2019 · extirpation - extirpation e xtirpation - e xtirpation 88 2019 icd-10-pcs icd-10-pcs index...

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12019 ICD-10-PCS

Table of Contents

Preface ............................................................................... 2

Changes for 2019 .............................................................. 3

List of Features .................................................................. 4

Using ICD-10-PCS Toward Your Credentialing Examination ...................................................................... 5

Official Conventions and Additional Conventions Specific to This ICD-10-PCS Book .................................... 7

ICD-10-PCS Official Guidelines for Coding and Reporting 2019 .................................................................... 9

Anatomical Illustrations ................................................. 17

Approach Table ............................................................... 53

ICD-10-PCS Index ............................................................ 55

ICD-10-PCS Tables......................................................... 169

Medical and Surgical 001-0YW .................................... 169Central Nervous System and Cranial Nerves 001-00X ......................................................................... 169Peripheral Nervous System 012-01X ................................. 181Heart and Great Vessels 021-02Y ........................................ 191Upper Arteries 031-03W ....................................................... 207Lower Arteries 041-04W ........................................................ 223Upper Veins 051-05W ............................................................. 239Lower Veins 061-06W ............................................................. 251Lymphatic and Hemic Systems 072-07Y ......................... 263Eye 080-08X ............................................................................... 275Ear, Nose, Sinus 090-09W ...................................................... 289Respiratory System 0B1-0BY ................................................ 305Mouth and Throat 0C0-0CX ................................................. 319Gastrointestinal System 0D1-0DY ....................................... 331Hepatobiliary System and Pancreas 0F1-0FY ................ 351Endocrine System 0G2-0GW................................................. 361Skin and Breast 0H0-0HX ...................................................... 369Subcutaneous Tissue and Fascia 0J0-0JX ........................ 383Muscles 0K2-0KX ...................................................................... 401Tendons 0L2-0LX ..................................................................... 413Bursae and Ligaments 0M2-0MX ........................................ 425Head and Facial Bones 0N2-0NW ...................................... 441Upper Bones 0P2-0PW ........................................................... 453Lower Bones 0Q2-0QW .......................................................... 467Upper Joints 0R2-0RW ........................................................... 479Lower Joints 0S2-0SW ............................................................ 495Urinary System 0T1-0TY ........................................................ 511Female Reproductive System 0U1-0UY ........................... 523Male Reproductive System 0V1-0VX ................................ 539

Anatomical Regions, General 0W0-0WY .......................... 555Anatomical Regions, Upper Extremities 0X0-0XY ....... 567Anatomical Regions, Lower Extremities 0Y0-0YW ...... 575

Obstetrics 102-10Y ...................................................... 583

Placement-Anatomical Regions 2W0-2W6 ................. 589

Placement-Anatomical Orifices 2Y0-2Y5 ................... 597

Administration 302-3E1 ............................................... 599

Measurement and Monitoring 4A0-4B0 .................... 615

Extracorporeal or Systemic Assistance and Performance 5A0-5A2 ................................................. 621

Extracorporeal or Systemic Therapies 6A0-6AB ........ 623

Osteopathic 7W0 ......................................................... 627

Other Procedures 8C0-8E0 .......................................... 629

Chiropractic 9WB ......................................................... 633

Imaging B00-BY4 ......................................................... 635

Nuclear Medicine C01-CW7 ......................................... 677

Radiation Therapy D00-DWY ....................................... 689

Physical Rehabilitation and Diagnostic Audiology F00-F15 ......................................................................... 707

Mental Health GZ1-GZJ ............................................... 725

Substance Abuse Treatment HZ2-HZ9 ....................... 729

New Technology X2A-XY0 ............................................ 733Cardiovascular System X2A-X2R ........................................ 733Skin, Subcutaneous Tissue, Fascia, and Breast XHR ..... 735Muscles, Tendons, Bursae, and Ligaments XK0 .............. 737Bones XNS ................................................................................... 739Joints XR2-XRG .......................................................................... 741Male Reproductive System XV5 .......................................... 745Anatomical Regions XW0 ...................................................... 747Extracorporeal XY0 .................................................................. 749

Appendix A: Root Operations Definitions .................. 751

Appendix B: Body Part Key .......................................... 757

Appendix C: Device Key ............................................... 777

Appendix D: Device Aggregation Table ...................... 785

Appendix E: Character Meaning .................................. 789

Appendix F: Substance Key ......................................... 859

Appendix G: Combination Clusters ............................. 861

Appendix H: Non-OR Not Affecting MS-DRG Assignment ................................................................... 877

172019 ICD-10-PCS

An

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Anatomical Illustrations

Title: Circulatory System Labels Biology Diagram, License: CC0 Creative Commons (Free for commercial use No attribution required), URL link: https://pixabay.com/en/circulatory-system-labels-biology-41523/

48 2019 ICD-10-PCS

Anatomical illustrationsA

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532019 ICD-10-PCS

Appro

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Section 0 - Medical and Surgicalcharacter 5 - Approach

Approach 5th character Definition examples

external

X

Procedures performed directly on the skin or mucous membrane and procedures performed indirectly by the application of external force through the skin or mucous membrane

• Cauterization of epistaxis

• Reduction of a dislocated shoulder

• Destruction of renal calculi with lithotripsy

open

0

Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

• Open reduction and internal fixation of a fracture

• Abdominal appendectomy

• Open coronary artery bypass graft

percutaneous

3

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and/or any other body layers necessary to reach the site of the procedure

• Percutaneous paracentesis

• Tracheostomy formation with tracheostomy tube placement

• Needle biopsy of breast mass

percutaneous, endoscopic

4

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and/or any other body layers necessary to reach and visualize the site of the procedure

• Shoulder arthroscopy

• Autograft nerve graft to right median nerve

• Mapping of left cerebral hemisphere

Via Natural or Artificial opening 7

Entry of instrumentation through a natural or artificial external opening to reach the site of the procedure

