AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2015 Quarter 4; New/Revised ICD-10-PCS Codes
New Section X Codes—New Technology Procedures
A 74-year-old male was admitted to the hospital after being in a car accident, with acute abdomen and suspected internal bleeding. The patient had a documented history of pulmonary embolism, and was on Pradaxa for DVT prophylaxis. Prior to surgery, a bolus infusion of idarucizumab was given via PICC line, with rapid reversal of anticoagulation. Then the patient was taken to the operating room, where exploratory laparotomy with resection of spleen was performed. What are the appropriate ICD-10-PCS codes for this episode? Is the administration of idarucizumab coded separately? ...
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Article Overview
This article provides a non-technical overview of ICD-10-PCS Section X New Technology, including why the section was created, how its code structure works, and how it differs from other ICD-10-PCS sections and from CPT Category III codes. It also summarizes the initial 2015 set of new technology procedure codes involving new devices, monitoring technology, and drug administration. The content is useful for coders, compliance staff, CDI professionals, and anyone tracking ICD-10-PCS updates related to new technology procedures and CMS guidance.
Why This Topic Matters
Section X affects how newly introduced procedures and technologies are represented in ICD-10-PCS and helps readers understand the scope of the new code set, the types of technologies covered, and the related CMS context.
Article Sections
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Overview
Introduces the purpose of Section X within ICD-10-PCS and the general circumstances under which new technology procedures may be captured.
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Section X Structure
Describes the organization of Section X codes and the function of each character in the code format.
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Second Character, Body System
Explains how body system values are organized in Section X and how they differ from other ICD-10-PCS sections.
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Third Character, Root Operation
Summarizes how root operation values in Section X relate to other ICD-10-PCS sections.
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Fourth Character, Body Part
Describes the role of body part values in Section X and the range of specificity they can represent.
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Fifth Character, Approach
Notes the approach values used in Section X and their relationship to other ICD-10-PCS sections.
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Sixth Character, Device/Substance/Technology
Explains the purpose of the sixth character as the element that distinguishes the new technology represented by the code.
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Seventh Character, Qualifier
Describes the qualifier used to identify the new technology group associated with a Section X code.
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Section X and CPT Category III Compared
Compares the general purpose of Section X with CPT Category III and discusses how the two code sets differ in intent.
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Section X Guideline
Summarizes the general guidance provided for reporting Section X procedures and how the section relates to other ICD-10-PCS coding.
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New Section X Code
Lists the initial Section X codes added for new technology procedures involving devices, monitoring, and drug administration.
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Examples and Questions and Answers
Presents example scenarios and related coding questions illustrating the new technology section in use.
What You Will Learn
- Why ICD-10-PCS Section X was created
- How Section X codes are structured
- How Section X relates to other ICD-10-PCS sections
- How the initial new technology code group was organized
- What general categories of new technology are represented
- How the article frames Section X in relation to CPT Category III
- What kinds of examples are used to illustrate the section
Who Should Read This
- Medical coders
- Coding educators
- CDI specialists
- Compliance professionals
- Revenue cycle staff
- Health information management professionals
Codes Discussed
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