GENERAL INFORMATION 2017 ICD Implementation On October 1, 2016, Texas Medicaid & Healthcare Partnership (TMHP) applied the 2017 annual International Classification of Diseases (ICD) updates that are effective for dates of service on or after October 1, 2016. e annual ICD updates include the following: • ICD-10 Clinical Modification (ICD-10-CM) • ICD-10 Procedure Coding System (ICD-10-PCS) is combined Special Bulletin includes the ICD updates for Texas Medicaid and the Children with Special Health Care Needs (CSHCN) Services Program. is bulletin is intended to notify providers of program and coding changes related to the 2017 updates for ICD and Current Procedural Terminology (CPT®). All providers are encouraged to review the “General Information” section of this bulletin. Policy updates for a specific program or provider type are discussed in designated sections of the bulletin. Claims Filing e new 2017 ICD diagnosis codes and inpatient hospital surgical procedure codes may be billed beginning October 1, 2016. Important: To avoid fraudulent billing, providers must submit the ICD codes that are most appropriate for the services provided. e ICD-10-PCS procedure codes are inpatient hospital surgical procedure codes and must be submitted, as appli- cable, only on inpatient hospital claims. Note : For professional and outpatient procedures and services, providers must continue to use the American Medical Association (AMA) Current Procedural Terminology (CPT) manual and the CMS Health Care Common Procedure Coding System (HCPCS) manual. Prior Authorization Forms e following prior authorization form instructions have been revised: • CCP Prior Authorization Request Form Instructions • Home Health Services (Title XIX) DME/Medical Supplies Physician Order Form Instructions OCTOBER 2016 2017 International Classification of Diseases, Tenth Revision, Special Bulletin ICD- 10 S PECIAL B ULLETIN
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ICD-10 SPEpeCICIALal BULLET ulletIINn - TMHP · Physicians, and Physicians Assistants Handbook, subsection 9.2.15.2, “Colorectal Cancer Screening,” for more information. ICD-1
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GENERAL INFORMATION
2017 ICD ImplementationOn October 1, 2016, Texas Medicaid & Healthcare Partnership (TMHP) applied the 2017 annual International Classification of Diseases (ICD) updates that are effective for dates of service on or after October 1, 2016. The annual ICD updates include the following:
• ICD-10 Clinical Modification (ICD-10-CM)
• ICD-10 Procedure Coding System (ICD-10-PCS)
This combined Special Bulletin includes the ICD updates for Texas Medicaid and the Children with Special Health Care Needs (CSHCN) Services Program. This bulletin is intended to notify providers of program and coding changes related to the 2017 updates for ICD and Current Procedural Terminology (CPT®).
All providers are encouraged to review the “General Information” section of this bulletin. Policy updates for a specific program or provider type are discussed in designated sections of the bulletin.
Claims FilingThe new 2017 ICD diagnosis codes and inpatient hospital surgical procedure codes may be billed beginning October 1, 2016.
Important: To avoid fraudulent billing, providers must submit the ICD codes that are most appropriate for the services provided.
The ICD-10-PCS procedure codes are inpatient hospital surgical procedure codes and must be submitted, as appli-cable, only on inpatient hospital claims.
Note: For professional and outpatient procedures and services, providers must continue to use the American Medical Association (AMA) Current Procedural Terminology (CPT) manual and the CMS Health Care Common Procedure Coding System (HCPCS) manual.
Prior Authorization FormsThe following prior authorization form instructions have been revised:
• CCP Prior Authorization Request Form Instructions
• Home Health Services (Title XIX) DME/Medical Supplies Physician Order Form Instructions
OCTOBER 2016
2017 International Classification of Diseases, Tenth Revision, Special Bulletin
General Information 12017 ICD Implementation ........................................................................................................................................ 1
Prior Authorization Forms ....................................................................................................................................... 1
Medicaid Fee-for-Service and Managed Care Providers 3Texas Medicaid ICD Updates ...................................................................................................................................3
Home Health and Comprehensive Care Program (CCP) Providers 11Home Health Services Benefit Changes ........................................................................................................... 11
2014 American Dental Association. All rights reserved. Applicable FARS/DFARS apply.”
MEDICAID FEE-FOR-SERVICE AND MANAGED CARE PROVIDERS
Texas Medicaid ICD UpdatesThe 2017 ICD updates for Texas Medicaid are included in the ICD tables in the “All Code Changes” section of this bulletin beginning on page “2017 ICD Diagnosis Code Additions” on page 19. The 2017 ICD deletions and replacements are effective October 1, 2016, for dates of service on or after October 1, 2016, for Texas Medicaid. Providers may refer to the “General Information” section for more information.
