The annual updates to the ICD-10 and MS-DRG systems have been finalized and will be effective October 1. The ICD-10 and MS-DRG updates reflect the final Hospital Inpatient Prospective Payment System (IPPS) rule for the fiscal year 2019, published by CMS on August 6. You can see the details on IPPS here.
Other highlights of the ICD-10-PCS changes include:
- A new table in the Ear, Nose and Sinus body system has been created to distinguish procedures performed to control epistaxis from procedures to control bleeding elsewhere in the respiratory tract.
- New and revised device characters applicable to the Knee Joints have been established for FY 2019 to enable the capture of additional detail for knee arthroplasty procedures. These device characters can be found under the root operation Replacement and Removal.
- The qualifiers to describe the location of the incision made during a cesarean delivery on Table 10D have been revised for October 1st, 2018. This change will facilitate the appropriate classification of cesarean delivery procedures.
- For FY 2019 revisions have again been made to tables ORG and OSG by removing the device character “No Device (Z)”. Because a spinal fusion procedure always requires some type of device codes with the device character Z- No Device is considered clinically invalid. This will result in the deletion of 99 spinal fusion codes for FY 2019.
The UASI training video provides full details.
This is the second one-hour video training courses we will be sharing. The first covered ICD-10-CM. The last, on MS-DRG updates, will be ready later in September. Outpatient coders only need ICD-10-CM training, while inpatient coders need all three.
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