This page addresses follow-up questions and additional information pertinent to our webinar
PCS Procedure Update.
** 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:  Should a code for mechanical ventilation also be coded for patients placed in intubated prone positioning?
A:  Yes, prone positioning is different than mechanical ventilation and they code to two different root operations. Assign a code from the Performance table (5A1) for mechanical ventilation and code the duration to the time the patient was vented. For prone positioning, assign a code from the Assistance table (5A0) and select the duration time based on the amount of time the patient was in the prone position.

Q:  The device description for aprevo™ customizable interbody fusion device was changed for 2024. Is there a change in the device itself?
A:  No, the device is no different than it was prior to FY 2024. The manufacturer requested that the device name be changed from “Interbody Fusion Device, Customizable” to “Interbody Fusion Device, Custom-Made Anatomically Designed” to prevent misinterpretation of the term “customizable.” What makes this device unique from other interbody fusion devices is that it is custom-made for the patient and involves pre-planning by evaluating patient anatomy and taking measurements so the device can be made specific to the patient.

Q:  If a generator is placed with a substernal lead, is a separate code needed?
A:  If a generator is placed in addition to a substernal lead, assign a code from the 0JH table for insertion of the pulse generator in addition to a code from the 0WH table for insertion of the substernal lead. Since the body systems and device values are different, a separate code is needed to report the placement of each.

Looking for additional information on this topic?

Kristi Pollard, RHIT, CCS, CPC, CIRCC, AHIMA-Approved ICD-10-CM/PCS Trainer

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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