ICD-10-PCS Procedure Codes in Group 00R
- 00R107Z Replacement of Cerebral Meninges with Autologous Tissue Substitute, Open Approach ICD-10-PCS Procedure Code
- 00R10JZ Replacement of Cerebral Meninges with Synthetic Substitute, Open Approach ICD-10-PCS Procedure Code
- 00R10KZ Replacement of Cerebral Meninges with Nonautologous Tissue Substitute, Open Approach ICD-10-PCS Procedure Code
- 00R147Z Replacement of Cerebral Meninges with Autologous Tissue Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00R14JZ Replacement of Cerebral Meninges with Synthetic Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00R14KZ Replacement of Cerebral Meninges with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00R207Z Replacement of Dura Mater with Autologous Tissue Substitute, Open Approach ICD-10-PCS Procedure Code
- 00R20JZ Replacement of Dura Mater with Synthetic Substitute, Open Approach ICD-10-PCS Procedure Code
- 00R20KZ Replacement of Dura Mater with Nonautologous Tissue Substitute, Open Approach ICD-10-PCS Procedure Code
- 00R247Z Replacement of Dura Mater with Autologous Tissue Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00R24JZ Replacement of Dura Mater with Synthetic Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00R24KZ Replacement of Dura Mater with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00R607Z Replacement of Cerebral Ventricle with Autologous Tissue Substitute, Open Approach ICD-10-PCS Procedure Code
- 00R60JZ Replacement of Cerebral Ventricle with Synthetic Substitute, Open Approach ICD-10-PCS Procedure Code
- 00R60KZ Replacement of Cerebral Ventricle with Nonautologous Tissue Substitute, Open Approach ICD-10-PCS Procedure Code
- 00R647Z Replacement of Cerebral Ventricle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00R64JZ Replacement of Cerebral Ventricle with Synthetic Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00R64KZ Replacement of Cerebral Ventricle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00RF07Z Replacement of Olfactory Nerve with Autologous Tissue Substitute, Open Approach ICD-10-PCS Procedure Code
- 00RF0JZ Replacement of Olfactory Nerve with Synthetic Substitute, Open Approach ICD-10-PCS Procedure Code
- 00RF0KZ Replacement of Olfactory Nerve with Nonautologous Tissue Substitute, Open Approach ICD-10-PCS Procedure Code
- 00RF47Z Replacement of Olfactory Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00RF4JZ Replacement of Olfactory Nerve with Synthetic Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00RF4KZ Replacement of Olfactory Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00RG07Z Replacement of Optic Nerve with Autologous Tissue Substitute, Open Approach ICD-10-PCS Procedure Code
- 00RG0JZ Replacement of Optic Nerve with Synthetic Substitute, Open Approach ICD-10-PCS Procedure Code
- 00RG0KZ Replacement of Optic Nerve with Nonautologous Tissue Substitute, Open Approach ICD-10-PCS Procedure Code
- 00RG47Z Replacement of Optic Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00RG4JZ Replacement of Optic Nerve with Synthetic Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00RG4KZ Replacement of Optic Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00RH07Z Replacement of Oculomotor Nerve with Autologous Tissue Substitute, Open Approach ICD-10-PCS Procedure Code
- 00RH0JZ Replacement of Oculomotor Nerve with Synthetic Substitute, Open Approach ICD-10-PCS Procedure Code
- 00RH0KZ Replacement of Oculomotor Nerve with Nonautologous Tissue Substitute, Open Approach ICD-10-PCS Procedure Code
- 00RH47Z Replacement of Oculomotor Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00RH4JZ Replacement of Oculomotor Nerve with Synthetic Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00RH4KZ Replacement of Oculomotor Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00RJ07Z Replacement of Trochlear Nerve with Autologous Tissue Substitute, Open Approach ICD-10-PCS Procedure Code
- 00RJ0JZ Replacement of Trochlear Nerve with Synthetic Substitute, Open Approach ICD-10-PCS Procedure Code
- 00RJ0KZ Replacement of Trochlear Nerve with Nonautologous Tissue Substitute, Open Approach ICD-10-PCS Procedure Code
- 00RJ47Z Replacement of Trochlear Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00RJ4JZ Replacement of Trochlear Nerve with Synthetic Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00RJ4KZ Replacement of Trochlear Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00RK07Z Replacement of Trigeminal Nerve with Autologous Tissue Substitute, Open Approach ICD-10-PCS Procedure Code
- 00RK0JZ Replacement of Trigeminal Nerve with Synthetic Substitute, Open Approach ICD-10-PCS Procedure Code