• Placement of a Foley catheter

• Endotracheal intubation

• Transvaginal cervical cerclage

Via Natural or Artificial opening, endoscopic 8

Entry of instrumentation through a natural or artificial external opening to reach and visualize the site of the procedure

• Colonoscopy

• Bronchoscopy

• Esophagogastroduodenoscopy (EGD)

Via Natural or Artificial opening, with percutaneous endoscopic Assistance

F

Entry of instrumentation through a natural or artificial external opening to reach and visualize the site of the procedure, and entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to aid in the performance of the procedure

• Resections of the female reproductive system

• Laparoscopic-assisted vaginal salpingo-oophorectomy and hysterectomy

Approach Table

extirpation - extirpation

exti

rpat

ion

- ext

irpa

tion

88 2019 ICD-10-PCS

ICD-10-PCS Index

ICD

-10-

PCS

InD

ex

Internal Mammary Left 03C1Right 03C0

Intracranial 03CGLower 04CYPeroneal

Left 04CURight 04CT

Popliteal Left 04CNRight 04CM

Posterior Tibial Left 04CSRight 04CR

Pulmonary Left 02CRRight 02CQ

Pulmonary Trunk 02CPRadial

Left 03CCRight 03CB

Renal Left 04CARight 04C9

Splenic 04C4Subclavian

Left 03C4Right 03C3

Superior Mesenteric 04C5Temporal

Left 03CTRight 03CS

Thyroid Left 03CVRight 03CU

Ulnar Left 03CARight 03C9

Upper 03CYVertebral

Left 03CQRight 03CP

Atrium Left 02C7Right 02C6

Auditory Ossicle Left 09CARight 09C9

Basal Ganglia 00C8Bladder 0TCBBladder Neck 0TCCBone

Ethmoid Left 0NCGRight 0NCF

Frontal 0NC1Hyoid 0NCXLacrimal

Left 0NCJRight 0NCH

Nasal 0NCBOccipital 0NC7Palatine

Left 0NCLRight 0NCK

Parietal Left 0NC4Right 0NC3

Pelvic Left 0QC3Right 0QC2

Sphenoid 0NCCTemporal

Left 0NC6Right 0NC5

Zygomatic Left 0NCNRight 0NCM

Brain 00C0Breast

Bilateral 0HCVLeft 0HCURight 0HCT

Bronchus Lingula 0BC9Lower Lobe

Left 0BCBRight 0BC6

Main Left 0BC7Right 0BC3

Middle Lobe, Right 0BC5Upper Lobe

Left 0BC8Right 0BC4

Buccal Mucosa 0CC4Bursa and Ligament

Abdomen Left 0MCJRight 0MCH

Ankle Left 0MCRRight 0MCQ

Elbow Left 0MC4Right 0MC3

Foot Left 0MCTRight 0MCS

Hand Left 0MC8Right 0MC7

Head and Neck 0MC0Hip

Left 0MCMRight 0MCL

Knee Left 0MCPRight 0MCN

Lower Extremity Left 0MCWRight 0MCV

Perineum 0MCKRib(s) 0MCGShoulder

Left 0MC2Right 0MC1

Spine Lower 0MCDUpper 0MCC

Sternum 0MCFUpper Extremity

Left 0MCBRight 0MC9

Wrist Left 0MC6Right 0MC5

Carina 0BC2Carotid Bodies, Bilateral 0GC8Carotid Body

Left 0GC6Right 0GC7

Carpal Left 0PCNRight 0PCM

Cavity, Cranial 0WC1Cecum 0DCHCerebellum 00CCCerebral Hemisphere 00C7Cerebral Meninges 00C1Cerebral Ventricle 00C6Cervix 0UCC

Chordae Tendineae 02C9Choroid

Left 08CBRight 08CA

Cisterna Chyli 07CLClavicle

Left 0PCBRight 0PC9

Clitoris 0UCJCoccygeal Glomus 0GCBCoccyx 0QCSColon

Ascending 0DCKDescending 0DCMSigmoid 0DCNTransverse 0DCL

Conduction Mechanism 02C8Conjunctiva

Left 08CTXZZRight 08CSXZZ

Cord Bilateral 0VCHLeft 0VCGRight 0VCF

Cornea Left 08C9XZZRight 08C8XZZ

Cul-de-sac 0UCFDiaphragm 0BCTDisc

Cervical Vertebral 0RC3Cervicothoracic Vertebral 0RC5Lumbar Vertebral 0SC2Lumbosacral 0SC4Thoracic Vertebral 0RC9Thoracolumbar Vertebral 0RCB

Duct Common Bile 0FC9Cystic 0FC8Hepatic

Common 0FC7Left 0FC6Right 0FC5

Lacrimal Left 08CYRight 08CX

Pancreatic 0FCDAccessory 0FCF

Parotid Left 0CCCRight 0CCB

Duodenum 0DC9Dura Mater 00C2Ear

External Left 09C1Right 09C0

External Auditory Canal Left 09C4Right 09C3

Inner Left 09CERight 09CD

Middle Left 09C6Right 09C5

Endometrium 0UCBEpididymis

Bilateral 0VCLLeft 0VCKRight 0VCJ

Epidural Space, Intracranial 00C3Epiglottis 0CCREsophagogastric Junction 0DC4Esophagus 0DC5

Lower 0DC3

extirpation — continuedextirpation — continuedArtery — continued

extirpation — continued

169

001-002Cen

tra

l nerv

ou

s system a

nd

Cra

nia

l nerv

es 001-00X Limited Coverage Noncovered HAC-associated Procedure Combination Cluster - See Appendix G for code lists

Non-OR-Affecting MS-DRG Assignment New/Revised Text in orange Male Female

2019 ICD-10-PCS

iCd-10-PCs tables

medical and surgical 001-0yW

Central nervous system and Cranial nerves 001-00X0 medical and surgical0 Central nervous system and Cranial nerves1 Bypass: Altering the route of passage of the contents of a tubular body part

Body Part approach device QualifierCharacter 4 Character 5 Character 6 Character 7

