In the second part of our article on 2023 ICD-10-PCS procedure code changes and updates, we will continue to explore the new codes and guidelines for the upcoming year.
-
New Technology Section
A new section has been added to ICD-10-PCS for new technology procedures. These procedures are typically used for innovative or emerging technologies that do not have a specific code in the current system. The new technology section includes codes for procedures such as gene editing, immunotherapy, and robotics. These codes are designated with the letter “X” as the first character.
New Device Section
A new section has been added to ICD-10-PCS for device procedures. These procedures involve the use of medical devices such as implantable devices or artificial organs. The new device section includes codes for procedures such as insertion, removal, and replacement of medical devices. These codes are designated with the letter “W” as the first character.
-
Revised Definitions for Certain Root Operations
Several root operations in ICD-10-PCS have revised definitions for the 2023 update. These include:
- Control: The definition has been revised to include procedures that control the blood supply to an organ or tissue.
- Detachment: The definition has been revised to include the detachment of a body part from a prosthesis.
- Excision: The definition has been revised to include procedures that remove foreign bodies or other materials from a body part.
- Extraction: The definition has been revised to include procedures that remove substances from a body part, such as fluid or air.
- Fragmentation: The definition has been revised to include procedures that break up solid substances within a body part.
- Resection: The definition has been revised to include procedures that remove a portion of an organ or tissue.
-
New Qualifier for Procedures Involving Multiple Body Parts
A new qualifier has been added for procedures that involve multiple body parts. The new qualifier is “0” and is used to indicate that the procedure was performed on two or more body parts that are not contiguous. This qualifier can be used with any root operation in ICD-10-PCS.
-
New Qualifiers for Procedures Involving Implants
Two new qualifiers have been added for procedures that involve implants. The new qualifiers are “R” and “T” and are used to indicate whether the implant is radiopaque or non-radiopaque, respectively. These qualifiers can be used with any root operation in ICD-10-PCS that involves an implant.
-
New Approach Values for Procedures Involving Imaging Guidance
Two new approach values have been added for procedures that involve imaging guidance. The new approach values are “3” and “4” and are used to indicate whether the imaging guidance was performed through a natural orifice or through an artificial opening, respectively. These approach values can be used with any root operation in ICD-10-PCS that involves imaging guidance.
-
Revised Guidelines for Obstetrics Section
The guidelines for the Obstetrics section of ICD-10-PCS have been revised for the 2023 update. The new guidelines provide more detailed instructions for reporting procedures such as cesarean deliveries and fetal monitoring. The revised guidelines also include new codes for procedures such as amniocentesis and chorionic villus sampling.
Conclusion
The 2023 ICD-10-PCS procedure code changes and updates include new sections for new technology and device procedures, revised definitions for certain root operations, new qualifiers for procedures involving multiple body parts and implants, and new approach values for procedures involving imaging guidance. Additionally, the guidelines for the Obstetrics section have been revised to provide more detailed instructions for reporting procedures in this area. These changes are designed to improve the accuracy and specificity of coding for medical