Insight into the 2024 ICD-10 PCS Updates - Part 2

Health Catalyst
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© Health Catalyst. Confidential and Proprietary. Insight into the 2024 ICD-10 PCS Updates Mikki Fazzio, RHIT, CCS, Principal Content Integrity Consultant
© Health Catalyst. Confidential and Proprietary. Disclaimer Statement This presentation was current at the time it was published or provided via the web and is designed to provide accurate and authoritative information regarding the subject matter covered. The information provided is only intended to be a general overview with the understanding that neither the presenter nor the event sponsor is engaged in rendering specific coding advice. It is not intended to take the place of either the written policies or regulations. We encourage participants to review the specific regulations and other interpretive materials, as necessary. All CPT® codes are trademarked by the American Medical Association (AMA) and all revenue codes are copyrighted by the American Hospital Association (AHA).
Agenda © Health Catalyst. Confidential and Proprietary. • ICD-10-PCS • Code Additions • Code Deletions • Code Revisions • ICD-10-PCS Guideline Changes
© Health Catalyst. Confidential and Proprietary. PCS Code Changes Summary
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Code Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Aortix™ System from Procyrion ICD-10-PCS Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. 02HW3RZ Insertion of Short-term External Heart Assist System into Thoracic Aorta, Descending, Percutaneous Approach Code Assistance separately using code 5A0221D, Assistance with Cardiac Output Using Impeller Pump, Continuous 02H- Medical and Surgical/Heart and Great Vessels/Insertion ICD-10-PCS Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. 02PW3RZ Removal of Short-term External Heart Assist System from Thoracic Aorta, Descending, Percutaneous Approach 02P- Medical and Surgical/Heart and Great Vessels/Removal ICD-10-PCS Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. 02WW3RZ Revision of Short-term External Heart Assist System in Thoracic Aorta, Descending, Percutaneous Approach 02W- Medical and Surgical/Heart and Great Vessels/Revision ICD-10-PCS Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. 0CSS0ZZ Reposition Larynx, Open Approach 0CSS7ZZ Reposition Larynx, Via Natural or Artificial Opening 0CSS7ZZ Reposition Larynx, Via Natural or Artificial Opening 0CSS8ZZ Reposition Larynx, Via Natural or Artificial Opening Endoscopic 0CS- Medical and Surgical/ Mouth and Throat/Reposition ICD-10-PCS Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. 0DH17JZ Insertion of Magnetic Lengthening Device into Upper Esophagus, Via Natural or Artificial Opening 0DH27JZ Insertion of Magnetic Lengthening Device into Middle Esophagus, Via Natural or Artificial Opening 0DH37JZ Insertion of Magnetic Lengthening Device into Lower Esophagus, Via Natural or Artificial Opening • Flourish® Pediatric Esophageal Atresia Device by Cook Medical 0DH- Medical and Surgical/Gastrointestinal System/Insertion ICD-10-PCS Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. 0DH- Medical and Surgical/Gastrointestinal System/Insertion ICD-10-PCS Additions, Deletions, and Revisions Rare earth magnets are inserted into the upper and lower ends of the infant’s esophagus. The magnets gradually stretch both ends of the esophagus over the course of several days. The tissue connects to form an intact esophagus.
© Health Catalyst. Confidential and Proprietary. 0WHC0GZ Insertion of Defibrillator Lead into Mediastinum, Open Approach 0WHC3GZ Insertion of Defibrillator Lead into Mediastinum, Percutaneous Approach 0WHC4GZ Insertion of Defibrillator Lead into Mediastinum, Percutaneous Endoscopic Approach 0WH- Medical and Surgical/General Anatomical Regions/Insertion ICD-10-PCS Additions, Deletions, and Revisions • Insertion of the generator is coded separately as 0JH608Z • Extravascular Implantable Defibrillator Lead (EV-ICD)
© Health Catalyst. Confidential and Proprietary. Transvenous Defibrillator Subcutaneous Defibrillator Extravascular Defibrillator Not available when veins are unsuitable (occluded) Available when veins are unsuitable Available when veins are unsuitable Vascular access is susceptible to complications (infection) Avoids complications with transvenous leads Avoids complications with transvenous leads Provides pacing and shock therapies Shocks, but does not provide antitachycardia pacing Shocks and performs antitachycardia pacing Extravascular Implantable Defibrillator Lead (EV-ICD) ICD-10-PCS Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. 0WPC0GZ Removal of Defibrillator Lead from Mediastinum, Open Approach 0WPC3GZ Removal of Defibrillator Lead from Mediastinum, Percutaneous Approach 0WPC4GZ Removal of Defibrillator Lead from Mediastinum, Percutaneous Endoscopic Approach 0WPCXGZ Removal of Defibrillator Lead from Mediastinum, External Approach 0WP- Medical and Surgical/General Anatomical Regions/Removal ICD-10-PCS Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. 0WWC0GZ Revision of Defibrillator Lead in Mediastinum, Open Approach 0WWC3GZ Revision of Defibrillator Lead in Mediastinum, Percutaneous Approach 0WWC4GZ Revision of Defibrillator Lead in Mediastinum, Percutaneous Endoscopic Approach 0WWCXGZ Revision of Defibrillator Lead in Mediastinum, External Approach 0WW- Medical and Surgical/General Anatomical Regions/Revision ICD-10-PCS Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. 5A09B5K Assistance with Respiratory Ventilation, Less than 8 Consecutive Hours, Intubated Prone Positioning 5A09C5K Assistance with Respiratory Ventilation, 8-24 Consecutive Hours, Intubated Prone Positioning 5A09D5K Assistance with Respiratory Ventilation, Greater than 24 Consecutive Hours, Intubated Prone Positioning • Assign prone positioning code only once per stay. • Mechanical ventilation is coded separately. 5A0- Extracorporeal or Systemic Assistance and Performance/Physiological Systems/Assistance ICD-10-PCS Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. 