Plethora of New Procedure Codes Unveiled with ICD-10-PCS Update

Plethora of New Procedure Codes Unveiled with ICD-10-PCS Update

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 SectionFY24 ICD-10-PCSFY24 April ICD-10-PCSSection Change
Medical & Surgical68,05868,09234
Obstetrics3043040
Placement8618610
Administration1,2711,2721
Measurement & Monitoring4224220
Extracorporeal Assistance & Performance54540
Extracorporeal Therapies46460
Osteopathic1001000
Other Procedures88880
Chiropractic90900
Imaging2,9782,9780
Nuclear Medicine4634630
Radiation Therapy2,0562,0560
Physical Rehabilitation & Diagnostic Audiology1,2801,3800
Mental Health3028-2
Substance Abuse59590
New Technology3433452
Grand Total78,60378,63835

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

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

CMS POSTS 80 New PCS Codes

CMS Posts 80 New PCS Codes

With the April 1 update, the Centers for Medicare and Medicaid Services (CMS) implemented 80 new PCS codes. To break it down, there are 24

Read More

Leave a Reply

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

Featured Webcasts

Mastering Breast Biopsy Billing: Guidance-Driven Coding for Accurate Reimbursement

Breast biopsy procedures may be clinically straightforward but accurately translating them into compliant billing can be anything but. In this focused webcast, Shawn Blackburn, CPC, CPMA, CIC, CRC, CCS-P breaks down how imaging guidance, lesion count, laterality, and payer expectations all impact how these procedures should be reported. Through clear explanations and real-world scenarios, you’ll gain practical insight into aligning clinical workflows with billing requirements, avoiding common pitfalls, and ensuring your documentation supports accurate reimbursement and compliance.

May 21, 2026

Mastering OB GYN Coding Accuracy: Precision Coding for Compliance and Reimbursement

Gain clarity and confidence in OB‑GYN coding with this expert‑led webcast featuring Sherri L. Clayton, RHIT, CSS. You’ll learn how to apply global maternity package rules accurately, select the right CPT codes for procedures and visits, and identify documentation gaps that lead to denials. With practical guidance and real examples, this session helps you strengthen compliance, reduce audit risk, and ensure accurate reimbursement for women’s health services.

May 14, 2026

2026 ICD-10-CM/PCS Coding Clinic Update Webcast Series

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.

April 13, 2026

2026 ICD-10-CM/PCS Coding Clinic Update: Fourth Quarter

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.

December 14, 2026

Trending News

Featured Webcasts

Reengineering Utilization Management: Building an Adaptive Model for the New Payer Era

Traditional utilization management models can no longer keep pace with regulatory shifts, payer scrutiny, and operational pressures. In this webcast, Tiffany Ferguson, LMSW, CMAC, ACM, ACPA-C, introduces an Adaptive Model strategy that modernizes UM through role specialization, technology-driven workflows, and proactive, team-based processes. Attendees will learn how to restructure programs to improve efficiency, strengthen clinical collaboration, and enhance financial performance in a rapidly changing healthcare environment.

May 20, 2026

Compliance for the Inpatient Psychiatric Facility (IPF-PPS): Minimizing Federal Audit Findings by Strengthening Best Practices

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.

April 9, 2026

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

Trending News

Happy HIP Week! Sign up to win free access to our 2026 Coding Clinic Update Webcast Series! Click here to learn more →

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