AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2025 Issue 4; ICD-10-PCS New/Revised Codes Section 0 – Medical and Surgical
Stereotactic-aided Intraprocedural Neuronavigation System
In table 00H, Insertion of Central Nervous System and Cranial Nerves, qualifier value J Temporary was added to body part value 0 Brain, applied to device value 3 Infusion Device and the percutaneous approach. This addition to the classification captures the targeted delivery of therapeutics to the brain via a temporary infusion device.Body Part Approach Device Qualifier 0 Brain 3 Percutaneous 3 Infusion Device J Temporary For example, this technique is used when eladocagene exuparvovec-tneq is administered to the putamen region of the brain via the SmartFlow® Neuro Cannula to restore dopamine in patients who lack the aromatic-L-amino...
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Article Overview
This article covers a recent ICD-10-PCS classification update affecting targeted brain infusion procedures and the use of stereotactic or MRI-based intraprocedural neuronavigation. It is intended for coding and reimbursement professionals who need to understand how the change fits within procedure reporting for CNS-related interventions and associated technology.
Why This Topic Matters
The article helps readers recognize a classification change tied to a specialized neurologic delivery technique and understand the broader coding context for reporting supportive navigation technology.
Article Sections
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ICD-10-PCS table update
Introduces a change in the procedure classification structure for a CNS-related insertion table and the general context for the new qualifier.
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Clinical context and example
Describes a neurologic infusion scenario involving a targeted delivery method and a stereotactic neuronavigation workflow used in a specialized brain procedure.
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Computer-assisted procedure reporting
Notes the procedure reporting concept associated with use of an intraprocedural neuronavigation system in head and neck imaging-assisted guidance.
What You Will Learn
- How an ICD-10-PCS table was updated for a brain-related insertion procedure
- The general clinical setting for targeted therapeutic delivery to the brain
- The broader reporting context for intraprocedural neuronavigation systems
- How imaging-assisted computer navigation is discussed in relation to procedure reporting
Who Should Read This
- Inpatient coders
- Coding auditors
- Clinical documentation improvement specialists
- Reimbursement professionals
- Health information management staff
Codes Discussed
Code Ranges Discussed
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