8E0U0EN Fluorescence Guided Procedure of Female Reproductive System using Pafolacianine, Open Approach 8E0U3EN Fluorescence Guided Procedure of Female Reproductive System using Pafolacianine, Percutaneous Approach 8E0U4EN Fluorescence Guided Procedure of Female Reproductive System using Pafolacianine, Percutaneous Endoscopic Approach 8E0U7EN Fluorescence Guided Procedure of Female Reproductive System using Pafolacianine, Via Natural or Artificial Opening 8E0U8EN Fluorescence Guided Procedure of Female Reproductive System using Pafolacianine, Via Natural or Artificial Opening Endoscopic • CYTALUX® (Pafolacianine) 8E0- Other Procedures/Physiological Systems and Anatomical Regions/Other Procedures ICD-10-PCS Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. CYTALUX® (Pafolacianine) ICD-10-PCS Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. 8E0W0EN Fluorescence Guided Procedure of Trunk Region using Pafolacianine, Open Approach 8E0W3EN Fluorescence Guided Procedure of Trunk Region using Pafolacianine, Percutaneous Approach 8E0W4EN Fluorescence Guided Procedure of Trunk Region using Pafolacianine, Percutaneous Endoscopic Approach 8E0W7EN Fluorescence Guided Procedure of Trunk Region using Pafolacianine, Via Natural or Artificial Opening 8E0W8EN Fluorescence Guided Procedure of Trunk Region using Pafolacianine, Via Natural or Artificial Opening Endoscopic 8E0- Other Procedures/Physiological Systems and Anatomical Regions/Other Procedures ICD-10-PCS Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. X051329 Destruction of Renal Sympathetic Nerve(s) using Ultrasound Ablation, Percutaneous Approach, New Technology Group 9 • Paradise™ Ultrasound Renal Denervation System X05- New Technology/Nervous System/Destruction ICD-10-PCS Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Paradise™ Ultrasound Renal Denervation System ICD-10-PCS Additions, Deletions, and Revisions The Paradise Renal Denervation Catheter within the artery. The red circle indicates the heat generated from the ultrasound energy in the tissue delivering energy within the artery. The blue circle indicates active cooling from circulating water within the artery to protect the artery from heat. The white rings illustrate the heat deposited in the tissue, to decrease the over-activity of the nerves leading to the kidney. Each ring represents one 7-second treatment. Two to four treatments will be delivered to the left and right arteries supplying the kidney. https://www.youtube.com/watch?v=pNua5-cnxXI
© Health Catalyst. Confidential and Proprietary. X2H03R9 Insertion of Intraluminal Device, Bioprosthetic Valve into Inferior Vena Cava, Percutaneous Approach, New Technology Group 9 X2H13R9 Insertion of Intraluminal Device, Bioprosthetic Valve into Superior Vena Cava, Percutaneous Approach, New Technology Group 9 X2H20R9 Insertion of Intraluminal Device, Bioprosthetic Valve into Right Femoral Vein, Open Approach, New Technology Group 9 X2H30R9 Insertion of Intraluminal Device, Bioprosthetic Valve into Left Femoral Vein, Open Approach, New Technology Group 9 X2H- New Technology/Cardiovascular System/Insertion ICD-10-PCS Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. TricValve® and VenoValve® ICD-10-PCS Additions, Deletions, and Revisions Two TricValve® bioprosthetic valves are placed in the venous system (one in the superior vena cava and another in the inferior vena cava) to reduce the backflow of blood and pressure on the other organs of the body. The VenoValve® is surgically implanted into the femoral vein via a 5- to-6-inch incision in the upper thigh to prevent reflux of venous blood down the leg. https://venovalve.com/
© Health Catalyst. Confidential and Proprietary. X2HL0F9 Insertion of Conduit to Short-term External Heart Assist System into Right Axillary Artery, Open Approach, New Technology Group 9 X2HM0F9 Insertion of Conduit to Short-term External Heart Assist System into Left Axillary Artery, Open Approach, New Technology Group 9 X2HX0F9 Insertion of Conduit to Short-term External Heart Assist System into Thoracic Aorta, Ascending, Open Approach, New Technology Group 9 May also see documented in the record as the Impella 5.5® with Smart Assist® system. X2H- New Technology/Cardiovascular System/Insertion ICD-10-PCS Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. For insertion of Impella pump (coded separately): • Axillary arteries- Coded as percutaneous approach (02HA3RZ) • Ascending aorta- Coded as open approach (02HA0RZ) • Also, code 5A0221D Assistance with Cardiac Output using Impeller Pump, Continuous Coding Clinic, 4th Quarter 2016, page 137 X2H- New Technology/Cardiovascular System/Insertion ICD-10-PCS Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. X2H63V9 Insertion of Dual-Chamber Intracardiac Pacemaker into Right Atrium, Percutaneous Approach, New Technology Group 9 X2HK3V9 Insertion of Dual-Chamber Intracardiac Pacemaker into Right Ventricle, Percutaneous Approach, New Technology Group 9 • Aveir™ Leadless Pacemaker (LP) System by Abott X2H- New Technology/Cardiovascular System/Insertion ICD-10-PCS Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. An existing right ventricular leadless pacemaker can be upgraded to become part of a dual-chamber leadless pacemaker pair. If upgrading to a dual-chamber pacing by implanting a leadless pacemaker into the atrium only, use only code X2H63V9 for the right atrium insertion. For removal or revision of the leadless pacemaker, use codes 02PA3NZ or 02WA3NZ. No new codes were created for the removal or revision of the leadless pacemaker. X2H- New Technology/Cardiovascular System/Insertion ICD-10-PCS Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. X2KH3D9 Bypass Right Femoral Artery using Conduit through Femoral Vein to Superficial Femoral Artery, Percutaneous Approach, New Technology Group 9 X2KH3E9 Bypass Right Femoral Artery using Conduit through Femoral Vein to Popliteal Artery, Percutaneous Approach, New Technology Group 9 X2KJ3D9 Bypass Left Femoral Artery using Conduit through Femoral Vein to Superficial Femoral Artery, Percutaneous Approach, New Technology Group 9 X2KJ3E9 Bypass Left Femoral Artery using Conduit through Femoral Vein to Popliteal Artery, Percutaneous Approach, New Technology Group 9 X2H- New Technology/Cardiovascular System/Bypass ICD-10-PCS Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. • DETOUR® System using TORUS® Stents (previously known as the PQ Bypass System) • Common terms related to this procedure: PQ bypass, DETOUR® bypass, TORUS® stent placement, ENDOCROSS® device being used. DETOUR® System using TORUS® Stents ICD-10-PCS Additions, Deletions, and Revisions https://endologix.com/ptab/
