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
May is National Mental Health Awareness Month, making it a good time to check out the National Institute of Mental Health (NIMH) digital toolkit on
Modifier 25 remains that prickly modifier that seems to be a part of strategic planning for payment reduction to providers by health plans. For anyone
Please log in to your account to comment on this article.
Michelle Wieczorek explores challenges, strategies, and best practices to AI implementation and ongoing monitoring in the middle revenue cycle through real-world use cases. She addresses critical issues such as the validation of AI algorithms, the importance of human validation in machine learning, and the delineation of responsibilities between buyers and vendors.
Frank Cohen shows you how to leverage the Comprehensive Error Rate Testing Program (CERT) to create your own internal coding and billing risk assessment plan, including granular identification of risk areas and prioritizing audit tasks and functions resulting in decreased claim submission errors, reduced risk of audit-related damages, and a smoother, more efficient reimbursement process from Medicare.
Dr. Ronald Hirsch presents an essential “A to Z” review of Observation, including proper use for Medicare, Medicare Advantage, and commercial payers. He addresses the correct use of Observation in medical patients and surgical patients, and how to deal with the billing of unnecessary Observation services, professional fee billing, and more.
Explore the top-10 federal audit targets for 2024 in our webcast, “Top-10 Compliance Risk Areas for Hospitals & Physicians in 2024: Get Ahead of Federal Audit Targets,” featuring Certified Compliance Officer Michael G. Calahan, PA, MBA. Gain insights and best practices to proactively address risks, enhance compliance, and ensure financial well-being for your healthcare facility or practice. Join us for a comprehensive guide to successfully navigating the federal audit landscape.
Join industry expert, Kathy Pride, RHIT, CPC, CPMA, CCS-P, for an in-depth exploration of Evaluation and Management (E/M) coding, tailored for healthcare professionals navigating recent guideline changes. Dive into advanced topics beyond mere code selection, including shared visits, criteria for selecting E/M levels, and documentation best practices. Gain clarity on complex guideline terminology and ensure compliance with regulatory standards. This comprehensive session is essential for coders, auditors, educators, and practitioners seeking to enhance their proficiency in E/M coding and maximize revenue capture.
This third session in the ICD10monitor 2025 IPPS Masterclass will feature a review of FY25 changes to the MS-DRG methodology and new technology add-on payments (NTAPs), presented by senior healthcare consultant Laurie Johnson, with bonus insights and analysis from CDI expert Dr. Erica Remer.
This second session in the ICD10monitor 2025 IPPS Masterclass will feature a review of the FY25 changes to ICD-10-PCS codes, presented by senior healthcare consultant Laurie Johnson, with bonus insights and analysis from CDI expert Dr. Erica Remer.
This first session in the ICD10monitor 2025 IPPS Masterclass will feature a review of FY25 changes to ICD-10-CM codes and guidelines, SDoH, CCs/MCCs and revisions to the MCE, presented by senior healthcare consultant Laurie Johnson, with bonus insights and analysis from Dr. Erica Remer.
Copyright © 2024 ICD10monitor. Powered by MedLearn Media.
Happy World Health Day! Our exclusive webcast, ‘2024 SDoH Update: Navigating Coding and Screening Assessment,’ is just $99 for a limited time! Use code WorldHealth24 at checkout.
