ICD-10-PCS: Update for 2023
TLDRIn this informative presentation, Terry Tropin discusses the 2023 updates for ICD-10 PCS codes, highlighting changes to guidelines, code tables, and the introduction of new medical technologies. The updates, effective from October 1, 2022, include new guidelines for detachment procedures, revisions to the coding of tubular body parts and devices, and the reclassification of laser interstitial thermal therapy. Notable additions and modifications are also made to extracorporeal assistance, imaging, and the new technology section, reflecting the latest advancements in medical procedures and devices.
Takeaways
- π The 2023 updates for ICD-10 PCS codes are effective from October 1, 2022, and should be familiarized as soon as possible.
- π¨βπ« Terry Tropin has a master's in healthcare administration informatics, RHIA, CCSP certifications, and is an AHIMA approved ICD-10 trainer with over 20 years of teaching experience.
- π Terry Tropin has authored books on coding, including EM coding, ICD-10-CM coding, and ICD-10-PCS coding, available on Amazon.
- π New guideline B3.19 has been added for detachment procedures, specifying the level of amputation in anatomical regions of upper and lower extremities.
- π©Ί The guideline for coding tubular body parts has been narrowed to only include arteries and veins, excluding other continuous organs.
- π§ Clarification has been made regarding the coding of devices: if a device remains after the procedure, it is coded; if removed due to complications, both insertion and removal are coded.
- π‘οΈ The value for Laser Interstitial Thermal Therapy has been moved to specific body systems, now categorized under destruction in various systems.
- π A new qualifier value 'Rapid Deployment' has been added to the heart and great vessel system for less invasive aortic valve replacements.
- π©Ή Qualifier values have been added for lower arteries, gastrointestinal system transfers, and head and facial bones removal and revision procedures.
- 𧬠Changes in the new technology section include the addition of new substances and devices for treating various conditions, including cancers, thalassemia, and autoimmune disorders.
- π οΈ New tables have been added for technologies such as posterior vertebral tether and synthetic substitutes for menisci in the knee joint, reflecting advancements in medical procedures and devices.
Q & A
What is the significance of the 2023 updates for ICD-10 PCS codes?
-The 2023 updates for ICD-10 PCS codes are significant because they include changes to guidelines, code tables, and the introduction of new procedures and technologies. These updates are effective from October 1, 2022, and are crucial for healthcare professionals to stay current with for accurate coding and reporting.
What is Terry Tropy's professional background?
-Terry Tropy has a master's in health care administration informatics from the University of Maryland Global Campus. He holds RHIA and CCSP certifications and is an AHIMA-approved ICD-10 trainer. He has over 20 years of experience teaching health information technology at Montgomery College and has authored books on coding.
What is the new guideline B3.19 for detachment procedures?
-The new guideline B3.19 for detachment procedures specifies the use of qualifiers to indicate the level of amputation for upper and lower extremities. This guideline is applicable only to anatomical regions of upper and lower extremities and is based on the body part value and body systems involved in the procedure.
How has the guideline for coding tubular body parts changed?
-The guideline for coding tubular body parts has been narrowed down from including other continuous organs to now only including arteries and veins. The change specifies that if a single vascular procedure is performed on a continuous section of an arterial or venous body part, the code should correspond to the most proximal part to the heart.
What is the change related to devices in the guidelines?
-The change related to devices is a clarification that no device is bolded in the classification, which means that in most cases, only the code for a device that remains after the procedure is completed should be used. However, if a device intended to remain requires removal before the end of the operative episode, both the insertion and removal should be coded.
What is the new qualifier value added to the heart and great vessel system?
-The new qualifier value added to the heart and great vessel system is 'rapid deployment' used for the replacement of an aortic valve. This is a less invasive method that involves less time on pulmonary cardiopulmonary bypass.
What does the term 'transfer' mean in the context of medical and surgical procedures?
-In the context of medical and surgical procedures, 'transfer' refers to moving a body part to take over the function of all or a portion of another body part while the part moved remains connected to its original vascular and nervous supply.
What is the significance of the new technology section in the ICD-10 PCS updates?
-The new technology section in the ICD-10 PCS updates is significant as it reflects the latest advancements and procedures in the medical field. It includes new procedures, devices, and substances that were not previously coded. This section ensures that the coding system keeps pace with medical innovations.
How has the imaging section been updated?
-The imaging section has been updated with the addition of a new row for MRIs with a qualifier value 'hyperpolarized xenon 129'. This gas is used for imaging the lungs without exposing the patient to ionizing radiation, offering a non-radiation alternative for lung imaging.
What is the new table added to the new technology section for the cardiovascular system?
-A new table has been added to the new technology section for the cardiovascular system for the body part value 'coronary sinus' with the device substance technology values 'intermittent coronary sinus occlusion'. This involves a device that intermittently increases the coronary sinus pressure and pulse pressure.