6 Cerebral Ventricle 0 Open3 Percutaneous4 Percutaneous Endoscopic

7 Autologous Tissue SubstituteJ Synthetic SubstituteK Nonautologous Tissue

Substitute

0 Nasopharynx1 Mastoid Sinus2 Atrium3 Blood Vessel4 Pleural Cavity5 Intestine6 Peritoneal Cavity7 Urinary Tract8 Bone MarrowB Cerebral Cisterns

6 Cerebral Ventricle 0 Open3 Percutaneous4 Percutaneous Endoscopic

Z No Device B Cerebral Cisterns

u Spinal Canal 0 Open3 Percutaneous4 Percutaneous Endoscopic

7 Autologous Tissue SubstituteJ Synthetic SubstituteK Nonautologous Tissue

Substitute

2 Atrium4 Pleural Cavity6 Peritoneal Cavity7 Urinary Tract9 Fallopian Tube

001U479 001U4J9 001U4K9

0 medical and surgical0 Central nervous system and Cranial nerves2 Change: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without cutting or

puncturing the skin or a mucous membrane


0 Brain e Cranial Nerve u Spinal Canal

X External 0 Drainage Devicey Other Device

Z No Qualifier

276

085-08708

5-08

7ey

e 08

0-08

Xeye 080-08X

Limited Coverage Noncovered HAC-associated Procedure Combination Cluster - See Appendix G for code lists


2019 ICD-10-PCS

0 medical and surgical8 eye5 destruction: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent


0 Eye, Right 1 Eye, Left 6 Sclera, Right 7 Sclera, Left 8 Cornea, Right 9 Cornea, Left s Conjunctiva, Right t Conjunctiva, Left

X External Z No Device Z No Qualifier

2 Anterior Chamber, Right 3 Anterior Chamber, Left 4 Vitreous, Right 5 Vitreous, Left C Iris, Right d Iris, Left e Retina, Right F Retina, Left G Retinal Vessel, Right H Retinal Vessel, Left J Lens, Right K Lens, Left

3 Percutaneous Z No Device Z No Qualifier

a Choroid, Right B Choroid, Left l Extraocular Muscle, Right m Extraocular Muscle, Left v Lacrimal Gland, Right W Lacrimal Gland, Left

0 Open3 Percutaneous

Z No Device Z No Qualifier

n Upper Eyelid, Right P Upper Eyelid, Left Q Lower Eyelid, Right r Lower Eyelid, Left

0 Open3 PercutaneousX External


X Lacrimal Duct, Right y Lacrimal Duct, Left

0 Open3 Percutaneous7 Via Natural or Artificial Opening8 Via Natural or Artificial Opening

Endoscopic


0 medical and surgical8 eye7 dilation: Expanding an orifice or the lumen of a tubular body part


X Lacrimal Duct, Right y Lacrimal Duct, Left

0 Open3 Percutaneous7 Via Natural or Artificial Opening8 Via Natural or Artificial Opening

Endoscopic

d Intraluminal DeviceZ No Device

Z No Qualifier

305

0B1-0B5RespiR

atoRy system

0B1-0By Limited Coverage Noncovered HAC-associated Procedure Combination Cluster - See Appendix G for code lists


2019 ICD-10-PCS

Respiratory system 0B1-0By 0 medical and surgicalB Respiratory system1 Bypass: Altering the route of passage of the contents of a tubular body part

Body part approach Device QualifierCharacter 4 Character 5 Character 6 Character 7

1 Trachea 0 Open D Intraluminal Device 6 Esophagus1 Trachea 0 Open F Tracheostomy Device

Z No Device4 Cutaneous

1 Trachea 3 Percutaneous4 Percutaneous Endoscopic

F Tracheostomy DeviceZ No Device

4 Cutaneous

0 medical and surgicalB Respiratory system2 Change: Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without cutting or

puncturing the skin or a mucous membrane


0 Tracheobronchial Tree K Lung, Right L Lung, Left Q Pleura t Diaphragm

X External 0 Drainage Devicey Other Device

Z No Qualifier

1 Trachea X External 0 Drainage Devicee Intraluminal Device,

Endotracheal AirwayF Tracheostomy Devicey Other Device

Z No Qualifier

0 medical and surgicalB Respiratory system5 Destruction: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent


1 Trachea 2 Carina 3 Main Bronchus, Right 4 Upper Lobe Bronchus, Right 5 Middle Lobe Bronchus, Right 6 Lower Lobe Bronchus, Right 7 Main Bronchus, Left 8 Upper Lobe Bronchus, Left 9 Lingula Bronchus B Lower Lobe Bronchus, Left C Upper Lung Lobe, Right D Middle Lung Lobe, Right F Lower Lung Lobe, Right G Upper Lung Lobe, Left H Lung Lingula J Lower Lung Lobe, Left K Lung, Right L Lung, Left m Lungs, Bilateral

0 Open3 Percutaneous4 Percutaneous Endoscopic7 Via Natural or Artificial Opening8 Via Natural or Artificial Opening

Endoscopic


N Pleura, Right p Pleura, Left t Diaphragm

0 Open3 Percutaneous4 Percutaneous Endoscopic


624

6A6-6Ab6A

6-6A

beX

trA

cOrP

Ore

AL

Or

sYst

eMic

tH

erA

Pies

6A

0-6A

bextracorporeal or systemic therapies 6A0-6Ab


Non-OR-Affecting MS-DRG Assignment New/Revised Text in Orange Male Female

2019 ICD-10-PCS

6 extracorporeal or systemic therapiesA Physiological systems6 Phototherapy: Extracorporeal treatment by light rays

body system Duration Qualifier Qualifier

character 4 character 5 character 6 character 7

0 Skin 5 Circulatory

0 Single1 Multiple

Z No Qualifier Z No Qualifier

6 extracorporeal or systemic therapiesA Physiological systems7 Ultrasound therapy: Extracorporeal treatment by ultrasound

body systemcharacter 4

Durationcharacter 5

Qualifiercharacter 6

Qualifiercharacter 7

5 Circulatory 0 Single1 Multiple

Z No Qualifier 4 Head and Neck Vessels5 Heart6 Peripheral Vessels7 Other VesselsZ No Qualifier