© Health Catalyst. Confidential and Proprietary. X2U4079 Supplement Coronary Artery/Arteries with Vein Graft Extraluminal Support Device(s), Open Approach, New Technology Group 9 X2UQ0P9Supplement Right Upper Extremity Vein with Synthetic Substitute, Extraluminal Support Device, Open Approach, New Technology Group 9 X2UR0P9 Supplement Left Upper Extremity Vein with Synthetic Substitute, Extraluminal Support Device, Open Approach, New Technology Group 9 • VEST™ Venous External Support System and VASQ™ External Support Device X2U- New Technology/Cardiovascular System/Supplement ICD-10-PCS Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. VEST™ Venous External Support System and VASQ™ External Support Device ICD-10-PCS Additions, Deletions, and Revisions VEST™ https://www.youtube.com/watch?v=iK8xVzrSYJ8 VASQ™ https://www.youtube.com/watch?v=2W3HoTH2x58
© Health Catalyst. Confidential and Proprietary. XNHG0F9Insertion of Tibial Extension with Motion Sensors into Right Tibia, Open Approach, New Technology Group 9 XNHH0F9Insertion of Tibial Extension with Motion Sensors into Left Tibia, Open Approach, New Technology Group 9 • Canturio™ te (CTE) is the tibial extension implant • Canary Health Implanted Reporting Processor (CHIRP™) is located inside the implant • Tibial extension implant is only used with the cemented Zimmer Biomet Persona® Personalized Knee Replacement • Combined, this unit is called Persona IQ® Smart Knee® XNH- New Technology/Bones/Insertion ICD-10-PC Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. Two codes are required to completely describe the Persona IQ® Smart Knee®: A code from the OSR table (Medical and Surgical, Lower Joints, Replacement) using qualifier value 9, Cemented and the XNH code (as listed on previous slide). Common terms related to this procedure: Canary, CHIRP™, Canary tibial extension, CTE, Persona IQ smart knee, Persona knee with CTE XNH- New Technology/Bones/Insertion ICD-10-PC Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. XNRL099 Replacement of Right Tarsal with Talar Prosthesis Synthetic Substitute, Open Approach, New Technology Group 9 XNRM099 Replacement of Left Tarsal with Talar Prosthesis Synthetic Substitute, Open Approach, New Technology Group 9 • Code with ankle replacement code from OSR table. • Total Ankle Talar Replacement (TATR)- 4WEB XL talus implant XNR- New Technology/Bones/Replacement ICD-10-PC Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. XNR80D9 Replacement of Skull with Ultrasound Penetrable Synthetic Substitute, Open Approach, New Technology Group 9 • Longeviti ClearFit® OTS (Off the Shelf) • Code first for the definitive intracranial procedure that is performed. • Code separately for any ultrasound performed. XNR- New Technology/Bones/Replacement ICD-10-PC Additions, Deletions, and Revisions https://www.youtube.com/watch?v=ZtrhMN70vBQ
© Health Catalyst. Confidential and Proprietary. XRGJ0B9 Fusion of Right Ankle Joint using Open-truss Design Internal Fixation Device, Open Approach, New Technology Group 9 XRGK0B9 Fusion of Left Ankle Joint using Open-truss Design Internal Fixation Device, Open Approach, New Technology Group 9 XRGL0B9 Fusion of Right Tarsal Joint using Open-truss Design Internal Fixation Device, Open Approach, New Technology Group 9 XRGM0B9 Fusion of Left Tarsal Joint using Open-truss Design Internal Fixation Device, Open Approach, New Technology Group 9 XRG- New Technology/Joints/Fusion ICD-10-PC Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. • Open-Truss Ankle Fusion Device- 4WEB Ankle Truss System™ (ATS) • Orthosphere • Orthoblock • Orthosphere flat-sided • Two codes are required to completely describe the combination fusion of the tarsal joint and the ankle joint using the Open-Truss device and the intramedullary nail across both joints. Both codes are from the XRG table. XRG- New Technology/Joints/Fusion ICD-10-PC Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. XRGA0R7 Fusion of Thoracolumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7 XRGA3R7 Fusion of Thoracolumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 7 XRGA4R7 Fusion of Thoracolumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7 XRGB0R7 Fusion of Lumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7 XRGB3R7 Fusion of Lumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 7 XRGB4R7 Fusion of Lumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7 XRG- New Technology/Joints/Fusion- Revisions ICD-10-PC Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. XRGC0R7 Fusion of 2 or more Lumbar Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7 XRGC3R7 Fusion of 2 or more Lumbar Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 7 XRGC4R7 Fusion of 2 or more Lumbar Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7 XRGD0R7 Fusion of Lumbosacral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7 XRGD3R7 Fusion of Lumbosacral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 7 XRGD4R7 Fusion of Lumbosacral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7 XRG- New Technology/Joints/Fusion- Revisions ICD-10-PC Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. XX20X89 Monitoring of Brain Electrical Activity, Computer-aided Detection and Notification, New Technology Group 9 XX2F3W9 Monitoring of Musculoskeletal Muscle Compartment Pressure, Micro-Electro-Mechanical System, Percutaneous Approach, New Technology Group 9 • Ceribell® Electrical Activity Monitor • MY01 Compartment Monitor New Technology/Physiological Systems/Monitoring ICD-10-PC Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. XXE2X19 Measurement of Cardiac Output, Computer-aided Assessment, New Technology Group 9 • EchoGo Heart Failure 1.0 • Code the echocardiography separately XXE- New Technology/Physiological Systems/Measurement ICD-10-PC Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. XXE5XY9 Measurement of Infection, Other Positive Blood/Isolated Colonies Bimodal Phenotypic Susceptibility Technology, New Technology Group 9 • Selux Rapid AST Platform XXE- New Technology/Physiological Systems/Measurement ICD-10-PC Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. ICD-10-PC Additions, Deletions, and Revisions Deleted Codes Deleted Code Code Description New Coding XV508A4 Destruction of Prostate using Robotic Waterjet Ablation, Via Natural or Artificial Opening Endoscopic, New Technology Group 4 (Aquabeam System for Aquablation) Code as OV508ZZ, Destruction of Prostate, Via Natural or Artificial Opening Endoscopic XW033G4 Introduction of Plazomicin Anti-infective into Peripheral Vein, Percutaneous Approach, New Technology Group 4 (ZEMDRI™) Code as 3E03329, Introduction of Other Anti- infective into Peripheral Vein, Percutaneous Approach XW033H4 Introduction of Synthetic Human Angiotensin II into Peripheral Vein, Percutaneous Approach, New Technology Group 4 (GIAPREZA™) Code as 3E033XZ, Introduction of Vasopressor into Peripheral Vein, Percutaneous Approach XW043G4 Introduction of Plazomicin Anti-infective into Central Vein, Percutaneous Approach, New Technology Group 4 (ZEMDRI™) Code 3E04329, Introduction of Other Anti- infective into Central Vein, Percutaneous Approach XW043H4 Introduction of Synthetic Human Angiotensin II into Central Vein, Percutaneous Approach, New Technology Group 4 (GIAPREZA™) Code as 3E043XZ, Introduction of Vasopressor into Central Vein, Percutaneous Approach
