AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Quarter 4; New/Revised ICD-10-PCS Procedure Codes
Added and Revised Device Values
The patient sustained an open fracture at the distal interphalangeal joint of the right long finger with laceration defect of the digital nerve on the ulnar side. A primary fusion of the joint was performed with internal fixation and neurogen tube grafting was used to treat the laceration defect. What are the appropriate ICD-10-PCS procedure codes for this surgery? ...
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Article Overview
This article covers ICD-10-PCS updates to device values across selected body systems and root operations, along with a coding scenario involving a finger fracture, joint fusion, and nerve repair. It is relevant for inpatient coders, auditors, and coding educators who need to track PCS table changes and understand the scope of the associated procedure example. The article also highlights terminology revisions for vascular access reservoir device values and broader device additions for nerve substitute and other device categories.
Why This Topic Matters
Accurate awareness of ICD-10-PCS device value changes helps support consistent procedure coding and code maintenance. The included scenario provides context for applying PCS concepts in musculoskeletal and nerve-related procedures.
Article Sections
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Nerve Substitutes
Summarizes newly added device values in ICD-10-PCS tables related to nervous system supplement procedures.
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Other Device
Describes an added device value associated with specific root operations and applicable body part values.
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Vascular Access Reservoir
Explains revised device value titles in the subcutaneous tissue and fascia body system and notes the terminology update context.
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Clinical Example
Presents a procedure-coding scenario involving a finger injury, fusion, and nerve-related repair concepts in ICD-10-PCS.
What You Will Learn
- Which ICD-10-PCS device value categories were updated
- How terminology for certain vascular access device values was revised
- What types of procedure concepts are illustrated by the hand and nerve coding example
- How the article frames ICD-10-PCS table updates and a related coding scenario
Who Should Read This
- ICD-10-PCS coders
- Inpatient coding staff
- Coding auditors
- Clinical documentation improvement staff
- Coding educators
Codes Discussed
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