This page addresses follow-up questions and additional information pertinent to our webinar
Midyear ICD-10-PCS Coding Updates.
** 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: Why are 12 codes for fusion of the coccyx being deleted? The coccyx normally spontaneously fuses, but if it doesn’t, wouldn’t the treatment be a surgical fusion?
A: The treatment for nonfusion of the coccyx is a partial coccygectomy, so the codes for fusion of coccygeal joints are being deleted.
Q: How many codes are needed to report the TricValve procedure?
A: This procedure requires three codes for reporting:
- X2U90YA, Supplement of right atrium with an intraluminal heterotopic bioprosthetic valve, percutaneous approach, New Technology Group 10
- X2H03R9, Insertion of bioprosthetic valve in inferior vena cava, percutaneous approach, New Technology Group 9
- X2H13R9, Insertion of bioprosthetic valve in superior vena cava, percutaneous approach, New Technology Group 9
This code combination includes the placement of the devices within the inferior and superior venae cavae, which are seated in the right atrium. All three codes are necessary to fully represent placement of these heterotopic (out of place) valves.
A: Currently, TJC’s PC-01 lists two codes for dilation of the cervix for induction of labor:
- 0U7C7DZ: Dilation of Cervix with Intraluminal Device, Via Natural or Artificial Opening
- 0U7C7ZZ: Dilation of Cervix, Via Natural or Artificial Opening
The Haugen Group recommends using new code 0U7C7DJ for cervical ripening during induction of labor rather than the codes listed in PC-01. We are hopeful that The Joint Commission will update their measure now that this new code is available.
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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.
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