The Centers for Medicare & Medicaid Services (CMS) has released 41 new procedure codes, which are effective April 1, 2024. The new codes were posted Dec. 19, 2023.
The new procedure codes include the following:
Most of the changes are updates to the Medical & Surgical Section, Gastrointestinal Body System, with the approach of “percutaneous endoscopic” and qualifier of “hand-assisted.” Please note that the Mental Health Section had a reduction of two codes.
The updates to the ICD-10-PCS codes will have the following impact to each ICD-10-PCS Section:
| ICD-10-PCS Section | FY24 ICD-10-PCS | FY24 April ICD-10-PCS | Section Change |
| Medical & Surgical | 68,058 | 68,092 | 34 |
| Obstetrics | 304 | 304 | 0 |
| Placement | 861 | 861 | 0 |
| Administration | 1,271 | 1,272 | 1 |
| Measurement & Monitoring | 422 | 422 | 0 |
| Extracorporeal Assistance & Performance | 54 | 54 | 0 |
| Extracorporeal Therapies | 46 | 46 | 0 |
| Osteopathic | 100 | 100 | 0 |
| Other Procedures | 88 | 88 | 0 |
| Chiropractic | 90 | 90 | 0 |
| Imaging | 2,978 | 2,978 | 0 |
| Nuclear Medicine | 463 | 463 | 0 |
| Radiation Therapy | 2,056 | 2,056 | 0 |
| Physical Rehabilitation & Diagnostic Audiology | 1,280 | 1,380 | 0 |
| Mental Health | 30 | 28 | -2 |
| Substance Abuse | 59 | 59 | 0 |
| New Technology | 343 | 345 | 2 |
| Grand Total | 78,603 | 78,638 | 35 |
The ICD-10-PCS guidelines were also updated with this release. Guideline D.1a (Brachytherapy) was revised to include another exception to the guideline. The new exception is the insertion of Palladium-103 brachytherapy seeds embedded in a collagen matrix to the treatment site after resection of a brain tumor.
The updates are available on the CMS website. The link for the website can be found below. The conversion file for ICD-10-PCS is also available.
The updates have been released early so that vendors can incorporate the new codes for the April 1 effective date. It is recommended to become familiar with the changes, make any updates to your facility-specific coding guidelines (if needed), and train the coders.
Listen to Laurie Johnson report this story live today during Talk Ten Tuesdays with Chuck Buck and Dr. Erica Remer, 10 Eastern.
https://www.cms.gov/medicare/coding-billing/icd-10-codes/2024-icd-10-pcs
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