Errata for ICD-10-CM and ICD-10-PCS Coding Handbook …

1 Errata for ICD-10-CM and ICD-10-PCS Coding Handbook 2018 with answers Narrative changes appear in bold italicized text; deletions show as strikethrough text. 9/19/2017. Page Current Text Revision Number 102 For example, a procedure to control bleeding from For example, a procedure to control duodenal ulcers by using clips on vessels in the bleeding from duodenal ulcers by using clips duodenum is coded to Repair of the duodenum on vessels in the duodenum is coded to rather than to a vascular system body part. In a RepairControl of the duodenum rather similar example, control of epistaxis with sutures than to a vascular system body part. In a placed to surround a small ruptured arterial similar example, control of epistaxis with bleeding vessel of the external right naris is coded sutures placed to surround a small ruptured to 09 QKXZZ, Repair nose, external approach.

2 Arterial bleeding vessel of the external right naris is coded to 09 QKXZZ, Repair nose, external approach. 0W3Q7ZZ, Control bleeding in respiratory tract, via natural or artificial opening. 114 Exercise .. 2. Hemodialysis, single treatment Exercise .. 2. Hemodialysis, single 5A1D00Z prolonged intermittent treatment for 8. hours 5A1D00Z 5A1D80Z. 266 A fifth character is assigned for duration, which A fifth character is assigned for the duration distinguishes between a single (continuous) of the dialysis session., which distinguishes encounter and multiple (separate) encounters. For between a single (continuous) encounter example, multiple hemodialysis encounters are and multiple (separate) encounters Options coded to 5A1D60Z, Performance of urinary are: intermittent, less than 6 hours per day.

3 Filtration, multiple. prolonged intermittent, 6-18 hours per day;. or continuous, greater than 18 hours per day. For example, multiple hemodialysis encounters are administered for 4 hours per day is coded to 5A1D60Z 5A1D70Z, Performance of urinary filtration, multiple intermittent, less than 6 hours per day. Intermittent hemodialysis is the conventional hemodialysis usually performed for end stage renal disease 3. times per week for about 4 hours per session. Intermittent hemodialysis may also be performed for acute kidney injury and may be somewhat lengthier or more frequent. The other two forms of hemodialysis can be referred to as Renal Replacement Therapy (RRT). These forms are directed only at acute kidney injury/acute renal failure and are typically delivered to critically ill patients in intensive care.

4 They are a gentler type of dialysis with lower blood pump speeds and lower dialysate flow rates. 267 When dialysis is performed during the same episode When dialysis is performed during the same of care, procedure code 5A1D00Z (single encounter) episode of care, procedure code 5A1D00Z. or 5A1D60Z (multiple encounter) is assigned to (single encounter) or 5A1D60Z (multiple specify that the dialysis was actually performed encounter) 5A1D70Z (intermittent), during the encounter. 5A1D80Z (prolonged intermittent), or 5A1D90Z (continuous) is assigned to specify that the dialysis was actually performed during the encounter. 267 + + + 5A1D00Z Patient with + + + 5A1D00Z 5A1D70Z. chronic kidney disease, stage 5, on chronic dialysis, Patient with chronic kidney disease, stage 5, admitted for cleansing of hemodialysis catheter, on chronic dialysis, admitted for cleansing of single hemodialysis performed hemodialysis catheter, single hemodialysis for 5 hours performed 269 Exercise.

5 2 .. Single hemodialysis Exercise .. 2 .. Single intermittent 4. performed .. 5A1D00Z hours per day hemodialysis performed .. 5A1D00Z 5A1D70Z. 269 Exercise .. 4 .. Multiple hemodialysis Exercise .. 4 .. Multiple Intermittent treatments provided.. 5A1D60Z 4 hours per day hemodialysis treatments provided.. 5A1D60Z 5A1D70Z. 275 For example, for a subtotal laparoscopic For example, for a subtotal supracervical hysterectomy, code 0UT94ZZ, Resection of uterus, laparoscopic hysterectomy, code 0UT94ZZ. percutaneous endoscopic approach, is assigned 0UT94ZL, Resection of uterus, supracervical, percutaneous endoscopic approach, is assigned. 275 A total hysterectomy removes the whole uterus and A total hysterectomy removes the whole cervix.

