NEWS ALERT: New ICD-10-PCS Codes and Guidelines Have Arrived

NEWS ALERT: New ICD-10-PCS Codes and Guidelines Have Arrived

The Centers for Medicare & Medicaid Services (CMS) have released the new ICD-10-PCS codes and guidelines for the 2024 fiscal year (FY). There is a net increase of 73 codes, with a new total of 78,603 inpatient procedure codes. The largest increase can be found in the New Technology Section, which is receiving 40 new codes. The distribution of code changes is shown in the table below:

SectionFY23 April UpdateFY24 UpdateChange Volume
Medical/Surgical68,03868,058+20
Obstetrics3043040
Placement8618610
Administration1,2711,2710
Measurement & Monitoring4224220
Extracorporeal or Systemic Assistance & Performance5154+3
Extracoporeal or Systemic Therapies46460
Osteopathic1001000
Other Procedures7888+10
Chiropractic90900
Imaging2,9782,9780
Nuclear Medicine4634630
Radiation Therapy2,0562,0560
Physical Rehabilitation & Diagnostic Audiology  1,380  1,380  0
Mental Health59590
Substance Abuse Therapy59590
New Technology303343+40
Grand Total78,53078,603+73

The Body Part Key has also been expanded to include appendiceal orifice for appendix, middle meningeal artery (intracranial portion) for intracranial artery, and chin for subcutaneous tissue and fascia of the face. The Body Part Key is an appendix for ICD-10-PCS.

The following devices were added to the Device Key:

  • EV ICD System (extravascular implantable defibrillator lead);
  • Aveir™ VR, as single chamber;
  • Flourish® Pediatric Esophageal Atresia Device;
  • Aortix™ System;
  • Vanta™ PC Neurostimulator; and
  • Intellis™ Neurostimulator.

The Substance Key has  Plazomicin added under Other Anti-infective. Angiotensin II, GIAPREZA™, and Human Angiotensin II, synthetic, have been added to Vasopressor.

There are too many changes in the New Technology Section to mention. This indicates that there will be many changes in the New Technology Add-On Payment (NTAP) for 2024.

There are six new tables in ICD-10-PCS in the New Technology Section, including:

  • X05 (New Technology Section, Nervous System, Destruction);
  • X2H (New Technology Section, Cardiovascular System, Insertion);
  • X2U (New Technology Section, Cardiovascular System, Supplement);
  • XNR (New Technology Section, Bones, Replacement);
  • XV5 (New Technology Section, Male Reproductive System, Destruction); and
  • XX2 (New Technology Section, Physiological Systems, Monitoring).

The ICD-10-PCS guidelines have been updated in response to public comment and internal review. Guideline B5.2b (Percutaneous endoscopic approach with hand assistance or extension of incision) was amended to include hand assistance, and temporary exteriorization of a body structure was added.

Another guideline that has been updated is B6.1a (General guideline) so that the example of “the device size is inadequate, or an event documented as a complication occurs” has been removed.

The ICD-10-PCS codes, guidelines, and New Technology Add-On Payments (NTAPs) will be reviewed in more detail on Talk Ten Tuesdays on Aug. 16, 2023.

Programming note: Listen to Laurie Johnson when she reports this story live today during Talk Ten Tuesdays, 10 Eastern, with Chuck Buck and Dr. Erica Remer.

Facebook
Twitter
LinkedIn

Laurie M. Johnson, MS, RHIA, FAHIMA, AHIMA Approved ICD-10-CM/PCS Trainer

Laurie Johnson is currently a senior healthcare consultant for Revenue Cycle Solutions, based in Pittsburgh, Pa. Laurie is an AHIMA-approved ICD-10-CM/PCS trainer. She has more than 35 years of experience in health information management and specializes in coding and related functions. She has been a featured speaker in over 40 conferences. Laurie is a member of the ICD10monitor editorial board and is a permanent panelist on Talk Ten Tuesdays

Related Stories

Focus on Screening Codes

Focus on Screening Codes

Now’s the time for to us to schedule those mammograms and colonoscopies we may have been putting off, but it is also a good time

Read More

Leave a Reply

Please log in to your account to comment on this article.

