ICD10-PCS Terms for New Technology section

Section X codes are standalone codes. They are not supplemental codes. Section X codes fully represent the specific procedure described in the code title, and do not require any additional codes from other sections of ICD-10-PCS. When section X contains a code title which describes a specific new technology procedure, only that X code is reported for the procedure. There is no need to report a broader, non-specific code in another section of ICD-10-PCS.

Assistance

Taking over a portion of a physiological function by extracorporeal means

Destruction

Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent
Explanation: None of the body part is physically taken out

Includes:
  • Fulguration of rectal polyp, cautery of skin lesion

Dilation

Expanding an orifice or the lumen of a tubular body part
Explanation: The orifice can be a natural orifice or an artificially created orifice. Accomplished by stretching a tubular body part using intraluminal pressure or by cutting part of the orifice or wall of the tubular body part

Extirpation

Taking or cutting out solid matter from a body part
Explanation: The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces

Includes:
  • Thrombectomy, choledocholithotomy

Fusion

Joining together portions of an articular body part rendering the articular body part immobile
Explanation: The body part is joined together by fixation device, bone graft, or other means

Includes:
  • Spinal fusion, ankle arthrodesis

Introduction

Putting in or on a therapeutic, diagnostic, nutritional, physiological, or prophylactic substance except blood or blood products

Measurement

Determining the level of a physiological or physical function at a point in time

Monitoring

Determining the level of a physiological or physical function repetitively over a period of time

Replacement

Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part
Explanation: The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during the Replacement procedure. A Removal procedure is coded for taking out the device used in a previous replacement procedure

Includes:
  • Total hip replacement, bone graft, free skin graft

Reposition

Moving to its normal location, or other suitable location, all or a portion of a body part
Explanation: The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning correctly. The body part may or may not be cut out or off to be moved to the new location

Includes:
  • Reposition of undescended testicle, fracture reduction

External

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

Open

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

Percutaneous

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

Percutaneous Endoscopic

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

Via Natural or Artificial Opening Endoscopic

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

Apalutamide Antineoplastic

Includes:
  • ERLEADA(tm)

Bezlotoxumab Monoclonal Antibody

Includes:
  • ZINPLAVA(tm)

Coagulation Factor Xa, Inactivated

Includes:
  • Andexanet Alfa, Factor Xa Inhibitor Reversal Agent
  • Andexxa
  • Coagulation Factor Xa, (Recombinant) Inactivated
  • Factor Xa Inhibitor Reversal Agent, Andexanet Alfa

Concentrated Bone Marrow Aspirate

Includes:
  • CBMA (Concentrated Bone Marrow Aspirate)

Cytarabine and Daunorubicin Liposome Antineoplastic

Includes:
  • VYXEOS(tm)

Defibrotide Sodium Anticoagulant

Includes:
  • Defitelio

Endothelial Damage Inhibitor

Includes:
  • DuraGraft(R) Endothelial Damage Inhibitor

Engineered Autologous Chimeric Antigen Receptor T-cell Immunotherapy

Includes:
  • Axicabtagene Ciloeucel
  • KYMRIAH
  • Tisagenlecleucel

Fosfomycin Anti-infective

Includes:
  • CONTEPO(tm)
  • Fosfomycin injection

Gilteritinib Antineoplastic

Includes:
  • XOSPATA(R)

Imipenem-cilastatin-relebactam Anti-infective

Includes:
  • IMI/REL

Interbody Fusion Device, Nanotextured Surface in New Technology

Includes:
  • nanoLOCK(tm) interbody fusion device

Interbody Fusion Device, Radiolucent Porous in New Technology

Includes:
  • COALESCE(R) radiolucent interbody fusion device
  • COHERE(R) radiolucent interbody fusion device

Intraluminal Device, Sustained Release Drug-eluting in New Technology

Includes:
  • Eluvia(tm) Drug-Eluting Vascular Stent System
  • SAVAL below-the-knee (BTK) drug-eluting stent system

Intraluminal Device, Sustained Release Drug-eluting, Four or More in New Technology

Includes:
  • Eluvia(tm) Drug-Eluting Vascular Stent System
  • SAVAL below-the-knee (BTK) drug-eluting stent system

Intraluminal Device, Sustained Release Drug-eluting, Three in New Technology

Includes:
  • Eluvia(tm) Drug-Eluting Vascular Stent System
  • SAVAL below-the-knee (BTK) drug-eluting stent system

Intraluminal Device, Sustained Release Drug-eluting, Two in New Technology

Includes:
  • Eluvia(tm) Drug-Eluting Vascular Stent System
  • SAVAL below-the-knee (BTK) drug-eluting stent system

Iobenguane I-131 Antineoplastic

Includes:
  • AZEDRA(R)
  • Iobenguane I-131, High Specific Activity (HSA)

Magnetically Controlled Growth Rod(s) in New Technology

Includes:
  • MAGEC(R) Spinal Bracing and Distraction System
  • Spinal growth rods, magnetically controlled

Meropenem-vaborbactam Anti-infective

Includes:
  • Vabomere(tm)

Other New Technology Therapeutic Substance

Includes:
  • STELARA(R)
  • Ustekinumab

Ruxolitinib

Includes:
  • Jakafi(R)

Skin Substitute, Porcine Liver Derived in New Technology

Includes:
  • MIRODERM(tm) Biologic Wound Matrix

Synthetic Human Angiotensin II

Includes:
  • Angiotensin II
  • GIAPREZA(tm)
  • Human angiotensin II, synthetic

Tagraxofusp-erzs Antineoplastic

Includes:
  • ELZONRIS(tm)

Uridine Triacetate

Includes:
  • Vistogard(R)

Venetoclax Antineoplastic

Includes:
  • Venclexta(R)

Zooplastic Tissue, Rapid Deployment Technique in New Technology

Includes:
  • EDWARDS INTUITY Elite valve system
  • INTUITY Elite valve system, EDWARDS
  • Perceval sutureless valve
  • Sutureless valve, Perceval