6 extracorporeal or systemic therapiesA Physiological systems8 Ultraviolet Light therapy: Extracorporeal treatment by ultraviolet light



0 Skin 0 Single1 Multiple


6 extracorporeal or systemic therapiesA Physiological systems9 shock Wave therapy: Extracorporeal treatment by shock waves



3 Musculoskeletal 0 Single1 Multiple


6 extracorporeal or systemic therapiesA Physiological systemsb Perfusion: Extracorporeal treatment by diffusion of therapeutic fluid



5 Circulatory b Respiratory System F Hepatobiliary System and

Pancreas t Urinary System

0 Single b Donor Organ Z No Qualifier

729

HZ2-H

Z4Su

BSTa

NCe a

Bu

Se TreaTMeN

T HZ2-H

Z9


Non-OR-Affecting MS-DRG Assignment New/Revised Text in Orange Male Female

2019 ICD-10-PCS

Substance abuse Treatment HZ2-HZ9 H Substance abuse TreatmentZ None2 detoxification Services: Detoxification from alcohol and/or drugs

Qualifier Qualifier Qualifier QualifierCharacter 4 Character 5 Character 6 Character 7

Z None Z None Z None Z None

H Substance abuse TreatmentZ None3 individual Counseling: The application of psychological methods to treat an individual with addictive behavior


0 Cognitive 1 Behavioral 2 Cognitive-Behavioral 3 12-Step 4 Interpersonal 5 Vocational 6 Psychoeducation 7 Motivational Enhancement 8 Confrontational 9 Continuing Care B Spiritual C Pre/Post-Test Infectious

Disease

Z None Z None Z None

H Substance abuse TreatmentZ None4 Group Counseling: The application of psychological methods to treat two or more individuals with addictive behavior


0 Cognitive 1 Behavioral 2 Cognitive-Behavioral 3 12-Step 4 Interpersonal 5 Vocational 6 Psychoeducation 7 Motivational Enhancement 8 Confrontational 9 Continuing Care B Spiritual C Pre/Post-Test Infectious

Disease

Z None Z None Z None

786

Appendix d: device Aggregation tableA

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2019 ICD-10-PCS

Specific device For operation in body System general device

Intraluminal Device, Branched or Fenestrated, One or Two Arteries

Restriction Heart and Great Vessels d Intraluminal Device

Lower Arteries

Intraluminal Device, Branched or Fenestrated, Three or More Arteries

Restriction Heart and Great Vessels d Intraluminal Device

Lower Arteries

Intraluminal Device, Drug-eluting All applicable Heart and Great Vessels d Intraluminal Device

Lower Arteries

Upper Arteries

Intraluminal Device, Drug-eluting, Four or More

All applicable Heart and Great Vessels d Intraluminal Device

Lower Arteries

Upper Arteries

Intraluminal Device, Drug-eluting, Three


Lower Arteries

Upper Arteries

Intraluminal Device, Drug-eluting, Two


Lower Arteries

Upper Arteries

Intraluminal Device, Endobronchial Valve

All applicable Respiratory System d Intraluminal Device

Intraluminal Device, Endotracheal Airway

All applicable Respiratory System d Intraluminal Device

Intraluminal Device, Four or More All applicable Heart and Great Vessels d Intraluminal Device

Lower Arteries

Upper Arteries

Intraluminal Device, Pessary All applicable Female Reproductive System d Intraluminal Device

Intraluminal Device, Radioactive All applicable Heart and Great Vessels d Intraluminal Device

Intraluminal Device, Three All applicable Heart and Great Vessels d Intraluminal Device

Lower Arteries

Upper Arteries

Intraluminal Device, Two All applicable Heart and Great Vessels d Intraluminal Device

Lower Arteries

Upper Arteries

Monitoring Device, Hemodynamic Insertion Subcutaneous Tissue and Fascia 2 Monitoring Device

Monitoring Device, Pressure Sensor Insertion Heart and Great Vessels 2 Monitoring Device

Pacemaker, Dual Chamber Insertion Subcutaneous Tissue and Fascia p Cardiac Rhythm Related Device

Pacemaker, Single Chamber Insertion Subcutaneous Tissue and Fascia p Cardiac Rhythm Related Device

Pacemaker, Single Chamber Rate Responsive

Insertion Subcutaneous Tissue and Fascia p Cardiac Rhythm Related Device

Spinal Stabilization Device, Facet Replacement

Insertion Lower Joints 4 Internal Fixation Device

Upper Joints

Spinal Stabilization Device, Interspinous Process


Upper Joints

Spinal Stabilization Device, Pedicle- Based


Upper Joints

Stimulator Generator, Multiple Array Insertion Subcutaneous Tissue and Fascia M Stimulator Generator

Stimulator Generator, Multiple Array Rechargeable

Insertion Subcutaneous Tissue and Fascia M Stimulator Generator

Stimulator Generator, Single Array Insertion Subcutaneous Tissue and Fascia M Stimulator Generator

789

Appen

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e: ChA

rA

Cter M

eAn

ing

2019 ICD-10-PCS

0: Medical and Surgical0: Central Nervous System and Cranial Nerves

Operation-Character 3 Body part-Character 4 Approach-Character 5 device-Character 6 Qualifier-Character 7

