In the Administration Section, Table 302, Circulatory Body System, Transfusion, the approach value 0 Open, has been deleted for body systems 3 Peripheral Vein, 4 Central Vein and 8 Vein. The open approach is considered clinically invalid because a cutdown for venous access is classified as a percutaneous approach. This change results in the deletion of 87 codes.
Nonautologous Pathogen Reduced Cryoprecipitated Fibrinogen Complex
In Table 302, Circulatory Body System, Transfusion, new substance value D Pathogen Reduced Cryoprecipitated Fibrinogen Complex, was created to identify this service as shown below.
|3 Peripheral Vein
4 Central Vein
|3 Percutaneous||D Pathogen Reduced Cryoprecipitated Fibrinogen Complex||1 Nonautologous|
Pathogen reduced cryoprecipitated fibrinogen complex (PRCFC) is a highly processed, pathogen reduced product used to treat fibrinogen deficiency-related bleeding, including massive hemorrhage. PRCFC contains a concentrated source of fibrinogen and other clotting factors including factor XIII and von Willebrand factor (vWF) which are necessary to achieve stable clot formation and restore hemostasis. PRCFC is produced from plasma treated by the INTERCEPT® Blood System to inactivate pathogens allowing for a longer shelf life than traditional cryoprecipitate.
Antineoplastic Monoclonal Antibody
In code Table 3E0, Physiological Systems and Anatomical Regions, Introduction, the code titles for codes that include the qualifier value M Monoclonal Antibody, were revised so that the code titles also include the sixth character substance value 0 Antineoplastic. This change resulted in the revision of the code title for 62 codes without an actual change in the ICD-10-PCS code itself. The change was requested for clarification purposes only, to assist coders with appropriate code assignment. For example, the code narrative was revised as follows:
From: 3E0400M Introduction of monoclonal antibody into central vein, open approach
To: 3E0400M Introduction of antineoplastic, monoclonal antibody, into central vein,
Laparoscopic Irrigation of Peritoneal Cavity
In code Table 3E1, Physiological Systems and Anatomical Regions, Irrigation, approach value 4 Percutaneous Endoscopic, was added to body part value M Peritoneal Cavity. This change allows the identification of procedures such as laparoscopic irrigation of the peritoneal cavity, for therapeutic or diagnostic purposes.
|M Peritoneal Cavity||4 Percutaneous Endoscopic||8 Irrigating Substance||X Diagnostic
Z No Qualifier