Here’s a first: Medical coders will have fewer procedural codes in 2020 from which to choose. The facility procedural code set will go from 78,881 codes to 77,559 codes effective Oct. 1, 2019.
There are 734 code additions, 2,056 deletions, and two revisions, according to the Centers for Medicare & Medicaid Services (CMS).
Additions to ICD-10-PCS
Look for new codes under the following:
0 Medical and Surgical
Table 001: Central Nervous System and Cranial Nerves; Bypass
02 Heart and Great Vessels
Table 021: Bypass
Table 02H: Insertion
Table 02U: Supplement
Table 031: Upper Arteries; Bypass
Table 06L: Lower Veins; Occlusion
Table 09U: Ear, Nose, Sinus; Supplement
0D Gastrointestinal System
Table 0D1: Bypass
Table 0DX: Transfer
0H Skin and Breast
Table 0HD: Extraction
Table 0HR: Replacement
0J Subcutaneous Tissue and Fascia
Table 0JH: Insertion
Table 0JP: Removal
Table 0JW: Revision
Table 0PH: Upper Bones; Insertion
Table 0QH: Lower Bones; Insertion
Table 0WC: Anatomic Regions, General; Extirpation
3 Administration
Table 3E0: Introduction
3E0M30Y Introduction of hyperthermic antineoplastic into peritoneal cavity, percutaneous approach
Table 3E1: Irrigation
4 Measuring and Monitoring
Table 4A1: Physiological Systems; Monitoring
5 Extracorporeal or Systemic Assistance and Performance
Table 5A1: Extracorporeal oxygenation; membrane
8 Other Procedures
Table 8E0 Physiological systems and Anatomical Regions; Other Procedures
D Radiation Therapy
Brachytherapy, low dose rate, under nearly all body systems
New Technology
Table X27: Cardiovascular System; Dilation
Table X2A: Assistance
X2A6325 Cerebral Embolic Filtration, Single Deflection Filter in Aortic Arch, Percutaneous Approach, New Technology Group 5
Table XW0: Anatomical Regions
XW013W5 Introduction of Caplacizumab into Subcutaneous Tissue, Percutaneous Approach, New Technology Group 5
Table XT2: Urinary System
XT25XE5 Monitoring of Kidney using Fluorescent Pyrazine, External Approach, New Technology Group 5
Table XW0: Anatomical Regions; Introduction
Table XXE: Physiological Systems
XXE5XM5 Measurement of Infection, Whole Blood Nucleic Acid-base Microbial Detection, New Technology Group 5
Deletions to ICD-10-PCS
Deleted codes are in Table 037 for dilation of upper arteries; Table 03C for extirpation of matter in upper arteries; and Table 03V for restriction of the carotid artery.
Deleted codes are also in Table 047 for dilation of lower arteries; Table 04C for extirpation of matter in lower arteries; and Table 04V restriction of abdominal aorta.
More code deletions are in the following tables:
Table 0H0: Alteration of breast
Table 0H5: Destruction of breast
Table 0H9: Drainage of breast
Table 0HB: Excision of breast
Table 0HC: Extirpation of matter from breast
Table 0HH: Insertion of radioactive element into breast
Table 0HJ: Inspection of breast
Table 0HN: Release of breast
Table 0HP: Removal of device from breast
Table 0HQ: Repair of breast
Table 0HR: Replacement of breast
Table 0HU: Supplement of breast
Table 0HW: Revision of breast
Table 302: Transfusion
Revisions to ICD-10-PCS Codes
Thankfully, we only have two revisions to contend with:
Revise from: XW03372 Introduction of Andexanet Alfa, Factor Xa Inhibitor Reversal Agent into Peripheral Vein, Percutaneous Approach, New Technology Group 2
Revise to: XW03372 Introduction of Inactivated Coagulation Factor Xa into Peripheral Vein, Percutaneous Approach, New Technology Group 2
Revise from: XW04372 Introduction of Andexanet Alfa, Factor Xa Inhibitor Reversal Agent into Central Vein, Percutaneous Approach, New Technology Group 2
Revise to: XW04372 Introduction of Inactivated Coagulation Factor Xa into Central Vein, Percutaneous Approach, New Technology Group 2
Stay tuned for further details in the Knowledge Center and in Healthcare Business Monthly about these code changes and how they may affect your coding in the near future. You can also preorder your 2020 code books!
Source:
https://www.cms.gov/Medicare/Coding/ICD10/2020-ICD-10-PCS.html