© Health Catalyst. Confidential and Proprietary. XW013L9 Introduction of Elranatamab Antineoplastic into Subcutaneous Tissue, Percutaneous Approach, New Technology Group 9 XW013S9 Introduction of Epcoritamab Monoclonal Antibody into Subcutaneous Tissue, Percutaneous Approach, New Technology Group 9 (Epkinly™) XW0- New Technology/Anatomical Regions/Introduction ICD-10-PC Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. XW00X27 Introduction of Anacaulase-bcdb into Skin, External Approach, New Technology Group 7 XW01X27 Introduction of Anacaulase-bcdb into Subcutaneous Tissue, External Approach, New Technology Group 7 XW0- New Technology/Anatomical Regions/Introduction- Revisions ICD-10-PC Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. XW0- New Technology/Anatomical Regions/Introduction XW033K9 Introduction of Sulbactam-Durlobactam into Peripheral Vein, Percutaneous Approach, New Technology Group 9 (Xacduro) XW043K9 Introduction of Sulbactam-Durlobactam into Central Vein, Percutaneous Approach, New Technology Group 9 (Xacduro) ICD-10-PC Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. XW033Q9 Introduction of Posoleucel into Peripheral Vein, Percutaneous Approach, New Technology Group 9 (Viralym-M) XW0- New Technology/Anatomical Regions/Introduction ICD-10-PC Additions, Deletions, and Revisions XW043Q9 Introduction of Posoleucel into Central Vein, Percutaneous Approach, New Technology Group 9 (Viralym-M)
© Health Catalyst. Confidential and Proprietary. XW033P9 Introduction of Glofitamab Antineoplastic into Peripheral Vein, Percutaneous Approach, New Technology Group 9 (Columvi®) XW043P9 Introduction of Glofitamab Antineoplastic into Central Vein, Percutaneous Approach, New Technology Group 9 (Columvi®) XW0- New Technology/Anatomical Regions/Introduction ICD-10-PCS Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. New Technology/Anatomical Regions/Introduction ICD-10-PC Additions, Deletions, and Revisions XW053T9 Introduction of Melphalan Hydrochloride Antineoplastic into Peripheral Artery, Percutaneous Approach, New Technology Group 9 (Hepzato™ Kit) • Code also 5A1C00X for the filtration. No additional surgical code is assigned. XW0DXJ9 Introduction of Quizartinib Antineoplastic into Mouth and Pharynx, External Approach, New Technology Group 9 (Vanflyta®)
© Health Catalyst. Confidential and Proprietary. XW0DXN9 Introduction of SER-109 into Mouth and Pharynx, External Approach, New Technology Group 9 (Vowst™) XW0- New Technology/Anatomical Regions/Introduction ICD-10-PC Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. XW133H9 Transfusion of Lovotibeglogene Autotemcel into Peripheral Vein, Percutaneous Approach, New Technology Group 9 (Lovo-Cel) XW143H9 Transfusion of Lovotibeglogene Autotemcel into Central Vein, Percutaneous Approach, New Technology Group 9 (Lovo-Cel) XW1- New Technology/Anatomical Regions/Transfusion ICD-10-PCS Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. XW0- New Technology/Anatomical Regions/Introduction XW043R9 Introduction of Rezafungin into Central Vein, Percutaneous Approach, New Technology Group 9 (Rezzayo™) ICD-10-PC Additions, Deletions, and Revisions
© Health Catalyst. Confidential and Proprietary. ICD-10-PCS Guideline Updates
© Health Catalyst. Confidential and Proprietary. Guideline B5.2b ICD-10-PCS Guideline Updates It does not matter how the body part exits the body. The approach value is determined by how the body part is disconnected.
© Health Catalyst. Confidential and Proprietary. Guideline B6.1a ICD-10-PCS Guideline Updates Text that was removed in the updated guidelines: "...For example, the device size is inadequate, or an event documented as a complication occurs..."
© Health Catalyst. Confidential and Proprietary. Resources 2024 ICD-10-PCS Coding. Centers for Medicare & Medicaid Services. https://www.cms.gov/medicare/coding- billing/icd-10-codes/2024-icd-10-pcs Aortix™. Procyrion. https://www.procyrion.com/ Cook Medical Introduces Flourish Pediatric Esophageal Atresia Device in US. NS Medical Devices. https://www.nsmedicaldevices.com/news/cook-medical-flourish-pediatric/ FY 2024 Code Updates: CM & PCS. Libman Education. https://libmaneducation.com/ Paradise™ Ultrasound Denervation System. Recor Medical. https://www.recormedical.com/our-technology/
Questions? © Health Catalyst. Confidential and Proprietary. Q&A Document can be found on Healthcatalyst.com under Resources/Webinars
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Insight into the 2024 ICD-10 PCS Updates - Part 2

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Prepare for mandatory ICD-10 PCS diagnosis code updates, which take effect on October 1, 2023. By attending this 60-minute educational session, medical coders and healthcare professionals will gain a comprehensive understanding of the changes to the 2024 ICD-10 procedure codes and their guidelines, enabling accurate and compliant coding for optimal billing and reimbursement.

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  • 1. © Health Catalyst. Confidential and Proprietary. Insight into the 2024 ICD-10 PCS Updates Mikki Fazzio, RHIT, CCS, Principal Content Integrity Consultant
  • 2. © Health Catalyst. Confidential and Proprietary. Disclaimer Statement This presentation was current at the time it was published or provided via the web and is designed to provide accurate and authoritative information regarding the subject matter covered. The information provided is only intended to be a general overview with the understanding that neither the presenter nor the event sponsor is engaged in rendering specific coding advice. It is not intended to take the place of either the written policies or regulations. We encourage participants to review the specific regulations and other interpretive materials, as necessary. All CPT® codes are trademarked by the American Medical Association (AMA) and all revenue codes are copyrighted by the American Hospital Association (AHA).
