Get a Sneak Peek at ICD-10-PCS Codes for 2020

Get a Sneak Peek at ICD-10-PCS Codes for 2020

Here’s a first: Medical coders will have fewer procedural codes in 2020 from which to choose. The facility procedural code set will go from 78,881 codes to 77,559 codes effective Oct. 1, 2019.

There are 734 code additions, 2,056 deletions, and two revisions, according to the Centers for Medicare & Medicaid Services (CMS).

Additions to ICD-10-PCS

Look for new codes under the following:

0 Medical and Surgical

Table 001: Central Nervous System and Cranial Nerves; Bypass

02 Heart and Great Vessels

Table 021: Bypass

Table 02H: Insertion

Table 02U: Supplement

Table 031: Upper Arteries; Bypass

Table 06L: Lower Veins; Occlusion

Table 09U: Ear, Nose, Sinus; Supplement

0D Gastrointestinal System

Table 0D1: Bypass

Table 0DX: Transfer

0H Skin and Breast

Table 0HD: Extraction

Table 0HR: Replacement

0J Subcutaneous Tissue and Fascia

Table 0JH: Insertion

Table 0JP: Removal

Table 0JW: Revision

Table 0PH: Upper Bones; Insertion

Table 0QH: Lower Bones; Insertion

Table 0WC: Anatomic Regions, General; Extirpation

3 Administration

Table 3E0: Introduction

3E0M30Y Introduction of hyperthermic antineoplastic into peritoneal cavity, percutaneous approach

Table 3E1: Irrigation

4 Measuring and Monitoring

Table 4A1: Physiological Systems; Monitoring

5 Extracorporeal or Systemic Assistance and Performance

Table 5A1: Extracorporeal oxygenation; membrane

8 Other Procedures

Table 8E0 Physiological systems and Anatomical Regions; Other Procedures

D Radiation Therapy

Brachytherapy, low dose rate, under nearly all body systems

New Technology

Table X27: Cardiovascular System; Dilation

Table X2A: Assistance

X2A6325 Cerebral Embolic Filtration, Single Deflection Filter in Aortic Arch, Percutaneous Approach, New Technology Group 5

Table XW0: Anatomical Regions

XW013W5 Introduction of Caplacizumab into Subcutaneous Tissue, Percutaneous Approach, New Technology Group 5

Table XT2: Urinary System

XT25XE5 Monitoring of Kidney using Fluorescent Pyrazine, External Approach, New Technology Group 5

Table XW0: Anatomical Regions; Introduction

Table XXE: Physiological Systems

XXE5XM5 Measurement of Infection, Whole Blood Nucleic Acid-base Microbial Detection, New Technology Group 5

Deletions to ICD-10-PCS

Deleted codes are in Table 037 for dilation of upper arteries; Table 03C for extirpation of matter in upper arteries; and Table 03V for restriction of the carotid artery.

Deleted codes are also in Table 047 for dilation of lower arteries; Table 04C for extirpation of matter in lower arteries; and Table 04V restriction of abdominal aorta.

More code deletions are in the following tables:

Table 0H0: Alteration of breast

Table 0H5: Destruction of breast

Table 0H9: Drainage of breast

Table 0HB: Excision of breast

Table 0HC: Extirpation of matter from breast

Table 0HH: Insertion of radioactive element into breast

Table 0HJ: Inspection of breast

Table 0HN: Release of breast

Table 0HP: Removal of device from breast

Table 0HQ: Repair of breast

Table 0HR: Replacement of breast

Table 0HU: Supplement of breast

Table 0HW: Revision of breast

Table 302: Transfusion

Revisions to ICD-10-PCS Codes

Thankfully, we only have two revisions to contend with:

Revise from: XW03372 Introduction of Andexanet Alfa, Factor Xa Inhibitor Reversal Agent into Peripheral Vein, Percutaneous Approach, New Technology Group 2

Revise to: XW03372 Introduction of Inactivated Coagulation Factor Xa into Peripheral Vein, Percutaneous Approach, New Technology Group 2

Revise from: XW04372 Introduction of Andexanet Alfa, Factor Xa Inhibitor Reversal Agent into Central Vein, Percutaneous Approach, New Technology Group 2

Revise to: XW04372 Introduction of Inactivated Coagulation Factor Xa into Central Vein, Percutaneous Approach, New Technology Group 2

Stay tuned for further details in the Knowledge Center and in Healthcare Business Monthly about these code changes and how they may affect your coding in the near future. You can also preorder your 2020 code books!

Source:

https://www.cms.gov/Medicare/Coding/ICD10/2020-ICD-10-PCS.html

 

Renee Dustman
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Renee Dustman

Executive Editor at AAPC
Renee Dustman, BS, AAPC MACRA Proficient, is an executive editor at AAPC. She holds a Bachelor of Science degree in Media Communications - Journalism. Renee has more than 20 years experience in print production and content management. Follow her on Twitter @dustman_aapc.
Renee Dustman
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About Has 716 Posts

Renee Dustman, BS, AAPC MACRA Proficient, is an executive editor at AAPC. She holds a Bachelor of Science degree in Media Communications - Journalism. Renee has more than 20 years experience in print production and content management. Follow her on Twitter @dustman_aapc.

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