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Medical Coding News Archives

CDC Opts for CPT® Over ICD-10-PCS Codes

 
June 7, 2013:

Brigid T. Caffrey, BA, BS, CCS, Clinical/Technical Editor

The National Healthcare Safety Network will use CPT instead of ICD-10-PCS codes for operative procedure categories by January 2015, according to the April 2013 question and answer section of the Centers for Disease Control and Prevention’s NHSN e-News.

The procedure codes are specified for surgical site infection (SSI) surveillance and have been identified with ICD-9-CM codes. For some procedures performed in outpatient/ambulatory settings, this meant using CPT codes mapped from the ICD-9-CM code set. With the transition to ICD-10, however, the PCS classification will not be employed. Instead, NHSN will use the American Medical Association’s CPT codes to report outcomes of both inpatient and outpatient surgeries.

The impact on inpatient coding has not been clarified: Will inpatient records require CPT procedure code assignment, or will the physician-supplied CPT code suffice? Further information will be available before the effective date.

A table of the NHSN operative procedures for SSI surveillance can be found at www.cdc.gov/nhsn/PDFs/pscManual/9pscSSIcurrent.pdf.

The NHSN Healthcare Associated Infection (HAI) measures are not identified by ICD-9-CM diagnosis codes, so the ICD-10-CM transition will not cause any change.

 

 
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