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Added New HCPCS Drug Injection codes

Levonorgestrel-releasing intrauterine contraceptive system (Kyleena), 19.5 mg.

Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg

Injection, hydroxyprogesterone caproate (Makena), 10 mg

Injection, nusinersen, 0.1 mg

Injection, bezlotoxumab, 10 mg

Ustekinumab, for Intravenous Injection, 1 mg

HCPCS – Supply code:

Supply allowance for therapeutic continuous glucose monitor (CGM), includes all supplies and accessories, 1 month supply = 1 Unit Of Service

Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system

Platelets, pheresis, pathogen reduced, each unit

Pathogen(s) test for platelets

Nasal endoscopy, surgical; balloon dilation of eustachian tube

Transperineal implantation of permanent adjustable balloon continence device, with cystourethroscopy, when performed and/or fluoroscopy, when performed

Ablation of prostate, transrectal, high intensity focused ultrasound (HIFU), including imaging guidance.


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Coding Updates for ICD-10-PCS

It’s only June of 2017, but for coders that means it’s time to start watching for 2018 updates.

ICD-10-PCS files are already available for review. This inpatient coding system, which changes to the 2018 version on Oct. 1, 2017, there are

  • 3,562 new codes
  • 646 deletions for a total of 78,705 codes in the next version.
  • And 1,821 revisions.

Here are some highlights:

Revisions for clarity and usefulness in the Medical and Surgical section:

Medical and Surgical: As you review the definitions addenda file, watch for deletions that have a related addition.

Example: For Section 0 (Medical and Surgical), Character 4 (Body Part), you’ll see “Delete” next to the ICD-10-PCS value Nose. But before you start wondering how you’ll report nose procedures, scroll down a bit to find the added value Nasal Mucosa and Soft Tissue. The terms in the definition for both values are the same.

Addition of endoscopic approaches to various tables:

Tables: The table’s addenda file is more than 400 pages, so homing in on the changes specific to what you code will be important for manageable 2018 preparation.

Example: If you report procedures on the coronary arteries, check out the changes to the table for 3E0 with fourth character 7. You’ll see a new fifth character option 4 for Percutaneous Endoscopic.