Optum360 coding books logo
Optum360Coding.com
    Contact Us   (7 a.m.–7 p.m. CST)
  Home > Coding Central Articles > Coding Central Articles  
Coding Central
Coding Central Home
Inside Track to ICD-10
Coding Central Articles
Code This!
Case Studies
Chargemaster Corner

Articles for:
March 27, 2018


Spring OPPS Update Released

The Centers for Medicare and Medicaid Services (CMS) summarized the spring update to the outpatie... Learn More


Therapy Caps Repealed and Payment for Therapy Assistant Services Lowered

Medicare payment caps on outpatient therapy were permanently repealed effective January 1, 2018. ... Learn More


OIG Update Work Plan, Studies Cardiac Device Credits

In March, the Office of Inspector General (OIG) posted several updates to its existing Work Plan,... Learn More


View Article Archive

Subscribe:
To subscribe, paste this link into your preferred feedreader, or click on one of the buttons below:
 

Medical Coding News Archives

Fifty New PCS Codes Added for 2016 in Spite of Code Freeze

 
June 30, 2015:

Despite the partial code freeze imposed on the ICD-10 code set, 50 new ICD-10-PCS codes have been announced, to be effective along with the rest of the code set October 1, 2015. ICD-10 has been under a partial code freeze for two years, allowing only minimal changes to reflect new technology and advancements. There are no revised or deleted codes.

Thirty-six of the new codes describe the dilation of femoral and popliteal arteries using a drug-coated balloon (all begin with 047), and 14 were added to the new X code section for new technology. A list of the new codes, along with their descriptions, are at http://www.cms.gov/Medicare/Coding/ICD10/Downloads/2016-New-Procedure-Codes.pdf.

Also released with the new codes were the general equivalence mappings (GEMs), as well as the addenda, which are usually released separately from the code set. GEMs provide a kind of crosswalk between ICD-9 and ICD-10 procedure codes, although there is not a one-to-one correspondence between the two systems since ICD-10-PCS has so many more codes than does ICD-9-CM. The addenda provide only those changes made to the PCS index, definitions of terms used in the ICD-10-PCS code set, and tables used to build codes.

The new X code section maintains continuity with the rest of the code system by keeping the same root operation and body part values as similar codes in other sections. No new coding guidelines or unfamiliar coding concepts arise because of the X codes. CMS created the new section because public comment did not support adding new technology codes to current sections of ICD-10-PCS.

CMS stresses that X codes are not supplemental codes, but are stand-alone. When an X code is listed, there is no need to report another, broader code from another section of the code system. As an example, CMS offers code XW04321 Ceftazidime-Avibactam Anti-infective into Central Vein, Percutaneous Approach, New Technology Group 1. When it is reported, there is no need to also list a code from table 3E0 to describe the administration of the ceftazidime-avibactam.

All new-technology codes will be listed in the alphabetic index under the main term “New Technology,” as well as under the name of the new device, substance, or technology.

 

 
Sign in to
Your Account
USERNAME
Forgot your username?
PASSWORD
Forgot your password?
Don't have an account?
It's easy to create one.

Promo code

Have a promotional source code? Enter it here:


What is this?

Code This!

Test your coding knowledge!

/VIEW MORE