  • 3. Agenda © Health Catalyst. Confidential and Proprietary. • ICD-10-PCS • Code Additions • Code Deletions • Code Revisions • ICD-10-PCS Guideline Changes
  • 4. © Health Catalyst. Confidential and Proprietary. PCS Code Changes Summary
  • 5. © Health Catalyst. Confidential and Proprietary. ICD-10-PCS Code Additions, Deletions, and Revisions
  • 6. © Health Catalyst. Confidential and Proprietary. Aortix™ System from Procyrion ICD-10-PCS Additions, Deletions, and Revisions
  • 7. © Health Catalyst. Confidential and Proprietary. 02HW3RZ Insertion of Short-term External Heart Assist System into Thoracic Aorta, Descending, Percutaneous Approach Code Assistance separately using code 5A0221D, Assistance with Cardiac Output Using Impeller Pump, Continuous 02H- Medical and Surgical/Heart and Great Vessels/Insertion ICD-10-PCS Additions, Deletions, and Revisions
  • 8. © Health Catalyst. Confidential and Proprietary. 02PW3RZ Removal of Short-term External Heart Assist System from Thoracic Aorta, Descending, Percutaneous Approach 02P- Medical and Surgical/Heart and Great Vessels/Removal ICD-10-PCS Additions, Deletions, and Revisions
  • 9. © Health Catalyst. Confidential and Proprietary. 02WW3RZ Revision of Short-term External Heart Assist System in Thoracic Aorta, Descending, Percutaneous Approach 02W- Medical and Surgical/Heart and Great Vessels/Revision ICD-10-PCS Additions, Deletions, and Revisions
  • 10. © Health Catalyst. Confidential and Proprietary. 0CSS0ZZ Reposition Larynx, Open Approach 0CSS7ZZ Reposition Larynx, Via Natural or Artificial Opening 0CSS7ZZ Reposition Larynx, Via Natural or Artificial Opening 0CSS8ZZ Reposition Larynx, Via Natural or Artificial Opening Endoscopic 0CS- Medical and Surgical/ Mouth and Throat/Reposition ICD-10-PCS Additions, Deletions, and Revisions
  • 11. © Health Catalyst. Confidential and Proprietary. 0DH17JZ Insertion of Magnetic Lengthening Device into Upper Esophagus, Via Natural or Artificial Opening 0DH27JZ Insertion of Magnetic Lengthening Device into Middle Esophagus, Via Natural or Artificial Opening 0DH37JZ Insertion of Magnetic Lengthening Device into Lower Esophagus, Via Natural or Artificial Opening • Flourish® Pediatric Esophageal Atresia Device by Cook Medical 0DH- Medical and Surgical/Gastrointestinal System/Insertion ICD-10-PCS Additions, Deletions, and Revisions
  • 12. © Health Catalyst. Confidential and Proprietary. 0DH- Medical and Surgical/Gastrointestinal System/Insertion ICD-10-PCS Additions, Deletions, and Revisions Rare earth magnets are inserted into the upper and lower ends of the infant’s esophagus. The magnets gradually stretch both ends of the esophagus over the course of several days. The tissue connects to form an intact esophagus.
  • 13. © Health Catalyst. Confidential and Proprietary. 0WHC0GZ Insertion of Defibrillator Lead into Mediastinum, Open Approach 0WHC3GZ Insertion of Defibrillator Lead into Mediastinum, Percutaneous Approach 0WHC4GZ Insertion of Defibrillator Lead into Mediastinum, Percutaneous Endoscopic Approach 0WH- Medical and Surgical/General Anatomical Regions/Insertion ICD-10-PCS Additions, Deletions, and Revisions • Insertion of the generator is coded separately as 0JH608Z • Extravascular Implantable Defibrillator Lead (EV-ICD)
  • 14. © Health Catalyst. Confidential and Proprietary. Transvenous Defibrillator Subcutaneous Defibrillator Extravascular Defibrillator Not available when veins are unsuitable (occluded) Available when veins are unsuitable Available when veins are unsuitable Vascular access is susceptible to complications (infection) Avoids complications with transvenous leads Avoids complications with transvenous leads Provides pacing and shock therapies Shocks, but does not provide antitachycardia pacing Shocks and performs antitachycardia pacing Extravascular Implantable Defibrillator Lead (EV-ICD) ICD-10-PCS Additions, Deletions, and Revisions
  • 15. © Health Catalyst. Confidential and Proprietary. 0WPC0GZ Removal of Defibrillator Lead from Mediastinum, Open Approach 0WPC3GZ Removal of Defibrillator Lead from Mediastinum, Percutaneous Approach 0WPC4GZ Removal of Defibrillator Lead from Mediastinum, Percutaneous Endoscopic Approach 0WPCXGZ Removal of Defibrillator Lead from Mediastinum, External Approach 0WP- Medical and Surgical/General Anatomical Regions/Removal ICD-10-PCS Additions, Deletions, and Revisions
  • 16. © Health Catalyst. Confidential and Proprietary. 0WWC0GZ Revision of Defibrillator Lead in Mediastinum, Open Approach 0WWC3GZ Revision of Defibrillator Lead in Mediastinum, Percutaneous Approach 0WWC4GZ Revision of Defibrillator Lead in Mediastinum, Percutaneous Endoscopic Approach 0WWCXGZ Revision of Defibrillator Lead in Mediastinum, External Approach 0WW- Medical and Surgical/General Anatomical Regions/Revision ICD-10-PCS Additions, Deletions, and Revisions
  • 17. © Health Catalyst. Confidential and Proprietary. 5A09B5K Assistance with Respiratory Ventilation, Less than 8 Consecutive Hours, Intubated Prone Positioning 5A09C5K Assistance with Respiratory Ventilation, 8-24 Consecutive Hours, Intubated Prone Positioning 5A09D5K Assistance with Respiratory Ventilation, Greater than 24 Consecutive Hours, Intubated Prone Positioning • Assign prone positioning code only once per stay. • Mechanical ventilation is coded separately. 5A0- Extracorporeal or Systemic Assistance and Performance/Physiological Systems/Assistance ICD-10-PCS Additions, Deletions, and Revisions
  • 18. © Health Catalyst. Confidential and Proprietary. 8E0U0EN Fluorescence Guided Procedure of Female Reproductive System using Pafolacianine, Open Approach 8E0U3EN Fluorescence Guided Procedure of Female Reproductive System using Pafolacianine, Percutaneous Approach 8E0U4EN Fluorescence Guided Procedure of Female Reproductive System using Pafolacianine, Percutaneous Endoscopic Approach 8E0U7EN Fluorescence Guided Procedure of Female Reproductive System using Pafolacianine, Via Natural or Artificial Opening 8E0U8EN Fluorescence Guided Procedure of Female Reproductive System using Pafolacianine, Via Natural or Artificial Opening Endoscopic • CYTALUX® (Pafolacianine) 8E0- Other Procedures/Physiological Systems and Anatomical Regions/Other Procedures ICD-10-PCS Additions, Deletions, and Revisions
