ICD-10-PCS Procedure Codes in Group 090
- 090007Z Alteration of Right External Ear with Autologous ICD-10-PCS Procedure Code
- 09000JZ Alteration of Right External Ear with Synthetic ICD-10-PCS Procedure Code
- 09000KZ Alteration of Right External Ear with Nonautologous ICD-10-PCS Procedure Code
- 09000ZZ Alteration of Right External Ear, Open Approach ICD-10-PCS Procedure Code
- 090037Z Alteration of Right External Ear with Autologous ICD-10-PCS Procedure Code
- 09003JZ Alteration of Right External Ear with Synthetic ICD-10-PCS Procedure Code
- 09003KZ Alteration of Right External Ear with Nonautologous ICD-10-PCS Procedure Code
- 09003ZZ Alteration of Right External Ear, Percutaneous Approach ICD-10-PCS Procedure Code
- 090047Z Alteration of Right External Ear with Autologous ICD-10-PCS Procedure Code
- 09004JZ Alteration of Right External Ear with Synthetic ICD-10-PCS Procedure Code
- 09004KZ Alteration of Right External Ear with Nonautologous ICD-10-PCS Procedure Code
- 09004ZZ Alteration of Right External Ear, Percutaneous Endoscopic ICD-10-PCS Procedure Code
- 0900X7Z Alteration of Right External Ear with Autologous ICD-10-PCS Procedure Code
- 0900XJZ Alteration of Right External Ear with Synthetic ICD-10-PCS Procedure Code
- 0900XKZ Alteration of Right External Ear with Nonautologous ICD-10-PCS Procedure Code
- 0900XZZ Alteration of Right External Ear, External Approach ICD-10-PCS Procedure Code
- 090107Z Alteration of Left External Ear with Autologous ICD-10-PCS Procedure Code
- 09010JZ Alteration of Left External Ear with Synthetic ICD-10-PCS Procedure Code
- 09010KZ Alteration of Left External Ear with Nonautologous ICD-10-PCS Procedure Code
- 09010ZZ Alteration of Left External Ear, Open Approach ICD-10-PCS Procedure Code
- 090137Z Alteration of Left External Ear with Autologous ICD-10-PCS Procedure Code
- 09013JZ Alteration of Left External Ear with Synthetic ICD-10-PCS Procedure Code
- 09013KZ Alteration of Left External Ear with Nonautologous ICD-10-PCS Procedure Code
- 09013ZZ Alteration of Left External Ear, Percutaneous Approach ICD-10-PCS Procedure Code
- 090147Z Alteration of Left External Ear with Autologous ICD-10-PCS Procedure Code
- 09014JZ Alteration of Left External Ear with Synthetic ICD-10-PCS Procedure Code
- 09014KZ Alteration of Left External Ear with Nonautologous ICD-10-PCS Procedure Code
- 09014ZZ Alteration of Left External Ear, Percutaneous Endoscopic ICD-10-PCS Procedure Code
- 0901X7Z Alteration of Left External Ear with Autologous ICD-10-PCS Procedure Code
- 0901XJZ Alteration of Left External Ear with Synthetic ICD-10-PCS Procedure Code
- 0901XKZ Alteration of Left External Ear with Nonautologous ICD-10-PCS Procedure Code
- 0901XZZ Alteration of Left External Ear, External Approach ICD-10-PCS Procedure Code
- 090207Z Alteration of Bilateral External Ear with Autologous ICD-10-PCS Procedure Code
- 09020JZ Alteration of Bilateral External Ear with Synthetic ICD-10-PCS Procedure Code
- 09020KZ Alteration of Bilateral External Ear with Nonautologous ICD-10-PCS Procedure Code
- 09020ZZ Alteration of Bilateral External Ear, Open Approach ICD-10-PCS Procedure Code
- 090237Z Alteration of Bilateral External Ear with Autologous ICD-10-PCS Procedure Code
- 09023JZ Alteration of Bilateral External Ear with Synthetic ICD-10-PCS Procedure Code
- 09023KZ Alteration of Bilateral External Ear with Nonautologous ICD-10-PCS Procedure Code
- 09023ZZ Alteration of Bilateral External Ear, Percutaneous Approach ICD-10-PCS Procedure Code
- 090247Z Alteration of Bilateral External Ear with Autologous ICD-10-PCS Procedure Code
- 09024JZ Alteration of Bilateral External Ear with Synthetic ICD-10-PCS Procedure Code
- 09024KZ Alteration of Bilateral External Ear with Nonautologous ICD-10-PCS Procedure Code
- 09024ZZ Alteration of Bilateral External Ear, Percutaneous Endoscopic ICD-10-PCS Procedure Code
- 0902X7Z Alteration of Bilateral External Ear with Autologous ICD-10-PCS Procedure Code
- 0902XJZ Alteration of Bilateral External Ear with Synthetic ICD-10-PCS Procedure Code
- 0902XKZ Alteration of Bilateral External Ear with Nonautologous ICD-10-PCS Procedure Code
- 0902XZZ Alteration of Bilateral External Ear, External Approach ICD-10-PCS Procedure Code
- 090K07Z Alteration of Nose with Autologous Tissue Substitute, ICD-10-PCS Procedure Code
- 090K0JZ Alteration of Nose with Synthetic Substitute, Open ICD-10-PCS Procedure Code
- 090K0KZ Alteration of Nose with Nonautologous Tissue Substitute, ICD-10-PCS Procedure Code
- 090K0ZZ Alteration of Nose, Open Approach ICD-10-PCS Procedure Code
- 090K37Z Alteration of Nose with Autologous Tissue Substitute, ICD-10-PCS Procedure Code
- 090K3JZ Alteration of Nose with Synthetic Substitute, Percutaneous ICD-10-PCS Procedure Code
- 090K3KZ Alteration of Nose with Nonautologous Tissue Substitute, ICD-10-PCS Procedure Code
- 090K3ZZ Alteration of Nose, Percutaneous Approach ICD-10-PCS Procedure Code
- 090K47Z Alteration of Nose with Autologous Tissue Substitute, ICD-10-PCS Procedure Code
- 090K4JZ Alteration of Nose with Synthetic Substitute, Percutaneous ICD-10-PCS Procedure Code
- 090K4KZ Alteration of Nose with Nonautologous Tissue Substitute, ICD-10-PCS Procedure Code
- 090K4ZZ Alteration of Nose, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 090KX7Z Alteration of Nose with Autologous Tissue Substitute, ICD-10-PCS Procedure Code
- 090KXJZ Alteration of Nose with Synthetic Substitute, External ICD-10-PCS Procedure Code
- 090KXKZ Alteration of Nose with Nonautologous Tissue Substitute, ICD-10-PCS Procedure Code
- 090KXZZ Alteration of Nose, External 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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