ICD-10-PCS Coding Updates FY 2027: Beyond the Tables and Into the Why

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Description

Get ready for the FY 2027 ICD-10-PCS update, effective October 1, 2026! This essential webinar will guide you through the new, revised, and deleted procedure codes—and go beyond the surface to explain why these changes were made. We’ll explore updates in the New Technology section, highlight trends driving PCS development, and share practical tips for identifying new procedures in documentation. Whether you’re a hospital inpatient coder, auditor, or educator, this session will equip you to confidently navigate the upcoming coding year with clarity and precision. Stay ahead with ICD-10-PCS Coding Updates FY 2027: Beyond the Tables and Into the Why!

Objectives:

  • Identify the new, revised, and deleted ICD-10-PCS codes effective for FY 2027
  • Explain the rationale and clinical context behind key code changes, including those in the New Technology section
  • Apply best practices to recognize documentation that supports accurate assignment of new and revised PCS codes

Click here to view the webinar Q&A on the Haugen Advantage.

When Software Becomes the Medical Device. AI and software are becoming part of the ICD-10-PCS coding landscape. Watch this course preview to see what qualifies as Software as a Medical Device (SaMD) and why the distinction matters as new technology codes expand for FY 2027.

Codes Covered: ICD-10-PCS FY 2027, ICD-10-PCS Official Coding Guidelines, A6, A7, B3.3 (discontinued or incomplete procedures), B3.4a (biopsy procedures), B3.4b (biopsy followed by more definitive treatment), B3.5 (overlapping body layers), E1.a, Section X (New Technology), New Technology Group 7, New Technology Group 8, New Technology Group 11, New Technology Group 12, 0RG (fusion table), 0SG (fusion table), 302 (transfusion table), 3E0 (introduction table), X0H (open insertion of a neurostimulator generator onto the vagus nerve), 028 (division of native/prosthetic valve leaflets), X28 (New Technology division codes for TELLTALE/ShortCut-type aortic valve leaflet technologies and SESAME transcatheter septal scoring), 5A0 (extracorporeal/systemic assistance and performance for WhiteSwell eLym System decompression), X2H (insertion of venous angle decompression device), X27 (small-diameter stent placement), X2R (New Technology cardiovascular replacement table), X2V (New Technology cardiovascular restriction table), 02R (replacement of aortic arch, code also instruction when performed), 02V (restriction of descending thoracic aorta, code also instruction), XXE (computer-assisted cardiac conduction mapping using computed tomography angiography), XEZ (new Other Procedures table mirroring 8E0), XFJ (single-use choledochoscope during pancreaticobiliary/hepatic duct procedures), XHH (insertion of cardiac contractility modulation device with defibrillator), XRH (insertion of posterior cervicothoracic spinal stabilization device), 5A1 (selective cytopheresis), 0W9 (active medical clearance of pleural cavity), B85 (retinal fluorescein angiography), XW0 (Introduction), XW1 (Transfusion), XW0134C (Elamipretide), XW0336C and XW0436C (Landiolol/RAPIBLYK antiarrhythmic), XW0337C (Zimislecel allogeneic stem cell-derived islet cell therapy), XW0Q35C (Ifezuntirgene inilparvovec), XW0U0CC (recombinant human bone morphogenetic protein-2 with collagen scaffold/INFUSE bone graft), XW0V0BC (vancomycin-eluting bone void filler/CERAMENT V), XW133F8 (deleted peripheral vein body part code for WASKYRA/etuvetidigene autotemcel), XXEZXCB (Sepsis ImmunoScore comparison code), ABECMA, Aidoc Briefcase for PE, allogeneic engineered chimeric antigen receptor T-cell immunotherapy, AMTAGVI/lifileucel, anti-SARS-CoV-2 hyperimmune globulin, ApiFix MID-C System, autologous engineered chimeric antigen receptor T-cell immunotherapy, Breyanzi/lisocabtagene maraleucel, Caption Guidance, CARVYKTI/ciltacabtagene autoleucel, CERAMENT G, COMIRNATY/SPIKEVAX, Duodeno and EXALT Model D Single-Use Duodenoscope, ISC-REST KIT, KYMRIAH/tisagenlecleucel, Neovasc Reducer System, Niyad/nafamostat, new technology monoclonal antibodies, Penumbra Indigo Aspiration System with Lightning Aspiration Tubing, Phagenyx System, Pure-Vu System, Rapid ASPECTS, StrataGraft, Tecartus/brexucabtagene autoleucel, Thoraflex Hybrid Device, YARTEMLEA/narsoplimab, Yescarta/axicabtagene ciloleucel, COSELA/trilaciclib, ENSPRYNG/satralizumab-mwge, TERLIVAZ/terlipressin, RYBREVANT/amivantamab, TAVALISSE/fostamatinib, ZEPZELCA/lurbinectedin, Ellipsys Vascular Access System, EVUSHELD/tixagevimab and cilgavimab, FUJIFILM EP-7000X System, Steripath Initial Specimen Diversion Device, Aprevo Intervertebral Body Fusion Device, GAMUNEX-C, Octagam 10%, NexoBrid/anacaulase-bcdb, SetPoint System, WhiteSwell eLym System, MicroStent Peripheral Vascular Stent, Trilogy Transcatheter Heart Valve System, Edwards SAPIEN M3 Transcatheter Mitral Valve Replacement System, Autus Size-Adjustable Valve, NEXUS Aortic Arch Stent Graft System, Arcevo LSA Hybrid Stent Graft System, CARA System, SpyGlass Discover Digital Catheter and Controller, Impulse Dynamics CCM-D System, CMORE CT System, QUELIMMUNE SCD-PED, PleuraFlow Active Clearance Technology, FLUORESCITE, AK-FLUOR, BriefCase-Triage CARE Multi-Triage CT Body, ViaOne Epicardial Access System, Acolyte Image Guided Crossing and Re-Entry Catheter System, Accuro 3S Epidural Navigation System, Bayesian Health Sepsis Flagging Device, InVision Precision Cardiac Amyloidosis Screening Software, STEMI AI ECG Model, VUNO Med-DeepCARS.