Texas Medicaid Benefit ChangesThe following Texas Medicaid benefit changes have been made to support the 2017 ICD-CM diagnosis code updates and are effective for dates of service on or after October 1, 2016. For more information, call the TMHP Contact Center at 1-800-925-9126.
Note: These changes apply to Texas Medicaid fee-for-service and Medicaid managed care claims and authorization requests that are submitted to TMHP for processing.
The policy articles in this bulletin contain the following information:
• Revised: The description has been revised for these diagnosis codes. Providers may refer to the appropriate copyright holder for the revised descriptions.
• Discontinued: Discontinued diagnosis codes are no longer reimbursed after September 30, 2016.
• Added: Added diagnosis codes are new diagnosis codes added by the Centers for Medicare & Medicaid Services (CMS).
Allergen ImmunotherapyThe following diagnosis codes may be reimbursed when submitted with procedure codes 95115, 95117, 95145, 95146, 95147, 95148, 95149, 95165, and 95170:
Added Diagnosis CodesM041 M042 M048 M049
The following diagnosis code may be reimbursed with procedure code 95180:Added Diagnosis CodeZ516
Refer to: The current Texas Medicaid Provider Procedures Manual, Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook, subsection 9.2.4.1, “Allergy Immunotherapy,” for more information.
Ambulatory ElectroencephalogramThe following diagnosis code may be reimbursed when submitted with procedure codes 95950, 95951, 95953, and 95956:
ICD-10 Special Bulletin, No. 10 3 2016 Texas Medicaid
Medicaid Fee-for-Service and Managed Care Providers
CPT only copyright 2015 American Medical Association. All rights reserved.
Refer to: The current Texas Medicaid Provider Procedures Manual, Medical and Nursing Specialists, Physicians, and Physicians Assistants Handbook, subsection 9.2.26.2, “Ambulatory Electroencephalogram (Ambulatory EEG),” for more information.
Cardiac RehabilitationThe following diagnosis codes may be reimbursed when submitted with procedure codes 93797, 93798, and S9472 and revenue code B943:Added Diagnosis CodesI160 I161 I169 Z98890
Refer to: The current Texas Medicaid Provider Procedures Manual, Inpatient and Outpatient Handbook, subsection 4.2.6, “Cardiac Rehabilitation,” for more information.
Clubfoot CastingThe following diagnosis codes may be reimbursed when submitted with procedure codes 29450 and 29750:
Refer to: The current Texas Medicaid Provider Procedures Manual, Medical and Nursing Specialists, Physicians, and Physicians Assistants Handbook, subsection 9.2.58.1, “Clubfoot Casting,” for more information.
Colony Stimulating FactorsThe following diagnosis codes may be reimbursed when submitted with procedure codes J1442, J1447, J2505, J2820, and Q5101:Added Diagnosis CodesC49A0 C49A1 C49A2 C49A3 C49A4 C49A5 C49A9 D49511 D49512 D49519D4959 D8940 D8941 D8942 D8943 D8949
Refer to: The current Texas Medicaid Provider Procedures Manual, Medical and Nursing Specialists, Physicians, and Physicians Assistants Handbook, subsection 9.2.39.37, “Colony Stimulating Factors (Filgrastim, Pegfil-grastim, and Sargramostim),” for more information.
Colorectal Cancer ScreeningThe following diagnosis codes may be reimbursed once every two years for clients who meet the definition of high-risk when they are submitted with procedure codes G0105 and G0120:Added Diagnosis CodesK523 K52831 K52832 K52838 K52839
Refer to: The current Texas Medicaid Provider Procedures Manual, Inpatient and Outpatient Hospital Services Handbook, subsection 4.2.8, “Colorectal Cancer Screening,” and the Medical and Nursing Specialists, Physicians, and Physicians Assistants Handbook, subsection 9.2.15.2, “Colorectal Cancer Screening,” for more information.
ICD-10 Special Bulletin, No. 10 4 2016 Texas Medicaid
Medicaid Fee-for-Service and Managed Care Providers
CPT only copyright 2015 American Medical Association. All rights reserved.
