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List of New 2023 ICD-10-PCS Procedure Code Changes: Part 1

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) is a standardized system used to code medical procedures in the United States. Every year, new codes and updates are released to reflect changes in medical technology and terminology. In this article, we will discuss some of the new 2023 ICD-10-PCS procedure code changes.

  1. New Sections

The 2023 update includes two new sections for procedures that were previously grouped under other sections:

  • Eye and Adnexa: This new section includes codes for procedures involving the eye and its surrounding structures, such as the eyelids, tear ducts, and orbital bones.
  • Female Reproductive System: This new section includes codes for procedures involving the female reproductive system, such as hysterectomy, oophorectomy, and salpingectomy.

  1. Revised Definitions

Several definitions have been revised for the 2023 update to better reflect current medical practices. Some of these revised definitions include:

  • Creation: The definition has been revised to include procedures that create a new connection between two structures, such as a new connection between blood vessels.
  • Destruction: The definition has been revised to include procedures that use energy to destroy tissue, such as ablation procedures.
  • Fusion: The definition has been revised to include procedures that permanently join two or more bones, such as spinal fusion procedures.
  • Repair: The definition has been revised to include procedures that restore the function of a body part or structure, such as ligament repair procedures.

  1. New Body Parts

New body parts have been added to the Musculoskeletal System section, including:

  • Sacroiliac Joint: This joint connects the sacrum to the pelvis and is involved in movements such as walking and standing.
  • Acromioclavicular Joint: This joint connects the clavicle to the scapula and is involved in movements such as raising the arm.

  1. New Approaches

New approach values have been added to the Administration section, including:

  • Oral: This approach value is used to indicate that a medication was administered orally, such as in the form of a pill or liquid.
  • Transdermal: This approach value is used to indicate that a medication was administered through the skin, such as with a patch or cream.

  1. New Qualifiers

New qualifiers have been added to the Administration section, including:

  • F: This qualifier is used to indicate that a medication was administered via a feeding tube.
  • G: This qualifier is used to indicate that a medication was administered via a gastrostomy tube.

  1. Revised Body Part Key Values

The Body Part key values for the Female Reproductive System and Maternity sections have been revised to better reflect anatomical structures and medical terminology.

  1. New Device Key Values

New Device key values have been added to the Administration section to reflect the use of devices in medication administration, such as:

  • Infusion Pump: This key value is used to indicate the use of an infusion pump to administer medication.
  • Inhaler: This key value is used to indicate the use of an inhaler to administer medication.

Conclusion

The 2023 ICD-10-PCS procedure code changes and updates include new sections for the Eye and Adnexa and Female Reproductive System, revised definitions for several root operations, new body parts, approaches, and qualifiers, and revised key values for body parts and devices. These changes are designed to improve the accuracy and specificity of coding for medical procedures and reflect the latest advancements in medical technology and terminology.