  • 19. © Health Catalyst. Confidential and Proprietary. CYTALUX® (Pafolacianine) ICD-10-PCS Additions, Deletions, and Revisions
  • 20. © Health Catalyst. Confidential and Proprietary. 8E0W0EN Fluorescence Guided Procedure of Trunk Region using Pafolacianine, Open Approach 8E0W3EN Fluorescence Guided Procedure of Trunk Region using Pafolacianine, Percutaneous Approach 8E0W4EN Fluorescence Guided Procedure of Trunk Region using Pafolacianine, Percutaneous Endoscopic Approach 8E0W7EN Fluorescence Guided Procedure of Trunk Region using Pafolacianine, Via Natural or Artificial Opening 8E0W8EN Fluorescence Guided Procedure of Trunk Region using Pafolacianine, Via Natural or Artificial Opening Endoscopic 8E0- Other Procedures/Physiological Systems and Anatomical Regions/Other Procedures ICD-10-PCS Additions, Deletions, and Revisions
  • 21. © Health Catalyst. Confidential and Proprietary. X051329 Destruction of Renal Sympathetic Nerve(s) using Ultrasound Ablation, Percutaneous Approach, New Technology Group 9 • Paradise™ Ultrasound Renal Denervation System X05- New Technology/Nervous System/Destruction ICD-10-PCS Additions, Deletions, and Revisions
  • 22. © Health Catalyst. Confidential and Proprietary. Paradise™ Ultrasound Renal Denervation System ICD-10-PCS Additions, Deletions, and Revisions The Paradise Renal Denervation Catheter within the artery. The red circle indicates the heat generated from the ultrasound energy in the tissue delivering energy within the artery. The blue circle indicates active cooling from circulating water within the artery to protect the artery from heat. The white rings illustrate the heat deposited in the tissue, to decrease the over-activity of the nerves leading to the kidney. Each ring represents one 7-second treatment. Two to four treatments will be delivered to the left and right arteries supplying the kidney. https://www.youtube.com/watch?v=pNua5-cnxXI
  • 23. © Health Catalyst. Confidential and Proprietary. X2H03R9 Insertion of Intraluminal Device, Bioprosthetic Valve into Inferior Vena Cava, Percutaneous Approach, New Technology Group 9 X2H13R9 Insertion of Intraluminal Device, Bioprosthetic Valve into Superior Vena Cava, Percutaneous Approach, New Technology Group 9 X2H20R9 Insertion of Intraluminal Device, Bioprosthetic Valve into Right Femoral Vein, Open Approach, New Technology Group 9 X2H30R9 Insertion of Intraluminal Device, Bioprosthetic Valve into Left Femoral Vein, Open Approach, New Technology Group 9 X2H- New Technology/Cardiovascular System/Insertion ICD-10-PCS Additions, Deletions, and Revisions
  • 24. © Health Catalyst. Confidential and Proprietary. TricValve® and VenoValve® ICD-10-PCS Additions, Deletions, and Revisions Two TricValve® bioprosthetic valves are placed in the venous system (one in the superior vena cava and another in the inferior vena cava) to reduce the backflow of blood and pressure on the other organs of the body. The VenoValve® is surgically implanted into the femoral vein via a 5- to-6-inch incision in the upper thigh to prevent reflux of venous blood down the leg. https://venovalve.com/
  • 25. © Health Catalyst. Confidential and Proprietary. X2HL0F9 Insertion of Conduit to Short-term External Heart Assist System into Right Axillary Artery, Open Approach, New Technology Group 9 X2HM0F9 Insertion of Conduit to Short-term External Heart Assist System into Left Axillary Artery, Open Approach, New Technology Group 9 X2HX0F9 Insertion of Conduit to Short-term External Heart Assist System into Thoracic Aorta, Ascending, Open Approach, New Technology Group 9 May also see documented in the record as the Impella 5.5® with Smart Assist® system. X2H- New Technology/Cardiovascular System/Insertion ICD-10-PCS Additions, Deletions, and Revisions
  • 26. © Health Catalyst. Confidential and Proprietary. For insertion of Impella pump (coded separately): • Axillary arteries- Coded as percutaneous approach (02HA3RZ) • Ascending aorta- Coded as open approach (02HA0RZ) • Also, code 5A0221D Assistance with Cardiac Output using Impeller Pump, Continuous Coding Clinic, 4th Quarter 2016, page 137 X2H- New Technology/Cardiovascular System/Insertion ICD-10-PCS Additions, Deletions, and Revisions
  • 27. © Health Catalyst. Confidential and Proprietary. X2H63V9 Insertion of Dual-Chamber Intracardiac Pacemaker into Right Atrium, Percutaneous Approach, New Technology Group 9 X2HK3V9 Insertion of Dual-Chamber Intracardiac Pacemaker into Right Ventricle, Percutaneous Approach, New Technology Group 9 • Aveir™ Leadless Pacemaker (LP) System by Abott X2H- New Technology/Cardiovascular System/Insertion ICD-10-PCS Additions, Deletions, and Revisions
  • 28. © Health Catalyst. Confidential and Proprietary. An existing right ventricular leadless pacemaker can be upgraded to become part of a dual-chamber leadless pacemaker pair. If upgrading to a dual-chamber pacing by implanting a leadless pacemaker into the atrium only, use only code X2H63V9 for the right atrium insertion. For removal or revision of the leadless pacemaker, use codes 02PA3NZ or 02WA3NZ. No new codes were created for the removal or revision of the leadless pacemaker. X2H- New Technology/Cardiovascular System/Insertion ICD-10-PCS Additions, Deletions, and Revisions
  • 29. © Health Catalyst. Confidential and Proprietary. X2KH3D9 Bypass Right Femoral Artery using Conduit through Femoral Vein to Superficial Femoral Artery, Percutaneous Approach, New Technology Group 9 X2KH3E9 Bypass Right Femoral Artery using Conduit through Femoral Vein to Popliteal Artery, Percutaneous Approach, New Technology Group 9 X2KJ3D9 Bypass Left Femoral Artery using Conduit through Femoral Vein to Superficial Femoral Artery, Percutaneous Approach, New Technology Group 9 X2KJ3E9 Bypass Left Femoral Artery using Conduit through Femoral Vein to Popliteal Artery, Percutaneous Approach, New Technology Group 9 X2H- New Technology/Cardiovascular System/Bypass ICD-10-PCS Additions, Deletions, and Revisions
  • 30. © Health Catalyst. Confidential and Proprietary. • DETOUR® System using TORUS® Stents (previously known as the PQ Bypass System) • Common terms related to this procedure: PQ bypass, DETOUR® bypass, TORUS® stent placement, ENDOCROSS® device being used. DETOUR® System using TORUS® Stents ICD-10-PCS Additions, Deletions, and Revisions https://endologix.com/ptab/