- 00RK0KZ Replacement of Trigeminal Nerve with Nonautologous Tissue Substitute, Open Approach ICD-10-PCS Procedure Code
- 00RK47Z Replacement of Trigeminal Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00RK4JZ Replacement of Trigeminal Nerve with Synthetic Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00RK4KZ Replacement of Trigeminal Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00RL07Z Replacement of Abducens Nerve with Autologous Tissue Substitute, Open Approach ICD-10-PCS Procedure Code
- 00RL0JZ Replacement of Abducens Nerve with Synthetic Substitute, Open Approach ICD-10-PCS Procedure Code
- 00RL0KZ Replacement of Abducens Nerve with Nonautologous Tissue Substitute, Open Approach ICD-10-PCS Procedure Code
- 00RL47Z Replacement of Abducens Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00RL4JZ Replacement of Abducens Nerve with Synthetic Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00RL4KZ Replacement of Abducens Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00RM07Z Replacement of Facial Nerve with Autologous Tissue Substitute, Open Approach ICD-10-PCS Procedure Code
- 00RM0JZ Replacement of Facial Nerve with Synthetic Substitute, Open Approach ICD-10-PCS Procedure Code
- 00RM0KZ Replacement of Facial Nerve with Nonautologous Tissue Substitute, Open Approach ICD-10-PCS Procedure Code
- 00RM47Z Replacement of Facial Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00RM4JZ Replacement of Facial Nerve with Synthetic Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00RM4KZ Replacement of Facial Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00RN07Z Replacement of Acoustic Nerve with Autologous Tissue Substitute, Open Approach ICD-10-PCS Procedure Code
- 00RN0JZ Replacement of Acoustic Nerve with Synthetic Substitute, Open Approach ICD-10-PCS Procedure Code
- 00RN0KZ Replacement of Acoustic Nerve with Nonautologous Tissue Substitute, Open Approach ICD-10-PCS Procedure Code
- 00RN47Z Replacement of Acoustic Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00RN4JZ Replacement of Acoustic Nerve with Synthetic Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00RN4KZ Replacement of Acoustic Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00RP07Z Replacement of Glossopharyngeal Nerve with Autologous Tissue Substitute, Open Approach ICD-10-PCS Procedure Code
- 00RP0JZ Replacement of Glossopharyngeal Nerve with Synthetic Substitute, Open Approach ICD-10-PCS Procedure Code
- 00RP0KZ Replacement of Glossopharyngeal Nerve with Nonautologous Tissue Substitute, Open Approach ICD-10-PCS Procedure Code
- 00RP47Z Replacement of Glossopharyngeal Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00RP4JZ Replacement of Glossopharyngeal Nerve with Synthetic Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00RP4KZ Replacement of Glossopharyngeal Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00RQ07Z Replacement of Vagus Nerve with Autologous Tissue Substitute, Open Approach ICD-10-PCS Procedure Code
- 00RQ0JZ Replacement of Vagus Nerve with Synthetic Substitute, Open Approach ICD-10-PCS Procedure Code
- 00RQ0KZ Replacement of Vagus Nerve with Nonautologous Tissue Substitute, Open Approach ICD-10-PCS Procedure Code
- 00RQ47Z Replacement of Vagus Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00RQ4JZ Replacement of Vagus Nerve with Synthetic Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00RQ4KZ Replacement of Vagus Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00RR07Z Replacement of Accessory Nerve with Autologous Tissue Substitute, Open Approach ICD-10-PCS Procedure Code
- 00RR0JZ Replacement of Accessory Nerve with Synthetic Substitute, Open Approach ICD-10-PCS Procedure Code
- 00RR0KZ Replacement of Accessory Nerve with Nonautologous Tissue Substitute, Open Approach ICD-10-PCS Procedure Code
- 00RR47Z Replacement of Accessory Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00RR4JZ Replacement of Accessory Nerve with Synthetic Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00RR4KZ Replacement of Accessory Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00RS07Z Replacement of Hypoglossal Nerve with Autologous Tissue Substitute, Open Approach ICD-10-PCS Procedure Code
- 00RS0JZ Replacement of Hypoglossal Nerve with Synthetic Substitute, Open Approach ICD-10-PCS Procedure Code
- 00RS0KZ Replacement of Hypoglossal Nerve with Nonautologous Tissue Substitute, Open Approach ICD-10-PCS Procedure Code
