HCPro, JustCoding Inpatient - 2017 Issue 36 (September)
IPPS final rule: Prepare for 2018 ICD-10-PCS code updates
September 5th, 2017
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Article Overview
This article reviews the FY 2018 IPPS final rule with emphasis on ICD-10-PCS updates. It is aimed at inpatient coders, HIM professionals, CDI staff, and reimbursement-focused healthcare teams who need to understand the scope of annual PCS changes and related guideline updates. The discussion covers broad categories of coding guidance, new table content, and changes that may affect inpatient coding workflow and DRG-related operations.
Why This Topic Matters
Annual ICD-10-PCS updates can affect inpatient code assignment, case classification, and operational readiness across hospitals. Understanding the scope of the rule helps coding and CDI teams prepare for effective-date changes and system updates.
Article Sections
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Official guidelines
Discusses updates to the ICD-10-PCS Official Guidelines for Coding and Reporting for FY 2018. Covers general areas of guideline clarification and revision.
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Other devices
Summarizes the expansion of device-character options across multiple ICD-10-PCS tables. Explains the broader table-maintenance impact of the new device category.
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New tables for Replacement
Introduces newly added Replacement tables for several body systems. Provides a high-level view of the affected anatomical categories.
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Additions to other tables
Reviews additional FY 2018 changes across selected ICD-10-PCS tables. Covers newly added body-part, approach, device, and qualifier options at a general level.
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Summary
Recaps the article’s main focus and points readers to additional rule-related resources. Notes the effective date and availability of the broader CMS code-change list.
What You Will Learn
- How the FY 2018 IPPS final rule affects ICD-10-PCS
- What kinds of guideline updates were made for inpatient procedure coding
- Why device-character changes required table updates across multiple areas
- Which general table categories received new or revised entries
- Where to find additional CMS resources related to the annual code updates
Who Should Read This
- Inpatient coders
- HIM professionals
- Clinical documentation improvement specialists
- Coding managers
- Revenue cycle and reimbursement teams
Codes Discussed
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