1 Bypass 0 Brain 0 Open 0 Drainage Device 0 Nasopharynx

2 Change 1 Cerebral Meninges 3 Percutaneous 2 Monitoring Device 1 Mastoid Sinus

5 Destruction 2 Dura Mater 4 Percutaneous Endoscopic 3 Infusion Device 2 Atrium

7 Dilation 3 Epidural Space, Intracranial x External4 Radioactive

Element,Cesium-131 Collagen Implant

3 Blood Vessel

8 Division 4 Subdural Space, Intracranial 7 Autologous Tissue

Substitute4 Pleural Cavity

9 Drainage5 Subarachnoid Space,

Intracranial J Synthetic Substitute 5 Intestine

B Excision 6 Cerebral Ventricle K Nonautologous Tissue

Substitute6 Peritoneal Cavity

C Extirpation 7 Cerebral Hemisphere M Neurostimulator Lead 7 Urinary Tract

d Extraction 8 Basal Ganglia Y Other Device 8 Bone Marrow

F Fragmentation 9 Thalamus Z No Device 9 Fallopian Tube

h Insertion A Hypothalamus B Cerebral Cisterns

J Inspection B Pons F Olfactory Nerve

K Map C Cerebellum g Optic Nerve

n Release d Medulla Oblongata h Oculomotor Nerve

p Removal e Cranial Nerve J Trochlear Nerve

Q Repair F Olfactory Nerve K Trigeminal Nerve

r Replacement g Optic Nerve L Abducens Nerve

S Reposition h Oculomotor Nerve M Facial Nerve

t Resection J Trochlear Nerve n Acoustic Nerve

U Supplement K Trigeminal Nerve p Glossopharyngeal Nerve

W Revision L Abducens Nerve Q Vagus Nerve

x Transfer M Facial Nerve r Accessory Nerve

n Acoustic Nerve S Hypoglossal Nerve

p Glossopharyngeal Nerve x Diagnostic

Q Vagus Nerve Z No Qualifier

r Accessory Nerve

S Hypoglossal Nerve

t Spinal Meninges

U Spinal Canal

V Spinal Cord

W Cervical Spinal Cord

x Thoracic Spinal Cord

Y Lumbar Spinal Cord

Appendix e: Character Meaning

856

Appendix e: Character MeaningA

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e: C

hA

rA

Cte

r M

eAn

ing

2019 ICD-10-PCS

x: New Technologyh: Skin, Subcutaneous Tissue, Fascia and Breast

Operation- Character 3 Body part-Character 4 Approach-

Character 5 device-Character 6 Qualifier-Character 7

r Replacement p Skin x External L Skin Substitute, Porcine Liver Derived

2 New Technology Group 2

x: New TechnologyK: Muscles, Tendons, Bursae and Ligaments



0 Introduction 2 Muscle 3 Percutaneous 0 Concentrated Bone Marrow Aspirate


x: New Technologyn: Bones



S Reposition 0 Lumbar Vertebra 0 Open 3 Magnetically Controlled Growth Rod(s)


3 Cervical Vertebra 3 Percutaneous4 Thoracic Vertebra

x: New Technologyr: Joints



2 Monitoring 0 Occipital-cervical Joint 0 Open 2 Intraoperative Knee Replacement Sensor


g Fusion 1 Cervical Vertebral Joint 9 Interbody Fusion Device, Nanotextured Surface


2 Cervical Vertebral Joints, 2 or more

F Interbody Fusion Device, Radiolucent Porous


4 Cervicothoracic Vertebral Joint6 Thoracic Vertebral Joint7 Thoracic Vertebral Joints, 2 to 78 Thoracic Vertebral Joints, 8 or

moreA Thoracolumbar Vertebral JointB Lumbar Vertebral JointC Lumbar Vertebral Joints, 2 or

mored Lumbosacral Jointg Knee Joint, Righth Knee Joint, Left

x: New TechnologyV: Male Reproductive System



5 Destruction 0 Prostate 8 Via Natural or Artificial Opening Endoscopic

A Robotic Waterjet Ablation 4 New Technology Group 4

859

Appen

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F: Sub

StAn

ce Key

2019 ICD-10-PCS

Appendix F: Substance Key

Substance term icd-10-pcS Value

AIGISRx® Antibacterial Envelope Anti-Infective Envelope

Angiotensin II Synthetic Human Angiotensin II

Antimicrobial envelope Anti-Infective Envelope

Axicabtagene Ciloeucel Engineered Autologous Chimeric Antigen Receptor T-cell Immunotherapy

Bone morphogenetic protein 2 (BMP 2) Recombinant Bone Morphogenetic Protein

CBMA (Concentrated Bone Marrow Aspirate) Concentrated Bone Marrow Aspirate

Clolar® Clofarabine

Defitelio® Defibrotide Sodium Anticoagulant

DuraGraft® Endothelial Damage Inhibitor Endothelial Damage Inhibitor

Factor Xa Inhibitor Reversal Agent, Andexanet Alfa Andexanet Alfa, Factor Xa Inhibitor Reversal Agent

GIAPREZA™ Synthetic Human Angiotensin II

Human angiotensin II, synthetic Synthetic Human Angiotensin II

Kcentra® 4-Factor Prothrombin Complex Concentrate

KYMRIAH Engineered Autologous Chimeric Antigen Receptor T-cell Immunotherapy

Nesiritide® Human B-type Natriuretic Peptide

rhBMP-2 Recombinant Bone Morphogenetic Protein

Seprafilm® Adhesion Barrier

STELARA® Other New Technology Therapeutic Substance

Tisagenlecleucel Engineered Autologous Chimeric Antigen Receptor T-cell Immunotherapy

Tissue Plasminogen Activator (tPA)(r- tPA) Other Thrombolytic

Ustekinumab Other New Technology Therapeutic Substance

Vistogard® Uridine Triacetate

Voraxaze® Glucarpidase

VYXEOS™ Cytarabine and Daunorubicin Liposome Antineoplastic

ZINPLAVA™ Bezlotoxumab Monoclonal Antibody

Zyvox® Oxazolidinones

862 2019 ICD-10-PCS

Appendix G: Combination ClustersA

ppen

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G: C

om

bin

Atio

n C

lust

ers

07BH0ZZand 0UTMXZZ

07BH4ZZand 0UTM0ZZ

07BH4ZZand 0UTMXZZ

07BJ0ZZand 0UTM0ZZ

07BJ0ZZand 0UTMXZZ

07BJ4ZZand 0UTM0ZZ

07BJ4ZZand 0UTMXZZ

07T50ZZand 07T60ZZand 07T70ZZand 07T80ZZand 07T90ZZand 0HTV0ZZand 0KTH0ZZand 0KTJ0ZZ