Cytogenetics TestingThe following diagnosis codes may be reimbursed when submitted with procedure codes 88230, 88233, 88235, 88237, 88239, 88245, 88248, 88249, 88261, 88262, 88263, 88264, 88271, 88272, 88273, 88274, 88275, 88280, 88283, 88285, 88289, and 88291:
The combination diagnosis code table has been removed. Each of the paired codes is now listed as a single diagnosis code.
Refer to: The current Texas Medicaid Provider Procedures Manual, Medical and Nursing Specialists, Physicians, and Physicians Assistants Handbook, subsection 9.2.40.6, “Cytogenetics Testing,” for more information.
Developmental and Neurological Assessment and TestingThe following diagnosis codes may be reimbursed when submitted with procedure code 96116:
Refer to: The current Texas Medicaid Provider Procedures Manual, Medical and Nursing Specialists, Physicians, and Physicians Assistants Handbook, subsection 9.2.25, “Developmental and Neurological Assessment and Training,” for more information.
ICD-10 Special Bulletin, No. 10 5 2016 Texas Medicaid
Medicaid Fee-for-Service and Managed Care Providers
CPT only copyright 2015 American Medical Association. All rights reserved.
EchoencephalographyThe following diagnosis codes may be reimbursed when submitted with procedure code 76506:
Refer to: The current Texas Medicaid Provider Procedures Manual, Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook, subsection 9.2.26.5, “Echoencephalography,” for more information.
Refer to: The current Texas Medicaid Provider Procedures Manual, Medical and Nursing Specialists, Physicians, and Physicians Assistants Handbook, subsection 9.2.28.2, “Evoked Response Tests and Neuromuscular Proce-dures,” for more information.
Gynecological and Reproductive Health ServicesThe following diagnosis codes may be reimbursed for family planning annual examinations when submitted with the applicable evaluation and management (E/M) procedure code:Added Diagnosis CodesZ30015 Z30016 Z30017 Z3044 Z3045 Z3046
Refer to: The current Texas Medicaid Provider Procedures Manual Gynecological and Reproductive Health and Family Planning Title XIX Services Handbook, subsection 2.2, “Services, Benefits, Limitations, and Prior Authori-zation,” and the Women’s Health Services Handbook, subsection 4.2, “Services, Benefits, Limitations, and Prior Authorization,” for more information.
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Medicaid Fee-for-Service and Managed Care Providers
CPT only copyright 2015 American Medical Association. All rights reserved.
The following diagnosis codes may be reimbursed for counseling and psychotherapy procedure codes 90832, 90833, 90834, 90836, 90837, 90838, 90847, and 90853 and for psychiatric diagnostic interview procedure codes 90791 and 90792:Added Diagnosis CodesF3281 F3289 F3481 F3489 F422 F423 F424 F428F429 F5081 F5089 F640 F8082Discontinued Diagnosis CodesF42 F508
Refer to: The current Texas Medicaid Provider Procedures Manual, Behavioral Health, Rehabilitation, and Case Management Services Handbook, subsection 4.2, “Services, Benefits, Limitations, and Prior Authorization,” subsection 6.10.2 “Psychiatric Diagnostic Evaluation with Medical Services,” subsection 6.11, “Psycho-logical and Neuropsychological Testing,” subsection 6.12, “Psychotherapy or Counseling,” for more information.
Otology and Audiometry ServicesThe following diagnosis codes may be reimbursed when submitted with procedure code 92568:
Refer to: The current Texas Medicaid Provider Procedures Manual, Vision and Hearing Services Handbook, subsection 2.2, “Services, Benefits, Limitations, and Prior Authorization,” for more information.
ICD-10 Special Bulletin, No. 10 7 2016 Texas Medicaid
Medicaid Fee-for-Service and Managed Care Providers
CPT only copyright 2015 American Medical Association. All rights reserved.