Featured Webcasts

Sepsis Sequencing in Focus: From Documentation to Defensible Coding

Sepsis sequencing continues to challenge even experienced coding and CDI professionals, with evolving guidelines, documentation gaps, and payer scrutiny driving denials and data inconsistencies. In this webcast, Payal Sinha, MBA, RHIA, CCDS, CDIP, CCS, CCS-P, CCDS-O, CRC, CRCR, provides clear guideline-based strategies to accurately code sepsis, severe sepsis, and septic shock, assign POA indicators, clarify the relationship between infection and organ dysfunction, and align documentation across teams. Attendees will gain practical tools to strengthen audit defensibility, improve first-pass accuracy, support appeal success, reduce denials, and ensure accurate quality reporting, empowering organizations to achieve consistent, compliant sepsis coding outcomes.

March 26, 2026
I022426_SQUARE

Fracture Care Coding: Reduce Denials Through Accurate Coding, Sequencing, and Modifier Use

Expert presenters Kathy Pride, RHIT, CPC, CCS-P, CPMA, and Brandi Russell, RHIA, CCS, COC, CPMA, break down complex fracture care coding rules, walk through correct modifier application (-25, -57, 54, 55), and clarify sequencing for initial and subsequent encounters. Attendees will gain the practical knowledge needed to submit clean claims, ensure compliance, and stay one step ahead of payer audits in 2026.

February 24, 2026
Mastering Principal Diagnosis: Coding Precision, Medical Necessity, and Quality Impact

Mastering Principal Diagnosis: Coding Precision, Medical Necessity, and Quality Impact

Accurately determining the principal diagnosis is critical for compliant billing, appropriate reimbursement, and valid quality reporting — yet it remains one of the most subjective and error-prone areas in inpatient coding. In this expert-led session, Cheryl Ericson, RN, MS, CCDS, CDIP, demystifies the complexities of principal diagnosis assignment, bridging the gap between coding rules and clinical reality. Learn how to strengthen your organization’s coding accuracy, reduce denials, and ensure your documentation supports true medical necessity.

December 3, 2025

Proactive Denial Management: Data-Driven Strategies to Prevent Revenue Loss

Denials continue to delay reimbursement, increase administrative burden, and threaten financial stability across healthcare organizations. This essential webcast tackles the root causes—rising payer scrutiny, fragmented workflows, inconsistent documentation, and underused analytics—and offers proven, data-driven strategies to prevent and overturn denials. Attendees will gain practical tools to strengthen documentation and coding accuracy, engage clinicians effectively, and leverage predictive analytics and AI to identify risks before they impact revenue. Through real-world case examples and actionable guidance, this session empowers coding, CDI, and revenue cycle professionals to shift from reactive appeals to proactive denial prevention and revenue protection.

November 25, 2025

Trending News

Featured Webcasts

Mastering MDM for Accurate Professional Fee Coding

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.

March 31, 2026

The PEPPER Returns – Risk and Opportunity at Your Fingertips

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.

March 19, 2026

Top 10 Audit Targets for 2026-2027 for Hospitals & Physicians: Protect Your Revenue

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.

January 29, 2026

AI in Claims Auditing: Turning Compliance Risks into Defensible Systems

As AI reshapes healthcare compliance, the risk of biased outputs and opaque decision-making grows. This webcast, led by Frank Cohen, delivers a practical Four-Pillar Governance Framework—Transparency, Accountability, Fairness, and Explainability—to help you govern AI-driven claim auditing with confidence. Learn how to identify and mitigate bias, implement robust human oversight, and document defensible AI review processes that regulators and auditors will accept. Discover concrete remedies, from rotation protocols to uncertainty scoring, and actionable steps to evaluate vendors before contracts are signed. In a regulatory landscape that moves faster than ever, gain the tools to stay compliant, defend your processes, and reduce liability while maintaining operational effectiveness.

January 13, 2026

Trending News

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!

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