What was the change made to the new technology section for the hepatobiliary system and pancreas?
-A new table was added to the new technology section for the hepatobiliary system and pancreas with the root operation 'destruction'. The body part values are for the liver and specific lobes, and the device substance technology value is 'ultrasound-guided cavitation', which uses sound waves to destroy tissue using heat.
Outlines
π Introduction to ICD-10 PCS Updates and Background
The speaker, Terry Tropin, introduces himself and sets the stage for discussing the 2023 updates to ICD-10 PCS codes. He mentions his qualifications, including a master's degree in health care administration informatics, RHIA and CCSP certifications, and his role as an AHIMA-approved ICD-10 trainer. Tropin has over 20 years of experience teaching health information technology and has authored books on coding. He also provides information on how to purchase slides for the presentation and his books on Amazon.
π Changes to Guidelines and Coding of Tubular Body Parts
Tropin delves into the specifics of the 2023 ICD-10 PCS updates, highlighting changes to guidelines for detachment procedures, the coding of tubular body parts, and devices. He explains the new Guideline B 3.19 for upper and lower extremity detachments and the revised guidelines for tubular body parts, now focused on arteries and veins. Tropin also clarifies the coding for devices that remain after a procedure and those that require removal due to complications.
π©Ί Updates on Medical and Surgical Procedures and New Technology
The speaker discusses updates to the medical and surgical tables, including changes in the coding for heart and great vessels, lower arteries, gastrointestinal transfer procedures, and head and facial bones. He also covers changes to extracorporeal or systemic assistance and performance, as well as the imaging section. Tropin emphasizes the numerous changes in the new technology section, reflecting the ongoing advancements in medical procedures and devices.
π‘ New Technology and Substances in Medical Treatment
Tropin highlights the addition of new substances and devices for medical treatment in the ICD-10 PCS updates. He mentions new drugs for preventing catheter-related bloodstream infections, treating various infections and cancers, and for conditions like thalassemia and autoimmune diseases. He also discusses new devices for seizure analysis, coronary artery flow analysis, and brain electrical activity monitoring, showcasing the evolving landscape of medical technology.
π Conclusion and Additional Resources
Tropin concludes the presentation by reiterating the availability of his 2023 ICD-10 PCS books on Amazon and offering to send a PDF of the presentation slides to those who donate and provide their email. He also mentions an upcoming book on evaluation and management coding updates, which will be released in the fall, and encourages viewers to reach out with any questions or comments.
Mindmap
Keywords
π‘ICD-10 PCS codes
π‘Healthcare Administration Informatics
π‘RHIA and CCSP certifications
π‘AHIMA-approved ICD-10 trainer
π‘Detachment Procedures
π‘Tubular Body Parts
π‘Devices
π‘LaserInterstitial Thermal Therapy
π‘Rapid Deployment
π‘Extracorporeal or Systemic Assistance
π‘New Technology Section
π‘Medical and Surgical Tables
Highlights
Discussion of the 2023 updates for ICD-10 PCS codes, including changes to guidelines and code tables.
The 2023 updates are effective from October 1, 2022, emphasizing the need for early familiarity with the changes.
Introduction of Terry Tropin, an AHIMA approved ICD-10 trainer with over 20 years of teaching experience.
Terry Tropin's credentials include a master's degree in health care administration informatics and RHIA and CCSP certifications.
Tropin's authored books on coding serve as study guides for students and professionals in the field.
The 2023 versions of the ICD-10-CM and ICD-10-PCS books are available on Amazon.
New guideline B3.19 for detachment procedures specifying the level of amputation in anatomical regions of upper and lower extremities.
Changes to the guideline for coding tubular body parts, now narrowed to just arteries and veins.
Clarification in the guidelines regarding devices, emphasizing that only the insertion of a clinically significant device is coded if it remains after the procedure.
Laser interstitial thermal therapy has been moved to specific body systems with a qualifier value 3 for root operation destruction.
Addition of a qualifier value 'rapid deployment' for replacement of an aortic valve, indicating a less invasive procedure.
Updates to the medical and surgical tables including changes to heart and great vessels, lower arteries, gastrointestinal system, and head and facial bones.
New technology section updates with the addition of a table for the nervous system with root operation insertion and device substance technology values.
Innovations in the cardiovascular system with the addition of a new row for intermittent coronary sinus occlusion.
Addition of a new table for the hepatobiliary system and pancreas with root operation destruction and device substance technology value ultrasound-guided cavitation.
Significant changes in the new technology section with the introduction of new substances and devices for treatment, including synthetic substitutes for menisci.
Final highlights include new technology values for devices like brain electrical activity computer-aided analysis for seizures and coronary artery flow analysis.
Transcripts
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