The following diagnosis codes may be reimbursed for outpatient behavioral health counseling and psychotherapy procedure codes 90832, 90833, 90834, 90836, 90837, 90838, 90847, and 90853 and for psychiatric diagnostic interview procedure codes 90791 and 90792:Added Diagnosis CodesF3281 F3289 F3481 F3489 F422 F423 F424 F428F429 F5081 F5089 F640 F8082Discontinued Diagnosis CodesF42 F508
Refer to: The current Texas Medicaid Provider Procedures Manual, Behavioral Health, Rehabilitation, and Case Management Services Handbook, subsection 4.2, “Services, Benefits, Limitations, and Prior Authorization,” subsection 6.10.2 “Psychiatric Diagnostic Evaluation with Medical Services,” subsection 6.11, “Psycho-logical and Neuropsychological Testing,” subsection 6.12, “Psychotherapy or Counseling,” for more information.
Pathology and Laboratory Services – Urinalysis and ChemistryThe following diagnosis codes may be reimbursed when submitted with procedure code 83698:
Refer to: The current Texas Medicaid Provider Procedures Manual, Radiology and Laboratory Services Handbook, subsection 2.2.15, “Urinalysis and Chemistry,” for more information.
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Medicaid Fee-for-Service and Managed Care Providers
CPT only copyright 2015 American Medical Association. All rights reserved.
Physician Evaluation and Management ServicesThe following diagnosis codes may be reimbursed when submitted with procedure code 99078:
The combination diagnosis table has been removed. Each of the paired codes is now listed as a single diagnosis code for procedure code 99078.
ICD-10 Special Bulletin, No. 10 9 2016 Texas Medicaid
Medicaid Fee-for-Service and Managed Care Providers
CPT only copyright 2015 American Medical Association. All rights reserved.
Refer to: The current Texas Medicaid Provider Procedures Manual, Medical and Nursing Specialist, Physicians, and Physicians Assistants Handbook, subsection 9.2.56, “Physician Evaluation and Management (E/M) Services,” for more information.
Sleep StudiesThe following diagnosis codes may be reimbursed when submitted with polysomnography procedure codes 95782, 95783, 95808, 95810, and 95811:
Added Diagnosis CodesN5235 N5236 N5237
Refer to: The current Texas Medicaid Provider Procedures Manual, Medical and Nursing Specialists, Physicians, and Physicians Assistants Handbook, subsection 9.2.67, “Sleep Studies,” for more information.
Therapeutic ApheresisThe following diagnosis codes may be reimbursed when submitted with procedure codes 36511, 36512, 36513, 36514, 36515, and 36516:
Refer to: The current Texas Medicaid Provider Procedures Manual, Medical and Nursing Specialists, Physicians, and Physicians Assistants Handbook, subsection 9.2.71, “Therapeutic Apheresis,” for more information.
Vision Services NonsurgicalThe following diagnosis codes may be reimbursed when submitted with ophthalmological ultrasound procedure code 76154 and gonioscopy procedure code 92020:Added Diagnosis CodesH401110 H401111 H401112 H401113 H401114 H401120 H401121 H401122H401123 H401124 H401130 H401131 H401132 H401133 H401134 H401190H401191 H401192 H401193 H401194Discontinued Diagnosis CodesH4011X0 H4011X1 H4011X2 H4011X3 H4011X4
The following diagnosis codes may be reimbursed when submitted with corneal topography procedure code 92065:Added Diagnosis CodesH53041 H53042 H53043 H53049
The following diagnosis codes may be reimbursed when submitted with polycarbonate lens procedure code V2784:Added Diagnosis CodesH53041 H53042 H53043 H53049 T85890A T85890D T85890S T85898AT85898D T85898S
Refer to: The current Texas Medicaid Provider Procedures Manual, subsection 4.3.5.6, “Gonioscopy,” and subsection 4.3.5, “Orthoptic or Pleoptic Training,” for more information.
ICD-10 Special Bulletin, No. 10 10 2016 Texas Medicaid
Medicaid Fee-for-Service and Managed Care Providers
CPT only copyright 2015 American Medical Association. All rights reserved.
Vitamin B12 (Cyanocobalamin) InjectionsThe following diagnosis codes may be reimbursed when submitted with vitamin B12 procedure code J3420:
Added Diagnosis CodesK9041 K9049
Refer to: The current Texas Medicaid Provider Procedures Manual, Medical and Nursing Specialists, Physicians, and Physicians Assistants Handbook, subsection 9.2.39.34, “Vitamin B12 (Cyanocobalamin) Injections,” for more information.
