AHIMA Submits Comments on ICD-10-CM/PCS Code Proposals

AHIMA recently responded to the comment period following the release of the 1,943 new ICD-10-CM codes and 3,651 ICD-10-PCS by the Centers for Disease Control and Prevention (CDC) and the Centers for Medicare and Medicaid Services (CMS), respectively. These codes, once finalized, will go into effect on October 1, 2016, marking the end of a code freeze that was put in place to eliminate some of the burdens of switching to ICD-10 last year.

As the Journal reported last month, many of the new ICD-10-PCS codes deal with cardiovascular system devices and procedures, while ICD-10-CM additions were much broader in scope.

In comments submitted to CMS on April 7, AHIMA requested changes and/or revisions to PCS codes in the following categories:

  • SPY Fluorescence Vascular Angiography (FVA)
  • Oxidized Zirconium on Polyethylene Bearing Surfaces for Hip and Knee Arthroplasty
  • Spinal Fusion with Nano-Textured Surface
  • Intravenous Administration of Andexanet Alfa
  • Insertion of Endobronchial Coils
  • Hematopoietic Cell Transplant Donor Type
  • Minimally Invasive Aortic Valve Replacement
  • Branched Endograft Repair of Common Iliac Aneurysm
  • Intravenous Administration of Defitelio (defibrotide)
  • Administration of VISTOGARD (uridine triacetate)
  • Insertion of Spinal Bracing and Distraction System
  • Application of Biologic Wound Matrix
  • Total Anomalous Pulmonary Venous Return (TAPVR)

AHIMA also submitted suggested revisions and changes to the CDC for the new ICD-10-CM codes in the following categories:

  • Classification of Myocardial Infarction
  • Congenital Sacral Dimple
  • Postoperative Seroma
  • Addenda

AHIMA also noted in its comments to the CDC that it supports the creation of a unique code for the Zika virus disease with an effective date of October 1, 2016 (some of the other changes AHIMA recommended were accompanied by a suggested implementation date of October 1, 2017, based on the complexity of the change).

“We recommend that future consideration be given to creating additional Zika-related codes, such as exposure to Zika and history of Zika infection, since the proposed new code would only capture patients with a current, active Zika infection,” AHIMA wrote in the comment letter.

Click here to read AHIMA’s PCS comments, and here to read AHIMA’s CM comments.

The public comment period ended April 8.

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