pandemic, the Centers for Medicare & Medicaid Services (CMS) is implementing 12 new procedure codes to describe the introduction or infusion of therapeutics, including remdesivir and convalescent plasma, into the International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS), effective August 01, 2020.The Code Tables, Index and related Addenda files for the 12 new procedure codes are available at: https://www.cms.gov/Medicare/Coding/ICD10/2020-ICD-10-PCS.The following questions and answers below represent a selection of questions that were initially jointly developed and approved by the American Hospital Association’s Central Office on ICD-10-CM/PCS, the American...

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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 article explains a set of ICD-10-PCS updates implemented by CMS in response to the COVID-19 pandemic. It summarizes interim guidance developed with national coding organizations and discusses the general topic of new procedure code availability for inpatient hospital use. The piece is useful for hospital coding staff, CDI professionals, and compliance teams who need to know what the update covers and why it became effective on a specific date.

Why This Topic Matters

Coding teams need to track ICD-10-PCS changes tied to pandemic-related inpatient treatment so records can be coded consistently and in line with current federal guidance. This article helps readers quickly identify that the update is about new procedure code additions and the organizations associated with the guidance.

What You Will Learn

  • What the article is about at a high level
  • Which organizations were involved in developing the guidance
  • The general category of ICD-10-PCS update discussed
  • The effective date framework for the new procedure code release

Who Should Read This

  • Hospital inpatient coders
  • Health information management professionals
  • Clinical documentation integrity specialists
  • Compliance staff
  • Revenue cycle teams

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