- 00RS47Z Replacement of Hypoglossal Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00RS4JZ Replacement of Hypoglossal Nerve with Synthetic Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00RS4KZ Replacement of Hypoglossal Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00RT07Z Replacement of Spinal Meninges with Autologous Tissue Substitute, Open Approach ICD-10-PCS Procedure Code
- 00RT0JZ Replacement of Spinal Meninges with Synthetic Substitute, Open Approach ICD-10-PCS Procedure Code
- 00RT0KZ Replacement of Spinal Meninges with Nonautologous Tissue Substitute, Open Approach ICD-10-PCS Procedure Code
- 00RT47Z Replacement of Spinal Meninges with Autologous Tissue Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00RT4JZ Replacement of Spinal Meninges with Synthetic Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 00RT4KZ Replacement of Spinal Meninges with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
ICD-10-PCS Procedure Codes - 0 Group
ICD-10-PCS Procedure Codes
The ICD-10 Procedure Coding System (ICD-10-PCS) is a system of medical classification used for procedural codes. The National Center for Health Statistics (NCHS) received permission from the World Health Organization (WHO), the body responsible for publishing the International Classification of Diseases to create the ICD-10-PCS as a successor to Volume 3 of ICD-9-CM and a clinical modification of the original ICD-10. The final draft was completed in 2000, but the system still has not been implemented, as the WHO has not yet set any anticipated implementation date at which to phase out ICD-9-CM.
The new procedure coding system uses 7 alpha or numeric digits while the ICD-9-CM coding system uses 3 or 4 numeric digits.The current system, International Classification of Diseases, 9th Edition, Clinical Modification (ICD-9-CM), does not provide the necessary detail on either patients' medical conditions or on procedures performed on hospitalized patients. ICD-9-CM is 30 years old, has outdated and obsolete terminology, uses outdated codes that produce inaccurate and limited data, and is inconsistent with current medical practice. It cannot accurately describe the diagnoses and inpatient procedures of care delivered in the 21st century.
Diagnostic Information is Not Included in Procedure Description
When procedures are performed for specific diseases or disorders, the disease or disorder is not contained in the procedure code. There are no codes for procedures exclusive to aneurysms, cleft lip, strictures, neoplasms, hernias, etc. The diagnosis codes, not the procedure codes, specify the disease or disorder.
Not Otherwise Specified (NOS) Options are Restricted
ICD-9-CM often provides a "not otherwise specified" code option. Certain NOS options made available in ICD-10-PCS are restricted to the uses laid out in the ICD-10-PCS draft guidelines. A minimal level of specificity is required for each component of the procedure.
Limited Use of Not Elsewhere Classified (NEC) Option
ICD-9-CM often provides a "not elsewhere classified" code option, but because all significant components of a procedure are specified in ICD-10-PCS, there is generally no need for an NEC code option. However, limited NEC options are incorporated into ICD-10-PCS where necessary. For example, new devices are frequently developed, and therefore it is necessary to provide an "Other Device" option for use until the new device can be explicitly added to the coding system. Additional NEC options are discussed later, in the sections of the system where they occur.
Level of Specificity
All procedures currently performed can be specified in ICD-10-PCS. The frequency with which a procedure is performed was not a consideration in the development of the system. Rather, a unique code is available for variations of a procedure that can be performed.
ICD-10-PCS has a seven character alphanumeric code structure. Each character contains up to 34 possible values. Each value represents a specific option for the general character definition (e.g., stomach is one of the values for the body part character). The ten digits 0-9 and the 24 letters A-H,J-N and P-Z may be used in each character. The letters O and I are not used in order to avoid confusion with the digits 0 and 1.
The second through seventh characters mean the same thing within each section, but may mean different things in other sec-tions.
In all sections, the third character specifies the general type of procedure per-formed (e.g., resection, transfusion, fluoroscopy), while the other characters give additional information such as the body part and approach. In ICD-10-PCS, the term "procedure" refers to the complete specification of the seven characters.
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