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:
- Insertion of radioactive element, Palladium-103 collagen implant into brain;
- Destruction of conduction mechanism using irreversible electroporation;
- Resection of spleen, percutaneous, hand-assisted;
- Dilation of nasopharynx (various approaches);
- Resection/Excision, right large intestine, percutaneous endoscopic approach, hand-assisted;
- Resection/Excision, left large intestine, percutaneous endoscopic approach, hand-assisted;
- Resection/Excision, appendix, percutaneous endoscopic, hand-assisted;
- Resection/Excision, transverse colon, percutaneous endoscopic, hand-assisted;
- Resection/Excision, descending colon, percutaneous endoscopic, hand-assisted;
- Resection/Excision, sigmoid colon, percutaneous endoscopic, hand-assisted;
- Transfer, omentum to various locations, open approach;
- Resection/Excision, liver, percutaneous endoscopic, hand-assisted;
- Resection/Excision, right lobe liver, percutaneous endoscopic, hand-assisted;
- Resection/Excision, left lobe liver, percutaneous endoscopic, hand-assisted;
- Resection/Excision, pancreas, percutaneous endoscopic, hand-assisted;
- Resection, gallbladder, percutaneous endoscopic, hand-assisted;
- Resection, right kidney, percutaneous endoscopic, hand-assisted;
- Resection, left kidney, percutaneous endoscopic, hand-assisted;
- Resection, bilateral kidneys, percutaneous endoscopic, hand-assisted;
- Introduction of other thrombolytic into pleural cavity, percutaneous;
- Introduction of talquetamab into subcutaneous tissue, percutaneous, New Technology Group 9; and
- Monitoring of interstitial fluid volume, sub-epidermal moisture using electrical biocapacitance, external, New Technology Group 9.
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.
Programming note:
Listen to Laurie Johnson report this story live today during Talk Ten Tuesdays with Chuck Buck and Dr. Erica Remer, 10 Eastern.
Resources:
https://www.cms.gov/medicare/coding-billing/icd-10-codes/2024-icd-10-pcs
