ICD-10-PCS 2017 Changes: New Root Operation "Perfusion", "Control" and "Creation" Revised

“In the kNOW” newbreaks are a new OHIMA coding feature for our membership.  The first “In the kNOW” will highlight some of the ICD-10-PCS changes that will impact coders come October 1, 2016.

One year after implementation of ICD-10, coders will be bombarded with thousands of new codes, not to mention some significant changes to guidelines and root operations.  This installment presents the changes to ICD-10-PCS 2017 root operations.  There is one new root operation that will be effective on October 1, 2016 and that is “Perfusion”.  This new root operation is found in the Extracorporeal Therapies section and is defined as “extracorporeal treatment by diffusion of therapeutic fluid.”

The root operation “Control” was revised.  The definition expanded from “the stopping or attempting to stop postprocedural bleeding” only, to now state “the stopping or attempting to stop postprocedural or other acute bleeding.”  Coders should determine if the method to control the bleeding involved any other (more specific) root operation such as “Resection”, “Bypass”, or “Extraction”, in which case the more specific root operation would be assigned instead of “Control.”

The other significant root operation revision involves “Creation”.  The previous definition of “Creation” limited its application to sex change operations only as it was for the “making of a new genital structure that does not take over the function of a body part”.  The revised definition for “Creation” is “putting in or on biological or synthetic material to form a new body part that to the extent possible replicates the anatomic structure or function of an absent body part”.  In addition to continued use for gender reassignment surgery, the revised definition expands application to include procedures that will correct congenital anomalies; for example, creating right and left atrioventricular valve from the common atrioventricular valve.  

This link will direct you to the CMS webpage for everything ICD-10-PCS related: https://www.cms.gov/Medicare/Coding/ICD10/2017-ICD-10-PCS-and-GEMs.html
 
Now you are In the kNOW!!

About the Author 

Dianna Foley, RHIA, CHPS, CCS  is OHIMA's Coding Education Coordinator. Dianna has been an HIM professional for 20 years. She progressed through the ranks of coder, department supervisor, and department director, to her current role as a coding consultant. 

She recently served as the program director for Medical Coding and HIT at Eastern Gateway Community College. Dianna earned her bachelor's degree from the University of Cincinnati subsequently achieving her RHIA, CHPS, and CCS certifications. She is an AHIMA Approved ICD-10-CM/PCS Trainer and a a presenter at regional HIM meetings and the OHIMA Annual Meeting.