HCPro, JustCoding Inpatient - 2017 Issue 38 (September)
IPPS final rule: Prepare for the various 2018 ICD-10-PCS code updates for short-term devices
September 19th, 2017
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Article Overview
This article reviews ICD-10-PCS changes published in CMS’s FY 2018 IPPS final rule. It is aimed at inpatient coders, CDI specialists, and other revenue cycle professionals who need a broad view of table updates, additions, deletions, and revisions affecting procedure coding and downstream reimbursement-related impacts. The discussion covers the new short-term device character, newly created and revised tables, and updates across several medical/surgical body systems.
Why This Topic Matters
CMS’s annual ICD-10-PCS updates can affect procedure coding accuracy, DRG assignment, and related operational workflows. Understanding the scope of these changes helps coding and CDI teams prepare for implementation and review affected tables before the effective date.
Article Sections
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Short-term device
Discusses the new short-term device-related update and its place within the broader set of ICD-10-PCS changes. The section frames the update in the context of procedure coding and system maintenance.
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Newly created tables
Summarizes newly added ICD-10-PCS tables and the general body systems they affect. The section highlights that multiple table structures were introduced or expanded during the update cycle.
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Additions to Tables 02N through 09U
Reviews a series of table updates affecting cardiovascular, vascular, lymphatic, respiratory, ear/nose/sinus, and related procedures. The section focuses on broad categories of body part, approach, qualifier, and device changes.
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Additions to Tables 0B5 through 0WC
Covers additional ICD-10-PCS table revisions across respiratory, digestive, hepatobiliary/pancreatic, endocrine, musculoskeletal, female reproductive, and general anatomical region procedures. The section provides a broad view of how the annual update changed multiple procedure tables.
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Summary
Notes the availability of the full CMS change list and references the effective date and publication timing. This section serves as the article wrap-up and implementation reminder.
What You Will Learn
- How the 2018 IPPS final rule affected ICD-10-PCS procedure tables
- What broad categories of table changes were introduced for the year
- Which body systems were impacted by the update cycle
- How annual ICD-10-PCS changes can affect coding and DRG workflows
- Where to find the CMS source materials referenced by the article
Who Should Read This
- Inpatient coders
- CDI specialists
- Coding managers
- HIM professionals
- Revenue cycle teams
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