Topics Covered: ICD-10-PCS FY 2027 updates, ICD-10-PCS 2027 code changes, PCS code update webinar, FY 2027 implementation date, October 1 2026 PCS implementation, new PCS codes, revised PCS code titles, deleted PCS codes, PCS code change summary, ICD-10-PCS guideline revisions, PCS definition updates, PCS reference updates, Alphabetic Index capitalization, Index capitalization, discontinued procedures coding, incomplete procedures coding, coding to the root operation performed, patient expires before procedure completion, biopsy procedure coding, lymph node sampling for biopsy, Excision root operation for lymph node biopsy, Diagnostic qualifier, biopsy followed by definitive treatment, Excision Extraction Drainage biopsy guideline, overlapping body layers guideline, excisional debridement coding, skin subcutaneous tissue and muscle debridement coding, muscle and tendon debridement coding, cisterna magna body part definition, subarachnoid space intracranial body part value, PCS Body Part Key updates, Device Key updates, Substance Key updates, New Technology annual analysis, New Technology Group 7 review, keep move toss remodel approach, Group 7 continuing codes, Group 7 reassigned codes, Group 7 deleted codes, Group 7 remodeled codes, New Technology code lifecycle, reclassification to existing PCS tables, new code creation outside Section X, CAR T-cell immunotherapy PCS coding, monoclonal antibody PCS coding, high-dose immune globulin PCS coding, therapeutic substance introduction coding, antineoplastic introduction coding, vasopressor introduction coding, interbody fusion device coding, custom-made anatomically designed fusion device, virtual-designed interbody fusion device, burn enzymatic debridement agent coding, nervous system PCS updates, vagus nerve neurostimulator generator insertion, leadless vagus nerve stimulator, SetPoint System coding, rheumatoid arthritis neurostimulator technology, circulatory system PCS updates, valve leaflet division coding, aortic valve leaflet division, mitral valve leaflet division, native leaflet versus prosthetic leaflet, X28 versus 028 valve leaflet division, SESAME procedure coding, transcatheter division of interventricular myocardial septum, hypertrophic cardiomyopathy procedure coding, LVOTO treatment coding, WhiteSwell eLym System coding, acute decompensated heart failure device coding, fluid overload decompression, venous angle decompression device insertion, impeller pump qualifier, small-diameter vascular stent placement, MicroStent peripheral vascular stent, chronic limb-threatening ischemia coding, below-the-knee arterial stent coding, anterior tibial artery stent, posterior tibial artery stent, peroneal artery stent, transcatheter aortic valve replacement technology, Trilogy transcatheter heart valve, severe native aortic regurgitation, aortic valve replacement with leaflet clipping locators, transcatheter mitral valve replacement, Edwards SAPIEN M3 mitral valve, transseptal access mitral valve replacement, mitral regurgitation technology coding, balloon-expandable mitral valve device, pulmonary valve replacement, Autus size-adjustable valve, pediatric congenital pulmonary valve disease, severe pulmonary stenosis, aortic arch endograft coding, NEXUS aortic arch stent graft, thoracic aorta endovascular restriction, chronic aortic dissection, aortic aneurysm, intramural hematoma, penetrating aortic ulcer, Arcevo LSA hybrid stent graft, left subclavian artery branch, open aortic arch repair with hybrid endovascular device, NEXUS versus Arcevo LSA comparison, cardiac conduction mapping, computed tomography angiography guidance, CARA System coding, structural heart procedure planning, cardiac conduction system preservation, AI-enabled cardiac conduction mapping, personalized 3D conduction map, code also XXE and XEZ, gastrointestinal PCS updates, hepatobiliary PCS updates, pancreatic duct procedure coding, single-use choledochoscope coding, SpyGlass Discover Digital Catheter, ERCP alternative technology, bile duct visualization, pancreatic duct visualization, targeted biopsy with choledochoscope, stone removal with choledochoscope, lithotripsy with choledochoscope, dilation with choledochoscope, subcutaneous tissue and fascia PCS updates, cardiac contractility modulation device with defibrillator, CCM-D coding, Impulse Dynamics CCM-D System, heart failure device coding, GDMT heart failure patients, CRT not indicated heart failure, reduced ejection fraction coding, implantable cardioverter defibrillator combined with CCM, musculoskeletal spinal PCS updates, posterior cervicothoracic spinal stabilization device, CMORE CT System coding, spinal instability coding, carbon PEEK spinal stabilization device, lateral mass screws, pedicle screws, cervical vertebral joint coding, cervicothoracic vertebral joint coding, thoracic vertebral joint coding, urinary system PCS updates, selective cytopheresis, QUELIMMUNE SCD-PED, sepsis-related acute kidney injury, pediatric AKI dialysis device, inflammatory cell removal, extracorporeal filtration coding, general anatomical region PCS updates, pleural cavity active medical clearance, PleuraFlow Active Clearance Technology, chest tube patency, mechanical removal of intraluminal clots, drainage device qualifier coding, imaging PCS updates, retinal fluorescein angiography, choroid vessel imaging, retinal vessel imaging, fluorescing agent injection, new B85 imaging table, other procedures PCS updates, Software as a Medical Device, SaMD coding, International Medical Device Regulators Forum definition, medical software versus traditional device, new XEZ table, XEZ mirroring 8E0, AI software PCS coding, computer-aided triage and notification software, CT imaging abnormality triage, BriefCase-Triage CARE, Clinical AI Reasoning Engine, CT chest abdomen pelvis imaging triage, percutaneous epicardial access coding, ViaOne Epicardial Access System, diagnostic and therapeutic cardiac interventions, epicardial mapping and ablation access, image-guided crossing and re-entry catheter coding, coronary CTO PCI coding, real-time OCT coronary navigation, Acolyte catheter system, neuraxial anesthesia navigation, Accuro 3S epidural navigation, spinal anesthesia guidance, epidural anesthesia guidance, AI ultrasound needle tracking, sepsis detection and notification software, Bayesian Health Sepsis Flagging Device, sepsis risk prediction, Sepsis ImmunoScore comparison, EHR sepsis flag monitoring, cardiac amyloidosis detection software, echocardiography AI screening, STEMI AI ECG model, electrocardiogram detection and notification, acute coronary syndrome ECG software, cardiac arrest risk detection, VUNO Med-DeepCARS, Introduction table new codes, Elamipretide for Barth syndrome, Landiolol for supraventricular tachycardia atrial fibrillation atrial flutter, Zimislecel islet cell therapy for type 1 diabetes, Ifezuntirgene inilparvovec gene therapy for Huntington disease, INFUSE bone graft coding, recombinant human bone morphogenetic protein-2 with collagen scaffold, CERAMENT V vancomycin-eluting bone void filler, revised Introduction codes, Otarmeni lunsotogene parvec-cwha, CERAMENT G revision, Transfusion table revisions, WASKYRA etuvetidigene autotemcel, deleted peripheral vein body part code, PCS codebook readiness, FY 2027 PCS resources, ICD-10-PCS Official Guidelines for Coding and Reporting FY 2027, coding education, facility procedure coding updates.