07T50ZZand 07T60ZZand 0HTV0ZZ

07T50ZZand 07T60ZZand 0HTV0ZZand 0KTH0ZZand 0KTJ0ZZ

07T50ZZand 07T70ZZand 07T80ZZand 0HTT0ZZand 0KTH0ZZ

07T50ZZand 0HTT0ZZ

07T50ZZand 0HTT0ZZand 0KTH0ZZ

07T60ZZand 07T70ZZand 07T90ZZand 0HTU0ZZand 0KTJ0ZZ

07T60ZZand 0HTU0ZZ

07T60ZZand 0HTU0ZZand 0KTJ0ZZ

0DQ80ZZand 0WQFXZ2

0DQ90ZZand 0WQFXZ2

0DQA0ZZand 0WQFXZ2

0DQB0ZZand 0WQFXZ2

0DQE0ZZand 0WQFXZ2

0DQF0ZZand 0WQFXZ2

0DQG0ZZand 0WQFXZ2

0DQH0ZZand 0WQFXZ2

0DQK0ZZand 0WQFXZ2

0DQL0ZZand 0WQFXZ2

0DQM0ZZand 0WQFXZ2

0DQN0ZZand 0WQFXZ2

0DT90ZZand 0FTG0ZZ

0HRT37Zand 0JD63ZZ

0HRT37Zand 0JD73ZZ

0HRT37Zand 0JD83ZZ

0HRT37Zand 0JD93ZZ

0HRT37Zand 0JDL3ZZ

0HRT37Zand 0JDM3ZZ

0HRU37Zand 0JD63ZZ

0HRU37Zand 0JD73ZZ

0HRU37Zand 0JD83ZZ

0HRU37Zand 0JD93ZZ

0HRU37Zand 0JDL3ZZ

0HRU37Zand 0JDM3ZZ

0HRV37Zand 0JD63ZZ

0HRV37Zand 0JD73ZZ

0HRV37Zand 0JD83ZZ

0HRV37Zand 0JD93ZZ

0HRV37Zand 0JDL3ZZ

0HRV37Zand 0JDM3ZZ

0JH608Zand 02H40KZ

0JH608Zand 02H44KZ

0JH608Zand 02HN0JZ

0JH608Zand 02HN0KZ

0JH608Zand 02HN0MZ

0JH608Zand 02HN3JZ

0JH608Zand 02HN3KZ

0JH608Zand 02HN3MZ

0JH608Zand 02HN4JZ

0JH608Zand 02HN4KZ

0JH608Zand 02HN4MZ

0JH609Zand 02H40KZ

0JH609Zand 02H43JZ

0JH609Zand 02H43KZ

0JH609Zand 02H43MZ

0JH609Zand 02H44KZ

0JH609Zand 02H60KZ

0JH609Zand 02H63KZ

0JH609Zand 02H64KZ

0JH609Zand 02H70KZ

0JH609Zand 02H73KZ

0JH609Zand 02H74KZ

0JH609Zand 02HN0JZ

0JH609Zand 02HN0KZ

0JH609Zand 02HN0MZ

0JH609Zand 02HN3JZ

0JH609Zand 02HN3KZ

0JH609Zand 02HN3MZ

0JH609Zand 02HN4JZ

0JH609Zand 02HN4KZ

0JH609Zand 02HN4MZ

0JH60BZand 00HE0MZ

0JH60BZand 00HE3MZ

0JH60BZand 00HE4MZ

0JH60BZand 00HU0MZ

0JH60BZand 00HU3MZ

0JH60BZand 00HU4MZ

0JH60BZand 00HV0MZ

0JH60BZand 00HV3MZ

0JH60BZand 00HV4MZ

0JH60BZand 01HY0MZ

0JH60BZand 01HY3MZ

0JH60BZand 01HY4MZ

0JH60BZand 05H00MZ

0JH60BZand 05H03MZ

0JH60BZand 05H04MZ

0JH60BZand 05H30MZ

0JH60BZand 05H33MZ

0JH60BZand 05H34MZ

0JH60BZand 05H40MZ

0JH60BZand 05H43MZ

0JH60BZand 05H44MZ

0JH60BZand 0DH60MZ

0JH60BZand 0DH63MZ

0JH60BZand 0DH64MZ

0JH60CZand 00HE0MZ

0JH60CZand 00HE3MZ

0JH60CZand 00HE4MZ

0JH60CZand 00HU0MZ

0JH60CZand 00HU3MZ

0JH60CZand 00HU4MZ

0JH60CZand 00HV0MZ

0JH60CZand 00HV3MZ

0JH60CZand 00HV4MZ

0JH60CZand 01HY0MZ

0JH60CZand 01HY3MZ

0JH60CZand 01HY4MZ

0JH60CZand 05H00MZ

0JH60CZand 05H03MZ

0JH60CZand 05H04MZ

0JH60CZand 05H30MZ

0JH60CZand 05H33MZ

0JH60CZand 05H34MZ

0JH60CZand 05H40MZ

0JH60CZand 05H43MZ

0JH60CZand 05H44MZ

0JH60CZand 0DH60MZ

0JH60CZand 0DH63MZ

0JH60CZand 0DH64MZ

0JH60DZand 00H00MZ

0JH60DZand 00H03MZ

0JH60DZand 00H04MZ

0JH60DZand 00H60MZ

0JH60DZand 00H63MZ

0JH60DZand 00H64MZ

0JH60DZand 00HE0MZ

0JH60DZand 00HE3MZ

0JH60DZand 00HE4MZ

0JH60DZand 00HU0MZ

0JH60DZand 00HU3MZ

0JH60DZand 00HU4MZ

0JH60DZand 00HV0MZ

0JH60DZand 00HV3MZ

0JH60DZand 00HV4MZ

0JH60DZand 01HY0MZ

0JH60DZand 01HY3MZ

0JH60DZand 01HY4MZ

0JH60DZand 05H00MZ

0JH60DZand 05H03MZ

