New codes and guidelines become effective Oct. 1, 2023.
The Centers for Medicare & Medicaid Services (CMS) published the ICD-10-PCS codes and guidelines for the 2023 fiscal year on May 26, 2022. These inpatient procedure codes and guidelines will become effective Oct. 1, 2022.
There are 331 new procedure codes and 64 deleted codes. The guidelines have added B3.19 (Detachment procedures of the extremities) and revised B4.1c (Procedure on Tubular Body Parts) and B6.1a (General Coding of Device).
The new guideline B3.19 provides detailed instructions regarding the coding of complete and partial amputation of the extremities by including this table for the qualifiers:
The revision to guideline B4.1c is a further specification that when a vascular procedure is performed on a continuous section of artery or vein, the body part value for the anatomically most proximal (closest to the heart) should be used. For example, say the procedure is performed on a continuous section of artery from the femoral artery to the external iliac artery, with the point of entry at the femoral artery. In this case, the body part value should be the external iliac artery. If the point of entry was the external iliac artery, then the body part value that would be assigned is still the external iliac artery.
The update to B6.1a is a minor change that advises the coder on how to code the insertion and removal of a device when the intent is for the device to remain after the procedure, but the device needs to be removed prior to the end of the procedure due to inadequate size or a documented complication. In this situation, the coder would assign a code for insertion and removal of the device.
The new procedure codes cover the following topics:
This article gives you a peek into the changes and updates for the 2023 ICD-10-PCS codes and guidelines. Please note that the new procedure codes in the New Technology Section can be identified in the qualifier as New Technology Group 8. There will be more information provided in the Inpatient Prospective Payment System (IPPS) webinar series in August 2022.
Programming Note: Listen to Laurie Johnson’s Coding Report every Tuesday on Talk Ten Tuesdays at 10 Eastern with Chuck Buck and Dr. Erica Remer.
A common debate among clinical documentation integrity (CDI) professionals, physician advisors, and coders is what to sequence as the principal diagnosis when a patient arrives
It’s hard to believe, but April 1 is right around the corner. As coders, we know that is one of our update dates, and this
Please log in to your account to comment on this article.
Uncover essential coding insights with nationally recognized coding authority Kay Piper, RHIA, CDIP, CCS. Through ICD10monitor’s interactive, on‑demand webcast series, Kay walks you through the AHA’s 2026 ICD‑10‑CM/PCS Quarterly Coding Clinics, translating each update into practical, easy‑to‑apply guidance designed to sharpen precision, ensure compliance, and strengthen day‑to‑day decision‑making. Available shortly after each official release.
Uncover critical guidance on the ICD-10-CM/PCS code updates. Kay Piper reviews and explains ICD-10-CM/PCS coding guidelines in the AHA’s fourth quarter 2026 ICD-10-CM/PCS Coding Clinic in an easy to access on-demand webcast.
Uncover critical guidance on the ICD-10-CM/PCS code updates. Kay Piper reviews and explains ICD-10-CM/PCS coding guidelines in the AHA’s third quarter 2026 ICD-10-CM/PCS Coding Clinic in an easy to access on-demand webcast.
Uncover critical guidance on the ICD-10-CM/PCS code updates. Kay Piper reviews and explains ICD-10-CM/PCS coding guidelines in the AHA’s second quarter 2026 ICD-10-CM/PCS Coding Clinic in an easy to access on-demand webcast.
Federal auditors are intensifying their focus on inpatient psychiatric facilities, using advanced data analytics to spotlight outliers and pursue high‑dollar repayments. In this high‑impact webcast, Michael Calahan, PA, MBA, Compliance Officer and V.P., Hospital & Physician Compliance, breaks down what regulators are really targeting in IPF-PPS admissions, documentation, treatment and discharge planning. Attendees will learn practical steps to tighten processes, avoid common audit triggers and protect reimbursement and reduce the risk of multimillion-dollar repayment demands.
In this timely session, Stacey Shillito, CDIP, CPMA, CCS, CCS-P, CPEDC, COPC, breaks down the complexities of Medical Decision Making (MDM) documentation so providers can confidently capture the true complexity of their care. Attendees will learn practical, efficient strategies to ensure documentation aligns with current E/M guidelines, supports accurate coding, and reduces audit risk, all without adding to charting time.
Join Ronald Hirsch, MD, FACP, CHCQM for The PEPPER Returns – Risk and Opportunity at Your Fingertips, a practical webcast that demystifies the PEPPER and shows you how to turn complex claims data into actionable insights. Dr. Hirsch will explain how to interpret key measures, identify compliance risks, uncover missed revenue opportunities, and understand new updates in the PEPPER, all to help your organization stay ahead of audits and use this powerful data proactively.
Stay ahead of the 2026-2027 audit surge with “Top 10 Audit Targets for 2026-2027 for Hospitals & Physicians: Protect Your Revenue,” a high-impact webcast led by Michael Calahan, PA, MBA. This concise session gives hospitals and physicians clear insight into the most likely federal audit targets, such as E/M services, split/shared and critical care, observation and admissions, device credits, and Two-Midnight Rule changes, and shows how to tighten documentation, coding, and internal processes to reduce denials, recoupments, and penalties. Attendees walk away with practical best practices to protect revenue, strengthen compliance, and better prepare their teams for inevitable audits.
Prepare for the 2025 CMS IPPS Final Rule with ICD10monitor’s IPPSPalooza! Click HERE to learn more
Get 15% OFF on all educational webcasts at ICD10monitor with code JULYFOURTH24 until July 4, 2024—start learning today!
BLOOM INTO SAVINGS! Get 25% OFF during our spring sale through March 27. Use code SPRING26 at checkout to claim this offer.
CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 1 with code CYBER25
CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24