  • Facility Inpatient Coders
  • Clinical Documentation Improvement Professionals
  • Billing Professionals
  • Coding Compliance Professionals

Kristi Pollard, RHIT, CCS, CPC, CIRCC Kristi is the Director of Coding Quality & Education with more than 25 years of industry experience; she is responsible for the development of web-based, instructor-led, and webinar training materials; conducting training in ICD-10-CM/PCS and CPT; and performing DRG and APC audits. Kristi has an extensive background in coding education and consulting and is a national speaker and published writer on topics related to ICD-10 and CPT coding and code-based reimbursement. She has designed and developed training programs for inpatient and outpatient hospital-based coding, with a focus on vascular interventional radiology, interventional cardiology, orthopedics, and obstetrics.

AHIMA – Expires August 1, 2027
This webinar has been approved for 1 continuing education unit for use in fulfilling the continued education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.

  • Domain: Data Structure, Content, and Information Governance

AAPC – Expires August 30, 2027
This program has the prior approval of the American Academy for Professional Coders (AAPC) for 1 continuing education hour. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

  • Specialty CEUs: COC, CPC, CPC-P, Approved-Instructor, CANPC, CASCC, CCC, CCVTC, CDEI, CDEO, CDEO-I, CEDC, CENTC, CGIC, CGSC, CHONC, CIC, CIC-I, COBGC, COC-I, COPC, COSC, CPB, CPB-I, CPC-9, CPCD, CPC-I, CPC-M, CPCO, CPCO-I, CPMA, CPMA-I, CPMS, CPPM, CPPM-I, CPRC, CRC, CRC-I, CSFAC, CUC, CVBA, FMC, I, RCMS

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