HOME HEALTH AND COMPREHENSIVE CARE PROGRAM (CCP) PROVIDERS
Home Health Services Benefit ChangesThe following Texas Medicaid Home Health Services benefit changes have been made to support the 2017 ICD updates and are effective for dates of service on or after October 1, 2016. For more information, call the TMHP Contact Center at 1-800-925-9126.
The combination diagnosis code table has been removed. Each of the paired codes is now listed as a single diagnosis code.
Refer to: The current Texas Medicaid Provider Procedures Manual, Durable Medical Equipment, Medical Supplies, and Nutritional Products Handbook, subsection 2.2.11.3, “Glucose Testing Equipment and Other Supplies,” for more information.
CCP Services Benefit ChangesThe following Texas Medicaid CCP benefit changes have been made to support the 2017 ICD updates and are effective for dates of service on or after October 1, 2016. For more information, call the TMHP Contact Center at 1-800-925-9126.
Blood Pressure Devices – CCPThe following diagnosis codes may be reimbursed when submitted with procedure codes A4660 and A4670:
The combination diagnosis code table has been removed. Each of the paired codes is now listed as a single diagnosis code.
Refer to: The current Texas Medicaid Provider Procedures Manual, Children’s Services Handbook, subsection 2.6.4, “Blood Pressure Devices,” and the Durable Medical Equipment, Medical Supplies, and Nutritional Products Handbook, subsection 2.2.6, “Blood Pressure Devices,” for more information.
ICD-10 Special Bulletin, No. 10 12 2016 Texas Medicaid
Home Health and Comprehensive Care Program (CCP) Providers
CPT only copyright 2015 American Medical Association. All rights reserved.
Nutritional Products – CCPThe following diagnosis code will no longer be covered for nutritional products procedure codes:
Discontinued Diagnosis CodeE780
Refer to: The current Texas Medicaid Provider Procedures Manual, Children’s Services Handbook, subsection 2.6.11, “Nutritional Products,” for more information.
Respiratory Care Equipment – CCPThe following diagnosis code may be reimbursed when submitted with procedure codes E0618 and E0619:
Added Diagnosis CodeZ8482
Refer to: The current Texas Medicaid Provider Procedures Manual, Children’s Services Handbook, subsection 2.6.5.1, “Services, Benefits, and Limitations,” for more information.
ICD-10 Special Bulletin, No. 10 13 2016 Texas Medicaid
Home Health and Comprehensive Care Program (CCP) Providers
CPT only copyright 2015 American Medical Association. All rights reserved.
CHILDREN WITH SPECIAL HEALTH CARE NEEDS (CSHCN) SERVICES PROGRAM PROVIDERS
CSHCN Services Program UpdatesThe 2017 ICD updates for the CSHCN Services Program are included in the ICD tables in the “All Code Changes” section of this bulletin beginning on page “2017 ICD Diagnosis Code Additions” on page 19. The 2017 ICD deletions are effective October 1, 2016, for dates of service on or after October 1, 2016, for the CSHCN Services Program. Providers may refer to the “General Information” section for more information.
CSHCN Services Program Benefit ChangesThe following CSHCN Services Program benefit changes have been made to support the 2017 ICD updates and are effective for dates of service on or after October 1, 2016. For more information, call the TMHP-CSHCN Services Program Contact Center at 1-800-568-2413.
The policy articles below contain the following information:
• Revised: The description has been revised for these diagnosis codes. Providers may refer to the appropriate copyright holder for the revised descriptions.
• Discontinued: Discontinued diagnosis codes are no longer reimbursed after September 30, 2016.
• Added: Added diagnosis codes are new procedure codes added by the Centers for Medicare & Medicaid Services (CMS).
Ambulatory Blood Pressure Monitoring and DevicesThe following diagnosis codes may be reimbursed when submitted with procedure codes A4660 and A4670:
Added Diagnosis CodesI160 I161 I169
The combination diagnosis table has been removed. Each of the paired codes is now listed as a single diagnosis code.
Refer to: The current CSHCN Services Program Provider Manual, section 11.2.1.1, “Ambulatory Blood Pressure Monitoring,” for more information.
Cytogenetics TestingThe following diagnosis codes may be reimbursed when submitted with procedure codes 88230, 88233, 88237, 88239, 88245, 88248, 88249, 88261, 88262, 88263, 88264, 88271, 88272, 88273, 88274, 88275, 88280, 88283, 88285, 88289, and 88291:
Refer to: The current CSHCN Services Program Provider Manual, section 31.2.17, “Echoencephalography,” for more information.