0JH60DZand 05H04MZ

0JH60DZand 05H30MZ

8772019 ICD-10-PCS

Appen

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00164JB-00n

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Appendix H: non-oR not Affecting MS-dRg Assignment00164JB00164K000164K100164K200164K300164K400164K500164K600164K700164K800164KB00164ZB001U072001U074001U076001U077001U079001U0J2001U0J4001U0J6001U0J7001U0J9001U0K2001U0K4001U0K6001U0K7001U0K9001U372001U374001U376001U377001U379001U3J2001U3J4001U3J6001U3J7001U3J9001U3K2001U3K4001U3K6001U3K7001U3K9001U472001U474001U476001U477001U479001U4J2001U4J4001U4J6001U4J7001U4J9001U4K2001U4K4001U4K6001U4K7001U4K90020X0Z0020XYZ002EX0Z002EXYZ002UX0Z002UXYZ

00500ZZ00503ZZ00504ZZ00510ZZ00513ZZ00514ZZ00520ZZ00523ZZ00524ZZ00560ZZ00563ZZ00564ZZ00570ZZ00573ZZ00574ZZ00580ZZ00583ZZ00584ZZ00590ZZ00593ZZ00594ZZ005A0ZZ005A3ZZ005A4ZZ005B0ZZ005B3ZZ005B4ZZ005C0ZZ005C3ZZ005C4ZZ005D0ZZ005D3ZZ005D4ZZ005F0ZZ005F3ZZ005F4ZZ005G0ZZ005G3ZZ005G4ZZ005H0ZZ005H3ZZ005H4ZZ005J0ZZ005J3ZZ005J4ZZ005K0ZZ005K3ZZ005K4ZZ005L0ZZ005L3ZZ005L4ZZ005M0ZZ005M3ZZ005M4ZZ005N0ZZ005N3ZZ005N4ZZ005P0ZZ005P3ZZ005P4ZZ005Q0ZZ005Q3ZZ005Q4ZZ

005R0ZZ005R3ZZ005R4ZZ005S0ZZ005S3ZZ005S4ZZ005T0ZZ005T3ZZ005T4ZZ005W0ZZ005W3ZZ005W4ZZ005X0ZZ005X3ZZ005X4ZZ005Y0ZZ005Y3ZZ005Y4ZZ00760ZZ00763ZZ00764ZZ00800ZZ00803ZZ00804ZZ00870ZZ00873ZZ00874ZZ00880ZZ00883ZZ00884ZZ008F0ZZ008F3ZZ008F4ZZ008G0ZZ008G3ZZ008G4ZZ008H0ZZ008H3ZZ008H4ZZ008J0ZZ008J3ZZ008J4ZZ008K0ZZ008K3ZZ008K4ZZ008L0ZZ008L3ZZ008L4ZZ008M0ZZ008M3ZZ008M4ZZ008N0ZZ008N3ZZ008N4ZZ008P0ZZ008P3ZZ008P4ZZ008Q0ZZ008Q3ZZ008Q4ZZ008R0ZZ008R3ZZ008R4ZZ

008S0ZZ008S3ZZ008S4ZZ008W0ZZ008W3ZZ008W4ZZ008X0ZZ008X3ZZ008X4ZZ008Y0ZZ008Y3ZZ008Y4ZZ009000Z00900ZX00900ZZ009030Z00903ZX00903ZZ009040Z00904ZX00904ZZ009100Z00910ZX00910ZZ009130Z00913ZX00913ZZ009140Z00914ZX00914ZZ009200Z00920ZX00920ZZ009230Z00923ZX00923ZZ009240Z00924ZX00924ZZ009300Z00930ZX00930ZZ009330Z00933ZX00933ZZ009340Z00934ZX00934ZZ009400Z00940ZX00940ZZ009430Z00943ZX00943ZZ009440Z00944ZX00944ZZ009500Z00950ZX00950ZZ009530Z00953ZX00953ZZ

009540Z00954ZX00954ZZ009600Z00960ZX00960ZZ009630Z00963ZX00963ZZ009640Z00964ZX00964ZZ009700Z00970ZX00970ZZ009730Z00973ZX00973ZZ009740Z00974ZX00974ZZ009800Z00980ZX00980ZZ009830Z00983ZX00983ZZ009840Z00984ZX00984ZZ009900Z00990ZX00990ZZ009930Z00993ZX00993ZZ009940Z00994ZX009A3ZX009A4ZX009B3ZX009B4ZX009C3ZX009C4ZX009D3ZX009D4ZX009F3ZX009F4ZX009G3ZX009G4ZX009H3ZX009H4ZX009J3ZX009J4ZX009K3ZX009K4ZX009L3ZX009L4ZX009M3ZX009M4ZX009N3ZX009N4ZX009P3ZX

009P4ZX009Q3ZX009Q4ZX009R3ZX009R4ZX009S3ZX009S4ZX009T30Z009T3ZX009T3ZZ009U30Z009U3ZX009U3ZZ009U40Z009U4ZX009U4ZZ009W30Z009W3ZX009W3ZZ009X30Z009X3ZX009X3ZZ009Y30Z009Y3ZX009Y3ZZ00B03ZX00B04ZX00B13ZX00B13ZZ00B14ZX00B14ZZ00B20ZX00B20ZZ00B23ZX00B23ZZ00B24ZX00B24ZZ00B60ZX00B60ZZ00B63ZX00B63ZZ00B64ZX00B64ZZ00B70ZX00B70ZZ00B73ZX00B73ZZ00B74ZX00B74ZZ00B80ZX00B80ZZ00B83ZX00B83ZZ00B84ZX00B84ZZ00B90ZX00B90ZZ00B93ZX00B93ZZ00B94ZX00B94ZZ00BA0ZX00BA0ZZ

