ICD-10-PCS Procedure Codes in Group 0DR
- 0DR507Z Replacement of Esophagus with Autologous Tissue Substitute, ICD-10-PCS Procedure Code
- 0DR50JZ Replacement of Esophagus with Synthetic Substitute, Open ICD-10-PCS Procedure Code
- 0DR50KZ Replacement of Esophagus with Nonautologous Tissue Substitute, ICD-10-PCS Procedure Code
- 0DR547Z Replacement of Esophagus with Autologous Tissue Substitute, ICD-10-PCS Procedure Code
- 0DR54JZ Replacement of Esophagus with Synthetic Substitute, Percutaneous ICD-10-PCS Procedure Code
- 0DR54KZ Replacement of Esophagus with Nonautologous Tissue Substitute, ICD-10-PCS Procedure Code
- 0DR577Z Replacement of Esophagus with Autologous Tissue Substitute, ICD-10-PCS Procedure Code
- 0DR57JZ Replacement of Esophagus with Synthetic Substitute, Via ICD-10-PCS Procedure Code
- 0DR57KZ Replacement of Esophagus with Nonautologous Tissue Substitute, ICD-10-PCS Procedure Code
- 0DR587Z Replacement of Esophagus with Autologous Tissue Substitute, ICD-10-PCS Procedure Code
- 0DR58JZ Replacement of Esophagus with Synthetic Substitute, Via ICD-10-PCS Procedure Code
- 0DR58KZ Replacement of Esophagus with Nonautologous Tissue Substitute, ICD-10-PCS Procedure Code
- 0DRR07Z Replacement of Anal Sphincter with Autologous Tissue ICD-10-PCS Procedure Code
- 0DRR0JZ Replacement of Anal Sphincter with Synthetic Substitute, ICD-10-PCS Procedure Code
- 0DRR0KZ Replacement of Anal Sphincter with Nonautologous Tissue ICD-10-PCS Procedure Code
- 0DRR47Z Replacement of Anal Sphincter with Autologous Tissue ICD-10-PCS Procedure Code
- 0DRR4JZ Replacement of Anal Sphincter with Synthetic Substitute, ICD-10-PCS Procedure Code
- 0DRR4KZ Replacement of Anal Sphincter with Nonautologous Tissue ICD-10-PCS Procedure Code
- 0DRS07Z Replacement of Greater Omentum with Autologous Tissue ICD-10-PCS Procedure Code
- 0DRS0JZ Replacement of Greater Omentum with Synthetic Substitute, ICD-10-PCS Procedure Code
- 0DRS0KZ Replacement of Greater Omentum with Nonautologous Tissue ICD-10-PCS Procedure Code
- 0DRS47Z Replacement of Greater Omentum with Autologous Tissue ICD-10-PCS Procedure Code
- 0DRS4JZ Replacement of Greater Omentum with Synthetic Substitute, ICD-10-PCS Procedure Code
- 0DRS4KZ Replacement of Greater Omentum with Nonautologous Tissue ICD-10-PCS Procedure Code
- 0DRT07Z Replacement of Lesser Omentum with Autologous Tissue ICD-10-PCS Procedure Code
- 0DRT0JZ Replacement of Lesser Omentum with Synthetic Substitute, ICD-10-PCS Procedure Code
- 0DRT0KZ Replacement of Lesser Omentum with Nonautologous Tissue ICD-10-PCS Procedure Code
- 0DRT47Z Replacement of Lesser Omentum with Autologous Tissue ICD-10-PCS Procedure Code
- 0DRT4JZ Replacement of Lesser Omentum with Synthetic Substitute, ICD-10-PCS Procedure Code
- 0DRT4KZ Replacement of Lesser Omentum with Nonautologous Tissue ICD-10-PCS Procedure Code
- 0DRU07Z Replacement of Omentum with Autologous Tissue Substitute, Open Approach ICD-10-PCS Procedure Code
- 0DRU0JZ Replacement of Omentum with Synthetic Substitute, Open Approach ICD-10-PCS Procedure Code
- 0DRU0KZ Replacement of Omentum with Nonautologous Tissue Substitute, Open Approach ICD-10-PCS Procedure Code
- 0DRU47Z Replacement of Omentum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 0DRU4JZ Replacement of Omentum with Synthetic Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 0DRU4KZ Replacement of Omentum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 0DRV07Z Replacement of Mesentery with Autologous Tissue Substitute, ICD-10-PCS Procedure Code
- 0DRV0JZ Replacement of Mesentery with Synthetic Substitute, Open ICD-10-PCS Procedure Code
- 0DRV0KZ Replacement of Mesentery with Nonautologous Tissue Substitute, ICD-10-PCS Procedure Code
- 0DRV47Z Replacement of Mesentery with Autologous Tissue Substitute, ICD-10-PCS Procedure Code
- 0DRV4JZ Replacement of Mesentery with Synthetic Substitute, Percutaneous ICD-10-PCS Procedure Code
- 0DRV4KZ Replacement of Mesentery with Nonautologous Tissue Substitute, ICD-10-PCS Procedure Code
- 0DRW07Z Replacement of Peritoneum with Autologous Tissue Substitute, ICD-10-PCS Procedure Code
- 0DRW0JZ Replacement of Peritoneum with Synthetic Substitute, Open ICD-10-PCS Procedure Code
- 0DRW0KZ Replacement of Peritoneum with Nonautologous Tissue Substitute, ICD-10-PCS Procedure Code
- 0DRW47Z Replacement of Peritoneum with Autologous Tissue Substitute, ICD-10-PCS Procedure Code
- 0DRW4JZ Replacement of Peritoneum with Synthetic Substitute, Percutaneous ICD-10-PCS Procedure Code
- 0DRW4KZ Replacement of Peritoneum with Nonautologous Tissue Substitute, 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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