  • 31. © Health Catalyst. Confidential and Proprietary. X2U4079 Supplement Coronary Artery/Arteries with Vein Graft Extraluminal Support Device(s), Open Approach, New Technology Group 9 X2UQ0P9Supplement Right Upper Extremity Vein with Synthetic Substitute, Extraluminal Support Device, Open Approach, New Technology Group 9 X2UR0P9 Supplement Left Upper Extremity Vein with Synthetic Substitute, Extraluminal Support Device, Open Approach, New Technology Group 9 • VEST™ Venous External Support System and VASQ™ External Support Device X2U- New Technology/Cardiovascular System/Supplement ICD-10-PCS Additions, Deletions, and Revisions
  • 32. © Health Catalyst. Confidential and Proprietary. VEST™ Venous External Support System and VASQ™ External Support Device ICD-10-PCS Additions, Deletions, and Revisions VEST™ https://www.youtube.com/watch?v=iK8xVzrSYJ8 VASQ™ https://www.youtube.com/watch?v=2W3HoTH2x58
  • 33. © Health Catalyst. Confidential and Proprietary. XNHG0F9Insertion of Tibial Extension with Motion Sensors into Right Tibia, Open Approach, New Technology Group 9 XNHH0F9Insertion of Tibial Extension with Motion Sensors into Left Tibia, Open Approach, New Technology Group 9 • Canturio™ te (CTE) is the tibial extension implant • Canary Health Implanted Reporting Processor (CHIRP™) is located inside the implant • Tibial extension implant is only used with the cemented Zimmer Biomet Persona® Personalized Knee Replacement • Combined, this unit is called Persona IQ® Smart Knee® XNH- New Technology/Bones/Insertion ICD-10-PC Additions, Deletions, and Revisions
  • 34. © Health Catalyst. Confidential and Proprietary. Two codes are required to completely describe the Persona IQ® Smart Knee®: A code from the OSR table (Medical and Surgical, Lower Joints, Replacement) using qualifier value 9, Cemented and the XNH code (as listed on previous slide). Common terms related to this procedure: Canary, CHIRP™, Canary tibial extension, CTE, Persona IQ smart knee, Persona knee with CTE XNH- New Technology/Bones/Insertion ICD-10-PC Additions, Deletions, and Revisions
  • 35. © Health Catalyst. Confidential and Proprietary. XNRL099 Replacement of Right Tarsal with Talar Prosthesis Synthetic Substitute, Open Approach, New Technology Group 9 XNRM099 Replacement of Left Tarsal with Talar Prosthesis Synthetic Substitute, Open Approach, New Technology Group 9 • Code with ankle replacement code from OSR table. • Total Ankle Talar Replacement (TATR)- 4WEB XL talus implant XNR- New Technology/Bones/Replacement ICD-10-PC Additions, Deletions, and Revisions
  • 36. © Health Catalyst. Confidential and Proprietary. XNR80D9 Replacement of Skull with Ultrasound Penetrable Synthetic Substitute, Open Approach, New Technology Group 9 • Longeviti ClearFit® OTS (Off the Shelf) • Code first for the definitive intracranial procedure that is performed. • Code separately for any ultrasound performed. XNR- New Technology/Bones/Replacement ICD-10-PC Additions, Deletions, and Revisions https://www.youtube.com/watch?v=ZtrhMN70vBQ
  • 37. © Health Catalyst. Confidential and Proprietary. XRGJ0B9 Fusion of Right Ankle Joint using Open-truss Design Internal Fixation Device, Open Approach, New Technology Group 9 XRGK0B9 Fusion of Left Ankle Joint using Open-truss Design Internal Fixation Device, Open Approach, New Technology Group 9 XRGL0B9 Fusion of Right Tarsal Joint using Open-truss Design Internal Fixation Device, Open Approach, New Technology Group 9 XRGM0B9 Fusion of Left Tarsal Joint using Open-truss Design Internal Fixation Device, Open Approach, New Technology Group 9 XRG- New Technology/Joints/Fusion ICD-10-PC Additions, Deletions, and Revisions
  • 38. © Health Catalyst. Confidential and Proprietary. • Open-Truss Ankle Fusion Device- 4WEB Ankle Truss System™ (ATS) • Orthosphere • Orthoblock • Orthosphere flat-sided • Two codes are required to completely describe the combination fusion of the tarsal joint and the ankle joint using the Open-Truss device and the intramedullary nail across both joints. Both codes are from the XRG table. XRG- New Technology/Joints/Fusion ICD-10-PC Additions, Deletions, and Revisions
  • 39. © Health Catalyst. Confidential and Proprietary. XRGA0R7 Fusion of Thoracolumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7 XRGA3R7 Fusion of Thoracolumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 7 XRGA4R7 Fusion of Thoracolumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7 XRGB0R7 Fusion of Lumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7 XRGB3R7 Fusion of Lumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 7 XRGB4R7 Fusion of Lumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7 XRG- New Technology/Joints/Fusion- Revisions ICD-10-PC Additions, Deletions, and Revisions
  • 40. © Health Catalyst. Confidential and Proprietary. XRGC0R7 Fusion of 2 or more Lumbar Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7 XRGC3R7 Fusion of 2 or more Lumbar Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 7 XRGC4R7 Fusion of 2 or more Lumbar Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7 XRGD0R7 Fusion of Lumbosacral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7 XRGD3R7 Fusion of Lumbosacral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 7 XRGD4R7 Fusion of Lumbosacral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7 XRG- New Technology/Joints/Fusion- Revisions ICD-10-PC Additions, Deletions, and Revisions
  • 41. © Health Catalyst. Confidential and Proprietary. XX20X89 Monitoring of Brain Electrical Activity, Computer-aided Detection and Notification, New Technology Group 9 XX2F3W9 Monitoring of Musculoskeletal Muscle Compartment Pressure, Micro-Electro-Mechanical System, Percutaneous Approach, New Technology Group 9 • Ceribell® Electrical Activity Monitor • MY01 Compartment Monitor New Technology/Physiological Systems/Monitoring ICD-10-PC Additions, Deletions, and Revisions
  • 42. © Health Catalyst. Confidential and Proprietary. XXE2X19 Measurement of Cardiac Output, Computer-aided Assessment, New Technology Group 9 • EchoGo Heart Failure 1.0 • Code the echocardiography separately XXE- New Technology/Physiological Systems/Measurement ICD-10-PC Additions, Deletions, and Revisions