00BA3ZX00BA3ZZ00BA4ZX00BA4ZZ00BB0ZX00BB0ZZ00BB3ZX00BB3ZZ00BB4ZX00BB4ZZ00BC0ZX00BC0ZZ00BC3ZX00BC3ZZ00BC4ZX00BC4ZZ00BD0ZX00BD0ZZ00BD3ZX00BD3ZZ00BD4ZX00BD4ZZ00BF0ZX00BF0ZZ00BF3ZX00BF3ZZ00BF4ZX00BF4ZZ00BG0ZX00BG0ZZ00BG3ZX00BG3ZZ00BG4ZX00BG4ZZ00BH0ZX00BH0ZZ00BH3ZX00BH3ZZ00BH4ZX00BH4ZZ00BJ0ZX00BJ0ZZ00BJ3ZX00BJ3ZZ00BJ4ZX00BJ4ZZ00BK0ZX00BK0ZZ00BK3ZX00BK3ZZ00BK4ZX00BK4ZZ00BL0ZX00BL0ZZ00BL3ZX00BL3ZZ00BL4ZX00BL4ZZ00BM0ZX00BM0ZZ00BM3ZX00BM3ZZ00BM4ZX

00BM4ZZ00BN0ZX00BN0ZZ00BN3ZX00BN3ZZ00BN4ZX00BN4ZZ00BP0ZX00BP0ZZ00BP3ZX00BP3ZZ00BP4ZX00BP4ZZ00BQ0ZX00BQ0ZZ00BQ3ZX00BQ3ZZ00BQ4ZX00BQ4ZZ00BR0ZX00BR0ZZ00BR3ZX00BR3ZZ00BR4ZX00BR4ZZ00BS0ZX00BS0ZZ00BS3ZX00BS3ZZ00BS4ZX00BS4ZZ00BT0ZX00BT0ZZ00BT3ZX00BT3ZZ00BT4ZX00BT4ZZ00BW0ZX00BW0ZZ00BW3ZX00BW3ZZ00BW4ZX00BW4ZZ00BX0ZX00BX0ZZ00BX3ZX00BX3ZZ00BX4ZX00BX4ZZ00BY0ZX00BY0ZZ00BY3ZX00BY3ZZ00BY4ZX00BY4ZZ00C00ZZ00C03ZZ00C04ZZ00C10ZZ00C13ZZ00C14ZZ00C20ZZ00C23ZZ

00C24ZZ00C30ZZ00C33ZZ00C34ZZ00C40ZZ00C43ZZ00C44ZZ00C50ZZ00C53ZZ00C54ZZ00C60ZZ00C63ZZ00C64ZZ00C70ZZ00C73ZZ00C74ZZ00C80ZZ00C83ZZ00C84ZZ00C90ZZ00C93ZZ00C94ZZ00CA0ZZ00CA3ZZ00CA4ZZ00CB0ZZ00CB3ZZ00CB4ZZ00CC0ZZ00CC3ZZ00CC4ZZ00CD0ZZ00CD3ZZ00CD4ZZ00CF0ZZ00CF3ZZ00CF4ZZ00CG0ZZ00CG3ZZ00CG4ZZ00CH0ZZ00CH3ZZ00CH4ZZ00CJ0ZZ00CJ3ZZ00CJ4ZZ00CK0ZZ00CK3ZZ00CK4ZZ00CL0ZZ00CL3ZZ00CL4ZZ00CM0ZZ00CM3ZZ00CM4ZZ00CN0ZZ00CN3ZZ00CN4ZZ00CP0ZZ00CP3ZZ00CP4ZZ00CQ0ZZ00CQ3ZZ

00CQ4ZZ00CR0ZZ00CR3ZZ00CR4ZZ00CS0ZZ00CS3ZZ00CS4ZZ00CT0ZZ00CT3ZZ00CT4ZZ00CU0ZZ00CU3ZZ00CU4ZZ00CW0ZZ00CW3ZZ00CW4ZZ00CX0ZZ00CX3ZZ00CX4ZZ00CY0ZZ00CY3ZZ00CY4ZZ00D10ZZ00D13ZZ00D14ZZ00D20ZZ00D23ZZ00D24ZZ00DF0ZZ00DF3ZZ00DF4ZZ00DG0ZZ00DG3ZZ00DG4ZZ00DH0ZZ00DH3ZZ00DH4ZZ00DJ0ZZ00DJ3ZZ00DJ4ZZ00DK0ZZ00DK3ZZ00DK4ZZ00DL0ZZ00DL3ZZ00F3XZZ00F4XZZ00F5XZZ00F6XZZ00H00MZ00H03MZ00H04MZ00H60MZ00H63MZ00H64MZ00HE0MZ00HE32Z00HE3MZ00HE3YZ00HE4MZ00HE4YZ00HU03Z00HU0MZ

00HU32Z00HU33Z00HU3MZ00HU3YZ00HU43Z00HU4MZ00HU4YZ00HV03Z00HV0MZ00HV32Z00HV33Z00HV3MZ00HV43Z00HV4MZ00J03ZZ00JE3ZZ00JU3ZZ00JV3ZZ00JV4ZZ00K00ZZ00K03ZZ00K04ZZ00K70ZZ00K73ZZ00K74ZZ00K80ZZ00K83ZZ00K84ZZ00K90ZZ00K93ZZ00K94ZZ00KA0ZZ00KA3ZZ00KA4ZZ00KB0ZZ00KB3ZZ00KB4ZZ00KC0ZZ00KC3ZZ00KC4ZZ00KD0ZZ00KD3ZZ00KD4ZZ00N00ZZ00N03ZZ00N04ZZ00N10ZZ00N13ZZ00N14ZZ00N20ZZ00N23ZZ00N24ZZ00N60ZZ00N63ZZ00N64ZZ00N70ZZ00N73ZZ00N74ZZ00N80ZZ00N83ZZ00N84ZZ00N90ZZ00N93ZZ

2019 ICD-10-PCS Expert

2019 · extirpation - extirpation e xtirpation - e xtirpation 88 2019 icd-10-pcs icd-10-pcs index...

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