Evoked Response Tests and Neuromuscular ProceduresThe following diagnosis codes may be reimbursed when submitted with Electromyography (EMG) and nerve conduction study (NCS) procedure codes:
Refer to: The current CSHCN Services Program Provider Manual, section 31.2.19, “Evoked Response Tests and Neuromuscular Procedures,” for more information.
ICD-10 Special Bulletin, No. 10 16 2016 Texas Medicaid
Children With Special Health Care Needs (CSHCN) Services Program Providers
CPT only copyright 2015 American Medical Association. All rights reserved.
Expendable Medical SuppliesThe following diagnosis codes may be reimbursed when submitted with the appropriate diapers, briefs, pull-ups, or liners procedure code:
Refer to: The current CSHCN Services Program Provider Manual, section 20.2.3.5, “Limitations,” for more infor-mation.
Neurostimulators and Neuromuscular StimulatorsThe following diagnosis codes may be considered for prior authorization when submitted with the appropriate dorsal column neurostimulation (DCN), intracranial neurostimulation (ICN), or percutaneous electrical nerve stimulation (PENS) device procedure codes:
Refer to: The current CSHCN Services Program Provider Manual, section 27.2.1, “Dorsal Column Neurostimula-tion (DCN),” section 27.2.2, “Intracranial Neurostimulation (INS),” and section 27.2.4, “Percutaneous Electrical Nerve Stimulation (PENS),” for more information.
ICD-10 Special Bulletin, No. 10 17 2016 Texas Medicaid
Children With Special Health Care Needs (CSHCN) Services Program Providers
CPT only copyright 2015 American Medical Association. All rights reserved.
Therapeutic ApheresisThe following diagnosis codes may be reimbursed when submitted with procedure codes 36511, 36512, 36513, 36514, 36515, and 36516:
Refer to: The current CSHCN Services Program Provider Manual, section 31.2.40, “Therapeutic Apheresis,” for more information.
Vision Services NonsurgicalThe following diagnosis codes may be reimbursed when submitted with the appropriate contact lenses and their prescription and fitting procedure codes:
Added Diagnosis CodesH53041 H53042 H53043 H53049
Refer to: The current CSHCN Services Program Provider Manual, section 39.2.1.4, “Contact Lenses” for more information.
ICD-10 Special Bulletin, No. 10 18 2016 Texas Medicaid
Children With Special Health Care Needs (CSHCN) Services Program Providers
CPT only copyright 2015 American Medical Association. All rights reserved.
ALL CODE CHANGES: ADDED, REVISED, AND DISCONTINUED
2017 ICD Diagnosis Code AdditionsThe following is a list of new ICD diagnosis codes:
For more information, call the TMHP Contact Center at 1-800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 1-800-568-2413.
Discontinued Diagnosis CodesThe 2017 ICD discontinued diagnosis codes are no longer valid for claims submitted with dates of service on or after October 1, 2016. The following is a list of diagnosis codes that have been discontinued:
For more information, call the TMHP Contact Center at 1-800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 1-800-568-2413.
ICD-10 Special Bulletin, No. 10 29 2016 Texas Medicaid
All Code Changes: Added, Revised, and Discontinued
CPT only copyright 2015 American Medical Association. All rights reserved.
INPATIENT HOSPITAL ICD-10-PCS
Inpatient Hospital ICD-10-PCS Surgical Procedure Code UpdatesThe ICD-10-PCS procedure codes are inpatient hospital surgical procedure codes and must be submitted, as appli-cable, only on inpatient hospital claims.
Note: For professional and outpatient procedures and services, providers must continue to use the American Medical Association (AMA) Current Procedural Terminology (CPT) manual and the CMS Health Care Common Procedure Coding System (HCPCS) manual.
This section lists the ICD-10-PCS inpatient hospital surgical procedure code changes for inpatient hospital providers. Providers should refer to the appropriate copyright holder’s code listing for the new, discontinued, and revised descriptions for the procedure codes indicated below. All discontinued codes will not be reimbursed for dates of service on or after October 1, 2016.
The following table lists all of the new, discontinued, and revised surgical procedure codes:
Note: These procedure codes are surgical codes used to assign the proper DRG for an inpatient hospital stay and are processed as informational only.