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The Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS) continue to update the official guidelines related to ICD-10-CM/PCS coding.  This article summarizes the ICD-10-PCS guidelines only, including one significant change from the FY 2013 guidelines.

A quick review of the introductory section emphasizes that the 2014 guidelines are a set of rules developed to accompany and complement the official conventions and instructions provided within the ICD-10-PCS itself.  As a reminder, the instructions and conventions within ICD-10 take precedence over these guidelines.  Although based on the coding and sequencing instructions in the Tables, Index and Definitions of ICD-10-PCS, the guidelines provide additional instruction.  Also important to remember is that the Healthcare Insurance Portability and Accountability Act (HIPAA) requires that providers adhere to these guidelines when assigning ICD-10-PCS procedure codes, which  HIPAA mandated for use in the hospital inpatient setting.


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