  • 43. © Health Catalyst. Confidential and Proprietary. XXE5XY9 Measurement of Infection, Other Positive Blood/Isolated Colonies Bimodal Phenotypic Susceptibility Technology, New Technology Group 9 • Selux Rapid AST Platform XXE- New Technology/Physiological Systems/Measurement ICD-10-PC Additions, Deletions, and Revisions
  • 44. © Health Catalyst. Confidential and Proprietary. ICD-10-PC Additions, Deletions, and Revisions Deleted Codes Deleted Code Code Description New Coding XV508A4 Destruction of Prostate using Robotic Waterjet Ablation, Via Natural or Artificial Opening Endoscopic, New Technology Group 4 (Aquabeam System for Aquablation) Code as OV508ZZ, Destruction of Prostate, Via Natural or Artificial Opening Endoscopic XW033G4 Introduction of Plazomicin Anti-infective into Peripheral Vein, Percutaneous Approach, New Technology Group 4 (ZEMDRI™) Code as 3E03329, Introduction of Other Anti- infective into Peripheral Vein, Percutaneous Approach XW033H4 Introduction of Synthetic Human Angiotensin II into Peripheral Vein, Percutaneous Approach, New Technology Group 4 (GIAPREZA™) Code as 3E033XZ, Introduction of Vasopressor into Peripheral Vein, Percutaneous Approach XW043G4 Introduction of Plazomicin Anti-infective into Central Vein, Percutaneous Approach, New Technology Group 4 (ZEMDRI™) Code 3E04329, Introduction of Other Anti- infective into Central Vein, Percutaneous Approach XW043H4 Introduction of Synthetic Human Angiotensin II into Central Vein, Percutaneous Approach, New Technology Group 4 (GIAPREZA™) Code as 3E043XZ, Introduction of Vasopressor into Central Vein, Percutaneous Approach
  • 45. © Health Catalyst. Confidential and Proprietary. XW013L9 Introduction of Elranatamab Antineoplastic into Subcutaneous Tissue, Percutaneous Approach, New Technology Group 9 XW013S9 Introduction of Epcoritamab Monoclonal Antibody into Subcutaneous Tissue, Percutaneous Approach, New Technology Group 9 (Epkinly™) XW0- New Technology/Anatomical Regions/Introduction ICD-10-PC Additions, Deletions, and Revisions
  • 46. © Health Catalyst. Confidential and Proprietary. XW00X27 Introduction of Anacaulase-bcdb into Skin, External Approach, New Technology Group 7 XW01X27 Introduction of Anacaulase-bcdb into Subcutaneous Tissue, External Approach, New Technology Group 7 XW0- New Technology/Anatomical Regions/Introduction- Revisions ICD-10-PC Additions, Deletions, and Revisions
  • 47. © Health Catalyst. Confidential and Proprietary. XW0- New Technology/Anatomical Regions/Introduction XW033K9 Introduction of Sulbactam-Durlobactam into Peripheral Vein, Percutaneous Approach, New Technology Group 9 (Xacduro) XW043K9 Introduction of Sulbactam-Durlobactam into Central Vein, Percutaneous Approach, New Technology Group 9 (Xacduro) ICD-10-PC Additions, Deletions, and Revisions
  • 48. © Health Catalyst. Confidential and Proprietary. XW033Q9 Introduction of Posoleucel into Peripheral Vein, Percutaneous Approach, New Technology Group 9 (Viralym-M) XW0- New Technology/Anatomical Regions/Introduction ICD-10-PC Additions, Deletions, and Revisions XW043Q9 Introduction of Posoleucel into Central Vein, Percutaneous Approach, New Technology Group 9 (Viralym-M)
  • 49. © Health Catalyst. Confidential and Proprietary. XW033P9 Introduction of Glofitamab Antineoplastic into Peripheral Vein, Percutaneous Approach, New Technology Group 9 (Columvi®) XW043P9 Introduction of Glofitamab Antineoplastic into Central Vein, Percutaneous Approach, New Technology Group 9 (Columvi®) XW0- New Technology/Anatomical Regions/Introduction ICD-10-PCS Additions, Deletions, and Revisions
  • 50. © Health Catalyst. Confidential and Proprietary. New Technology/Anatomical Regions/Introduction ICD-10-PC Additions, Deletions, and Revisions XW053T9 Introduction of Melphalan Hydrochloride Antineoplastic into Peripheral Artery, Percutaneous Approach, New Technology Group 9 (Hepzato™ Kit) • Code also 5A1C00X for the filtration. No additional surgical code is assigned. XW0DXJ9 Introduction of Quizartinib Antineoplastic into Mouth and Pharynx, External Approach, New Technology Group 9 (Vanflyta®)
  • 51. © Health Catalyst. Confidential and Proprietary. XW0DXN9 Introduction of SER-109 into Mouth and Pharynx, External Approach, New Technology Group 9 (Vowst™) XW0- New Technology/Anatomical Regions/Introduction ICD-10-PC Additions, Deletions, and Revisions
  • 52. © Health Catalyst. Confidential and Proprietary. XW133H9 Transfusion of Lovotibeglogene Autotemcel into Peripheral Vein, Percutaneous Approach, New Technology Group 9 (Lovo-Cel) XW143H9 Transfusion of Lovotibeglogene Autotemcel into Central Vein, Percutaneous Approach, New Technology Group 9 (Lovo-Cel) XW1- New Technology/Anatomical Regions/Transfusion ICD-10-PCS Additions, Deletions, and Revisions
  • 53. © Health Catalyst. Confidential and Proprietary. XW0- New Technology/Anatomical Regions/Introduction XW043R9 Introduction of Rezafungin into Central Vein, Percutaneous Approach, New Technology Group 9 (Rezzayo™) ICD-10-PC Additions, Deletions, and Revisions
  • 54. © Health Catalyst. Confidential and Proprietary. ICD-10-PCS Guideline Updates
  • 55. © Health Catalyst. Confidential and Proprietary. Guideline B5.2b ICD-10-PCS Guideline Updates It does not matter how the body part exits the body. The approach value is determined by how the body part is disconnected.
  • 56. © Health Catalyst. Confidential and Proprietary. Guideline B6.1a ICD-10-PCS Guideline Updates Text that was removed in the updated guidelines: "...For example, the device size is inadequate, or an event documented as a complication occurs..."
  • 57. © Health Catalyst. Confidential and Proprietary. Resources 2024 ICD-10-PCS Coding. Centers for Medicare & Medicaid Services. https://www.cms.gov/medicare/coding- billing/icd-10-codes/2024-icd-10-pcs Aortix™. Procyrion. https://www.procyrion.com/ Cook Medical Introduces Flourish Pediatric Esophageal Atresia Device in US. NS Medical Devices. https://www.nsmedicaldevices.com/news/cook-medical-flourish-pediatric/ FY 2024 Code Updates: CM & PCS. Libman Education. https://libmaneducation.com/ Paradise™ Ultrasound Denervation System. Recor Medical. https://www.recormedical.com/our-technology/
  • 58. Questions? © Health Catalyst. Confidential and Proprietary. Q&A Document can be found on Healthcatalyst.com under Resources/Webinars