ICD-10 Procedure Coding System

And as of October 1 discharges, current codes I42.0 for dilated cardiomyopathy and I42.8 for other cardiomyopathies will be invalid.

Switching gears to ICD-10-PCS, we have a new technology, new code for transcatheter septal scoring.

Code X28M3DC will be assigned for division of ventricular septum using transcatheter septal scoring technique, percutaneous approach, new technology group 12.

You may hear this referred to as a sesame procedure with sesame standing for septal scoring along the midline endocardium.

This is a highly specialized cardiac procedure that scores the myocardium to enlarge the left ventricle outflow tract.

Now, this may be performed as part of a transcatheter mitral valve replacement or in cases of obstructive hypertrophic cardiomyopathy.

Remember that fun fact on those new technology group numbers? ICD-10-PCS went into effect 10-1-2015, so our new technology group for FY27 would be 12 years past 2015.

Finally, let's take a look at one of our MS-DRG changes for FY27.

So for example, our vanishing twin syndrome affecting the first fetus in the second trimester of pregnancy would be assigned O31.42X1 continuing pregnancy after vanishing twin syndrome of one fetus or more second trimester fetus one.

Looking at ICD-10-PCS, we have a couple of new codes identifying vein bypass using autologous cell seeded tissue.

Code X2K00FB, bypass inferior vena cava using autologous cell seeded tissue, engineered resorbable scaffold to pulmonary artery, open approach, new technology group 11.

Now, this is a tissue engineered conduit for children with single ventricle congenital heart disease.