6 This procedure requires two separate codes, uterus and cervix. This procedure requires one for the complete removal of the uterus and two separate codes, one for the complete another for the complete removal of the cervix, removal of the uterus and another for the because uterus and cervix have distinct body complete removal of the cervix, because part values. This requirement is supported by the uterus and cervix have distinct body ICD-10-PCS guideline for multiple procedures , part values. This requirement is supported which states that multiple procedures during the by the ICD-10-PCS guideline for multiple same operative episode are coded if [t]he same procedures , which states that multiple root operation is performed on different body parts procedures during the same operative as defined by distinct values of the body part episode are coded if [t]he same root character.

7 For example, a total laparoscopic operation is performed on different body hysterectomy is coded as 0UT94ZZ, Resection of parts as defined by distinct values of the uterus, percutaneous endoscopic approach, along body part character. Based on guidance with 0 UTC4ZZ, Resection of cervix, percutaneous from the Index, only one ICD-10-PCS code endoscopic approach. describing resection of the uterus is required for a total hysterectomy. For example, a total laparoscopic hysterectomy is coded as 0UT94ZZ, Resection of uterus, percutaneous endoscopic approach, along with 0 UTC4ZZ, Resection of cervix, percutaneous endoscopic approach. 290 When Coding for debridement of areas other than When Coding for debridement of areas skin, excisional debridement is coded to the root other than skin, excisional debridement is operation Excision (for excisional debridement) or coded to the root operation Excision (for Extraction (for nonexcisional debridement) of the excisional debridement) or Extraction (for specific body part.)

8 Nonexcisional debridement) of the specific body part. 347 For subsequent encounters when there are retained For subsequent encounters when there are products of conception following either a retained products of conception following spontaneous abortion or an elective termination of either a spontaneous abortion or an elective pregnancy, assign the appropriate code from termination of pregnancy without category O03, Spontaneous abortion, or code complications, assign the appropriate code , Failed attempted termination of pregnancy from category , Incomplete without complication, and , Encounter for Sspontaneous abortion without elective termination of pregnancy. This advice complication, or code , Failed applies even when the patient was discharged attempted termination of pregnancy previously with a discharge diagnosis of complete without complication, and , abortion.

9 Encounter for elective termination of pregnancy. This advice applies even when the patient was discharged previously with a discharge diagnosis of complete abortion. If the patient has a specific complication associated with the spontaneous abortion or elective termination of pregnancy in addition to retained products of conception, assign the appropriate complication in category O03 or O07. instead of code or 386 An additional code is used to identify hypertension An additional code is used to identify (I10 I15) when present. hypertension (I10 I15I16) when present. 431 Assign code 02HA3RS, Insertion of biventricular Assign code 02HA3RS, Insertion of short term heart assist system into heart, biventricular short term external heart percutaneous approach, to identify the insertion of assist system into heart, percutaneous a biventricular external heart assist device.

10 Approach, to identify the insertion of a biventricular external heart assist device .. A patient with end-stage kidney disease due to a 536 A patient with end-stage kidney disease due congenital anomaly of the urinary tract status post to a congenital anomaly of the urinary tract deceased-donor right renal transplantation was status post deceased-donor right renal admitted with delayed graft function and persistent transplantation was admitted with delayed severe hyperkalemia, which required hemodialysis.. graft function and persistent severe .. Assign code 5A1D00Z, Performance of urinary hyperkalemia, which required intermittent filtration, single, for the hemodialysis. hemodialysis of less than 6 hours per day.