This page addresses follow-up questions and additional information pertinent to our webinar
October Update: 2025 ICD-10-PCS Code Changes.
** The coding information and guidance are valid at the time of publishing. Learners are encouraged to research
subsequent official guidance in the areas associated with the topic as they can change rapidly.
Q: There is a new code in table X28 to divide the valve leaflets during transcatheter aortic valve replacement (TAVR). Is the TAVR included in this code or is it coded separately?
A: TAVR is coded separately. Per the ICD-10-PCS Official Guidelines for Coding and Reporting E1.b, “When multiple procedures are performed, New Technology section X codes are coded following the multiple procedures guideline.” Guideline B3.2c for multiple procedures states that if multiple root operations with distinct objectives are performed on the same body part, codes are assigned for each procedure. In this instance, the root operation Division from the X28 table is used to report the division of the valve leaflet to prevent coronary artery obstruction. The root operation Replacement in the 02R table is used to report replacement of the aortic valve using a transcatheter valve.
Q: How does the use of a drug-coated balloon for angioplasty differ between the coronary and arteries of the lower extremities?
A: When reporting angioplasty using a drug-coated balloon (DCB), assign a code from table 027 for dilation of the coronary arteries with an additional code from the XW0 table to show administration of a paclitaxel-coated (drug-coated) balloon. In the lower extremities, there are qualifiers in the 047 table for drug-coated balloon, allowing for a single code to report the procedure.
Q: How is the placement of a sustained-release drug-eluting stent in the lower extremities reported for FY 2025?
A: For 2025, the New Technology codes for sustained-release drug-eluting stents in the lower extremities (i.e., SAVAL™ and Eluvia™ drug-eluting stents) have been deleted. This procedure is now reported with codes in Table 3E0 with a qualifier of 2 for Sustained Release.
Q: Is there an easy way to keep track of all these new technologies?
A: Yes! Please be sure to check out our ICD-10-PCS Root Operations Flip Bits and our new-release the New Technology Supplement available this October! This supplement includes the New Technology tables with a list of common names for the technologies as well as a Substance Table with common and trade names for substances with a description of their action.
For a deeper dive into the complete changes for 2025, visit the CMS website: https://www.cms.gov/medicare/coding-billing/icd-10-codes/2025-icd-10-pcs
Looking for additional information on this topic?
Kristi Pollard, RHIT, CCS, CPC, CIRCC, AHIMA-Approved ICD-10-CM/PCS Trainer
Director of Coding Quality & Education
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.
Very informative. Thank you for the education.
This webinar was very good. The flow was nice and easy to follow and understand.
I thought the speakers we both very good. Spoke is a slow and understanding way. I would listen to each of them again.
Great job. Thank you for some of the insights you shared with the new technology. I, too, would like a Darth Vader to be displayed when talking about the pedicle system